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

CHRISTUS SPOHN HOSPITAL BEEVILLE

Beeville, TX · CCN 450082 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,635 across 28 payers · range $3,823-$9,781

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109836_spohnhospitalbeeville_standardcharges.json · observed 2026-01-13

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.

8,768 distinct procedures filed
36 distinct payers
461,704 rate rows
2026-01-13 last MRF observed
Data quality

349,262 of 461,704 rate rows are consumer-grade (75.6%)

112,442 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 104,390
per-diem day rate — not a per-procedure price 5,123
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,188
template filing: same amount across many unrelated codes — excluded 420
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 246
placeholder amount (≤ $0.02) — excluded from medians 72
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109836_spohnhospitalbeeville_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 78561c1cb884d1c0… · 210,563,589 bytes · first seen 2026-05-06

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 36 $572,452.94 $1,467,605.80 $1,020,029.37 nat. median
$691,418
1.5× median
5834
APR_DRG 		Neonate With Ecmo, Severe 6 $838,113.55 $880,019.57 $846,494.76 nat. median
$311,018
outlier · 2.7×
5833
APR_DRG 		Neonate With Ecmo, Major 6 $709,683.75 $745,168.23 $716,780.65 nat. median
$250,089
outlier · 2.9×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 6 $530,512.13 $557,037.95 $535,817.29 nat. median
$254,667
outlier · 2.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 6 $394,736.39 $414,473.37 $398,683.79 nat. median
$160,171
outlier · 2.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 6 $391,238.32 $410,800.40 $395,150.73 nat. median
$168,174
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo, Moderate 6 $353,619.21 $371,300.31 $357,155.43 nat. median
$169,230
outlier · 2.1×
5831
APR_DRG 		Neonate With Ecmo, Minor 6 $311,368.74 $326,937.31 $314,482.45 nat. median
$154,685
outlier · 2.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 6 $284,655.43 $298,888.32 $287,502.01 nat. median
$180,995
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 6 $283,354.42 $297,522.26 $286,187.98 nat. median
$147,847
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 $282,621.70 $296,752.90 $285,447.94 nat. median
$127,600
outlier · 2.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 6 $278,596.17 $292,526.09 $281,382.15 nat. median
$147,677
1.9× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 $271,256.85 $284,819.80 $273,969.44 nat. median
$67,813
outlier · 4.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 6 $268,826.96 $282,268.42 $271,515.25 nat. median
$168,361
1.6× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 6 $267,091.17 $280,445.84 $269,762.10 nat. median
$120,928
outlier · 2.2×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 6 $239,245.68 $251,208.06 $241,638.15 nat. median
$69,072
outlier · 3.5×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 6 $239,112.15 $251,067.86 $241,503.29 nat. median
$101,315
outlier · 2.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 6 $230,675.97 $242,209.86 $232,982.74 nat. median
$109,499
outlier · 2.1×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $223,846.46 $235,038.87 $226,084.95 nat. median
$96,420
outlier · 2.3×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 6 $223,176.64 $234,335.56 $225,408.42 nat. median
$156,285
1.4× median
64
APR_DRG 		Pancreas Transplant, Severe 5 $223,864.12 $235,057.41 $223,864.12 nat. median
$92,994
outlier · 2.4×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $216,952.95 $227,800.69 $219,122.50 nat. median
$89,188
outlier · 2.5×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $205,162.15 $215,420.34 $207,213.79 nat. median
$123,690
1.7× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $203,496.98 $213,671.91 $205,531.97 nat. median
$71,350
outlier · 2.9×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 6 $194,824.65 $204,565.96 $196,772.91 nat. median
$69,851
outlier · 2.8×
8634
APR_DRG 		Neonatal Aftercare, Severe 6 $187,850.58 $197,243.19 $189,729.10 nat. median
$72,289
outlier · 2.6×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 6 $186,046.38 $195,348.77 $187,906.85 nat. median
$80,447
outlier · 2.3×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 6 $181,772.55 $190,861.26 $183,590.29 nat. median
$88,000
outlier · 2.1×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 6 $181,710.76 $190,796.37 $183,527.88 nat. median
$78,024
outlier · 2.4×
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 6 $177,022.03 $185,873.20 $178,792.27 nat. median
$65,652
outlier · 2.7×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 6 $177,022.03 $185,873.20 $178,792.27 nat. median
$108,751
1.6× median
