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

ARROWHEAD REGIONAL MEDICAL CENTER

Colton, CA · CCN 050245 · Rates published

16,799 distinct procedures filed
15 distinct payers
310,036 rate rows
2026-02-25 last MRF observed
Data quality

308,789 of 310,036 rate rows are consumer-grade (99.6%)

1,247 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 703
placeholder amount (≤ $0.02) — excluded from medians 299
percent-of-charges filed in the dollar field — excluded from medians 118
exceeds 10× this hospital's gross charge — excluded from medians 65
per-diem day rate — not a per-procedure price 62
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8225/956002748_san-bernardino-county_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ArrowheadRegionalMedicalCenter/8225
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ae45bb3435e14678… · 194,873,016 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,685,266.67 $4,790,846.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,335,820.00 $4,670,148.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,316,462.59 $4,643,047.62 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,248,445.72 $4,547,824.00 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,090,000.00 $4,326,000.00 $3,090,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,945,740.00 $4,124,036.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.61 $3,437,154.85 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $3,264,800.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $1,078,868.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $86,373.45 $828,416.68 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $84,582.59 $792,216.52 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $94,812.12 $787,553.46 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $96,938.06 $780,245.11 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $91,876.29 $746,522.24 $533,230.17 nat. median
$634,511
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $532,853.45 $745,994.83 $532,853.45 nat. median
$370,174
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $89,888.00 $685,026.45 $489,304.61 nat. median
$620,080
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $348,014.46 $487,220.24 $348,014.46 nat. median
$265,286
1.3× median
5834
APR_DRG 		Neonate With Ecmo 2 $309,665.45 $377,791.85 $343,728.65 nat. median
$309,665
1.1× median
5833
APR_DRG 		Neonate With Ecmo 2 $269,678.49 $329,007.76 $299,343.12 nat. median
$244,017
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $389,550.00 $278,250.00 nat. median
$324,450
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $266,642.83 $373,299.96 $266,642.83 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 7 $265,114.98 $371,160.97 $265,114.98 nat. median
$202,986
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $257,500.00 $360,500.00 $257,500.00 nat. median
$265,000
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $230,970.69 $281,784.24 $256,377.46 nat. median
$246,434
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $213,037.56 $259,905.82 $236,471.69 nat. median
$207,730
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $206,386.58 $251,791.63 $229,089.10 nat. median
$234,738
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $287,896.00 $205,640.00 nat. median
$209,753
1.0× median
5832
APR_DRG 		Neonate With Ecmo 2 $169,230.17 $206,460.81 $187,845.49 nat. median
$156,126
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $161,433.16 $196,948.46 $179,190.81 nat. median
$119,796
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $160,319.16 $195,589.38 $177,954.27 nat. median
$117,173
1.5× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 7 $175,203.08 $245,284.31 $175,203.08 nat. median
$133,176
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $156,990.16 $191,528.00 $174,259.08 nat. median
$150,721
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $153,007.58 $186,669.25 $169,838.41 nat. median
$160,267
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $151,837.53 $185,241.79 $168,539.66 nat. median
$151,838
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $150,323.17 $183,394.27 $166,858.72 nat. median
$164,279
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $148,138.20 $180,728.60 $164,433.40 nat. median
$182,736
0.9× median
7
MS_DRG 		Lung Transplant 7 $164,214.36 $229,900.10 $164,214.36 nat. median
$122,708
