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

EAST LIVERPOOL CITY HOSPITAL

East Liverpool, OH · CCN 360096 · Rates published

Your selected procedure

You selected 45378 (CPT)

Diagnostic colonoscopy

This hospital’s price: $1,006 across 33 payers · range $377-$2,525

Source: https://elch.org/wp-content/uploads/2026/04/340714583_EastLiverpoolCityHospital_standardcharges.JSON · observed 2026-09-01

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.

5,028 distinct procedures filed
38 distinct payers
328,835 rate rows
2026-09-01 last MRF observed
Data quality

327,512 of 328,835 rate rows are consumer-grade (99.6%)

1,323 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
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 982
exceeds 10× this hospital's gross charge — excluded from medians 200
percent-of-charges filed in the dollar field — excluded from medians 85
per-diem day rate — not a per-procedure price 48
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://elch.org/wp-content/uploads/2026/09/1127LH_EastLiverpoolCityHospital_standardcharges.json
Found on page https://elch.org/patients-visitors/insurance-financial-info/
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint f68e4b7cd1e73711… · 38,181,613 bytes · first seen 2026-09-21

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $233,035.00 $542,636.37 $311,199.26 nat. median
$168,055
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 11 $287,833.00 $397,031.72 $305,103.00 nat. median
$286,698
1.1× median
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 11 $278,441.00 $384,076.35 $295,147.50 nat. median
$268,208
1.1× median
5834
APR_DRG 		Neonate W Ecmo - Soi : 4 11 $278,441.00 $384,076.35 $295,147.50 nat. median
$390,362
0.8× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 11 $264,863.00 $365,345.62 $280,754.50 nat. median
$173,909
1.6× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 11 $264,863.00 $365,345.62 $280,754.50 nat. median
$201,678
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 11 $263,837.00 $323,259.44 $279,667.50 nat. median
$202,242
1.4× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 11 $232,061.00 $284,327.92 $245,984.50 nat. median
$225,531
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $129,637.55 $375,759.00 $220,289.53 nat. median
$186,516
1.2× median
612
OTHER 		UnGrouped 1 $217,165.00 $217,165.00 $217,165.00 nat. median
$6,246
outlier · 34.8×
1611
APR_DRG 		Implantable Heart Assist Systems- Soi : 1 11 $204,228.00 $250,227.00 $216,481.50 nat. median
$108,954
2.0× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 11 $204,228.00 $250,227.00 $216,481.50 nat. median
$155,539
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems- Soi : 2 11 $204,228.00 $250,227.00 $216,481.50 nat. median
$109,992
2.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 11 $198,393.00 $243,077.79 $210,296.00 nat. median
$149,836
1.4× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 11 $184,682.00 $226,279.87 $195,763.00 nat. median
$173,018
1.1× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 3 11 $184,682.00 $226,279.87 $195,763.00 nat. median
$54,727
outlier · 3.6×
8412
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 2 11 $184,682.00 $226,279.87 $195,763.00 nat. median
$27,312
outlier · 7.2×
8411
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 1 11 $184,682.00 $226,279.87 $195,763.00 nat. median
$23,507
outlier · 8.3×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 11 $184,668.00 $254,722.80 $195,748.50 nat. median
$198,578
1.0× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 11 $179,224.00 $247,212.81 $189,977.50 nat. median
$187,567
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $147,680.12 $291,123.00 $181,952.00 nat. median
$131,925
1.4× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 11 $158,217.00 $218,234.96 $167,710.00 nat. median
$181,762
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 $79,190.27 $267,171.42 $166,982.14 nat. median
$145,435
1.1× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 11 $145,481.00 $200,666.42 $154,210.00 nat. median
$173,134
0.9× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 11 $138,390.00 $190,884.96 $146,693.50 nat. median
$152,383
1.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 11 $138,390.00 $190,884.96 $146,693.50 nat. median
$130,862
1.1× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 11 $134,122.00 $184,996.07 $142,169.00 nat. median
$168,439
0.8× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 11 $124,523.00 $171,754.96 $131,994.00 nat. median
$171,497
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 11 $114,559.00 $140,365.19 $121,432.50 nat. median
$106,926
