Price Transparencybeta Hospital negotiated rates

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

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Hospital

LANDMARK MEDICAL CENTER

Woonsocket, RI · CCN 410011 · Rates published

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You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC

This hospital’s price: $13,201 across 15 payers · range $10,745-$31,438

Source: https://landmarkmedical.org/wp-content/uploads/2024/12/461175423_LandmarkMedicalCenter_standardcharges.json · observed 2026-09-01

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

6,801 distinct procedures filed
25 distinct payers
339,998 rate rows
2026-09-01 last MRF observed
Data quality

339,950 of 339,998 rate rows are consumer-grade (100.0%)

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

Excluded — reasonRows
per-diem day rate — not a per-procedure price 18
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 9
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
percent-of-charges filed in the dollar field — excluded from medians 7
exceeds 10× this hospital's gross charge — excluded from medians 4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://landmarkmedical.org/wp-content/uploads/2026/09/HOS00134_LandmarkMedicalCenter_standardcharges.json
Found on page https://landmarkmedical.org/patients-visitors/patients-guide/financial-assistance/
Discovered viaCMS hospital list
Last fetch success · 2026-10-22
Content fingerprint 97315684752eb710… · 27,078,067 bytes · first seen 2026-09-21

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate W Ecmo 4 $405,389.00 $555,435.00 $555,435.00 nat. median
$309,665
1.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $364,806.00 $499,832.00 $499,832.00 nat. median
$249,123
outlier · 2.0×
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 4 $292,454.00 $400,700.00 $400,700.00 nat. median
$165,334
outlier · 2.4×
24
APR_DRG 		Heart &or Lung Transplant 4 $269,062.00 $368,650.00 $368,650.00 nat. median
$243,231
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $283,378.00 $807,703.00 $356,764.00 nat. median
$360,195
1.0× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $250,240.00 $342,861.00 $342,861.00 nat. median
$177,531
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $238,163.00 $326,314.00 $326,314.00 nat. median
$202,660
1.6× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 4 $220,646.00 $302,314.00 $302,314.00 nat. median
$152,569
2.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 4 $213,139.00 $292,028.00 $292,028.00 nat. median
$160,390
1.8× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant 4 $210,093.00 $287,854.00 $287,854.00 nat. median
$137,215
outlier · 2.1×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $209,766.00 $287,407.00 $287,407.00 nat. median
$154,211
1.9× median
5833
APR_DRG 		Neonate W Ecmo 4 $205,958.00 $282,190.00 $282,190.00 nat. median
$244,017
1.2× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $196,166.00 $268,773.00 $268,773.00 nat. median
$165,846
1.6× median
612
OTHER 		UnGrouped 1 $264,079.00 $264,079.00 $264,079.00 nat. median
$1,880
outlier · 140.5×
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 $190,400.00 $260,873.00 $260,873.00 nat. median
$95,269
outlier · 2.7×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $183,981.00 $252,077.00 $252,077.00 nat. median
$138,094
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $224,170.00 $594,083.00 $251,877.00 nat. median
$247,805
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 $179,302.00 $245,667.00 $245,667.00 nat. median
$122,016
outlier · 2.0×
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 4 $177,670.00 $243,431.00 $243,431.00 nat. median
$103,993
outlier · 2.3×
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 $177,344.00 $242,984.00 $242,984.00 nat. median
$119,800
outlier · 2.0×
636
OTHER 		UnGrouped 1 $242,327.00 $242,327.00 $242,327.00 nat. median
$55
outlier · 4393.2×
23
APR_DRG 		Heart &or Lung Transplant 4 $174,406.00 $238,959.00 $238,959.00 nat. median
$111,079
outlier · 2.2×
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 $173,101.00 $237,170.00 $237,170.00 nat. median
$90,073
outlier · 2.6×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 4 $168,966.00 $231,506.00 $231,506.00 nat. median
$107,562
outlier · 2.2×
5832
APR_DRG 		Neonate W Ecmo 4 $162,438.00 $222,562.00 $222,562.00 nat. median
$159,829
1.4× median
633
OTHER 		UnGrouped 1 $217,716.00 $217,716.00 $217,716.00 nat. median
$6,354
outlier · 34.3×
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 4 $158,086.00 $216,599.00 $216,599.00 nat. median
$109,393
2.0× median
631
OTHER 		UnGrouped 1 $212,093.00 $212,093.00 $212,093.00 nat. median
$5,471
outlier · 38.8×
5831
APR_DRG 		Neonate W Ecmo 4 $146,227.00 $200,350.00 $200,350.00 nat. median
$148,245
1.4× median
64
APR_DRG 		Pancreas Transplant 4 $145,357.00 $199,158.00 $199,158.00 nat. median
$92,076
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $174,405.98 $577,862.00 $195,961.77 nat. median
$197,664
1.0× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 $142,963.00 $195,878.00 $195,878.00 nat. median
$96,980
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $170,677.00 $467,405.00 $191,772.00 nat. median
$190,274
1.0× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive 3rd Degree Burns 4 $135,674.00 $185,890.00 $185,890.00 nat. median
$83,417
outlier · 2.2×
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 $132,301.00 $181,269.00 $181,269.00 nat. median
$71,594
outlier · 2.5×
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 4 $131,974.00 $180,822.00 $180,822.00 nat. median
$76,467
outlier · 2.4×
8634
APR_DRG 		Neonatal Aftercare 4 $130,778.00 $179,182.00 $179,182.00 nat. median
$71,420
outlier · 2.5×
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 4 $124,794.00 $170,983.00 $170,983.00 nat. median
$82,146
outlier · 2.1×
22
APR_DRG 		Heart &or Lung Transplant 4 $123,597.00 $169,344.00 $169,344.00 nat. median
$93,125
1.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $121,638.00 $166,660.00 $166,660.00 nat. median
$145,336
1.1× median
3034
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 $120,115.00 $164,573.00 $164,573.00 nat. median
$82,615
2.0× median
6134
APR_DRG 		Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 4 $119,789.00 $164,126.00 $164,126.00 nat. median
$56,729
outlier · 2.9×
43
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 $117,395.00 $160,847.00 $160,847.00 nat. median
$75,127
outlier · 2.1×
6084
APR_DRG 		Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 4 $116,198.00 $159,207.00 $159,207.00 nat. median
$63,123
outlier · 2.5×
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 $114,131.00 $156,374.00 $156,374.00 nat. median
$89,743
1.7× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $113,805.00 $155,927.00 $155,927.00 nat. median
$99,544
1.6× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $106,150.00 $194,268.00 $150,209.00 nat. median
$66,549
outlier · 2.3×
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $109,453.00 $149,964.00 $149,964.00 nat. median
$122,978
1.2× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 4 $109,344.00 $149,815.00 $149,815.00 nat. median
$57,767
outlier · 2.6×
13
APR_DRG 		Liver Transplant &or Intestinal Transplant 4 $107,494.00 $147,281.00 $147,281.00 nat. median
$73,704
2.0× median