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $147,676.79 $180,165.68 $163,921.23 nat. median
$122,924
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $145,988.27 $178,105.69 $162,046.98 nat. median
$162,982
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $144,198.66 $175,922.37 $160,060.52 nat. median
$145,336
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $152,846.42 $213,984.99 $152,846.42 nat. median
$117,303
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $137,512.65 $167,765.43 $152,639.04 nat. median
$164,834
0.9× median
5831
APR_DRG 		Neonate With Ecmo 2 $137,045.23 $167,195.18 $152,120.21 nat. median
$145,122
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $134,969.36 $164,662.62 $149,815.99 nat. median
$105,658
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $133,615.15 $163,010.48 $148,312.82 nat. median
$187,294
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $130,623.46 $159,360.62 $144,992.04 nat. median
$93,528
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $144,480.50 $202,272.70 $144,480.50 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $144,322.00 $202,050.80 $144,322.00 nat. median
$98,017
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $129,535.48 $158,033.29 $143,784.39 nat. median
$129,535
1.1× median

Other procedures at this hospital

Browse this hospital's 16,799 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
             
A9543 HCPCS Y90 Ibritumomab, Rx 17 12 — — $56,824.55 $82,778.26 $61,774.82 2026-02-25
901 MS_DRG Wound Debridements For Injuries With Mcc 8 7 — — $57,477.95 $80,469.13 $57,477.95 2026-02-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 7 — — $75,803.45 $106,124.83 $75,803.45 2026-02-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 7 — — $60,939.67 $85,315.54 $60,939.67 2026-02-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 7 — — $49,892.41 $69,849.37 $49,892.41 2026-02-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 7 — — $49,993.61 $69,991.05 $49,993.61 2026-02-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 7 — — $74,178.07 $103,849.30 $74,178.07 2026-02-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 7 — — $50,281.39 $70,393.95 $50,281.39 2026-02-25
38240 CPT Transplt Allo Hct/donor 17 12 — — $104.24 $113,261.88 $80,901.35 2026-02-25
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $92,671.33 $113,059.02 $102,865.18 2026-02-25
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $65,623.01 $80,060.07 $72,841.54 2026-02-25
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $43,531.14 $53,107.99 $48,319.57 2026-02-25
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $134,969.36 $164,662.62 $149,815.99 2026-02-25
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $89,206.21 $108,831.58 $99,018.90 2026-02-25
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $58,078.22 $70,855.43 $64,466.82 2026-02-25
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 8 7 — — $175,203.08 $245,284.31 $175,203.08 2026-02-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 7 — — $72,811.18 $101,935.65 $72,811.18 2026-02-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 7 — — $57,714.50 $80,800.30 $57,714.50 2026-02-25
J3389 HCPCS Topi Adm Prad Zami Per Treat 10 8 — — $3,335,820.00 $4,670,148.00 $3,335,820.00 2026-02-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 12 — — $86,373.45 $828,416.68 $591,726.20 2026-02-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 7 — — $67,120.51 $93,968.71 $67,120.51 2026-02-25
799 MS_DRG Splenic Procedures With Mcc 8 7 — — $61,529.82 $86,141.75 $61,529.82 2026-02-25
28 MS_DRG Spinal Procedures With Mcc 8 7 — — $79,568.78 $111,396.29 $79,568.78 2026-02-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 7 — — $47,906.11 $67,068.55 $47,906.11 2026-02-25
234 APR_DRG Spinal Procedures 2 2 — — $50,012.97 $61,015.82 $55,514.40 2026-02-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $108,773.28 $152,282.59 $108,773.28 2026-02-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $79,017.63 $110,624.68 $79,017.63 2026-02-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $57,185.30 $80,059.42 $57,185.30 2026-02-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 8 7 — — $51,094.68 $71,532.55 $51,094.68 2026-02-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 7 — — $49,705.85 $69,588.19 $49,705.85 2026-02-25
