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

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Hospital

CITIZENS MEDICAL CENTER

Victoria, TX · CCN 450023 · Rates published

6,341 distinct procedures filed
62 distinct payers
1,179,417 rate rows
2026-11-02 last MRF observed
Data quality

1,121,409 of 1,179,417 rate rows are consumer-grade (95.1%)

58,008 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 27,959
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14,268
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,273
exceeds 10× this hospital's gross charge — excluded from medians 1,331
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 720
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 362
placeholder amount (≤ $0.02) — excluded from medians 95
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cmcvictoria.com/s/741698143_citizens-medical-center_standardcharges080725.csv
Found on page https://hospitalpricingfiles.org/details/www.cmcvictoria.com/price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-03
Content fingerprint 31d416c56f48f005… · 12,867,833 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $895.00 $1,130,999.32 $663,783.30 nat. median
$360,195
1.8× median
7
MS_DRG 		Lung Transplant 14 $895.00 $796,512.02 $468,536.48 nat. median
$117,943
outlier · 4.0×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $299,135.33 $299,135.33 $299,135.33 nat. median
$1
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $291,278.18 $291,278.18 $291,278.18 nat. median
$291,652
1.0× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $291,278.18 $291,278.18 $291,278.18 nat. median
$380,401
0.8× median
5834
APR_DRG 		Neonate With Ecmo 9 $236,821.60 $537,585.04 $236,821.60 nat. median
$309,665
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $895.00 $352,454.24 $207,326.03 nat. median
$247,805
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $895.00 $349,354.27 $203,715.18 nat. median
$197,664
1.0× median
5833
APR_DRG 		Neonate With Ecmo 9 $200,531.83 $455,207.25 $200,531.83 nat. median
$244,017
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $895.00 $339,236.33 $193,103.72 nat. median
$126,240
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $11,302.31 $435,840.00 $192,000.00 nat. median
$171,358
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $19,933.20 $435,840.00 $192,000.00 nat. median
$243,231
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $895.00 $267,465.22 $155,652.70 nat. median
$190,274
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $895.00 $259,042.32 $152,377.84 nat. median
$103,911
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $149,904.19 $340,282.52 $149,904.19 nat. median
$249,123
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $4,642.72 $330,437.67 $145,567.26 nat. median
$202,660
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 19 $895.00 $242,335.17 $137,156.05 nat. median
$58,315
outlier · 2.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $13,645.64 $309,568.06 $136,373.60 nat. median
$165,169
0.8× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $11,607.58 $194,427.48 $133,899.49 nat. median
$202,158
0.7× median
6
MS_DRG 		Liver Transplant Without Mcc 15 $895.01 $190,465.70 $112,038.65 nat. median
$44,113
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $111,538.71 $253,192.88 $111,538.71 nat. median
$154,211
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $110,550.28 $250,949.13 $110,550.28 nat. median
$165,846
0.7× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 14 $895.00 $184,750.83 $108,676.96 nat. median
$50,730
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo 9 $99,920.43 $226,819.37 $99,920.43 nat. median
$159,829
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $90,462.87 $219,633.92 $96,755.03 nat. median
$138,094
0.7× median
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $96,723.61 $96,723.61 $96,723.61 nat. median
$60,512
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $895.00 $173,834.35 $95,306.01 nat. median
$59,289
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $4,777.50 $215,379.86 $94,881.00 nat. median
$122,909
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $35,589.60 $168,348.73 $94,437.03 nat. median
$63,874
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $894.99 $154,851.72 $91,089.24 nat. median
$92,760
1.0× median
570
MS_DRG 		Skin Debridement With Mcc 19 $895.00 $167,112.26 $91,045.50 nat. median
$27,964
outlier · 3.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $895.00 $151,240.53 $88,965.02 nat. median
$94,844
0.9× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $7,844.29 $128,187.36 $88,280.85 nat. median
$141,447
0.6× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 10 $12,001.07 $200,147.21 $88,170.58 nat. median
