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

ODESSA REGIONAL MEDICAL CENTER

Odessa, TX · CCN 450661 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $16,397 across 32 payers · range $3,500-$28,180

Source: https://www.odessaregional.com/wp-content/uploads/2025/04/994815457_odessa-regional-medical-center_standardcharges.csv · observed 2026-07-15

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.

5,054 distinct procedures filed
72 distinct payers
417,498 rate rows
2026-07-15 last MRF observed
Data quality

384,594 of 417,498 rate rows are consumer-grade (92.1%)

32,904 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 15,437
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,840
per-diem day rate — not a per-procedure price 6,783
placeholder amount (≤ $0.02) — excluded from medians 332
template filing: same amount across many unrelated codes — excluded 321
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 113
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 55
exceeds 10× this hospital's gross charge — excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.odessaregional.com/wp-content/uploads/2025/04/994815457_odessa-regional-medical-center_standardcharges.csv
Found on page https://www.odessaregional.com/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-14
Content fingerprint 6884878b9ef94490… · 250,886,148 bytes · first seen 2026-05-08

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 $296,286.44 $625,493.59 $387,566.60 nat. median
$311,018
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $3,500.00 $2,288,048.80 $384,607.39 nat. median
$370,165
1.0× median
5833
APR_DRG 		Neonate With Ecmo 12 $250,884.47 $529,645.00 $328,177.17 nat. median
$250,089
1.3× median
7
MS_DRG 		Lung Transplant 25 $3,500.00 $1,730,277.76 $259,110.07 nat. median
$122,690
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $198,000.00 $418,000.00 $259,000.00 nat. median
$175,480
1.5× median
24
APR_DRG 		Heart And/or Lung Transplant 12 $198,000.00 $418,000.00 $259,000.00 nat. median
$243,231
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $187,544.45 $395,927.18 $245,323.29 nat. median
$254,667
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 12 $182,118.53 $384,472.45 $238,225.76 nat. median
$209,486
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 12 $170,616.39 $360,190.16 $223,180.03 nat. median
$165,599
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $3,500.00 $677,273.62 $210,390.32 nat. median
$261,939
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 $139,545.58 $294,596.22 $182,536.90 nat. median
$160,171
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 $138,308.95 $291,985.56 $180,919.29 nat. median
$168,174
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $3,500.00 $372,534.00 $177,575.81 nat. median
$205,166
0.9× median
5832
APR_DRG 		Neonate With Ecmo 12 $125,010.00 $263,910.01 $163,523.18 nat. median
$169,230
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 $3,500.00 $516,079.53 $160,633.25 nat. median
$199,832
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $118,705.18 $250,599.82 $155,275.96 nat. median
$119,243
1.3× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 12 $110,309.80 $232,876.24 $144,294.13 nat. median
$28,828
outlier · 5.0×
5831
APR_DRG 		Neonate With Ecmo 12 $110,073.79 $232,378.01 $143,985.41 nat. median
$154,685
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $101,704.55 $214,709.61 $133,037.77 nat. median
$89,814
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $100,630.21 $212,441.56 $131,632.45 nat. median
$180,995
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $100,170.28 $211,470.59 $131,030.82 nat. median
$147,847
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 12 $99,481.75 $210,017.04 $130,130.17 nat. median
$165,646
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 $98,488.17 $207,919.47 $128,830.49 nat. median
$147,677
0.9× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 $95,893.60 $202,442.04 $125,436.58 nat. median
$67,813
1.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 12 $95,034.59 $200,628.59 $124,312.93 nat. median
$168,361
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 12 $94,922.64 $200,392.23 $124,166.48 nat. median
$127,938
1.0× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 12 $94,420.96 $199,333.14 $123,510.25 nat. median
$120,928
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 12 $86,453.53 $182,513.01 $113,088.20 nat. median
$137,901
0.8× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 $86,107.12 $181,781.70 $112,635.07 nat. median
$79,228
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 $3,500.00 $759,369.02 $112,628.63 nat. median
$132,706
0.8× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 $84,577.15 $178,551.75 $110,633.74 nat. median
$69,072
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 12 $84,529.94 $178,452.10 $110,571.99 nat. median
$101,315
1.1× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 12 $83,823.47 $176,960.66 $109,647.87 nat. median
$80,413
