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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

LOWER BUCKS HOSPITAL

Bristol, PA · CCN 390070 · Rates published

5,690 distinct procedures filed
26 distinct payers
381,044 rate rows
2026-09-01 last MRF observed
Data quality

380,469 of 381,044 rate rows are consumer-grade (99.8%)

575 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
template filing: same amount across many unrelated codes — excluded 412
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 74
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 55
percent-of-charges filed in the dollar field — excluded from medians 24
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lowerbuckshosp.com/wp-content/uploads/2026/09/911120_LowerBucksHospital_standardcharges.json
Found on page https://lowerbuckshosp.com/financial-assistance/
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 01f85a1aedb1a84b… · 34,253,369 bytes · first seen 2026-09-21

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate W Ecmo - Soi : 4 5 $421,952.92 $447,270.10 $421,952.92 nat. median
$390,362
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $10,048.39 $734,186.62 $370,329.03 nat. median
$168,055
outlier · 2.2×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 5 $258,438.18 $273,944.47 $258,438.18 nat. median
$286,698
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $34,755.37 $476,457.58 $248,974.27 nat. median
$186,516
1.3× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 5 $241,436.71 $255,922.91 $241,436.71 nat. median
$225,531
1.1× median
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 5 $240,315.77 $254,734.72 $240,315.77 nat. median
$268,208
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $162,197.00 $362,997.57 $194,450.66 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $33,470.42 $360,867.24 $187,600.06 nat. median
$145,435
1.3× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 5 $184,518.49 $195,589.60 $184,518.49 nat. median
$201,678
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 5 $180,171.51 $190,981.80 $180,171.51 nat. median
$202,242
0.9× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 5 $180,060.72 $190,864.36 $180,060.72 nat. median
$198,578
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 5 $176,626.09 $187,223.66 $176,626.09 nat. median
$152,792
1.2× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 5 $173,186.00 $183,577.16 $173,186.00 nat. median
$181,762
1.0× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 5 $172,119.77 $182,446.96 $172,119.77 nat. median
$173,134
1.0× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 5 $169,470.97 $179,639.23 $169,470.97 nat. median
$171,497
1.0× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 5 $165,628.04 $175,565.72 $165,628.04 nat. median
$173,909
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 5 $160,266.82 $169,882.83 $160,266.82 nat. median
$173,018
0.9× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 5 $157,061.99 $166,485.71 $157,061.99 nat. median
$187,567
0.8× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 5 $148,997.94 $157,937.82 $148,997.94 nat. median
$168,439
0.9× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 5 $147,487.85 $156,337.12 $147,487.85 nat. median
$152,383
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 5 $142,148.52 $150,677.43 $142,148.52 nat. median
$149,836
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 5 $141,078.19 $149,542.88 $141,078.19 nat. median
$155,539
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 5 $135,738.86 $143,883.19 $135,738.86 nat. median
$135,630
1.0× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 5 $134,388.81 $142,452.14 $134,388.81 nat. median
$136,566
1.0× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 5 $131,515.00 $139,405.90 $131,515.00 nat. median
$117,894
1.1× median
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 5 $127,810.91 $135,479.56 $127,810.91 nat. median
$120,079
1.1× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 5 $126,418.45 $134,003.56 $126,418.45 nat. median
$130,862
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $25,646.19 $235,499.15 $123,577.13 nat. median
$97,418
1.3× median
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 $120,467.70 $127,695.76 $120,467.70 nat. median
$99,483
1.2× median
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 $120,467.70 $127,695.76 $120,467.70 nat. median
$96,548
1.2× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 $120,467.70 $127,695.76 $120,467.70 nat. median
$77,096
1.6× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 5 $118,703.88 $125,826.11 $118,703.88 nat. median
