Price Transparencybeta Hospital negotiated rates

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

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Hospital

PUNXSUTAWNEY AREA HOSPITAL

Punxsutawney, PA · CCN 390199 · Rates published

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You selected 93350 (CPT)

ECHOCARDIOGRAPHY,TRANSTHORACIC

This hospital’s price: $232 across 19 payers · range $46-$2,426

Source: https://www.pah.org/download/?id=4490 · observed 2026-07-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,356 distinct procedures filed
20 distinct payers
264,997 rate rows
2026-07-31 last MRF observed
Data quality

250,481 of 264,997 rate rows are consumer-grade (94.5%)

14,516 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
per-diem day rate — not a per-procedure price 8,069
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,844
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 788
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 528
template filing: same amount across many unrelated codes — excluded 108
exceeds 10× this hospital's gross charge — excluded from medians 90
placeholder amount (≤ $0.02) — excluded from medians 71
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.pah.org/download/?id=3446
Found on page https://www.pah.org/about/financial-assistance
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint aad8a8ddec016625… · 828,216 bytes · first seen 2026-07-31

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
8434
APR_DRG 		Extensive Third Degree Burns Without Skin Graft 6 $19,557.95 $4,503,103.53 $3,450,201.06 nat. median
$19,640
outlier · 175.7×
42
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $57,036.95 $3,055,238.66 $2,342,499.90 nat. median
$52,481
outlier · 44.6×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $1,676,051.48 $1,691,599.27 $1,683,825.38 nat. median
$297,577
outlier · 5.7×
5833
APR_DRG 		Neonate With Ecmo 6 $153,011.01 $1,885,402.29 $1,440,110.31 nat. median
$244,017
outlier · 5.9×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 $60,286.61 $1,861,227.24 $1,421,546.68 nat. median
$78,130
outlier · 18.2×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $1,372,514.08 $1,385,246.13 $1,378,880.10 nat. median
$1
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $80,100.97 $1,674,405.82 $1,278,089.52 nat. median
$71,350
outlier · 17.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $280,023.57 $1,925,463.86 $1,226,549.68 nat. median
$359,358
outlier · 3.4×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $77,411.32 $1,296,480.42 $993,565.73 nat. median
$74,757
outlier · 13.3×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $988,435.65 $997,604.81 $993,020.23 nat. median
$39,056
outlier · 25.4×
7
MS_DRG 		Lung Transplant 13 $104,962.72 $1,400,176.74 $914,063.78 nat. median
$117,894
outlier · 7.8×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $83,847.31 $1,071,956.91 $815,478.66 nat. median
$101,541
outlier · 8.0×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $778,512.39 $785,734.21 $782,123.30 nat. median
$214,523
outlier · 3.6×
4054
APR_DRG 		Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 $33,210.04 $1,012,905.30 $773,466.03 nat. median
$40,551
outlier · 19.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $103,325.92 $956,574.27 $726,878.19 nat. median
$162,514
outlier · 4.5×
5831
APR_DRG 		Neonate With Ecmo 6 $131,118.47 $936,547.77 $711,500.16 nat. median
$146,591
outlier · 4.9×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 $68,812.15 $934,744.25 $710,115.27 nat. median
$74,798
outlier · 9.5×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $79,080.22 $868,048.48 $658,900.66 nat. median
$96,883
outlier · 6.8×
3254
APR_DRG 		Non-elective Or Complex Knee Joint Replacement 6 $28,384.54 $843,196.73 $643,041.55 nat. median
$30,648
outlier · 21.0×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 $52,416.48 $845,486.99 $641,576.06 nat. median
$68,031
outlier · 9.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $121,062.73 $779,869.15 $591,189.17 nat. median
$165,000
outlier · 3.6×
294
APR_DRG 		Other Percutaneous Intracranial Procedures 6 $31,982.04 $770,300.55 $586,994.52 nat. median
$32,859
outlier · 17.9×
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $582,633.89 $588,038.66 $585,336.28 nat. median
$6,155
outlier · 95.1×
24
APR_DRG 		Heart And/or Lung Transplant 6 $152,901.39 $771,695.01 $584,912.38 nat. median
$241,915
outlier · 2.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $156,812.76 $760,590.01 $576,385.03 nat. median
$247,214
outlier · 2.3×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $108,018.99 $735,915.21 $557,437.65 nat. median
$175,429
outlier · 3.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $111,377.82 $709,791.49 $546,359.99 nat. median
