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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

WELLSPAN YORK HOSPITAL

York, PA · CCN 390046 · Rates published

5,096 distinct procedures filed
31 distinct payers
261,221 rate rows
2026-01-01 last MRF observed
Data quality

254,534 of 261,221 rate rows are consumer-grade (97.4%)

6,687 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 6,216
exceeds 10× this hospital's gross charge — excluded from medians 321
per-diem day rate — not a per-procedure price 119
placeholder amount (≤ $0.02) — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellspan.org/-/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/231352222_york-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ed74e36e56c4a75b… · 86,660,145 bytes · first seen 2026-05-08

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $142,659.03 $669,379.13 $381,280.17 nat. median
$202,986
1.9× median
588 SOI 4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $313,094.36 $715,644.26 $313,094.36 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 25 $188,354.53 $883,789.73 $294,664.40 nat. median
$265,286
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $93,098.17 $436,831.60 $250,902.46 nat. median
$133,176
1.9× median
161 SOI 4
APR_DRG 		Implantable Heart Assist Systems 7 $218,275.36 $498,915.10 $218,275.36 —
009 SOI 4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $213,980.13 $489,097.44 $213,980.13 —
588 SOI 3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $208,520.78 $476,618.93 $208,520.78 —
591 SOI 4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $205,311.79 $469,284.08 $205,311.79 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $73,087.11 $342,936.49 $194,093.36 nat. median
$102,358
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $74,075.80 $347,575.58 $188,643.26 nat. median
$98,905
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 25 $66,923.09 $314,013.91 $186,686.80 nat. median
$99,019
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 25 $58,202.32 $332,542.12 $183,846.88 nat. median
$83,442
outlier · 2.2×
593 SOI 4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $180,508.99 $412,591.98 $180,508.99 —
588 SOI 2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $178,679.54 $408,410.38 $178,679.54 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $65,752.26 $308,520.16 $172,447.93 nat. median
$93,672
1.8× median
161 SOI 3
APR_DRG 		Implantable Heart Assist Systems 7 $170,914.33 $390,661.32 $170,914.33 —
004 SOI 4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $164,445.80 $375,876.11 $164,445.80 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With McC 25 $60,555.42 $284,135.76 $150,902.46 nat. median
$82,712
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 25 $56,659.13 $265,853.76 $150,877.95 nat. median
$79,312
1.9× median
589 SOI 3
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $145,944.99 $333,588.55 $145,944.99 —
589 SOI 1
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $145,944.99 $333,588.55 $145,944.99 —
009 SOI 3
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $143,808.15 $328,704.34 $143,808.15 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 25 $52,887.86 $248,158.35 $143,033.39 nat. median
$77,576
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 25 $51,385.00 $241,106.67 $138,738.43 nat. median
$73,807
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 $51,607.47 $242,150.55 $137,707.06 nat. median
$74,915
1.8× median
602 SOI 4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $135,983.28 $310,818.91 $135,983.28 —
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 25 $51,214.95 $240,308.79 $133,562.29 nat. median
$72,138
1.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 25 $48,209.23 $275,446.03 $133,309.44 nat. median
$64,027
outlier · 2.1×
593 SOI 3
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $132,047.64 $301,823.17 $132,047.64 —
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 25 $47,924.92 $224,871.42 $126,175.30 nat. median
$68,887
1.8× median
161 SOI 2
APR_DRG 		Implantable Heart Assist Systems 7 $125,759.74 $287,450.82 $125,759.74 —
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 $55,000.00 $244,981.06 $124,786.42 nat. median
$81,118
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 25 $46,455.66 $217,977.44 $123,849.70 nat. median
$66,526
1.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 25 $40,371.62 $230,665.45 $123,629.09 nat. median
$59,099
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With McC 25 $44,033.34 $251,586.86 $122,910.55 nat. median
$59,793
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 25 $45,241.14 $212,278.70 $121,376.66 nat. median
$64,732
1.9× median
28
MS_DRG 		Spinal Procedures With McC 25 $40,383.05 $230,730.74 $121,333.75 nat. median
