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

CHILDREN'S HOSPITAL OF SAN ANTONIO

San Antonio, TX · CCN 453315 · Rates published

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You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $22,534 across 1 payer

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109665_christuschildrenshospital_standardcharges.json · observed 2026-01-12

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.

18,701 distinct procedures filed
44 distinct payers
974,637 rate rows
2026-01-12 last MRF observed
Data quality

548,963 of 974,637 rate rows are consumer-grade (56.3%)

425,674 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 385,982
per-diem day rate — not a per-procedure price 22,158
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17,523
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 7
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109665_christuschildrenshospital_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 5af615ea8c0f491e… · 227,894,470 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo, Severe 11 $913,698.57 $1,578,467.59 $915,412.03 nat. median
$307,273
outlier · 3.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 9 $888,846.81 $935,039.16 $890,513.66 nat. median
$170,172
outlier · 5.2×
5833
APR_DRG 		Neonate With Ecmo, Major 11 $722,220.75 $898,988.25 $775,137.26 nat. median
$244,017
outlier · 3.2×
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 9 $744,264.38 $782,942.94 $745,660.09 nat. median
$241,734
outlier · 3.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $658,465.49 $658,465.49 $658,465.49 nat. median
$359,244
1.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 11 $578,356.20 $966,781.46 $579,440.79 nat. median
$247,815
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 11 $561,623.55 $1,126,697.96 $562,676.76 nat. median
$202,649
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 11 $526,152.83 $1,104,527.66 $527,139.52 nat. median
$163,718
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $491,818.52 $491,818.52 $491,818.52 nat. median
$248,541
2.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 11 $430,335.57 $587,546.62 $431,142.57 nat. median
$154,116
outlier · 2.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 11 $426,522.03 $673,580.55 $427,321.88 nat. median
$165,000
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $414,200.09 $414,200.09 $414,200.09 nat. median
$198,115
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo, Moderate 11 $385,510.25 $690,257.50 $386,233.20 nat. median
$159,249
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $374,195.74 $374,195.74 $374,195.74 nat. median
$190,359
2.0× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 11 $93,718.03 $357,855.88 $340,815.19 nat. median
$28,252
outlier · 12.1×
5831
APR_DRG 		Neonate With Ecmo, Minor 11 $339,449.44 $619,590.77 $340,086.01 nat. median
$147,206
outlier · 2.3×
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 9 $313,640.09 $329,939.60 $314,228.25 nat. median
$89,273
outlier · 3.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 11 $310,327.00 $643,875.45 $310,908.95 nat. median
$175,429
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 11 $308,908.65 $551,731.59 $309,487.95 nat. median
$145,061
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 11 $308,109.85 $848,841.23 $308,687.65 nat. median
$122,016
outlier · 2.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 10 $306,785.34 $322,728.62 $307,360.65 nat. median
$158,104
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 11 $303,721.28 $647,864.06 $304,290.84 nat. median
$134,402
outlier · 2.3×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 $252,512.51 $311,088.30 $296,274.63 nat. median
$66,663
outlier · 4.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 11 $293,071.04 $633,968.25 $293,620.63 nat. median
$163,528
1.8× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 11 $292,725.77 $882,229.04 $293,274.72 nat. median
$120,841
outlier · 2.4×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 11 $291,178.70 $472,912.79 $291,724.75 nat. median
$120,763
outlier · 2.4×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 9 $266,608.45 $280,463.78 $267,108.42 nat. median
$137,051
1.9× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 10 $265,540.18 $279,340.00 $266,038.14 nat. median
$78,013
outlier · 3.4×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 11 $226,449.75 $274,376.59 $261,311.09 nat. median
$67,951
outlier · 3.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 11 $260,676.41 $646,782.66 $261,165.26 nat. median
$98,831
outlier · 2.6×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Major 11 $258,497.76 $742,313.49 $258,982.52 nat. median
$78,990
