Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

UPMC CHAUTAUQUA AT WCA

Jamestown, NY · CCN 330239 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $6,641 across 11 payers · range $2,902-$6,906

Source: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/160743226_upmc-chautauqua_standardcharges.csv?la=en&rev=92ca00d3196840e3858906012619711c&hash=DFC073E2472D4E12FA9B95E40CFBA3F9 · observed 2026-03-06

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,720 distinct procedures filed
24 distinct payers
185,829 rate rows
2026-03-06 last MRF observed
Data quality

181,034 of 185,829 rate rows are consumer-grade (97.4%)

4,795 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,822
template filing: same amount across many unrelated codes — excluded 1,293
per-diem day rate — not a per-procedure price 317
exceeds 10× this hospital's gross charge — excluded from medians 242
placeholder amount (≤ $0.02) — excluded from medians 115
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/160743226_upmc-chautauqua_standardcharges.csv?la=en&rev=92ca00d3196840e3858906012619711c&hash=DFC073E2472D4E12FA9B95E40CFBA3F9
Found on page https://www.upmc.com/locations/hospitals/chautauqua/patients-visitors/patient-info/cdm
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint 51d8e24a90bcc86d… · 68,805,029 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $185,901.95 $426,943.16 $397,766.05 nat. median
$370,165
1.1× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $308,214.99 $308,214.99 $308,214.99 nat. median
$119,243
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $120,642.89 $277,068.94 $258,287.70 nat. median
$261,939
1.0× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $229,377.63 $229,377.63 $229,377.63 nat. median
$67,603
outlier · 3.4×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $225,329.23 $225,329.23 $225,329.23 nat. median
$165,599
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $79,342.01 $204,760.58 $196,885.17 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $91,374.49 $209,851.01 $195,732.29 nat. median
$199,832
1.0× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $182,352.50 $182,352.50 $182,352.50 nat. median
$63,564
outlier · 2.9×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 $181,344.76 $181,344.76 $181,344.76 nat. median
$175,480
1.0× median
24
APR_DRG 		Apr-DRG V34: 002-4: Heart &/or Lung Transplant 9 $177,190.78 $605,683.13 $177,190.78 nat. median
$243,231
0.7× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $151,435.46 $151,435.46 $151,435.46 nat. median
$80,413
1.9× median
5834
APR_DRG 		Apr-DRG V34: 583-4: Neonate W Ecmo 9 $130,433.53 $538,302.83 $130,433.53 nat. median
$311,018
outlier · 0.4×
5884
APR_DRG 		Apr-DRG V34: 588-4: Neonate Bwt <1500g W Major Procedure 9 $128,140.78 $438,017.77 $128,140.78 nat. median
$254,667
0.5× median
5883
APR_DRG 		Apr-DRG V34: 588-3: Neonate Bwt <1500g W Major Procedure 9 $128,140.78 $438,017.77 $128,140.78 nat. median
$180,995
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $59,630.28 $136,947.13 $127,885.30 nat. median
$132,706
1.0× median
7
MS_DRG 		Lung Transplant 9 $55,750.61 $128,037.07 $119,691.32 nat. median
$122,690
1.0× median
1614
APR_DRG 		Apr-DRG V34: 161-4: Cardiac Defibrillator & Heart Assist Implant 9 $117,205.69 $400,638.83 $117,205.69 nat. median
$209,486
0.6× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 $115,337.52 $115,337.52 $115,337.52 nat. median
$89,814
1.3× median
34
APR_DRG 		Apr-DRG V34: 003-4: Bone Marrow Transplant 8 $113,800.85 $389,000.23 $113,800.85 nat. median
$241,408
outlier · 0.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $51,737.06 $118,819.54 $111,015.12 nat. median
$114,305
1.0× median
8514
APR_DRG 		Apr-DRG 42.00: Gender Related Procedures 1 $105,625.72 $105,625.72 $105,625.72 nat. median
$66,302
1.6× median
8513
APR_DRG 		Apr-DRG 42.00: Gender Related Procedures 1 $105,625.72 $105,625.72 $105,625.72 nat. median
$40,865
outlier · 2.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $48,783.40 $112,036.15 $104,702.24 nat. median
$108,240
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $48,727.43 $111,907.62 $104,582.64 nat. median
$96,134
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $47,446.27 $108,965.28 $101,844.39 nat. median
$96,835
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $46,813.00 $107,510.92 $100,490.90 nat. median
$100,978
1.0× median
5914
APR_DRG 		Apr-DRG V34: 591-4: Neonate Birthwt 500-749g Without Major Procedure 9 $98,384.87 $336,304.51 $98,384.87 nat. median
$168,361
0.6× median
5881
APR_DRG 		Apr-DRG V34: 588-1: Neonate Bwt <1500g W Major Procedure 9 $98,029.41 $335,089.44 $98,029.41 nat. median
$120,928
0.8× median
5882
APR_DRG 		Apr-DRG V34: 588-2: Neonate Bwt <1500g W Major Procedure 9 $98,029.41 $335,089.44 $98,029.41 nat. median
$147,847
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $44,386.70 $101,938.68 $95,338.64 nat. median
$99,646
1.0× median
8414
APR_DRG 		Apr-DRG V34: 841-4: Extensive 3rd Degree Burns W Skin Graft 9 $95,154.72 $325,263.02 $95,154.72 nat. median
