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

TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT

Dallas, TX · CCN 450889 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

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

This hospital’s price: $20,701 across 37 payers · range $11,066-$73,970

Source: https://www.texasinstituteforsurgery.com/wp-content/uploads/2023/07/770628004_Texas-Institute-for-Surgery_standardcharges.csv · observed 2026-06-20

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.

19,681 distinct procedures filed
82 distinct payers
1,040,351 rate rows
2026-06-20 last MRF observed
Data quality

993,781 of 1,040,351 rate rows are consumer-grade (95.5%)

46,570 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 39,771
exceeds 10× this hospital's gross charge — excluded from medians 3,090
per-diem day rate — not a per-procedure price 1,560
placeholder amount (≤ $0.02) — excluded from medians 1,213
template filing: same amount across many unrelated codes — excluded 509
exceeds 3× this hospital's gross charge for a DRG stay — excluded 386
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.texasinstituteforsurgery.com/wp-content/uploads/2025/11/770628004_Texas-Institute-for-Surgery-at-Texas-Health-Dallas_standardcharges.csv
Found on page https://www.texasinstituteforsurgery.com/standard-pricing/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint 51899a682c048eec… · 13,309,588 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5833
APR_DRG 		Neonate With Ecmo 5 $1,081,368.39 $1,774,426.48 $1,613,114.98 nat. median
$250,089
outlier · 6.5×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $954,702.73 $1,550,911.10 $1,409,919.18 nat. median
$71,350
outlier · 19.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 $235,844.56 $2,708,477.77 $1,218,385.98 nat. median
$370,165
outlier · 3.3×
7
MS_DRG 		Lung Transplant 31 $79,672.86 $2,162,847.20 $1,217,520.59 nat. median
$122,690
outlier · 9.9×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $606,614.44 $1,006,682.46 $915,165.87 nat. median
$108,751
outlier · 8.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $539,947.62 $908,866.16 $826,241.96 nat. median
$168,361
outlier · 4.9×
5831
APR_DRG 		Neonate With Ecmo 5 $533,130.79 $893,650.74 $812,409.76 nat. median
$154,685
outlier · 5.3×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 $527,334.48 $881,949.89 $801,772.63 nat. median
$79,344
outlier · 10.1×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $491,546.01 $820,934.40 $746,304.00 nat. median
$99,613
outlier · 7.5×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 $481,678.92 $803,936.59 $730,851.45 nat. median
$69,851
outlier · 10.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $437,849.37 $757,859.03 $688,962.75 nat. median
$168,174
outlier · 4.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $426,710.10 $749,722.89 $681,566.26 nat. median
$254,667
outlier · 2.7×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $412,453.27 $711,221.95 $646,565.41 nat. median
$180,995
outlier · 3.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 $47,755.88 $898,903.07 $617,082.25 nat. median
$132,706
outlier · 4.7×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $350,926.06 $603,365.57 $548,514.15 nat. median
$156,285
outlier · 3.5×
3614
APR_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 $349,400.32 $600,721.84 $546,110.76 nat. median
$49,653
outlier · 11.0×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $321,265.81 $569,025.47 $517,295.88 nat. median
$147,847
outlier · 3.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $183,658.14 $846,592.03 $510,494.99 nat. median
$261,939
1.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $303,451.85 $525,301.79 $477,547.08 nat. median
$123,690
outlier · 3.9×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $299,216.90 $513,895.92 $467,178.11 nat. median
$92,000
outlier · 5.1×
5832
APR_DRG 		Neonate With Ecmo 5 $260,301.31 $471,260.10 $428,418.27 nat. median
$169,230
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 $9,573.10 $610,909.14 $419,379.13 nat. median
$199,832
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $260,183.39 $457,724.45 $416,113.14 nat. median
$112,711
outlier · 3.7×
6224
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 $274,398.51 $451,079.93 $410,072.66 nat. median
$41,608
outlier · 9.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 $46,300.50 $752,886.92 $409,453.73 nat. median
$108,240
outlier · 3.8×
6083
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 $255,922.98 $449,673.55 $408,794.14 nat. median
$53,072
outlier · 7.7×
6123
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 $256,883.53 $447,567.59 $406,879.63 nat. median
$46,953
outlier · 8.7×
104
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 26 $24,968.83 $599,559.59 $404,402.94 nat. median
$71,308
outlier · 5.7×
6073
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $243,560.33 $430,953.74 $391,776.13 nat. median
$70,524
outlier · 5.6×
6022
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $247,083.97 $430,503.16 $391,366.51 nat. median
$72,941
outlier · 5.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $235,617.59 $427,129.00 $388,299.09 nat. median
$109,499
outlier · 3.5×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 $239,256.55 $425,944.94 $387,222.67 nat. median
$84,380
outlier · 4.6×
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 33 $31,808.43 $715,523.45 $373,503.24 nat. median
$2,024
outlier · 184.5×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 $152,653.80 $537,795.88 $345,224.84 nat. median
$2
outlier · 203073.4×