6084
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 6 $176,519.94 $185,346.01 $178,285.15 nat. median
$64,930
outlier · 2.7×
4414
APR_DRG 		Major Bladder Procedures, Severe 6 $172,812.21 $181,452.89 $174,540.35 nat. median
$56,140
outlier · 3.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 6 $159,397.07 $167,366.99 $160,991.05 nat. median
$112,711
1.4× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 6 $159,213.89 $167,174.65 $160,806.04 nat. median
$79,344
outlier · 2.0×
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures, Severe 6 $158,509.86 $166,435.42 $160,094.97 nat. median
$63,005
outlier · 2.5×
434
APR_DRG 		Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 6 $156,124.11 $163,930.38 $157,685.36 nat. median
$43,512
outlier · 3.6×
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 6 $148,059.80 $155,462.85 $149,540.41 nat. median
$60,465
outlier · 2.5×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 6 $146,159.59 $153,467.63 $147,621.20 nat. median
$84,000
1.8× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $144,729.47 $151,966.00 $146,176.77 nat. median
$99,613
1.5× median
63
APR_DRG 		Pancreas Transplant, Major 5 $144,669.88 $151,903.43 $144,669.88 nat. median
$75,474
1.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 36 $56,207.02 $232,592.89 $144,399.95 nat. median
$65,655
outlier · 2.2×
2204
APR_DRG 		Major Stomach, Esophageal And Duodenal Procedures, Severe 6 $137,914.31 $144,810.08 $139,293.46 nat. median
$52,747
outlier · 2.6×
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 6 $137,162.83 $144,021.03 $138,534.47 nat. median
$58,488
outlier · 2.4×
4474
APR_DRG 		Other Kidney, Urinary Tract And Related Procedures, Severe 6 $136,841.71 $143,683.85 $138,210.14 nat. median
$46,522
outlier · 3.0×
234
APR_DRG 		Spinal Procedures, Severe 6 $134,814.60 $141,555.38 $136,162.76 nat. median
$50,029
outlier · 2.7×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $132,595.48 $139,225.31 $133,921.45 nat. median
$92,000
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 36 $56,824.55 $208,324.88 $132,574.71 nat. median
$63,643
outlier · 2.1×
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 6 $130,942.45 $137,489.62 $132,251.89 nat. median
$52,271
outlier · 2.5×
62
APR_DRG 		Pancreas Transplant, Moderate 5 $130,851.96 $137,394.61 $130,851.96 nat. median
$58,394
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 8,768 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 67 36 — — $572,452.94 $1,467,605.80 $1,020,029.37 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 18 6 — — $838,113.55 $880,019.57 $846,494.76 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 18 6 — — $709,683.75 $745,168.23 $716,780.65 2026-01-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 18 6 — — $530,512.13 $557,037.95 $535,817.29 2026-01-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 18 6 — — $394,736.39 $414,473.37 $398,683.79 2026-01-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 18 6 — — $391,238.32 $410,800.40 $395,150.73 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 18 6 — — $353,619.21 $371,300.31 $357,155.43 2026-01-13
5831 APR_DRG Neonate With Ecmo, Minor 18 6 — — $311,368.74 $326,937.31 $314,482.45 2026-01-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 18 6 — — $284,655.43 $298,888.32 $287,502.01 2026-01-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 18 6 — — $283,354.42 $297,522.26 $286,187.98 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 18 6 — — $282,621.70 $296,752.90 $285,447.94 2026-01-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 18 6 — — $278,596.17 $292,526.09 $281,382.15 2026-01-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 6 — — $271,256.85 $284,819.80 $273,969.44 2026-01-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 18 6 — — $268,826.96 $282,268.42 $271,515.25 2026-01-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 18 6 — — $267,091.17 $280,445.84 $269,762.10 2026-01-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 18 6 — — $239,245.68 $251,208.06 $241,638.15 2026-01-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 18 6 — — $239,112.15 $251,067.86 $241,503.29 2026-01-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 18 6 — — $230,675.97 $242,209.86 $232,982.74 2026-01-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 6 — — $223,846.46 $235,038.87 $226,084.95 2026-01-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 18 6 — — $223,176.64 $234,335.56 $225,408.42 2026-01-13
64 APR_DRG Pancreas Transplant, Severe 14 5 — — $223,864.12 $235,057.41 $223,864.12 2026-01-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 6 — — $216,952.95 $227,800.69 $219,122.50 2026-01-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $205,162.15 $215,420.34 $207,213.79 2026-01-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 6 — — $203,496.98 $213,671.91 $205,531.97 2026-01-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 18 6 — — $194,824.65 $204,565.96 $196,772.91 2026-01-13