$28,745
outlier · 3.1×
5831
APR_DRG 		Neonate With Ecmo 9 $87,981.93 $199,718.97 $87,981.93 nat. median
$148,245
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $895.00 $149,274.11 $87,808.30 nat. median
$109,875
0.8× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 19 $895.00 $144,864.11 $82,056.25 nat. median
$97,029
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $11,302.31 $184,533.74 $81,292.40 nat. median
$89,273
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $80,433.68 $182,584.45 $80,433.68 nat. median
$177,531
outlier · 0.5×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $80,066.05 $181,749.94 $80,066.05 nat. median
$145,336
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $13,243.97 $181,279.98 $79,859.02 nat. median
$122,016
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $79,515.72 $180,500.67 $79,515.72 nat. median
$160,390
outlier · 0.5×
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $78,115.58 $78,115.58 $78,115.58 nat. median
$61,481
1.3× median
215
OTHER 		Other Heart Assist System Implant 21 $5,181.82 $96,765.00 $76,735.32 nat. median
$73,129
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 $76,647.71 $173,990.29 $76,647.71 nat. median
$67,082
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $75,961.10 $172,431.71 $75,961.10 nat. median
$165,334
outlier · 0.5×
1613
APR_DRG 		Implantable Heart Assist Systems 10 $4,642.72 $172,228.56 $75,871.61 nat. median
$121,888
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 19 $895.00 $128,571.57 $75,630.33 nat. median
$93,531
0.8× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 9 $75,470.63 $171,318.33 $75,470.63 nat. median
$122,978
0.6× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 $895.00 $136,087.37 $72,909.42 nat. median
$45,402
1.6× median

Other procedures at this hospital

Browse this hospital's 6,341 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
6904 APR_DRG Acute Leukemia 27 9 — — $44,387.12 $100,758.76 $44,387.12 2026-11-02
850 MS_DRG Acute Leukemia With Other Procedures 20 16 — — $895.00 $107,107.42 $63,004.37 2026-11-02
850 OTHER Acute Leukemia With Other Procedures 14 13 $43,011.20 $21,505.60 50% off $24,391.64 $83,570.36 $57,553.83 2026-05-08
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 6 1 — — $96,723.61 $96,723.61 $96,723.61 2026-11-02
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 49 19 — — $895.00 $70,918.79 $40,373.90 2026-11-02
245 MS_DRG Aicd Generator Procedures 49 19 — — $895.00 $60,201.66 $34,005.19 2026-11-02
74 APR_DRG Allogeneic Bone Marrow Transplant 29 10 — — $11,302.31 $435,840.00 $192,000.00 2026-11-02
14 MS_DRG Allogeneic Bone Marrow Transplant 37 15 — — $895.00 $149,274.11 $87,808.30 2026-11-02
73 APR_DRG Allogeneic Bone Marrow Transplant 29 10 — — $11,302.31 $184,533.74 $81,292.40 2026-11-02
72 APR_DRG Allogeneic Bone Marrow Transplant 29 10 — — $11,302.31 $123,986.06 $54,619.41 2026-11-02
71 APR_DRG Allogeneic Bone Marrow Transplant 29 10 — — $11,302.31 $84,562.29 $37,252.11 2026-11-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 49 19 — — $895.00 $64,610.41 $36,592.79 2026-11-02
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 16 $44,719.63 $22,359.82 50% off $6,395.33 $45,694.76 $31,469.34 2026-11-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 49 19 — — $895.00 $54,794.50 $31,868.87 2026-11-02
347 MS_DRG Anal And Stomal Procedures With Mcc 45 18 — — $13,234.93 $64,626.60 $31,515.31 2026-11-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 18 — — $35,589.60 $168,348.73 $94,437.03 2026-11-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 18 — — $21,591.45 $55,364.14 $32,567.14 2026-11-02
27446 CPT Arthroplasty, Knee, Condyle And Plateau; Medial Or Lateral Compartment 32 28 $33,265.95 $16,632.98 50% off $11,859.00 $29,136.97 $29,136.97 2026-05-08
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 29 10 — — $4,724.28 $156,233.60 $68,825.38 2026-11-02
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 29 10 — — $4,724.28 $105,602.27 $46,520.82 2026-11-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 15 — — $895.00 $77,253.30 $45,443.12 2026-11-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 37 15 — — $895.00 $67,939.88 $39,964.63 2026-11-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 55 20 — — $895.00 $102,059.54 $52,278.74 2026-11-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 45 18 — — $36,529.87 $91,445.55 $53,791.50 2026-11-02
277 OTHER Cardiac Defibrillator Implant Without Mcc 23 15 $82,942.33 $41,471.16 50% off $3,835.66 $42,202.04 $29,063.95 2026-11-02
2004 APR_DRG Cardiac Structural And Valvular Disorders 29 10 — — $12,001.07 $200,147.21 $88,170.58 2026-11-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 19 — — $50,389.92 $125,454.15 $72,055.00 2026-11-02
