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

STAFFORD HOSPITAL, LLC

Stafford, VA · CCN 490140 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $7,124 across 9 payers · range $5,149-$8,319

Source: https://www.marywashingtonhealthcare.com/documents/134316364_stafford-hospital_standardcharges.csv · observed 2026-07-15

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.

13,970 distinct procedures filed
12 distinct payers
228,985 rate rows
2026-07-15 last MRF observed
Data quality

222,129 of 228,985 rate rows are consumer-grade (97.0%)

6,856 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
template filing: same amount across many unrelated codes — excluded 4,972
exceeds 10× this hospital's gross charge — excluded from medians 743
per-diem day rate — not a per-procedure price 646
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 491
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marywashingtonhealthcare.com/documents/134316364_stafford-hospital_standardcharges.csv
Found on page https://www.marywashingtonhealthcare.com/patients-visitors/cost-estimates/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 83d02fb1d8e10f6f… · 6,506,116 bytes · first seen 2026-05-05

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 7 $552,172.00 $590,825.00 $552,172.00 nat. median
$311,018
1.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $505,693.00 $541,091.00 $505,693.00 nat. median
$96,420
outlier · 5.2×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $487,801.00 $521,947.00 $487,801.00 nat. median
$89,188
outlier · 5.5×
5833
APR_DRG 		Neonate With Ecmo 7 $485,003.00 $518,953.00 $485,003.00 nat. median
$250,089
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $307,518.00 $494,833.00 $424,612.00 nat. median
$370,165
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $390,096.00 $417,403.00 $390,096.00 nat. median
$254,667
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $377,813.00 $404,260.00 $377,813.00 nat. median
$209,486
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $341,938.00 $365,873.00 $341,938.00 nat. median
$160,171
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo 7 $333,714.00 $357,074.00 $333,714.00 nat. median
$169,230
2.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $326,416.00 $349,265.00 $326,416.00 nat. median
$168,174
1.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $320,170.00 $342,582.00 $320,170.00 nat. median
$165,646
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $229,690.00 $369,600.00 $314,303.00 nat. median
$261,939
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $304,162.00 $325,453.00 $304,162.00 nat. median
$119,243
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $303,465.00 $324,707.00 $303,465.00 nat. median
$101,315
outlier · 3.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $288,453.00 $308,645.00 $288,453.00 nat. median
$168,361
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $272,740.00 $291,832.00 $272,740.00 nat. median
$147,677
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $251,808.00 $269,434.00 $251,808.00 nat. median
$156,285
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $174,758.00 $281,207.00 $245,716.00 nat. median
$199,832
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $164,000.00 $335,125.00 $237,610.00 nat. median
$205,166
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $228,525.00 $244,522.00 $228,525.00 nat. median
$165,599
1.4× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $226,706.00 $242,576.00 $226,706.00 nat. median
$71,350
outlier · 3.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $225,266.00 $241,034.00 $225,266.00 nat. median
$109,499
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $219,311.00 $234,662.00 $219,311.00 nat. median
$127,600
1.7× median
5831
APR_DRG 		Neonate With Ecmo 7 $208,882.00 $223,504.00 $208,882.00 nat. median
$154,685
1.4× median
7924
APR_DRG 		Extensive O.r. Procedures For Other Complications Of Treatment 7 $187,791.00 $200,936.00 $187,791.00 nat. median
$42,525
outlier · 4.4×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $183,215.00 $196,040.00 $183,215.00 nat. median
$127,938
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $178,872.00 $191,393.00 $178,872.00 nat. median
$93,192
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $173,619.00 $185,772.00 $173,619.00 nat. median
$112,711
1.5× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $172,870.00 $184,971.00 $172,870.00 nat. median
$65,652
outlier · 2.6×
113
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $172,840.00 $184,939.00 $172,840.00 nat. median
$67,603
outlier · 2.6×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $170,645.00 $182,591.00 $170,645.00 nat. median
$69,072
outlier · 2.5×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $169,889.00 $181,781.00 $169,889.00 nat. median
$82,164
outlier · 2.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $169,884.00 $181,776.00 $169,884.00 nat. median
$123,690
