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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

5,430 distinct procedures filed
62 distinct payers
832,988 rate rows
2026-09-28 last MRF observed
Data quality

792,215 of 832,988 rate rows are consumer-grade (95.1%)

40,773 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 18,088
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 6,540
exceeds 10× this hospital's gross charge — excluded from medians 1,227
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 353
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 234
placeholder amount (≤ $0.02) — excluded from medians 63
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 · 2026-10-04
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 $665,293.72 nat. median
$168,055
outlier · 4.0×
7
MS_DRG 		Lung Transplant 14 $895.00 $796,512.02 $468,536.48 nat. median
$70,649
outlier · 6.6×
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
$220,794
1.4× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $291,278.18 $291,278.18 $291,278.18 nat. median
$149,977
1.9× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $271,488.14 $271,488.14 $271,488.14 nat. median
$27,663
outlier · 9.8×
5834
APR_DRG 		Neonate With Ecmo 9 $236,821.60 $480,747.85 $236,821.60 nat. median
$390,362
0.6× median
5833
APR_DRG 		Neonate With Ecmo 9 $200,531.83 $407,079.61 $200,531.83 nat. median
$268,208
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $895.00 $340,823.31 $200,484.30 nat. median
$186,516
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $895.00 $339,236.33 $199,550.78 nat. median
$97,418
outlier · 2.0×
24
APR_DRG 		Heart And/or Lung Transplant 9 $19,933.20 $389,760.00 $192,000.00 nat. median
$225,531
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $11,302.31 $389,760.00 $192,000.00 nat. median
$149,836
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $895.00 $260,215.45 $153,067.91 nat. median
$131,925
1.2× 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
$65,418
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $895.00 $258,701.96 $152,177.62 nat. median
$145,435
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $149,904.19 $304,305.51 $149,904.19 nat. median
$286,698
0.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $4,642.72 $295,501.53 $145,567.26 nat. median
$202,242
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 19 $895.00 $242,335.17 $142,550.10 nat. median
$41,943
outlier · 3.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $13,645.64 $276,838.40 $136,373.60 nat. median
$152,792
0.9× median
6
MS_DRG 		Liver Transplant Without Mcc 15 $895.01 $190,465.70 $112,038.65 nat. median
$31,278
outlier · 3.6×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $111,538.71 $226,423.59 $111,538.71 nat. median
$187,567
0.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $110,550.28 $224,417.07 $110,550.28 nat. median
$198,578
0.6× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 14 $895.00 $184,750.83 $108,676.96 nat. median
$32,772
outlier · 3.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $895.00 $173,834.35 $102,255.50 nat. median
$47,121
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 9 $99,920.43 $202,838.47 $99,920.43 nat. median
$201,678
outlier · 0.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $35,589.60 $168,348.73 $99,028.67 nat. median
$49,569
2.0× median
570
MS_DRG 		Skin Debridement With Mcc 19 $895.00 $167,112.26 $98,301.33 nat. median
$20,813
outlier · 4.7×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $90,462.87 $196,412.71 $96,755.03 nat. median
$181,762
0.5× 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
$26,720
outlier · 3.6×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $4,777.50 $192,608.42 $94,881.00 nat. median
$135,803
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $895.00 $151,240.53 $88,965.02 nat. median
$69,922
1.3× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 10 $12,001.07 $178,986.27 $88,170.58 nat. median
$16,170
outlier · 5.5×
5831
APR_DRG 		Neonate With Ecmo 9 $87,981.93 $178,603.31 $87,981.93 nat. median
$173,909
0.5× median
835
OTHER 		Acute Leukemia With Cc 1 $87,633.90 $87,633.90 $87,633.90 nat. median
$58
outlier · 1517.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $895.00 $147,487.20 $86,757.17 nat. median
$72,715
1.2× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $11,302.31 $165,023.57 $81,292.40 nat. median
$81,292
