Price Transparency 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

PHOENIX CHILDREN'S HOSPITAL

Phoenix, AZ · CCN 033302 · Rates published

22,432 distinct procedures filed
36 distinct payers
1,040,728 rate rows
2026-01-01 last MRF observed
Data quality

659,818 of 1,040,728 rate rows are consumer-grade (63.4%)

380,910 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 235,418
placeholder amount (≤ $0.02) — excluded from medians 79,224
per-diem day rate — not a per-procedure price 51,612
template filing: same amount across many unrelated codes — excluded 13,414
percent-of-charges filed in the dollar field — excluded from medians 688
exceeds 10× this hospital's gross charge — excluded from medians 554
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://phoenixchildrens.pt.panaceainc.com/MRFDownload/phoenixchildrens/phoenixchildrens
Found on page https://phoenixchildrens.org/patient-visitor-information/planning-your-visit/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 35b5f9287ed1722a… · 14,706,368 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1413
HCPCS 		Inj Delandistrogn Mx Rokl 10 $2,504,960.00 $4,787,374.08 $4,787,374.08 nat. median
$3,325,455
1.4× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $2,497,360.00 $4,772,849.28 $4,772,849.28 nat. median
$3,286,000
1.5× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 11 $2,255,680.00 $4,752,834.10 $4,310,960.64 nat. median
$3,710,000
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 11 $2,255,680.00 $4,752,834.10 $4,310,960.64 nat. median
$3,006,423
1.4× median
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $3,326,900.00 $3,677,100.00 $3,502,000.00 nat. median
$4,505,000
0.8× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $1,554,617.76 $3,687,585.43 $3,344,748.69 nat. median
$2,469,189
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $2,819,600.00 $3,685,266.67 $3,042,200.00 nat. median
$3,710,000
0.8× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $1,417,856.00 $2,987,495.72 $2,709,746.69 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Kymriah Injection 20 $5.93 $1,536,511.70 $742,322.58 nat. median
$754,974
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $5.93 $3,470,803.72 $736,691.94 nat. median
$675,122
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 7 $225,789.86 $1,099,780.67 $718,240.28 nat. median
$370,174
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $5.93 $1,434,854.04 $704,002.97 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $5.93 $1,403,386.45 $688,262.75 nat. median
$674,188
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $5.93 $1,406,930.23 $652,802.61 nat. median
$620,080
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $5.93 $3,470,803.72 $652,802.61 nat. median
$634,511
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $296,291.87 $624,988.32 $515,044.21 nat. median
$202,986
outlier · 2.5×
8414
APR_DRG 		10 $465,793.33 $514,824.21 $490,308.77 nat. median
$160,267
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $327,967.71 $691,804.29 $451,800.73 nat. median
$206,368
outlier · 2.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $205,485.00 $432,967.49 $392,714.28 nat. median
$324,450
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $140,000.00 $742,938.91 $389,426.75 nat. median
$265,286
1.5× median
007-D
MS_DRG 		Lung (Double) - Adult 1 $375,209.00 $375,209.00 $375,209.00 —
0024
APR_DRG 		10 $352,234.34 $389,311.64 $370,772.99 nat. median
$372,987
1.0× median
BMTNM
MS_DRG 		Non-myeloablative 1 $350,000.00 $350,000.00 $350,000.00 —
AUTOALLO2U
CPT 		Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 1 $340,262.00 $340,262.00 $340,262.00 —
014_BMT
MS_DRG 		Allogeneic Related Haplo & Allogeneic Unrelated Bone Marrow/Stem Cell (Transplan… 1 $340,262.00 $340,262.00 $340,262.00 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $195,347.25 $412,059.06 $336,590.73 nat. median
$133,176
outlier · 2.5×
BMTAARD
MS_DRG 		Ablative Allogeneic, Related Donor 1 $330,000.00 $330,000.00 $330,000.00 —
005-C