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 21 $165,557.03 $82,778.51 50% off $8,321.90 $87,554.78 $60,297.85 2026-11-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 18 — — $29,577.27 $87,099.14 $51,234.79 2026-11-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 19 — — $33,048.64 $87,099.14 $51,234.79 2026-11-02
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 21 $185,518.40 $92,759.20 50% off $11,318.19 $58,586.07 $40,347.47 2026-11-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 19 — — $40,036.55 $97,535.83 $57,374.02 2026-11-02
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 21 $157,940.33 $78,970.16 50% off $3,976.00 $70,311.00 $48,342.12 2026-11-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 19 — — $27,229.96 $70,901.31 $41,706.65 2026-11-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 18 — — $24,135.53 $63,203.71 $37,178.65 2026-11-02
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 21 $152,089.75 $76,044.88 50% off $3,514.48 $48,051.66 $33,092.56 2026-11-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 29 10 — — $2,356.84 $133,791.26 $58,938.88 2026-11-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 29 10 — — $2,356.84 $75,277.09 $33,161.71 2026-11-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 29 10 — — $4,674.76 $79,738.39 $35,127.04 2026-11-02
2054 APR_DRG Cardiomyopathy 29 10 — — $5,591.71 $78,192.55 $34,446.06 2026-11-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 49 19 — — $895.00 $50,777.15 $28,869.02 2026-11-02
279 MS_DRG Cellulitis Age 0-17 49 19 — — $895.00 $53,758.69 $29,653.93 2026-11-02
277 MS_DRG Cellulitis Age >17 W Cc 45 18 — — $24,830.22 $60,708.95 $35,711.15 2026-11-02
278 MS_DRG Cellulitis Age >17 Without Cc 49 19 — — $895.00 $81,371.65 $45,536.44 2026-11-02
471 MS_DRG Cervical Spinal Fusion With Mcc 51 19 — — $24,172.00 $106,250.93 $55,649.12 2026-11-02
6954 APR_DRG Chemotherapy For Acute Leukemia 27 9 — — $34,401.77 $78,092.02 $34,401.77 2026-11-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 49 19 — — $895.00 $136,087.37 $72,909.42 2026-11-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 49 19 — — $895.00 $1,130,999.32 $663,783.30 2026-11-02
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $291,278.18 $291,278.18 $291,278.18 2026-09-28
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $291,278.18 $291,278.18 $291,278.18 2026-11-02
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 10 — — $4,777.50 $215,379.86 $94,881.00 2026-11-02
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 10 — — $4,777.50 $122,389.95 $53,916.28 2026-11-02
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 10 — — $4,777.50 $85,053.28 $37,468.41 2026-11-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 16 — — $895.00 $112,404.90 $66,120.53 2026-11-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 16 — — $895.00 $75,750.07 $44,558.86 2026-11-02
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 51 18 — — $895.00 $78,501.03 $44,824.64 2026-11-02
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 6 1 — — $30,159.70 $30,159.70 $30,159.70 2026-11-02
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 53 19 — — $895.00 $155,710.05 $64,329.34 2026-11-02
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 51 18 — — $895.00 $83,164.10 $34,090.71 2026-11-02
209 MS_DRG Complex Aortic Arch Procedures 20 16 — — $894.99 $154,851.72 $91,089.24 2026-11-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 16 — — $895.00 $90,593.00 $53,290.00 2026-11-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 29 10 — — $4,194.44 $68,965.60 $30,381.32 2026-11-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 19 — — $40,495.52 $102,105.34 $56,788.95 2026-11-02
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 21 $164,920.85 $82,460.42 50% off $8,295.68 $70,910.38 $48,835.07 2026-11-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 51 19 — — $26,987.50 $70,826.56 $40,180.63 2026-11-02
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 21 $153,267.84 $76,633.92 50% off $4,831.51 $48,264.85 $33,239.39 2026-11-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 51 19 — — $42,134.12 $111,688.17 $64,803.00 2026-11-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 51 19 — — $30,885.13 $79,757.47 $46,916.16 2026-11-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 51 19 — — $30,532.08 $75,165.49 $44,214.99 2026-11-02
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 29 21 $153,930.71 $76,965.36 50% off $3,566.64 $53,381.46 $36,763.13 2026-11-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 51 19 — — $20,981.91 $56,282.81 $32,513.00 2026-11-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 49 19 — — $895.00 $59,747.96 $33,738.91 2026-11-02
