Price Transparency 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

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR

Plattsburgh, NY · CCN 330250 · Rates published

28,847 distinct procedures filed
37 distinct payers
1,097,381 rate rows
2026-05-23 last MRF observed
Data quality

939,229 of 1,097,381 rate rows are consumer-grade (85.6%)

158,152 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
professional (physician) fee — not the facility price 153,939
per-diem day rate — not a per-procedure price 1,628
placeholder amount (≤ $0.02) — excluded from medians 1,191
exceeds 10× this hospital's gross charge — excluded from medians 849
template filing: same amount across many unrelated codes — excluded 422
percent-of-charges filed in the dollar field — excluded from medians 92
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uvmhealth.org/sites/default/files/141338471_champlain-valley-physicians-hospital_standardcharges.csv
Found on page https://www.uvmhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint c7d77042684bc98c… · 171,782,425 bytes · first seen 2026-05-09

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
24
APR_DRG 		Heart &/or Lung Transplant 7 $229,325.68 $972,062.04 $515,982.78 nat. median
$234,738
outlier · 2.2×
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $343,817.04 $747,428.36 $511,004.95 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $380,332.57 $903,900.39 $402,298.04 nat. median
$370,174
1.1× median
5834
APR_DRG 		Neonate W Ecmo 7 $168,974.64 $1,698,802.92 $380,192.94 nat. median
$309,665
1.2× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $166,015.32 $692,924.68 $373,534.47 nat. median
$182,736
outlier · 2.0×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $166,015.32 $1,040,616.70 $373,534.47 nat. median
$246,434
1.5× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $151,901.06 $725,511.20 $341,777.39 nat. median
$207,730
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $284,076.54 $675,137.81 $300,482.91 nat. median
$265,286
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $127,608.45 $682,164.98 $287,119.01 nat. median
$164,279
1.7× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $127,149.64 $593,935.44 $286,086.69 nat. median
$145,336
2.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $127,149.64 $509,087.52 $286,086.69 nat. median
$124,573
outlier · 2.3×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 7 $123,439.19 $645,274.58 $277,738.18 nat. median
$160,267
1.7× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $119,071.98 $546,592.76 $267,911.96 nat. median
$105,658
outlier · 2.5×
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 7 $115,357.60 $541,059.20 $259,554.60 nat. median
$129,535
outlier · 2.0×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $114,902.07 $599,776.42 $258,529.66 nat. median
$151,838
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $239,243.79 $568,588.07 $253,060.92 nat. median
$206,368
1.2× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 7 $105,255.94 $724,896.36 $236,825.86 nat. median
$162,982
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $216,137.10 $513,672.59 $228,619.74 nat. median
$202,986
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $99,733.20 $451,907.40 $224,399.70 nat. median
$118,620
1.9× median
23
APR_DRG 		Heart &/or Lung Transplant 7 $99,387.12 $529,377.24 $223,621.02 nat. median
$93,528
outlier · 2.4×
5833
APR_DRG 		Neonate W Ecmo 7 $96,264.60 $967,450.74 $216,595.35 nat. median
$244,017
0.9× median
5831
APR_DRG 		Neonate W Ecmo 7 $94,475.90 $666,793.98 $212,570.77 nat. median
$145,122
1.5× median
5832
APR_DRG 		Neonate W Ecmo 7 $94,475.90 $743,034.14 $212,570.77 nat. median
$156,126
1.4× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 $91,921.65 $330,476.50 $206,823.71 nat. median
$109,499
1.9× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 $91,002.07 $380,585.96 $204,754.66 nat. median
$68,217
outlier · 3.0×
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $89,877.99 $438,688.34 $202,225.48 nat. median
$108,996
1.9× median
950
CPT 		Extensive Procedure Unrelated To Principal Diagnosis 12 $135,062.52 $1,057,179.99 $201,839.33 —
22
APR_DRG 		Heart &/or Lung Transplant 7 $84,816.67 $400,875.68 $190,837.51 nat. median
$78,029
outlier · 2.4×
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $81,538.15 $349,229.12 $183,460.84 nat. median
$95,507
1.9× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 $80,777.19 $632,362.94 $181,748.68 nat. median
$150,721
1.2× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 7 $80,183.36 $485,108.76 $180,412.56 nat. median
$89,790
outlier · 2.0×
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 7 $80,183.36 $485,108.76 $180,412.56 nat. median