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $47,271.51 $57,671.24 $52,471.38 2026-02-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 7 — — $86,191.02 $120,667.43 $86,191.02 2026-02-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 7 — — $48,635.25 $68,089.35 $48,635.25 2026-02-25
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $46,650.95 $56,914.16 $51,782.56 2026-02-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 7 — — $66,069.44 $92,497.22 $66,069.44 2026-02-25
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 12 — — $55,272.32 $77,381.25 $55,453.57 2026-02-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $71,293.09 $99,810.33 $71,293.09 2026-02-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $55,330.68 $77,462.95 $55,330.68 2026-02-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 7 — — $93,302.23 $130,623.12 $93,302.23 2026-02-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 7 — — $74,646.28 $104,504.79 $74,646.28 2026-02-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 8 7 — — $90,585.53 $126,819.74 $90,585.53 2026-02-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 7 — — $69,778.66 $97,690.12 $69,778.66 2026-02-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 7 — — $49,308.36 $69,031.70 $49,308.36 2026-02-25
J3403 HCPCS Revakinagene, Per Implant 10 8 — — $257,500.00 $360,500.00 $257,500.00 2026-02-25
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $46,004.37 $56,125.33 $51,064.85 2026-02-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 8 7 — — $84,768.06 $118,675.28 $84,768.06 2026-02-25
332 MS_DRG Rectal Resection With Mcc 8 7 — — $50,455.74 $70,638.04 $50,455.74 2026-02-25
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $53,958.52 $65,829.39 $59,893.96 2026-02-25
791 MS_DRG Prematurity With Major Problems 8 7 — — $55,800.12 $78,120.17 $55,800.12 2026-02-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 7 — — $61,771.25 $86,479.75 $61,771.25 2026-02-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 7 — — $49,848.51 $69,787.91 $49,848.51 2026-02-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 7 — — $53,388.26 $74,743.56 $53,388.26 2026-02-25
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $60,375.29 $73,657.85 $67,016.57 2026-02-25
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 7 — — $48,235.34 $67,529.48 $48,235.34 2026-02-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 7 — — $56,610.99 $79,255.39 $56,610.99 2026-02-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 7 — — $73,011.15 $102,215.61 $73,011.15 2026-02-25
64 APR_DRG Pancreas Transplant 2 2 — — $103,208.80 $125,914.74 $114,561.77 2026-02-25
10 MS_DRG Pancreas Transplant 8 7 — — $93,803.39 $131,324.75 $93,803.39 2026-02-25
63 APR_DRG Pancreas Transplant 2 2 — — $81,709.47 $99,685.55 $90,697.51 2026-02-25
62 APR_DRG Pancreas Transplant 2 2 — — $67,118.35 $81,884.39 $74,501.37 2026-02-25
61 APR_DRG Pancreas Transplant 2 2 — — $55,755.13 $68,021.26 $61,888.19 2026-02-25
252 MS_DRG Other Vascular Procedures With Mcc 8 7 — — $48,841.32 $68,377.85 $48,841.32 2026-02-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 7 — — $51,882.38 $72,635.33 $51,882.38 2026-02-25
274 APR_DRG Other Open Craniotomy 2 2 — — $44,581.09 $54,388.93 $49,485.01 2026-02-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 7 — — $54,886.84 $76,841.58 $54,886.84 2026-02-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 7 — — $99,219.71 $138,907.59 $99,219.71 2026-02-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 7 — — $57,688.89 $80,764.45 $57,688.89 2026-02-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 7 — — $53,121.23 $74,369.72 $53,121.23 2026-02-25
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $55,890.26 $68,186.12 $62,038.19 2026-02-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 7 — — $70,643.20 $98,900.48 $70,643.20 2026-02-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 7 — — $49,670.49 $69,538.69 $49,670.49 2026-02-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 7 — — $57,538.91 $80,554.47 $57,538.91 2026-02-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 7 — — $56,946.31 $79,724.83 $56,946.31 2026-02-25
215 MS_DRG Other Heart Assist System Implant 8 7 — — $127,716.97 $178,803.76 $127,716.97 2026-02-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 7 — — $60,725.04 $85,015.06 $60,725.04 2026-02-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 7 — — $51,749.47 $72,449.26 $51,749.47 2026-02-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 7 — — $51,990.90 $72,787.26 $51,990.90 2026-02-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 7 — — $59,870.31 $83,818.43 $59,870.31 2026-02-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 7 — — $66,632.77 $93,285.88 $66,632.77 2026-02-25