MS_DRG 		Liver (Cadaveric Donor) 1 $327,140.00 $327,140.00 $327,140.00 —
1614
APR_DRG 		10 $310,449.72 $343,128.64 $326,789.18 nat. median
$207,730
1.6× median
BMTAAUD
MS_DRG 		Ablative Allogeneic, Unrealted Donor 1 $315,000.00 $315,000.00 $315,000.00 —
007-S
MS_DRG 		Lung (Single) - Adult 1 $300,167.00 $300,167.00 $300,167.00 —
AUTOALLO2R
CPT 		Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 1 $293,560.00 $293,560.00 $293,560.00 —
0074
APR_DRG 		10 $267,144.98 $295,265.50 $281,205.24 nat. median
$178,275
1.6× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $144,822.41 $305,483.61 $276,288.68 nat. median
$98,905
outlier · 2.8×
014-U
MS_DRG 		Allogeneic Unrelated Bmt 2 $199,000.00 $327,143.59 $263,071.80 —
006-L
MS_DRG 		Liver (Living Donor) 1 $261,712.01 $261,712.01 $261,712.01 —
005-L
MS_DRG 		Liver (Living Donor) 1 $257,628.78 $257,628.78 $257,628.78 —
215
MS_DRG 		Other Heart Assist System Implant 7 $146,473.11 $335,622.30 $254,614.23 nat. median
$99,019
outlier · 2.6×
0094
APR_DRG 		10 $241,387.02 $266,796.18 $254,091.60 nat. median
$166,008
1.5× median
BMTAA
MS_DRG 		Ablative Autologous 1 $245,000.00 $245,000.00 $245,000.00 —
5834
APR_DRG 		10 $232,009.64 $256,431.70 $244,220.67 nat. median
$309,665
0.8× median
8424
APR_DRG 		10 $231,634.42 $256,017.00 $243,825.71 nat. median
$80,494
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $127,354.52 $268,637.43 $242,963.86 nat. median
$83,442
outlier · 2.9×
0014
APR_DRG 		10 $228,271.45 $252,300.03 $240,285.74 nat. median
$190,591
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $181,132.39 $345,559.98 $237,346.20 nat. median
$117,303
outlier · 2.0×
1613
APR_DRG 		10 $216,439.44 $239,222.54 $227,830.99 nat. median
$119,796
1.9× median
0044
APR_DRG 		10 $211,936.15 $234,245.21 $223,090.68 nat. median
$195,681
1.1× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $120,059.00 $323,242.52 $221,650.76 nat. median
$70,825
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 22,432 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
             
J1413 HCPCS Inj Delandistrogn Mx Rokl 30 10 $0.01 — $2,504,960.00 $4,787,374.08 $4,787,374.08 2026-01-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 30 10 — — $2,497,360.00 $4,772,849.28 $4,772,849.28 2026-01-01
J3393 HCPCS Inj, Betibeglogene Autotemce 32 11 — — $2,255,680.00 $4,752,834.10 $4,310,960.64 2026-01-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 32 11 — — $2,255,680.00 $4,752,834.10 $4,310,960.64 2026-01-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 3 — — $3,326,900.00 $3,677,100.00 $3,502,000.00 2026-01-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 32 11 — — $1,554,617.76 $3,687,585.43 $3,344,748.69 2026-01-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 4 — — $2,819,600.00 $3,685,266.67 $3,042,200.00 2026-01-01
J3392 HCPCS Inj, Exagamglogene Autotem 32 11 — — $1,417,856.00 $2,987,495.72 $2,709,746.69 2026-01-01
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $770,620.00 $770,620.00 $770,620.00 2026-01-01
Q2042 HCPCS Kymriah Injection 64 20 $1,516,320.00 — $5.93 $1,536,511.70 $742,322.58 2026-01-01
Q2056 HCPCS Ciltacabtagene Car-pos T 38 13 — — $5.93 $3,470,803.72 $736,691.94 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 7 — — $225,789.86 $1,099,780.67 $718,240.28 2026-01-01
Q2055 HCPCS Idecabtagene Vicleucel Car 36 13 — — $5.93 $1,434,854.04 $704,002.97 2026-01-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 36 13 — — $5.93 $1,403,386.45 $688,262.75 2026-01-01
Q2053 HCPCS Brexucabtagene Car Pos T 38 13 — — $5.93 $1,406,930.23 $652,802.61 2026-01-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 38 13 — — $5.93 $3,470,803.72 $652,802.61 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 7 — — $296,291.87 $624,988.32 $515,044.21 2026-01-01
8414 APR_DRG — 30 10 — — $465,793.33 $514,824.21 $490,308.77 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 7 — — $327,967.71 $691,804.29 $451,800.73 2026-01-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 30 10 — — $205,485.00 $432,967.49 $392,714.28 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 5 — — $140,000.00 $742,938.91 $389,426.75 2026-01-01
