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 LUKES HEALTH MEMORIAL LIVINGSTON

Livingston, TX · CCN 450395 · Rates published

29,661 distinct procedures filed
44 distinct payers
747,444 rate rows
2026-07-31 last MRF observed
Data quality

732,820 of 747,444 rate rows are consumer-grade (98.0%)

14,624 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,575
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,225
placeholder amount (≤ $0.02) — excluded from medians 1,183
template filing: same amount across many unrelated codes — excluded 389
per-diem day rate — not a per-procedure price 192
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 53
exceeds 10× this hospital's gross charge — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/760436439-1689650616_memorial-hospital-of-polk-county_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-memorial-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12

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 With Ecmo 12 $905,532.00 $950,808.60 $905,532.00 nat. median
$311,018
outlier · 2.9×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $880,902.00 $924,947.10 $880,902.00 nat. median
$175,480
outlier · 5.0×
5833
APR_DRG 		Neonate With Ecmo 12 $766,771.00 $805,109.55 $766,771.00 nat. median
$250,089
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 12 $737,612.00 $774,492.60 $737,612.00 nat. median
$243,231
outlier · 3.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $573,187.00 $601,846.35 $573,187.00 nat. median
$254,667
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 12 $556,604.00 $584,434.20 $556,604.00 nat. median
$209,486
outlier · 2.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 12 $521,450.00 $547,522.50 $521,450.00 nat. median
$165,599
outlier · 3.1×
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $485,623.83 $509,905.02 $485,623.83 nat. median
$247,377
2.0× median
5834
OTHER 		Neonate With Ecmo 7 $481,465.51 $505,538.79 $481,465.51 nat. median
$376,382
1.3× median
1794
OTHER 		Defibrillator Implants 1 $435,050.21 $435,050.21 $435,050.21 nat. median
$47,555
outlier · 9.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 $426,489.00 $447,813.45 $426,489.00 nat. median
$160,171
outlier · 2.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 $422,710.00 $443,845.50 $422,710.00 nat. median
$168,174
outlier · 2.5×
1614
OTHER 		Implantable Heart Assist Systems 7 $422,378.84 $443,497.78 $422,378.84 nat. median
$189,554
outlier · 2.2×
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $416,985.25 $437,834.51 $416,985.25 nat. median
$177,388
outlier · 2.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $200,029.00 $970,224.09 $404,260.04 nat. median
$370,165
1.1× median
5832
APR_DRG 		Neonate With Ecmo 12 $382,064.00 $401,167.20 $382,064.00 nat. median
$169,230
outlier · 2.3×
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $374,148.73 $392,856.17 $374,148.73 nat. median
$167,487
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $149,405.00 $727,912.26 $363,956.13 nat. median
$261,939
1.4× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 12 $337,137.00 $353,993.85 $337,137.00 nat. median
$28,828
outlier · 11.7×
5831
APR_DRG 		Neonate With Ecmo 12 $336,415.00 $353,235.75 $336,415.00 nat. median
$154,685
outlier · 2.2×
6303
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $334,479.59 $351,203.57 $334,479.59 nat. median
$90,458
outlier · 3.7×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $333,533.90 $350,210.60 $333,533.90 nat. median
$83,980
outlier · 4.0×
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $327,852.23 $344,244.84 $327,852.23 nat. median
$151,842
outlier · 2.2×
5833
OTHER 		Neonate With Ecmo 7 $323,810.05 $340,000.55 $323,810.05 nat. median
$246,994
1.3× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $310,837.00 $326,378.85 $310,837.00 nat. median
$89,814
outlier · 3.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $307,553.00 $322,930.65 $307,553.00 nat. median
$180,995
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $125,826.00 $615,051.72 $307,525.86 nat. median
$205,166
1.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $306,148.00 $321,455.40 $306,148.00 nat. median
$147,847
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 12 $305,356.00 $320,623.80 $305,356.00 nat. median
$127,600
outlier · 2.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 12 $304,043.00 $319,245.15 $304,043.00 nat. median
$165,646
1.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 $301,006.00 $316,056.30 $301,006.00 nat. median
$147,677
outlier · 2.0×
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 7 $296,433.35 $311,255.02 $296,433.35 nat. median
