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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

ROXBOROUGH MEMORIAL HOSPITAL

Philadelphia, PA · CCN 390304 · Rates published

6,229 distinct procedures filed
28 distinct payers
380,940 rate rows
2026-03-17 last MRF observed
Data quality

380,524 of 380,940 rate rows are consumer-grade (99.9%)

416 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 413
percent-of-charges filed in the dollar field — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://roxboroughmemorial.com/wp-content/uploads/2024/12/454246163_RoxboroughMemorialHospital_standardcharges.json
Found on page https://roxboroughmemorial.com/patients-visitors/financial-assistance/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 4a1394de1d4e05af… · 35,774,656 bytes · first seen 2026-05-09

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 7 $410,450.00 $469,633.73 $443,050.69 nat. median
$309,665
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $10,048.39 $747,948.55 $362,548.55 nat. median
$370,174
1.0× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 7 $267,772.00 $287,641.77 $271,360.16 nat. median
$246,434
1.1× median
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 7 $252,331.63 $279,198.00 $265,903.00 nat. median
$244,017
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $18,307.20 $485,388.52 $257,621.13 nat. median
$265,286
1.0× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 7 $237,136.00 $268,719.14 $253,508.62 nat. median
$234,738
1.1× median
612
OTHER 		UnGrouped 2 $215,371.00 $247,812.00 $231,591.50 nat. median
$2,164
outlier · 107.0×
636
OTHER 		UnGrouped 2 $197,631.00 $227,400.00 $212,515.50 nat. median
$53
outlier · 4046.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $15,844.00 $369,801.76 $207,174.00 nat. median
$206,368
1.0× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 7 $193,744.46 $214,372.00 $204,164.00 nat. median
$156,126
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 7 $189,180.14 $213,386.00 $200,530.95 nat. median
$207,730
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $15,934.00 $367,631.50 $192,441.24 nat. median
$202,986
0.9× median
633
OTHER 		UnGrouped 2 $177,559.00 $204,305.00 $190,932.00 nat. median
$4,769
outlier · 40.0×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 7 $176,061.00 $200,407.64 $189,063.81 nat. median
$162,982
1.2× median
631
OTHER 		UnGrouped 2 $172,973.00 $199,028.00 $186,000.50 nat. median
$5,302
outlier · 35.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 7 $160,655.00 $196,584.90 $185,457.45 nat. median
$164,834
1.1× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 7 $172,848.00 $192,756.07 $181,845.35 nat. median
$122,924
1.5× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 7 $174,152.00 $191,569.36 $180,725.81 nat. median
$182,736
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 7 $168,280.21 $202,287.00 $178,377.02 nat. median
$160,267
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 7 $170,106.00 $188,621.23 $177,944.56 nat. median
$164,279
1.1× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 7 $164,915.14 $205,097.00 $174,810.05 nat. median
$150,721
1.2× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 7 $148,400.00 $184,344.06 $173,909.49 nat. median
$145,122
1.2× median
114
APR_DRG 		UnGrouped 7 $161,772.00 $169,861.00 $161,772.00 nat. median
$117,173
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 7 $149,255.99 $169,538.00 $158,211.35 nat. median
$187,294
0.8× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 7 $156,447.88 $165,834.75 $157,731.00 nat. median
$151,838
1.0× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 7 $152,814.00 $164,154.03 $154,862.29 nat. median
$145,336
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 7 $137,507.00 $157,020.07 $148,132.14 nat. median
$119,796
1.2× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 7 $141,108.29 $150,773.00 $143,594.00 nat. median
$129,535
1.1× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 7 $142,525.84 $151,077.39 $142,610.00 nat. median
$105,658
1.3× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 7 $133,151.00 $146,376.23 $138,090.78 nat. median
$93,528
1.5× median
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 7 $126,259.00 $142,253.58 $134,201.49 nat. median
$102,636
1.3× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 7 $130,984.00 $140,703.77 $132,739.41 nat. median
$124,573
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $11,035.30 $239,913.45 $127,979.18 nat. median
$133,176
1.0× median
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 $104,602.00 $134,080.59 $126,491.12 nat. median
$93,260