8634 APR_DRG Neonatal Aftercare, Severe 18 6 — — $187,850.58 $197,243.19 $189,729.10 2026-01-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 18 6 — — $186,046.38 $195,348.77 $187,906.85 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 18 6 — — $181,772.55 $190,861.26 $183,590.29 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 18 6 — — $181,710.76 $190,796.37 $183,527.88 2026-01-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 18 6 — — $177,022.03 $185,873.20 $178,792.27 2026-01-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 18 6 — — $177,022.03 $185,873.20 $178,792.27 2026-01-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 18 6 — — $176,519.94 $185,346.01 $178,285.15 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 18 6 — — $172,812.21 $181,452.89 $174,540.35 2026-01-13
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 18 6 — — $159,397.07 $167,366.99 $160,991.05 2026-01-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 18 6 — — $159,213.89 $167,174.65 $160,806.04 2026-01-13
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 18 6 — — $158,509.86 $166,435.42 $160,094.97 2026-01-13
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 18 6 — — $156,124.11 $163,930.38 $157,685.36 2026-01-13
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 18 6 — — $148,059.80 $155,462.85 $149,540.41 2026-01-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 18 6 — — $146,159.59 $153,467.63 $147,621.20 2026-01-13
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $144,729.47 $151,966.00 $146,176.77 2026-01-13
63 APR_DRG Pancreas Transplant, Major 14 5 — — $144,669.88 $151,903.43 $144,669.88 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 67 36 — — $56,207.02 $232,592.89 $144,399.95 2026-01-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 18 6 — — $137,914.31 $144,810.08 $139,293.46 2026-01-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 18 6 — — $137,162.83 $144,021.03 $138,534.47 2026-01-13
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 18 6 — — $136,841.71 $143,683.85 $138,210.14 2026-01-13
234 APR_DRG Spinal Procedures, Severe 18 6 — — $134,814.60 $141,555.38 $136,162.76 2026-01-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $132,595.48 $139,225.31 $133,921.45 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 67 36 — — $56,824.55 $208,324.88 $132,574.71 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 18 6 — — $130,942.45 $137,489.62 $132,251.89 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 14 5 — — $130,851.96 $137,394.61 $130,851.96 2026-01-13
61 APR_DRG Pancreas Transplant, Minor 14 5 — — $129,162.52 $135,620.70 $129,162.52 2026-01-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 18 6 — — $125,850.94 $132,143.54 $127,109.46 2026-01-13
264 APR_DRG Other Nervous System And Related Procedures, Severe 18 6 — — $125,774.80 $132,063.59 $127,032.56 2026-01-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 18 6 — — $125,231.88 $131,493.53 $126,484.21 2026-01-13
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 18 6 — — $124,388.82 $130,608.31 $125,632.71 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 18 6 — — $119,579.80 $125,558.84 $120,775.61 2026-01-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 18 6 — — $119,179.23 $125,138.25 $120,371.04 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 18 6 — — $118,807.36 $124,747.77 $119,995.45 2026-01-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 18 6 — — $117,559.31 $123,437.32 $118,734.92 2026-01-13
214 APR_DRG Open Craniotomy Except Trauma, Severe 18 6 — — $117,081.50 $122,935.62 $118,252.32 2026-01-13
2304 APR_DRG Major Small Bowel Procedures, Severe 18 6 — — $116,658.86 $122,491.85 $117,825.46 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 18 6 — — $116,198.71 $122,008.69 $117,360.71 2026-01-13
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 18 6 — — $114,852.45 $120,595.12 $116,000.98 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 18 6 — — $111,756.05 $117,343.90 $112,873.62 2026-01-13
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 18 6 — — $111,376.45 $116,945.32 $112,490.23 2026-01-13
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 18 6 — — $110,924.02 $116,470.26 $112,033.27 2026-01-13
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 18 6 — — $110,502.49 $116,027.65 $111,607.52 2026-01-13
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 18 6 — — $109,317.34 $114,783.25 $110,410.52 2026-01-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 18 6 — — $109,172.78 $114,631.46 $110,264.51 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 18 6 — — $109,145.19 $114,602.50 $110,236.65 2026-01-13