$140,709
outlier · 2.1×
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $293,103.08 $307,758.23 $293,103.08 nat. median
$168,056
1.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 12 $293,077.00 $307,730.85 $293,077.00 nat. median
$67,813
outlier · 4.3×
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $291,365.55 $305,933.83 $291,365.55 nat. median
$75,507
outlier · 3.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 12 $290,451.00 $304,973.55 $290,451.00 nat. median
$168,361
1.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 12 $290,109.00 $304,614.45 $290,109.00 nat. median
$127,938
outlier · 2.3×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $288,576.00 $303,004.80 $288,576.00 nat. median
$120,928
outlier · 2.4×
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $286,125.80 $300,432.09 $286,125.80 nat. median
$159,704
1.8× median
14
OTHER 		Liver Transplant And/or Intestinal Transplant 13 $80,765.50 $298,150.00 $283,952.38 nat. median
$114,463
outlier · 2.5×
J1932
HCPCS 		Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 9 $61,943.41 $398,207.59 $269,896.26 nat. median
$104
outlier · 2584.7×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 12 $264,225.00 $277,436.25 $264,225.00 nat. median
$137,901
1.9× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 $263,167.00 $276,325.35 $263,167.00 nat. median
$79,228
outlier · 3.3×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 12 $258,491.00 $271,415.55 $258,491.00 nat. median
$69,072
outlier · 3.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 12 $258,346.00 $271,263.30 $258,346.00 nat. median
$101,315
outlier · 2.5×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 12 $256,187.00 $268,996.35 $256,187.00 nat. median
$80,413
outlier · 3.2×
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $253,833.63 $266,525.31 $253,833.63 nat. median
$167,902
1.5× median
5832
OTHER 		Neonate With Ecmo 7 $250,722.06 $263,258.16 $250,722.06 nat. median
$184,745
1.4× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 12 $250,524.00 $263,050.20 $250,524.00 nat. median
$20,493
outlier · 12.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 $249,232.00 $261,693.60 $249,232.00 nat. median
$109,499
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 29,661 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 — — $149,405.00 $727,912.26 $363,956.13 2026-02-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $180,940.27 $257,008.22 $190,463.44 2026-07-31
10 MS_DRG Pancreas Transplant 25 19 — — $42,289.00 $215,202.27 $107,601.14 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 23 12 — — $100,638.00 $105,669.90 $100,638.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 23 12 — — $104,564.00 $109,792.20 $104,564.00 2026-02-28
1204 OTHER Major Respiratory And Chest Procedures 7 7 — — $132,835.29 $139,477.05 $132,835.29 2026-07-31
1204 APR_DRG Major Respiratory And Chest Procedures 23 12 — — $119,847.00 $125,839.35 $119,847.00 2026-02-28
1214 OTHER Other Respiratory And Chest Procedures 7 7 — — $117,078.34 $122,932.26 $117,078.34 2026-07-31
1214 APR_DRG Other Respiratory And Chest Procedures 23 12 — — $111,848.00 $117,440.40 $111,848.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 23 12 — — $136,135.00 $142,941.75 $136,135.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 23 12 — — $117,925.00 $123,821.25 $117,925.00 2026-02-28
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $108,461.56 $113,884.64 $108,461.56 2026-07-31
14 OTHER Liver Transplant And/or Intestinal Transplant 13 13 — — $80,765.50 $298,150.00 $283,952.38 2026-07-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 23 12 — — $264,225.00 $277,436.25 $264,225.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 25 19 — — $69,492.00 $345,410.13 $172,705.07 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 23 12 — — $109,175.00 $114,633.75 $109,175.00 2026-02-28
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $104,363.58 $109,581.76 $104,363.58 2026-07-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 23 12 — — $258,346.00 $271,263.30 $258,346.00 2026-02-28
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $229,024.02 $240,475.22 $229,024.02 2026-07-31
1611 APR_DRG Implantable Heart Assist Systems 23 12 — — $197,785.00 $207,674.25 $197,785.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 23 12 — — $208,543.00 $218,970.15 $208,543.00 2026-02-28
1612 OTHER Implantable Heart Assist Systems 7 7 — — $99,144.95 $104,102.20 $99,144.95 2026-07-31
1613 APR_DRG Implantable Heart Assist Systems 23 12 — — $290,109.00 $304,614.45 $290,109.00 2026-02-28
