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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

MARIA PARHAM MEDICAL CENTER

Henderson, NC · CCN 340132 · Rates published

4,768 distinct procedures filed
49 distinct payers
234,499 rate rows
2026-08-17 last MRF observed
Data quality

210,770 of 234,499 rate rows are consumer-grade (89.9%)

23,729 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 12,172
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,941
per-diem day rate — not a per-procedure price 1,493
exceeds 10× this hospital's gross charge — excluded from medians 69
placeholder amount (≤ $0.02) — excluded from medians 33
exceeds 3× this hospital's gross charge for a DRG stay — excluded 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mariaparham.com/docs/ahmariaparhamhealthlibraries/hcl/mrf2q25/452743520_maria-parham-med-ctr_standardcharges.csv
Found on page https://www.mariaparham.com/hospital-charges-listing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 99f539e5851a5121… · 9,025,759 bytes · first seen 2026-05-05

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
5834
APR_DRG 		Neonate With Ecmo 1 $559,440.86 $559,440.86 $559,440.86 nat. median
$307,206
1.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $512,349.39 $512,349.39 $512,349.39 nat. median
$93,998
outlier · 5.5×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $494,222.34 $494,222.34 $494,222.34 nat. median
$89,188
outlier · 5.5×
5833
APR_DRG 		Neonate With Ecmo 1 $491,387.21 $491,387.21 $491,387.21 nat. median
$244,017
outlier · 2.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $395,230.85 $395,230.85 $395,230.85 nat. median
$247,214
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $345,727.49 $935,648.44 $395,018.71 nat. median
$359,454
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $382,786.11 $382,786.11 $382,786.11 nat. median
$202,993
1.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $346,438.61 $346,438.61 $346,438.61 nat. median
$154,011
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 1 $338,106.46 $338,106.46 $338,106.46 nat. median
$159,249
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $330,712.83 $330,712.83 $330,712.83 nat. median
$165,000
outlier · 2.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $324,384.26 $324,384.26 $324,384.26 nat. median
$155,939
outlier · 2.1×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $308,165.87 $308,165.87 $308,165.87 nat. median
$123,836
outlier · 2.5×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $307,459.35 $307,459.35 $307,459.35 nat. median
$98,624
outlier · 3.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $292,250.28 $292,250.28 $292,250.28 nat. median
$162,342
1.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $276,330.17 $276,330.17 $276,330.17 nat. median
$133,164
outlier · 2.1×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $255,122.44 $255,122.44 $255,122.44 nat. median
$151,838
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $198,795.53 $444,066.42 $234,948.18 nat. median
$249,036
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $231,533.03 $231,533.03 $231,533.03 nat. median
$163,587
1.4× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $229,690.64 $229,690.64 $229,690.64 nat. median
$71,350
outlier · 3.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $228,230.90 $228,230.90 $228,230.90 nat. median
$107,681
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $222,197.59 $222,197.59 $222,197.59 nat. median
$122,016
1.8× median
5831
APR_DRG 		Neonate With Ecmo 1 $211,631.38 $211,631.38 $211,631.38 nat. median
$146,500
1.4× median
7
MS_DRG 		Lung Transplant 16 $107,227.65 $633,450.42 $196,970.60 nat. median
$117,974
1.7× median
7924
APR_DRG 		Extensive O.r. Procedures For Other Complications Of Treatment 1 $190,262.47 $190,262.47 $190,262.47 nat. median
$41,379
outlier · 4.6×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $185,627.14 $185,627.14 $185,627.14 nat. median
$120,517
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $181,226.81 $181,226.81 $181,226.81 nat. median
$84,880
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $175,904.54 $175,904.54 $175,904.54 nat. median
$108,695
1.6× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 $175,145.29 $175,145.29 $175,145.29 nat. median
$64,419
outlier · 2.7×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $175,115.16 $175,115.16 $175,115.16 nat. median
$67,735
outlier · 2.6×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 $172,891.65 $172,891.65 $172,891.65 nat. median
