Hospital

DALLAS MEDICAL CENTER

Dallas, TX · CCN 450379 · Rates published

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You selected 93306 (CPT)

ECHO WITH DOPPLER STUDIES

This hospital’s price: $582 across 39 payers · range $468-$7,219

Source: https://dallasmedcenter.com/wp-content/uploads/2024/12/271459658_DallasMedicalCenter_standardcharges.json · observed 2026-03-17

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.

5,329 distinct procedures filed

39 distinct payers

512,795 rate rows

2026-03-17 last MRF observed

Data quality

512,409 of 512,795 rate rows are consumer-grade (99.9%)

386 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 — reason	Rows
per-diem day rate — not a per-procedure price	155
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	113
percent-of-charges filed in the dollar field — excluded from medians	44
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	42
exceeds 10× this hospital's gross charge — excluded from medians	30
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://dallasmedcenter.com/wp-content/uploads/2026/09/100214_DallasMedicalCenter_standardcharges.json
Found on page	https://dallasmedcenter.com/about-us/price-transparency/
Discovered via	CMS hospital list
Last fetch	success · 2026-10-22

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 APR_DRG	Neonate W Ecmo	7	$270,103.00	$584,070.00	$551,009.00	nat. median $307,206 1.8× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	7	$262,756.00	$568,184.00	$536,022.00	nat. median $170,082 outlier · 3.2×
5833 APR_DRG	Neonate W Ecmo	7	$228,713.00	$494,569.00	$466,574.00	nat. median $244,017 1.9× median
24 APR_DRG	Heart &or Lung Transplant	7	$220,015.00	$475,761.00	$448,831.00	nat. median $241,437 1.9× median
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	7	$170,971.00	$369,707.00	$348,780.00	nat. median $247,214 1.4× median
1614 APR_DRG	Implantable Heart Assist Systems	7	$166,024.00	$359,011.00	$338,689.00	nat. median $202,993 1.7× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	$155,538.00	$336,336.00	$317,298.00	nat. median $163,587 1.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	$3,310.00	$514,182.44	$299,565.00	nat. median $359,454 0.8× median
6304 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	7	$127,213.00	$275,086.00	$259,515.00	nat. median $154,011 1.7× median
6094 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	7	$126,086.00	$272,649.00	$257,216.00	nat. median $165,000 1.6× median
5832 APR_DRG	Neonate W Ecmo	7	$113,962.00	$246,432.00	$232,483.00	nat. median $159,249 1.5× median
612 OTHER	UnGrouped	1	$226,148.00	$226,148.00	$226,148.00	nat. median $1,883 outlier · 120.1×
114 APR_DRG	UnGrouped	7	$108,215.00	$234,004.00	$220,758.00	nat. median $123,836 1.8× median
636 OTHER	UnGrouped	1	$207,520.00	$207,520.00	$207,520.00	nat. median $76 outlier · 2712.7×
2004 APR_DRG	Cardiac Structural & Valvular Disorders	7	$100,561.00	$217,454.00	$205,145.00	nat. median $28,457 outlier · 7.2×
5831 APR_DRG	Neonate W Ecmo	7	$100,346.00	$216,989.00	$204,706.00	nat. median $146,500 1.4× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	$3,310.00	$337,499.00	$202,955.00	nat. median $249,036 0.8× median
73 APR_DRG	Allogeneic Bone Marrow Transplant	7	$92,716.60	$200,490.00	$189,142.00	nat. median $89,273 outlier · 2.1×
5883 APR_DRG	Neonate Bwt <1500g W Major Procedure	7	$91,737.20	$198,373.00	$187,144.00	nat. median $175,204 1.1× median
633 OTHER	UnGrouped	1	$186,444.00	$186,444.00	$186,444.00	nat. median $6,194 outlier · 30.1×
5882 APR_DRG	Neonate Bwt <1500g W Major Procedure	7	$91,317.90	$197,466.00	$186,289.00	nat. median $145,061 1.3× median
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	7	$91,081.80	$196,955.00	$185,807.00	nat. median $122,016 1.5× median
8414 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	7	$90,690.20	$196,109.00	$185,008.00	nat. median $155,939 1.2× median
6314 APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	7	$89,784.40	$194,150.00	$183,160.00	nat. median $133,164 1.4× median
631 OTHER	UnGrouped	1	$181,628.00	$181,628.00	$181,628.00	nat. median $5,376 outlier · 33.8×
8504 APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	7	$87,419.20	$189,035.00	$178,335.00	nat. median $66,667 outlier · 2.7×
5914 APR_DRG	Neonate Birthwt 500-749g Wo Major Procedure	7	$86,636.10	$187,342.00	$176,738.00	nat. median $162,342 1.1× median
1613 APR_DRG	Implantable Heart Assist Systems	7	$86,534.00	$187,121.00	$176,529.00	nat. median $120,517 1.5× median
5881 APR_DRG	Neonate Bwt <1500g W Major Procedure	7	$86,076.70	$186,132.00	$175,596.00	nat. median $120,208 1.5× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	$3,310.00	$275,220.00	$166,800.00	nat. median $198,418 0.8× median
14 APR_DRG	Liver Transplant &or Intestinal Transplant	7	$78,813.30	$170,426.00	$160,779.00	nat. median $136,566 1.2× median
84 APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	7	$78,497.60	$169,743.00	$160,135.00	nat. median $78,130 outlier · 2.0×
6814 APR_DRG	Other O.r. Procedures For Lymphatichematopoieticother Neoplasms	7	$77,102.80	$166,727.00	$157,290.00	nat. median $68,030 outlier · 2.3×
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	7	$77,059.80	$166,634.00	$157,202.00	nat. median $98,624 1.6× median
93 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	$76,415.70	$165,241.00	$155,888.00	nat. median $78,893 2.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	$3,310.00	$254,456.96	$154,216.00	nat. median $190,559 0.8× median
2464 APR_DRG	Gastrointestinal Vascular Insufficiency	7	$74,726.50	$161,589.00	$152,442.00	nat. median $20,493 outlier · 7.4×
6034 APR_DRG	Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition	7	$74,341.00	$160,755.00	$151,656.00	nat. median $107,681 1.4× median
64 APR_DRG	Pancreas Transplant	7	$72,145.70	$156,008.00	$147,177.00	nat. median $91,106 1.6× median
5891 APR_DRG	Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…	7	$72,140.00	$155,996.00	$147,166.00	nat. median $93,998 1.6× median
5934 APR_DRG	Neonate Birthwt 750-999g Wo Major Procedure	7	$71,924.10	$155,529.00	$146,725.00	nat. median $151,838 1.0× median
5892 APR_DRG	Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…	7	$69,918.40	$151,192.00	$142,634.00	nat. median $89,188 1.6× median
1624 APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	7	$67,221.70	$145,360.00	$137,132.00	nat. median $80,771 1.7× median
6024 APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom	7	$66,118.50	$142,975.00	$134,882.00	nat. median $118,620 1.1× median
5893 APR_DRG	Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…	7	$65,581.90	$141,814.00	$133,787.00	nat. median $71,350 1.9× median
6214 APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	7	$62,787.00	$135,771.00	$128,086.00	nat. median $67,978 1.9× median
72 APR_DRG	Allogeneic Bone Marrow Transplant	7	$62,295.20	$134,707.00	$127,082.00	nat. median $66,446 1.9× median
1612 APR_DRG	Implantable Heart Assist Systems	7	$62,204.50	$134,511.00	$126,897.00	nat. median $84,880 1.5× median
113 APR_DRG	UnGrouped	7	$61,493.20	$132,973.00	$125,446.00	nat. median $67,735 1.9× median
8634 APR_DRG	Neonatal Aftercare	7	$60,539.40	$130,911.00	$123,500.00	nat. median $71,097 1.7× median

