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

GRIMES ST JOSEPH HEALTH CENTER

Navasota, TX · CCN 451322 · Rates published

13,844 distinct procedures filed
20 distinct payers
550,002 rate rows
2026-02-28 last MRF observed
Data quality

521,479 of 550,002 rate rows are consumer-grade (94.8%)

28,523 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
per-diem day rate — not a per-procedure price 21,873
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,450
exceeds 10× this hospital's gross charge — excluded from medians 674
placeholder amount (≤ $0.02) — excluded from medians 444
template filing: same amount across many unrelated codes — excluded 82
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stjoh/sobv/finance/price-transparency/741282699_chi-st-joseph-health-grimes-hospital_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stjoseph-health-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2c8e36175189f01b… · 96,125,875 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 6 $628,583.00 $660,012.15 $644,297.57 nat. median
$309,665
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $611,487.00 $642,061.35 $626,774.18 nat. median
$187,061
outlier · 3.4×
5833
APR_DRG 		Neonate With Ecmo 6 $532,261.00 $558,874.05 $545,567.53 nat. median
$244,017
outlier · 2.2×
24
APR_DRG 		Heart And/or Lung Transplant 6 $512,020.00 $537,621.00 $524,820.50 nat. median
$234,729
outlier · 2.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $397,883.00 $417,777.15 $407,830.08 nat. median
$246,434
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $386,372.00 $405,690.60 $396,031.30 nat. median
$207,730
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $230,350.00 $512,494.00 $371,422.00 nat. median
$370,174
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $361,969.00 $380,067.45 $371,018.22 nat. median
$164,834
outlier · 2.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $296,051.00 $310,853.55 $303,452.28 nat. median
$150,721
outlier · 2.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $293,428.00 $308,099.40 $300,763.70 nat. median
$162,982
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $172,052.00 $399,077.00 $285,564.50 nat. median
$265,286
1.1× median
5832
APR_DRG 		Neonate With Ecmo 6 $265,214.00 $278,474.70 $271,844.35 nat. median
$156,126
1.7× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 6 $234,027.00 $245,728.35 $239,877.67 nat. median
$32,541
outlier · 7.4×
5831
APR_DRG 		Neonate With Ecmo 6 $233,526.00 $245,202.30 $239,364.15 nat. median
$144,745
1.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $215,770.00 $226,558.50 $221,164.25 nat. median
$89,273
outlier · 2.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $213,491.00 $224,165.55 $218,828.27 nat. median
$182,665
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $212,515.00 $223,140.75 $217,827.88 nat. median
$145,336
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $211,966.00 $222,564.30 $217,265.15 nat. median
$105,658
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $211,054.00 $221,606.70 $216,330.35 nat. median
$160,267
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $144,899.00 $284,341.00 $214,620.00 nat. median
$206,474
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $208,947.00 $219,394.35 $214,170.67 nat. median
$122,924
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 9 $130,904.00 $286,937.00 $208,920.50 nat. median
$202,976
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 $203,442.00 $213,614.10 $208,528.05 nat. median
$73,845
outlier · 2.8×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $201,620.00 $211,701.00 $206,660.50 nat. median
$164,289
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $201,382.00 $211,451.10 $206,416.55 nat. median
$119,796
1.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $200,318.00 $210,333.90 $205,325.95 nat. median
$124,573
1.6× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $183,415.00 $192,585.75 $188,000.38 nat. median
$129,535
1.5× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 $182,680.00 $191,814.00 $187,247.00 nat. median
$79,774
outlier · 2.3×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 $179,434.00 $188,405.70 $183,919.85 nat. median
$73,288
outlier · 2.5×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $179,334.00 $188,300.70 $183,817.35 nat. median
$97,957
1.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $177,835.00 $186,726.75 $182,280.88 nat. median
$78,990
outlier · 2.3×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 6 $173,904.00 $182,599.20 $178,251.60 nat. median
$22,749
outlier · 7.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $173,006.00 $181,656.30 $177,331.15 nat. median
$109,499
1.6× median
64
APR_DRG 		Pancreas Transplant 6 $167,898.00 $176,292.90 $172,095.45 nat. median
$91,009
1.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $167,884.00 $176,278.20 $172,081.10 nat. median
$93,370