007-D MS_DRG Lung (Double) - Adult 2 1 — — $375,209.00 $375,209.00 $375,209.00 2026-01-01
0024 APR_DRG — 30 10 — — $352,234.34 $389,311.64 $370,772.99 2026-01-01
BMTNM MS_DRG Non-myeloablative 2 1 — — $350,000.00 $350,000.00 $350,000.00 2026-01-01
AUTOALLO2U CPT Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 2 1 — — $340,262.00 $340,262.00 $340,262.00 2026-01-01
014_BMT MS_DRG Allogeneic Related Haplo & Allogeneic Unrelated Bone Marrow/Stem Cell (Transplan… 2 1 — — $340,262.00 $340,262.00 $340,262.00 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 7 — — $195,347.25 $412,059.06 $336,590.73 2026-01-01
BMTAARD MS_DRG Ablative Allogeneic, Related Donor 2 1 — — $330,000.00 $330,000.00 $330,000.00 2026-01-01
005-C MS_DRG Liver (Cadaveric Donor) 2 1 — — $327,140.00 $327,140.00 $327,140.00 2026-01-01
1614 APR_DRG — 30 10 — — $310,449.72 $343,128.64 $326,789.18 2026-01-01
BMTAAUD MS_DRG Ablative Allogeneic, Unrealted Donor 2 1 — — $315,000.00 $315,000.00 $315,000.00 2026-01-01
007-S MS_DRG Lung (Single) - Adult 2 1 — — $300,167.00 $300,167.00 $300,167.00 2026-01-01
AUTOALLO2R CPT Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 2 1 — — $293,560.00 $293,560.00 $293,560.00 2026-01-01
0074 APR_DRG — 30 10 — — $267,144.98 $295,265.50 $281,205.24 2026-01-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $278,250.00 $278,250.00 $278,250.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $144,822.41 $305,483.61 $276,288.68 2026-01-01
014-U MS_DRG Allogeneic Unrelated Bmt 4 2 — — $199,000.00 $327,143.59 $263,071.80 2026-01-01
006-L MS_DRG Liver (Living Donor) 2 1 — — $261,712.01 $261,712.01 $261,712.01 2026-01-01
005-L MS_DRG Liver (Living Donor) 2 1 — — $257,628.78 $257,628.78 $257,628.78 2026-01-01
215 MS_DRG Other Heart Assist System Implant 18 7 — — $146,473.11 $335,622.30 $254,614.23 2026-01-01
0094 APR_DRG — 30 10 — — $241,387.02 $266,796.18 $254,091.60 2026-01-01
BMTAA MS_DRG Ablative Autologous 2 1 — — $245,000.00 $245,000.00 $245,000.00 2026-01-01
5834 APR_DRG — 30 10 — — $232,009.64 $256,431.70 $244,220.67 2026-01-01
8424 APR_DRG — 30 10 — — $231,634.42 $256,017.00 $243,825.71 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 6 3 — — $127,354.52 $268,637.43 $242,963.86 2026-01-01
0014 APR_DRG — 30 10 — — $228,271.45 $252,300.03 $240,285.74 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 4 — — $181,132.39 $345,559.98 $237,346.20 2026-01-01
1613 APR_DRG — 30 10 — — $216,439.44 $239,222.54 $227,830.99 2026-01-01
0044 APR_DRG — 30 10 — — $211,936.15 $234,245.21 $223,090.68 2026-01-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 1 — — $120,059.00 $323,242.52 $221,650.76 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 5 — — $140,000.00 $586,345.15 $221,495.97 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $133,426.46 $281,445.38 $220,174.50 2026-01-01
AUTOALLO1 CPT Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 2 1 — — $220,170.00 $220,170.00 $220,170.00 2026-01-01
AUTOTAN1 CPT Autologous/Autologous Bone Marrow/Stem Cell (tandems) First Infusion 2 1 — — $220,170.00 $220,170.00 $220,170.00 2026-01-01
014-R MS_DRG Allogeneic Related Bmt 4 2 — — $164,000.00 $276,033.19 $220,016.60 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 3 — — $115,308.80 $243,228.58 $219,983.33 2026-01-01
7 MS_DRG Lung Transplant 8 4 — — $180,676.16 $344,689.60 $213,496.18 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 6 — — $150,608.17 $317,687.91 $207,474.33 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $117,086.69 $246,978.81 $203,531.81 2026-01-01
0064 APR_DRG — 30 10 — — $188,662.34 $208,521.54 $198,591.94 2026-01-01
5833 APR_DRG — 30 10 — — $186,384.58 $206,004.00 $196,194.29 2026-01-01
0023 APR_DRG — 30 10 — — $185,151.63 $204,641.27 $194,896.45 2026-01-01
8413 APR_DRG — 30 10 — — $185,031.06 $204,508.02 $194,769.54 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 7 — — $111,444.71 $286,491.81 $193,724.36 2026-01-01