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 18 6 — — $105,382.29 $110,651.44 $106,436.12 2026-01-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 18 6 — — $104,807.37 $110,047.78 $105,855.45 2026-01-13
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 18 6 — — $103,520.70 $108,696.77 $104,555.92 2026-01-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 18 6 — — $103,142.20 $108,299.35 $104,173.63 2026-01-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 18 6 — — $102,309.06 $107,424.56 $103,332.16 2026-01-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $102,014.43 $107,115.20 $103,034.58 2026-01-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 18 6 — — $101,046.67 $106,099.05 $102,057.14 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 18 6 — — $100,885.56 $105,929.88 $101,894.42 2026-01-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $100,182.64 $105,191.81 $101,184.48 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 18 6 — — $99,902.35 $104,897.51 $100,901.38 2026-01-13
914 APR_DRG Other Major Head And Neck Procedures, Severe 18 6 — — $99,364.95 $104,333.24 $100,358.61 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 24 — — $89,573.07 $260,392.47 $99,944.68 2026-01-13
204 APR_DRG Open Craniotomy For Trauma, Severe 18 6 — — $98,350.84 $103,268.42 $99,334.36 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 18 6 — — $97,682.13 $102,566.27 $98,658.96 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 18 6 — — $97,494.53 $102,369.30 $98,469.49 2026-01-13
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 18 6 — — $96,127.31 $100,933.71 $97,088.59 2026-01-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 18 6 — — $96,107.45 $100,912.86 $97,068.53 2026-01-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 18 6 — — $93,551.76 $98,229.39 $94,487.29 2026-01-13
J9226 HCPCS Supprelin La Implant 67 36 — — $45,212.04 $141,336.37 $93,274.21 2026-01-13
2614 APR_DRG Major Biliary Tract Procedures, Severe 18 6 — — $92,067.56 $96,670.98 $92,988.24 2026-01-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $91,738.72 $96,325.70 $92,656.11 2026-01-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 18 6 — — $91,254.29 $95,817.04 $92,166.84 2026-01-13
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 18 6 — — $90,896.76 $95,441.64 $91,805.74 2026-01-13
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 18 6 — — $89,410.36 $93,880.91 $90,304.47 2026-01-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 18 6 — — $87,969.20 $92,367.69 $88,848.90 2026-01-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 18 6 — — $86,622.94 $90,954.12 $87,489.18 2026-01-13
7234 APR_DRG Viral Illness, Severe 18 6 — — $85,102.33 $89,357.48 $85,953.36 2026-01-13
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 18 6 — — $79,578.25 $83,557.20 $80,374.04 2026-01-13
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 18 6 — — $79,421.56 $83,392.67 $80,215.78 2026-01-13
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 18 6 — — $78,617.11 $82,548.00 $79,403.29 2026-01-13
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 18 6 — — $78,007.99 $81,908.42 $78,788.08 2026-01-13
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 18 6 — — $76,919.94 $80,765.97 $77,689.15 2026-01-13
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 18 6 — — $76,843.80 $80,686.02 $77,612.24 2026-01-13
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 18 6 — — $75,737.00 $79,523.88 $76,494.38 2026-01-13
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 18 6 — — $75,575.89 $79,354.72 $76,331.65 2026-01-13
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 18 6 — — $75,297.81 $79,062.73 $76,050.79 2026-01-13
215 MS_DRG Other Heart Assist System Implant 40 24 — — $30,085.00 $187,181.64 $75,999.88 2026-01-13
4804 APR_DRG Major Male Pelvic Procedures, Severe 18 6 — — $74,978.90 $78,727.88 $75,728.70 2026-01-13
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 18 6 — — $74,530.89 $78,257.46 $75,276.21 2026-01-13
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 18 6 — — $74,336.67 $78,053.54 $75,080.04 2026-01-13
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 18 6 — — $74,110.46 $77,816.01 $74,851.57 2026-01-13
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 18 6 — — $73,859.96 $77,552.99 $74,598.57 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 24 — — $66,405.78 $207,187.54 $74,094.87 2026-01-13
1804 APR_DRG Other Circulatory System Procedures, Severe 18 6 — — $73,265.18 $76,928.47 $73,997.84 2026-01-13
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 18 6 — — $73,210.01 $76,870.54 $73,942.11 2026-01-13
734 APR_DRG Orbit And Eye Procedures, Severe 18 6 — — $73,063.24 $76,716.43 $73,793.88 2026-01-13
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms, Severe 18 6 — — $72,694.68 $76,329.44 $73,421.63 2026-01-13
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses, Severe 18 6 — — $71,844.99 $75,437.27 $72,563.45 2026-01-13