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $167,382.00 $175,751.10 $171,566.55 nat. median
$151,838
1.1× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $162,714.00 $170,849.70 $166,781.85 nat. median
$89,796
1.9× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 $156,438.00 $164,259.90 $160,348.95 nat. median
$81,781
2.0× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $153,871.00 $161,564.55 $157,717.77 nat. median
$118,620
1.3× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $152,622.00 $160,253.10 $156,437.55 nat. median
$69,788
outlier · 2.2×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 $146,118.00 $153,423.90 $149,770.95 nat. median
$69,160
outlier · 2.2×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $144,973.00 $152,221.65 $148,597.33 nat. median
$66,666
outlier · 2.2×
1612
APR_DRG 		Implantable Heart Assist Systems 6 $144,762.00 $152,000.10 $148,381.05 nat. median
$85,444
1.7× median
8634
APR_DRG 		Neonatal Aftercare 6 $140,888.00 $147,932.40 $144,410.20 nat. median
$69,502
outlier · 2.1×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $139,534.00 $146,510.70 $143,022.35 nat. median
$72,936
2.0× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $137,294.00 $144,158.70 $140,726.35 nat. median
$76,806
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 9 $86,306.00 $194,698.00 $140,502.00 nat. median
$133,161
1.1× median
4404
APR_DRG 		Kidney Transplant 6 $136,955.00 $143,802.75 $140,378.88 nat. median
$79,034
1.8× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $136,329.00 $143,145.45 $139,737.23 nat. median
$68,217
outlier · 2.0×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $136,283.00 $143,097.15 $139,690.08 nat. median
$69,926
2.0× median

Other procedures at this hospital

Browse this hospital's 13,844 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 12 6 — — $628,583.00 $660,012.15 $644,297.57 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $611,487.00 $642,061.35 $626,774.18 2026-02-28
5833 APR_DRG Neonate With Ecmo 12 6 — — $532,261.00 $558,874.05 $545,567.53 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 12 6 — — $512,020.00 $537,621.00 $524,820.50 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $397,883.00 $417,777.15 $407,830.08 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 12 6 — — $386,372.00 $405,690.60 $396,031.30 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 5 — — $230,350.00 $512,494.00 $371,422.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $361,969.00 $380,067.45 $371,018.22 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $296,051.00 $310,853.55 $303,452.28 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 6 — — $293,428.00 $308,099.40 $300,763.70 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 5 — — $172,052.00 $399,077.00 $285,564.50 2026-02-28
5832 APR_DRG Neonate With Ecmo 12 6 — — $265,214.00 $278,474.70 $271,844.35 2026-02-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 12 6 — — $234,027.00 $245,728.35 $239,877.67 2026-02-28
5831 APR_DRG Neonate With Ecmo 12 6 — — $233,526.00 $245,202.30 $239,364.15 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $215,770.00 $226,558.50 $221,164.25 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $213,491.00 $224,165.55 $218,828.27 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $212,515.00 $223,140.75 $217,827.88 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $211,966.00 $222,564.30 $217,265.15 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $211,054.00 $221,606.70 $216,330.35 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 5 — — $144,899.00 $284,341.00 $214,620.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 6 — — $208,947.00 $219,394.35 $214,170.67 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 12 9 — — $130,904.00 $286,937.00 $208,920.50 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 12 6 — — $203,442.00 $213,614.10 $208,528.05 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $201,620.00 $211,701.00 $206,660.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 12 6 — — $201,382.00 $211,451.10 $206,416.55 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $200,318.00 $210,333.90 $205,325.95 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $183,415.00 $192,585.75 $188,000.38 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 6 — — $182,680.00 $191,814.00 $187,247.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 12 6 — — $179,434.00 $188,405.70 $183,919.85 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $179,334.00 $188,300.70 $183,817.35 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $177,835.00 $186,726.75 $182,280.88 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 12 6 — — $173,904.00 $182,599.20 $178,251.60 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 6 — — $173,006.00 $181,656.30 $177,331.15 2026-02-28