5884 APR_DRG — 30 10 — — $183,779.64 $203,124.86 $193,452.25 2026-01-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 1 — — $61,022.86 $323,242.52 $192,132.69 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 7 — — $117,151.67 $247,115.87 $189,528.30 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $98,194.83 $207,128.94 $187,333.71 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $106,970.94 $247,700.80 $185,947.60 2026-01-01
652-L MS_DRG Kidney (Living Donor) 2 1 — — $183,024.08 $183,024.08 $183,024.08 2026-01-01
652-C MS_DRG Kidney (Cadaveric) 2 1 — — $183,024.08 $183,024.08 $183,024.08 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 18 7 — — $108,061.73 $227,941.86 $180,339.90 2026-01-01
E0194 HCPCS Air Fluidized Bed 4 1 — — $12,213.32 $342,971.61 $177,592.46 2026-01-01
006-C MS_DRG Liver (Cadaveric Donor) 2 1 — — $177,482.65 $177,482.65 $177,482.65 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 3 — — $92,692.48 $195,522.46 $176,836.46 2026-01-01
AUTOTAN CPT Autologous Tandem Bmt 2 1 — — $170,400.00 $170,400.00 $170,400.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 6 — — $97,701.28 $237,790.80 $169,834.14 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 7 — — $96,173.61 $202,865.45 $167,178.61 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 4 — — $147,227.96 $293,560.00 $165,000.00 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 7 — — $94,401.25 $199,126.88 $164,097.71 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 3 — — $85,526.98 $180,407.80 $163,166.30 2026-01-01
AUTOTAN2 CPT Autologous/Autologous Bone Marrow/Stem Cell (tandems) Second And Subsequent Infu… 2 1 — — $160,380.00 $160,380.00 $160,380.00 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 7 — — $92,179.57 $194,440.55 $160,235.76 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 7 — — $103,192.57 $217,671.00 $160,123.49 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 4 — — $109,594.92 $243,258.60 $159,338.73 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 7 — — $89,409.04 $195,608.06 $155,419.75 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $89,280.47 $233,627.58 $155,196.25 2026-01-01
1604 APR_DRG — 30 10 — — $146,722.72 $162,167.22 $154,444.97 2026-01-01
0043 APR_DRG — 30 10 — — $144,919.77 $160,174.49 $152,547.13 2026-01-01
8634 APR_DRG — 30 10 — — $139,781.51 $154,495.35 $147,138.43 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 7 — — $84,452.78 $178,141.91 $146,804.28 2026-01-01
0054 APR_DRG — 30 10 — — $139,097.58 $153,739.44 $146,418.51 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 7 — — $84,839.88 $178,958.45 $145,617.26 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $76,094.18 $160,510.56 $145,170.64 2026-01-01
0073 APR_DRG — 30 10 — — $137,504.03 $151,978.13 $144,741.08 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 3 — — $75,629.66 $159,530.72 $144,284.44 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 18 7 — — $82,822.81 $270,712.61 $143,970.91 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 6 — — $85,637.58 $180,641.09 $143,586.30 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $82,249.07 $173,493.49 $142,973.58 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 7 — — $82,186.86 $229,812.00 $142,865.43 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 18 7 — — $84,049.09 $177,290.38 $141,935.98 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 7 — — $81,349.07 $171,595.04 $141,409.09 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 7 — — $92,335.79 $194,770.08 $140,883.60 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 7 — — $80,493.30 $169,789.91 $139,921.51 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 5 — — $83,446.32 $220,170.00 $139,598.43 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 5 — — $83,446.32 $224,917.24 $139,598.43 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $79,347.21 $184,659.66 $137,929.26 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 7 — — $78,873.01 $195,701.73 $137,104.96 2026-01-01
L6880 HCPCS Elec Hand Ind Art Digits 4 1 — — $54,812.79 $217,225.98 $136,019.39 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 3 — — $71,200.13 $150,187.22 $135,833.89 2026-01-01
