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 →

Export CSV
Hospital

ISLAND HOSPITAL

Anacortes, WA · CCN 500007 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty PF

This hospital’s price: $2,479 across 44 payers · range $615-$27,580

Source: https://mrfs.hyvehealthcare.com/IslandHealthSystem/910729255_island-health_standardcharges.csv · observed 2026-05-04

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.

25,843 distinct procedures filed
45 distinct payers
774,307 rate rows
2026-05-04 last MRF observed
Data quality

638,707 of 774,307 rate rows are consumer-grade (82.5%)

135,600 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 118,293
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,067
template filing: same amount across many unrelated codes — excluded 3,485
exceeds 10× this hospital's gross charge — excluded from medians 2,669
per-diem day rate — not a per-procedure price 1,155
percent-of-charges filed in the dollar field — excluded from medians 699
exceeds 3× this hospital's gross charge for a DRG stay — excluded 122
placeholder amount (≤ $0.02) — excluded from medians 60
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbIHANACORTESWA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/IslandHealth.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint d9aa229548c5a8ef… · 67,003,429 bytes · first seen 2026-07-17

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $20,117.66 $4,563,284.35 $4,391,084.94 nat. median
$3,710,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $20,117.66 $4,106,612.41 $3,951,645.90 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 15 $31,861.98 $4,022,390.47 $3,870,602.15 nat. median
$3,286,000
1.2× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 15 $31,861.98 $3,647,564.88 $3,509,920.92 nat. median
$2,997,086
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 16 $13,030.50 $4,588,743.62 $2,925,324.06 nat. median
$2,460,273
1.2× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 16 $31,861.98 $4,903,473.11 $2,819,497.04 nat. median
$2,405,851
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 16 $31,861.98 $1,620,374.98 $918,212.49 nat. median
$809,151
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 16 $31,861.98 $1,244,216.77 $705,056.17 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 16 $31,861.98 $1,189,847.00 $674,246.63 nat. median
$631,793
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 16 $31,861.98 $1,182,843.43 $670,277.94 nat. median
$624,417
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 16 $31,861.98 $1,171,866.85 $664,057.88 nat. median
$610,161
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 16 $31,861.98 $1,121,217.75 $635,356.73 nat. median
$588,565
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 16 $31,861.98 $1,028,855.92 $583,018.35 nat. median
$577,541
1.0× median
5834
APR_DRG 		Neonate With Ecmo, Severe 4 $372,297.15 $428,141.91 $402,080.90 nat. median
$311,018
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $185,357.20 $591,672.92 $345,142.54 nat. median
$370,165
0.9× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 21 $31,861.98 $585,073.49 $325,040.83 nat. median
$302,242
1.1× median
5833
APR_DRG 		Neonate With Ecmo, Major 4 $299,084.21 $343,947.00 $323,010.93 nat. median
$250,089
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 $294,904.13 $339,139.90 $318,496.44 nat. median
$254,667
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 4 $228,326.49 $262,575.58 $246,592.59 nat. median
$209,486
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $162,931.95 $383,971.93 $226,116.80 nat. median
$261,939
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 4 $205,545.82 $236,377.80 $221,989.48 nat. median
$165,646
1.3× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 4 $202,933.02 $233,373.08 $219,167.65 nat. median
$169,230
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 $201,344.84 $231,546.66 $217,452.41 nat. median
$168,361
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 $197,237.54 $226,823.27 $213,016.53 nat. median
$168,174
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 $179,762.27 $206,726.70 $194,143.24 nat. median
$180,995
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 $177,532.56 $204,162.53 $191,735.15 nat. median
$165,599
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 $175,848.66 $202,226.05 $189,916.54 nat. median
$147,677
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 $169,362.25 $194,766.67 $182,911.21 nat. median
$160,171
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 $167,158.60 $192,232.48 $180,531.28 nat. median
$156,285
1.2× median
5831
APR_DRG 		Neonate With Ecmo, Minor 4 $160,341.80 $184,393.15 $173,169.13 nat. median
$154,685
