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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

PHOENIX CHILDREN'S HOSPITAL

Phoenix, AZ · CCN 033302 · Rates published

22,426 distinct procedures filed
36 distinct payers
520,364 rate rows
2026-01-01 last MRF observed
Data quality

329,789 of 520,364 rate rows are consumer-grade (63.4%)

190,575 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 116,219
placeholder amount (≤ $0.02) — excluded from medians 39,612
per-diem day rate — not a per-procedure price 25,806
template filing: same amount across many unrelated codes — excluded 6,705
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,492
percent-of-charges filed in the dollar field — excluded from medians 344
exceeds 10× this hospital's gross charge — excluded from medians 277
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 120
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 · 2026-10-15
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
$3,248,446
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 11 $2,255,680.00 $4,752,834.10 $4,310,960.64 nat. median
$2,968,000
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
$3,508,750
1.2× 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
$2,455,111
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
$3,685,267
0.8× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $1,417,856.00 $2,987,495.72 $2,709,746.69 nat. median
$2,332,000
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $770,620.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Kymriah Injection 20 $5.93 $1,536,511.70 $742,322.58 nat. median
$621,313
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $5.93 $3,470,803.72 $736,691.94 nat. median
$599,737
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 7 $225,789.86 $1,099,780.67 $718,240.28 nat. median
$168,055
outlier · 4.3×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $5.93 $1,434,854.04 $704,002.97 nat. median
$574,037
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $5.93 $1,403,386.45 $688,262.75 nat. median
$579,571
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $5.93 $3,470,803.72 $652,802.61 nat. median
$562,501
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $5.93 $1,406,930.23 $652,802.61 nat. median
$513,770
1.3× 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
$145,435
outlier · 3.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $465,793.33 $514,824.21 $490,308.77 nat. median
$173,018
outlier · 2.8×
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
$131,925
outlier · 3.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $205,485.00 $432,967.49 $392,714.28 nat. median
$286,598
1.4× 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
$186,516
outlier · 2.1×
007-D
OTHER 		Lung (Double) - Adult 1 $375,209.00 $375,209.00 $375,209.00 —
24
APR_DRG 		Heart And/Or Lung Transplant 10 $352,234.34 $389,311.64 $370,772.99 nat. median
$225,531
1.6× median
BMTNM
OTHER 		Non-myeloablative 1 $350,000.00 $350,000.00 $350,000.00 —
014_BMT
OTHER 		Allogeneic Related Haplo & Allogeneic Unrelated Bone Marrow/Stem Cell (Transplan… 1 $340,262.00 $340,262.00 $340,262.00 —
AUTOALLO2U
OTHER 		Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 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
$97,418
outlier · 3.5×
BMTAARD
OTHER 		Ablative Allogeneic, Related Donor 1 $330,000.00 $330,000.00 $330,000.00 —
005-C
OTHER 		Liver (Cadaveric Donor) 1 $327,140.00 $327,140.00 $327,140.00 —
1614
APR_DRG 		Implantable Heart Assist Systems 10 $310,449.72 $343,128.64 $326,789.18 nat. median
$202,242
1.6× median
BMTAAUD
OTHER 		Ablative Allogeneic, Unrealted Donor 1 $315,000.00 $315,000.00 $315,000.00 —
007-S
OTHER 		Lung (Single) - Adult 1 $300,167.00 $300,167.00 $300,167.00 —
AUTOALLO2R
OTHER 		Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 1 $293,560.00 $293,560.00 $293,560.00 —
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $267,144.98 $295,265.50 $281,205.24 nat. median
$149,836
1.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$377,029
0.7× 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
$2,736
outlier · 101.0×
014-U
OTHER 		Allogeneic Unrelated Bmt 2 $199,000.00 $327,143.59 $263,071.80 —
006-L
OTHER 		Liver (Living Donor) 1 $261,712.01 $261,712.01 $261,712.01 —
005-L
OTHER 		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
$73,023
outlier · 3.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 10 $241,387.02 $266,796.18 $254,091.60 nat. median
$152,792
1.7× median
BMTAA
OTHER 		Ablative Autologous 1 $245,000.00 $245,000.00 $245,000.00 —
5834
APR_DRG 		Neonate With Ecmo 10 $232,009.64 $256,431.70 $244,220.67 nat. median