1.4× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 $99,353.70 $134,080.59 $126,491.12 nat. median
$69,788
1.8× median
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 $101,517.00 $134,080.59 $126,491.12 nat. median
$89,790
1.4× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 7 $69,236.80 $132,117.46 $124,639.11 nat. median
$79,160
1.6× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 7 $117,128.00 $124,928.70 $117,857.26 nat. median
$118,620
1.0× median
7
MS_DRG 		Lung Transplant 22 $13,337.50 $224,304.20 $117,741.82 nat. median
$122,708
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 7 $108,599.36 $124,497.00 $115,115.32 nat. median
$97,957
1.2× median
5912
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 7 $95,744.40 $122,012.54 $115,106.17 nat. median
$81,294
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $8,470.10 $208,156.28 $114,875.65 nat. median
$117,303
1.0× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 7 $109,393.00 $121,313.00 $114,446.23 nat. median
$108,996
1.1× median
359
MS_DRG 		UnGrouped 3 $8,794.27 $128,138.00 $111,363.00 nat. median
$32,088
outlier · 3.5×
1612
APR_DRG 		Implantable Heart Assist Systems- Soi : 2 7 $108,996.48 $115,899.00 $110,380.00 nat. median
$85,406
1.3× median
681
OTHER 		UnGrouped 2 $101,913.00 $117,264.00 $109,588.50 nat. median
$0
1611
APR_DRG 		Implantable Heart Assist Systems- Soi : 1 7 $105,165.00 $115,536.27 $108,996.48 nat. median
$76,806
1.4× median
22
APR_DRG 		Heart &or Lung Transplant - Soi : 2 7 $96,900.60 $110,841.19 $104,567.16 nat. median
$78,029
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $21,302.80 $196,272.67 $104,345.17 nat. median
$108,660
1.0× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 7 $93,020.60 $105,246.38 $99,289.04 nat. median
$68,217
1.5× median

Other procedures at this hospital

Browse this hospital's 6,229 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate W Ecmo - Soi : 4 17 7 — — $410,450.00 $469,633.73 $443,050.69 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 74 22 — $390,655.00 $10,048.39 $747,948.55 $362,548.55 2026-03-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 17 7 — — $267,772.00 $287,641.77 $271,360.16 2026-03-17
5833 APR_DRG Neonate W Ecmo - Soi : 3 17 7 — — $252,331.63 $279,198.00 $265,903.00 2026-03-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 78 22 — $253,813.00 $18,307.20 $485,388.52 $257,621.13 2026-03-17
24 APR_DRG Heart &or Lung Transplant - Soi : 4 17 7 — — $237,136.00 $268,719.14 $253,508.62 2026-03-17
612 OTHER UnGrouped 2 2 — — $215,371.00 $247,812.00 $231,591.50 2024-12-19
636 OTHER UnGrouped 2 2 — — $197,631.00 $227,400.00 $212,515.50 2024-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 75 21 — $193,572.00 $15,844.00 $369,801.76 $207,174.00 2026-03-17
5832 APR_DRG Neonate W Ecmo - Soi : 2 17 7 — — $193,744.46 $214,372.00 $204,164.00 2026-03-17
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 17 7 — — $189,180.14 $213,386.00 $200,530.95 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 78 22 — $192,441.00 $15,934.00 $367,631.50 $192,441.24 2026-03-17
633 OTHER UnGrouped 2 2 — — $177,559.00 $204,305.00 $190,932.00 2024-12-19
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 17 7 — — $176,061.00 $200,407.64 $189,063.81 2026-03-17
631 OTHER UnGrouped 2 2 — — $172,973.00 $199,028.00 $186,000.50 2024-12-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 17 7 — — $160,655.00 $196,584.90 $185,457.45 2026-03-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 17 7 — — $172,848.00 $192,756.07 $181,845.35 2026-03-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 17 7 — — $174,152.00 $191,569.36 $180,725.81 2026-03-17
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 17 7 — — $168,280.21 $202,287.00 $178,377.02 2026-03-17
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 17 7 — — $170,106.00 $188,621.23 $177,944.56 2026-03-17
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 17 7 — — $164,915.14 $205,097.00 $174,810.05 2026-03-17
5831 APR_DRG Neonate W Ecmo - Soi : 1 17 7 — — $148,400.00 $184,344.06 $173,909.49 2026-03-17
114 APR_DRG UnGrouped 7 7 — — $161,772.00 $169,861.00 $161,772.00 2024-12-19
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 17 7 — — $149,255.99 $169,538.00 $158,211.35 2026-03-17
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 17 7 — — $156,447.88 $165,834.75 $157,731.00 2026-03-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 17 7 — — $152,814.00 $164,154.03 $154,862.29 2026-03-17
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 17 7 — — $137,507.00 $157,020.07 $148,132.14 2026-03-17