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 4 $159,184.48 $183,062.23 $171,919.23 nat. median
$127,938
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 5 $155,873.08 $179,254.12 $171,460.44 nat. median
$127,600
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $115,096.58 $292,535.75 $170,645.85 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $114,837.72 $290,818.94 $170,452.21 nat. median
$199,832
0.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 4 $156,593.64 $180,082.76 $169,121.11 nat. median
$109,499
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $129,355.40 $148,758.77 $139,703.82 nat. median
$123,690
1.1× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $124,355.43 $143,008.81 $134,303.86 nat. median
$96,420
1.4× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $119,956.04 $137,949.51 $129,552.51 nat. median
$89,188
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 $119,660.82 $137,610.01 $129,233.68 nat. median
$108,751
1.2× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 $115,761.03 $133,125.25 $125,021.90 nat. median
$112,711
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 4 $111,492.65 $128,216.60 $120,412.05 nat. median
$93,192
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 4 $111,492.65 $128,216.60 $120,412.05 nat. median
$82,164
1.5× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $109,051.16 $125,408.89 $117,775.24 nat. median
$71,350
1.7× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 5 $106,584.28 $122,571.98 $117,242.75 nat. median
$78,024
1.5× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 4 $108,251.14 $124,488.87 $116,911.23 nat. median
$84,000
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 4 $107,909.86 $124,096.40 $116,542.64 nat. median
$101,315
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $107,839.32 $124,015.28 $116,466.46 nat. median
$99,613
1.2× median
8634
APR_DRG 		Neonatal Aftercare, Severe 4 $102,805.27 $118,226.12 $111,029.69 nat. median
$72,289
1.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 4 $102,301.79 $117,647.11 $110,485.93 nat. median
$88,000
1.3× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns, Severe 4 $102,216.60 $117,549.14 $110,393.92 nat. median
$83,517
1.3× median

Other procedures at this hospital

Browse this hospital's 25,843 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 15 — — $20,117.66 $4,563,284.35 $4,391,084.94 2026-05-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 15 — — $20,117.66 $4,106,612.41 $3,951,645.90 2026-05-04
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 20 15 — — $31,861.98 $4,022,390.47 $3,870,602.15 2026-05-04
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 20 15 — — $31,861.98 $3,647,564.88 $3,509,920.92 2026-05-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 23 16 — — $13,030.50 $4,588,743.62 $2,925,324.06 2026-05-04
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 24 16 — — $31,861.98 $4,903,473.11 $2,819,497.04 2026-05-04
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 26 16 — — $31,861.98 $1,620,374.98 $918,212.49 2026-05-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 16 — — $31,861.98 $1,244,216.77 $705,056.17 2026-05-04
Q2056 HCPCS Ciltacabtagene Car-pos T 26 16 — — $31,861.98 $1,189,847.00 $674,246.63 2026-05-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 26 16 — — $31,861.98 $1,182,843.43 $670,277.94 2026-05-04
Q2055 HCPCS Idecabtagene Vicleucel Car 26 16 — — $31,861.98 $1,171,866.85 $664,057.88 2026-05-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 16 — — $31,861.98 $1,121,217.75 $635,356.73 2026-05-04
Q2053 HCPCS Brexucabtagene Car Pos T 26 16 — — $31,861.98 $1,028,855.92 $583,018.35 2026-05-04
5834 APR_DRG Neonate With Ecmo, Severe 4 4 — — $372,297.15 $428,141.91 $402,080.90 2026-05-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 17 — — $185,357.20 $591,672.92 $345,142.54 2026-05-04
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 37 21 — — $31,861.98 $585,073.49 $325,040.83 2026-05-04
5833 APR_DRG Neonate With Ecmo, Major 4 4 — — $299,084.21 $343,947.00 $323,010.93 2026-05-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 4 — — $294,904.13 $339,139.90 $318,496.44 2026-05-04
1614 APR_DRG Implantable Heart Assist Systems, Severe 4 4 — — $228,326.49 $262,575.58 $246,592.59 2026-05-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 17 — — $162,931.95 $383,971.93 $226,116.80 2026-05-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 4 4 — — $205,545.82 $236,377.80 $221,989.48 2026-05-04
5832 APR_DRG Neonate With Ecmo, Moderate 4 4 — — $202,933.02 $233,373.08 $219,167.65 2026-05-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 4 — — $201,344.84 $231,546.66 $217,452.41 2026-05-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 4 — — $197,237.54 $226,823.27 $213,016.53 2026-05-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 4 — — $179,762.27 $206,726.70 $194,143.24 2026-05-04