$73,618
1.6× median
7
MS_DRG 		Lung Transplant 17 $27,532.33 $220,177.10 $113,401.41 nat. median
$70,649
1.6× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 5 $112,244.98 $118,979.68 $112,244.98 nat. median
$124,731
0.9× median
5912
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 5 $109,624.90 $116,202.39 $109,624.90 nat. median
$85,835
1.3× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 5 $108,996.38 $115,536.16 $108,996.38 nat. median
$114,205
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $13,164.43 $204,326.29 $107,354.47 nat. median
$72,715
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems- Soi : 2 5 $103,806.14 $110,034.51 $103,806.14 nat. median
$109,992
0.9× median
1611
APR_DRG 		Implantable Heart Assist Systems- Soi : 1 5 $103,806.14 $110,034.51 $103,806.14 nat. median
$108,954
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 5 $103,427.93 $109,633.61 $103,427.93 nat. median
$106,926
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $34,098.03 $192,661.34 $101,283.90 nat. median
$65,418
1.5× median
22
APR_DRG 		Heart &or Lung Transplant - Soi : 2 5 $99,587.74 $105,563.00 $99,587.74 nat. median
$95,481
1.0× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 5 $94,560.96 $100,234.62 $94,560.96 nat. median
$91,350
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 17 $7,127.56 $184,879.60 $93,993.07 nat. median
$74,509
1.3× median
43
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 5 $93,602.11 $99,218.24 $93,602.11 nat. median
$85,032
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $17,177.84 $175,297.37 $90,490.43 nat. median
$69,922
1.3× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 3 5 $90,408.22 $95,832.71 $90,408.22 nat. median
$81,292
1.1× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 5 $89,726.36 $95,109.94 $89,726.36 nat. median
$91,950
1.0× median
21
APR_DRG 		Heart &or Lung Transplant - Soi : 1 5 $88,019.99 $93,301.19 $88,019.99 nat. median
$77,825
1.1× median
64
APR_DRG 		Pancreas Transplant - Soi : 4 5 $87,782.67 $93,049.63 $87,782.67 nat. median
$92,994
0.9× median

Other procedures at this hospital

Browse this hospital's 5,690 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 17 — $237,118.00 $34,755.37 $476,457.58 $248,974.27 2026-09-01
10 MS_DRG Pancreas Transplant 23 17 — $61,439.00 $13,893.34 $122,000.03 $61,439.11 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 17 — $46,931.00 $8,515.70 $92,729.68 $48,339.85 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 5 5 — — $47,370.07 $50,212.27 $47,370.07 2026-09-01
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 5 5 — — $53,919.94 $57,155.14 $53,919.94 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 17 — $36,498.00 $10,541.67 $71,679.72 $37,593.90 2026-09-01
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 5 5 — — $42,274.22 $44,810.67 $42,274.22 2026-09-01
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 5 5 — — $35,435.06 $37,561.16 $35,435.06 2026-09-01
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 5 5 — — $69,771.74 $73,958.04 $69,771.74 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 5 5 — — $41,777.01 $44,283.63 $41,777.01 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 5 5 — — $134,388.81 $142,452.14 $134,388.81 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 17 — $102,242.00 $13,164.43 $204,326.29 $107,354.47 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 17 — $36,914.00 $3,982.80 $72,517.91 $36,914.36 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 16 — $32,543.00 $10,660.66 $63,699.06 $32,543.49 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 23 17 — $50,939.00 $11,548.05 $100,815.75 $52,467.77 2026-09-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 2 5 5 — — $35,915.85 $38,070.80 $35,915.85 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 5 5 — — $47,939.09 $50,815.44 $47,939.09 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 5 5 — — $103,427.93 $109,633.61 $103,427.93 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 5 5 — — $103,806.14 $110,034.51 $103,806.14 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 5 5 — — $103,806.14 $110,034.51 $103,806.14 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 5 5 — — $141,078.19 $149,542.88 $141,078.19 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 5 5 — — $180,171.51 $190,981.80 $180,171.51 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 5 5 — — $38,438.81 $40,745.14 $38,438.81 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 5 5 — — $50,845.05 $53,895.75 $50,845.05 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 5 5 — — $69,507.75 $73,678.22 $69,507.75 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 23 17 — $38,738.00 $8,010.31 $76,198.80 $39,900.88 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 5 5 — — $43,724.80 $46,348.29 $43,724.80 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 5 5 — — $60,822.02 $64,471.34 $60,822.02 2026-09-01