$390,362
0.6× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 10 $231,634.42 $256,017.00 $243,825.71 nat. median
$91,950
outlier · 2.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $127,354.52 $268,637.43 $242,963.86 nat. median
$2,633
outlier · 92.3×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 10 $228,271.45 $252,300.03 $240,285.74 nat. median
$136,566
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $181,132.39 $345,559.98 $237,346.20 nat. median
$72,715
outlier · 3.3×
1613
APR_DRG 		Implantable Heart Assist Systems 10 $216,439.44 $239,222.54 $227,830.99 nat. median
$155,539
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $211,936.15 $234,245.21 $223,090.68 nat. median
$135,630
1.6× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $120,059.00 $323,242.52 $221,650.76 nat. median
$68,802
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 22,426 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 15 10 $0.01 — $2,504,960.00 $4,787,374.08 $4,787,374.08 2026-01-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 10 — — $2,497,360.00 $4,772,849.28 $4,772,849.28 2026-01-01
J3393 HCPCS Inj, Betibeglogene Autotemce 16 11 — — $2,255,680.00 $4,752,834.10 $4,310,960.64 2026-01-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 16 11 — — $2,255,680.00 $4,752,834.10 $4,310,960.64 2026-01-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $3,326,900.00 $3,677,100.00 $3,502,000.00 2026-01-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 11 — — $1,554,617.76 $3,687,585.43 $3,344,748.69 2026-01-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $2,819,600.00 $3,685,266.67 $3,042,200.00 2026-01-01
J3392 HCPCS Inj, Exagamglogene Autotem 16 11 — — $1,417,856.00 $2,987,495.72 $2,709,746.69 2026-01-01
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $770,620.00 $770,620.00 $770,620.00 2026-01-01
Q2042 HCPCS Kymriah Injection 32 20 $1,516,320.00 — $5.93 $1,536,511.70 $742,322.58 2026-01-01
Q2056 HCPCS Ciltacabtagene Car-pos T 19 13 — — $5.93 $3,470,803.72 $736,691.94 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 7 — — $225,789.86 $1,099,780.67 $718,240.28 2026-01-01
Q2055 HCPCS Idecabtagene Vicleucel Car 18 13 — — $5.93 $1,434,854.04 $704,002.97 2026-01-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 13 — — $5.93 $1,403,386.45 $688,262.75 2026-01-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 13 — — $5.93 $3,470,803.72 $652,802.61 2026-01-01
Q2053 HCPCS Brexucabtagene Car Pos T 19 13 — — $5.93 $1,406,930.23 $652,802.61 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 7 — — $296,291.87 $624,988.32 $515,044.21 2026-01-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 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 9 7 — — $327,967.71 $691,804.29 $451,800.73 2026-01-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 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 6 5 — — $140,000.00 $742,938.91 $389,426.75 2026-01-01
007-D OTHER Lung (Double) - Adult 1 1 — — $375,209.00 $375,209.00 $375,209.00 2026-01-01
24 APR_DRG Heart And/Or Lung Transplant 15 10 — — $352,234.34 $389,311.64 $370,772.99 2026-01-01
BMTNM OTHER Non-myeloablative 1 1 — — $350,000.00 $350,000.00 $350,000.00 2026-01-01
014_BMT OTHER Allogeneic Related Haplo & Allogeneic Unrelated Bone Marrow/Stem Cell (Transplan… 1 1 — — $340,262.00 $340,262.00 $340,262.00 2026-01-01
AUTOALLO2U OTHER Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 1 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… 9 7 — — $195,347.25 $412,059.06 $336,590.73 2026-01-01
BMTAARD OTHER Ablative Allogeneic, Related Donor 1 1 — — $330,000.00 $330,000.00 $330,000.00 2026-01-01
005-C OTHER Liver (Cadaveric Donor) 1 1 — — $327,140.00 $327,140.00 $327,140.00 2026-01-01
1614 APR_DRG Implantable Heart Assist Systems 15 10 — — $310,449.72 $343,128.64 $326,789.18 2026-01-01
BMTAAUD OTHER Ablative Allogeneic, Unrealted Donor 1 1 — — $315,000.00 $315,000.00 $315,000.00 2026-01-01
007-S OTHER Lung (Single) - Adult 1 1 — — $300,167.00 $300,167.00 $300,167.00 2026-01-01
AUTOALLO2R OTHER Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 1 1 — — $293,560.00 $293,560.00 $293,560.00 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $267,144.98 $295,265.50 $281,205.24 2026-01-01
C9301 HCPCS Obecabtagene Car Pos T 1 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… 3 3 — — $144,822.41 $305,483.61 $276,288.68 2026-01-01
014-U OTHER Allogeneic Unrelated Bmt 2 2 — — $199,000.00 $327,143.59 $263,071.80 2026-01-01
006-L OTHER Liver (Living Donor) 1 1 — — $261,712.01 $261,712.01 $261,712.01 2026-01-01
005-L OTHER Liver (Living Donor) 1 1 — — $257,628.78 $257,628.78 $257,628.78 2026-01-01