outlier · 3.3×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency, Severe 11 $79,177.21 $265,920.34 $253,257.51 nat. median
$20,493
outlier · 12.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 11 $246,725.74 $307,113.22 $251,951.01 nat. median
$107,442
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $246,709.80 $246,709.80 $246,709.80 nat. median
$126,461
2.0× median
64
APR_DRG 		Pancreas Transplant, Severe 9 $244,053.23 $256,736.40 $244,510.91 nat. median
$91,239
outlier · 2.7×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 11 $244,033.98 $450,653.76 $244,491.62 nat. median
$94,264
outlier · 2.6×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 11 $243,303.76 $557,379.65 $243,760.03 nat. median
$151,838
1.6× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 11 $236,518.79 $450,653.76 $236,962.33 nat. median
$89,331
outlier · 2.7×
Q0480
HCPCS 		Dme Pos 28 $236,019.70 $236,019.70 $236,019.70 nat. median
$111,503
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $228,757.43 $228,757.43 $228,757.43 nat. median
$110,084
outlier · 2.1×
7
MS_DRG 		Lung Transplant 1 $228,181.25 $228,181.25 $228,181.25 nat. median
$117,977
1.9× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 11 $227,396.37 $434,664.73 $227,822.81 nat. median
$80,771
outlier · 2.8×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $223,664.64 $419,892.95 $224,084.07 nat. median
$118,883
1.9× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 11 $221,849.30 $450,653.76 $222,265.33 nat. median
$71,350
outlier · 3.1×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 11 $167,539.74 $223,432.76 $212,793.15 nat. median
$67,978
outlier · 3.1×
72
APR_DRG 		Allogeneic Bone Marrow Transplant, Moderate 9 $210,731.09 $221,682.54 $211,126.27 nat. median
$66,446
outlier · 3.2×
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 11 $210,424.32 $649,148.59 $210,818.93 nat. median
$85,271
outlier · 2.5×
8634
APR_DRG 		Neonatal Aftercare, Severe 11 $204,791.83 $264,026.97 $205,175.88 nat. median
$71,102
outlier · 2.9×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 11 $202,824.91 $323,869.35 $203,205.27 nat. median
$76,171
outlier · 2.7×
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 11 $199,568.37 $649,148.59 $199,942.62 nat. median
$77,028
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 18,701 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
             
5834 APR_DRG Neonate With Ecmo, Severe 30 11 — — $913,698.57 $1,578,467.59 $915,412.03 2026-01-12
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 22 9 — — $888,846.81 $935,039.16 $890,513.66 2026-01-12
5833 APR_DRG Neonate With Ecmo, Major 30 11 — — $722,220.75 $898,988.25 $775,137.26 2026-01-12
24 APR_DRG Heart And/Or Lung Transplant, Severe 22 9 — — $744,264.38 $782,942.94 $745,660.09 2026-01-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $658,465.49 $658,465.49 $658,465.49 2026-01-12
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 30 11 — — $578,356.20 $966,781.46 $579,440.79 2026-01-12
1614 APR_DRG Implantable Heart Assist Systems, Severe 30 11 — — $561,623.55 $1,126,697.96 $562,676.76 2026-01-12
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 30 11 — — $526,152.83 $1,104,527.66 $527,139.52 2026-01-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $491,818.52 $491,818.52 $491,818.52 2026-01-12
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 30 11 — — $430,335.57 $587,546.62 $431,142.57 2026-01-12
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 30 11 — — $426,522.03 $673,580.55 $427,321.88 2026-01-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $414,200.09 $414,200.09 $414,200.09 2026-01-12
5832 APR_DRG Neonate With Ecmo, Moderate 30 11 — — $385,510.25 $690,257.50 $386,233.20 2026-01-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $374,195.74 $374,195.74 $374,195.74 2026-01-12
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 30 11 — — $93,718.03 $357,855.88 $340,815.19 2026-01-12
5831 APR_DRG Neonate With Ecmo, Minor 30 11 — — $339,449.44 $619,590.77 $340,086.01 2026-01-12
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 22 9 — — $313,640.09 $329,939.60 $314,228.25 2026-01-12
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 30 11 — — $310,327.00 $643,875.45 $310,908.95 2026-01-12
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 30 11 — — $308,908.65 $551,731.59 $309,487.95 2026-01-12
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 30 11 — — $308,109.85 $848,841.23 $308,687.65 2026-01-12
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 25 10 — — $306,785.34 $322,728.62 $307,360.65 2026-01-12
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 30 11 — — $303,721.28 $647,864.06 $304,290.84 2026-01-12
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 30 11 — — $252,512.51 $311,088.30 $296,274.63 2026-01-12
