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

CHI ST LUKE'S HEALTH BRAZOSPORT

Lake Jackson, TX · CCN 450072 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO DOPPLER WITH COLOR FLOW

This hospital’s price: $571 across 19 payers · range $274-$3,215

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/stluh/soho/finance/price-transparency/741385192_chi-st-lukes-health-brazosport_standardcharges.json · observed 2026-02-28

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.

24,734 distinct procedures filed
40 distinct payers
694,819 rate rows
2026-08-01 last MRF observed
Data quality

681,266 of 694,819 rate rows are consumer-grade (98.0%)

13,553 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,450
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,387
template filing: same amount across many unrelated codes — excluded 942
per-diem day rate — not a per-procedure price 458
exceeds 10× this hospital's gross charge — excluded from medians 161
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 98
placeholder amount (≤ $0.02) — excluded from medians 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stluh/soho/finance/price-transparency/741385192-1972581940_the-community-hospital-of-brazosport_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-health-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 97639e8bad0bb2b2… · 47,633,372 bytes · first seen 2026-07-06

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
OTHER 		Neonate With Ecmo 5 $277,801.79 $291,691.88 $291,691.88 nat. median
$372,748
0.8× median
5834
APR_DRG 		Neonate With Ecmo 5 $116,758.00 $982,887.84 $284,306.40 nat. median
$307,273
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $268,881.39 $699,091.62 $284,282.73 nat. median
$359,358
0.8× median
0074
OTHER 		Allogeneic Bone Marrow Transplant 5 $270,245.85 $283,758.14 $283,758.14 nat. median
$146,633
1.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $126,139.00 $956,152.89 $276,573.15 nat. median
$170,172
1.6× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $715.00 $710,615.62 $250,835.05 nat. median
$297,577
0.8× median
5833
OTHER 		Neonate With Ecmo 5 $235,232.35 $246,993.97 $246,993.97 nat. median
$241,478
1.0× median
5833
APR_DRG 		Neonate With Ecmo 5 $78,526.00 $832,271.88 $240,739.80 nat. median
$244,017
1.0× median
0024
RC 		Heart And/or Lung Transplant 5 $226,286.85 $237,601.19 $237,601.19 nat. median
$26,833
outlier · 8.9×
24
APR_DRG 		Heart And/or Lung Transplant 5 $109,209.00 $800,621.91 $231,584.85 nat. median
$241,915
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $201,453.66 $523,779.52 $207,497.27 nat. median
$249,124
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $715.00 $548,627.98 $194,184.80 nat. median
$214,523
0.9× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $175,843.97 $184,636.17 $184,636.17 nat. median
$243,175
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $117,766.00 $622,152.96 $179,961.60 nat. median
$247,214
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $170,048.13 $442,125.14 $179,303.27 nat. median
$198,433
0.9× median
1614
OTHER 		Implantable Heart Assist Systems 5 $170,756.57 $179,294.40 $179,294.40 nat. median
$188,156
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $102,429.00 $604,151.79 $174,754.65 nat. median
$202,993
0.9× median
0094
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 5 $159,972.02 $167,970.62 $167,970.62 nat. median
$136,341
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $51,774.00 $565,996.86 $163,718.10 nat. median
$163,587
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 17 $153,861.80 $400,040.68 $162,110.45 nat. median
$190,557
0.9× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 7 $715.00 $400,207.42 $142,279.24 nat. median
$2
outlier · 84188.9×
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $130,839.65 $137,381.63 $137,381.63 nat. median
$177,388
0.8× median
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $129,680.16 $136,164.17 $136,164.17 nat. median
$163,006
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $101,121.00 $462,923.01 $133,903.35 nat. median
$154,011
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $61,556.00 $458,821.11 $132,716.85 nat. median
$165,000
0.8× median
003
OTHER 		Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 10 $715.00 $362,526.88 $127,221.49 nat. median
$165,355
0.8× median
5832
OTHER 		Neonate With Ecmo 5 $117,210.90 $123,071.44 $123,071.44 nat. median
$183,648
0.7× median
5832
APR_DRG 		Neonate With Ecmo 5 $60,801.00 $414,702.09 $119,955.15 nat. median