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $169,377.00 $181,233.00 $169,377.00 nat. median
$108,751
1.6× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $159,852.00 $171,042.00 $159,852.00 nat. median
$88,000
1.8× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $157,794.00 $168,840.00 $157,794.00 nat. median
$83,517
1.9× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $157,695.00 $168,733.00 $157,695.00 nat. median
$72,146
outlier · 2.2×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $153,668.00 $164,425.00 $153,668.00 nat. median
$92,000
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $76,397.00 $186,896.00 $150,241.50 nat. median
$132,706
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $144,921.00 $144,921.00 $144,921.00 nat. median
$75,807
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $143,836.00 $153,904.00 $143,836.00 nat. median
$180,995
0.8× median
7
MS_DRG 		Lung Transplant 5 $106,566.00 $171,477.00 $141,370.00 nat. median
$122,690
1.2× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $141,046.00 $150,919.00 $141,046.00 nat. median
$80,447
1.8× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $139,860.00 $149,650.00 $139,860.00 nat. median
$84,000
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $137,827.00 $147,475.00 $137,827.00 nat. median
$147,847
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $137,827.00 $147,475.00 $137,827.00 nat. median
$120,928
1.1× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $133,248.00 $142,575.00 $133,248.00 nat. median
$99,613
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $106,835.00 $171,910.00 $132,087.00 nat. median
$114,305
1.2× median
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 $126,247.00 $135,085.00 $126,247.00 nat. median
$58,488
outlier · 2.2×
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 $124,630.00 $133,354.00 $124,630.00 nat. median
$69,517
1.8× median

Other procedures at this hospital

Browse this hospital's 13,970 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 8 7 — — $552,172.00 $590,825.00 $552,172.00 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 7 — — $505,693.00 $541,091.00 $505,693.00 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 7 — — $487,801.00 $521,947.00 $487,801.00 2026-07-15
5833 APR_DRG Neonate With Ecmo 8 7 — — $485,003.00 $518,953.00 $485,003.00 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 5 — — $307,518.00 $494,833.00 $424,612.00 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $390,096.00 $417,403.00 $390,096.00 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 8 7 — — $377,813.00 $404,260.00 $377,813.00 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $341,938.00 $365,873.00 $341,938.00 2026-07-15
5832 APR_DRG Neonate With Ecmo 8 7 — — $333,714.00 $357,074.00 $333,714.00 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $326,416.00 $349,265.00 $326,416.00 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $320,170.00 $342,582.00 $320,170.00 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 6 — — $229,690.00 $369,600.00 $314,303.00 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 7 — — $304,162.00 $325,453.00 $304,162.00 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $303,465.00 $324,707.00 $303,465.00 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $288,453.00 $308,645.00 $288,453.00 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $272,740.00 $291,832.00 $272,740.00 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $251,808.00 $269,434.00 $251,808.00 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 5 — — $174,758.00 $281,207.00 $245,716.00 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 5 — — $164,000.00 $335,125.00 $237,610.00 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $228,525.00 $244,522.00 $228,525.00 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 7 — — $226,706.00 $242,576.00 $226,706.00 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 7 — — $225,266.00 $241,034.00 $225,266.00 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $219,311.00 $234,662.00 $219,311.00 2026-07-15
5831 APR_DRG Neonate With Ecmo 8 7 — — $208,882.00 $223,504.00 $208,882.00 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 7 — — $187,791.00 $200,936.00 $187,791.00 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 8 7 — — $183,215.00 $196,040.00 $183,215.00 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 8 7 — — $178,872.00 $191,393.00 $178,872.00 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $173,619.00 $185,772.00 $173,619.00 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 7 — — $172,870.00 $184,971.00 $172,870.00 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 7 — — $172,840.00 $184,939.00 $172,840.00 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 7 — — $170,645.00 $182,591.00 $170,645.00 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 8 7 — — $169,889.00 $181,781.00 $169,889.00 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $169,884.00 $181,776.00 $169,884.00 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $169,377.00 $181,233.00 $169,377.00 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $159,852.00 $171,042.00 $159,852.00 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 7 — — $157,794.00 $168,840.00 $157,794.00 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $157,695.00 $168,733.00 $157,695.00 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $153,668.00 $164,425.00 $153,668.00 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 6 — — $76,397.00 $186,896.00 $150,241.50 2026-07-15