955 OTHER Craniotomy For Multiple Significant Trauma 6 1 — — $78,115.58 $78,115.58 $78,115.58 2026-11-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 49 19 — — $895.00 $83,638.96 $49,192.97 2026-11-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 27 9 — — $37,956.08 $86,160.29 $37,956.08 2026-11-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 49 19 — — $895.00 $73,865.42 $42,082.00 2026-11-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 49 19 — — $895.00 $51,758.10 $29,161.75 2026-11-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 29 10 — — $8,609.19 $78,414.09 $34,543.65 2026-11-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 29 10 — — $9,880.41 $94,389.93 $41,581.47 2026-11-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 29 10 — — $9,880.41 $79,850.22 $35,176.31 2026-11-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 47 18 — — $895.00 $267,465.22 $155,652.70 2026-11-02
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 16 $322,515.29 $161,257.64 50% off $11,607.58 $194,427.48 $133,899.49 2026-11-02
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 15 — — $41,963.89 $75,160.50 $44,212.06 2026-11-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 51 19 — — $32,429.75 $76,348.06 $44,910.63 2026-11-02
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 1 — — $32,787.04 $32,787.04 $32,787.04 2026-11-02
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 1 — — $46,855.49 $46,855.49 $46,855.49 2026-11-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 51 19 — — $25,338.00 $61,130.27 $35,193.44 2026-11-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 27 9 — — $32,156.76 $72,995.83 $32,156.76 2026-11-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 17 — — $895.00 $349,354.27 $203,715.18 2026-11-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 41 17 — — $895.00 $49,361.18 $29,035.99 2026-11-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 27 9 — — $36,829.20 $83,602.28 $36,829.20 2026-11-02
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 27 9 — — $34,552.07 $78,433.20 $34,552.07 2026-11-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 47 18 — — $895.00 $61,360.88 $35,375.96 2026-11-02
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 16 $51,031.27 $25,515.64 50% off $7,088.71 $43,127.38 $29,701.23 2026-11-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 27 9 — — $79,515.72 $180,500.67 $79,515.72 2026-11-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 27 9 — — $34,366.54 $78,012.05 $34,366.54 2026-11-02
1784 APR_DRG External Heart Assist Systems 29 10 — — $2,351.28 $103,819.29 $45,735.37 2026-11-02
1783 APR_DRG External Heart Assist Systems 29 10 — — $2,351.28 $66,438.75 $29,268.17 2026-11-02
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 10 — — $13,645.64 $309,568.06 $136,373.60 2026-11-02
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 10 — — $13,645.64 $152,090.12 $67,000.05 2026-11-02
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 10 — — $13,645.64 $100,029.01 $44,065.64 2026-11-02
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 10 — — $13,645.64 $97,008.09 $42,734.84 2026-11-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 17 — — $895.00 $77,233.39 $45,431.41 2026-11-02
5881 APR_DRG Female Reproductive System Reconstructive Procedures 27 9 — — $75,470.63 $171,318.33 $75,470.63 2026-11-02
793 MS_DRG Full Term Neonate With Major Problems 41 17 — — $895.00 $54,858.08 $32,269.46 2026-11-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 41 17 — — $895.00 $97,589.41 $57,405.54 2026-11-02
2324 APR_DRG Gastric Fundoplication 29 10 — — $2,800.89 $101,091.54 $44,533.72 2026-11-02
2464 APR_DRG Gastrointestinal Vascular Insufficiency 29 10 — — $2,749.25 $148,728.05 $65,518.96 2026-11-02
24 APR_DRG Heart And/or Lung Transplant 25 9 — — $19,933.20 $435,840.00 $192,000.00 2026-11-02
23 APR_DRG Heart And/or Lung Transplant 25 9 — — $19,933.20 $107,853.77 $47,512.68 2026-11-02
22 APR_DRG Heart And/or Lung Transplant 25 9 — — $19,933.20 $86,642.31 $38,168.42 2026-11-02
21 APR_DRG Heart And/or Lung Transplant 25 9 — — $19,933.20 $67,110.45 $29,564.07 2026-11-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 14 — — $895.00 $352,454.24 $207,326.03 2026-11-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 14 — — $895.00 $259,042.32 $152,377.84 2026-11-02
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 49 19 — — $895.00 $144,864.11 $82,056.25 2026-11-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 49 19 — — $895.00 $242,335.17 $137,156.05 2026-11-02
969 OTHER HIV With Extensive O.r. Procedures With Mcc 24 16 $141,580.57 $70,790.28 50% off $15,184.01 $57,374.05 $39,512.71 2026-11-02
