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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

UPMC WELLSBORO

Wellsboro, PA · CCN 391316 · Rates published

7,292 distinct procedures filed
17 distinct payers
303,210 rate rows
2026-03-06 last MRF observed
Data quality

301,119 of 303,210 rate rows are consumer-grade (99.3%)

2,091 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,767
placeholder amount (≤ $0.02) — excluded from medians 210
template filing: same amount across many unrelated codes — excluded 52
per-diem day rate — not a per-procedure price 44
exceeds 10× this hospital's gross charge — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/232176963_upmc-wellsboro_standardcharges.csv?la=en&rev=e2b9fc7ce1514036aa3e76466292ef0e&hash=DCBBB8063F67F2E740D21E95BCA60671
Found on page https://www.upmc.com/locations/hospitals/wellsboro/patients-visitors/patient-info/cdm
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f590a558963893e2… · 158,804,135 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $651,578.36 $820,009.88 $716,985.03 nat. median
$370,174
1.9× median
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $436,056.66 $608,825.75 $490,167.45 nat. median
$309,665
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $379,530.32 $478,258.40 $434,677.16 nat. median
$265,286
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $278,090.34 $484,806.23 $363,308.41 nat. median
$206,368
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $283,555.60 $362,231.17 $326,929.22 nat. median
$202,986
1.6× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $267,110.35 $372,894.25 $300,218.29 nat. median
$246,434
1.2× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $249,671.24 $348,594.15 $280,654.21 nat. median
$117,173
outlier · 2.4×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $249,513.42 $348,363.24 $280,468.30 nat. median
$234,738
1.2× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $248,329.77 $346,745.87 $279,166.15 nat. median
$244,017
1.1× median
7
MS_DRG 		Lung Transplant 3 $195,403.50 $274,290.03 $227,077.92 nat. median
$122,708
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $170,983.72 $283,697.45 $217,266.20 nat. median
$108,660
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $188,644.53 $236,389.24 $215,468.14 nat. median
$133,176
1.6× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $190,725.47 $266,237.30 $214,348.46 nat. median
$156,126
1.4× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $186,227.60 $259,965.16 $209,298.73 nat. median
$207,730
1.0× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $186,069.78 $259,805.30 $209,170.03 nat. median
$162,982
1.3× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $185,833.05 $259,428.34 $208,866.54 nat. median
$60,845
outlier · 3.4×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $182,518.83 $254,849.56 $205,180.15 nat. median
$164,834
1.2× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $178,967.88 $249,885.92 $201,183.91 nat. median
$122,924
1.6× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $177,863.14 $248,347.49 $199,945.32 nat. median
$182,736
1.1× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $175,101.29 $244,525.59 $196,868.29 nat. median
$164,279
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $164,077.56 $241,375.23 $195,373.67 nat. median
$102,358
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $181,336.17 $217,242.17 $194,877.22 nat. median
$117,303
1.7× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $171,155.79 $238,980.73 $192,404.11 nat. median
$145,122
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $155,573.48 $237,241.32 $188,807.54 nat. median
$100,136
1.9× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 $165,632.09 $231,245.16 $186,176.18 nat. median
$160,267
1.2× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 7 $162,317.87 $226,620.98 $182,453.24 nat. median
$150,721
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 2 $170,787.56 $193,167.66 $181,977.61 nat. median
$98,017
1.9× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $153,953.41 $214,985.56 $173,085.52 nat. median
$151,838
1.1× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $152,454.12 $212,806.69 $171,331.30 nat. median
$145,336
1.2× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $147,719.52 $206,242.45 $166,046.42 nat. median
$58,674
outlier · 2.8×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 $146,930.42 $205,102.69 $165,128.80 nat. median
$187,294
0.9× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $145,825.68 $203,558.34 $163,885.44 nat. median
$119,796
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $130,661.81 $205,823.66 $161,366.98 nat. median
$83,442
1.9× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $140,301.98 $195,854.35 $157,682.92 nat. median
$105,658
1.5× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 $138,881.60 $193,906.39 $156,114.62 nat. median
$129,535
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $135,944.41 $186,360.80 $156,082.67 nat. median
$82,712
1.9× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $135,883.02 $189,759.83 $152,776.21 nat. median
$93,528
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $130,258.18 $166,954.15 $150,427.99 nat. median
$93,672
1.6× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $132,095.34 $184,415.29 $148,473.31 nat. median
$102,636
1.4× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $130,674.96 $182,406.16 $146,855.75 nat. median
$124,573
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $97,950.05 $188,088.79 $140,766.23 nat. median
$98,905
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $118,731.06 $171,657.52 $140,099.28 nat. median
$77,576
1.8× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $124,519.98 $173,819.96 $139,942.98 nat. median
