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

BURLESON ST JOSEPH HEALTH CENTER

Caldwell, TX · CCN 451305 · Rates published

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You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORPAPHY

This hospital’s price: $6,770 across 5 payers · range $2,574-$9,870

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/stjoh/sobv/finance/price-transparency/742759890_chi-st-joseph-health-burleson-hospital_standardcharges.json · observed 2026-09-30

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.

35,950 distinct procedures filed
34 distinct payers
591,547 rate rows
2026-09-30 last MRF observed
Data quality

525,820 of 591,547 rate rows are consumer-grade (88.9%)

65,727 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 35,761
per-diem day rate — not a per-procedure price 18,361
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,833
exceeds 10× this hospital's gross charge — excluded from medians 465
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 179
template filing: same amount across many unrelated codes — excluded 88
placeholder amount (≤ $0.02) — excluded from medians 40
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stjoh/sobv/finance/price-transparency/742759890-1750377289_burleson-st-joseph-health-center-of-caldwell-texas_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stjoseph-health-price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-11-07
Content fingerprint dd537e407acd96a3… · 85,784,914 bytes · first seen 2026-11-07

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 3 $628,583.00 $660,012.15 $653,726.32 nat. median
$309,665
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $611,487.00 $642,061.35 $635,946.48 nat. median
$171,358
outlier · 3.7×
5833
APR_DRG 		Neonate With Ecmo 3 $532,261.00 $558,874.05 $553,551.44 nat. median
$244,017
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 3 $512,020.00 $537,621.00 $532,500.80 nat. median
$243,231
outlier · 2.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $397,883.00 $417,777.15 $413,798.32 nat. median
$249,123
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $386,372.00 $405,690.60 $401,826.88 nat. median
$202,660
2.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $361,969.00 $380,067.45 $376,447.76 nat. median
$165,169
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $230,350.00 $512,494.00 $371,422.00 nat. median
$360,195
1.0× median
0074
OTHER 		Allogeneic Bone Marrow Transplant 7 $328,885.34 $345,329.61 $335,463.05 nat. median
$146,633
outlier · 2.3×
0084
OTHER 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 $328,885.34 $345,329.61 $335,463.05 nat. median
$126,634
outlier · 2.6×
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $307,054.06 $322,406.76 $313,195.14 nat. median
$243,175
1.3× median
5834
OTHER 		Neonate With Ecmo 7 $304,424.81 $319,646.05 $310,513.31 nat. median
$363,985
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $296,051.00 $310,853.55 $307,893.04 nat. median
$154,211
2.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $293,428.00 $308,099.40 $305,165.12 nat. median
$165,846
1.8× median
0024
RC 		Heart And/or Lung Transplant 7 $284,744.04 $298,981.24 $290,438.92 nat. median
$26,800
outlier · 10.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $172,052.00 $399,077.00 $285,564.50 nat. median
$247,805
1.2× median
5832
APR_DRG 		Neonate With Ecmo 3 $265,214.00 $278,474.70 $275,822.56 nat. median
$159,829
1.7× median
1614
OTHER 		Implantable Heart Assist Systems 7 $267,065.02 $280,418.27 $272,406.32 nat. median
$184,558
1.5× median
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $263,654.72 $276,837.46 $268,927.81 nat. median
$177,388
1.5× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $234,027.00 $245,728.35 $243,388.08 nat. median
$28,745
outlier · 8.5×
5831
APR_DRG 		Neonate With Ecmo 3 $233,526.00 $245,202.30 $242,867.04 nat. median
$148,245
1.6× median
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $236,569.71 $248,398.20 $241,301.10 nat. median
$154,480
1.6× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $215,770.00 $226,558.50 $224,400.80 nat. median
$89,273
outlier · 2.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $213,491.00 $224,165.55 $222,030.64 nat. median
$177,531
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $212,515.00 $223,140.75 $221,015.60 nat. median
$145,336
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $211,966.00 $222,564.30 $220,444.64 nat. median
$122,016
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $211,054.00 $221,606.70 $219,496.16 nat. median
