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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

SOUTHWEST HEALTH CENTER

Platteville, WI · CCN 521354 · Rates published

8,694 distinct procedures filed
12 distinct payers
132,616 rate rows
2026-03-27 last MRF observed
Data quality

116,650 of 132,616 rate rows are consumer-grade (88.0%)

15,966 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,295
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,179
per-diem day rate — not a per-procedure price 3,025
percent-of-charges filed in the dollar field — excluded from medians 307
exceeds 10× this hospital's gross charge — excluded from medians 91
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 54
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://southwesthealth.pt.panaceainc.com/MRFDownload/southwesthealth/southwesthealth
Found on page https://www.southwesthealth.org/patients-visitors/quality-and-pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 8c381b053a854d5b… · 46,453,795 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 4 $6,904.50 $783,778.90 $783,778.90 nat. median
$311,018
outlier · 2.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $739,350.00 $739,350.00 $739,350.00 nat. median
$631,793
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $681,733.97 $681,733.97 $681,733.97 nat. median
$624,417
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $508,580.22 $674,160.00 $591,370.11 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $508,021.58 $674,160.00 $591,090.79 nat. median
$577,541
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $11,023.00 $623,897.32 $555,849.00 nat. median
$370,165
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $480,050.23 $575,199.02 $480,050.23 nat. median
$254,667
1.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $448,766.68 $448,766.68 $448,766.68 nat. median
$119,243
outlier · 3.8×
24
APR_DRG 		Heart And/or Lung Transplant 4 $394,298.60 $448,470.52 $448,470.52 nat. median
$243,231
1.8× median
5833
APR_DRG 		Neonate With Ecmo 4 $3,730.72 $446,387.70 $446,387.70 nat. median
$250,089
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $11,023.00 $404,884.26 $360,723.64 nat. median
$261,939
1.4× median
5832
APR_DRG 		Neonate With Ecmo 4 $2,199.13 $342,744.25 $342,744.25 nat. median
$169,230
outlier · 2.0×
1614
APR_DRG 		Implantable Heart Assist Systems 4 $181,889.38 $334,669.21 $334,669.21 nat. median
$209,486
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $99,494.64 $334,462.58 $334,462.58 nat. median
$168,174
2.0× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $333,977.69 $333,977.69 $333,977.69 nat. median
$67,603
outlier · 4.9×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $257,019.15 $328,083.27 $328,083.27 nat. median
$165,599
2.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $321,692.94 $356,197.59 $321,692.94 nat. median
$147,677
outlier · 2.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $319,713.44 $505,228.76 $319,713.44 nat. median
$180,995
1.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $29,977.21 $314,792.93 $314,792.93 nat. median
$168,361
1.9× median
5831
APR_DRG 		Neonate With Ecmo 4 $1,391.05 $307,654.60 $307,654.60 nat. median
$154,685
2.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $21,184.57 $297,696.49 $297,696.49 nat. median
$165,646
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $33,236.88 $291,742.84 $291,742.84 nat. median
$160,171
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $275,648.05 $276,763.65 $276,763.65 nat. median
$156,285
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $11,023.00 $308,468.18 $274,823.64 nat. median
$205,166
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $273,959.01 $347,630.07 $273,959.01 nat. median
$147,847
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $11,023.00 $306,657.87 $273,210.77 nat. median
$199,832
1.4× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $265,507.91 $265,507.91 $265,507.91 nat. median
$63,564
outlier · 4.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $264,042.23 $272,703.29 $264,042.23 nat. median
$175,480
1.5× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $83,072.69 $262,053.08 $262,053.08 nat. median
$127,938
outlier · 2.0×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $229,605.43 $252,136.29 $252,136.29 nat. median
$127,600
2.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $242,674.02 $249,627.83 $249,627.83 nat. median
$137,901
1.8× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $214,020.19 $244,288.55 $244,288.55 nat. median
$116,111
outlier · 2.1×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $158,218.08 $237,409.20 $237,409.20 nat. median
$108,751
outlier · 2.2×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $217,593.46 $234,822.21 $234,822.21 nat. median
$120,928
1.9× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $223,770.34 $299,379.20 $223,770.34 nat. median
$71,350
outlier · 3.1×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $223,770.34 $286,871.45 $223,770.34 nat. median
