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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
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
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
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
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
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $38,284.51 $39,027.90 $38,284.51 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
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $27,778.99 $28,318.39 $27,778.99 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
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
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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $65,441.19 $66,711.89 $65,441.19 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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $37,613.91 $38,344.27 $37,613.91 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
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
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,936.24 $166,100.05 $162,936.24 2026-03-16
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $210,467.79 $214,554.54 $210,467.79 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
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
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
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
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
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
1653 APR_DRG Coronary Bypass With Ami Or Complex Pdx 7 7 — — $25,137.27 $25,625.38 $25,137.27 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
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
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 7 7 — — $32,269.10 $32,895.69 $32,269.10 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
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $38,570.66 $39,319.61 $38,570.66 2026-03-16
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $31,764.43 $32,381.21 $31,764.43 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
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
1781 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
1783 APR_DRG External Heart Assist Devices 7 7 — — $33,562.73 $34,214.43 $33,562.73 2026-03-16
1784 APR_DRG External Heart Assist Devices 7 7 — — $56,427.79 $57,523.47 $56,427.79 2026-03-16
1791 APR_DRG Defibrillator Implants 7 7 — — $23,948.85 $24,413.87 $23,948.85 2026-03-16
1792 APR_DRG Defibrillator Implants 7 7 — — $25,039.60 $25,525.80 $25,039.60 2026-03-16
1793 APR_DRG Defibrillator Implants 7 7 — — $28,598.62 $29,153.94 $28,598.62 2026-03-16
1794 APR_DRG Defibrillator Implants 7 7 — — $38,823.63 $39,577.48 $38,823.63 2026-03-16
1814 APR_DRG Lower Vascular Procedures 7 7 — — $30,822.70 $31,421.20 $30,822.70 2026-03-16
1824 APR_DRG Other Upper Vascular Procedures 7 7 — — $30,268.56 $30,856.30 $30,268.56 2026-03-16
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $34,845.08 $35,521.68 $34,845.08 2026-03-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $35,846.29 $36,542.33 $35,846.29 2026-03-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $39,898.10 $40,672.82 $39,898.10 2026-03-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $56,637.55 $57,737.30 $56,637.55 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
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $32,518.94 $33,150.37 $32,518.94 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
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 2026-03-16
213 APR_DRG Open Craniotomy Except Trauma 7 7 — — $24,369.62 $24,842.81 $24,369.62 2026-03-16
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $38,501.78 $39,249.39 $38,501.78 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
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 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
2234 APR_DRG Other Small And Large Bowel Procedures 7 7 — — $24,049.03 $24,516.00 $24,049.03 2026-03-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $46,959.17 $47,871.00 $46,959.17 2026-03-16
2244 APR_DRG Peritoneal Adhesiolysis 7 7 — — $25,995.10 $26,499.86 $25,995.10 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
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
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $29,363.78 $29,933.95 $29,363.78 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
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $32,608.48 $33,241.65 $32,608.48 2026-03-16
234 APR_DRG Spinal Procedures 7 7 — — $33,630.35 $34,283.37 $33,630.35 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
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $185,130.07 $188,724.83 $185,130.07 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
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
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
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
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $32,143.25 $32,767.39 $32,143.25 2026-03-16
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $23,707.15 $24,167.49 $23,707.15 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
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $29,606.10 $30,180.97 $29,606.10 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
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
274 APR_DRG Other Open Craniotomy 7 7 — — $31,817.65 $32,435.47 $31,817.65 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
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
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
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
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
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $30,967.34 $31,568.65 $30,967.34 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
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
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
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
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
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
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
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
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
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
304 APR_DRG Percutaneous Intra And Extracranial Vascular Procedures 7 7 — — $31,853.34 $32,471.85 $31,853.34 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
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
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
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
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
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 7 7 — — $24,965.08 $25,449.84 $24,965.08 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
4284 APR_DRG Genetic Disorders 7 7 — — $29,284.26 $29,852.88 $29,284.26 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
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
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
4403 APR_DRG Kidney Transplant 7 7 — — $24,150.47 $24,619.41 $24,150.47 2026-03-16