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 $206,686.80 $378,451.04 $344,046.40 nat. median
$69,517
outlier · 4.9×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $192,675.00 $359,538.09 $326,852.81 nat. median
$84,000
outlier · 3.9×
6301
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $210,010.68 $358,233.78 $325,667.07 nat. median
$25,387
outlier · 12.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 $54,834.22 $440,987.12 $325,501.58 nat. median
$205,166
1.6× median
6032
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $196,709.38 $352,638.86 $320,580.78 nat. median
$39,435
outlier · 8.1×
6
MS_DRG 		Liver Transplant Without Mcc 31 $31,408.04 $613,006.45 $319,989.37 nat. median
$46,106
outlier · 6.9×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 45 $151,757.91 $485,854.37 $318,806.14 nat. median
$163,765
1.9× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 45 $146,847.30 $485,854.37 $316,350.84 nat. median
$206,020
1.5× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 31 $36,508.53 $591,940.40 $308,992.89 nat. median
$53,073
outlier · 5.8×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $308,752.42 $854,949.18 $308,752.42 nat. median
$292,434
1.1× median
6143
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 $185,998.84 $304,555.85 $276,868.95 nat. median
$39,439
outlier · 7.0×
213
MS_DRG 		Amputation For Musculoskeletal System & Conn Tissue Disorders 25 $38,886.31 $382,425.60 $267,315.49 nat. median
$50,294
outlier · 5.3×
105
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 25 $15,205.13 $372,415.27 $260,318.27 nat. median
$41,135
outlier · 6.3×
6072
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $153,921.85 $285,049.46 $259,135.87 nat. median
$53,300
outlier · 4.9×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $258,404.55 $854,949.18 $258,404.55 nat. median
$380,401
0.7× median
6081
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 $156,957.05 $282,739.36 $257,035.78 nat. median
$16,348
outlier · 15.7×

Other procedures at this hospital

Browse this hospital's 19,681 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
             
5833 APR_DRG Neonate With Ecmo 5 5 $2,908,124.19 $2,035,686.93 30% off $1,081,368.39 $1,774,426.48 $1,613,114.98 2026-06-20
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 $2,588,272.66 $1,811,790.86 30% off $954,702.73 $1,550,911.10 $1,409,919.18 2026-06-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 36 $2,860,061.00 $2,002,042.70 30% off $235,844.56 $2,708,477.77 $1,218,385.98 2026-06-20
7 MS_DRG Lung Transplant 31 31 $2,162,847.20 $1,513,993.04 30% off $79,672.86 $2,162,847.20 $1,217,520.59 2026-06-20
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 $1,675,014.64 $1,172,510.25 30% off $606,614.44 $1,006,682.46 $915,165.87 2026-06-20
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 $1,500,105.00 $1,050,073.50 30% off $539,947.62 $908,866.16 $826,241.96 2026-06-20
5831 APR_DRG Neonate With Ecmo 5 5 $1,469,746.64 $1,028,822.65 30% off $533,130.79 $893,650.74 $812,409.76 2026-06-20
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 $1,467,012.67 $1,026,908.87 30% off $527,334.48 $881,949.89 $801,772.63 2026-06-20
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 $1,365,907.92 $956,135.54 30% off $491,546.01 $820,934.40 $746,304.00 2026-06-20
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 $1,331,706.75 $932,194.73 30% off $481,678.92 $803,936.59 $730,851.45 2026-06-20
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 $1,232,236.05 $862,565.24 30% off $437,849.37 $757,859.03 $688,962.75 2026-06-20
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 $1,203,010.60 $842,107.42 30% off $426,710.10 $749,722.89 $681,566.26 2026-06-20
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 $1,165,605.86 $815,924.10 30% off $412,453.27 $711,221.95 $646,565.41 2026-06-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 37 $949,211.27 $664,447.89 30% off $47,755.88 $898,903.07 $617,082.25 2026-06-20
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 $990,884.00 $693,618.80 30% off $350,926.06 $603,365.57 $548,514.15 2026-06-20
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 $1,000,177.66 $700,124.36 30% off $349,400.32 $600,721.84 $546,110.76 2026-06-20
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 $926,362.89 $648,454.02 30% off $321,265.81 $569,025.47 $517,295.88 2026-06-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 31 $846,592.03 $592,614.42 30% off $183,658.14 $846,592.03 $510,494.99 2026-06-20
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 $861,472.00 $603,030.40 30% off $303,451.85 $525,301.79 $477,547.08 2026-06-20
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 $850,361.00 $595,252.70 30% off $299,216.90 $513,895.92 $467,178.11 2026-06-20
5832 APR_DRG Neonate With Ecmo 5 5 $753,940.60 $527,758.42 30% off $260,301.31 $471,260.10 $428,418.27 2026-06-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 37 $645,099.41 $451,569.59 30% off $9,573.10 $610,909.14 $419,379.13 2026-06-20
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 $752,808.00 $526,965.60 30% off $260,183.39 $457,724.45 $416,113.14 2026-06-20
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 $769,040.26 $538,328.18 30% off $274,398.51 $451,079.93 $410,072.66 2026-06-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 31 $752,886.92 $527,020.84 30% off $46,300.50 $752,886.92 $409,453.73 2026-06-20
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 $754,926.86 $528,448.80 30% off $255,922.98 $449,673.55 $408,794.14 2026-06-20
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 $757,447.00 $530,212.90 30% off $256,883.53 $447,567.59 $406,879.63 2026-06-20