$165,646
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $42,864.89 $98,443.66 $92,052.59 nat. median
$98,002
0.9× median
44
APR_DRG 		Apr-DRG V34: 004-4: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $91,771.21 $313,697.32 $91,771.21 nat. median
$127,600
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $42,114.95 $96,721.37 $90,449.77 nat. median
$92,900
1.0× median
111
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $89,809.04 $89,809.04 $89,809.04 nat. median
$34,746
outlier · 2.6×
14
APR_DRG 		Apr-DRG V34: 001-4: Liver Transplant &/or Intestinal Transplant 9 $88,893.47 $303,860.48 $88,893.47 nat. median
$137,901
0.6× median
5934
APR_DRG 		Apr-DRG V34: 593-4: Neonate Birthwt 750-999g Without Major Procedure 9 $88,540.55 $302,654.10 $88,540.55 nat. median
$156,285
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $38,786.33 $89,076.83 $83,335.49 nat. median
$81,124
1.0× median
72
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 $81,221.02 $81,221.02 $81,221.02 nat. median
$66,666
1.2× median
6094
APR_DRG 		Apr-DRG V34: 609-4: Neonate Bwt 1500-2499g W Major Procedure 9 $81,067.17 $277,108.18 $81,067.17 nat. median
$168,174
outlier · 0.5×
84
APR_DRG 		Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 $80,656.52 $80,656.52 $80,656.52 nat. median
$79,228
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $37,279.15 $85,615.44 $80,114.19 nat. median
$81,364
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $36,290.72 $83,345.41 $78,001.61 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $36,176.64 $83,083.41 $77,757.78 nat. median
$80,459
1.0× median
6024
APR_DRG 		Apr-DRG V34: 602-4: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj… 9 $76,788.39 $262,482.24 $76,788.39 nat. median
$123,690
0.6× median
23
APR_DRG 		Apr-DRG V34: 002-3: Heart &/or Lung Transplant 9 $76,520.27 $261,565.74 $76,520.27 nat. median
$116,111
0.7× median
2994
APR_DRG 		Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 $76,027.90 $76,027.90 $76,027.90 nat. median
$62,510
1.2× median
92
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $76,005.22 $76,005.22 $76,005.22 nat. median
$48,125
1.6× median
8413
APR_DRG 		Apr-DRG V34: 841-3: Extensive 3rd Degree Burns W Skin Graft 9 $66,492.35 $254,172.92 $74,357.52 nat. median
$64,013
1.2× median
5833
APR_DRG 		Apr-DRG V34: 583-3: Neonate W Ecmo 9 $74,101.08 $306,580.79 $74,101.08 nat. median
$250,089
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 7,720 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 11 — — $185,901.95 $426,943.16 $397,766.05 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $308,214.99 $308,214.99 $308,214.99 2026-03-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 10 — — $120,642.89 $277,068.94 $258,287.70 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $229,377.63 $229,377.63 $229,377.63 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $225,329.23 $225,329.23 $225,329.23 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 11 — — $79,342.01 $204,760.58 $196,885.17 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 11 — — $91,374.49 $209,851.01 $195,732.29 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $182,352.50 $182,352.50 $182,352.50 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $181,344.76 $181,344.76 $181,344.76 2026-03-06
24 APR_DRG Apr-DRG V34: 002-4: Heart &/or Lung Transplant 16 9 — — $177,190.78 $605,683.13 $177,190.78 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $151,435.46 $151,435.46 $151,435.46 2026-03-06
5834 APR_DRG Apr-DRG V34: 583-4: Neonate W Ecmo 16 9 — — $130,433.53 $538,302.83 $130,433.53 2026-03-06
5884 APR_DRG Apr-DRG V34: 588-4: Neonate Bwt <1500g W Major Procedure 16 9 — — $128,140.78 $438,017.77 $128,140.78 2026-03-06
5883 APR_DRG Apr-DRG V34: 588-3: Neonate Bwt <1500g W Major Procedure 16 9 — — $128,140.78 $438,017.77 $128,140.78 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 11 — — $59,630.28 $136,947.13 $127,885.30 2026-03-06
7 MS_DRG Lung Transplant 12 9 — — $55,750.61 $128,037.07 $119,691.32 2026-03-06
1614 APR_DRG Apr-DRG V34: 161-4: Cardiac Defibrillator & Heart Assist Implant 16 9 — — $117,205.69 $400,638.83 $117,205.69 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $115,337.52 $115,337.52 $115,337.52 2026-03-06
34 APR_DRG Apr-DRG V34: 003-4: Bone Marrow Transplant 15 8 — — $113,800.85 $389,000.23 $113,800.85 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 13 10 — — $51,737.06 $118,819.54 $111,015.12 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 1 1 — — $105,625.72 $105,625.72 $105,625.72 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 1 1 — — $105,625.72 $105,625.72 $105,625.72 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 10 — — $48,783.40 $112,036.15 $104,702.24 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 14 11 — — $48,727.43 $111,907.62 $104,582.64 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $47,446.27 $108,965.28 $101,844.39 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $46,813.00 $107,510.92 $100,490.90 2026-03-06