$93,260
1.9× median
21
APR_DRG 		Heart &/or Lung Transplant 7 $79,929.05 $354,455.26 $179,840.36 nat. median
$65,130
outlier · 2.8×
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $78,059.07 $514,621.08 $175,632.91 nat. median
$102,636
1.7× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 7 $96,595.60 $217,340.10 $166,556.38 nat. median
$66,693
outlier · 2.5×
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $73,781.01 $313,875.82 $166,007.27 nat. median
$86,492
1.9× median
5932
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $73,649.92 $352,918.16 $165,712.32 nat. median
$86,258
1.9× median
870
CPT 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $97,465.42 $211,881.35 $164,015.42 —
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $72,862.08 $441,455.12 $163,939.68 nat. median
$81,294
outlier · 2.0×
3034
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 $72,027.05 $278,522.52 $162,060.86 nat. median
$84,162
1.9× median
5931
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $71,426.01 $268,685.08 $160,708.52 nat. median
$29,713
outlier · 5.4×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 7 $69,529.16 $697,228.56 $156,440.61 nat. median
$122,924
1.3× median
4404
APR_DRG 		Kidney Transplant 7 $68,681.68 $273,911.22 $154,533.78 nat. median
$79,034
2.0× median
34
APR_DRG 		Bone Marrow Transplant 6 $147,506.32 $331,889.22 $151,193.98 nat. median
$209,067
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $142,500.67 $338,667.84 $150,730.56 nat. median
$133,176
1.1× median
43
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $66,626.87 $376,896.92 $149,910.46 nat. median
$69,926
outlier · 2.1×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $65,796.43 $416,554.10 $148,041.97 nat. median
$97,957
1.5× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $65,112.80 $568,112.16 $146,503.80 nat. median
$119,796
1.2× median
6022
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $62,782.05 $250,854.72 $141,259.61 nat. median
$69,988
outlier · 2.0×
1624
APR_DRG 		Cardiac Valve Procedures W Ami Or Complex Pdx 7 $62,131.20 $279,752.20 $139,795.20 nat. median
$81,790
1.7× median

Other procedures at this hospital

Browse this hospital's 28,847 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
7754 APR_DRG Alcohol Abuse & Dependence 9 5 — — $48,468.95 $77,162.42 $61,552.73 2026-02-19
288 CPT Acute And Subacute Endocarditis With Mcc 26 12 $82,755.86 — $32,357.54 $77,358.94 $63,389.37 2026-05-23
8444 APR_DRG Partial Thickness Burns Without Skin Graft 19 7 — — $33,914.47 $78,084.68 $61,940.44 2026-02-19
7403 APR_DRG Mental Illness Diagnosis W O.r. Procedure 9 5 — — $49,820.68 $79,314.36 $63,269.34 2026-02-19
424 APR_DRG Degenerative Nervous System Disorders Exc Mult Sclerosis 9 5 — — $50,206.88 $79,929.20 $63,759.80 2026-02-19
6614 APR_DRG Coagulation & Platelet Disorders 19 7 — — $30,548.12 $79,929.20 $62,623.65 2026-02-19
468 CPT Revision Of Hip Or Knee Replacement Without Cc/mcc 26 12 $73,556.97 — $28,760.78 $80,509.73 $60,003.83 2026-05-23
264 CPT Other Circulatory System O.r. Procedures 26 12 $63,166.91 — $24,698.26 $80,563.60 $59,530.66 2026-05-23
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 19 7 — — $33,247.88 $81,773.72 $64,866.76 2026-02-19
61 CPT Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 12 $74,919.03 — $29,293.34 $81,981.90 $61,101.04 2026-05-23
7524 APR_DRG Disorders Of Personality & Impulse Control 9 5 — — $52,331.02 $83,310.82 $66,457.33 2026-02-19
4624 APR_DRG Nephritis & Nephrosis 19 7 — — $26,956.30 $84,540.50 $60,017.71 2026-02-19
321 CPT Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 12 $99,831.00 — $39,033.92 $84,856.35 $68,900.81 2026-05-23
480 CPT Hip And Femur Procedures Except Major Joint With Mcc 26 12 $87,242.45 — $34,111.80 $86,672.14 $69,793.96 2026-05-23
464 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 12 $93,331.23 — $36,492.51 $87,514.05 $71,710.66 2026-05-23
7574 APR_DRG Organic Mental Health Disturbances 9 5 — — $55,999.99 $89,151.80 $71,116.70 2026-02-19
3814 APR_DRG Major Skin Disorders 19 7 — — $39,309.40 $89,766.64 $71,207.12 2026-02-19
6964 APR_DRG Other Chemotherapy # 19 7 — — $29,422.73 $89,766.64 $63,727.89 2026-02-19
6132 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 19 7 — — $27,018.57 $91,611.16 $60,791.78 2026-02-19
3464 APR_DRG Connective Tissue Disorders 19 7 — — $32,569.50 $93,455.68 $66,767.48 2026-02-19
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 19 7 — — $35,419.36 $94,685.36 $72,609.69 2026-02-19
850 CPT Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 26 12 $99,069.59 — $38,736.21 $94,691.03 $77,591.61 2026-05-23
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 19 7 — — $27,066.42 $95,300.20 $60,899.44 2026-02-19