$163,587
outlier · 3.3×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $535,022.13 $539,985.23 $537,503.68 nat. median
$76
outlier · 7026.2×
634
OTHER 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $483,780.92 $488,268.68 $486,024.80 nat. median
$190
outlier · 2554.4×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $99,375.85 $620,656.44 $468,932.29 nat. median
$151,838
outlier · 3.1×
5004
APR_DRG 		Malignancy, Male Reproductive System 6 $15,531.50 $602,643.70 $457,536.78 nat. median
$15,874
outlier · 28.8×
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $453,398.15 $457,604.07 $455,501.11 nat. median
$61,896
outlier · 7.4×
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $452,684.33 $456,883.63 $454,783.98 nat. median
$60,180
outlier · 7.6×
007
OTHER 		Lung Transplant 1 $451,533.99 $455,722.62 $453,628.30 nat. median
$93,826
outlier · 4.8×
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $434,455.87 $438,486.07 $436,470.97 nat. median
$118,362
outlier · 3.7×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $102,162.12 $578,093.81 $436,249.12 nat. median
$145,061
outlier · 3.0×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $78,214.19 $572,452.38 $431,917.16 nat. median
$89,273
outlier · 4.8×
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 $48,104.47 $552,245.52 $420,786.25 nat. median
$64,490
outlier · 6.5×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $76,578.12 $547,910.84 $418,917.88 nat. median
$81,668
outlier · 5.1×
1613
APR_DRG 		Implantable Heart Assist Systems 6 $124,952.37 $533,633.45 $410,017.55 nat. median
$120,517
outlier · 3.4×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $84,425.30 $535,287.24 $403,378.64 nat. median
$118,589
outlier · 3.4×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $74,141.52 $527,957.64 $397,750.36 nat. median
$88,157
outlier · 4.5×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 $389,562.30 $393,176.05 $391,369.17 nat. median
$269
outlier · 1455.2×
423
OTHER 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $389,084.72 $392,694.04 $390,889.38 nat. median
$38,826
outlier · 10.1×
215
OTHER 		Other Heart Assist System Implant 1 $388,462.85 $392,066.40 $390,264.62 nat. median
$75,009
outlier · 5.2×
3614
APR_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 $39,083.29 $512,253.62 $389,735.86 nat. median
$47,197
outlier · 8.3×
613
OTHER 		Neonate, Birth Weight <750 Grams, Died 1 $382,003.21 $385,546.84 $383,775.03 nat. median
$41,596
outlier · 9.2×
2644
APR_DRG 		Other Hepatobiliary, Pancreas And Abdominal Procedures 6 $32,947.22 $501,138.14 $380,574.61 nat. median
$39,790
outlier · 9.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $58,051.22 $605,550.43 $378,469.02 nat. median
$126,722
outlier · 3.0×
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $374,774.25 $378,250.82 $376,512.54 nat. median
$35,346
outlier · 10.7×

Other procedures at this hospital

Browse this hospital's 9,356 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
             
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 15 6 — — $19,557.95 $4,503,103.53 $3,450,201.06 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 6 — — $57,036.95 $3,055,238.66 $2,342,499.90 2026-07-17
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $1,676,051.48 $1,691,599.27 $1,683,825.38 2026-07-17
5833 APR_DRG Neonate With Ecmo 15 6 — — $153,011.01 $1,885,402.29 $1,440,110.31 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 6 — — $60,286.61 $1,861,227.24 $1,421,546.68 2026-07-17
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 1 — — $1,372,514.08 $1,385,246.13 $1,378,880.10 2026-07-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 15 6 — — $80,100.97 $1,674,405.82 $1,278,089.52 2026-07-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 44 16 — — $280,023.57 $1,925,463.86 $1,226,549.68 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 6 — — $77,411.32 $1,296,480.42 $993,565.73 2026-07-17
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 1 — — $988,435.65 $997,604.81 $993,020.23 2026-07-17
7 MS_DRG Lung Transplant 36 13 — — $104,962.72 $1,400,176.74 $914,063.78 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 6 — — $83,847.31 $1,071,956.91 $815,478.66 2026-07-17
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $778,512.39 $785,734.21 $782,123.30 2026-07-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 15 6 — — $33,210.04 $1,012,905.30 $773,466.03 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 6 — — $103,325.92 $956,574.27 $726,878.19 2026-07-17
5831 APR_DRG Neonate With Ecmo 15 6 — — $131,118.47 $936,547.77 $711,500.16 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 6 — — $68,812.15 $934,744.25 $710,115.27 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $79,080.22 $868,048.48 $658,900.66 2026-07-17
