Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

LOS ANGELES GENERAL MEDICAL CENTER

Los Angeles, CA · CCN 050373 · Rates published

22,502 distinct procedures filed
4 distinct payers
207,336 rate rows
2026-07-15 last MRF observed
Data quality

202,529 of 207,336 rate rows are consumer-grade (97.7%)

4,807 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
template filing: same amount across many unrelated codes — excluded 4,101
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 330
placeholder amount (≤ $0.02) — excluded from medians 322
per-diem day rate — not a per-procedure price 54
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://file.lacounty.gov/SDSInter/dhs/1157354_956000927_LosAngelesGeneralMedicalCenter_standardcharges.csv
Found on page https://dhs.lacounty.gov/patient-information/get-coverage/hospital-price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint 658f927d531d3707… · 53,526,902 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		"inj, Hemgenix, Per Tx Dose" 3 $4,325,397.49 $4,974,207.11 $4,325,397.49 nat. median
$3,710,000
1.2× median
J1413
HCPCS 		"inj Delandistrogene Mox Rokl" 3 $3,892,532.14 $4,476,411.96 $3,892,532.14 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		"inj, Lovotibeglogene Autotem" 3 $3,812,700.74 $4,384,605.85 $3,812,700.74 nat. median
$3,286,000
1.2× median
J3393
HCPCS 		"inj, Betibeglogene Autotemce" 3 $3,457,415.04 $3,976,027.30 $3,457,415.04 nat. median
$2,997,086
1.2× median
J3399
HCPCS 		"inj Onase Abepar-xioi Treat" 3 $2,881,563.32 $3,313,797.82 $2,881,563.32 nat. median
$2,460,273
1.2× median
J3392
HCPCS 		"inj, Exagamglogene Autotem" 3 $2,737,068.40 $4,926,723.12 $2,737,068.40 nat. median
$2,405,851
1.1× median
5834
APR_DRG 		"neonate With Ecmo" 1 $1,481,277.73 $1,925,661.05 $1,866,409.94 nat. median
$311,018
outlier · 6.0×
5884
APR_DRG 		"neonate Birth Weight < 1500 Grams With Major Procedure" 1 $1,475,871.22 $1,918,632.59 $1,859,597.74 nat. median
$254,667
outlier · 7.3×
5914
APR_DRG 		"neonate Birth Weight 500-749 Grams Without Major Procedure" 1 $1,176,711.00 $1,529,724.30 $1,482,655.86 nat. median
$168,361
outlier · 8.8×
5883
APR_DRG 		"neonate Birth Weight < 1500 Grams With Major Procedure" 1 $1,125,614.18 $1,463,298.43 $1,418,273.87 nat. median
$180,995
outlier · 7.8×
5934
APR_DRG 		"neonate Birth Weight 750-999 Grams Without Major Procedure" 1 $1,076,213.52 $1,399,077.58 $1,356,029.04 nat. median
$156,285
outlier · 8.7×
5882
APR_DRG 		"neonate Birth Weight < 1500 Grams With Major Procedure" 1 $1,047,166.78 $1,361,316.81 $1,319,430.14 nat. median
$147,847
outlier · 8.9×
6094
APR_DRG 		"neonate Birth Weight 1500-2499 Grams With Major Procedure" 1 $1,042,290.32 $1,354,977.42 $1,313,285.80 nat. median
$168,174
outlier · 7.8×
5881
APR_DRG 		"neonate Birth Weight < 1500 Grams With Major Procedure" 1 $994,797.84 $1,293,237.19 $1,253,445.28 nat. median
$120,928
outlier · 10.4×
5913
APR_DRG 		"neonate Birth Weight 500-749 Grams Without Major Procedure" 1 $977,200.18 $1,270,360.23 $1,231,272.23 nat. median
$108,751
outlier · 11.3×
5891
APR_DRG 		"neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $932,463.96 $1,212,203.15 $1,174,904.59 nat. median
$96,420
outlier · 12.2×
5833
APR_DRG 		"neonate With Ecmo" 1 $898,964.80 $1,168,654.24 $1,132,695.65 nat. median
$250,089
outlier · 4.5×
5933
APR_DRG 		"neonate Birth Weight 750-999 Grams Without Major Procedure" 1 $880,731.08 $1,144,950.40 $1,109,721.16 nat. median
$112,711
outlier · 9.8×
6314
APR_DRG 		"neonate Birth Weight > 2499 Grams With Other Major Procedure" 1 $878,928.91 $1,142,607.58 $1,107,450.43 nat. median
$147,677
outlier · 7.5×
5912
APR_DRG 		"neonate Birth Weight 500-749 Grams Without Major Procedure" 1 $868,115.89 $1,128,550.66 $1,093,826.02 nat. median
$84,000
outlier · 13.0×
6024
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $850,624.24 $1,105,811.51 $1,071,786.54 nat. median
$123,690
outlier · 8.7×
5892
APR_DRG 		"neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $791,258.64 $1,028,636.23 $996,985.89 nat. median
$89,188
outlier · 11.2×
6034
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition" 1 $741,221.92 $963,588.50 $933,939.62 nat. median
$109,499
outlier · 8.5×
5932
APR_DRG 		"neonate Birth Weight 750-999 Grams Without Major Procedure" 1 $738,147.63 $959,591.92 $930,066.01 nat. median
$89,063
outlier · 10.4×
6074
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 1 $699,347.97 $909,152.36 $881,178.44 nat. median
$99,613
outlier · 8.8×
6023
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $695,955.65 $904,742.34 $876,904.12 nat. median
$92,000
outlier · 9.5×
6084
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition" 1 $654,187.71 $850,444.02 $824,276.51 nat. median
$64,930
outlier · 12.7×
5931
APR_DRG 		"neonate Birth Weight 750-999 Grams Without Major Procedure" 1 $590,793.73 $768,031.85 $744,400.10 nat. median
$29,157
outlier · 25.5×
8634
APR_DRG 		"neonatal Aftercare" 1 $564,927.29 $734,405.48 $711,808.39 nat. median
$72,289
outlier · 9.8×
6073
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 1 $561,959.01 $730,546.71 $708,068.35 nat. median
$70,524
outlier · 10.0×
6022
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $561,322.95 $729,719.83 $707,266.92 nat. median
$72,941
outlier · 9.7×
6114