1613 OTHER Implantable Heart Assist Systems 7 7 — — $146,667.68 $154,001.06 $146,667.68 2026-07-31
1614 APR_DRG Implantable Heart Assist Systems 23 12 — — $556,604.00 $584,434.20 $556,604.00 2026-02-28
1614 OTHER Implantable Heart Assist Systems 7 7 — — $422,378.84 $443,497.78 $422,378.84 2026-07-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 23 12 — — $126,800.00 $133,140.00 $126,800.00 2026-02-28
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $108,114.66 $113,520.39 $108,114.66 2026-07-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 23 12 — — $225,364.00 $236,632.20 $225,364.00 2026-02-28
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $224,411.71 $235,632.30 $224,411.71 2026-07-31
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $188,229.70 $197,641.19 $188,229.70 2026-07-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 23 12 — — $134,315.00 $141,030.75 $134,315.00 2026-02-28
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $103,141.88 $108,298.97 $103,141.88 2026-07-31
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $132,263.65 $138,876.83 $132,263.65 2026-07-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 23 12 — — $116,169.00 $121,977.45 $116,169.00 2026-02-28
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $126,934.92 $133,281.67 $126,934.92 2026-07-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 23 12 — — $171,260.00 $179,823.00 $171,260.00 2026-02-28
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $168,172.66 $176,581.29 $168,172.66 2026-07-31
1694 OTHER Major Abdominal Vascular Procedures 7 7 — — $152,507.72 $160,133.11 $152,507.72 2026-07-31
1694 APR_DRG Major Abdominal Vascular Procedures 23 12 — — $120,336.00 $126,352.80 $120,336.00 2026-02-28
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $118,180.89 $124,089.93 $118,180.89 2026-07-31
1774 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 7 7 — — $98,559.74 $103,487.73 $98,559.74 2026-07-31
1782 OTHER External Heart Assist Systems 1 1 — — $98,925.26 $98,925.26 $98,925.26 2026-07-31
1783 APR_DRG External Heart Assist Systems 23 12 — — $111,912.00 $117,507.60 $111,912.00 2026-02-28
1783 OTHER External Heart Assist Systems 1 1 — — $99,223.53 $99,223.53 $99,223.53 2026-07-31
1784 OTHER External Heart Assist Systems 1 1 — — $193,876.59 $193,876.59 $193,876.59 2026-07-31
1784 APR_DRG External Heart Assist Systems 23 12 — — $174,878.00 $183,621.90 $174,878.00 2026-02-28
1792 OTHER Defibrillator Implants 1 1 — — $102,119.30 $102,119.30 $102,119.30 2026-07-31
1793 OTHER Defibrillator Implants 1 1 — — $151,067.71 $151,067.71 $151,067.71 2026-07-31
1794 OTHER Defibrillator Implants 1 1 — — $435,050.21 $435,050.21 $435,050.21 2026-07-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 18 — — $200,029.00 $970,224.09 $404,260.04 2026-02-28
18 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 6 — — $232,703.29 $331,220.22 $244,950.83 2026-07-31
1814 APR_DRG Lower Extremity Arterial Procedures 23 12 — — $104,522.00 $109,748.10 $104,522.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 23 12 — — $134,395.00 $141,114.75 $134,395.00 2026-02-28
1832 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $98,925.26 $98,925.26 $98,925.26 2026-07-31
1833 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $99,223.53 $99,223.53 $99,223.53 2026-07-31
1833 APR_DRG Percutaneous Structural Cardiac Procedures 23 12 — — $98,595.00 $103,524.75 $98,595.00 2026-02-28
1834 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $193,876.59 $193,876.59 $193,876.59 2026-07-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 23 12 — — $101,077.00 $106,130.85 $101,077.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 19 — — $42,046.00 $214,042.05 $107,021.03 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 19 — — $58,448.00 $292,550.64 $146,275.32 2026-02-28
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $100,274.04 $141,355.76 $105,551.62 2026-07-31
2004 APR_DRG Cardiac Structural And Valvular Disorders 23 12 — — $337,137.00 $353,993.85 $337,137.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 23 12 — — $106,262.00 $111,575.10 $106,262.00 2026-02-28
2054 APR_DRG Cardiomyopathy 23 12 — — $131,711.00 $138,296.55 $131,711.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 23 12 — — $113,044.00 $118,696.20 $113,044.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 18 — — $57,781.00 $289,356.87 $120,565.37 2026-02-28
213 OTHER Open Craniotomy Except Trauma 7 7 — — $97,852.36 $102,744.98 $97,852.36 2026-07-31
214 OTHER Open Craniotomy Except Trauma 7 7 — — $166,919.29 $175,265.25 $166,919.29 2026-07-31