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $144,921.00 $144,921.00 $144,921.00 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $143,836.00 $153,904.00 $143,836.00 2026-07-15
7 MS_DRG Lung Transplant 9 5 — — $106,566.00 $171,477.00 $141,370.00 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $141,046.00 $150,919.00 $141,046.00 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $139,860.00 $149,650.00 $139,860.00 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $137,827.00 $147,475.00 $137,827.00 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $137,827.00 $147,475.00 $137,827.00 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $133,248.00 $142,575.00 $133,248.00 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 9 5 — — $106,835.00 $171,910.00 $132,087.00 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 7 — — $126,247.00 $135,085.00 $126,247.00 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $124,630.00 $133,354.00 $124,630.00 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 5 — — $88,831.00 $142,939.00 $124,132.00 2026-07-15
4404 APR_DRG Kidney Transplant 8 7 — — $120,871.00 $129,332.00 $120,871.00 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 7 — — $120,114.00 $128,522.00 $120,114.00 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 5 — — $86,837.00 $139,731.00 $119,284.00 2026-07-15
215 MS_DRG Other Heart Assist System Implant 10 6 — — $86,393.00 $191,833.00 $118,476.50 2026-07-15
4403 APR_DRG Kidney Transplant 8 7 — — $118,080.00 $126,346.00 $118,080.00 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $117,659.00 $125,895.00 $117,659.00 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 6 — — $76,686.00 $177,026.00 $117,251.50 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $117,142.00 $125,342.00 $117,142.00 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 7 — — $117,109.00 $125,307.00 $117,109.00 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $116,868.00 $125,049.00 $116,868.00 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $115,976.00 $124,094.00 $115,976.00 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $115,463.00 $123,546.00 $115,463.00 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $78,697.00 $126,877.00 $113,280.00 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 7 — — $112,507.00 $120,383.00 $112,507.00 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $110,666.00 $118,413.00 $110,666.00 2026-07-15
6904 APR_DRG Acute Leukemia 8 7 — — $109,336.00 $116,989.00 $109,336.00 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $109,199.00 $116,843.00 $109,199.00 2026-07-15
8634 APR_DRG Neonatal Aftercare 8 7 — — $108,047.00 $115,610.00 $108,047.00 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $106,982.00 $114,471.00 $106,982.00 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 7 — — $106,957.00 $114,444.00 $106,957.00 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $106,606.00 $114,068.00 $106,606.00 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 9 5 — — $75,116.00 $120,871.00 $106,160.00 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $105,204.00 $112,568.00 $105,204.00 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 7 — — $103,669.00 $110,926.00 $103,669.00 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 7 — — $101,443.00 $108,544.00 $101,443.00 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $100,971.00 $108,038.00 $100,971.00 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 7 — — $100,944.00 $108,010.00 $100,944.00 2026-07-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $100,838.00 $107,897.00 $100,838.00 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 8 7 — — $100,663.00 $107,709.00 $100,663.00 2026-07-15
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 8 7 — — $100,566.00 $107,606.00 $100,566.00 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $99,232.00 $106,179.00 $99,232.00 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 6 — — $8,668.00 $137,540.00 $99,072.00 2026-07-15
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $98,421.00 $98,421.00 $98,421.00 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $69,059.00 $124,514.00 $98,388.00 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 7 — — $96,981.00 $103,770.00 $96,981.00 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 5 — — $68,011.00 $109,437.00 $96,119.00 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 7 — — $96,111.00 $102,839.00 $96,111.00 2026-07-15