913 APR_DRG Other Major Head And Neck Procedures, Major 18 6 — — $71,293.24 $74,857.93 $72,006.18 2026-01-13
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 18 6 — — $71,179.58 $74,738.59 $71,891.39 2026-01-13
6924 APR_DRG Radiotherapy, Severe 18 6 — — $71,129.93 $74,686.45 $71,841.23 2026-01-13
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 18 6 — — $71,037.23 $74,589.12 $71,747.61 2026-01-13
2314 APR_DRG Major Large Bowel Procedures, Severe 18 6 — — $70,766.88 $74,305.25 $71,474.55 2026-01-13
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 18 6 — — $70,464.52 $73,987.78 $71,169.17 2026-01-13
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 18 6 — — $70,209.61 $73,720.12 $70,911.71 2026-01-13
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 18 6 — — $70,015.40 $73,516.20 $70,715.56 2026-01-13
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 18 6 — — $69,959.12 $73,457.11 $70,658.72 2026-01-13
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 18 6 — — $69,411.79 $72,882.41 $70,105.91 2026-01-13
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 18 6 — — $68,853.42 $72,296.12 $69,541.96 2026-01-13
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 18 6 — — $68,706.66 $72,142.02 $69,393.73 2026-01-13
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 18 6 — — $68,316.02 $71,731.85 $68,999.19 2026-01-13
274 APR_DRG Other Open Craniotomy, Severe 18 6 — — $67,427.71 $70,799.13 $68,101.99 2026-01-13
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 18 6 — — $67,156.26 $70,514.10 $67,827.82 2026-01-13
213 APR_DRG Open Craniotomy Except Trauma, Major 18 6 — — $67,008.39 $70,358.83 $67,678.48 2026-01-13
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment, Sever… 18 6 — — $66,582.44 $69,911.59 $67,248.27 2026-01-13
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 18 6 — — $66,560.37 $69,888.42 $67,225.98 2026-01-13
244 APR_DRG Open Extracranial Vascular Procedures, Severe 18 6 — — $66,424.64 $69,745.90 $67,088.89 2026-01-13
1801 APR_DRG Other Circulatory System Procedures, Minor 18 6 — — $66,376.09 $69,694.92 $67,039.85 2026-01-13
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $66,002.00 $69,302.13 $66,662.02 2026-01-13
233 APR_DRG Spinal Procedures, Major 18 6 — — $65,632.33 $68,913.98 $66,288.66 2026-01-13
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 18 6 — — $65,590.40 $68,869.95 $66,246.31 2026-01-13
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 18 6 — — $65,513.16 $68,788.84 $66,168.29 2026-01-13
433 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, M… 18 6 — — $64,974.65 $68,223.41 $65,624.40 2026-01-13
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 18 6 — — $64,791.47 $68,031.07 $65,439.39 2026-01-13
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 18 6 — — $64,757.27 $67,995.16 $65,404.85 2026-01-13
404 APR_DRG Spinal Disorders And Injuries, Severe 18 6 — — $64,756.16 $67,994.00 $65,403.73 2026-01-13
293 APR_DRG Other Percutaneous Intracranial Procedures, Major 18 6 — — $64,517.81 $67,743.73 $65,162.99 2026-01-13
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 18 6 — — $63,516.94 $66,692.81 $64,152.12 2026-01-13
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 18 6 — — $63,077.75 $66,231.67 $63,708.54 2026-01-13
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 18 6 — — $62,357.17 $65,475.06 $62,980.75 2026-01-13
203 APR_DRG Open Craniotomy For Trauma, Major 18 6 — — $61,833.01 $64,924.69 $62,451.35 2026-01-13
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 18 6 — — $61,679.63 $64,763.64 $62,296.43 2026-01-13
4624 APR_DRG Nephritis And Nephrosis, Severe 18 6 — — $61,179.75 $64,238.76 $61,791.55 2026-01-13
273 APR_DRG Other Open Craniotomy, Major 18 6 — — $61,145.54 $64,202.84 $61,757.00 2026-01-13
6504 APR_DRG Splenectomy, Severe 18 6 — — $60,984.43 $64,033.68 $61,594.28 2026-01-13
2613 APR_DRG Major Biliary Tract Procedures, Major 18 6 — — $60,856.43 $63,899.27 $61,464.99 2026-01-13
2074 APR_DRG Other Circulatory System Diagnoses, Severe 18 6 — — $60,247.30 $63,259.69 $60,849.78 2026-01-13
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $59,622.72 $62,603.88 $60,218.96 2026-01-13
4454 APR_DRG Other Bladder Procedures, Severe 18 6 — — $59,579.69 $62,558.69 $60,175.49 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 24 — — $53,688.05 $157,975.52 $59,904.57 2026-01-13
38240 CPT Transplt Allo Hct/donor 41 25 — — $2,380.00 $119,712.78 $59,856.39 2026-01-13
1832 APR_DRG Percutaneous Structural Cardiac Procedures, Moderate 18 6 — — $59,243.12 $62,205.30 $59,835.56 2026-01-13
3814 APR_DRG Major Skin Disorders, Severe 18 6 — — $58,918.69 $61,864.65 $59,507.89 2026-01-13
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 18 6 — — $58,249.98 $61,162.50 $58,832.49 2026-01-13
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 18 6 — — $58,177.15 $61,086.03 $58,758.93 2026-01-13