$96,420
outlier · 2.3×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $223,770.34 $286,871.45 $223,770.34 nat. median
$89,188
outlier · 2.5×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $115,281.58 $220,493.21 $220,493.21 nat. median
$80,413
outlier · 2.7×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $208,494.99 $254,004.13 $208,494.99 nat. median
$123,690
1.7× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $166,189.63 $203,628.20 $203,628.20 nat. median
$84,000
outlier · 2.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $198,719.92 $202,460.06 $202,460.06 nat. median
$112,711
1.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $50,680.32 $192,820.15 $192,820.15 nat. median
$93,192
outlier · 2.1×
1611
APR_DRG 		Implantable Heart Assist Systems 4 $39,069.15 $192,820.15 $192,820.15 nat. median
$82,164
outlier · 2.3×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $17,292.49 $192,117.62 $192,117.62 nat. median
$101,315
1.9× median
22
APR_DRG 		Heart And/or Lung Transplant 4 $170,016.64 $184,984.80 $184,984.80 nat. median
$94,014
2.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $180,004.75 $180,004.75 $180,004.75 nat. median
$63,643
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $11,023.00 $200,122.53 $178,295.22 nat. median
$132,706
1.3× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $148,323.27 $175,647.95 $175,647.95 nat. median
$88,000
2.0× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $151,723.47 $173,866.82 $173,866.82 nat. median
$78,024
outlier · 2.2×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $137,820.77 $167,933.82 $167,933.82 nat. median
$89,814
1.9× median

Other procedures at this hospital

Browse this hospital's 8,694 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 4 4 — — $6,904.50 $783,778.90 $783,778.90 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $739,350.00 $739,350.00 $739,350.00 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $681,733.97 $681,733.97 $681,733.97 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $508,580.22 $674,160.00 $591,370.11 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $508,021.58 $674,160.00 $591,090.79 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 3 — — $11,023.00 $623,897.32 $555,849.00 2026-03-27
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $480,050.23 $575,199.02 $480,050.23 2026-03-27
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $448,766.68 $448,766.68 $448,766.68 2026-03-27
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $394,298.60 $448,470.52 $448,470.52 2026-03-27
5833 APR_DRG Neonate With Ecmo 4 4 — — $3,730.72 $446,387.70 $446,387.70 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $11,023.00 $404,884.26 $360,723.64 2026-03-27
5832 APR_DRG Neonate With Ecmo 4 4 — — $2,199.13 $342,744.25 $342,744.25 2026-03-27
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $181,889.38 $334,669.21 $334,669.21 2026-03-27
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $99,494.64 $334,462.58 $334,462.58 2026-03-27
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $333,977.69 $333,977.69 $333,977.69 2026-03-27
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $257,019.15 $328,083.27 $328,083.27 2026-03-27
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $321,692.94 $356,197.59 $321,692.94 2026-03-27
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $319,713.44 $505,228.76 $319,713.44 2026-03-27
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $29,977.21 $314,792.93 $314,792.93 2026-03-27
5831 APR_DRG Neonate With Ecmo 4 4 — — $1,391.05 $307,654.60 $307,654.60 2026-03-27
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $21,184.57 $297,696.49 $297,696.49 2026-03-27
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $33,236.88 $291,742.84 $291,742.84 2026-03-27
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $275,648.05 $276,763.65 $276,763.65 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $11,023.00 $308,468.18 $274,823.64 2026-03-27
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $273,959.01 $347,630.07 $273,959.01 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $11,023.00 $306,657.87 $273,210.77 2026-03-27
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $265,507.91 $265,507.91 $265,507.91 2026-03-27
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $264,042.23 $272,703.29 $264,042.23 2026-03-27
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $83,072.69 $262,053.08 $262,053.08 2026-03-27
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $229,605.43 $252,136.29 $252,136.29 2026-03-27
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $242,674.02 $249,627.83 $249,627.83 2026-03-27
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $214,020.19 $244,288.55 $244,288.55 2026-03-27
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $158,218.08 $237,409.20 $237,409.20 2026-03-27
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $217,593.46 $234,822.21 $234,822.21 2026-03-27