$160,390
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $208,947.00 $219,394.35 $217,304.88 nat. median
$138,094
1.6× median
0023
RC 		Heart And/or Lung Transplant 7 $212,785.33 $223,424.60 $217,041.04 nat. median
$82,236
outlier · 2.6×
6303
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $211,487.39 $222,061.76 $215,717.14 nat. median
$86,355
outlier · 2.5×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $210,889.44 $221,433.91 $215,107.23 nat. median
$83,379
outlier · 2.6×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 3 $203,442.00 $213,614.10 $211,579.68 nat. median
$67,082
outlier · 3.2×
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $207,296.99 $217,661.84 $211,442.93 nat. median
$143,243
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $201,620.00 $211,701.00 $209,684.80 nat. median
$165,334
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $201,382.00 $211,451.10 $209,437.28 nat. median
$121,888
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 2 $130,904.00 $286,937.00 $208,920.50 nat. median
$190,274
1.1× median
5833
OTHER 		Neonate With Ecmo 7 $204,741.17 $214,978.23 $208,835.99 nat. median
$241,478
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $200,318.00 $210,333.90 $208,330.72 nat. median
$122,978
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $144,899.00 $269,144.00 $207,021.50 nat. median
$197,664
1.0× median
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 7 $187,431.22 $196,802.78 $191,179.84 nat. median
$139,129
1.4× median
0083
OTHER 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 $187,067.87 $196,421.26 $190,809.23 nat. median
$72,028
outlier · 2.6×
0073
OTHER 		Allogeneic Bone Marrow Transplant 7 $187,067.87 $196,421.26 $190,809.23 nat. median
$75,607
outlier · 2.5×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $183,415.00 $192,585.75 $190,751.60 nat. median
$137,215
1.4× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 $182,680.00 $191,814.00 $189,987.20 nat. median
$78,187
outlier · 2.4×
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $185,325.53 $194,591.81 $189,032.04 nat. median
$166,169
1.1× median
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $184,226.90 $193,438.24 $187,911.44 nat. median
$73,904
outlier · 2.5×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 3 $179,434.00 $188,405.70 $186,611.36 nat. median
$68,030
outlier · 2.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $179,334.00 $188,300.70 $186,507.36 nat. median
$99,544
1.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $177,835.00 $186,726.75 $184,948.40 nat. median
$79,816
outlier · 2.3×
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $180,913.88 $189,959.57 $184,532.16 nat. median
$156,971
1.2× median

Other procedures at this hospital

Browse this hospital's 35,950 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 16 3 — — $628,583.00 $660,012.15 $653,726.32 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 16 3 — — $611,487.00 $642,061.35 $635,946.48 2026-02-28
5833 APR_DRG Neonate With Ecmo 16 3 — — $532,261.00 $558,874.05 $553,551.44 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 16 3 — — $512,020.00 $537,621.00 $532,500.80 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 3 — — $397,883.00 $417,777.15 $413,798.32 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 16 3 — — $386,372.00 $405,690.60 $401,826.88 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 3 — — $361,969.00 $380,067.45 $376,447.76 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $230,350.00 $512,494.00 $371,422.00 2026-02-28
0074 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $328,885.34 $345,329.61 $335,463.05 2026-07-31
0084 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $328,885.34 $345,329.61 $335,463.05 2026-07-31
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $307,054.06 $322,406.76 $313,195.14 2026-07-31
5834 OTHER Neonate With Ecmo 7 7 — — $304,424.81 $319,646.05 $310,513.31 2026-07-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 3 — — $296,051.00 $310,853.55 $307,893.04 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 3 — — $293,428.00 $308,099.40 $305,165.12 2026-02-28
0024 RC Heart And/or Lung Transplant 7 7 — — $284,744.04 $298,981.24 $290,438.92 2026-07-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $172,052.00 $399,077.00 $285,564.50 2026-02-28
5832 APR_DRG Neonate With Ecmo 16 3 — — $265,214.00 $278,474.70 $275,822.56 2026-02-28
1614 OTHER Implantable Heart Assist Systems 7 7 — — $267,065.02 $280,418.27 $272,406.32 2026-07-31
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $263,654.72 $276,837.46 $268,927.81 2026-07-31