Other procedures at this hospital

Browse this hospital's 6,801 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate W Ecmo 5 4 — — $405,389.00 $555,435.00 $555,435.00 2024-12-19
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 5 4 — — $364,806.00 $499,832.00 $499,832.00 2024-12-19
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 5 4 — — $292,454.00 $400,700.00 $400,700.00 2024-12-19
24 APR_DRG Heart &or Lung Transplant 5 4 — — $269,062.00 $368,650.00 $368,650.00 2024-12-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 63 15 — $395,888.00 $283,378.00 $807,703.00 $356,764.00 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 5 4 — — $250,240.00 $342,861.00 $342,861.00 2024-12-19
1614 APR_DRG Implantable Heart Assist Systems 5 4 — — $238,163.00 $326,314.00 $326,314.00 2024-12-19
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 5 4 — — $220,646.00 $302,314.00 $302,314.00 2024-12-19
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 5 4 — — $213,139.00 $292,028.00 $292,028.00 2024-12-19
14 APR_DRG Liver Transplant &or Intestinal Transplant 5 4 — — $210,093.00 $287,854.00 $287,854.00 2024-12-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 4 — — $209,766.00 $287,407.00 $287,407.00 2024-12-19
5833 APR_DRG Neonate W Ecmo 5 4 — — $205,958.00 $282,190.00 $282,190.00 2024-12-19
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 5 4 — — $196,166.00 $268,773.00 $268,773.00 2024-12-19
612 OTHER UnGrouped 1 1 — — $264,079.00 $264,079.00 $264,079.00 2024-12-19
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 4 — — $190,400.00 $260,873.00 $260,873.00 2024-12-19
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 5 4 — — $183,981.00 $252,077.00 $252,077.00 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 15 — $257,072.00 $224,170.00 $594,083.00 $251,877.00 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 5 4 — — $179,302.00 $245,667.00 $245,667.00 2024-12-19
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 5 4 — — $177,670.00 $243,431.00 $243,431.00 2024-12-19
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $177,344.00 $242,984.00 $242,984.00 2024-12-19
636 OTHER UnGrouped 1 1 — — $242,327.00 $242,327.00 $242,327.00 2024-12-19
23 APR_DRG Heart &or Lung Transplant 5 4 — — $174,406.00 $238,959.00 $238,959.00 2024-12-19
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 4 — — $173,101.00 $237,170.00 $237,170.00 2024-12-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 5 4 — — $168,966.00 $231,506.00 $231,506.00 2024-12-19
5832 APR_DRG Neonate W Ecmo 5 4 — — $162,438.00 $222,562.00 $222,562.00 2024-12-19
633 OTHER UnGrouped 1 1 — — $217,716.00 $217,716.00 $217,716.00 2024-12-19
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 5 4 — — $158,086.00 $216,599.00 $216,599.00 2024-12-19
631 OTHER UnGrouped 1 1 — — $212,093.00 $212,093.00 $212,093.00 2024-12-19
5831 APR_DRG Neonate W Ecmo 5 4 — — $146,227.00 $200,350.00 $200,350.00 2024-12-19
64 APR_DRG Pancreas Transplant 5 4 — — $145,357.00 $199,158.00 $199,158.00 2024-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 63 15 — $195,961.00 $174,405.98 $577,862.00 $195,961.77 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $142,963.00 $195,878.00 $195,878.00 2024-12-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 63 15 — $194,814.00 $170,677.00 $467,405.00 $191,772.00 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 5 4 — — $135,674.00 $185,890.00 $185,890.00 2024-12-19
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 4 — — $132,301.00 $181,269.00 $181,269.00 2024-12-19
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 5 4 — — $131,974.00 $180,822.00 $180,822.00 2024-12-19
8634 APR_DRG Neonatal Aftercare 5 4 — — $130,778.00 $179,182.00 $179,182.00 2024-12-19
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 5 4 — — $124,794.00 $170,983.00 $170,983.00 2024-12-19
22 APR_DRG Heart &or Lung Transplant 5 4 — — $123,597.00 $169,344.00 $169,344.00 2024-12-19
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 5 4 — — $121,638.00 $166,660.00 $166,660.00 2024-12-19
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 4 — — $120,115.00 $164,573.00 $164,573.00 2024-12-19
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 5 4 — — $119,789.00 $164,126.00 $164,126.00 2024-12-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 5 4 — — $117,395.00 $160,847.00 $160,847.00 2024-12-19