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $80,433.68 $163,280.36 $80,433.68 nat. median
$173,134
outlier · 0.5×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $80,066.05 $162,534.09 $80,066.05 nat. median
$152,383
0.5× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 $895.00 $136,087.37 $80,051.40 nat. median
$32,992
outlier · 2.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $13,243.97 $162,113.81 $79,859.02 nat. median
$135,630
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $79,515.72 $161,416.90 $79,515.72 nat. median
$173,018
outlier · 0.5×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 19 $895.00 $133,671.27 $78,630.16 nat. median
$74,509
1.1× median
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $78,115.58 $78,115.58 $78,115.58 nat. median
$64,471
1.2× median
163
MS_DRG 		Major Chest Procedures With Mcc 19 $895.00 $132,189.72 $77,758.66 nat. median
$31,995
outlier · 2.4×
215
OTHER 		Other Heart Assist System Implant 1 $76,735.32 $76,735.32 $76,735.32 nat. median
$229
outlier · 335.5×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 $76,647.71 $155,594.84 $76,647.71 nat. median
$50,461
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $75,961.10 $154,201.04 $75,961.10 nat. median
$171,497
outlier · 0.4×
1613
APR_DRG 		Implantable Heart Assist Systems 10 $4,642.72 $154,019.37 $75,871.61 nat. median
$155,539
outlier · 0.5×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 9 $75,470.63 $153,205.38 $75,470.63 nat. median
$130,862
0.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 18 $28,107.41 $123,495.61 $72,644.48 nat. median
$36,547
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 19 $895.00 $122,593.62 $72,113.90 nat. median
$73,023
1.0× median

Other procedures at this hospital

Browse this hospital's 5,430 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 14 9 — — $44,387.12 $90,105.85 $44,387.12 2026-09-28
835 OTHER Acute Leukemia With Cc 3 1 — — $87,633.90 $87,633.90 $87,633.90 2026-09-28
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 3 1 — — $96,723.61 $96,723.61 $96,723.61 2026-09-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 25 19 — — $895.00 $68,635.63 $40,373.90 2026-09-28
245 MS_DRG Aicd Generator Procedures 25 19 — — $895.00 $57,432.37 $33,783.74 2026-09-28
265 MS_DRG Aicd Lead Procedures 24 18 — — $895.00 $46,027.41 $27,074.95 2026-09-28
74 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $389,760.00 $192,000.00 2026-09-28
14 MS_DRG Allogeneic Bone Marrow Transplant 19 15 — — $895.00 $147,487.20 $86,757.17 2026-09-28
73 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $165,023.57 $81,292.40 2026-09-28
72 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $110,877.40 $54,619.41 2026-09-28
71 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $75,621.78 $37,252.11 2026-09-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 19 — — $895.00 $61,772.35 $36,336.67 2026-09-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 19 — — $895.00 $54,177.08 $31,868.87 2026-09-28
347 MS_DRG Anal And Stomal Procedures With Mcc 23 18 — — $13,234.93 $64,626.60 $38,015.65 2026-09-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 18 — — $35,589.60 $168,348.73 $99,028.67 2026-09-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 18 — — $21,591.45 $53,335.17 $31,373.63 2026-09-28
398 OTHER Appendix Procedures With Cc 3 1 — — $26,453.44 $26,453.44 $26,453.44 2026-09-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 10 — — $4,724.28 $139,715.51 $68,825.38 2026-09-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 10 — — $4,724.28 $94,437.27 $46,520.82 2026-09-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 15 — — $895.00 $73,947.94 $43,498.79 2026-09-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 15 — — $895.00 $67,939.88 $39,964.63 2026-09-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 19 — — $8,459.00 $47,466.00 $27,921.18 2026-09-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 20 — — $895.00 $102,059.54 $60,035.02 2026-09-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 19 — — $895.00 $45,392.05 $26,701.21 2026-09-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 9 — — $27,126.05 $55,065.88 $27,126.05 2026-09-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 18 — — $36,529.87 $88,451.17 $52,030.10 2026-09-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 15 10 — — $12,001.07 $178,986.27 $88,170.58 2026-09-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $50,389.92 $120,489.45 $70,876.15 2026-09-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $33,048.64 $81,746.15 $48,085.97 2026-09-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 18 — — $29,577.27 $81,746.15 $48,085.97 2026-09-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 19 — — $40,036.55 $95,069.25 $55,923.09 2026-09-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 19 — — $27,229.96 $66,738.03 $39,257.66 2026-09-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 18 — — $24,135.53 $63,203.71 $37,178.65 2026-09-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 10 — — $2,356.84 $119,645.93 $58,938.88 2026-09-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 10 — — $2,356.84 $67,318.28 $33,161.71 2026-09-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 10 — — $4,674.76 $71,307.90 $35,127.04 2026-09-28
2054 APR_DRG Cardiomyopathy 15 10 — — $5,591.71 $69,925.50 $34,446.06 2026-09-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 19 — — $895.00 $49,077.34 $28,869.02 2026-09-28
279 MS_DRG Cellulitis Age 0-17 25 19 — — $895.00 $45,884.85 $26,991.09 2026-09-28
277 MS_DRG Cellulitis Age >17 W Cc 23 18 — — $24,830.22 $58,109.99 $34,182.35 2026-09-28
278 MS_DRG Cellulitis Age >17 Without Cc 25 19 — — $895.00 $69,557.25 $40,916.03 2026-09-28
471 MS_DRG Cervical Spinal Fusion With Mcc 26 19 — — $24,172.00 $106,250.93 $62,500.55 2026-09-28
6954 APR_DRG Chemotherapy For Acute Leukemia 14 9 — — $34,401.77 $69,835.60 $34,401.77 2026-09-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 19 — — $895.00 $136,087.37 $80,051.40 2026-09-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 19 — — $895.00 $1,130,999.32 $665,293.72 2026-09-28
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
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $4,777.50 $192,608.42 $94,881.00 2026-09-28
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $4,777.50 $109,450.05 $53,916.28 2026-09-28
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $4,777.50 $76,060.86 $37,468.41 2026-09-28
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 1 — — $70,216.20 $70,216.20 $70,216.20 2026-09-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 18 — — $18,302.84 $45,355.78 $26,679.87 2026-09-28
455 OTHER Combined Anterior And Posterio 3 1 — — $36,884.44 $36,884.44 $36,884.44 2026-09-28
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 26 18 — — $895.00 $76,201.89 $44,824.64 2026-09-28
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $30,159.70 $30,159.70 $30,159.70 2026-09-28
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 27 19 — — $895.00 $155,710.05 $64,329.34 2026-09-28
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 26 18 — — $895.00 $83,164.10 $34,090.71 2026-09-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 10 — — $4,194.44 $61,674.08 $30,381.32 2026-09-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 19 — — $40,495.52 $94,669.41 $55,813.31 2026-09-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 19 — — $26,987.50 $68,307.06 $40,180.63 2026-09-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 19 — — $42,134.12 $104,147.84 $61,263.43 2026-09-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 19 — — $30,885.13 $75,553.25 $44,443.09 2026-09-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 19 — — $30,532.08 $73,209.94 $43,064.67 2026-09-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 19 — — $20,981.91 $52,919.65 $31,129.21 2026-09-28
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 1 — — $30,187.01 $30,187.01 $30,187.01 2026-09-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 19 — — $895.00 $57,242.72 $33,672.19 2026-09-28
955 OTHER Craniotomy For Multiple Significant Trauma 3 1 — — $78,115.58 $78,115.58 $78,115.58 2026-09-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 19 — — $895.00 $83,628.05 $49,192.97 2026-09-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 9 — — $37,956.08 $77,050.84 $37,956.08 2026-09-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 19 — — $895.00 $71,539.40 $42,082.00 2026-09-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 19 — — $895.00 $49,574.98 $29,161.75 2026-09-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 10 — — $8,609.19 $70,123.61 $34,543.65 2026-09-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 10 — — $9,880.41 $84,410.38 $41,581.47 2026-09-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 10 — — $9,880.41 $71,407.91 $35,176.31 2026-09-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 18 — — $895.00 $258,701.96 $152,177.62 2026-09-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 19 — — $32,429.75 $76,348.06 $44,910.63 2026-09-28