1.4× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 12 $81,970.49 $173,048.80 $107,224.01 nat. median
$20,493
outlier · 5.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 $81,547.62 $172,156.08 $106,670.88 nat. median
$109,499
1.0× median
64
APR_DRG 		Pancreas Transplant 12 $79,139.52 $167,072.32 $103,520.89 nat. median
$92,994
1.1× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 12 $79,133.27 $167,059.13 $103,512.71 nat. median
$96,420
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 12 $78,896.49 $166,559.25 $103,202.98 nat. median
$156,285
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 12 $99,911.26 $105,966.48 $100,920.46 nat. median
$127,600
0.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 12 $76,696.31 $161,914.43 $100,324.97 nat. median
$89,188
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $3,500.00 $170,584.15 $99,171.35 nat. median
$114,305
0.9× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 $73,738.17 $155,669.47 $96,455.49 nat. median
$82,636
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 $72,528.07 $153,114.82 $94,872.58 nat. median
$123,690
0.8× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 12 $71,939.41 $151,872.09 $94,102.56 nat. median
$71,350
1.3× median
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 $68,873.61 $145,399.84 $90,092.24 nat. median
$69,851
1.3× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $68,334.10 $144,260.87 $89,386.52 nat. median
$66,666
1.3× median
1612
APR_DRG 		Implantable Heart Assist Systems 12 $68,234.62 $144,050.87 $89,256.40 nat. median
$93,192
1.0× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $67,454.41 $142,403.76 $88,235.82 nat. median
$67,603
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $3,500.00 $602,309.54 $87,559.23 nat. median
$108,240
0.8× median
8634
APR_DRG 		Neonatal Aftercare 12 $66,408.16 $140,195.01 $86,867.24 nat. median
$72,289
1.2× median

Other procedures at this hospital

Browse this hospital's 5,054 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 With Ecmo 12 12 — — $296,286.44 $625,493.59 $387,566.60 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 30 — — $3,500.00 $2,288,048.80 $384,607.39 2026-07-15
5833 APR_DRG Neonate With Ecmo 12 12 — — $250,884.47 $529,645.00 $328,177.17 2026-07-15
7 MS_DRG Lung Transplant 25 25 — — $3,500.00 $1,730,277.76 $259,110.07 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $198,000.00 $418,000.00 $259,000.00 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 12 12 — — $198,000.00 $418,000.00 $259,000.00 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $187,544.45 $395,927.18 $245,323.29 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 12 12 — — $182,118.53 $384,472.45 $238,225.76 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $170,616.39 $360,190.16 $223,180.03 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 27 — — $3,500.00 $677,273.62 $210,390.32 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 12 — — $139,545.58 $294,596.22 $182,536.90 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 12 — — $138,308.95 $291,985.56 $180,919.29 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 27 — — $3,500.00 $372,534.00 $177,575.81 2026-07-15
5832 APR_DRG Neonate With Ecmo 12 12 — — $125,010.00 $263,910.01 $163,523.18 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 31 — — $3,500.00 $516,079.53 $160,633.25 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $118,705.18 $250,599.82 $155,275.96 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 12 12 — — $110,309.80 $232,876.24 $144,294.13 2026-07-15
5831 APR_DRG Neonate With Ecmo 12 12 — — $110,073.79 $232,378.01 $143,985.41 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $101,704.55 $214,709.61 $133,037.77 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $100,630.21 $212,441.56 $131,632.45 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $100,170.28 $211,470.59 $131,030.82 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 12 — — $99,481.75 $210,017.04 $130,130.17 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 12 — — $98,488.17 $207,919.47 $128,830.49 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 12 — — $95,893.60 $202,442.04 $125,436.58 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $95,034.59 $200,628.59 $124,312.93 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 12 12 — — $94,922.64 $200,392.23 $124,166.48 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 12 12 — — $94,420.96 $199,333.14 $123,510.25 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $86,453.53 $182,513.01 $113,088.20 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 12 — — $86,107.12 $181,781.70 $112,635.07 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 31 — — $3,500.00 $759,369.02 $112,628.63 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 12 — — $84,577.15 $178,551.75 $110,633.74 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 12 — — $84,529.94 $178,452.10 $110,571.99 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $83,823.47 $176,960.66 $109,647.87 2026-07-15
