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

AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER

Sioux Falls, SD · CCN 430016 · Rates published

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You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $21,691 across 4 payers · range $12,683-$25,914

Source: https://www.avera.org/app/files/public/2b9aa38c-4c89-40ef-b4b6-f3c7b8c158ac/460024743_avera-mckennan-hospital_standardcharges.csv · observed 2026-07-18

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.

4,229 distinct procedures filed
6 distinct payers
46,557 rate rows
2026-07-18 last MRF observed
Data quality

45,075 of 46,557 rate rows are consumer-grade (96.8%)

1,482 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 734
placeholder amount (≤ $0.02) — excluded from medians 646
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 58
exceeds 10× this hospital's gross charge — excluded from medians 19
percent-of-charges filed in the dollar field — excluded from medians 19
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/2b9aa38c-4c89-40ef-b4b6-f3c7b8c158ac/460024743_avera-mckennan-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-11-07
Content fingerprint 8b36300bbaa42314… · 32,248,729 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 2 $216,009.28 $780,168.45 $756,843.18 nat. median
$309,665
outlier · 2.4×
5833
APR_DRG 		Neonate With Ecmo 2 $126,277.76 $679,426.57 $554,118.42 nat. median
$244,017
outlier · 2.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $139,739.23 $626,783.14 $550,652.74 nat. median
$249,123
outlier · 2.2×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $103,802.96 $624,086.82 $488,288.91 nat. median
$202,660
outlier · 2.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $361,655.95 $738,944.07 $474,842.41 nat. median
$360,195
1.3× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $114,985.49 $531,756.40 $461,110.37 nat. median
$90,073
outlier · 5.1×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $97,618.32 $584,932.04 $458,210.72 nat. median
$71,594
outlier · 6.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $131,223.33 $468,586.76 $457,095.53 nat. median
$165,334
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $234,700.16 $479,544.98 $401,386.32 nat. median
$247,805
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $112,249.08 $420,345.56 $400,758.84 nat. median
$165,846
outlier · 2.4×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $129,172.29 $438,639.43 $394,247.66 nat. median
$152,569
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $81,058.06 $459,146.12 $367,200.34 nat. median
$121,888
outlier · 3.0×
5832
APR_DRG 		Neonate With Ecmo 2 $81,518.35 $426,356.76 $351,587.18 nat. median
$159,829
outlier · 2.2×
5894
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $36,259.83 $643,426.30 $349,432.00 nat. median
$4,534
outlier · 77.1×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $143,731.59 $488,079.47 $345,220.47 nat. median
$95,269
outlier · 3.6×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $137,942.53 $468,421.16 $343,167.39 nat. median
$160,390
outlier · 2.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $96,506.99 $354,338.61 $341,027.09 nat. median
$177,531
1.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $97,923.30 $332,525.06 $323,124.75 nat. median
$119,800
outlier · 2.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $68,588.63 $392,527.65 $312,719.44 nat. median
$165,169
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $100,422.82 $341,012.83 $312,256.65 nat. median
$109,393
outlier · 2.9×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $78,225.43 $344,915.59 $305,275.59 nat. median
$145,336
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 2 $160,137.67 $543,790.75 $304,426.75 nat. median
$243,231
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $73,530.26 $336,629.26 $293,160.57 nat. median
$171,358
1.7× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $85,098.81 $293,895.25 $291,435.64 nat. median
$96,980
outlier · 3.0×
5831
APR_DRG 		Neonate With Ecmo 2 $66,696.83 $345,269.82 $285,878.47 nat. median
$148,245
1.9× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $70,895.14 $326,349.76 $283,546.68 nat. median
$137,215
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $71,479.22 $315,002.31 $278,864.66 nat. median
$122,016
outlier · 2.3×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $65,082.44 $326,161.20 $273,583.12 nat. median
$85,665
outlier · 3.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $76,447.30 $286,958.83 $273,278.15 nat. median