5914 APR_DRG Apr-DRG V34: 591-4: Neonate Birthwt 500-749g Without Major Procedure 16 9 — — $98,384.87 $336,304.51 $98,384.87 2026-03-06
5882 APR_DRG Apr-DRG V34: 588-2: Neonate Bwt <1500g W Major Procedure 16 9 — — $98,029.41 $335,089.44 $98,029.41 2026-03-06
5881 APR_DRG Apr-DRG V34: 588-1: Neonate Bwt <1500g W Major Procedure 16 9 — — $98,029.41 $335,089.44 $98,029.41 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 9 — — $44,386.70 $101,938.68 $95,338.64 2026-03-06
8414 APR_DRG Apr-DRG V34: 841-4: Extensive 3rd Degree Burns W Skin Graft 16 9 — — $95,154.72 $325,263.02 $95,154.72 2026-03-06
215 MS_DRG Other Heart Assist System Implant 14 11 — — $42,864.89 $98,443.66 $92,052.59 2026-03-06
44 APR_DRG Apr-DRG V34: 004-4: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 16 9 — — $91,771.21 $313,697.32 $91,771.21 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $42,114.95 $96,721.37 $90,449.77 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $89,809.04 $89,809.04 $89,809.04 2026-03-06
14 APR_DRG Apr-DRG V34: 001-4: Liver Transplant &/or Intestinal Transplant 16 9 — — $88,893.47 $303,860.48 $88,893.47 2026-03-06
5934 APR_DRG Apr-DRG V34: 593-4: Neonate Birthwt 750-999g Without Major Procedure 16 9 — — $88,540.55 $302,654.10 $88,540.55 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 11 — — $38,786.33 $89,076.83 $83,335.49 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $81,221.02 $81,221.02 $81,221.02 2026-03-06
6094 APR_DRG Apr-DRG V34: 609-4: Neonate Bwt 1500-2499g W Major Procedure 16 9 — — $81,067.17 $277,108.18 $81,067.17 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 1 — — $80,656.52 $80,656.52 $80,656.52 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 14 11 — — $37,279.15 $85,615.44 $80,114.19 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 11 — — $36,290.72 $83,345.41 $78,001.61 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $36,176.64 $83,083.41 $77,757.78 2026-03-06
6024 APR_DRG Apr-DRG V34: 602-4: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 16 9 — — $76,788.39 $262,482.24 $76,788.39 2026-03-06
23 APR_DRG Apr-DRG V34: 002-3: Heart &/or Lung Transplant 16 9 — — $76,520.27 $261,565.74 $76,520.27 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $76,027.90 $76,027.90 $76,027.90 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $76,005.22 $76,005.22 $76,005.22 2026-03-06
8413 APR_DRG Apr-DRG V34: 841-3: Extensive 3rd Degree Burns W Skin Graft 16 9 — — $66,492.35 $254,172.92 $74,357.52 2026-03-06
5833 APR_DRG Apr-DRG V34: 583-3: Neonate W Ecmo 16 9 — — $74,101.08 $306,580.79 $74,101.08 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $73,784.71 $73,784.71 $73,784.71 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $33,875.18 $77,797.88 $72,838.88 2026-03-06
5832 APR_DRG Apr-DRG V34: 583-2: Neonate W Ecmo 16 9 — — $72,715.28 $248,559.31 $72,715.28 2026-03-06
5831 APR_DRG Apr-DRG V34: 583-1: Neonate W Ecmo 16 9 — — $72,715.28 $248,559.31 $72,715.28 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $71,697.69 $71,697.69 $71,697.69 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $33,055.08 $75,914.43 $71,086.07 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 11 — — $32,912.59 $75,587.17 $70,781.52 2026-03-06
6034 APR_DRG Apr-DRG V34: 603-4: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 16 9 — — $70,736.36 $241,794.86 $70,736.36 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 11 — — $32,803.67 $75,337.04 $70,548.73 2026-03-06
54 APR_DRG Apr-DRG V34: 005-4: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 16 9 — — $70,023.91 $239,359.52 $70,023.91 2026-03-06
5933 APR_DRG Apr-DRG V34: 593-3: Neonate Birthwt 750-999g Without Major Procedure 16 9 — — $69,153.02 $236,382.61 $69,153.02 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $31,076.07 $71,369.43 $66,856.32 2026-03-06
10 MS_DRG Pancreas Transplant 12 9 — — $13,215.92 $69,120.06 $66,461.60 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 11 — — $30,878.47 $70,915.62 $66,434.01 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $66,406.85 $66,406.85 $66,406.85 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 11 — — $28,530.10 $68,726.78 $66,083.44 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 11 — — $30,696.37 $70,497.41 $66,044.80 2026-03-06
22 APR_DRG Apr-DRG V34: 002-2: Heart &/or Lung Transplant 16 9 — — $65,231.74 $222,978.68 $65,231.74 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 11 — — $29,755.30 $68,336.14 $64,033.45 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 11 — — $29,609.36 $68,000.97 $63,721.52 2026-03-06
6074 APR_DRG Apr-DRG V34: 607-4: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 16 9 — — $62,691.70 $214,296.16 $62,691.70 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 11 — — $28,977.39 $66,549.58 $62,370.81 2026-03-06
