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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 5 — — $172,052.00 $399,077.00 $285,564.50 2026-02-28
10 MS_DRG Pancreas Transplant 11 5 — — $48,699.00 $95,564.00 $72,131.50 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
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
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $72,584.00 $76,213.20 $74,398.60 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
1214 APR_DRG Other Respiratory And Chest Procedures 12 6 — — $77,640.00 $81,522.00 $79,581.00 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
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
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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $183,415.00 $192,585.75 $188,000.38 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 11 5 — — $80,026.00 $158,703.00 $119,364.50 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
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $52,657.00 $55,289.85 $53,973.43 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $179,334.00 $188,300.70 $183,817.35 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 12 6 — — $137,294.00 $144,158.70 $140,726.35 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 12 6 — — $144,762.00 $152,000.10 $148,381.05 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 12 6 — — $201,382.00 $211,451.10 $206,416.55 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 12 6 — — $386,372.00 $405,690.60 $396,031.30 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
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
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
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
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
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
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
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
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
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 6 — — $51,640.00 $54,222.00 $52,931.00 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
1694 APR_DRG Major Abdominal Vascular Procedures 12 6 — — $83,532.00 $87,708.60 $85,620.30 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
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
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
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 12 6 — — $53,385.00 $56,054.25 $54,719.62 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
1781 APR_DRG External Heart Assist Systems 12 6 — — $61,119.00 $64,174.95 $62,646.97 2026-02-28
1782 APR_DRG External Heart Assist Systems 12 6 — — $66,674.00 $70,007.70 $68,340.85 2026-02-28
1783 APR_DRG External Heart Assist Systems 12 6 — — $77,685.00 $81,569.25 $79,627.12 2026-02-28
1784 APR_DRG External Heart Assist Systems 12 6 — — $121,393.00 $127,462.65 $124,427.82 2026-02-28
1794 APR_DRG Defibrillator Implants 12 6 — — $59,647.00 $62,629.35 $61,138.18 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
1801 APR_DRG Other Circulatory System Procedures 12 6 — — $49,782.00 $52,271.10 $51,026.55 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 12 6 — — $54,949.00 $57,696.45 $56,322.72 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 12 6 — — $72,555.00 $76,182.75 $74,368.88 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 12 6 — — $93,291.00 $97,955.55 $95,623.27 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 12 6 — — $68,441.00 $71,863.05 $70,152.02 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 6 — — $70,164.00 $73,672.20 $71,918.10 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
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
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
2004 APR_DRG Cardiac Structural And Valvular Disorders 12 6 — — $234,027.00 $245,728.35 $239,877.67 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 12 6 — — $73,763.00 $77,451.15 $75,607.07 2026-02-28
2054 APR_DRG Cardiomyopathy 12 6 — — $91,428.00 $95,999.40 $93,713.70 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
21 APR_DRG Heart And/or Lung Transplant 12 6 — — $78,470.00 $82,393.50 $80,431.75 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 5 — — $66,540.00 $130,574.00 $98,557.00 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 12 6 — — $50,256.00 $52,768.80 $51,512.40 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 12 6 — — $87,811.00 $92,201.55 $90,006.27 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
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
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
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
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
22 APR_DRG Heart And/or Lung Transplant 12 6 — — $101,308.00 $106,373.40 $103,840.70 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
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 12 6 — — $103,435.00 $108,606.75 $106,020.88 2026-02-28
222 MS_DRG No Active Code Description 6 5 — — $108,561.00 $108,561.00 $108,561.00 2026-02-28
223 MS_DRG No Active Code Description 6 5 — — $73,995.00 $73,995.00 $73,995.00 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
224 MS_DRG No Active Code Description 6 5 — — $100,516.00 $100,516.00 $100,516.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 12 6 — — $87,149.00 $91,506.45 $89,327.73 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 12 6 — — $75,664.00 $79,447.20 $77,555.60 2026-02-28
225 MS_DRG No Active Code Description 6 5 — — $71,712.00 $71,712.00 $71,712.00 2026-02-28
226 MS_DRG No Active Code Description 9 8 — — $90,757.00 $90,757.00 $90,757.00 2026-02-28
227 MS_DRG No Active Code Description 9 8 — — $71,187.00 $71,187.00 $71,187.00 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
23 APR_DRG Heart And/or Lung Transplant 12 6 — — $126,110.00 $132,415.50 $129,262.75 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