APR_DRG 		"neonate Birth Weight 1500-1999 Grams With Major Anomaly" 1 $560,580.88 $728,755.14 $706,331.91 nat. median
$79,344
outlier · 8.9×
6033
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition" 1 $554,856.34 $721,313.24 $699,118.99 nat. median
$61,662
outlier · 11.3×
8414
APR_DRG 		"extensive Third Degree Burns With Skin Graft" 1 $517,222.79 $853,417.60 $672,389.63 nat. median
$165,646
outlier · 4.1×
18
MS_DRG 		"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 3 $664,899.07 $1,196,818.33 $664,899.07 nat. median
$370,165
1.8× median
44
APR_DRG 		"tracheostomy With Mv >96 Hours With Extensive Procedure" 1 $494,960.69 $643,448.90 $623,650.47 nat. median
$127,600
outlier · 4.9×
6304
APR_DRG 		"neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure" 1 $484,677.72 $630,081.04 $610,693.93 nat. median
$160,171
outlier · 3.8×
6083
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition" 1 $483,511.61 $628,565.09 $609,224.63 nat. median
$53,072
outlier · 11.5×
6124
APR_DRG 		"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 1 $477,045.00 $620,158.50 $601,076.70 nat. median
$69,517
outlier · 8.6×
6144
APR_DRG 		"neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio… 1 $465,277.89 $604,861.26 $586,250.14 nat. median
$49,159
outlier · 11.9×
7404
APR_DRG 		"mental Illness Diagnosis With O.r. Procedure" 1 $443,651.85 $576,747.41 $559,001.33 nat. median
$36,468
outlier · 15.3×
1614
APR_DRG 		"implantable Heart Assist Systems" 1 $433,474.89 $563,517.36 $546,178.36 nat. median
$209,486
outlier · 2.6×
6021
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $432,202.77 $561,863.60 $544,575.49 nat. median
$31,211
outlier · 17.4×
6072
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 1 $428,386.41 $556,902.33 $539,766.88 nat. median
$53,300
outlier · 10.1×
5831
APR_DRG 		"neonate With Ecmo" 1 $426,266.21 $554,146.07 $537,095.42 nat. median
$154,685
outlier · 3.5×
5832
APR_DRG 		"neonate With Ecmo" 1 $426,266.21 $554,146.07 $537,095.42 nat. median
$169,230
outlier · 3.2×
54
APR_DRG 		"tracheostomy With Mv >96 Hours Without Extensive Procedure" 1 $420,117.63 $546,152.92 $529,348.21 nat. median
$88,000
outlier · 6.0×
6032
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition" 1 $406,336.33 $528,237.23 $511,983.78 nat. median
$39,435
outlier · 13.0×
6093
APR_DRG 		"neonate Birth Weight 1500-2499 Grams With Major Procedure" 1 $398,067.55 $517,487.82 $501,565.11 nat. median
$72,146
outlier · 7.0×
6123
APR_DRG 		"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 1 $388,420.64 $504,946.83 $489,410.01 nat. median
$46,953
outlier · 10.4×

Other procedures at this hospital

Browse this hospital's 22,502 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS "inj, Hemgenix, Per Tx Dose" 5 3 — — $4,325,397.49 $4,974,207.11 $4,325,397.49 2026-07-15
J1413 HCPCS "inj Delandistrogene Mox Rokl" 5 3 — — $3,892,532.14 $4,476,411.96 $3,892,532.14 2026-07-15
J3394 HCPCS "inj, Lovotibeglogene Autotem" 5 3 — — $3,812,700.74 $4,384,605.85 $3,812,700.74 2026-07-15
J3393 HCPCS "inj, Betibeglogene Autotemce" 5 3 — — $3,457,415.04 $3,976,027.30 $3,457,415.04 2026-07-15
J3399 HCPCS "inj Onase Abepar-xioi Treat" 5 3 — — $2,881,563.32 $3,313,797.82 $2,881,563.32 2026-07-15
J3392 HCPCS "inj, Exagamglogene Autotem" 6 3 — — $2,737,068.40 $4,926,723.12 $2,737,068.40 2026-07-15
5834 APR_DRG "neonate With Ecmo" 5 1 — — $1,481,277.73 $1,925,661.05 $1,866,409.94 2026-07-15
5884 APR_DRG "neonate Birth Weight < 1500 Grams With Major Procedure" 5 1 — — $1,475,871.22 $1,918,632.59 $1,859,597.74 2026-07-15
5914 APR_DRG "neonate Birth Weight 500-749 Grams Without Major Procedure" 5 1 — — $1,176,711.00 $1,529,724.30 $1,482,655.86 2026-07-15
5883 APR_DRG "neonate Birth Weight < 1500 Grams With Major Procedure" 5 1 — — $1,125,614.18 $1,463,298.43 $1,418,273.87 2026-07-15
5934 APR_DRG "neonate Birth Weight 750-999 Grams Without Major Procedure" 5 1 — — $1,076,213.52 $1,399,077.58 $1,356,029.04 2026-07-15
5882 APR_DRG "neonate Birth Weight < 1500 Grams With Major Procedure" 5 1 — — $1,047,166.78 $1,361,316.81 $1,319,430.14 2026-07-15
6094 APR_DRG "neonate Birth Weight 1500-2499 Grams With Major Procedure" 5 1 — — $1,042,290.32 $1,354,977.42 $1,313,285.80 2026-07-15
5881 APR_DRG "neonate Birth Weight < 1500 Grams With Major Procedure" 5 1 — — $994,797.84 $1,293,237.19 $1,253,445.28 2026-07-15
5913 APR_DRG "neonate Birth Weight 500-749 Grams Without Major Procedure" 5 1 — — $977,200.18 $1,270,360.23 $1,231,272.23 2026-07-15
5891 APR_DRG "neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 1 — — $932,463.96 $1,212,203.15 $1,174,904.59 2026-07-15
5833 APR_DRG "neonate With Ecmo" 5 1 — — $898,964.80 $1,168,654.24 $1,132,695.65 2026-07-15
5933 APR_DRG "neonate Birth Weight 750-999 Grams Without Major Procedure" 5 1 — — $880,731.08 $1,144,950.40 $1,109,721.16 2026-07-15
6314 APR_DRG "neonate Birth Weight > 2499 Grams With Other Major Procedure" 5 1 — — $878,928.91 $1,142,607.58 $1,107,450.43 2026-07-15
5912 APR_DRG "neonate Birth Weight 500-749 Grams Without Major Procedure" 5 1 — — $868,115.89 $1,128,550.66 $1,093,826.02 2026-07-15
6024 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $850,624.24 $1,105,811.51 $1,071,786.54 2026-07-15
5892 APR_DRG "neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 1 — — $791,258.64 $1,028,636.23 $996,985.89 2026-07-15