6304 APR_DRG Apr-DRG V34: 630-4: Neonate Birthwt >2499g W Major Cardiovascular Procedure 16 9 — — $62,102.13 $212,280.88 $62,102.13 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 11 — — $28,785.38 $66,108.62 $61,960.43 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 11 — — $28,764.29 $66,060.18 $61,915.35 2026-03-06
5891 APR_DRG Apr-DRG V34: 589-1: Neonate Bwt <500g Or Ga <24 Weeks 16 9 — — $61,642.06 $210,708.24 $61,642.06 2026-03-06
5892 APR_DRG Apr-DRG V34: 589-2: Neonate Bwt <500g Or Ga <24 Weeks 16 9 — — $61,642.06 $210,708.24 $61,642.06 2026-03-06
21 APR_DRG Apr-DRG V34: 002-1: Heart &/or Lung Transplant 16 9 — — $61,445.03 $210,034.75 $61,445.03 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 1 1 — — $61,335.00 $61,335.00 $61,335.00 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $28,306.67 $65,009.20 $60,937.29 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $28,306.67 $65,009.20 $60,937.29 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $28,203.78 $64,772.91 $60,717.37 2026-03-06
33 APR_DRG Apr-DRG V34: 003-3: Bone Marrow Transplant 15 8 — — $60,038.41 $205,226.55 $60,038.41 2026-03-06
5913 APR_DRG Apr-DRG V34: 591-3: Neonate Birthwt 500-749g Without Major Procedure 16 9 — — $59,996.26 $205,082.48 $59,996.26 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 11 — — $27,701.38 $63,619.11 $59,643.60 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $59,535.91 $59,535.91 $59,535.91 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $59,450.40 $59,450.40 $59,450.40 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 1 1 — — $58,000.31 $58,000.31 $58,000.31 2026-03-06
904 APR_DRG Apr-DRG V34: 090-4: Major Larynx & Trachea Procedures 15 8 — — $57,028.65 $194,938.41 $57,028.65 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 11 — — $26,382.76 $60,590.76 $56,825.31 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 1 — — $56,770.08 $56,770.08 $56,770.08 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 11 — — $26,352.20 $60,520.56 $56,759.99 2026-03-06
6023 APR_DRG Apr-DRG V34: 602-3: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 16 9 — — $56,681.81 $193,752.85 $56,681.81 2026-03-06
5932 APR_DRG Apr-DRG V34: 593-2: Neonate Birthwt 750-999g Without Major Procedure 16 9 — — $56,580.25 $193,405.69 $56,580.25 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 11 — — $26,099.49 $59,940.20 $56,219.87 2026-03-06
5912 APR_DRG Apr-DRG V34: 591-2: Neonate Birthwt 500-749g Without Major Procedure 16 9 — — $55,969.87 $191,319.24 $55,969.87 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 14 11 — — $25,865.73 $59,403.34 $55,720.27 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 11 — — $25,858.41 $59,386.53 $55,704.62 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $55,656.78 $55,656.78 $55,656.78 2026-03-06
3034 APR_DRG Apr-DRG V34: 303-4: Dorsal & Lumbar Fusion Proc For Curvature Of Back 16 9 — — $55,322.92 $189,107.82 $55,322.92 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $25,671.15 $58,956.45 $55,304.38 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — — $25,586.77 $58,762.67 $55,124.03 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 10 — — $25,527.36 $58,626.23 $54,997.05 2026-03-06
5931 APR_DRG Apr-DRG V34: 593-1: Neonate Birthwt 750-999g Without Major Procedure 16 9 — — $54,857.27 $187,516.08 $54,857.27 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 11 — — $25,264.32 $58,022.14 $54,434.86 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 11 — — $25,247.96 $57,984.57 $54,399.91 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 11 — — $24,827.37 $57,018.63 $53,500.96 2026-03-06
6314 APR_DRG Apr-DRG V34: 631-4: Neonate Birthwt >2499g W Other Major Procedure 16 9 — — $53,387.68 $220,940.56 $53,387.68 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $24,668.94 $56,654.79 $53,162.36 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 11 — — $24,568.20 $56,423.44 $52,947.05 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 11 — — $24,536.35 $56,350.27 $52,878.97 2026-03-06
4404 APR_DRG Apr-DRG V34: 440-4: Kidney Transplant 16 9 — — $52,731.08 $180,248.25 $52,731.08 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 1 1 — — $52,225.23 $52,225.23 $52,225.23 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $24,202.71 $55,584.04 $52,165.88 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 9 — — $24,127.80 $55,412.01 $52,005.78 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 11 — — $23,962.49 $55,032.35 $51,652.46 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 11 — — $23,077.38 $53,305.17 $51,254.97 2026-03-06
43 APR_DRG Apr-DRG V34: 004-3: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 16 9 — — $51,139.11 $174,806.48 $51,139.11 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 14 11 — — $23,634.02 $54,277.98 $50,950.41 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 11 — — $23,550.50 $54,086.18 $50,771.92 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 11 — — $23,516.92 $54,009.06 $50,700.15 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 11 — — $23,479.90 $53,924.03 $50,621.02 2026-03-06