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 17 7 — — $141,108.29 $150,773.00 $143,594.00 2026-03-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 17 7 — — $142,525.84 $151,077.39 $142,610.00 2026-03-17
23 APR_DRG Heart &or Lung Transplant - Soi : 3 17 7 — — $133,151.00 $146,376.23 $138,090.78 2026-03-17
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 17 7 — — $126,259.00 $142,253.58 $134,201.49 2026-03-17
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 17 7 — — $130,984.00 $140,703.77 $132,739.41 2026-03-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 78 22 — $125,877.00 $11,035.30 $239,913.45 $127,979.18 2026-03-17
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 17 7 — — $101,517.00 $134,080.59 $126,491.12 2026-03-17
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 17 7 — — $104,602.00 $134,080.59 $126,491.12 2026-03-17
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 17 7 — — $99,353.70 $134,080.59 $126,491.12 2026-03-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 17 7 — — $69,236.80 $132,117.46 $124,639.11 2026-03-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 17 7 — — $117,128.00 $124,928.70 $117,857.26 2026-03-17
7 MS_DRG Lung Transplant 78 22 — $117,741.00 $13,337.50 $224,304.20 $117,741.82 2026-03-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 17 7 — — $108,599.36 $124,497.00 $115,115.32 2026-03-17
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 17 7 — — $95,744.40 $122,012.54 $115,106.17 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 78 22 — $109,325.00 $8,470.10 $208,156.28 $114,875.65 2026-03-17
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 17 7 — — $109,393.00 $121,313.00 $114,446.23 2026-03-17
359 MS_DRG UnGrouped 3 3 — — $8,794.27 $128,138.00 $111,363.00 2024-12-19
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 17 7 — — $108,996.48 $115,899.00 $110,380.00 2026-03-17
681 OTHER UnGrouped 2 2 — — $101,913.00 $117,264.00 $109,588.50 2024-12-19
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 17 7 — — $105,165.00 $115,536.27 $108,996.48 2026-03-17
22 APR_DRG Heart &or Lung Transplant - Soi : 2 17 7 — — $96,900.60 $110,841.19 $104,567.16 2026-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 78 22 — $103,132.00 $21,302.80 $196,272.67 $104,345.17 2026-03-17
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 17 7 — — $93,020.60 $105,246.38 $99,289.04 2026-03-17
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 73 22 — $99,000.00 $7,127.56 $188,345.07 $99,000.62 2026-03-17
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 17 7 — — $94,212.70 $103,598.00 $98,665.00 2026-03-17
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 17 7 — — $89,425.80 $104,179.17 $98,282.24 2026-03-17
64 APR_DRG Pancreas Transplant - Soi : 4 17 7 — — $92,171.83 $108,462.00 $97,702.14 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 78 22 — $93,912.00 $14,789.60 $178,583.22 $95,049.10 2026-03-17
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 17 7 — — $78,913.30 $100,624.38 $94,928.66 2026-03-17
113 APR_DRG UnGrouped 7 7 — — $94,345.60 $99,062.80 $94,345.60 2024-12-19
215 MS_DRG Other Heart Assist System Implant 78 22 — $90,721.00 $12,086.48 $172,460.42 $93,327.15 2026-03-17
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 17 7 — — $90,905.08 $97,934.10 $93,270.50 2026-03-17
21 APR_DRG Heart &or Lung Transplant - Soi : 1 17 7 — — $89,114.10 $97,966.27 $92,421.01 2026-03-17
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 17 7 — — $89,597.40 $97,575.78 $92,052.62 2026-03-17
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 17 7 — — $86,202.16 $153,191.00 $91,374.29 2026-03-17
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 17 7 — — $89,764.00 $96,570.24 $91,104.00 2026-03-17
635 OTHER UnGrouped 2 2 — — $84,225.20 $96,911.90 $90,568.55 2024-12-19
426 MS_DRG UnGrouped 25 20 — $116,336.00 $6,562.40 $163,062.00 $89,489.60 2024-12-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 22 — $89,149.00 $23,173.18 $169,443.18 $89,149.32 2026-03-17
224 MS_DRG UnGrouped 3 2 — — $18,631.20 $96,030.90 $86,897.30 2024-12-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 5 — — $4,795.17 $122,693.00 $86,570.73 2026-03-17
634 OTHER UnGrouped 2 2 — — $79,944.10 $91,986.10 $85,965.10 2024-12-19
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 17 7 — — $81,830.30 $87,237.60 $83,083.40 2026-03-17
613 OTHER UnGrouped 2 2 — — $76,387.70 $87,893.90 $82,140.80 2024-12-19
850 MS_DRG UnGrouped 22 17 — $102,492.00 $78,840.70 $143,300.00 $81,600.10 2024-12-19
112 APR_DRG UnGrouped 7 7 — — $81,008.10 $85,058.50 $81,008.10 2024-12-19
226 MS_DRG UnGrouped 3 2 — — $20,747.50 $88,227.40 $79,832.50 2024-12-19