$57,823
outlier · 2.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 25 $41,190.27 $235,342.82 $119,557.35 nat. median
$60,726
2.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 25 $46,227.81 $216,908.33 $119,541.39 nat. median
$65,950
1.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 25 $39,418.55 $225,220.05 $116,204.16 nat. median
$56,697
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $44,193.97 $207,365.24 $115,487.15 nat. median
$64,510
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 25 $43,248.97 $202,931.13 $115,173.76 nat. median
$62,134
1.9× median
005 SOI 4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $114,559.33 $261,849.89 $114,559.33 —
004 SOI 3
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $113,397.69 $259,194.73 $113,397.69 —
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 $44,941.37 $212,174.39 $111,941.27 nat. median
$60,691
1.8× median
653
MS_DRG 		Major Bladder Procedures With McC 25 $34,926.10 $199,552.15 $111,254.21 nat. median
$51,418
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With McC 25 $36,898.77 $210,823.14 $110,316.11 nat. median
$53,173
outlier · 2.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 $35,580.74 $203,292.51 $110,316.11 nat. median
$54,066
outlier · 2.0×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without McC 25 $38,761.89 $221,468.17 $109,178.42 nat. median
$54,596
2.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With McC 25 $36,768.38 $210,078.14 $108,340.12 nat. median
$52,836
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 5,096 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
             
004 SOI 2 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $72,465.42 $165,635.25 $72,465.42 2026-01-01
004 SOI 3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $113,397.69 $259,194.73 $113,397.69 2026-01-01
004 SOI 4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $164,445.80 $375,876.11 $164,445.80 2026-01-01
005 SOI 2 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $55,436.13 $126,711.15 $55,436.13 2026-01-01
005 SOI 3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $83,138.87 $190,031.69 $83,138.87 2026-01-01
005 SOI 4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $114,559.33 $261,849.89 $114,559.33 2026-01-01
009 SOI 2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $72,177.08 $164,976.19 $72,177.08 2026-01-01
009 SOI 3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $143,808.15 $328,704.34 $143,808.15 2026-01-01
009 SOI 4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $213,980.13 $489,097.44 $213,980.13 2026-01-01
020 SOI 4 APR_DRG Open Craniotomy For Trauma 7 7 — — $49,740.64 $113,692.90 $49,740.64 2026-01-01
021 SOI 4 APR_DRG Open Craniotomy Except Trauma 7 7 — — $56,935.81 $130,139.00 $56,935.81 2026-01-01
023 SOI 4 APR_DRG Spinal Procedures 7 7 — — $51,913.94 $118,660.44 $51,913.94 2026-01-01
027 SOI 4 APR_DRG Other Open Craniotomy 7 7 — — $47,918.65 $109,528.34 $47,918.65 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 36 25 — $838,813.66 $188,354.53 $883,789.73 $294,664.40 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 36 25 — $450,584.80 $36,658.15 $172,005.95 $96,373.58 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 25 — $136,788.70 $28,336.62 $161,902.83 $81,893.79 2026-01-01
120 SOI 4 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $51,214.64 $117,062.04 $51,214.64 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 36 25 — $300,196.24 $19,369.18 $90,883.33 $48,012.60 2026-01-01
130 SOI 4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $50,612.28 $115,685.22 $50,612.28 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/McC 36 25 — $52,052.40 $14,585.03 $83,332.34 $48,958.68 2026-01-01
140 MS_DRG Major Head And Neck Procedures With McC 36 25 — $140,614.74 $28,667.98 $163,796.05 $84,408.69 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 36 25 — $87,454.54 $14,659.63 $83,758.60 $47,414.98 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 36 25 — $44,803.00 $14,231.49 $81,312.39 $47,771.94 2026-01-01
161 SOI 2 APR_DRG Implantable Heart Assist Systems 7 7 — — $125,759.74 $287,450.82 $125,759.74 2026-01-01
161 SOI 3 APR_DRG Implantable Heart Assist Systems 7 7 — — $170,914.33 $390,661.32 $170,914.33 2026-01-01
161 SOI 4 APR_DRG Implantable Heart Assist Systems 7 7 — — $218,275.36 $498,915.10 $218,275.36 2026-01-01
162 SOI 2 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $46,568.11 $106,441.38 $46,568.11 2026-01-01
162 SOI 3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $61,598.09 $140,795.64 $61,598.09 2026-01-01
162 SOI 4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $84,207.70 $192,474.75 $84,207.70 2026-01-01
163 MS_DRG Major Chest Procedures With McC 36 25 — $112,304.50 $30,123.12 $172,110.08 $91,993.30 2026-01-01