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $223,770.34 $286,871.45 $223,770.34 2026-03-27
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $223,770.34 $299,379.20 $223,770.34 2026-03-27
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $223,770.34 $286,871.45 $223,770.34 2026-03-27
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $115,281.58 $220,493.21 $220,493.21 2026-03-27
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $208,494.99 $254,004.13 $208,494.99 2026-03-27
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $166,189.63 $203,628.20 $203,628.20 2026-03-27
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $198,719.92 $202,460.06 $202,460.06 2026-03-27
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $50,680.32 $192,820.15 $192,820.15 2026-03-27
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $39,069.15 $192,820.15 $192,820.15 2026-03-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $17,292.49 $192,117.62 $192,117.62 2026-03-27
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $170,016.64 $184,984.80 $184,984.80 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $180,004.75 $180,004.75 $180,004.75 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 — — $11,023.00 $200,122.53 $178,295.22 2026-03-27
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $148,323.27 $175,647.95 $175,647.95 2026-03-27
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $151,723.47 $173,866.82 $173,866.82 2026-03-27
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $137,820.77 $167,933.82 $167,933.82 2026-03-27
7 MS_DRG Lung Transplant 3 3 — — $11,023.00 $187,102.16 $166,694.97 2026-03-27
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $166,666.50 $333,521.77 $166,666.50 2026-03-27
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $148,085.14 $163,496.82 $163,496.82 2026-03-27
64 APR_DRG Pancreas Transplant 4 4 — — $163,056.02 $186,248.61 $163,056.02 2026-03-27
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $145,692.12 $162,845.25 $162,845.25 2026-03-27
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $161,167.43 $234,659.53 $161,167.43 2026-03-27
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $9,348.28 $160,816.16 $160,816.16 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $11,023.00 $173,632.46 $154,694.41 2026-03-27
8514 APR_DRG Gender Related Procedures 3 3 — — $153,792.17 $153,792.17 $153,792.17 2026-03-27
8513 APR_DRG Gender Related Procedures 3 3 — — $153,792.17 $153,792.17 $153,792.17 2026-03-27
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $152,495.92 $187,585.01 $152,495.92 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $141,864.89 $159,232.31 $150,548.60 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $11,023.00 $163,719.81 $145,862.93 2026-03-27
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $144,761.13 $172,573.63 $144,761.13 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $11,023.00 $157,107.04 $139,971.42 2026-03-27
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $134,045.38 $269,254.94 $134,045.38 2026-03-27
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $105,217.60 $132,812.50 $132,812.50 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $11,023.00 $148,964.25 $132,716.76 2026-03-27
8634 APR_DRG Neonatal Aftercare 4 4 — — $14,818.79 $131,101.61 $131,101.61 2026-03-27
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $130,764.12 $130,764.12 $130,764.12 2026-03-27
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $113,025.18 $129,600.11 $129,600.11 2026-03-27
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $129,111.09 $335,145.74 $129,111.09 2026-03-27
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $30,865.98 $128,487.08 $128,487.08 2026-03-27
215 MS_DRG Other Heart Assist System Implant 3 3 — — $11,023.00 $143,856.94 $128,166.50 2026-03-27
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $107,303.53 $127,473.22 $127,473.22 2026-03-27
4404 APR_DRG Kidney Transplant 4 4 — — $27,127.45 $126,424.92 $126,424.92 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $11,023.00 $141,340.13 $125,924.20 2026-03-27
63 APR_DRG Pancreas Transplant 4 4 — — $119,525.00 $125,660.40 $125,660.40 2026-03-27
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $105,043.23 $123,931.61 $123,931.61 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $115,971.57 $130,169.08 $123,070.33 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $111,465.08 $125,110.90 $118,287.99 2026-03-27
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $109,295.76 $118,260.34 $118,260.34 2026-03-27
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $117,437.96 $136,662.64 $117,437.96 2026-03-27
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $77,706.28 $116,021.87 $116,021.87 2026-03-27
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $115,673.36 $152,471.70 $115,673.36 2026-03-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $112,976.17 $135,818.12 $112,976.17 2026-03-27