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 12 $112,388.42 — $43,943.87 $95,530.16 $77,822.90 2026-05-23
3084 APR_DRG Hip And Femur Fracture Repair 19 7 — — $38,431.11 $95,607.62 $75,840.46 2026-02-19
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $37,954.60 $96,837.30 $76,815.90 2026-02-19
7584 APR_DRG Behavioral Disorders 9 5 — — $61,986.19 $98,681.82 $78,718.83 2026-02-19
2284 APR_DRG Inguinal, Femoral & Umbilical Hernia Procedures 19 7 — — $29,825.17 $98,681.82 $67,106.63 2026-02-19
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 19 7 — — $27,606.50 $98,681.82 $62,114.62 2026-02-19
9503 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 19 7 — — $26,800.97 $98,681.82 $60,302.18 2026-02-19
37 CPT Extracranial Procedures With Mcc 26 12 $89,342.78 — $34,933.03 $98,736.30 $73,588.08 2026-05-23
1813 APR_DRG Lower Extremity Arterial Procedures # 19 7 — — $27,429.53 $98,989.24 $61,716.44 2026-02-19
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 19 7 — — $39,733.47 $100,833.76 $79,986.08 2026-02-19
7594 APR_DRG Eating Disorders 9 5 — — $65,462.05 $104,215.38 $83,132.97 2026-02-19
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 19 7 — — $30,296.43 $104,215.38 $68,166.97 2026-02-19
982 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 12 $122,676.25 — $41,379.47 $104,274.81 $60,063.33 2026-05-23
252 CPT Malfunction, Reaction & Complication Of Gi Device Or Procedure 26 12 $123,864.82 — $48,431.14 $105,285.10 $61,124.54 2026-05-23
467 CPT Revision Of Hip Or Knee Replacement With Cc 26 12 $99,203.75 — $38,788.67 $105,377.03 $79,363.00 2026-05-23
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 $124,542.93 — $48,696.28 $105,861.49 $79,768.30 2026-05-23
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 26 12 $127,209.57 — $49,738.94 $108,128.13 $85,699.98 2026-05-23
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 19 7 — — $42,030.79 $108,519.26 $86,082.58 2026-02-19
169 CPT Major Abdominal Vascular Procedures 26 12 $128,072.37 — $45,909.91 $108,861.51 $70,998.73 2026-05-23
240 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 12 $130,166.13 — $46,759.13 $110,641.21 $63,193.79 2026-05-23
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 19 7 — — $42,139.60 $110,978.62 $86,386.18 2026-02-19
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $30,443.25 $110,978.62 $68,497.31 2026-02-19
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 19 7 — — $33,836.47 $111,900.88 $76,132.06 2026-02-19
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 19 7 — — $26,695.44 $112,823.14 $60,064.74 2026-02-19
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 12 $57,693.84 — $22,558.29 $112,937.18 $72,087.47 2026-05-23
3104 APR_DRG Intervertebral Disc Excision & Decompression 19 7 — — $45,466.61 $113,437.98 $89,984.34 2026-02-19
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 19 7 — — $33,415.68 $113,437.98 $75,185.28 2026-02-19
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 19 7 — — $42,127.80 $114,360.24 $86,361.99 2026-02-19
244 APR_DRG Extracranial Vascular Procedures 19 7 — — $45,148.07 $114,667.66 $90,959.78 2026-02-19
2244 APR_DRG Peritoneal Adhesiolysis 19 7 — — $37,118.92 $116,819.60 $82,933.56 2026-02-19
4234 APR_DRG Inborn Errors Of Metabolism 19 7 — — $36,264.88 $116,819.60 $81,595.98 2026-02-19
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 19 7 — — $39,498.17 $117,127.02 $83,151.80 2026-02-19
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 19 7 — — $35,663.18 $117,127.02 $80,242.15 2026-02-19
272 CPT Other Major Cardiovascular Procedures Without Cc/mcc 26 12 $137,958.94 — $40,605.48 $117,265.10 $61,478.40 2026-05-23
3054 APR_DRG Amputation Of Lower Limb Except Toes 19 7 — — $41,924.61 $117,434.44 $85,945.45 2026-02-19
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 19 7 — — $39,709.22 $117,434.44 $83,370.05 2026-02-19
1804 APR_DRG Other Circulatory System Procedures 19 7 — — $32,206.39 $118,356.70 $72,464.38 2026-02-19
2234 APR_DRG Other Small & Large Bowel Procedures 19 7 — — $37,183.81 $118,664.12 $83,663.57 2026-02-19
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 19 7 — — $37,888.41 $118,971.54 $84,461.28 2026-02-19
233 APR_DRG Spinal Procedures 19 7 — — $28,780.40 $118,971.54 $64,755.90 2026-02-19
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 19 7 — — $35,186.02 $119,278.96 $79,168.54 2026-02-19
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 19 7 — — $27,896.21 $119,278.96 $62,766.47 2026-02-19
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 19 7 — — $34,266.44 $119,586.38 $77,099.49 2026-02-19
840 CPT Lymphoma And Non-acute Leukemia With Mcc 26 12 $141,148.85 — $52,018.95 $119,976.52 $74,643.06 2026-05-23
