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

12,823 distinct procedures filed
23 distinct payers
292,095 rate rows
2026-02-28 last MRF observed
Data quality

287,572 of 292,095 rate rows are consumer-grade (98.5%)

4,523 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 3,728
template filing: same amount across many unrelated codes — excluded 472
per-diem day rate — not a per-procedure price 229
exceeds 10× this hospital's gross charge — excluded from medians 67
placeholder amount (≤ $0.02) — excluded from medians 27
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_chi-st-lukes-health-brazosport_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-health-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 2e22c115c41fa136… · 47,633,368 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $268,881.39 $699,091.62 $286,240.00 nat. median
$370,174
0.8× median
5834
APR_DRG 		Neonate With Ecmo 6 $116,758.00 $982,887.84 $284,306.40 nat. median
$309,665
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $126,139.00 $956,152.89 $276,573.15 nat. median
$187,061
1.5× median
5833
APR_DRG 		Neonate With Ecmo 6 $78,526.00 $832,271.88 $240,739.80 nat. median
$244,017
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $109,209.00 $800,621.91 $231,584.85 nat. median
$234,729
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $201,453.66 $523,779.52 $215,555.42 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $170,048.13 $442,125.14 $183,425.00 nat. median
$206,474
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $117,766.00 $622,152.96 $179,961.60 nat. median
$246,434
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $102,429.00 $604,151.79 $174,754.65 nat. median
$207,730
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $51,774.00 $565,996.86 $163,718.10 nat. median
$164,834
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 18 $153,861.80 $400,040.68 $162,666.00 nat. median
$202,976
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $101,121.00 $462,923.01 $133,903.35 nat. median
$150,721
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $61,556.00 $458,821.11 $132,716.85 nat. median
$162,982
0.8× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 $78,691.00 $285,648.33 $126,139.00 nat. median
$79,774
1.6× median
5832
APR_DRG 		Neonate With Ecmo 6 $60,801.00 $414,702.09 $119,955.15 nat. median
$156,126
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 18 $102,279.18 $265,925.87 $107,393.14 nat. median
$133,161
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 6 $22,863.00 $365,936.67 $105,849.45 nat. median
$32,541
outlier · 3.3×
5831
APR_DRG 		Neonate With Ecmo 6 $54,721.00 $365,152.59 $105,622.65 nat. median
$144,745
0.7× median
453
MS_DRG 		No Active Code Description 2 $103,861.00 $103,861.00 $103,861.00 nat. median
$87,428
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $95,015.39 $247,040.02 $101,666.47 nat. median
$117,357
0.9× median
7
MS_DRG 		Lung Transplant 19 $94,782.26 $246,433.88 $101,417.02 nat. median
$122,708
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $71,747.00 $337,390.35 $97,592.25 nat. median
$89,273
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $71,079.00 $333,825.69 $96,561.15 nat. median
$182,665
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $45,526.00 $332,301.09 $96,120.15 nat. median
$145,336
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $60,205.00 $331,440.78 $95,871.30 nat. median
$105,658
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $71,887.00 $330,017.82 $95,459.70 nat. median
$160,267
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $69,387.00 $326,721.78 $94,506.30 nat. median
$122,924
0.8× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 $45,165.00 $318,111.42 $92,015.70 nat. median
$73,845
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $86,849.00 $315,261.87 $91,191.45 nat. median
$164,289
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $35,568.00 $314,891.61 $91,084.35 nat. median
$119,796
0.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $40,973.00 $313,229.07 $90,603.45 nat. median
$124,573
0.7× median
1784
APR_DRG 		External Heart Assist Systems 6 $52,291.00 $189,816.33 $87,979.61 nat. median
$63,559
1.4× median
222
MS_DRG 		No Active Code Description 2 $86,864.00 $86,864.00 $86,864.00 nat. median
$63,570
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $80,306.26 $230,615.00 $85,927.70 nat. median
$108,660
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $77,690.25 $201,994.65 $83,128.57 nat. median
$100,136
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $79,417.54 $206,485.61 $83,036.71 nat. median
$102,358
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $68,860.00 $286,795.41 $82,957.35 nat. median
$129,535
0.6× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $54,323.00 $197,192.49 $81,611.00 nat. median
$93,528