4402 APR_DRG Kidney Transplant 8 7 — — $95,587.00 $102,278.00 $95,587.00 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 7 — — $95,512.00 $102,198.00 $95,512.00 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 5 — — $65,731.00 $107,464.00 $95,235.00 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 7 — — $69,099.00 $111,188.00 $93,799.00 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 7 — — $93,037.00 $99,549.00 $93,037.00 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 5 — — $64,640.00 $104,014.00 $92,125.00 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 7 — — $91,966.00 $98,404.00 $91,966.00 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 7 — — $91,756.00 $98,179.00 $91,756.00 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $91,670.00 $98,087.00 $91,670.00 2026-07-15
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 8 7 — — $90,314.00 $96,636.00 $90,314.00 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 7 — — $63,736.00 $102,559.00 $89,890.00 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 7 — — $89,713.00 $95,993.00 $89,713.00 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 5 — — $63,093.00 $101,525.00 $88,872.00 2026-07-15
4414 APR_DRG Major Bladder Procedures 8 7 — — $88,072.00 $94,237.00 $88,072.00 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $86,948.00 $93,034.00 $86,948.00 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $86,619.00 $92,683.00 $86,619.00 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 8 7 — — $85,509.00 $91,494.00 $85,509.00 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 7 — — $84,636.00 $90,560.00 $84,636.00 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 7 — — $83,956.00 $89,833.00 $83,956.00 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 7 — — $83,608.00 $89,461.00 $83,608.00 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 5 — — $60,865.00 $97,939.00 $83,355.00 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 7 — — $82,828.00 $88,626.00 $82,828.00 2026-07-15
234 APR_DRG Spinal Procedures 8 7 — — $81,924.00 $87,658.00 $81,924.00 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 5 — — $57,888.00 $93,149.00 $81,813.00 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 6 — — $57,626.00 $92,986.00 $81,605.00 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $81,573.00 $87,283.00 $81,573.00 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 8 7 — — $81,503.00 $87,208.00 $81,503.00 2026-07-15
1784 APR_DRG External Heart Assist Systems 8 7 — — $81,223.00 $86,909.00 $81,223.00 2026-07-15
4014 APR_DRG Adrenal Procedures 8 7 — — $81,170.00 $86,852.00 $81,170.00 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 8 7 — — $81,014.00 $86,685.00 $81,014.00 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 8 7 — — $80,889.00 $86,551.00 $80,889.00 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 6 — — $56,729.00 $111,318.00 $80,782.00 2026-07-15
274 APR_DRG Other Open Craniotomy 8 7 — — $80,169.00 $85,781.00 $80,169.00 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 7 — — $79,710.00 $85,289.00 $79,710.00 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 8 7 — — $79,289.00 $84,839.00 $79,289.00 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 5 — — $54,462.00 $87,977.00 $78,906.00 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 7 — — $54,369.00 $100,185.00 $78,773.00 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $78,126.00 $83,595.00 $78,126.00 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 7 — — $77,451.00 $82,873.00 $77,451.00 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 5 — — $54,671.00 $87,973.00 $77,266.00 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $77,256.00 $82,664.00 $77,256.00 2026-07-15
1783 APR_DRG External Heart Assist Systems 8 7 — — $77,045.00 $82,438.00 $77,045.00 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 7 — — $75,688.00 $80,986.00 $75,688.00 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $75,523.00 $80,809.00 $75,523.00 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $75,026.00 $80,278.00 $75,026.00 2026-07-15
1782 APR_DRG External Heart Assist Systems 8 7 — — $74,935.00 $80,181.00 $74,935.00 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 5 — — $51,570.00 $87,378.00 $74,717.00 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 8 7 — — $74,412.00 $79,621.00 $74,412.00 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 8 7 — — $74,339.00 $79,543.00 $74,339.00 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $52,659.00 $84,734.00 $74,296.00 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 7 — — $74,149.00 $79,339.00 $74,149.00 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 8 7 — — $73,533.00 $78,681.00 $73,533.00 2026-07-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 7 — — $73,511.00 $78,657.00 $73,511.00 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $72,976.00 $78,084.00 $72,976.00 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 7 — — $72,950.00 $78,057.00 $72,950.00 2026-07-15