64 APR_DRG Pancreas Transplant 12 6 — — $167,898.00 $176,292.90 $172,095.45 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 12 6 — — $167,884.00 $176,278.20 $172,081.10 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $167,382.00 $175,751.10 $171,566.55 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 12 6 — — $162,714.00 $170,849.70 $166,781.85 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $156,438.00 $164,259.90 $160,348.95 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $153,871.00 $161,564.55 $157,717.77 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 12 6 — — $152,622.00 $160,253.10 $156,437.55 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 6 — — $146,118.00 $153,423.90 $149,770.95 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $144,973.00 $152,221.65 $148,597.33 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 12 6 — — $144,762.00 $152,000.10 $148,381.05 2026-02-28
8634 APR_DRG Neonatal Aftercare 12 6 — — $140,888.00 $147,932.40 $144,410.20 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $139,534.00 $146,510.70 $143,022.35 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 12 6 — — $137,294.00 $144,158.70 $140,726.35 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 12 9 — — $86,306.00 $194,698.00 $140,502.00 2026-02-28
4404 APR_DRG Kidney Transplant 12 6 — — $136,955.00 $143,802.75 $140,378.88 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $136,329.00 $143,145.45 $139,737.23 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $136,283.00 $143,097.15 $139,690.08 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 12 6 — — $132,766.00 $139,404.30 $136,085.15 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $132,766.00 $139,404.30 $136,085.15 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 6 — — $132,390.00 $139,009.50 $135,699.75 2026-02-28
4414 APR_DRG Major Bladder Procedures 12 6 — — $129,609.00 $136,089.45 $132,849.23 2026-02-28
453 MS_DRG No Active Code Description 5 4 — — $129,804.00 $129,804.00 $129,804.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 12 6 — — $126,110.00 $132,415.50 $129,262.75 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 5 — — $67,308.00 $191,032.00 $129,170.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 6 — — $123,478.00 $129,651.90 $126,564.95 2026-02-28
7 MS_DRG Lung Transplant 11 5 — — $79,824.00 $173,084.00 $126,454.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 12 6 — — $121,393.00 $127,462.65 $124,427.82 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $119,547.00 $125,524.35 $122,535.68 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 6 — — $119,410.00 $125,380.50 $122,395.25 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 6 — — $118,882.00 $124,826.10 $121,854.05 2026-02-28
6904 APR_DRG Acute Leukemia 12 6 — — $117,814.00 $123,704.70 $120,759.35 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 12 6 — — $117,093.00 $122,947.65 $120,020.32 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $116,961.00 $122,809.05 $119,885.02 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 11 5 — — $80,026.00 $158,703.00 $119,364.50 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $113,429.00 $119,100.45 $116,264.73 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 6 — — $111,045.00 $116,597.25 $113,821.12 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 5 — — $65,047.00 $161,737.00 $113,392.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $110,368.00 $115,886.40 $113,127.20 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $109,619.00 $115,099.95 $112,359.48 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $108,547.00 $113,974.35 $111,260.68 2026-02-28
63 APR_DRG Pancreas Transplant 12 6 — — $108,502.00 $113,927.10 $111,214.55 2026-02-28
222 MS_DRG No Active Code Description 6 5 — — $108,561.00 $108,561.00 $108,561.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 12 6 — — $103,435.00 $108,606.75 $106,020.88 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 6 — — $102,872.00 $108,015.60 $105,443.80 2026-02-28
215 MS_DRG Other Heart Assist System Implant 7 5 — — $64,713.00 $146,086.00 $105,399.50 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 12 6 — — $102,631.00 $107,762.55 $105,196.77 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 12 6 — — $101,308.00 $106,373.40 $103,840.70 2026-02-28
234 APR_DRG Spinal Procedures 12 6 — — $101,111.00 $106,166.55 $103,638.77 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 6 — — $100,745.00 $105,782.25 $103,263.62 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $99,446.00 $104,418.30 $101,932.15 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $98,207.00 $103,117.35 $100,662.18 2026-02-28
62 APR_DRG Pancreas Transplant 12 6 — — $98,139.00 $103,045.95 $100,592.48 2026-02-28
224 MS_DRG No Active Code Description 6 5 — — $100,516.00 $100,516.00 $100,516.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 — — $97,754.00 $102,641.70 $100,197.85 2026-02-28