8514 APR_DRG UnGrouped 7 7 — — $77,706.20 $81,591.50 $77,706.20 2024-12-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 17 7 — — $72,983.16 $84,991.40 $77,362.15 2026-03-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 17 7 — — $72,630.57 $89,416.70 $76,988.40 2026-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 78 22 — $76,936.00 $12,414.60 $146,010.25 $76,936.53 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 22 — $76,697.00 $16,940.20 $145,551.26 $76,453.76 2026-03-17
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 17 7 — — $72,752.60 $80,318.65 $75,772.31 2026-03-17
4404 APR_DRG Kidney Transplant - Soi : 4 17 7 — — $71,464.35 $79,425.90 $75,643.80 2026-03-17
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 17 7 — — $73,093.80 $79,580.28 $75,075.74 2026-03-17
8634 APR_DRG Neonatal Aftercare - Soi : 4 17 7 — — $74,108.44 $78,554.95 $74,760.50 2026-03-17
223 MS_DRG UnGrouped 3 2 — — $20,298.70 $82,283.00 $74,450.90 2024-12-19
429 MS_DRG UnGrouped 23 18 — $92,946.00 $10,205.90 $129,745.00 $73,642.20 2024-12-19
63 APR_DRG Pancreas Transplant - Soi : 3 17 7 — — $71,032.77 $77,053.10 $73,383.90 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 22 — $71,871.00 $16,909.40 $137,589.00 $73,313.18 2026-03-17
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 17 7 — — $67,173.60 $77,655.97 $73,260.35 2026-03-17
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 17 7 — — $64,255.20 $76,380.20 $72,056.79 2026-03-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 17 7 — — $66,384.43 $84,030.00 $70,367.50 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 22 — $70,151.00 $10,055.00 $132,992.15 $70,151.75 2026-03-17
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 17 7 — — $19,389.70 $74,258.75 $70,055.42 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 78 22 — $69,852.00 $13,329.50 $132,418.84 $69,852.95 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 75 21 — $69,624.00 $14,857.70 $131,980.63 $69,624.56 2026-03-17
632 OTHER UnGrouped 2 2 — — $64,201.70 $73,872.30 $69,037.00 2024-12-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 74 22 — $65,243.00 $6,523.86 $123,574.98 $68,505.89 2026-03-17
10 MS_DRG Pancreas Transplant 78 22 — $65,614.00 $10,898.20 $124,286.86 $68,399.20 2026-03-17
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 17 7 — — $63,863.14 $70,797.00 $67,425.70 2026-03-17
225 MS_DRG UnGrouped 3 2 — — $24,590.50 $74,089.60 $67,033.10 2024-12-19
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 17 7 — — $63,280.00 $70,859.99 $66,849.05 2026-03-17
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 17 7 — — $65,386.97 $69,764.00 $66,441.90 2026-03-17
484 MS_DRG UnGrouped 1 1 — — $65,851.90 $65,851.90 $65,851.90 2024-12-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 17 7 — — $65,584.45 $69,519.52 $65,737.40 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 75 21 — $65,587.00 $9,951.11 $124,234.89 $65,587.63 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 73 22 — $65,205.00 $5,650.71 $123,502.24 $65,205.79 2026-03-17
1784 APR_DRG External Heart Assist Systems- Soi : 4 17 7 — — $60,728.58 $67,845.00 $64,372.29 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 75 21 — $61,601.00 $16,173.00 $116,586.15 $63,449.30 2026-03-17
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 17 7 — — $59,688.75 $67,324.70 $63,270.08 2026-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 75 21 — $63,232.00 $10,005.30 $119,715.97 $63,232.46 2026-03-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 17 7 — — $55,181.90 $66,574.44 $62,806.08 2026-03-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 17 7 — — $41,770.40 $66,309.54 $62,556.17 2026-03-17
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 17 7 — — $62,138.90 $66,210.59 $62,462.82 2026-03-17
227 MS_DRG UnGrouped 3 2 — — $33,669.80 $68,908.30 $62,342.20 2024-12-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 78 22 — $62,926.00 $9,200.57 $119,128.80 $61,596.72 2026-03-17
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 17 7 — — $58,535.46 $64,666.10 $61,586.70 2026-03-17
62 APR_DRG Pancreas Transplant - Soi : 2 17 7 — — $58,758.10 $64,912.75 $61,238.44 2026-03-17
427 MS_DRG UnGrouped 25 20 — $79,383.00 $6,572.30 $110,434.00 $61,064.20 2024-12-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 17 7 — — $59,532.20 $64,015.30 $60,967.00 2026-03-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 17 7 — — $57,374.28 $66,117.50 $60,816.74 2026-03-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 22 — $60,194.00 $33,124.68 $113,887.62 $60,194.83 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 22 — $60,194.00 $15,445.85 $113,887.62 $60,194.83 2026-03-17