1.1× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $106,489.00 $173,860.00 $110,292.00 nat. median
$106,489
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $53,425.14 $174,664.80 $109,165.50 nat. median
$97,418
1.1× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 11 $102,953.00 $126,146.61 $109,130.50 nat. median
$117,894
0.9× median
22
APR_DRG 		Heart &or Lung Transplant - Soi : 2 11 $102,953.00 $126,146.61 $109,130.50 nat. median
$95,481
1.1× median
21
APR_DRG 		Heart &or Lung Transplant - Soi : 1 11 $102,953.00 $126,146.61 $109,130.50 nat. median
$77,825
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 11 $102,788.00 $125,944.57 $108,956.00 nat. median
$152,792
0.7× median
681
OTHER 		UnGrouped 1 $102,762.00 $102,762.00 $102,762.00 nat. median
$220,794
outlier · 0.5×
73
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 3 11 $96,910.90 $118,743.41 $102,725.50 nat. median
$81,292
1.3× median
7
MS_DRG 		Lung Transplant 26 $60,145.79 $163,358.98 $102,099.36 nat. median
$70,649
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $60,297.68 $161,291.00 $100,807.00 nat. median
$72,715
1.4× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 11 $93,359.90 $114,392.88 $98,961.50 nat. median
$135,630
0.7× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 11 $91,850.70 $126,686.34 $97,361.75 nat. median
$124,731
0.8× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 11 $90,840.90 $125,293.24 $96,291.30 nat. median
$100,752
1.0× median
3060
EAPG 		Ventricular Assist Device Procedures 10 $93,052.90 $97,705.50 $95,379.25 nat. median
$24,294
outlier · 3.9×
8504
APR_DRG 		Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 11 $87,966.90 $107,785.32 $93,244.85 nat. median
$50,461
1.8× median
3034
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 11 $85,304.80 $104,523.86 $90,423.15 nat. median
$75,821
1.2× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 11 $83,984.10 $115,835.04 $89,023.10 nat. median
$114,205
0.8× median
8514
APR_DRG 		UnGrouped 11 $85,136.00 $91,095.50 $87,690.10 nat. median
$56,282
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 $50,718.83 $143,055.63 $87,446.40 nat. median
$65,418
1.3× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $87,291.70 $87,291.70 $87,291.70 nat. median
$55,290
1.6× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 11 $81,959.70 $100,425.41 $86,877.30 nat. median
$136,566
0.6× median

Other procedures at this hospital

Browse this hospital's 5,028 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 58 26 — $339,147.00 $233,035.00 $542,636.37 $311,199.26 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 20 11 — — $287,833.00 $397,031.72 $305,103.00 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 20 11 — — $278,441.00 $384,076.35 $295,147.50 2026-09-01
5834 APR_DRG Neonate W Ecmo - Soi : 4 20 11 — — $278,441.00 $384,076.35 $295,147.50 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 20 11 — — $264,863.00 $365,345.62 $280,754.50 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 20 11 — — $264,863.00 $365,345.62 $280,754.50 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 20 11 — — $263,837.00 $323,259.44 $279,667.50 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 20 11 — — $232,061.00 $284,327.92 $245,984.50 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 26 — $220,289.00 $129,637.55 $375,759.00 $220,289.53 2026-09-01
612 OTHER UnGrouped 1 1 — — $217,165.00 $217,165.00 $217,165.00 2024-12-19
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 20 11 — — $204,228.00 $250,227.00 $216,481.50 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 20 11 — — $204,228.00 $250,227.00 $216,481.50 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 20 11 — — $204,228.00 $250,227.00 $216,481.50 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 20 11 — — $198,393.00 $243,077.79 $210,296.00 2026-09-01
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 1 20 11 — — $184,682.00 $226,279.87 $195,763.00 2026-09-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 2 20 11 — — $184,682.00 $226,279.87 $195,763.00 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 20 11 — — $184,682.00 $226,279.87 $195,763.00 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 20 11 — — $184,682.00 $226,279.87 $195,763.00 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 20 11 — — $184,668.00 $254,722.80 $195,748.50 2026-09-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 20 11 — — $179,224.00 $247,212.81 $189,977.50 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 58 26 — $167,964.00 $147,680.12 $291,123.00 $181,952.00 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 20 11 — — $158,217.00 $218,234.96 $167,710.00 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 26 — $166,982.00 $79,190.27 $267,171.42 $166,982.14 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 20 11 — — $145,481.00 $200,666.42 $154,210.00 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 20 11 — — $138,390.00 $190,884.96 $146,693.50 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 20 11 — — $138,390.00 $190,884.96 $146,693.50 2026-09-01