$68,030
outlier · 2.5×
1611
APR_DRG 		Implantable Heart Assist Systems 1 $172,124.87 $172,124.87 $172,124.87 nat. median
$76,852
outlier · 2.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $172,120.35 $172,120.35 $172,120.35 nat. median
$118,620
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $171,606.65 $171,606.65 $171,606.65 nat. median
$101,406
1.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $161,956.37 $161,956.37 $161,956.37 nat. median
$81,521
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $144,915.93 $339,987.40 $160,104.52 nat. median
$198,418
0.8× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $159,871.45 $159,871.45 $159,871.45 nat. median
$82,180
1.9× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $159,770.52 $159,770.52 $159,770.52 nat. median
$69,685
outlier · 2.3×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $155,691.07 $155,691.07 $155,691.07 nat. median
$88,008
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $145,728.95 $145,728.95 $145,728.95 nat. median
$175,204
0.8× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $142,902.86 $142,902.86 $142,902.86 nat. median
$75,456
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 $142,122.80 $338,033.16 $142,122.80 nat. median
$190,559
0.7× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $141,700.71 $141,700.71 $141,700.71 nat. median
$82,129
1.7× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 1 $139,641.40 $139,641.40 $139,641.40 nat. median
$120,208
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $139,641.40 $139,641.40 $139,641.40 nat. median
$145,061
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $135,001.55 $135,001.55 $135,001.55 nat. median
$96,883
1.4× median
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 $127,909.21 $127,909.21 $127,909.21 nat. median
$56,191
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $114,689.59 $265,092.46 $126,333.07 nat. median
$126,695
1.0× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $126,270.20 $126,270.20 $126,270.20 nat. median
$66,867
1.9× median
4404
APR_DRG 		Kidney Transplant 1 $122,461.91 $122,461.91 $122,461.91 nat. median
$78,303
1.6× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $121,695.13 $121,695.13 $121,695.13 nat. median
$67,994
1.8× median

Other procedures at this hospital

Browse this hospital's 4,768 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 16 — — $198,795.53 $444,066.42 $234,948.18 2026-08-17
10 MS_DRG Pancreas Transplant 16 16 — — $53,218.28 $118,915.72 $72,036.90 2026-08-17
1104 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 1 1 — — $44,806.19 $44,806.19 $44,806.19 2026-08-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $69,206.07 $69,206.07 $69,206.07 2026-08-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $121,695.13 $121,695.13 $121,695.13 2026-08-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $175,115.16 $175,115.16 $175,115.16 2026-08-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $308,165.87 $308,165.87 $308,165.87 2026-08-17
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $82,575.77 $82,575.77 $82,575.77 2026-08-17
1214 APR_DRG Other Respiratory And Chest Procedures 1 1 — — $74,501.23 $74,501.23 $74,501.23 2026-08-17
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $58,584.13 $58,584.13 $58,584.13 2026-08-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $83,918.01 $83,918.01 $83,918.01 2026-08-17
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $44,327.14 $44,327.14 $44,327.14 2026-08-17
14 MS_DRG Allogeneic Bone Marrow Transplant 17 17 — — $86,416.48 $199,120.18 $111,997.33 2026-08-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 17 — — $41,225.93 $99,482.99 $45,771.18 2026-08-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $76,516.85 $76,516.85 $76,516.85 2026-08-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $307,459.35 $307,459.35 $307,459.35 2026-08-17
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $172,124.87 $172,124.87 $172,124.87 2026-08-17
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $181,226.81 $181,226.81 $181,226.81 2026-08-17
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $185,627.14 $185,627.14 $185,627.14 2026-08-17
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $382,786.11 $382,786.11 $382,786.11 2026-08-17
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $53,575.20 $53,575.20 $53,575.20 2026-08-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $56,627.26 $56,627.26 $56,627.26 2026-08-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $87,759.45 $87,759.45 $87,759.45 2026-08-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $110,636.32 $110,636.32 $110,636.32 2026-08-17