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 17 7 — — $59,010.85 $63,121.80 $60,116.00 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 75 21 — $59,979.00 $10,103.50 $113,473.65 $59,979.08 2026-03-17
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 17 7 — — $56,215.96 $71,278.00 $59,588.92 2026-03-17
447 MS_DRG UnGrouped 23 18 — $75,022.00 $5,148.62 $104,297.00 $59,441.20 2024-12-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 78 22 — $58,925.00 $9,253.16 $111,452.35 $58,925.62 2026-03-17
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 17 7 — — $54,726.60 $64,736.20 $58,010.20 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 75 21 — $56,096.00 $10,678.10 $106,024.10 $57,779.42 2026-03-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 17 7 — — $54,495.37 $59,850.90 $57,000.90 2026-03-17
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 17 7 — — $53,962.50 $60,012.91 $56,615.95 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 78 22 — $55,566.00 $12,728.40 $105,007.38 $56,400.13 2026-03-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 17 7 — — $54,656.22 $59,125.50 $56,310.00 2026-03-17
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 17 7 — — $52,970.10 $64,611.00 $56,148.31 2026-03-17
222 MS_DRG UnGrouped 4 3 — — $10,847.80 $105,198.00 $55,963.95 2024-12-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 78 22 — $56,160.00 $8,101.70 $106,147.07 $55,588.26 2026-03-17
647 OTHER UnGrouped 2 2 — — $51,636.60 $59,414.60 $55,525.60 2024-12-19
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 17 7 — — $51,962.58 $59,549.30 $55,080.33 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 78 22 — $55,076.00 $13,400.06 $104,066.88 $55,069.53 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 73 22 — $55,061.00 $6,757.29 $104,037.44 $55,061.11 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 22 — $54,668.00 $17,955.20 $103,283.99 $54,668.43 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 73 21 — $54,491.00 $5,414.99 $102,944.51 $54,491.50 2026-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 78 22 — $54,366.00 $7,128.28 $102,705.49 $54,366.92 2026-03-17
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 17 7 — — $51,222.21 $62,692.00 $54,295.54 2026-03-17
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 17 7 — — $51,148.96 $57,900.30 $54,217.90 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 78 22 — $53,815.00 $9,870.02 $101,647.20 $53,815.37 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 75 21 — $53,781.00 $10,040.50 $101,581.39 $53,781.06 2026-03-17
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 17 7 — — $51,833.32 $56,130.60 $53,457.70 2026-03-17
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 17 7 — — $51,902.30 $56,653.74 $53,446.92 2026-03-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 17 7 — — $50,405.00 $60,934.40 $53,429.30 2026-03-17
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 17 7 — — $51,710.50 $56,590.56 $53,387.32 2026-03-17
317 MS_DRG UnGrouped 25 20 — $69,344.00 $5,669.42 $96,235.60 $53,341.60 2024-12-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 78 22 — $50,695.00 $10,385.30 $95,661.23 $53,296.68 2026-03-17
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 17 7 — — $50,187.41 $56,714.20 $53,198.65 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 48 18 — $50,396.00 $42,169.70 $96,207.70 $52,983.06 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 78 22 — $52,566.00 $8,812.99 $99,251.78 $52,566.92 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 78 22 — $49,876.00 $6,821.15 $94,090.26 $52,437.34 2026-03-17
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 17 7 — — $49,416.16 $66,709.40 $52,381.13 2026-03-17
1794 APR_DRG Defibrillator Implants- Soi : 4 17 7 — — $50,481.84 $54,983.70 $52,365.40 2026-03-17
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 17 7 — — $50,093.34 $54,965.60 $52,348.20 2026-03-17
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 17 7 — — $49,346.50 $55,788.30 $52,307.29 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 78 22 — $52,288.00 $7,894.69 $98,718.30 $52,288.88 2026-03-17
361 OTHER UnGrouped 3 3 — — $12,163.50 $59,845.30 $52,010.90 2024-12-19
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 17 7 — — $51,213.60 $55,000.41 $51,887.18 2026-03-17
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 17 7 — — $48,812.23 $67,666.30 $51,740.96 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 78 22 — $51,432.00 $10,113.36 $97,074.59 $51,432.21 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 78 22 — $50,221.00 $11,843.80 $94,751.90 $50,469.08 2026-03-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 17 7 — — $48,021.60 $53,356.22 $50,336.06 2026-03-17
