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

LICKING MEMORIAL HOSPITAL

Newark, OH · CCN 360218 · Rates published

9,174 distinct procedures filed
65 distinct payers
1,404,662 rate rows
2026-03-16 last MRF observed
Data quality

1,403,756 of 1,404,662 rate rows are consumer-grade (99.9%)

906 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 597
percent-of-charges filed in the dollar field — excluded from medians 206
per-diem day rate — not a per-procedure price 54
exceeds 10× this hospital's gross charge — excluded from medians 46
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.lmhealth.org/LMHealth.org/media/314379519_licking-memorial-hospital_standardcharges.zip
Found on page https://www.lmhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 720c78549b4c9001… · 37,940,194 bytes · first seen 2026-05-14

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
5884
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $258,480.84 $263,499.89 $258,480.84 nat. median
$246,434
1.0× median
5833
APR_DRG 		Neonate With Ecmo 7 $250,049.13 $254,904.45 $250,049.13 nat. median
$244,017
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $250,049.13 $254,904.45 $250,049.13 nat. median
$309,665
0.8× median
5832
APR_DRG 		Neonate With Ecmo 7 $237,858.65 $242,477.26 $237,858.65 nat. median
$156,126
1.5× median
5831
APR_DRG 		Neonate With Ecmo 7 $237,858.65 $242,477.26 $237,858.65 nat. median
$144,745
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $210,467.79 $214,554.54 $210,467.79 nat. median
$207,730
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $185,130.07 $188,724.83 $185,130.07 nat. median
$234,729
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 $149,213.02 $189,851.80 $169,532.41 nat. median
$202,976
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $165,862.23 $169,082.86 $165,862.23 nat. median
$162,982
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $162,936.24 $166,100.05 $162,936.24 nat. median
$119,796
1.4× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $162,936.24 $166,100.05 $162,936.24 nat. median
$76,806
outlier · 2.1×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $162,936.24 $166,100.05 $162,936.24 nat. median
$85,444
1.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 $160,974.52 $164,100.24 $160,974.52 nat. median
$150,721
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $158,283.33 $161,356.80 $158,283.33 nat. median
$187,061
0.8× median
8414
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$160,267
0.9× median
8411
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$34,381
outlier · 4.3×
8413
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$66,693
outlier · 2.2×
8412
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$35,675
outlier · 4.1×
6314
APR_DRG 		Neonate Birth Weight > 2499g With Other Major Procedure 7 $142,114.93 $144,874.45 $142,114.93 nat. median
$122,924
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $130,680.84 $133,218.33 $130,680.84 nat. median
$182,665
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $124,314.79 $126,728.67 $124,314.79 nat. median
$124,573
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $124,314.79 $126,728.67 $124,314.79 nat. median
$145,336
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999g Without Major Procedure 7 $120,482.13 $122,821.59 $120,482.13 nat. median
$151,838
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749g Without Major Procedure 7 $111,864.45 $114,036.58 $111,864.45 nat. median
$164,289
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 $97,744.64 $115,479.78 $106,612.21 nat. median
$133,161
0.8× median
EAPG3060
EAPG 		Ventricular Assist Device Procedures 7 $91,777.84 $93,559.93 $91,777.84 nat. median
$91,778
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $91,435.11 $93,210.55 $91,435.11 nat. median
$97,957
0.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 $82,532.54 $84,135.11 $82,532.54 nat. median
$118,620
0.7× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $82,181.27 $83,777.02 $82,181.27 nat. median
$93,528
0.9× median
21
APR_DRG 		Heart And/or Lung Transplant 7 $82,181.27 $83,777.02 $82,181.27 nat. median
$64,672
1.3× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $82,181.27 $83,777.02 $82,181.27 nat. median
$77,804
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $82,049.78 $83,642.97 $82,049.78 nat. median
$164,834
outlier · 0.5×
6074
APR_DRG 		Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 $81,625.87 $83,210.84 $81,625.87 nat. median
$95,507
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $77,363.05 $78,865.25 $77,363.05 nat. median
$89,273
0.9× median
C1604
HCPCS 		Endocross 8f 58 $51,592.75 $93,805.00 $76,732.49 nat. median
$28,350
outlier · 2.7×
5933