3034 APR_DRG — 30 10 — — $128,814.25 $142,373.65 $135,593.95 2026-01-01
1624 APR_DRG — 30 10 — — $128,013.39 $141,488.49 $134,750.94 2026-01-01
10 MS_DRG Pancreas Transplant 8 4 — — $110,226.73 $210,287.88 $134,162.46 2026-01-01
5832 APR_DRG — 30 10 — — $126,464.77 $139,776.85 $133,120.81 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 7 — — $76,414.92 $161,187.12 $132,832.07 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 7 — — $76,414.92 $249,122.95 $132,832.07 2026-01-01
5914 APR_DRG — 30 10 — — $125,475.15 $138,683.06 $132,079.10 2026-01-01
6094 APR_DRG — 30 10 — — $122,915.08 $135,853.50 $129,384.29 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 10 4 — — $67,040.19 $293,560.00 $127,897.65 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 7 — — $73,551.77 $155,147.67 $127,855.05 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $73,226.88 $190,133.16 $127,290.29 2026-01-01
0084 APR_DRG — 30 10 — — $120,511.99 $133,197.47 $126,854.73 2026-01-01
8412 APR_DRG — 30 10 — — $120,241.87 $132,898.91 $126,570.39 2026-01-01
8411 APR_DRG — 30 10 — — $120,241.87 $132,898.91 $126,570.39 2026-01-01
K0606 HCPCS Aed Garment W Elec Analysis 4 1 — — $9,450.97 $239,042.63 $124,246.80 2026-01-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 36 12 — — $64,986.87 $800,457.91 $124,200.17 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 7 — — $70,963.73 $149,688.55 $123,356.26 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 7 — — $87,433.45 $184,429.24 $122,619.90 2026-01-01
68382039601 NDC Sod Benzoate-sod Phenylacetate 10%-10% Soln 28 8 $257,106.00 — $102,842.40 $205,684.80 $121,482.58 2026-01-01
8434 APR_DRG — 30 10 — — $115,288.07 $127,423.65 $121,355.86 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 7 — — $69,224.54 $152,875.09 $120,333.03 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 7 — — $69,142.97 $161,651.54 $120,191.24 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 7 — — $68,894.12 $222,235.94 $119,758.67 2026-01-01
0063 APR_DRG — 30 10 — — $113,517.75 $125,466.99 $119,492.37 2026-01-01
4404 APR_DRG — 30 10 — — $113,181.91 $125,095.79 $119,138.85 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 7 — — $75,051.78 $158,311.75 $118,544.40 2026-01-01
5883 APR_DRG — 30 10 — — $112,024.81 $123,816.89 $117,920.85 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 7 — — $71,724.90 $179,585.43 $117,282.92 2026-01-01
C1823 HCPCS Gen, Neuro, Trans Sen/stim 4 1 — — $99,377.75 $134,496.16 $116,936.96 2026-01-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 4 1 — — $99,377.75 $134,496.16 $116,936.96 2026-01-01
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 4 1 — — $99,377.75 $134,496.16 $116,936.96 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 7 — — $70,217.18 $148,113.80 $116,142.00 2026-01-01
6314 APR_DRG — 30 10 — — $109,586.26 $121,121.66 $115,353.96 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 7 — — $66,021.29 $139,263.13 $114,764.82 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 7 — — $65,722.67 $138,633.23 $114,245.72 2026-01-01
0013 APR_DRG — 30 10 — — $107,597.67 $118,923.74 $113,260.70 2026-01-01
1784 APR_DRG — 30 10 — — $107,559.59 $118,881.65 $113,220.62 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 18 7 — — $77,068.85 $162,566.49 $113,111.70 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 18 7 — — $65,042.48 $249,224.43 $113,063.35 2026-01-01
245 MS_DRG Aicd Generator Procedures 18 7 — — $67,560.01 $142,508.86 $112,717.78 2026-01-01
0093 APR_DRG — 30 10 — — $106,836.23 $118,082.15 $112,459.19 2026-01-01
1634 APR_DRG — 30 10 — — $106,489.52 $117,698.94 $112,094.23 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 6 — — $64,312.52 $135,658.71 $111,794.46 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 18 7 — — $65,735.11 $138,659.48 $111,761.43 2026-01-01