0.9× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 $37,219.00 $280,573.59 $81,157.65 nat. median
$73,288
1.1× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $60,106.00 $218,184.78 $81,113.00 nat. median
$72,936
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $55,539.00 $280,417.50 $81,112.50 nat. median
$97,957
0.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $72,318.00 $262,514.34 $80,884.00 nat. median
$93,370
0.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $36,668.00 $278,072.52 $80,434.20 nat. median
$78,990
1.0× median
224
MS_DRG 		No Active Code Description 2 $80,427.00 $80,427.00 $80,427.00 nat. median
$54,196
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 19 $77,304.53 $200,991.78 $80,415.00 nat. median
$99,019
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $76,461.02 $198,798.66 $79,896.04 nat. median
$98,894
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $72,101.00 $261,726.63 $79,506.00 nat. median
$151,838
0.5× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 6 $18,077.00 $271,926.93 $78,656.55 nat. median
$22,749
outlier · 3.5×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $51,672.00 $270,522.12 $78,250.20 nat. median
$109,499
0.7× median
64
APR_DRG 		Pancreas Transplant 6 $68,005.00 $262,532.49 $75,939.15 nat. median
$91,009
0.8× median

Other procedures at this hospital

Browse this hospital's 12,823 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 19 — — $201,453.66 $523,779.52 $215,555.42 2026-02-28
10 MS_DRG Pancreas Transplant 25 19 — — $47,045.00 $152,834.89 $61,721.79 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 18 — — $40,576.56 $105,499.06 $41,793.86 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 11 6 — — $30,092.00 $109,233.96 $36,072.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 11 6 — — $31,266.00 $113,495.58 $39,384.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 18 — — $31,147.00 $81,764.10 $32,391.17 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 11 6 — — $32,213.00 $130,084.68 $37,627.80 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 11 6 — — $28,392.00 $121,401.72 $35,116.20 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 11 6 — — $40,707.00 $147,766.41 $44,787.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 11 6 — — $26,302.00 $127,997.43 $37,024.05 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 25 19 — — $95,015.39 $247,040.02 $101,666.47 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 11 6 — — $68,860.00 $286,795.41 $82,957.35 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 21 18 — — $32,100.00 $84,069.26 $33,304.36 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 19 — — $45,097.88 $117,254.49 $48,254.74 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 6 — — $25,309.00 $118,501.35 $34,277.25 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 6 — — $55,539.00 $280,417.50 $81,112.50 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 11 6 — — $19,783.00 $214,681.83 $62,098.05 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 11 6 — — $24,043.00 $226,359.54 $65,475.90 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 11 6 — — $35,568.00 $314,891.61 $91,084.35 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 11 6 — — $102,429.00 $604,151.79 $174,754.65 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 6 — — $26,218.00 $137,631.45 $39,810.75 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 6 — — $54,421.00 $244,614.81 $70,756.35 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 21 18 — — $34,984.00 $91,049.07 $36,069.44 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 6 — — $40,162.00 $145,788.06 $45,647.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 6 — — $32,075.00 $126,091.68 $36,472.80 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 11 6 — — $26,845.00 $97,447.35 $30,782.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 11 6 — — $40,783.00 $185,892.30 $53,770.50 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 11 6 — — $35,982.00 $130,614.66 $37,781.10 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 19 — — $45,097.88 $117,254.49 $48,254.74 2026-02-28
1781 APR_DRG External Heart Assist Systems 10 6 — — $26,328.00 $95,570.64 $44,296.86 2026-02-28
1782 APR_DRG External Heart Assist Systems 10 6 — — $28,721.00 $104,257.23 $48,323.08 2026-02-28
1783 APR_DRG External Heart Assist Systems 10 6 — — $33,464.00 $121,474.32 $56,303.18 2026-02-28
1784 APR_DRG External Heart Assist Systems 10 6 — — $52,291.00 $189,816.33 $87,979.61 2026-02-28
1793 APR_DRG Defibrillator Implants 10 6 — — $19,701.00 $71,514.63 $33,146.93 2026-02-28