APR_DRG 		Neonate Birth Weight 750-999g Without Major Procedure 7 $75,470.21 $76,935.65 $75,470.21 nat. median
$108,996
0.7× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 $74,531.61 $75,978.83 $74,531.61 nat. median
$105,658
0.7× median
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 52 $43,643.68 $85,451.13 $71,416.94 nat. median
$14,292
outlier · 5.0×
6303
APR_DRG 		Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 $71,226.18 $72,609.21 $71,226.18 nat. median
$72,936
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 7 $70,231.23 $71,594.94 $70,231.23 nat. median
$73,845
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 58 $68,987.64 $70,562.13 $69,774.88 nat. median
$99,019
0.7× median
6334
APR_DRG 		Neonate Birth Weight > 2499g With Major Anomaly 7 $69,451.04 $70,799.61 $69,451.04 nat. median
$57,983
1.2× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 $68,108.58 $69,431.08 $68,108.58 nat. median
$84,063
0.8× median
8514
APR_DRG 		Gender Related Procedures 7 $67,973.96 $69,293.84 $67,973.96 nat. median
$70,353
1.0× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $67,540.67 $68,852.14 $67,540.67 nat. median
$66,386
1.0× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 $66,765.49 $68,061.91 $66,765.49 nat. median
$86,492
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $65,441.19 $66,711.89 $65,441.19 nat. median
$129,535
0.5× median
6091
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $64,255.27 $65,502.94 $64,255.27 nat. median
$32,820
2.0× median
6092
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $64,255.27 $65,502.94 $64,255.27 nat. median
$34,688
1.9× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999g With Major Anomaly 7 $64,036.74 $65,280.17 $64,036.74 nat. median
$72,753
0.9× median

Other procedures at this hospital

Browse this hospital's 9,174 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
             
5884 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $258,480.84 $263,499.89 $258,480.84 2026-03-16
5834 APR_DRG Neonate With Ecmo 7 7 — — $250,049.13 $254,904.45 $250,049.13 2026-03-16
5833 APR_DRG Neonate With Ecmo 7 7 — — $250,049.13 $254,904.45 $250,049.13 2026-03-16
5831 APR_DRG Neonate With Ecmo 7 7 — — $237,858.65 $242,477.26 $237,858.65 2026-03-16
5832 APR_DRG Neonate With Ecmo 7 7 — — $237,858.65 $242,477.26 $237,858.65 2026-03-16
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $210,467.79 $214,554.54 $210,467.79 2026-03-16
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $185,130.07 $188,724.83 $185,130.07 2026-03-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 150 58 $136,553.59 $136,553.59 $149,213.02 $189,851.80 $169,532.41 2026-03-16
6094 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $165,862.23 $169,082.86 $165,862.23 2026-03-16
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,936.24 $166,100.05 $162,936.24 2026-03-16
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,936.24 $166,100.05 $162,936.24 2026-03-16
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,936.24 $166,100.05 $162,936.24 2026-03-16
6304 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $160,974.52 $164,100.24 $160,974.52 2026-03-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $158,283.33 $161,356.80 $158,283.33 2026-03-16
8414 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
8411 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
8412 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
8413 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
6314 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $142,114.93 $144,874.45 $142,114.93 2026-03-16
5883 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $130,680.84 $133,218.33 $130,680.84 2026-03-16
5881 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $124,314.79 $126,728.67 $124,314.79 2026-03-16
5882 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $124,314.79 $126,728.67 $124,314.79 2026-03-16
5934 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $120,482.13 $122,821.59 $120,482.13 2026-03-16
5914 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $111,864.45 $114,036.58 $111,864.45 2026-03-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 150 58 $49,091.64 $49,091.64 $97,744.64 $115,479.78 $106,612.21 2026-03-16
EAPG3060 EAPG Ventricular Assist Device Procedures 7 7 — — $91,777.84 $93,559.93 $91,777.84 2026-03-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $91,435.11 $93,210.55 $91,435.11 2026-03-16
6024 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $82,532.54 $84,135.11 $82,532.54 2026-03-16
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 2026-03-16
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 2026-03-16
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 2026-03-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $82,049.78 $83,642.97 $82,049.78 2026-03-16