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 4 — — $177,532.56 $204,162.53 $191,735.15 2026-05-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 4 — — $175,848.66 $202,226.05 $189,916.54 2026-05-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 4 — — $169,362.25 $194,766.67 $182,911.21 2026-05-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 4 — — $167,158.60 $192,232.48 $180,531.28 2026-05-04
5831 APR_DRG Neonate With Ecmo, Minor 4 4 — — $160,341.80 $184,393.15 $173,169.13 2026-05-04
1613 APR_DRG Implantable Heart Assist Systems, Major 4 4 — — $159,184.48 $183,062.23 $171,919.23 2026-05-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 5 5 — — $155,873.08 $179,254.12 $171,460.44 2026-05-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 17 — — $115,096.58 $292,535.75 $170,645.85 2026-05-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 17 — — $114,837.72 $290,818.94 $170,452.21 2026-05-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 4 4 — — $156,593.64 $180,082.76 $169,121.11 2026-05-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $129,355.40 $148,758.77 $139,703.82 2026-05-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $124,355.43 $143,008.81 $134,303.86 2026-05-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $119,956.04 $137,949.51 $129,552.51 2026-05-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 4 — — $119,660.82 $137,610.01 $129,233.68 2026-05-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 4 — — $115,761.03 $133,125.25 $125,021.90 2026-05-04
1611 APR_DRG Implantable Heart Assist Systems, Minor 4 4 — — $111,492.65 $128,216.60 $120,412.05 2026-05-04
1612 APR_DRG Implantable Heart Assist Systems, Moderate 4 4 — — $111,492.65 $128,216.60 $120,412.05 2026-05-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $109,051.16 $125,408.89 $117,775.24 2026-05-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 5 5 — — $106,584.28 $122,571.98 $117,242.75 2026-05-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 4 4 — — $108,251.14 $124,488.87 $116,911.23 2026-05-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 4 4 — — $107,909.86 $124,096.40 $116,542.64 2026-05-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $107,839.32 $124,015.28 $116,466.46 2026-05-04
8634 APR_DRG Neonatal Aftercare, Severe 4 4 — — $102,805.27 $118,226.12 $111,029.69 2026-05-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 4 4 — — $102,301.79 $117,647.11 $110,485.93 2026-05-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 4 4 — — $102,216.60 $117,549.14 $110,393.92 2026-05-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 29 $23,571.50 $23,571.50 $17,678.63 $189,786.17 $109,127.05 2026-05-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 4 4 — — $100,278.30 $115,320.10 $108,300.56 2026-05-04
7 MS_DRG Lung Transplant 30 17 — — $68,924.58 $177,438.31 $104,491.45 2026-05-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 4 4 — — $95,527.52 $109,856.69 $103,169.71 2026-05-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 4 4 — — $94,739.53 $108,950.51 $102,318.69 2026-05-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $94,150.44 $108,273.05 $101,682.46 2026-05-04
14 MS_DRG Allogeneic Bone Marrow Transplant 30 17 — — $58,833.58 $164,664.31 $96,968.98 2026-05-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $88,191.08 $101,419.79 $95,246.36 2026-05-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 4 4 — — $86,915.11 $99,952.42 $93,868.32 2026-05-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 4 4 — — $86,783.39 $99,800.95 $93,726.06 2026-05-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 4 4 — — $86,783.39 $99,800.95 $93,726.06 2026-05-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 17 — — $61,087.52 $155,263.66 $91,433.05 2026-05-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 4 4 — — $84,560.62 $97,244.76 $91,325.46 2026-05-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 4 4 — — $81,651.30 $93,899.04 $88,183.40 2026-05-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 12 — — $3,641.46 $148,992.44 $86,912.26 2026-05-04
1784 APR_DRG External Heart Assist Systems, Severe 4 4 — — $79,106.61 $90,972.65 $85,435.14 2026-05-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $79,041.12 $90,897.32 $85,364.39 2026-05-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 4 4 — — $78,876.91 $90,708.48 $85,187.05 2026-05-04
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 4 4 — — $78,574.49 $90,360.70 $84,860.44 2026-05-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $78,319.83 $90,067.85 $84,585.42 2026-05-04