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 30 11 — — $293,071.04 $633,968.25 $293,620.63 2026-01-12
1613 APR_DRG Implantable Heart Assist Systems, Major 30 11 — — $292,725.77 $882,229.04 $293,274.72 2026-01-12
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 30 11 — — $291,178.70 $472,912.79 $291,724.75 2026-01-12
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 22 9 — — $266,608.45 $280,463.78 $267,108.42 2026-01-12
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 25 10 — — $265,540.18 $279,340.00 $266,038.14 2026-01-12
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 30 11 — — $226,449.75 $274,376.59 $261,311.09 2026-01-12
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 30 11 — — $260,676.41 $646,782.66 $261,165.26 2026-01-12
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 30 11 — — $258,497.76 $742,313.49 $258,982.52 2026-01-12
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 30 11 — — $79,177.21 $265,920.34 $253,257.51 2026-01-12
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 30 11 — — $246,725.74 $307,113.22 $251,951.01 2026-01-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $246,709.80 $246,709.80 $246,709.80 2026-01-12
64 APR_DRG Pancreas Transplant, Severe 22 9 — — $244,053.23 $256,736.40 $244,510.91 2026-01-12
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 11 — — $244,033.98 $450,653.76 $244,491.62 2026-01-12
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 30 11 — — $243,303.76 $557,379.65 $243,760.03 2026-01-12
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 11 — — $236,518.79 $450,653.76 $236,962.33 2026-01-12
Q0480 HCPCS Dme Pos 54 28 — — $236,019.70 $236,019.70 $236,019.70 2026-01-12
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $228,757.43 $228,757.43 $228,757.43 2026-01-12
7 MS_DRG Lung Transplant 1 1 — — $228,181.25 $228,181.25 $228,181.25 2026-01-12
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 30 11 — — $227,396.37 $434,664.73 $227,822.81 2026-01-12
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 11 — — $223,664.64 $419,892.95 $224,084.07 2026-01-12
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 11 — — $221,849.30 $450,653.76 $222,265.33 2026-01-12
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 30 11 — — $167,539.74 $223,432.76 $212,793.15 2026-01-12
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 22 9 — — $210,731.09 $221,682.54 $211,126.27 2026-01-12
1612 APR_DRG Implantable Heart Assist Systems, Moderate 30 11 — — $210,424.32 $649,148.59 $210,818.93 2026-01-12
8634 APR_DRG Neonatal Aftercare, Severe 30 11 — — $204,791.83 $264,026.97 $205,175.88 2026-01-12
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 30 11 — — $202,824.91 $323,869.35 $203,205.27 2026-01-12
1611 APR_DRG Implantable Heart Assist Systems, Minor 30 11 — — $199,568.37 $649,148.59 $199,942.62 2026-01-12
4404 APR_DRG Kidney Transplant, Severe 22 9 — — $199,075.13 $209,420.84 $199,448.46 2026-01-12
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 30 11 — — $198,165.66 $591,334.85 $198,537.28 2026-01-12
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 30 11 — — $198,098.29 $585,340.04 $198,469.78 2026-01-12
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 30 11 — — $192,986.70 $478,122.07 $193,348.61 2026-01-12
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 30 11 — — $192,986.70 $315,474.55 $193,348.61 2026-01-12
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 30 11 — — $148,727.20 $202,440.19 $192,800.22 2026-01-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $192,403.96 $192,403.96 $192,403.96 2026-01-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $190,207.49 $190,207.49 $190,207.49 2026-01-12
4414 APR_DRG Major Bladder Procedures, Severe 30 11 — — $188,397.22 $239,268.28 $188,750.53 2026-01-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $185,938.52 $185,938.52 $185,938.52 2026-01-12
215 MS_DRG Other Heart Assist System Implant 1 1 — — $184,985.21 $184,985.21 $184,985.21 2026-01-12
23 APR_DRG Heart And/Or Lung Transplant, Major 22 9 — — $183,312.11 $192,838.63 $183,655.87 2026-01-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $182,900.48 $182,900.48 $182,900.48 2026-01-12
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 25 10 — — $179,485.33 $188,812.98 $179,821.92 2026-01-12
1784 APR_DRG External Heart Assist Systems, Severe 30 11 — — $176,454.95 $361,679.22 $176,785.86 2026-01-12
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 30 11 — — $173,772.24 $407,739.07 $174,098.12 2026-01-12
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 30 11 — — $173,572.54 $269,955.46 $173,898.04 2026-01-12
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 30 11 — — $172,805.02 $334,804.62 $173,129.09 2026-01-12
6904 APR_DRG Acute Leukemia, Severe 30 11 — — $171,253.14 $281,992.98 $171,574.29 2026-01-12