6034 APR_DRG "neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition" 5 1 — — $741,221.92 $963,588.50 $933,939.62 2026-07-15
5932 APR_DRG "neonate Birth Weight 750-999 Grams Without Major Procedure" 5 1 — — $738,147.63 $959,591.92 $930,066.01 2026-07-15
6074 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $699,347.97 $909,152.36 $881,178.44 2026-07-15
6023 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $695,955.65 $904,742.34 $876,904.12 2026-07-15
6084 APR_DRG "neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition" 5 1 — — $654,187.71 $850,444.02 $824,276.51 2026-07-15
5931 APR_DRG "neonate Birth Weight 750-999 Grams Without Major Procedure" 5 1 — — $590,793.73 $768,031.85 $744,400.10 2026-07-15
8634 APR_DRG "neonatal Aftercare" 5 1 — — $564,927.29 $734,405.48 $711,808.39 2026-07-15
6073 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $561,959.01 $730,546.71 $708,068.35 2026-07-15
6022 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $561,322.95 $729,719.83 $707,266.92 2026-07-15
6114 APR_DRG "neonate Birth Weight 1500-1999 Grams With Major Anomaly" 5 1 — — $560,580.88 $728,755.14 $706,331.91 2026-07-15
6033 APR_DRG "neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition" 5 1 — — $554,856.34 $721,313.24 $699,118.99 2026-07-15
8414 APR_DRG "extensive Third Degree Burns With Skin Graft" 5 1 — — $517,222.79 $853,417.60 $672,389.63 2026-07-15
18 MS_DRG "chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 7 3 — — $664,899.07 $1,196,818.33 $664,899.07 2026-07-15
44 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $494,960.69 $643,448.90 $623,650.47 2026-07-15
6304 APR_DRG "neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure" 5 1 — — $484,677.72 $630,081.04 $610,693.93 2026-07-15
6083 APR_DRG "neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition" 5 1 — — $483,511.61 $628,565.09 $609,224.63 2026-07-15
6124 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $477,045.00 $620,158.50 $601,076.70 2026-07-15
6144 APR_DRG "neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio… 5 1 — — $465,277.89 $604,861.26 $586,250.14 2026-07-15
7404 APR_DRG "mental Illness Diagnosis With O.r. Procedure" 5 1 — — $443,651.85 $576,747.41 $559,001.33 2026-07-15
1614 APR_DRG "implantable Heart Assist Systems" 5 1 — — $433,474.89 $563,517.36 $546,178.36 2026-07-15
6021 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $432,202.77 $561,863.60 $544,575.49 2026-07-15
6072 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $428,386.41 $556,902.33 $539,766.88 2026-07-15
5831 APR_DRG "neonate With Ecmo" 5 1 — — $426,266.21 $554,146.07 $537,095.42 2026-07-15
5832 APR_DRG "neonate With Ecmo" 5 1 — — $426,266.21 $554,146.07 $537,095.42 2026-07-15
54 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $420,117.63 $546,152.92 $529,348.21 2026-07-15
6032 APR_DRG "neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition" 5 1 — — $406,336.33 $528,237.23 $511,983.78 2026-07-15
6093 APR_DRG "neonate Birth Weight 1500-2499 Grams With Major Procedure" 5 1 — — $398,067.55 $517,487.82 $501,565.11 2026-07-15
6123 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $388,420.64 $504,946.83 $489,410.01 2026-07-15
6214 APR_DRG "neonate Birth Weight 2000-2499 Grams With Major Anomaly" 5 1 — — $380,893.93 $495,162.11 $479,926.35 2026-07-15
94 APR_DRG "extracorporeal Membrane Oxygenation (ecmo)" 5 1 — — $368,702.78 $479,313.61 $464,565.50 2026-07-15
6113 APR_DRG "neonate Birth Weight 1500-1999 Grams With Major Anomaly" 5 1 — — $363,932.33 $473,112.03 $458,554.74 2026-07-15
6133 APR_DRG "neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection" 5 1 — — $354,073.40 $460,295.42 $446,132.48 2026-07-15
6134 APR_DRG "neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection" 5 1 — — $354,073.40 $460,295.42 $446,132.48 2026-07-15
43 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $349,726.99 $454,645.09 $440,656.01 2026-07-15
8633 APR_DRG "neonatal Aftercare" 5 1 — — $349,302.95 $454,093.84 $440,121.72 2026-07-15
6234 APR_DRG "neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection" 5 1 — — $347,182.75 $451,337.58 $437,450.27 2026-07-15
6143 APR_DRG "neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio… 5 1 — — $334,991.60 $435,489.08 $422,089.42 2026-07-15
8424 APR_DRG "burns With Skin Graft Except Extensive Third Degree Burns" 5 1 — — $314,955.71 $519,676.92 $409,442.42 2026-07-15
7594 APR_DRG "eating Disorders" 5 1 — — $322,376.41 $419,089.33 $406,194.28 2026-07-15
6313 APR_DRG "neonate Birth Weight > 2499 Grams With Other Major Procedure" 5 1 — — $322,376.41 $419,089.33 $406,194.28 2026-07-15
6334 APR_DRG "neonate Birth Weight > 2499 Grams With Major Anomaly" 5 1 — — $321,634.34 $418,124.64 $405,259.27 2026-07-15
114 APR_DRG "chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 5 1 — — $321,528.33 $417,986.83 $405,125.70 2026-07-15
1604 APR_DRG "major Cardiothoracic Repair Of Heart Anomaly" 5 1 — — $319,726.16 $415,644.01 $402,854.96 2026-07-15
53 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $318,136.01 $413,576.81 $400,851.37 2026-07-15
6082 APR_DRG "neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition" 5 1 — — $316,439.85 $411,371.80 $398,714.21 2026-07-15
1613 APR_DRG "implantable Heart Assist Systems" 5 1 — — $315,909.80 $410,682.74 $398,046.35 2026-07-15
6071 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $313,683.59 $407,788.67 $395,241.32 2026-07-15