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 2 5 5 — — $32,741.11 $34,705.58 $32,741.11 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 5 5 — — $40,605.46 $43,041.79 $40,605.46 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 5 5 — — $54,642.15 $57,920.68 $54,642.15 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 17 — $32,468.00 $14,825.95 $63,547.74 $34,091.93 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 3 5 5 — — $35,738.71 $37,883.03 $35,738.71 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 5 5 — — $48,713.28 $51,636.08 $48,713.28 2026-09-01
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 3 5 5 — — $33,983.79 $36,022.82 $33,983.79 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 5 5 — — $53,539.00 $56,751.34 $53,539.00 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 5 5 — — $43,431.40 $46,037.28 $43,431.40 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 23 17 — $46,748.00 $6,821.15 $92,359.04 $49,085.60 2026-09-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock - Soi : 4 5 5 — — $35,822.84 $37,972.21 $35,822.84 2026-09-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami - Soi : 4 5 5 — — $32,972.96 $34,951.34 $32,972.96 2026-09-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices- Soi… 5 5 — — $34,493.30 $36,562.90 $34,493.30 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 5 5 — — $34,197.85 $36,249.72 $34,197.85 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 5 5 — — $37,997.69 $40,277.55 $37,997.69 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 5 5 — — $46,667.69 $49,467.75 $46,667.69 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 5 5 — — $57,836.72 $61,306.92 $57,836.72 2026-09-01
1793 APR_DRG Defibrillator Implants- Soi : 3 5 5 — — $36,613.44 $38,810.25 $36,613.44 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 5 5 — — $48,077.93 $50,962.61 $48,077.93 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 17 — $364,856.00 $10,048.39 $734,186.62 $370,329.03 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 5 5 — — $35,743.50 $37,888.11 $35,743.50 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 5 5 — — $37,825.34 $40,094.86 $37,825.34 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 5 5 — — $52,053.53 $55,176.74 $52,053.53 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 17 — $61,092.00 $6,523.86 $121,301.26 $63,536.49 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 17 — $96,460.00 $34,098.03 $192,661.34 $101,283.90 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 17 — $67,279.00 $22,933.15 $139,133.00 $70,643.56 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 5 5 — — $41,057.53 $43,520.98 $41,057.53 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 17 — $55,195.00 $11,080.10 $109,401.68 $56,850.86 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 5 5 — — $88,019.99 $93,301.19 $88,019.99 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 17 — $45,581.00 $15,791.59 $94,415.69 $47,860.17 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 22 17 — $92,604.00 $7,127.56 $184,879.60 $93,993.07 2026-09-01
213 APR_DRG Open Craniotomy Except Trauma- Soi : 3 5 5 — — $33,073.49 $35,057.90 $33,073.49 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 5 5 — — $46,996.66 $49,816.46 $46,996.66 2026-09-01
215 MS_DRG Other Heart Assist System Implant 23 17 — $84,875.00 $12,086.48 $169,287.22 $87,422.27 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — $83,408.00 $23,173.18 $166,325.50 $85,910.31 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — $56,379.00 $33,124.68 $111,792.13 $58,071.18 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — $56,379.00 $15,445.85 $111,792.13 $58,071.18 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 16 — $65,674.00 $58,953.90 $130,545.15 $68,301.29 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 5 5 — — $99,587.74 $105,563.00 $99,587.74 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 17 — $45,909.00 $10,598.93 $90,667.36 $47,287.04 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 5 5 — — $41,639.54 $44,137.91 $41,639.54 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 17 — $43,444.00 $19,721.32 $85,692.62 $44,747.45 2026-09-01
