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

CHI MERCY HEALTH

Valley City, ND · CCN 351324 · Rates published

Your selected procedure

You selected 70551 (CPT)

BRAIN WO CONT

This hospital’s price: $2,529 across 17 payers · range $206-$3,471

Source: https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-2025/umw/450226553_chi-mercy-health_standardcharges.json · observed 2026-02-28

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.

12,823 distinct procedures filed
17 distinct payers
580,599 rate rows
2026-02-28 last MRF observed
Data quality

523,891 of 580,599 rate rows are consumer-grade (90.2%)

56,708 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 32,425
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19,508
per-diem day rate — not a per-procedure price 4,036
placeholder amount (≤ $0.02) — excluded from medians 663
exceeds 10× this hospital's gross charge — excluded from medians 76
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://price.chimercyhealth.org/930386868-1477590198_commonspirit-oregon_standardcharges.json
Found on page https://chimercyhealth.org/patients-visitors/cost-estimator/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-02
Content fingerprint 0442f71292103ac4… · 53,352,957 bytes · first seen 2026-07-06

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
5834
APR_DRG 		Neonate With Ecmo 1 $787,573.00 $787,573.00 $787,573.00 nat. median
$390,362
outlier · 2.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $211,491.49 $790,208.83 $632,167.06 nat. median
$168,055
outlier · 3.8×
5833
APR_DRG 		Neonate With Ecmo 1 $623,773.00 $623,773.00 $623,773.00 nat. median
$268,208
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $617,675.00 $617,675.00 $617,675.00 nat. median
$202,242
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 1 $596,076.00 $596,076.00 $596,076.00 nat. median
$225,531
outlier · 2.6×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $589,506.00 $589,506.00 $589,506.00 nat. median
$286,698
outlier · 2.1×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $473,204.00 $473,204.00 $473,204.00 nat. median
$155,539
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $157,966.42 $715,811.00 $469,944.90 nat. median
$186,516
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $468,908.00 $468,908.00 $468,908.00 nat. median
$187,567
outlier · 2.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $462,838.00 $462,838.00 $462,838.00 nat. median
$171,497
outlier · 2.7×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $460,047.00 $460,047.00 $460,047.00 nat. median
$168,439
outlier · 2.7×
5832
APR_DRG 		Neonate With Ecmo 1 $459,973.00 $459,973.00 $459,973.00 nat. median
$201,678
outlier · 2.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $435,587.00 $435,587.00 $435,587.00 nat. median
$173,018
outlier · 2.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $422,263.00 $422,263.00 $422,263.00 nat. median
$173,134
outlier · 2.4×
4404
APR_DRG 		Kidney Transplant 1 $408,727.00 $408,727.00 $408,727.00 nat. median
$76,896
outlier · 5.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $407,532.00 $407,532.00 $407,532.00 nat. median
$152,383
outlier · 2.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $404,268.00 $404,268.00 $404,268.00 nat. median
$198,578
outlier · 2.0×
5831
APR_DRG 		Neonate With Ecmo 1 $397,499.00 $397,499.00 $397,499.00 nat. median
$173,909
outlier · 2.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $390,776.00 $390,776.00 $390,776.00 nat. median
$149,836
outlier · 2.6×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $382,207.00 $382,207.00 $382,207.00 nat. median