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 4 4 — — $78,049.07 $89,756.47 $84,292.99 2026-05-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 17 — — $9,109.00 $151,007.94 $83,893.30 2026-05-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 17 — — $58,213.88 $141,270.23 $83,192.47 2026-05-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 5 5 — — $74,657.36 $85,856.00 $82,123.12 2026-05-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 4 4 — — $75,797.97 $87,167.70 $81,861.80 2026-05-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 4 4 — — $75,494.13 $86,818.28 $81,533.65 2026-05-04
215 MS_DRG Other Heart Assist System Implant 32 17 — — $32,939.75 $136,426.72 $79,961.21 2026-05-04
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 4 4 — — $73,617.52 $84,660.19 $79,506.92 2026-05-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $73,013.23 $83,965.25 $78,854.29 2026-05-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 5 5 — — $71,446.06 $82,163.00 $78,590.69 2026-05-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 4 4 — — $72,753.39 $83,666.43 $78,573.65 2026-05-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 17 — — $50,631.79 $134,039.90 $78,562.27 2026-05-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $72,281.75 $83,124.05 $78,064.29 2026-05-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 4 4 — — $71,909.23 $82,695.66 $77,661.96 2026-05-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 4 4 — — $71,699.54 $82,454.50 $77,435.49 2026-05-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $71,343.98 $82,045.61 $77,051.49 2026-05-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 37 21 — — $20,117.66 $133,189.18 $76,653.42 2026-05-04
38240 CPT Transplt Allo Hct/donor 27 16 — — $2,949.05 $135,126.27 $76,571.55 2026-05-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 4 4 — — $70,135.43 $80,655.78 $75,746.26 2026-05-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 4 4 — — $69,724.08 $80,182.72 $75,302.00 2026-05-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $69,178.16 $79,554.92 $74,712.41 2026-05-04
6904 APR_DRG Acute Leukemia, Severe 4 4 — — $69,155.01 $79,528.29 $74,687.40 2026-05-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 5 5 — — $67,848.46 $78,025.76 $74,633.33 2026-05-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 5 5 — — $67,172.59 $77,248.51 $73,889.87 2026-05-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 4 4 — — $67,420.20 $77,533.26 $72,813.81 2026-05-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 5 5 — — $66,136.48 $76,056.98 $72,750.15 2026-05-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 4 4 — — $67,170.74 $77,246.39 $72,544.40 2026-05-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 5 5 — — $65,780.16 $75,647.21 $72,358.19 2026-05-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 17 — — $48,569.20 $123,445.82 $72,010.06 2026-05-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 4 4 — — $66,330.17 $76,279.73 $71,636.58 2026-05-04
2324 APR_DRG Gastric Fundoplication, Severe 4 4 — — $66,016.64 $75,919.18 $71,297.97 2026-05-04
A9543 HCPCS Y90 Ibritumomab, Rx 37 21 — — $28,070.10 $119,484.41 $70,363.04 2026-05-04
214 APR_DRG Open Craniotomy Except Trauma, Severe 5 5 — — $63,948.30 $73,540.58 $70,343.15 2026-05-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $64,549.01 $74,231.39 $69,712.92 2026-05-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 25 25 $84,700.32 $84,700.32 $54,342.23 $82,164.33 $69,506.96 2026-05-04
850 MS_DRG Acute Leukemia With Other Procedures 31 17 — — $42,575.69 $118,648.91 $69,211.86 2026-05-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 5 5 — — $62,888.63 $72,321.96 $69,177.52 2026-05-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $68,717.99 $68,717.99 $68,717.99 2026-05-04
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 4 4 — — $63,108.18 $72,574.43 $68,156.83 2026-05-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 37 21 — — $20,117.66 $116,220.56 $67,795.33 2026-05-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 17 — — $32,732.86 $115,139.92 $67,484.79 2026-05-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $62,290.23 $71,633.80 $67,273.45 2026-05-04
1794 APR_DRG Defibrillator Implants, Severe 4 4 — — $61,976.34 $71,272.83 $66,934.45 2026-05-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 41 $67,254.61 $67,254.61 $40,380.67 $115,503.01 $66,859.09 2026-05-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 4 4 — — $61,063.84 $70,223.44 $65,948.94 2026-05-04
914 APR_DRG Other Major Head And Neck Procedures, Severe 4 4 — — $60,980.86 $70,128.02 $65,859.32 2026-05-04