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $65,840.67 $65,840.67 $65,840.67 2026-08-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $97,376.59 $97,376.59 $97,376.59 2026-08-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $50,705.42 $50,705.42 $50,705.42 2026-08-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $76,013.70 $76,013.70 $76,013.70 2026-08-17
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $45,429.85 $45,429.85 $45,429.85 2026-08-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $56,149.72 $56,149.72 $56,149.72 2026-08-17
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $65,436.95 $65,436.95 $65,436.95 2026-08-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $85,061.40 $85,061.40 $85,061.40 2026-08-17
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $86,634.13 $86,634.13 $86,634.13 2026-08-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 17 — — $40,786.00 $91,725.51 $45,322.44 2026-08-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $60,387.34 $60,387.34 $60,387.34 2026-08-17
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $47,294.83 $47,294.83 $47,294.83 2026-08-17
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 1 1 — — $46,341.25 $46,341.25 $46,341.25 2026-08-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $67,426.96 $67,426.96 $67,426.96 2026-08-17
1772 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 — — $45,368.09 $45,368.09 $45,368.09 2026-08-17
1773 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 — — $65,436.95 $65,436.95 $65,436.95 2026-08-17
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 — — $91,502.96 $91,502.96 $91,502.96 2026-08-17
1781 APR_DRG External Heart Assist Systems 1 1 — — $60,932.68 $60,932.68 $60,932.68 2026-08-17
1782 APR_DRG External Heart Assist Systems 1 1 — — $75,921.80 $75,921.80 $75,921.80 2026-08-17
1783 APR_DRG External Heart Assist Systems 1 1 — — $78,059.45 $78,059.45 $78,059.45 2026-08-17
1784 APR_DRG External Heart Assist Systems 1 1 — — $82,292.56 $82,292.56 $82,292.56 2026-08-17
1792 APR_DRG Defibrillator Implants 1 1 — — $51,859.36 $51,859.36 $51,859.36 2026-08-17
1793 APR_DRG Defibrillator Implants 1 1 — — $57,663.69 $57,663.69 $57,663.69 2026-08-17
1794 APR_DRG Defibrillator Implants 1 1 — — $73,689.25 $73,689.25 $73,689.25 2026-08-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 20 — — $345,727.49 $935,648.44 $395,018.71 2026-08-17
1804 APR_DRG Other Circulatory System Procedures 1 1 — — $59,631.11 $59,631.11 $59,631.11 2026-08-17
1814 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $69,322.07 $69,322.07 $69,322.07 2026-08-17
1824 APR_DRG Other Peripheral Vascular And Related Procedures 1 1 — — $51,136.27 $51,136.27 $51,136.27 2026-08-17
1831 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $44,712.79 $44,712.79 $44,712.79 2026-08-17
1832 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $46,823.32 $46,823.32 $46,823.32 2026-08-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $56,661.91 $56,661.91 $56,661.91 2026-08-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $88,092.37 $88,092.37 $88,092.37 2026-08-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 20 — — $52,065.42 $118,274.71 $63,815.47 2026-08-17
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 1 1 — — $44,333.16 $44,333.16 $44,333.16 2026-08-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 16 — — $88,835.71 $209,724.87 $118,641.08 2026-08-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 20 — — $57,102.70 $129,725.37 $70,382.52 2026-08-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 1 1 — — $59,409.66 $59,409.66 $59,409.66 2026-08-17
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $101,987.82 $101,987.82 $101,987.82 2026-08-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 20 — — $39,435.91 $89,565.46 $47,350.42 2026-08-17
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 20 20 — — $77,721.77 $176,596.36 $97,263.44 2026-08-17
213 APR_DRG Open Craniotomy Except Trauma 1 1 — — $54,769.81 $54,769.81 $54,769.81 2026-08-17
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $80,332.67 $80,332.67 $80,332.67 2026-08-17