$124,731
outlier · 3.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $381,048.00 $381,048.00 $381,048.00 nat. median
$136,566
outlier · 2.8×
1612
APR_DRG 		Implantable Heart Assist Systems 1 $379,939.00 $379,939.00 $379,939.00 nat. median
$109,992
outlier · 3.5×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $370,869.00 $370,869.00 $370,869.00 nat. median
$135,630
outlier · 2.7×
23
APR_DRG 		Heart And/or Lung Transplant 1 $368,602.00 $368,602.00 $368,602.00 nat. median
$117,894
outlier · 3.1×
1611
APR_DRG 		Implantable Heart Assist Systems 1 $360,943.00 $360,943.00 $360,943.00 nat. median
$108,954
outlier · 3.3×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $352,451.00 $352,451.00 $352,451.00 nat. median
$114,205
outlier · 3.1×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $344,525.00 $344,525.00 $344,525.00 nat. median
$91,350
outlier · 3.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $338,679.00 $338,679.00 $338,679.00 nat. median
$115,963
outlier · 2.9×
64
APR_DRG 		Pancreas Transplant 1 $336,509.00 $336,509.00 $336,509.00 nat. median
$92,994
outlier · 3.6×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $336,142.00 $336,142.00 $336,142.00 nat. median
$95,757
outlier · 3.5×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $332,492.00 $332,492.00 $332,492.00 nat. median
$181,762
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $332,333.00 $332,333.00 $332,333.00 nat. median
$152,792
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 7 $120,187.34 $487,765.00 $316,235.00 nat. median
$145,435
outlier · 2.2×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $311,954.00 $311,954.00 $311,954.00 nat. median
$100,752
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $133,036.27 $497,071.70 $284,536.00 nat. median
$131,925
outlier · 2.2×
22
APR_DRG 		Heart And/or Lung Transplant 1 $273,544.00 $273,544.00 $273,544.00 nat. median
$95,481
outlier · 2.9×
4403
APR_DRG 		Kidney Transplant 1 $269,419.00 $269,419.00 $269,419.00 nat. median
$49,483
outlier · 5.4×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $268,254.00 $268,254.00 $268,254.00 nat. median
$130,862
outlier · 2.0×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $261,365.00 $261,365.00 $261,365.00 nat. median
$106,926
outlier · 2.4×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $245,388.00 $245,388.00 $245,388.00 nat. median
$85,032
outlier · 2.9×
6073
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $242,686.00 $242,686.00 $242,686.00 nat. median
$74,166
outlier · 3.3×
63
APR_DRG 		Pancreas Transplant 1 $236,616.00 $236,616.00 $236,616.00 nat. median
$69,792
outlier · 3.4×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $235,503.00 $235,503.00 $235,503.00 nat. median
$75,821
outlier · 3.1×
21
APR_DRG 		Heart And/or Lung Transplant 1 $234,501.00 $234,501.00 $234,501.00 nat. median
$77,825
outlier · 3.0×
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $233,457.00 $233,457.00 $233,457.00 nat. median
$52,622
outlier · 4.4×
4402
APR_DRG 		Kidney Transplant 1 $231,070.00 $231,070.00 $231,070.00 nat. median
$42,560
outlier · 5.4×
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $228,007.00 $228,007.00 $228,007.00 nat. median
$71,851
outlier · 3.2×
9114
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 $226,803.00 $226,803.00 $226,803.00 nat. median
$54,718
outlier · 4.1×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $226,566.00 $226,566.00 $226,566.00 nat. median
$95,499
outlier · 2.4×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $224,981.00 $224,981.00 $224,981.00 nat. median
$120,079
1.9× median

