Price Transparency 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

UPMC KANE

Kane, PA · CCN 391318 · Rates published

7,086 distinct procedures filed
20 distinct payers
321,184 rate rows
2026-03-06 last MRF observed
Data quality

300,074 of 321,184 rate rows are consumer-grade (93.4%)

21,110 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 8,820
exceeds 10× this hospital's gross charge — excluded from medians 8,678
per-diem day rate — not a per-procedure price 1,974
template filing: same amount across many unrelated codes — excluded 1,520
placeholder amount (≤ $0.02) — excluded from medians 118
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/machine-readable-csv-not-json/250998168_upmc-kane_standardcharges.csv?
Found on page https://www.upmc.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 1d26c7155db765a8… · 64,413,053 bytes · first seen 2026-05-14

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 1 $466,547.31 $466,547.31 $466,547.31 nat. median
$370,174
1.3× median
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $402,353.76 $553,477.73 $434,099.75 nat. median
$309,665
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $156,509.26 $390,559.24 $318,880.43 nat. median
$206,368
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $237,978.96 $348,471.73 $293,225.34 nat. median
$265,286
1.1× median
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $230,222.29 $316,693.73 $269,348.67 nat. median
$234,738
1.1× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $246,434.06 $338,994.64 $265,877.88 nat. median
$246,434
1.1× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $230,374.89 $316,903.65 $248,551.63 nat. median
$117,173
outlier · 2.1×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $229,153.42 $315,223.39 $247,233.78 nat. median
$244,017
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $180,244.40 $268,743.50 $242,276.49 nat. median
$202,986
1.2× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $175,947.84 $242,033.81 $189,830.25 nat. median
$156,126
1.2× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $171,802.78 $236,331.87 $185,358.14 nat. median
$207,730
0.9× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $171,697.14 $236,186.54 $185,244.16 nat. median
$162,982
1.1× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $171,448.02 $235,843.85 $184,975.38 nat. median
$60,845
outlier · 3.0×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $168,422.04 $231,681.32 $181,710.66 nat. median
$164,834
1.1× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $165,141.73 $227,168.93 $178,171.53 nat. median
$122,924
1.4× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $164,125.03 $225,770.36 $177,074.61 nat. median
$182,736
1.0× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $161,599.26 $222,295.90 $174,349.55 nat. median
$164,279
1.1× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $157,934.84 $217,255.12 $170,396.00 nat. median
$145,122
1.2× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 $152,822.64 $210,222.79 $164,880.45 nat. median
$160,267
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $162,083.15 $162,083.15 $162,083.15 nat. median
$117,303
1.4× median
7
MS_DRG 		DRG Grouper 12 (10/1/1994): DRG 7: Periph & Cranial Nerve & Other 1 $161,674.91 $161,674.91 $161,674.91 nat. median
$122,708
1.3× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 7 $149,766.67 $206,018.99 $161,583.36 nat. median
$150,721
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $117,626.09 $178,790.30 $160,390.12 nat. median
$133,176
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $92,342.86 $194,451.55 $158,764.12 nat. median
$102,358
1.6× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $135,545.91 $186,456.92 $158,581.99 nat. median
$187,294
0.8× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $142,077.18 $195,441.33 $153,287.17 nat. median
$151,838
1.0× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $140,637.24 $193,460.55 $151,733.61 nat. median
$145,336
1.0× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 $128,146.63 $176,278.47 $149,925.20 nat. median
$129,535
1.2× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $136,299.14 $187,493.06 $147,053.24 nat. median
$58,674
outlier · 2.5×
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $125,406.30 $172,508.87 $146,719.15 nat. median
$93,528
1.6× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $134,525.30 $185,052.96 $145,139.43 nat. median
$119,796
1.2× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $129,433.97 $178,049.33 $139,646.40 nat. median
$105,658
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $73,536.47 $165,811.26 $135,380.15 nat. median
$83,442
1.6× median
5
MS_DRG 		DRG Grouper 12 (10/1/1994): DRG 5: Extracranial Vascular Procedures 1 $131,744.37 $131,744.37 $131,744.37 nat. median
$100,136
1.3× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $121,874.26 $167,650.20 $131,490.22 nat. median
$102,636
1.3× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $120,546.48 $165,823.71 $130,057.68 nat. median
$124,573
1.0× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $114,872.13 $158,018.08 $123,935.62 nat. median