$69,788
outlier · 2.0×
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $124,519.98 $173,819.96 $139,942.98 nat. median
$89,790
1.6× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $124,519.98 $173,819.96 $139,942.98 nat. median
$93,260
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $127,197.41 $158,250.26 $139,189.09 nat. median
$79,312
1.8× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $122,705.05 $171,274.98 $137,894.01 nat. median
$79,160
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $126,797.56 $152,306.38 $136,436.82 nat. median
$81,118
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $101,615.81 $169,927.06 $134,893.79 nat. median
$99,019
1.4× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 7 $115,997.70 $161,955.59 $130,390.93 nat. median
$118,620
1.1× median

Other procedures at this hospital

Browse this hospital's 7,292 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 4 3 — — $379,530.32 $478,258.40 $434,677.16 2026-03-06
10 MS_DRG Pancreas Transplant 4 3 — — $46,321.23 $117,939.13 $76,319.73 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $79,355.30 $93,359.16 $87,688.10 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 8 7 — — $48,924.20 $68,349.14 $55,028.10 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $72,755.02 $101,574.90 $81,778.26 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $147,719.52 $206,242.45 $166,046.42 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $185,833.05 $259,428.34 $208,866.54 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $249,671.24 $348,594.15 $280,654.21 2026-03-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $63,614.55 $75,907.39 $68,235.96 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 8 7 — — $55,710.46 $77,799.79 $62,636.84 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 8 7 — — $43,716.14 $60,996.45 $49,108.43 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 8 7 — — $72,123.74 $100,671.97 $81,051.31 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 7 — — $43,163.77 $60,279.04 $48,530.84 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $181,336.17 $217,242.17 $194,877.22 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 8 7 — — $138,881.60 $193,906.39 $156,114.62 2026-03-06
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $64,358.43 $89,381.68 $74,383.21 2026-03-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 3 — — $45,679.63 $63,939.81 $55,136.29 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $57,512.65 $101,196.79 $78,567.11 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $49,555.48 $69,170.17 $55,689.11 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $106,923.05 $149,233.68 $120,148.49 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 7 — — $107,317.60 $149,779.39 $120,587.84 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 7 — — $107,317.60 $149,779.39 $120,587.84 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 7 — — $145,825.68 $203,558.34 $163,885.44 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 7 — — $186,227.60 $259,965.16 $209,298.73 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $52,554.06 $73,363.11 $59,064.86 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $71,808.10 $100,291.07 $80,744.64 2026-03-06
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $62,356.02 $76,486.80 $70,492.58 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 8 7 — — $45,215.43 $63,089.47 $50,793.52 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 8 7 — — $62,891.27 $87,758.63 $70,654.74 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $56,499.56 $78,841.85 $63,475.81 2026-03-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $50,200.11 $63,787.92 $57,728.25 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 7 — — $50,344.58 $70,287.23 $56,588.46 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 8 7 — — $55,315.91 $77,250.13 $62,194.32 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 8 7 — — $44,899.79 $62,666.13 $50,452.69 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $47,882.89 $82,570.86 $64,668.57 2026-03-06
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $44,910.42 $59,416.47 $50,649.76 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 8 7 — — $48,214.01 $67,335.69 $54,212.18 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 8 7 — — $59,734.87 $83,451.22 $67,186.84 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 8 7 — — $49,713.30 $69,370.49 $55,850.39 2026-03-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 — — $651,578.36 $820,009.88 $716,985.03 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 8 7 — — $53,816.62 $75,106.79 $60,468.71 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $99,996.76 $169,132.48 $128,431.51 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $170,983.72 $283,697.45 $217,266.20 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $118,731.06 $171,657.52 $140,099.28 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 8 7 — — $42,453.58 $59,240.92 $47,695.05 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $97,092.16 $126,385.70 $108,621.51 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $170,787.56 $193,167.66 $181,977.61 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 8 7 — — $90,983.23 $127,001.93 $102,249.64 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $79,877.30 $129,804.54 $100,339.18 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $164,077.56 $241,375.23 $195,373.67 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $86,110.50 $97,394.47 $91,752.49 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 8 7 — — $48,608.56 $67,810.35 $54,594.32 2026-03-06