1794 APR_DRG Defibrillator Implants 10 6 — — $25,694.00 $93,269.22 $43,230.15 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 18 — — $268,881.39 $699,091.62 $286,240.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 11 6 — — $21,428.00 $113,452.02 $32,816.70 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 11 6 — — $19,551.00 $145,875.18 $42,195.30 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $19,140.00 $69,478.20 $32,203.05 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $29,481.00 $107,016.03 $49,601.78 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $30,224.00 $109,713.12 $50,851.88 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 19 — — $58,459.80 $151,995.48 $62,551.99 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 19 — — $80,306.26 $230,615.00 $85,927.70 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 18 — — $59,405.04 $154,453.11 $62,328.00 2026-02-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 11 6 — — $22,863.00 $365,936.67 $105,849.45 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 11 6 — — $31,774.00 $115,339.62 $39,182.00 2026-02-28
2054 APR_DRG Cardiomyopathy 11 6 — — $10,019.00 $142,963.92 $41,353.20 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 18 — — $48,144.83 $125,176.56 $50,004.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 11 6 — — $33,802.00 $122,701.26 $48,538.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 18 — — $41,504.84 $107,912.59 $42,749.99 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 17 — — $79,417.54 $206,485.61 $83,036.71 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 11 6 — — $37,825.00 $137,304.75 $40,479.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 23 19 — — $77,304.53 $200,991.78 $80,415.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $70,637.70 $183,658.02 $74,169.59 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $48,079.13 $125,005.74 $49,932.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $44,486.09 $115,663.84 $46,000.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 — — $57,118.94 $148,509.25 $59,826.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 11 6 — — $43,640.00 $158,413.20 $57,824.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 — — $39,875.76 $103,676.98 $41,072.04 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 11 6 — — $28,009.00 $161,738.28 $46,783.80 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 — — $34,858.00 $90,744.16 $35,948.65 2026-02-28
222 MS_DRG No Active Code Description 2 2 — — $86,864.00 $86,864.00 $86,864.00 2026-02-28
223 MS_DRG No Active Code Description 2 2 — — $59,206.00 $59,206.00 $59,206.00 2026-02-28
224 MS_DRG No Active Code Description 2 2 — — $80,427.00 $80,427.00 $80,427.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 11 6 — — $36,083.00 $136,270.20 $39,417.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 11 6 — — $25,357.00 $118,312.59 $34,222.65 2026-02-28
225 MS_DRG No Active Code Description 2 2 — — $57,380.00 $57,380.00 $57,380.00 2026-02-28
226 MS_DRG No Active Code Description 2 2 — — $72,618.00 $72,618.00 $72,618.00 2026-02-28
227 MS_DRG No Active Code Description 2 2 — — $56,960.00 $56,960.00 $56,960.00 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 11 6 — — $20,889.00 $113,103.54 $32,715.90 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 18 — — $37,661.72 $97,920.48 $38,791.58 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 11 6 — — $54,323.00 $197,192.49 $81,611.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 18 — — $42,760.92 $111,178.40 $44,112.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 11 6 — — $31,808.00 $136,811.07 $39,573.45 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 18 — — $62,321.29 $162,035.36 $65,437.36 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 11 6 — — $22,863.00 $82,992.69 $31,808.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 18 — — $45,612.18 $118,591.67 $47,232.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 11 6 — — $14,751.00 $53,546.13 $31,808.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 18 — — $57,676.34 $149,958.49 $60,436.00 2026-02-28
234 APR_DRG Spinal Procedures 11 6 — — $41,142.00 $158,101.02 $45,731.70 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 18 — — $40,041.77 $104,108.61 $41,243.03 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 18 — — $44,026.19 $114,468.10 $45,497.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 18 — — $31,211.00 $81,918.39 $32,452.29 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 18 — — $38,040.38 $98,904.99 $39,181.60 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 11 6 — — $109,209.00 $800,621.91 $231,584.85 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 11 6 — — $21,460.00 $77,899.80 $30,731.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 21 18 — — $36,979.99 $96,147.98 $38,089.39 2026-02-28
246 MS_DRG No Active Code Description 2 2 — — $33,983.00 $33,983.00 $33,983.00 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 11 6 — — $18,077.00 $271,926.93 $78,656.55 2026-02-28