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 18 6 — — $58,078.94 $60,982.91 $58,659.74 2026-01-13
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 18 6 — — $58,037.01 $60,938.88 $58,617.39 2026-01-13
E0739 HCPCS Rehab Sys Active Assist Rt 50 26 — — $51,277.05 $65,261.70 $58,269.38 2026-01-13
E0738 HCPCS Upper Extremity Rehab 50 26 — — $51,277.05 $65,261.70 $58,269.38 2026-01-13
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 18 6 — — $57,581.26 $60,460.35 $58,157.08 2026-01-13
1693 APR_DRG Major Abdominal Vascular Procedures, Major 18 6 — — $57,376.01 $60,244.84 $57,949.78 2026-01-13
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 6 — — $57,193.94 $60,053.66 $57,765.89 2026-01-13
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 18 6 — — $57,179.59 $60,038.60 $57,751.39 2026-01-13
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures, Severe 18 6 — — $57,135.45 $59,992.25 $57,706.81 2026-01-13
1802 APR_DRG Other Circulatory System Procedures, Moderate 18 6 — — $56,897.10 $59,741.98 $57,466.07 2026-01-13
1831 APR_DRG Percutaneous Structural Cardiac Procedures, Minor 18 6 — — $56,356.39 $59,174.23 $56,919.96 2026-01-13
4043 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Major 18 6 — — $56,143.42 $58,950.61 $56,704.85 2026-01-13
1213 APR_DRG Other Respiratory And Chest Procedures, Major 18 6 — — $55,986.72 $58,786.08 $56,546.59 2026-01-13
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 18 6 — — $55,842.16 $58,634.29 $56,400.59 2026-01-13
4214 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders, Severe 18 6 — — $55,807.95 $58,598.37 $56,366.04 2026-01-13
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure, Severe 18 6 — — $55,742.85 $58,530.01 $56,300.28 2026-01-13
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Moderate 18 6 — — $55,587.26 $58,366.64 $56,143.14 2026-01-13
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Minor 18 6 — — $55,471.39 $58,244.98 $56,026.11 2026-01-13
9523 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Major 18 6 — — $55,376.49 $58,145.34 $55,930.26 2026-01-13
J9266 HCPCS Pegaspargase Injection 67 36 — — $27,070.53 $84,531.57 $55,717.38 2026-01-13
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 18 6 — — $55,098.41 $57,853.35 $55,649.40 2026-01-13
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Minor 18 6 — — $55,097.31 $57,852.19 $55,648.29 2026-01-13
10 MS_DRG Pancreas Transplant 24 22 — — $50,542.54 $122,366.14 $55,330.78 2026-01-13
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures, Severe 18 6 — — $54,431.90 $57,153.52 $54,976.23 2026-01-13
484 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders, Severe 18 6 — — $54,173.68 $56,882.39 $54,715.43 2026-01-13
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $54,098.65 $56,803.60 $54,639.64 2026-01-13
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement, Severe 18 6 — — $54,086.51 $56,790.86 $54,627.38 2026-01-13
1744 APR_DRG Percutaneous Cardiac Intervention With Ami, Severe 18 6 — — $54,005.95 $56,706.27 $54,546.01 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 22 — — $50,252.83 $121,664.76 $54,484.65 2026-01-13
2834 APR_DRG Other Disorders Of The Liver, Severe 18 6 — — $53,939.74 $56,636.75 $54,479.15 2026-01-13
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Moderate 18 6 — — $53,879.05 $56,573.03 $54,417.85 2026-01-13
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure, Severe 18 6 — — $53,788.57 $56,478.02 $54,326.46 2026-01-13
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 18 6 — — $53,414.48 $56,085.23 $53,948.63 2026-01-13
584 APR_DRG Other Disorders Of Nervous System, Severe 18 6 — — $53,401.24 $56,071.32 $53,935.25 2026-01-13
6404 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,… 18 6 — — $53,396.83 $56,066.69 $53,930.80 2026-01-13
3514 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses, Severe 18 6 — — $53,179.44 $55,838.43 $53,711.24 2026-01-13
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Major 18 6 — — $53,069.09 $55,722.57 $53,599.79 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 67 36 — — $24,228.42 $82,783.98 $53,506.20 2026-01-13
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure, … 18 6 — — $52,939.98 $55,587.00 $53,469.39 2026-01-13
2524 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure, … 18 6 — — $52,881.50 $55,525.59 $53,410.32 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 24 — — $47,317.14 $143,246.50 $52,795.98 2026-01-13
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 18 6 — — $51,997.60 $54,597.50 $52,517.58 2026-01-13
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition, Severe 18 6 — — $51,875.11 $54,468.89 $52,393.87 2026-01-13
4824 APR_DRG Transurethral Prostatectomy, Severe 18 6 — — $50,945.97 $53,493.29 $51,455.43 2026-01-13
7933 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment, Major 18 6 — — $50,911.76 $53,457.37 $51,420.89 2026-01-13