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 1 — — $32,787.04 $32,787.04 $32,787.04 2026-09-28
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 1 — — $46,855.49 $46,855.49 $46,855.49 2026-09-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 19 — — $25,338.00 $59,828.84 $35,193.44 2026-09-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 14 9 — — $32,156.76 $65,278.21 $32,156.76 2026-09-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 17 — — $895.00 $260,215.45 $153,067.91 2026-09-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 17 — — $895.00 $49,361.18 $29,035.99 2026-09-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 9 — — $36,829.20 $74,763.28 $36,829.20 2026-09-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 9 — — $34,552.07 $70,140.70 $34,552.07 2026-09-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 18 — — $895.00 $58,995.37 $34,703.16 2026-09-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 9 — — $79,515.72 $161,416.90 $79,515.72 2026-09-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 9 — — $34,366.54 $69,764.08 $34,366.54 2026-09-28
1784 APR_DRG External Heart Assist Systems 15 10 — — $2,351.28 $92,842.80 $45,735.37 2026-09-28
1783 APR_DRG External Heart Assist Systems 15 10 — — $2,351.28 $59,414.39 $29,268.17 2026-09-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $276,838.40 $136,373.60 2026-09-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $136,010.10 $67,000.05 2026-09-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $89,453.25 $44,065.64 2026-09-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $86,751.73 $42,734.84 2026-09-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 17 — — $895.00 $74,114.66 $43,596.86 2026-09-28
5881 APR_DRG Female Reproductive System Reconstructive Procedures 14 9 — — $75,470.63 $153,205.38 $75,470.63 2026-09-28
793 MS_DRG Full Term Neonate With Major Problems 21 17 — — $895.00 $52,687.75 $30,992.79 2026-09-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 17 — — $895.00 $88,962.15 $52,330.68 2026-09-28
2324 APR_DRG Gastric Fundoplication 15 10 — — $2,800.89 $90,403.45 $44,533.72 2026-09-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 15 10 — — $2,749.25 $133,003.50 $65,518.96 2026-09-28
24 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $389,760.00 $192,000.00 2026-09-28
23 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $96,450.73 $47,512.68 2026-09-28
22 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $77,481.89 $38,168.42 2026-09-28
21 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $60,015.07 $29,564.07 2026-09-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 14 — — $895.00 $340,823.31 $200,484.30 2026-09-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 14 — — $895.00 $259,042.32 $152,377.84 2026-09-28
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 15 10 — — $3,245.46 $55,320.98 $27,251.71 2026-09-28
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 25 19 — — $895.00 $133,671.27 $78,630.16 2026-09-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 19 — — $895.00 $242,335.17 $142,550.10 2026-09-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 25 19 — — $895.00 $63,656.11 $37,444.77 2026-09-28
974 OTHER HIV With Major Related Condition With Mcc 3 1 — — $64,693.84 $64,693.84 $64,693.84 2026-09-28
33264 CPT Icd Gen Replacement Multi 127 38 $54,345.18 $27,172.59 50% off $319.40 $68,128.99 $30,935.98 2026-09-28
1614 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $295,501.53 $145,567.26 2026-09-28
1613 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $154,019.37 $75,871.61 2026-09-28
1612 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $110,715.99 $54,539.89 2026-09-28
1611 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $105,004.07 $51,726.14 2026-09-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 19 — — $895.00 $61,976.48 $36,456.75 2026-09-28
33231 CPT Insert Icd Gen Multi Lead 127 38 $54,345.00 $27,172.50 50% off $317.31 $68,437.14 $30,935.98 2026-09-28
33249 CPT Insert Or Replac Icd System 127 38 $54,345.18 $27,172.59 50% off $720.99 $68,399.08 $30,935.98 2026-09-28