248 MS_DRG No Active Code Description 2 2 — — $34,146.00 $34,146.00 $34,146.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 18 — — $33,945.00 $88,534.50 $35,073.29 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 11 6 — — $33,860.00 $122,911.80 $35,553.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 11 6 — — $23,880.00 $107,970.72 $31,231.20 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 11 6 — — $31,150.00 $147,501.42 $42,665.70 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 11 6 — — $25,202.00 $91,483.26 $33,432.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 18 — — $44,779.27 $116,426.11 $46,321.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 18 — — $35,693.53 $92,803.18 $36,764.34 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 18 — — $49,560.57 $128,857.49 $51,554.00 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 18 — — $31,580.00 $82,811.07 $32,805.93 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 18 — — $38,719.29 $100,670.16 $39,880.87 2026-02-28
273 APR_DRG Other Open Craniotomy 10 6 — — $19,754.00 $71,707.02 $33,236.11 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 18 — — $29,679.00 $78,211.75 $30,983.89 2026-02-28
274 APR_DRG Other Open Craniotomy 10 6 — — $21,784.00 $79,075.92 $36,651.58 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 17 — — $52,382.15 $136,193.59 $54,297.81 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 17 — — $46,217.62 $120,165.82 $47,749.57 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 17 — — $35,308.00 $91,833.36 $36,380.14 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 17 — — $37,803.01 $98,287.83 $38,937.11 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 21 18 — — $45,405.90 $118,055.34 $47,007.00 2026-02-28
293 APR_DRG Other Percutaneous Intracranial Procedures 10 6 — — $20,844.00 $75,663.72 $35,070.03 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 10 6 — — $23,652.00 $85,856.76 $39,794.49 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 21 18 — — $153,861.80 $400,040.68 $162,666.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 6 — — $32,523.00 $145,994.97 $42,229.95 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 6 — — $47,542.00 $172,577.46 $56,195.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 6 — — $24,016.00 $87,178.08 $40,406.92 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 6 — — $38,960.00 $143,366.85 $41,469.75 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 18 — — $31,807.00 $83,360.27 $33,023.49 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 11 6 — — $30,756.00 $131,061.15 $37,910.25 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 17 — — $46,161.10 $120,018.86 $47,689.47 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 18 — — $33,341.00 $87,074.26 $34,494.81 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 11 6 — — $21,504.00 $78,059.52 $32,407.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 17 — — $32,329.00 $84,623.97 $33,524.12 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 10 6 — — $22,071.00 $80,117.73 $37,134.46 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 21 18 — — $38,337.80 $99,678.28 $39,487.94 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 18 — — $34,853.00 $90,731.29 $35,943.55 2026-02-28
33231 CPT Insrt Pulse Gen W/mult Leads 39 22 — — $1,177.54 $86,557.64 $33,076.93 2026-02-28
33249 CPT Insj/rplcmt Defib W/lead(s) 39 22 — — $463.85 $86,557.64 $33,076.93 2026-02-28
33264 CPT Rmvl Rplcmt Dfb Gen Mlt Ld 39 22 — — $1,177.54 $86,557.64 $33,076.93 2026-02-28
33270 CPT Ins/rep Subq Defibrillator 38 22 — — $3,723.00 $86,557.64 $33,076.93 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 18 — — $29,515.00 $77,815.01 $30,826.72 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 18 — — $32,377.00 $84,739.70 $33,569.96 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 11 6 — — $32,275.00 $117,158.25 $34,231.00 2026-02-28
38240 CPT Transplt Allo Hct/donor 27 19 — — $3,566.00 $105,857.31 $61,015.28 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 21 18 — — $102,279.18 $265,925.87 $107,393.14 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 17 — — $29,694.00 $78,246.67 $30,997.72 2026-02-28
404 APR_DRG Spinal Disorders And Injuries 11 6 — — $20,921.00 $75,943.23 $35,760.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 21 18 — — $40,808.28 $106,101.53 $42,032.53 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 11 6 — — $22,197.00 $80,575.11 $41,126.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $31,497.00 $114,334.11 $36,497.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $38,383.00 $139,330.29 $40,302.15 2026-02-28