3624 APR_DRG Mastectomy Procedures, Severe 18 6 — — $50,791.48 $53,331.08 $51,299.40 2026-01-13
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Major 18 6 — — $50,758.38 $53,296.32 $51,265.96 2026-01-13
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $50,718.65 $53,254.61 $51,225.84 2026-01-13
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections, Severe 18 6 — — $50,547.61 $53,075.01 $51,053.09 2026-01-13
4244 APR_DRG Other Endocrine Disorders, Severe 18 6 — — $49,960.56 $52,458.60 $50,460.16 2026-01-13
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $49,942.90 $52,440.06 $50,442.33 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 24 — — $45,025.53 $135,702.46 $50,239.01 2026-01-13
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Major 18 6 — — $49,260.94 $51,724.01 $49,753.56 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 24 — — $44,098.72 $129,934.93 $49,204.89 2026-01-13
4464 APR_DRG Urethral And Transurethral Procedures, Severe 18 6 — — $48,540.36 $50,967.40 $49,025.77 2026-01-13
2603 APR_DRG Major Pancreas, Liver And Shunt Procedures, Major 18 6 — — $48,133.17 $50,539.85 $48,614.51 2026-01-13
8624 APR_DRG Other Aftercare And Convalescence, Severe 18 6 — — $48,040.48 $50,442.52 $48,520.89 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 24 — — $42,502.52 $125,607.40 $48,318.65 2026-01-13
292 APR_DRG Other Percutaneous Intracranial Procedures, Moderate 18 6 — — $47,670.81 $50,054.37 $48,147.52 2026-01-13
6264 APR_DRG Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 18 6 — — $47,509.70 $49,885.21 $47,984.80 2026-01-13
1803 APR_DRG Other Circulatory System Procedures, Major 18 6 — — $47,418.11 $49,789.04 $47,892.29 2026-01-13
263 APR_DRG Other Nervous System And Related Procedures, Major 18 6 — — $47,268.04 $49,631.46 $47,740.73 2026-01-13
6964 APR_DRG Other Chemotherapy, Severe 18 6 — — $46,865.26 $49,208.55 $47,333.92 2026-01-13
7244 APR_DRG Other Infectious And Parasitic Diseases, Severe 18 6 — — $46,776.98 $49,115.85 $47,244.76 2026-01-13
2223 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Major 18 6 — — $46,221.93 $48,533.04 $46,684.15 2026-01-13
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 18 6 — — $45,635.97 $47,917.79 $46,092.33 2026-01-13
503 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Major 18 6 — — $45,489.21 $47,763.69 $45,944.10 2026-01-13
7574 APR_DRG Organic Mental Health Disturbances, Severe 18 6 — — $45,332.51 $47,599.16 $45,785.84 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 24 — — $40,996.96 $120,965.93 $45,743.97 2026-01-13
8444 APR_DRG Partial Thickness Burns Without Skin Graft, Severe 18 6 — — $45,264.10 $47,527.32 $45,716.74 2026-01-13
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Major 18 6 — — $45,173.61 $47,432.31 $45,625.35 2026-01-13
291 APR_DRG Other Percutaneous Intracranial Procedures, Minor 18 6 — — $45,029.05 $47,280.52 $45,479.35 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 49 25 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
8134 APR_DRG Other Complications Of Treatment, Severe 18 6 — — $44,722.28 $46,958.42 $45,169.51 2026-01-13
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Minor 18 6 — — $44,265.44 $46,478.73 $44,708.10 2026-01-13
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection, Severe 18 6 — — $44,252.20 $46,464.82 $44,694.72 2026-01-13
6624 APR_DRG Sickle Cell Anemia Crisis, Severe 18 6 — — $44,003.91 $46,204.12 $44,443.96 2026-01-13
272 APR_DRG Other Open Craniotomy, Moderate 18 6 — — $43,711.49 $45,897.08 $44,148.60 2026-01-13
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Maj… 18 6 — — $43,694.93 $45,879.70 $44,131.88 2026-01-13
8633 APR_DRG Neonatal Aftercare, Major 18 6 — — $43,579.07 $45,758.04 $44,014.87 2026-01-13
7403 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Major 18 6 — — $43,554.79 $45,732.55 $43,990.34 2026-01-13
2414 APR_DRG Peptic Ulcer And Gastritis, Severe 18 6 — — $43,529.41 $45,705.90 $43,964.71 2026-01-13
1753 APR_DRG Percutaneous Cardiac Intervention Without Ami, Major 18 6 — — $43,355.06 $45,522.83 $43,788.61 2026-01-13
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Major 18 6 — — $43,278.92 $45,442.88 $43,711.71 2026-01-13
974 APR_DRG Tonsil And Adenoid Procedures, Severe 18 6 — — $43,257.95 $45,420.87 $43,690.54 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 24 — — $39,038.13 $123,159.77 $43,558.34 2026-01-13
2303 APR_DRG Major Small Bowel Procedures, Major 18 6 — — $42,892.70 $45,037.35 $43,321.63 2026-01-13
7214 APR_DRG Post-operative, Post-traumatic, Other Device Infections, Severe 18 6 — — $42,804.42 $44,944.65 $43,232.46 2026-01-13
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $42,749.24 $44,886.72 $43,176.74 2026-01-13
3804 APR_DRG Skin Ulcers, Severe 18 6 — — $42,730.48 $44,867.02 $43,157.79 2026-01-13