Other procedures at this hospital

Browse this hospital's 5,329 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	APR_DRG	Neonate W Ecmo	14	7	—	—	$270,103.00	$584,070.00	$551,009.00	2024-12-19
74	APR_DRG	Allogeneic Bone Marrow Transplant	14	7	—	—	$262,756.00	$568,184.00	$536,022.00	2024-12-19
5833	APR_DRG	Neonate W Ecmo	14	7	—	—	$228,713.00	$494,569.00	$466,574.00	2024-12-19
24	APR_DRG	Heart &or Lung Transplant	14	7	—	—	$220,015.00	$475,761.00	$448,831.00	2024-12-19
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	14	7	—	—	$170,971.00	$369,707.00	$348,780.00	2024-12-19
1614	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$166,024.00	$359,011.00	$338,689.00	2024-12-19
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$155,538.00	$336,336.00	$317,298.00	2024-12-19
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	121	28	—	$343,130.00	$3,310.00	$514,182.44	$299,565.00	2026-03-17
6304	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	14	7	—	—	$127,213.00	$275,086.00	$259,515.00	2024-12-19
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	14	7	—	—	$126,086.00	$272,649.00	$257,216.00	2024-12-19
5832	APR_DRG	Neonate W Ecmo	14	7	—	—	$113,962.00	$246,432.00	$232,483.00	2024-12-19
612	OTHER	UnGrouped	2	1	—	—	$226,148.00	$226,148.00	$226,148.00	2024-12-19
114	APR_DRG	UnGrouped	14	7	—	—	$108,215.00	$234,004.00	$220,758.00	2024-12-19
636	OTHER	UnGrouped	2	1	—	—	$207,520.00	$207,520.00	$207,520.00	2024-12-19
2004	APR_DRG	Cardiac Structural & Valvular Disorders	14	7	—	—	$100,561.00	$217,454.00	$205,145.00	2024-12-19
5831	APR_DRG	Neonate W Ecmo	14	7	—	—	$100,346.00	$216,989.00	$204,706.00	2024-12-19
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	109	28	—	$256,970.00	$3,310.00	$337,499.00	$202,955.00	2026-03-17
73	APR_DRG	Allogeneic Bone Marrow Transplant	14	7	—	—	$92,716.60	$200,490.00	$189,142.00	2024-12-19
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	14	7	—	—	$91,737.20	$198,373.00	$187,144.00	2024-12-19
633	OTHER	UnGrouped	2	1	—	—	$186,444.00	$186,444.00	$186,444.00	2024-12-19
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	14	7	—	—	$91,317.90	$197,466.00	$186,289.00	2024-12-19
44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	14	7	—	—	$91,081.80	$196,955.00	$185,807.00	2024-12-19
8414	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	14	7	—	—	$90,690.20	$196,109.00	$185,008.00	2024-12-19
6314	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	14	7	—	—	$89,784.40	$194,150.00	$183,160.00	2024-12-19
631	OTHER	UnGrouped	2	1	—	—	$181,628.00	$181,628.00	$181,628.00	2024-12-19
8504	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	14	7	—	—	$87,419.20	$189,035.00	$178,335.00	2024-12-19
5914	APR_DRG	Neonate Birthwt 500-749g Wo Major Procedure	14	7	—	—	$86,636.10	$187,342.00	$176,738.00	2024-12-19
1613	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$86,534.00	$187,121.00	$176,529.00	2024-12-19
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	14	7	—	—	$86,076.70	$186,132.00	$175,596.00	2024-12-19
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	112	28	—	$216,839.00	$3,310.00	$275,220.00	$166,800.00	2026-03-17
14	APR_DRG	Liver Transplant &or Intestinal Transplant	14	7	—	—	$78,813.30	$170,426.00	$160,779.00	2024-12-19
84	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	7	—	—	$78,497.60	$169,743.00	$160,135.00	2024-12-19
6814	APR_DRG	Other O.r. Procedures For Lymphatichematopoieticother Neoplasms	14	7	—	—	$77,102.80	$166,727.00	$157,290.00	2024-12-19
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	14	7	—	—	$77,059.80	$166,634.00	$157,202.00	2024-12-19
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$76,415.70	$165,241.00	$155,888.00	2024-12-19
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	121	28	—	$196,156.00	$3,310.00	$254,456.96	$154,216.00	2026-03-17
2464	APR_DRG	Gastrointestinal Vascular Insufficiency	14	7	—	—	$74,726.50	$161,589.00	$152,442.00	2024-12-19
6034	APR_DRG	Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition	14	7	—	—	$74,341.00	$160,755.00	$151,656.00	2024-12-19
64	APR_DRG	Pancreas Transplant	14	7	—	—	$72,145.70	$156,008.00	$147,177.00	2024-12-19
5891	APR_DRG	Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…	14	7	—	—	$72,140.00	$155,996.00	$147,166.00	2024-12-19
5934	APR_DRG	Neonate Birthwt 750-999g Wo Major Procedure	14	7	—	—	$71,924.10	$155,529.00	$146,725.00	2024-12-19
5892	APR_DRG	Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…	14	7	—	—	$69,918.40	$151,192.00	$142,634.00	2024-12-19