422428316 CDM Impella Cp Kit 2 2 $138,108.60 $48,338.01 65% off $20,716.29 $69,054.30 $44,885.29 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 18 — — $30,872.00 $81,097.36 $32,127.03 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 17 — — $76,461.02 $198,798.66 $79,896.04 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 17 — — $52,634.36 $136,849.34 $54,565.70 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 17 — — $41,340.95 $107,486.47 $42,581.18 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 17 — — $61,379.58 $159,586.91 $63,876.78 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $44,154.00 $213,099.15 $61,640.25 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 17 — — $41,103.58 $106,869.31 $42,336.69 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 11 6 — — $18,723.00 $183,093.57 $52,960.95 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $60,205.00 $331,440.78 $95,871.30 2026-02-28
4403 APR_DRG Kidney Transplant 11 6 — — $31,927.00 $131,068.41 $37,912.35 2026-02-28
4404 APR_DRG Kidney Transplant 11 6 — — $48,621.00 $214,148.22 $61,943.70 2026-02-28
4414 APR_DRG Major Bladder Procedures 11 6 — — $25,836.00 $202,662.90 $58,621.50 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 11 6 — — $29,676.00 $135,522.42 $39,200.70 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 17 — — $49,822.66 $129,538.92 $51,579.17 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 11 6 — — $44,209.00 $160,478.67 $46,419.45 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 17 — — $30,994.00 $81,393.08 $32,244.19 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 17 — — $38,840.09 $100,984.24 $40,005.30 2026-02-28
453 MS_DRG No Active Code Description 2 2 — — $103,861.00 $103,861.00 $103,861.00 2026-02-28
454 MS_DRG No Active Code Description 2 2 — — $69,101.00 $69,101.00 $69,101.00 2026-02-28
455 MS_DRG No Active Code Description 2 2 — — $54,320.00 $54,320.00 $54,320.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 18 — — $62,288.09 $161,949.04 $65,402.50 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 18 — — $43,003.24 $111,808.43 $44,377.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 18 — — $32,774.00 $85,700.35 $33,950.53 2026-02-28
459 MS_DRG No Active Code Description 2 2 — — $75,251.00 $75,251.00 $75,251.00 2026-02-28
460 MS_DRG No Active Code Description 2 2 — — $42,725.00 $42,725.00 $42,725.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 18 — — $45,809.99 $119,105.98 $47,449.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 18 — — $40,612.59 $105,592.74 $41,830.97 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 18 — — $38,448.01 $99,964.83 $39,601.46 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 21 18 — — $36,771.59 $95,606.14 $37,874.74 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 18 — — $34,039.00 $88,762.26 $35,163.51 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 11 6 — — $34,521.00 $129,591.00 $37,485.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 19 — — $77,690.25 $201,994.65 $83,128.57 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 6 — — $27,522.00 $114,555.54 $33,135.90 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 11 6 — — $24,850.00 $90,205.50 $32,347.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 11 6 — — $24,416.00 $88,630.08 $31,349.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 6 — — $31,742.00 $140,234.16 $40,563.60 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 6 — — $34,264.00 $153,559.89 $44,418.15 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 6 — — $46,982.00 $213,171.75 $61,661.25 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 18 — — $45,961.88 $119,500.89 $47,615.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 18 — — $40,572.32 $105,488.04 $41,789.49 2026-02-28
5831 APR_DRG Neonate With Ecmo 11 6 — — $54,721.00 $365,152.59 $105,622.65 2026-02-28
5832 APR_DRG Neonate With Ecmo 11 6 — — $60,801.00 $414,702.09 $119,955.15 2026-02-28
5833 APR_DRG Neonate With Ecmo 11 6 — — $78,526.00 $832,271.88 $240,739.80 2026-02-28
5834 APR_DRG Neonate With Ecmo 11 6 — — $116,758.00 $982,887.84 $284,306.40 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $40,973.00 $313,229.07 $90,603.45 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $45,526.00 $332,301.09 $96,120.15 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $71,079.00 $333,825.69 $96,561.15 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $117,766.00 $622,152.96 $179,961.60 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 11 6 — — $72,318.00 $262,514.34 $80,884.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 11 6 — — $70,091.00 $254,430.33 $73,595.55 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 11 6 — — $23,469.00 $238,647.09 $69,030.15 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $1,925.00 $123,586.98 $35,748.30 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 6 — — $34,402.00 $171,408.60 $49,581.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 6 — — $40,757.00 $207,599.70 $60,049.50 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 6 — — $86,849.00 $315,261.87 $91,191.45 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 6 — — $38,434.00 $146,862.54 $42,480.90 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 6 — — $51,496.00 $186,930.48 $54,070.80 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 6 — — $72,101.00 $261,726.63 $79,506.