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 5 4 — — $116,198.00 $159,207.00 $159,207.00 2024-12-19
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $114,131.00 $156,374.00 $156,374.00 2024-12-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 — — $113,805.00 $155,927.00 $155,927.00 2024-12-19
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $106,150.00 $194,268.00 $150,209.00 2024-12-19
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 5 4 — — $109,453.00 $149,964.00 $149,964.00 2024-12-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $109,344.00 $149,815.00 $149,815.00 2024-12-19
13 APR_DRG Liver Transplant &or Intestinal Transplant 5 4 — — $107,494.00 $147,281.00 $147,281.00 2024-12-19
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 5 4 — — $106,733.00 $146,238.00 $146,238.00 2024-12-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 5 4 — — $104,339.00 $142,958.00 $142,958.00 2024-12-19
4404 APR_DRG Kidney Transplant 5 4 — — $103,904.00 $142,362.00 $142,362.00 2024-12-19
21 APR_DRG Heart &or Lung Transplant 5 4 — — $103,686.00 $142,064.00 $142,064.00 2024-12-19
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 5 4 — — $103,251.00 $141,467.00 $141,467.00 2024-12-19
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 4 — — $103,251.00 $141,467.00 $141,467.00 2024-12-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 5 4 — — $101,184.00 $138,635.00 $138,635.00 2024-12-19
359 OTHER UnGrouped 1 1 — — $136,549.00 $136,549.00 $136,549.00 2024-12-19
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 5 4 — — $98,464.00 $134,908.00 $134,908.00 2024-12-19
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 5 4 — — $97,267.20 $133,269.00 $133,269.00 2024-12-19
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 5 4 — — $96,940.80 $132,821.00 $132,821.00 2024-12-19
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 5 4 — — $95,417.60 $130,734.00 $130,734.00 2024-12-19
63 APR_DRG Pancreas Transplant 5 4 — — $95,308.80 $130,585.00 $130,585.00 2024-12-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 5 4 — — $95,200.00 $130,436.00 $130,436.00 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 63 15 — $127,289.00 $112,698.00 $322,268.00 $126,627.00 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms 5 4 — — $91,827.20 $125,815.00 $125,815.00 2024-12-19
681 OTHER UnGrouped 1 1 — — $124,962.00 $124,962.00 $124,962.00 2024-12-19
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 5 4 — — $90,848.00 $124,473.00 $124,473.00 2024-12-19
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 5 4 — — $89,868.80 $123,132.00 $123,132.00 2024-12-19
1613 APR_DRG Implantable Heart Assist Systems 5 4 — — $89,760.00 $122,983.00 $122,983.00 2024-12-19
214 APR_DRG Open Craniotomy Except Trauma 5 4 — — $89,542.40 $122,685.00 $122,685.00 2024-12-19
224 APR_DRG Ventricular Shunt Procedures 5 4 — — $87,801.60 $120,299.00 $120,299.00 2024-12-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $87,692.80 $120,150.00 $120,150.00 2024-12-19
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 5 4 — — $87,366.40 $119,703.00 $119,703.00 2024-12-19
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma 5 4 — — $86,387.20 $118,362.00 $118,362.00 2024-12-19
7 MS_DRG Lung Transplant 63 15 — $119,036.00 $104,271.00 $268,916.00 $117,159.00 2026-09-01
6904 APR_DRG Acute Leukemia 5 4 — — $84,972.80 $116,424.00 $116,424.00 2024-12-19
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 4 — — $84,428.80 $115,678.00 $115,678.00 2024-12-19
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 5 4 — — $84,428.80 $115,678.00 $115,678.00 2024-12-19
12 APR_DRG Liver Transplant &or Intestinal Transplant 5 4 — — $84,102.40 $115,231.00 $115,231.00 2024-12-19
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 5 4 — — $83,558.40 $114,486.00 $114,486.00 2024-12-19
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 5 4 — — $83,123.20 $113,889.00 $113,889.00 2024-12-19
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 5 4 — — $83,014.40 $113,740.00 $113,740.00 2024-12-19
234 APR_DRG Spinal Procedures 5 4 — — $82,579.20 $113,144.00 $113,144.00 2024-12-19
62 APR_DRG Pancreas Transplant 5 4 — — $82,579.20 $113,144.00 $113,144.00 2024-12-19
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection 5 4 — — $82,470.40 $112,995.00 $112,995.00 2024-12-19