$93,260
1.3× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $114,872.13 $158,018.08 $123,935.62 nat. median
$69,788
1.8× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $114,872.13 $158,018.08 $123,935.62 nat. median
$89,790
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $76,509.52 $150,132.01 $122,578.48 nat. median
$82,712
1.5× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $113,190.24 $155,704.47 $122,121.03 nat. median
$79,160
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $96,229.65 $136,325.37 $116,277.51 nat. median
$108,660
1.1× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 7 $107,031.35 $147,232.29 $115,476.19 nat. median
$118,620
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $66,821.85 $138,287.06 $112,907.42 nat. median
$77,576
1.5× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $104,532.96 $143,795.52 $112,780.69 nat. median
$81,294
1.4× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $103,933.64 $142,971.09 $112,134.07 nat. median
$108,996
1.0× median
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $94,962.02 $130,629.74 $111,100.86 nat. median
$78,029
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $83,075.54 $123,453.88 $110,095.45 nat. median
$93,672
1.2× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $98,984.48 $136,163.03 $106,794.42 nat. median
$85,406
1.3× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $98,984.48 $136,163.03 $106,794.42 nat. median
$76,806
1.4× median

Other procedures at this hospital

Browse this hospital's 7,086 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $466,547.31 $466,547.31 $466,547.31 2026-03-06
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 18 7 — — $402,353.76 $553,477.73 $434,099.75 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 3 — — $156,509.26 $390,559.24 $318,880.43 2026-03-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $237,978.96 $348,471.73 $293,225.34 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 16 6 — — $230,222.29 $316,693.73 $269,348.67 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 18 7 — — $246,434.06 $338,994.64 $265,877.88 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 7 — — $230,374.89 $316,903.65 $248,551.63 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 18 7 — — $229,153.42 $315,223.39 $247,233.78 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 3 — — $180,244.40 $268,743.50 $242,276.49 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 18 7 — — $175,947.84 $242,033.81 $189,830.25 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 18 7 — — $171,802.78 $236,331.87 $185,358.14 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 7 — — $171,697.14 $236,186.54 $185,244.16 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 7 — — $171,448.02 $235,843.85 $184,975.38 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $168,422.04 $231,681.32 $181,710.66 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 7 — — $165,141.73 $227,168.93 $178,171.53 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 18 7 — — $164,125.03 $225,770.36 $177,074.61 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 18 7 — — $161,599.26 $222,295.90 $174,349.55 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 18 7 — — $157,934.84 $217,255.12 $170,396.00 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 18 7 — — $152,822.64 $210,222.79 $164,880.45 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $162,083.15 $162,083.15 $162,083.15 2026-03-06
7 MS_DRG DRG Grouper 12 (10/1/1994): DRG 7: Periph & Cranial Nerve & Other 2 1 — — $161,674.91 $161,674.91 $161,674.91 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 18 7 — — $149,766.67 $206,018.99 $161,583.36 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 3 — — $117,626.09 $178,790.30 $160,390.12 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 3 — — $92,342.86 $194,451.55 $158,764.12 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 16 6 — — $135,545.91 $186,456.92 $158,581.99 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 18 7 — — $142,077.18 $195,441.33 $153,287.17 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 18 7 — — $140,637.24 $193,460.55 $151,733.61 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 16 6 — — $128,146.63 $176,278.47 $149,925.20 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 7 — — $136,299.14 $187,493.06 $147,053.24 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 16 6 — — $125,406.30 $172,508.87 $146,719.15 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 18 7 — — $134,525.30 $185,052.96 $145,139.43 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $129,433.97 $178,049.33 $139,646.40 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 12 3 — — $73,536.47 $165,811.26 $135,380.15 2026-03-06