$159,249
0.8× median
2004
OTHER 		Cardiac Structural And Valvular Disorders 5 $103,427.83 $108,599.22 $108,599.22 nat. median
$3,044
outlier · 35.7×
5831
OTHER 		Neonate With Ecmo 5 $103,206.54 $108,366.87 $108,366.87 nat. median
$144,202
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 17 $102,279.18 $265,925.87 $107,320.07 nat. median
$126,722
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 5 $22,863.00 $365,936.67 $105,849.45 nat. median
$28,699
outlier · 3.7×
5831
APR_DRG 		Neonate With Ecmo 5 $54,721.00 $365,152.59 $105,622.65 nat. median
$146,591
0.7× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 $78,691.00 $285,648.33 $104,382.27 nat. median
$78,130
1.3× median
453
MS_DRG 		No Active Code Description 1 $103,861.00 $103,861.00 $103,861.00 nat. median
$71,201
1.5× median
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $715.00 $284,057.68 $101,659.40 nat. median
$93,296
1.1× median
7
MS_DRG 		Lung Transplant 18 $94,782.26 $246,433.88 $100,284.69 nat. median
$117,894
0.9× median
0073
OTHER 		Allogeneic Bone Marrow Transplant 5 $95,359.43 $100,127.40 $100,127.40 nat. median
$75,607
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $95,015.39 $247,040.02 $99,604.58 nat. median
$110,192
0.9× median
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $94,352.12 $99,069.73 $99,069.73 nat. median
$168,056
0.6× median
5882
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $93,920.89 $98,616.93 $98,616.93 nat. median
$138,777
0.7× median
0044
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $93,678.01 $98,361.91 $98,361.91 nat. median
$173,710
0.6× median
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $93,275.32 $97,939.09 $97,939.09 nat. median
$140,709
0.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $71,747.00 $337,390.35 $97,592.25 nat. median
$89,273
1.1× median
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $92,343.72 $96,960.91 $96,960.91 nat. median
$156,971
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $71,079.00 $333,825.69 $96,561.15 nat. median
$175,429
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $45,526.00 $332,301.09 $96,120.15 nat. median
$145,061
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $60,205.00 $331,440.78 $95,871.30 nat. median
$122,016
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $71,887.00 $330,017.82 $95,459.70 nat. median
$156,153
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $69,387.00 $326,721.78 $94,506.30 nat. median
$133,164
0.7× median

Other procedures at this hospital

Browse this hospital's 24,734 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
             
5834 OTHER Neonate With Ecmo 5 5 — — $277,801.79 $291,691.88 $291,691.88 2026-08-01
5834 APR_DRG Neonate With Ecmo 20 5 — — $116,758.00 $982,887.84 $284,306.40 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 17 — — $268,881.39 $699,091.62 $284,282.73 2026-02-28
0074 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $270,245.85 $283,758.14 $283,758.14 2026-08-01
74 APR_DRG Allogeneic Bone Marrow Transplant 20 5 — — $126,139.00 $956,152.89 $276,573.15 2026-02-28
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $715.00 $710,615.62 $250,835.05 2026-08-01
5833 OTHER Neonate With Ecmo 5 5 — — $235,232.35 $246,993.97 $246,993.97 2026-08-01
5833 APR_DRG Neonate With Ecmo 20 5 — — $78,526.00 $832,271.88 $240,739.80 2026-02-28
0024 RC Heart And/or Lung Transplant 5 5 — — $226,286.85 $237,601.19 $237,601.19 2026-08-01
24 APR_DRG Heart And/or Lung Transplant 20 5 — — $109,209.00 $800,621.91 $231,584.85 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 18 — — $201,453.66 $523,779.52 $207,497.27 2026-02-28
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 7 7 — — $715.00 $548,627.98 $194,184.80 2026-08-01
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $175,843.97 $184,636.17 $184,636.17 2026-08-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 5 — — $117,766.00 $622,152.96 $179,961.60 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 17 — — $170,048.13 $442,125.14 $179,303.27 2026-02-28
1614 OTHER Implantable Heart Assist Systems 5 5 — — $170,756.57 $179,294.40 $179,294.40 2026-08-01
1614 APR_DRG Implantable Heart Assist Systems 20 5 — — $102,429.00 $604,151.79 $174,754.65 2026-02-28
0094 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $159,972.02 $167,970.62 $167,970.62 2026-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 20 5 — — $51,774.00 $565,996.86 $163,718.10 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 40 17 — — $153,861.80 $400,040.68 $162,110.45 2026-02-28