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	14	7	—	—	$67,221.70	$145,360.00	$137,132.00	2024-12-19
6024	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom	14	7	—	—	$66,118.50	$142,975.00	$134,882.00	2024-12-19
5893	APR_DRG	Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…	14	7	—	—	$65,581.90	$141,814.00	$133,787.00	2024-12-19
6214	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	14	7	—	—	$62,787.00	$135,771.00	$128,086.00	2024-12-19
72	APR_DRG	Allogeneic Bone Marrow Transplant	14	7	—	—	$62,295.20	$134,707.00	$127,082.00	2024-12-19
1612	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$62,204.50	$134,511.00	$126,897.00	2024-12-19
113	APR_DRG	UnGrouped	14	7	—	—	$61,493.20	$132,973.00	$125,446.00	2024-12-19
8634	APR_DRG	Neonatal Aftercare	14	7	—	—	$60,539.40	$130,911.00	$123,500.00	2024-12-19
6303	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	14	7	—	—	$59,958.00	$129,653.00	$122,314.00	2024-12-19
1611	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$58,995.30	$127,571.00	$120,350.00	2024-12-19
4404	APR_DRG	Kidney Transplant	14	7	—	—	$58,849.50	$127,256.00	$120,053.00	2024-12-19
54	APR_DRG	Tracheostomy W Mv 96+ Hours Wo Extensive Procedure	14	7	—	—	$58,580.70	$126,675.00	$119,505.00	2024-12-19
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	14	7	—	—	$58,560.70	$126,632.00	$119,464.00	2024-12-19
359	OTHER	UnGrouped	2	1	—	—	$116,935.00	$116,935.00	$116,935.00	2024-12-19
5913	APR_DRG	Neonate Birthwt 500-749g Wo Major Procedure	14	7	—	—	$57,049.70	$123,364.00	$116,381.00	2024-12-19
6804	APR_DRG	Major O.r. Procedures For Lymphatichematopoieticother Neoplasms	14	7	—	—	$57,049.70	$123,364.00	$116,381.00	2024-12-19
6084	APR_DRG	Neonate Bwt 1250-1499g W Or Wo Other Significant Condition	14	7	—	—	$56,887.90	$123,014.00	$116,051.00	2024-12-19
4414	APR_DRG	Major Bladder Procedures	14	7	—	—	$55,693.00	$120,430.00	$113,614.00	2024-12-19
23	APR_DRG	Heart &or Lung Transplant	14	7	—	—	$54,189.70	$117,180.00	$110,547.00	2024-12-19
83	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	7	—	—	$53,058.50	$114,734.00	$108,239.00	2024-12-19
681	OTHER	UnGrouped	2	1	—	—	$107,013.00	$107,013.00	$107,013.00	2024-12-19
1784	APR_DRG	External Heart Assist Systems	14	7	—	—	$52,162.70	$112,797.00	$106,412.00	2024-12-19
5933	APR_DRG	Neonate Birthwt 750-999g Wo Major Procedure	14	7	—	—	$51,369.60	$111,082.00	$104,794.00	2024-12-19
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	14	7	—	—	$51,310.60	$110,954.00	$104,674.00	2024-12-19
1674	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	14	7	—	—	$51,083.70	$110,463.00	$104,211.00	2024-12-19
6904	APR_DRG	Acute Leukemia	14	7	—	—	$50,624.90	$109,471.00	$103,275.00	2024-12-19
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	14	7	—	—	$50,314.80	$108,801.00	$102,642.00	2024-12-19
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$50,258.30	$108,678.00	$102,527.00	2024-12-19
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	121	28	—	$130,244.00	$3,310.00	$167,235.96	$101,355.00	2026-03-17
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$48,740.50	$105,396.00	$99,430.50	2024-12-19
6334	APR_DRG	Neonate Birthwt >2499g W Major Anomaly	14	7	—	—	$47,715.90	$103,181.00	$97,340.40	2024-12-19
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	7	—	—	$47,425.00	$102,552.00	$96,747.00	2024-12-19
5912	APR_DRG	Neonate Birthwt 500-749g Wo Major Procedure	14	7	—	—	$47,103.50	$101,857.00	$96,091.20	2024-12-19
6074	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom	14	7	—	—	$46,642.60	$100,860.00	$95,150.90	2024-12-19
63	APR_DRG	Pancreas Transplant	14	7	—	—	$46,623.40	$100,818.00	$95,111.80	2024-12-19
7	MS_DRG	Lung Transplant	109	28	—	$120,664.00	$3,310.00	$156,576.12	$94,894.60	2026-03-17
14	MS_DRG	Allogeneic Bone Marrow Transplant	109	28	—	$120,962.00	$3,310.00	$153,529.00	$93,047.90	2026-03-17
2204	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	14	7	—	—	$44,446.30	$96,110.60	$90,670.40	2024-12-19
6134	APR_DRG	Neonate Birthwt 1500-1999g W Congenitalperinatal Infection	14	7	—	—	$44,204.10	$95,586.90	$90,176.30	2024-12-19
4474	APR_DRG	Other Kidney, Urinary Tract & Related Procedures	14	7	—	—	$44,100.60	$95,363.10	$89,965.20	2024-12-19
22	APR_DRG	Heart &or Lung Transplant	14	7	—	—	$43,532.30	$94,134.30	$88,805.90	2024-12-19
234	APR_DRG	Spinal Procedures	14	7	—	—	$43,447.30	$93,950.50	$88,632.50	2024-12-19
635	OTHER	UnGrouped	2	1	—	—	$88,439.70	$88,439.70	$88,439.70	2024-12-19
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	14	7	—	—	$43,290.10	$93,610.60	$88,311.80	2024-12-19