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 26 26 $599,559.59 $419,691.71 30% off $24,968.83 $599,559.59 $404,402.94 2026-06-20
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 $715,283.00 $500,698.10 30% off $243,560.33 $430,953.74 $391,776.13 2026-06-20
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 $713,583.00 $499,508.10 30% off $247,083.97 $430,503.16 $391,366.51 2026-06-20
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 $693,353.30 $485,347.31 30% off $235,617.59 $427,129.00 $388,299.09 2026-06-20
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 $700,671.82 $490,470.27 30% off $239,256.55 $425,944.94 $387,222.67 2026-06-20
237 MS_DRG Major Cardiovasc Procedures W Mcc 33 33 $715,523.45 $500,866.42 30% off $31,808.43 $715,523.45 $373,503.24 2026-06-20
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 98 45 — — $152,653.80 $537,795.88 $345,224.84 2026-05-09
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 $625,748.92 $438,024.24 30% off $206,686.80 $378,451.04 $344,046.40 2026-06-20
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 $588,987.01 $412,290.91 30% off $192,675.00 $359,538.09 $326,852.81 2026-06-20
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 $619,098.30 $433,368.81 30% off $210,010.68 $358,233.78 $325,667.07 2026-06-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 37 $465,667.50 $325,967.25 30% off $54,834.22 $440,987.12 $325,501.58 2026-06-20
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 $591,272.21 $413,890.55 30% off $196,709.38 $352,638.86 $320,580.78 2026-06-20
6 MS_DRG Liver Transplant Without Mcc 31 31 $613,006.45 $429,104.52 30% off $31,408.04 $613,006.45 $319,989.37 2026-06-20
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 49 45 — — $151,757.91 $485,854.37 $318,806.14 2026-05-09
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 49 45 — — $146,847.30 $485,854.37 $316,350.84 2026-05-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 31 $591,940.40 $414,358.28 30% off $36,508.53 $591,940.40 $308,992.89 2026-06-20
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $308,752.42 $854,949.18 $308,752.42 2026-05-09
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 $521,161.00 $364,812.70 30% off $185,998.84 $304,555.85 $276,868.95 2026-06-20
213 MS_DRG Amputation For Musculoskeletal System & Conn Tissue Disorders 25 25 $382,425.60 $267,697.92 30% off $38,886.31 $382,425.60 $267,315.49 2026-06-20
105 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 25 25 $372,415.27 $260,690.69 30% off $15,205.13 $372,415.27 $260,318.27 2026-06-20
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 $480,104.00 $336,072.80 30% off $153,921.85 $285,049.46 $259,135.87 2026-06-20
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $258,404.55 $854,949.18 $258,404.55 2026-05-08
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 $495,276.00 $346,693.20 30% off $156,957.05 $282,739.36 $257,035.78 2026-06-20
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 $463,918.66 $324,743.06 30% off $148,168.58 $281,393.68 $255,812.44 2026-06-20
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 $444,333.02 $311,033.11 30% off $137,540.13 $273,017.79 $248,197.99 2026-06-20
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 31 $473,562.45 $331,493.72 30% off $9,031.32 $473,562.45 $247,199.60 2026-06-20
6363 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 5 5 $473,139.62 $331,197.73 30% off $148,519.77 $266,927.10 $242,661.00 2026-06-20
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 $404,587.75 $283,211.43 30% off $122,391.23 $258,775.90 $235,250.82 2026-06-20
6131 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 $457,090.57 $319,963.40 30% off $142,402.67 $256,402.36 $233,093.05 2026-06-20
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 $403,301.00 $282,310.70 30% off $126,968.80 $247,854.61 $225,322.37 2026-06-20
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 $356,448.67 $249,514.07 30% off $109,901.77 $237,872.99 $216,248.17 2026-06-20
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 $737,038.00 $515,926.60 30% off $200,000.00 $220,000.00 $216,000.00 2026-06-20
24 APR_DRG Heart And/or Lung Transplant 3 3 $1,219,844.79 $853,891.35 30% off $200,000.00 $220,000.00 $216,000.00 2026-06-20
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 45 — — $99,036.04 $320,327.10 $209,681.57 2026-05-09
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 45 — — $96,817.43 $320,327.10 $208,572.27 2026-05-08
215 MS_DRG Other Heart Assist System Implant 37 37 $335,128.60 $234,590.02 30% off $20,761.59 $395,478.03 $205,423.00 2026-06-20
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 $356,791.00 $249,753.70 30% off $104,173.49 $223,624.36 $203,294.87 2026-06-20
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 $385,006.00 $269,504.20 30% off $121,846.85 $223,233.98 $202,939.98 2026-06-20
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 12 12 — — $200,367.90 $638,575.36 $200,367.90 2026-05-09
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 37 $740,885.64 $518,619.95 30% off $31,188.23 $701,618.70 $193,150.67 2026-06-20
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 $336,744.30 $235,721.01 30% off $102,391.45 $212,347.53 $193,043.21 2026-06-20
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 12 12 — — $193,006.54 $638,575.36 $193,006.54 2026-05-08
10 MS_DRG Pancreas Transplant 31 31 $363,908.35 $254,735.85 30% off $25,921.92 $363,908.35 $189,960.16 2026-06-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 37 $286,913.55 $200,839.49 30% off $8,592.70 $271,707.13 $186,522.50 2026-06-20