214 APR_DRG Open Craniotomy Except Trauma 23 12 — — $126,500.00 $132,825.00 $126,500.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 21 18 — — $56,195.00 $281,763.45 $117,401.44 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $51,189.00 $257,805.18 $107,418.83 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 23 12 — — $145,944.00 $153,241.20 $145,944.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 23 12 — — $149,008.00 $156,458.40 $149,008.00 2026-02-28
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $115,499.17 $121,274.13 $115,499.17 2026-07-31
2224 OTHER Other Stomach, Esophageal And Duodenal Procedures 7 7 — — $106,561.14 $111,889.20 $106,561.14 2026-07-31
224 APR_DRG Ventricular Shunt Procedures 23 12 — — $125,546.00 $131,823.30 $125,546.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 23 12 — — $109,001.00 $114,451.05 $109,001.00 2026-02-28
2244 OTHER Peritoneal Adhesiolysis 7 7 — — $104,564.18 $109,792.39 $104,564.18 2026-07-31
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 23 12 — — $104,202.00 $109,412.10 $104,202.00 2026-02-28
2284 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $99,072.55 $104,026.18 $99,072.55 2026-07-31
2294 OTHER Other Digestive System And Abdominal Procedures 7 7 — — $122,845.98 $128,988.28 $122,845.98 2026-07-31
23 APR_DRG Heart And/or Lung Transplant 23 12 — — $181,674.00 $190,757.70 $181,674.00 2026-02-28
2304 OTHER Major Small Bowel Procedures 7 7 — — $131,162.61 $137,720.74 $131,162.61 2026-07-31
2304 APR_DRG Major Small Bowel Procedures 23 12 — — $126,043.00 $132,345.15 $126,043.00 2026-02-28
2314 OTHER Major Large Bowel Procedures 7 7 — — $131,162.61 $137,720.74 $131,162.61 2026-07-31
2324 OTHER Gastric Fundoplication 7 7 — — $131,162.61 $137,720.74 $131,162.61 2026-07-31
234 APR_DRG Spinal Procedures 23 12 — — $145,659.00 $152,941.95 $145,659.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 23 12 — — $737,612.00 $774,492.60 $737,612.00 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 23 12 — — $250,524.00 $263,050.20 $250,524.00 2026-02-28
2604 OTHER Major Pancreas, Liver And Shunt Procedures 7 7 — — $141,397.76 $148,467.65 $141,397.76 2026-07-31
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 23 12 — — $113,238.00 $118,899.90 $113,238.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 23 12 — — $99,473.00 $104,446.65 $99,473.00 2026-02-28
2614 OTHER Major Biliary Tract Procedures 7 7 — — $98,472.26 $103,395.87 $98,472.26 2026-07-31
264 APR_DRG Other Nervous System And Related Procedures 23 12 — — $135,892.00 $142,686.60 $135,892.00 2026-02-28
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $137,860.86 $144,753.90 $137,860.86 2026-07-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 21 18 — — $113,673.00 $556,883.67 $232,034.87 2026-02-28
3 OTHER Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 10 10 — — $107,509.45 $172,490.98 $127,369.21 2026-07-31
3014 OTHER No Active Code Description 7 7 — — $103,997.07 $109,196.92 $103,997.07 2026-07-31
3024 OTHER No Active Code Description 7 7 — — $129,912.25 $136,407.86 $129,912.25 2026-07-31
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $108,288.11 $113,702.52 $108,288.11 2026-07-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 23 12 — — $134,503.00 $141,228.15 $134,503.00 2026-02-28
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $134,114.30 $140,820.01 $134,114.30 2026-07-31
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $231,726.85 $243,313.19 $231,726.85 2026-07-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 23 12 — — $158,994.00 $166,943.70 $158,994.00 2026-02-28
3043 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $100,205.27 $105,215.53 $100,205.27 2026-07-31
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $160,655.42 $168,688.19 $160,655.42 2026-07-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 23 12 — — $132,084.00 $138,688.20 $132,084.00 2026-02-28
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $102,190.16 $107,299.67 $102,190.16 2026-07-31
3134 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $110,938.15 $116,485.06 $110,938.15 2026-07-31
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $126,826.32 $133,167.64 $126,826.32 2026-07-31
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 23 12 — — $120,746.00 $126,783.30 $120,746.00 2026-02-28
3214 OTHER Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 7 — — $133,636.18 $140,317.99 $133,636.18 2026-07-31
3404 OTHER Fracture Of Femur 7 7 — — $186,560.04 $195,888.04 $186,560.04 2026-07-31
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $141,157.95 $148,215.85 $141,157.95 2026-07-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 23 12 — — $107,939.00 $113,335.95 $107,939.00 2026-02-28