6074 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $81,625.87 $83,210.84 $81,625.87 2026-03-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $77,363.05 $78,865.25 $77,363.05 2026-03-16
C1604 HCPCS Endocross 8f 150 58 $93,805.00 $93,805.00 $51,592.75 $93,805.00 $76,732.49 2026-03-16
5933 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $75,470.21 $76,935.65 $75,470.21 2026-03-16
44 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $74,531.61 $75,978.83 $74,531.61 2026-03-16
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 276 52 $79,527.15 $79,527.15 $43,643.68 $85,451.13 $71,416.94 2026-03-16
6303 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $71,226.18 $72,609.21 $71,226.18 2026-03-16
8504 APR_DRG Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 7 7 — — $70,231.23 $71,594.94 $70,231.23 2026-03-16
215 MS_DRG Other Heart Assist System Implant 150 58 $170,037.01 $170,037.01 $68,987.64 $70,562.13 $69,774.88 2026-03-16
6334 APR_DRG Neonate Birth Weight > 2499g With Major Anomaly 7 7 — — $69,451.04 $70,799.61 $69,451.04 2026-03-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $68,108.58 $69,431.08 $68,108.58 2026-03-16
8514 APR_DRG Gender Related Procedures 7 7 — — $67,973.96 $69,293.84 $67,973.96 2026-03-16
6093 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $67,540.67 $68,852.14 $67,540.67 2026-03-16
6023 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $66,765.49 $68,061.91 $66,765.49 2026-03-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $65,441.19 $66,711.89 $65,441.19 2026-03-16
6092 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $64,255.27 $65,502.94 $64,255.27 2026-03-16
6091 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $64,255.27 $65,502.94 $64,255.27 2026-03-16
6114 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $64,036.74 $65,280.17 $64,036.74 2026-03-16
6214 APR_DRG Neonate Birth Weight 2000-2499g With Major Anomaly 7 7 — — $62,884.00 $64,105.05 $62,884.00 2026-03-16
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $62,127.61 $63,333.98 $62,127.61 2026-03-16
5913 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $62,064.37 $63,269.51 $62,064.37 2026-03-16
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $61,973.58 $63,176.95 $61,973.58 2026-03-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $61,973.58 $63,176.95 $61,973.58 2026-03-16
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 7 7 — — $61,651.74 $62,848.86 $61,651.74 2026-03-16
6124 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $59,875.36 $61,037.99 $59,875.36 2026-03-16
C1767 CPT Interstim Stimulator 3058 856 39 $71,194.24 $71,194.24 $13,940.85 $94,775.21 $59,662.46 2026-03-16
6073 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $57,425.87 $58,540.93 $57,425.87 2026-03-16
5893 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $56,641.93 $57,741.77 $56,641.93 2026-03-16
5894 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $56,641.93 $57,741.77 $56,641.93 2026-03-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $56,637.55 $57,737.30 $56,637.55 2026-03-16
43 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $56,528.60 $57,626.24 $56,528.60 2026-03-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $56,446.57 $57,542.62 $56,446.57 2026-03-16
1784 APR_DRG External Heart Assist Devices 7 7 — — $56,427.79 $57,523.47 $56,427.79 2026-03-16
6904 APR_DRG Acute Leukemia 7 7 — — $56,208.01 $57,299.43 $56,208.01 2026-03-16
6313 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $54,070.96 $55,120.88 $54,070.96 2026-03-16
5891 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $53,889.38 $54,935.78 $53,889.38 2026-03-16
5892 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $53,889.38 $54,935.78 $53,889.38 2026-03-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 150 58 $143,372.82 $143,372.82 $49,306.95 $57,863.20 $53,585.07 2026-03-16
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $52,680.91 $53,703.84 $52,680.91 2026-03-16
228 MS_DRG Other Cardiothoracic Procedures With McC 150 58 $152,243.74 $152,243.74 $35,595.62 $67,859.31 $51,727.46 2026-03-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 150 58 $74,737.36 $74,737.36 $45,976.82 $63,381.24 $51,186.56 2026-03-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $51,138.71 $52,131.70 $51,138.71 2026-03-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 147 57 $143,753.02 $143,753.02 $50,832.73 $96,616.80 $50,832.73 2026-03-16
834 MS_DRG Acute Leukemia With McC 150 58 $44,193.55 $44,193.55 $39,382.22 $60,841.22 $50,111.72 2026-03-16
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 7 — — $49,511.35 $50,472.74 $49,511.35 2026-03-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $49,230.21 $50,186.14 $49,230.21 2026-03-16