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 37 $325,502.69 $227,851.88 30% off $13,698.38 $326,891.10 $185,446.00 2026-06-20
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 $351,791.00 $246,253.70 30% off $102,267.74 $200,726.39 $182,478.54 2026-06-20
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 37 37 $273,655.62 $191,558.93 30% off $15,648.44 $354,190.06 $182,446.01 2026-06-20
2624 APR_DRG Cholecystectomy Except Laparoscopic 5 5 $327,092.24 $228,964.57 30% off $97,102.12 $200,678.89 $182,435.35 2026-06-20
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 5 5 $347,243.93 $243,070.75 30% off $124,334.43 $199,571.69 $181,428.81 2026-06-20
1614 APR_DRG Implantable Heart Assist Systems 3 3 $580,874.55 $406,612.19 30% off $163,244.49 $179,568.94 $176,304.05 2026-06-20
402 MS_DRG Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 26 26 $253,839.77 $177,687.84 30% off $20,642.48 $253,839.77 $171,214.92 2026-06-20
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 $335,158.00 $234,610.60 30% off $95,928.07 $186,442.27 $169,492.97 2026-06-20
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 $326,803.00 $228,762.10 30% off $101,496.41 $185,740.06 $168,854.60 2026-06-20
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 $1,334,178.27 $933,924.79 30% off $152,934.38 $168,227.82 $165,169.13 2026-06-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 37 $303,808.65 $212,666.06 30% off $10,707.33 $373,933.09 $163,254.00 2026-06-20
277 MS_DRG Cellulitis Age >17 W Cc 25 25 $232,912.00 $163,038.40 30% off $13,935.81 $232,912.00 $162,805.49 2026-06-20
104 APR_DRG Head Trauma With Deep Coma 3 3 $292,524.20 $204,766.94 30% off $149,694.35 $164,663.79 $161,669.90 2026-06-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 37 $557,980.25 $390,586.18 30% off $27,558.49 $528,407.30 $161,658.47 2026-06-20
212 OTHER Concomitant Aortic And Mitral Valve Procedures 96 44 — — $74,643.98 $246,964.71 $160,804.35 2026-05-09
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 $303,433.00 $212,403.10 30% off $83,836.09 $175,719.29 $159,744.81 2026-06-20
238 MS_DRG Major Cardiovasc Procedures Without Mcc 33 33 $300,874.70 $210,612.29 30% off $14,323.95 $300,874.70 $157,056.59 2026-06-20
215 OTHER Other Heart Assist System Implant 98 45 — — $71,191.48 $240,184.12 $155,687.80 2026-05-09
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 43 — — $71,776.45 $237,477.32 $154,626.89 2026-05-09
6111 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 $307,680.00 $215,376.00 30% off $85,454.83 $169,141.42 $153,764.93 2026-06-20
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 34 34 $309,506.05 $216,654.24 30% off $13,222.70 $309,506.05 $153,669.76 2026-06-20
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 $269,569.61 $188,698.73 30% off $70,929.06 $168,459.17 $153,144.70 2026-06-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 36 $540,754.16 $378,527.91 30% off $45,183.54 $512,094.19 $150,678.83 2026-06-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 37 $312,560.30 $218,792.21 30% off $37,787.96 $322,164.59 $145,933.00 2026-06-20
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 34 34 $288,760.15 $202,132.11 30% off $13,565.47 $288,760.15 $143,369.41 2026-06-20
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 98 45 — — $66,128.43 $218,790.44 $142,459.43 2026-05-09
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 37 $203,377.17 $142,364.02 30% off $39,313.13 $192,598.18 $142,160.64 2026-06-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 37 $387,183.73 $271,028.61 30% off $8,269.79 $366,662.99 $141,345.04 2026-06-20
570 MS_DRG Skin Debridement With Mcc 35 35 $561,768.89 $393,238.22 30% off $10,264.97 $531,995.14 $138,705.41 2026-06-20
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 37 37 $197,083.71 $137,958.60 30% off $14,855.60 $186,638.27 $137,761.51 2026-06-20
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 37 37 $468,312.38 $327,818.67 30% off $18,921.11 $443,491.82 $137,022.47 2026-06-20
63685 OTHER Insertion Of Spinal Neurostimulator Generator Or Receiver 88 41 $15,667.00 $10,966.90 30% off $29,307.06 $137,081.30 $136,311.62 2026-05-09
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 37 $302,432.06 $211,702.44 30% off $12,359.58 $311,996.67 $136,288.90 2026-06-20
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 $251,767.00 $176,236.90 30% off $64,143.60 $146,482.09 $133,165.54 2026-06-20
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 5 5 $242,219.90 $169,553.93 30% off $74,728.29 $145,346.80 $132,133.45 2026-06-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 36 $187,383.61 $131,168.53 30% off $19,231.58 $253,361.27 $131,355.91 2026-06-20
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 5 5 $249,939.36 $174,957.55 30% off $66,302.72 $143,407.49 $130,370.45 2026-06-20
2324 APR_DRG Gastric Fundoplication 5 5 $249,234.15 $174,463.91 30% off $85,859.62 $140,821.92 $128,019.93 2026-06-20
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 37 37 $373,981.41 $261,786.99 30% off $18,611.43 $354,160.40 $127,848.52 2026-06-20
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 $207,541.00 $145,278.70 30% off $47,286.86 $138,104.19 $125,549.26 2026-06-20
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 37 $179,465.74 $125,626.02 30% off $45,249.82 $169,954.06 $125,446.55 2026-06-20
231 OTHER Coronary Bypass With Ptca With Mcc 98 45 — — $58,062.37 $192,103.31 $125,082.84 2026-05-09
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 98 45 — — $58,030.16 $191,996.76 $125,013.46 2026-05-09
459 MS_DRG Spinal Fusion Except Cervical With Mcc 37 37 $176,973.88 $123,881.72 30% off $15,941.60 $256,624.14 $123,704.74 2026-06-20