2004 APR_DRG Cardiac Structural And Valvular Disorders 16 3 — — $234,027.00 $245,728.35 $243,388.08 2026-02-28
5831 APR_DRG Neonate With Ecmo 16 3 — — $233,526.00 $245,202.30 $242,867.04 2026-02-28
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $236,569.71 $248,398.20 $241,301.10 2026-07-31
73 APR_DRG Allogeneic Bone Marrow Transplant 16 3 — — $215,770.00 $226,558.50 $224,400.80 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 3 — — $213,491.00 $224,165.55 $222,030.64 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 3 — — $212,515.00 $223,140.75 $221,015.60 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 3 — — $211,966.00 $222,564.30 $220,444.64 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 16 3 — — $211,054.00 $221,606.70 $219,496.16 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 3 — — $208,947.00 $219,394.35 $217,304.88 2026-02-28
0023 RC Heart And/or Lung Transplant 7 7 — — $212,785.33 $223,424.60 $217,041.04 2026-07-31
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $211,487.39 $222,061.76 $215,717.14 2026-07-31
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $210,889.44 $221,433.91 $215,107.23 2026-07-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 16 3 — — $203,442.00 $213,614.10 $211,579.68 2026-02-28
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $207,296.99 $217,661.84 $211,442.93 2026-07-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 3 — — $201,620.00 $211,701.00 $209,684.80 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 16 3 — — $201,382.00 $211,451.10 $209,437.28 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 4 2 — — $130,904.00 $286,937.00 $208,920.50 2026-02-28
5833 OTHER Neonate With Ecmo 7 7 — — $204,741.17 $214,978.23 $208,835.99 2026-07-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 3 — — $200,318.00 $210,333.90 $208,330.72 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 2 — — $144,899.00 $269,144.00 $207,021.50 2026-02-28
8414 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $187,431.22 $196,802.78 $191,179.84 2026-07-31
0083 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $187,067.87 $196,421.26 $190,809.23 2026-07-31
0073 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $187,067.87 $196,421.26 $190,809.23 2026-07-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 16 3 — — $183,415.00 $192,585.75 $190,751.60 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 3 — — $182,680.00 $191,814.00 $189,987.20 2026-02-28
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $185,325.53 $194,591.81 $189,032.04 2026-07-31
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $184,226.90 $193,438.24 $187,911.44 2026-07-31
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 16 3 — — $179,434.00 $188,405.70 $186,611.36 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 3 — — $179,334.00 $188,300.70 $186,507.36 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 3 — — $177,835.00 $186,726.75 $184,948.40 2026-02-28
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $180,913.88 $189,959.57 $184,532.16 2026-07-31
0014 OTHER Liver Transplant And/or Intestinal Transplant 7 7 — — $179,539.65 $188,516.63 $183,130.44 2026-07-31
2464 APR_DRG Gastrointestinal Vascular Insufficiency 16 3 — — $173,904.00 $182,599.20 $180,860.16 2026-02-28
0064 OTHER Pancreas Transplant 7 7 — — $177,310.93 $186,176.48 $180,857.15 2026-07-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 3 — — $173,006.00 $181,656.30 $179,926.24 2026-02-28
64 APR_DRG Pancreas Transplant 16 3 — — $167,898.00 $176,292.90 $174,613.92 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 16 3 — — $167,884.00 $176,278.20 $174,599.36 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 3 — — $167,382.00 $175,751.10 $174,077.28 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 16 3 — — $162,714.00 $170,849.70 $169,222.56 2026-02-28
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $160,495.93 $168,520.73 $163,705.85 2026-07-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 3 — — $156,438.00 $164,259.90 $162,695.52 2026-02-28
5832 OTHER Neonate With Ecmo 7 7 — — $158,528.52 $166,454.95 $161,699.09 2026-07-31
0044 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $156,974.05 $164,822.75 $160,113.53 2026-07-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 3 — — $153,871.00 $161,564.55 $160,025.84 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 16 3 — — $152,622.00 $160,253.10 $158,726.88 2026-02-28
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $154,531.71 $162,258.30 $157,622.34 2026-07-31