Other procedures at this hospital

Browse this hospital's 12,823 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
             
5834 APR_DRG Neonate With Ecmo 1 1 — — $787,573.00 $787,573.00 $787,573.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 6 — — $211,491.49 $790,208.83 $632,167.06 2026-02-28
5833 APR_DRG Neonate With Ecmo 1 1 — — $623,773.00 $623,773.00 $623,773.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $617,675.00 $617,675.00 $617,675.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $596,076.00 $596,076.00 $596,076.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $589,506.00 $589,506.00 $589,506.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $473,204.00 $473,204.00 $473,204.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 7 — — $157,966.42 $715,811.00 $469,944.90 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $468,908.00 $468,908.00 $468,908.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $462,838.00 $462,838.00 $462,838.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $460,047.00 $460,047.00 $460,047.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 1 1 — — $459,973.00 $459,973.00 $459,973.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $435,587.00 $435,587.00 $435,587.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $422,263.00 $422,263.00 $422,263.00 2026-02-28
4404 APR_DRG Kidney Transplant 1 1 — — $408,727.00 $408,727.00 $408,727.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $407,532.00 $407,532.00 $407,532.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $404,268.00 $404,268.00 $404,268.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 1 1 — — $397,499.00 $397,499.00 $397,499.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $390,776.00 $390,776.00 $390,776.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $382,207.00 $382,207.00 $382,207.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $381,048.00 $381,048.00 $381,048.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $379,939.00 $379,939.00 $379,939.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $370,869.00 $370,869.00 $370,869.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $368,602.00 $368,602.00 $368,602.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $360,943.00 $360,943.00 $360,943.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $352,451.00 $352,451.00 $352,451.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $344,525.00 $344,525.00 $344,525.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $338,679.00 $338,679.00 $338,679.00 2026-02-28
64 APR_DRG Pancreas Transplant 1 1 — — $336,509.00 $336,509.00 $336,509.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $336,142.00 $336,142.00 $336,142.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $332,492.00 $332,492.00 $332,492.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $332,333.00 $332,333.00 $332,333.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 28 7 — — $120,187.34 $487,765.00 $316,235.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $311,954.00 $311,954.00 $311,954.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 7 — — $133,036.27 $497,071.70 $284,536.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $273,544.00 $273,544.00 $273,544.00 2026-02-28
4403 APR_DRG Kidney Transplant 1 1 — — $269,419.00 $269,419.00 $269,419.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $268,254.00 $268,254.00 $268,254.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $261,365.00 $261,365.00 $261,365.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $245,388.00 $245,388.00 $245,388.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $242,686.00 $242,686.00 $242,686.00 2026-02-28
63 APR_DRG Pancreas Transplant 1 1 — — $236,616.00 $236,616.00 $236,616.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $235,503.00 $235,503.00 $235,503.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $234,501.00 $234,501.00 $234,501.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $233,457.00 $233,457.00 $233,457.00 2026-02-28
4402 APR_DRG Kidney Transplant 1 1 — — $231,070.00 $231,070.00 $231,070.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $228,007.00 $228,007.00 $228,007.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $226,803.00 $226,803.00 $226,803.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $226,566.00 $226,566.00 $226,566.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $224,981.00 $224,981.00 $224,981.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $224,759.00 $224,759.00 $224,759.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $222,122.00 $222,122.00 $222,122.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $220,296.00 $220,296.00 $220,296.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $220,133.00 $220,133.00 $220,133.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $212,732.00 $212,732.00 $212,732.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 7 — — $61,797.93 $382,610.00 $207,809.51 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 28 7 — — $73,474.24 $289,451.00 $207,627.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $206,421.00 $206,421.00 $206,421.00 2026-02-28
62 APR_DRG Pancreas Transplant 1 1 — — $205,406.00 $205,406.00 $205,406.00 2026-02-28