163 SOI 3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $52,972.01 $121,078.87 $52,972.01 2026-01-01
163 SOI 4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $73,685.05 $168,422.98 $73,685.05 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 36 25 — $81,513.66 $16,964.33 $96,926.65 $55,560.29 2026-01-01
165 SOI 3 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $49,192.97 $112,441.07 $49,192.97 2026-01-01
165 SOI 4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $66,198.23 $151,310.24 $66,198.23 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With McC 36 25 — $81,977.39 $25,121.87 $143,535.16 $76,864.00 2026-01-01
166 SOI 4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $59,015.49 $134,892.54 $59,015.49 2026-01-01
167 SOI 4 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $64,861.77 $148,255.48 $64,861.77 2026-01-01
169 SOI 4 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $52,616.56 $120,266.42 $52,616.56 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 36 25 — $58,249.02 $20,005.01 $114,299.71 $61,235.72 2026-01-01
178 SOI 2 APR_DRG External Heart Assist Devices 7 7 — — $46,033.69 $105,219.86 $46,033.69 2026-01-01
178 SOI 3 APR_DRG External Heart Assist Devices 7 7 — — $56,537.28 $129,228.07 $56,537.28 2026-01-01
178 SOI 4 APR_DRG External Heart Assist Devices 7 7 — — $70,068.41 $160,156.37 $70,068.41 2026-01-01
179 SOI 4 APR_DRG Defibrillator Implants 7 7 — — $58,245.76 $133,133.16 $58,245.76 2026-01-01
183 SOI 3 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $45,824.89 $104,742.61 $45,824.89 2026-01-01
183 SOI 4 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $63,062.15 $144,142.06 $63,062.15 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 36 25 — $341,107.62 $52,887.86 $248,158.35 $143,033.39 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 25 — $213,340.80 $43,248.97 $202,931.13 $115,173.76 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 36 25 — $103,231.60 $18,474.59 $105,555.58 $53,571.28 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 25 — $124,639.71 $35,580.74 $203,292.51 $110,316.11 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 25 — $506,781.57 $73,087.11 $342,936.49 $194,093.36 2026-01-01
215 MS_DRG Other Heart Assist System Implant 36 25 — $344,837.90 $66,923.09 $314,013.91 $186,686.80 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 25 — $455,870.94 $65,752.26 $308,520.16 $172,447.93 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 25 — $352,372.02 $44,193.97 $207,365.24 $115,487.15 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 25 — $323,138.90 $51,607.47 $242,150.55 $137,707.06 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 36 25 — $81,454.37 $21,355.97 $122,018.51 $70,457.00 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 25 — $251,775.39 $35,842.87 $168,180.51 $94,519.60 2026-01-01
220 SOI 4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $50,445.74 $115,304.55 $50,445.74 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 25 — $120,699.77 $33,876.24 $193,553.76 $91,653.98 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 36 25 — $130,436.80 $33,252.52 $189,990.05 $99,458.15 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 36 25 — $93,658.52 $21,168.45 $120,947.10 $61,994.18 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 25 — $200,033.94 $38,514.55 $180,716.47 $101,770.97 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With McC 36 25 — $291,338.27 $56,659.13 $265,853.76 $150,877.95 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 36 25 — $322,875.54 $51,385.00 $241,106.67 $138,738.43 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 36 25 — $263,870.79 $36,715.96 $172,277.17 $95,303.26 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 36 25 — $229,783.52 $39,444.10 $185,078.04 $104,824.70 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 36 25 — $219,970.52 $28,153.81 $132,102.19 $73,550.40 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 36 25 — $143,035.40 $33,079.78 $189,003.12 $100,535.96 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 25 — $124,290.02 $26,292.70 $150,224.78 $75,866.03 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 36 25 — $94,170.72 $19,158.81 $109,464.90 $58,122.04 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 36 25 — $84,046.37 $21,459.48 $122,609.91 $67,702.59 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 36 25 — $57,503.97 $14,322.23 $81,830.82 $48,076.53 2026-01-01
245 MS_DRG Aicd Generator Procedures 36 25 — $206,765.34 $30,664.85 $143,884.41 $86,015.06 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 36 25 — $177,876.94 $30,559.33 $174,602.37 $89,258.85 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 36 25 — $90,192.78 $14,669.04 $83,812.37 $49,240.71 2026-01-01