0022 RC Heart And/or Lung Transplant 7 7 — — $150,766.65 $158,304.98 $153,781.98 2026-07-31
8634 OTHER Neonatal Aftercare 7 7 — — $150,758.07 $158,295.97 $153,773.23 2026-07-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 16 3 — — $146,118.00 $153,423.90 $151,962.72 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 16 3 — — $144,973.00 $152,221.65 $150,771.92 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 16 3 — — $144,762.00 $152,000.10 $150,552.48 2026-02-28
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $146,518.08 $153,843.98 $149,448.44 2026-07-31
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $144,809.11 $152,049.57 $147,705.29 2026-07-31
8634 APR_DRG Neonatal Aftercare 16 3 — — $140,888.00 $147,932.40 $146,523.52 2026-02-28
5831 OTHER Neonate With Ecmo 7 7 — — $142,674.81 $149,808.55 $145,528.31 2026-07-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 3 — — $139,534.00 $146,510.70 $145,115.36 2026-02-28
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $141,892.81 $148,987.45 $144,730.67 2026-07-31
1611 APR_DRG Implantable Heart Assist Systems 16 3 — — $137,294.00 $144,158.70 $142,785.76 2026-02-28
4404 APR_DRG Kidney Transplant 16 3 — — $136,955.00 $143,802.75 $142,433.20 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 3 — — $136,329.00 $143,145.45 $141,782.16 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 3 — — $136,283.00 $143,097.15 $141,734.32 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 4 2 — — $86,306.00 $194,698.00 $140,502.00 2026-02-28
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $136,763.05 $143,601.20 $139,498.31 2026-07-31
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 16 3 — — $132,766.00 $139,404.30 $138,076.64 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 3 — — $132,766.00 $139,404.30 $138,076.64 2026-02-28
0094 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $134,991.14 $141,740.70 $137,690.96 2026-07-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 16 3 — — $132,390.00 $139,009.50 $137,685.60 2026-02-28
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $134,726.02 $141,462.32 $137,420.54 2026-07-31
4414 APR_DRG Major Bladder Procedures 16 3 — — $129,609.00 $136,089.45 $134,793.36 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 16 3 — — $126,110.00 $132,415.50 $131,154.40 2026-02-28
453 MS_DRG No Active Code Description 2 1 — — $129,804.00 $129,804.00 $129,804.00 2026-02-28
4404 OTHER Kidney Transplant 7 7 — — $126,771.51 $133,110.09 $129,306.94 2026-07-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $67,308.00 $191,032.00 $129,170.00 2026-02-28
0021 OTHER Heart And/or Lung Transplant 7 7 — — $126,555.03 $132,882.78 $129,086.13 2026-07-31
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 3 — — $123,478.00 $129,651.90 $128,417.12 2026-02-28
0082 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $125,430.66 $131,702.19 $127,939.27 2026-07-31
0072 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $125,430.66 $131,702.19 $127,939.27 2026-07-31
7 MS_DRG Lung Transplant 4 2 — — $79,824.00 $173,084.00 $126,454.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 16 3 — — $121,393.00 $127,462.65 $126,248.72 2026-02-28
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $123,375.51 $129,544.29 $125,843.02 2026-07-31
0054 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $122,497.19 $128,622.05 $124,947.13 2026-07-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 3 — — $119,547.00 $125,524.35 $124,328.88 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 16 3 — — $119,410.00 $125,380.50 $124,186.40 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 16 3 — — $118,882.00 $124,826.10 $123,637.28 2026-02-28
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 7 7 — — $120,930.32 $126,976.84 $123,348.93 2026-07-31
6904 APR_DRG Acute Leukemia 16 3 — — $117,814.00 $123,704.70 $122,526.56 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 16 3 — — $117,093.00 $122,947.65 $121,776.72 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 3 — — $116,961.00 $122,809.05 $121,639.44 2026-02-28
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $119,015.36 $124,966.13 $121,395.67 2026-07-31
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $118,700.65 $124,635.68 $121,074.66 2026-07-31
3404 OTHER Fracture Of Femur 7 7 — — $117,959.65 $123,857.63 $120,318.84 2026-07-31
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $117,758.43 $123,646.35 $120,113.60 2026-07-31
14 MS_DRG Allogeneic Bone Marrow Transplant 4 2 — — $80,026.00 $158,703.00 $119,364.50 2026-02-28