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $105,181.16 $111,106.87 $111,106.87 2026-03-27
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $110,697.74 $110,697.74 $110,697.74 2026-03-27
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $71,431.58 $110,664.68 $110,664.68 2026-03-27
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $110,499.38 $117,198.34 $110,499.38 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $11,023.00 $121,793.68 $108,509.67 2026-03-27
62 APR_DRG Pancreas Transplant 4 4 — — $104,470.67 $108,333.91 $108,333.91 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $11,023.00 $121,410.81 $108,168.56 2026-03-27
1784 APR_DRG External Heart Assist Devices 4 4 — — $47,955.48 $107,431.64 $107,431.64 2026-03-27
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $105,591.27 $129,997.57 $105,591.27 2026-03-27
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $105,314.38 $271,992.80 $105,314.38 2026-03-27
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $83,898.99 $104,392.82 $104,392.82 2026-03-27
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $87,094.90 $103,552.53 $103,552.53 2026-03-27
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $101,498.64 $114,731.14 $101,498.64 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $11,023.00 $113,687.01 $101,287.19 2026-03-27
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $90,927.12 $100,156.94 $100,156.94 2026-03-27
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 4 — — $93,380.00 $99,448.89 $99,448.89 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $11,023.00 $110,934.70 $98,835.08 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $92,917.82 $104,293.03 $98,605.43 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 3 3 — — $11,023.00 $110,456.47 $98,409.01 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $11,023.00 $110,090.94 $98,083.35 2026-03-27
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $10,881.16 $96,815.07 $96,815.07 2026-03-27
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $66,707.99 $96,689.71 $96,689.71 2026-03-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $25,797.55 $96,404.56 $96,404.56 2026-03-27
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $94,550.42 $146,928.32 $94,550.42 2026-03-27
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $94,444.35 $229,247.58 $94,444.35 2026-03-27
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $23,748.06 $93,707.37 $93,707.37 2026-03-27
10 MS_DRG Pancreas Transplant 3 3 — — $11,023.00 $103,673.22 $92,365.61 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $11,023.00 $103,629.88 $92,326.99 2026-03-27
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $91,924.86 $146,854.14 $91,924.86 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $11,023.00 $103,079.42 $91,836.57 2026-03-27
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 4 — — $73,331.43 $91,789.86 $91,789.86 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $11,023.00 $103,018.74 $91,782.51 2026-03-27
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $91,694.81 $99,475.12 $91,694.81 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $86,068.63 $96,605.35 $91,336.99 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $86,005.56 $96,534.55 $91,270.05 2026-03-27
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $90,614.84 $142,579.49 $90,614.84 2026-03-27
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $90,485.35 $105,338.62 $90,485.35 2026-03-27
1794 APR_DRG Defibrillator Implants 4 4 — — $89,304.81 $111,847.54 $89,304.81 2026-03-27
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $16,415.44 $89,169.81 $89,169.81 2026-03-27
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $10,756.24 $89,047.21 $89,047.21 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $11,023.00 $99,860.44 $88,968.69 2026-03-27
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $77,501.98 $88,784.11 $88,784.11 2026-03-27
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $88,617.43 $131,512.24 $88,617.43 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $11,023.00 $99,370.66 $88,532.33 2026-03-27
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $79,557.97 $87,989.28 $87,989.28 2026-03-27
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $45,080.99 $87,420.36 $87,420.36 2026-03-27
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $81,228.80 $87,296.38 $87,296.38 2026-03-27
1783 APR_DRG External Heart Assist Devices 4 4 — — $34,293.51 $86,686.14 $86,686.14 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $11,023.00 $97,249.72 $86,642.72 2026-03-27
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $86,562.16 $86,562.16 $86,562.16 2026-03-27
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $86,351.40 $139,434.34 $86,351.40 2026-03-27
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $39,812.17 $86,168.19 $86,168.19 2026-03-27
4403 APR_DRG Kidney Transplant 4 4 — — $14,264.45 $85,953.30 $85,953.30 2026-03-27
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $85,257.65 $100,088.02 $85,257.65 2026-03-27