7614 APR_DRG "schizoaffective Disorders" 5 1 — — $287,923.16 $374,300.11 $362,783.18 2026-07-15
927 MS_DRG "extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft" 7 3 — — $362,647.16 $725,294.32 $362,647.16 2026-07-15
3 MS_DRG "ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mout… 7 3 — — $362,010.81 $651,619.46 $362,010.81 2026-07-15
6092 APR_DRG "neonate Birth Weight 1500-2499 Grams With Major Procedure" 5 1 — — $281,668.57 $366,169.14 $354,902.40 2026-07-15
4284 APR_DRG "genetic Disorders" 5 1 — — $280,290.44 $364,377.57 $353,165.95 2026-07-15
6122 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $277,958.22 $361,345.69 $350,227.36 2026-07-15
6254 APR_DRG "neonate Birth Weight 2000-2499 Grams With Other Significant Condition" 5 1 — — $275,626.00 $358,313.80 $347,288.76 2026-07-15
7584 APR_DRG "disorders Of Impulse Control & Development" 5 1 — — $270,855.55 $352,112.22 $341,277.99 2026-07-15
6303 APR_DRG "neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure" 5 1 — — $263,752.88 $342,878.74 $332,328.63 2026-07-15
7574 APR_DRG "organic Mental Health Conditions And Disturbances" 5 1 — — $257,180.26 $334,334.34 $324,047.13 2026-07-15
6224 APR_DRG "neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $255,802.13 $332,542.77 $322,310.68 2026-07-15
6213 APR_DRG "neonate Birth Weight 2000-2499 Grams With Major Anomaly" 5 1 — — $253,999.96 $330,199.95 $320,039.95 2026-07-15
6253 APR_DRG "neonate Birth Weight 2000-2499 Grams With Other Significant Condition" 5 1 — — $248,381.43 $322,895.86 $312,960.60 2026-07-15
6233 APR_DRG "neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection" 5 1 — — $247,003.30 $321,104.29 $311,224.16 2026-07-15
6954 APR_DRG "chemotherapy For Acute Leukemia" 5 1 — — $242,550.88 $315,316.14 $305,614.11 2026-07-15
6223 APR_DRG "neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $241,490.78 $313,938.01 $304,278.38 2026-07-15
J3403 HCPCS "revakinagene, Per Implant" 6 3 — — $302,227.75 $544,009.95 $302,227.75 2026-07-15
3614 APR_DRG "skin Graft For Skin And Subcutaneous Tissue Diagnoses" 5 1 — — $239,052.55 $310,768.32 $301,206.21 2026-07-15
6112 APR_DRG "neonate Birth Weight 1500-1999 Grams With Major Anomaly" 5 1 — — $235,024.17 $305,531.42 $296,130.45 2026-07-15
8413 APR_DRG "extensive Third Degree Burns With Skin Graft" 5 1 — — $226,119.33 $373,096.89 $293,955.13 2026-07-15
6132 APR_DRG "neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection" 5 1 — — $233,009.98 $302,912.97 $293,592.57 2026-07-15
52 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $230,783.77 $300,018.90 $290,787.55 2026-07-15
6904 APR_DRG "acute Leukemia" 5 1 — — $230,465.74 $299,605.46 $290,386.83 2026-07-15
7514 APR_DRG "depressive Disorders" 5 1 — — $225,589.28 $293,266.06 $284,242.49 2026-07-15
914 APR_DRG "other Major Head And Neck Procedures" 5 1 — — $224,847.21 $292,301.37 $283,307.48 2026-07-15
6804 APR_DRG "major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms" 5 1 — — $223,257.06 $290,234.18 $281,303.90 2026-07-15
6814 APR_DRG "other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms" 5 1 — — $220,606.81 $286,788.85 $277,964.58 2026-07-15
3124 APR_DRG "skin Graft For Musculoskeletal And Connective Tissue Diagnoses" 5 1 — — $220,394.79 $286,513.23 $277,697.44 2026-07-15
93 APR_DRG "extracorporeal Membrane Oxygenation (ecmo)" 5 1 — — $217,426.51 $282,654.46 $273,957.40 2026-07-15
42 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $214,034.19 $278,244.45 $269,683.08 2026-07-15
7534 APR_DRG "bipolar Disorders" 5 1 — — $212,550.05 $276,315.07 $267,813.06 2026-07-15
1624 APR_DRG "cardiac Valve Procedures With Ami Or Complex Principal Diagnosis" 5 1 — — $210,853.89 $274,110.06 $265,675.90 2026-07-15
2614 APR_DRG "major Biliary Tract Procedures" 5 1 — — $210,641.87 $273,834.43 $265,408.76 2026-07-15
4054 APR_DRG "other Procedures For Endocrine, Nutritional And Metabolic Disorders" 5 1 — — $206,931.52 $269,010.98 $260,733.72 2026-07-15
7403 APR_DRG "mental Illness Diagnosis With O.r. Procedure" 5 1 — — $206,401.47 $268,321.91 $260,065.85 2026-07-15
6344 APR_DRG "neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other M… 5 1 — — $204,599.30 $265,979.09 $257,795.12 2026-07-15
6142 APR_DRG "neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio… 5 1 — — $202,691.12 $263,498.46 $255,390.81 2026-07-15
1304 APR_DRG "respiratory System Diagnosis With Ventilator Support > 96 Hours" 5 1 — — $202,373.09 $263,085.02 $254,990.09 2026-07-15
8412 APR_DRG "extensive Third Degree Burns With Skin Graft" 5 1 — — $193,998.30 $320,097.20 $252,197.79 2026-07-15
4474 APR_DRG "other Kidney, Urinary Tract And Related Non-percutaneous Procedures" 5 1 — — $199,404.81 $259,226.25 $251,250.06 2026-07-15
7613 APR_DRG "schizoaffective Disorders" 5 1 — — $198,238.70 $257,710.31 $249,780.76 2026-07-15
9504 APR_DRG "extensive O.r. Procedure Unrelated To Principal Diagnosis" 5 1 — — $197,072.59 $256,194.37 $248,311.46 2026-07-15
4 MS_DRG "tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Ne… 7 3 — — $246,852.64 $444,334.75 $246,852.64 2026-07-15
2204 APR_DRG "major Stomach, Esophageal And Duodenal Procedures" 5 1 — — $194,422.34 $252,749.04 $244,972.15 2026-07-15
234 APR_DRG "spinal Procedures" 5 1 — — $192,832.19 $250,681.85 $242,968.56 2026-07-15