215 MS_DRG Other Heart Assist System Implant 9 7 — — $146,473.11 $335,622.30 $254,614.23 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 15 10 — — $241,387.02 $266,796.18 $254,091.60 2026-01-01
BMTAA OTHER Ablative Autologous 1 1 — — $245,000.00 $245,000.00 $245,000.00 2026-01-01
5834 APR_DRG Neonate With Ecmo 15 10 — — $232,009.64 $256,431.70 $244,220.67 2026-01-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 10 — — $231,634.42 $256,017.00 $243,825.71 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $127,354.52 $268,637.43 $242,963.86 2026-01-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 15 10 — — $228,271.45 $252,300.03 $240,285.74 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $181,132.39 $345,559.98 $237,346.20 2026-01-01
1613 APR_DRG Implantable Heart Assist Systems 15 10 — — $216,439.44 $239,222.54 $227,830.99 2026-01-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $211,936.15 $234,245.21 $223,090.68 2026-01-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 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 6 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… 9 7 — — $133,426.46 $281,445.38 $220,174.50 2026-01-01
AUTOALLO1 OTHER Autologous/Allogenic Bone Marrow/Stem Cell Related & Unrelated (tandems) (Transp… 1 1 — — $220,170.00 $220,170.00 $220,170.00 2026-01-01
AUTOTAN1 OTHER Autologous/Autologous Bone Marrow/Stem Cell (tandems) First Infusion 1 1 — — $220,170.00 $220,170.00 $220,170.00 2026-01-01
014-R OTHER Allogeneic Related Bmt 2 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 3 3 — — $115,308.80 $243,228.58 $219,983.33 2026-01-01
7 MS_DRG Lung Transplant 4 4 — — $180,676.16 $344,689.60 $213,496.18 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 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… 9 7 — — $117,086.69 $246,978.81 $203,531.81 2026-01-01
64 APR_DRG Pancreas Transplant 15 10 — — $188,662.34 $208,521.54 $198,591.94 2026-01-01
5833 APR_DRG Neonate With Ecmo 15 10 — — $186,384.58 $206,004.00 $196,194.29 2026-01-01
23 APR_DRG Heart And/Or Lung Transplant 15 10 — — $185,151.63 $204,641.27 $194,896.45 2026-01-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 15 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 9 7 — — $111,444.71 $286,491.81 $193,724.36 2026-01-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 10 — — $183,779.64 $203,124.86 $193,452.25 2026-01-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 2 1 — — $61,022.86 $323,242.52 $192,132.69 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 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… 3 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… 9 7 — — $106,970.94 $247,700.80 $185,947.60 2026-01-01
652-C OTHER Kidney (Cadaveric) 1 1 — — $183,024.08 $183,024.08 $183,024.08 2026-01-01
652-L OTHER Kidney (Living Donor) 1 1 — — $183,024.08 $183,024.08 $183,024.08 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 9 7 — — $108,061.73 $227,941.86 $180,339.90 2026-01-01
E0194 HCPCS Air Fluidized Bed 2 1 — — $12,213.32 $342,971.61 $177,592.46 2026-01-01
006-C OTHER Liver (Cadaveric Donor) 1 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… 3 3 — — $92,692.48 $195,522.46 $176,836.46 2026-01-01
AUTOTAN OTHER Autologous Tandem Bmt 1 1 — — $170,400.00 $170,400.00 $170,400.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 6 — — $97,701.28 $237,790.80 $169,834.14 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 7 — — $96,173.61 $202,865.45 $167,178.61 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $147,227.96 $293,560.00 $165,000.00 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 — — $94,401.25 $199,126.88 $164,097.71 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $85,526.98 $180,407.80 $163,166.30 2026-01-01
AUTOTAN2 OTHER Autologous/Autologous Bone Marrow/Stem Cell (tandems) Second And Subsequent Infu… 1 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 9 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 9 7 — — $103,192.57 $217,671.00 $160,123.49 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $109,594.92 $243,258.60 $159,338.73 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 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… 9 7 — — $89,280.47 $233,627.58 $155,196.25 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 10 — — $146,722.72 $162,167.22 $154,444.97 2026-01-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $144,919.77 $160,174.49 $152,547.13 2026-01-01