927 OTHER Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 7 7 — — $715.00 $400,207.42 $142,279.24 2026-08-01
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $130,839.65 $137,381.63 $137,381.63 2026-08-01
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $129,680.16 $136,164.17 $136,164.17 2026-08-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 5 — — $101,121.00 $462,923.01 $133,903.35 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 5 — — $61,556.00 $458,821.11 $132,716.85 2026-02-28
003 OTHER Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 10 10 — — $715.00 $362,526.88 $127,221.49 2026-08-01
5832 OTHER Neonate With Ecmo 5 5 — — $117,210.90 $123,071.44 $123,071.44 2026-08-01
5832 APR_DRG Neonate With Ecmo 20 5 — — $60,801.00 $414,702.09 $119,955.15 2026-02-28
2004 OTHER Cardiac Structural And Valvular Disorders 5 5 — — $103,427.83 $108,599.22 $108,599.22 2026-08-01
5831 OTHER Neonate With Ecmo 5 5 — — $103,206.54 $108,366.87 $108,366.87 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 40 17 — — $102,279.18 $265,925.87 $107,320.07 2026-02-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 20 5 — — $22,863.00 $365,936.67 $105,849.45 2026-02-28
5831 APR_DRG Neonate With Ecmo 20 5 — — $54,721.00 $365,152.59 $105,622.65 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 20 5 — — $78,691.00 $285,648.33 $104,382.27 2026-02-28
453 MS_DRG No Active Code Description 2 1 — — $103,861.00 $103,861.00 $103,861.00 2026-02-28
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 7 — — $715.00 $284,057.68 $101,659.40 2026-08-01
7 MS_DRG Lung Transplant 44 18 — — $94,782.26 $246,433.88 $100,284.69 2026-02-28
0073 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $95,359.43 $100,127.40 $100,127.40 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 17 — — $95,015.39 $247,040.02 $99,604.58 2026-02-28
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $94,352.12 $99,069.73 $99,069.73 2026-08-01
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $93,920.89 $98,616.93 $98,616.93 2026-08-01
0044 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $93,678.01 $98,361.91 $98,361.91 2026-08-01
8414 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $93,275.32 $97,939.09 $97,939.09 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 20 5 — — $71,747.00 $337,390.35 $97,592.25 2026-02-28
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $92,343.72 $96,960.91 $96,960.91 2026-08-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 5 — — $71,079.00 $333,825.69 $96,561.15 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 5 — — $45,526.00 $332,301.09 $96,120.15 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 20 5 — — $60,205.00 $331,440.78 $95,871.30 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 20 5 — — $71,887.00 $330,017.82 $95,459.70 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 20 5 — — $69,387.00 $326,721.78 $94,506.30 2026-02-28
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $89,911.01 $94,406.56 $94,406.56 2026-08-01
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $89,105.61 $93,560.89 $93,560.89 2026-08-01
1613 OTHER Implantable Heart Assist Systems 5 5 — — $89,000.62 $93,450.65 $93,450.65 2026-08-01
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $88,530.25 $92,956.76 $92,956.76 2026-08-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 20 5 — — $45,165.00 $318,111.42 $92,015.70 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 20 5 — — $86,849.00 $315,261.87 $91,191.45 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 20 5 — — $35,568.00 $314,891.61 $91,084.35 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 5 — — $40,973.00 $313,229.07 $90,603.45 2026-02-28
222 MS_DRG No Active Code Description 2 1 — — $86,864.00 $86,864.00 $86,864.00 2026-02-28
0014 OTHER Liver Transplant And/or Intestinal Transplant 5 5 — — $81,059.90 $85,112.90 $85,112.90 2026-08-01
0084 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $80,735.10 $84,771.86 $84,771.86 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 18 — — $80,306.26 $230,615.00 $84,762.79 2026-02-28
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $79,300.57 $83,265.60 $83,265.60 2026-08-01
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $79,256.30 $83,219.12 $83,219.12 2026-08-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 20 5 — — $68,860.00 $286,795.41 $82,957.35 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 16 — — $79,417.54 $206,485.61 $82,685.00 2026-02-28