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 5 5 — — $36,724.24 $38,927.69 $36,724.24 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 16 — $42,662.00 $38,331.90 $84,114.85 $45,861.80 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 5 5 — — $131,515.00 $139,405.90 $131,515.00 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 17 — $49,259.00 $8,812.99 $97,425.59 $50,737.10 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 5 5 — — $35,222.36 $37,335.70 $35,222.36 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 16 — $72,007.00 $63,290.30 $143,323.73 $73,087.86 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 17 — $52,059.00 $12,728.40 $103,075.29 $54,662.44 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 17 — $65,395.00 $20,976.54 $129,982.39 $67,357.26 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 17 — $47,004.00 $10,492.12 $92,875.90 $48,414.49 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 5 5 — — $42,851.44 $45,422.53 $42,851.44 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 16 — $50,424.00 $45,288.20 $99,776.94 $52,441.71 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 17 — $36,269.00 $8,557.54 $71,217.27 $37,357.82 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 17 — $42,445.00 $11,382.89 $83,677.91 $42,445.58 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 5 5 — — $241,436.71 $255,922.91 $241,436.71 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 17 — $33,936.00 $10,622.05 $66,509.46 $35,414.14 2026-09-01
245 MS_DRG Aicd Generator Procedures 23 17 — $39,417.00 $5,299.46 $77,569.15 $40,600.44 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 17 — $39,285.00 $6,072.42 $77,302.22 $40,464.18 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 22 16 — $30,366.00 $27,313.80 $59,307.48 $32,644.42 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 5 5 — — $43,849.27 $46,480.23 $43,849.27 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 5 5 — — $40,772.34 $43,218.68 $40,772.34 2026-09-01
264 APR_DRG Other Nervous System & Related Procedures - Soi : 4 5 5 — — $33,332.01 $35,331.93 $33,332.01 2026-09-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 5 5 — — $34,759.35 $36,844.91 $34,759.35 2026-09-01
265 MS_DRG Aicd Lead Procedures 23 17 — $31,461.00 $15,363.27 $61,516.02 $32,405.37 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 16 — $52,613.00 $40,200.02 $104,194.01 $53,403.15 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 14 — $41,089.00 $36,922.80 $80,942.31 $42,733.33 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 16 — $58,929.00 $12,932.45 $116,936.89 $59,813.61 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 16 — $36,559.00 $7,327.58 $71,802.13 $37,107.99 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 14 — $45,433.00 $40,815.60 $89,706.76 $47,251.00 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 16 — $35,736.00 $32,125.50 $70,141.05 $37,165.79 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 5 5 — — $39,553.60 $41,926.82 $39,553.60 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 16 — $61,057.00 $40,488.16 $121,229.85 $62,889.11 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 21 16 — $51,587.00 $31,105.90 $102,123.19 $51,587.59 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 17 — $39,890.00 $9,693.85 $78,522.95 $40,489.00 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 17 — $47,876.00 $6,441.28 $94,635.59 $47,876.52 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 23 17 — $51,601.00 $13,400.06 $102,152.10 $51,601.91 2026-09-01
294 APR_DRG Other Percutaneous Intracranial Procedures- Soi : 4 5 5 — — $33,539.92 $35,552.32 $33,539.92 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 17 — $179,828.00 $33,470.42 $360,867.24 $187,600.06 2026-09-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 5 5 — — $34,913.91 $37,008.74 $34,913.91 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 5 5 — — $48,004.75 $50,885.04 $48,004.75 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 5 5 — — $69,171.95 $73,322.27 $69,171.95 2026-09-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures- Soi : 4 5 5 — — $35,850.19 $38,001.20 $35,850.19 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 5 5 — — $35,962.36 $38,120.10 $35,962.36 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 5 5 — — $48,783.04 $51,710.02 $48,783.04 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 17 — $38,727.00 $8,397.88 $76,176.70 $38,727.77 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 5 5 — — $42,126.49 $44,654.08 $42,126.49 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 17 — $38,579.00 $6,088.93 $75,877.47 $39,158.15 2026-09-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 5 5 — — $36,748.17 $38,953.06 $36,748.17 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 17 — $37,437.00 $7,950.85 $73,573.72 $38,935.17 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 16 — $42,999.00 $32,967.60 $84,794.93 $44,719.17 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 16 — $39,705.00 $35,324.04 $78,148.91 $41,293.46 2026-09-01