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $80,477.97 $84,997.30 $84,997.30 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $11,023.00 $94,998.75 $84,637.26 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $11,023.00 $94,998.75 $84,637.26 2026-03-27
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $84,450.42 $84,450.42 $84,450.42 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $11,023.00 $94,653.45 $84,329.62 2026-03-27
6904 APR_DRG Acute Leukemia 4 4 — — $83,761.66 $99,377.53 $83,761.66 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $11,023.00 $92,967.39 $82,827.46 2026-03-27
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $73,503.19 $82,658.26 $82,658.26 2026-03-27
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $64,527.07 $82,531.53 $82,531.53 2026-03-27
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $26,372.71 $81,450.17 $81,450.17 2026-03-27
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $81,220.13 $87,045.45 $81,220.13 2026-03-27
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $71,431.58 $81,038.30 $81,038.30 2026-03-27
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $80,674.63 $117,890.61 $80,674.63 2026-03-27
234 APR_DRG Spinal Procedures 4 4 — — $77,516.29 $79,596.03 $79,596.03 2026-03-27
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 4 — — $34,932.43 $79,379.76 $79,379.76 2026-03-27
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $79,350.83 $102,900.05 $79,350.83 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 3 3 — — $11,023.00 $88,542.02 $78,884.76 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $11,023.00 $88,439.44 $78,793.37 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $74,234.11 $83,322.02 $78,778.07 2026-03-27
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $27,379.89 $78,524.32 $78,524.32 2026-03-27
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $78,397.58 $110,815.64 $78,397.58 2026-03-27
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $57,345.40 $78,250.19 $78,250.19 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $11,023.00 $87,591.35 $78,037.79 2026-03-27
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $66,551.84 $77,601.38 $77,601.38 2026-03-27
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $24,392.19 $77,345.16 $77,345.16 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $11,023.00 $86,806.84 $77,338.84 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $11,023.00 $86,782.28 $77,316.96 2026-03-27
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $33,000.05 $77,093.07 $77,093.07 2026-03-27
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $76,869.91 $81,383.65 $76,869.91 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $72,366.38 $81,225.64 $76,796.01 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $11,023.00 $86,153.80 $76,757.02 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $11,023.00 $85,870.62 $76,504.73 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $11,023.00 $85,671.24 $76,327.10 2026-03-27
204 APR_DRG Open Craniotomy For Trauma 4 4 — — $76,263.80 $316,846.07 $76,263.80 2026-03-27
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $33,551.79 $76,218.34 $76,218.34 2026-03-27
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $24,267.27 $76,132.94 $76,132.94 2026-03-27
4284 APR_DRG Genetic Disorders 3 3 — — $76,040.64 $76,040.64 $76,040.64 2026-03-27
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $75,734.83 $90,129.44 $75,734.83 2026-03-27
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $43,963.20 $75,723.81 $75,723.81 2026-03-27
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $59,333.73 $75,705.90 $75,705.90 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $11,023.00 $84,788.48 $75,540.62 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $11,023.00 $84,733.57 $75,491.71 2026-03-27
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $72,260.49 $75,424.89 $75,424.89 2026-03-27
61 APR_DRG Pancreas Transplant 4 4 — — $72,244.87 $75,247.19 $75,247.19 2026-03-27
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $71,209.06 $73,972.98 $73,972.98 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $11,023.00 $82,790.34 $73,760.42 2026-03-27
274 APR_DRG Other Open Craniotomy 4 4 — — $71,380.83 $73,471.56 $73,471.56 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $11,023.00 $82,345.35 $73,363.96 2026-03-27
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $3,476.97 $73,291.11 $73,291.11 2026-03-27
4402 APR_DRG Kidney Transplant 4 4 — — $9,339.17 $73,249.78 $73,249.78 2026-03-27
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $73,121.67 $75,144.09 $73,121.67 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $68,602.61 $77,001.10 $72,801.86 2026-03-27
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 4 — — $72,654.69 $84,262.04 $72,654.69 2026-03-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 3 3 — — $11,023.00 $80,974.25 $72,142.41 2026-03-27
4014 APR_DRG Adrenal Procedures 4 4 — — $29,633.68 $72,062.36 $72,062.36 2026-03-27