2464 APR_DRG Gastrointestinal Vascular Insufficiency 12 12 — — $81,970.49 $173,048.80 $107,224.01 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 12 — — $81,547.62 $172,156.08 $106,670.88 2026-07-15
64 APR_DRG Pancreas Transplant 12 12 — — $79,139.52 $167,072.32 $103,520.89 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 12 — — $79,133.27 $167,059.13 $103,512.71 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $78,896.49 $166,559.25 $103,202.98 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $99,911.26 $105,966.48 $100,920.46 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 12 — — $76,696.31 $161,914.43 $100,324.97 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 27 27 — — $3,500.00 $170,584.15 $99,171.35 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $73,738.17 $155,669.47 $96,455.49 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $72,528.07 $153,114.82 $94,872.58 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 12 — — $71,939.41 $151,872.09 $94,102.56 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 12 — — $68,873.61 $145,399.84 $90,092.24 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $68,334.10 $144,260.87 $89,386.52 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 12 12 — — $68,234.62 $144,050.87 $89,256.40 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $67,454.41 $142,403.76 $88,235.82 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 27 — — $3,500.00 $602,309.54 $87,559.23 2026-07-15
8634 APR_DRG Neonatal Aftercare 12 12 — — $66,408.16 $140,195.01 $86,867.24 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 12 — — $65,770.34 $138,848.50 $86,032.92 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 12 12 — — $64,714.34 $136,619.16 $84,651.58 2026-07-15
4404 APR_DRG Kidney Transplant 12 12 — — $64,554.40 $136,281.50 $84,442.36 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $64,237.64 $135,612.79 $84,028.02 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 29 29 — — $3,500.00 $142,552.22 $82,880.24 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $62,580.10 $132,113.54 $81,859.83 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 12 — — $62,580.10 $132,113.54 $81,859.83 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 12 — — $62,402.60 $131,738.82 $81,627.65 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 25 — — $3,500.00 $378,849.96 $81,076.20 2026-07-15
215 MS_DRG Other Heart Assist System Implant 31 31 — — $3,500.00 $268,102.88 $80,673.32 2026-07-15
4414 APR_DRG Major Bladder Procedures 12 12 — — $61,091.86 $128,971.71 $79,913.09 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 12 12 — — $59,442.90 $125,490.56 $77,756.11 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 12 — — $58,201.98 $122,870.85 $76,132.90 2026-07-15
1784 APR_DRG External Heart Assist Systems 12 12 — — $57,219.32 $120,796.34 $74,847.49 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $56,349.39 $118,959.83 $73,709.56 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 33 — — $3,500.00 $243,046.92 $73,705.48 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 12 — — $56,284.64 $118,823.13 $73,624.86 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 12 — — $56,035.75 $118,297.70 $73,299.29 2026-07-15
6904 APR_DRG Acute Leukemia 12 12 — — $55,532.52 $117,235.31 $72,641.01 2026-07-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 12 12 — — $55,192.35 $116,517.19 $72,196.05 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $55,130.33 $116,386.25 $72,114.92 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $53,465.38 $112,871.35 $69,937.03 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 31 — — $3,500.00 $592,708.51 $68,510.65 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 12 — — $52,341.49 $110,498.70 $68,466.89 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 12 — — $52,022.38 $109,825.03 $68,049.48 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 29 29 — — $3,500.00 $218,924.50 $67,876.29 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $51,669.73 $109,080.55 $67,588.18 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $51,164.16 $108,013.23 $66,926.85 2026-07-15
63 APR_DRG Pancreas Transplant 12 12 — — $51,143.09 $107,968.75 $66,899.29 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 33 — — $3,500.00 $250,048.24 $65,015.95 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 31 — — $3,500.00 $260,402.15 $64,981.27 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $64,259.48 $68,154.00 $64,908.57 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 12 12 — — $48,754.90 $102,927.00 $63,775.35 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 12 — — $48,489.24 $102,366.17 $63,427.85 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 12 12 — — $48,375.72 $102,126.51 $63,279.35 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 31 — — $3,500.00 $309,746.98 $62,715.25 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 12 12 — — $47,752.33 $100,810.48 $62,463.91 2026-07-15