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $49,043.62 $49,995.92 $49,043.62 2026-03-16
6022 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $48,907.74 $49,857.41 $48,907.74 2026-03-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 7 — — $48,828.85 $49,776.98 $48,828.85 2026-03-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $48,280.34 $49,217.83 $48,280.34 2026-03-16
6034 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $48,130.69 $49,065.27 $48,130.69 2026-03-16
6033 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $48,130.69 $49,065.27 $48,130.69 2026-03-16
5932 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $47,825.13 $48,753.78 $47,825.13 2026-03-16
5931 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $47,825.13 $48,753.78 $47,825.13 2026-03-16
SUP-042362 CDM Impella Cp Pump Set 0048-0003 107 39 $56,000.00 $56,000.00 $30,800.00 $56,000.00 $47,600.00 2026-03-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $46,959.17 $47,871.00 $46,959.17 2026-03-16
5911 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $46,875.89 $47,786.10 $46,875.89 2026-03-16
5912 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $46,875.89 $47,786.10 $46,875.89 2026-03-16
6302 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $46,745.65 $47,653.34 $46,745.65 2026-03-16
6301 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $46,745.65 $47,653.34 $46,745.65 2026-03-16
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $46,721.23 $47,628.44 $46,721.23 2026-03-16
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
C1822 CPT Ipg Kit Nipg3000 428 39 $56,033.77 $56,033.77 $21,641.51 $65,909.44 $45,558.55 2026-03-16
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $45,457.04 $46,339.70 $45,457.04 2026-03-16
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 7 7 — — $44,181.58 $45,039.47 $44,181.58 2026-03-16
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 147 57 $89,819.13 $89,819.13 $42,988.75 $42,988.75 $42,988.75 2026-03-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 150 58 $39,764.30 $39,764.30 $40,845.19 $44,925.43 $42,885.31 2026-03-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $42,699.48 $43,528.60 $42,699.48 2026-03-16
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $42,531.05 $43,356.90 $42,531.05 2026-03-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 150 58 $59,951.40 $59,951.40 $41,998.99 $42,390.06 $42,194.53 2026-03-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 150 58 $120,287.50 $120,287.50 $27,328.64 $56,934.44 $42,131.54 2026-03-16
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $41,737.72 $42,548.16 $41,737.72 2026-03-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 150 58 $154,136.07 $154,136.07 $33,064.71 $49,342.57 $41,203.64 2026-03-16
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $40,725.24 $41,516.02 $40,725.24 2026-03-16
6083 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $40,532.38 $41,319.42 $40,532.38 2026-03-16
6084 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $40,532.38 $41,319.42 $40,532.38 2026-03-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $40,438.46 $41,223.67 $40,438.46 2026-03-16
6344 APR_DRG Neonate Birth Weight > 2499g With Respiratory Distress Syndrome Or Other Major R… 7 7 — — $40,412.79 $41,197.50 $40,412.79 2026-03-16
6072 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $40,196.14 $40,976.65 $40,196.14 2026-03-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $40,192.39 $40,972.82 $40,192.39 2026-03-16
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 150 58 $94,319.86 $94,319.86 $37,396.44 $42,839.11 $40,117.78 2026-03-16
6224 APR_DRG Neonate Birth Weight 2000-2499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $39,936.29 $40,711.75 $39,936.29 2026-03-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 147 57 $192,503.29 $192,503.29 $39,914.78 $39,914.78 $39,914.78 2026-03-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $39,898.10 $40,672.82 $39,898.10 2026-03-16
1794 APR_DRG Defibrillator Implants 7 7 — — $38,823.63 $39,577.48 $38,823.63 2026-03-16
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $38,570.66 $39,319.61 $38,570.66 2026-03-16
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $38,501.78 $39,249.39 $38,501.78 2026-03-16
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $38,284.51 $39,027.90 $38,284.51 2026-03-16
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $38,186.83 $38,928.32 $38,186.83 2026-03-16
6604 APR_DRG Major Hematologic/immunologic Diagnoses Except Sickle Cell Crisis And Coagulatio… 7 7 — — $38,173.68 $38,914.92 $38,173.68 2026-03-16
653 MS_DRG Major Bladder Procedures With McC 150 58 $81,919.19 $81,919.19 $37,333.63 $38,464.04 $37,898.83 2026-03-16