5204 APR_DRG Other GYN Procedures For Malignancy 3 3 — — $71,796.49 $71,796.49 $71,796.49 2026-03-27
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $68,868.09 $71,768.94 $71,768.94 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $11,023.00 $80,419.46 $71,648.13 2026-03-27
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $71,486.55 $124,447.68 $71,486.55 2026-03-27
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $71,399.77 $186,331.89 $71,399.77 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 3 3 — — $11,023.00 $79,795.31 $71,092.06 2026-03-27
4414 APR_DRG Major Bladder Procedures 4 4 — — $71,070.54 $125,911.60 $71,070.54 2026-03-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 3 3 — — $11,023.00 $79,317.09 $70,665.99 2026-03-27
1782 APR_DRG External Heart Assist Devices 4 4 — — $23,775.39 $70,581.52 $70,581.52 2026-03-27
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $70,456.16 $111,881.37 $70,456.16 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $11,023.00 $79,036.80 $70,416.28 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 3 3 — — $11,023.00 $78,924.11 $70,315.87 2026-03-27
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $36,180.34 $70,260.56 $70,260.56 2026-03-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 3 3 — — $11,023.00 $78,799.86 $70,205.18 2026-03-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 2 — — $60,713.63 $79,593.66 $70,153.65 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $11,023.00 $78,484.89 $69,924.57 2026-03-27
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 4 — — $67,253.22 $68,774.21 $68,774.21 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $11,023.00 $77,047.33 $68,643.80 2026-03-27
4401 APR_DRG Kidney Transplant 4 4 — — $6,912.31 $68,549.67 $68,549.67 2026-03-27
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $68,475.29 $102,883.13 $68,475.29 2026-03-27
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $55,428.64 $68,260.39 $68,260.39 2026-03-27
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $68,216.31 $94,633.12 $68,216.31 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $11,023.00 $76,483.87 $68,141.79 2026-03-27
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $20,243.76 $68,012.44 $68,012.44 2026-03-27
1793 APR_DRG Defibrillator Implants 4 4 — — $68,009.68 $80,258.05 $68,009.68 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $11,023.00 $76,231.03 $67,916.53 2026-03-27
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $67,320.92 $111,444.15 $67,320.92 2026-03-27
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 4 — — $64,268.12 $67,309.90 $67,309.90 2026-03-27
8633 APR_DRG Neonatal Aftercare 4 4 — — $14,497.38 $67,066.08 $67,066.08 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $11,023.00 $75,206.68 $67,003.91 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $11,023.00 $75,076.65 $66,888.06 2026-03-27
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $66,800.22 $101,188.89 $66,800.22 2026-03-27
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $8,507.66 $66,713.43 $66,713.43 2026-03-27
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $64,598.64 $66,592.21 $66,592.21 2026-03-27
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $66,541.24 $87,264.06 $66,541.24 2026-03-27
1814 APR_DRG Lower Extremity Vascular Procedures 4 4 — — $55,558.76 $66,393.85 $66,393.85 2026-03-27
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $66,384.21 $71,318.37 $66,384.21 2026-03-27
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $65,820.80 $81,840.39 $65,820.80 2026-03-27
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 4 — — $65,794.63 $67,270.14 $65,794.63 2026-03-27
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $59,761.85 $65,425.45 $65,425.45 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $11,023.00 $72,819.90 $64,877.45 2026-03-27
82 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $62,095.01 $64,877.20 $64,877.20 2026-03-27
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $11,729.59 $64,852.40 $64,852.40 2026-03-27
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 — — $64,692.61 $77,439.52 $64,692.61 2026-03-27
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 4 — — $47,362.10 $64,565.88 $64,565.88 2026-03-27
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $47,405.04 $64,333.07 $64,333.07 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $11,023.00 $72,057.06 $64,197.81 2026-03-27
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $57,043.50 $64,071.34 $64,071.34 2026-03-27
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 4 — — $58,930.34 $63,918.44 $63,918.44 2026-03-27
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $63,881.25 $96,434.07 $63,881.25 2026-03-27
4034 APR_DRG Procedures For Obesity 4 4 — — $63,740.74 $84,554.83 $63,740.74 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $11,023.00 $71,479.14 $63,682.93 2026-03-27