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 19 7 — — $32,091.69 $120,201.22 $72,206.30 2026-02-19
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 19 7 — — $40,266.35 $120,816.06 $85,770.76 2026-02-19
3094 APR_DRG Other Significant Hip And Femur Surgery 19 7 — — $38,275.77 $121,430.90 $86,120.48 2026-02-19
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $29,589.21 $121,738.32 $66,575.72 2026-02-19
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 19 7 — — $43,035.58 $122,045.74 $88,222.94 2026-02-19
6903 APR_DRG Acute Leukemia 19 7 — — $40,358.76 $122,660.58 $87,080.23 2026-02-19
4834 APR_DRG Testes & Scrotal Procedures 19 7 — — $28,659.80 $122,660.58 $64,484.55 2026-02-19
4444 APR_DRG Renal Dialysis Access Device Procedure Only 19 7 — — $41,164.95 $123,275.42 $87,516.73 2026-02-19
5184 APR_DRG Other Female Reproductive System & Related Procedures 19 7 — — $39,801.64 $123,275.42 $87,516.73 2026-02-19
2294 APR_DRG Other Digestive System & Abdominal Procedures 19 7 — — $38,549.09 $123,582.84 $86,735.45 2026-02-19
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 19 7 — — $36,892.13 $124,197.68 $83,007.29 2026-02-19
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 12 $91,199.87 — $35,659.15 $124,316.73 $77,519.89 2026-05-23
1824 APR_DRG Other Peripheral Vascular Procedures # 19 7 — — $41,729.29 $124,505.10 $88,389.71 2026-02-19
242 CPT Major Esophageal Disorders 26 12 $147,299.09 — $57,510.14 $125,204.23 $75,620.59 2026-05-23
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 19 7 — — $39,407.06 $126,657.04 $88,665.88 2026-02-19
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 19 7 — — $28,668.97 $126,964.46 $64,505.18 2026-02-19
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $40,216.53 $127,886.72 $90,487.19 2026-02-19
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 19 7 — — $41,749.61 $128,808.98 $91,445.16 2026-02-19
6504 APR_DRG Splenectomy 19 7 — — $37,999.83 $129,731.24 $85,499.62 2026-02-19
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 19 7 — — $33,628.69 $129,731.24 $75,664.55 2026-02-19
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 19 7 — — $42,410.29 $130,960.92 $92,972.88 2026-02-19
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 19 7 — — $50,634.11 $131,575.76 $103,799.93 2026-02-19
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 19 7 — — $26,490.29 $131,883.18 $59,603.15 2026-02-19
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $58,884.80 $132,490.80 $74,377.30 2026-02-19
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 19 7 — — $32,806.77 $132,805.44 $73,815.23 2026-02-19
213 APR_DRG Craniotomy Except For Trauma 19 7 — — $29,013.08 $133,112.86 $65,279.43 2026-02-19
264 APR_DRG Other Nervous System & Related Procedures 19 7 — — $41,754.85 $134,342.54 $93,948.41 2026-02-19
329 CPT Major Small And Large Bowel Procedures With Mcc 26 12 $143,565.82 — $56,134.24 $134,564.00 $110,264.27 2026-05-23
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 19 7 — — $40,181.79 $135,879.64 $90,409.03 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $57,535.79 $136,739.84 $60,858.67 2026-02-19
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $47,037.71 $137,416.74 $97,556.05 2026-02-19
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $35,796.24 $137,416.74 $80,541.54 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $57,881.69 $137,561.94 $61,224.55 2026-02-19
4034 APR_DRG Procedures For Obesity 19 7 — — $43,726.42 $138,031.58 $97,992.54 2026-02-19
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $27,057.24 $138,339.00 $60,878.79 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 11 — — $58,717.73 $139,548.89 $62,108.87 2026-02-19
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 19 7 — — $42,046.52 $139,568.68 $94,604.67 2026-02-19
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 19 7 — — $40,959.80 $139,876.10 $92,159.55 2026-02-19
163 CPT Major Chest Procedures With Mcc 26 12 $135,048.46 — $52,803.95 $140,156.06 $108,038.76 2026-05-23
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 19 7 — — $55,599.08 $140,183.52 $111,200.16 2026-02-19
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $35,282.37 $140,490.94 $79,385.33 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 11 — — $59,341.99 $141,032.51 $62,769.19 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — — $59,953.16 $142,484.97 $63,415.66 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $59,998.53 $142,592.82 $63,463.64 2026-02-19
56 CPT Degenerative Nervous System Disorders With Mcc 26 12 $167,803.11 — $39,848.13 $142,632.64 $63,198.80 2026-05-23
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 19 7 — — $49,800.39 $142,642.88 $102,090.80 2026-02-19