252 MS_DRG Other Vascular Procedures With McC 36 25 — $107,320.27 $23,445.60 $133,957.70 $68,461.06 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 36 25 — $102,641.67 $17,445.57 $99,676.23 $50,956.58 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 36 25 — $66,531.40 $18,129.79 $103,585.55 $52,214.03 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With McC 36 25 — $144,253.84 $21,118.72 $120,662.92 $55,986.37 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 36 25 — $105,699.98 $20,897.59 $119,399.50 $61,036.12 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 36 25 — $138,079.51 $21,862.75 $124,914.03 $68,001.99 2026-01-01
260 SOI 4 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $53,122.80 $121,423.55 $53,122.80 2026-01-01
263 MS_DRG Vein Ligation And Stripping 36 25 — $60,835.04 $20,549.43 $96,421.22 $49,065.56 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 25 — $52,947.00 $22,452.88 $128,285.72 $69,758.42 2026-01-01
265 MS_DRG Aicd Lead Procedures 36 25 — $88,437.65 $24,318.68 $138,946.12 $71,195.51 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 36 25 — $125,437.39 $41,190.27 $235,342.82 $119,557.35 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 36 25 — $110,722.58 $31,998.34 $182,824.24 $93,889.45 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 36 25 — $193,755.09 $46,227.81 $216,908.33 $119,541.39 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 36 25 — $168,056.18 $28,385.02 $162,179.33 $83,031.48 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 36 25 — $90,038.39 $16,956.94 $96,884.41 $54,478.67 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 36 25 — $167,925.90 $35,463.12 $202,620.47 $102,452.07 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 36 25 — $116,713.83 $23,902.64 $136,569.03 $68,740.49 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 36 25 — $102,100.88 $17,159.25 $98,040.31 $55,229.18 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 36 25 — $159,573.73 $27,728.35 $158,427.45 $78,041.61 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 36 25 — $93,304.61 $22,124.21 $126,407.86 $62,293.57 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 36 25 — $218,903.66 $47,924.92 $224,871.42 $126,175.30 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 36 25 — $137,050.87 $40,371.62 $230,665.45 $123,629.09 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 36 25 — $197,733.54 $31,041.91 $145,653.63 $82,804.69 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 25 — $115,218.60 $37,411.60 $213,753.21 $99,857.34 2026-01-01
28 MS_DRG Spinal Procedures With McC 36 25 — $165,620.72 $40,383.05 $230,730.74 $121,333.75 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 36 25 — $72,309.14 $14,872.69 $84,975.95 $48,849.79 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 36 25 — $107,062.70 $22,930.08 $131,012.26 $67,004.01 2026-01-01
299 SOI 3 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $56,456.08 $129,042.47 $56,456.08 2026-01-01
299 SOI 4 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $72,198.63 $165,025.43 $72,198.63 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 25 — $442,800.78 $142,659.03 $669,379.13 $381,280.17 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/McC 36 25 — $76,579.58 $14,754.40 $84,300.07 $49,114.68 2026-01-01
303 SOI 3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $58,157.10 $132,930.52 $58,157.10 2026-01-01
304 SOI 4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $59,100.00 $135,085.71 $59,100.00 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With McC 36 25 — $144,673.70 $30,114.38 $172,060.16 $83,630.27 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 36 25 — $53,173.60 $14,015.07 $80,075.85 $47,045.46 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 25 — $230,398.15 $44,941.37 $212,174.39 $111,941.27 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 36 25 — $261,603.74 $29,996.09 $140,746.48 $78,535.76 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 36 25 — $81,228.46 $14,322.90 $81,834.66 $47,150.10 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without McC 36 25 — $61,671.24 $16,166.53 $92,368.33 $51,101.34 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 36 25 — $134,913.16 $18,287.07 $104,484.16 $56,824.67 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 36 25 — $217,654.06 $29,085.37 $136,473.21 $76,142.30 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 36 25 — $204,429.38 $21,178.53 $99,373.09 $56,799.82 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 36 25 — $115,951.67 $21,577.77 $123,285.78 $57,124.06 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 36 25 — $125,247.57 $33,521.36 $191,526.13 $101,374.26 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 36 25 — $81,250.27 $16,427.98 $93,862.17 $53,595.71 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 36 25 — $143,463.80 $30,894.04 $176,514.79 $91,653.98 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 36 25 — $92,580.97 $16,112.09 $92,057.27 $52,182.97 2026-01-01