$107,562
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $154,352.93 $315,377.58 $263,975.75 nat. median
$197,664
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $61,828.35 $310,224.72 $260,089.80 nat. median
$77,137
outlier · 3.4×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $68,370.86 $283,629.85 $257,900.80 nat. median
$103,993
outlier · 2.5×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $63,515.89 $254,587.14 $235,136.26 nat. median
$122,909
1.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $78,687.97 $267,206.27 $232,112.53 nat. median
$82,146
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $159,022.78 $363,205.62 $229,401.96 nat. median
$190,274
1.2× median
64
APR_DRG 		Pancreas Transplant 2 $66,676.01 $226,416.42 $225,821.12 nat. median
$92,076
outlier · 2.5×
4404
APR_DRG 		Kidney Transplant 2 $44,683.44 $275,285.36 $213,510.04 nat. median
$78,303
outlier · 2.7×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $79,758.22 $270,840.61 $209,963.95 nat. median
$86,338
outlier · 2.4×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $51,490.99 $241,630.72 $208,241.15 nat. median
$122,978
1.7× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $59,044.11 $206,835.86 $203,668.05 nat. median
$73,704
outlier · 2.8×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $77,215.38 $262,205.71 $201,940.19 nat. median
$89,743
outlier · 2.3×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $47,466.56 $240,696.70 $200,941.11 nat. median
$99,544
outlier · 2.0×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $55,191.30 $210,534.93 $198,975.96 nat. median
$75,127
outlier · 2.6×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $37,550.10 $269,438.05 $198,474.78 nat. median
$83,417
outlier · 2.4×
23
APR_DRG 		Heart And/or Lung Transplant 2 $76,389.34 $259,400.65 $192,674.02 nat. median
$111,079
1.7× median
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $72,507.83 $246,219.96 $190,876.48 nat. median
$32,930
outlier · 5.8×
7
MS_DRG 		Lung Transplant 4 $108,457.93 $221,603.82 $185,485.71 nat. median
$117,943
1.6× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 $48,578.45 $202,077.65 $183,519.46 nat. median
$67,068
outlier · 2.7×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $51,080.22 $181,962.76 $177,709.73 nat. median
$89,273
2.0× median
1784
APR_DRG 		External Heart Assist Systems 2 $46,700.72 $194,802.88 $176,693.91 nat. median
$63,423
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 4,229 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 4 2 — — $216,009.28 $780,168.45 $756,843.18 2026-07-18
5833 APR_DRG Neonate With Ecmo 4 2 — — $126,277.76 $679,426.57 $554,118.42 2026-07-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $139,739.23 $626,783.14 $550,652.74 2026-07-18
1614 APR_DRG Implantable Heart Assist Systems 4 2 — — $103,802.96 $624,086.82 $488,288.91 2026-07-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 5 — — $361,655.95 $738,944.07 $474,842.41 2026-07-18
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $114,985.49 $531,756.40 $461,110.37 2026-07-18
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $97,618.32 $584,932.04 $458,210.72 2026-07-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $131,223.33 $468,586.76 $457,095.53 2026-07-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $234,700.16 $479,544.98 $401,386.32 2026-07-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $112,249.08 $420,345.56 $400,758.84 2026-07-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $129,172.29 $438,639.43 $394,247.66 2026-07-18
1613 APR_DRG Implantable Heart Assist Systems 4 2 — — $81,058.06 $459,146.12 $367,200.34 2026-07-18
5832 APR_DRG Neonate With Ecmo 4 2 — — $81,518.35 $426,356.76 $351,587.18 2026-07-18
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 3 — — $36,259.83 $643,426.30 $349,432.00 2026-07-18
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $143,731.59 $488,079.47 $345,220.47 2026-07-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $137,942.53 $468,421.16 $343,167.39 2026-07-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $96,506.99 $354,338.61 $341,027.09 2026-07-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $97,923.30 $332,525.06 $323,124.75 2026-07-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $68,588.63 $392,527.65 $312,719.44 2026-07-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $100,422.82 $341,012.83 $312,256.65 2026-07-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $78,225.43 $344,915.59 $305,275.59 2026-07-18