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $63,663.60 $63,663.60 $63,663.60 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $11,023.00 $71,352.00 $63,569.66 2026-03-27
1781 APR_DRG External Heart Assist Devices 4 4 — — $17,383.58 $63,523.09 $63,523.09 2026-03-27
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $5,149.10 $63,436.31 $63,436.31 2026-03-27
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $6,708.01 $63,436.31 $63,436.31 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $11,023.00 $71,107.84 $63,352.12 2026-03-27
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 4 — — $58,611.53 $63,124.99 $63,124.99 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $11,023.00 $70,811.66 $63,088.25 2026-03-27
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $62,721.37 $67,987.14 $62,721.37 2026-03-27
294 APR_DRG Other Percutaneous Intracranial Procedures 4 4 — — $62,299.85 $83,512.52 $62,299.85 2026-03-27
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 4 — — $54,578.91 $62,295.72 $62,295.72 2026-03-27
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $15,449.90 $62,232.35 $62,232.35 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $11,023.00 $69,764.19 $62,155.03 2026-03-27
4854 APR_DRG Prostatectomy Procedures 3 3 — — $62,149.70 $62,149.70 $62,149.70 2026-03-27
264 APR_DRG Other Nervous System And Related Procedures 4 4 — — $56,555.53 $61,914.14 $61,914.14 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $11,023.00 $69,411.66 $61,840.95 2026-03-27
213 APR_DRG Open Craniotomy Except Trauma 4 4 — — $48,486.39 $61,433.39 $61,433.39 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 3 3 — — $11,023.00 $68,783.18 $61,281.02 2026-03-27
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $50,610.06 $61,247.42 $61,247.42 2026-03-27
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $54,036.28 $60,816.26 $60,816.26 2026-03-27
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $19,900.23 $60,810.75 $60,810.75 2026-03-27
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 4 4 — — $38,820.60 $60,663.35 $60,663.35 2026-03-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $11,023.00 $67,924.98 $60,516.42 2026-03-27
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 4 — — $60,474.63 $84,550.92 $60,474.63 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $11,023.00 $67,786.28 $60,392.85 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $11,023.00 $67,584.01 $60,212.64 2026-03-27
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 3 3 — — $60,155.05 $60,155.05 $60,155.05 2026-03-27
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $59,942.91 $65,837.45 $59,942.91 2026-03-27
6504 APR_DRG Splenic Procedures 4 4 — — $29,875.72 $59,915.36 $59,915.36 2026-03-27
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $59,851.99 $70,682.05 $59,851.99 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $11,023.00 $66,994.54 $59,687.46 2026-03-27
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $59,496.59 $176,973.20 $59,496.59 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $11,023.00 $66,727.26 $59,449.33 2026-03-27
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $59,375.37 $83,140.35 $59,375.37 2026-03-27
913 APR_DRG Other Major Head And Neck Procedures 4 4 — — $55,350.56 $59,324.40 $59,324.40 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $11,023.00 $66,409.40 $59,166.15 2026-03-27
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $59,047.52 $59,047.52 $59,047.52 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $11,023.00 $66,240.37 $59,015.55 2026-03-27
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $34,011.13 $58,999.31 $58,999.31 2026-03-27
245 MS_DRG Aicd Generator Procedures 3 3 — — $11,023.00 $65,916.73 $58,727.21 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $11,023.00 $65,718.80 $58,550.87 2026-03-27
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $38,015.12 $58,541.97 $58,541.97 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $11,023.00 $65,689.90 $58,525.12 2026-03-27
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 4 — — $33,620.75 $58,462.07 $58,462.07 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $11,023.00 $65,432.73 $58,296.00 2026-03-27
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $42,569.55 $58,165.90 $58,165.90 2026-03-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $54,587.58 $61,270.32 $57,928.95 2026-03-27
2314 APR_DRG Major Large Bowel Procedures 4 4 — — $57,754.02 $72,817.43 $57,754.02 2026-03-27
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $11,023.00 $64,752.24 $57,689.73 2026-03-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $11,023.00 $64,733.46 $57,673.00 2026-03-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $11,023.00 $64,479.18 $57,446.45 2026-03-27
1824 APR_DRG Other Peripheral Vascular And Related Procedures 4 4 — — $57,441.33 $75,045.19 $57,441.33 2026-03-27
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 4 — — $57,364.19 $84,151.44 $57,364.19 2026-03-27
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