8632 APR_DRG "neonatal Aftercare" 5 1 — — $192,302.14 $249,992.78 $242,300.70 2026-07-15
6081 APR_DRG "neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition" 5 1 — — $192,090.12 $249,717.16 $242,033.55 2026-07-15
J3402 HCPCS "inj. Remestemcel-l-rknd/ Td" 6 3 — — $241,359.67 $434,447.41 $241,359.67 2026-07-15
6121 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $190,499.97 $247,649.96 $240,029.96 2026-07-15
4014 APR_DRG "adrenal Procedures" 5 1 — — $190,393.96 $247,512.15 $239,896.39 2026-07-15
8411 APR_DRG "extensive Third Degree Burns With Skin Graft" 5 1 — — $184,351.39 $304,179.79 $239,656.81 2026-07-15
3034 APR_DRG "dorsal And Lumbar Fusion Procedure For Curvature Of Back" 5 1 — — $189,015.83 $245,720.58 $238,159.95 2026-07-15
4844 APR_DRG "other Male Reproductive System And Related Procedures" 5 1 — — $188,485.78 $245,031.51 $237,492.08 2026-07-15
2304 APR_DRG "major Small Bowel Procedures" 5 1 — — $185,835.53 $241,586.19 $234,152.77 2026-07-15
7114 APR_DRG "post-operative, Post-trauma, Other Device Infections With O.r. Procedure" 5 1 — — $180,110.99 $297,183.13 $234,144.29 2026-07-15
264 APR_DRG "other Nervous System And Related Procedures" 5 1 — — $185,729.52 $241,448.38 $234,019.20 2026-07-15
4414 APR_DRG "major Bladder Procedures" 5 1 — — $184,245.38 $239,518.99 $232,149.18 2026-07-15
214 APR_DRG "open Craniotomy Except Trauma" 5 1 — — $178,520.84 $294,559.39 $232,077.09 2026-07-15
434 APR_DRG "multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies" 5 1 — — $183,079.27 $238,003.05 $230,679.88 2026-07-15
5204 APR_DRG "other GYN Procedures For Malignancy" 5 1 — — $181,383.11 $235,798.04 $228,542.72 2026-07-15
4283 APR_DRG "genetic Disorders" 5 1 — — $181,171.09 $235,522.42 $228,275.57 2026-07-15
8423 APR_DRG "burns With Skin Graft Except Extensive Third Degree Burns" 5 1 — — $174,068.42 $287,212.89 $226,288.95 2026-07-15
224 APR_DRG "ventricular Shunt Procedures" 5 1 — — $179,368.92 $233,179.60 $226,004.84 2026-07-15
494 APR_DRG "bacterial And Tuberculous Infections Of Nervous System" 5 1 — — $178,944.88 $232,628.34 $225,470.55 2026-07-15
6364 APR_DRG "neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection" 5 1 — — $178,838.87 $232,490.53 $225,336.98 2026-07-15
1214 APR_DRG "other Respiratory And Chest Procedures" 5 1 — — $178,838.87 $232,490.53 $225,336.98 2026-07-15
1612 APR_DRG "implantable Heart Assist Systems" 5 1 — — $178,202.81 $231,663.65 $224,535.54 2026-07-15
924 APR_DRG "facial Bone Procedures Except Major Cranial Or Facial Bone Procedures" 5 1 — — $177,990.79 $231,388.03 $224,268.40 2026-07-15
6514 APR_DRG "other Procedures Of Blood And Blood-forming Organs" 5 1 — — $177,566.75 $230,836.77 $223,734.11 2026-07-15
9514 APR_DRG "moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis" 5 1 — — $177,460.74 $230,698.96 $223,600.53 2026-07-15
3054 APR_DRG "amputation Of Lower Limb Except Toes" 5 1 — — $177,036.70 $230,147.71 $223,066.24 2026-07-15
6363 APR_DRG "neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection" 5 1 — — $176,930.69 $230,009.90 $222,932.67 2026-07-15
41 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $176,718.67 $229,734.27 $222,665.52 2026-07-15
6333 APR_DRG "neonate Birth Weight > 2499 Grams With Major Anomaly" 5 1 — — $176,718.67 $229,734.27 $222,665.52 2026-07-15
9104 APR_DRG "craniotomy For Multiple Significant Trauma" 5 1 — — $171,206.15 $282,490.15 $222,567.99 2026-07-15
2604 APR_DRG "major Pancreas, Liver And Shunt Procedures" 5 1 — — $176,082.61 $228,907.39 $221,864.09 2026-07-15
894 APR_DRG "major Cranial Or Facial Bone Procedures" 5 1 — — $175,552.56 $228,218.33 $221,196.23 2026-07-15
7593 APR_DRG "eating Disorders" 5 1 — — $175,446.55 $228,080.52 $221,062.65 2026-07-15
1634 APR_DRG "cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis" 5 1 — — $174,386.45 $226,702.39 $219,726.93 2026-07-15
6312 APR_DRG "neonate Birth Weight > 2499 Grams With Other Major Procedure" 5 1 — — $173,750.39 $225,875.51 $218,925.49 2026-07-15
1654 APR_DRG "coronary Bypass With Ami Or Complex Principal Diagnosis" 5 1 — — $173,432.36 $225,462.07 $218,524.77 2026-07-15
3044 APR_DRG "dorsal And Lumbar Fusion Procedure Except For Curvature Of Back" 5 1 — — $173,114.33 $225,048.63 $218,124.06 2026-07-15
9524 APR_DRG "non-extensive O.r. Procedure Unrelated To Principal Diagnosis" 5 1 — — $172,372.26 $224,083.94 $217,189.05 2026-07-15
9124 APR_DRG "musculoskeletal And Other Procedures For Multiple Significant Trauma" 5 1 — — $165,269.59 $272,694.82 $214,850.47 2026-07-15
4854 APR_DRG "prostatectomy Procedures" 5 1 — — $170,252.06 $221,327.68 $214,517.60 2026-07-15
6222 APR_DRG "neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $169,934.03 $220,914.24 $214,116.88 2026-07-15
2324 APR_DRG "gastric Fundoplication" 5 1 — — $169,616.00 $220,500.80 $213,716.16 2026-07-15
734 APR_DRG "orbit And Eye Procedures" 5 1 — — $169,085.95 $219,811.73 $213,048.30 2026-07-15
6903 APR_DRG "acute Leukemia" 5 1 — — $168,979.94 $219,673.92 $212,914.72 2026-07-15
1204 APR_DRG "major Respiratory And Chest Procedures" 5 1 — — $168,979.94 $219,673.92 $212,914.72 2026-07-15
984 APR_DRG "other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures" 5 1 — — $168,767.92 $219,398.30 $212,647.58 2026-07-15
7924 APR_DRG "extensive O.r. Procedures For Other Complications Of Treatment" 5 1 — — $167,919.84 $218,295.79 $211,579.00 2026-07-15