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $82,144.00 $112,548.00 $112,548.00 2024-12-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 5 4 — — $81,708.80 $111,952.00 $111,952.00 2024-12-19
894 APR_DRG Major Cranialfacial Bone Procedures 5 4 — — $81,708.80 $111,952.00 $111,952.00 2024-12-19
14 MS_DRG Allogeneic Bone Marrow Transplant 63 15 — $110,499.00 $98,344.48 $251,257.00 $110,499.42 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond 5 4 — — $79,859.20 $109,417.00 $109,417.00 2024-12-19
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 5 4 — — $78,336.00 $107,330.00 $107,330.00 2024-12-19
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 5 4 — — $78,227.20 $107,181.00 $107,181.00 2024-12-19
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 5 4 — — $78,009.60 $106,883.00 $106,883.00 2024-12-19
11 APR_DRG Liver Transplant &or Intestinal Transplant 5 4 — — $77,030.40 $105,542.00 $105,542.00 2024-12-19
1694 APR_DRG Major Abdominal Vascular Procedures 5 4 — — $76,595.20 $104,945.00 $104,945.00 2024-12-19
204 APR_DRG Open Craniotomy For Trauma 5 4 — — $76,377.60 $104,647.00 $104,647.00 2024-12-19
4034 APR_DRG Procedures For Obesity 5 4 — — $75,398.40 $103,306.00 $103,306.00 2024-12-19
635 OTHER UnGrouped 1 1 — — $103,274.00 $103,274.00 $103,274.00 2024-12-19
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 5 4 — — $74,745.60 $102,411.00 $102,411.00 2024-12-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 — — $74,528.00 $102,113.00 $102,113.00 2024-12-19
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 5 4 — — $74,419.20 $101,964.00 $101,964.00 2024-12-19
4014 APR_DRG Adrenal Procedures 5 4 — — $72,243.20 $98,982.50 $98,982.50 2024-12-19
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms 5 4 — — $72,243.20 $98,982.50 $98,982.50 2024-12-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 63 15 — $104,216.00 $88,000.10 $268,427.00 $98,876.50 2026-09-01
634 OTHER UnGrouped 1 1 — — $98,024.30 $98,024.30 $98,024.30 2024-12-19
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 63 15 — $100,025.00 $8,739.54 $236,126.00 $97,754.10 2026-09-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 5 4 — — $70,828.80 $97,044.60 $97,044.60 2024-12-19
459 OTHER Spinal Fusion Except Cervical With Mcc 2 2 — — $48,573.60 $145,400.00 $96,986.80 2024-12-19
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $58,107.40 $134,088.00 $96,097.70 2024-12-19
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 5 4 — — $69,958.40 $95,852.00 $95,852.00 2024-12-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 63 15 — $94,864.00 $84,429.02 $226,903.00 $94,864.07 2026-09-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 5 4 — — $69,088.00 $94,659.40 $94,659.40 2024-12-19
734 APR_DRG Orbit And Eye Procedures 5 4 — — $68,979.20 $94,510.40 $94,510.40 2024-12-19
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 4 — — $68,761.60 $94,212.20 $94,212.20 2024-12-19
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 5 4 — — $68,652.80 $94,063.20 $94,063.20 2024-12-19
426 MS_DRG UnGrouped 20 13 — $122,226.00 $14,470.70 $173,937.00 $94,020.20 2024-12-19
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond 5 4 — — $68,435.20 $93,765.00 $93,765.00 2024-12-19
613 OTHER UnGrouped 1 1 — — $93,663.60 $93,663.60 $93,663.60 2024-12-19
4403 APR_DRG Kidney Transplant 5 4 — — $68,217.60 $93,466.90 $93,466.90 2024-12-19
61 APR_DRG Pancreas Transplant 5 4 — — $68,108.80 $93,317.80 $93,317.80 2024-12-19
4414 APR_DRG Major Bladder Procedures 5 4 — — $67,673.60 $92,721.50 $92,721.50 2024-12-19
1204 APR_DRG Major Respiratory & Chest Procedures 5 4 — — $67,564.80 $92,572.50 $92,572.50 2024-12-19
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 5 4 — — $67,238.40 $92,125.30 $92,125.30 2024-12-19
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 5 4 — — $67,020.80 $91,827.10 $91,827.10 2024-12-19
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 5 4 — — $66,912.00 $91,678.10 $91,678.10 2024-12-19
215 MS_DRG Other Heart Assist System Implant 63 15 — $91,626.00 $81,547.97 $223,939.00 $91,626.93 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 5 4 — — $66,694.40 $91,379.90 $91,379.90 2024-12-19
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 5 4 — — $66,259.20 $90,783.60 $90,783.60 2024-12-19
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 5 4 — — $65,388.80 $89,591.10 $89,591.10 2024-12-19