360 MS_DRG UnGrouped 3 3 — — $9,013.38 $57,877.50 $50,300.70 2024-12-19
6904 APR_DRG Acute Leukemia - Soi : 4 17 7 — — $47,348.71 $58,321.00 $50,189.63 2026-03-17
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 27 19 — $62,122.00 $11,441.20 $85,982.00 $50,176.00 2024-12-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 78 22 — $48,626.00 $15,791.59 $102,218.00 $50,176.00 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 78 22 — $50,151.00 $10,492.10 $94,616.80 $50,151.26 2026-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 78 22 — $50,073.00 $8,515.70 $94,467.85 $50,073.63 2026-03-17
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 17 7 — — $48,193.93 $52,490.20 $49,990.70 2026-03-17
646 OTHER UnGrouped 2 2 — — $46,307.80 $53,283.10 $49,795.45 2024-12-19
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 17 7 — — $46,920.00 $52,722.91 $49,738.59 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 75 21 — $47,747.00 $10,699.70 $90,004.35 $49,179.76 2026-03-17
1783 APR_DRG External Heart Assist Systems- Soi : 3 17 7 — — $47,594.30 $51,941.16 $49,001.09 2026-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 22 — $48,978.00 $10,598.90 $92,366.87 $48,978.64 2026-03-17
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 17 7 — — $46,041.75 $53,088.90 $48,804.26 2026-03-17
430 MS_DRG UnGrouped 23 18 — $61,500.00 $9,887.64 $85,098.40 $48,727.20 2024-12-19
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 17 7 — — $19,720.80 $51,631.35 $48,708.82 2026-03-17
4403 APR_DRG Kidney Transplant - Soi : 3 17 7 — — $45,842.10 $51,502.71 $48,587.46 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 78 22 — $47,828.00 $5,856.61 $90,160.23 $48,546.01 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 19 — $48,468.00 $3,512.91 $91,388.26 $48,468.60 2026-03-17
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 17 7 — — $45,602.98 $51,025.90 $48,339.16 2026-03-17
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 17 7 — — $42,426.80 $50,929.52 $48,046.72 2026-03-17
234 APR_DRG Spinal Procedures - Soi : 4 17 7 — — $44,994.03 $51,219.70 $47,693.67 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 75 21 — $45,082.00 $11,443.90 $84,891.33 $47,659.27 2026-03-17
428 MS_DRG UnGrouped 25 20 — $61,868.00 $8,281.17 $85,644.40 $47,591.10 2024-12-19
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 17 7 — — $44,871.23 $58,633.20 $47,563.50 2026-03-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 5 — — $9,759.91 $82,033.40 $47,389.71 2026-03-17
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 17 7 — — $44,387.94 $53,518.70 $47,051.22 2026-03-17
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 17 7 — — $44,316.13 $58,873.70 $46,975.10 2026-03-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 17 7 — — $44,232.83 $58,710.80 $46,886.80 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 75 21 — $45,499.00 $14,975.90 $85,691.54 $46,864.57 2026-03-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 17 7 — — $40,833.30 $49,528.16 $46,724.68 2026-03-17
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 17 7 — — $45,893.10 $49,452.03 $46,652.86 2026-03-17
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 17 7 — — $43,721.53 $51,361.40 $46,344.82 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 22 — $46,337.00 $19,721.30 $87,298.88 $46,217.45 2026-03-17
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 17 7 — — $43,578.63 $51,682.60 $46,193.35 2026-03-17
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 17 7 — — $43,452.96 $51,417.20 $46,060.14 2026-03-17
450 MS_DRG UnGrouped 23 18 — $57,989.00 $4,589.27 $80,113.90 $45,945.80 2024-12-19
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 17 7 — — $43,028.60 $48,665.71 $45,911.05 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 78 22 — $45,860.00 $4,609.09 $86,384.36 $45,860.67 2026-03-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 17 7 — — $39,682.90 $48,556.86 $45,808.36 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 50 19 — $44,428.00 $32,408.39 $83,635.59 $45,760.90 2026-03-17
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 17 7 — — $43,110.42 $49,980.80 $45,697.05 2026-03-17
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 17 7 — — $43,036.45 $56,884.60 $45,618.64 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 73 22 — $51,085.00 $6,441.28 $96,409.48 $45,538.80 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 75 21 — $44,207.00 $9,345.81 $83,212.97 $45,534.03 2026-03-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 75 21 — $45,420.00 $9,928.61 $85,539.12 $45,521.10 2026-03-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 17 7 — — $42,804.50 $49,333.10 $45,372.77 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 78 22 — $45,267.00 $8,780.11 $85,246.40 $45,267.59 2026-03-17