7104 APR_DRG "infectious And Parasitic Diseases Including HIV With O.r. Procedure" 5 1 — — $167,813.83 $218,157.98 $211,445.43 2026-07-15
5124 APR_DRG "uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy" 5 1 — — $166,859.74 $216,917.66 $210,243.27 2026-07-15
9114 APR_DRG "extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma" 5 1 — — $161,347.22 $266,222.91 $209,751.39 2026-07-15
504 APR_DRG "non-bacterial Infections Of Nervous System Except Viral Meningitis" 5 1 — — $166,117.67 $215,952.97 $209,308.26 2026-07-15
5911 APR_DRG "neonate Birth Weight 500-749 Grams Without Major Procedure" 5 1 — — $166,117.67 $215,952.97 $209,308.26 2026-07-15
Q2053 HCPCS "brexucabtagene Car Pos T" 14 4 — — $140,398.83 $1,033,734.28 $209,194.26 2026-07-15
404 APR_DRG "spinal Disorders And Injuries" 5 1 — — $166,011.66 $215,815.16 $209,174.69 2026-07-15
4444 APR_DRG "renal Dialysis Access Device Procedures" 5 1 — — $165,799.64 $215,539.53 $208,907.55 2026-07-15
2994 APR_DRG "multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical" 5 1 — — $165,587.62 $215,263.91 $208,640.40 2026-07-15
1303 APR_DRG "respiratory System Diagnosis With Ventilator Support > 96 Hours" 5 1 — — $165,587.62 $215,263.91 $208,640.40 2026-07-15
3214 APR_DRG "spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures" 5 1 — — $165,375.60 $214,988.28 $208,373.26 2026-07-15
2314 APR_DRG "major Large Bowel Procedures" 5 1 — — $164,527.52 $213,885.78 $207,304.68 2026-07-15
5114 APR_DRG "uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy" 5 1 — — $163,997.47 $213,196.71 $206,636.81 2026-07-15
Q2042 HCPCS "tisagenlecleucel Car-pos T" 14 4 — — $138,364.88 $1,250,116.27 $206,163.67 2026-07-15
113 APR_DRG "chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 5 1 — — $163,573.43 $212,645.46 $206,102.52 2026-07-15
1674 APR_DRG "other Cardiothoracic And Thoracic Circulatory Procedures" 5 1 — — $162,831.36 $211,680.77 $205,167.51 2026-07-15
2644 APR_DRG "other Hepatobiliary, Pancreas And Abdominal Procedures" 5 1 — — $162,725.35 $211,542.95 $205,033.94 2026-07-15
274 APR_DRG "other Open Craniotomy" 5 1 — — $161,771.26 $210,302.64 $203,831.79 2026-07-15
3104 APR_DRG "vertebral And Intervertebral Spinal Procedures Including Disc Procedures" 5 1 — — $160,923.18 $209,200.13 $202,763.21 2026-07-15
2244 APR_DRG "peritoneal Adhesiolysis" 5 1 — — $160,287.12 $208,373.26 $201,961.77 2026-07-15
3634 APR_DRG "breast Procedures Except Mastectomy" 5 1 — — $159,545.05 $207,408.57 $201,026.76 2026-07-15
204 APR_DRG "open Craniotomy For Trauma" 5 1 — — $154,244.55 $254,503.51 $200,517.92 2026-07-15
4834 APR_DRG "penis, Testes And Scrotal Procedures" 5 1 — — $157,954.90 $205,341.37 $199,023.17 2026-07-15
2274 APR_DRG "hernia Procedures Except Inguinal, Femoral And Umbilical" 5 1 — — $156,682.78 $203,687.61 $197,420.30 2026-07-15
3174 APR_DRG "tendon, Muscle And Other Soft Tissue Procedures" 5 1 — — $156,470.76 $203,411.99 $197,153.16 2026-07-15
Q2056 HCPCS "ciltacabtagene Car-pos T" 14 4 — — $132,244.34 $1,195,488.68 $197,044.07 2026-07-15
1804 APR_DRG "other Circulatory System Procedures" 5 1 — — $156,258.74 $203,136.36 $196,886.01 2026-07-15
6394 APR_DRG "neonate Birth Weight > 2499 Grams With Other Significant Condition" 5 1 — — $155,622.68 $202,309.48 $196,084.58 2026-07-15
5184 APR_DRG "other Female Reproductive System And Related Procedures" 5 1 — — $155,304.65 $201,896.05 $195,683.86 2026-07-15
584 APR_DRG "other Disorders Of Nervous System" 5 1 — — $154,986.62 $201,482.61 $195,283.14 2026-07-15
1664 APR_DRG "coronary Bypass Without Ami Or Complex Principal Diagnosis" 5 1 — — $154,880.61 $201,344.79 $195,149.57 2026-07-15
4044 APR_DRG "thyroid, Parathyroid And Thyroglossal Procedures" 5 1 — — $154,562.58 $200,931.35 $194,748.85 2026-07-15
Q2057 HCPCS "afamitresgene Autoleucel" 14 4 — — $130,351.10 $1,628,058.04 $194,223.14 2026-07-15
6914 APR_DRG "lymphoma, Myeloma And Non-acute Leukemia" 5 1 — — $154,138.54 $200,380.10 $194,214.56 2026-07-15
1814 APR_DRG "lower Extremity Vascular Procedures" 5 1 — — $154,032.53 $200,242.29 $194,080.99 2026-07-15
8904 APR_DRG "hiv With Multiple Major HIV Related Conditions" 5 1 — — $153,714.50 $199,828.85 $193,680.27 2026-07-15
6393 APR_DRG "neonate Birth Weight > 2499 Grams With Other Significant Condition" 5 1 — — $153,608.49 $199,691.04 $193,546.70 2026-07-15
1934 APR_DRG "acute And Subacute Endocarditis" 5 1 — — $153,396.47 $199,415.41 $193,279.55 2026-07-15
2234 APR_DRG "other Small And Large Bowel Procedures" 5 1 — — $152,760.41 $198,588.53 $192,478.12 2026-07-15
2224 APR_DRG "other Stomach, Esophageal And Duodenal Procedures" 5 1 — — $152,336.37 $198,037.28 $191,943.83 2026-07-15
6131 APR_DRG "neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection" 5 1 — — $152,336.37 $198,037.28 $191,943.83 2026-07-15
3644 APR_DRG "other Skin, Subcutaneous Tissue And Related Procedures" 5 1 — — $151,276.27 $196,659.15 $190,608.10 2026-07-15
3204 APR_DRG "other Musculoskeletal System And Connective Tissue Procedures" 5 1 — — $151,170.26 $196,521.34 $190,474.53 2026-07-15
7934 APR_DRG "moderately Extensive O.r. Procedures For Other Complications Of Treatment" 5 1 — — $150,216.17 $195,281.02 $189,272.37 2026-07-15
209 MS_DRG "complex Aortic Arch Procedures" 7 3 — — $188,700.38 $339,660.68 $188,700.38 2026-07-15