61 APR_DRG Pancreas Transplant 12 6 — — $96,872.00 $101,715.60 $99,293.80 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 5 — — $66,540.00 $130,574.00 $98,557.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $58,949.00 $138,128.00 $98,538.50 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $95,195.00 $99,954.75 $97,574.88 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $94,500.00 $99,225.00 $96,862.50 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 6 — — $94,388.00 $99,107.40 $96,747.70 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 12 6 — — $94,331.00 $99,047.55 $96,689.27 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $93,924.00 $98,620.20 $96,272.10 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber 33 19 $252,000.00 $44,100.00 82% off $50,400.00 $279,720.00 $96,037.20 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $93,367.00 $98,035.35 $95,701.18 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 12 6 — — $93,291.00 $97,955.55 $95,623.27 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 6 — — $93,236.00 $97,897.80 $95,566.90 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 4 — — $63,984.00 $125,558.00 $94,771.00 2026-02-28
459 MS_DRG No Active Code Description 5 4 — — $94,048.00 $94,048.00 $94,048.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 6 — — $91,710.00 $96,295.50 $94,002.75 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 6 — — $91,687.00 $96,271.35 $93,979.18 2026-02-28
2054 APR_DRG Cardiomyopathy 12 6 — — $91,428.00 $95,999.40 $93,713.70 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 12 6 — — $91,311.00 $95,876.55 $93,593.77 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $91,217.00 $95,777.85 $93,497.43 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $89,685.00 $94,169.25 $91,927.12 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 12 6 — — $89,384.00 $93,853.20 $91,618.60 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $89,105.00 $93,560.25 $91,332.62 2026-02-28
226 MS_DRG No Active Code Description 9 8 — — $90,757.00 $90,757.00 $90,757.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 5 — — $49,237.00 $131,909.00 $90,573.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 6 — — $88,169.00 $92,577.45 $90,373.23 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $88,019.00 $92,419.95 $90,219.48 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 12 6 — — $87,811.00 $92,201.55 $90,006.27 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 12 6 — — $87,494.00 $91,868.70 $89,681.35 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 12 6 — — $87,149.00 $91,506.45 $89,327.73 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 12 6 — — $86,671.00 $91,004.55 $88,837.77 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 — — $86,139.00 $90,445.95 $88,292.48 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 6 — — $85,352.00 $89,619.60 $87,485.80 2026-02-28
454 MS_DRG No Active Code Description 5 4 — — $86,361.00 $86,361.00 $86,361.00 2026-02-28
4403 APR_DRG Kidney Transplant 12 6 — — $83,823.00 $88,014.15 $85,918.57 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 12 6 — — $83,817.00 $88,007.85 $85,912.43 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 7 5 — — $51,730.00 $119,799.00 $85,764.50 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 12 6 — — $83,532.00 $87,708.60 $85,620.30 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 8 — — $51,759.00 $119,005.00 $85,382.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 12 6 — — $83,193.00 $87,352.65 $85,272.82 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 12 6 — — $82,877.00 $87,020.85 $84,948.93 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 6 — — $81,988.00 $86,087.40 $84,037.70 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 6 — — $81,879.00 $85,972.95 $83,925.98 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 6 — — $81,859.00 $85,951.95 $83,905.48 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 6 4 — — $56,266.00 $110,414.00 $83,340.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 — — $80,640.00 $84,672.00 $82,656.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $79,036.00 $82,987.80 $81,011.90 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 12 6 — — $78,605.00 $82,535.25 $80,570.12 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 12 6 — — $78,470.00 $82,393.50 $80,431.75 2026-02-28
1783 APR_DRG External Heart Assist Systems 12 6 — — $77,685.00 $81,569.25 $79,627.12 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 12 6 — — $77,640.00 $81,522.00 $79,581.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 6 — — $77,356.00 $81,223.80 $79,289.90 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 7 — — $47,743.00 $109,813.00 $78,778.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 12 6 — — $76,732.00 $80,568.60 $78,650.30 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $76,511.00 $80,336.55 $78,423.77 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $75,785.00 $79,574.25 $77,679.62 2026-02-28