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 15 6 — — $28,384.54 $843,196.73 $643,041.55 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 15 6 — — $52,416.48 $845,486.99 $641,576.06 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 6 — — $121,062.73 $779,869.15 $591,189.17 2026-07-17
294 APR_DRG Other Percutaneous Intracranial Procedures 15 6 — — $31,982.04 $770,300.55 $586,994.52 2026-07-17
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 2 1 — — $582,633.89 $588,038.66 $585,336.28 2026-07-17
24 APR_DRG Heart And/or Lung Transplant 15 6 — — $152,901.39 $771,695.01 $584,912.38 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 6 — — $156,812.76 $760,590.01 $576,385.03 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 6 — — $108,018.99 $735,915.21 $557,437.65 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 6 — — $111,377.82 $709,791.49 $546,359.99 2026-07-17
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 2 1 — — $535,022.13 $539,985.23 $537,503.68 2026-07-17
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 1 — — $483,780.92 $488,268.68 $486,024.80 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 6 — — $99,375.85 $620,656.44 $468,932.29 2026-07-17
5004 APR_DRG Malignancy, Male Reproductive System 15 6 — — $15,531.50 $602,643.70 $457,536.78 2026-07-17
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $453,398.15 $457,604.07 $455,501.11 2026-07-17
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 1 — — $452,684.33 $456,883.63 $454,783.98 2026-07-17
007 OTHER Lung Transplant 2 1 — — $451,533.99 $455,722.62 $453,628.30 2026-07-17
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $434,455.87 $438,486.07 $436,470.97 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 6 — — $102,162.12 $578,093.81 $436,249.12 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 15 6 — — $78,214.19 $572,452.38 $431,917.16 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 6 — — $48,104.47 $552,245.52 $420,786.25 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 6 — — $76,578.12 $547,910.84 $418,917.88 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 15 6 — — $124,952.37 $533,633.45 $410,017.55 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $84,425.30 $535,287.24 $403,378.64 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $74,141.52 $527,957.64 $397,750.36 2026-07-17
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 1 — — $389,562.30 $393,176.05 $391,369.17 2026-07-17
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $389,084.72 $392,694.04 $390,889.38 2026-07-17
215 OTHER Other Heart Assist System Implant 2 1 — — $388,462.85 $392,066.40 $390,264.62 2026-07-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 15 6 — — $39,083.29 $512,253.62 $389,735.86 2026-07-17
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 1 — — $382,003.21 $385,546.84 $383,775.03 2026-07-17
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 15 6 — — $32,947.22 $501,138.14 $380,574.61 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 16 — — $58,051.22 $605,550.43 $378,469.02 2026-07-17
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $374,774.25 $378,250.82 $376,512.54 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 36 13 — — $206,597.03 $569,893.55 $371,704.85 2026-07-17
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $368,075.86 $371,490.29 $369,783.07 2026-07-17
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $367,665.84 $371,076.47 $369,371.16 2026-07-17
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 15 6 — — $26,863.97 $478,504.30 $362,890.84 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 15 6 — — $95,966.34 $475,408.99 $357,399.10 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $35,151.48 $474,312.78 $356,557.34 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 15 6 — — $94,871.83 $469,301.92 $352,709.58 2026-07-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $37,537.04 $466,665.07 $350,684.77 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 6 — — $40,734.53 $465,002.60 $349,408.20 2026-07-17
5832 APR_DRG Neonate With Ecmo 15 6 — — $140,616.21 $464,352.00 $348,908.62 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 6 — — $83,399.02 $463,604.86 $348,334.90 2026-07-17
74 APR_DRG Allogeneic Bone Marrow Transplant 15 6 — — $125,176.90 $453,201.85 $340,346.59 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $54,850.30 $438,850.74 $329,326.61 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $59,380.78 $437,729.29 $328,465.47 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 6 — — $92,801.72 $421,860.44 $324,425.50 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 6 — — $71,205.20 $424,384.38 $318,218.12 2026-07-17