212 MS_DRG "concomitant Aortic And Mitral Valve Procedures" 7 3 — — $188,207.75 $338,773.95 $188,207.75 2026-07-15
Q2055 HCPCS "idecabtagene Vicleucel Car" 14 4 — — $126,136.95 $1,177,423.31 $187,944.05 2026-07-15
294 APR_DRG "other Percutaneous Intracranial Procedures" 5 1 — — $148,626.02 $193,213.83 $187,268.79 2026-07-15
Q2058 HCPCS "obecbtge Autol Up To 400 Mil" 14 4 — — $125,510.00 $587,847.65 $187,009.90 2026-07-15
4484 APR_DRG "other Kidney, Urinary Tract And Related Percutaneous Procedures" 5 1 — — $148,307.99 $192,800.39 $186,868.07 2026-07-15
4234 APR_DRG "inborn Errors Of Metabolism" 5 1 — — $148,201.98 $192,662.57 $186,734.49 2026-07-15
4434 APR_DRG "kidney And Urinary Tract Procedures For Non-malignancy" 5 1 — — $148,095.97 $192,524.76 $186,600.92 2026-07-15
5134 APR_DRG "uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma" 5 1 — — $147,989.96 $192,386.95 $186,467.35 2026-07-15
3004 APR_DRG "single Level Combined Anterior And Posterior Spinal Fusion Except Cervical" 5 1 — — $147,989.96 $192,386.95 $186,467.35 2026-07-15
3134 APR_DRG "knee And Lower Leg Procedures Except Foot" 5 1 — — $147,671.93 $191,973.51 $186,066.63 2026-07-15
4454 APR_DRG "other Bladder Procedures" 5 1 — — $147,035.87 $191,146.63 $185,265.20 2026-07-15
6252 APR_DRG "neonate Birth Weight 2000-2499 Grams With Other Significant Condition" 5 1 — — $146,823.85 $190,871.01 $184,998.05 2026-07-15
3094 APR_DRG "other Significant Hip And Femur Surgery" 5 1 — — $146,293.80 $190,181.94 $184,330.19 2026-07-15
Q2054 HCPCS "lisocabtagene Mara Car Pos T" 14 4 — — $123,464.13 $1,188,451.93 $183,961.55 2026-07-15
6264 APR_DRG "neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Prob… 5 1 — — $145,763.75 $189,492.88 $183,662.33 2026-07-15
6232 APR_DRG "neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection" 5 1 — — $145,551.73 $189,217.25 $183,395.18 2026-07-15
6924 APR_DRG "radiotherapy" 5 1 — — $145,233.70 $188,803.81 $182,994.46 2026-07-15
6343 APR_DRG "neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other M… 5 1 — — $145,021.68 $188,528.18 $182,727.32 2026-07-15
403 APR_DRG "spinal Disorders And Injuries" 5 1 — — $144,809.66 $188,252.56 $182,460.17 2026-07-15
426 MS_DRG "multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wi… 7 3 — — $181,864.16 $327,355.49 $181,864.16 2026-07-15
3444 APR_DRG "osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections" 5 1 — — $143,855.57 $187,012.24 $181,258.02 2026-07-15
1794 APR_DRG "defibrillator Implants" 5 1 — — $143,855.57 $187,012.24 $181,258.02 2026-07-15
1623 APR_DRG "cardiac Valve Procedures With Ami Or Complex Principal Diagnosis" 5 1 — — $143,537.54 $186,598.80 $180,857.30 2026-07-15
3144 APR_DRG "foot And Toe Procedures" 5 1 — — $143,325.52 $186,323.18 $180,590.16 2026-07-15
4624 APR_DRG "nephritis And Nephrosis" 5 1 — — $142,795.47 $185,634.11 $179,922.29 2026-07-15
6212 APR_DRG "neonate Birth Weight 2000-2499 Grams With Major Anomaly" 5 1 — — $142,265.42 $184,945.05 $179,254.43 2026-07-15
Q2041 HCPCS "axicabtagene Ciloleucel Car+" 14 4 — — $120,212.46 $1,126,534.05 $179,116.57 2026-07-15
3123 APR_DRG "skin Graft For Musculoskeletal And Connective Tissue Diagnoses" 5 1 — — $141,311.33 $183,704.73 $178,052.28 2026-07-15
1704 APR_DRG "permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock" 5 1 — — $141,099.31 $183,429.10 $177,785.13 2026-07-15
1302 APR_DRG "respiratory System Diagnosis With Ventilator Support > 96 Hours" 5 1 — — $141,099.31 $183,429.10 $177,785.13 2026-07-15
1144 APR_DRG "dental Diseases And Disorders" 5 1 — — $140,039.21 $182,050.97 $176,449.40 2026-07-15
1834 APR_DRG "percutaneous Structural Cardiac Procedures" 5 1 — — $140,039.21 $182,050.97 $176,449.40 2026-07-15
7944 APR_DRG "non-extensive O.r. Procedures For Other Complications Of Treatment" 5 1 — — $139,297.14 $181,086.28 $175,514.40 2026-07-15
4034 APR_DRG "procedures For Obesity" 5 1 — — $139,191.13 $180,948.47 $175,380.82 2026-07-15
3164 APR_DRG "hand And Wrist Procedures" 5 1 — — $138,979.11 $180,672.84 $175,113.68 2026-07-15
424 APR_DRG "degenerative Nervous System Disorders Except Multiple Sclerosis" 5 1 — — $138,873.10 $180,535.03 $174,980.11 2026-07-15
6111 APR_DRG "neonate Birth Weight 1500-1999 Grams With Major Anomaly" 5 1 — — $137,600.98 $178,881.27 $173,377.23 2026-07-15
583 APR_DRG "other Disorders Of Nervous System" 5 1 — — $136,964.92 $178,054.40 $172,575.80 2026-07-15
3613 APR_DRG "skin Graft For Skin And Subcutaneous Tissue Diagnoses" 5 1 — — $136,964.92 $178,054.40 $172,575.80 2026-07-15
1694 APR_DRG "major Abdominal Vascular Procedures" 5 1 — — $136,540.88 $177,503.14 $172,041.51 2026-07-15
4424 APR_DRG "kidney And Urinary Tract Procedures For Malignancy" 5 1 — — $135,480.78 $176,125.01 $170,705.78 2026-07-15
216 MS_DRG "cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriz… 7 3 — — $169,631.17 $305,336.11 $169,631.17 2026-07-15
7402 APR_DRG "mental Illness Diagnosis With O.r. Procedure" 5 1 — — $134,208.66 $174,471.26 $169,102.91 2026-07-15
4464 APR_DRG "urethral And Transurethral Procedures" 5 1 — — $133,996.64 $174,195.63 $168,835.77 2026-07-15
7523 APR_DRG "personality Disorders" 5 1 — — $133,784.62 $173,920.01 $168,568.62 2026-07-15
7524 APR_DRG "personality Disorders" 5 1 — — $133,784.62 $173,920.01 $168,568.62 2026-07-15
493 APR_DRG "bacterial And Tuberculous Infections Of Nervous System" 5 1 — — $133,360.58 $173,368.75 $168,034.33 2026-07-15