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $64,981.43 $79,277.34 $72,129.38 2026-02-25
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $48,450.57 $59,109.70 $53,780.13 2026-02-25
64568 CPT Opn Impltj Crnl Nrv Nea&pg 17 12 — — $549.90 $79,311.58 $56,651.13 2026-02-25
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $47,233.47 $57,624.83 $52,429.15 2026-02-25
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $50,285.22 $61,347.97 $55,816.60 2026-02-25
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 8 — — $278,250.00 $389,550.00 $278,250.00 2026-02-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 7 — — $53,433.39 $74,806.75 $53,433.39 2026-02-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 7 — — $50,550.85 $70,771.19 $50,550.85 2026-02-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 7 — — $48,110.95 $67,355.33 $48,110.95 2026-02-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 7 — — $50,347.24 $70,486.14 $50,347.24 2026-02-25
5834 APR_DRG Neonate With Ecmo 2 2 — — $309,665.45 $377,791.85 $343,728.65 2026-02-25
5833 APR_DRG Neonate With Ecmo 2 2 — — $269,678.49 $329,007.76 $299,343.12 2026-02-25
5832 APR_DRG Neonate With Ecmo 2 2 — — $169,230.17 $206,460.81 $187,845.49 2026-02-25
5831 APR_DRG Neonate With Ecmo 2 2 — — $137,045.23 $167,195.18 $152,120.21 2026-02-25
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $147,676.79 $180,165.68 $163,921.23 2026-02-25
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $48,430.55 $59,085.27 $53,757.91 2026-02-25
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $156,990.16 $191,528.00 $174,259.08 2026-02-25
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $85,041.47 $103,750.59 $94,396.03 2026-02-25
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $47,478.69 $57,924.00 $52,701.35 2026-02-25
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $54,955.42 $67,045.61 $61,000.51 2026-02-25
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $230,970.69 $281,784.24 $256,377.46 2026-02-25
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $148,138.20 $180,728.60 $164,433.40 2026-02-25
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $144,198.66 $175,922.37 $160,060.52 2026-02-25
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $95,908.24 $117,008.05 $106,458.15 2026-02-25
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $151,837.53 $185,241.79 $168,539.66 2026-02-25
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $102,271.96 $124,771.79 $113,521.88 2026-02-25
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $79,519.50 $97,013.79 $88,266.64 2026-02-25
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $150,323.17 $183,394.27 $166,858.72 2026-02-25
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $98,416.50 $120,068.13 $109,242.32 2026-02-25
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $58,175.31 $70,973.88 $64,574.60 2026-02-25
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $50,453.37 $61,553.11 $56,003.24 2026-02-25
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $145,988.27 $178,105.69 $162,046.98 2026-02-25
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $63,675.26 $77,683.82 $70,679.54 2026-02-25
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $62,089.83 $75,749.59 $68,919.71 2026-02-25
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $44,074.63 $53,771.05 $48,922.84 2026-02-25
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $64,596.08 $78,807.22 $71,701.65 2026-02-25
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $52,627.32 $64,205.33 $58,416.32 2026-02-25
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $85,169.58 $103,906.89 $94,538.24 2026-02-25
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $64,091.63 $78,191.79 $71,141.71 2026-02-25
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $46,627.93 $56,886.07 $51,757.00 2026-02-25
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $46,513.82 $56,746.86 $51,630.34 2026-02-25
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $45,476.89 $55,481.81 $50,479.35 2026-02-25
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $109,563.52 $133,667.49 $121,615.51 2026-02-25