112	APR_DRG	UnGrouped	14	7	—	—	$42,733.90	$92,407.80	$87,177.20	2024-12-19
6023	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom	14	7	—	—	$42,732.10	$92,404.00	$87,173.60	2024-12-19
53	APR_DRG	Tracheostomy W Mv 96+ Hours Wo Extensive Procedure	14	7	—	—	$42,199.40	$91,252.00	$86,086.80	2024-12-19
62	APR_DRG	Pancreas Transplant	14	7	—	—	$42,170.30	$91,188.90	$86,027.30	2024-12-19
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	7	—	—	$42,004.90	$90,831.40	$85,690.00	2024-12-19
61	APR_DRG	Pancreas Transplant	14	7	—	—	$41,625.80	$90,011.60	$84,916.60	2024-12-19
634	OTHER	UnGrouped	2	1	—	—	$83,944.40	$83,944.40	$83,944.40	2024-12-19
71	APR_DRG	Allogeneic Bone Marrow Transplant	14	7	—	—	$40,905.30	$88,453.60	$83,446.80	2024-12-19
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	109	28	—	$102,166.00	$3,310.00	$137,432.87	$83,292.60	2026-03-17
13	APR_DRG	Liver Transplant &or Intestinal Transplant	14	7	—	—	$40,606.60	$87,807.60	$82,837.40	2024-12-19
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	14	7	—	—	$40,558.60	$87,703.80	$82,739.40	2024-12-19
264	APR_DRG	Other Nervous System & Related Procedures	14	7	—	—	$40,534.00	$87,650.70	$82,689.40	2024-12-19
5932	APR_DRG	Neonate Birthwt 750-999g Wo Major Procedure	14	7	—	—	$40,359.00	$87,272.40	$82,332.40	2024-12-19
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	7	—	—	$40,119.70	$86,754.80	$81,844.20	2024-12-19
1824	APR_DRG	Other Peripheral Vascular And Related Procedures	14	7	—	—	$40,087.30	$86,684.90	$81,778.20	2024-12-19
1634	APR_DRG	Cardiac Valve Procedures Wo Ami Or Complex Pdx	14	7	—	—	$40,063.50	$86,633.40	$81,729.60	2024-12-19
7924	APR_DRG	Extensive Or Procedures For Other Complications Of Treatment	14	7	—	—	$39,407.70	$85,215.30	$80,391.80	2024-12-19
3044	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	14	7	—	—	$39,398.10	$85,194.50	$80,372.20	2024-12-19
613	OTHER	UnGrouped	2	1	—	—	$80,210.10	$80,210.10	$80,210.10	2024-12-19
2054	APR_DRG	Cardiomyopathy	14	7	—	—	$39,286.80	$84,953.80	$80,145.10	2024-12-19
6954	APR_DRG	Chemotherapy For Acute Leukemia	14	7	—	—	$39,236.30	$84,844.60	$80,042.10	2024-12-19
212	MS_DRG	Concomitant Aortic And Mitral Valveâ Procedures	112	28	—	$101,031.00	$3,310.00	$132,018.98	$80,011.50	2026-03-17
8413	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	14	7	—	—	$39,196.10	$84,757.70	$79,960.10	2024-12-19
52	APR_DRG	Tracheostomy W Mv 96+ Hours Wo Extensive Procedure	14	7	—	—	$38,537.50	$83,333.50	$78,616.50	2024-12-19
6514	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	14	7	—	—	$38,408.40	$83,054.40	$78,353.20	2024-12-19
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	14	7	—	—	$38,288.60	$82,795.20	$78,108.70	2024-12-19
6144	APR_DRG	Neonate Bwt 1500-1999g W Or Wo Other Significant Condition	14	7	—	—	$37,886.40	$81,925.50	$77,288.20	2024-12-19
1623	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	14	7	—	—	$37,822.00	$81,786.30	$77,156.90	2024-12-19
214	APR_DRG	Open Craniotomy Except Trauma	14	7	—	—	$37,732.40	$81,592.50	$76,974.10	2024-12-19
2304	APR_DRG	Major Small Bowel Procedures	14	7	—	—	$37,596.20	$81,298.00	$76,696.20	2024-12-19
224	APR_DRG	Ventricular Shunt Procedures	14	7	—	—	$37,447.90	$80,977.30	$76,393.70	2024-12-19
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	109	28	—	$98,824.00	$3,310.00	$125,431.00	$76,018.50	2026-03-17
4424	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	14	7	—	—	$37,242.70	$80,533.60	$75,975.10	2024-12-19
215	MS_DRG	Other Heart Assist System Implant	126	28	—	$98,331.00	$3,310.00	$124,805.00	$75,639.76	2026-03-17
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	14	7	—	—	$37,014.00	$80,039.10	$75,508.60	2024-12-19
9114	APR_DRG	Extensive Abdominalthoracic Procedures For Mult Significant Trauma	14	7	—	—	$36,675.80	$79,307.80	$74,818.60	2024-12-19
426	MS_DRG	UnGrouped	74	26	—	$97,253.00	$12,392.10	$123,437.00	$74,810.30	2024-12-19
4403	APR_DRG	Kidney Transplant	14	7	—	—	$36,018.60	$77,886.60	$73,478.00	2024-12-19
3154	APR_DRG	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	14	7	—	—	$36,016.10	$77,881.30	$73,472.90	2024-12-19
1694	APR_DRG	Major Abdominal Vascular Procedures	14	7	—	—	$35,893.80	$77,616.70	$73,223.30	2024-12-19
1204	APR_DRG	Major Respiratory & Chest Procedures	14	7	—	—	$35,748.00	$77,301.40	$72,925.90	2024-12-19
4834	APR_DRG	Penis, Testes & Scrotal Procedures	14	7	—	—	$35,612.10	$77,007.70	$72,648.80	2024-12-19
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	125	28	—	$89,812.00	$48,778.00	$119,110.53	$72,188.20	2026-03-17
894	APR_DRG	Major Cranialfacial Bone Procedures	14	7	—	—	$35,230.20	$76,181.80	$71,869.60	2024-12-19