484 APR_DRG "peripheral, Cranial And Autonomic Nerve Disorders" 5 1 — — $133,254.57 $173,230.94 $167,900.76 2026-07-15
2824 APR_DRG "disorders Of Pancreas Except Malignancy" 5 1 — — $133,042.55 $172,955.32 $167,633.61 2026-07-15
2294 APR_DRG "other Digestive System And Abdominal Procedures" 5 1 — — $132,936.54 $172,817.50 $167,500.04 2026-07-15
3154 APR_DRG "shoulder, Upper Arm And Forearm Procedures Except Joint Replacement" 5 1 — — $132,936.54 $172,817.50 $167,500.04 2026-07-15
2264 APR_DRG "anal And Perineal Procedures" 5 1 — — $132,512.50 $172,266.25 $166,965.75 2026-07-15
4214 APR_DRG "malnutrition, Failure To Thrive And Other Nutritional Disorders" 5 1 — — $132,300.48 $171,990.62 $166,698.60 2026-07-15
7754 APR_DRG "alcohol Abuse And Dependence" 5 1 — — $132,194.47 $171,852.81 $166,565.03 2026-07-15
5174 APR_DRG "dilation And Curettage For Non-obstetric Diagnoses" 5 1 — — $131,134.37 $170,474.68 $165,229.31 2026-07-15
3814 APR_DRG "major Skin Disorders" 5 1 — — $131,028.36 $170,336.87 $165,095.73 2026-07-15
215 MS_DRG "other Heart Assist System Implant" 7 3 — — $164,905.50 $296,829.90 $164,905.50 2026-07-15
3464 APR_DRG "connective Tissue Disorders" 5 1 — — $130,816.34 $170,061.24 $164,828.59 2026-07-15
244 APR_DRG "open Extracranial Vascular Procedures" 5 1 — — $130,498.31 $169,647.80 $164,427.87 2026-07-15
850 MS_DRG "acute Leukemia With Other Procedures" 7 3 — — $163,969.01 $295,144.22 $163,969.01 2026-07-15
6953 APR_DRG "chemotherapy For Acute Leukemia" 5 1 — — $129,544.22 $168,407.49 $163,225.72 2026-07-15
2634 APR_DRG "cholecystectomy" 5 1 — — $129,438.21 $168,269.67 $163,092.14 2026-07-15
3434 APR_DRG "musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mal… 5 1 — — $129,014.17 $167,718.42 $162,557.85 2026-07-15
1824 APR_DRG "other Peripheral Vascular And Related Procedures" 5 1 — — $128,696.14 $167,304.98 $162,157.14 2026-07-15
3234 APR_DRG "non-elective Or Complex Hip Joint Replacement" 5 1 — — $128,060.08 $166,478.10 $161,355.70 2026-07-15
1924 APR_DRG "cardiac Catheterization For Other Non-coronary Conditions" 5 1 — — $127,742.05 $166,064.67 $160,954.98 2026-07-15
2284 APR_DRG "inguinal, Femoral And Umbilical Hernia Procedures" 5 1 — — $127,742.05 $166,064.67 $160,954.98 2026-07-15
7533 APR_DRG "bipolar Disorders" 5 1 — — $127,742.05 $166,064.67 $160,954.98 2026-07-15
5144 APR_DRG "female Reproductive System Reconstructive Procedures" 5 1 — — $127,212.00 $165,375.60 $160,287.12 2026-07-15
51 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $127,212.00 $165,375.60 $160,287.12 2026-07-15
913 APR_DRG "other Major Head And Neck Procedures" 5 1 — — $127,105.99 $165,237.79 $160,153.55 2026-07-15
5194 APR_DRG "uterine And Adnexa Procedures For Leiomyoma" 5 1 — — $126,469.93 $164,410.91 $159,352.11 2026-07-15
7244 APR_DRG "other Infectious And Parasitic Diseases" 5 1 — — $125,727.86 $163,446.22 $158,417.10 2026-07-15
7103 APR_DRG "infectious And Parasitic Diseases Including HIV With O.r. Procedure" 5 1 — — $125,091.80 $162,619.34 $157,615.67 2026-07-15
213 APR_DRG "open Craniotomy Except Trauma" 5 1 — — $120,851.40 $199,404.81 $157,106.82 2026-07-15
1104 APR_DRG "ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies" 5 1 — — $124,455.74 $161,792.46 $156,814.23 2026-07-15
2303 APR_DRG "major Small Bowel Procedures" 5 1 — — $123,713.67 $160,827.77 $155,879.22 2026-07-15
1714 APR_DRG "permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock" 5 1 — — $123,713.67 $160,827.77 $155,879.22 2026-07-15
429 MS_DRG "combined Anterior And Posterior Cervical Spinal Fusion With Mcc" 7 3 — — $155,759.90 $280,367.82 $155,759.90 2026-07-15
7214 APR_DRG "post-operative, Post-traumatic, Other Device Infections" 5 1 — — $119,473.27 $197,130.90 $155,315.25 2026-07-15
2334 APR_DRG "appendectomy With Complex Principal Diagnosis" 5 1 — — $123,077.61 $160,000.89 $155,077.79 2026-07-15
7583 APR_DRG "disorders Of Impulse Control & Development" 5 1 — — $123,077.61 $160,000.89 $155,077.79 2026-07-15
1653 APR_DRG "coronary Bypass With Ami Or Complex Principal Diagnosis" 5 1 — — $122,759.58 $159,587.45 $154,677.07 2026-07-15
8614 APR_DRG "signs, Symptoms And Other Factors Influencing Health Status" 5 1 — — $122,335.54 $159,036.20 $154,142.78 2026-07-15
7592 APR_DRG "eating Disorders" 5 1 — — $122,229.53 $158,898.39 $154,009.21 2026-07-15
3254 APR_DRG "non-elective Or Complex Knee Joint Replacement" 5 1 — — $122,017.51 $158,622.76 $153,742.06 2026-07-15
6302 APR_DRG "neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure" 5 1 — — $121,487.46 $157,933.70 $153,074.20 2026-07-15
6504 APR_DRG "splenic Procedures" 5 1 — — $121,063.42 $157,382.45 $152,539.91 2026-07-15
2454 APR_DRG "inflammatory Bowel Disease" 5 1 — — $120,745.39 $156,969.01 $152,139.19 2026-07-15
3804 APR_DRG "skin Ulcers" 5 1 — — $120,745.39 $156,969.01 $152,139.19 2026-07-15
1933 APR_DRG "acute And Subacute Endocarditis" 5 1 — — $119,791.30 $155,728.69 $150,937.04 2026-07-15
4824 APR_DRG "transurethral Prostatectomy" 5 1 — — $119,473.27 $155,315.25 $150,536.32 2026-07-15
4694 APR_DRG "acute Kidney Injury" 5 1 — — $119,155.24 $154,901.81 $150,135.60 2026-07-15
7113 APR_DRG "post-operative, Post-trauma, Other Device Infections With O.r. Procedure" 5 1 — — $115,232.87 $190,134.24 $149,802.73 2026-07-15
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