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 4 4 — — $60,945.34 $70,087.17 $65,820.96 2026-05-04
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 4 4 — — $60,661.24 $69,760.46 $65,514.14 2026-05-04
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $60,655.21 $69,753.53 $65,507.63 2026-05-04
0459940 CDM Behav Chng Smoking 3-10"|0.00" 24 24 $99,406.00 $99,406.00 $35,786.16 $94,435.70 $64,613.90 2025-03-18
274 APR_DRG Other Open Craniotomy, Severe 5 5 — — $58,462.93 $67,232.40 $64,309.25 2026-05-04
234 APR_DRG Spinal Procedures, Severe 5 5 — — $57,881.75 $66,564.04 $63,669.94 2026-05-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $63,625.57 $63,625.57 $63,625.57 2026-05-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 4 4 — — $58,830.74 $67,655.38 $63,537.19 2026-05-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 4 4 — — $58,603.36 $67,393.90 $63,291.63 2026-05-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 17 — — $48,009.72 $107,815.05 $63,191.60 2026-05-04
204 APR_DRG Open Craniotomy For Trauma, Severe 5 5 — — $57,198.12 $65,777.87 $62,917.96 2026-05-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 5 5 — — $57,035.63 $65,591.00 $62,739.21 2026-05-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 5 5 — — $56,691.68 $65,195.46 $62,360.87 2026-05-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 5 5 — — $56,570.18 $65,055.73 $62,227.22 2026-05-04
224 APR_DRG Ventricular Shunt Procedures, Severe 4 4 — — $57,142.80 $65,714.25 $61,714.22 2026-05-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 17 — — $33,282.14 $105,204.91 $61,661.76 2026-05-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 17 — — $40,623.83 $104,751.38 $61,395.94 2026-05-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 4 4 — — $56,560.99 $65,045.17 $61,085.87 2026-05-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 41 $66,899.75 $66,899.75 $24,943.98 $104,404.73 $60,902.76 2026-05-04
4414 APR_DRG Major Bladder Procedures, Severe 4 4 — — $56,059.73 $64,468.72 $60,544.51 2026-05-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 4 4 — — $55,906.88 $64,292.94 $60,379.43 2026-05-04
01H92608 CDM Rev - Speech Therapy 24 24 $92,608.00 $92,608.00 $33,338.88 $87,977.60 $60,195.20 2025-03-18
0120140 CDM Rev - Speech Therapy 24 24 $92,608.00 $92,608.00 $33,338.88 $87,977.60 $60,195.20 2025-03-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $55,511.78 $63,838.58 $59,952.73 2026-05-04
1783 APR_DRG External Heart Assist Systems, Major 4 4 — — $55,481.69 $63,803.97 $59,920.22 2026-05-04
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 5 5 — — $54,165.02 $62,289.80 $59,581.54 2026-05-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $59,531.18 $59,531.18 $59,531.18 2026-05-04
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Moderate 4 4 — — $53,471.12 $61,491.82 $57,748.81 2026-05-04
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Minor 4 4 — — $53,471.12 $61,491.82 $57,748.81 2026-05-04
10 MS_DRG Pancreas Transplant 30 17 — — $37,217.53 $98,318.48 $57,625.56 2026-05-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $57,448.08 $57,448.08 $57,448.08 2026-05-04
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 4 4 — — $53,093.50 $61,057.55 $57,340.98 2026-05-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 17 — — $19,650.21 $98,277.37 $57,328.47 2026-05-04
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 4 4 — — $53,060.27 $61,019.34 $57,305.09 2026-05-04
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 4 4 — — $53,060.27 $61,019.34 $57,305.09 2026-05-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 17 — — $38,461.20 $97,755.35 $57,295.50 2026-05-04
2614 APR_DRG Major Biliary Tract Procedures, Severe 4 4 — — $52,787.07 $60,705.16 $57,010.03 2026-05-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 17 — — $45,297.32 $97,697.81 $56,990.39 2026-05-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 4 4 — — $52,614.96 $60,507.23 $56,824.16 2026-05-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 4 4 — — $52,258.00 $60,096.73 $56,438.63 2026-05-04
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $52,058.23 $59,867.00 $56,222.89 2026-05-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 5 5 — — $51,066.27 $58,726.24 $56,172.92 2026-05-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 5 5 — — $50,984.22 $58,631.88 $56,082.66 2026-05-04
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft, Severe 5 5 — — $50,874.31 $58,505.48 $55,961.75 2026-05-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 41 $183,360.50 $183,360.50 $7,798.88 $174,192.48 $55,506.27 2026-05-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 4 4 — — $51,189.26 $58,867.67 $55,284.39 2026-05-04