5 MS_DRG DRG Grouper 12 (10/1/1994): DRG 5: Extracranial Vascular Procedures 2 1 — — $131,744.37 $131,744.37 $131,744.37 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 18 7 — — $121,874.26 $167,650.20 $131,490.22 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 18 7 — — $120,546.48 $165,823.71 $130,057.68 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 18 7 — — $114,872.13 $158,018.08 $123,935.62 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 18 7 — — $114,872.13 $158,018.08 $123,935.62 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 18 7 — — $114,872.13 $158,018.08 $123,935.62 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 3 — — $76,509.52 $150,132.01 $122,578.48 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $113,190.24 $155,704.47 $122,121.03 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $96,229.65 $136,325.37 $116,277.51 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 18 7 — — $107,031.35 $147,232.29 $115,476.19 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 3 — — $66,821.85 $138,287.06 $112,907.42 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 18 7 — — $104,532.96 $143,795.52 $112,780.69 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 18 7 — — $103,933.64 $142,971.09 $112,134.07 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 16 6 — — $94,962.02 $130,629.74 $111,100.86 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 3 — — $83,075.54 $123,453.88 $110,095.45 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 18 7 — — $98,984.48 $136,163.03 $106,794.42 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 18 7 — — $98,984.48 $136,163.03 $106,794.42 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 18 7 — — $98,623.84 $135,666.93 $106,405.33 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 3 — — $71,586.71 $127,486.20 $104,459.98 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 3 — — $71,361.67 $122,697.82 $102,476.11 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 16 6 — — $86,208.88 $118,588.91 $100,860.12 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 12 3 — — $46,620.23 $122,571.80 $100,076.37 2026-03-06
10 MS_DRG DRG Grouper 12 (10/1/1994): DRG 10: Nervous System Neoplasms W Cc 2 1 — — $98,634.46 $98,634.46 $98,634.46 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 16 6 — — $83,931.58 $115,456.26 $98,195.78 2026-03-06
19 MS_DRG DRG Grouper 12 (10/1/1994): DRG 19: Cranial & Peripheral Nerve 2 1 — — $98,069.10 $98,069.10 $98,069.10 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 16 6 — — $83,705.28 $115,144.96 $97,931.02 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 7 — — $90,168.73 $124,036.08 $97,283.10 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 3 — — $51,982.08 $118,935.51 $97,107.44 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $89,254.42 $122,778.35 $96,296.65 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 2 1 — — $96,119.25 $96,119.25 $96,119.25 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 3 — — $50,472.20 $117,459.40 $95,902.23 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 3 — — $45,522.22 $114,993.20 $93,888.65 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 3 — — $75,795.83 $129,591.80 $92,833.43 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 18 7 — — $85,558.69 $117,694.51 $92,309.33 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 3 — — $60,551.36 $111,464.92 $91,007.91 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 3 — — $56,781.76 $111,356.91 $90,919.72 2026-03-06
215 MS_DRG Other Heart Assist System Implant 12 3 — — $78,632.48 $131,068.91 $90,431.27 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 18 7 — — $83,597.02 $114,996.04 $90,192.89 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 18 7 — — $82,735.54 $113,810.98 $89,263.43 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 18 7 — — $82,554.89 $113,562.49 $89,068.53 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 3 — — $64,708.19 $103,274.26 $88,330.27 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 3 — — $57,160.50 $107,684.61 $87,921.40 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 3 — — $55,634.49 $105,416.43 $86,069.50 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 3 — — $44,954.95 $104,570.36 $85,378.71 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 18 7 — — $78,949.81 $108,603.34 $85,179.00 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 18 7 — — $78,949.81 $108,603.34 $85,179.00 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 18 7 — — $78,283.97 $107,687.40 $84,460.62 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 3 — — $54,643.47 $101,816.14 $83,129.96 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 3 — — $58,407.13 $99,133.93 $81,712.64 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 3 — — $58,695.01 $93,607.49 $81,243.55 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 12 3 — — $44,127.83 $98,611.89 $80,513.78 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 3 — — $41,620.99 $98,521.88 $80,440.29 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 18 7 — — $74,313.68 $102,225.88 $80,177.08 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 3 — — $64,923.04 $96,697.15 $79,949.30 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 3 — — $51,008.05 $96,055.68 $78,426.71 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 16 6 — — $66,530.94 $91,519.94 $77,837.90 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 3 — — $65,204.12 $95,721.08 $77,480.52 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 16 6 — — $64,899.91 $89,276.30 $75,929.68 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 16 6 — — $64,507.97 $88,737.15 $75,471.12 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 3 — — $42,013.32 $92,221.38 $75,296.11 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $74,670.48 $74,670.48 $74,670.48 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $74,670.48 $74,670.48 $74,670.48 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 18 7 — — $68,812.15 $94,657.98 $74,241.48 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 18 7 — — $68,179.57 $93,787.80 $73,558.98 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 3 — — $55,837.45 $80,988.48 $73,007.92 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 3 — — $50,638.65 $89,233.14 $72,856.30 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 3 — — $51,483.60 $85,866.87 $72,839.46 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 18 7 — — $67,301.12 $92,579.41 $72,611.23 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 7 — — $67,127.65 $92,340.78 $72,424.07 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 7 — — $66,279.21 $91,173.66 $71,508.68 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 7 — — $65,959.00 $90,733.19 $71,163.21 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 16 6 — — $60,708.55 $83,510.67 $71,025.99 2026-03-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 3 — — $39,723.88 $86,964.96 $71,004.40 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 3 — — $49,803.88 $85,686.85 $70,994.44 2026-03-06
245 MS_DRG Aicd Generator Procedures 12 3 — — $38,743.90 $86,676.93 $70,769.23 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 7 — — $65,437.93 $90,016.41 $70,601.03 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 16 6 — — $60,286.61 $82,930.25 $70,532.35 2026-03-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 3 — — $31,955.40 $85,650.85 $69,931.47 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 3 — — $52,042.37 $80,088.41 $69,751.22 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 3 — — $56,740.15 $82,944.25 $68,995.10 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 18 7 — — $63,620.40 $87,516.20 $68,640.09 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 3 — — $47,268.17 $82,734.62 $67,550.45 2026-03-06
8 MS_DRG DRG Grouper 12 (10/1/1994): DRG 8: Periph & Cranial Nerve & Other 2 1 — — $67,312.17 $67,312.17 $67,312.17 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 3 — — $59,172.78 $87,867.93 $66,887.07 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 3 — — $55,837.45 $73,599.15 $66,804.26 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 12 3 — — $51,022.48 $75,209.86 $66,787.91 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 3 — — $48,661.71 $77,046.16 $66,742.06 2026-03-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 3 — — $35,433.72 $80,664.45 $65,860.21 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 3 — — $46,455.49 $78,000.24 $65,421.87 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 16 6 — — $55,613.31 $76,501.66 $65,064.82 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 7 — — $59,560.12 $81,930.88 $64,259.45 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 3 — — $46,316.22 $75,210.02 $64,079.91 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 18 7 — — $59,380.78 $81,684.18 $64,065.96 2026-03-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 3 — — $37,898.95 $78,144.25 $63,802.54 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 16 6 — — $53,590.34 $73,718.86 $62,698.04 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 18 7 — — $57,996.91 $79,780.54 $62,572.91 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $57,036.95 $78,460.02 $61,537.21 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 3 — — $48,974.21 $67,675.88 $61,425.26 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 18 7 — — $56,826.96 $78,171.15 $61,310.65 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $56,810.00 $78,147.83 $61,292.35 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 18 7 — — $56,725.22 $78,031.20 $61,200.88 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 3 — — $49,836.15 $72,793.79 $61,098.27 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 3 — — $46,389.25 $68,675.49 $60,944.04 2026-03-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 3 — — $39,220.30 $74,129.93 $60,524.96 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 16 6 — — $51,415.43 $70,727.05 $60,153.50 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 3 — — $45,286.14 $67,019.36 $60,122.59 2026-03-06
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 3 — — $26,113.75 $73,571.89 $60,069.34 2026-03-06
6 MS_DRG DRG Grouper 12 (10/1/1994): DRG 6: Carpal Tunnel Release 2 1 — — $59,989.74 $59,989.74 $59,989.74 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 3 — — $48,400.15 $66,816.10 $59,659.51 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 18 7 — — $55,150.28 $75,864.72 $59,501.68 2026-03-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 3 — — $30,354.65 $72,563.80 $59,246.27 2026-03-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 3 — — $40,428.71 $72,131.77 $58,893.52 2026-03-06