8634 APR_DRG Neonatal Aftercare 15 10 — — $139,781.51 $154,495.35 $147,138.43 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 7 — — $84,452.78 $178,141.91 $146,804.28 2026-01-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 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 9 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… 3 3 — — $76,094.18 $160,510.56 $145,170.64 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 15 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 3 3 — — $75,629.66 $159,530.72 $144,284.44 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 9 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 7 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… 9 7 — — $82,249.07 $173,493.49 $142,973.58 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 7 — — $82,186.86 $229,812.00 $142,865.43 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 9 7 — — $84,049.09 $177,290.38 $141,935.98 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 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 9 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 9 7 — — $80,493.30 $169,789.91 $139,921.51 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 5 — — $83,446.32 $220,170.00 $139,598.43 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 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… 9 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… 9 7 — — $78,873.01 $195,701.73 $137,104.96 2026-01-01
L6880 HCPCS Elec Hand Ind Art Digits 2 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 … 3 3 — — $71,200.13 $150,187.22 $135,833.89 2026-01-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 10 — — $128,814.25 $142,373.65 $135,593.95 2026-01-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 10 — — $128,013.39 $141,488.49 $134,750.94 2026-01-01
10 MS_DRG Pancreas Transplant 4 4 — — $110,226.73 $210,287.88 $134,162.46 2026-01-01
5832 APR_DRG Neonate With Ecmo 15 10 — — $126,464.77 $139,776.85 $133,120.81 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 7 — — $76,414.92 $249,122.95 $132,832.07 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 9 7 — — $76,414.92 $161,187.12 $132,832.07 2026-01-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 10 — — $125,475.15 $138,683.06 $132,079.10 2026-01-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 10 — — $122,915.08 $135,853.50 $129,384.29 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $67,040.19 $293,560.00 $127,897.65 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 9 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… 9 7 — — $73,226.88 $190,133.16 $127,290.29 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 10 — — $120,511.99 $133,197.47 $126,854.73 2026-01-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 15 10 — — $120,241.87 $132,898.91 $126,570.39 2026-01-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 15 10 — — $120,241.87 $132,898.91 $126,570.39 2026-01-01
K0606 HCPCS Aed Garment W Elec Analysis 2 1 — — $9,450.97 $239,042.63 $124,246.80 2026-01-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 12 — — $64,986.87 $800,457.91 $124,200.17 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 7 — — $70,963.73 $149,688.55 $123,356.26 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 7 — — $87,433.45 $184,429.24 $122,619.90 2026-01-01
68382039601 NDC Sod Benzoate-sod Phenylacetate 10%-10% Soln 14 8 $257,106.00 — $102,842.40 $205,684.80 $121,482.58 2026-01-01
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 15 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… 9 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 9 7 — — $69,142.97 $161,651.54 $120,191.24 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 7 — — $68,894.12 $222,235.94 $119,758.67 2026-01-01
63 APR_DRG Pancreas Transplant 15 10 — — $113,517.75 $125,466.99 $119,492.37 2026-01-01
4404 APR_DRG Kidney Transplant 15 10 — — $113,181.91 $125,095.79 $119,138.85 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 7 — — $75,051.78 $158,311.75 $118,544.40 2026-01-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 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 9 7 — — $71,724.90 $179,585.43 $117,282.92 2026-01-01
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 2 1 — — $99,377.75 $134,496.16 $116,936.96 2026-01-01
C1823 HCPCS Gen, Neuro, Trans Sen/stim 2 1 — — $99,377.75 $134,496.16 $116,936.96 2026-01-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 2 1 — — $99,377.75 $134,496.16 $116,936.96 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 7 — — $70,217.18 $148,113.80 $116,142.00 2026-01-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 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. … 9 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 9 7 — — $65,722.67 $138,633.23 $114,245.72 2026-01-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 15 10 — — $107,597.67 $118,923.74 $113,260.70 2026-01-01