6304 APR_DRG — 30 10 — — $105,543.62 $116,653.48 $111,098.55 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 18 7 — — $63,722.19 $134,413.49 $110,768.29 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $63,492.70 $180,305.79 $110,369.36 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 7 — — $63,483.02 $135,069.36 $110,352.54 2026-01-01
5934 APR_DRG — 30 10 — — $104,170.73 $115,136.07 $109,653.40 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 8 4 — — $75,223.21 $205,128.30 $109,366.11 2026-01-01
1674 APR_DRG — 30 10 — — $103,060.38 $113,908.84 $108,484.61 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $56,454.39 $119,083.03 $107,702.31 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 7 — — $61,829.55 $216,880.76 $107,478.31 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 7 — — $60,730.46 $140,150.40 $105,567.77 2026-01-01
5831 APR_DRG — 30 10 — — $99,922.44 $110,440.60 $105,181.52 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 7 — — $70,432.85 $148,568.73 $104,567.11 2026-01-01
6804 APR_DRG — 30 10 — — $99,273.64 $109,723.50 $104,498.57 2026-01-01
3033 APR_DRG — 30 10 — — $98,921.49 $109,334.27 $104,127.88 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $59,696.35 $167,046.13 $103,770.18 2026-01-01
1654 APR_DRG — 30 10 — — $98,279.71 $108,624.95 $103,452.33 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $54,086.17 $114,087.58 $103,184.28 2026-01-01
0053 APR_DRG — 30 10 — — $97,772.55 $108,064.39 $102,918.47 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 7 — — $74,668.83 $157,503.96 $102,862.05 2026-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 18 7 — — $74,598.32 $157,355.24 $102,764.92 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 7 — — $73,164.00 $157,337.74 $102,753.49 2026-01-01
6034 APR_DRG — 30 10 — — $97,586.72 $107,859.00 $102,722.86 2026-01-01
9104 APR_DRG — 30 10 — — $97,143.01 $107,368.59 $102,255.80 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 7 — — $57,935.05 $141,807.91 $100,708.50 2026-01-01
9114 APR_DRG — 30 10 — — $95,361.82 $105,399.90 $100,380.86 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 7 — — $57,521.68 $121,334.33 $99,989.94 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 7 — — $58,973.30 $124,396.34 $99,822.84 2026-01-01
1834 APR_DRG — 30 10 — — $94,801.62 $104,780.74 $99,791.18 2026-01-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 4 1 — — $30,429.11 $168,972.94 $99,701.03 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 18 7 — — $30,639.26 $121,620.12 $99,345.48 2026-01-01
8423 APR_DRG — 30 10 — — $94,312.59 $104,240.23 $99,276.41 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 7 — — $64,694.09 $136,463.58 $99,263.74 2026-01-01
6904 APR_DRG — 30 10 — — $94,027.96 $103,925.64 $98,976.80 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 7 — — $56,849.78 $119,917.06 $98,821.99 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 7 — — $56,817.99 $123,728.74 $98,766.71 2026-01-01
L5783 HCPCS Add Low Ext Mec Limb Vol Sys 4 1 — — $6,013.04 $190,697.31 $98,355.17 2026-01-01
3044 APR_DRG — 30 10 — — $92,252.21 $101,962.97 $97,107.59 2026-01-01
791 MS_DRG Prematurity With Major Problems 18 7 — — $56,128.12 $118,394.80 $96,710.88 2026-01-01
0613T HCPCS Perq Tcat Intratrl Septl Sht 2 1 — — $96,155.51 $96,155.51 $96,155.51 2026-01-01
93583 HCPCS Perq Transcath Septal Reduxn 2 1 — — $96,155.51 $96,155.51 $96,155.51 2026-01-01
3124 APR_DRG — 30 10 — — $91,333.06 $100,947.06 $96,140.06 2026-01-01
2604 APR_DRG — 30 10 — — $91,330.34 $100,944.06 $96,137.20 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 7 — — $69,635.14 $146,886.08 $95,927.76 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 6 — — $64,954.50 $145,906.23 $95,287.85 2026-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 38 13 — — $49,762.21 $446,393.30 $95,103.43 2026-01-01
L5841 HCPCS Addition Endoskletl Knee-shi 4 1 — — $7,289.76 $182,332.30 $94,811.03 2026-01-01
6514 APR_DRG — 30 10 — — $89,924.42 $99,390.14 $94,657.28 2026-01-01
2324 APR_DRG — 30 10 — — $89,761.25 $99,209.81 $94,485.53 2026-01-01
9124 APR_DRG — 30 10 — — $89,439.01 $98,853.65 $94,146.33 2026-01-01