974 OTHER HIV With Major Related Condition With Mcc 2 1 — — $316,460.64 $319,396.27 $317,928.46 2026-07-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 15 6 — — $214,856.05 $368,579.94 $314,886.71 2026-07-17
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 15 6 — — $21,771.99 $414,354.26 $313,267.22 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 6 — — $125,529.94 $416,030.26 $311,803.13 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 13 — — $88,505.27 $471,044.96 $307,776.99 2026-07-17
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 15 6 — — $23,926.04 $392,383.93 $296,524.00 2026-07-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 15 6 — — $37,726.17 $388,755.46 $294,980.83 2026-07-17
4404 APR_DRG Kidney Transplant 15 6 — — $64,899.91 $393,275.55 $294,330.15 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 15 6 — — $211,672.86 $335,887.07 $291,591.87 2026-07-17
544 APR_DRG Migraine And Other Headaches 15 6 — — $11,563.91 $386,234.51 $291,079.67 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 15 6 — — $60,708.55 $388,691.08 $290,809.82 2026-07-17
464 APR_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction 15 6 — — $16,400.24 $379,080.38 $285,836.10 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $54,205.97 $379,787.79 $283,973.12 2026-07-17
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $281,671.58 $284,284.49 $282,978.04 2026-07-17
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $281,088.39 $283,695.89 $282,392.14 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 16 — — $25,654.37 $451,511.50 $282,194.69 2026-07-17
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 6 — — $19,107.97 $375,400.58 $280,604.25 2026-07-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 15 6 — — $61,966.55 $373,733.03 $279,323.76 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 6 — — $46,517.14 $367,338.46 $278,714.33 2026-07-17
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 — — $275,761.34 $278,319.42 $277,040.38 2026-07-17
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 2 1 — — $275,317.08 $277,871.04 $276,594.06 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 6 — — $65,959.00 $360,383.75 $274,554.25 2026-07-17
63 APR_DRG Pancreas Transplant 15 6 — — $64,507.97 $365,724.92 $273,174.46 2026-07-17
4414 APR_DRG Major Bladder Procedures 15 6 — — $36,484.48 $354,154.67 $267,893.43 2026-07-17
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 6 — — $36,168.84 $357,044.53 $266,508.94 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 6 — — $75,529.75 $355,537.06 $265,351.37 2026-07-17
913 APR_DRG Other Major Head And Neck Procedures 15 6 — — $29,696.26 $351,462.30 $265,321.03 2026-07-17
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 1 — — $262,823.95 $265,262.02 $264,042.98 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 16 — — $88,954.81 $422,423.41 $264,014.63 2026-07-17
64 APR_DRG Pancreas Transplant 15 6 — — $74,121.81 $348,453.51 $259,912.03 2026-07-17
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 6 — — $33,304.60 $346,102.54 $258,106.75 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 15 6 — — $102,259.15 $336,017.61 $250,362.70 2026-07-17
052 OTHER Spinal Disorders And Injuries With Cc/mcc 2 1 — — $247,267.38 $249,561.14 $248,414.26 2026-07-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 15 6 — — $39,126.98 $323,477.21 $244,316.72 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 6 — — $39,836.52 $323,097.06 $243,964.65 2026-07-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 6 — — $43,426.60 $320,539.03 $242,235.91 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 36 13 — — $38,464.05 $364,250.06 $238,316.16 2026-07-17
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 — — $236,652.25 $238,847.54 $237,749.90 2026-07-17
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 15 6 — — $30,724.70 $310,794.28 $230,994.10 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 36 13 — — $43,700.47 $352,586.58 $230,671.08 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 16 — — $89,479.95 $314,559.73 $228,853.66 2026-07-17
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 15 6 — — $30,144.94 $298,067.54 $224,412.80 2026-07-17
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — — $221,747.30 $223,804.33 $222,775.82 2026-07-17
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 15 6 — — $26,827.45 $294,934.97 $221,901.38 2026-07-17
595 OTHER Major Skin Disorders With Mcc 2 1 — — $219,830.88 $221,870.13 $220,850.51 2026-07-17
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 6 — — $11,281.53 $293,718.72 $217,882.06 2026-07-17
5834 APR_DRG Neonate With Ecmo 7 5 — — $181,524.34 $238,373.73 $216,703.39 2026-07-17