215 MS_DRG Other Heart Assist System Implant 20 20 — — $59,748.08 $162,293.16 $72,388.10 2026-08-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 20 — — $70,234.47 $159,576.35 $87,445.60 2026-08-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 20 — — $48,228.14 $109,551.85 $58,812.81 2026-08-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 20 — — $48,228.14 $109,551.85 $58,812.81 2026-08-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 20 — — $55,795.71 $126,754.33 $65,641.02 2026-08-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $65,935.58 $65,935.58 $65,935.58 2026-08-17
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $55,006.32 $55,006.32 $55,006.32 2026-08-17
2234 APR_DRG Other Small And Large Bowel Procedures 1 1 — — $57,562.76 $57,562.76 $57,562.76 2026-08-17
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $75,391.53 $75,391.53 $75,391.53 2026-08-17
2244 APR_DRG Peritoneal Adhesiolysis 1 1 — — $61,470.48 $61,470.48 $61,470.48 2026-08-17
2294 APR_DRG Other Digestive System And Abdominal Procedures 1 1 — — $70,908.35 $70,908.35 $70,908.35 2026-08-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 20 — — $42,430.67 $96,373.12 $51,254.69 2026-08-17
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $82,080.15 $82,080.15 $82,080.15 2026-08-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 20 — — $60,952.35 $138,476.36 $72,036.49 2026-08-17
2314 APR_DRG Major Large Bowel Procedures 1 1 — — $62,523.48 $62,523.48 $62,523.48 2026-08-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 20 — — $44,710.56 $101,555.73 $53,311.23 2026-08-17
2324 APR_DRG Gastric Fundoplication 1 1 — — $71,908.63 $71,908.63 $71,908.63 2026-08-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 20 — — $50,203.07 $126,238.10 $56,390.59 2026-08-17
233 APR_DRG Spinal Procedures 1 1 — — $44,566.66 $44,566.66 $44,566.66 2026-08-17
234 APR_DRG Spinal Procedures 1 1 — — $83,002.09 $83,002.09 $83,002.09 2026-08-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 20 — — $41,764.61 $98,530.08 $46,162.90 2026-08-17
244 APR_DRG Open Extracranial Vascular Procedures 1 1 — — $55,006.32 $55,006.32 $55,006.32 2026-08-17
2464 APR_DRG Gastrointestinal Vascular Insufficiency 1 1 — — $46,641.04 $46,641.04 $46,641.04 2026-08-17
2524 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 1 1 — — $48,328.25 $48,328.25 $48,328.25 2026-08-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $66,624.03 $66,624.03 $66,624.03 2026-08-17
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $72,470.54 $72,470.54 $72,470.54 2026-08-17
2634 APR_DRG Cholecystectomy 1 1 — — $66,794.25 $66,794.25 $66,794.25 2026-08-17
264 APR_DRG Other Nervous System And Related Procedures 1 1 — — $72,895.36 $72,895.36 $72,895.36 2026-08-17
2643 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $45,646.78 $45,646.78 $45,646.78 2026-08-17
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $47,352.08 $47,352.08 $47,352.08 2026-08-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 20 — — $45,162.00 $102,581.95 $54,177.10 2026-08-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 20 — — $52,865.80 $120,094.11 $60,739.65 2026-08-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 20 — — $39,315.82 $89,292.49 $45,106.57 2026-08-17
273 APR_DRG Other Open Craniotomy 1 1 — — $48,718.42 $48,718.42 $48,718.42 2026-08-17
274 APR_DRG Other Open Craniotomy 1 1 — — $81,224.49 $81,224.49 $81,224.49 2026-08-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 20 — — $50,892.11 $118,209.26 $56,226.08 2026-08-17
276 MS_DRG Non-maligant Breast Disorders 20 20 — — $38,218.71 $100,682.33 $44,910.00 2026-08-17
28 MS_DRG Spinal Procedures With Mcc 20 20 — — $44,338.00 $100,708.83 $52,459.24 2026-08-17
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $64,700.30 $64,700.30 $64,700.30 2026-08-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 60 39 $118,414.18 $47,365.67 60% off $142,122.80 $338,033.16 $142,122.80 2026-08-17
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $56,467.58 $56,467.58 $56,467.58 2026-08-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $59,950.48 $59,950.48 $59,950.48 2026-08-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $62,526.50 $62,526.50 $62,526.50 2026-08-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $116,982.97 $116,982.97 $116,982.97 2026-08-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $59,561.81 $59,561.81 $59,561.81 2026-08-17
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $52,870.19 $52,870.19 $52,870.19 2026-08-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $102,778.70 $102,778.70 $102,778.70 2026-08-17
3054 APR_DRG Amputation Of Lower Limb Except Toes 1 1 — — $54,048.22 $54,048.22 $54,048.22 2026-08-17
3084 APR_DRG Hip And Femur Fracture Repair 1 1 — — $52,031.10 $52,031.10 $52,031.10 2026-08-17