33945 HCPCS Heart Acquisition 30 9 $203,000.00 — $7,509.00 $162,400.00 $92,974.00 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 7 — — $67,152.17 $141,648.58 $92,507.28 2026-01-01
6814 APR_DRG — 30 10 — — $87,765.23 $97,003.67 $92,384.45 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 7 — — $52,844.68 $123,352.00 $91,859.92 2026-01-01
0214 APR_DRG — 30 10 — — $86,949.42 $96,101.99 $91,525.70 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 7 — — $53,761.28 $113,402.27 $91,463.58 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 7 — — $52,558.50 $124,527.78 $91,362.45 2026-01-01
8504 APR_DRG — 30 10 — — $86,643.49 $95,763.85 $91,203.67 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 7 — — $52,149.28 $110,001.98 $90,651.11 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 7 — — $53,433.63 $112,711.13 $90,503.33 2026-01-01
6954 APR_DRG — 30 10 — — $85,805.92 $94,838.12 $90,322.02 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 7 — — $56,231.81 $118,613.52 $90,160.20 2026-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 36 12 — — $46,968.00 $305,954.58 $89,763.26 2026-01-01
1664 APR_DRG — 30 10 — — $84,695.06 $93,610.32 $89,152.69 2026-01-01
00187000714 NDC Ribavirin 6 G Vial For Inhalation 28 8 $188,408.00 — $75,363.20 $150,726.40 $89,022.78 2026-01-01
1794 APR_DRG — 30 10 — — $84,268.11 $93,138.43 $88,703.27 2026-01-01
Q0488 HCPCS Pwr Pack Base Elec Vad, Rep 4 1 — — $32,023.37 $144,466.13 $88,244.75 2026-01-01
1623 APR_DRG — 30 10 — — $83,026.71 $91,766.37 $87,396.54 2026-01-01
0914 APR_DRG — 30 10 — — $82,913.86 $91,641.64 $87,277.75 2026-01-01
1694 APR_DRG — 30 10 — — $82,866.27 $91,589.03 $87,227.65 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 7 — — $54,437.32 $114,828.29 $87,048.00 2026-01-01
0894 APR_DRG — 30 10 — — $82,471.96 $91,153.22 $86,812.59 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 7 — — $49,559.86 $104,539.94 $86,149.91 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 7 — — $62,372.87 $131,567.28 $85,923.42 2026-01-01
265 MS_DRG Aicd Lead Procedures 18 7 — — $49,316.54 $112,717.78 $85,726.95 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 7 — — $62,000.98 $130,782.82 $85,411.11 2026-01-01
0022 APR_DRG — 30 10 — — $80,846.28 $89,356.42 $85,101.35 2026-01-01
E2298 HCPCS Pwr Seat Elev Sys For Crt 4 1 — — $673.28 $169,503.86 $85,088.57 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 4 — — $48,007.31 $127,983.00 $85,000.00 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 4 — — $63,695.92 $127,983.00 $85,000.00 2026-01-01
6024 APR_DRG — 30 10 — — $80,612.25 $89,097.75 $84,855.00 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 7 — — $48,807.78 $208,477.15 $84,842.57 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 7 — — $61,251.66 $129,202.24 $84,378.87 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 7 — — $48,405.47 $102,104.91 $84,143.24 2026-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 18 7 — — $54,059.90 $114,032.17 $83,772.00 2026-01-01
0274 APR_DRG — 30 10 — — $79,490.16 $87,857.54 $83,673.85 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 7 — — $48,795.34 $102,927.28 $83,670.60 2026-01-01
332 MS_DRG Rectal Resection With Mcc 18 7 — — $47,954.78 $101,154.23 $83,359.80 2026-01-01
1611 APR_DRG — 30 10 — — $78,954.76 $87,265.78 $83,110.27 2026-01-01
1612 APR_DRG — 30 10 — — $78,954.76 $87,265.78 $83,110.27 2026-01-01
0234 APR_DRG — 30 10 — — $78,700.19 $86,984.42 $82,842.30 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 7 — — $47,618.83 $100,445.59 $82,775.82 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 7 — — $53,230.40 $112,282.45 $82,410.90 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 7 — — $59,819.39 $126,181.06 $82,405.81 2026-01-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 4 1 — — $29,770.01 $134,300.88 $82,035.45 2026-01-01
0204 APR_DRG — 30 10 — — $77,770.15 $85,956.49 $81,863.32 2026-01-01
0224 APR_DRG — 30 10 — — $77,695.37 $85,873.83 $81,784.60 2026-01-01
2204 APR_DRG — 30 10 — — $77,549.89 $85,713.03 $81,631.46 2026-01-01