234 APR_DRG Spinal Procedures 12 12 — — $47,659.10 $100,613.67 $62,341.96 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $47,486.68 $100,249.65 $62,116.41 2026-07-15
10 MS_DRG Pancreas Transplant 25 25 — — $3,500.00 $291,126.68 $61,328.24 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $46,876.56 $98,961.63 $61,318.32 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $46,874.61 $98,957.51 $61,315.77 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 26 — — $3,500.00 $104,887.72 $60,991.03 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $46,290.23 $97,723.82 $60,551.36 2026-07-15
62 APR_DRG Pancreas Transplant 12 12 — — $46,258.25 $97,656.29 $60,509.53 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 12 — — $46,076.85 $97,273.34 $60,272.24 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 33 — — $3,500.00 $172,335.30 $60,162.62 2026-07-15
61 APR_DRG Pancreas Transplant 12 12 — — $45,661.00 $96,395.44 $59,728.28 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 33 — — $3,500.00 $241,945.65 $59,580.21 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 29 — — $3,500.00 $119,217.27 $58,928.99 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $44,870.65 $94,726.93 $58,694.43 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $44,542.97 $94,035.16 $58,265.81 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 12 — — $44,490.30 $93,923.97 $58,196.91 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 12 12 — — $44,463.38 $93,867.15 $58,161.71 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $44,271.45 $93,461.96 $57,910.64 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 12 — — $44,008.92 $92,907.71 $57,567.21 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 31 — — $3,500.00 $143,572.59 $57,562.85 2026-07-15
1824 APR_DRG Other Peripheral Vascular And Related Procedures 12 12 — — $43,973.42 $92,832.78 $57,520.79 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 12 — — $43,947.29 $92,777.61 $57,486.60 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 12 — — $43,227.93 $91,258.97 $56,545.63 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 12 — — $43,217.40 $91,236.73 $56,531.86 2026-07-15
2054 APR_DRG Cardiomyopathy 12 12 — — $43,095.30 $90,978.97 $56,372.14 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 12 12 — — $43,039.90 $90,862.02 $56,299.67 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 12 — — $42,995.83 $90,768.97 $56,242.02 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $42,273.36 $89,243.75 $55,296.96 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 12 12 — — $42,131.75 $88,944.80 $55,111.73 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $42,000.28 $88,667.27 $54,939.77 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 12 — — $41,559.08 $87,735.84 $54,362.63 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $41,488.47 $87,586.78 $54,270.28 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 12 12 — — $41,390.17 $87,379.24 $54,141.68 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 12 12 — — $41,240.76 $87,063.82 $53,946.24 2026-07-15
33225 CPT L Ventric Pacing Lead Add-on 50 47 $121,999.32 $109,799.39 $535.80 $121,999.32 $53,923.70 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 31 — — $3,500.00 $164,279.21 $53,815.26 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 12 12 — — $41,078.09 $86,720.41 $53,733.46 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 32 — — $3,500.00 $432,603.33 $53,573.27 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 12 12 — — $40,852.99 $86,245.21 $53,439.01 2026-07-15
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 12 12 — — $40,602.17 $85,715.69 $53,110.92 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 31 — — $3,500.00 $162,701.74 $52,868.95 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 12 — — $40,231.17 $84,932.48 $52,625.63 2026-07-15
C1767 HCPCS Implant Interstim Nuero Stimul 43 42 $105,066.00 $94,559.40 $2,000.00 $105,066.00 $52,533.00 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 31 — — $3,500.00 $446,384.20 $52,476.75 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 27 — — $3,500.00 $89,037.78 $51,779.63 2026-07-15
4403 APR_DRG Kidney Transplant 12 12 — — $39,510.27 $83,410.56 $51,682.62 2026-07-15
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 12 12 — — $39,507.53 $83,404.79 $51,679.04 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 12 12 — — $39,373.34 $83,121.49 $51,503.51 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 12 12 — — $39,213.40 $82,783.85 $51,294.30 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 30 30 — — $3,500.00 $141,579.10 $51,165.08 2026-07-15