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 20 11 — — $134,122.00 $184,996.07 $142,169.00 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 20 11 — — $124,523.00 $171,754.96 $131,994.00 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 20 11 — — $114,559.00 $140,365.19 $121,432.50 2026-09-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 18 — $141,260.00 $106,489.00 $173,860.00 $110,292.00 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 23 — $109,165.00 $53,425.14 $174,664.80 $109,165.50 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 20 11 — — $102,953.00 $126,146.61 $109,130.50 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 20 11 — — $102,953.00 $126,146.61 $109,130.50 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 20 11 — — $102,953.00 $126,146.61 $109,130.50 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 20 11 — — $102,788.00 $125,944.57 $108,956.00 2026-09-01
681 OTHER UnGrouped 1 1 — — $102,762.00 $102,762.00 $102,762.00 2024-12-19
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 20 11 — — $96,910.90 $118,743.41 $102,725.50 2026-09-01
7 MS_DRG Lung Transplant 58 26 — $102,099.00 $60,145.79 $163,358.98 $102,099.36 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 58 26 — $94,789.00 $60,297.68 $161,291.00 $100,807.00 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 20 11 — — $93,359.90 $114,392.88 $98,961.50 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 20 11 — — $91,850.70 $126,686.34 $97,361.75 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 20 11 — — $90,840.90 $125,293.24 $96,291.30 2026-09-01
3060 EAPG Ventricular Assist Device Procedures 10 10 — — $93,052.90 $97,705.50 $95,379.25 2024-12-19
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 20 11 — — $87,966.90 $107,785.32 $93,244.85 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 20 11 — — $85,304.80 $104,523.86 $90,423.15 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 20 11 — — $83,984.10 $115,835.04 $89,023.10 2026-09-01
8514 APR_DRG UnGrouped 11 11 — — $85,136.00 $91,095.50 $87,690.10 2024-12-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 26 — $89,409.00 $50,718.83 $143,055.63 $87,446.40 2026-09-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $87,291.70 $87,291.70 $87,291.70 2024-12-19
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 20 11 — — $81,959.70 $100,425.41 $86,877.30 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 20 11 — — $79,256.80 $109,314.06 $84,012.25 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 68 30 — $109,119.00 $734.95 $137,313.65 $83,938.30 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 20 11 — — $77,804.10 $95,334.08 $82,472.35 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 20 11 — — $77,611.00 $95,097.41 $82,267.60 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 20 11 — — $77,611.00 $95,097.41 $82,267.60 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 58 26 — $81,401.00 $49,010.82 $133,249.00 $82,070.30 2026-09-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 20 11 — — $77,279.60 $106,586.56 $81,916.35 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 20 11 — — $77,207.30 $94,602.90 $81,839.80 2026-09-01
215 MS_DRG Other Heart Assist System Implant 58 26 — $78,630.00 $53,944.30 $130,645.00 $81,653.10 2026-09-01
426 MS_DRG UnGrouped 28 18 — $104,963.00 $11,899.90 $129,185.00 $80,740.90 2024-12-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 20 11 — — $75,151.60 $103,651.26 $79,660.65 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 20 11 — — $74,288.60 $102,460.20 $78,745.90 2026-09-01
613 OTHER UnGrouped 1 1 — — $77,023.90 $77,023.90 $77,023.90 2024-12-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 26 — $77,264.00 $44,515.96 $123,622.94 $76,676.50 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 20 11 — — $71,492.30 $98,603.23 $75,781.80 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 20 11 — — $71,492.30 $98,603.23 $75,781.80 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 20 11 — — $71,248.90 $98,267.46 $75,523.80 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 20 11 — — $70,919.10 $86,898.56 $75,174.20 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 20 11 — — $70,782.40 $86,731.16 $75,029.35 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 20 11 — — $70,679.50 $86,605.13 $74,920.30 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 20 11 — — $70,656.00 $86,576.27 $74,895.35 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 20 11 — — $70,380.40 $86,238.58 $74,603.20 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 20 11 — — $69,965.00 $96,496.27 $74,162.85 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 20 11 — — $69,051.70 $95,236.91 $73,194.80 2026-09-01