0013 OTHER Liver Transplant And/or Intestinal Transplant 7 7 — — $116,775.20 $122,613.96 $119,110.70 2026-07-31
0063 OTHER Pancreas Transplant 7 7 — — $116,356.54 $122,174.37 $118,683.67 2026-07-31
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 3 — — $113,429.00 $119,100.45 $117,966.16 2026-02-28
0043 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $115,123.46 $120,879.63 $117,425.93 2026-07-31
0924 RC Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 7 — — $114,572.24 $120,300.85 $116,863.68 2026-07-31
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $113,346.78 $119,014.12 $115,613.72 2026-07-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 16 3 — — $111,045.00 $116,597.25 $115,486.80 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 3 — — $110,368.00 $115,886.40 $114,782.72 2026-02-28
9114 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $111,768.47 $117,356.89 $114,003.84 2026-07-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 3 — — $109,619.00 $115,099.95 $114,003.76 2026-02-28
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $111,387.96 $116,957.36 $113,615.72 2026-07-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 2 — — $65,047.00 $161,737.00 $113,392.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 3 — — $108,547.00 $113,974.35 $112,888.88 2026-02-28
63 APR_DRG Pancreas Transplant 16 3 — — $108,502.00 $113,927.10 $112,842.08 2026-02-28
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $109,020.96 $114,472.01 $111,201.38 2026-07-31
3623 OTHER Mastectomy Procedures 7 7 — — $107,721.12 $113,107.18 $109,875.54 2026-07-31
0234 RC Spinal Procedures 7 7 — — $107,270.99 $112,634.54 $109,416.41 2026-07-31
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $107,228.07 $112,589.47 $109,372.63 2026-07-31
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $106,830.39 $112,171.91 $108,967.00 2026-07-31
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $106,672.09 $112,005.69 $108,805.53 2026-07-31
222 MS_DRG No Active Code Description 2 1 — — $108,561.00 $108,561.00 $108,561.00 2026-02-28
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $106,333.54 $111,650.22 $108,460.21 2026-07-31
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $106,265.83 $111,579.12 $108,391.15 2026-07-31
0214 RC Open Craniotomy Except Trauma 7 7 — — $105,541.04 $110,818.09 $107,651.86 2026-07-31
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 16 3 — — $103,435.00 $108,606.75 $107,572.40 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 16 3 — — $102,872.00 $108,015.60 $106,986.88 2026-02-28
0042 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $104,675.11 $109,908.87 $106,768.61 2026-07-31
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 16 3 — — $102,631.00 $107,762.55 $106,736.24 2026-02-28
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $104,600.73 $109,830.77 $106,692.74 2026-07-31
215 MS_DRG Other Heart Assist System Implant 4 2 — — $64,713.00 $146,086.00 $105,399.50 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 16 3 — — $101,308.00 $106,373.40 $105,360.32 2026-02-28
234 APR_DRG Spinal Procedures 16 3 — — $101,111.00 $106,166.55 $105,155.44 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 16 3 — — $100,745.00 $105,782.25 $104,774.80 2026-02-28
0012 OTHER Liver Transplant And/or Intestinal Transplant 7 7 — — $102,685.77 $107,820.06 $104,739.49 2026-07-31
0204 RC Open Craniotomy For Trauma 7 7 — — $102,160.30 $107,268.32 $104,203.51 2026-07-31
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $101,580.47 $106,659.49 $103,612.08 2026-07-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 3 — — $99,446.00 $104,418.30 $103,423.84 2026-02-28
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $101,210.45 $106,270.97 $103,234.66 2026-07-31
0062 OTHER Pancreas Transplant 7 7 — — $100,817.54 $105,858.42 $102,833.89 2026-07-31
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $100,209.11 $105,219.57 $102,213.29 2026-07-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 3 — — $98,207.00 $103,117.35 $102,135.28 2026-02-28
62 APR_DRG Pancreas Transplant 16 3 — — $98,139.00 $103,045.95 $102,064.56 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 16 3 — — $97,754.00 $102,641.70 $101,664.16 2026-02-28
61 APR_DRG Pancreas Transplant 16 3 — — $96,872.00 $101,715.60 $100,746.88 2026-02-28
224 MS_DRG No Active Code Description 2 1 — — $100,516.00 $100,516.00 $100,516.00 2026-02-28
9104 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $97,552.20 $102,429.81 $99,503.24 2026-07-31
71 APR_DRG Allogeneic Bone Marrow Transplant 16 3 — — $95,195.00 $99,954.75 $99,002.80 2026-02-28