4834 APR_DRG Penis, Testes And Scrotal Procedures 12 12 — — $39,064.38 $82,469.25 $51,099.36 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 25 25 — — $3,500.00 $490,405.16 $50,812.82 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 12 — — $38,645.41 $81,584.76 $50,551.32 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 12 — — $38,594.31 $81,476.87 $50,484.47 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 33 — — $3,500.00 $129,622.44 $50,134.84 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 12 — — $38,009.94 $80,243.21 $49,720.07 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 25 — — $3,500.00 $473,552.32 $49,049.53 2026-07-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $37,254.31 $78,648.00 $48,731.65 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 12 — — $37,051.07 $78,218.92 $48,465.79 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 12 12 — — $36,987.48 $78,084.68 $48,382.61 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 29 29 — — $3,500.00 $82,886.49 $48,204.73 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 31 — — $3,500.00 $82,426.85 $47,922.59 2026-07-15
1783 APR_DRG External Heart Assist Systems 12 12 — — $36,617.28 $77,303.14 $47,898.36 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 12 12 — — $36,596.21 $77,258.67 $47,870.80 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 31 — — $3,500.00 $299,185.13 $47,763.91 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 12 — — $36,462.40 $76,976.18 $47,695.77 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 29 29 — — $3,500.00 $81,894.91 $47,613.32 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 33 — — $3,500.00 $155,398.09 $47,557.23 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 31 31 — — $3,500.00 $81,427.71 $47,341.69 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 12 12 — — $36,167.88 $76,354.41 $47,310.51 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $36,063.72 $76,134.52 $47,174.26 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 73 67 $195,954.55 $176,359.10 $1,060.28 $195,954.55 $47,127.61 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 25 — — $3,500.00 $141,557.60 $47,035.22 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 27 — — $3,500.00 $80,874.12 $47,035.22 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 12 — — $35,721.61 $75,412.28 $46,726.75 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 31 — — $3,500.00 $149,906.89 $46,702.46 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 12 12 — — $35,664.65 $75,292.04 $46,652.25 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 33 — — $3,500.00 $79,774.67 $46,380.62 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 29 — — $2,203.77 $68,180.93 $46,347.38 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $35,416.15 $74,767.43 $46,327.18 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 12 — — $35,317.06 $74,558.24 $46,197.57 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 12 12 — — $35,127.09 $74,157.19 $45,949.07 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 33 — — $3,500.00 $96,330.35 $45,900.08 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 31 — — $3,500.00 $295,555.84 $45,769.53 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 12 12 — — $34,768.58 $73,400.34 $45,480.11 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 31 — — $3,500.00 $127,714.66 $45,459.16 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $34,532.18 $72,901.27 $45,170.88 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $34,465.86 $72,761.26 $45,084.13 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 31 — — $3,500.00 $77,109.72 $44,847.49 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $34,213.08 $72,227.62 $44,753.47 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 12 12 — — $34,199.04 $72,197.96 $44,735.10 2026-07-15
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 12 12 — — $34,094.49 $71,977.26 $44,598.35 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 31 — — $3,500.00 $229,530.84 $44,578.04 2026-07-15
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 12 12 — — $33,982.53 $71,740.90 $44,451.90 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 12 12 — — $33,975.50 $71,726.06 $44,442.70 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 12 — — $33,937.28 $71,645.37 $44,392.70 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 31 31 — — $3,500.00 $346,102.22 $44,064.59 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 31 31 — — $3,500.00 $74,416.87 $43,265.62 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 12 — — $33,072.03 $69,818.73 $43,260.88 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $32,928.48 $69,515.68 $43,073.11 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 12 12 — — $32,547.35 $68,711.07 $42,574.57 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 31 — — $3,500.00 $125,924.47 $42,537.80 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $32,431.09 $68,465.64 $42,422.49 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 31 — — $3,500.00 $101,324.06 $42,333.33 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 31 — — $3,500.00 $180,115.88 $42,295.67 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 31 — — $3,500.00 $72,740.95 $42,291.25 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 12 12 — — $32,259.84 $68,104.11 $42,198.49 2026-07-15