332 MS_DRG Rectal Resection With McC 36 25 — $102,162.83 $24,335.49 $139,042.12 $69,239.48 2026-01-01
333 MS_DRG Rectal Resection With Cc 36 25 — $59,817.58 $15,742.42 $89,945.16 $46,907.28 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 36 25 — $131,527.34 $24,000.77 $137,129.70 $72,333.20 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 36 25 — $67,326.10 $14,173.02 $80,978.30 $46,620.32 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With McC 36 25 — $135,955.18 $26,015.79 $148,642.62 $77,622.46 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With McC 36 25 — $214,010.89 $17,359.54 $99,184.69 $53,770.87 2026-01-01
347 MS_DRG Anal And Stomal Procedures With McC 36 25 — $49,041.42 $15,429.21 $88,155.63 $51,792.42 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 36 25 — $83,005.34 $16,067.05 $91,799.98 $50,218.38 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 36 25 — $117,494.54 $16,748.58 $95,693.94 $53,419.12 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 36 25 — $73,882.00 $19,504.95 $111,442.60 $58,541.19 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 36 25 — $156,310.84 $29,524.93 $168,692.31 $85,127.23 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 36 25 — $66,097.54 $15,630.17 $89,303.85 $49,710.68 2026-01-01
361 SOI 4 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $49,655.30 $113,497.83 $49,655.30 2026-01-01
37 MS_DRG Extracranial Procedures With McC 36 25 — $122,815.14 $22,126.90 $126,423.22 $66,285.47 2026-01-01
374 MS_DRG Digestive Malignancy With McC 36 25 — $52,396.00 $14,374.65 $82,130.36 $46,620.32 2026-01-01
397 MS_DRG Appendix Procedures With McC 36 25 — $41,940.40 $16,096.63 $91,968.95 $54,032.79 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 25 — $331,451.22 $93,098.17 $436,831.60 $250,902.46 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 36 25 — $92,242.64 $25,951.94 $148,277.80 $75,287.20 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 25 — $151,825.88 $27,022.63 $154,395.24 $62,855.22 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 36 25 — $150,564.14 $36,768.38 $210,078.14 $108,340.12 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 36 25 — $99,840.41 $19,492.85 $280,724.60 $56,046.25 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 36 25 — $84,904.20 $14,918.40 $85,237.08 $47,150.10 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 25 — $88,847.44 $23,965.15 $136,926.17 $69,878.18 2026-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 25 — $92,942.46 $14,634.09 $83,612.67 $46,267.13 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 36 25 — $61,232.00 $14,777.93 $84,434.48 $49,606.21 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With McC 36 25 — $314,892.76 $22,202.17 $104,176.17 $50,672.94 2026-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 36 25 — $68,130.60 $14,131.34 $80,740.21 $47,061.80 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 36 25 — $239,491.92 $23,944.98 $136,810.97 $69,938.06 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 36 25 — $74,015.18 $16,039.50 $91,642.53 $52,469.93 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 36 25 — $69,276.88 $22,899.84 $130,839.45 $70,437.05 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 36 25 — $92,002.00 $27,913.19 $159,483.51 $81,175.25 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 36 25 — $86,664.06 $14,705.34 $84,019.74 $49,362.54 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 24 — $374,689.39 $74,075.80 $347,575.58 $188,643.26 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 25 — $164,293.96 $37,786.64 $215,896.04 $88,001.81 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With McC 36 25 — $178,774.27 $60,555.42 $284,135.76 $150,902.46 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without McC 36 25 — $128,168.35 $38,761.89 $221,468.17 $109,178.42 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 36 25 — $188,594.90 $44,908.44 $193,925.26 $99,003.31 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 36 25 — $182,912.08 $28,503.31 $162,855.20 $68,247.30 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically … 36 25 — $136,762.06 $35,821.36 $204,667.30 $82,739.38 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without McC 36 25 — $137,852.35 $21,712.20 $124,053.82 $50,147.49 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 25 — $365,030.69 $55,000.00 $244,981.06 $124,786.42 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 25 — $216,324.36 $40,079.25 $490,065.66 $86,591.88 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 25 — $256,618.88 $28,044.92 $131,591.29 $76,475.42 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 25 — $129,943.21 $38,307.54 $218,872.20 $107,801.21 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 25 — $70,811.64 $20,934.55 $119,610.71 $58,860.54 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 36 25 — $218,245.48 $34,986.59 $164,162.70 $91,169.85 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 25 — $166,512.67 $23,703.02 $135,428.49 $68,361.26 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 36 25 — $141,549.76 $20,386.78 $116,480.95 $65,247.58 2026-01-01