215 MS_DRG Other Heart Assist System Implant 4 3 — — $101,615.81 $169,927.06 $134,893.79 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $130,258.18 $166,954.15 $150,427.99 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $85,452.25 $112,214.66 $99,872.85 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $77,607.89 $112,214.66 $95,258.52 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $90,010.72 $131,038.56 $110,875.79 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 8 7 — — $102,898.64 $143,692.77 $115,687.49 2026-03-06
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $46,399.69 $91,325.73 $65,053.40 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $70,713.21 $91,010.04 $81,828.89 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 8 7 — — $43,005.95 $60,080.70 $48,371.15 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $56,202.09 $86,016.51 $71,085.43 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $74,650.53 $114,475.59 $90,868.51 2026-03-06
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $47,522.30 $61,114.72 $52,848.58 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 8 7 — — $135,883.02 $189,759.83 $152,776.21 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $81,292.65 $97,793.82 $91,050.99 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $127,197.41 $158,250.26 $139,189.09 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $90,599.52 $106,587.65 $97,471.24 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 3 — — $92,878.75 $130,473.67 $112,313.15 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 3 — — $72,460.62 $93,226.93 $83,836.79 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 8 7 — — $44,268.51 $61,829.32 $49,778.97 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $70,979.12 $100,154.06 $86,027.60 2026-03-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $55,632.28 $71,486.44 $64,326.93 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $60,570.62 $83,994.18 $72,761.14 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 8 7 — — $249,513.42 $348,363.24 $280,468.30 2026-03-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $57,778.56 $67,974.77 $62,893.43 2026-03-06
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $48,175.65 $58,924.87 $52,287.38 2026-03-06
245 MS_DRG Aicd Generator Procedures 4 3 — — $68,841.32 $107,593.20 $84,658.28 2026-03-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $59,525.97 $77,594.39 $69,317.49 2026-03-06
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $52,634.40 $65,896.64 $57,771.90 2026-03-06
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $47,410.64 $63,505.68 $53,801.60 2026-03-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $49,080.98 $64,667.65 $55,240.04 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 8 7 — — $45,294.34 $63,269.07 $50,938.12 2026-03-06
263 MS_DRG Vein Ligation And Stripping 4 3 — — $46,132.62 $60,019.80 $51,597.35 2026-03-06
265 MS_DRG Aicd Lead Procedures 4 3 — — $54,594.44 $77,605.64 $63,856.67 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $84,502.57 $104,587.83 $95,942.61 2026-03-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 3 — — $71,834.95 $89,538.10 $78,677.82 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $103,779.53 $123,056.23 $110,988.33 2026-03-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $55,575.30 $72,073.51 $64,552.94 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $67,598.26 $90,045.81 $79,570.30 2026-03-06
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $53,660.44 $64,533.57 $57,772.85 2026-03-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $62,249.01 $81,940.66 $70,027.86 2026-03-06
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $48,509.68 $57,070.20 $52,922.19 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $107,589.46 $138,362.84 $119,648.24 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $90,632.63 $119,235.16 $101,929.54 2026-03-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $69,687.81 $92,018.44 $78,517.71 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $83,987.50 $102,699.55 $91,143.95 2026-03-06
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $54,416.39 $71,550.03 $61,182.35 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $77,588.90 $102,538.19 $90,969.66 2026-03-06
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 — — $45,014.86 $58,222.67 $52,217.87 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 8 7 — — $48,135.10 $67,238.99 $54,134.32 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 8 7 — — $61,549.80 $85,988.30 $69,229.45 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $283,555.60 $362,231.17 $326,929.22 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 8 7 — — $46,951.45 $65,598.92 $52,813.88 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $49,634.39 $69,264.90 $55,765.38 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $71,492.46 $99,806.55 $80,354.55 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 7 — — $50,423.49 $70,387.89 $56,669.50 2026-03-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $52,327.40 $76,464.62 $64,583.59 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 8 7 — — $43,558.32 $60,783.30 $48,936.82 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 3 — — $100,891.53 $138,228.77 $115,803.44 2026-03-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $67,339.98 $97,001.47 $79,307.76 2026-03-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $65,295.45 $87,236.52 $74,001.43 2026-03-06
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 3 — — $47,544.93 $67,572.55 $55,605.96 2026-03-06
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 3 — — $48,441.21 $60,310.29 $53,026.37 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $69,421.64 $85,115.42 $78,463.29 2026-03-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $54,701.60 $78,444.28 $66,855.33 2026-03-06