3094 APR_DRG Other Significant Hip And Femur Surgery 1 1 — — $53,974.41 $53,974.41 $53,974.41 2026-08-17
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 1 1 — — $46,213.21 $46,213.21 $46,213.21 2026-08-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $105,033.85 $105,033.85 $105,033.85 2026-08-17
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 1 1 — — $57,678.76 $57,678.76 $57,678.76 2026-08-17
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 1 1 — — $46,360.84 $46,360.84 $46,360.84 2026-08-17
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 1 1 — — $44,757.98 $44,757.98 $44,757.98 2026-08-17
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 1 1 — — $57,159.03 $57,159.03 $57,159.03 2026-08-17
3244 APR_DRG Elective Hip Joint Replacement 1 1 — — $47,389.74 $47,389.74 $47,389.74 2026-08-17
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $61,616.60 $61,616.60 $61,616.60 2026-08-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $94,261.26 $94,261.26 $94,261.26 2026-08-17
3634 APR_DRG Breast Procedures Except Mastectomy 1 1 — — $54,078.35 $54,078.35 $54,078.35 2026-08-17
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 1 1 — — $50,973.57 $50,973.57 $50,973.57 2026-08-17
3854 APR_DRG Other Skin, Subcutaneous Tissue And Breast Disorders 1 1 — — $45,773.32 $45,773.32 $45,773.32 2026-08-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 20 — — $114,689.59 $265,092.46 $126,333.07 2026-08-17
4014 APR_DRG Adrenal Procedures 1 1 — — $82,238.33 $82,238.33 $82,238.33 2026-08-17
4034 APR_DRG Procedures For Obesity 1 1 — — $57,315.70 $57,315.70 $57,315.70 2026-08-17
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $75,317.72 $75,317.72 $75,317.72 2026-08-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 1 1 — — $75,124.89 $75,124.89 $75,124.89 2026-08-17
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $79,154.63 $79,154.63 $79,154.63 2026-08-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $102,299.65 $102,299.65 $102,299.65 2026-08-17
4214 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 1 1 — — $51,083.54 $51,083.54 $51,083.54 2026-08-17
4234 APR_DRG Inborn Errors Of Metabolism 1 1 — — $49,006.15 $49,006.15 $49,006.15 2026-08-17
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 1 1 — — $57,520.58 $57,520.58 $57,520.58 2026-08-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $118,683.74 $118,683.74 $118,683.74 2026-08-17
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 1 1 — — $50,685.84 $50,685.84 $50,685.84 2026-08-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $222,197.59 $222,197.59 $222,197.59 2026-08-17
4401 APR_DRG Kidney Transplant 1 1 — — $58,666.98 $58,666.98 $58,666.98 2026-08-17
4402 APR_DRG Kidney Transplant 1 1 — — $96,844.81 $96,844.81 $96,844.81 2026-08-17
4403 APR_DRG Kidney Transplant 1 1 — — $119,634.31 $119,634.31 $119,634.31 2026-08-17
4404 APR_DRG Kidney Transplant 1 1 — — $122,461.91 $122,461.91 $122,461.91 2026-08-17
4414 APR_DRG Major Bladder Procedures 1 1 — — $89,231.24 $89,231.24 $89,231.24 2026-08-17
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $63,448.44 $63,448.44 $63,448.44 2026-08-17
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 1 1 — — $50,355.93 $50,355.93 $50,355.93 2026-08-17
4464 APR_DRG Urethral And Transurethral Procedures 1 1 — — $48,622.01 $48,622.01 $48,622.01 2026-08-17
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 1 1 — — $71,700.74 $71,700.74 $71,700.74 2026-08-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 16 — — $63,912.83 $273,655.62 $119,723.71 2026-08-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 16 — — $45,078.99 $102,393.23 $78,044.97 2026-08-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 16 — — $34,714.21 $146,158.35 $65,027.51 2026-08-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 20 — — $59,777.28 $138,063.06 $66,042.51 2026-08-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 20 — — $36,876.41 $100,003.90 $44,607.42 2026-08-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 16 — — $48,619.22 $176,973.88 $91,075.00 2026-08-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 16 — — $28,212.15 $79,728.89 $52,847.56 2026-08-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 20 — — $41,008.41 $93,140.05 $49,400.51 2026-08-17
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $48,489.44 $48,489.44 $48,489.44 2026-08-17
4834 APR_DRG Penis, Testes And Scrotal Procedures 1 1 — — $53,084.10 $53,084.10 $53,084.10 2026-08-17
4844 APR_DRG Other Male Reproductive System And Related Procedures 1 1 — — $51,580.67 $51,580.67 $51,580.67 2026-08-17