471 MS_DRG Cervical Spinal Fusion With McC 36 25 — $239,372.54 $32,454.71 $152,282.71 $86,476.09 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 36 25 — $109,483.77 $19,801.36 $113,136.13 $57,822.65 2026-01-01
473 MS_DRG Cervical Spinal Fusion 36 25 — $92,561.48 $16,408.49 $93,750.80 $52,249.19 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 36 25 — $130,230.60 $28,853.48 $164,855.95 $89,498.36 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 36 25 — $66,373.80 $15,295.46 $87,391.43 $47,613.65 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 36 25 — $140,613.75 $23,219.09 $132,663.55 $68,640.69 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 36 25 — $62,161.08 $16,528.80 $94,438.20 $51,609.05 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 36 25 — $122,539.07 $19,574.18 $111,838.14 $58,700.86 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 36 25 — $94,201.60 $14,077.58 $80,432.99 $45,803.58 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 25 — $160,159.04 $18,630.52 $106,446.50 $50,856.78 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 36 25 — $123,115.09 $21,690.02 $123,927.09 $64,349.40 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 36 25 — $134,886.62 $14,054.72 $80,302.42 $46,818.99 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 36 25 — $174,680.44 $24,677.60 $115,791.25 $63,698.33 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 36 25 — $122,418.06 $17,045.66 $97,391.31 $52,999.71 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 36 25 — $120,369.42 $24,369.09 $139,234.13 $70,257.41 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 36 25 — $53,960.20 $20,276.55 $115,851.15 $55,736.89 2026-01-01
500 MS_DRG Soft Tissue Procedures With McC 36 25 — $43,619.40 $21,271.29 $121,534.65 $63,251.63 2026-01-01
503 MS_DRG Foot Procedures With McC 36 25 — $38,588.20 $18,759.57 $107,183.82 $52,832.77 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 36 25 — $136,140.73 $20,301.42 $115,993.24 $57,044.23 2026-01-01
511 SOI 4 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 — — $44,855.48 $102,526.82 $44,855.48 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 36 25 — $75,028.38 $21,419.83 $122,383.33 $61,714.75 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 36 25 — $132,637.58 $25,119.18 $143,519.79 $71,534.82 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 36 25 — $143,574.04 $19,291.22 $110,221.42 $58,181.92 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 36 25 — $114,759.44 $14,233.51 $81,323.92 $46,532.02 2026-01-01
545 MS_DRG Connective Tissue Disorders With McC 36 25 — $49,665.00 $16,680.03 $95,302.24 $55,781.04 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 36 25 — $52,733.20 $16,230.23 $89,211.69 $52,720.96 2026-01-01
570 MS_DRG Skin Debridement With McC 36 25 — $27,737.40 $19,767.75 $112,944.12 $60,078.07 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 36 25 — $165,969.06 $44,033.34 $251,586.86 $122,910.55 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 36 25 — $48,700.01 $23,332.01 $133,308.70 $69,159.64 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 36 25 — $104,468.78 $17,815.91 $101,792.18 $53,152.13 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 36 25 — $52,288.60 $21,766.64 $124,364.88 $65,047.98 2026-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC 36 25 — $87,669.60 $14,388.09 $82,207.16 $45,185.51 2026-01-01
588 SOI 2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $178,679.54 $408,410.38 $178,679.54 2026-01-01
588 SOI 3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $208,520.78 $476,618.93 $208,520.78 2026-01-01
588 SOI 4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $313,094.36 $715,644.26 $313,094.36 2026-01-01
589 SOI 1 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $145,944.99 $333,588.55 $145,944.99 2026-01-01
589 SOI 3 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $145,944.99 $333,588.55 $145,944.99 2026-01-01
591 SOI 4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $205,311.79 $469,284.08 $205,311.79 2026-01-01
593 SOI 2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $106,209.98 $242,765.67 $106,209.98 2026-01-01
593 SOI 3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $132,047.64 $301,823.17 $132,047.64 2026-01-01