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 94 43 — — $57,149.00 $189,081.40 $123,115.20 2026-05-09
399 MS_DRG Reticuloendothelial & Immunity Disorders Without Cc 26 26 $180,382.64 $126,267.85 30% off $8,734.23 $180,382.64 $121,668.10 2026-06-20
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 $218,840.00 $153,188.00 30% off $51,593.47 $133,098.86 $120,998.96 2026-06-20
34 APR_DRG Bone Marrow Transplant 5 5 $3,877,567.58 $2,714,297.31 30% off $75,019.37 $132,648.98 $120,589.98 2026-06-20
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 49 45 — — $56,261.08 $182,745.14 $119,503.11 2026-05-09
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 49 45 — — $55,233.90 $182,745.14 $118,989.52 2026-05-08
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 $226,378.40 $158,464.88 30% off $54,466.73 $130,706.21 $118,823.83 2026-06-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 37 $215,419.13 $150,793.39 30% off $11,479.06 $297,280.24 $117,155.00 2026-06-20
271 APR_DRG Other Open Craniotomy 5 5 $238,644.05 $167,050.84 30% off $73,811.73 $127,775.58 $116,159.62 2026-06-20
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 98 45 — — $53,557.24 $177,197.79 $115,377.51 2026-05-09
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 45 — — $53,016.62 $175,409.12 $114,212.87 2026-05-09
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 37 37 $290,106.23 $203,074.36 30% off $15,718.91 $274,730.60 $113,725.91 2026-06-20
7513 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 5 5 $243,736.21 $170,615.35 30% off $61,082.66 $124,541.85 $113,219.86 2026-06-20
274 APR_DRG Other Open Craniotomy 5 5 $208,918.03 $146,242.62 30% off $62,481.66 $124,461.95 $113,147.23 2026-06-20
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 37 37 $159,375.10 $111,562.57 30% off $9,561.11 $293,890.93 $112,040.70 2026-06-20
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 35 35 $236,647.50 $165,653.25 30% off $10,015.87 $236,647.50 $111,460.97 2026-06-20
163 MS_DRG Major Chest Procedures With Mcc 37 37 $460,004.33 $322,003.03 30% off $25,411.49 $435,624.10 $111,392.49 2026-06-20
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 98 45 — — $51,144.00 $169,213.41 $110,178.71 2026-05-09
1311 APR_DRG Cystic Fibrosis - Pulmonary Disease 5 5 $229,413.69 $160,589.58 30% off $71,954.63 $119,454.87 $108,595.34 2026-06-20
653 MS_DRG Major Bladder Procedures With Mcc 37 37 $432,627.77 $302,839.44 30% off $27,405.88 $409,698.50 $106,911.64 2026-06-20
531 MS_DRG Spinal Procedures W Cc 25 25 $152,879.40 $107,015.58 30% off $9,539.60 $152,879.40 $106,862.70 2026-06-20
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 $179,679.00 $125,775.30 30% off $36,667.26 $116,534.98 $105,940.89 2026-06-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 37 $162,028.05 $113,419.64 30% off $9,642.61 $243,692.34 $105,560.00 2026-06-20
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 37 37 $162,010.38 $113,407.27 30% off $5,698.51 $153,423.83 $105,322.95 2026-06-20
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 43 — — $48,667.03 $161,018.21 $104,842.62 2026-05-09
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 37 37 $197,034.50 $137,924.15 30% off $11,333.70 $245,692.15 $104,801.00 2026-06-20
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 92 42 — — $48,422.42 $160,208.89 $104,315.65 2026-05-09
974 APR_DRG Tonsil And Adenoid Procedures 5 5 $205,743.72 $144,020.60 30% off $62,561.11 $114,151.63 $103,774.21 2026-06-20
471 MS_DRG Cervical Spinal Fusion With Mcc 37 37 $389,336.94 $272,535.86 30% off $23,954.85 $368,702.08 $103,541.00 2026-06-20
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 36 $166,713.80 $116,699.66 30% off $30,309.89 $198,084.47 $103,404.00 2026-06-20
6221 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 $218,983.00 $153,288.10 30% off $64,744.19 $113,615.99 $103,287.26 2026-06-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 37 $369,444.80 $258,611.36 30% off $8,598.04 $349,864.23 $103,148.31 2026-06-20
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 35 35 $219,147.25 $153,403.08 30% off $8,044.37 $219,147.25 $102,649.09 2026-06-20
955 OTHER Craniotomy For Multiple Significant Trauma 98 45 — — $46,786.86 $154,797.56 $100,792.21 2026-05-09
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 26 26 $148,868.05 $104,207.64 30% off $14,087.96 $148,868.05 $100,411.50 2026-06-20
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 94 43 — — $45,939.98 $151,995.55 $98,967.76 2026-05-09
2004 APR_DRG Cardiac Structural And Valvular Disorders 5 5 $204,858.00 $143,400.60 30% off $6,038.69 $108,765.50 $98,877.73 2026-06-20
904 APR_DRG Major Larynx & Trachea Procedures 5 5 $169,766.04 $118,836.23 30% off $36,342.41 $108,714.41 $98,831.28 2026-06-20
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 98 45 — — $45,763.20 $151,410.66 $98,586.93 2026-05-09
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 $917,811.00 $642,467.70 30% off $91,164.30 $100,280.73 $98,457.44 2026-06-20
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 98 45 — — $45,685.76 $151,154.49 $98,420.12 2026-05-09
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 5 5 $193,245.48 $135,271.84 30% off $41,838.12 $107,074.24 $97,340.22 2026-06-20
5963090 OTHER Removal Of Vertebral Body 38 27 $180,279.75 $126,195.83 30% off $39,661.54 $170,724.92 $96,990.51 2026-06-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 37 37 $205,349.01 $143,744.31 30% off $6,946.23 $254,855.69 $96,719.38 2026-06-20
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 37 37 $138,107.65 $96,675.36 30% off $9,417.51 $130,787.94 $96,537.25 2026-06-20