1784 APR_DRG External Heart Assist Systems 15 10 — — $107,559.59 $118,881.65 $113,220.62 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 9 7 — — $77,068.85 $162,566.49 $113,111.70 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 9 7 — — $65,042.48 $249,224.43 $113,063.35 2026-01-01
245 MS_DRG Aicd Generator Procedures 9 7 — — $67,560.01 $142,508.86 $112,717.78 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 15 10 — — $106,836.23 $118,082.15 $112,459.19 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 10 — — $106,489.52 $117,698.94 $112,094.23 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 6 — — $64,312.52 $135,658.71 $111,794.46 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 9 7 — — $65,735.11 $138,659.48 $111,761.43 2026-01-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 10 — — $105,543.62 $116,653.48 $111,098.55 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 9 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… 9 7 — — $63,492.70 $180,305.79 $110,369.36 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 7 — — $63,483.02 $135,069.36 $110,352.54 2026-01-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 10 — — $104,170.73 $115,136.07 $109,653.40 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 4 — — $75,223.21 $205,128.30 $109,366.11 2026-01-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 15 10 — — $103,060.38 $113,908.84 $108,484.61 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $56,454.39 $119,083.03 $107,702.31 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 7 — — $61,829.55 $216,880.76 $107,478.31 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 7 — — $60,730.46 $140,150.40 $105,567.77 2026-01-01
5831 APR_DRG Neonate With Ecmo 15 10 — — $99,922.44 $110,440.60 $105,181.52 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 7 — — $70,432.85 $148,568.73 $104,567.11 2026-01-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 10 — — $99,273.64 $109,723.50 $104,498.57 2026-01-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 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… 9 7 — — $59,696.35 $167,046.13 $103,770.18 2026-01-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 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 3 3 — — $54,086.17 $114,087.58 $103,184.28 2026-01-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 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 … 9 7 — — $74,668.83 $157,503.96 $102,862.05 2026-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 9 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 9 7 — — $73,164.00 $157,337.74 $102,753.49 2026-01-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 10 — — $97,586.72 $107,859.00 $102,722.86 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 15 10 — — $97,143.01 $107,368.59 $102,255.80 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 7 — — $57,935.05 $141,807.91 $100,708.50 2026-01-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 15 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 9 7 — — $57,521.68 $121,334.33 $99,989.94 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 7 — — $58,973.30 $124,396.34 $99,822.84 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 15 10 — — $94,801.62 $104,780.74 $99,791.18 2026-01-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 2 1 — — $30,429.11 $168,972.94 $99,701.03 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 9 7 — — $30,639.26 $121,620.12 $99,345.48 2026-01-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 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 9 7 — — $64,694.09 $136,463.58 $99,263.74 2026-01-01
6904 APR_DRG Acute Leukemia 15 10 — — $94,027.96 $103,925.64 $98,976.80 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 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 9 7 — — $56,817.99 $123,728.74 $98,766.71 2026-01-01
L5783 HCPCS Add Low Ext Mec Limb Vol Sys 2 1 — — $6,013.04 $190,697.31 $98,355.17 2026-01-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 10 — — $92,252.21 $101,962.97 $97,107.59 2026-01-01
791 MS_DRG Prematurity With Major Problems 9 7 — — $56,128.12 $118,394.80 $96,710.88 2026-01-01
93583 HCPCS Perq Transcath Septal Reduxn 1 1 — — $96,155.51 $96,155.51 $96,155.51 2026-01-01
0613T OTHER Perq Tcat Intratrl Septl Sht 1 1 — — $96,155.51 $96,155.51 $96,155.51 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 15 10 — — $91,333.06 $100,947.06 $96,140.06 2026-01-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 15 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 9 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 … 7 6 — — $64,954.50 $145,906.23 $95,287.85 2026-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 19 13 — — $49,762.21 $446,393.30 $95,103.43 2026-01-01