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 5 4 — — $65,062.40 $89,143.90 $89,143.90 2024-12-19
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 5 4 — — $65,062.40 $89,143.90 $89,143.90 2024-12-19
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 5 4 — — $64,627.20 $88,547.60 $88,547.60 2024-12-19
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 5 4 — — $64,300.80 $88,100.40 $88,100.40 2024-12-19
244 APR_DRG Open Extracranial Vascular Procedures 5 4 — — $64,300.80 $88,100.40 $88,100.40 2024-12-19
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 5 4 — — $64,192.00 $87,951.30 $87,951.30 2024-12-19
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $63,648.00 $87,205.90 $87,205.90 2024-12-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 15 — $90,031.00 $77,132.60 $212,769.00 $86,665.80 2026-09-01
6504 APR_DRG Splenectomy 5 4 — — $62,995.20 $86,311.50 $86,311.50 2024-12-19
1214 APR_DRG Other Respiratory & Chest Procedures 5 4 — — $62,995.20 $86,311.50 $86,311.50 2024-12-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 5 4 — — $62,886.40 $86,162.50 $86,162.50 2024-12-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 5 4 — — $62,560.00 $85,715.30 $85,715.30 2024-12-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 5 4 — — $62,560.00 $85,715.30 $85,715.30 2024-12-19
264 APR_DRG Other Nervous System & Related Procedures 5 4 — — $61,798.40 $84,671.80 $84,671.80 2024-12-19
914 APR_DRG Other Major Head & Neck Procedures 5 4 — — $61,689.60 $84,522.70 $84,522.70 2024-12-19
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 5 4 — — $61,580.80 $84,373.60 $84,373.60 2024-12-19
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection 5 4 — — $61,036.80 $83,628.30 $83,628.30 2024-12-19
8444 APR_DRG Partial Thickness Burns Wo Skin Graft 5 4 — — $60,710.40 $83,181.10 $83,181.10 2024-12-19
1814 APR_DRG Lower Extremity Arterial Procedures 10 4 — — $60,651.60 $83,106.50 $83,100.40 2024-12-19
850 MS_DRG UnGrouped 19 12 — $107,571.00 $73,645.10 $153,082.00 $82,747.30 2024-12-19
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 5 4 — — $60,275.20 $82,584.80 $82,584.80 2024-12-19
51 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 5 4 — — $58,752.00 $80,497.80 $80,497.80 2024-12-19
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 5 4 — — $58,752.00 $80,497.80 $80,497.80 2024-12-19
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 5 4 — — $58,643.20 $80,348.70 $80,348.70 2024-12-19
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 5 4 — — $58,099.20 $79,603.40 $79,603.40 2024-12-19
632 OTHER UnGrouped 1 1 — — $78,721.50 $78,721.50 $78,721.50 2024-12-19
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 4 — — $57,337.60 $78,559.90 $78,559.90 2024-12-19
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 5 4 — — $57,337.60 $78,559.90 $78,559.90 2024-12-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 — — $57,011.20 $78,112.70 $78,112.70 2024-12-19
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 5 4 — — $56,793.60 $77,814.50 $77,814.50 2024-12-19
2234 APR_DRG Other Small & Large Bowel Procedures 5 4 — — $56,576.00 $77,516.40 $77,516.40 2024-12-19
6954 APR_DRG Chemotherapy For Acute Leukemia 10 4 — — $55,843.10 $76,517.60 $76,512.20 2024-12-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 63 15 — $77,642.00 $66,821.70 $177,910.00 $76,162.80 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 63 15 — $77,400.00 $58,287.40 $184,798.00 $76,120.90 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems 5 4 — — $54,944.00 $75,280.40 $75,280.40 2024-12-19
429 MS_DRG UnGrouped 19 12 — $97,465.00 $66,726.40 $138,701.00 $74,973.50 2024-12-19
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 5 4 — — $54,508.80 $74,684.10 $74,684.10 2024-12-19
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 — — $54,508.80 $74,684.10 $74,684.10 2024-12-19
4402 APR_DRG Kidney Transplant 5 4 — — $54,291.20 $74,385.90 $74,385.90 2024-12-19
6394 APR_DRG Neonate Birthwt >2499g W Other Significant Condition 5 4 — — $54,291.20 $74,385.90 $74,385.90 2024-12-19
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $54,182.40 $74,236.90 $74,236.90 2024-12-19
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 5 4 — — $53,312.00 $73,044.30 $73,044.30 2024-12-19
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 5 4 — — $53,203.20 $72,895.20 $72,895.20 2024-12-19
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 5 4 — — $53,203.20 $72,895.20 $72,895.20 2024-12-19