245 MS_DRG Aicd Generator Procedures 150 58 $109,016.44 $109,016.44 $32,908.36 $42,865.48 $37,886.92 2026-03-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $37,613.91 $38,344.27 $37,613.91 2026-03-16
6123 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $37,380.98 $38,106.82 $37,380.98 2026-03-16
37277 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 150 58 $45,596.70 $45,596.70 $17,322.03 $45,596.70 $37,298.10 2026-03-16
37275 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 150 58 $45,596.70 $45,596.70 $17,322.03 $45,596.70 $37,298.10 2026-03-16
C9765 HCPCS Hc Revascularize Any Vessel - Intravascular Lithotripsy And Stent 150 58 $45,596.70 $45,596.70 $17,322.03 $45,596.70 $37,298.10 2026-03-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 150 58 $133,815.11 $133,815.11 $35,453.23 $39,132.33 $37,292.78 2026-03-16
C1816 CPT Neurostimulator Kt Fr8a-rcv-ao 107 39 $43,452.00 $43,452.00 $23,898.60 $43,452.00 $36,934.20 2026-03-16
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $36,879.43 $37,595.54 $36,879.43 2026-03-16
C1820 CPT Wavewriter 16 Ipg Kit Sc-1216 1,284 39 $42,848.50 $42,848.50 $17,260.10 $80,297.08 $36,531.06 2026-03-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $35,915.17 $36,612.55 $35,915.17 2026-03-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $35,846.29 $36,542.33 $35,846.29 2026-03-16
6903 APR_DRG Acute Leukemia 7 7 — — $35,694.14 $36,387.23 $35,694.14 2026-03-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $35,260.21 $35,944.88 $35,260.21 2026-03-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $35,057.97 $35,738.71 $35,057.97 2026-03-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Pdx 7 7 — — $34,997.23 $35,676.79 $34,997.23 2026-03-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 150 58 $115,690.40 $115,690.40 $33,811.57 $36,170.29 $34,990.93 2026-03-16
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $34,845.08 $35,521.68 $34,845.08 2026-03-16
6113 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $34,712.96 $35,387.00 $34,712.96 2026-03-16
C1813 CPT Ams 700 Cx Ms Pump 72404238 856 39 $41,254.50 $41,254.50 $6,748.62 $56,170.43 $34,578.35 2026-03-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 150 58 $113,233.90 $113,233.90 $33,619.23 $151,728.28 $34,576.71 2026-03-16
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Multiple Significant Trauma 7 7 — — $34,565.19 $35,236.36 $34,565.19 2026-03-16
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $34,331.01 $34,997.63 $34,331.01 2026-03-16
C1772 CPT Programmable Pump 13827 321 39 $40,148.54 $40,148.54 $19,605.25 $43,503.01 $34,126.26 2026-03-16
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 2026-03-16
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 2026-03-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 2026-03-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 150 58 $83,523.42 $83,523.42 $31,409.60 $65,546.36 $33,642.21 2026-03-16
234 APR_DRG Spinal Procedures 7 7 — — $33,630.35 $34,283.37 $33,630.35 2026-03-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $33,603.43 $34,255.92 $33,603.43 2026-03-16
1783 APR_DRG External Heart Assist Devices 7 7 — — $33,562.73 $34,214.43 $33,562.73 2026-03-16
1782 APR_DRG External Heart Assist Devices 7 7 — — $33,562.73 $34,214.43 $33,562.73 2026-03-16
1781 APR_DRG External Heart Assist Devices 7 7 — — $33,562.73 $34,214.43 $33,562.73 2026-03-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 150 58 $143,548.72 $143,548.72 $28,014.05 $38,972.96 $33,493.50 2026-03-16
C9364 CPT Permacol Porcine Imp 10x10 642 39 $41,092.91 $41,092.91 $2,841.45 $72,258.03 $33,449.26 2026-03-16
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $33,305.38 $33,952.09 $33,305.38 2026-03-16
277 MS_DRG Cardiac Defibrillator Implant Without McC 147 57 $132,228.69 $132,228.69 $33,299.94 $33,299.94 $33,299.94 2026-03-16
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 7 — — $33,114.40 $33,757.40 $33,114.40 2026-03-16
6213 APR_DRG Neonate Birth Weight 2000-2499g With Major Anomaly 7 7 — — $33,083.72 $33,726.13 $33,083.72 2026-03-16
163 MS_DRG Major Chest Procedures With McC 150 58 $62,858.41 $62,858.41 $32,345.79 $33,253.58 $32,799.68 2026-03-16
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $32,608.48 $33,241.65 $32,608.48 2026-03-16
C1882 CPT Defibrillator Momentum G124 1,605 39 $39,348.20 $39,348.20 $9,980.42 $69,793.62 $32,569.91 2026-03-16
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $32,518.94 $33,150.37 $32,518.94 2026-03-16
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 7 7 — — $32,500.78 $33,131.86 $32,500.78 2026-03-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 150 58 $160,371.63 $160,371.63 $15,698.38 $49,070.32 $32,384.35 2026-03-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 150 58 $163,976.51 $163,976.51 $30,540.78 $34,141.00 $32,340.89 2026-03-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 150 58 $112,439.19 $112,439.19 $29,194.97 $35,416.25 $32,305.61 2026-03-16