453 MS_DRG No Active Code Description 12 3 — — $165,485.00 $291,368.00 $202,661.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $201,410.00 $201,410.00 $201,410.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $201,408.00 $201,408.00 $201,408.00 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $199,910.00 $199,910.00 $199,910.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 28 7 — — $79,240.34 $299,291.00 $196,039.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 1 1 — — $195,867.00 $195,867.00 $195,867.00 2026-02-28
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $191,460.00 $191,460.00 $191,460.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $191,032.00 $191,032.00 $191,032.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $190,103.00 $190,103.00 $190,103.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $186,805.00 $186,805.00 $186,805.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 28 7 — — $59,415.11 $387,849.00 $185,970.05 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $184,633.00 $184,633.00 $184,633.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 1 1 — — $184,294.00 $184,294.00 $184,294.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $183,890.00 $183,890.00 $183,890.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $183,770.00 $183,770.00 $183,770.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 6 — — $61,092.45 $228,263.53 $182,610.82 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 7 — — $59,721.31 $302,208.00 $181,265.67 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $181,079.00 $181,079.00 $181,079.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $180,140.00 $180,140.00 $180,140.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $179,644.00 $179,644.00 $179,644.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $178,233.00 $178,233.00 $178,233.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 1 1 — — $177,668.00 $177,668.00 $177,668.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $174,655.00 $174,655.00 $174,655.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $173,890.00 $173,890.00 $173,890.00 2026-02-28
7 MS_DRG Lung Transplant 28 7 — — $73,289.18 $273,834.93 $173,739.50 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $170,592.00 $170,592.00 $170,592.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $170,200.00 $170,200.00 $170,200.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $165,385.00 $165,385.00 $165,385.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $164,811.00 $164,811.00 $164,811.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $54,122.89 $261,772.00 $164,363.08 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $163,928.00 $163,928.00 $163,928.00 2026-02-28
61 APR_DRG Pancreas Transplant 1 1 — — $161,459.00 $161,459.00 $161,459.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $160,563.00 $160,563.00 $160,563.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $160,398.00 $160,398.00 $160,398.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $160,350.00 $160,350.00 $160,350.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $159,854.00 $159,854.00 $159,854.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $159,722.00 $159,722.00 $159,722.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 1 1 — — $159,637.00 $159,637.00 $159,637.00 2026-02-28
1794 APR_DRG Defibrillator Implants 1 1 — — $156,654.00 $156,654.00 $156,654.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $155,456.00 $155,456.00 $155,456.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 1 1 — — $154,037.00 $154,037.00 $154,037.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $153,952.00 $153,952.00 $153,952.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 1 1 — — $153,408.00 $153,408.00 $153,408.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $153,224.00 $153,224.00 $153,224.00 2026-02-28
234 APR_DRG Spinal Procedures 1 1 — — $152,621.00 $152,621.00 $152,621.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $152,165.00 $152,165.00 $152,165.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 7 — — $45,206.25 $250,294.00 $152,016.23 2026-02-28
222 MS_DRG No Active Code Description 6 3 — — $144,422.00 $235,142.00 $151,580.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 1 1 — — $150,893.00 $150,893.00 $150,893.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 7 — — $47,494.86 $261,811.00 $148,366.19 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 1 1 — — $147,093.00 $147,093.00 $147,093.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $146,875.00 $146,875.00 $146,875.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $144,899.00 $144,899.00 $144,899.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $143,747.00 $143,747.00 $143,747.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 1 1 — — $143,512.00 $143,512.00 $143,512.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $143,219.00 $143,219.00 $143,219.00 2026-02-28
454 MS_DRG No Active Code Description 12 3 — — $109,766.00 $214,442.00 $143,077.50 2026-02-28
6904 APR_DRG Acute Leukemia 1 1 — — $141,267.00 $141,267.00 $141,267.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $141,064.00 $141,064.00 $141,064.00 2026-02-28
237 MS_DRG No Active Code Description 2 1 — — $140,718.00 $140,718.00 $140,718.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $140,303.00 $140,303.00 $140,303.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $139,880.00 $139,880.00 $139,880.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 7 — — $47,521.21 $207,067.00 $139,798.50 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $138,995.00 $138,995.00 $138,995.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $138,377.00 $138,377.00 $138,377.00 2026-02-28