1794 APR_DRG Defibrillator Implants 8 7 — — $72,732.00 $77,823.00 $72,732.00 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 6 — — $50,511.00 $84,298.00 $72,029.00 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 8 7 — — $71,948.00 $76,985.00 $71,948.00 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 5 — — $50,215.00 $80,803.00 $71,664.00 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 8 7 — — $71,529.00 $76,536.00 $71,529.00 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 6 — — $48,850.00 $103,940.00 $71,381.50 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 5 — — $50,445.00 $81,173.00 $71,294.00 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 5 — — $49,218.00 $79,198.00 $71,190.00 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 5 — — $49,218.00 $79,198.00 $71,190.00 2026-07-15
2324 APR_DRG Gastric Fundoplication 8 7 — — $70,974.00 $75,943.00 $70,974.00 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 8 7 — — $70,769.00 $75,723.00 $70,769.00 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 7 — — $70,396.00 $75,324.00 $70,396.00 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 5 — — $55,680.00 $89,596.00 $70,190.00 2026-07-15
2294 APR_DRG Other Digestive System And Abdominal Procedures 8 7 — — $69,987.00 $74,886.00 $69,987.00 2026-07-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $69,520.00 $74,387.00 $69,520.00 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $69,520.00 $74,387.00 $69,520.00 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 9 5 — — $49,574.00 $79,770.00 $69,451.00 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 7 — — $49,812.00 $93,799.00 $69,432.00 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $46,800.00 $85,511.00 $68,912.00 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 5 — — $47,476.00 $76,878.00 $68,786.00 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 6 — — $744.00 $87,828.00 $68,774.50 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 7 — — $47,981.00 $84,779.00 $68,638.00 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $68,572.00 $73,372.00 $68,572.00 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $68,572.00 $73,372.00 $68,572.00 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 8 7 — — $68,421.00 $73,211.00 $68,421.00 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 7 — — $68,307.00 $73,088.00 $68,307.00 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 7 — — $67,852.00 $72,602.00 $67,852.00 2026-07-15
10 MS_DRG Pancreas Transplant 9 5 — — $55,477.00 $104,616.00 $67,615.00 2026-07-15
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 7 — — $67,563.00 $72,293.00 $67,563.00 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 7 — — $66,551.00 $71,209.00 $66,551.00 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 7 — — $66,480.00 $71,133.00 $66,480.00 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 6 — — $48,850.00 $86,690.00 $66,199.50 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 8 7 — — $65,980.00 $70,599.00 $65,980.00 2026-07-15
2634 APR_DRG Cholecystectomy 8 7 — — $65,926.00 $70,541.00 $65,926.00 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 7 — — $65,758.00 $70,362.00 $65,758.00 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 5 — — $48,513.00 $78,064.00 $65,654.00 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 7 — — $65,442.00 $70,023.00 $65,442.00 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 5 — — $46,520.00 $74,857.00 $65,333.00 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 7 — — $65,079.00 $69,634.00 $65,079.00 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 7 — — $64,985.00 $69,534.00 $64,985.00 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 7 — — $64,587.00 $69,108.00 $64,587.00 2026-07-15
1773 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 8 7 — — $64,587.00 $69,108.00 $64,587.00 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 7 — — $64,576.00 $69,097.00 $64,576.00 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 8 7 — — $64,561.00 $69,081.00 $64,561.00 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 9 5 — — $45,071.00 $72,524.00 $64,528.00 2026-07-15
8633 APR_DRG Neonatal Aftercare 8 7 — — $63,866.00 $68,336.00 $63,866.00 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 8 7 — — $63,860.00 $68,330.00 $63,860.00 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 5 — — $43,994.00 $72,255.00 $63,741.00 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 5 — — $44,894.00 $72,239.00 $63,447.00 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 5 — — $44,267.00 $71,231.00 $63,447.00 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $63,290.00 $67,721.00 $63,290.00 2026-07-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $63,290.00 $67,721.00 $63,290.00 2026-07-15