850 EAPG Allergic Reactions 37 21 — — $190.93 $113,740.00 $71,087.70 2024-12-19
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 20 11 — — $66,613.50 $91,873.48 $70,610.35 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 20 11 — — $65,957.00 $80,819.18 $69,914.45 2026-09-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 20 11 — — $63,885.60 $88,109.82 $67,718.65 2026-09-01
5894 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 20 11 — — $63,012.30 $86,905.30 $66,793.10 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 20 11 — — $63,012.30 $86,905.30 $66,793.10 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 26 — $66,656.00 $57,894.68 $106,650.40 $66,238.88 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 26 — $66,448.00 $36,931.86 $106,317.95 $66,032.46 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 20 11 — — $61,982.10 $75,949.13 $65,701.05 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 20 11 — — $61,629.50 $75,517.16 $65,327.30 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 30 11 — — $3,324.51 $78,449.58 $64,983.35 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 20 11 — — $61,126.20 $74,900.47 $64,793.75 2026-09-01
429 MS_DRG UnGrouped 37 21 — $83,760.00 $60.96 $103,089.00 $64,430.90 2024-12-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 20 11 — — $60,438.30 $74,057.68 $64,064.60 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 20 11 — — $60,148.50 $82,955.00 $63,757.45 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 20 11 — — $59,945.90 $82,675.99 $63,542.75 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 20 11 — — $59,945.90 $82,675.99 $63,542.75 2026-09-01
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 20 11 — — $58,781.40 $72,027.70 $62,308.30 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 26 — $62,257.00 $43,937.88 $127,325.00 $62,295.50 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 20 11 — — $58,483.00 $71,662.11 $61,992.00 2026-09-01
10 MS_DRG Pancreas Transplant 58 26 — $56,822.00 $36,694.37 $98,595.80 $61,622.40 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 26 — $56,500.00 $36,483.11 $98,037.10 $61,273.20 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 26 — $60,503.00 $40,293.11 $96,806.10 $60,464.85 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 26 — $60,763.00 $42,569.54 $97,221.34 $60,385.43 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 20 11 — — $56,897.60 $69,719.67 $60,311.45 2026-09-01
2004 APR_DRG Cardiac Structural & Valvular Disorders - Soi : 4 9 9 — — $58,363.77 $62,449.23 $60,114.68 2026-09-01
114 APR_DRG UnGrouped 11 11 — — $57,929.40 $61,984.50 $59,667.30 2024-12-19
112 APR_DRG UnGrouped 11 11 — — $57,929.40 $61,984.50 $59,667.30 2024-12-19
111 APR_DRG UnGrouped 11 11 — — $57,929.40 $61,984.50 $59,667.30 2024-12-19
113 APR_DRG UnGrouped 11 11 — — $57,929.40 $61,984.50 $59,667.30 2024-12-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 26 — $60,305.00 $28,633.91 $96,488.69 $59,467.20 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 20 11 — — $55,298.10 $67,759.91 $58,615.90 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 20 11 — — $54,397.40 $75,021.69 $57,661.20 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 20 11 — — $53,532.00 $73,827.75 $56,743.95 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 20 11 — — $53,532.00 $73,827.75 $56,743.95 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 20 11 — — $53,439.40 $65,482.67 $56,645.70 2026-09-01
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 20 11 — — $53,191.20 $73,358.25 $56,382.70 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 20 11 — — $53,191.20 $73,358.25 $56,382.70 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 58 26 — $56,467.00 $31,193.85 $90,347.76 $56,055.47 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 20 11 — — $52,233.20 $64,004.91 $55,367.20 2026-09-01
5911 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 1 20 11 — — $52,134.30 $71,899.74 $55,262.35 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 20 11 — — $52,134.30 $71,899.74 $55,262.35 2026-09-01
6301 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 1 20 11 — — $51,989.00 $71,699.63 $55,108.30 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 20 11 — — $51,989.00 $71,699.63 $55,108.30 2026-09-01