112 MS_DRG No Longer Valid 25 25 $137,461.40 $96,222.98 30% off $13,811.55 $137,461.40 $96,085.52 2026-06-20
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 $150,550.70 $105,385.49 30% off $88,939.26 $97,833.19 $96,054.40 2026-06-20
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 37 37 $146,158.35 $102,310.85 30% off $18,471.88 $185,242.93 $95,420.05 2026-06-20
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 98 45 — — $44,248.92 $146,400.59 $95,324.76 2026-05-09
5922630 OTHER Lumbar Spine Fusion 38 27 $173,864.75 $121,705.33 30% off $38,250.25 $164,649.92 $93,539.24 2026-06-20
8634 APR_DRG Neonatal Aftercare 5 5 $152,102.00 $106,471.40 30% off $30,409.89 $102,789.50 $93,445.00 2026-06-20
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 37 37 $165,498.01 $115,848.61 30% off $17,241.09 $194,134.76 $93,374.00 2026-06-20
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 $188,983.00 $132,288.10 30% off $49,344.96 $102,335.26 $93,032.05 2026-06-20
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $120,359.52 $84,251.66 30% off $85,955.57 $94,551.13 $92,832.02 2026-06-20
007 OTHER Lung Transplant 12 12 — — $92,592.55 $296,269.70 $92,592.55 2026-05-09
652 MS_DRG Kidney Transplant 31 31 $177,139.02 $123,997.31 30% off $10,898.53 $177,139.02 $92,466.57 2026-06-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 36 36 $176,947.00 $123,862.90 30% off $4,646.32 $186,966.01 $92,366.33 2026-06-20
70113613 OTHER Catalyft Pl40 36 30 $166,108.00 $116,275.60 30% off $36,543.76 $157,304.28 $92,264.68 2026-06-20
107 MS_DRG No Longer Valid 25 25 $131,788.55 $92,251.99 30% off $12,412.25 $131,788.55 $92,120.20 2026-06-20
1613 APR_DRG Implantable Heart Assist Systems 3 3 $1,009,142.27 $706,399.59 30% off $85,085.23 $93,593.75 $91,892.05 2026-06-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 37 $194,247.61 $135,973.33 30% off $12,329.46 $224,845.80 $91,490.62 2026-06-20
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 92 42 — — $42,443.45 $140,427.05 $91,435.25 2026-05-09
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 94 43 — — $42,388.63 $140,245.69 $91,317.16 2026-05-09
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 37 37 $381,082.36 $266,757.65 30% off $26,750.20 $360,884.99 $91,189.90 2026-06-20
63655 OTHER Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 45 41 $5,355.75 $3,749.03 30% off $20,623.50 $90,861.16 $90,861.16 2026-05-08
028 OTHER Spinal Procedures With Mcc 49 45 — — $42,958.71 $137,822.27 $90,390.49 2026-05-09
232 OTHER Coronary Bypass With Ptca Without Mcc 98 45 — — $41,856.23 $138,484.23 $90,170.23 2026-05-09
14 OTHER Allogeneic Bone Marrow Transplant 12 12 — — $89,772.30 $297,017.81 $89,772.30 2026-05-08
28 OTHER Spinal Procedures With Mcc 49 45 — — $41,656.16 $137,822.27 $89,739.21 2026-05-08
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 $795,413.19 $556,789.23 30% off $47,755.88 $98,512.54 $89,556.85 2026-06-20
7 OTHER Lung Transplant 12 12 — — $89,546.18 $296,269.70 $89,546.18 2026-05-08
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 98 45 — — $39,488.86 $139,118.99 $89,303.93 2026-05-09
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 $680,689.23 $476,482.46 30% off $9,976.09 $98,089.05 $89,171.86 2026-06-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 37 $126,655.08 $88,658.56 30% off $7,892.72 $202,792.26 $89,038.52 2026-06-20
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 $153,363.00 $107,354.10 30% off $35,389.75 $97,462.60 $88,602.36 2026-06-20
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 98 45 — — $41,048.40 $135,811.44 $88,429.92 2026-05-09
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 98 45 — — $40,764.04 $134,870.63 $87,817.34 2026-05-09
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 98 45 — — $40,317.98 $133,394.81 $86,856.40 2026-05-09
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 5 5 $157,581.75 $110,307.23 30% off $32,211.65 $95,507.92 $86,825.38 2026-06-20
120 MS_DRG Other Circulatory System O.r. Procedures 25 25 $122,985.83 $86,090.08 30% off $4,527.65 $122,985.83 $85,967.10 2026-06-20
014 OTHER Allogeneic Bone Marrow Transplant 12 12 — — $85,926.70 $297,017.81 $85,926.70 2026-05-09
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 49 45 — — $40,971.03 $129,334.62 $85,152.82 2026-05-09
457 OTHER Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 98 45 — — $39,325.82 $130,112.20 $84,719.01 2026-05-09
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 37 37 $120,412.94 $84,289.06 30% off $12,412.25 $229,920.16 $84,650.30 2026-06-20
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 49 45 — — $39,090.81 $129,334.62 $84,212.71 2026-05-08
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 $770,702.00 $539,491.40 30% off $77,493.83 $85,243.21 $83,693.34 2026-06-20
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 $144,704.63 $101,293.24 30% off $27,349.65 $91,936.43 $83,578.57 2026-06-20
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 $2,871,477.00 $2,010,033.90 30% off $77,183.32 $84,901.65 $83,357.99 2026-06-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 37 37 $357,603.65 $250,322.56 30% off $17,856.99 $338,650.66 $83,055.01 2026-06-20
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 36 36 $209,018.27 $146,312.79 30% off $27,684.03 $197,940.30 $82,835.15 2026-06-20
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim 33 33 $158,640.20 $111,048.14 30% off $9,159.35 $158,640.20 $82,810.18 2026-06-20
5922612 OTHER Lumbar Spine Fusion 38 27 $152,831.75 $106,982.23 30% off $33,622.99 $144,731.67 $82,223.48 2026-06-20