140 MS_DRG Major Head And Neck Procedures With Mcc 12 3 — — $36,220.93 $72,005.76 $58,790.64 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 18 7 — — $54,205.97 $74,565.72 $58,482.86 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 18 7 — — $54,063.80 $74,370.16 $58,329.48 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 3 — — $42,353.00 $65,795.26 $58,276.28 2026-03-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 3 — — $39,842.77 $70,565.64 $58,212.81 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 3 — — $45,258.96 $63,905.11 $57,944.44 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 3 — — $44,806.34 $64,067.12 $57,904.81 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 3 — — $47,742.02 $68,091.55 $57,893.76 2026-03-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 3 — — $32,869.98 $70,583.65 $57,629.52 2026-03-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 3 — — $36,748.28 $70,277.62 $57,379.66 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 18 7 — — $53,158.62 $73,124.99 $57,352.87 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 1 — — $56,997.18 $56,997.18 $56,997.18 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 18 7 — — $52,104.10 $71,674.38 $56,215.15 2026-03-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 3 — — $29,945.34 $68,261.46 $55,733.53 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 3 — — $41,938.59 $61,871.38 $55,457.67 2026-03-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 3 — — $38,934.12 $64,517.16 $55,283.40 2026-03-06
332 MS_DRG Rectal Resection With Mcc 12 3 — — $30,746.98 $67,667.41 $55,248.50 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 18 7 — — $51,052.18 $70,227.37 $55,080.23 2026-03-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 3 — — $35,033.75 $66,011.28 $53,896.32 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 18 7 — — $49,699.62 $68,366.79 $53,620.96 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 18 7 — — $49,635.71 $68,278.87 $53,552.00 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 18 7 — — $49,489.63 $68,077.92 $53,394.40 2026-03-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 3 — — $32,820.73 $64,895.19 $52,985.06 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 16 6 — — $45,169.80 $62,135.56 $52,846.42 2026-03-06
163 MS_DRG Major Chest Procedures With Mcc 12 3 — — $38,059.45 $59,098.73 $52,636.56 2026-03-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 3 — — $30,789.44 $64,373.15 $52,558.83 2026-03-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 3 — — $33,832.98 $64,265.14 $52,470.65 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 7 — — $48,537.49 $66,768.16 $52,367.13 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 7 — — $48,483.37 $66,693.71 $52,308.74 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 3 — — $41,795.08 $62,311.79 $52,138.71 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 18 7 — — $48,104.47 $66,172.49 $51,899.94 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 16 6 — — $44,124.40 $60,697.52 $51,623.36 2026-03-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 3 — — $40,798.12 $61,944.37 $51,566.48 2026-03-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 3 — — $35,267.28 $63,023.04 $51,456.51 2026-03-06
265 MS_DRG Aicd Lead Procedures 12 3 — — $30,725.75 $62,519.00 $51,044.97 2026-03-06
901 MS_DRG Wound Debridements For Injuries With Mcc 12 3 — — $35,637.53 $57,730.62 $50,972.69 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 18 7 — — $47,189.50 $64,913.87 $50,912.79 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 18 7 — — $47,121.03 $64,819.67 $50,838.91 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 18 7 — — $47,072.11 $64,752.39 $50,786.14 2026-03-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 3 — — $38,610.58 $56,416.51 $50,694.78 2026-03-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 3 — — $32,411.42 $58,504.68 $50,647.86 2026-03-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 3 — — $35,802.27 $61,150.89 $50,347.54 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 18 7 — — $46,517.14 $63,988.96 $50,187.37 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 18 7 — — $46,450.62 $63,897.46 $50,115.60 2026-03-06
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 3 — — $30,279.08 $61,240.90 $50,001.44 2026-03-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 3 — — $35,784.44 $59,674.77 $49,782.66 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 16 6 — — $42,432.73 $58,370.45 $49,644.19 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 18 7 — — $45,844.77 $63,064.05 $49,461.95 2026-03-06
799 MS_DRG Splenic Procedures With Mcc 12 3 — — $38,459.42 $58,821.92 $49,391.99 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 7 — — $45,774.99 $62,968.07 $49,386.67 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 18 7 — — $45,712.38 $62,881.94 $49,319.12 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 18 7 — — $45,577.39 $62,696.25 $49,173.48 2026-03-06