1214 APR_DRG Other Respiratory & Chest Procedures 19 7 — — $40,320.75 $142,642.88 $90,721.69 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 11 — — $60,417.04 $143,587.49 $63,906.33 2026-02-19
1814 APR_DRG Lower Extremity Arterial Procedures # 19 7 — — $43,987.28 $143,872.56 $98,971.38 2026-02-19
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 19 7 — — $26,941.23 $143,872.56 $60,617.77 2026-02-19
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 19 7 — — $32,163.13 $144,179.98 $72,367.04 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 11 — — $60,871.90 $144,668.45 $64,387.45 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 11 — — $60,871.90 $144,668.45 $64,387.45 2026-02-19
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 19 7 — — $35,539.30 $144,794.82 $79,963.43 2026-02-19
8633 APR_DRG Neonatal Aftercare 19 7 — — $27,830.66 $145,409.66 $62,618.99 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 14 11 — — $61,311.59 $145,713.46 $64,852.54 2026-02-19
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 19 7 — — $29,220.20 $146,024.50 $65,745.45 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 11 — — $61,606.07 $146,413.32 $65,164.03 2026-02-19
835 CPT Acute Leukemia Without Major O.r. Procedures With Cc 26 12 $172,948.56 — $37,209.90 $147,006.28 $60,197.14 2026-05-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 11 — — $61,888.44 $147,084.43 $65,462.70 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $62,105.27 $147,599.74 $65,692.06 2026-02-19
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 19 7 — — $46,921.69 $147,869.02 $104,976.42 2026-02-19
224 APR_DRG Ventricular Shunt Procedures 19 7 — — $35,931.91 $147,869.02 $80,846.80 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 11 — — $62,389.66 $148,275.64 $65,992.87 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 11 — — $62,470.35 $148,467.38 $66,078.22 2026-02-19
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $34,499.78 $148,483.86 $77,624.51 2026-02-19
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 19 7 — — $41,430.41 $149,098.70 $93,218.42 2026-02-19
270 CPT Other Major Cardiovascular Procedures With Mcc 26 12 $57,943.42 — $22,655.88 $149,427.18 $92,041.87 2026-05-23
710 CPT Infectious & Parasitic Diseases Including HIV W O.r. Procedure 26 12 $177,849.91 — $69,539.32 $151,172.43 $109,201.86 2026-05-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 11 — — $63,780.40 $151,580.82 $67,463.93 2026-02-19
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 19 7 — — $45,835.63 $152,787.74 $103,130.17 2026-02-19
4414 APR_DRG Major Bladder Procedures 19 7 — — $44,949.47 $154,017.42 $101,136.31 2026-02-19
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 19 7 — — $29,997.55 $154,632.26 $67,494.49 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $65,127.74 $154,782.95 $68,889.08 2026-02-19
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 19 7 — — $41,688.65 $154,939.68 $93,799.46 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 11 — — $65,221.55 $155,005.85 $68,988.31 2026-02-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 19 7 — — $33,704.73 $155,554.52 $75,835.64 2026-02-19
4014 APR_DRG Pituitary & Adrenal Procedures 19 7 — — $46,420.28 $156,169.36 $104,445.63 2026-02-19
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 26 12 $183,946.40 — $62,110.82 $156,354.44 $89,436.59 2026-05-23
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 19 7 — — $48,817.23 $157,399.04 $109,838.77 2026-02-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $42,194.65 $158,628.72 $94,937.96 2026-02-19
4402 APR_DRG Kidney Transplant 19 7 — — $31,067.89 $158,628.72 $69,902.75 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 11 — — $67,242.57 $159,809.04 $71,126.05 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 11 — — $67,356.53 $160,079.88 $71,246.59 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 11 — — $67,616.73 $160,698.25 $71,521.82 2026-02-19
61 APR_DRG Pancreas Transplant 19 7 — — $33,755.19 $163,240.02 $75,949.18 2026-02-19
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 19 7 — — $32,483.64 $163,547.44 $73,088.19 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 11 — — $68,863.22 $163,660.69 $72,840.30 2026-02-19
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 19 7 — — $53,804.48 $164,162.28 $116,543.47 2026-02-19
2614 APR_DRG Major Biliary Tract Procedures 19 7 — — $40,868.04 $164,162.28 $91,953.09 2026-02-19
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 19 7 — — $63,545.64 $165,084.54 $130,268.56 2026-02-19
894 APR_DRG Major Cranial/facial Bone Procedures 19 7 — — $45,311.93 $165,084.54 $101,951.84 2026-02-19
204 APR_DRG Craniotomy For Trauma 19 7 — — $44,469.03 $165,391.96 $100,055.32 2026-02-19