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 49 19 — — $895.00 $63,656.11 $31,019.93 2026-11-02
33264 CPT Icd Gen Replacement Multi 223 60 $54,345.18 $27,172.59 50% off $319.40 $68,128.99 $38,041.63 2026-11-02
1614 APR_DRG Implantable Heart Assist Systems 29 10 — — $4,642.72 $330,437.67 $145,567.26 2026-11-02
1613 APR_DRG Implantable Heart Assist Systems 29 10 — — $4,642.72 $172,228.56 $75,871.61 2026-11-02
1612 APR_DRG Implantable Heart Assist Systems 29 10 — — $4,642.72 $123,805.56 $54,539.89 2026-11-02
1611 APR_DRG Implantable Heart Assist Systems 29 10 — — $4,642.72 $117,418.35 $51,726.14 2026-11-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 19 — — $895.00 $63,721.70 $36,456.75 2026-11-02
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 16 $81,229.46 $40,614.73 50% off $11,679.53 $45,371.79 $31,246.92 2026-11-02
33231 CPT Insert Icd Gen Multi Lead 223 60 $54,345.00 $27,172.50 50% off $317.31 $68,437.14 $38,041.50 2026-11-02
33249 CPT Insert Or Replac Icd System 223 60 $54,345.18 $27,172.59 50% off $720.99 $68,399.08 $38,041.63 2026-11-02
197 MS_DRG Interstitial Lung Disease With Cc 49 19 — — $895.00 $61,927.32 $29,150.79 2026-11-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 49 19 — — $895.00 $99,807.28 $51,992.75 2026-11-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 49 19 — — $895.00 $112,925.79 $65,118.75 2026-11-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 49 19 — — $895.00 $90,384.25 $46,298.76 2026-11-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 29 10 — — $9,989.24 $74,124.09 $32,653.79 2026-11-02
4404 APR_DRG Kidney Transplant 25 9 — — $7,372.91 $117,128.14 $51,598.30 2026-11-02
4403 APR_DRG Kidney Transplant 25 9 — — $7,372.91 $71,687.81 $31,580.53 2026-11-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 41 17 — — $895.00 $60,773.80 $35,749.29 2026-11-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 41 17 — — $895.00 $49,248.97 $28,969.98 2026-11-02
55866 CPT Laparoscopy, Surgical Prostatectomy, Retropubic Radical, Including Nerve Sparing… 35 31 $41,616.35 $20,808.18 50% off $4,481.00 $31,502.01 $31,502.01 2026-05-08
14 APR_DRG Liver Transplant And/or Intestinal Transplant 25 9 — — $17,412.73 $156,862.15 $69,102.27 2026-11-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 25 9 — — $17,412.73 $80,819.21 $35,603.17 2026-11-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 35 15 — — $895.00 $151,240.53 $88,965.02 2026-11-02
6 MS_DRG Liver Transplant Without Mcc 35 15 — — $895.01 $190,465.70 $112,038.65 2026-11-02
7 MS_DRG Lung Transplant 33 14 — — $895.00 $796,512.02 $468,536.48 2026-11-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 49 19 — — $895.00 $80,143.86 $44,830.24 2026-11-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 49 19 — — $895.00 $59,674.43 $33,942.90 2026-11-02
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 16 $28,028.05 $14,014.02 50% off $5,230.66 $42,452.42 $28,979.72 2026-11-02
1694 APR_DRG Major Abdominal Vascular Procedures 29 10 — — $3,589.68 $71,439.38 $31,471.09 2026-11-02
4414 APR_DRG Major Bladder Procedures 29 10 — — $3,517.39 $110,845.66 $48,830.69 2026-11-02
653 MS_DRG Major Bladder Procedures With Mcc 45 18 — — $28,107.41 $123,495.61 $66,995.06 2026-11-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 29 10 — — $3,093.47 $153,371.97 $67,564.74 2026-11-02
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 29 10 — — $3,093.47 $64,813.64 $28,552.26 2026-11-02
163 MS_DRG Major Chest Procedures With Mcc 49 19 — — $895.00 $132,189.72 $70,737.56 2026-11-02
163 OTHER Major Chest Procedures With Mcc 24 16 $70,034.72 $35,017.36 50% off $4,674.76 $41,814.66 $28,797.18 2026-11-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 29 10 — — $4,811.13 $70,118.61 $30,889.26 2026-11-02
140 MS_DRG Major Head And Neck Procedures With Mcc 47 19 — — $924.00 $56,007.32 $32,283.72 2026-11-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 27 9 — — $50,020.24 $113,545.95 $50,020.24 2026-11-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 29 10 — — $2,932.48 $67,225.81 $29,614.90 2026-11-02
1204 APR_DRG Major Respiratory And Chest Procedures 29 10 — — $8,231.60 $71,149.18 $31,343.25 2026-11-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 45 18 — — $23,451.23 $58,947.73 $34,675.13 2026-11-02
329 OTHER Major Small And Large Bowel Procedures With Mcc 24 16 $71,078.54 $35,539.27 50% off $1,120.83 $41,657.72 $28,689.09 2026-11-02
2304 APR_DRG Major Small Bowel Procedures 29 10 — — $4,762.93 $74,827.65 $32,963.72 2026-11-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 29 10 — — $3,514.48 $88,461.36 $38,969.76 2026-11-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 16 — — $895.00 $76,081.65 $44,753.91 2026-11-02