3623 OTHER Mastectomy Procedures 7 7 — — $170,367.20 $178,885.56 $170,367.20 2026-07-31
3814 OTHER Major Skin Disorders 7 7 — — $102,520.47 $107,646.49 $102,520.47 2026-07-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 21 18 — — $74,946.00 $371,513.64 $154,797.35 2026-02-28
4014 OTHER Adrenal Procedures 7 7 — — $111,903.45 $117,498.62 $111,903.45 2026-07-31
4034 OTHER Procedures For Obesity 7 7 — — $145,423.35 $152,694.52 $145,423.35 2026-07-31
404 OTHER Spinal Disorders And Injuries 7 7 — — $147,461.03 $154,834.08 $147,461.03 2026-07-31
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $169,587.42 $178,066.79 $169,587.42 2026-07-31
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 12 — — $105,337.00 $110,603.85 $105,337.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 12 — — $128,364.00 $134,782.20 $128,364.00 2026-02-28
4234 OTHER Inborn Errors Of Metabolism 7 7 — — $123,040.55 $129,192.58 $123,040.55 2026-07-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 18 — — $55,562.00 $278,732.16 $116,138.40 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 12 — — $196,328.00 $206,144.40 $196,328.00 2026-02-28
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $182,074.43 $191,178.15 $182,074.43 2026-07-31
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 23 12 — — $168,683.00 $177,117.15 $168,683.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 12 — — $305,356.00 $320,623.80 $305,356.00 2026-02-28
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $248,263.57 $260,676.75 $248,263.57 2026-07-31
4402 OTHER Kidney Transplant 7 7 — — $104,847.74 $110,090.13 $104,847.74 2026-07-31
4403 OTHER Kidney Transplant 7 7 — — $131,654.31 $138,237.03 $131,654.31 2026-07-31
4403 APR_DRG Kidney Transplant 23 12 — — $120,754.00 $126,791.70 $120,754.00 2026-02-28
4404 OTHER Kidney Transplant 7 7 — — $200,496.50 $210,521.32 $200,496.50 2026-07-31
4404 APR_DRG Kidney Transplant 23 12 — — $197,296.00 $207,160.80 $197,296.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 23 12 — — $186,713.00 $196,048.65 $186,713.00 2026-02-28
4414 OTHER Major Bladder Procedures 7 7 — — $106,537.00 $111,863.85 $106,537.00 2026-07-31
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 23 12 — — $124,858.00 $131,100.90 $124,858.00 2026-02-28
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $122,370.88 $128,489.42 $122,370.88 2026-07-31
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 7 7 — — $191,258.32 $200,821.24 $191,258.32 2026-07-31
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 23 12 — — $147,849.00 $155,241.45 $147,849.00 2026-02-28
4834 OTHER Penis, Testes And Scrotal Procedures 7 7 — — $142,350.99 $149,468.54 $142,350.99 2026-07-31
4834 APR_DRG Penis Testes And Scrotal Procedures 23 12 — — $119,391.00 $125,360.55 $119,391.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 19 — — $56,484.00 $283,149.60 $141,574.80 2026-02-28
51 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $113,490.15 $119,164.66 $113,490.15 2026-07-31
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 23 12 — — $105,540.00 $110,817.00 $105,540.00 2026-02-28
5104 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 7 7 — — $133,387.32 $140,056.69 $133,387.32 2026-07-31
5114 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 — — $129,272.74 $135,736.38 $129,272.74 2026-07-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 23 12 — — $129,199.00 $135,658.95 $129,199.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 23 12 — — $141,475.00 $148,548.75 $141,475.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 23 12 — — $196,394.00 $206,213.70 $196,394.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 23 12 — — $336,415.00 $353,235.75 $336,415.00 2026-02-28
5831 OTHER Neonate With Ecmo 7 7 — — $225,648.50 $236,930.92 $225,648.50 2026-07-31
5832 APR_DRG Neonate With Ecmo 23 12 — — $382,064.00 $401,167.20 $382,064.00 2026-02-28
5832 OTHER Neonate With Ecmo 7 7 — — $250,722.06 $263,258.16 $250,722.06 2026-07-31
5833 APR_DRG Neonate With Ecmo 23 12 — — $766,771.00 $805,109.55 $766,771.00 2026-02-28
5833 OTHER Neonate With Ecmo 7 7 — — $323,810.05 $340,000.55 $323,810.05 2026-07-31
5834 APR_DRG Neonate With Ecmo 23 12 — — $905,532.00 $950,808.60 $905,532.00 2026-02-28
5834 OTHER Neonate With Ecmo 7 7 — — $481,465.51 $505,538.79 $481,465.51 2026-07-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 12 — — $288,576.00 $303,004.80 $288,576.00 2026-02-28
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $168,958.47 $177,406.39 $168,958.47 2026-07-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 12 — — $306,148.00 $321,455.40 $306,148.00 2026-02-28