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 30 11 — — $168,868.48 $196,819.32 $170,523.30 2026-01-12
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 30 11 — — $170,012.84 $372,565.83 $170,331.67 2026-01-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $168,508.21 $168,508.21 $168,508.21 2026-01-12
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 30 11 — — $164,878.40 $272,821.54 $165,187.59 2026-01-12
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 30 11 — — $161,412.53 $212,095.84 $161,715.23 2026-01-12
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $160,839.77 $160,839.77 $160,839.77 2026-01-12
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 30 11 — — $160,428.47 $432,563.51 $160,729.32 2026-01-12
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 30 11 — — $159,340.95 $410,091.33 $159,639.76 2026-01-12
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 11 — — $157,781.85 $324,578.65 $158,077.74 2026-01-12
63 APR_DRG Pancreas Transplant, Major 22 9 — — $157,716.89 $165,913.25 $158,012.65 2026-01-12
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 30 11 — — $150,352.06 $260,390.73 $150,634.02 2026-01-12
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 30 11 — — $149,532.82 $267,474.53 $149,813.23 2026-01-12
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 30 11 — — $149,182.74 $204,231.48 $149,462.50 2026-01-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $147,954.29 $147,954.29 $147,954.29 2026-01-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $147,872.23 $147,872.23 $147,872.23 2026-01-12
A9543 HCPCS Y90 Ibritumomab, Rx 54 28 — — $147,845.54 $147,845.54 $147,845.54 2026-01-12
22 APR_DRG Heart And/Or Lung Transplant, Moderate 22 9 — — $147,260.33 $154,913.28 $147,536.49 2026-01-12
234 APR_DRG Spinal Procedures, Severe 30 11 — — $146,972.81 $267,968.34 $147,248.43 2026-01-12
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 30 11 — — $146,441.08 $324,557.75 $146,715.70 2026-01-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $145,626.88 $145,626.88 $145,626.88 2026-01-12
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 11 — — $144,553.56 $291,538.17 $144,824.64 2026-01-12
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 30 11 — — $142,751.45 $429,149.73 $143,019.16 2026-01-12
62 APR_DRG Pancreas Transplant, Moderate 22 9 — — $142,652.81 $150,066.31 $142,920.32 2026-01-12
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 11 — — $142,093.41 $254,930.88 $142,359.88 2026-01-12
61 APR_DRG Pancreas Transplant, Minor 22 9 — — $140,811.00 $148,128.79 $141,075.06 2026-01-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $140,746.81 $140,746.81 $140,746.81 2026-01-12
10 MS_DRG Pancreas Transplant 1 1 — — $139,208.58 $139,208.58 $139,208.58 2026-01-12
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 22 9 — — $138,373.70 $145,564.83 $138,633.20 2026-01-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $138,410.66 $138,410.66 $138,410.66 2026-01-12
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 22 9 — — $137,363.18 $144,501.78 $137,620.77 2026-01-12
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 30 11 — — $137,200.77 $233,658.76 $137,458.06 2026-01-12
264 APR_DRG Other Nervous System And Related Procedures, Severe 30 11 — — $137,117.76 $208,439.43 $137,374.90 2026-01-12
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 30 11 — — $136,525.88 $327,956.93 $136,781.91 2026-01-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $136,474.34 $136,474.34 $136,474.34 2026-01-12
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 30 11 — — $135,716.26 $300,198.00 $135,970.77 2026-01-12
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 30 11 — — $135,606.78 $193,383.48 $135,861.09 2026-01-12
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 30 11 — — $135,526.18 $380,347.49 $135,780.33 2026-01-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $135,096.75 $135,096.75 $135,096.75 2026-01-12
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 30 11 — — $133,307.83 $228,971.77 $133,557.83 2026-01-12
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 30 11 — — $133,275.35 $305,062.23 $133,525.28 2026-01-12
2054 APR_DRG Cardiomyopathy, Severe 30 11 — — $87,107.71 $139,805.41 $133,148.04 2026-01-12
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 30 11 — — $132,727.98 $259,541.42 $132,976.89 2026-01-12
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 25 10 — — $132,592.04 $139,482.70 $132,840.69 2026-01-12
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 30 11 — — $130,364.07 $286,151.29 $130,608.54 2026-01-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $130,324.93 $130,324.93 $130,324.93 2026-01-12
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 30 11 — — $129,927.38 $226,605.84 $130,171.03 2026-01-12