332 MS_DRG Rectal Resection With Mcc 23 17 — $31,482.00 $6,627.36 $61,558.53 $32,427.06 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 17 — $33,589.00 $11,959.85 $65,808.98 $34,596.91 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 17 — $37,988.00 $7,885.88 $74,685.64 $37,988.75 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 5 5 — — $40,987.09 $43,446.32 $40,987.09 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 17 — $117,692.00 $25,646.19 $235,499.15 $123,577.13 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 17 — $33,509.00 $6,871.80 $65,647.47 $34,514.46 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 5 5 — — $38,795.14 $41,122.85 $38,795.14 2026-09-01
4034 APR_DRG Procedures For Obesity - Soi : 4 5 5 — — $34,314.80 $36,373.69 $34,314.80 2026-09-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures - Soi : 4 5 5 — — $34,411.23 $36,475.90 $34,411.23 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 17 — $47,070.00 $11,935.63 $93,008.51 $49,423.59 2026-09-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders - Soi : 4 5 5 — — $34,827.74 $36,917.40 $34,827.74 2026-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 17 — $31,018.00 $17,161.32 $62,308.50 $32,569.19 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 5 5 — — $41,383.76 $43,866.79 $41,383.76 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 5 5 — — $59,815.29 $63,404.21 $59,815.29 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 17 — $35,968.00 $17,447.60 $70,608.60 $37,766.46 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 5 5 — — $93,602.11 $99,218.24 $93,602.11 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 5 5 — — $135,738.86 $143,883.19 $135,738.86 2026-09-01
4401 APR_DRG Kidney Transplant - Soi : 1 5 5 — — $36,904.11 $39,118.36 $36,904.11 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 5 5 — — $39,434.60 $41,800.68 $39,434.60 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 5 5 — — $46,273.76 $49,050.19 $46,273.76 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 5 5 — — $68,061.27 $72,144.95 $68,061.27 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 5 5 — — $38,261.68 $40,557.38 $38,261.68 2026-09-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy - Soi : 4 5 5 — — $32,556.45 $34,509.84 $32,556.45 2026-09-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures - Soi : 4 5 5 — — $32,659.04 $34,618.58 $32,659.04 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 15 — $36,707.00 $32,996.20 $72,101.36 $38,176.23 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 3 — — $4,795.17 $113,072.22 $86,570.73 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 3 — — $9,759.91 $76,022.95 $47,389.71 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 3 3 — — $4,821.60 $60,350.20 $34,494.54 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 17 — $71,784.00 $23,916.41 $142,873.18 $73,937.97 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 17 — $51,221.00 $17,955.20 $101,383.61 $52,757.66 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 17 — $36,133.00 $32,481.20 $70,941.84 $38,011.34 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $19,316.12 $76,585.71 $39,614.40 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 17 — $47,512.00 $10,385.32 $93,901.11 $49,888.11 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 17 — $48,999.00 $7,894.69 $96,901.93 $50,469.77 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 17 — $44,836.00 $5,856.61 $88,501.33 $47,078.01 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 17 — $41,661.00 $32,408.39 $82,096.74 $42,911.77 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 16 — $37,146.00 $33,389.60 $72,987.16 $38,632.82 2026-09-01