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 $560,381.69 $392,267.18 30% off $75,811.90 $83,393.09 $81,876.85 2026-06-20
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 $420,304.81 $294,213.37 30% off $75,769.59 $83,346.55 $81,831.16 2026-06-20
963 MS_DRG Other Multiple Significant Trauma With Mcc 37 37 $125,866.54 $88,106.58 30% off $5,599.32 $119,195.61 $81,825.84 2026-06-20
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 $151,034.08 $105,723.86 30% off $31,608.01 $89,984.26 $81,803.87 2026-06-20
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 49 45 — — $37,872.54 $125,303.89 $81,588.21 2026-05-08
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 49 45 — — $37,850.11 $125,303.89 $81,577.00 2026-05-09
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 37 $157,405.59 $110,183.91 30% off $7,210.34 $207,981.97 $81,294.13 2026-06-20
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 43 — — $37,713.57 $124,777.95 $81,245.76 2026-05-09
23474 OTHER Revision Of Total Shoulder Repair; Total Shoulder 95 44 $15,853.25 $11,097.28 30% off $6,411.10 $149,644.35 $81,239.17 2026-05-09
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 $161,320.91 $112,924.64 30% off $75,136.34 $82,649.97 $81,147.25 2026-06-20
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 12 — — $81,021.17 $249,816.60 $81,021.17 2026-05-09
209 OTHER Complex Aortic Arch Procedures 11 11 — — $80,928.21 $93,067.44 $80,928.21 2026-05-09
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 37 37 $125,713.88 $87,999.72 30% off $15,594.18 $192,714.55 $80,883.00 2026-06-20
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 94 43 — — $37,483.35 $124,016.24 $80,749.79 2026-05-09
31 MS_DRG Ventricular Shunt Procedures With Mcc 37 37 $123,249.83 $86,274.88 30% off $7,451.83 $116,717.59 $80,124.71 2026-06-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 37 $195,923.00 $137,146.10 30% off $5,499.37 $185,539.08 $79,992.00 2026-06-20
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 98 45 — — $37,007.14 $122,440.67 $79,723.90 2026-05-09
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 98 45 — — $36,453.51 $120,608.93 $78,531.22 2026-05-09
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 37 37 $225,144.85 $157,601.40 30% off $6,060.79 $213,212.17 $78,474.88 2026-06-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 37 $151,346.44 $105,942.51 30% off $11,757.58 $199,070.94 $78,191.00 2026-06-20
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 45 — — $36,292.49 $120,076.19 $78,184.34 2026-05-09
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 37 $111,085.61 $77,759.93 30% off $13,566.80 $208,620.88 $78,093.18 2026-06-20
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 37 $159,643.33 $111,750.33 30% off $7,836.48 $199,564.21 $78,003.87 2026-06-20
64 APR_DRG Pancreas Transplant 3 3 $578,248.99 $404,774.29 30% off $70,937.81 $78,031.59 $76,612.83 2026-06-20
450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 94 43 — — $35,288.00 $116,752.77 $76,020.38 2026-05-09
270 OTHER Other Major Cardiovascular Procedures With Mcc 98 45 — — $35,170.83 $116,365.11 $75,767.97 2026-05-09
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 12 — — $75,505.94 $249,816.60 $75,505.94 2026-05-08
22856 OTHER Insertion Of Artificial Upper Spine Disc; Anterior Approach 46 42 $14,106.75 $9,874.73 30% off $17,686.08 $133,245.44 $75,465.76 2026-05-08
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 98 45 — — $34,907.72 $115,494.58 $75,201.15 2026-05-09
33 APR_DRG Bone Marrow Transplant 5 5 $777,830.26 $544,481.18 30% off $68,590.81 $75,449.89 $75,019.37 2026-06-20
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 37 $107,178.61 $75,025.03 30% off $18,877.45 $186,214.03 $74,917.85 2026-06-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 37 37 $330,339.55 $231,237.69 30% off $20,378.15 $312,831.55 $74,631.80 2026-06-20
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 98 45 — — $34,512.36 $114,186.52 $74,349.44 2026-05-09
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 37 37 $114,305.04 $80,013.53 30% off $6,430.16 $108,246.87 $74,309.71 2026-06-20
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 $33,354.00 $23,347.80 30% off $68,747.81 $75,622.59 $74,247.63 2026-06-20
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 92 42 — — $34,282.14 $113,424.81 $73,853.48 2026-05-09
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 12 12 — — $73,718.97 $241,421.90 $73,718.97 2026-05-09
228 OTHER Other Cardiothoracic Procedures With Mcc 98 45 — — $34,145.10 $112,971.41 $73,558.26 2026-05-09
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 37 $162,067.99 $113,447.59 30% off $5,801.42 $173,507.83 $73,415.00 2026-06-20
140 MS_DRG Major Head And Neck Procedures With Mcc 34 34 $184,620.42 $129,234.29 30% off $8,777.78 $174,835.54 $73,326.32 2026-06-20
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 12 12 — — $72,968.68 $241,421.90 $72,968.68 2026-05-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 37 37 $103,543.21 $72,480.25 30% off $24,627.73 $98,055.42 $72,376.70 2026-06-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 37 $99,958.54 $69,970.98 30% off $9,641.50 $189,167.87 $72,170.07 2026-06-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 37 $129,859.38 $90,901.57 30% off $19,185.17 $181,617.73 $71,887.20 2026-06-20
799 MS_DRG Splenectomy With Mcc 37 37 $101,529.57 $71,070.70 30% off $27,204.74 $195,439.77 $71,777.73 2026-06-20
245 OTHER Aicd Generator Procedures 98 45 — — $32,620.67 $110,783.76 $71,702.21 2026-05-09
471 OTHER Cervical Spinal Fusion With Mcc 98 45 — — $33,281.76 $110,114.99 $71,698.38 2026-05-09