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 30 11 — — $129,521.96 $374,054.88 $129,764.86 2026-01-12
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 30 11 — — $128,161.36 $178,468.11 $128,401.70 2026-01-12
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 30 11 — — $127,943.62 $317,956.30 $128,183.55 2026-01-12
214 APR_DRG Open Craniotomy Except Trauma, Severe 30 11 — — $127,640.46 $293,894.35 $127,879.82 2026-01-12
2304 APR_DRG Major Small Bowel Procedures, Severe 30 11 — — $127,179.71 $220,263.59 $127,418.21 2026-01-12
224 APR_DRG Ventricular Shunt Procedures, Severe 30 11 — — $126,678.05 $229,655.63 $126,915.61 2026-01-12
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 30 11 — — $125,983.91 $203,591.74 $126,220.17 2026-01-12
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 11 — — $125,210.38 $182,066.70 $125,445.19 2026-01-12
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 30 11 — — $124,066.32 $308,702.13 $124,298.98 2026-01-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $124,013.14 $124,013.14 $124,013.14 2026-01-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $123,389.82 $123,389.82 $123,389.82 2026-01-12
4403 APR_DRG Kidney Transplant, Major 22 9 — — $121,843.16 $128,175.21 $122,071.65 2026-01-12
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 30 11 — — $121,834.74 $185,960.29 $122,063.21 2026-01-12
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 30 11 — — $121,420.90 $271,597.21 $121,648.60 2026-01-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $121,460.49 $121,460.49 $121,460.49 2026-01-12
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 30 11 — — $120,927.67 $264,361.53 $121,154.44 2026-01-12
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 30 11 — — $120,468.12 $190,383.32 $120,694.03 2026-01-12
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 30 11 — — $119,176.09 $256,596.41 $119,399.58 2026-01-12
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 30 11 — — $119,018.49 $287,028.18 $119,241.69 2026-01-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $119,222.12 $119,222.12 $119,222.12 2026-01-12
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 30 11 — — $118,988.42 $261,251.07 $119,211.56 2026-01-12
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 30 11 — — $117,216.38 $341,703.89 $117,436.20 2026-01-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $117,064.06 $117,064.06 $117,064.06 2026-01-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $116,613.59 $116,613.59 $116,613.59 2026-01-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $116,416.30 $116,416.30 $116,416.30 2026-01-12
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 30 11 — — $69,965.26 $120,856.66 $115,101.60 2026-01-12
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 30 11 — — $114,259.39 $274,211.32 $114,473.66 2026-01-12
21 APR_DRG Heart And/Or Lung Transplant, Minor 22 9 — — $114,063.30 $119,991.04 $114,277.20 2026-01-12
1783 APR_DRG External Heart Assist Systems, Major 30 11 — — $112,921.64 $291,837.26 $113,133.40 2026-01-12
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 30 11 — — $112,856.68 $221,592.70 $113,068.32 2026-01-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $112,917.31 $112,917.31 $112,917.31 2026-01-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $112,754.93 $112,754.93 $112,754.93 2026-01-12
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 30 11 — — $112,444.05 $190,417.45 $112,654.91 2026-01-12
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 30 11 — — $111,535.78 $184,858.47 $111,744.94 2026-01-12
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 11 — — $111,214.57 $212,653.39 $111,423.13 2026-01-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $110,422.28 $110,422.28 $110,422.28 2026-01-12
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 30 11 — — $110,159.53 $299,784.37 $110,366.12 2026-01-12
2244 APR_DRG Peritoneal Adhesiolysis, Severe 30 11 — — $109,983.89 $181,669.62 $110,190.15 2026-01-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 28 — — $109,592.86 $109,592.86 $109,592.86 2026-01-12
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 11 — — $109,217.58 $232,956.05 $109,422.39 2026-01-12
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 30 11 — — $108,912.01 $256,309.63 $109,116.26 2026-01-12
914 APR_DRG Other Major Head And Neck Procedures, Severe 30 11 — — $108,326.15 $298,901.97 $108,529.29 2026-01-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $108,154.22 $108,154.22 $108,154.22 2026-01-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $108,014.54 $108,014.54 $108,014.54 2026-01-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $107,522.17 $107,522.17 $107,522.17 2026-01-12