4404 APR_DRG Kidney Transplant 7 7 — — $24,150.47 $24,619.41 $24,150.47 2026-03-16
4414 APR_DRG Major Bladder Procedures 7 7 — — $26,882.35 $27,404.34 $26,882.35 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
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
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
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
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
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
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
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
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
4854 APR_DRG Prostatectomy Procedures 7 7 — — $23,974.52 $24,440.04 $23,974.52 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
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 7 7 — — $24,017.10 $24,483.45 $24,017.10 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
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
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
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
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
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
5833 APR_DRG Neonate With Ecmo 7 7 — — $250,049.13 $254,904.45 $250,049.13 2026-03-16
5834 APR_DRG Neonate With Ecmo 7 7 — — $250,049.13 $254,904.45 $250,049.13 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
5883 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $130,680.84 $133,218.33 $130,680.84 2026-03-16
5884 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $258,480.84 $263,499.89 $258,480.84 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
6333 APR_DRG Neonate Birth Weight > 2499g With Major Anomaly 7 7 — — $25,431.56 $25,925.38 $25,431.56 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
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
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
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
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
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
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
6903 APR_DRG Acute Leukemia 7 7 — — $35,694.14 $36,387.23 $35,694.14 2026-03-16
6904 APR_DRG Acute Leukemia 7 7 — — $56,208.01 $57,299.43 $56,208.01 2026-03-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $49,230.21 $50,186.14 $49,230.21 2026-03-16
6964 APR_DRG Other Chemotherapy 7 7 — — $25,428.43 $25,922.19 $25,428.43 2026-03-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $61,973.58 $63,176.95 $61,973.58 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
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
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $61,973.58 $63,176.95 $61,973.58 2026-03-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $77,363.05 $78,865.25 $77,363.05 2026-03-16
734 APR_DRG Orbit And Eye Procedures 7 7 — — $24,987.00 $25,472.18 $24,987.00 2026-03-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $158,283.33 $161,356.80 $158,283.33 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
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
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
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
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
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
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
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
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $46,721.23 $47,628.44 $46,721.23 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
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $62,127.61 $63,333.98 $62,127.61 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
8414 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 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
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
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
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
8514 APR_DRG Gender Related Procedures 7 7 — — $67,973.96 $69,293.84 $67,973.96 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
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
8624 APR_DRG Other Aftercare And Convalescence 7 7 — — $25,502.32 $25,997.51 $25,502.32 2026-03-16
8632 APR_DRG Neonatal Aftercare 7 7 — — $23,893.12 $24,357.06 $23,893.12 2026-03-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $42,699.48 $43,528.60 $42,699.48 2026-03-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $56,446.57 $57,542.62 $56,446.57 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
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
894 APR_DRG Major Cranial/facial Bone Procedures 7 7 — — $32,291.65 $32,918.67 $32,291.65 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
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 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
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $40,192.39 $40,972.82 $40,192.39 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
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
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $41,737.72 $42,548.16 $41,737.72 2026-03-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 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
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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 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
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $82,049.78 $83,642.97 $82,049.78 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
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
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 7 7 — — $44,181.58 $45,039.47 $44,181.58 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
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
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
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
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
C1604 HCPCS Endocross 8f 150 58 $93,805.00 $93,805.00 $51,592.75 $93,805.00 $76,732.49 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
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
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
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
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
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
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
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
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
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
EAPG224 EAPG Level Ii Neurostimulator And Related Device Implantation 7 7 — — $25,804.57 $26,305.62 $25,804.57 2026-03-16
EAPG246 EAPG Class IV Therapeutic Radiopharmaceuticals 7 7 — — $25,133.39 $25,621.42 $25,133.39 2026-03-16
EAPG3060 EAPG Ventricular Assist Device Procedures 7 7 — — $91,777.84 $93,559.93 $91,777.84 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
EAPG97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 7 7 — — $29,381.31 $29,951.82 $29,381.31 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
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
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