9124	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	14	7	—	—	$35,183.60	$76,081.00	$71,774.50	2024-12-19
1304	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	14	7	—	—	$35,174.70	$76,061.80	$71,756.40	2024-12-19
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	14	7	—	—	$34,650.90	$74,929.00	$70,687.80	2024-12-19
5911	APR_DRG	Neonate Birthwt 500-749g Wo Major Procedure	14	7	—	—	$33,962.00	$73,439.50	$69,282.50	2024-12-19
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	14	7	—	—	$33,776.70	$73,038.80	$68,904.60	2024-12-19
21	APR_DRG	Heart &or Lung Transplant	14	7	—	—	$33,718.80	$72,913.50	$68,786.30	2024-12-19
1783	APR_DRG	External Heart Assist Systems	14	7	—	—	$33,381.30	$72,183.70	$68,097.80	2024-12-19
1214	APR_DRG	Other Respiratory & Chest Procedures	14	7	—	—	$33,362.10	$72,142.20	$68,058.60	2024-12-19
6313	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	14	7	—	—	$33,240.10	$71,878.40	$67,809.80	2024-12-19
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	16	3	—	—	$65,000.00	$90,902.60	$67,600.50	2026-03-17
632	OTHER	UnGrouped	2	1	—	—	$67,414.20	$67,414.20	$67,414.20	2024-12-19
6254	APR_DRG	Neonate Bwt 2000-2499g W Other Significant Condition	14	7	—	—	$32,971.60	$71,297.80	$67,262.10	2024-12-19
6124	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond	14	7	—	—	$32,876.70	$71,092.50	$67,068.40	2024-12-19
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	14	7	—	—	$32,564.80	$70,418.00	$66,432.10	2024-12-19
2244	APR_DRG	Peritoneal Adhesiolysis	14	7	—	—	$32,512.80	$70,305.80	$66,326.20	2024-12-19
850	MS_DRG	UnGrouped	72	25	—	$85,847.00	$59,432.90	$108,960.00	$66,036.60	2024-12-19
6022	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom	14	7	—	—	$32,286.30	$69,815.90	$65,864.10	2024-12-19
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	14	7	—	—	$32,196.00	$69,620.60	$65,679.80	2024-12-19
914	APR_DRG	Other Major Head & Neck Procedures	14	7	—	—	$32,022.80	$69,246.10	$65,326.50	2024-12-19
204	APR_DRG	Open Craniotomy For Trauma	14	7	—	—	$31,696.00	$68,539.40	$64,659.80	2024-12-19
51	APR_DRG	Tracheostomy W Mv 96+ Hours Wo Extensive Procedure	14	7	—	—	$31,480.50	$68,073.40	$64,220.10	2024-12-19
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	14	7	—	—	$31,420.00	$67,942.60	$64,096.80	2024-12-19
12	APR_DRG	Liver Transplant &or Intestinal Transplant	14	7	—	—	$31,189.50	$67,444.30	$63,626.70	2024-12-19
1814	APR_DRG	Lower Extremity Arterial Procedures	14	7	—	—	$31,176.80	$67,416.60	$63,600.60	2024-12-19
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral & Umbilical	14	7	—	—	$31,081.40	$67,210.50	$63,406.10	2024-12-19
6604	APR_DRG	Major Hematologicimmunologic Diag Exc Sickle Cell Crisis & Coagul	14	7	—	—	$30,979.40	$66,989.80	$63,197.90	2024-12-19
6234	APR_DRG	Neonate Bwt 2000-2499g W Congenitalperinatal Infection	14	7	—	—	$30,973.00	$66,976.00	$63,184.90	2024-12-19
8424	APR_DRG	Burns With Skin Graft Except Extensive 3rd Degree Burns	14	7	—	—	$30,938.10	$66,900.60	$63,113.80	2024-12-19
231	MS_DRG	Coronary Bypass With Ptca With Mcc	125	28	—	$79,185.00	$48,778.00	$103,107.74	$62,489.50	2026-03-17
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	120	28	—	$79,143.00	$49,915.20	$102,794.29	$62,299.60	2026-03-17
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	14	7	—	—	$30,149.30	$65,194.90	$61,504.70	2024-12-19
222	MS_DRG	UnGrouped	12	2	—	—	$48,778.00	$67,579.30	$61,372.95	2024-12-19
11	APR_DRG	Liver Transplant &or Intestinal Transplant	14	7	—	—	$30,018.50	$64,912.00	$61,237.70	2024-12-19
2614	APR_DRG	Major Biliary Tract Procedures	14	7	—	—	$29,671.00	$64,160.60	$60,528.90	2024-12-19
6073	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom	14	7	—	—	$29,565.00	$63,931.50	$60,312.70	2024-12-19
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	14	7	—	—	$29,408.90	$63,593.90	$59,994.20	2024-12-19
429	MS_DRG	UnGrouped	72	25	—	$77,982.00	$53,987.70	$98,977.40	$59,986.30	2024-12-19
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	7	—	—	$29,293.70	$63,344.70	$59,759.20	2024-12-19
3032	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	7	—	—	$29,108.80	$62,944.80	$59,381.90	2024-12-19
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	126	28	—	$75,459.00	$3,310.00	$114,360.00	$59,126.97	2026-03-17
504	APR_DRG	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	14	7	—	—	$28,814.70	$62,308.90	$58,781.90	2024-12-19
1782	APR_DRG	External Heart Assist Systems	14	7	—	—	$28,650.00	$61,952.80	$58,446.00	2024-12-19