593 SOI 4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $180,508.99 $412,591.98 $180,508.99 2026-01-01
595 MS_DRG Major Skin Disorders With McC 36 25 — $34,131.90 $14,253.67 $81,439.12 $46,686.54 2026-01-01
602 SOI 1 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $56,200.06 $128,457.27 $56,200.06 2026-01-01
602 SOI 2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $75,443.25 $172,441.71 $75,443.25 2026-01-01
602 SOI 3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $94,415.50 $215,806.86 $94,415.50 2026-01-01
602 SOI 4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $135,983.28 $310,818.91 $135,983.28 2026-01-01
607 SOI 2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $53,827.90 $123,035.21 $53,827.90 2026-01-01
607 SOI 3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $72,069.37 $164,729.99 $72,069.37 2026-01-01
607 SOI 4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $105,115.46 $240,263.91 $105,115.46 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 25 — $90,789.00 $18,531.05 $105,878.15 $53,950.51 2026-01-01
611 SOI 4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $87,425.81 $199,830.42 $87,425.81 2026-01-01
612 SOI 3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $47,690.80 $109,007.54 $47,690.80 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 36 25 — $99,028.80 $14,731.55 $84,169.50 $49,450.53 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 36 25 — $98,423.29 $23,439.55 $133,923.13 $77,143.43 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With McC 36 25 — $56,964.03 $19,406.82 $110,881.93 $45,656.00 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 25 — $41,947.80 $23,922.13 $136,680.40 $74,728.34 2026-01-01
622 SOI 4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $44,659.94 $102,079.87 $44,659.94 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With McC 36 25 — $139,362.99 $20,298.73 $115,977.88 $57,223.86 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 36 25 — $70,738.46 $25,048.61 $143,116.57 $78,760.15 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 36 25 — $69,814.40 $14,644.17 $83,670.28 $49,157.22 2026-01-01
633 SOI 4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $68,688.04 $157,001.23 $68,688.04 2026-01-01
653 MS_DRG Major Bladder Procedures With McC 36 25 — $139,577.81 $34,926.10 $199,552.15 $111,254.21 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 36 25 — $133,481.40 $18,814.68 $107,498.72 $56,325.68 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 36 25 — $159,302.46 $21,398.99 $122,264.29 $65,028.02 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 36 25 — $65,577.25 $17,077.92 $97,575.64 $51,575.33 2026-01-01
662 MS_DRG Minor Bladder Procedures With McC 36 25 — $27,074.80 $20,576.99 $117,567.72 $62,253.65 2026-01-01
665 MS_DRG Prostatectomy With McC 36 25 — $91,847.14 $20,978.24 $119,860.32 $68,520.93 2026-01-01
668 MS_DRG Transurethral Procedures With McC 36 25 — $60,456.51 $19,625.93 $112,133.84 $58,201.88 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 36 25 — $119,541.61 $28,239.84 $161,349.84 $83,630.27 2026-01-01
680 SOI 4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $61,116.70 $139,695.32 $61,116.70 2026-01-01
681 SOI 4 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $51,131.79 $116,872.65 $51,131.79 2026-01-01
690 SOI 4 APR_DRG Acute Leukemia 7 7 — — $54,630.77 $124,870.34 $54,630.77 2026-01-01
709 MS_DRG Penis Procedures With Cc/McC 36 25 — $101,375.34 $15,640.93 $89,365.29 $49,600.31 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 36 25 — $40,584.77 $15,037.36 $85,916.79 $49,843.13 2026-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC 36 25 — $94,746.23 $14,316.18 $81,796.26 $46,421.65 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 36 25 — $135,347.78 $24,024.97 $137,267.95 $78,580.52 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 36 25 — $186,897.56 $24,080.75 $137,586.69 $79,458.74 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 36 25 — $47,127.31 $17,257.38 $98,600.98 $51,655.16 2026-01-01
799 MS_DRG Splenic Procedures With McC 36 25 — $111,233.41 $30,439.69 $173,918.82 $94,907.38 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 36 25 — $62,654.62 $26,777.97 $152,997.41 $71,554.78 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 36 25 — $43,714.00 $14,839.76 $84,787.78 $49,813.77 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 36 25 — $41,127.80 $14,294.00 $81,669.53 $46,134.69 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 36 25 — $27,369.60 $15,335.11 $87,618.00 $51,476.56 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 36 25 — $54,952.80 $15,362.00 $119,361.82 $51,211.71 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 36 25 — $56,720.38 $39,418.55 $225,220.05 $116,204.16 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 36 25 — $80,527.38 $15,046.10 $85,966.72 $49,269.20 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 36 25 — $65,353.60 $30,815.41 $176,065.49 $93,390.46 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 36 25 — $68,082.00 $15,227.57 $87,003.57 $48,540.76 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 25 — $100,401.91 $31,440.48 $179,636.88 $95,306.57 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 25 — $85,784.09 $15,534.06 $88,754.70 $52,094.67 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 25 — $90,429.52 $21,239.02 $121,350.32 $61,555.07 2026-01-01