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 12 — — $32,133.45 $67,837.28 $42,033.15 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 12 — — $31,930.60 $67,409.04 $41,767.81 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 33 — — $3,500.00 $121,077.15 $41,736.90 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 33 — — $3,500.00 $88,868.49 $41,563.45 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 12 12 — — $31,607.98 $66,727.95 $41,345.79 2026-07-15
1782 APR_DRG External Heart Assist Systems 12 12 — — $31,427.36 $66,346.65 $41,109.53 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 12 12 — — $31,373.92 $66,233.83 $41,039.62 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 31 — — $3,500.00 $374,649.90 $40,747.67 2026-07-15
570 MS_DRG Skin Debridement With Mcc 31 31 — — $3,500.00 $449,415.11 $40,733.09 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 12 — — $31,098.50 $65,652.40 $40,679.35 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 73 67 $106,325.36 $95,692.82 $469.70 $106,325.36 $40,641.99 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $30,979.92 $65,402.06 $40,524.24 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 32 — — $3,500.00 $78,227.13 $40,373.15 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 32 — — $3,500.00 $68,923.20 $40,071.63 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures 12 12 — — $30,622.58 $64,647.67 $40,056.82 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 31 — — $3,500.00 $304,865.89 $39,956.49 2026-07-15
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 12 12 — — $30,434.16 $64,249.90 $39,810.35 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 29 29 — — $3,500.00 $186,329.60 $39,711.41 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 32 — — $3,500.00 $156,738.40 $39,645.72 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 12 — — $30,297.24 $63,960.83 $39,631.24 2026-07-15
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 12 12 — — $30,125.99 $63,599.31 $39,407.22 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 29 29 — — $3,500.00 $67,764.04 $39,397.70 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 31 — — $3,500.00 $67,738.64 $39,382.93 2026-07-15
7234 APR_DRG Viral Illness 12 12 — — $30,085.02 $63,512.82 $39,353.64 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 32 — — $3,500.00 $79,966.83 $39,271.52 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 12 — — $38,584.56 $40,923.02 $38,974.30 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 12 — — $29,761.63 $62,830.10 $38,930.61 2026-07-15
245 MS_DRG Aicd Generator Procedures 31 31 — — $3,500.00 $77,888.41 $38,537.76 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 12 — — $29,432.77 $62,135.85 $38,500.44 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 12 — — $29,374.65 $62,013.14 $38,424.41 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 31 31 — — $3,500.00 $311,469.55 $38,320.01 2026-07-15
6614 APR_DRG Coagulation And Platelet Disorders 12 12 — — $29,107.82 $61,449.85 $38,075.38 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 31 31 — — $3,500.00 $368,003.46 $37,834.27 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 31 — — $3,500.00 $119,963.66 $37,735.30 2026-07-15
1781 APR_DRG External Heart Assist Systems 12 12 — — $28,809.00 $60,819.00 $37,684.50 2026-07-15
799 MS_DRG Splenectomy With Mcc 31 31 — — $3,500.00 $81,223.66 $37,563.39 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 31 — — $3,500.00 $70,667.91 $37,556.76 2026-07-15
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 12 — — $28,706.01 $60,601.58 $37,549.78 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 12 12 — — $28,536.71 $60,244.17 $37,328.32 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 31 — — $3,500.00 $133,371.04 $37,212.89 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 31 — — $3,500.00 $136,344.24 $37,007.56 2026-07-15
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 12 12 — — $28,132.18 $59,390.15 $36,799.16 2026-07-15
1794 APR_DRG Defibrillator Implants 12 12 — — $28,115.01 $59,353.91 $36,776.71 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 12 12 — — $28,076.78 $59,273.19 $36,726.69 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 12 12 — — $27,940.25 $58,984.96 $36,548.10 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 24 — — $3,500.00 $189,318.00 $36,494.23 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 29 29 — — $3,500.00 $116,926.68 $36,462.08 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 33 — — $3,500.00 $103,887.50 $36,366.11 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 31 — — $3,500.00 $129,654.39 $36,360.95 2026-07-15
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 12 12 — — $27,792.40 $58,672.84 $36,354.71 2026-07-15
8411 APR_DRG Chemotherapy For Acute Leukemia 12 12 — — $27,722.96 $58,526.25 $36,263.87 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 12 12 — — $27,720.32 $58,520.67 $36,260.42 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 12 12 — — $27,577.06 $58,218.25 $36,073.03 2026-07-15