0093 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $78,593.91 $82,523.61 $82,523.61 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 18 — — $77,690.25 $201,994.65 $81,957.89 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 20 5 — — $37,219.00 $280,573.59 $81,157.65 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 20 5 — — $55,539.00 $280,417.50 $81,112.50 2026-02-28
2464 OTHER Gastrointestinal Vascular Insufficiency 5 5 — — $76,856.54 $80,699.37 $80,699.37 2026-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 20 5 — — $36,668.00 $278,072.52 $80,434.20 2026-02-28
224 MS_DRG No Active Code Description 2 1 — — $80,427.00 $80,427.00 $80,427.00 2026-02-28
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $76,460.04 $80,283.04 $80,283.04 2026-08-01
215 MS_DRG Other Heart Assist System Implant 44 18 — — $77,304.53 $200,991.78 $80,257.50 2026-02-28
004 OTHER Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except… 10 10 — — $715.00 $226,229.47 $80,249.80 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 16 — — $76,461.02 $198,798.66 $79,508.00 2026-02-28
007 OTHER Lung Transplant 7 7 — — $715.00 $219,730.53 $79,162.95 2026-08-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 20 5 — — $18,077.00 $271,926.93 $78,656.55 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 20 5 — — $72,318.00 $262,514.34 $78,408.95 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 5 — — $51,672.00 $270,522.12 $78,250.20 2026-02-28
0064 OTHER Pancreas Transplant 5 5 — — $74,202.18 $77,912.29 $77,912.29 2026-08-01
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $74,196.33 $77,906.15 $77,906.15 2026-08-01
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $73,974.32 $77,673.04 $77,673.04 2026-08-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 20 5 — — $72,101.00 $261,726.63 $77,606.02 2026-02-28
64 APR_DRG Pancreas Transplant 20 5 — — $68,005.00 $262,532.49 $75,939.15 2026-02-28
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $71,911.40 $75,506.97 $75,506.97 2026-08-01
459 MS_DRG No Active Code Description 2 1 — — $75,251.00 $75,251.00 $75,251.00 2026-02-28
215 OTHER Other Heart Assist System Implant 10 10 — — $715.00 $200,345.65 $74,143.26 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $70,637.70 $183,658.02 $73,710.79 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 20 5 — — $70,091.00 $254,430.33 $73,595.55 2026-02-28
014 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $715.00 $202,596.08 $73,170.71 2026-08-01
226 MS_DRG No Active Code Description 2 1 — — $72,618.00 $72,618.00 $72,618.00 2026-02-28
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $69,137.82 $72,594.71 $72,594.71 2026-08-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 5 — — $60,106.00 $218,184.78 $72,112.15 2026-02-28
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $68,003.22 $71,403.38 $71,403.38 2026-08-01
5893 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $67,451.28 $70,823.84 $70,823.84 2026-08-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 5 — — $54,421.00 $244,614.81 $70,756.35 2026-02-28
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Mcc 10 10 — — $715.00 $196,144.58 $70,629.08 2026-08-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 7 7 — — $715.00 $194,209.12 $70,237.63 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 38 16 — — $67,534.94 $175,590.85 $69,918.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 5 — — $59,268.00 $240,600.03 $69,595.05 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 20 5 — — $54,323.00 $197,192.49 $69,325.07 2026-02-28
454 MS_DRG No Active Code Description 2 1 — — $69,101.00 $69,101.00 $69,101.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 20 5 — — $23,469.00 $238,647.09 $69,030.15 2026-02-28
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $715.00 $190,495.72 $68,938.97 2026-08-01
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $64,576.74 $67,805.58 $67,805.58 2026-08-01
0072 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $64,070.88 $67,274.42 $67,274.42 2026-08-01
1612 OTHER Implantable Heart Assist Systems 5 5 — — $63,977.61 $67,176.49 $67,176.49 2026-08-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 20 5 — — $26,525.00 $228,479.46 $66,089.10 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 20 5 — — $48,107.00 $226,689.87 $65,571.45 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 20 5 — — $24,043.00 $226,359.54 $65,475.90 2026-02-28