C4130 HCPCS Tiss Strttice X Thick 20x40 33 19 $203,595.00 $35,629.13 82% off $40,719.00 $225,990.45 $77,590.06 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 12 6 — — $75,664.00 $79,447.20 $77,555.60 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $75,137.00 $78,893.85 $77,015.43 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 6 — — $74,927.00 $78,673.35 $76,800.18 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 12 6 — — $74,524.00 $78,250.20 $76,387.10 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 12 6 — — $73,763.00 $77,451.15 $75,607.07 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 4 — — $50,944.00 $99,970.00 $75,457.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 5 — — $45,591.00 $105,072.00 $75,331.50 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $73,261.00 $76,924.05 $75,092.52 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $73,121.00 $76,777.05 $74,949.02 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 5 — — $48,420.00 $101,160.00 $74,790.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $72,584.00 $76,213.20 $74,398.60 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 12 6 — — $72,555.00 $76,182.75 $74,368.88 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 12 6 — — $72,333.00 $75,949.65 $74,141.32 2026-02-28
223 MS_DRG No Active Code Description 6 5 — — $73,995.00 $73,995.00 $73,995.00 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 12 6 — — $72,095.00 $75,699.75 $73,897.38 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 12 6 — — $72,080.00 $75,684.00 $73,882.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 6 — — $71,999.00 $75,598.95 $73,798.98 2026-02-28
10 MS_DRG Pancreas Transplant 11 5 — — $48,699.00 $95,564.00 $72,131.50 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 6 — — $70,164.00 $73,672.20 $71,918.10 2026-02-28
225 MS_DRG No Active Code Description 6 5 — — $71,712.00 $71,712.00 $71,712.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $69,859.00 $73,351.95 $71,605.48 2026-02-28
227 MS_DRG No Active Code Description 9 8 — — $71,187.00 $71,187.00 $71,187.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 12 6 — — $69,050.00 $72,502.50 $70,776.25 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 5 — — $38,629.00 $102,762.00 $70,695.50 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $68,804.00 $72,244.20 $70,524.10 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 12 6 — — $68,441.00 $71,863.05 $70,152.02 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $25,000.00 $115,249.00 $70,124.50 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 — — $68,172.00 $71,580.60 $69,876.30 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $67,742.00 $71,129.10 $69,435.55 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 8 — — $40,726.00 $98,128.00 $69,427.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 6 — — $42,490.00 $96,286.00 $69,388.00 2026-02-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 12 6 — — $67,058.00 $70,410.90 $68,734.45 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 5 — — $41,707.00 $95,508.00 $68,607.50 2026-02-28
1782 APR_DRG External Heart Assist Systems 12 6 — — $66,674.00 $70,007.70 $68,340.85 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 12 6 — — $66,561.00 $69,889.05 $68,225.02 2026-02-28
455 MS_DRG No Active Code Description 5 4 — — $67,888.00 $67,888.00 $67,888.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 6 — — $65,977.00 $69,275.85 $67,626.43 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $65,725.00 $69,011.25 $67,368.12 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 12 6 — — $64,967.00 $68,215.35 $66,591.18 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 8 — — $39,502.00 $93,096.00 $66,299.00 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 12 6 — — $64,567.00 $67,795.35 $66,181.18 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 6 — — $64,277.00 $67,490.85 $65,883.93 2026-02-28
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 12 6 — — $63,913.00 $67,108.65 $65,510.82 2026-02-28
7234 APR_DRG Viral Illness 12 6 — — $63,827.00 $67,018.35 $65,422.68 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 6 — — $36,592.00 $93,590.00 $65,091.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 5 — — $33,761.00 $96,262.00 $65,011.50 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $39,445.00 $90,018.00 $64,731.50 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 6 — — $63,140.00 $66,297.00 $64,718.50 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 5 — — $40,795.00 $87,785.00 $64,290.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 4 — — $43,383.00 $85,133.00 $64,258.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 5 — — $37,483.00 $90,960.00 $64,221.50 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 6 — — $62,443.00 $65,565.15 $64,004.07 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 4 — — $43,165.00 $84,705.00 $63,935.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 6 — — $62,319.00 $65,434.95 $63,876.97 2026-02-28