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 7 — — $63,164.00 $67,585.00 $63,164.00 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 5 — — $43,550.00 $78,082.00 $63,098.00 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 5 — — $44,607.00 $71,779.00 $63,043.00 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 8 7 — — $62,624.00 $67,008.00 $62,624.00 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 9 5 — — $45,456.00 $73,145.00 $62,392.00 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $61,714.00 $66,034.00 $61,714.00 2026-07-15
2314 APR_DRG Major Large Bowel Procedures 8 7 — — $61,711.00 $66,031.00 $61,711.00 2026-07-15
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 8 7 — — $61,029.00 $65,301.00 $61,029.00 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 8 7 — — $60,816.00 $65,073.00 $60,816.00 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 8 7 — — $60,672.00 $64,919.00 $60,672.00 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 5 — — $44,368.00 $71,394.00 $60,641.00 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 5 — — $43,190.00 $69,498.00 $60,444.00 2026-07-15
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 8 7 — — $60,258.00 $64,477.00 $60,258.00 2026-07-15
1781 APR_DRG External Heart Assist Systems 8 7 — — $60,141.00 $64,351.00 $60,141.00 2026-07-15
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 8 7 — — $59,974.00 $64,173.00 $59,974.00 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 7 — — $43,383.00 $93,359.00 $59,906.00 2026-07-15
5184 APR_DRG Other Female Reproductive System And Related Procedures 8 7 — — $59,867.00 $64,058.00 $59,867.00 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 8 7 — — $59,603.00 $63,775.00 $59,603.00 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 5 — — $44,000.00 $70,801.00 $59,426.00 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 5 — — $41,995.00 $67,574.00 $59,350.00 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $59,172.00 $63,314.00 $59,172.00 2026-07-15
1804 APR_DRG Other Circulatory System Procedures 8 7 — — $58,856.00 $62,976.00 $58,856.00 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 7 — — $58,788.00 $62,903.00 $58,788.00 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 8 7 — — $58,638.00 $62,742.00 $58,638.00 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 7 — — $58,626.00 $62,730.00 $58,626.00 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 5 — — $41,416.00 $66,643.00 $58,535.00 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 6 — — $40,634.00 $84,027.00 $58,441.50 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 7 — — $41,857.00 $75,538.00 $58,281.00 2026-07-15
4401 APR_DRG Kidney Transplant 8 7 — — $57,905.00 $61,958.00 $57,905.00 2026-07-15
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 7 — — $57,823.00 $61,871.00 $57,823.00 2026-07-15
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 7 — — $57,729.00 $61,770.00 $57,729.00 2026-07-15
734 APR_DRG Orbit And Eye Procedures 8 7 — — $57,572.00 $61,602.00 $57,572.00 2026-07-15
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $57,532.00 $61,559.00 $57,532.00 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 7 — — $57,420.00 $61,439.00 $57,420.00 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 11 7 — — $39,608.00 $63,734.00 $57,385.00 2026-07-15
5144 APR_DRG Female Reproductive System Reconstructive Procedures 8 7 — — $57,283.00 $61,293.00 $57,283.00 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 8 7 — — $56,929.00 $60,914.00 $56,929.00 2026-07-15
1793 APR_DRG Defibrillator Implants 8 7 — — $56,915.00 $60,899.00 $56,915.00 2026-07-15
6903 APR_DRG Acute Leukemia 8 7 — — $56,837.00 $60,816.00 $56,837.00 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures 8 7 — — $56,815.00 $60,792.00 $56,815.00 2026-07-15
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 8 7 — — $56,773.00 $60,747.00 $56,773.00 2026-07-15
4034 APR_DRG Procedures For Obesity 8 7 — — $56,571.00 $60,531.00 $56,571.00 2026-07-15
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 8 7 — — $56,416.00 $60,366.00 $56,416.00 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $56,292.00 $60,232.00 $56,292.00 2026-07-15
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 7 — — $56,268.00 $60,206.00 $56,268.00 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 9 5 — — $38,772.00 $62,993.00 $56,174.00 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $55,926.00 $59,841.00 $55,926.00 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 6 — — $38,363.00 $79,267.00 $55,913.00 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $55,892.00 $59,804.00 $55,892.00 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 9 5 — — $39,542.00 $63,627.00 $55,745.00 2026-07-15
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $55,734.00 $59,635.00 $55,734.00 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 7 — — $55,420.00 $59,300.00 $55,420.00 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 5 — — $41,071.00 $66,089.00 $55,398.00 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 8 7 — — $55,230.00 $59,096.00 $55,230.00 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 6 — — $37,938.00 $66,262.00 $55,041.50 2026-07-15