1604 APR_DRG Apr-DRG V34: 160-4: Major Cardiothoracic Repair Of Heart Anomaly 16 9 — — $50,495.72 $172,607.21 $50,495.72 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 1 1 — — $50,460.17 $50,460.17 $50,460.17 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 10 — — $20,828.88 $52,437.25 $50,420.43 2026-03-06
1613 APR_DRG Apr-DRG V34: 161-3: Cardiac Defibrillator & Heart Assist Implant 16 9 — — $49,966.08 $179,979.30 $49,966.08 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $22,957.70 $52,724.75 $49,504.92 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 11 — — $22,943.93 $52,693.12 $49,475.48 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 1 1 — — $49,310.21 $49,310.21 $49,310.21 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 11 — — $22,789.81 $52,339.17 $49,146.08 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 11 — — $22,714.47 $52,166.14 $48,985.07 2026-03-06
3614 APR_DRG Apr-DRG V34: 361-4: Skin Graft For Skin & Subcutaneous Tissue Diagnoses 16 9 — — $48,751.92 $166,646.44 $48,751.92 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $48,475.23 $48,475.23 $48,475.23 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 11 — — $22,409.25 $51,465.17 $48,332.70 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $48,255.36 $48,255.36 $48,255.36 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 14 11 — — $22,370.50 $51,376.18 $48,249.90 2026-03-06
6022 APR_DRG Apr-DRG V34: 602-2: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 16 9 — — $48,160.32 $164,624.22 $48,160.32 2026-03-06
1624 APR_DRG Apr-DRG V34: 162-4: Cardiac Valve Procedures W Ami Or Complex Pdx 16 9 — — $47,656.07 $162,900.56 $47,656.07 2026-03-06
53 APR_DRG Apr-DRG V34: 005-3: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 16 9 — — $46,884.20 $160,262.13 $46,884.20 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $21,698.06 $49,831.85 $46,812.69 2026-03-06
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $46,711.03 $46,711.03 $46,711.03 2026-03-06
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 1 1 — — $46,709.29 $46,709.29 $46,709.29 2026-03-06
3044 APR_DRG Apr-DRG V34: 304-4: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 16 9 — — $46,627.76 $159,385.55 $46,627.76 2026-03-06
6073 APR_DRG Apr-DRG V34: 607-3: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 16 9 — — $46,459.68 $158,810.99 $46,459.68 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 11 — — $21,470.76 $49,309.83 $46,326.86 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 11 — — $21,298.56 $48,914.35 $45,958.82 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 11 — — $21,260.67 $48,827.35 $45,877.86 2026-03-06
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $45,735.58 $45,735.58 $45,735.58 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 11 — — $21,187.92 $48,660.26 $45,722.37 2026-03-06
3124 APR_DRG Apr-DRG V34: 312-4: Skin Graft, Except Hand, For Musculoskeletal & Connective Ti… 16 9 — — $45,714.22 $156,262.82 $45,714.22 2026-03-06
6033 APR_DRG Apr-DRG V34: 603-3: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 16 9 — — $45,593.36 $155,849.70 $45,593.36 2026-03-06
6814 APR_DRG Apr-DRG V34: 681-4: Other O.r. Procedures For Lymphatic/hematopoietic/other Neop… 16 9 — — $45,556.29 $155,722.99 $45,556.29 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $21,099.67 $48,457.58 $45,533.73 2026-03-06
6804 APR_DRG Apr-DRG V34: 680-4: Major O.r. Procedures For Lymphatic/hematopoietic/other Neop… 16 9 — — $45,429.85 $155,290.77 $45,429.85 2026-03-06
5911 APR_DRG Apr-DRG V34: 591-1: Neonate Birthwt 500-749g Without Major Procedure 16 9 — — $29,699.90 $154,303.09 $45,140.91 2026-03-06
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 1 1 — — $44,934.62 $44,934.62 $44,934.62 2026-03-06
471 MS_DRG Cervical Spinal Fusion With Mcc 14 11 — — $20,787.55 $47,740.78 $44,866.66 2026-03-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 11 — — $20,682.51 $47,499.54 $44,642.15 2026-03-06
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 1 — — $44,557.70 $44,557.70 $44,557.70 2026-03-06
6904 APR_DRG Apr-DRG V34: 690-4: Acute Leukemia 16 9 — — $44,448.77 $151,937.19 $44,448.77 2026-03-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 11 — — $20,495.24 $47,069.46 $44,241.90 2026-03-06
8424 APR_DRG Apr-DRG V34: 842-4: Burns With Skin Graft Except Extensive 3rd Degree Burns 16 9 — — $43,862.76 $149,934.06 $43,862.76 2026-03-06
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $43,724.46 $43,724.46 $43,724.46 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 11 — — $20,239.53 $46,482.18 $43,695.36 2026-03-06
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $43,627.62 $43,627.62 $43,627.62 2026-03-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 11 — — $20,198.20 $46,387.26 $43,607.03 2026-03-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 11 — — $20,137.93 $46,248.85 $43,478.22 2026-03-06
6 MS_DRG Liver Transplant Without Mcc 12 9 — — $19,962.28 $45,845.46 $43,102.81 2026-03-06