7104	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	14	7	—	—	$28,601.30	$61,847.40	$58,346.70	2024-12-19
6033	APR_DRG	Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition	14	7	—	—	$28,350.20	$61,304.50	$57,834.50	2024-12-19
1622	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	14	7	—	—	$28,242.10	$61,070.80	$57,613.90	2024-12-19
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	125	28	—	$72,537.00	$48,778.00	$94,217.44	$57,472.30	2026-03-17
10	MS_DRG	Pancreas Transplant	109	28	—	$74,663.00	$3,310.00	$94,765.60	$57,433.70	2026-03-17
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	74	26	—	$74,251.00	$51,404.70	$94,241.90	$57,116.30	2024-12-19
2234	APR_DRG	Other Small & Large Bowel Procedures	14	7	—	—	$27,916.40	$60,366.30	$56,949.40	2024-12-19
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	125	28	—	$73,250.00	$48,778.00	$93,825.93	$56,864.20	2026-03-17
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	121	28	—	$70,070.00	$3,310.00	$93,526.67	$56,682.80	2026-03-17
6914	APR_DRG	Lymphoma, Myeloma & Non-acute Leukemia	14	7	—	—	$27,744.60	$59,994.90	$56,599.00	2024-12-19
82	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	7	—	—	$27,619.80	$59,725.00	$56,344.30	2024-12-19
6944	APR_DRG	Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior	14	7	—	—	$27,463.70	$59,387.40	$56,025.80	2024-12-19
7234	APR_DRG	Viral Illness	14	7	—	—	$27,426.30	$59,306.70	$55,949.70	2024-12-19
924	APR_DRG	Facial Bone Procedures Except Major Cranialfacial Bone Procedures	14	7	—	—	$27,131.50	$58,669.20	$55,348.30	2024-12-19
1633	APR_DRG	Cardiac Valve Procedures Wo Ami Or Complex Pdx	14	7	—	—	$26,831.70	$58,020.90	$54,736.70	2024-12-19
1664	APR_DRG	Coronary Bypass Wo Ami Or Complex Pdx	14	7	—	—	$26,778.70	$57,906.30	$54,628.60	2024-12-19
361	OTHER	UnGrouped	2	1	—	—	$54,613.50	$54,613.50	$54,613.50	2024-12-19
647	OTHER	UnGrouped	2	1	—	—	$54,220.40	$54,220.40	$54,220.40	2024-12-19
6614	APR_DRG	Coagulation & Platelet Disorders	14	7	—	—	$26,535.50	$57,380.30	$54,132.30	2024-12-19
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	16	3	—	—	$41,596.70	$65,000.00	$54,022.70	2026-03-17
224	MS_DRG	UnGrouped	12	2	—	—	$48,778.00	$59,081.70	$53,655.75	2024-12-19
1781	APR_DRG	External Heart Assist Systems	14	7	—	—	$26,263.00	$56,791.20	$53,576.60	2024-12-19
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc	112	28	—	$62,981.00	$3,310.00	$88,236.95	$53,476.90	2026-03-17
923	APR_DRG	Facial Bone Procedures Except Major Cranialfacial Bone Procedures	14	7	—	—	$26,169.20	$56,588.20	$53,385.10	2024-12-19
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	38	27	—	$53,203.00	$3,310.00	$87,786.29	$53,203.81	2026-03-17
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	111	28	—	$66,485.00	$42,514.10	$87,736.61	$53,173.70	2026-03-17
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	14	7	—	—	$26,014.80	$56,254.50	$53,070.30	2024-12-19
360	OTHER	UnGrouped	2	1	—	—	$52,817.70	$52,817.70	$52,817.70	2024-12-19
5134	APR_DRG	Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma	14	7	—	—	$25,646.00	$55,457.00	$52,317.90	2024-12-19
1794	APR_DRG	Defibrillator Implants	14	7	—	—	$25,630.40	$55,423.20	$52,286.00	2024-12-19
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	14	7	—	—	$25,595.50	$55,347.80	$52,214.90	2024-12-19
8412	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	14	7	—	—	$25,471.10	$55,078.60	$51,961.00	2024-12-19
1714	APR_DRG	Perm Cardiac Pacemaker Implant Wo Ami, Heart Failure Or Shock	14	7	—	—	$25,336.30	$54,787.20	$51,686.00	2024-12-19
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	121	28	—	$65,487.00	$3,310.00	$85,150.91	$51,606.60	2026-03-17
8411	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	14	7	—	—	$25,273.00	$54,650.30	$51,556.90	2024-12-19
427	MS_DRG	UnGrouped	74	26	—	$66,807.00	$11,928.10	$84,794.00	$51,390.30	2024-12-19
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	120	28	—	$62,879.00	$13,249.70	$84,749.92	$51,363.60	2026-03-17
2644	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	14	7	—	—	$25,140.00	$54,362.70	$51,285.60	2024-12-19
1621	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	14	7	—	—	$25,058.90	$54,187.40	$51,120.20	2024-12-19
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	14	7	—	—	$24,789.30	$53,604.50	$50,570.30	2024-12-19
7404	APR_DRG	Mental Illness Diagnosis W O.r. Procedure	14	7	—	—	$24,764.80	$53,551.40	$50,520.20	2024-12-19
4013	APR_DRG	Adrenal Procedures	14	7	—	—	$24,672.00	$53,350.70	$50,330.80	2024-12-19
3043	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	14	7	—	—	$24,669.50	$53,345.30	$50,325.80	2024-12-19