204 APR_DRG Open Craniotomy For Trauma, Severe 30 11 — — $107,220.58 $256,750.83 $107,421.65 2026-01-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $107,146.78 $107,146.78 $107,146.78 2026-01-12
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 30 11 — — $106,491.56 $150,283.75 $106,691.26 2026-01-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $106,657.90 $106,657.90 $106,657.90 2026-01-12
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 30 11 — — $106,287.05 $258,791.38 $106,486.37 2026-01-12
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $106,148.07 $106,148.07 $106,148.07 2026-01-12
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 22 9 — — $105,507.50 $110,990.60 $105,705.36 2026-01-12
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 30 11 — — $105,464.19 $223,522.95 $105,661.97 2026-01-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $105,386.81 $105,386.81 $105,386.81 2026-01-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $105,386.81 $105,386.81 $105,386.81 2026-01-12
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 30 11 — — $105,141.78 $185,088.92 $105,338.96 2026-01-12
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 30 11 — — $104,796.52 $126,982.88 $104,993.04 2026-01-12
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 30 11 — — $104,774.87 $148,974.16 $104,971.35 2026-01-12
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 25 10 — — $104,656.97 $110,095.87 $104,853.23 2026-01-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $104,599.37 $104,599.37 $104,599.37 2026-01-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $103,874.78 $103,874.78 $103,874.78 2026-01-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $102,738.13 $102,738.13 $102,738.13 2026-01-12
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 30 11 — — $101,988.70 $325,517.36 $102,179.96 2026-01-12
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 22 9 — — $101,545.99 $106,823.22 $101,736.42 2026-01-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $101,657.36 $101,657.36 $101,657.36 2026-01-12
2614 APR_DRG Major Biliary Tract Procedures, Severe 30 11 — — $100,370.65 $254,969.48 $100,558.87 2026-01-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $100,209.92 $100,209.92 $100,209.92 2026-01-12
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 11 — — $100,012.15 $222,537.49 $100,199.71 2026-01-12
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 30 11 — — $99,484.03 $236,538.35 $99,670.59 2026-01-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $99,611.05 $99,611.05 $99,611.05 2026-01-12
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 11 — — $99,094.26 $199,891.18 $99,280.09 2026-01-12
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 30 11 — — $98,468.69 $218,333.34 $98,653.35 2026-01-12
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 30 11 — — $97,473.80 $181,735.80 $97,656.60 2026-01-12
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $97,332.52 $97,332.52 $97,332.52 2026-01-12
1782 APR_DRG External Heart Assist Systems, Moderate 30 11 — — $96,916.81 $237,619.29 $97,098.56 2026-01-12
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 30 11 — — $96,752.00 $216,585.08 $96,933.44 2026-01-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $96,506.66 $96,506.66 $96,506.66 2026-01-12
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $96,506.66 $96,506.66 $96,506.66 2026-01-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $96,101.59 $96,101.59 $96,101.59 2026-01-12
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 30 11 — — $95,902.67 $173,905.46 $96,082.52 2026-01-12
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 30 11 — — $95,536.96 $240,376.79 $95,716.12 2026-01-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $95,514.93 $95,514.93 $95,514.93 2026-01-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $95,001.61 $95,001.61 $95,001.61 2026-01-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $94,785.10 $94,785.10 $94,785.10 2026-01-12
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 30 11 — — $94,435.00 $184,520.87 $94,612.10 2026-01-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $94,301.46 $94,301.46 $94,301.46 2026-01-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $94,212.41 $94,212.41 $94,212.41 2026-01-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $94,201.94 $94,201.94 $94,201.94 2026-01-12
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 30 11 — — $93,853.95 $177,549.91 $94,029.95 2026-01-12
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Moderate 25 10 — — $93,431.69 $98,287.23 $93,606.91 2026-01-12
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior, Severe 30 11 — — $92,903.57 $113,498.70 $93,077.79 2026-01-12