8634 OTHER Neonatal Aftercare 5 5 — — $62,265.11 $65,378.37 $65,378.37 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 17 — — $62,321.29 $162,035.36 $64,877.18 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 40 17 — — $62,288.09 $161,949.04 $64,841.75 2026-02-28
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $61,667.08 $64,750.43 $64,750.43 2026-08-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 20 5 — — $53,189.00 $193,076.07 $63,797.72 2026-02-28
8634 APR_DRG Neonatal Aftercare 20 5 — — $57,821.00 $220,301.07 $63,723.45 2026-02-28
1611 OTHER Implantable Heart Assist Systems 5 5 — — $60,676.97 $63,710.82 $63,710.82 2026-08-01
4404 OTHER Kidney Transplant 5 5 — — $60,526.99 $63,553.34 $63,553.34 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 16 — — $61,379.58 $159,586.91 $63,305.00 2026-02-28
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 10 10 — — $715.00 $174,342.32 $63,289.81 2026-08-01
0054 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $60,250.47 $63,262.99 $63,262.99 2026-08-01
0043 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $60,229.99 $63,241.49 $63,241.49 2026-08-01
1611 APR_DRG Implantable Heart Assist Systems 20 5 — — $19,783.00 $214,681.83 $62,098.05 2026-02-28
4404 APR_DRG Kidney Transplant 20 5 — — $48,621.00 $214,148.22 $61,943.70 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 17 — — $59,405.04 $154,453.11 $61,757.60 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 5 — — $46,982.00 $213,171.75 $61,661.25 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 20 5 — — $44,154.00 $213,099.15 $61,640.25 2026-02-28
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $58,675.86 $61,609.65 $61,609.65 2026-08-01
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $58,675.86 $61,609.65 $61,609.65 2026-08-01
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $58,509.45 $61,434.92 $61,434.92 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 18 — — $58,459.80 $151,995.48 $61,338.40 2026-02-28
10 MS_DRG Pancreas Transplant 44 18 — — $47,045.00 $152,834.89 $61,096.57 2026-02-28
38240 CPT Transplt Allo Hct/donor 54 19 — — $3,566.00 $105,857.31 $61,015.28 2026-02-28
4414 OTHER Major Bladder Procedures 5 5 — — $57,280.47 $60,144.49 $60,144.49 2026-08-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 20 5 — — $40,757.00 $207,599.70 $60,049.50 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 20 5 — — $32,926.00 $207,599.70 $60,049.50 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 17 — — $57,676.34 $149,958.49 $59,921.32 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 20 5 — — $43,473.00 $207,011.64 $59,879.40 2026-02-28
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $715.00 $163,185.00 $59,387.88 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 17 — — $57,118.94 $148,509.25 $59,329.26 2026-02-28
231 OTHER Coronary Bypass With Ptca With Mcc 10 10 — — $715.00 $165,384.20 $59,280.91 2026-08-01
223 MS_DRG No Active Code Description 2 1 — — $59,206.00 $59,206.00 $59,206.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 20 5 — — $25,836.00 $202,662.90 $58,621.50 2026-02-28
0023 RC Heart And/or Lung Transplant 5 5 — — $55,734.40 $58,521.12 $58,521.12 2026-08-01
225 MS_DRG No Active Code Description 2 1 — — $57,380.00 $57,380.00 $57,380.00 2026-02-28
0083 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $54,570.90 $57,299.45 $57,299.45 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 17 — — $55,188.20 $143,489.32 $57,278.43 2026-02-28
227 MS_DRG No Active Code Description 2 1 — — $56,960.00 $56,960.00 $56,960.00 2026-02-28
1784 OTHER External Heart Assist Systems 5 5 — — $53,649.54 $56,332.02 $56,332.02 2026-08-01
222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Acute Myocardial… 10 10 — — $715.00 $150,870.22 $55,671.54 2026-08-01
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $52,833.88 $55,475.57 $55,475.57 2026-08-01
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $52,773.17 $55,411.83 $55,411.83 2026-08-01
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $52,539.81 $55,166.80 $55,166.80 2026-08-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $715.00 $152,892.95 $54,976.10 2026-08-01
1784 APR_DRG External Heart Assist Systems 18 5 — — $52,291.00 $189,816.33 $54,905.55 2026-02-28
6904 OTHER Acute Leukemia 5 5 — — $52,067.97 $54,671.37 $54,671.37 2026-08-01
0434 RC Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 5 5 — — $51,749.02 $54,336.47 $54,336.47 2026-08-01
455 MS_DRG No Active Code Description 2 1 — — $54,320.00 $54,320.00 $54,320.00 2026-02-28