24 APR_DRG Heart And/or Lung Transplant 4 2 — — $160,137.67 $543,790.75 $304,426.75 2026-07-18
74 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $73,530.26 $336,629.26 $293,160.57 2026-07-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $85,098.81 $293,895.25 $291,435.64 2026-07-18
5831 APR_DRG Neonate With Ecmo 4 2 — — $66,696.83 $345,269.82 $285,878.47 2026-07-18
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $70,895.14 $326,349.76 $283,546.68 2026-07-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $71,479.22 $315,002.31 $278,864.66 2026-07-18
1612 APR_DRG Implantable Heart Assist Systems 4 2 — — $65,082.44 $326,161.20 $273,583.12 2026-07-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $76,447.30 $286,958.83 $273,278.15 2026-07-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $154,352.93 $315,377.58 $263,975.75 2026-07-18
1611 APR_DRG Implantable Heart Assist Systems 4 2 — — $61,828.35 $310,224.72 $260,089.80 2026-07-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $68,370.86 $283,629.85 $257,900.80 2026-07-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $63,515.89 $254,587.14 $235,136.26 2026-07-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $78,687.97 $267,206.27 $232,112.53 2026-07-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 5 — — $159,022.78 $363,205.62 $229,401.96 2026-07-18
64 APR_DRG Pancreas Transplant 4 2 — — $66,676.01 $226,416.42 $225,821.12 2026-07-18
4404 APR_DRG Kidney Transplant 4 2 — — $44,683.44 $275,285.36 $213,510.04 2026-07-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $79,758.22 $270,840.61 $209,963.95 2026-07-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $51,490.99 $241,630.72 $208,241.15 2026-07-18
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $59,044.11 $206,835.86 $203,668.05 2026-07-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $77,215.38 $262,205.71 $201,940.19 2026-07-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $47,466.56 $240,696.70 $200,941.11 2026-07-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $55,191.30 $210,534.93 $198,975.96 2026-07-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $37,550.10 $269,438.05 $198,474.78 2026-07-18
23 APR_DRG Heart And/or Lung Transplant 4 2 — — $76,389.34 $259,400.65 $192,674.02 2026-07-18
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $72,507.83 $246,219.96 $190,876.48 2026-07-18
7 MS_DRG Lung Transplant 5 4 — — $108,457.93 $221,603.82 $185,485.71 2026-07-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $48,578.45 $202,077.65 $183,519.46 2026-07-18
73 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $51,080.22 $181,962.76 $177,709.73 2026-07-18
1784 APR_DRG External Heart Assist Systems 4 2 — — $46,700.72 $194,802.88 $176,693.91 2026-07-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $77,438.77 $262,964.30 $176,145.41 2026-07-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $40,148.65 $212,191.49 $174,263.53 2026-07-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 5 — — $104,687.26 $237,025.16 $174,049.77 2026-07-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $70,878.25 $240,686.28 $174,000.69 2026-07-18
63 APR_DRG Pancreas Transplant 4 2 — — $47,108.12 $178,780.05 $169,374.20 2026-07-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $54,640.42 $185,546.32 $167,444.93 2026-07-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $48,615.03 $165,085.48 $164,364.43 2026-07-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $94,903.83 $193,909.76 $162,305.37 2026-07-18
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $94,794.95 $193,687.31 $162,119.17 2026-07-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $92,302.55 $188,594.77 $157,856.65 2026-07-18
84 APR_DRG Autologous Bone Marrow Transplant 4 2 — — $43,644.70 $163,402.22 $155,804.80 2026-07-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 — — $91,070.59 $186,077.60 $155,749.73 2026-07-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $44,522.51 $156,663.18 $153,925.71 2026-07-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $37,883.21 $177,204.55 $152,923.62 2026-07-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $43,643.57 $156,633.22 $152,418.39 2026-07-18
8634 APR_DRG Neonatal Aftercare 4 2 — — $36,817.46 $170,876.13 $147,949.89 2026-07-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $86,350.44 $176,433.28 $147,677.29 2026-07-18