197 MS_DRG Interstitial Lung Disease With Cc 25 19 — — $895.00 $61,927.32 $36,427.83 2026-09-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 19 — — $895.00 $99,807.28 $58,710.16 2026-09-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 19 — — $895.00 $112,925.79 $66,426.94 2026-09-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 19 — — $895.00 $90,384.25 $53,167.20 2026-09-28
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 1 — — $26,853.13 $26,853.13 $26,853.13 2026-09-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 15 10 — — $9,989.24 $66,287.18 $32,653.79 2026-09-28
4404 APR_DRG Kidney Transplant 13 9 — — $7,372.91 $104,744.55 $51,598.30 2026-09-28
4403 APR_DRG Kidney Transplant 13 9 — — $7,372.91 $64,108.48 $31,580.53 2026-09-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 17 — — $895.00 $59,111.38 $34,771.40 2026-09-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 17 — — $895.00 $47,085.51 $27,697.36 2026-09-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 19 — — $895.00 $47,776.45 $28,103.79 2026-09-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 13 9 — — $17,412.73 $140,277.61 $69,102.27 2026-09-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 13 9 — — $17,412.73 $72,274.44 $35,603.17 2026-09-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 13 9 — — $17,412.73 $55,513.38 $27,346.49 2026-09-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 15 — — $895.00 $151,240.53 $88,965.02 2026-09-28
6 MS_DRG Liver Transplant Without Mcc 18 15 — — $895.01 $190,465.70 $112,038.65 2026-09-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 18 — — $18,593.59 $46,117.98 $27,128.22 2026-09-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 19 — — $17,975.22 $46,672.42 $27,454.37 2026-09-28
1814 APR_DRG Lower Extremity Arterial Procedures 15 10 — — $2,009.45 $55,490.60 $27,335.27 2026-09-28
7 MS_DRG Lung Transplant 17 14 — — $895.00 $796,512.02 $468,536.48 2026-09-28
007 OTHER Lung Transplant 3 1 — — $27,435.84 $27,435.84 $27,435.84 2026-09-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 19 — — $895.00 $73,164.02 $43,037.66 2026-09-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 19 — — $895.00 $57,702.92 $33,942.90 2026-09-28
1694 APR_DRG Major Abdominal Vascular Procedures 15 10 — — $3,589.68 $63,886.32 $31,471.09 2026-09-28
4414 APR_DRG Major Bladder Procedures 15 10 — — $3,517.39 $99,126.30 $48,830.69 2026-09-28
653 MS_DRG Major Bladder Procedures With Mcc 23 18 — — $28,107.41 $123,495.61 $72,644.48 2026-09-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 10 — — $3,093.47 $137,156.43 $67,564.74 2026-09-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 10 — — $3,093.47 $57,961.09 $28,552.26 2026-09-28
163 MS_DRG Major Chest Procedures With Mcc 25 19 — — $895.00 $132,189.72 $77,758.66 2026-09-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 15 10 — — $4,811.13 $62,705.19 $30,889.26 2026-09-28
140 MS_DRG Major Head And Neck Procedures With Mcc 24 19 — — $924.00 $53,843.70 $31,672.77 2026-09-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 14 9 — — $27,162.22 $55,139.31 $27,162.22 2026-09-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 9 — — $50,020.24 $101,541.09 $50,020.24 2026-09-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 15 10 — — $2,932.48 $60,118.24 $29,614.90 2026-09-28
1204 APR_DRG Major Respiratory And Chest Procedures 15 10 — — $8,231.60 $63,626.80 $31,343.25 2026-09-28
595 OTHER Major Skin Disorders With Mcc 3 1 — — $37,350.86 $37,350.86 $37,350.86 2026-09-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 18 — — $23,451.23 $57,844.25 $34,026.03 2026-09-28
2304 APR_DRG Major Small Bowel Procedures 15 10 — — $4,762.93 $66,916.35 $32,963.72 2026-09-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 15 10 — — $3,514.48 $79,108.61 $38,969.76 2026-09-28
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 15 10 — — $1,529.13 $89,553.89 $44,115.22 2026-09-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 9 — — $30,848.41 $62,622.27 $30,848.41 2026-09-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 19 — — $895.00 $58,826.27 $34,603.69 2026-09-28