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 3 — — $28,933.09 $60,160.81 $49,119.58 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 18 7 — — $45,491.96 $62,578.73 $49,081.30 2026-03-06
471 MS_DRG Cervical Spinal Fusion With Mcc 12 3 — — $41,005.32 $60,089.95 $48,917.85 2026-03-06
213 MS_DRG DRG Grouper 12 (10/1/1994): DRG 213: Amputation For Musculoskeletal 2 1 — — $48,462.99 $48,462.99 $48,462.99 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 18 7 — — $44,876.98 $61,732.76 $48,417.81 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 3 — — $42,801.38 $56,815.33 $48,378.32 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 18 7 — — $44,813.72 $61,645.75 $48,349.56 2026-03-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 3 — — $27,404.53 $59,098.73 $48,252.42 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 18 7 — — $44,500.04 $61,214.24 $48,011.12 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 18 7 — — $44,436.13 $61,126.33 $47,942.17 2026-03-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 3 — — $29,479.13 $58,594.69 $47,840.88 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 18 7 — — $44,328.52 $60,978.31 $47,826.07 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 18 7 — — $44,234.61 $60,849.12 $47,724.76 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 4 — — $17,396.00 $63,025.60 $47,370.56 2026-03-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 3 — — $30,813.22 $57,946.64 $47,311.77 2026-03-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 3 — — $35,863.41 $52,672.21 $47,238.81 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 18 7 — — $43,767.02 $60,205.91 $47,220.27 2026-03-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 3 — — $39,033.48 $56,806.67 $47,086.71 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 7 — — $43,633.33 $60,022.00 $47,076.03 2026-03-06
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 3 — — $30,625.55 $57,640.61 $47,061.91 2026-03-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 3 — — $35,571.29 $52,726.22 $46,960.24 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 18 7 — — $43,352.26 $59,635.35 $46,772.78 2026-03-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 3 — — $36,455.31 $55,480.49 $46,743.37 2026-03-06
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 3 — — $28,051.62 $56,956.56 $46,503.40 2026-03-06
665 MS_DRG Prostatectomy With Mcc 12 3 — — $26,505.23 $56,920.55 $46,474.00 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 18 7 — — $42,999.44 $59,150.02 $46,392.13 2026-03-06
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 3 — — $27,470.77 $56,362.51 $46,018.37 2026-03-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 3 — — $33,219.85 $54,760.38 $45,870.67 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 18 7 — — $42,367.51 $58,280.74 $45,710.34 2026-03-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 3 — — $37,303.66 $52,771.23 $45,631.60 2026-03-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 3 — — $30,253.60 $55,840.47 $45,592.14 2026-03-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 3 — — $30,671.41 $55,588.45 $45,386.37 2026-03-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 3 — — $31,191.97 $52,600.21 $45,356.23 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 16 6 — — $38,628.09 $53,136.79 $45,192.95 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 18 7 — — $41,812.53 $57,517.31 $45,111.57 2026-03-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 3 — — $38,048.41 $51,842.16 $45,043.01 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 18 7 — — $41,693.84 $57,354.04 $44,983.51 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $41,600.58 $57,225.75 $44,882.90 2026-03-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 3 — — $38,627.56 $55,813.27 $44,879.51 2026-03-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 3 — — $32,603.34 $49,449.96 $44,828.53 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 18 7 — — $41,414.07 $56,969.18 $44,681.67 2026-03-06
662 MS_DRG Minor Bladder Procedures With Mcc 12 3 — — $25,998.26 $54,580.37 $44,563.31 2026-03-06
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 3 — — $26,758.29 $54,436.35 $44,445.72 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 18 7 — — $40,861.05 $56,208.45 $44,085.01 2026-03-06
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 16 6 — — $37,602.91 $51,726.56 $43,993.54 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 18 7 — — $40,749.53 $56,055.04 $43,964.70 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 18 7 — — $40,734.53 $56,034.41 $43,948.51 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 18 7 — — $40,310.63 $55,451.30 $43,491.17 2026-03-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 3 — — $36,012.87 $50,517.22 $43,489.81 2026-03-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 3 — — $29,886.74 $51,214.10 $43,476.57 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 18 7 — — $40,245.42 $55,361.59 $43,420.81 2026-03-06