4403 APR_DRG Kidney Transplant 4 2 — — $36,171.48 $172,019.87 $147,424.96 2026-07-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $52,566.31 $178,503.11 $146,565.20 2026-07-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 2 — — $32,692.87 $181,858.79 $146,438.14 2026-07-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $40,493.58 $150,701.32 $144,104.11 2026-07-18
72 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $39,955.64 $151,998.38 $143,839.28 2026-07-18
62 APR_DRG Pancreas Transplant 4 2 — — $40,894.79 $146,854.22 $142,861.76 2026-07-18
215 MS_DRG Other Heart Assist System Implant 5 4 — — $83,389.88 $170,384.18 $142,614.11 2026-07-18
819 CDM Bone Marrow Acquisition Donor 5 4 $277,470.00 $249,723.00 $114,595.11 $164,262.24 $140,954.76 2026-07-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $81,930.95 $167,403.27 $140,119.04 2026-07-18
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $36,797.77 $154,925.56 $139,941.17 2026-07-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $36,194.55 $156,888.76 $139,898.58 2026-07-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $59,549.98 $202,218.05 $138,878.05 2026-07-18
22 APR_DRG Heart And/or Lung Transplant 4 2 — — $56,689.21 $192,503.55 $138,671.86 2026-07-18
6904 APR_DRG Acute Leukemia 4 2 — — $33,338.85 $162,905.25 $138,058.17 2026-07-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $33,561.68 $161,728.03 $137,847.89 2026-07-18
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 2 — — $33,682.10 $160,672.42 $137,524.55 2026-07-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $38,179.76 $145,000.28 $137,324.98 2026-07-18
234 APR_DRG Spinal Procedures 4 2 — — $35,124.30 $154,329.90 $136,801.98 2026-07-18
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 2 — — $36,362.24 $145,669.96 $134,573.89 2026-07-18
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $47,787.86 $162,276.60 $133,240.45 2026-07-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $37,201.22 $138,564.36 $132,445.58 2026-07-18
204 APR_DRG Open Craniotomy For Trauma 4 2 — — $29,765.14 $162,145.70 $131,610.65 2026-07-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $32,637.73 $150,990.34 $130,910.28 2026-07-18
14 MS_DRG Allogeneic Bone Marrow Transplant 7 5 — — $97,378.66 $205,650.30 $129,889.46 2026-07-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 2 — — $39,872.36 $135,397.38 $129,860.36 2026-07-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $75,455.40 $154,172.28 $129,044.50 2026-07-18
4402 APR_DRG Kidney Transplant 4 2 — — $31,022.78 $152,280.34 $128,813.29 2026-07-18
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 2 — — $31,308.63 $151,215.91 $128,766.41 2026-07-18
1694 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $39,477.91 $134,057.91 $128,156.22 2026-07-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $32,877.44 $142,481.96 $127,063.09 2026-07-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $35,059.02 $132,590.17 $125,821.28 2026-07-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $25,183.08 $165,219.15 $125,367.54 2026-07-18
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $32,671.49 $138,085.02 $124,514.94 2026-07-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $44,225.97 $150,181.24 $124,235.10 2026-07-18
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $36,381.37 $124,742.64 $124,142.71 2026-07-18
914 APR_DRG Other Major Head And Neck Procedures 4 2 — — $31,546.09 $140,809.53 $123,966.40 2026-07-18
214 APR_DRG Open Craniotomy Except Trauma 4 2 — — $29,879.37 $142,614.13 $122,038.80 2026-07-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $70,600.41 $144,252.45 $120,741.46 2026-07-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $70,378.48 $143,798.98 $120,361.90 2026-07-18
71 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $35,382.01 $120,149.19 $119,876.93 2026-07-18
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $57,215.90 $194,292.05 $118,826.60 2026-07-18
1783 APR_DRG External Heart Assist Systems 4 2 — — $30,693.60 $132,769.92 $118,499.17 2026-07-18
4414 APR_DRG Major Bladder Procedures 4 2 — — $28,552.52 $139,177.64 $118,067.73 2026-07-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $39,145.35 $132,928.62 $117,187.66 2026-07-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 2 — — $75,017.48 $254,742.12 $115,754.91 2026-07-18
61 APR_DRG Pancreas Transplant 4 2 — — $32,144.80 $121,993.46 $115,574.91 2026-07-18
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $30,992.39 $125,459.90 $115,351.47 2026-07-18
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $36,047.69 $122,409.67 $114,574.17 2026-07-18