5891 APR_DRG — 30 10 — — $77,496.29 $85,653.79 $81,575.04 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 7 — — $46,894.40 $112,946.33 $81,516.54 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $42,663.95 $89,993.93 $81,393.25 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 7 — — $47,353.39 $99,885.68 $81,283.18 2026-01-01
3614 APR_DRG — 30 10 — — $77,082.15 $85,196.07 $81,139.11 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 6 — — $58,886.21 $124,212.62 $81,120.27 2026-01-01
652 MS_DRG Kidney Transplant 10 4 — — $42,462.11 $127,983.00 $81,008.18 2026-01-01
9504 APR_DRG — 30 10 — — $76,917.63 $85,014.23 $80,965.93 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 7 — — $46,406.38 $97,888.09 $80,668.21 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 7 — — $58,468.69 $123,331.93 $80,545.11 2026-01-01
4414 APR_DRG — 30 10 — — $76,222.83 $84,246.29 $80,234.56 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 7 — — $57,921.22 $122,177.12 $79,790.93 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 7 — — $55,074.65 $116,172.66 $79,503.38 2026-01-01
0083 APR_DRG — 30 10 — — $75,494.03 $83,440.77 $79,467.40 2026-01-01
1783 APR_DRG — 30 10 — — $75,436.93 $83,377.65 $79,407.29 2026-01-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $78,986.40 $78,986.40 $78,986.40 2026-01-01
5892 APR_DRG — 30 10 — — $74,754.87 $82,623.81 $78,689.34 2026-01-01
5913 APR_DRG — 30 10 — — $74,570.41 $82,419.93 $78,495.17 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 7 — — $45,041.85 $95,009.80 $78,296.26 2026-01-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 18 7 — — $56,733.65 $119,672.10 $78,154.97 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 38 13 — — $40,604.25 $469,136.16 $77,601.14 2026-01-01
1204 APR_DRG — 30 10 — — $73,646.21 $81,398.45 $77,522.33 2026-01-01
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 18 7 — — $45,189.78 $95,321.83 $77,462.89 2026-01-01
4403 APR_DRG — 30 10 — — $73,533.36 $81,273.72 $77,403.54 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 7 — — $44,087.93 $92,997.62 $76,638.05 2026-01-01
1814 APR_DRG — 30 10 — — $72,189.99 $79,788.93 $75,989.46 2026-01-01
5933 APR_DRG — 30 10 — — $72,140.59 $79,734.33 $75,937.46 2026-01-01
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 18 7 — — $55,035.94 $116,091.01 $75,816.24 2026-01-01
2614 APR_DRG — 30 10 — — $71,772.57 $79,327.57 $75,550.07 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 7 — — $50,093.51 $105,665.59 $75,433.80 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 18 7 — — $43,969.03 $92,746.82 $75,426.00 2026-01-01
0304 APR_DRG — 30 10 — — $71,538.70 $79,069.08 $75,303.89 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 7 — — $54,549.30 $115,064.50 $75,145.86 2026-01-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 18 7 — — $43,147.83 $91,014.60 $75,003.87 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 7 — — $54,326.72 $114,595.00 $74,839.23 2026-01-01
1764 APR_DRG — 30 10 — — $71,053.29 $78,532.59 $74,792.94 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 7 — — $42,944.60 $175,384.48 $74,650.60 2026-01-01
47133 HCPCS Liver Acquisition Cadaver 30 9 $162,000.00 — $7,509.00 $129,600.00 $74,196.00 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 7 — — $53,379.71 $112,597.40 $73,534.65 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 7 — — $42,285.15 $161,686.91 $73,504.28 2026-01-01
1603 APR_DRG — 30 10 — — $69,601.14 $76,927.58 $73,264.36 2026-01-01
E0786 HCPCS Implantable Pump Replacement 4 1 — — $62,186.21 $84,161.75 $73,173.98 2026-01-01
3214 APR_DRG — 30 10 — — $69,433.89 $76,742.73 $73,088.31 2026-01-01
1304 APR_DRG — 30 10 — — $69,322.40 $76,619.50 $72,970.95 2026-01-01
7924 APR_DRG — 30 10 — — $69,149.72 $76,428.64 $72,789.18 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 18 7 — — $47,425.28 $100,037.32 $72,676.50 2026-01-01
4054 APR_DRG — 30 10 — — $69,040.95 $76,308.41 $72,674.68 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 7 — — $48,440.04 $102,177.82 $71,752.20 2026-01-01
5893 APR_DRG — 30 10 — — $67,958.97 $75,112.55 $71,535.76 2026-01-01
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