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $82,767.42 $100,976.25 $91,871.83 2026-02-25
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $64,209.74 $78,335.88 $71,272.81 2026-02-25
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $113,900.42 $138,958.51 $126,429.46 2026-02-25
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $54,999.46 $67,099.34 $61,049.40 2026-02-25
8634 APR_DRG Neonatal Aftercare 2 2 — — $67,843.00 $82,768.46 $75,305.73 2026-02-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 7 — — $63,345.42 $88,683.59 $63,345.42 2026-02-25
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $51,543.35 $62,882.89 $57,213.12 2026-02-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $58,016.88 $81,223.63 $58,016.88 2026-02-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 7 — — $87,778.61 $122,890.05 $87,778.61 2026-02-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $140,693.24 $196,970.54 $140,693.24 2026-02-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $94,326.49 $132,057.09 $94,326.49 2026-02-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $74,858.45 $104,801.83 $74,858.45 2026-02-25
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $43,255.90 $52,772.20 $48,014.05 2026-02-25
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $48,435.55 $59,091.37 $53,763.46 2026-02-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 7 — — $62,354.09 $87,295.73 $62,354.09 2026-02-25
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $49,323.35 $60,174.49 $54,748.92 2026-02-25
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $48,072.23 $58,648.12 $53,360.18 2026-02-25
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $56,539.84 $68,978.60 $62,759.22 2026-02-25
140 MS_DRG Major Head And Neck Procedures With Mcc 8 7 — — $58,315.64 $81,641.90 $58,315.64 2026-02-25
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $47,417.64 $57,849.52 $52,633.58 2026-02-25
163 MS_DRG Major Chest Procedures With Mcc 8 7 — — $60,955.51 $85,337.71 $60,955.51 2026-02-25
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $97,139.35 $118,510.01 $107,824.68 2026-02-25
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $45,882.26 $55,976.36 $50,929.31 2026-02-25
653 MS_DRG Major Bladder Procedures With Mcc 8 7 — — $69,668.92 $97,536.49 $69,668.92 2026-02-25
4414 APR_DRG Major Bladder Procedures 2 2 — — $46,514.83 $56,748.09 $51,631.46 2026-02-25
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $43,736.33 $53,358.32 $48,547.32 2026-02-25
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $51,367.19 $62,667.97 $57,017.58 2026-02-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 7 — — $62,211.43 $87,096.00 $62,211.43 2026-02-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 7 — — $77,819.03 $108,946.64 $77,819.03 2026-02-25
7 MS_DRG Lung Transplant 8 7 — — $164,214.36 $229,900.10 $164,214.36 2026-02-25
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $43,342.97 $52,878.42 $48,110.69 2026-02-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 7 — — $51,076.38 $71,506.93 $51,076.38 2026-02-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 7 — — $50,516.69 $70,723.37 $50,516.69 2026-02-25
6 MS_DRG Liver Transplant Without Mcc 8 7 — — $62,847.92 $87,987.09 $62,847.92 2026-02-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 7 — — $132,027.37 $184,838.32 $132,027.37 2026-02-25
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $129,535.48 $158,033.29 $143,784.39 2026-02-25
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $73,704.27 $89,919.21 $81,811.74 2026-02-25
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $61,493.29 $75,021.81 $68,257.55 2026-02-25
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $54,809.28 $66,867.32 $60,838.30 2026-02-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 12 — — $94,812.12 $787,553.46 $562,538.19 2026-02-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 7 — — $52,190.87 $73,067.22 $52,190.87 2026-02-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 7 — — $51,493.40 $72,090.76 $51,493.40 2026-02-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 7 — — $63,633.18 $89,086.45 $63,633.18 2026-02-25
4404 APR_DRG Kidney Transplant 2 2 — — $78,303.41 $95,530.16 $86,916.79 2026-02-25
4403 APR_DRG Kidney Transplant 2 2 — — $48,930.00 $59,694.60 $54,312.30 2026-02-25