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $97,041.99 $101,894.09 $98,982.83 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $58,949.00 $138,128.00 $98,538.50 2026-02-28
1694 OTHER Major Abdominal Vascular Procedures 7 7 — — $96,428.78 $101,250.22 $98,357.36 2026-07-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 16 3 — — $94,500.00 $99,225.00 $98,280.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 3 — — $94,388.00 $99,107.40 $98,163.52 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 16 3 — — $94,331.00 $99,047.55 $98,104.24 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 3 — — $93,924.00 $98,620.20 $97,680.96 2026-02-28
0093 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $95,604.82 $100,385.06 $97,516.92 2026-07-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 3 — — $93,367.00 $98,035.35 $97,101.68 2026-02-28
0041 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $95,158.50 $99,916.42 $97,061.67 2026-07-31
1824 APR_DRG Other Peripheral Vascular Procedures 16 3 — — $93,291.00 $97,955.55 $97,022.64 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 16 3 — — $93,236.00 $97,897.80 $96,965.44 2026-02-28
0224 RC Ventricular Shunt Procedures 7 7 — — $94,080.86 $98,784.90 $95,962.48 2026-07-31
0011 OTHER Liver Transplant And/or Intestinal Transplant 7 7 — — $94,050.34 $98,752.86 $95,931.35 2026-07-31
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 16 3 — — $91,710.00 $96,295.50 $95,378.40 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 3 — — $91,687.00 $96,271.35 $95,354.48 2026-02-28
0404 RC Spinal Disorders And Injuries 7 7 — — $93,237.82 $97,899.71 $95,102.58 2026-07-31
2054 APR_DRG Cardiomyopathy 16 3 — — $91,428.00 $95,999.40 $95,085.12 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 16 3 — — $91,311.00 $95,876.55 $94,963.44 2026-02-28
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $93,025.15 $97,676.41 $94,885.65 2026-07-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 16 3 — — $91,217.00 $95,777.85 $94,865.68 2026-02-28
1613 OTHER Implantable Heart Assist Systems 7 7 — — $92,736.19 $97,373.00 $94,590.91 2026-07-31
459 MS_DRG No Active Code Description 2 1 — — $94,048.00 $94,048.00 $94,048.00 2026-02-28
4034 OTHER Procedures For Obesity 7 7 — — $91,949.42 $96,546.89 $93,788.41 2026-07-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 3 — — $89,685.00 $94,169.25 $93,272.40 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 16 3 — — $89,384.00 $93,853.20 $92,959.36 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 3 — — $89,105.00 $93,560.25 $92,669.20 2026-02-28
8413 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $90,753.53 $95,291.21 $92,568.60 2026-07-31
4834 OTHER Penis, Testes And Scrotal Procedures 7 7 — — $90,006.81 $94,507.15 $91,806.95 2026-07-31
0894 OTHER Major Cranial Or Facial Bone Procedures 7 7 — — $89,906.67 $94,402.00 $91,704.80 2026-07-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 16 3 — — $88,169.00 $92,577.45 $91,695.76 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 3 — — $88,019.00 $92,419.95 $91,539.76 2026-02-28
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $89,695.91 $94,180.71 $91,489.83 2026-07-31
214 APR_DRG Open Craniotomy Except Trauma 16 3 — — $87,811.00 $92,201.55 $91,323.44 2026-02-28
2604 OTHER Major Pancreas, Liver And Shunt Procedures 7 7 — — $89,404.09 $93,874.29 $91,192.17 2026-07-31
0053 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $89,338.29 $93,805.20 $91,125.06 2026-07-31
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $89,306.82 $93,772.16 $91,092.96 2026-07-31
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $89,252.46 $93,715.08 $91,037.51 2026-07-31
2304 APR_DRG Major Small Bowel Procedures 16 3 — — $87,494.00 $91,868.70 $90,993.76 2026-02-28
226 MS_DRG No Active Code Description 2 1 — — $90,757.00 $90,757.00 $90,757.00 2026-02-28
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $88,868.13 $93,311.54 $90,645.49 2026-07-31
224 APR_DRG Ventricular Shunt Procedures 16 3 — — $87,149.00 $91,506.45 $90,634.96 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $49,237.00 $131,909.00 $90,573.00 2026-02-28
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $88,796.61 $93,236.44 $90,572.54 2026-07-31
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 16 3 — — $86,671.00 $91,004.55 $90,137.84 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 16 3 — — $86,139.00 $90,445.95 $89,584.56 2026-02-28
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $87,725.64 $92,111.92 $89,480.15 2026-07-31
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $87,271.70 $91,635.28 $89,017.13 2026-07-31