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 17 7 — — $44,854.71 $47,545.99 $45,158.50 2026-03-17
270 OTHER Other Major Cardiovascular Procedures With Mcc 28 20 — $57,802.00 $3,512.91 $79,851.00 $45,130.35 2024-12-19
110 MS_DRG UnGrouped 1 1 — — $44,919.40 $44,919.40 $44,919.40 2024-12-19
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 17 7 — — $43,084.57 $46,452.00 $44,240.00 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 78 22 — $42,697.00 $6,979.70 $80,315.25 $44,175.10 2026-03-17
274 APR_DRG Other Open Craniotomy- Soi : 4 17 7 — — $41,531.29 $52,293.40 $44,023.17 2026-03-17
61 APR_DRG Pancreas Transplant - Soi : 1 17 7 — — $42,535.21 $46,140.60 $43,943.40 2026-03-17
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 17 7 — — $41,429.32 $56,043.10 $43,915.08 2026-03-17
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 17 7 — — $42,943.10 $46,497.82 $43,865.87 2026-03-17
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 17 7 — — $42,810.96 $46,017.70 $43,826.40 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 78 22 — $43,815.00 $3,328.06 $82,459.53 $43,815.12 2026-03-17
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures - Soi : 4 17 7 — — $41,070.26 $48,105.60 $43,534.48 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 75 21 — $43,065.00 $10,638.30 $81,021.93 $43,522.90 2026-03-17
245 MS_DRG Aicd Generator Procedures 78 22 — $42,024.00 $5,299.46 $79,023.14 $43,472.48 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 75 21 — $43,192.00 $10,480.00 $81,264.42 $43,331.80 2026-03-17
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 17 7 — — $41,814.94 $45,306.70 $43,149.20 2026-03-17
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 17 7 — — $40,569.02 $46,580.20 $43,003.16 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 75 21 — $41,721.00 $13,326.20 $78,442.90 $42,973.38 2026-03-17
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 17 7 — — $40,409.60 $47,194.70 $42,834.18 2026-03-17
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 17 7 — — $36,269.00 $45,362.12 $42,794.45 2026-03-17
471 OTHER Cervical Spinal Fusion With Mcc 28 20 — $54,781.00 $13,994.20 $75,560.40 $42,771.90 2024-12-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 75 21 — $42,226.00 $8,498.97 $79,411.12 $42,673.40 2026-03-17
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 17 7 — — $42,141.00 $45,193.90 $42,635.75 2026-03-17
4414 APR_DRG Major Bladder Procedures - Soi : 4 17 7 — — $40,174.78 $46,904.40 $42,585.27 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 73 22 — $42,530.00 $9,693.85 $79,994.82 $42,530.56 2026-03-17
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 7 7 — — $42,454.10 $44,576.80 $42,454.10 2024-12-19
1782 APR_DRG External Heart Assist Systems- Soi : 2 17 7 — — $39,897.58 $48,040.00 $42,291.43 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 78 22 — $42,331.00 $4,724.70 $79,613.77 $42,115.08 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 71 21 — $43,278.00 $13,684.00 $81,430.69 $42,034.40 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 77 22 — $41,900.00 $9,535.35 $78,785.85 $41,900.47 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 78 22 — $41,882.00 $6,072.42 $78,751.21 $41,882.42 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 78 22 — $41,296.00 $8,010.31 $77,627.11 $41,473.68 2026-03-17
4402 APR_DRG Kidney Transplant - Soi : 2 17 7 — — $40,069.20 $43,890.72 $41,406.34 2026-03-17
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 17 7 — — $39,945.70 $43,813.84 $41,333.81 2026-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 74 22 — $41,125.00 $6,088.93 $77,299.75 $41,125.94 2026-03-17
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 17 7 — — $38,560.46 $43,231.60 $40,874.09 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 75 21 — $39,591.00 $8,660.49 $74,355.26 $40,779.07 2026-03-17
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 17 7 — — $38,445.56 $44,662.00 $40,752.29 2026-03-17
4014 APR_DRG Adrenal Procedures - Soi : 4 17 7 — — $38,271.10 $43,178.99 $40,734.90 2026-03-17
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy - Soi : 4 17 7 — — $38,876.43 $42,474.60 $40,452.00 2026-03-17
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 17 7 — — $38,462.80 $42,782.42 $40,360.77 2026-03-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 17 7 — — $38,585.59 $42,350.90 $40,334.20 2026-03-17