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 14 $52,940.63 $26,470.32 50% off $3,760.46 $49,933.20 $34,388.30 2026-11-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 15 — — $49,982.22 $89,100.99 $52,412.35 2026-11-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 15 — — $31,226.19 $56,492.19 $33,230.70 2026-11-02
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 29 10 — — $1,529.13 $100,141.54 $44,115.22 2026-11-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 27 9 — — $30,848.41 $70,025.89 $30,848.41 2026-11-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 49 19 — — $895.00 $61,571.54 $34,809.21 2026-11-02
8634 APR_DRG Neonatal Aftercare 27 9 — — $53,080.01 $120,491.63 $53,080.01 2026-11-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 27 9 — — $65,180.97 $147,960.79 $65,180.97 2026-11-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 27 9 — — $57,971.65 $131,595.66 $57,971.65 2026-11-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 27 9 — — $37,466.85 $85,049.75 $37,466.85 2026-11-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 27 9 — — $49,878.36 $113,223.89 $49,878.36 2026-11-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 27 9 — — $40,895.49 $92,832.77 $40,895.49 2026-11-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 27 9 — — $38,757.43 $87,979.36 $38,757.43 2026-11-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 27 9 — — $44,988.28 $102,123.39 $44,988.28 2026-11-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 27 9 — — $33,218.15 $75,405.20 $33,218.15 2026-11-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 27 9 — — $28,825.72 $65,434.38 $28,825.72 2026-11-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 27 9 — — $110,550.28 $250,949.13 $110,550.28 2026-11-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 27 9 — — $57,064.76 $139,053.64 $61,257.11 2026-11-02
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 27 9 — — $33,780.97 $82,096.98 $36,166.07 2026-11-02
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 27 9 — — $55,050.63 $124,964.94 $55,050.63 2026-11-02
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 27 9 — — $37,604.32 $91,436.27 $40,280.29 2026-11-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 27 9 — — $75,961.10 $172,431.71 $75,961.10 2026-11-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 27 9 — — $50,020.24 $113,545.95 $50,020.24 2026-11-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 27 9 — — $41,299.59 $93,750.08 $41,299.59 2026-11-02
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 27 9 — — $29,777.36 $67,594.60 $29,777.36 2026-11-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 27 9 — — $63,061.92 $143,150.56 $63,061.92 2026-11-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 27 9 — — $45,040.04 $102,240.89 $45,040.04 2026-11-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 27 9 — — $35,386.16 $80,326.58 $35,386.16 2026-11-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 27 9 — — $149,904.19 $340,282.52 $149,904.19 2026-11-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 27 9 — — $80,433.68 $182,584.45 $80,433.68 2026-11-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 27 9 — — $80,066.05 $181,749.94 $80,066.05 2026-11-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 27 9 — — $63,251.18 $143,580.19 $63,251.18 2026-11-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 27 9 — — $61,303.32 $139,158.55 $61,303.32 2026-11-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 27 9 — — $57,501.14 $130,527.59 $57,501.14 2026-11-02
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 27 9 — — $41,836.53 $100,505.88 $44,275.72 2026-11-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 27 9 — — $111,538.71 $253,192.88 $111,538.71 2026-11-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 27 9 — — $52,570.20 $119,334.36 $52,570.20 2026-11-02
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 27 9 — — $28,405.47 $69,812.39 $30,754.36 2026-11-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 27 9 — — $90,462.87 $219,633.92 $96,755.03 2026-11-02
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 27 9 — — $29,144.38 $67,723.39 $29,834.09 2026-11-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 27 9 — — $43,360.20 $106,153.39 $46,763.61 2026-11-02
5834 APR_DRG Neonate With Ecmo 27 9 — — $236,821.60 $537,585.04 $236,821.60 2026-11-02
5833 APR_DRG Neonate With Ecmo 27 9 — — $200,531.83 $455,207.25 $200,531.83 2026-11-02
5832 APR_DRG Neonate With Ecmo 27 9 — — $99,920.43 $226,819.37 $99,920.43 2026-11-02
5831 APR_DRG Neonate With Ecmo 27 9 — — $87,981.93 $199,718.97 $87,981.93 2026-11-02
613 OTHER Neonate, Birth Weight <750 Grams, Died 6 1 — — $44,547.67 $44,547.67 $44,547.67 2026-11-02
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 6 1 — — $299,135.33 $299,135.33 $299,135.33 2026-11-02