8634 APR_DRG Neonatal Aftercare 14 9 — — $53,080.01 $107,752.43 $53,080.01 2026-09-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 9 — — $65,180.97 $132,317.36 $65,180.97 2026-09-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $57,971.65 $117,682.46 $57,971.65 2026-09-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $37,466.85 $76,057.71 $37,466.85 2026-09-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $28,308.12 $57,465.47 $28,308.12 2026-09-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 9 — — $49,878.36 $101,253.08 $49,878.36 2026-09-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $40,895.49 $83,017.85 $40,895.49 2026-09-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 9 — — $38,757.43 $78,677.58 $38,757.43 2026-09-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 9 — — $44,988.28 $91,326.21 $44,988.28 2026-09-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 9 — — $33,218.15 $67,432.85 $33,218.15 2026-09-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $28,825.72 $58,516.21 $28,825.72 2026-09-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 9 — — $110,550.28 $224,417.07 $110,550.28 2026-09-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 9 — — $57,064.76 $124,351.93 $61,257.11 2026-09-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 14 9 — — $33,780.97 $73,417.12 $36,166.07 2026-09-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 9 — — $55,050.63 $111,752.79 $55,050.63 2026-09-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 14 9 — — $37,604.32 $81,769.00 $40,280.29 2026-09-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $75,961.10 $154,201.04 $75,961.10 2026-09-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $50,020.24 $101,541.09 $50,020.24 2026-09-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $41,299.59 $83,838.18 $41,299.59 2026-09-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $29,777.36 $60,448.03 $29,777.36 2026-09-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 9 — — $63,061.92 $128,015.70 $63,061.92 2026-09-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 9 — — $45,040.04 $91,431.28 $45,040.04 2026-09-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 9 — — $35,386.16 $71,833.90 $35,386.16 2026-09-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 9 — — $149,904.19 $304,305.51 $149,904.19 2026-09-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 9 — — $80,433.68 $163,280.36 $80,433.68 2026-09-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 9 — — $80,066.05 $162,534.09 $80,066.05 2026-09-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 9 — — $63,251.18 $128,399.90 $63,251.18 2026-09-28
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 9 — — $61,303.32 $124,445.75 $61,303.32 2026-09-28
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 9 — — $57,501.14 $116,727.31 $57,501.14 2026-09-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 9 — — $41,836.53 $89,879.71 $44,275.72 2026-09-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 9 — — $111,538.71 $226,423.59 $111,538.71 2026-09-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 9 — — $52,570.20 $106,717.52 $52,570.20 2026-09-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 9 — — $28,405.47 $62,431.35 $30,754.36 2026-09-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 9 — — $90,462.87 $196,412.71 $96,755.03 2026-09-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 9 — — $29,144.38 $60,563.21 $29,834.09 2026-09-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 14 9 — — $43,360.20 $94,930.12 $46,763.61 2026-09-28
5834 APR_DRG Neonate With Ecmo 14 9 — — $236,821.60 $480,747.85 $236,821.60 2026-09-28
5833 APR_DRG Neonate With Ecmo 14 9 — — $200,531.83 $407,079.61 $200,531.83 2026-09-28
5832 APR_DRG Neonate With Ecmo 14 9 — — $99,920.43 $202,838.47 $99,920.43 2026-09-28
5831 APR_DRG Neonate With Ecmo 14 9 — — $87,981.93 $178,603.31 $87,981.93 2026-09-28
613 OTHER Neonate, Birth Weight <750 Grams, Died 3 1 — — $44,547.67 $44,547.67 $44,547.67 2026-09-28
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 3 1 — — $299,135.33 $299,135.33 $299,135.33 2026-09-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 19 — — $895.00 $45,950.09 $27,029.47 2026-09-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 14 9 — — $32,453.29 $65,880.18 $32,453.29 2026-09-28
276 MS_DRG Non-maligant Breast Disorders 23 18 — — $32,243.36 $74,876.83 $44,045.20 2026-09-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 19 — — $895.00 $46,151.80 $27,148.12 2026-09-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 17 — — $528.00 $49,007.29 $28,827.82 2026-09-28
214 APR_DRG Open Craniotomy Except Trauma 15 10 — — $2,590.91 $67,158.77 $33,083.14 2026-09-28