6124 APR_DRG Apr-DRG V34: 612-4: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 16 9 — — $43,029.45 $147,085.60 $43,029.45 2026-03-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 11 — — $19,882.64 $45,662.56 $42,932.59 2026-03-06
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 1 1 — — $42,788.27 $42,788.27 $42,788.27 2026-03-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 11 — — $19,787.93 $45,445.04 $42,730.16 2026-03-06
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 1 1 — — $42,684.44 $42,684.44 $42,684.44 2026-03-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 11 — — $19,737.56 $45,329.37 $42,622.52 2026-03-06
4054 APR_DRG Apr-DRG V34: 405-4: Other Procedures For Endocrine, Nutritional & Metabolic Diso… 16 9 — — $42,595.28 $145,601.48 $42,595.28 2026-03-06
13 APR_DRG Apr-DRG V34: 001-3: Liver Transplant &/or Intestinal Transplant 16 9 — — $42,485.59 $145,226.54 $42,485.59 2026-03-06
245 MS_DRG Aicd Generator Procedures 14 11 — — $19,641.13 $45,107.90 $42,416.40 2026-03-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 11 — — $19,582.15 $44,972.45 $42,290.35 2026-03-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 11 — — $19,573.54 $44,952.68 $42,271.95 2026-03-06
799 MS_DRG Splenic Procedures With Mcc 14 11 — — $19,496.91 $44,776.69 $42,108.17 2026-03-06
6114 APR_DRG Apr-DRG V34: 611-4: Neonate Birthwt 1500-1999g W Major Anomaly 16 9 — — $41,709.66 $142,574.23 $41,709.66 2026-03-06
163 MS_DRG Major Chest Procedures With Mcc 14 11 — — $19,294.15 $44,311.02 $41,674.80 2026-03-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 11 — — $19,288.55 $44,298.17 $41,662.83 2026-03-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 11 — — $19,212.78 $44,124.16 $41,500.91 2026-03-06
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 1 1 — — $41,314.62 $41,314.62 $41,314.62 2026-03-06
9504 APR_DRG Apr-DRG V34: 950-4: Extensive Procedure Unrelated To Principal Diagnosis 16 9 — — $41,204.90 $140,848.83 $41,204.90 2026-03-06
234 APR_DRG Apr-DRG V34: 023-4: Spinal Procedures 16 9 — — $41,041.39 $140,289.90 $41,041.39 2026-03-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 11 — — $18,911.00 $43,431.09 $40,855.90 2026-03-06
3003 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 1 1 — — $40,553.80 $40,553.80 $40,553.80 2026-03-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 11 — — $18,629.46 $42,784.48 $40,254.15 2026-03-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 11 — — $18,480.93 $42,443.39 $39,936.71 2026-03-06
140 MS_DRG Major Head And Neck Procedures With Mcc 14 11 — — $18,362.12 $42,170.51 $39,682.77 2026-03-06
2314 APR_DRG Apr-DRG 42.00: Major Large Bowel Procedures 1 1 — — $39,666.47 $39,666.47 $39,666.47 2026-03-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 11 — — $18,256.64 $41,928.28 $39,457.34 2026-03-06
32 APR_DRG Apr-DRG V34: 003-2: Bone Marrow Transplant 15 8 — — $39,408.79 $134,709.27 $39,408.79 2026-03-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 11 — — $18,180.88 $41,754.27 $39,295.41 2026-03-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 11 — — $18,149.88 $41,683.09 $39,229.14 2026-03-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 11 — — $18,140.84 $41,662.32 $39,209.83 2026-03-06
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 18 12 — — $468.19 $48,966.85 $39,173.48 2026-03-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 11 — — $18,087.89 $41,540.72 $39,096.66 2026-03-06
901 MS_DRG Wound Debridements For Injuries With Mcc 14 11 — — $18,066.36 $41,491.28 $39,050.66 2026-03-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 11 — — $18,032.78 $41,414.16 $38,978.88 2026-03-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $17,963.04 $41,254.00 $38,829.83 2026-03-06
793 MS_DRG Full Term Neonate With Major Problems 14 11 — — $17,950.13 $41,224.33 $38,802.22 2026-03-06
64 APR_DRG Apr-DRG V34: 006-4: Pancreas Transplant 16 9 — — $38,790.79 $132,596.79 $38,790.79 2026-03-06
4474 APR_DRG Apr-DRG V34: 447-4: Other Kidney, Urinary Tract & Related Procedures 16 9 — — $38,748.64 $132,452.72 $38,748.64 2026-03-06
8504 APR_DRG Apr-DRG V34: 850-4: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health… 16 9 — — $38,728.84 $132,385.02 $38,728.84 2026-03-06
1832 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $38,680.54 $38,680.54 $38,680.54 2026-03-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 11 — — $17,878.67 $41,060.21 $38,649.48 2026-03-06
1792 APR_DRG Apr-DRG 42.00: Defibrillator Implants 1 1 — — $38,618.60 $38,618.60 $38,618.60 2026-03-06
C1882 HCPCS Cobalt Hf Crt-d MRI Medtronic 41 13 $51,383.00 $30,829.80 40% off $9,762.77 $63,674.10 $38,537.25 2026-03-06
9124 APR_DRG Apr-DRG V34: 912-4: Musculoskeletal & Other Procedures For Multiple Significant … 16 9 — — $38,474.43 $131,515.38 $38,474.43 2026-03-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 11 — — $17,760.28 $40,788.32 $38,396.46 2026-03-06
5124 APR_DRG Apr-DRG V34: 512-4: Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Ma… 16 9 — — $38,102.72 $130,244.77 $38,102.72 2026-03-06