427 MS_DRG UnGrouped 38 22 — $71,465.00 $166.57 $87,957.20 $54,973.20 2024-12-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 23 — $54,487.00 $14,751.70 $87,180.08 $54,151.92 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 69 31 — $70,013.00 $109.08 $87,605.36 $53,856.30 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 20 11 — — $50,603.80 $62,008.60 $53,640.05 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 26 — $53,336.00 $26,445.39 $98,506.40 $53,336.51 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 20 11 — — $50,295.20 $61,630.50 $53,312.95 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 58 26 — $56,799.00 $31,323.18 $90,878.43 $53,287.40 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 20 11 — — $49,926.20 $61,178.32 $52,921.70 2026-09-01
447 MS_DRG UnGrouped 27 17 — $67,512.00 $50,893.80 $83,092.00 $51,932.50 2024-12-19
268 EAPG Cranial And Spinal Shunt Procedures 38 22 — — $7,309.61 $82,638.50 $51,649.00 2024-12-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 26 — $52,114.00 $35,400.13 $83,383.86 $51,512.01 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 20 11 — — $48,578.70 $59,527.39 $51,493.40 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 20 11 — — $48,261.40 $59,138.71 $51,157.10 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 20 11 — — $48,175.00 $59,032.88 $51,065.55 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 23 — $51,012.00 $29,646.01 $81,619.98 $51,012.49 2026-09-01
2004 EAPG Incidental Minor Diagnostic Tests 21 11 — — $45.80 $54,530.90 $50,963.50 2024-12-19
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 20 11 — — $47,902.60 $58,699.04 $50,776.70 2026-09-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 20 11 — — $47,780.10 $58,548.96 $50,646.90 2026-09-01
6604 APR_DRG Major Hematologicimmunologic Diag Exc Sickle Cell Crisis & Coagul - Soi : 4 20 11 — — $47,763.60 $58,528.75 $50,629.35 2026-09-01
207 EAPG Level I Other Uterine And Adnexa Gynecological Procedures 38 22 — — $2,324.86 $80,188.80 $50,118.00 2024-12-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 20 11 — — $47,061.60 $57,668.65 $49,885.25 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 58 26 — $51,927.00 $43,168.33 $83,084.03 $49,540.93 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 58 26 — $48,555.00 $42,731.53 $78,441.90 $49,026.20 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 20 11 — — $46,140.40 $56,540.14 $48,908.90 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 26 — $52,114.00 $25,333.87 $83,383.86 $48,334.59 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 23 — $48,610.00 $32,332.98 $77,777.36 $48,314.85 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 26 — $48,094.00 $42,326.98 $76,951.89 $48,094.93 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 58 26 — $47,655.00 $29,744.96 $76,854.00 $48,033.80 2026-09-01
317 EAPG Family Psychotherapy 38 22 — — $190.00 $76,756.20 $47,972.60 2024-12-19
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $47,784.40 $47,784.40 $47,784.40 2024-12-19
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 20 11 — — $45,068.60 $62,152.91 $47,772.70 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 20 11 — — $45,068.60 $62,152.91 $47,772.70 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 20 11 — — $44,935.10 $61,969.15 $47,631.20 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 20 11 — — $44,931.20 $55,058.53 $47,627.00 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 30 — $61,870.00 $4,835.45 $76,148.70 $47,592.90 2026-09-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 2 20 11 — — $44,844.80 $54,952.70 $47,535.45 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 20 11 — — $44,694.00 $61,636.27 $47,375.65 2026-09-01
6903 APR_DRG Acute Leukemia - Soi : 3 20 11 — — $44,654.00 $54,718.92 $47,333.25 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 58 26 — $47,669.00 $26,235.51 $76,270.67 $47,155.90 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 20 11 — — $44,404.30 $61,237.01 $47,068.55 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 58 26 — $47,052.00 $27,778.75 $75,284.61 $46,937.84 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 58 26 — $43,152.00 $27,778.75 $74,916.50 $46,822.80 2026-09-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 20 11 — — $44,109.80 $54,052.20 $46,756.40 2026-09-01
646 OTHER UnGrouped 1 1 — — $46,693.50 $46,693.50 $46,693.50 2024-12-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 23 — $46,573.00 $34,054.80 $74,518.10 $46,573.81 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 20 11 — — $43,856.20 $53,741.45 $46,487.55 2026-09-01
266 EAPG Open Intracranial And Extracranial Vascular Procedures 38 22 — — $1,499.38 $74,365.20 $46,478.20 2024-12-19