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs - Soi : 4 17 7 — — $38,048.45 $44,200.50 $40,331.36 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 75 21 — $38,722.00 $9,400.44 $72,687.29 $40,084.40 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 73 22 — $39,902.00 $7,950.85 $74,952.82 $39,902.77 2026-03-17
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 17 7 — — $35,932.90 $42,216.84 $39,827.21 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 78 22 — $41,284.00 $8,397.88 $77,604.59 $39,815.86 2026-03-17
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 17 7 — — $37,530.69 $44,418.40 $39,782.53 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 78 22 — $40,493.00 $7,885.88 $76,085.58 $39,752.32 2026-03-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 17 7 — — $37,711.70 $42,099.62 $39,716.62 2026-03-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 5 — — $17,671.00 $82,651.00 $39,614.40 2026-03-17
608 OTHER UnGrouped 2 2 — — $36,749.20 $42,284.80 $39,517.00 2024-12-19
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 17 7 — — $37,206.82 $42,418.80 $39,439.23 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 22 — $38,505.00 $32,252.40 $72,271.60 $39,286.30 2026-03-17
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 6 5 — — $4,821.60 $64,833.40 $39,244.60 2024-12-19
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 17 7 — — $36,983.49 $42,341.90 $39,202.50 2026-03-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures- Soi : 4 17 7 — — $37,642.71 $41,139.20 $39,180.20 2026-03-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 69 21 — $39,121.00 $3,979.28 $73,452.86 $39,121.02 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 78 22 — $38,962.00 $3,517.57 $73,148.02 $38,962.14 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 78 22 — $38,328.00 $9,803.54 $73,985.80 $38,903.37 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 78 22 — $38,897.00 $9,051.42 $73,023.31 $38,897.15 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 75 21 — $38,878.00 $12,289.10 $72,986.94 $38,878.19 2026-03-17
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 17 7 — — $36,659.62 $42,758.10 $38,859.20 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 75 21 — $38,767.00 $8,493.91 $72,773.90 $38,767.16 2026-03-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders - Soi : 4 17 7 — — $36,569.14 $40,759.20 $38,763.29 2026-03-17
4401 APR_DRG Kidney Transplant - Soi : 1 17 7 — — $36,964.80 $41,074.28 $38,749.32 2026-03-17
8633 APR_DRG Neonatal Aftercare - Soi : 3 17 7 — — $37,910.57 $40,662.70 $38,726.30 2026-03-17
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 17 7 — — $38,312.70 $41,029.37 $38,706.95 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 74 22 — $39,342.00 $3,982.80 $73,877.21 $38,688.50 2026-03-17
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 17 7 — — $36,497.32 $42,714.30 $38,687.16 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 78 22 — $38,651.00 $8,557.54 $72,552.19 $38,651.61 2026-03-17
793 MS_DRG Full Term Neonate With Major Problems 73 21 — $38,478.00 $17,478.40 $72,219.64 $38,478.29 2026-03-17
1793 APR_DRG Defibrillator Implants- Soi : 3 17 7 — — $37,899.80 $40,750.78 $38,444.13 2026-03-17
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 17 7 — — $37,760.48 $40,323.30 $38,403.20 2026-03-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices- Soi… 17 7 — — $36,217.98 $45,677.60 $38,391.06 2026-03-17
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures - Soi : 4 17 7 — — $36,131.81 $42,384.80 $38,299.72 2026-03-17
4034 APR_DRG Procedures For Obesity - Soi : 4 17 7 — — $36,030.55 $40,094.90 $38,185.60 2026-03-17
648 OTHER UnGrouped 2 2 — — $35,501.90 $40,849.50 $38,175.70 2024-12-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 78 22 — $38,080.00 $6,979.70 $71,455.81 $38,080.19 2026-03-17
1781 APR_DRG External Heart Assist Systems- Soi : 1 17 7 — — $35,907.75 $40,756.20 $38,062.22 2026-03-17
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 3 17 7 — — $36,432.00 $40,338.20 $38,054.91 2026-03-17
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 2 17 7 — — $35,858.92 $43,923.00 $38,010.46 2026-03-17
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 1 17 7 — — $35,858.92 $43,923.00 $38,010.46 2026-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 75 21 — $36,803.00 $9,040.95 $69,006.68 $37,907.87 2026-03-17
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure - Soi : 4 17 7 — — $36,365.91 $39,800.80 $37,905.50 2026-03-17
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 3 17 7 — — $35,682.99 $40,958.20 $37,823.97 2026-03-17
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