1794 APR_DRG Defibrillator Implants 4 2 — — $31,357.58 $121,757.31 $114,120.23 2026-07-18
21 APR_DRG Heart And/or Lung Transplant 4 2 — — $48,598.15 $165,028.15 $114,003.19 2026-07-18
1824 APR_DRG Other Peripheral Vascular And Related Procedures 4 2 — — $27,014.66 $133,055.41 $112,395.51 2026-07-18
A9513 HCPCS Radiopharm Lutetium Dot 200mci 7 5 $271,877.00 $244,689.30 $296.25 $160,951.18 $112,285.20 2026-07-18
8604 APR_DRG Rehabilitation 4 2 — — $11,303.52 $185,238.88 $111,811.52 2026-07-18
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 2 — — $26,846.42 $131,363.60 $111,263.93 2026-07-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $23,079.14 $143,997.53 $111,184.49 2026-07-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $25,296.74 $136,402.02 $111,151.97 2026-07-18
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 2 — — $30,341.91 $119,096.23 $111,065.20 2026-07-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $64,305.76 $131,391.07 $109,976.29 2026-07-18
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $34,274.62 $116,388.74 $109,671.45 2026-07-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $64,028.55 $130,824.66 $109,502.20 2026-07-18
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $30,043.12 $116,981.47 $109,500.49 2026-07-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $63,816.66 $130,391.73 $109,139.83 2026-07-18
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $28,725.84 $120,687.59 $109,116.96 2026-07-18
1782 APR_DRG External Heart Assist Systems 4 2 — — $30,157.34 $115,712.62 $109,060.02 2026-07-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $32,051.39 $108,864.32 $108,851.74 2026-07-18
850 MS_DRG Acute Leukemia With Other Procedures 6 5 — — $68,432.51 $148,181.36 $108,810.95 2026-07-18
2614 APR_DRG Major Biliary Tract Procedures 4 2 — — $30,926.55 $110,688.30 $107,853.89 2026-07-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 2 — — $28,280.74 $119,582.63 $107,808.76 2026-07-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $30,215.86 $111,040.76 $106,823.45 2026-07-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $28,856.94 $115,525.81 $106,758.68 2026-07-18
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 2 — — $27,890.23 $117,531.31 $106,120.05 2026-07-18
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 2 — — $30,352.60 $108,978.87 $106,024.67 2026-07-18
1204 APR_DRG Major Respiratory And Chest Procedures 4 2 — — $29,885.00 $108,448.42 $104,965.51 2026-07-18
2244 APR_DRG Peritoneal Adhesiolysis 4 2 — — $17,824.09 $147,527.42 $104,026.96 2026-07-18
1814 APR_DRG Lower Extremity Arterial Procedures 4 2 — — $27,314.02 $115,256.18 $104,004.16 2026-07-18
1781 APR_DRG External Heart Assist Systems 4 2 — — $28,948.66 $108,885.47 $103,594.24 2026-07-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $60,071.36 $122,739.24 $102,734.58 2026-07-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $25,888.14 $116,974.42 $102,442.30 2026-07-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $59,717.10 $122,015.40 $102,128.72 2026-07-18
274 APR_DRG Other Open Craniotomy 4 2 — — $27,283.63 $110,367.56 $101,508.26 2026-07-18
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $33,558.30 $113,956.29 $100,683.72 2026-07-18
3094 APR_DRG Other Significant Hip And Femur Surgery 4 2 — — $25,767.72 $113,663.06 $100,582.16 2026-07-18
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $23,656.47 $118,343.73 $99,337.83 2026-07-18
A9607 HCPCS Radiopharm Plucivto 200 Mci 9 6 $215,071.00 $193,563.90 $241.24 $215,071.00 $99,147.73 2026-07-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $57,602.41 $117,694.62 $98,512.16 2026-07-18
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 2 — — $26,877.93 $104,092.01 $97,681.64 2026-07-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 2 — — $25,374.96 $108,793.83 $97,480.68 2026-07-18
1214 APR_DRG Other Respiratory And Chest Procedures 4 2 — — $25,166.76 $109,285.51 $97,373.02 2026-07-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $34,583.54 $117,437.77 $97,314.21 2026-07-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $56,372.96 $115,182.58 $96,409.55 2026-07-18
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $25,495.37 $105,907.18 $96,241.81 2026-07-18
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 2 — — $25,422.79 $105,998.82 $96,164.38 2026-07-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $55,999.44 $114,419.39 $95,770.74 2026-07-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $55,958.40 $114,335.54 $95,700.56 2026-07-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 — — $55,502.80 $113,404.65 $94,921.39 2026-07-18