404 APR_DRG Spinal Disorders And Injuries 1 1 — — $137,864.00 $137,864.00 $137,864.00 2026-02-28
7594 APR_DRG Eating Disorders 1 1 — — $137,640.00 $137,640.00 $137,640.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $135,975.00 $135,975.00 $135,975.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $135,888.00 $135,888.00 $135,888.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $135,432.00 $135,432.00 $135,432.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $135,425.00 $135,425.00 $135,425.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $134,775.00 $134,775.00 $134,775.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $134,197.00 $134,197.00 $134,197.00 2026-02-28
224 MS_DRG No Active Code Description 6 3 — — $132,520.00 $211,084.00 $133,719.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $133,384.00 $133,384.00 $133,384.00 2026-02-28
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 1 1 — — $132,964.00 $132,964.00 $132,964.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $132,905.00 $132,905.00 $132,905.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $131,592.00 $131,592.00 $131,592.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $43,391.52 $215,572.00 $131,521.07 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $131,362.00 $131,362.00 $131,362.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 1 1 — — $131,355.00 $131,355.00 $131,355.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 7 — — $43,833.98 $198,803.00 $131,023.70 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $130,966.00 $130,966.00 $130,966.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $130,383.00 $130,383.00 $130,383.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $129,762.00 $129,762.00 $129,762.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $128,431.00 $128,431.00 $128,431.00 2026-02-28
6903 APR_DRG Acute Leukemia 1 1 — — $128,425.00 $128,425.00 $128,425.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 1 1 — — $128,203.00 $128,203.00 $128,203.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 1 1 — — $128,077.00 $128,077.00 $128,077.00 2026-02-28
274 APR_DRG Other Open Craniotomy 1 1 — — $128,042.00 $128,042.00 $128,042.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 1 1 — — $128,001.00 $128,001.00 $128,001.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $127,529.00 $127,529.00 $127,529.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $127,386.00 $127,386.00 $127,386.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $126,836.00 $126,836.00 $126,836.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 1 1 — — $126,218.00 $126,218.00 $126,218.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $125,888.00 $125,888.00 $125,888.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $125,822.00 $125,822.00 $125,822.00 2026-02-28
4014 APR_DRG Adrenal Procedures 1 1 — — $125,479.00 $125,479.00 $125,479.00 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $125,209.00 $125,209.00 $125,209.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 1 1 — — $124,688.00 $124,688.00 $124,688.00 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 1 1 — — $124,170.00 $124,170.00 $124,170.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $123,577.00 $123,577.00 $123,577.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 1 1 — — $123,311.00 $123,311.00 $123,311.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $121,657.00 $121,657.00 $121,657.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $121,607.00 $121,607.00 $121,607.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $121,494.00 $121,494.00 $121,494.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 1 1 — — $120,790.00 $120,790.00 $120,790.00 2026-02-28
226 MS_DRG No Active Code Description 6 3 — — $119,012.00 $185,224.00 $120,736.00 2026-02-28
459 MS_DRG No Active Code Description 12 3 — — $115,463.00 $179,822.00 $119,495.50 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 6 — — $44,455.91 $166,103.35 $118,715.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 6 — — $39,631.39 $148,077.20 $118,461.76 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 1 1 — — $117,794.00 $117,794.00 $117,794.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $117,294.00 $117,294.00 $117,294.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 7 — — $41,858.87 $176,500.00 $116,728.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $115,620.00 $115,620.00 $115,620.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $115,329.00 $115,329.00 $115,329.00 2026-02-28
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $115,268.00 $115,268.00 $115,268.00 2026-02-28
38240 CPT Transplt Allo Hct/donor 42 12 — — $50,330.35 $179,360.04 $114,845.20 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $114,176.00 $114,176.00 $114,176.00 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 1 1 — — $114,037.00 $114,037.00 $114,037.00 2026-02-28
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $113,300.00 $113,300.00 $113,300.00 2026-02-28
4401 APR_DRG Kidney Transplant 1 1 — — $113,020.00 $113,020.00 $113,020.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $112,322.00 $112,322.00 $112,322.00 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $111,870.00 $111,870.00 $111,870.00 2026-02-28