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $187,731.97 $197,118.57 $187,731.97 2026-07-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 12 — — $307,553.00 $322,930.65 $307,553.00 2026-02-28
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $293,103.08 $307,758.23 $293,103.08 2026-07-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 12 — — $573,187.00 $601,846.35 $573,187.00 2026-02-28
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $485,623.83 $509,905.02 $485,623.83 2026-07-31
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $333,533.90 $350,210.60 $333,533.90 2026-07-31
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 23 12 — — $241,853.00 $253,945.65 $241,853.00 2026-02-28
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $291,365.55 $305,933.83 $291,365.55 2026-07-31
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 23 12 — — $234,405.00 $246,125.25 $234,405.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 23 12 — — $219,866.00 $230,859.30 $219,866.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 23 12 — — $113,859.00 $119,551.95 $113,859.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 23 12 — — $157,917.00 $165,812.85 $157,917.00 2026-02-28
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $141,859.30 $148,952.26 $141,859.30 2026-07-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 23 12 — — $191,262.00 $200,825.10 $191,262.00 2026-02-28
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $168,065.57 $176,468.85 $168,065.57 2026-07-31
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $374,148.73 $392,856.17 $374,148.73 2026-07-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 23 12 — — $290,451.00 $304,973.55 $290,451.00 2026-02-28
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $158,486.52 $166,410.85 $158,486.52 2026-07-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 23 12 — — $135,306.00 $142,071.30 $135,306.00 2026-02-28
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $216,298.70 $227,113.64 $216,298.70 2026-07-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 23 12 — — $172,219.00 $180,829.95 $172,219.00 2026-02-28
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $327,852.23 $344,244.84 $327,852.23 2026-07-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 23 12 — — $241,129.00 $253,185.45 $241,129.00 2026-02-28
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $129,118.90 $135,574.84 $129,118.90 2026-07-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 23 12 — — $108,241.00 $113,653.05 $108,241.00 2026-02-28
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $168,708.10 $177,143.50 $168,708.10 2026-07-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 23 12 — — $143,261.00 $150,424.05 $143,261.00 2026-02-28
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $244,400.88 $256,620.92 $244,400.88 2026-07-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 23 12 — — $221,665.00 $232,748.25 $221,665.00 2026-02-28
6032 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $108,538.49 $113,965.41 $108,538.49 2026-07-31
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $141,243.92 $148,306.12 $141,243.92 2026-07-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 23 12 — — $249,232.00 $261,693.60 $249,232.00 2026-02-28
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $213,077.03 $223,730.88 $213,077.03 2026-07-31
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $133,660.31 $140,343.33 $133,660.31 2026-07-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 23 12 — — $99,118.00 $104,073.90 $99,118.00 2026-02-28
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $176,166.52 $184,974.85 $176,166.52 2026-07-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 23 12 — — $156,372.00 $164,190.60 $156,372.00 2026-02-28
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $106,211.22 $111,521.78 $106,211.22 2026-07-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 23 12 — — $190,719.00 $200,254.95 $190,719.00 2026-02-28
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $179,264.52 $188,227.75 $179,264.52 2026-07-31
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $160,070.21 $168,073.72 $160,070.21 2026-07-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 23 12 — — $135,974.00 $142,772.70 $135,974.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 23 12 — — $422,710.00 $443,845.50 $422,710.00 2026-02-28
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $253,833.63 $266,525.31 $253,833.63 2026-07-31
61 APR_DRG Pancreas Transplant 23 12 — — $139,552.00 $146,529.60 $139,552.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 23 12 — — $172,021.00 $180,622.05 $172,021.00 2026-02-28