894 APR_DRG Major Cranial/facial Bone Procedures 7 7 — — $32,291.65 $32,918.67 $32,291.65 2026-03-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 7 7 — — $32,269.10 $32,895.69 $32,269.10 2026-03-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $32,143.25 $32,767.39 $32,143.25 2026-03-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 150 58 $68,939.90 $68,939.90 $30,490.53 $33,593.58 $32,042.06 2026-03-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 150 58 $107,513.76 $107,513.76 $29,858.85 $33,923.59 $31,891.22 2026-03-16
304 APR_DRG Percutaneous Intra And Extracranial Vascular Procedures 7 7 — — $31,853.34 $32,471.85 $31,853.34 2026-03-16
274 APR_DRG Other Open Craniotomy 7 7 — — $31,817.65 $32,435.47 $31,817.65 2026-03-16
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $31,764.43 $32,381.21 $31,764.43 2026-03-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 150 58 $139,395.48 $139,395.48 $31,027.27 $32,249.98 $31,638.62 2026-03-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 147 57 $153,252.94 $153,252.94 $31,268.09 $31,268.09 $31,268.09 2026-03-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $31,203.40 $31,809.29 $31,203.40 2026-03-16
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $30,967.34 $31,568.65 $30,967.34 2026-03-16
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $30,957.95 $31,559.08 $30,957.95 2026-03-16
793 MS_DRG Full Term Neonate With Major Problems 150 58 $10,527.96 $10,527.96 $3,236.16 $64,325.76 $30,824.84 2026-03-16
1814 APR_DRG Lower Vascular Procedures 7 7 — — $30,822.70 $31,421.20 $30,822.70 2026-03-16
33274 CPT Hc Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img 150 58 $37,648.65 $37,648.65 $18,200.86 $37,648.65 $30,796.60 2026-03-16
6122 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $30,686.83 $31,282.69 $30,686.83 2026-03-16
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $30,611.69 $31,206.09 $30,611.69 2026-03-16
329 MS_DRG Major Small And Large Bowel Procedures With McC 150 58 $183,466.51 $183,466.51 $27,750.16 $106,486.73 $30,448.27 2026-03-16
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $30,404.43 $30,994.81 $30,404.43 2026-03-16
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 7 7 — — $30,331.18 $30,920.13 $30,331.18 2026-03-16
1824 APR_DRG Other Upper Vascular Procedures 7 7 — — $30,268.56 $30,856.30 $30,268.56 2026-03-16
6143 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 7 7 — — $30,243.51 $30,830.77 $30,243.51 2026-03-16
6144 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 7 7 — — $30,243.51 $30,830.77 $30,243.51 2026-03-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 150 58 $113,181.60 $113,181.60 $27,390.21 $32,812.73 $30,101.47 2026-03-16
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $30,028.12 $30,611.19 $30,028.12 2026-03-16
6071 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $29,930.44 $30,511.61 $29,930.44 2026-03-16
34 MS_DRG Carotid Artery Stent Procedures With McC 150 58 $104,416.63 $104,416.63 $28,080.36 $31,474.46 $29,777.41 2026-03-16
41 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $29,620.50 $30,195.65 $29,620.50 2026-03-16
42 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $29,620.50 $30,195.65 $29,620.50 2026-03-16
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $29,606.10 $30,180.97 $29,606.10 2026-03-16
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $29,381.93 $29,952.46 $29,381.93 2026-03-16
EAPG97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 7 7 — — $29,381.31 $29,951.82 $29,381.31 2026-03-16
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $29,363.78 $29,933.95 $29,363.78 2026-03-16
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 7 7 — — $29,318.07 $29,887.35 $29,318.07 2026-03-16
4284 APR_DRG Genetic Disorders 7 7 — — $29,284.26 $29,852.88 $29,284.26 2026-03-16
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 7 7 — — $29,147.13 $29,713.09 $29,147.13 2026-03-16
93653 CPT Evaluation And Insertion Of Catheters For Creation Of Complete Heart Block 193 58 $36,377.25 $36,377.25 $20,007.49 $40,323.79 $29,101.80 2026-03-16
93656 CPT Evaluation And Insertion Of Catheters For Recording, Pacing, And Treatment Of Ab… 193 58 $36,377.25 $36,377.25 $20,007.49 $40,323.79 $29,101.80 2026-03-16
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 7 — — $29,030.67 $29,594.37 $29,030.67 2026-03-16
7104 APR_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $29,028.16 $29,591.81 $29,028.16 2026-03-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 150 58 $46,326.25 $46,326.25 $25,906.12 $32,005.49 $28,955.81 2026-03-16