1824 APR_DRG Other Peripheral Vascular And Related Procedures 10 4 — — $53,203.20 $72,897.20 $72,895.20 2024-12-19
2294 APR_DRG Other Digestive System & Abdominal Procedures 5 4 — — $53,203.20 $72,895.20 $72,895.20 2024-12-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 63 15 — $72,504.00 $64,507.00 $185,302.00 $72,479.80 2026-09-01
8633 APR_DRG Neonatal Aftercare 5 4 — — $52,659.20 $72,149.90 $72,149.90 2024-12-19
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 5 4 — — $52,550.40 $72,000.80 $72,000.80 2024-12-19
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 2 — — $42,295.80 $100,969.00 $71,632.40 2024-12-19
2244 APR_DRG Peritoneal Adhesiolysis 5 4 — — $51,897.60 $71,106.40 $71,106.40 2024-12-19
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 5 4 — — $51,462.40 $70,510.10 $70,510.10 2024-12-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 63 15 — $70,456.00 $62,564.00 $170,991.00 $70,296.60 2026-09-01
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 5 4 — — $51,136.00 $70,062.90 $70,062.90 2024-12-19
2614 APR_DRG Major Biliary Tract Procedures 5 4 — — $51,027.20 $69,913.80 $69,913.80 2024-12-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 15 — $70,759.00 $61,937.40 $169,053.00 $69,592.60 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 5 4 — — $50,483.20 $69,168.50 $69,168.50 2024-12-19
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 5 4 — — $50,265.60 $68,870.30 $68,870.30 2024-12-19
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 5 4 — — $50,265.60 $68,870.30 $68,870.30 2024-12-19
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 4 — — $50,156.80 $68,721.30 $68,721.30 2024-12-19
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 5 4 — — $49,830.40 $68,274.10 $68,274.10 2024-12-19
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 4 — — $49,830.40 $68,274.10 $68,274.10 2024-12-19
4401 APR_DRG Kidney Transplant 5 4 — — $49,612.80 $67,975.90 $67,975.90 2024-12-19
3094 APR_DRG Other Significant Hip & Femur Surgery 5 4 — — $49,612.80 $67,975.90 $67,975.90 2024-12-19
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 5 4 — — $49,177.60 $67,379.60 $67,379.60 2024-12-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 63 15 — $70,225.00 $59,767.30 $158,558.00 $67,154.20 2026-09-01
213 APR_DRG Open Craniotomy Except Trauma 5 4 — — $48,960.00 $67,081.50 $67,081.50 2024-12-19
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $48,851.20 $66,932.40 $66,932.40 2024-12-19
10 MS_DRG Pancreas Transplant 63 15 — $66,157.00 $50,884.00 $132,633.00 $66,157.46 2026-09-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 — — $48,198.40 $66,038.00 $66,038.00 2024-12-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 63 15 — $65,781.00 $58,545.17 $175,242.00 $65,781.09 2026-09-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 5 4 — — $47,872.00 $65,590.80 $65,590.80 2024-12-19
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 5 4 — — $47,654.40 $65,292.70 $65,292.70 2024-12-19
4444 APR_DRG Renal Dialysis Access Device Procedures 5 4 — — $47,545.60 $65,143.60 $65,143.60 2024-12-19
9304 APR_DRG Multiple Significant Trauma Wo O.r. Procedure 5 4 — — $47,545.60 $65,143.60 $65,143.60 2024-12-19
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 5 4 — — $47,436.80 $64,994.50 $64,994.50 2024-12-19
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 5 4 — — $47,328.00 $64,845.40 $64,845.40 2024-12-19
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 5 4 — — $47,110.40 $64,547.30 $64,547.30 2024-12-19
1804 APR_DRG Other Circulatory System Procedures 5 4 — — $47,001.60 $64,398.20 $64,398.20 2024-12-19
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 5 4 — — $47,001.60 $64,398.20 $64,398.20 2024-12-19
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 4 — — $46,784.00 $64,100.10 $64,100.10 2024-12-19
427 MS_DRG UnGrouped 20 13 — $83,107.00 $13,928.80 $118,269.00 $63,928.90 2024-12-19
361 OTHER UnGrouped 1 1 — — $63,773.80 $63,773.80 $63,773.80 2024-12-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 63 15 — $65,742.00 $49,645.00 $154,246.00 $63,610.40 2026-09-01
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 5 4 — — $46,240.00 $63,354.80 $63,354.80 2024-12-19
647 OTHER UnGrouped 1 1 — — $63,314.70 $63,314.70 $63,314.70 2024-12-19