6072 APR_DRG Apr-DRG V34: 607-2: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 16 9 — — $37,975.76 $129,810.82 $37,975.76 2026-03-06
3254 APR_DRG Apr-DRG 42.00: Non-elective Or Complex Knee Joint Replacement 1 1 — — $37,883.95 $37,883.95 $37,883.95 2026-03-06
791 MS_DRG Prematurity With Major Problems 14 11 — — $17,473.99 $40,130.85 $37,784.58 2026-03-06
2324 APR_DRG Apr-DRG 42.00: Gastric Fundoplication 1 1 — — $37,781.87 $37,781.87 $37,781.87 2026-03-06
2604 APR_DRG Apr-DRG V34: 260-4: Major Pancreas, Liver & Shunt Procedures 16 9 — — $37,712.21 $128,909.93 $37,712.21 2026-03-06
81 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 1 — — $37,635.29 $37,635.29 $37,635.29 2026-03-06
6954 APR_DRG Apr-DRG V34: 695-4: Chemotherapy For Acute Leukemia # 16 9 — — $37,510.61 $128,220.81 $37,510.61 2026-03-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 11 — — $17,308.25 $39,750.20 $37,430.35 2026-03-06
924 APR_DRG Apr-DRG V34: 092-4: Facial Bone Procedures Except Major Cranial/facial Bone Proc… 16 9 — — $37,341.01 $127,641.05 $37,341.01 2026-03-06
63 APR_DRG Apr-DRG V34: 006-3: Pancreas Transplant 16 9 — — $37,141.95 $126,960.62 $37,141.95 2026-03-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 11 — — $17,151.55 $39,390.32 $37,095.41 2026-03-06
6093 APR_DRG Apr-DRG V34: 609-3: Neonate Bwt 1500-2499g W Major Procedure 16 9 — — $36,984.02 $126,420.78 $36,984.02 2026-03-06
7934 APR_DRG Apr-DRG 42.00: Moderately Extensive O.r. Procedures For Other Complications Of T… 1 1 — — $36,863.12 $36,863.12 $36,863.12 2026-03-06
214 APR_DRG Apr-DRG V34: 021-4: Craniotomy Except For Trauma 16 9 — — $36,772.26 $125,696.95 $36,772.26 2026-03-06
41 APR_DRG Apr-DRG V34: 004-1: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 16 9 — — $36,504.14 $124,780.44 $36,504.14 2026-03-06
42 APR_DRG Apr-DRG V34: 004-2: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 16 9 — — $36,504.14 $124,780.44 $36,504.14 2026-03-06
1694 APR_DRG Apr-DRG V34: 169-4: Major Abdominal Vascular Procedures 16 9 — — $36,475.20 $124,681.50 $36,475.20 2026-03-06
9104 APR_DRG Apr-DRG V34: 910-4: Craniotomy For Multiple Significant Trauma 16 9 — — $36,473.17 $124,674.55 $36,473.17 2026-03-06
6084 APR_DRG Apr-DRG V34: 608-4: Neonate Bwt 1250-1499g W Or Without Other Significant Condition 16 9 — — $36,472.66 $124,672.82 $36,472.66 2026-03-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $16,840.73 $38,676.49 $36,431.10 2026-03-06
2991 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $36,369.29 $36,369.29 $36,369.29 2026-03-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 11 — — $16,430.89 $37,735.25 $36,268.24 2026-03-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 11 — — $16,663.36 $38,269.15 $36,052.02 2026-03-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 11 — — $16,638.39 $38,211.80 $35,998.64 2026-03-06
2204 APR_DRG Apr-DRG V34: 220-4: Major Stomach, Esophageal & Duodenal Procedures 16 9 — — $35,991.77 $123,029.01 $35,991.77 2026-03-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 11 — — $16,622.47 $38,175.22 $35,964.60 2026-03-06
8412 APR_DRG Apr-DRG V34: 841-2: Extensive 3rd Degree Burns W Skin Graft 16 9 — — $35,962.31 $122,928.33 $35,962.31 2026-03-06
1654 APR_DRG Apr-DRG V34: 165-4: Coronary Bypass W Ami Or Complex Pdx 16 9 — — $35,935.40 $122,836.33 $35,935.40 2026-03-06
3214 APR_DRG Apr-DRG V34: 321-4: Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis… 16 9 — — $35,872.43 $122,621.09 $35,872.43 2026-03-06
7944 APR_DRG Apr-DRG 42.00: Non-extensive O.r. Procedures For Other Complications Of Treatmen… 1 1 — — $35,797.80 $35,797.80 $35,797.80 2026-03-06
33249 CPT Ins Pcr/dfb W Lead Sng/dl Chm 33 17 $47,716.00 $28,629.60 40% off $761.50 $48,966.85 $35,787.00 2026-03-06
1634 APR_DRG Apr-DRG V34: 163-4: Cardiac Valve Procedures Without Ami Or Complex Pdx 16 9 — — $35,785.09 $122,322.53 $35,785.09 2026-03-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 11 — — $16,528.19 $37,958.70 $35,763.11 2026-03-06
1831 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $35,615.45 $35,615.45 $35,615.45 2026-03-06
3033 APR_DRG Apr-DRG V34: 303-3: Dorsal & Lumbar Fusion Proc For Curvature Of Back 16 9 — — $35,485.48 $121,298.40 $35,485.48 2026-03-06
4014 APR_DRG Apr-DRG V34: 401-4: Pituitary & Adrenal Procedures 16 9 — — $35,483.96 $121,293.20 $35,483.96 2026-03-06
273 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 1 1 — — $35,434.84 $35,434.84 $35,434.84 2026-03-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 11 — — $16,199.72 $37,204.33 $35,061.07 2026-03-06
6032 APR_DRG Apr-DRG V34: 603-2: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 16 9 — — $35,031.00 $119,744.85 $35,031.00 2026-03-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 11 — — $16,129.11 $37,042.18 $34,910.16 2026-03-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 11 — — $16,090.80 $36,954.19 $34,828.27 2026-03-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 11 — — $16,089.08 $36,950.24 $34,824.60 2026-03-06