834 MS_DRG Acute Leukemia With McC 36 25 — $238,023.58 $36,898.77 $210,823.14 $110,316.11 2026-01-01
835 MS_DRG Acute Leukemia With Cc 36 25 — $36,499.60 $14,019.10 $80,098.89 $47,059.00 2026-01-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 36 25 — $38,951.20 $14,029.85 $80,160.33 $44,766.10 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 36 25 — $61,384.50 $21,742.44 $124,226.63 $63,650.82 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC 36 25 — $47,527.00 $17,424.74 $99,557.19 $50,976.54 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 36 25 — $40,406.00 $15,269.92 $87,245.50 $50,019.72 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 36 25 — $41,556.20 $58,202.32 $332,542.12 $183,846.88 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 36 25 — $127,622.00 $33,193.37 $189,652.12 $87,966.76 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 36 25 — $102,637.27 $30,572.77 $174,679.18 $90,037.27 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 36 25 — $50,388.89 $14,393.47 $82,237.88 $48,099.28 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 36 25 — $35,058.20 $14,068.84 $80,383.07 $47,225.96 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 25 — $208,297.52 $46,455.66 $217,977.44 $123,849.70 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/McC 36 25 — $176,445.80 $24,687.68 $115,838.55 $68,187.02 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 36 25 — $139,559.40 $25,804.74 $147,436.80 $79,518.61 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 36 25 — $69,645.47 $13,410.16 $76,619.67 $44,523.29 2026-01-01
910 SOI 4 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $62,876.55 $143,717.84 $62,876.55 2026-01-01
911 SOI 4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $59,805.10 $136,697.37 $59,805.10 2026-01-01
912 SOI 4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $55,605.98 $127,099.39 $55,605.98 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 36 25 — $31,234.00 $48,209.23 $275,446.03 $133,309.44 2026-01-01
935 MS_DRG Non-extensive Burns 36 25 — $17,942.00 $13,845.69 $79,108.12 $46,476.90 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 36 25 — $73,628.60 $24,387.91 $139,341.66 $63,351.43 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 36 25 — $57,898.20 $23,654.63 $135,152.00 $72,812.22 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 36 25 — $36,087.40 $15,706.80 $89,741.63 $46,598.24 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 36 25 — $25,324.20 $17,335.35 $99,046.44 $52,911.41 2026-01-01
950 SOI 4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $49,387.68 $112,886.12 $49,387.68 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 25 — $205,278.62 $45,241.14 $212,278.70 $121,376.66 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 36 25 — $161,312.11 $25,291.91 $144,506.73 $76,285.18 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 36 25 — $285,040.75 $51,214.95 $240,308.79 $133,562.29 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 25 — $174,342.63 $28,322.51 $161,822.19 $82,033.51 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/McC 36 25 — $70,864.67 $19,787.92 $113,059.33 $52,772.90 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 36 25 — $21,371.60 $17,335.35 $99,046.44 $52,911.41 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With McC 36 25 — $77,964.20 $18,374.44 $104,983.39 $54,229.94 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 36 25 — $188,876.40 $24,275.67 $113,905.34 $63,989.12 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 36 25 — $52,076.80 $19,397.41 $110,828.17 $59,599.04 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 36 25 — $32,977.00 $15,424.51 $88,128.75 $47,878.54 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 36 25 — $151,353.92 $31,534.57 $180,174.50 $94,887.42 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 36 25 — $90,820.15 $16,524.10 $94,411.32 $54,059.26 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 36 25 — $73,419.40 $23,043.00 $131,657.42 $69,918.10 2026-01-01
L8699 HCPCS Kit Implant Heartmate 3 Sterile Latex Free 56 19 $215,838.00 $172,670.40 20% off $1,344.75 $205,046.10 $53,959.50 2026-01-01
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