4804 APR_DRG Major Male Pelvic Procedures 5 4 — — $46,022.40 $63,056.60 $63,056.60 2024-12-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 63 15 — $63,740.00 $55,735.80 $152,692.00 $62,624.50 2026-09-01
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 5 4 — — $45,696.00 $62,609.40 $62,609.40 2024-12-19
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 5 4 — — $45,478.40 $62,311.30 $62,311.30 2024-12-19
3054 APR_DRG Amputation Of Lower Limb Except Toes 5 4 — — $45,369.60 $62,162.20 $62,162.20 2024-12-19
4834 APR_DRG Penis, Testes & Scrotal Procedures 5 4 — — $45,260.80 $62,013.10 $62,013.10 2024-12-19
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 5 4 — — $45,260.80 $62,013.10 $62,013.10 2024-12-19
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 4 — — $45,152.00 $61,864.10 $61,864.10 2024-12-19
360 OTHER UnGrouped 1 1 — — $61,676.70 $61,676.70 $61,676.70 2024-12-19
1744 APR_DRG Percutaneous Coronary Intervention W Ami 5 4 — — $44,934.40 $61,565.90 $61,565.90 2024-12-19
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 5 4 — — $44,934.40 $61,565.90 $61,565.90 2024-12-19
955 OTHER Craniotomy For Multiple Significant Trauma 21 13 — $79,924.00 $54,717.80 $133,515.00 $61,480.70 2024-12-19
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 5 4 — — $44,716.80 $61,267.80 $61,267.80 2024-12-19
8503 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 5 4 — — $44,608.00 $61,118.70 $61,118.70 2024-12-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 63 15 — $66,129.00 $38,805.20 $151,701.00 $60,823.93 2026-09-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 5 4 — — $44,281.60 $60,671.50 $60,671.50 2024-12-19
447 MS_DRG UnGrouped 19 12 — $78,491.00 $53,736.40 $111,699.00 $60,377.90 2024-12-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 63 15 — $63,430.00 $15,857.30 $150,276.00 $60,046.90 2026-09-01
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 5 4 — — $43,628.80 $59,777.10 $59,777.10 2024-12-19
1611 APR_DRG Implantable Heart Assist Systems 5 4 — — $43,628.80 $59,777.10 $59,777.10 2024-12-19
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 5 4 — — $43,628.80 $59,777.10 $59,777.10 2024-12-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 14 — $62,086.00 $55,256.61 $114,859.25 $59,602.64 2026-09-01
3624 APR_DRG Mastectomy Procedures 5 4 — — $43,411.20 $59,478.90 $59,478.90 2024-12-19
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 5 4 — — $43,302.40 $59,329.90 $59,329.90 2024-12-19
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 5 4 — — $42,867.20 $58,733.60 $58,733.60 2024-12-19
223 APR_DRG Ventricular Shunt Procedures 5 4 — — $42,540.80 $58,286.40 $58,286.40 2024-12-19
8904 APR_DRG HIV W Multiple Major HIV Related Conditions 5 4 — — $42,540.80 $58,286.40 $58,286.40 2024-12-19
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 21 13 — $75,736.00 $51,850.50 $151,444.00 $58,259.00 2024-12-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 15 — $60,659.00 $51,776.60 $139,546.00 $58,176.00 2026-09-01
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 5 4 — — $42,432.00 $58,137.30 $58,137.30 2024-12-19
6604 APR_DRG Major Hematologicimmunologic Diag Exc Sickle Cell Crisis & Coagul 5 4 — — $42,214.40 $57,839.20 $57,839.20 2024-12-19
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 5 4 — — $42,105.60 $57,690.10 $57,690.10 2024-12-19
9102 APR_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $41,996.80 $57,541.00 $57,541.00 2024-12-19
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 5 4 — — $41,996.80 $57,541.00 $57,541.00 2024-12-19
5184 APR_DRG Other Female Reproductive System & Related Procedures 5 4 — — $41,996.80 $57,541.00 $57,541.00 2024-12-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $34,348.70 $80,192.10 $57,270.40 2024-12-19
233 APR_DRG Spinal Procedures 5 4 — — $41,779.20 $57,242.90 $57,242.90 2024-12-19
7594 APR_DRG Eating Disorders 5 4 — — $41,779.20 $57,242.90 $57,242.90 2024-12-19
6132 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 5 4 — — $41,670.40 $57,093.80 $57,093.80 2024-12-19
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 5 4 — — $41,670.40 $57,093.80 $57,093.80 2024-12-19
3224 APR_DRG Shoulder & Elbow Joint Replacement 10 4 — — $41,620.20 $57,093.80 $57,025.00 2024-12-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 14 — $59,371.00 $52,840.92 $109,837.87 $56,996.95 2026-09-01
6903 APR_DRG Acute Leukemia 5 4 — — $41,561.60 $56,944.70 $56,944.70 2024-12-19