J9226 HCPCS Supprelin La Implant 37 21 — — $20,117.66 $94,664.47 $55,220.94 2026-05-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 17 — — $7,483.99 $98,906.27 $54,947.93 2026-05-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 4 4 — — $50,875.10 $58,506.39 $54,945.10 2026-05-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 4 4 — — $50,857.38 $58,486.01 $54,925.97 2026-05-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 4 4 — — $50,778.00 $58,394.73 $54,840.24 2026-05-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 37 21 — — $14,560.63 $94,622.09 $54,591.36 2026-05-04
33276 CPT Insj Phrnc Nrv Stim Sys 37 21 — — $14,560.63 $94,622.09 $54,591.36 2026-05-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 4 4 — — $50,110.79 $57,627.43 $54,119.65 2026-05-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 17 — — $32,733.83 $92,226.76 $54,055.13 2026-05-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $49,880.78 $57,362.92 $53,871.24 2026-05-04
264 APR_DRG Other Nervous System And Related Procedures, Severe 5 5 — — $48,852.35 $56,180.22 $53,737.60 2026-05-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 17 — — $28,739.30 $91,615.66 $53,442.47 2026-05-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 17 — — $39,504.39 $91,548.52 $53,403.30 2026-05-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 4 4 — — $49,338.77 $56,739.61 $53,285.87 2026-05-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 17 — — $8,686.48 $94,238.15 $53,180.73 2026-05-04
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 4 4 — — $49,235.55 $56,620.90 $53,174.39 2026-05-04
2304 APR_DRG Major Small Bowel Procedures, Severe 4 4 — — $49,219.45 $56,602.40 $53,157.01 2026-05-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 17 — — $35,446.23 $90,092.05 $52,803.96 2026-05-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 17 — — $38,428.17 $90,092.05 $52,803.96 2026-05-04
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 37 21 — — $6,318.00 $94,622.09 $52,567.83 2026-05-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 4 — — $48,666.10 $55,966.04 $52,559.39 2026-05-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 17 — — $35,317.54 $89,764.58 $52,525.21 2026-05-04
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 5 5 — — $47,710.83 $54,867.48 $52,481.93 2026-05-04
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 5 5 — — $47,221.90 $54,305.20 $51,944.10 2026-05-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 4 4 — — $47,950.52 $55,143.12 $51,786.56 2026-05-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 5 5 — — $46,946.24 $53,988.20 $51,640.88 2026-05-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 26 $11,016.25 $11,016.25 $8,262.19 $88,165.60 $51,429.93 2026-05-04
1782 APR_DRG External Heart Assist Systems, Moderate 4 4 — — $47,264.70 $54,354.43 $51,045.87 2026-05-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $47,158.44 $54,232.23 $50,931.12 2026-05-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 4 4 — — $47,067.02 $54,127.10 $50,832.38 2026-05-04
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 4 4 — — $47,039.72 $54,095.71 $50,802.90 2026-05-04
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 4 4 — — $47,039.72 $54,095.71 $50,802.90 2026-05-04
28 MS_DRG Spinal Procedures With Mcc 32 17 — — $22,078.50 $156,438.11 $50,614.90 2026-05-04
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 5 5 — — $45,921.03 $52,809.21 $50,513.15 2026-05-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 25 25 $67,179.65 $67,179.65 $42,361.49 $63,820.67 $50,384.74 2026-05-04
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 4 4 — — $46,505.96 $53,481.88 $50,226.44 2026-05-04
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure, Severe 4 4 — — $46,229.06 $53,163.44 $49,927.38 2026-05-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $46,005.16 $52,905.96 $49,685.57 2026-05-04
1793 APR_DRG Defibrillator Implants, Major 4 4 — — $45,781.50 $52,648.74 $49,444.01 2026-05-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 17 — — $19,792.99 $83,968.81 $49,215.06 2026-05-04
4804 APR_DRG Major Male Pelvic Procedures, Severe 4 4 — — $45,540.33 $52,371.41 $49,183.56 2026-05-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 17 — — $32,998.52 $83,871.52 $49,158.03 2026-05-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $45,507.25 $52,333.37 $49,147.83 2026-05-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 4 4 — — $45,357.29 $52,160.91 $48,985.88 2026-05-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 17 — — $32,682.36 $83,067.25 $48,686.63 2026-05-04
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 4 4 — — $44,814.28 $51,536.45 $48,399.43 2026-05-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 4 4 — — $44,812.83 $51,534.78 $48,397.85 2026-05-04