332 MS_DRG Rectal Resection With Mcc 4 3 — — $54,632.16 $83,996.43 $66,594.08 2026-03-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $42,716.63 $60,941.30 $52,067.79 2026-03-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $58,404.37 $87,616.39 $70,265.83 2026-03-06
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $38,971.46 $60,891.27 $47,917.94 2026-03-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $53,011.17 $74,967.92 $64,324.16 2026-03-06
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 2 2 — — $51,884.49 $58,683.46 $55,283.97 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 7 — — $42,374.67 $59,139.28 $47,613.21 2026-03-06
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $49,673.97 $63,215.19 $54,958.10 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $188,644.53 $236,389.24 $215,468.14 2026-03-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $48,832.57 $65,895.59 $57,855.55 2026-03-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 3 — — $50,067.16 $68,614.21 $59,783.60 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $82,299.31 $96,822.70 $87,951.77 2026-03-06
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $53,800.77 $76,019.12 $62,733.56 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $42,769.22 $59,711.63 $48,074.01 2026-03-06
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $49,842.97 $70,700.91 $58,235.10 2026-03-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $53,755.50 $69,315.49 $59,858.92 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $61,786.53 $86,306.05 $69,485.26 2026-03-06
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $51,409.19 $74,678.39 $60,811.26 2026-03-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $62,663.95 $78,231.32 $68,686.05 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $97,950.05 $188,088.79 $140,766.23 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $76,468.27 $123,193.28 $99,441.48 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $67,256.37 $95,945.56 $81,977.30 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 8 7 — — $42,295.76 $59,067.25 $47,555.22 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 3 — — $135,944.41 $186,360.80 $156,082.67 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $96,743.66 $135,056.24 $108,734.19 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $71,358.99 $98,421.85 $85,485.30 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $140,301.98 $195,854.35 $157,682.92 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 8 7 — — $47,819.46 $66,767.29 $53,754.56 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 8 7 — — $70,308.81 $98,203.97 $79,064.32 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 3 — — $80,153.03 $114,028.79 $97,557.63 2026-03-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $50,523.00 $72,373.87 $61,713.79 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $67,427.32 $90,955.43 $79,871.86 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $126,797.56 $152,306.38 $136,436.82 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $89,976.26 $110,766.25 $97,959.06 2026-03-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $62,959.69 $100,129.83 $78,160.17 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $80,885.24 $142,742.54 $106,407.83 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $69,307.68 $97,268.18 $83,768.64 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 — — $61,216.41 $88,835.82 $75,281.37 2026-03-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 3 — — $40,437.40 $60,185.27 $50,392.85 2026-03-06
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 3 — — $42,184.81 $51,764.86 $47,698.32 2026-03-06
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $56,828.88 $82,407.03 $69,858.49 2026-03-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $54,302.73 $73,263.02 $64,330.22 2026-03-06
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $46,344.41 $58,956.51 $53,324.37 2026-03-06
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $43,943.23 $56,958.48 $49,058.14 2026-03-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $48,693.20 $73,360.01 $58,715.00 2026-03-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $44,141.15 $62,659.86 $53,665.47 2026-03-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $54,707.61 $79,907.22 $64,898.83 2026-03-06
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $45,520.01 $57,226.62 $50,063.81 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $155,573.48 $237,241.32 $188,807.54 2026-03-06
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $40,532.36 $54,010.76 $47,719.15 2026-03-06
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 3 — — $45,575.84 $62,299.03 $52,251.15 2026-03-06
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $47,958.87 $56,422.19 $51,237.27 2026-03-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 3 — — $40,057.52 $63,781.10 $51,759.00 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $47,267.09 $66,024.23 $53,156.31 2026-03-06
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $43,307.99 $59,706.96 $49,867.01 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $70,940.09 $99,018.09 $79,719.76 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $97,690.58 $136,439.74 $109,848.05 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $98,853.03 $130,854.78 $111,516.68 2026-03-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $52,379.40 $72,734.34 $60,533.71 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $73,953.42 $122,296.48 $93,798.18 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 7 — — $171,155.79 $238,980.73 $192,404.11 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 7 — — $190,725.47 $266,237.30 $214,348.46 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 7 — — $248,329.77 $346,745.87 $279,166.15 2026-03-06