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $61,832.02 $61,832.02 $61,832.02 2026-08-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 16 — — $75,107.73 $167,806.40 $102,487.44 2026-08-17
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $49,473.15 $49,473.15 $49,473.15 2026-08-17
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $53,215.16 $53,215.16 $53,215.16 2026-08-17
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $65,411.34 $65,411.34 $65,411.34 2026-08-17
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $65,426.40 $65,426.40 $65,426.40 2026-08-17
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 1 1 — — $55,956.89 $55,956.89 $55,956.89 2026-08-17
5144 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $58,037.29 $58,037.29 $58,037.29 2026-08-17
5184 APR_DRG Other Female Reproductive System And Related Procedures 1 1 — — $60,655.49 $60,655.49 $60,655.49 2026-08-17
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $51,800.61 $51,800.61 $51,800.61 2026-08-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $78,273.36 $78,273.36 $78,273.36 2026-08-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $92,876.84 $92,876.84 $92,876.84 2026-08-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $161,956.37 $161,956.37 $161,956.37 2026-08-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 20 — — $48,064.17 $109,179.11 $58,599.03 2026-08-17
5831 APR_DRG Neonate With Ecmo 1 1 — — $211,631.38 $211,631.38 $211,631.38 2026-08-17
5832 APR_DRG Neonate With Ecmo 1 1 — — $338,106.46 $338,106.46 $338,106.46 2026-08-17
5833 APR_DRG Neonate With Ecmo 1 1 — — $491,387.21 $491,387.21 $491,387.21 2026-08-17
5834 APR_DRG Neonate With Ecmo 1 1 — — $559,440.86 $559,440.86 $559,440.86 2026-08-17
5881 APR_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $139,641.40 $139,641.40 $139,641.40 2026-08-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $139,641.40 $139,641.40 $139,641.40 2026-08-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $145,728.95 $145,728.95 $145,728.95 2026-08-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $395,230.85 $395,230.85 $395,230.85 2026-08-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $512,349.39 $512,349.39 $512,349.39 2026-08-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $494,222.34 $494,222.34 $494,222.34 2026-08-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $229,690.64 $229,690.64 $229,690.64 2026-08-17
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $63,995.28 $63,995.28 $63,995.28 2026-08-17
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $102,165.58 $102,165.58 $102,165.58 2026-08-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $141,700.71 $141,700.71 $141,700.71 2026-08-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $171,606.65 $171,606.65 $171,606.65 2026-08-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $292,250.28 $292,250.28 $292,250.28 2026-08-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $119,207.99 $119,207.99 $119,207.99 2026-08-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $175,904.54 $175,904.54 $175,904.54 2026-08-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $255,122.44 $255,122.44 $255,122.44 2026-08-17
6 MS_DRG Liver Transplant Without Mcc 16 16 — — $38,394.36 $134,767.55 $76,200.50 2026-08-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $117,502.69 $117,502.69 $117,502.69 2026-08-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $155,691.07 $155,691.07 $155,691.07 2026-08-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $172,120.35 $172,120.35 $172,120.35 2026-08-17
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $66,303.15 $66,303.15 $66,303.15 2026-08-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $113,988.16 $113,988.16 $113,988.16 2026-08-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $228,230.90 $228,230.90 $228,230.90 2026-08-17
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $52,401.68 $52,401.68 $52,401.68 2026-08-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $73,936.31 $73,936.31 $73,936.31 2026-08-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $100,538.62 $100,538.62 $100,538.62 2026-08-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $135,001.55 $135,001.55 $135,001.55 2026-08-17