3104 APR_DRG Apr-DRG V34: 310-4: Intervertebral Disc Excision & Decompression 16 9 — — $34,745.10 $118,767.59 $34,745.10 2026-03-06
3234 APR_DRG Apr-DRG 42.00: Non-elective Or Complex Hip Joint Replacement 1 1 — — $34,732.48 $34,732.48 $34,732.48 2026-03-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 11 — — $16,043.87 $36,846.42 $34,727.98 2026-03-06
6083 APR_DRG Apr-DRG V34: 608-3: Neonate Bwt 1250-1499g W Or Without Other Significant Condition 16 9 — — $34,650.65 $118,444.73 $34,650.65 2026-03-06
894 APR_DRG Apr-DRG V34: 089-4: Major Cranial/facial Bone Procedures 16 9 — — $34,625.26 $118,357.94 $34,625.26 2026-03-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 11 — — $15,953.47 $36,638.80 $34,534.75 2026-03-06
244 APR_DRG Apr-DRG V34: 024-4: Extracranial Vascular Procedures 16 9 — — $34,498.31 $117,923.99 $34,498.31 2026-03-06
6214 APR_DRG Apr-DRG V34: 621-4: Neonate Bwt 2000-2499g W Major Anomaly 16 9 — — $34,490.69 $117,897.95 $34,490.69 2026-03-06
4414 APR_DRG Apr-DRG V34: 441-4: Major Bladder Procedures 16 9 — — $34,344.44 $117,398.04 $34,344.44 2026-03-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 11 — — $15,812.70 $36,315.50 $34,233.88 2026-03-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 11 — — $15,806.24 $36,300.67 $34,220.08 2026-03-06
204 APR_DRG Apr-DRG V34: 020-4: Craniotomy For Trauma 16 9 — — $33,972.22 $116,125.69 $33,972.22 2026-03-06
303 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $33,939.38 $33,939.38 $33,939.38 2026-03-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 11 — — $15,620.69 $35,874.54 $33,823.52 2026-03-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 11 — — $15,608.64 $35,846.86 $33,797.75 2026-03-06
332 MS_DRG Rectal Resection With Mcc 14 11 — — $15,587.11 $35,797.43 $33,751.74 2026-03-06
265 MS_DRG Aicd Lead Procedures 14 11 — — $15,576.35 $35,772.71 $33,728.75 2026-03-06
1674 APR_DRG Apr-DRG V34: 167-4: Other Cardiothoracic & Thoracic Vascular Procedures 16 9 — — $33,673.63 $115,105.03 $33,673.63 2026-03-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 11 — — $15,548.80 $35,709.43 $33,669.86 2026-03-06
31 APR_DRG Apr-DRG V34: 003-1: Bone Marrow Transplant 15 8 — — $33,645.19 $115,007.83 $33,645.19 2026-03-06
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 11 — — $15,525.55 $35,656.04 $33,620.18 2026-03-06
1814 APR_DRG Apr-DRG V34: 181-4: Lower Extremity Arterial Procedures # 16 9 — — $33,598.98 $114,849.87 $33,598.98 2026-03-06
7914 APR_DRG Apr-DRG V34: 791-4: O.r. Procedure For Other Complications Of Treatment 15 8 — — $33,569.53 $114,749.19 $33,569.53 2026-03-06
2214 APR_DRG Apr-DRG V34: 221-4: Major Small & Large Bowel Procedures 15 8 — — $33,557.34 $114,707.53 $33,557.34 2026-03-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 11 — — $15,180.72 $34,864.10 $33,403.02 2026-03-06
4034 APR_DRG Apr-DRG V34: 403-4: Procedures For Obesity 16 9 — — $33,396.88 $114,159.02 $33,396.88 2026-03-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 11 — — $15,388.22 $35,340.65 $33,326.66 2026-03-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 11 — — $15,372.72 $35,305.06 $33,293.53 2026-03-06
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 11 — — $15,349.91 $35,252.66 $33,244.76 2026-03-06
3244 APR_DRG Apr-DRG 42.00: Elective Hip Joint Replacement 1 1 — — $33,223.06 $33,223.06 $33,223.06 2026-03-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 11 — — $15,336.99 $35,223.00 $33,217.15 2026-03-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 11 — — $15,322.36 $35,189.38 $33,185.88 2026-03-06
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 11 — — $15,309.87 $35,160.71 $33,159.20 2026-03-06
6021 APR_DRG Apr-DRG V34: 602-1: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 16 9 — — $32,970.32 $112,700.94 $32,970.32 2026-03-06
9114 APR_DRG Apr-DRG V34: 911-4: Extensive Abdominal/thoracic Procedures For Mult Significant… 16 9 — — $32,958.13 $112,659.28 $32,958.13 2026-03-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 11 — — $15,182.01 $34,867.07 $32,885.92 2026-03-06
3134 APR_DRG Apr-DRG V34: 313-4: Knee & Lower Leg Procedures Except Foot 16 9 — — $32,861.65 $112,329.47 $32,861.65 2026-03-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 11 — — $15,151.02 $34,795.89 $32,819.68 2026-03-06
8512 APR_DRG Apr-DRG 42.00: Gender Related Procedures 1 1 — — $32,660.29 $32,660.29 $32,660.29 2026-03-06
1791 APR_DRG Apr-DRG 42.00: Defibrillator Implants 1 1 — — $32,644.59 $32,644.59 $32,644.59 2026-03-06
5104 APR_DRG Apr-DRG V34: 510-4: Pelvic Evisceration, Radical Hysterectomy & Other Radical Gy… 15 8 — — $32,546.81 $111,253.27 $32,546.81 2026-03-06
252 MS_DRG Other Vascular Procedures With Mcc 14 11 — — $15,017.13 $34,488.40 $32,533.52 2026-03-06
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 11 — — $15,013.26 $34,479.51 $32,525.23 2026-03-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 11 — — $14,944.38 $34,321.32 $32,378.03 2026-03-06
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