252 MS_DRG Other Vascular Procedures With Mcc 12 3 — — $29,622.64 $53,086.25 $43,343.40 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 18 7 — — $40,169.77 $55,257.53 $43,339.19 2026-03-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 3 — — $31,740.55 $47,632.29 $43,211.86 2026-03-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 3 — — $34,142.09 $48,398.06 $43,097.42 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 18 7 — — $39,836.52 $54,799.11 $42,979.65 2026-03-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $42,958.51 $42,958.51 $42,958.51 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 18 7 — — $39,705.44 $54,618.79 $42,838.23 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 18 7 — — $39,575.66 $54,440.27 $42,698.21 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $39,461.54 $54,283.28 $42,575.08 2026-03-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 3 — — $27,622.78 $52,096.17 $42,535.03 2026-03-06
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 3 — — $30,200.10 $51,988.16 $42,528.86 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 3 — — $34,612.99 $82,625.07 $42,393.39 2026-03-06
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 3 — — $25,646.69 $51,916.15 $42,388.05 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 18 7 — — $39,150.46 $53,855.36 $42,239.46 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 18 7 — — $39,126.98 $53,823.07 $42,214.13 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 18 7 — — $39,083.29 $53,762.96 $42,166.99 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 18 7 — — $39,035.68 $53,697.48 $42,115.62 2026-03-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 3 — — $32,789.31 $46,664.88 $42,034.69 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 18 7 — — $38,878.51 $53,481.28 $41,946.06 2026-03-06
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 18 7 — — $38,872.65 $53,473.20 $41,939.72 2026-03-06
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 7 — — $38,863.52 $53,460.64 $41,929.87 2026-03-06
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 18 7 — — $38,719.39 $53,262.38 $41,774.38 2026-03-06
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 3 — — $26,682.71 $51,160.09 $41,770.75 2026-03-06
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 3 — — $22,396.80 $50,998.08 $41,638.47 2026-03-06
37 MS_DRG Extracranial Procedures With Mcc 12 3 — — $27,956.51 $50,926.07 $41,579.68 2026-03-06
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 16 6 — — $35,189.96 $48,407.30 $41,170.51 2026-03-06
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 3 — — $25,650.09 $50,188.01 $40,977.08 2026-03-06
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 18 7 — — $37,973.98 $52,237.00 $40,970.16 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 18 7 — — $37,716.39 $51,882.65 $40,692.23 2026-03-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 3 — — $29,113.97 $46,497.72 $40,648.08 2026-03-06
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 18 7 — — $37,623.78 $51,755.26 $40,592.32 2026-03-06
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 18 7 — — $37,537.04 $51,635.95 $40,498.74 2026-03-06
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 3 — — $27,113.26 $47,469.80 $40,360.18 2026-03-06
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 18 7 — — $37,297.71 $51,306.71 $40,240.52 2026-03-06
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 3 — — $26,745.55 $49,233.94 $40,198.10 2026-03-06
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 3 — — $21,933.14 $49,053.92 $40,051.12 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 18 7 — — $36,993.15 $50,887.77 $39,911.94 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 18 7 — — $36,856.85 $50,700.28 $39,764.88 2026-03-06
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 18 7 — — $36,842.51 $50,680.54 $39,749.40 2026-03-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 3 — — $35,656.52 $51,829.79 $39,675.74 2026-03-06
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 3 — — $27,262.72 $48,585.89 $39,668.98 2026-03-06
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 18 7 — — $36,697.73 $50,481.39 $39,593.20 2026-03-06
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 7 — — $36,653.38 $50,420.38 $39,545.36 2026-03-06
263 MS_DRG Vein Ligation And Stripping 12 3 — — $25,963.44 $48,351.87 $39,477.91 2026-03-06
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 18 7 — — $36,484.48 $50,188.04 $39,363.13 2026-03-06
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 4 — — $15,761.00 $48,099.85 $39,272.15 2026-03-06
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 3 — — $29,336.46 $43,923.51 $39,203.18 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 18 7 — — $36,232.75 $49,841.76 $39,091.53 2026-03-06
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 3 — — $25,275.59 $47,865.83 $39,081.08 2026-03-06
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 18 7 — — $36,168.84 $49,753.84 $39,022.58 2026-03-06
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 16 6 — — $33,304.60 $45,813.80 $38,964.72 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 18 7 — — $36,068.40 $49,615.69 $38,914.23 2026-03-06
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