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 15 6 — — $21,269.22 $287,650.59 $215,889.25 2026-07-17
12 APR_DRG Liver Transplant And/or Intestinal Transplant 15 6 — — $50,364.82 $290,815.94 $215,653.06 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 15 6 — — $49,635.71 $281,600.87 $212,720.29 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 6 — — $172,668.06 $249,515.53 $212,631.27 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 6 — — $40,245.42 $280,535.94 $211,891.43 2026-07-17
904 OTHER Skin Grafts For Injuries With Cc/mcc 2 1 — — $210,507.21 $212,459.97 $211,483.59 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $42,367.51 $283,710.21 $210,196.68 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 16 — — $26,967.83 $332,151.70 $207,594.81 2026-07-17
6363 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 15 6 — — $18,393.86 $279,116.01 $206,668.88 2026-07-17
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $204,039.96 $205,932.73 $204,986.35 2026-07-17
570 MS_DRG Skin Debridement With Mcc 46 16 — — $12,326.15 $326,823.57 $204,264.73 2026-07-17
411 OTHER Cholecystectomy With C.d.e. With Mcc 2 1 — — $201,826.04 $203,698.26 $202,762.15 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 6 — — $44,328.52 $273,033.22 $201,997.99 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 16 — — $27,943.91 $321,835.76 $201,147.35 2026-07-17
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 15 6 — — $25,497.72 $267,052.04 $200,230.93 2026-07-17
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $199,012.04 $200,858.17 $199,935.11 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 6 — — $140,211.62 $230,089.60 $199,180.83 2026-07-17
6131 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 6 — — $13,908.38 $268,528.94 $198,539.23 2026-07-17
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $196,469.54 $198,292.08 $197,380.81 2026-07-17
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $194,989.72 $196,798.53 $195,894.12 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 6 — — $164,727.91 $215,900.98 $192,950.38 2026-07-17
651 OTHER Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 2 1 — — $191,526.54 $193,303.22 $192,414.88 2026-07-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 6 — — $62,776.11 $260,113.16 $192,076.90 2026-07-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 6 — — $85,351.30 $259,356.89 $191,496.16 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 6 — — $66,279.21 $247,587.24 $187,744.17 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 36 13 — — $85,525.91 $285,409.09 $186,668.17 2026-07-17
4454 APR_DRG Other Bladder Procedures 15 6 — — $22,565.01 $248,442.57 $185,956.28 2026-07-17
734 APR_DRG Orbit And Eye Procedures 15 6 — — $27,072.53 $247,269.77 $185,149.61 2026-07-17
288 OTHER Acute And Subacute Endocarditis With Mcc 2 1 — — $179,148.72 $180,810.59 $179,979.65 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 6 — — $47,287.32 $238,802.89 $179,643.11 2026-07-17
1104 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 15 6 — — $17,679.76 $240,123.10 $179,202.47 2026-07-17
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $176,867.96 $178,508.67 $177,688.32 2026-07-17
4804 APR_DRG Major Male Pelvic Procedures 9 6 — — $145,110.89 $194,863.27 $177,148.43 2026-07-17
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 — — $175,854.95 $177,486.26 $176,670.61 2026-07-17
862 OTHER Postoperative And Post-traumatic Infections With Mcc 2 1 — — $174,404.27 $176,022.12 $175,213.20 2026-07-17
228 OTHER Other Cardiothoracic Procedures With Mcc 2 1 — — $174,109.54 $175,724.66 $174,917.10 2026-07-17
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $172,512.37 $174,112.67 $173,312.52 2026-07-17
2294 APR_DRG Other Digestive System And Abdominal Procedures 15 6 — — $30,698.31 $230,504.42 $172,454.01 2026-07-17
62 APR_DRG Pancreas Transplant 15 6 — — $55,613.31 $234,251.69 $172,218.28 2026-07-17
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $171,118.14 $172,705.51 $171,911.83 2026-07-17
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 1 — — $170,928.76 $172,514.37 $171,721.57 2026-07-17
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 2 1 — — $170,577.57 $172,159.92 $171,368.74 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 6 — — $72,029.28 $233,045.57 $171,292.12 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 46 16 — — $20,134.82 $269,645.71 $168,528.57 2026-07-17
293 APR_DRG Other Percutaneous Intracranial Procedures 15 6 — — $20,314.44 $225,551.45 $168,129.32 2026-07-17
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $166,878.77 $168,426.81 $167,652.79 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 46 16 — — $18,783.22 $263,470.83 $164,669.27 2026-07-17
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 2 1 — — $163,876.85 $165,397.04 $164,636.95 2026-07-17