955	MS_DRG	Craniotomy For Multiple Significant Trauma	121	28	—	$64,330.00	$3,310.00	$102,581.00	$50,311.21	2026-03-17
3104	APR_DRG	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	14	7	—	—	$24,408.10	$52,780.10	$49,792.50	2024-12-19
2334	APR_DRG	Appendectomy With Complex Principal Diagnosis	14	7	—	—	$24,391.40	$52,743.90	$49,758.40	2024-12-19
5114	APR_DRG	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	14	7	—	—	$24,356.20	$52,667.80	$49,686.60	2024-12-19
111	APR_DRG	UnGrouped	14	7	—	—	$24,302.50	$52,551.70	$49,577.10	2024-12-19
6344	APR_DRG	Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond	14	7	—	—	$24,266.60	$52,474.00	$49,503.80	2024-12-19
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	16	3	—	—	$44,046.60	$65,000.00	$49,349.15	2026-03-17
4804	APR_DRG	Major Male Pelvic Procedures	14	7	—	—	$24,163.80	$52,251.80	$49,294.10	2024-12-19
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	125	28	—	$60,986.00	$42,221.60	$81,382.00	$49,194.30	2026-03-17
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	120	28	—	$58,281.00	$39,995.90	$80,887.92	$49,023.00	2026-03-17
7114	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	14	7	—	—	$24,019.40	$51,939.60	$48,999.60	2024-12-19
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	14	7	—	—	$23,956.80	$51,804.20	$48,871.90	2024-12-19
226	MS_DRG	UnGrouped	12	2	—	—	$47,757.00	$53,059.70	$48,778.00	2024-12-19
230	MS_DRG	UnGrouped	4	1	—	—	$48,778.00	$48,778.00	$48,778.00	2024-12-19
223	MS_DRG	UnGrouped	12	2	—	—	$44,870.00	$49,852.10	$48,778.00	2024-12-19
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	125	28	—	$56,395.00	$37,149.30	$81,170.61	$48,778.00	2026-03-17
1303	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	14	7	—	—	$23,883.90	$51,646.60	$48,723.20	2024-12-19
3464	APR_DRG	Connective Tissue Disorders	14	7	—	—	$23,877.90	$51,633.50	$48,710.80	2024-12-19
447	MS_DRG	UnGrouped	72	25	—	$63,214.00	$43,764.00	$80,233.90	$48,626.60	2024-12-19
646	OTHER	UnGrouped	2	1	—	—	$48,625.00	$48,625.00	$48,625.00	2024-12-19
4044	APR_DRG	Thyroid, Parathyroid & Thyroglossal Procedures	14	7	—	—	$23,803.20	$51,472.00	$48,558.50	2024-12-19
4434	APR_DRG	Kidney & Urinary Tract Procedures For Nonmalignancy	14	7	—	—	$23,623.20	$51,082.90	$48,191.40	2024-12-19
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	121	28	—	$61,070.00	$3,310.00	$79,507.53	$48,186.40	2026-03-17
1804	APR_DRG	Other Circulatory System Procedures	14	7	—	—	$23,611.50	$51,057.50	$48,167.50	2024-12-19
294	APR_DRG	Other Percutaneous Intracranial Procedures	14	7	—	—	$23,593.70	$51,019.10	$48,131.20	2024-12-19
734	APR_DRG	Orbit And Eye Procedures	14	7	—	—	$23,546.40	$50,916.80	$48,034.70	2024-12-19
4684	APR_DRG	Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms	14	7	—	—	$23,427.60	$50,659.90	$47,792.40	2024-12-19
3134	APR_DRG	Knee & Lower Leg Procedures Except Foot	14	7	—	—	$23,361.80	$50,517.70	$47,658.20	2024-12-19
4402	APR_DRG	Kidney Transplant	14	7	—	—	$23,166.60	$50,095.50	$47,259.90	2024-12-19
8154	APR_DRG	Other Injury, Poisoning & Toxic Effect Diagnoses	14	7	—	—	$23,153.80	$50,067.80	$47,233.80	2024-12-19
81	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	7	—	—	$23,133.20	$50,023.20	$47,191.70	2024-12-19
913	APR_DRG	Other Major Head & Neck Procedures	14	7	—	—	$22,976.00	$49,683.30	$46,871.00	2024-12-19
1754	APR_DRG	Percutaneous Coronary Intervention Wo Ami	14	7	—	—	$22,939.40	$49,604.10	$46,796.30	2024-12-19
6924	APR_DRG	Radiotherapy	14	7	—	—	$22,923.40	$49,569.50	$46,763.70	2024-12-19
984	APR_DRG	Other Ear, Nose, Mouth & Throat Procedures	14	7	—	—	$22,893.50	$49,504.90	$46,702.70	2024-12-19
2314	APR_DRG	Major Large Bowel Procedures	14	7	—	—	$22,806.40	$49,316.50	$46,525.00	2024-12-19
1653	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	14	7	—	—	$22,782.20	$49,264.20	$46,475.70	2024-12-19
8104	APR_DRG	Hemorrhage Or Hematoma Due To Complication	14	7	—	—	$22,773.30	$49,245.00	$46,457.50	2024-12-19
6032	APR_DRG	Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition	14	7	—	—	$22,708.90	$49,105.80	$46,326.20	2024-12-19
1602	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	14	7	—	—	$22,626.80	$48,928.10	$46,158.60	2024-12-19
4844	APR_DRG	Other Male Reproductive System & Related Procedures	14	7	—	—	$22,564.20	$48,792.80	$46,030.90	2024-12-19
6083	APR_DRG	Neonate Bwt 1250-1499g W Or Wo Other Significant Condition	14	7	—	—	$22,546.00	$48,753.60	$45,993.90	2024-12-19
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	120	28	—	$56,770.00	$36,884.60	$75,884.46	$45,990.60	2026-03-17