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 2 — — $25,448.11 $102,712.13 $94,564.03 2026-07-18
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $25,624.80 $101,691.76 $94,353.84 2026-07-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 2 — — $21,086.62 $116,986.76 $94,296.04 2026-07-18
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 2 — — $30,569.24 $103,806.12 $94,249.57 2026-07-18
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 2 — — $22,352.69 $112,501.71 $94,203.17 2026-07-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $55,068.14 $112,516.53 $94,178.02 2026-07-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $55,068.14 $112,516.53 $94,178.02 2026-07-18
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 2 — — $20,964.51 $116,879.26 $94,034.97 2026-07-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $54,867.98 $112,107.56 $93,835.70 2026-07-18
4014 APR_DRG Adrenal Procedures 4 2 — — $23,458.96 $107,701.20 $93,681.23 2026-07-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $22,572.71 $109,821.25 $93,236.49 2026-07-18
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $26,339.99 $96,445.39 $92,944.97 2026-07-18
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 2 — — $26,985.97 $93,808.99 $92,723.57 2026-07-18
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $28,461.93 $96,650.17 $92,564.81 2026-07-18
4401 APR_DRG Kidney Transplant 4 2 — — $24,858.40 $97,945.11 $91,179.26 2026-07-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $26,399.07 $91,599.07 $90,622.12 2026-07-18
294 APR_DRG Other Percutaneous Intracranial Procedures 4 2 — — $20,016.36 $110,737.65 $89,354.32 2026-07-18
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 2 — — $24,516.28 $94,244.28 $88,747.96 2026-07-18
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 2 — — $24,286.69 $94,200.22 $88,336.13 2026-07-18
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 2 — — $24,416.68 $93,546.41 $88,229.92 2026-07-18
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 2 — — $21,989.75 $101,564.87 $88,118.51 2026-07-18
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 2 — — $22,886.13 $98,311.67 $88,013.86 2026-07-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $51,325.35 $104,869.18 $87,777.07 2026-07-18
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $19,078.91 $110,737.65 $87,762.61 2026-07-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $51,265.89 $104,747.69 $87,675.38 2026-07-18
83 APR_DRG Autologous Bone Marrow Transplant 4 2 — — $24,518.53 $90,841.28 $87,050.29 2026-07-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $22,722.39 $96,776.70 $86,968.35 2026-07-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $50,774.28 $103,743.21 $86,834.62 2026-07-18
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 2 — — $22,609.85 $96,843.67 $86,810.76 2026-07-18
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 2 — — $21,145.14 $101,630.08 $86,717.06 2026-07-18
4034 APR_DRG Procedures For Obesity 4 2 — — $20,235.82 $104,684.14 $86,700.17 2026-07-18
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $22,861.94 $95,130.72 $86,382.30 2026-07-18
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $22,473.68 $96,158.14 $86,236.79 2026-07-18
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $50,319.51 $102,814.03 $86,056.88 2026-07-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $50,305.28 $102,784.94 $86,032.53 2026-07-18
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $17,911.30 $111,236.38 $86,029.52 2026-07-18
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 2 — — $33,453.64 $113,600.88 $85,961.47 2026-07-18
2324 APR_DRG Gastric Fundoplication 4 2 — — $21,277.94 $99,069.46 $85,662.23 2026-07-18
1793 APR_DRG Defibrillator Implants 4 2 — — $23,593.45 $91,149.68 $85,633.80 2026-07-18
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $19,643.29 $103,778.32 $85,241.22 2026-07-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 5 — — $59,998.27 $134,650.91 $85,045.99 2026-07-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 4 — — $49,661.24 $101,469.03 $84,931.09 2026-07-18
6504 APR_DRG Splenectomy 4 2 — — $24,538.78 $84,951.67 $84,139.88 2026-07-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $49,149.53 $100,423.48 $84,055.96 2026-07-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $49,117.70 $100,358.46 $84,001.53 2026-07-18
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 2 — — $12,325.38 $126,122.52 $83,988.34 2026-07-18