0092 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $51,690.88 $54,275.42 $54,275.42 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 16 — — $52,634.36 $136,849.34 $54,213.40 2026-02-28
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 10 — — $715.00 $150,325.67 $54,091.34 2026-08-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 20 5 — — $51,496.00 $186,930.48 $54,070.80 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 20 5 — — $34,057.00 $186,716.31 $54,008.85 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 16 — — $52,382.15 $136,193.59 $53,953.62 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 20 5 — — $40,783.00 $185,892.30 $53,770.50 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 17 — — $51,601.52 $134,163.96 $53,468.79 2026-02-28
6904 APR_DRG Acute Leukemia 20 5 — — $31,166.00 $184,222.50 $53,287.50 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 5 — — $47,542.00 $172,577.46 $53,057.05 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 20 5 — — $18,723.00 $183,093.57 $52,960.95 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 20 5 — — $25,277.00 $182,886.66 $52,901.10 2026-02-28
0091 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $50,129.79 $52,636.28 $52,636.28 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 17 — — $50,695.84 $131,809.19 $52,506.36 2026-02-28
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Cc 10 10 — — $715.00 $143,137.95 $52,377.02 2026-08-01
224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Acute Myocard… 10 10 — — $715.00 $142,674.92 $51,929.88 2026-08-01
22 APR_DRG Heart And/or Lung Transplant 20 5 — — $43,640.00 $158,413.20 $51,823.00 2026-02-28
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $49,076.02 $51,529.82 $51,529.82 2026-08-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 — — $715.00 $140,811.57 $51,471.09 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 40 17 — — $49,640.40 $129,065.04 $51,385.31 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 16 — — $49,822.66 $129,538.92 $51,317.34 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 20 5 — — $18,579.00 $177,365.43 $51,304.05 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 17 — — $49,560.57 $128,857.49 $51,300.69 2026-02-28
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $48,776.83 $51,215.67 $51,215.67 2026-08-01
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $48,446.18 $50,868.49 $50,868.49 2026-08-01
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $47,972.15 $50,370.76 $50,370.76 2026-08-01
0063 OTHER Pancreas Transplant 5 5 — — $47,952.40 $50,350.02 $50,350.02 2026-08-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 20 5 — — $33,646.00 $173,633.79 $50,224.65 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 17 — — $48,144.83 $125,176.56 $49,796.59 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $48,079.13 $125,005.74 $49,726.76 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 20 5 — — $34,402.00 $171,408.60 $49,581.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 5 — — $42,721.00 $169,731.54 $49,095.90 2026-02-28
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 10 — — $715.00 $133,733.90 $49,088.27 2026-08-01
63 APR_DRG Pancreas Transplant 20 5 — — $44,627.00 $169,658.94 $49,074.90 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 17 — — $47,135.30 $122,551.78 $48,724.18 2026-02-28
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $45,713.18 $47,998.84 $47,998.84 2026-08-01
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 10 — — $715.00 $132,128.62 $47,820.16 2026-08-01
6134 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $45,464.11 $47,737.32 $47,737.32 2026-08-01
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 5 5 — — $45,357.67 $47,625.55 $47,625.55 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 16 — — $46,217.62 $120,165.82 $47,604.15 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 16 — — $46,161.10 $120,018.86 $47,545.94 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 17 — — $45,961.88 $119,500.89 $47,477.87 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 17 — — $45,809.99 $119,105.98 $47,316.65 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 17 — — $45,612.18 $118,591.67 $47,106.28 2026-02-28
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 7 7 — — $715.00 $127,821.30 $47,020.51 2026-08-01
0022 RC Heart And/or Lung Transplant 5 5 — — $44,773.18 $47,011.84 $47,011.84 2026-08-01
0234 RC Spinal Procedures 5 5 — — $44,685.75 $46,920.04 $46,920.04 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 40 17 — — $45,405.90 $118,055.34 $46,887.54 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 20 5 — — $28,009.00 $161,738.28 $46,783.80 2026-02-28