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $140,436.99 $147,458.84 $140,436.99 2026-07-31
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $138,025.26 $144,926.52 $138,025.26 2026-07-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 23 12 — — $110,220.00 $115,731.00 $110,220.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 23 12 — — $148,196.00 $155,605.80 $148,196.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 23 12 — — $127,016.00 $133,366.80 $127,016.00 2026-02-28
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $120,702.72 $126,737.86 $120,702.72 2026-07-31
62 APR_DRG Pancreas Transplant 23 12 — — $141,378.00 $148,446.90 $141,378.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 23 12 — — $210,496.00 $221,020.80 $210,496.00 2026-02-28
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $109,380.10 $114,849.11 $109,380.10 2026-07-31
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $102,678.84 $107,812.78 $102,678.84 2026-07-31
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 23 12 — — $103,838.00 $109,029.90 $103,838.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 23 12 — — $110,539.00 $116,065.95 $110,539.00 2026-02-28
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 7 — — $100,408.88 $105,429.32 $100,408.88 2026-07-31
63 APR_DRG Pancreas Transplant 23 12 — — $156,307.00 $164,122.35 $156,307.00 2026-02-28
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $147,124.68 $154,480.91 $147,124.68 2026-07-31
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $334,479.59 $351,203.57 $334,479.59 2026-07-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 23 12 — — $201,012.00 $211,062.60 $201,012.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 23 12 — — $426,489.00 $447,813.45 $426,489.00 2026-02-28
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $416,985.25 $437,834.51 $416,985.25 2026-07-31
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $136,616.53 $143,447.36 $136,616.53 2026-07-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 23 12 — — $111,439.00 $117,010.95 $111,439.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 23 12 — — $301,006.00 $316,056.30 $301,006.00 2026-02-28
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $286,125.80 $300,432.09 $286,125.80 2026-07-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 23 12 — — $159,970.00 $167,968.50 $159,970.00 2026-02-28
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $138,743.20 $145,680.36 $138,743.20 2026-07-31
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $165,432.13 $173,703.74 $165,432.13 2026-07-31
6364 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 7 7 — — $127,206.41 $133,566.73 $127,206.41 2026-07-31
64 APR_DRG Pancreas Transplant 23 12 — — $241,872.00 $253,965.60 $241,872.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 23 12 — — $128,766.00 $135,204.30 $128,766.00 2026-02-28
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 7 7 — — $118,927.48 $124,873.85 $118,927.48 2026-07-31
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 23 12 — — $103,860.00 $109,053.00 $103,860.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 23 12 — — $191,262.00 $200,825.10 $191,262.00 2026-02-28
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $135,773.41 $142,562.08 $135,773.41 2026-07-31
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 23 12 — — $258,491.00 $271,415.55 $258,491.00 2026-02-28
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $153,477.54 $161,151.42 $153,477.54 2026-07-31
6904 APR_DRG Acute Leukemia 23 12 — — $169,722.00 $178,208.10 $169,722.00 2026-02-28
6904 OTHER Acute Leukemia 7 7 — — $128,518.60 $134,944.53 $128,518.60 2026-07-31
6954 APR_DRG Chemotherapy For Acute Leukemia 23 12 — — $131,542.00 $138,119.10 $131,542.00 2026-02-28
7 MS_DRG Lung Transplant 25 19 — — $69,317.00 $344,572.35 $172,286.18 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 23 12 — — $137,137.00 $143,993.85 $137,137.00 2026-02-28
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $125,040.52 $131,292.55 $125,040.52 2026-07-31
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $108,283.59 $113,697.77 $108,283.59 2026-07-31
72 APR_DRG Allogeneic Bone Marrow Transplant 23 12 — — $208,847.00 $219,289.35 $208,847.00 2026-02-28
7234 OTHER Viral Illness 7 7 — — $108,292.64 $113,707.27 $108,292.64 2026-07-31