8633 APR_DRG Neonatal Aftercare 4 2 — — $23,325.04 $88,439.26 $83,822.87 2026-07-18
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $23,179.86 $88,745.90 $83,729.70 2026-07-18
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 2 — — $20,700.04 $96,166.95 $83,229.77 2026-07-18
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 2 — — $24,231.55 $83,844.95 $83,064.86 2026-07-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $48,299.46 $98,686.62 $82,602.17 2026-07-18
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 2 — — $17,028.99 $106,885.26 $82,355.90 2026-07-18
812 CDM Kidney Acquisition 10 4 $162,070.50 $145,863.45 $65,899.52 $97,430.18 $82,331.81 2026-07-18
2304 APR_DRG Major Small Bowel Procedures 4 2 — — $21,388.79 $91,886.32 $82,258.87 2026-07-18
224 APR_DRG Ventricular Shunt Procedures 4 2 — — $24,525.84 $83,284.13 $82,140.80 2026-07-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $21,528.34 $90,985.79 $82,045.54 2026-07-18
264 APR_DRG Other Nervous System And Related Procedures 4 2 — — $21,494.01 $91,100.34 $82,044.54 2026-07-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $20,307.28 $95,118.38 $82,038.62 2026-07-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $47,795.29 $97,656.47 $81,739.93 2026-07-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $47,733.31 $97,529.84 $81,633.94 2026-07-18
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 2 — — $16,596.27 $106,707.27 $81,532.21 2026-07-18
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $22,882.20 $85,249.50 $81,476.09 2026-07-18
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 2 — — $22,586.22 $86,204.67 $81,451.14 2026-07-18
4444 APR_DRG Renal Dialysis Access Device Procedures 4 2 — — $23,747.63 $82,214.82 $81,428.15 2026-07-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 2 — — $25,924.15 $88,032.47 $81,102.81 2026-07-18
811 CDM Kidney Acquisition Live Donor 5 4 $159,563.00 $143,606.70 $65,899.52 $94,461.30 $81,058.00 2026-07-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 5 — — $53,890.61 $110,110.59 $80,855.23 2026-07-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $17,714.92 $101,381.59 $80,768.70 2026-07-18
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 4 2 — — $20,206.56 $92,510.18 $80,563.51 2026-07-18
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $21,665.64 $87,018.85 $80,295.19 2026-07-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 4 — — $46,938.53 $95,905.92 $80,274.69 2026-07-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $46,616.93 $95,248.81 $79,724.68 2026-07-18
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 2 — — $19,488.55 $93,075.87 $79,627.26 2026-07-18
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $19,800.85 $91,873.99 $79,556.57 2026-07-18
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $19,476.17 $91,715.38 $78,925.99 2026-07-18
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $26,830.66 $91,110.77 $78,896.41 2026-07-18
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 2 — — $19,886.94 $90,113.45 $78,822.47 2026-07-18
6903 APR_DRG Acute Leukemia 4 2 — — $21,813.63 $83,506.59 $78,790.33 2026-07-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $45,815.44 $93,611.20 $78,353.97 2026-07-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $45,750.11 $93,477.72 $78,242.25 2026-07-18
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 2 — — $17,402.06 $97,326.54 $78,209.97 2026-07-18
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 — — $45,678.09 $93,330.56 $78,119.07 2026-07-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $55,101.36 $123,524.68 $78,018.63 2026-07-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $19,544.26 $89,479.02 $77,923.42 2026-07-18
4804 APR_DRG Major Male Pelvic Procedures 4 2 — — $20,657.84 $84,990.44 $77,569.86 2026-07-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 — — $44,895.03 $91,730.59 $76,779.87 2026-07-18
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 2 — — $20,359.61 $84,354.25 $76,745.41 2026-07-18
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 2 — — $19,136.30 $88,132.62 $76,557.55 2026-07-18
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 2 — — $20,263.95 $84,213.27 $76,512.50 2026-07-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $44,662.20 $91,254.87 $76,381.69 2026-07-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $44,635.40 $91,200.12 $76,335.86 2026-07-18