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 7 — — $436,056.66 $608,825.75 $490,167.45 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $130,674.96 $182,406.16 $146,855.75 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $152,454.12 $212,806.69 $171,331.30 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $177,863.14 $248,347.49 $199,945.32 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $267,110.35 $372,894.25 $300,218.29 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 8 7 — — $124,519.98 $173,819.96 $139,942.98 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 8 7 — — $124,519.98 $173,819.96 $139,942.98 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 8 7 — — $124,519.98 $173,819.96 $139,942.98 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $113,314.76 $158,175.13 $127,347.28 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $132,095.34 $184,415.29 $148,473.31 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $175,101.29 $244,525.59 $196,868.29 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $68,967.34 $96,267.86 $77,505.54 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $90,588.68 $126,495.70 $101,842.07 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $112,604.57 $157,268.26 $126,617.15 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $153,953.41 $214,985.56 $173,085.52 2026-03-06
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $69,966.95 $107,593.20 $85,294.85 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 7 — — $47,977.28 $66,934.06 $53,888.82 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 7 — — $64,390.56 $89,852.63 $72,340.62 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 7 — — $80,567.11 $112,448.52 $90,532.64 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 7 — — $115,997.70 $161,955.59 $130,390.93 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 8 7 — — $48,056.19 $67,076.16 $54,003.22 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 8 7 — — $84,828.25 $118,456.19 $95,369.43 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 8 7 — — $45,925.62 $64,108.84 $51,614.22 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 8 7 — — $61,470.89 $85,834.36 $69,105.51 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 8 7 — — $89,641.76 $125,192.13 $100,792.57 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 8 7 — — $44,110.69 $61,637.88 $49,624.84 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 8 7 — — $51,133.68 $71,405.28 $57,488.61 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $64,548.38 $90,124.01 $72,559.11 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $186,069.78 $259,805.30 $209,170.03 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 7 — — $74,569.95 $104,123.82 $83,830.40 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 8 7 — — $58,709.04 $82,022.33 $66,036.42 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 8 7 — — $73,859.76 $103,166.62 $83,059.76 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 8 7 — — $49,318.75 $68,836.63 $55,420.57 2026-03-06
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $43,438.39 $59,516.28 $51,862.40 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 8 7 — — $60,287.24 $84,151.86 $67,750.92 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 7 — — $57,604.30 $80,437.52 $64,760.49 2026-03-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $38,158.16 $60,741.63 $49,298.07 2026-03-06
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $45,569.81 $64,444.19 $53,159.43 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 8 7 — — $51,054.77 $71,301.67 $57,405.19 2026-03-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $43,362.41 $63,601.90 $53,623.84 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 8 7 — — $69,914.26 $97,610.90 $78,586.83 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 8 7 — — $89,483.94 $124,918.78 $100,572.49 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 8 7 — — $162,317.87 $226,620.98 $182,453.24 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $52,632.97 $73,445.01 $59,130.80 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $178,967.88 $249,885.92 $201,183.91 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 8 7 — — $58,630.13 $81,807.20 $65,863.23 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 8 7 — — $90,746.50 $126,659.51 $101,973.96 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $70,938.67 $101,828.08 $83,394.20 2026-03-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $55,916.22 $78,722.91 $65,079.01 2026-03-06
652 MS_DRG Kidney Transplant 4 3 — — $48,729.41 $91,459.80 $66,427.90 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $78,407.65 $122,408.21 $96,364.61 2026-03-06
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $45,926.55 $54,335.02 $51,035.54 2026-03-06
662 MS_DRG Minor Bladder Procedures With Mcc 4 3 — — $46,194.48 $67,751.31 $54,918.23 2026-03-06
665 MS_DRG Prostatectomy With Mcc 4 3 — — $47,095.29 $70,656.22 $56,662.24 2026-03-06
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $44,059.41 $55,952.93 $48,696.49 2026-03-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $46,078.50 $71,704.88 $58,803.63 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 8 7 — — $52,159.51 $72,789.77 $58,603.26 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 8 7 — — $43,637.23 $60,897.77 $49,028.98 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 8 7 — — $46,635.81 $65,065.05 $52,384.07 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 8 7 — — $42,927.04 $59,884.32 $48,213.04 2026-03-06