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 $488,530.78 $341,971.55 30% off $66,096.24 $72,705.86 $71,383.94 2026-06-20
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 $120,175.80 $84,123.06 30% off $13,987.61 $78,215.29 $71,104.81 2026-06-20
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 37 37 $149,954.58 $104,968.21 30% off $7,310.58 $192,970.37 $70,870.81 2026-06-20
23472 OTHER Prosthetic Repair Of Shoulder Joint; Total Shoulder 192 44 $27,302.38 $19,111.67 30% off $16,969.00 $124,175.51 $70,572.26 2026-05-09
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 36 $97,783.91 $68,448.74 30% off $33,098.08 $196,242.04 $70,533.48 2026-06-20
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 $136,568.64 $95,598.05 30% off $20,235.74 $77,188.44 $70,171.31 2026-06-20
5663 APR_DRG Antepartum Without O.r. Procedure 5 5 $164,036.60 $114,825.62 30% off $33,739.19 $77,049.50 $70,045.00 2026-06-20
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 98 45 — — $32,236.17 $106,655.55 $69,445.86 2026-05-09
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 37 $128,738.60 $90,117.02 30% off $3,750.72 $141,277.92 $69,331.00 2026-06-20
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 37 37 $233,889.68 $163,722.78 30% off $5,855.03 $221,493.53 $69,214.00 2026-06-20
277 OTHER Cardiac Defibrillator Implant Without Mcc 92 42 — — $31,874.38 $105,458.57 $68,666.48 2026-05-09
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 45 — — $31,468.06 $104,114.24 $67,791.15 2026-05-09
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 34 $124,093.30 $86,865.31 30% off $6,490.61 $165,304.53 $67,760.58 2026-06-20
360 MS_DRG Vagina, Cervix & Vulva Procedures 26 26 $99,949.81 $69,964.87 30% off $6,278.47 $99,949.81 $67,416.15 2026-06-20
245 MS_DRG Aicd Generator Procedures 37 37 $97,360.51 $68,152.36 30% off $15,774.59 $187,160.38 $67,205.91 2026-06-20
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 37 37 $89,596.60 $62,717.62 30% off $26,455.90 $235,650.83 $67,197.45 2026-06-20
025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 49 45 — — $32,508.42 $101,387.04 $66,947.73 2026-05-09
6934 APR_DRG Chemotherapy 5 5 $113,720.80 $79,604.56 30% off $18,054.38 $73,266.75 $66,606.14 2026-06-20
131 MS_DRG Cranial/facial Procedures W Cc/mcc 34 34 $134,149.40 $93,904.58 30% off $10,919.06 $134,149.40 $66,605.18 2026-06-20
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 98 45 — — $30,693.78 $101,668.15 $66,180.96 2026-05-09
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 $639,245.51 $447,471.86 30% off $61,252.22 $67,377.44 $66,152.40 2026-06-20
1612 APR_DRG Implantable Heart Assist Systems 3 3 $176,854.75 $123,798.33 30% off $61,163.05 $67,279.36 $66,056.09 2026-06-20
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 49 45 — — $30,643.77 $101,387.04 $66,015.40 2026-05-08
9102 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 $138,287.69 $96,801.38 30% off $20,890.96 $72,603.04 $66,002.76 2026-06-20
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 $120,974.82 $84,682.37 30% off $18,305.03 $71,913.67 $65,376.06 2026-06-20
6231 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 $150,522.00 $105,365.40 30% off $34,306.91 $71,640.07 $65,127.34 2026-06-20
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 37 37 $137,231.03 $96,061.72 30% off $7,242.39 $160,068.69 $64,635.82 2026-06-20
567 MS_DRG Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx 25 25 $92,298.76 $64,609.13 30% off $5,933.25 $92,298.76 $64,516.83 2026-06-20
332 MS_DRG Rectal Resection With Mcc 37 37 $98,833.25 $69,183.28 30% off $7,093.16 $152,379.00 $64,241.61 2026-06-20
500 MS_DRG Soft Tissue Procedures With Mcc 37 37 $176,939.48 $123,857.64 30% off $5,542.18 $167,561.69 $64,162.00 2026-06-20
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 37 37 $91,193.20 $63,835.24 30% off $11,902.93 $126,701.75 $63,744.05 2026-06-20
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 98 45 — — $29,586.53 $97,889.06 $63,737.79 2026-05-09
031 OTHER Ventricular Shunt Procedures With Mcc 49 45 — — $32,035.10 $95,000.90 $63,518.00 2026-05-09
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 37 37 $170,430.30 $119,301.21 30% off $7,560.58 $162,365.47 $63,463.96 2026-06-20
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 37 $88,334.89 $61,834.42 30% off $6,058.02 $171,897.83 $63,131.65 2026-06-20
850 OTHER Acute Leukemia With Other Procedures 24 12 — — $61,914.50 $208,833.77 $63,119.07 2026-05-09
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 37 $84,615.14 $59,230.60 30% off $27,399.36 $183,929.63 $63,038.28 2026-06-20
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 98 45 — — $27,843.12 $98,090.82 $62,966.97 2026-05-09
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 96 44 — — $29,185.01 $96,560.60 $62,872.81 2026-05-09
1611 APR_DRG Implantable Heart Assist Systems 3 3 $117,988.01 $82,591.61 30% off $58,007.60 $63,808.36 $62,648.21 2026-06-20
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 37 37 $89,449.11 $62,614.38 30% off $21,271.71 $131,650.93 $62,614.38 2026-06-20
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 $1,053,038.06 $737,126.64 30% off $57,599.88 $63,359.87 $62,207.87 2026-06-20
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 37 37 $88,757.58 $62,130.31 30% off $9,758.69 $125,019.63 $62,041.55 2026-06-20
31 OTHER Ventricular Shunt Procedures With Mcc 49 45 — — $28,713.60 $95,000.90 $61,857.25 2026-05-08
5922610 OTHER Thorax Spine Fusion 38 27 $114,521.00 $80,164.70 30% off $25,194.62 $108,451.39 $61,612.29 2026-06-20
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 98 45 — — $28,508.72 $94,323.07 $61,415.89 2026-05-09
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