92930 CPT Insertion Of 2 Stents For 2 Or More Lesions In 2 Or More Coronary Segments In Th… 150 58 $35,351.50 $35,351.50 $10,908.40 $35,351.50 $28,917.53 2026-03-16
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 7 7 — — $28,787.09 $29,346.07 $28,787.09 2026-03-16
6021 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $28,731.37 $29,289.26 $28,731.37 2026-03-16
37 MS_DRG Extracranial Procedures With McC 150 58 $56,317.40 $56,317.40 $24,041.79 $33,321.29 $28,681.54 2026-03-16
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $28,654.35 $29,210.75 $28,654.35 2026-03-16
1793 APR_DRG Defibrillator Implants 7 7 — — $28,598.62 $29,153.94 $28,598.62 2026-03-16
6032 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $28,592.36 $29,147.55 $28,592.36 2026-03-16
81 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $28,458.99 $29,011.59 $28,458.99 2026-03-16
82 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $28,458.99 $29,011.59 $28,458.99 2026-03-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 150 58 $80,786.28 $80,786.28 $25,404.97 $31,380.37 $28,392.67 2026-03-16
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $28,322.49 $28,872.44 $28,322.49 2026-03-16
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $28,314.35 $28,864.14 $28,314.35 2026-03-16
1214 APR_DRG Other Respiratory And Chest Procedures 7 7 — — $27,948.05 $28,490.74 $27,948.05 2026-03-16
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $27,867.28 $28,408.39 $27,867.28 2026-03-16
6311 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $27,817.82 $28,357.97 $27,817.82 2026-03-16
6312 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $27,817.82 $28,357.97 $27,817.82 2026-03-16
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 7 7 — — $27,795.27 $28,334.99 $27,795.27 2026-03-16
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $27,778.99 $28,318.39 $27,778.99 2026-03-16
8503 APR_DRG Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 7 7 — — $27,726.40 $28,264.78 $27,726.40 2026-03-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 150 58 $68,768.86 $68,768.86 $25,628.31 $29,798.70 $27,713.51 2026-03-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 150 58 $65,405.89 $65,405.89 $24,995.24 $30,390.01 $27,692.62 2026-03-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 150 58 $67,971.31 $67,971.31 $23,348.69 $31,971.28 $27,659.99 2026-03-16
356 MS_DRG Other Digestive System O.r. Procedures With McC 150 58 $56,816.74 $56,816.74 $23,440.66 $31,724.56 $27,582.61 2026-03-16
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 7 — — $27,286.22 $27,816.05 $27,286.22 2026-03-16
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $27,285.59 $27,815.41 $27,285.59 2026-03-16
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $27,267.43 $27,796.90 $27,267.43 2026-03-16
4414 APR_DRG Major Bladder Procedures 7 7 — — $26,882.35 $27,404.34 $26,882.35 2026-03-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 150 58 $117,848.68 $117,848.68 $20,441.01 $26,949.71 $26,820.19 2026-03-16
37238 CPT Hc Open/Perq Placement Intravascular Stent Same 1st 300 58 $47,168.48 $47,168.48 $10,908.40 $62,891.30 $26,728.80 2026-03-16
6082 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $26,334.47 $26,845.82 $26,334.47 2026-03-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 150 58 $157,800.08 $157,800.08 $24,993.16 $27,542.03 $26,267.60 2026-03-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 147 57 $100,612.37 $100,612.37 $26,235.58 $26,235.58 $26,235.58 2026-03-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 150 58 $116,155.44 $116,155.44 $25,378.73 $27,075.95 $26,227.34 2026-03-16
252 MS_DRG Other Vascular Procedures With McC 150 58 $38,343.80 $38,343.80 $25,411.25 $249,890.19 $26,144.49 2026-03-16
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $26,008.87 $26,513.90 $26,008.87 2026-03-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 150 58 $33,265.72 $33,265.72 $23,767.49 $28,224.17 $25,995.83 2026-03-16
2244 APR_DRG Peritoneal Adhesiolysis 7 7 — — $25,995.10 $26,499.86 $25,995.10 2026-03-16
37269 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Initial Vessel 150 58 $31,760.40 $31,760.40 $10,908.40 $31,760.40 $25,980.01 2026-03-16
37267 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Initia… 150 58 $31,760.40 $31,760.40 $10,908.40 $31,760.40 $25,980.01 2026-03-16
907 MS_DRG Other O.r. Procedures For Injuries With McC 150 58 $102,422.43 $102,422.43 $24,029.42 $27,861.20 $25,945.31 2026-03-16
EAPG224 EAPG Level Ii Neurostimulator And Related Device Implantation 7 7 — — $25,804.57 $26,305.62 $25,804.57 2026-03-16
37236 CPT Hc Open/Perq Placement Intravascular Stent Initial 150 58 $31,445.65 $31,445.65 $10,908.40 $31,445.65 $25,722.54 2026-03-16