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $47,737.06 $166,621.64 $107,408.38 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 11 — — $70,156.12 $166,733.39 $74,207.87 2026-02-19
904 APR_DRG Major Larynx & Trachea Procedures 10 6 — — $74,228.68 $167,014.53 $76,084.39 2026-02-19
6954 APR_DRG Chemotherapy For Acute Leukemia # 19 7 — — $49,036.15 $167,236.48 $110,331.34 2026-02-19
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 19 7 — — $47,075.72 $167,543.90 $105,920.37 2026-02-19
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 19 7 — — $40,423.65 $168,158.74 $90,953.21 2026-02-19
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 12 $199,218.85 — $77,894.57 $169,336.02 $118,379.19 2026-05-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 11 — — $71,270.49 $169,381.86 $75,386.60 2026-02-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 19 7 — — $59,624.80 $169,695.84 $122,230.84 2026-02-19
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 19 7 — — $59,420.95 $170,003.26 $121,812.95 2026-02-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $71,630.54 $170,237.51 $75,767.44 2026-02-19
1204 APR_DRG Major Respiratory & Chest Procedures 19 7 — — $40,541.63 $170,310.68 $91,218.67 2026-02-19
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 19 7 — — $45,344.70 $171,847.78 $102,025.57 2026-02-19
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 9 5 — — $108,137.90 $172,155.20 $137,328.80 2026-02-19
234 APR_DRG Spinal Procedures 19 7 — — $53,593.43 $172,462.62 $120,585.22 2026-02-19
1694 APR_DRG Major Abdominal Vascular Procedures 19 7 — — $47,699.70 $174,921.98 $107,324.32 2026-02-19
33 APR_DRG Bone Marrow Transplant 10 6 — — $78,113.47 $175,755.31 $80,066.30 2026-02-19
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 19 7 — — $30,413.76 $176,151.66 $68,430.96 2026-02-19
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 19 7 — — $49,296.36 $176,459.08 $110,916.81 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 11 — — $75,276.25 $178,901.95 $79,623.70 2026-02-19
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $49,636.53 $178,918.44 $111,682.19 2026-02-19
276 CPT Cardiac Defibrillator Implant With Mcc 26 12 $164,913.99 — $64,481.37 $181,648.35 $135,382.36 2026-05-23
6904 APR_DRG Acute Leukemia 19 7 — — $57,991.44 $181,685.22 $128,983.50 2026-02-19
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $38,921.38 $184,144.58 $87,573.10 2026-02-19
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 19 7 — — $50,280.17 $184,759.42 $113,130.38 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $78,032.48 $185,452.40 $82,539.12 2026-02-19
4403 APR_DRG Kidney Transplant 19 7 — — $37,799.27 $186,296.52 $85,048.36 2026-02-19
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $43,175.85 $186,911.36 $97,145.66 2026-02-19
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 19 7 — — $59,468.80 $187,218.78 $132,911.94 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 11 — — $78,828.19 $187,343.48 $83,380.78 2026-02-19
901 CPT Wound Debridements For Injuries With Mcc 26 12 $222,542.30 — $72,036.23 $189,160.96 $103,728.71 2026-05-23
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 19 7 — — $50,608.55 $189,370.72 $113,869.24 2026-02-19
214 APR_DRG Craniotomy Except For Trauma 19 7 — — $48,083.13 $189,370.72 $108,187.04 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 10 — — $79,946.62 $190,001.53 $84,563.80 2026-02-19
11 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $41,016.83 $190,600.40 $92,287.87 2026-02-19
10 MS_DRG Pancreas Transplant 13 10 — — $80,407.50 $191,096.86 $85,051.30 2026-02-19
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 19 7 — — $33,628.69 $192,137.50 $75,664.55 2026-02-19
914 APR_DRG Other Major Head & Neck Procedures 19 7 — — $27,772.98 $192,444.92 $62,489.21 2026-02-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 7 — — $31,950.77 $193,059.76 $71,889.23 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $81,295.97 $193,208.44 $85,991.08 2026-02-19
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $46,422.25 $193,367.18 $104,450.06 2026-02-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 19 7 — — $41,461.87 $196,133.96 $93,289.21 2026-02-19
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 19 7 — — $60,803.93 $196,441.38 $136,808.84 2026-02-19
166 CPT Other Respiratory System O.r. Procedures With Mcc 26 12 $233,658.23 — $67,542.08 $198,609.49 $94,125.53 2026-05-23
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 19 7 — — $43,160.12 $198,900.74 $97,110.27 2026-02-19