4402 APR_DRG Kidney Transplant 2 2 — — $43,019.68 $52,484.01 $47,751.85 2026-02-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 7 — — $102,254.65 $143,156.51 $102,254.65 2026-02-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 7 — — $70,856.57 $99,199.20 $70,856.57 2026-02-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 12 — — $63,342.28 $88,679.19 $63,505.40 2026-02-25
33276 CPT Insj Phrnc Nrv Stim Sys 10 8 — — $56,651.13 $79,311.58 $56,651.13 2026-02-25
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $42,891.57 $52,327.72 $47,609.65 2026-02-25
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 8 — — $205,640.00 $287,896.00 $205,640.00 2026-02-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 8 — — $3,248,445.72 $4,547,824.00 $3,248,445.72 2026-02-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 7 — — $3,685,266.67 $4,790,846.67 $3,685,266.67 2026-02-25
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $3,264,800.00 $2,332,000.00 2026-02-25
J3393 HCPCS Inj, Betibeglogene Autotemce 10 8 — — $2,945,740.00 $4,124,036.00 $2,945,740.00 2026-02-25
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 6 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-02-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,455,110.61 $3,437,154.85 $2,455,110.61 2026-02-25
J3387 HCPCS Inj Elivaldogene Autotemecel 10 8 — — $3,090,000.00 $4,326,000.00 $3,090,000.00 2026-02-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 8 — — $3,316,462.59 $4,643,047.62 $3,316,462.59 2026-02-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 7 — — $66,525.47 $93,135.66 $66,525.47 2026-02-25
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $213,037.56 $259,905.82 $236,471.69 2026-02-25
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $161,433.16 $196,948.46 $179,190.81 2026-02-25
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $129,460.41 $157,941.70 $143,701.05 2026-02-25
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $123,134.72 $150,224.36 $136,679.54 2026-02-25
Q2055 HCPCS Idecabtagene Vicleucel Car 17 12 — — $96,938.06 $780,245.11 $557,317.93 2026-02-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 7 — — $80,946.64 $113,325.30 $80,946.64 2026-02-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 7 — — $47,851.23 $66,991.72 $47,851.23 2026-02-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 7 — — $144,480.50 $202,272.70 $144,480.50 2026-02-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 7 — — $348,014.46 $487,220.24 $348,014.46 2026-02-25
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $206,386.58 $251,791.63 $229,089.10 2026-02-25
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $130,623.46 $159,360.62 $144,992.04 2026-02-25
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $94,013.54 $114,696.52 $104,355.03 2026-02-25
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $77,288.50 $94,291.97 $85,790.24 2026-02-25
33263 CPT Hc Ep Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 38 15 $82,129.00 $82,129.00 $313.43 $59,543.53 $49,503.26 2026-02-25
33264 CPT Hc Ep Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 38 15 $100,409.00 $100,409.00 $325.13 $72,796.53 $60,521.53 2026-02-25
33249 CPT Hc Ep Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 38 15 $100,409.00 $100,409.00 $895.01 $72,796.53 $60,521.53 2026-02-25
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 38 15 $100,409.00 $100,409.00 $324.53 $72,796.53 $60,521.53 2026-02-25
8514 APR_DRG Gender Related Procedures 2 2 — — $73,525.11 $89,700.63 $81,612.87 2026-02-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 7 — — $93,766.79 $131,273.51 $93,766.79 2026-02-25
793 MS_DRG Full Term Neonate With Major Problems 8 7 — — $57,148.71 $80,008.19 $57,148.71 2026-02-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 7 — — $78,778.64 $110,290.10 $78,778.64 2026-02-25
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $137,512.65 $167,765.43 $152,639.04 2026-02-25
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $62,271.99 $75,971.83 $69,121.91 2026-02-25
1784 APR_DRG External Heart Assist Systems 2 2 — — $67,532.72 $82,389.92 $74,961.32 2026-02-25
1783 APR_DRG External Heart Assist Systems 2 2 — — $51,747.53 $63,131.99 $57,439.76 2026-02-25
1782 APR_DRG External Heart Assist Systems 2 2 — — $45,929.30 $56,033.75 $50,981.53 2026-02-25
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $153,007.58 $186,669.25 $169,838.41 2026-02-25