6614 APR_DRG Coagulation And Platelet Disorders 12 6 — — $61,753.00 $64,840.65 $63,296.82 2026-02-28
1781 APR_DRG External Heart Assist Systems 12 6 — — $61,119.00 $64,174.95 $62,646.97 2026-02-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 6 — — $60,901.00 $63,946.05 $62,423.53 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 12 6 — — $60,542.00 $63,569.10 $62,055.55 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 5 — — $36,867.00 $86,269.00 $61,568.00 2026-02-28
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 12 6 — — $59,860.00 $62,853.00 $61,356.50 2026-02-28
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 12 6 — — $59,684.00 $62,668.20 $61,176.10 2026-02-28
1794 APR_DRG Defibrillator Implants 12 6 — — $59,647.00 $62,629.35 $61,138.18 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 12 6 — — $59,566.00 $62,544.30 $61,055.15 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $59,276.00 $62,239.80 $60,757.90 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 5 — — $40,952.00 $80,363.00 $60,657.50 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 12 6 — — $58,963.00 $61,911.15 $60,437.07 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 5 — — $37,614.00 $83,236.00 $60,425.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 7 5 — — $35,056.00 $85,594.00 $60,325.00 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $58,815.00 $61,755.75 $60,285.38 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $36,338.00 $84,203.00 $60,270.50 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 7 5 — — $37,134.00 $83,336.00 $60,235.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 8 — — $37,312.00 $83,056.00 $60,184.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 12 6 — — $58,506.00 $61,431.30 $59,968.65 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $58,317.00 $61,232.85 $59,774.93 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 12 6 — — $57,690.00 $60,574.50 $59,132.25 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 12 6 — — $57,633.00 $60,514.65 $59,073.82 2026-02-28
4013 APR_DRG Adrenal Procedures 12 6 — — $57,417.00 $60,287.85 $58,852.43 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 6 — — $57,411.00 $60,281.55 $58,846.28 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 12 6 — — $56,803.00 $59,643.15 $58,223.07 2026-02-28
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 12 6 — — $56,764.00 $59,602.20 $58,183.10 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 12 6 — — $56,682.00 $59,516.10 $58,099.05 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 5 — — $34,847.00 $81,264.00 $58,055.50 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 12 6 — — $56,473.00 $59,296.65 $57,884.82 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 12 6 — — $56,234.00 $59,045.70 $57,639.85 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 12 6 — — $55,898.00 $58,692.90 $57,295.45 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 6 — — $55,752.00 $58,539.60 $57,145.80 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 6 — — $55,583.00 $58,362.15 $56,972.57 2026-02-28
3464 APR_DRG Connective Tissue Disorders 12 6 — — $55,569.00 $58,347.45 $56,958.22 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 12 6 — — $55,395.00 $58,164.75 $56,779.88 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 5 — — $32,954.00 $80,096.00 $56,525.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 7 5 — — $34,050.00 $78,787.00 $56,418.50 2026-02-28
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 12 6 — — $54,976.00 $57,724.80 $56,350.40 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 12 6 — — $54,949.00 $57,696.45 $56,322.72 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 12 6 — — $54,907.00 $57,652.35 $56,279.68 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 5 — — $33,234.00 $79,275.00 $56,254.50 2026-02-28
734 APR_DRG Orbit And Eye Procedures 12 6 — — $54,797.00 $57,536.85 $56,166.93 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 7 5 — — $33,761.00 $78,408.00 $56,084.50 2026-02-28
36906 CPT Stent Place Fistula Init 38 19 $150,015.00 $26,252.63 82% off $8,688.00 $166,516.65 $56,060.61 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 5 — — $37,835.00 $74,246.00 $56,040.50 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 4 — — $37,787.00 $74,150.00 $55,968.50 2026-02-28
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses Signs And Symptoms 12 6 — — $54,521.00 $57,247.05 $55,884.03 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 7 5 — — $33,158.00 $78,577.00 $55,867.50 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 12 6 — — $54,368.00 $57,086.40 $55,727.20 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 5 — — $35,563.00 $75,397.00 $55,480.00 2026-02-28
4402 APR_DRG Kidney Transplant 12 6 — — $53,913.00 $56,608.65 $55,260.82 2026-02-28