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $87,167.75 $91,526.14 $88,911.10 2026-07-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 16 3 — — $85,352.00 $89,619.60 $88,766.08 2026-02-28
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $86,380.98 $90,700.03 $88,108.60 2026-07-31
0071 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $85,981.39 $90,280.46 $87,701.02 2026-07-31
0081 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $85,981.39 $90,280.46 $87,701.02 2026-07-31
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $85,847.88 $90,140.27 $87,564.84 2026-07-31
4403 APR_DRG Kidney Transplant 16 3 — — $83,823.00 $88,014.15 $87,175.92 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 16 3 — — $83,817.00 $88,007.85 $87,169.68 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 16 3 — — $83,532.00 $87,708.60 $86,873.28 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 16 3 — — $83,193.00 $87,352.65 $86,520.72 2026-02-28
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $84,798.85 $89,038.79 $86,494.83 2026-07-31
454 MS_DRG No Active Code Description 2 1 — — $86,361.00 $86,361.00 $86,361.00 2026-02-28
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $84,511.80 $88,737.39 $86,202.04 2026-07-31
4834 APR_DRG Penis Testes And Scrotal Procedures 16 3 — — $82,877.00 $87,020.85 $86,192.08 2026-02-28
3214 OTHER Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 7 — — $84,496.54 $88,721.37 $86,186.47 2026-07-31
37505926 OTHER Insync Icd 7 7 $139,009.50 $48,653.33 65% off $34,752.38 $125,108.55 $86,185.89 2026-07-31
5104 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 7 7 — — $84,339.18 $88,556.14 $86,025.96 2026-07-31
0734 OTHER Orbit And Eye Procedures 7 7 — — $84,166.57 $88,374.90 $85,849.90 2026-07-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 4 2 — — $51,730.00 $119,799.00 $85,764.50 2026-02-28
1204 OTHER Major Respiratory And Chest Procedures 7 7 — — $83,990.14 $88,189.65 $85,669.94 2026-07-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 2 — — $51,759.00 $119,005.00 $85,382.00 2026-02-28
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $83,628.70 $87,810.14 $85,301.27 2026-07-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 16 3 — — $81,988.00 $86,087.40 $85,267.52 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 16 3 — — $81,879.00 $85,972.95 $85,154.16 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 16 3 — — $81,859.00 $85,951.95 $85,133.36 2026-02-28
4403 OTHER Kidney Transplant 7 7 — — $83,243.42 $87,405.59 $84,908.29 2026-07-31
0061 OTHER Pancreas Transplant 7 7 — — $83,052.69 $87,205.32 $84,713.74 2026-07-31
37506462 OTHER Defibrillator Intrinsic Icd 7 7 $136,559.85 $47,795.95 65% off $34,139.97 $122,903.87 $84,667.11 2026-07-31
2314 OTHER Major Large Bowel Procedures 7 7 — — $82,932.53 $87,079.16 $84,591.18 2026-07-31
2304 OTHER Major Small Bowel Procedures 7 7 — — $82,932.53 $87,079.16 $84,591.18 2026-07-31
2324 OTHER Gastric Fundoplication 7 7 — — $82,932.53 $87,079.16 $84,591.18 2026-07-31
0052 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $82,761.82 $86,899.91 $84,417.06 2026-07-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 3 — — $80,640.00 $84,672.00 $83,865.60 2026-02-28
3024 OTHER No Active Code Description 7 7 — — $82,141.94 $86,249.04 $83,784.78 2026-07-31
5114 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 — — $81,737.59 $85,824.47 $83,372.34 2026-07-31
8412 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $81,677.51 $85,761.39 $83,311.06 2026-07-31
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $81,640.31 $85,722.33 $83,273.12 2026-07-31
6904 OTHER Acute Leukemia 7 7 — — $81,260.76 $85,323.80 $82,885.98 2026-07-31
0264 RC Other Nervous System And Related Procedures 7 7 — — $81,216.89 $85,277.73 $82,841.23 2026-07-31
43007147 OTHER Gliadel 61.6 Mg Box (8 Wafers) 7 7 $132,579.30 $46,402.76 65% off $33,144.83 $119,321.37 $82,199.17 2026-07-31
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 3 — — $79,036.00 $82,987.80 $82,197.44 2026-02-28
6364 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 7 7 — — $80,431.07 $84,452.62 $82,039.69 2026-07-31
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $80,259.41 $84,272.38 $81,864.60 2026-07-31
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $80,190.74 $84,200.28 $81,794.55 2026-07-31
C1605 HCPCS Pacer Sys Aveir Dual Chamber 64 19 $252,000.00 $44,100.00 82% off $50,400.00 $252,000.00 $81,774.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 16 3 — — $78,605.00 $82,535.25 $81,749.20 2026-02-28
0244 OTHER Open Extracranial Vascular Procedures 7 7 — — $80,125.90 $84,132.20 $81,728.42 2026-07-31