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $50,296.23 $61,361.40 $55,828.82 2026-02-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 7 — — $63,516.14 $88,922.60 $63,516.14 2026-02-25
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $47,240.48 $57,633.39 $52,436.93 2026-02-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 8 7 — — $53,790.64 $75,306.90 $53,790.64 2026-02-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 8 7 — — $266,642.83 $373,299.96 $266,642.83 2026-02-25
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $51,481.29 $62,807.17 $57,144.23 2026-02-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $68,801.71 $96,322.39 $68,801.71 2026-02-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 7 — — $64,357.46 $90,100.44 $64,357.46 2026-02-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 7 — — $81,033.20 $113,446.48 $81,033.20 2026-02-25
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 7 — — $75,893.66 $106,251.12 $75,893.66 2026-02-25
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $48,155.50 $67,417.70 $48,155.50 2026-02-25
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 8 7 — — $265,114.98 $371,160.97 $265,114.98 2026-02-25
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $108,243.35 $151,540.69 $108,243.35 2026-02-25
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $84,379.87 $102,943.44 $93,661.65 2026-02-25
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $57,689.87 $70,381.64 $64,035.76 2026-02-25
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $61,288.11 $74,771.49 $68,029.80 2026-02-25
1794 APR_DRG Defibrillator Implants 2 2 — — $57,855.02 $70,583.12 $64,219.07 2026-02-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $76,179.01 $106,650.61 $76,179.01 2026-02-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $54,006.47 $75,609.06 $54,006.47 2026-02-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $88,382.19 $123,735.07 $88,382.19 2026-02-25
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $57,768.95 $70,478.12 $64,123.53 2026-02-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 7 — — $61,746.87 $86,445.62 $61,746.87 2026-02-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 7 — — $59,072.85 $82,701.99 $59,072.85 2026-02-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 7 — — $57,382.84 $80,335.98 $57,382.84 2026-02-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 7 — — $77,865.34 $109,011.48 $77,865.34 2026-02-25
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $57,307.53 $69,915.19 $63,611.36 2026-02-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 7 — — $80,230.89 $112,323.25 $80,230.89 2026-02-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 7 — — $109,096.39 $152,734.95 $109,096.39 2026-02-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 7 — — $72,916.04 $102,082.46 $72,916.04 2026-02-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 7 — — $99,528.20 $139,339.48 $99,528.20 2026-02-25
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $65,102.54 $79,425.10 $72,263.82 2026-02-25
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $46,725.01 $57,004.51 $51,864.76 2026-02-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $87,838.37 $122,973.72 $87,838.37 2026-02-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 7 — — $138,899.56 $194,459.38 $138,899.56 2026-02-25
209 MS_DRG Complex Aortic Arch Procedures 8 7 — — $144,322.00 $202,050.80 $144,322.00 2026-02-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 7 — — $76,627.72 $107,278.81 $76,627.72 2026-02-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 7 — — $116,164.92 $162,630.89 $116,164.92 2026-02-25
Q2056 HCPCS Ciltacabtagene Car-pos T 17 12 — — $84,582.59 $792,216.52 $565,868.95 2026-02-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 7 — — $49,747.30 $69,646.22 $49,747.30 2026-02-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $532,853.45 $745,994.83 $532,853.45 2026-02-25
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $160,319.16 $195,589.38 $177,954.27 2026-02-25
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $86,144.46 $105,096.24 $95,620.35 2026-02-25
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $61,532.33 $75,069.44 $68,300.89 2026-02-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 7 — — $64,887.89 $90,843.05 $64,887.89 2026-02-25
471 MS_DRG Cervical Spinal Fusion With Mcc 8 7 — — $65,185.42 $91,259.59 $65,185.42 2026-02-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 7 — — $53,504.09 $74,905.73 $53,504.09 2026-02-25