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 19 7 — — $47,696.42 $199,208.16 $107,316.95 2026-02-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 11 — — $84,114.71 $199,907.50 $88,972.62 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $85,411.65 $202,989.79 $90,344.46 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 11 — — $85,459.06 $203,102.44 $90,394.61 2026-02-19
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 19 7 — — $59,257.75 $203,204.62 $133,329.94 2026-02-19
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 19 7 — — $38,220.71 $204,741.72 $85,996.60 2026-02-19
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 19 7 — — $32,579.33 $205,049.14 $73,303.49 2026-02-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 19 7 — — $47,697.08 $209,045.60 $107,318.43 2026-02-19
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 26 12 $249,272.17 — $97,465.42 $211,881.35 $164,015.42 2026-05-23
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 19 7 — — $44,083.63 $215,501.42 $99,188.17 2026-02-19
207 CPT Other Circulatory System Diagnoses 26 12 $254,269.70 — $90,152.54 $216,129.24 $114,983.66 2026-05-23
12 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $41,016.83 $217,038.52 $92,287.87 2026-02-19
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $96,595.60 $217,340.10 $166,556.38 2026-02-19
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 19 7 — — $47,002.97 $220,112.72 $105,756.68 2026-02-19
850 MS_DRG Acute Leukemia With Other Procedures 14 11 — — $92,901.76 $220,790.82 $98,267.15 2026-02-19
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 19 7 — — $45,138.24 $224,416.60 $101,561.04 2026-02-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 19 7 — — $35,711.69 $228,413.06 $80,351.30 2026-02-19
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $56,159.48 $228,720.48 $126,358.83 2026-02-19
659 CPT Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 12 $269,807.92 — $43,092.24 $229,336.73 $71,673.59 2026-05-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $97,331.08 $231,317.56 $102,952.27 2026-02-19
62 APR_DRG Pancreas Transplant 19 7 — — $33,755.19 $234,868.88 $75,949.18 2026-02-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $60,586.98 $239,480.18 $136,320.70 2026-02-19
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $47,737.06 $240,709.86 $107,408.38 2026-02-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 19 7 — — $46,808.96 $245,013.74 $105,320.16 2026-02-19
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $62,782.05 $250,854.72 $141,259.61 2026-02-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $105,644.12 $251,074.39 $111,745.42 2026-02-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 19 7 — — $48,356.45 $251,469.56 $108,802.01 2026-02-19
215 MS_DRG Other Heart Assist System Implant 14 11 — — $106,848.28 $253,936.17 $113,019.12 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 10 — — $107,398.91 $255,244.82 $113,601.55 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $109,864.70 $261,105.00 $116,209.75 2026-02-19
356 CPT Other Digestive System O.r. Procedures With Mcc 26 12 $310,534.61 — $71,218.96 $263,954.42 $117,508.35 2026-05-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 10 — — $111,133.38 $264,120.17 $117,551.70 2026-02-19
846 CPT Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 12 $314,247.44 — $40,680.38 $267,110.32 $67,913.87 2026-05-23
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $71,426.01 $268,685.08 $160,708.52 2026-02-19
63 APR_DRG Pancreas Transplant 19 7 — — $48,560.30 $272,374.12 $109,260.68 2026-02-19
4404 APR_DRG Kidney Transplant 19 7 — — $68,681.68 $273,911.22 $154,533.78 2026-02-19
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $61,134.93 $276,370.58 $137,553.59 2026-02-19
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $72,027.05 $278,522.52 $162,060.86 2026-02-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 19 7 — — $62,131.20 $279,752.20 $139,795.20 2026-02-19
13 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $55,457.50 $280,981.88 $124,779.38 2026-02-19
8634 APR_DRG Neonatal Aftercare 19 7 — — $35,351.85 $284,056.08 $79,541.66 2026-02-19
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 19 7 — — $34,559.42 $287,745.12 $77,758.70 2026-02-19
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 19 7 — — $54,455.99 $290,511.90 $122,525.98 2026-02-19
7 MS_DRG Lung Transplant 13 10 — — $131,798.51 $313,233.00 $139,410.31 2026-02-19
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $73,781.01 $313,875.82 $166,007.27 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 14 11 — — $132,131.30 $314,023.94 $139,762.32 2026-02-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 19 7 — — $91,921.65 $330,476.50 $206,823.71 2026-02-19
34 APR_DRG Bone Marrow Transplant 10 6 — — $147,506.32 $331,889.22 $151,193.98 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 11 — — $142,500.67 $338,667.84 $150,730.56 2026-02-19