73 APR_DRG Allogeneic Bone Marrow Transplant 23 12 — — $310,837.00 $326,378.85 $310,837.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 23 12 — — $880,902.00 $924,947.10 $880,902.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 23 12 — — $132,116.00 $138,721.80 $132,116.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 23 12 — — $177,881.00 $186,775.05 $177,881.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 23 12 — — $263,167.00 $276,325.35 $263,167.00 2026-02-28
8411 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $116,259.35 $122,072.32 $116,259.35 2026-07-31
8412 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $129,177.72 $135,636.61 $129,177.72 2026-07-31
8413 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $143,531.97 $150,708.57 $143,531.97 2026-07-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 23 12 — — $131,407.00 $137,977.35 $131,407.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 23 12 — — $304,043.00 $319,245.15 $304,043.00 2026-02-28
8414 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $296,433.35 $311,255.02 $296,433.35 2026-07-31
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $172,422.98 $181,044.13 $172,422.98 2026-07-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 23 12 — — $103,722.00 $108,908.10 $103,722.00 2026-02-28
8434 OTHER Extensive Third Degree Burns Without Skin Graft 7 7 — — $116,980.30 $122,829.32 $116,980.30 2026-07-31
8444 OTHER Partial Thickness Burns Without Skin Graft 7 7 — — $117,167.33 $123,025.70 $117,167.33 2026-07-31
850 MS_DRG Acute Leukemia With Other Procedures 21 18 — — $48,860.00 $246,654.93 $102,772.89 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 23 12 — — $293,077.00 $307,730.85 $293,077.00 2026-02-28
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $186,241.80 $195,553.89 $186,241.80 2026-07-31
8634 OTHER Neonatal Aftercare 7 7 — — $238,432.64 $250,354.27 $238,432.64 2026-07-31
8634 APR_DRG Neonatal Aftercare 23 12 — — $202,961.00 $213,109.05 $202,961.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 23 12 — — $118,111.00 $124,016.55 $118,111.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 23 12 — — $163,405.00 $171,575.25 $163,405.00 2026-02-28
9103 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $115,354.38 $121,122.10 $115,354.38 2026-07-31
9104 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $154,284.47 $161,998.69 $154,284.47 2026-07-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 23 12 — — $145,132.00 $152,388.60 $145,132.00 2026-02-28
9114 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $176,768.32 $185,606.74 $176,768.32 2026-07-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 23 12 — — $122,957.00 $129,104.85 $122,957.00 2026-02-28
9123 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $97,801.08 $102,691.13 $97,801.08 2026-07-31
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $195,125.54 $204,881.82 $195,125.54 2026-07-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 23 12 — — $117,955.00 $123,852.75 $117,955.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 23 12 — — $107,358.00 $112,725.90 $107,358.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 23 12 — — $168,493.00 $176,917.65 $168,493.00 2026-02-28
924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 7 — — $181,202.65 $190,262.78 $181,202.65 2026-07-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 19 — — $125,826.00 $615,051.72 $307,525.86 2026-02-28
927 OTHER Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 6 6 — — $131,836.61 $186,607.18 $138,775.38 2026-07-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 23 12 — — $256,187.00 $268,996.35 $256,187.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 23 12 — — $521,450.00 $547,522.50 $521,450.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 23 12 — — $140,823.00 $147,864.15 $140,823.00 2026-02-28
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $140,550.11 $147,577.62 $140,550.11 2026-07-31
9514 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $110,043.74 $115,545.93 $110,043.74 2026-07-31
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 23 12 — — $98,209.00 $103,119.45 $98,209.00 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 23 12 — — $124,091.00 $130,295.55 $124,091.00 2026-02-28
984 OTHER Other Ear, Nose, Mouth And Throat Procedures 7 7 — — $98,612.53 $103,543.16 $98,612.53 2026-07-31
J1932 HCPCS Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 11 9 $442,452.87 $66,367.93 85% off $61,943.41 $398,207.59 $269,896.26 2026-02-28
J2506 HCPCS Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg 11 9 $240,269.61 $36,040.45 85% off $33,637.75 $216,242.65 $146,564.47 2026-02-28
Q5127 HCPCS Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg 11 9 $165,817.64 $24,872.65 85% off $23,214.47 $149,235.88 $101,148.77 2026-02-28
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