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 20 11 — — $43,780.00 $53,648.12 $46,406.80 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 26 — $47,161.00 $5,460.09 $75,457.73 $46,357.71 2026-09-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 1 20 11 — — $43,589.20 $53,414.34 $46,204.50 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 26 — $47,314.00 $31,472.77 $75,703.62 $45,894.30 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 20 11 — — $43,238.20 $52,984.29 $45,832.45 2026-09-01
235 EAPG Level Ii Anterior Chamber Eye Procedures 38 22 — — $3,303.09 $73,062.10 $45,663.80 2024-12-19
264 APR_DRG Other Nervous System & Related Procedures - Soi : 4 20 11 — — $42,944.50 $52,624.47 $45,521.15 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 26 — $45,489.00 $25,191.65 $72,783.07 $45,489.42 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 30 — $58,748.00 $244.47 $74,470.42 $45,190.90 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 20 11 — — $42,247.20 $51,770.14 $44,782.00 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 20 11 — — $42,247.20 $51,770.14 $44,782.00 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 20 11 — — $42,247.20 $51,770.14 $44,782.00 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 20 11 — — $42,065.80 $51,547.90 $44,589.75 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 20 11 — — $42,032.00 $51,506.53 $44,553.95 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 20 11 — — $41,981.00 $51,444.00 $44,499.80 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 20 11 — — $41,981.00 $51,444.00 $44,499.80 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 20 11 — — $41,981.00 $51,444.00 $44,499.80 2026-09-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 20 11 — — $41,557.70 $57,310.76 $44,051.20 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 23 — $44,202.00 $31,903.50 $70,724.38 $43,936.48 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 20 11 — — $41,418.70 $50,755.15 $43,903.90 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 58 26 — $43,604.00 $34,314.39 $89,030.30 $43,604.49 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 58 26 — $44,503.00 $25,041.61 $71,206.13 $43,546.90 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 26 — $43,452.00 $24,736.46 $69,523.81 $43,449.30 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 23 — $43,391.00 $36,457.80 $69,425.95 $43,391.22 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 58 26 — $41,303.00 $35,715.40 $69,277.50 $43,298.40 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 20 11 — — $40,784.30 $49,977.79 $43,231.35 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 26 — $43,323.00 $37,957.77 $69,318.06 $43,191.20 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 20 11 — — $40,672.00 $49,840.21 $43,112.30 2026-09-01
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 3 20 11 — — $40,649.20 $49,812.31 $43,088.15 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 26 — $42,066.00 $24,872.69 $71,237.30 $42,937.10 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 20 11 — — $40,386.90 $49,490.98 $42,810.15 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 20 11 — — $40,358.70 $49,456.34 $42,780.20 2026-09-01
428 MS_DRG UnGrouped 38 22 — $55,587.00 $53.36 $68,415.70 $42,759.80 2024-12-19
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 20 11 — — $40,200.80 $49,262.96 $42,612.85 2026-09-01
430 EAPG Class I Chemotherapy Drugs 37 21 — — $168.28 $68,005.00 $42,503.10 2024-12-19
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures- Soi : 4 20 11 — — $39,837.20 $48,817.52 $42,227.45 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 20 11 — — $39,792.50 $48,762.68 $42,180.05 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 26 — $42,372.00 $34,237.06 $67,796.30 $42,118.74 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 20 11 — — $39,725.70 $48,680.91 $42,109.25 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 30 — $54,563.00 $6,558.22 $72,396.67 $41,972.10 2026-09-01
576 EAPG Other Respiratory System Diagnoses 38 22 — — $172.84 $67,085.70 $41,928.60 2024-12-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 23 — $41,373.00 $35,713.10 $66,198.03 $41,373.77 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 20 11 — — $39,022.20 $47,818.88 $41,363.50 2026-09-01
234 EAPG Level I Anterior Chamber Eye Procedures 38 22 — — $520.06 $66,167.70 $41,354.80 2024-12-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 25 — $41,929.00 $28,149.72 $67,087.50 $41,122.30 2026-09-01
294 APR_DRG Other Percutaneous Intracranial Procedures- Soi : 4 20 11 — — $38,726.10 $47,456.18 $41,049.65 2026-09-01