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $25,670.75 $26,169.21 $25,670.75 2026-03-16
6112 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $25,589.98 $26,086.87 $25,589.98 2026-03-16
8624 APR_DRG Other Aftercare And Convalescence 7 7 — — $25,502.32 $25,997.51 $25,502.32 2026-03-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 150 58 $119,713.96 $119,713.96 $25,293.30 $25,685.94 $25,489.62 2026-03-16
6333 APR_DRG Neonate Birth Weight > 2499g With Major Anomaly 7 7 — — $25,431.56 $25,925.38 $25,431.56 2026-03-16
6964 APR_DRG Other Chemotherapy 7 7 — — $25,428.43 $25,922.19 $25,428.43 2026-03-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 150 58 $89,594.56 $89,594.56 $23,588.11 $92,567.80 $25,282.44 2026-03-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 150 58 $127,675.00 $127,675.00 $23,307.51 $27,190.62 $25,249.06 2026-03-16
229 MS_DRG Other Cardiothoracic Procedures Without McC 150 58 $120,066.47 $120,066.47 $23,046.47 $27,408.02 $25,227.24 2026-03-16
1653 APR_DRG Coronary Bypass With Ami Or Complex Pdx 7 7 — — $25,137.27 $25,625.38 $25,137.27 2026-03-16
EAPG246 EAPG Class IV Therapeutic Radiopharmaceuticals 7 7 — — $25,133.39 $25,621.42 $25,133.39 2026-03-16
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With McC 147 57 $95,801.10 $95,801.10 $25,064.35 $25,064.35 $25,064.35 2026-03-16
1792 APR_DRG Defibrillator Implants 7 7 — — $25,039.60 $25,525.80 $25,039.60 2026-03-16
734 APR_DRG Orbit And Eye Procedures 7 7 — — $24,987.00 $25,472.18 $24,987.00 2026-03-16
166 MS_DRG Other Respiratory System O.r. Procedures With McC 150 58 $43,001.81 $43,001.81 $22,783.47 $33,391.46 $24,967.75 2026-03-16
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 7 7 — — $24,965.08 $25,449.84 $24,965.08 2026-03-16
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $24,933.15 $25,417.29 $24,933.15 2026-03-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 150 58 $39,919.72 $39,919.72 $24,164.85 $25,678.58 $24,921.72 2026-03-16
37271 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 150 58 $30,356.15 $30,356.15 $16,695.88 $30,356.15 $24,831.33 2026-03-16
37273 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 150 58 $30,356.15 $30,356.15 $16,695.88 $30,356.15 $24,831.33 2026-03-16
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $24,657.02 $25,135.80 $24,657.02 2026-03-16
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $24,553.08 $25,029.84 $24,553.08 2026-03-16
9103 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $24,456.03 $24,930.90 $24,456.03 2026-03-16
213 APR_DRG Open Craniotomy Except Trauma 7 7 — — $24,369.62 $24,842.81 $24,369.62 2026-03-16
EAPG466 EAPG Class Xiv Combined Chemotherapy And Pharmacotherapy 7 7 — — $24,331.60 $24,804.06 $24,331.60 2026-03-16
4404 APR_DRG Kidney Transplant 7 7 — — $24,150.47 $24,619.41 $24,150.47 2026-03-16
4403 APR_DRG Kidney Transplant 7 7 — — $24,150.47 $24,619.41 $24,150.47 2026-03-16
0238T CPT Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 150 58 $29,484.05 $29,484.05 $16,216.23 $29,484.05 $24,117.95 2026-03-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 150 58 $104,022.07 $104,022.07 $21,390.83 $26,794.32 $24,092.58 2026-03-16
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 150 58 $32,723.89 $32,723.89 $19,065.81 $29,100.88 $24,083.35 2026-03-16
2234 APR_DRG Other Small And Large Bowel Procedures 7 7 — — $24,049.03 $24,516.00 $24,049.03 2026-03-16
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 7 7 — — $24,017.10 $24,483.45 $24,017.10 2026-03-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 150 58 $35,956.39 $35,956.39 $5,427.15 $100,582.04 $23,987.72 2026-03-16
4854 APR_DRG Prostatectomy Procedures 7 7 — — $23,974.52 $24,440.04 $23,974.52 2026-03-16
1791 APR_DRG Defibrillator Implants 7 7 — — $23,948.85 $24,413.87 $23,948.85 2026-03-16
8632 APR_DRG Neonatal Aftercare 7 7 — — $23,893.12 $24,357.06 $23,893.12 2026-03-16
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $23,707.15 $24,167.49 $23,707.15 2026-03-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 150 58 $61,805.34 $61,805.34 $19,168.94 $28,039.89 $23,604.42 2026-03-16
C1721 CPT Momentum Defibrillator D121 1,605 39 $28,098.96 $28,098.96 $9,957.75 $57,146.62 $23,596.85 2026-03-16
92928 CPT Catheter Insertion Of Stents In Major Coronary Artery Or Branch, Accessed Throug… 150 58 $28,759.40 $28,759.40 $10,908.40 $28,759.40 $23,525.19 2026-03-16
92937 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 150 58 $28,759.40 $28,759.40 $10,908.40 $28,759.40 $23,525.19 2026-03-16
794 MS_DRG Neonate With Other Significant Problems 147 57 $7,548.31 $7,548.31 $3,033.55 $23,503.15 $23,503.15 2026-03-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 150 58 $103,444.03 $103,444.03 $21,782.01 $25,176.03 $23,479.02 2026-03-16
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