21 APR_DRG Heart And/or Lung Transplant 16 3 — — $78,470.00 $82,393.50 $81,608.80 2026-02-28
1783 APR_DRG External Heart Assist Systems 16 3 — — $77,685.00 $81,569.25 $80,792.40 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 16 3 — — $77,640.00 $81,522.00 $80,745.60 2026-02-28
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $79,061.61 $83,014.69 $80,642.84 2026-07-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 3 — — $77,356.00 $81,223.80 $80,450.24 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 16 3 — — $76,732.00 $80,568.60 $79,801.28 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 16 3 — — $76,511.00 $80,336.55 $79,571.44 2026-02-28
4234 OTHER Inborn Errors Of Metabolism 7 7 — — $77,797.05 $81,686.90 $79,352.99 2026-07-31
2294 OTHER Other Digestive System And Abdominal Procedures 7 7 — — $77,674.03 $81,557.73 $79,227.51 2026-07-31
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $77,373.62 $81,242.30 $78,921.09 2026-07-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 3 — — $75,785.00 $79,574.25 $78,816.40 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 2 — — $47,743.00 $109,813.00 $78,778.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 16 3 — — $75,664.00 $79,447.20 $78,690.56 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 3 — — $75,137.00 $78,893.85 $78,142.48 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 16 3 — — $74,927.00 $78,673.35 $77,924.08 2026-02-28
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $76,318.87 $80,134.81 $77,845.25 2026-07-31
914 APR_DRG Other Major Head And Neck Procedures 16 3 — — $74,524.00 $78,250.20 $77,504.96 2026-02-28
0914 RC Other Major Head And Neck Procedures 7 7 — — $75,248.86 $79,011.30 $76,753.84 2026-07-31
204 APR_DRG Open Craniotomy For Trauma 16 3 — — $73,763.00 $77,451.15 $76,713.52 2026-02-28
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 7 7 — — $75,196.41 $78,956.23 $76,700.34 2026-07-31
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $74,724.34 $78,460.56 $76,218.83 2026-07-31
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 3 — — $73,261.00 $76,924.05 $76,191.44 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 3 — — $73,121.00 $76,777.05 $76,045.84 2026-02-28
0494 OTHER Bacterial And Tuberculous Infections Of Nervous System 7 7 — — $74,310.45 $78,025.97 $75,796.66 2026-07-31
8444 OTHER Partial Thickness Burns Without Skin Graft 7 7 — — $74,083.48 $77,787.65 $75,565.15 2026-07-31
1214 OTHER Other Respiratory And Chest Procedures 7 7 — — $74,027.21 $77,728.57 $75,507.75 2026-07-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 16 3 — — $72,584.00 $76,213.20 $75,487.36 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 16 3 — — $72,555.00 $76,182.75 $75,457.20 2026-02-28
8434 OTHER Extensive Third Degree Burns Without Skin Graft 7 7 — — $73,965.23 $77,663.49 $75,444.53 2026-07-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 2 — — $45,591.00 $105,072.00 $75,331.50 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 16 3 — — $72,333.00 $75,949.65 $75,226.32 2026-02-28
8411 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $73,509.37 $77,184.84 $74,979.56 2026-07-31
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 16 3 — — $72,095.00 $75,699.75 $74,978.80 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 16 3 — — $72,080.00 $75,684.00 $74,963.20 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 16 3 — — $71,999.00 $75,598.95 $74,878.96 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 2 — — $48,420.00 $101,160.00 $74,790.00 2026-02-28
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $73,028.73 $76,680.17 $74,489.30 2026-07-31
9103 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $72,937.18 $76,584.04 $74,395.92 2026-07-31
223 MS_DRG No Active Code Description 2 1 — — $73,995.00 $73,995.00 $73,995.00 2026-02-28
0051 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $71,758.45 $75,346.37 $73,193.62 2026-07-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 16 3 — — $70,164.00 $73,672.20 $72,970.56 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 16 3 — — $69,859.00 $73,351.95 $72,653.36 2026-02-28
4014 OTHER Adrenal Procedures 7 7 — — $70,755.19 $74,292.95 $72,170.29 2026-07-31
2614 APR_DRG Major Biliary Tract Procedures 16 3 — — $69,050.00 $72,502.50 $71,812.00 2026-02-28
225 MS_DRG No Active Code Description 2 1 — — $71,712.00 $71,712.00 $71,712.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 3 — — $68,804.00 $72,244.20 $71,556.16 2026-02-28
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