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 $401,144.42 — $78,903.96 $340,972.76 $127,915.31 2026-05-23
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 19 7 — — $39,458.19 $348,614.28 $88,780.93 2026-02-19
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $81,538.15 $349,229.12 $183,460.84 2026-02-19
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $73,649.92 $352,918.16 $165,712.32 2026-02-19
64 APR_DRG Pancreas Transplant 19 7 — — $50,688.51 $353,533.00 $114,049.15 2026-02-19
21 APR_DRG Heart &/or Lung Transplant 19 7 — — $79,929.05 $354,455.26 $179,840.36 2026-02-19
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 19 7 — — $57,235.06 $361,218.50 $128,778.88 2026-02-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $66,626.87 $376,896.92 $149,910.46 2026-02-19
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $91,002.07 $380,585.96 $204,754.66 2026-02-19
22 APR_DRG Heart &/or Lung Transplant 19 7 — — $84,816.67 $400,875.68 $190,837.51 2026-02-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 7 — — $65,796.43 $416,554.10 $148,041.97 2026-02-19
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $40,782.83 $418,091.20 $91,761.37 2026-02-19
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $26,931.40 $418,091.20 $60,595.65 2026-02-19
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $89,877.99 $438,688.34 $202,225.48 2026-02-19
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $72,862.08 $441,455.12 $163,939.68 2026-02-19
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $99,733.20 $451,907.40 $224,399.70 2026-02-19
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 19 7 — — $80,183.36 $485,108.76 $180,412.56 2026-02-19
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 19 7 — — $80,183.36 $485,108.76 $180,412.56 2026-02-19
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 19 7 — — $29,458.78 $485,108.76 $66,282.26 2026-02-19
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $127,149.64 $509,087.52 $286,086.69 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 11 — — $216,137.10 $513,672.59 $228,619.74 2026-02-19
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $78,059.07 $514,621.08 $175,632.91 2026-02-19
23 APR_DRG Heart &/or Lung Transplant 19 7 — — $99,387.12 $529,377.24 $223,621.02 2026-02-19
14 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $115,357.60 $541,059.20 $259,554.60 2026-02-19
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $119,071.98 $546,592.76 $267,911.96 2026-02-19
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $65,112.80 $568,112.16 $146,503.80 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 11 — — $239,243.79 $568,588.07 $253,060.92 2026-02-19
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $127,149.64 $593,935.44 $286,086.69 2026-02-19
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $114,902.07 $599,776.42 $258,529.66 2026-02-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 19 7 — — $80,777.19 $632,362.94 $181,748.68 2026-02-19
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $123,439.19 $645,274.58 $277,738.18 2026-02-19
5831 APR_DRG Neonate W Ecmo 19 7 — — $94,475.90 $666,793.98 $212,570.77 2026-02-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 10 — — $284,076.54 $675,137.81 $300,482.91 2026-02-19
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $127,608.45 $682,164.98 $287,119.01 2026-02-19
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $166,015.32 $692,924.68 $373,534.47 2026-02-19
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 19 7 — — $69,529.16 $697,228.56 $156,440.61 2026-02-19
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 19 7 — — $105,255.94 $724,896.36 $236,825.86 2026-02-19
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $151,901.06 $725,511.20 $341,777.39 2026-02-19
5832 APR_DRG Neonate W Ecmo 19 7 — — $94,475.90 $743,034.14 $212,570.77 2026-02-19
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 12 $879,327.48 — $343,817.04 $747,428.36 $511,004.95 2026-05-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 11 — — $380,332.57 $903,900.39 $402,298.04 2026-02-19
5833 APR_DRG Neonate W Ecmo 19 7 — — $96,264.60 $967,450.74 $216,595.35 2026-02-19
24 APR_DRG Heart &/or Lung Transplant 19 7 — — $229,325.68 $972,062.04 $515,982.78 2026-02-19
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $166,015.32 $1,040,616.70 $373,534.47 2026-02-19
950 CPT Extensive Procedure Unrelated To Principal Diagnosis 26 12 $1,243,741.16 — $135,062.52 $1,057,179.99 $201,839.33 2026-05-23
5834 APR_DRG Neonate W Ecmo 19 7 — — $168,974.64 $1,698,802.92 $380,192.94 2026-02-19
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