4844 APR_DRG Other Male Reproductive System & Related Procedures - Soi : 4 5 5 — — $33,537.19 $35,549.42 $33,537.19 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 17 — $31,911.00 $28,697.90 $62,423.92 $33,507.08 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 17 — $31,524.00 $23,896.10 $141,318.32 $32,470.46 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 17 — $87,854.00 $17,177.84 $175,297.37 $90,490.43 2026-09-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy - Soi : 4 5 5 — — $37,025.16 $39,246.67 $37,025.16 2026-09-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig - Soi : 4 5 5 — — $35,420.69 $37,545.93 $35,420.69 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 16 — $32,465.00 $27,902.11 $63,540.94 $33,763.72 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 5 5 — — $45,758.77 $48,504.30 $45,758.77 2026-09-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 5 5 — — $68,625.50 $72,743.03 $68,625.50 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 5 5 — — $94,560.96 $100,234.62 $94,560.96 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 16 — $56,178.00 $50,444.30 $111,385.79 $58,425.52 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 16 — $42,272.00 $37,983.10 $83,329.37 $45,443.29 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 5 5 — — $165,628.04 $175,565.72 $165,628.04 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 5 5 — — $184,518.49 $195,589.60 $184,518.49 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 5 5 — — $240,315.77 $254,734.72 $240,315.77 2026-09-01
5834 APR_DRG Neonate W Ecmo - Soi : 4 5 5 — — $421,952.92 $447,270.10 $421,952.92 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 5 5 — — $126,418.45 $134,003.56 $126,418.45 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 5 5 — — $147,487.85 $156,337.12 $147,487.85 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 5 5 — — $172,119.77 $182,446.96 $172,119.77 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 5 5 — — $258,438.18 $273,944.47 $258,438.18 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 5 — — $120,467.70 $127,695.76 $120,467.70 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 5 — — $120,467.70 $127,695.76 $120,467.70 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 5 — — $120,467.70 $127,695.76 $120,467.70 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 5 5 — — $109,624.90 $116,202.39 $109,624.90 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 5 5 — — $127,810.91 $135,479.56 $127,810.91 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 5 5 — — $169,470.97 $179,639.23 $169,470.97 2026-09-01
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 5 5 — — $66,719.43 $70,722.60 $66,719.43 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 5 5 — — $87,669.14 $92,929.29 $87,669.14 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 5 5 — — $108,996.38 $115,536.16 $108,996.38 2026-09-01
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 5 5 — — $148,997.94 $157,937.82 $148,997.94 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 23 17 — $40,046.00 $6,979.70 $78,837.49 $42,048.86 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 5 5 — — $46,389.34 $49,172.70 $46,389.34 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 5 5 — — $62,273.29 $66,009.69 $62,273.29 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 5 5 — — $77,933.60 $82,609.62 $77,933.60 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 5 5 — — $112,244.98 $118,979.68 $112,244.98 2026-09-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 5 5 — — $37,930.67 $40,206.51 $37,930.67 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 5 5 — — $46,487.82 $49,277.09 $46,487.82 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 5 5 — — $82,097.28 $87,023.12 $82,097.28 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 5 5 — — $44,431.29 $47,097.17 $44,431.29 2026-09-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 5 5 — — $59,488.38 $63,057.68 $59,488.38 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 5 5 — — $86,765.69 $91,971.63 $86,765.69 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 5 5 — — $42,718.76 $45,281.89 $42,718.76 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 5 5 — — $49,488.16 $52,457.45 $49,488.16 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 5 5 — — $32,738.38 $34,702.68 $32,738.38 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 5 5 — — $40,756.61 $43,202.01 $40,756.61 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 5 5 — — $62,461.36 $66,209.04 $62,461.36 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 5 5 — — $180,060.72 $190,864.36 $180,060.72 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 5 5 — — $40,509.71 $42,940.29 $40,509.71 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 5 5 — — $38,485.32 $40,794.44 $38,485.32 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 5 5 — — $72,164.08 $76,493.92 $72,164.08 2026-09-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 5 5 — — $39,365.52 $41,727.45 $39,365.52 2026-09-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 5 5 — — $56,846.41 $60,257.19 $56,846.41 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 5 5 — — $38,637.15 $40,955.38 $38,637.15 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 5 5 — — $71,500.68 $75,790.72 $71,500.68 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 5 5 — — $47,707.93 $50,570.41 $47,707.93 2026-09-01