204 APR_DRG Open Craniotomy For Trauma 15 10 — — $7,416.34 $56,414.74 $27,790.51 2026-09-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 9 — — $67,602.47 $137,233.01 $67,602.47 2026-09-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 15 10 — — $2,686.50 $90,922.37 $44,789.35 2026-09-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 19 — — $895.00 $78,852.00 $36,519.28 2026-09-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 19 — — $895.00 $82,901.84 $48,765.79 2026-09-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 18 — — $17,266.52 $47,578.34 $27,987.26 2026-09-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 19 — — $895.00 $47,339.17 $27,846.57 2026-09-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 19 — — $895.00 $56,230.51 $33,076.77 2026-09-28
215 OTHER Other Heart Assist System Implant 3 1 — — $76,735.32 $76,735.32 $76,735.32 2026-09-28
215 MS_DRG Other Heart Assist System Implant 27 19 — — $895.00 $122,593.62 $72,113.90 2026-09-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 18 — — $20,305.39 $52,487.23 $30,874.84 2026-09-28
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 1 — — $27,117.63 $27,117.63 $27,117.63 2026-09-28
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 14 9 — — $30,952.30 $67,808.11 $33,403.01 2026-09-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 19 — — $895.00 $53,074.28 $31,220.16 2026-09-28
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 15 10 — — $2,063.99 $78,493.38 $38,666.69 2026-09-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 18 — — $17,944.59 $45,279.71 $26,635.12 2026-09-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 18 — — $26,255.42 $66,055.53 $38,856.19 2026-09-28
914 APR_DRG Other Major Head And Neck Procedures 15 10 — — $2,645.72 $56,996.44 $28,077.06 2026-09-28
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 1 — — $47,111.89 $47,111.89 $47,111.89 2026-09-28
264 APR_DRG Other Nervous System And Related Procedures 15 10 — — $2,558.61 $72,145.32 $35,539.56 2026-09-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 19 — — $895.00 $48,698.04 $28,645.91 2026-09-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 19 — — $895.00 $53,222.83 $31,307.55 2026-09-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 19 — — $895.00 $94,363.85 $55,508.15 2026-09-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 19 — — $895.00 $50,447.06 $29,674.74 2026-09-28
271 APR_DRG Other Open Craniotomy 15 10 — — $9,724.46 $74,939.60 $36,916.06 2026-09-28
1824 APR_DRG Other Peripheral Vascular And Related Procedures 15 10 — — $2,988.09 $71,350.30 $35,147.93 2026-09-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 14 9 — — $33,675.89 $68,362.05 $33,675.89 2026-09-28
1214 APR_DRG Other Respiratory And Chest Procedures 15 10 — — $8,335.93 $59,380.21 $29,251.33 2026-09-28
166 OTHER Other Respiratory System O.r. Procedures With Mcc 3 1 — — $271,488.14 $271,488.14 $271,488.14 2026-09-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 18 — — $21,068.10 $47,470.82 $27,924.01 2026-09-28
64 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $128,410.04 $63,256.18 2026-09-28
10 MS_DRG Pancreas Transplant 18 15 — — $895.00 $102,494.17 $60,290.69 2026-09-28
63 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $82,983.67 $40,878.65 2026-09-28
62 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $75,057.60 $36,974.19 2026-09-28
61 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $74,088.54 $36,496.82 2026-09-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 18 — — $28,583.00 $68,401.29 $40,236.05 2026-09-28
4834 APR_DRG Penis, Testes And Scrotal Procedures 15 10 — — $31,224.14 $63,385.01 $31,224.14 2026-09-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 18 — — $20,233.22 $52,155.04 $30,679.44 2026-09-28
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 3 1 — — $30,851.78 $30,851.78 $30,851.78 2026-09-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 15 10 — — $2,269.46 $53,661.94 $26,434.45 2026-09-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 19 — — $895.00 $48,962.59 $28,801.52 2026-09-28
2244 APR_DRG Peritoneal Adhesiolysis 15 10 — — $2,874.76 $57,868.68 $28,506.74 2026-09-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 19 — — $895.00 $45,456.04 $26,738.85 2026-09-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 19 — — $895.00 $57,266.88 $33,686.40 2026-09-28
791 MS_DRG Prematurity With Major Problems 21 17 — — $895.00 $51,351.83 $30,206.96 2026-09-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 9 — — $76,647.71 $155,594.84 $76,647.71 2026-09-28
849 MS_DRG Radiotherapy 25 19 — — $895.00 $54,659.43 $32,152.60 2026-09-28