8154 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses 12 6 — — $53,884.00 $56,578.20 $55,231.10 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 6 — — $53,836.00 $56,527.80 $55,181.90 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 8 — — $25,000.00 $84,931.00 $54,965.50 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 12 6 — — $53,470.00 $56,143.50 $54,806.75 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 12 6 — — $53,385.00 $56,054.25 $54,719.62 2026-02-28
6924 APR_DRG Radiotherapy 12 6 — — $53,347.00 $56,014.35 $54,680.68 2026-02-28
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 12 6 — — $53,278.00 $55,941.90 $54,609.95 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 5 — — $36,867.00 $72,346.00 $54,606.50 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 12 6 — — $53,075.00 $55,728.75 $54,401.88 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 — — $53,019.00 $55,669.95 $54,344.47 2026-02-28
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 12 6 — — $52,998.00 $55,647.90 $54,322.95 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 6 — — $52,848.00 $55,490.40 $54,169.20 2026-02-28
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $52,657.00 $55,289.85 $53,973.43 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 12 6 — — $52,511.00 $55,136.55 $53,823.78 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 6 4 — — $36,311.00 $71,254.00 $53,782.50 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 6 — — $52,469.00 $55,092.45 $53,780.72 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 12 6 — — $52,370.00 $54,988.50 $53,679.25 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 5 — — $32,989.00 $74,319.00 $53,654.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 5 — — $30,584.00 $76,313.00 $53,448.50 2026-02-28
460 MS_DRG No Active Code Description 5 4 — — $53,397.00 $53,397.00 $53,397.00 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 12 6 — — $52,059.00 $54,661.95 $53,360.47 2026-02-28
6903 APR_DRG Acute Leukemia 12 6 — — $51,855.00 $54,447.75 $53,151.38 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 6 — — $32,958.00 $73,236.00 $53,097.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 7 — — $32,496.00 $73,535.00 $53,015.50 2026-02-28
5474 APR_DRG Antepartum With O.r. Procedure 12 6 — — $51,654.00 $54,236.70 $52,945.35 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 6 — — $51,640.00 $54,222.00 $52,931.00 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 12 6 — — $51,530.00 $54,106.50 $52,818.25 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 5 — — $31,118.00 $74,369.00 $52,743.50 2026-02-28
4014 APR_DRG Adrenal Procedures 12 6 — — $51,344.00 $53,911.20 $52,627.60 2026-02-28
C9363 HCPCS Mesh Mtrx Wnd Bilayer 8x10 35 19 $139,171.00 $24,354.93 82% off $82.23 $154,479.81 $52,523.14 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 12 6 — — $51,237.00 $53,798.85 $52,517.93 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $31,352.00 $72,490.00 $51,921.00 2026-02-28
6613 APR_DRG Coagulation And Platelet Disorders 12 6 — — $50,631.00 $53,162.55 $51,896.78 2026-02-28
274 APR_DRG Other Open Craniotomy 12 6 — — $50,571.00 $53,099.55 $51,835.28 2026-02-28
4401 APR_DRG Kidney Transplant 12 6 — — $50,538.00 $53,064.90 $51,801.45 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 7 5 — — $31,023.00 $72,578.00 $51,800.50 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $50,367.00 $52,885.35 $51,626.18 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 12 6 — — $50,256.00 $52,768.80 $51,512.40 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 7 5 — — $29,042.00 $73,839.00 $51,440.50 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 12 6 — — $49,937.00 $52,433.85 $51,185.43 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 12 6 — — $49,920.00 $52,416.00 $51,168.00 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $49,904.00 $52,399.20 $51,151.60 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 12 6 — — $49,818.00 $52,308.90 $51,063.45 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 5 — — $29,169.00 $72,906.00 $51,037.50 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $25,000.00 $77,063.00 $51,031.50 2026-02-28
1801 APR_DRG Other Circulatory System Procedures 12 6 — — $49,782.00 $52,271.10 $51,026.55 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 6 — — $28,736.00 $73,171.00 $50,953.50 2026-02-28
3084 APR_DRG Hip And Femur Fracture Repair 12 6 — — $49,615.00 $52,095.75 $50,855.38 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $49,501.00 $51,976.05 $50,738.53 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 7 5 — — $29,668.00 $71,418.00 $50,543.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 12 6 — — $49,236.00 $51,697.80 $50,466.90 2026-02-28
233 APR_DRG Spinal Procedures 12 6 — — $49,224.00 $51,685.20 $50,454.60 2026-02-28
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