9104 OTHER Craniotomy For Multiple Significant Trauma 5 5 — — $44,524.09 $46,750.29 $46,750.29 2026-08-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 7 — — $715.00 $126,747.32 $46,644.91 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 17 — — $45,097.88 $117,254.49 $46,560.41 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 40 17 — — $45,097.88 $117,254.49 $46,560.41 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 20 5 — — $18,518.00 $160,856.19 $46,528.65 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 20 5 — — $44,209.00 $160,478.67 $46,419.45 2026-02-28
459 OTHER Spinal Fusion Except Cervical With Mcc 10 10 — — $715.00 $127,768.17 $46,317.43 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 17 — — $44,779.27 $116,426.11 $46,221.82 2026-02-28
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $43,950.20 $46,147.71 $46,147.71 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $44,486.09 $115,663.84 $45,910.34 2026-02-28
226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 10 — — $715.00 $124,570.90 $45,883.77 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 36 16 — — $44,454.30 $115,581.18 $45,787.93 2026-02-28
234 APR_DRG Spinal Procedures 20 5 — — $41,142.00 $158,101.02 $45,731.70 2026-02-28
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 7 — — $715.00 $123,937.10 $45,662.14 2026-08-01
0053 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $43,402.29 $45,572.40 $45,572.40 2026-08-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 20 5 — — $37,415.00 $157,531.11 $45,566.85 2026-02-28
0062 OTHER Pancreas Transplant 5 5 — — $43,372.31 $45,540.93 $45,540.93 2026-08-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $715.00 $123,259.70 $45,425.22 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 17 — — $44,026.19 $114,468.10 $45,421.99 2026-02-28
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $43,202.22 $45,362.33 $45,362.33 2026-08-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 5 — — $40,913.00 $155,498.31 $44,978.85 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 17 — — $43,588.89 $113,331.12 $44,957.28 2026-02-28
0061 OTHER Pancreas Transplant 5 5 — — $42,812.31 $44,952.93 $44,952.93 2026-08-01
422428316 CDM Impella Cp Kit 4 2 $138,108.60 $48,338.01 65% off $20,716.29 $69,054.30 $44,885.29 2026-02-28
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $715.00 $123,024.42 $44,771.57 2026-08-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 5 — — $34,264.00 $153,559.89 $44,418.15 2026-02-28
870 OTHER Septicemia Or Severe Sepsis With Mechanical Ventilation >96 Hours 10 10 — — $715.00 $122,180.05 $44,391.62 2026-08-01
62 APR_DRG Pancreas Transplant 20 5 — — $38,667.00 $153,454.62 $44,387.70 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 40 17 — — $43,003.24 $111,808.43 $44,335.17 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 20 5 — — $34,084.00 $152,852.04 $44,213.40 2026-02-28
0071 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $42,071.27 $44,174.83 $44,174.83 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 17 — — $42,760.92 $111,178.40 $44,077.88 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 5 — — $40,162.00 $145,788.06 $43,908.55 2026-02-28
0013 OTHER Liver Transplant And/or Intestinal Transplant 5 5 — — $41,764.04 $43,852.24 $43,852.24 2026-08-01
61 APR_DRG Pancreas Transplant 20 5 — — $31,854.00 $151,472.64 $43,814.40 2026-02-28
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $41,714.65 $43,800.38 $43,800.38 2026-08-01
0264 RC Other Nervous System And Related Procedures 5 5 — — $41,689.42 $43,773.89 $43,773.89 2026-08-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 20 5 — — $40,707.00 $147,766.41 $43,764.68 2026-02-28
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $41,509.47 $43,584.94 $43,584.94 2026-08-01
955 OTHER Craniotomy For Multiple Significant Trauma 10 10 — — $715.00 $119,339.48 $43,421.85 2026-08-01
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $41,263.31 $43,326.48 $43,326.48 2026-08-01
1824 OTHER Other Peripheral Vascular Procedures 5 5 — — $41,230.02 $43,291.52 $43,291.52 2026-08-01
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $41,205.52 $43,265.80 $43,265.80 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 40 17 — — $41,839.00 $108,781.40 $43,098.58 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 20 5 — — $32,977.00 $148,851.78 $43,056.30 2026-02-28