013 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 1 — — $162,768.23 $164,278.14 $163,523.18 2026-07-17
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $161,493.32 $162,991.40 $162,242.36 2026-07-17
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $18,320.17 $220,976.91 $162,024.80 2026-07-17
840 OTHER Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $160,274.78 $161,761.56 $161,018.17 2026-07-17
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $158,812.97 $160,286.19 $159,549.58 2026-07-17
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — — $156,119.84 $157,568.08 $156,843.96 2026-07-17
098 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 — — $155,331.50 $156,772.42 $156,051.96 2026-07-17
078 OTHER Hypertensive Encephalopathy With Cc 2 1 — — $155,323.90 $156,764.76 $156,044.33 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 46 16 — — $21,778.11 $247,099.12 $154,436.95 2026-07-17
028 OTHER Spinal Procedures With Mcc 2 1 — — $151,829.29 $153,237.73 $152,533.51 2026-07-17
438 OTHER Disorders Of Pancreas Except Malignancy With Mcc 2 1 — — $150,795.98 $152,194.83 $151,495.40 2026-07-17
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $150,034.42 $151,426.21 $150,730.32 2026-07-17
1824 APR_DRG Other Peripheral Vascular And Related Procedures 15 6 — — $29,487.57 $201,183.68 $150,148.75 2026-07-17
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $149,259.07 $150,643.66 $149,951.36 2026-07-17
1781 APR_DRG External Heart Assist Systems 15 6 — — $32,609.41 $199,455.08 $148,830.55 2026-07-17
629 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $147,617.03 $148,986.40 $148,301.71 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 6 — — $47,189.50 $202,364.32 $147,732.49 2026-07-17
799 OTHER Splenic Procedures Age >17 With Mcc 2 1 — — $146,518.26 $147,877.42 $147,197.84 2026-07-17
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $145,887.20 $147,240.51 $146,563.86 2026-07-17
314 OTHER Other Circulatory System Diagnoses With Mcc 2 1 — — $144,688.48 $146,030.67 $145,359.58 2026-07-17
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $26,286.82 $199,065.97 $145,199.73 2026-07-17
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 1 — — $143,736.87 $145,070.24 $144,403.55 2026-07-17
8943 APR_DRG HIV With One Significant HIV Condition Or Without Significant Related Conditions 15 6 — — $8,967.05 $194,598.93 $143,735.49 2026-07-17
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $142,576.73 $143,899.34 $143,238.04 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 16 — — $32,978.14 $223,247.26 $139,529.54 2026-07-17
6904 APR_DRG Acute Leukemia 15 6 — — $43,001.48 $185,504.64 $138,894.00 2026-07-17
006 OTHER Liver Transplant Without Mcc 2 1 — — $138,172.80 $139,454.55 $138,813.67 2026-07-17
067 OTHER Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc 2 1 — — $137,800.90 $139,079.20 $138,440.05 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 6 — — $73,763.27 $189,140.12 $137,577.83 2026-07-17
9111 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 15 6 — — $14,285.39 $186,230.32 $137,555.34 2026-07-17
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 6 — — $18,143.44 $188,093.68 $136,774.29 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 47 16 — — $20,237.08 $217,860.06 $136,162.54 2026-07-17
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 2 1 — — $135,185.14 $136,439.18 $135,812.16 2026-07-17
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 15 6 — — $32,812.88 $182,277.38 $135,712.01 2026-07-17
608 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 2 1 — — $134,807.69 $136,058.22 $135,432.96 2026-07-17
10 MS_DRG Pancreas Transplant 36 13 — — $45,364.97 $206,418.64 $135,228.62 2026-07-17
229 OTHER Other Cardiothoracic Procedures Without Mcc 2 1 — — $133,978.25 $135,221.09 $134,599.67 2026-07-17
250 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 1 — — $133,845.06 $135,086.67 $134,465.86 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 46 16 — — $20,902.19 $212,796.67 $132,997.92 2026-07-17
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 15 6 — — $28,560.21 $182,582.14 $132,542.07 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 6 — — $83,179.12 $155,235.07 $131,660.89 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 16 — — $23,146.89 $209,333.68 $130,833.55 2026-07-17
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 15 6 — — $31,044.25 $174,979.41 $129,894.24 2026-07-17
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $129,180.02 $130,378.35 $129,779.18 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 6 — — $86,265.49 $150,838.17 $129,405.46 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 16 — — $22,186.32 $205,843.12 $128,651.95 2026-07-17