2304 APR_DRG Major Small Bowel Procedures 12 6 — — $87,494.00 $91,868.70 $89,681.35 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
2314 APR_DRG Major Large Bowel Procedures 12 6 — — $53,075.00 $55,728.75 $54,401.88 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
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
233 APR_DRG Spinal Procedures 12 6 — — $49,224.00 $51,685.20 $50,454.60 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
234 APR_DRG Spinal Procedures 12 6 — — $101,111.00 $106,166.55 $103,638.77 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 8 — — $25,000.00 $84,931.00 $54,965.50 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
244 APR_DRG Open Extracranial Vascular Procedures 12 6 — — $49,818.00 $52,308.90 $51,063.45 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 12 6 — — $173,904.00 $182,599.20 $178,251.60 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
2614 APR_DRG Major Biliary Tract Procedures 12 6 — — $69,050.00 $72,502.50 $70,776.25 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
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 12 6 — — $58,506.00 $61,431.30 $59,968.65 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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $31,352.00 $72,490.00 $51,921.00 2026-02-28
274 APR_DRG Other Open Craniotomy 12 6 — — $50,571.00 $53,099.55 $51,835.28 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
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
28 MS_DRG Spinal Procedures With Mcc 7 5 — — $37,134.00 $83,336.00 $60,235.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 12 6 — — $54,907.00 $57,652.35 $56,279.68 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
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
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
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
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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 6 — — $55,752.00 $58,539.60 $57,145.80 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
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
3084 APR_DRG Hip And Femur Fracture Repair 12 6 — — $49,615.00 $52,095.75 $50,855.38 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
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
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 12 6 — — $54,368.00 $57,086.40 $55,727.20 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
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
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
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 12 6 — — $51,237.00 $53,798.85 $52,517.93 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
3464 APR_DRG Connective Tissue Disorders 12 6 — — $55,569.00 $58,347.45 $56,958.22 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
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
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
4013 APR_DRG Adrenal Procedures 12 6 — — $57,417.00 $60,287.85 $58,852.43 2026-02-28
4014 APR_DRG Adrenal Procedures 12 6 — — $51,344.00 $53,911.20 $52,627.60 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
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 7 5 — — $33,158.00 $78,577.00 $55,867.50 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
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
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
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
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
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
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
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
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
4401 APR_DRG Kidney Transplant 12 6 — — $50,538.00 $53,064.90 $51,801.45 2026-02-28
4402 APR_DRG Kidney Transplant 12 6 — — $53,913.00 $56,608.65 $55,260.82 2026-02-28
4403 APR_DRG Kidney Transplant 12 6 — — $83,823.00 $88,014.15 $85,918.57 2026-02-28
4404 APR_DRG Kidney Transplant 12 6 — — $136,955.00 $143,802.75 $140,378.88 2026-02-28
4414 APR_DRG Major Bladder Procedures 12 6 — — $129,609.00 $136,089.45 $132,849.23 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
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
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
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 12 6 — — $102,631.00 $107,762.55 $105,196.77 2026-02-28
453 MS_DRG No Active Code Description 5 4 — — $129,804.00 $129,804.00 $129,804.00 2026-02-28
454 MS_DRG No Active Code Description 5 4 — — $86,361.00 $86,361.00 $86,361.00 2026-02-28
455 MS_DRG No Active Code Description 5 4 — — $67,888.00 $67,888.00 $67,888.00 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
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
459 MS_DRG No Active Code Description 5 4 — — $94,048.00 $94,048.00 $94,048.00 2026-02-28
460 MS_DRG No Active Code Description 5 4 — — $53,397.00 $53,397.00 $53,397.00 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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 7 5 — — $29,668.00 $71,418.00 $50,543.00 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 12 6 — — $56,234.00 $59,045.70 $57,639.85 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
4844 APR_DRG Other Male Reproductive System And Related Procedures 12 6 — — $52,511.00 $55,136.55 $53,823.78 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 5 — — $65,047.00 $161,737.00 $113,392.00 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
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
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
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
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
5144 APR_DRG Female Reproductive System Reconstructive Procedures 12 6 — — $49,236.00 $51,697.80 $50,466.90 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
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
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