223 MS_DRG No Active Code Description 6 3 — — $98,437.00 $167,929.00 $111,818.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 6 — — $37,391.57 $139,708.45 $111,766.76 2026-02-28
6504 APR_DRG Splenectomy 1 1 — — $111,244.00 $111,244.00 $111,244.00 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $110,913.00 $110,913.00 $110,913.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 1 1 — — $110,885.00 $110,885.00 $110,885.00 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $110,487.00 $110,487.00 $110,487.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $109,820.00 $109,820.00 $109,820.00 2026-02-28
455 MS_DRG No Active Code Description 12 3 — — $86,238.00 $161,439.00 $109,809.00 2026-02-28
3644 APR_DRG Other Skin Subcutaneous Tissue And Related Procedures 1 1 — — $109,487.00 $109,487.00 $109,487.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $36,215.58 $174,611.00 $109,317.81 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $109,289.00 $109,289.00 $109,289.00 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $109,022.00 $109,022.00 $109,022.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $108,457.00 $108,457.00 $108,457.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $107,846.00 $107,846.00 $107,846.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $107,839.00 $107,839.00 $107,839.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 1 1 — — $107,504.00 $107,504.00 $107,504.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $107,185.00 $107,185.00 $107,185.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 1 1 — — $106,996.00 $106,996.00 $106,996.00 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 1 1 — — $106,306.00 $106,306.00 $106,306.00 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $105,311.00 $105,311.00 $105,311.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 7 — — $39,011.71 $160,597.00 $105,279.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 1 1 — — $105,256.00 $105,256.00 $105,256.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 7 — — $33,849.03 $167,563.00 $105,048.89 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 7 — — $32,186.28 $176,470.00 $105,038.33 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $105,022.00 $105,022.00 $105,022.00 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 1 1 — — $105,006.00 $105,006.00 $105,006.00 2026-02-28
230 MS_DRG No Active Code Description 2 1 — — $104,805.00 $104,805.00 $104,805.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 1 1 — — $104,780.00 $104,780.00 $104,780.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $104,545.00 $104,545.00 $104,545.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 7 — — $30,996.83 $182,600.00 $104,233.84 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $104,193.00 $104,193.00 $104,193.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $104,145.00 $104,145.00 $104,145.00 2026-02-28
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 1 1 — — $104,030.00 $104,030.00 $104,030.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 6 — — $34,737.89 $129,793.33 $103,834.66 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 1 1 — — $103,454.00 $103,454.00 $103,454.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 1 1 — — $103,078.00 $103,078.00 $103,078.00 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $102,935.00 $102,935.00 $102,935.00 2026-02-28
1693 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $102,754.00 $102,754.00 $102,754.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 1 1 — — $102,669.00 $102,669.00 $102,669.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 7 — — $34,257.29 $157,165.00 $102,398.10 2026-02-28
3464 APR_DRG Connective Tissue Disorders 1 1 — — $102,339.00 $102,339.00 $102,339.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 7 — — $37,454.95 $139,945.23 $102,285.00 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 1 1 — — $102,211.00 $102,211.00 $102,211.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 1 1 — — $102,082.00 $102,082.00 $102,082.00 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 1 1 — — $101,945.00 $101,945.00 $101,945.00 2026-02-28
225 MS_DRG No Active Code Description 6 3 — — $95,400.00 $158,414.00 $101,282.00 2026-02-28
233 APR_DRG Spinal Procedures 1 1 — — $101,217.00 $101,217.00 $101,217.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 7 — — $38,292.77 $148,968.00 $101,169.00 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 1 1 — — $100,924.00 $100,924.00 $100,924.00 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 1 1 — — $100,917.00 $100,917.00 $100,917.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 7 — — $32,998.30 $159,538.00 $100,564.44 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 6 — — $33,596.11 $154,775.00 $100,421.78 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $100,178.00 $100,178.00 $100,178.00 2026-02-28
3624 APR_DRG Mastectomy Procedures 1 1 — — $99,863.00 $99,863.00 $99,863.00 2026-02-28
6614 APR_DRG Coagulation And Platelet Disorders 1 1 — — $99,704.00 $99,704.00 $99,704.00 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 1 1 — — $99,628.00 $99,628.00 $99,628.00 2026-02-28
984 MS_DRG No Active Code Description 2 1 — — $99,597.00 $99,597.00 $99,597.00 2026-02-28
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 1 1 — — $99,487.00 $99,487.00 $99,487.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $99,365.00 $99,365.00 $99,365.00 2026-02-28