332 MS_DRG Rectal Resection With Mcc 25 19 — — $895.00 $46,057.57 $27,092.69 2026-09-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 10 — — $4,919.69 $62,606.45 $30,840.61 2026-09-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 19 — — $895.00 $173,834.35 $102,255.50 2026-09-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 20 — — $895.00 $44,920.96 $26,424.09 2026-09-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 20 — — $895.00 $65,199.14 $38,352.44 2026-09-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 19 — — $895.00 $85,810.71 $50,476.89 2026-09-28
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 15 10 — — $9,081.30 $64,104.06 $31,578.36 2026-09-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 14 — — $895.00 $184,750.83 $108,676.96 2026-09-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 17 — — $895.00 $88,501.90 $52,059.94 2026-09-28
570 MS_DRG Skin Debridement With Mcc 25 19 — — $895.00 $167,112.26 $98,301.33 2026-09-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 19 — — $895.00 $61,524.73 $36,191.02 2026-09-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 15 10 — — $3,850.22 $57,304.70 $28,228.92 2026-09-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 18 — — $32,284.38 $81,457.45 $47,916.15 2026-09-28
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 1 — — $61,466.99 $61,466.99 $61,466.99 2026-09-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 19 — — $895.00 $45,314.75 $26,655.73 2026-09-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 19 — — $895.00 $46,690.53 $27,465.02 2026-09-28
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 26 18 — — $895.00 $100,698.14 $48,490.97 2026-09-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $30,120.00 $103,827.73 $61,075.14 2026-09-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $20,461.00 $74,351.40 $43,736.11 2026-09-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $19,059.00 $52,723.97 $31,014.10 2026-09-28
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 26 18 — — $895.00 $46,506.92 $27,357.01 2026-09-28
234 APR_DRG Spinal Procedures 15 10 — — $3,750.40 $77,330.61 $38,093.89 2026-09-28
28 MS_DRG Spinal Procedures With Mcc 25 19 — — $895.00 $74,897.36 $44,057.27 2026-09-28
799 MS_DRG Splenectomy With Mcc 23 18 — — $25,724.28 $57,027.71 $33,545.71 2026-09-28
213 OTHER Splenic Procedures Age 0-17 3 1 — — $39,928.61 $39,928.61 $39,928.61 2026-09-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 18 — — $26,370.17 $103,496.93 $60,880.55 2026-09-28
974 APR_DRG Tonsil And Adenoid Procedures 15 10 — — $2,634.07 $71,176.88 $35,062.50 2026-09-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 19 — — $895.00 $53,248.22 $31,322.48 2026-09-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 19 — — $895.00 $68,203.17 $40,119.51 2026-09-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 18 — — $895.00 $339,236.33 $199,550.78 2026-09-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $13,243.97 $162,113.81 $79,859.02 2026-09-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $13,243.97 $104,230.57 $51,345.11 2026-09-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $13,243.97 $68,148.74 $33,570.81 2026-09-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $13,243.97 $55,923.54 $27,548.54 2026-09-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 10 — — $6,609.01 $104,266.02 $51,362.57 2026-09-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 10 — — $6,609.01 $75,109.52 $36,999.76 2026-09-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 10 — — $6,609.01 $68,591.82 $33,789.07 2026-09-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 10 — — $6,609.01 $56,031.16 $27,601.56 2026-09-28
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 25 19 — — $895.00 $54,593.80 $32,114.00 2026-09-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 19 — — $895.00 $45,599.82 $26,823.42 2026-09-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 19 — — $895.00 $45,499.52 $26,764.43 2026-09-28
224 APR_DRG Ventricular Shunt Procedures 15 10 — — $3,605.56 $66,652.39 $32,833.69 2026-09-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 19 — — $895.00 $56,443.11 $33,201.83 2026-09-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 19 — — $895.00 $71,167.35 $41,863.15 2026-09-28
901 MS_DRG Wound Debridements For Injuries With Mcc 25 19 — — $895.00 $53,013.87 $31,184.63 2026-09-28
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