8614 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 8 7 — — $54,982.00 $58,830.00 $54,982.00 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 5 — — $40,829.00 $65,699.00 $54,820.00 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 5 — — $38,770.00 $62,386.00 $54,633.00 2026-07-15
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 7 — — $54,350.00 $58,154.00 $54,350.00 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 9 5 — — $37,584.00 $60,478.00 $54,324.00 2026-07-15
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 8 7 — — $54,292.00 $58,092.00 $54,292.00 2026-07-15
244 APR_DRG Open Extracranial Vascular Procedures 8 7 — — $54,292.00 $58,092.00 $54,292.00 2026-07-15
213 APR_DRG Open Craniotomy Except Trauma 8 7 — — $54,058.00 $57,842.00 $54,058.00 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 7 — — $53,825.00 $57,593.00 $53,825.00 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 5 — — $37,449.00 $60,260.00 $53,575.00 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 8 — — $33,151.00 $124,146.00 $53,427.00 2026-07-15
A9543 HCPCS Y90 Ibritumomab, Rx 15 7 — — $49,911.00 $140,775.00 $53,405.00 2026-07-15
3634 APR_DRG Breast Procedures Except Mastectomy 8 7 — — $53,376.00 $57,112.00 $53,376.00 2026-07-15
3054 APR_DRG Amputation Of Lower Limb Except Toes 8 7 — — $53,346.00 $57,080.00 $53,346.00 2026-07-15
3094 APR_DRG Other Significant Hip And Femur Surgery 8 7 — — $53,273.00 $57,002.00 $53,273.00 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 17 8 — — $1.00 $1,153,200.00 $52,975.00 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 8 — — $1.00 $1,051,520.00 $52,975.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 7 — — $1.00 $1,098,806.00 $52,975.00 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 17 8 — — $1.00 $1,051,520.00 $52,975.00 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 8 — — $1.00 $1,063,333.00 $52,975.00 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 15 7 — — $1.00 $1,042,084.00 $52,975.00 2026-07-15
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $52,879.00 $56,581.00 $52,879.00 2026-07-15
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 8 7 — — $52,530.00 $56,207.00 $52,530.00 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $52,524.00 $56,200.00 $52,524.00 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 7 — — $30,648.00 $65,630.00 $52,445.50 2026-07-15
4834 APR_DRG Penis, Testes And Scrotal Procedures 8 7 — — $52,394.00 $56,062.00 $52,394.00 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 6 — — $37,444.00 $60,252.00 $52,388.00 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 7 — — $52,377.00 $56,043.00 $52,377.00 2026-07-15
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 8 7 — — $52,262.00 $55,920.00 $52,262.00 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $35,210.00 $124,514.00 $52,220.00 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 7 — — $52,183.00 $55,836.00 $52,183.00 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 5 — — $38,158.00 $61,400.00 $51,884.00 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 5 — — $37,569.00 $60,453.00 $51,834.00 2026-07-15
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $51,721.00 $55,341.00 $51,721.00 2026-07-15
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 7 — — $51,376.00 $54,972.00 $51,376.00 2026-07-15
3084 APR_DRG Hip And Femur Fracture Repair 8 7 — — $51,355.00 $54,950.00 $51,355.00 2026-07-15
1792 APR_DRG Defibrillator Implants 8 7 — — $51,186.00 $54,769.00 $51,186.00 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $48,480.00 $63,230.00 $51,146.50 2026-07-15
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 8 7 — — $51,128.00 $54,707.00 $51,128.00 2026-07-15
4844 APR_DRG Other Male Reproductive System And Related Procedures 8 7 — — $50,911.00 $54,474.00 $50,911.00 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 5 — — $36,468.00 $58,682.00 $50,894.00 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 5 — — $38,941.00 $62,660.00 $50,581.00 2026-07-15
1824 APR_DRG Other Peripheral Vascular And Related Procedures 8 7 — — $50,472.00 $54,005.00 $50,472.00 2026-07-15
4214 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 8 7 — — $50,420.00 $53,949.00 $50,420.00 2026-07-15
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 7 — — $50,415.00 $53,944.00 $50,415.00 2026-07-15
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 8 7 — — $50,311.00 $53,833.00 $50,311.00 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $50,047.00 $53,550.00 $50,047.00 2026-07-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 8 7 — — $50,027.00 $53,529.00 $50,027.00 2026-07-15
A9607 HCPCS Lutetium Lu 177 Vipivotide 15 7 — — $230.00 $53,405.00 $49,911.00 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatat Ther 15 7 — — $290.00 $53,405.00 $49,911.00 2026-07-15
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