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	121	28	—	$59,780.00	$3,310.00	$75,875.50	$45,985.10	2026-03-17
494	APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	14	7	—	—	$22,503.40	$48,661.30	$45,906.90	2024-12-19
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	125	28	—	$57,834.00	$40,039.20	$75,106.14	$45,822.60	2026-03-17
1704	APR_DRG	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	14	7	—	—	$22,369.70	$48,372.10	$45,634.10	2024-12-19
6903	APR_DRG	Acute Leukemia	14	7	—	—	$22,282.20	$48,183.00	$45,455.60	2024-12-19
1673	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	14	7	—	—	$22,189.70	$47,983.00	$45,267.00	2024-12-19
4054	APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	14	7	—	—	$22,142.40	$47,880.70	$45,170.50	2024-12-19
225	MS_DRG	UnGrouped	12	2	—	—	$40,642.40	$48,778.00	$45,155.10	2024-12-19
28	MS_DRG	Spinal Procedures With Mcc	126	28	—	$57,570.00	$3,310.00	$74,463.86	$45,129.61	2026-03-17
276	MS_DRG	Cardiac Defibrillator Implant With Mcc	111	28	—	$58,608.00	$32,662.40	$74,443.74	$45,117.40	2026-03-17
317	MS_DRG	UnGrouped	74	26	—	$58,535.00	$40,524.80	$74,295.50	$45,027.60	2024-12-19
4014	APR_DRG	Adrenal Procedures	14	7	—	—	$22,062.70	$47,708.50	$45,008.00	2024-12-19
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	14	7	—	—	$22,016.50	$47,608.50	$44,913.70	2024-12-19
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	120	28	—	$54,500.00	$37,731.20	$73,929.21	$44,805.60	2026-03-17
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	121	28	—	$58,087.00	$3,310.00	$73,726.00	$44,682.40	2026-03-17
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	38	27	—	$44,665.00	$3,310.00	$73,697.37	$44,665.10	2026-03-17
16	MS_DRG	Autologous Bone Marrow Transplant With Ccmcc	109	28	—	$57,177.00	$3,310.00	$73,534.13	$44,566.10	2026-03-17
L8614	HCPCS	Hc (sup Shell L8614) Cochlear Device	22	11	—	—	$19,316.00	$67,703.40	$44,426.80	2024-12-19
6613	APR_DRG	Coagulation & Platelet Disorders	14	7	—	—	$21,756.20	$47,045.60	$44,382.60	2024-12-19
274	APR_DRG	Other Open Craniotomy	14	7	—	—	$21,730.20	$46,989.40	$44,329.70	2024-12-19
4401	APR_DRG	Kidney Transplant	14	7	—	—	$21,716.00	$46,958.70	$44,300.70	2024-12-19
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	125	28	—	$55,807.00	$38,636.20	$72,811.41	$44,216.90	2026-03-17
6302	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	14	7	—	—	$21,642.80	$46,800.30	$44,151.20	2024-12-19
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	121	28	—	$55,249.00	$3,310.00	$72,766.47	$44,100.90	2026-03-17
213	APR_DRG	Open Craniotomy Except Trauma	14	7	—	—	$21,595.10	$46,697.20	$44,054.00	2024-12-19
17	MS_DRG	Autologous Bone Marrow Transplant Without Ccmcc	109	28	—	$57,177.00	$3,310.00	$72,571.10	$43,982.50	2026-03-17
7934	APR_DRG	Moderately Extensive Or Procedures For Other Complications Of Treatment	14	7	—	—	$21,457.80	$46,400.40	$43,773.90	2024-12-19
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	14	7	—	—	$21,450.70	$46,385.00	$43,759.40	2024-12-19
3031	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	7	—	—	$21,443.60	$46,369.60	$43,744.90	2024-12-19
244	APR_DRG	Open Extracranial Vascular Procedures	14	7	—	—	$21,407.00	$46,290.40	$43,670.20	2024-12-19
1801	APR_DRG	Other Circulatory System Procedures	14	7	—	—	$21,391.30	$46,256.60	$43,638.30	2024-12-19
3084	APR_DRG	Hip & Femur Fracture Repair	14	7	—	—	$21,319.50	$46,101.20	$43,491.70	2024-12-19
6072	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom	14	7	—	—	$21,270.80	$45,995.90	$43,392.30	2024-12-19
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	72	26	—	$56,354.00	$5,685.95	$71,527.30	$43,349.90	2024-12-19
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	14	7	—	—	$21,156.60	$45,749.10	$43,159.50	2024-12-19
233	APR_DRG	Spinal Procedures	14	7	—	—	$21,151.60	$45,738.30	$43,149.30	2024-12-19
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	121	28	—	$54,191.00	$3,310.00	$71,175.52	$43,136.70	2026-03-17
2224	APR_DRG	Other Stomach, Esophageal & Duodenal Procedures	14	7	—	—	$21,138.10	$45,709.10	$43,121.70	2024-12-19
5124	APR_DRG	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	14	7	—	—	$21,113.20	$45,655.20	$43,071.00	2024-12-19
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	121	28	—	$51,445.00	$3,310.00	$70,811.22	$42,915.90	2026-03-17
4012	APR_DRG	Adrenal Procedures	14	7	—	—	$21,024.30	$45,463.00	$42,889.60	2024-12-19
433	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	14	7	—	—	$20,939.70	$45,279.90	$42,716.90	2024-12-19

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