7 MS_DRG Lung Transplant 4 3 — — $195,403.50 $274,290.03 $227,077.92 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 8 7 — — $58,077.76 $81,090.78 $65,286.43 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 8 7 — — $65,810.94 $91,861.77 $73,958.19 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 8 7 — — $93,429.44 $130,447.86 $105,023.97 2026-03-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $53,935.06 $90,074.39 $68,782.99 2026-03-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $53,207.78 $84,733.83 $66,101.96 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 8 7 — — $146,930.42 $205,102.69 $165,128.80 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 8 7 — — $44,189.60 $61,660.57 $49,643.11 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $31,948.81 $145,803.87 $106,806.92 2026-03-06
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $57,379.70 $77,290.62 $67,920.68 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 3 — — $84,566.91 $120,709.96 $99,126.04 2026-03-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $60,115.45 $79,773.15 $67,900.10 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $88,493.03 $106,364.20 $95,249.39 2026-03-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $68,073.10 $80,085.99 $73,711.96 2026-03-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $70,582.58 $107,950.72 $85,794.95 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 8 7 — — $46,004.53 $64,207.52 $51,693.67 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 4 3 — — $82,836.22 $152,149.96 $111,509.31 2026-03-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 3 — — $59,905.85 $81,990.62 $71,484.38 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 8 7 — — $65,337.48 $91,223.31 $73,444.16 2026-03-06
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $48,810.89 $69,963.51 $57,338.04 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 8 7 — — $53,895.53 $75,203.50 $60,546.57 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 8 7 — — $165,632.09 $231,245.16 $186,176.18 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 8 7 — — $92,719.25 $129,464.01 $104,231.86 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $130,661.81 $205,823.66 $161,366.98 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 8 7 — — $48,608.56 $67,906.07 $54,671.38 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 8 7 — — $85,538.44 $119,463.72 $96,180.61 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 8 7 — — $85,538.44 $119,463.72 $96,180.61 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $64,426.33 $84,282.59 $75,156.71 2026-03-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $52,137.46 $77,628.52 $64,986.40 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 8 7 — — $72,912.84 $101,837.39 $81,989.60 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $98,766.77 $117,957.40 $110,243.61 2026-03-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 3 — — $58,316.86 $80,555.24 $67,215.35 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 8 7 — — $42,374.67 $59,205.40 $47,666.44 2026-03-06
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $60,912.51 $71,661.76 $67,470.69 2026-03-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 — — $55,422.82 $65,293.32 $59,092.40 2026-03-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $52,175.45 $65,521.84 $59,656.73 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $45,057.61 $62,948.35 $50,679.91 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 8 7 — — $53,658.80 $74,885.75 $60,290.74 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 8 7 — — $51,054.77 $71,227.66 $57,345.60 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 8 7 — — $47,424.91 $66,226.52 $53,319.18 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 8 7 — — $49,397.66 $68,965.90 $55,524.65 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $61,549.80 $85,962.64 $69,208.79 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $278,090.34 $484,806.23 $363,308.41 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 3 — — $44,729.95 $122,409.94 $80,425.59 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $122,705.05 $171,274.98 $137,894.01 2026-03-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 3 — — $57,589.58 $72,622.62 $63,432.69 2026-03-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $54,749.86 $71,929.91 $61,532.37 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $182,518.83 $254,849.56 $205,180.15 2026-03-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $53,103.66 $63,572.72 $57,049.61 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $101,564.49 $133,670.30 $114,246.67 2026-03-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $56,779.30 $106,319.51 $77,295.65 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $108,966.34 $130,041.90 $121,585.56 2026-03-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $62,963.82 $74,075.07 $67,748.83 2026-03-06
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 3 — — $44,423.05 $58,031.06 $49,785.35 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $92,363.32 $147,636.19 $114,978.72 2026-03-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $54,497.87 $69,002.66 $60,145.79 2026-03-06
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $39,795.31 $63,304.57 $49,409.51 2026-03-06
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $43,546.39 $57,405.38 $49,023.66 2026-03-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $70,793.82 $87,594.05 $77,262.82 2026-03-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $49,060.49 $58,509.38 $54,724.40 2026-03-06
A9543 HCPCS Y90 Zevalin Tx P/dse (<=40mci) 44 14 $157,779.00 $94,667.40 40% off $25,759.80 $149,890.05 $83,283.64 2026-03-06
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