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis - Soi : 4 20 11 — — $38,714.30 $47,441.75 $41,037.20 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 20 11 — — $38,586.30 $53,211.34 $40,901.55 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 20 11 — — $38,544.70 $47,233.94 $40,857.35 2026-09-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 20 11 — — $38,280.10 $46,909.72 $40,576.90 2026-09-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders - Soi : 4 20 11 — — $38,020.20 $46,591.27 $40,301.40 2026-09-01
1824 APR_DRG Other Peripheral Vascular And Related Procedures- Soi : 4 20 11 — — $37,849.80 $46,382.50 $40,120.80 2026-09-01
450 MS_DRG UnGrouped 27 17 — $52,071.00 $39,254.10 $64,088.40 $40,055.30 2024-12-19
466 EAPG Class Xiv Combined Chemotherapy And Pharmacotherapy 38 22 — — $24,669.60 $63,410.00 $39,631.20 2024-12-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 58 26 — $39,664.00 $20,645.70 $63,463.17 $39,588.24 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 20 11 — — $37,037.00 $45,386.74 $39,259.25 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 20 11 — — $37,037.00 $45,386.74 $39,259.25 2026-09-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 20 11 — — $37,019.00 $45,364.62 $39,240.10 2026-09-01
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 22 — $50,947.00 $2,641.86 $62,704.60 $39,190.40 2024-12-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 23 — $38,988.00 $34,323.52 $62,381.76 $38,988.60 2026-09-01
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 3 20 11 — — $36,771.60 $50,708.01 $38,977.90 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 26 — $38,228.00 $14,548.69 $62,341.60 $38,963.50 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 20 11 — — $36,737.90 $45,020.19 $38,942.15 2026-09-01
278 EAPG Injection(s) For Radiological Imaging 38 22 — — $111.88 $62,293.90 $38,933.70 2024-12-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 23 — $39,149.00 $19,382.76 $62,638.93 $38,919.32 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 68 30 — $50,593.00 $197.40 $62,850.94 $38,918.40 2026-09-01
2294 APR_DRG Other Digestive System & Abdominal Procedures - Soi : 4 20 11 — — $36,715.10 $44,992.29 $38,917.95 2026-09-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures - Soi : 4 20 11 — — $36,657.80 $44,922.06 $38,857.25 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 68 30 — $50,415.00 $6,178.07 $63,171.60 $38,780.90 2026-09-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 20 11 — — $36,443.40 $44,659.41 $38,630.00 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 20 11 — — $36,297.30 $44,480.46 $38,475.15 2026-09-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure - Soi : 4 20 11 — — $36,294.20 $44,476.62 $38,471.85 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 58 26 — $38,420.00 $22,466.94 $61,472.22 $38,192.88 2026-09-01
1324 APR_DRG Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period - Soi : 4 20 11 — — $35,991.90 $44,106.22 $38,151.40 2026-09-01
245 MS_DRG Aicd Generator Procedures 68 30 — $49,456.00 $8,850.70 $60,869.80 $38,043.60 2026-09-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices- Soi… 20 11 — — $35,825.40 $43,902.26 $37,974.95 2026-09-01
1793 APR_DRG Defibrillator Implants- Soi : 3 20 11 — — $35,755.50 $43,816.63 $37,900.85 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 58 26 — $36,917.00 $22,317.35 $64,824.80 $37,756.30 2026-09-01
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 1 20 11 — — $35,580.40 $43,602.09 $37,715.20 2026-09-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 2 20 11 — — $35,580.40 $43,602.09 $37,715.20 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 25 — $37,887.00 $26,065.68 $60,620.40 $37,596.14 2026-09-01
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure - Soi : 4 20 11 — — $35,409.20 $43,392.35 $37,533.80 2026-09-01
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 1 20 11 — — $35,399.00 $43,379.85 $37,522.90 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 26 — $37,346.00 $22,742.17 $59,754.77 $37,346.73 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 68 30 — $48,351.00 $204.41 $59,579.14 $37,193.30 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 26 — $40,078.00 $24,918.72 $64,125.55 $37,081.44 2026-09-01
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 20 11 — — $34,939.60 $42,817.03 $37,036.00 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 58 26 — $36,069.00 $16,810.39 $59,256.20 $37,035.10 2026-09-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies- S… 20 11 — — $34,838.30 $42,692.92 $36,928.65 2026-09-01
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 20 11 — — $34,727.60 $42,557.27 $36,811.30 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 23 — $36,772.00 $18,134.55 $58,835.20 $36,772.00 2026-09-01