7234 APR_DRG Viral Illness, Severe 30 11 — — $82,063.61 $97,598.78 $92,951.24 2026-01-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $92,890.69 $92,890.69 $92,890.69 2026-01-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $92,480.38 $92,480.38 $92,480.38 2026-01-12
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 30 11 — — $91,779.96 $244,601.28 $91,952.08 2026-01-12
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 30 11 — — $90,765.83 $273,433.70 $90,936.04 2026-01-12
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 30 11 — — $90,586.58 $304,626.54 $90,756.45 2026-01-12
J7330 HCPCS Cultured Chondrocytes Implnt 54 28 — — $90,531.97 $90,531.97 $90,531.97 2026-01-12
6614 APR_DRG Coagulation And Platelet Disorders, Severe 30 11 — — $89,763.72 $123,993.75 $89,932.05 2026-01-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $89,920.75 $89,920.75 $89,920.75 2026-01-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $89,622.18 $89,622.18 $89,622.18 2026-01-12
1781 APR_DRG External Heart Assist Systems, Minor 30 11 — — $88,842.21 $213,855.16 $89,008.82 2026-01-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $88,951.72 $88,951.72 $88,951.72 2026-01-12
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Major 30 11 — — $88,524.62 $138,994.55 $88,690.63 2026-01-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $88,679.34 $88,679.34 $88,679.34 2026-01-12
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 30 11 — — $88,002.51 $215,702.68 $88,167.55 2026-01-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $87,944.27 $87,944.27 $87,944.27 2026-01-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $87,425.71 $87,425.71 $87,425.71 2026-01-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $87,357.62 $87,357.62 $87,357.62 2026-01-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $87,322.70 $87,322.70 $87,322.70 2026-01-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $87,008.42 $87,008.42 $87,008.42 2026-01-12
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 30 11 — — $86,754.99 $186,798.57 $86,917.69 2026-01-12
1794 APR_DRG Defibrillator Implants, Severe 30 11 — — $86,702.06 $300,655.74 $86,864.65 2026-01-12
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 30 11 — — $86,584.17 $263,435.01 $86,746.54 2026-01-12
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 25 10 — — $86,163.11 $90,640.91 $86,324.70 2026-01-12
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 30 11 — — $85,707.17 $182,171.48 $85,867.90 2026-01-12
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 25 10 — — $85,493.04 $89,936.01 $85,653.36 2026-01-12
245 MS_DRG Aicd Generator Procedures 1 1 — — $85,323.53 $85,323.53 $85,323.53 2026-01-12
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 30 11 — — $85,043.11 $217,368.21 $85,202.59 2026-01-12
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 30 11 — — $84,768.83 $200,299.29 $84,927.79 2026-01-12
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $84,808.46 $84,808.46 $84,808.46 2026-01-12
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $84,667.03 $84,667.03 $84,667.03 2026-01-12
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 25 10 — — $83,856.95 $88,214.89 $84,014.20 2026-01-12
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 30 11 — — $83,773.94 $267,240.36 $83,931.04 2026-01-12
4013 APR_DRG Adrenal Procedures, Major 30 11 — — $83,459.95 $151,789.35 $83,616.46 2026-01-12
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 30 11 — — $83,451.53 $224,890.67 $83,608.03 2026-01-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $83,380.23 $83,380.23 $83,380.23 2026-01-12
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $83,018.81 $83,018.81 $83,018.81 2026-01-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $83,003.09 $83,003.09 $83,003.09 2026-01-12
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 30 11 — — $82,567.32 $176,259.40 $82,722.16 2026-01-12
2334 APR_DRG Appendectomy With Complex Principal Diagnosis, Severe 30 11 — — $82,510.78 $145,171.35 $82,665.51 2026-01-12
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 30 11 — — $82,391.68 $231,536.25 $82,546.19 2026-01-12
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 30 11 — — $82,088.52 $128,651.70 $82,242.46 2026-01-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $82,144.06 $82,144.06 $82,144.06 2026-01-12
4804 APR_DRG Major Male Pelvic Procedures, Severe 25 10 — — $81,740.85 $85,988.83 $81,894.14 2026-01-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $81,704.07 $81,704.07 $81,704.07 2026-01-12
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 30 11 — — $81,252.43 $211,158.32 $81,404.80 2026-01-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $81,222.17 $81,222.17 $81,222.17 2026-01-12
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 30 11 — — $81,040.70 $224,190.27 $81,192.68 2026-01-12