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 25 19 — — $36,714.36 $132,100.00 $39,284.37 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 6 — — $31,312.00 $117,488.58 $33,984.30 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 6 — — $40,913.00 $155,498.31 $44,978.85 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 6 — — $59,268.00 $240,600.03 $69,595.05 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 6 — — $28,420.00 $103,164.60 $34,252.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 6 — — $51,672.00 $270,522.12 $78,250.20 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 6 — — $29,638.00 $107,585.94 $32,413.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 6 — — $42,721.00 $169,731.54 $49,095.90 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 6 — — $43,473.00 $207,011.64 $59,879.40 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 6 — — $38,818.00 $147,588.54 $42,690.90 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 6 — — $61,556.00 $458,821.11 $132,716.85 2026-02-28
61 APR_DRG Pancreas Transplant 11 6 — — $31,854.00 $151,472.64 $43,814.40 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 6 — — $34,057.00 $186,716.31 $54,008.85 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 6 — — $32,958.00 $119,637.54 $34,605.90 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 11 6 — — $18,518.00 $160,856.19 $46,528.65 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 11 6 — — $29,271.00 $137,867.40 $39,879.00 2026-02-28
61886 CPT Implant Neurostim Arrays 39 22 — — $463.85 $77,569.44 $30,865.86 2026-02-28
62 APR_DRG Pancreas Transplant 11 6 — — $38,667.00 $153,454.62 $44,387.70 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 6 — — $26,525.00 $228,479.46 $66,089.10 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 11 6 — — $22,862.00 $112,707.87 $32,601.45 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 11 6 — — $24,350.00 $119,982.39 $34,705.65 2026-02-28
627879 CDM Inspire Neurostim Impl Gen 21 8 $132,549.90 $46,392.47 65% off $15,905.99 $206,777.85 $34,462.98 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 21 18 — — $29,948.00 $78,861.98 $31,241.48 2026-02-28
63 APR_DRG Pancreas Transplant 11 6 — — $44,627.00 $169,658.94 $49,074.90 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 6 — — $21,696.00 $78,756.48 $35,678.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 6 — — $60,106.00 $218,184.78 $81,113.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 6 — — $101,121.00 $462,923.01 $133,903.35 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 6 — — $33,130.00 $120,958.86 $34,988.10 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 6 — — $69,387.00 $326,721.78 $94,506.30 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 6 — — $33,646.00 $173,633.79 $50,224.65 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 11 6 — — $24,326.00 $88,303.38 $40,118.00 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 11 6 — — $14,296.00 $51,894.48 $30,848.00 2026-02-28
63685 CPT Insrt/redo Spine N Generator 39 22 — — $404.46 $77,569.44 $30,865.86 2026-02-28
64 APR_DRG Pancreas Transplant 11 6 — — $68,005.00 $262,532.49 $75,939.15 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 39 22 — — $1,177.54 $77,569.44 $30,865.86 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 19 — — $34,969.00 $91,014.15 $37,455.83 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 11 6 — — $28,840.00 $139,765.89 $40,428.15 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 21 18 — — $41,839.00 $108,781.40 $43,103.00 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 11 6 — — $17,217.00 $112,733.28 $32,608.80 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 18 — — $31,799.00 $83,341.91 $33,016.22 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 11 6 — — $32,926.00 $207,599.70 $60,049.50 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 11 6 — — $37,219.00 $280,573.59 $81,157.65 2026-02-28
6904 APR_DRG Acute Leukemia 11 6 — — $31,166.00 $184,222.50 $53,287.50 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 11 6 — — $23,291.00 $142,778.79 $41,299.65 2026-02-28
69930 CPT Implant Cochlear Device 39 22 — — $904.14 $90,829.36 $34,089.50 2026-02-28
7 MS_DRG Lung Transplant 25 19 — — $94,782.26 $246,433.88 $101,417.02 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 11 6 — — $32,977.00 $148,851.78 $43,056.30 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 11 6 — — $48,107.00 $226,689.87 $65,571.45 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 11 6 — — $71,747.00 $337,390.35 $97,592.25 2026-02-28