212 APR_DRG Open Craniotomy Except Trauma, Moderate 18 6 — — $42,587.03 $44,716.40 $43,012.90 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 34 24 — — $38,539.24 $112,950.03 $43,001.68 2026-01-13
2544 APR_DRG Other Digestive System Diagnoses, Severe 18 6 — — $42,471.16 $44,594.74 $42,895.88 2026-01-13
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Ma… 18 6 — — $42,349.78 $44,467.28 $42,773.28 2026-01-13
2293 APR_DRG Other Digestive System And Abdominal Procedures, Major 18 6 — — $42,345.36 $44,462.65 $42,768.82 2026-01-13
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Maj… 18 6 — — $42,337.64 $44,454.54 $42,761.02 2026-01-13
3093 APR_DRG Other Significant Hip And Femur Surgery, Major 18 6 — — $42,295.71 $44,410.51 $42,718.67 2026-01-13
1823 APR_DRG Other Peripheral Vascular And Related Procedures, Major 18 6 — — $42,203.01 $44,313.18 $42,625.04 2026-01-13
3474 APR_DRG Other Back And Neck Disorders, Fractures And Injuries, Severe 18 6 — — $42,126.87 $44,233.23 $42,548.15 2026-01-13
403 APR_DRG Spinal Disorders And Injuries, Major 18 6 — — $41,980.11 $44,079.13 $42,399.92 2026-01-13
4413 APR_DRG Major Bladder Procedures, Major 18 6 — — $41,778.17 $43,867.09 $42,195.96 2026-01-13
1154 APR_DRG Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses, Severe 18 6 — — $41,625.89 $43,707.20 $42,042.15 2026-01-13
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment, Severe 18 6 — — $41,485.74 $43,560.05 $41,900.60 2026-01-13
514 APR_DRG Viral Meningitis, Severe 18 6 — — $41,419.53 $43,490.53 $41,833.73 2026-01-13
7204 APR_DRG Septicemia And Disseminated Infections, Severe 18 6 — — $41,354.43 $43,422.17 $41,767.97 2026-01-13
7113 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Major 18 6 — — $41,343.39 $43,410.58 $41,756.83 2026-01-13
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Major 18 6 — — $41,199.94 $43,259.95 $41,611.94 2026-01-13
5103 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 18 6 — — $41,169.04 $43,227.51 $41,580.74 2026-01-13
2643 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Major 18 6 — — $40,946.14 $42,993.46 $41,355.60 2026-01-13
3854 APR_DRG Other Skin, Subcutaneous Tissue And Breast Disorders, Severe 18 6 — — $40,705.58 $42,740.87 $41,112.64 2026-01-13
1692 APR_DRG Major Abdominal Vascular Procedures, Moderate 18 6 — — $40,461.70 $42,484.81 $40,866.32 2026-01-13
1691 APR_DRG Major Abdominal Vascular Procedures, Minor 18 6 — — $40,427.50 $42,448.89 $40,831.78 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 24 — — $36,383.27 $112,100.32 $40,596.07 2026-01-13
3103 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Major 18 6 — — $40,024.72 $42,025.97 $40,424.97 2026-01-13
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement, Major 18 6 — — $39,837.13 $41,829.00 $40,235.50 2026-01-13
6503 APR_DRG Splenectomy, Major 18 6 — — $39,767.61 $41,756.01 $40,165.29 2026-01-13
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Minor 18 6 — — $39,096.69 $41,051.54 $39,487.66 2026-01-13
302 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Moderate 18 6 — — $39,087.86 $41,042.27 $39,478.74 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 34 24 — — $35,338.58 $97,687.12 $39,430.42 2026-01-13
3612 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Moderate 18 6 — — $38,820.81 $40,761.87 $39,209.02 2026-01-13
3223 APR_DRG Shoulder And Elbow Joint Replacement, Major 18 6 — — $38,806.47 $40,746.81 $39,194.54 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 24 — — $34,891.66 $105,687.98 $38,931.74 2026-01-13
7504 APR_DRG Schizophrenia, Severe 18 6 — — $38,343.00 $40,260.17 $38,726.43 2026-01-13
983 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Major 18 6 — — $38,209.48 $40,119.97 $38,591.58 2026-01-13
6923 APR_DRG Radiotherapy, Major 18 6 — — $38,206.17 $40,116.49 $38,588.24 2026-01-13
2424 APR_DRG Major Esophageal Disorders, Severe 18 6 — — $38,123.41 $40,029.59 $38,504.65 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 24 — — $34,413.68 $102,839.93 $38,398.43 2026-01-13
9513 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Major 18 6 — — $37,984.37 $39,883.60 $38,364.21 2026-01-13
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Major 18 6 — — $37,920.36 $39,816.40 $38,299.57 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 24 — — $34,238.09 $107,144.90 $38,202.49 2026-01-13
5123 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Major 18 6 — — $37,807.81 $39,698.21 $38,185.89 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 24 — — $34,205.76 $102,531.63 $38,166.42 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 24 — — $34,201.95 $92,137.66 $38,162.17 2026-01-13
1203 APR_DRG Major Respiratory And Chest Procedures, Major 18 6 — — $37,611.39 $39,491.97 $37,987.51 2026-01-13
4053 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Major 18 6 — — $37,517.59 $39,393.49 $37,892.77 2026-01-13
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