3233 APR_DRG Non-elective Or Complex Hip Joint Replacement 15 6 — — $17,056.96 $173,282.51 $127,834.88 2026-07-17
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 6 — — $24,713.19 $172,528.98 $127,607.01 2026-07-17
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $125,854.54 $127,022.03 $126,438.29 2026-07-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 15 6 — — $83,475.79 $146,957.88 $125,541.29 2026-07-17
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 15 6 — — $19,107.97 $169,611.40 $125,070.81 2026-07-17
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $122,329.93 $123,464.71 $122,897.32 2026-07-17
6111 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 6 — — $11,826.07 $169,967.26 $122,855.30 2026-07-17
026 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Cc 2 1 — — $121,502.99 $122,630.10 $122,066.55 2026-07-17
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $121,149.99 $122,273.83 $121,711.91 2026-07-17
215 MS_DRG Other Heart Assist System Implant 46 16 — — $41,729.79 $193,749.02 $121,093.14 2026-07-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 46 16 — — $13,316.48 $193,336.11 $120,835.07 2026-07-17
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 6 — — $28,141.53 $167,165.65 $120,703.99 2026-07-17
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $120,048.38 $121,162.00 $120,605.19 2026-07-17
265 OTHER Aicd Lead Procedures 2 1 — — $119,740.74 $120,851.50 $120,296.12 2026-07-17
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 15 6 — — $18,558.86 $161,779.41 $119,243.41 2026-07-17
6903 APR_DRG Acute Leukemia 15 6 — — $30,498.36 $160,900.12 $118,916.44 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 38 16 — — $58,518.73 $273,655.62 $118,673.88 2026-07-17
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 15 6 — — $77,609.65 $138,266.98 $118,026.92 2026-07-17
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $115,675.81 $116,748.87 $116,212.34 2026-07-17
803 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 1 — — $115,674.57 $116,747.62 $116,211.10 2026-07-17
234 APR_DRG Spinal Procedures 15 6 — — $76,289.46 $134,403.56 $115,241.66 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 16 — — $35,218.65 $183,955.12 $114,971.95 2026-07-17
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — — $114,273.94 $115,333.99 $114,803.96 2026-07-17
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 2 1 — — $113,441.17 $114,493.50 $113,967.33 2026-07-17
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 15 6 — — $26,876.36 $153,864.36 $113,625.82 2026-07-17
459 OTHER Spinal Fusion Except Cervical With Mcc 2 1 — — $113,037.49 $114,086.08 $113,561.79 2026-07-17
164 OTHER Major Chest Procedures With Cc 2 1 — — $112,424.51 $113,467.41 $112,945.96 2026-07-17
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — — $112,323.27 $113,365.23 $112,844.25 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 15 6 — — $74,335.96 $131,471.90 $112,832.79 2026-07-17
1793 APR_DRG Defibrillator Implants 15 6 — — $34,912.80 $152,572.40 $112,787.63 2026-07-17
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 15 6 — — $22,887.82 $152,335.84 $112,004.44 2026-07-17
654 OTHER Major Bladder Procedures With Cc 2 1 — — $111,401.47 $112,434.88 $111,918.18 2026-07-17
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 1 — — $111,386.18 $112,419.44 $111,902.81 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 16 — — $17,877.55 $178,158.51 $111,349.07 2026-07-17
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 6 — — $22,915.86 $149,374.83 $110,102.31 2026-07-17
1782 APR_DRG External Heart Assist Systems 15 6 — — $36,232.75 $148,179.99 $109,778.92 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 16 — — $35,329.71 $175,518.93 $109,699.33 2026-07-17
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 15 6 — — $27,378.52 $148,203.65 $109,100.52 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 6 — — $66,903.32 $128,864.80 $109,013.46 2026-07-17
650 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 2 1 — — $108,289.89 $109,294.44 $108,792.17 2026-07-17
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $107,518.64 $108,516.03 $108,017.33 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 16 — — $40,447.76 $172,800.61 $108,000.38 2026-07-17
058 OTHER Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 1 — — $107,381.54 $108,377.66 $107,879.60 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 6 — — $57,017.39 $144,560.71 $107,857.82 2026-07-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 5 — — $90,946.16 $183,364.69 $107,815.81 2026-07-17
5143 APR_DRG Female Reproductive System Reconstructive Procedures 15 6 — — $14,387.06 $147,096.98 $107,567.89 2026-07-17