5474 APR_DRG Antepartum With O.r. Procedure 12 6 — — $51,654.00 $54,236.70 $52,945.35 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
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
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
5831 APR_DRG Neonate With Ecmo 12 6 — — $233,526.00 $245,202.30 $239,364.15 2026-02-28
5832 APR_DRG Neonate With Ecmo 12 6 — — $265,214.00 $278,474.70 $271,844.35 2026-02-28
5833 APR_DRG Neonate With Ecmo 12 6 — — $532,261.00 $558,874.05 $545,567.53 2026-02-28
5834 APR_DRG Neonate With Ecmo 12 6 — — $628,583.00 $660,012.15 $644,297.57 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
61 APR_DRG Pancreas Transplant 12 6 — — $96,872.00 $101,715.60 $99,293.80 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
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
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
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
62 APR_DRG Pancreas Transplant 12 6 — — $98,139.00 $103,045.95 $100,592.48 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
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
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
63 APR_DRG Pancreas Transplant 12 6 — — $108,502.00 $113,927.10 $111,214.55 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
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
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
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
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
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
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
64 APR_DRG Pancreas Transplant 12 6 — — $167,898.00 $176,292.90 $172,095.45 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
653 MS_DRG Major Bladder Procedures With Mcc 7 5 — — $34,050.00 $78,787.00 $56,418.50 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
6613 APR_DRG Coagulation And Platelet Disorders 12 6 — — $50,631.00 $53,162.55 $51,896.78 2026-02-28
6614 APR_DRG Coagulation And Platelet Disorders 12 6 — — $61,753.00 $64,840.65 $63,296.82 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
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
6903 APR_DRG Acute Leukemia 12 6 — — $51,855.00 $54,447.75 $53,151.38 2026-02-28
6904 APR_DRG Acute Leukemia 12 6 — — $117,814.00 $123,704.70 $120,759.35 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
6924 APR_DRG Radiotherapy 12 6 — — $53,347.00 $56,014.35 $54,680.68 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
6954 APR_DRG Chemotherapy For Acute Leukemia 12 6 — — $91,311.00 $95,876.55 $93,593.77 2026-02-28
7 MS_DRG Lung Transplant 11 5 — — $79,824.00 $173,084.00 $126,454.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $95,195.00 $99,954.75 $97,574.88 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
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
72 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $144,973.00 $152,221.65 $148,597.33 2026-02-28
7234 APR_DRG Viral Illness 12 6 — — $63,827.00 $67,018.35 $65,422.68 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $215,770.00 $226,558.50 $221,164.25 2026-02-28
734 APR_DRG Orbit And Eye Procedures 12 6 — — $54,797.00 $57,536.85 $56,166.93 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $611,487.00 $642,061.35 $626,774.18 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 6 4 — — $36,311.00 $71,254.00 $53,782.50 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
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
799 MS_DRG Splenic Procedures With Mcc 7 5 — — $29,042.00 $73,839.00 $51,440.50 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
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
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 12 6 — — $52,998.00 $55,647.90 $54,322.95 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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 7 5 — — $33,761.00 $78,408.00 $56,084.50 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
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
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $58,815.00 $61,755.75 $60,285.38 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
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $91,217.00 $95,777.85 $93,497.43 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
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
850 MS_DRG Acute Leukemia With Other Procedures 6 4 — — $56,266.00 $110,414.00 $83,340.00 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
8634 APR_DRG Neonatal Aftercare 12 6 — — $140,888.00 $147,932.40 $144,410.20 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
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 6 — — $81,988.00 $86,087.40 $84,037.70 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $113,429.00 $119,100.45 $116,264.73 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
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
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
913 APR_DRG Other Major Head And Neck Procedures 12 6 — — $53,470.00 $56,143.50 $54,806.75 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
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $116,961.00 $122,809.05 $119,885.02 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
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
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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $177,835.00 $186,726.75 $182,280.88 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $361,969.00 $380,067.45 $371,018.22 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 5 — — $41,707.00 $95,508.00 $68,607.50 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
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
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 12 6 — — $53,278.00 $55,941.90 $54,609.95 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
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
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
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