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 27 9 — — $32,453.29 $73,668.97 $32,453.29 2026-11-02
276 MS_DRG Non-maligant Breast Disorders 45 18 — — $32,243.36 $79,586.72 $46,815.72 2026-11-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 39 17 — — $528.00 $49,007.29 $28,827.82 2026-11-02
214 APR_DRG Open Craniotomy Except Trauma 29 10 — — $2,590.91 $75,098.72 $33,083.14 2026-11-02
27828 CPT Open Treatment Of Fracture Of Weight Bearing Articular Surface/portion Of Distal… 33 29 $37,960.50 $18,980.25 50% off $3,793.00 $28,507.51 $28,507.51 2026-05-08
23615 CPT Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 33 29 $46,609.71 $23,304.86 50% off $3,793.00 $34,778.19 $34,778.19 2026-05-08
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 27 9 — — $67,602.47 $153,457.61 $67,602.47 2026-11-02
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 29 10 — — $2,686.50 $101,671.82 $44,789.35 2026-11-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 53 19 — — $895.00 $78,852.00 $37,747.31 2026-11-02
228 OTHER Other Cardiothoracic Procedures With Mcc 29 21 $211,728.07 $105,864.04 50% off $3,971.76 $78,852.00 $31,134.51 2026-11-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 49 19 — — $895.00 $82,901.84 $41,648.05 2026-11-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 45 18 — — $17,266.52 $50,273.56 $29,572.68 2026-11-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 49 19 — — $895.00 $48,445.00 $28,497.06 2026-11-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 49 19 — — $895.00 $56,230.51 $33,076.77 2026-11-02
215 OTHER Other Heart Assist System Implant 29 21 $170,281.97 $85,140.98 50% off $5,181.82 $96,765.00 $76,735.32 2026-11-02
215 MS_DRG Other Heart Assist System Implant 53 19 — — $895.00 $128,571.57 $75,630.33 2026-11-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 45 18 — — $20,305.39 $54,177.50 $31,869.12 2026-11-02
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 27 9 — — $30,952.30 $75,824.83 $33,403.01 2026-11-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 49 19 — — $895.00 $55,269.41 $31,220.16 2026-11-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 29 10 — — $2,063.99 $87,773.38 $38,666.69 2026-11-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 18 — — $26,255.42 $67,924.77 $39,955.75 2026-11-02
264 APR_DRG Other Nervous System And Related Procedures 29 10 — — $2,558.61 $80,674.81 $35,539.56 2026-11-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 49 19 — — $895.00 $50,825.76 $28,645.91 2026-11-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 49 19 — — $895.00 $53,222.83 $31,307.55 2026-11-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 49 19 — — $895.00 $96,364.12 $55,508.15 2026-11-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 49 19 — — $895.00 $50,447.06 $29,019.26 2026-11-02
271 APR_DRG Other Open Craniotomy 29 10 — — $9,724.46 $83,799.46 $36,916.06 2026-11-02
1824 APR_DRG Other Peripheral Vascular And Related Procedures 29 10 — — $2,988.09 $79,785.81 $35,147.93 2026-11-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 27 9 — — $33,675.89 $76,444.27 $33,675.89 2026-11-02
1214 APR_DRG Other Respiratory And Chest Procedures 29 10 — — $8,335.93 $66,400.53 $29,251.33 2026-11-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 18 — — $21,068.10 $50,546.55 $29,733.27 2026-11-02
64 APR_DRG Pancreas Transplant 25 9 — — $2,151.11 $143,591.52 $63,256.18 2026-11-02
10 MS_DRG Pancreas Transplant 35 15 — — $895.00 $102,494.17 $60,290.69 2026-11-02
63 APR_DRG Pancreas Transplant 25 9 — — $2,151.11 $92,794.54 $40,878.65 2026-11-02
62 APR_DRG Pancreas Transplant 25 9 — — $2,151.11 $83,931.41 $36,974.19 2026-11-02
61 APR_DRG Pancreas Transplant 25 9 — — $2,151.11 $82,847.78 $36,496.82 2026-11-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 45 18 — — $28,583.00 $69,371.89 $40,806.99 2026-11-02
4834 APR_DRG Penis, Testes And Scrotal Procedures 29 10 — — $31,224.14 $70,878.81 $31,224.14 2026-11-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 45 18 — — $20,233.22 $55,816.63 $32,833.31 2026-11-02
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 6 1 — — $30,851.78 $30,851.78 $30,851.78 2026-11-02
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 16 — — $895.00 $75,029.89 $44,135.23 2026-11-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 49 19 — — $895.00 $48,962.59 $28,801.52 2026-11-02
2244 APR_DRG Peritoneal Adhesiolysis 29 10 — — $2,874.76 $64,710.30 $28,506.74 2026-11-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 49 19 — — $895.00 $58,137.50 $33,686.40 2026-11-02
791 MS_DRG Prematurity With Major Problems 41 17 — — $895.00 $53,462.02 $31,448.25 2026-11-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 27 9 — — $76,647.71 $173,990.29 $76,647.71 2026-11-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 29 10 — — $4,919.69 $70,008.19 $30,840.61 2026-11-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 49 19 — — $895.00 $173,834.35 $95,306.01 2026-11-02