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $44,681.30 $51,383.52 $48,255.81 2026-05-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 17 — — $17,937.29 $82,299.96 $48,008.31 2026-05-04
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 4 4 — — $44,325.74 $50,974.63 $47,871.79 2026-05-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 17 — — $29,610.57 $81,246.31 $47,845.05 2026-05-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 41 $42,186.25 $42,186.25 $26,311.01 $81,703.94 $47,463.46 2026-05-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 4 4 — — $43,903.45 $50,488.99 $47,415.72 2026-05-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 17 — — $30,550.80 $80,409.13 $47,128.68 2026-05-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 17 — — $18,875.58 $80,357.08 $47,098.18 2026-05-04
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 4 4 — — $43,485.07 $50,007.86 $46,963.88 2026-05-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $46,837.83 $46,837.83 $46,837.83 2026-05-04
3054 APR_DRG Amputation Of Lower Limb Except Toes, Severe 5 5 — — $42,492.56 $48,866.46 $46,741.83 2026-05-04
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 5 5 — — $42,439.13 $48,805.02 $46,683.05 2026-05-04
2314 APR_DRG Major Large Bowel Procedures, Severe 4 4 — — $43,214.62 $49,696.83 $46,671.79 2026-05-04
6903 APR_DRG Acute Leukemia, Major 4 4 — — $43,134.57 $49,604.77 $46,585.33 2026-05-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 4 4 — — $43,092.57 $49,556.48 $46,539.97 2026-05-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 17 — — $30,041.83 $79,018.43 $46,094.09 2026-05-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 17 — — $33,212.69 $78,514.22 $46,018.06 2026-05-04
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 4 4 — — $42,523.26 $48,901.77 $45,925.11 2026-05-04
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 5 5 — — $41,678.02 $47,929.75 $45,845.84 2026-05-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 24 $5,265.84 $5,265.84 $3,619.19 $81,435.38 $45,764.95 2026-05-04
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 5 5 — — $41,548.66 $47,780.98 $45,703.54 2026-05-04
4034 APR_DRG Procedures For Obesity, Severe 4 4 — — $42,253.61 $48,591.67 $45,633.90 2026-05-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 41 $66,687.50 $66,687.50 $6,773.14 $78,092.21 $45,553.79 2026-05-04
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $45,392.86 $45,392.86 $45,392.86 2026-05-04
1781 APR_DRG External Heart Assist Systems, Minor 4 4 — — $42,018.62 $48,321.44 $45,380.11 2026-05-04
9103 APR_DRG Craniotomy For Multiple Significant Trauma, Major 5 5 — — $41,139.71 $47,310.69 $45,253.70 2026-05-04
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 5 5 — — $41,138.19 $47,308.94 $45,252.03 2026-05-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 17 — — $30,213.27 $76,791.92 $45,221.91 2026-05-04
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection, Severe 4 4 — — $41,842.95 $48,119.42 $45,190.39 2026-05-04
734 APR_DRG Orbit And Eye Procedures, Severe 5 5 — — $40,997.96 $47,147.68 $45,097.77 2026-05-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $45,060.78 $45,060.78 $45,060.78 2026-05-04
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Major 4 4 — — $41,618.41 $47,861.19 $44,947.88 2026-05-04
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 4 4 — — $41,552.86 $47,785.82 $44,877.10 2026-05-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 17 — — $17,884.36 $76,265.78 $44,488.37 2026-05-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 17 — — $29,773.26 $75,673.87 $44,353.29 2026-05-04
6504 APR_DRG Splenectomy, Severe 4 4 — — $40,952.10 $47,094.93 $44,228.26 2026-05-04
834 MS_DRG Acute Leukemia With Mcc 32 17 — — $33,606.56 $75,220.34 $44,087.47 2026-05-04
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 5 5 — — $40,047.32 $46,054.44 $44,052.06 2026-05-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 17 — — $25,729.19 $74,954.54 $43,931.68 2026-05-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 17 — — $30,895.62 $74,847.67 $43,869.05 2026-05-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 17 — — $36,937.20 $74,729.83 $43,799.98 2026-05-04
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 4 4 — — $40,533.74 $46,613.82 $43,776.44 2026-05-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $40,484.14 $46,556.78 $43,722.87 2026-05-04
653 MS_DRG Major Bladder Procedures With Mcc 56 41 $59,168.00 $59,168.00 $19,762.88 $71,198.93 $43,722.85 2026-05-04
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 5 5 — — $39,723.49 $45,682.04 $43,695.86 2026-05-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 17 — — $29,284.69 $74,431.13 $43,624.92 2026-05-04