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $27,488.12 $58,030.48 $35,956.68 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 31 — — $3,500.00 $61,521.30 $35,768.20 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 12 12 — — $27,192.42 $57,406.22 $35,569.88 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 31 — — $3,500.00 $61,179.82 $35,569.66 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 12 12 — — $27,165.50 $57,349.39 $35,534.68 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 31 — — $3,500.00 $73,292.11 $35,478.12 2026-07-15
4013 APR_DRG Adrenal Procedures 12 12 — — $27,063.69 $57,134.46 $35,401.49 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 12 — — $27,060.96 $57,128.69 $35,397.92 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 31 31 — — $3,500.00 $71,539.00 $35,169.59 2026-07-15
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 12 12 — — $26,774.23 $56,523.38 $35,022.86 2026-07-15
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 12 12 — — $26,755.90 $56,484.67 $34,998.88 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 12 12 — — $26,717.28 $56,403.14 $34,948.36 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 30 — — $3,500.00 $99,274.64 $34,911.53 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $26,658.37 $56,278.79 $34,871.31 2026-07-15
4804 APR_DRG Major Male Pelvic Procedures 12 12 — — $26,506.23 $55,957.60 $34,672.29 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 12 12 — — $26,347.85 $55,623.24 $34,465.11 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 27 — — $3,500.00 $110,486.12 $34,425.29 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 12 — — $26,279.19 $55,478.30 $34,375.31 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 73 67 $85,907.21 $77,316.49 $466.63 $85,907.21 $34,362.88 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 31 — — $3,500.00 $85,742.89 $34,359.61 2026-07-15
3464 APR_DRG Connective Tissue Disorders 12 12 — — $26,192.59 $55,295.46 $34,262.03 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 12 12 — — $26,110.67 $55,122.52 $34,154.86 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 29 — — $3,500.00 $69,040.34 $33,963.88 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 31 — — $3,500.00 $264,271.64 $33,953.09 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 29 29 — — $3,500.00 $58,319.35 $33,927.23 2026-07-15
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 12 12 — — $25,913.28 $54,705.81 $33,896.67 2026-07-15
1804 APR_DRG Other Circulatory System Procedures 12 12 — — $25,900.40 $54,678.62 $33,879.82 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 12 12 — — $25,880.90 $54,637.45 $33,854.31 2026-07-15
734 APR_DRG Orbit And Eye Procedures 12 12 — — $25,829.01 $54,527.91 $33,786.43 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 30 30 — — $3,500.00 $147,696.34 $33,704.41 2026-07-15
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 12 12 — — $25,698.72 $54,252.85 $33,616.00 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 12 12 — — $25,626.56 $54,100.51 $33,521.60 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 31 — — $3,500.00 $98,599.86 $33,398.75 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 31 — — $3,500.00 $139,756.90 $33,391.35 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 29 29 — — $2,968.43 $48,928.35 $33,250.39 2026-07-15
4402 APR_DRG Kidney Transplant 12 12 — — $25,412.39 $53,648.38 $33,241.46 2026-07-15
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 12 12 — — $25,398.34 $53,618.72 $33,223.08 2026-07-15
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 12 — — $25,375.72 $53,570.96 $33,193.49 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 32 — — $3,500.00 $167,214.62 $33,188.51 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 12 12 — — $25,203.29 $53,206.95 $32,967.94 2026-07-15
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 12 12 — — $25,163.12 $53,122.14 $32,915.39 2026-07-15
6924 APR_DRG Radiotherapy 12 12 — — $25,145.55 $53,085.06 $32,892.42 2026-07-15
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 12 12 — — $25,112.79 $53,015.88 $32,849.55 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 33 — — $3,500.00 $79,745.18 $32,819.30 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 31 — — $3,500.00 $58,512.19 $32,802.32 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 31 — — $3,500.00 $136,091.66 $32,757.31 2026-07-15
2314 APR_DRG Major Large Bowel Procedures 12 12 — — $25,017.21 $52,814.11 $32,724.54 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 12 — — $24,990.69 $52,758.12 $32,689.84 2026-07-15
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 12 12 — — $24,980.94 $52,737.53 $32,677.08 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 12 — — $24,910.33 $52,588.48 $32,584.72 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 31 — — $3,500.00 $103,535.60 $32,489.34 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 73 67 $117,404.85 $105,664.37 $419.61 $117,404.85 $32,475.67 2026-07-15
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 12 — — $24,820.21 $52,398.22 $32,466.85 2026-07-15
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