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 30 11 — — $80,794.08 $197,089.56 $80,945.60 2026-01-12
3464 APR_DRG Connective Tissue Disorders, Severe 30 11 — — $80,773.63 $144,972.81 $80,925.11 2026-01-12
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 30 11 — — $80,521.00 $215,189.79 $80,672.00 2026-01-12
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $80,476.63 $80,476.63 $80,476.63 2026-01-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $80,443.46 $80,443.46 $80,443.46 2026-01-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $80,186.80 $80,186.80 $80,186.80 2026-01-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $80,174.57 $80,174.57 $80,174.57 2026-01-12
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 30 11 — — $79,912.28 $173,739.05 $80,062.14 2026-01-12
1804 APR_DRG Other Circulatory System Procedures, Severe 30 11 — — $79,872.58 $183,759.80 $80,022.36 2026-01-12
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 30 11 — — $79,812.43 $209,740.97 $79,962.10 2026-01-12
734 APR_DRG Orbit And Eye Procedures, Severe 30 11 — — $79,652.43 $175,983.65 $79,801.80 2026-01-12
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms, Severe 30 11 — — $79,250.62 $94,505.04 $79,399.24 2026-01-12
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 30 11 — — $79,028.07 $189,324.44 $79,176.27 2026-01-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $78,772.54 $78,772.54 $78,772.54 2026-01-12
J9226 HCPCS Supprelin La Implant 54 28 — — $78,599.95 $78,599.95 $78,599.95 2026-01-12
4402 APR_DRG Kidney Transplant, Moderate 22 9 — — $78,367.62 $82,440.29 $78,514.58 2026-01-12
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses, Severe 30 11 — — $78,324.31 $118,611.11 $78,471.19 2026-01-12
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Minor 25 10 — — $78,254.53 $82,321.33 $78,401.28 2026-01-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $78,302.86 $78,302.86 $78,302.86 2026-01-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $78,086.36 $78,086.36 $78,086.36 2026-01-12
913 APR_DRG Other Major Head And Neck Procedures, Major 30 11 — — $77,722.80 $199,720.21 $77,868.56 2026-01-12
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 30 11 — — $77,598.89 $206,194.82 $77,744.41 2026-01-12
6924 APR_DRG Radiotherapy, Severe 30 11 — — $77,544.76 $155,793.24 $77,690.18 2026-01-12
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 30 11 — — $77,443.70 $185,265.40 $77,588.93 2026-01-12
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $77,356.53 $77,356.53 $77,356.53 2026-01-12
2314 APR_DRG Major Large Bowel Procedures, Severe 30 11 — — $77,148.97 $194,436.84 $77,293.64 2026-01-12
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 30 11 — — $77,067.16 $253,927.15 $77,211.69 2026-01-12
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication, Severe 30 11 — — $77,037.09 $109,197.00 $77,181.55 2026-01-12
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 30 11 — — $76,819.34 $141,894.29 $76,963.40 2026-01-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $76,698.29 $76,698.29 $76,698.29 2026-01-12
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 30 11 — — $76,541.45 $224,598.38 $76,684.99 2026-01-12
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 30 11 — — $76,329.72 $209,724.42 $76,472.86 2026-01-12
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 30 11 — — $76,268.36 $159,805.10 $76,411.39 2026-01-12
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 30 11 — — $76,124.00 $156,692.18 $76,266.76 2026-01-12
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 30 11 — — $75,671.67 $224,019.30 $75,813.58 2026-01-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $75,547.67 $75,547.67 $75,547.67 2026-01-12
6903 APR_DRG Acute Leukemia, Major 30 11 — — $75,375.73 $190,488.10 $75,517.08 2026-01-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $75,392.28 $75,392.28 $75,392.28 2026-01-12
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 30 11 — — $75,062.95 $212,515.01 $75,203.71 2026-01-12
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 30 11 — — $74,902.95 $217,792.87 $75,043.41 2026-01-12
4014 APR_DRG Adrenal Procedures, Severe 30 11 — — $74,633.48 $242,604.85 $74,773.44 2026-01-12
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 30 11 — — $74,477.08 $185,701.08 $74,616.75 2026-01-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $74,479.12 $74,479.12 $74,479.12 2026-01-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $74,369.12 $74,369.12 $74,369.12 2026-01-12
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $73,841.83 $73,841.83 $73,841.83 2026-01-12
6613 APR_DRG Coagulation And Platelet Disorders, Major 30 11 — — $66,803.55 $77,860.77 $73,734.50 2026-01-12
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