62 APR_DRG Pancreas Transplant - Soi : 2 5 5 — — $58,322.30 $61,821.64 $58,322.30 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 5 5 — — $55,748.04 $59,092.92 $55,748.04 2026-09-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 16 — $30,964.00 $27,849.20 $60,512.91 $32,746.69 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 5 5 — — $36,863.76 $39,075.59 $36,863.76 2026-09-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 5 5 — — $39,823.74 $42,213.16 $39,823.74 2026-09-01
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 5 5 — — $49,416.35 $52,381.33 $49,416.35 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 16 — $32,376.00 $29,114.80 $63,362.42 $34,302.49 2026-09-01
63 APR_DRG Pancreas Transplant - Soi : 3 5 5 — — $67,650.24 $71,709.25 $67,650.24 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 5 5 — — $39,456.48 $41,823.87 $39,456.48 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 5 5 — — $86,576.24 $91,770.81 $86,576.24 2026-09-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 5 5 — — $157,061.99 $166,485.71 $157,061.99 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 5 5 — — $50,901.82 $53,955.93 $50,901.82 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 5 5 — — $173,186.00 $183,577.16 $173,186.00 2026-09-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 5 5 — — $56,697.32 $60,099.16 $56,697.32 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 5 5 — — $34,390.72 $36,454.16 $34,390.72 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 5 5 — — $87,782.67 $93,049.63 $87,782.67 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 16 — $40,589.00 $16,598.36 $79,932.40 $40,589.20 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 16 — $32,199.00 $28,956.20 $144,577.00 $33,809.67 2026-09-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs - Soi : 4 5 5 — — $36,236.61 $38,410.81 $36,236.61 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 22 16 — $44,760.00 $39,027.70 $88,348.31 $46,387.23 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 16 — $36,377.00 $28,972.38 $71,434.89 $36,923.25 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 5 5 — — $50,447.70 $53,474.56 $50,447.70 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 5 5 — — $42,205.82 $44,738.17 $42,205.82 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 5 5 — — $45,094.00 $47,799.64 $45,094.00 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 5 5 — — $41,503.44 $43,993.65 $41,503.44 2026-09-01
7 MS_DRG Lung Transplant 23 17 — $110,098.00 $27,532.33 $220,177.10 $113,401.41 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 5 5 — — $56,200.80 $59,572.85 $56,200.80 2026-09-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure - Soi : 4 5 5 — — $34,634.19 $36,712.24 $34,634.19 2026-09-01
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure - Soi : 4 5 5 — — $33,766.30 $35,792.28 $33,766.30 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 5 5 — — $63,665.74 $67,485.68 $63,665.74 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 5 5 — — $90,408.22 $95,832.71 $90,408.22 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 16 — $31,093.00 $27,964.70 $60,773.04 $33,080.00 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 16 — $31,163.00 $28,027.40 $60,914.16 $32,409.75 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 5 5 — — $142,148.52 $150,677.43 $142,148.52 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 5 5 — — $42,734.49 $45,298.56 $42,734.49 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 16 — $51,055.00 $5,414.99 $101,050.38 $51,055.87 2026-09-01
791 MS_DRG Prematurity With Major Problems 21 16 — $35,175.00 $2,348.67 $69,010.43 $35,175.96 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 5 5 — — $36,614.81 $38,811.70 $36,614.81 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 21 16 — $36,107.00 $32,458.50 $70,890.83 $37,191.18 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 22 16 — $39,135.00 $35,171.70 $76,999.59 $40,701.04 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 17 — $48,200.00 $10,113.36 $95,288.46 $49,646.10 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 16 — $34,544.00 $31,057.70 $67,736.99 $37,135.67 2026-09-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 2 5 5 — — $34,926.91 $37,022.52 $34,926.91 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 16 — $50,392.00 $45,259.50 $99,712.33 $52,310.29 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 16 — $39,606.00 $35,593.80 $77,949.99 $41,190.93 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 16 — $40,390.00 $36,296.10 $79,531.16 $42,155.01 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 5 5 — — $44,499.68 $47,169.66 $44,499.68 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 22 16 — $47,233.00 $42,428.50 $97,287.30 $50,776.09 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 16 — $41,456.00 $35,923.63 $81,681.89 $43,114.56 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 5 5 — — $63,223.25 $67,016.65 $63,223.25 2026-09-01
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 1 5 5 — — $34,151.35 $36,200.43 $34,151.35 2026-09-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 2 5 5 — — $34,151.35 $36,200.43 $34,151.35 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 5 5 — — $52,120.55 $55,247.78 $52,120.55 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 5 5 — — $160,266.82 $169,882.83 $160,266.82 2026-09-01
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 3 5 5 — — $36,242.76 $38,417.33 $36,242.76 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 5 5 — — $89,726.36 $95,109.94 $89,726.36 2026-09-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 5 5 — — $47,063.00 $49,886.78 $47,063.00 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 16 — $42,587.00 $38,265.50 $83,965.24 $44,291.51 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 16 — $39,302.00 $24,640.07 $77,336.22 $39,910.61 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 5 5 — — $36,105.29 $38,271.61 $36,105.29 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 5 5 — — $70,579.45 $74,814.22 $70,579.45 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 16 — $59,215.00 $53,165.80 $117,513.25 $61,583.94 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 16 — $33,540.00 $28,651.61 $65,710.37 $34,881.97 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 5 5 — — $41,032.91 $43,494.88 $41,032.91 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 16 — $36,335.00 $32,662.40 $71,349.88 $37,788.88 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Ccmcc 22 16 — $31,924.00 $27,210.87 $70,799.40 $33,201.10 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 16 — $33,324.00 $29,143.24 $65,275.13 $33,824.51 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 5 5 — — $43,627.00 $46,244.62 $43,627.00 2026-09-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 3 5 5 — — $33,502.99 $35,513.17 $33,502.99 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 5 5 — — $51,900.33 $55,014.35 $51,900.33 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 5 5 — — $49,365.06 $52,326.96 $49,365.06 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 5 5 — — $45,898.97 $48,652.91 $45,898.97 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 5 5 — — $47,797.52 $50,665.37 $47,797.52 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 5 5 — — $59,577.29 $63,151.93 $59,577.29 2026-09-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures - Soi : 4 5 5 — — $39,114.52 $41,461.39 $39,114.52 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 16 — $180,884.00 $162,197.00 $362,997.57 $194,450.66 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 22 16 — $61,413.00 $36,754.30 $121,949.03 $62,335.04 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 5 5 — — $118,703.88 $125,826.11 $118,703.88 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 16 — $33,787.00 $26,139.06 $66,208.53 $35,032.53 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 16 — $31,548.00 $27,719.59 $61,691.14 $32,810.25 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 5 5 — — $176,626.09 $187,223.66 $176,626.09 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 5 5 — — $40,766.18 $43,212.15 $40,766.18 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 16 — $57,692.00 $51,801.30 $114,441.02 $62,019.60 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 16 — $32,681.00 $29,388.10 $75,913.50 $35,132.82 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 16 — $65,182.00 $58,512.90 $129,552.24 $67,789.49 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 16 — $36,481.00 $32,793.00 $71,644.01 $37,940.49 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 16 — $52,554.00 $47,196.40 $104,073.30 $56,495.68 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 16 — $40,508.00 $36,401.80 $79,769.19 $42,128.64 2026-09-01
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