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 2 — — $20,474.40 $82,523.22 $76,024.79 2026-07-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $44,335.58 $90,587.51 $75,823.10 2026-07-18
7524 APR_DRG Disorders Of Personality And Impulse Control 4 2 — — $20,839.59 $79,516.74 $75,141.61 2026-07-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $42,952.11 $102,040.57 $74,929.33 2026-07-18
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 2 — — $23,917.00 $81,216.64 $74,703.90 2026-07-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $43,595.23 $89,074.80 $74,556.94 2026-07-18
3224 APR_DRG Shoulder And Elbow Joint Replacement 4 2 — — $20,062.51 $80,753.87 $74,440.76 2026-07-18
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $43,519.85 $88,920.80 $74,428.04 2026-07-18
7594 APR_DRG Eating Disorders 4 2 — — $20,531.80 $79,069.11 $74,395.19 2026-07-18
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 2 — — $19,996.67 $80,775.02 $74,339.56 2026-07-18
3624 APR_DRG Mastectomy Procedures 4 2 — — $20,731.56 $78,076.94 $74,238.27 2026-07-18
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 2 — — $18,570.79 $84,719.05 $73,890.59 2026-07-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 6 — — $33,242.05 $133,472.65 $73,663.60 2026-07-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $17,175.29 $87,544.01 $72,933.68 2026-07-18
6954 APR_DRG Chemotherapy For Acute Leukemia 4 2 — — $25,752.53 $87,449.67 $72,575.04 2026-07-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $42,211.68 $86,247.90 $72,190.78 2026-07-18
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 2 — — $17,667.09 $84,280.24 $72,136.82 2026-07-18
244 APR_DRG Open Extracranial Vascular Procedures 4 2 — — $18,132.44 $82,047.40 $71,810.51 2026-07-18
233 APR_DRG Spinal Procedures 4 2 — — $17,276.58 $84,916.43 $71,791.86 2026-07-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $19,208.89 $78,140.38 $71,684.68 2026-07-18
2314 APR_DRG Major Large Bowel Procedures 4 2 — — $18,310.26 $80,843.75 $71,510.59 2026-07-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $41,434.48 $84,659.91 $70,861.61 2026-07-18
1792 APR_DRG Defibrillator Implants 4 2 — — $18,579.79 $78,269.03 $70,680.87 2026-07-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $43,073.83 $96,203.66 $70,643.24 2026-07-18
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 4 2 — — $22,854.62 $77,609.05 $70,518.43 2026-07-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $41,219.24 $84,220.13 $70,493.51 2026-07-18
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $15,178.83 $89,255.21 $70,399.52 2026-07-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $41,047.55 $83,869.33 $70,199.89 2026-07-18
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 4 2 — — $16,413.40 $83,474.86 $69,605.49 2026-07-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $39,413.76 $133,840.08 $69,603.80 2026-07-18
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $22,228.34 $75,482.33 $69,494.54 2026-07-18
293 APR_DRG Other Percutaneous Intracranial Procedures 4 2 — — $10,956.89 $101,550.78 $69,378.94 2026-07-18
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 2 — — $19,982.04 $70,851.51 $69,352.96 2026-07-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 4 — — $40,520.76 $82,792.99 $69,298.97 2026-07-18
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $40,440.36 $82,628.71 $69,161.47 2026-07-18
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $16,097.16 $83,430.81 $69,046.54 2026-07-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $40,236.01 $82,211.18 $68,811.99 2026-07-18
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 2 — — $19,649.48 $70,761.63 $68,743.39 2026-07-18
734 APR_DRG Orbit And Eye Procedures 4 2 — — $19,377.14 $71,226.88 $68,513.60 2026-07-18
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 4 2 — — $22,491.68 $76,376.59 $68,294.41 2026-07-18
3634 APR_DRG Breast Procedures Except Mastectomy 4 2 — — $17,198.36 $78,177.39 $68,289.54 2026-07-18
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 2 — — $16,324.49 $81,134.53 $68,284.38 2026-07-18
3244 APR_DRG Elective Hip Joint Replacement 4 2 — — $16,514.68 $80,431.37 $68,255.72 2026-07-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $39,871.70 $81,466.81 $68,188.94 2026-07-18
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 2 — — $18,870.14 $71,552.90 $67,815.79 2026-07-18
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $15,871.52 $81,654.41 $67,775.21 2026-07-18
213 APR_DRG Open Craniotomy Except Trauma 4 2 — — $15,654.31 $81,955.76 $67,557.11 2026-07-18
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