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 10 10 — — $715.00 $115,616.58 $42,752.28 2026-08-01
834 MS_DRG Acute Leukemia With Mcc 40 17 — — $41,504.84 $107,912.59 $42,749.99 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 17 — — $41,504.84 $107,912.59 $42,749.99 2026-02-28
460 MS_DRG No Active Code Description 2 1 — — $42,725.00 $42,725.00 $42,725.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 5 — — $38,818.00 $147,588.54 $42,690.90 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 20 5 — — $31,150.00 $147,501.42 $42,665.70 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 16 — — $41,340.95 $107,486.47 $42,581.18 2026-02-28
7924 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $40,531.04 $42,557.59 $42,557.59 2026-08-01
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $40,521.17 $42,547.23 $42,547.23 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 18 — — $40,895.88 $132,022.00 $42,531.72 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 20 5 — — $38,434.00 $146,862.54 $42,480.90 2026-02-28
2054 OTHER Cardiomyopathy 5 5 — — $40,406.68 $42,427.01 $42,427.01 2026-08-01
6954 OTHER Chemotherapy For Acute Leukemia 5 5 — — $40,354.74 $42,372.48 $42,372.48 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 16 — — $41,103.58 $106,869.31 $42,336.69 2026-02-28
8413 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $40,313.42 $42,329.09 $42,329.09 2026-08-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $715.00 $115,923.98 $42,235.61 2026-08-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 5 — — $32,523.00 $145,994.97 $42,229.95 2026-02-28
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 10 10 — — $715.00 $115,825.32 $42,201.60 2026-08-01
1824 APR_DRG Other Peripheral Vascular Procedures 20 5 — — $19,551.00 $145,875.18 $42,195.30 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 20 5 — — $35,270.00 $128,030.10 $42,176.25 2026-02-28
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 — — $715.00 $115,400.28 $42,064.19 2026-08-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 40 17 — — $40,808.28 $106,101.53 $42,032.53 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 20 5 — — $33,802.00 $122,701.26 $42,015.05 2026-02-28
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 10 10 — — $715.00 $114,840.50 $41,883.89 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 17 — — $40,612.59 $105,592.74 $41,830.97 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 17 — — $40,576.56 $105,499.06 $41,793.86 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 17 — — $40,572.32 $105,488.04 $41,789.49 2026-02-28
0052 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $39,636.02 $41,617.82 $41,617.82 2026-08-01
223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Acute Myocardial… 10 10 — — $715.00 $110,028.45 $41,554.04 2026-08-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 20 5 — — $23,399.00 $143,403.15 $41,480.25 2026-02-28
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,503.24 $41,478.40 $41,478.40 2026-08-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 20 5 — — $38,960.00 $143,366.85 $41,469.75 2026-02-28
232 OTHER Coronary Bypass With Ptca Without Mcc 10 10 — — $715.00 $112,973.35 $41,457.56 2026-08-01
2054 APR_DRG Cardiomyopathy 20 5 — — $10,019.00 $142,963.92 $41,353.20 2026-02-28
0042 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $39,379.99 $41,348.99 $41,348.99 2026-08-01
6954 APR_DRG Chemotherapy For Acute Leukemia 20 5 — — $23,291.00 $142,778.79 $41,299.65 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 20 5 — — $34,807.00 $142,633.59 $41,257.65 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 17 — — $40,041.77 $104,108.61 $41,243.03 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 17 — — $39,875.76 $103,676.98 $41,072.04 2026-02-28
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $38,966.31 $40,914.63 $40,914.63 2026-08-01
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $38,900.11 $40,845.12 $40,845.12 2026-08-01
0214 RC Open Craniotomy Except Trauma 5 5 — — $38,807.93 $40,748.33 $40,748.33 2026-08-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 20 5 — — $36,766.00 $133,460.58 $40,735.65 2026-02-28
2304 OTHER Major Small Bowel Procedures 5 5 — — $38,667.84 $40,601.23 $40,601.23 2026-08-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 5 — — $31,742.00 $140,234.16 $40,563.60 2026-02-28
969 OTHER HIV With Extensive O.r. Procedures With Mcc 10 10 — — $715.00 $111,039.82 $40,552.40 2026-08-01
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