8503 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 3 20 11 — — $34,661.70 $42,476.45 $36,741.35 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 68 30 — $47,397.00 $182.63 $58,412.42 $36,459.80 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 58 26 — $36,599.00 $22,948.36 $58,559.20 $36,384.46 2026-09-01
277 EAPG Level I Vascular Radiological Procedures 38 22 — — $893.25 $57,998.30 $36,249.00 2024-12-19
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement- Soi : 4 20 11 — — $34,109.60 $41,800.11 $36,156.20 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 20 11 — — $34,108.80 $41,799.15 $36,155.35 2026-09-01
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 2 20 11 — — $34,101.80 $47,025.17 $36,147.90 2026-09-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 20 11 — — $34,086.10 $41,771.25 $36,131.25 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 58 26 — $35,700.00 $19,919.88 $57,476.30 $35,922.70 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 26 — $36,209.00 $24,131.68 $57,934.45 $35,917.10 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 68 30 — $46,680.00 $232.58 $59,875.20 $35,908.20 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 58 26 — $36,224.00 $18,364.67 $57,959.54 $35,900.26 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3 20 11 — — $33,607.80 $46,344.01 $35,624.30 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 20 11 — — $33,607.80 $46,344.01 $35,624.30 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 20 11 — — $33,603.10 $41,179.57 $35,619.30 2026-09-01
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 20 11 — — $33,259.20 $45,862.97 $35,254.75 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 68 30 — $45,463.00 $153.75 $56,394.50 $34,971.60 2026-09-01
7504 APR_DRG Schizophrenia - Soi : 4 20 11 — — $32,857.10 $46,478.70 $34,828.60 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 58 26 — $33,463.00 $29,467.91 $55,291.90 $34,557.40 2026-09-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 2 20 11 — — $32,507.70 $39,837.47 $34,458.20 2026-09-01
2244 APR_DRG Peritoneal Adhesiolysis - Soi : 4 20 11 — — $32,490.40 $39,816.30 $34,439.85 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 68 30 — $44,550.00 $58.20 $56,883.15 $34,269.40 2026-09-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 3 20 11 — — $32,083.70 $39,317.95 $34,008.70 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 20 11 — — $31,923.50 $44,020.59 $33,838.90 2026-09-01
8624 APR_DRG Other Aftercare & Convalescence - Soi : 4 20 11 — — $31,872.40 $39,059.15 $33,784.80 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 58 26 — $31,092.00 $17,688.10 $54,025.50 $33,765.90 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 26 — $35,689.00 $18,954.50 $57,103.94 $33,706.30 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 26 — $33,275.00 $22,070.20 $53,916.70 $33,697.90 2026-09-01
6964 APR_DRG Other Chemotherapy - Soi : 4 20 11 — — $31,779.80 $38,945.62 $33,686.60 2026-09-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 20 11 — — $31,768.80 $43,807.01 $33,674.90 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 25 — $33,672.00 $21,777.01 $53,876.03 $33,376.46 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 58 26 — $34,002.00 $4,015.97 $54,404.19 $33,313.57 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 20 11 — — $31,414.60 $38,498.25 $33,299.55 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 68 30 — $43,287.00 $1,192.00 $56,003.71 $33,298.40 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 58 26 — $33,252.00 $2,023.29 $53,203.60 $33,252.25 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 68 30 — $43,225.00 $236.11 $55,183.25 $33,250.30 2026-09-01
1792 APR_DRG Defibrillator Implants- Soi : 2 20 11 — — $31,292.10 $38,348.17 $33,169.70 2026-09-01
734 APR_DRG Orbit And Eye Procedures - Soi : 4 20 11 — — $31,226.20 $38,267.35 $33,099.75 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 26 — $33,402.00 $29,414.11 $53,444.48 $33,088.60 2026-09-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement- Soi : 4 20 11 — — $31,198.70 $38,233.68 $33,070.60 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 58 26 — $33,599.00 $19,063.34 $53,759.36 $33,070.50 2026-09-01
1714 APR_DRG Perm Cardiac Pacemaker Implant Wo Ami, Heart Failure Or Shock - Soi : 4 20 11 — — $31,158.70 $38,184.61 $33,028.20 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 58 26 — $33,616.00 $27,492.93 $53,785.71 $33,022.50 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 57 26 — $33,810.00 $23,681.55 $54,096.83 $32,863.60 2026-09-01
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