734 APR_DRG Orbit And Eye Procedures 11 6 — — $23,604.00 $85,682.52 $32,281.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 18 — — $29,886.00 $78,713.21 $31,182.54 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 18 — — $30,215.00 $79,508.52 $31,497.61 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 11 6 — — $126,139.00 $956,152.89 $276,573.15 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 19 17 — — $44,454.30 $115,581.18 $45,787.93 2026-02-28
791 MS_DRG Prematurity With Major Problems 19 17 — — $30,815.00 $80,959.58 $32,072.45 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 11 6 — — $23,399.00 $143,403.15 $41,480.25 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 19 17 — — $31,654.00 $82,991.07 $32,877.23 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 21 18 — — $36,047.47 $93,723.43 $37,128.90 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 19 — — $40,895.88 $132,022.00 $43,758.60 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 11 6 — — $23,190.00 $84,179.70 $32,977.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 11 6 — — $27,688.00 $100,507.44 $48,107.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 18 — — $43,588.89 $113,331.12 $45,018.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 18 — — $35,515.51 $92,340.33 $36,580.98 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 18 — — $36,193.70 $94,103.62 $37,279.52 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 11 6 — — $53,189.00 $193,076.07 $71,747.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 21 18 — — $41,504.84 $107,912.59 $42,749.99 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 18 — — $37,830.56 $98,359.46 $38,965.48 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 11 6 — — $78,691.00 $285,648.33 $126,139.00 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 11 6 — — $25,534.00 $92,688.42 $31,326.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 11 6 — — $34,807.00 $142,633.59 $41,257.65 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 11 6 — — $71,887.00 $330,017.82 $95,459.70 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 11 6 — — $31,014.00 $112,580.82 $41,813.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 20 17 — — $67,534.94 $175,590.85 $70,414.85 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 11 6 — — $45,165.00 $318,111.42 $92,015.70 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 18 — — $37,788.88 $98,251.09 $38,922.55 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 18 — — $34,243.00 $89,256.37 $35,359.26 2026-02-28
8634 APR_DRG Neonatal Aftercare 11 6 — — $57,821.00 $220,301.07 $63,723.45 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 18 — — $51,601.52 $134,163.96 $53,788.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 18 — — $29,826.00 $78,566.26 $31,124.33 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 11 6 — — $34,482.00 $128,200.71 $37,082.85 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 21 18 — — $33,627.00 $87,766.72 $34,769.13 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 18 — — $30,236.00 $79,559.95 $31,517.98 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $18,579.00 $177,365.43 $51,304.05 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 11 6 — — $37,415.00 $157,531.11 $45,566.85 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 11 6 — — $36,766.00 $133,460.58 $42,867.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 11 6 — — $35,270.00 $128,030.10 $47,319.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 11 6 — — $28,861.00 $116,530.26 $33,707.10 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $25,277.00 $182,886.66 $52,901.10 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 11 6 — — $27,198.00 $98,728.74 $43,943.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 19 — — $170,048.13 $442,125.14 $183,425.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 19 — — $49,640.40 $129,065.04 $53,115.23 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $36,668.00 $278,072.52 $80,434.20 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 19 — — $32,841.00 $85,863.81 $35,336.26 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $51,774.00 $565,996.86 $163,718.10 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 6 — — $34,084.00 $152,852.04 $44,213.40 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 6 — — $26,686.00 $106,598.58 $30,834.30 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 11 6 — — $23,453.00 $134,691.15 $38,960.25 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 18 — — $50,695.84 $131,809.19 $52,796.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 18 — — $55,188.20 $143,489.32 $57,713.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 18 — — $31,193.00 $81,876.14 $32,435.55 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 18 — — $47,135.30 $122,551.78 $48,899.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 18 — — $36,041.11 $93,706.89 $37,122.35 2026-02-28
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