913 APR_DRG Other Major Head & Neck Procedures 5 4 — — $41,452.80 $56,795.70 $56,795.70 2024-12-19
646 OTHER UnGrouped 1 1 — — $56,780.80 $56,780.80 $56,780.80 2024-12-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 63 15 — $60,440.00 $49,396.80 $136,319.00 $56,612.10 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 63 15 — $56,501.00 $50,286.68 $150,668.00 $56,501.89 2026-09-01
1714 APR_DRG Perm Cardiac Pacemaker Implant Wo Ami, Heart Failure Or Shock 5 4 — — $41,235.20 $56,497.50 $56,497.50 2024-12-19
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 5 4 — — $41,126.40 $56,348.50 $56,348.50 2024-12-19
6924 APR_DRG Radiotherapy 5 4 — — $41,017.60 $56,199.40 $56,199.40 2024-12-19
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami 5 4 — — $40,908.80 $56,050.30 $56,050.30 2024-12-19
6233 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection 5 4 — — $40,908.80 $56,050.30 $56,050.30 2024-12-19
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 5 4 — — $40,908.80 $56,050.30 $56,050.30 2024-12-19
203 APR_DRG Open Craniotomy For Trauma 5 4 — — $40,800.00 $55,901.30 $55,901.30 2024-12-19
1632 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 5 4 — — $40,800.00 $55,901.30 $55,901.30 2024-12-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 15 — $60,659.00 $47,738.00 $124,889.00 $55,795.94 2026-09-01
317 MS_DRG UnGrouped 20 13 — $72,479.00 $49,620.80 $103,144.00 $55,753.70 2024-12-19
6614 APR_DRG Coagulation & Platelet Disorders 5 4 — — $40,582.40 $55,603.10 $55,603.10 2024-12-19
4454 APR_DRG Other Bladder Procedures 5 4 — — $40,473.60 $55,454.00 $55,454.00 2024-12-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc 63 15 — $55,451.00 $38,140.80 $136,146.00 $55,451.54 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 63 15 — $55,964.00 $49,003.80 $130,411.00 $55,060.40 2026-09-01
6223 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond 5 4 — — $40,147.20 $55,006.80 $55,006.80 2024-12-19
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 5 4 — — $40,038.40 $54,857.80 $54,857.80 2024-12-19
5424 APR_DRG Vaginal Delivery W Complicating Procedures Exc Sterilization &or D&c 5 4 — — $40,038.40 $54,857.80 $54,857.80 2024-12-19
28 MS_DRG Spinal Procedures With Mcc 63 15 — $55,467.00 $40,593.10 $132,110.00 $54,799.90 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 63 15 — $54,747.00 $48,425.70 $135,418.00 $54,410.90 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 63 15 — $56,566.00 $47,378.50 $136,933.00 $54,008.50 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 5 4 — — $39,385.60 $53,963.30 $53,963.30 2024-12-19
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 5 4 — — $39,276.80 $53,814.30 $53,814.30 2024-12-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 63 15 — $54,873.00 $6,639.65 $131,540.00 $53,598.10 2026-09-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 — — $39,059.20 $53,516.10 $53,516.10 2024-12-19
974 APR_DRG Tonsil & Adenoid Procedures 5 4 — — $38,950.40 $53,367.10 $53,367.10 2024-12-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 63 15 — $54,187.00 $47,221.10 $128,920.00 $53,057.40 2026-09-01
893 APR_DRG Major Cranialfacial Bone Procedures 5 4 — — $38,624.00 $52,919.80 $52,919.80 2024-12-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 63 15 — $54,153.00 $46,729.60 $132,562.00 $52,505.20 2026-09-01
7403 APR_DRG Mental Illness Diagnosis W O.r. Procedure 5 4 — — $38,297.60 $52,472.60 $52,472.60 2024-12-19
2284 APR_DRG Inguinal, Femoral & Umbilical Hernia Procedures 5 4 — — $38,080.00 $52,174.50 $52,174.50 2024-12-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 63 15 — $55,053.00 $46,071.30 $133,189.00 $52,132.92 2026-09-01
2603 APR_DRG Major Pancreas, Liver & Shunt Procedures 5 4 — — $37,862.40 $51,876.40 $51,876.40 2024-12-19
564 APR_DRG Brain Contusionlaceration & Complicated Skull Fx, Coma < 1 Hr Or No Coma 5 4 — — $37,862.40 $51,876.40 $51,876.40 2024-12-19
404 APR_DRG Spinal Disorders & Injuries 5 4 — — $37,753.60 $51,727.30 $51,727.30 2024-12-19
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 5 4 — — $37,644.80 $51,578.20 $51,578.20 2024-12-19
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 5 4 — — $37,644.80 $51,578.20 $51,578.20 2024-12-19
4234 APR_DRG Inborn Errors Of Metabolism 5 4 — — $37,644.80 $51,578.20 $51,578.20 2024-12-19
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