163 OTHER Major Chest Procedures With Mcc 2 1 — — $106,411.48 $107,398.60 $106,905.04 2026-07-17
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 15 6 — — $25,087.42 $144,402.42 $106,186.91 2026-07-17
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $105,202.33 $106,178.23 $105,690.28 2026-07-17
J2326 HCPCS Spinraza 12mg/5ml 70 16 $375,000.00 $135,000.00 64% off $784.94 $815,533.48 $105,600.00 2026-07-17
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 15 6 — — $68,620.48 $124,011.26 $105,376.46 2026-07-17
977 OTHER HIV With Or Without Other Related Condition 2 1 — — $104,681.24 $105,652.31 $105,166.77 2026-07-17
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $104,460.61 $105,429.63 $104,945.12 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 15 6 — — $91,743.67 $110,264.57 $104,923.55 2026-07-17
2324 APR_DRG Gastric Fundoplication 15 6 — — $65,744.76 $119,040.98 $104,556.84 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 15 6 — — $94,993.98 $126,359.34 $104,493.38 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 16 — — $32,179.76 $167,189.33 $104,493.33 2026-07-17
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 15 6 — — $19,634.25 $141,117.53 $103,115.86 2026-07-17
329 OTHER Major Small And Large Bowel Procedures With Mcc 2 1 — — $102,453.26 $103,403.66 $102,928.46 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 40 15 — — $14,161.54 $136,280.93 $102,702.63 2026-07-17
4403 APR_DRG Kidney Transplant 15 6 — — $62,313.80 $121,428.79 $102,627.24 2026-07-17
027 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 2 1 — — $102,006.25 $102,952.50 $102,479.38 2026-07-17
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 1 — — $101,917.28 $102,862.71 $102,389.99 2026-07-17
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 15 6 — — $65,395.80 $119,576.07 $101,850.50 2026-07-17
025 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc 2 1 — — $101,077.90 $102,015.54 $101,546.72 2026-07-17
4402 APR_DRG Kidney Transplant 15 6 — — $61,473.96 $120,068.07 $101,458.62 2026-07-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 15 6 — — $61,315.66 $119,811.59 $101,238.35 2026-07-17
6614 APR_DRG Coagulation And Platelet Disorders 15 6 — — $19,852.45 $138,447.47 $101,185.03 2026-07-17
253 OTHER Other Vascular Procedures With Cc 2 1 — — $99,657.97 $100,582.44 $100,120.21 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 15 6 — — $87,135.58 $108,882.93 $99,399.86 2026-07-17
503 OTHER Foot Procedures With Mcc 2 1 — — $98,758.21 $99,674.33 $99,216.27 2026-07-17
264 OTHER Other Circulatory System O.r. Procedures 2 1 — — $98,489.85 $99,403.49 $98,946.67 2026-07-17
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $98,047.29 $98,956.82 $98,502.05 2026-07-17
362 OTHER Cardiac Defibrillator Implant Without Mcc 2 1 — — $97,380.20 $98,283.54 $97,831.87 2026-07-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 15 6 — — $64,082.43 $113,862.86 $97,700.32 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 15 6 — — $39,575.66 $130,866.41 $96,644.99 2026-07-17
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 15 6 — — $62,258.24 $113,227.20 $96,446.61 2026-07-17
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 2 1 — — $95,946.85 $96,836.90 $96,391.88 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 16 — — $23,910.07 $152,645.22 $95,403.26 2026-07-17
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 15 6 — — $61,842.98 $111,755.21 $95,327.69 2026-07-17
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $94,725.51 $95,604.22 $95,164.86 2026-07-17
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 15 6 — — $60,565.15 $110,742.62 $94,956.64 2026-07-17
539 OTHER Osteomyelitis With Mcc 2 1 — — $94,507.51 $95,384.20 $94,945.85 2026-07-17
147 OTHER Ear, Nose, Mouth And Throat Malignancy With Cc 2 1 — — $94,391.03 $95,266.64 $94,828.83 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 15 6 — — $61,264.80 $108,669.85 $94,685.09 2026-07-17
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 6 — — $35,632.12 $133,083.14 $94,532.58 2026-07-17
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 15 6 — — $22,583.27 $129,202.67 $94,247.54 2026-07-17
347 MS_DRG Anal And Stomal Procedures With Mcc 46 16 — — $9,620.86 $150,265.49 $93,977.64 2026-07-17
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 15 6 — — $16,994.35 $131,877.50 $93,606.79 2026-07-17
271 APR_DRG Other Open Craniotomy 15 6 — — $58,799.47 $109,831.11 $93,253.20 2026-07-17
950 OTHER Aftercare Without Cc/mcc 2 1 — — $92,323.05 $93,179.48 $92,751.26 2026-07-17
197 MS_DRG Interstitial Lung Disease With Cc 46 16 — — $3,977.68 $148,023.85 $92,629.67 2026-07-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 46 16 — — $11,053.34 $147,963.26 $92,536.32 2026-07-17
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