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 24 16 $106,153.01 $53,076.50 50% off $3,641.57 $58,670.44 $40,405.51 2026-11-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 20 — — $895.00 $67,146.98 $38,352.44 2026-11-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 49 19 — — $895.00 $88,778.14 $50,777.36 2026-11-02
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 24 16 $119,555.32 $59,777.66 50% off $8,154.38 $63,109.37 $43,202.27 2026-11-02
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 29 10 — — $9,081.30 $71,682.87 $31,578.36 2026-11-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 14 — — $895.00 $184,750.83 $108,676.96 2026-11-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 41 17 — — $895.00 $96,362.89 $56,684.05 2026-11-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 16 — — $895.00 $53,327.42 $31,369.07 2026-11-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 15 — — $37,559.69 $67,503.47 $39,707.92 2026-11-02
570 MS_DRG Skin Debridement With Mcc 49 19 — — $895.00 $167,112.26 $91,045.50 2026-11-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 49 19 — — $895.00 $64,339.93 $37,847.02 2026-11-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 45 18 — — $32,284.38 $81,507.50 $47,945.59 2026-11-02
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 16 $24,496.36 $12,248.18 50% off $8,032.12 $55,867.19 $37,813.29 2026-11-02
052 OTHER Spinal Disorders And Injuries With Cc/mcc 3 1 — — $33,623.72 $33,623.72 $33,623.72 2026-09-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 51 18 — — $895.00 $100,698.14 $48,490.97 2026-11-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 19 — — $30,120.00 $103,827.73 $60,455.66 2026-11-02
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 21 $120,341.67 $60,170.84 50% off $3,207.06 $76,832.58 $51,093.58 2026-11-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 19 — — $20,461.00 $74,351.40 $43,572.05 2026-11-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 19 — — $19,059.00 $52,723.97 $31,014.10 2026-11-02
234 APR_DRG Spinal Procedures 29 10 — — $3,750.40 $86,473.14 $38,093.89 2026-11-02
28 MS_DRG Spinal Procedures With Mcc 49 19 — — $895.00 $78,933.56 $44,920.97 2026-11-02
799 MS_DRG Splenectomy With Mcc 45 18 — — $25,724.28 $62,601.11 $36,824.18 2026-11-02
213 OTHER Splenic Procedures Age 0-17 6 1 — — $39,928.61 $39,928.61 $39,928.61 2026-11-02
L8688 HCPCS Stimulator Proclaim 3664 167 38 $43,900.00 $21,950.00 50% off $1.38 $44,900.00 $31,430.00 2026-11-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 18 — — $26,370.17 $103,496.93 $54,883.66 2026-11-02
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 24 16 $76,066.81 $38,033.40 50% off $2,197.18 $46,076.69 $31,732.37 2026-11-02
974 APR_DRG Tonsil And Adenoid Procedures 29 10 — — $2,634.07 $79,591.88 $35,062.50 2026-11-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 49 19 — — $895.00 $56,871.09 $31,926.29 2026-11-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 49 19 — — $895.00 $72,257.50 $40,902.85 2026-11-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 47 18 — — $895.00 $339,236.33 $193,103.72 2026-11-02
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 16 $305,540.40 $152,770.20 50% off $7,844.29 $128,187.36 $88,280.85 2026-11-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 10 — — $13,243.97 $181,279.98 $79,859.02 2026-11-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 10 — — $13,243.97 $116,553.40 $51,345.11 2026-11-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 10 — — $13,243.97 $76,205.73 $33,570.81 2026-11-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 10 — — $6,609.01 $116,593.04 $51,362.57 2026-11-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 10 — — $6,609.01 $83,989.46 $36,999.76 2026-11-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 10 — — $6,609.01 $76,701.19 $33,789.07 2026-11-02
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 49 19 — — $895.00 $57,534.24 $32,439.63 2026-11-02
224 APR_DRG Ventricular Shunt Procedures 29 10 — — $3,605.56 $74,532.48 $32,833.69 2026-11-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 49 19 — — $895.00 $56,443.11 $33,201.83 2026-11-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 49 19 — — $895.00 $71,167.35 $40,620.06 2026-11-02
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 16 $60,312.95 $30,156.48 50% off $3,712.01 $48,997.87 $33,744.15 2026-11-02
901 MS_DRG Wound Debridements For Injuries With Mcc 49 19 — — $895.00 $57,958.06 $32,069.32 2026-11-02
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