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $70,285.20 $85,747.94 $78,016.57 2026-02-25
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $46,299.63 $56,485.55 $51,392.59 2026-02-25
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $83,071.70 $101,347.47 $92,209.58 2026-02-25
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $56,264.59 $68,642.80 $62,453.69 2026-02-25
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $43,960.53 $53,631.85 $48,796.19 2026-02-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $99,931.81 $139,904.53 $99,931.81 2026-02-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $71,332.11 $99,864.95 $71,332.11 2026-02-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $67,764.32 $94,870.05 $67,764.32 2026-02-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $125,592.88 $175,830.03 $125,592.88 2026-02-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $86,482.47 $121,075.46 $86,482.47 2026-02-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $86,482.47 $121,075.46 $86,482.47 2026-02-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 7 — — $62,622.35 $87,671.29 $62,622.35 2026-02-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 7 — — $79,548.05 $111,367.27 $79,548.05 2026-02-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 7 — — $93,251.02 $130,551.43 $93,251.02 2026-02-25
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 38 15 $111,584.00 $111,584.00 $753.73 $80,898.40 $67,257.26 2026-02-25
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $83,517.10 $101,890.86 $92,703.98 2026-02-25
Q2053 HCPCS Brexucabtagene Car Pos T 17 12 — — $89,888.00 $685,026.45 $489,304.61 2026-02-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 7 — — $48,430.42 $67,802.59 $48,430.42 2026-02-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 7 — — $49,783.89 $69,697.45 $49,783.89 2026-02-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 7 — — $73,651.32 $103,111.85 $73,651.32 2026-02-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 8 — — $95,081.03 $133,113.44 $95,081.03 2026-02-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 7 — — $49,220.54 $68,908.76 $49,220.54 2026-02-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 7 — — $51,877.51 $72,628.51 $51,877.51 2026-02-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 12 — — $91,876.29 $746,522.24 $533,230.17 2026-02-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 7 — — $72,545.36 $101,563.50 $72,545.36 2026-02-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 7 — — $78,610.37 $110,054.52 $78,610.37 2026-02-25
84 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $64,857.32 $79,125.93 $71,991.62 2026-02-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 7 — — $57,802.28 $80,923.19 $57,802.28 2026-02-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 7 — — $90,172.19 $126,241.07 $90,172.19 2026-02-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 7 — — $48,830.34 $68,362.48 $48,830.34 2026-02-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 7 — — $58,652.16 $82,113.02 $58,652.16 2026-02-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 7 — — $66,319.40 $92,847.16 $66,319.40 2026-02-25
14 MS_DRG Allogeneic Bone Marrow Transplant 8 7 — — $152,846.42 $213,984.99 $152,846.42 2026-02-25
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $133,615.15 $163,010.48 $148,312.82 2026-02-25
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $76,591.87 $93,442.08 $85,016.98 2026-02-25
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $60,331.25 $73,604.13 $66,967.69 2026-02-25
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $47,581.79 $58,049.78 $52,815.79 2026-02-25
265 MS_DRG Aicd Lead Procedures 8 7 — — $50,425.25 $70,595.35 $50,425.25 2026-02-25
245 MS_DRG Aicd Generator Procedures 8 7 — — $61,938.29 $86,713.61 $61,938.29 2026-02-25
Q2057 HCPCS Afamitresgene Autoleucel 10 8 — — $770,620.00 $1,078,868.00 $770,620.00 2026-02-25
850 MS_DRG Acute Leukemia With Other Procedures 8 7 — — $111,895.99 $156,654.39 $111,895.99 2026-02-25
834 MS_DRG Acute Leukemia With Mcc 8 7 — — $73,247.72 $102,546.81 $73,247.72 2026-02-25
6904 APR_DRG Acute Leukemia 2 2 — — $48,081.23 $58,659.10 $53,370.17 2026-02-25
64654 CPT 1st Opn Implt Bat Modulj Sys 10 8 — — $56,651.13 $79,311.58 $56,651.13 2026-02-25
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