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $52,052.19 $52,052.19 $52,052.19 2026-08-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $73,910.70 $73,910.70 $73,910.70 2026-08-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $96,769.49 $96,769.49 $96,769.49 2026-08-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $64,123.33 $64,123.33 $64,123.33 2026-08-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $64,123.33 $64,123.33 $64,123.33 2026-08-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $159,770.52 $159,770.52 $159,770.52 2026-08-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $330,712.83 $330,712.83 $330,712.83 2026-08-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $74,478.63 $74,478.63 $74,478.63 2026-08-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $108,364.60 $108,364.60 $108,364.60 2026-08-17
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $50,214.32 $50,214.32 $50,214.32 2026-08-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $82,646.57 $82,646.57 $82,646.57 2026-08-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $126,270.20 $126,270.20 $126,270.20 2026-08-17
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $68,745.10 $68,745.10 $68,745.10 2026-08-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $127,909.21 $127,909.21 $127,909.21 2026-08-17
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $54,533.30 $54,533.30 $54,533.30 2026-08-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $84,708.89 $84,708.89 $84,708.89 2026-08-17
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $57,008.39 $57,008.39 $57,008.39 2026-08-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $93,176.62 $93,176.62 $93,176.62 2026-08-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $48,275.53 $48,275.53 $48,275.53 2026-08-17
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $58,489.22 $58,489.22 $58,489.22 2026-08-17
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $71,322.63 $71,322.63 $71,322.63 2026-08-17
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $51,079.02 $51,079.02 $51,079.02 2026-08-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $102,272.53 $102,272.53 $102,272.53 2026-08-17
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $45,167.73 $45,167.73 $45,167.73 2026-08-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $106,588.50 $106,588.50 $106,588.50 2026-08-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $142,902.86 $142,902.86 $142,902.86 2026-08-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $346,438.61 $346,438.61 $346,438.61 2026-08-17
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $58,288.87 $58,288.87 $58,288.87 2026-08-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $118,406.56 $118,406.56 $118,406.56 2026-08-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $276,330.17 $276,330.17 $276,330.17 2026-08-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $98,257.86 $98,257.86 $98,257.86 2026-08-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $59,397.61 $59,397.61 $59,397.61 2026-08-17
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 — — $47,707.60 $47,707.60 $47,707.60 2026-08-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 1 1 — — $90,894.36 $90,894.36 $90,894.36 2026-08-17
653 MS_DRG Major Bladder Procedures With Mcc 20 20 — — $38,767.66 $88,046.40 $44,423.51 2026-08-17
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 1 1 — — $60,763.96 $60,763.96 $60,763.96 2026-08-17
6614 APR_DRG Coagulation And Platelet Disorders 1 1 — — $44,899.59 $44,899.59 $44,899.59 2026-08-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $175,145.29 $175,145.29 $175,145.29 2026-08-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $172,891.65 $172,891.65 $172,891.65 2026-08-17
6903 APR_DRG Acute Leukemia 1 1 — — $57,585.36 $57,585.36 $57,585.36 2026-08-17
6904 APR_DRG Acute Leukemia 1 1 — — $110,774.91 $110,774.91 $110,774.91 2026-08-17
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 1 1 — — $52,950.03 $52,950.03 $52,950.03 2026-08-17
6924 APR_DRG Radiotherapy 1 1 — — $48,881.12 $48,881.12 $48,881.12 2026-08-17
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $66,848.49 $66,848.49 $66,848.49 2026-08-17
6964 APR_DRG Other Chemotherapy 1 1 — — $45,214.43 $45,214.43 $45,214.43 2026-08-17
7 MS_DRG Lung Transplant 16 16 — — $107,227.65 $633,450.42 $196,970.60 2026-08-17
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $67,354.65 $67,354.65 $67,354.65 2026-08-17
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 1 1 — — $58,175.88 $58,175.88 $58,175.88 2026-08-17
7234 APR_DRG Viral Illness 1 1 — — $45,979.71 $45,979.71 $45,979.71 2026-08-17
734 APR_DRG Orbit And Eye Procedures 1 1 — — $58,329.54 $58,329.54 $58,329.54 2026-08-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 20 — — $43,893.41 $99,698.20 $53,161.67 2026-08-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $190,262.47 $190,262.47 $190,262.47 2026-08-17