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment, Sever… 4 4 — — $40,375.56 $46,431.91 $43,605.60 2026-05-04
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 4 4 — — $40,329.24 $46,378.65 $43,555.58 2026-05-04
1832 APR_DRG Percutaneous Structural Cardiac Procedures, Moderate 4 4 — — $40,324.51 $46,373.21 $43,550.46 2026-05-04
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 5 5 — — $39,524.48 $45,453.17 $43,476.94 2026-05-04
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 4 4 — — $40,198.04 $46,227.77 $43,413.89 2026-05-04
244 APR_DRG Open Extracranial Vascular Procedures, Severe 4 4 — — $40,180.28 $46,207.35 $43,394.70 2026-05-04
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 4 4 — — $40,104.83 $46,120.58 $43,313.21 2026-05-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 41 $149,966.62 $149,966.62 $23,166.86 $142,468.29 $43,312.81 2026-05-04
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 4 4 — — $40,103.28 $46,118.79 $43,311.54 2026-05-04
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 5 5 — — $39,223.27 $45,106.78 $43,145.61 2026-05-04
213 APR_DRG Open Craniotomy Except Trauma, Major 5 5 — — $39,079.19 $44,941.09 $42,987.12 2026-05-04
1804 APR_DRG Other Circulatory System Procedures, Severe 4 4 — — $39,800.69 $45,770.82 $42,984.74 2026-05-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 17 — — $25,019.16 $73,067.83 $42,825.87 2026-05-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 17 — — $5,736.11 $77,030.33 $42,794.63 2026-05-04
8633 APR_DRG Neonatal Aftercare, Major 4 4 — — $39,477.36 $45,398.98 $42,635.54 2026-05-04
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 5 5 — — $38,754.54 $44,567.74 $42,630.01 2026-05-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 17 — — $23,107.61 $73,023.98 $42,597.32 2026-05-04
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 4 4 — — $39,398.20 $45,307.95 $42,550.06 2026-05-04
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 4 4 — — $39,382.05 $45,289.38 $42,532.61 2026-05-04
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 4 4 — — $39,379.41 $45,286.34 $42,529.76 2026-05-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 17 — — $28,905.88 $72,533.47 $42,512.67 2026-05-04
4014 APR_DRG Adrenal Procedures, Severe 4 4 — — $39,258.17 $45,146.91 $42,398.82 2026-05-04
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 4 4 — — $39,173.55 $45,049.61 $42,307.43 2026-05-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 12 — — $2,178.18 $72,293.69 $42,171.32 2026-05-04
471 MS_DRG Cervical Spinal Fusion With Mcc 32 17 — — $17,398.21 $125,724.86 $42,084.24 2026-05-04
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 4 4 — — $38,952.46 $44,795.35 $42,068.65 2026-05-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $38,881.54 $44,713.79 $41,992.06 2026-05-04
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 4 4 — — $38,805.70 $44,626.57 $41,910.15 2026-05-04
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 4 4 — — $38,771.62 $44,587.38 $41,873.35 2026-05-04
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 5 5 — — $37,981.26 $43,678.47 $41,779.40 2026-05-04
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 4 4 — — $38,677.18 $44,478.77 $41,771.35 2026-05-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 4 4 — — $38,670.77 $44,471.41 $41,764.43 2026-05-04
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 4 4 — — $38,551.04 $44,333.71 $41,635.12 2026-05-04
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 5 5 — — $37,829.12 $43,503.51 $41,612.05 2026-05-04
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 4 4 — — $38,415.20 $44,177.50 $41,488.41 2026-05-04
1831 APR_DRG Percutaneous Structural Cardiac Procedures, Minor 4 4 — — $38,337.02 $44,087.60 $41,403.99 2026-05-04
69930 CPT Implant Cochlear Device 37 21 — — $19,772.48 $70,831.80 $41,318.55 2026-05-04
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 4 4 — — $38,251.26 $43,988.97 $41,311.36 2026-05-04
2264 APR_DRG Anal And Perineal Procedures, Severe 4 4 — — $38,090.16 $43,803.71 $41,137.37 2026-05-04
2244 APR_DRG Peritoneal Adhesiolysis, Severe 4 4 — — $37,979.16 $43,676.06 $41,017.49 2026-05-04
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 5 5 — — $37,277.39 $42,869.02 $41,005.14 2026-05-04
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 4 4 — — $37,740.69 $43,401.81 $40,759.94 2026-05-04
1792 APR_DRG Defibrillator Implants, Moderate 4 4 — — $37,641.41 $43,287.64 $40,652.72 2026-05-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 17 — — $24,594.21 $69,058.75 $40,476.10 2026-05-04
233 APR_DRG Spinal Procedures, Major 5 5 — — $36,750.41 $42,262.99 $40,425.47 2026-05-04
See an error in this hospital's data? Submit a correction