4034 APR_DRG Procedures For Obesity 1 1 — — $99,343.00 $99,343.00 $99,343.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 7 — — $32,651.18 $157,377.00 $98,950.14 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 1 1 — — $98,789.00 $98,789.00 $98,789.00 2026-02-28
383663 CDM Cath Impella 2.5 30 9 $123,244.00 $65,721.27 47% off $80,108.60 $118,314.24 $98,595.20 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $98,556.00 $98,556.00 $98,556.00 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 1 1 — — $98,217.00 $98,217.00 $98,217.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 1 1 — — $97,571.00 $97,571.00 $97,571.00 2026-02-28
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $97,326.00 $97,326.00 $97,326.00 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $97,241.00 $97,241.00 $97,241.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $33,363.39 $146,930.00 $97,187.00 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 1 1 — — $96,647.00 $96,647.00 $96,647.00 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $96,513.00 $96,513.00 $96,513.00 2026-02-28
7524 APR_DRG Disorders Of Personality And Impulse Control 1 1 — — $96,458.00 $96,458.00 $96,458.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 1 1 — — $96,169.00 $96,169.00 $96,169.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 28 7 — — $34,093.54 $154,077.00 $96,167.50 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 7 — — $36,267.74 $147,452.00 $95,814.50 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 28 7 — — $31,262.08 $169,535.00 $95,765.58 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 28 7 — — $30,996.83 $141,960.00 $95,709.15 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $95,667.00 $95,667.00 $95,667.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 7 — — $31,993.92 $144,040.00 $95,472.35 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $95,286.00 $95,286.00 $95,286.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 28 7 — — $30,443.89 $152,831.00 $94,792.75 2026-02-28
227 MS_DRG No Active Code Description 6 3 — — $94,534.00 $142,686.00 $94,702.00 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 1 1 — — $94,565.00 $94,565.00 $94,565.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $94,560.00 $94,560.00 $94,560.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 28 7 — — $33,338.15 $136,342.00 $93,669.50 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 1 1 — — $93,534.00 $93,534.00 $93,534.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 7 — — $30,513.42 $140,552.00 $93,529.67 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 1 1 — — $93,421.00 $93,421.00 $93,421.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $58,745.53 $219,494.55 $93,065.70 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 7 — — $28,080.13 $178,423.00 $92,727.51 2026-02-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $92,662.00 $92,662.00 $92,662.00 2026-02-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $92,558.00 $92,558.00 $92,558.00 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $92,406.00 $92,406.00 $92,406.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $92,288.00 $92,288.00 $92,288.00 2026-02-28
1793 APR_DRG Defibrillator Implants 1 1 — — $92,273.00 $92,273.00 $92,273.00 2026-02-28
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $91,838.00 $91,838.00 $91,838.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $91,643.00 $91,643.00 $91,643.00 2026-02-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $91,504.00 $91,504.00 $91,504.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 7 — — $34,414.31 $134,920.00 $91,300.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $90,884.00 $90,884.00 $90,884.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 7 — — $30,256.58 $116,757.00 $90,760.81 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 28 7 — — $28,482.78 $154,324.00 $90,595.29 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 7 — — $30,288.54 $149,718.00 $90,535.16 2026-02-28
3244 APR_DRG Elective Hip Joint Replacement 1 1 — — $90,195.00 $90,195.00 $90,195.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 7 — — $35,466.37 $150,741.00 $90,071.50 2026-02-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 1 1 — — $89,906.00 $89,906.00 $89,906.00 2026-02-28
734 APR_DRG Orbit And Eye Procedures 1 1 — — $89,821.00 $89,821.00 $89,821.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $29,703.64 $144,204.00 $89,440.91 2026-02-28
444 APR_DRG Intracranial Hemorrhage 1 1 — — $89,208.00 $89,208.00 $89,208.00 2026-02-28
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 1 1 — — $88,580.00 $88,580.00 $88,580.00 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $88,469.00 $88,469.00 $88,469.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $88,458.00 $88,458.00 $88,458.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 7 — — $27,946.10 $194,741.00 $88,246.70 2026-02-28
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 1 1 — — $88,143.00 $88,143.00 $88,143.00 2026-02-28
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 1 1 — — $88,058.00 $88,058.00 $88,058.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 7 — — $29,835.42 $133,136.00 $87,895.00 2026-02-28
238 MS_DRG No Active Code Description 2 1 — — $87,623.00 $87,623.00 $87,623.00 2026-02-28
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