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $49,504.79 $49,504.79 $49,504.79 2026-08-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 16 — — $46,406.09 $131,165.01 $66,424.71 2026-08-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 20 — — $43,353.47 $98,470.80 $52,457.73 2026-08-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 20 20 — — $40,781.31 $92,623.81 $49,104.44 2026-08-17
8411 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $70,435.33 $70,435.33 $70,435.33 2026-08-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $70,435.33 $70,435.33 $70,435.33 2026-08-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $108,390.21 $108,390.21 $108,390.21 2026-08-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $324,384.26 $324,384.26 $324,384.26 2026-08-17
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $53,066.02 $53,066.02 $53,066.02 2026-08-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $159,871.45 $159,871.45 $159,871.45 2026-08-17
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $55,065.08 $55,065.08 $55,065.08 2026-08-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $118,650.60 $118,650.60 $118,650.60 2026-08-17
8614 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 1 1 — — $55,705.31 $55,705.31 $55,705.31 2026-08-17
8633 APR_DRG Neonatal Aftercare 1 1 — — $64,706.32 $64,706.32 $64,706.32 2026-08-17
8634 APR_DRG Neonatal Aftercare 1 1 — — $109,468.82 $109,468.82 $109,468.82 2026-08-17
870 MS_DRG Septicemia Or Severe Sepsis Wi 60 39 $161,864.71 $64,745.89 60% off $46,131.75 $114,799.95 $46,131.75 2026-08-17
8903 APR_DRG HIV With Multiple Major HIV Related Conditions 1 1 — — $49,699.12 $49,699.12 $49,699.12 2026-08-17
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 1 1 — — $101,889.90 $101,889.90 $101,889.90 2026-08-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $76,684.06 $76,684.06 $76,684.06 2026-08-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $69,474.22 $69,474.22 $69,474.22 2026-08-17
9103 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $57,032.49 $57,032.49 $57,032.49 2026-08-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $108,009.08 $108,009.08 $108,009.08 2026-08-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $85,749.85 $85,749.85 $85,749.85 2026-08-17
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $45,720.60 $45,720.60 $45,720.60 2026-08-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $80,759.00 $80,759.00 $80,759.00 2026-08-17
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $81,953.61 $81,953.61 $81,953.61 2026-08-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $69,474.22 $69,474.22 $69,474.22 2026-08-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $78,470.71 $78,470.71 $78,470.71 2026-08-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 20 — — $144,915.93 $339,987.40 $160,104.52 2026-08-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 20 — — $31,721.07 $118,868.96 $53,021.13 2026-08-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $112,123.18 $112,123.18 $112,123.18 2026-08-17
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 1 1 — — $53,221.19 $53,221.19 $53,221.19 2026-08-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $231,533.03 $231,533.03 $231,533.03 2026-08-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $92,964.21 $92,964.21 $92,964.21 2026-08-17
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $68,452.85 $68,452.85 $68,452.85 2026-08-17
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $61,051.69 $61,051.69 $61,051.69 2026-08-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 20 — — $49,297.08 $111,981.74 $60,206.35 2026-08-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 20 — — $49,358.57 $125,843.51 $56,131.74 2026-08-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 20 — — $50,684.36 $178,260.75 $59,104.21 2026-08-17
C1778 HCPCS Lead, Neurostimulator (implantable) 22 9 $80,643.33 $32,257.33 60% off $29,450.94 $79,030.46 $55,047.14 2026-07-15
C1813 HCPCS Prosthesis, Penile, Inflatable 22 9 $81,306.12 $32,522.45 60% off $29,693.00 $79,680.00 $55,499.56 2026-07-15
D0603 HCPCS Caries Risk Assess High Risk 13 10 $171,551.17 $68,620.47 60% off $25,904.23 $168,120.15 $97,097.96 2026-07-15
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 58 23 $158,407.94 $63,363.18 60% off $57,017.10 $155,239.78 $107,712.52 2026-07-15
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