L5841 HCPCS Addition Endoskletl Knee-shi 2 1 — — $7,289.76 $182,332.30 $94,811.03 2026-01-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 15 10 — — $89,924.42 $99,390.14 $94,657.28 2026-01-01
2324 APR_DRG Gastric Fundoplication 15 10 — — $89,761.25 $99,209.81 $94,485.53 2026-01-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 15 10 — — $89,439.01 $98,853.65 $94,146.33 2026-01-01
33945 HCPCS Heart Acquisition 15 9 $203,000.00 — $7,509.00 $162,400.00 $92,974.00 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 7 — — $67,152.17 $141,648.58 $92,507.28 2026-01-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 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 9 7 — — $52,844.68 $123,352.00 $91,859.92 2026-01-01
214 APR_DRG Open Craniotomy Except Trauma 15 10 — — $86,949.42 $96,101.99 $91,525.70 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 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… 9 7 — — $52,558.50 $124,527.78 $91,362.45 2026-01-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 15 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 9 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… 9 7 — — $53,433.63 $112,711.13 $90,503.33 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 15 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 9 7 — — $56,231.81 $118,613.52 $90,160.20 2026-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 18 12 — — $46,968.00 $305,954.58 $89,763.26 2026-01-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 15 10 — — $84,695.06 $93,610.32 $89,152.69 2026-01-01
00187000714 NDC Ribavirin 6 G Vial For Inhalation 14 8 $188,408.00 — $75,363.20 $150,726.40 $89,022.78 2026-01-01
1794 APR_DRG Defibrillator Implants 15 10 — — $84,268.11 $93,138.43 $88,703.27 2026-01-01
Q0488 HCPCS Pwr Pack Base Elec Vad, Rep 2 1 — — $32,023.37 $144,466.13 $88,244.75 2026-01-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 10 — — $83,026.71 $91,766.37 $87,396.54 2026-01-01
914 APR_DRG Other Major Head And Neck Procedures 15 10 — — $82,913.86 $91,641.64 $87,277.75 2026-01-01
1694 APR_DRG Major Abdominal Vascular Procedures 15 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 9 7 — — $54,437.32 $114,828.29 $87,048.00 2026-01-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 15 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 9 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 9 7 — — $62,372.87 $131,567.28 $85,923.42 2026-01-01
265 MS_DRG Aicd Lead Procedures 9 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 9 7 — — $62,000.98 $130,782.82 $85,411.11 2026-01-01
22 APR_DRG Heart And/Or Lung Transplant 15 10 — — $80,846.28 $89,356.42 $85,101.35 2026-01-01
E2298 HCPCS Pwr Seat Elev Sys For Crt 2 1 — — $673.28 $169,503.86 $85,088.57 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 4 — — $48,007.31 $127,983.00 $85,000.00 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $63,695.92 $127,983.00 $85,000.00 2026-01-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 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/… 9 7 — — $48,807.78 $208,477.15 $84,842.57 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 9 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… 9 7 — — $48,405.47 $102,104.91 $84,143.24 2026-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 9 7 — — $54,059.90 $114,032.17 $83,772.00 2026-01-01
274 APR_DRG Other Open Craniotomy 15 10 — — $79,490.16 $87,857.54 $83,673.85 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 7 — — $48,795.34 $102,927.28 $83,670.60 2026-01-01
332 MS_DRG Rectal Resection With Mcc 9 7 — — $47,954.78 $101,154.23 $83,359.80 2026-01-01
1612 APR_DRG Implantable Heart Assist Systems 15 10 — — $78,954.76 $87,265.78 $83,110.27 2026-01-01
1611 APR_DRG Implantable Heart Assist Systems 15 10 — — $78,954.76 $87,265.78 $83,110.27 2026-01-01
234 APR_DRG Spinal Procedures 15 10 — — $78,700.19 $86,984.42 $82,842.30 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 7 — — $47,618.83 $100,445.59 $82,775.82 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 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 9 7 — — $59,819.39 $126,181.06 $82,405.81 2026-01-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $29,770.01 $134,300.88 $82,035.45 2026-01-01
204 APR_DRG Open Craniotomy For Trauma 15 10 — — $77,770.15 $85,956.49 $81,863.32 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 15 10 — — $77,695.37 $85,873.83 $81,784.60 2026-01-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 15 10 — — $77,549.89 $85,713.03 $81,631.46 2026-01-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 15 10 — — $77,496.29 $85,653.79 $81,575.04 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 7 — — $46,894.40 $112,946.33 $81,516.54 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $42,663.95 $89,993.93 $81,393.25 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 7 — — $47,353.39 $99,885.68 $81,283.18 2026-01-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 15 10 — — $77,082.15 $85,196.07 $81,139.11 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 6 — — $58,886.21 $124,212.62 $81,120.27 2026-01-01
652 MS_DRG Kidney Transplant 5 4 — — $42,462.11 $127,983.00 $81,008.18 2026-01-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 10 — — $76,917.63 $85,014.23 $80,965.93 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 7 — — $46,406.38 $97,888.09 $80,668.21 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 9 7 — — $58,468.69 $123,331.93 $80,545.11 2026-01-01
4414 APR_DRG Major Bladder Procedures 15 10 — — $76,222.83 $84,246.29 $80,234.56 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 7 — — $57,921.22 $122,177.12 $79,790.93 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 7 — — $55,074.65 $116,172.66 $79,503.38 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 10 — — $75,494.03 $83,440.77 $79,467.40 2026-01-01
1783 APR_DRG External Heart Assist Systems 15 10 — — $75,436.93 $83,377.65 $79,407.29 2026-01-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $78,986.40 $78,986.40 $78,986.40 2026-01-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 15 10 — — $74,754.87 $82,623.81 $78,689.34 2026-01-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 10 — — $74,570.41 $82,419.93 $78,495.17 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 7 — — $45,041.85 $95,009.80 $78,296.26 2026-01-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 9 7 — — $56,733.65 $119,672.10 $78,154.97 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 19 13 — — $40,604.25 $469,136.16 $77,601.14 2026-01-01
1204 APR_DRG Major Respiratory And Chest Procedures 15 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 9 7 — — $45,189.78 $95,321.83 $77,462.89 2026-01-01
4403 APR_DRG Kidney Transplant 15 10 — — $73,533.36 $81,273.72 $77,403.54 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 7 — — $44,087.93 $92,997.62 $76,638.05 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 15 10 — — $72,189.99 $79,788.93 $75,989.46 2026-01-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 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 9 7 — — $55,035.94 $116,091.01 $75,816.24 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 15 10 — — $71,772.57 $79,327.57 $75,550.07 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 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 9 7 — — $43,969.03 $92,746.82 $75,426.00 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 15 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 9 7 — — $54,549.30 $115,064.50 $75,145.86 2026-01-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 9 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 9 7 — — $54,326.72 $114,595.00 $74,839.23 2026-01-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 15 10 — — $71,053.29 $78,532.59 $74,792.94 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 7 — — $42,944.60 $175,384.48 $74,650.60 2026-01-01
47133 HCPCS Liver Acquisition Cadaver 15 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 9 7 — — $53,379.71 $112,597.40 $73,534.65 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 7 — — $42,285.15 $161,686.91 $73,504.28 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 10 — — $69,601.14 $76,927.58 $73,264.36 2026-01-01
E0786 HCPCS Implantable Pump Replacement 2 1 — — $62,186.21 $84,161.75 $73,173.98 2026-01-01
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 15 10 — — $69,433.89 $76,742.73 $73,088.31 2026-01-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 10 — — $69,322.40 $76,619.50 $72,970.95 2026-01-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 15 10 — — $69,149.72 $76,428.64 $72,789.18 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 9 7 — — $47,425.28 $100,037.32 $72,676.50 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 15 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 9 7 — — $48,440.04 $102,177.82 $71,752.20 2026-01-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 15 10 — — $67,958.97 $75,112.55 $71,535.76 2026-01-01
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