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

UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER

Sacramento, CA · CCN 050599 · Rates published

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This hospital’s price: $92 across 21 payers · range $69-$3,794

Source: https://health.ucdavis.edu/media-resources/news/documents/json/946036494_university-of-california-davis-medical-center_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,194 distinct procedures filed
52 distinct payers
374,376 rate rows
2026-04-01 last MRF observed
Data quality

272,027 of 374,376 rate rows are consumer-grade (72.7%)

102,349 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 61,220
template filing: same amount across many unrelated codes — excluded 40,827
placeholder amount (≤ $0.02) — excluded from medians 298
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://health.ucdavis.edu/media-resources/news/documents/json/UC-Davis-Health-Standard-Charges.json
Found on page https://health.ucdavis.edu/news/public-reporting/chargemaster
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03

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 9 $4,335,000.00 $4,955,500.00 $4,335,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $3,570,000.00 $4,200,000.00 $3,755,286.73 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,570,000.00 $4,200,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,570,000.00 $4,200,000.00 $3,570,000.00 nat. median
$3,605,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 12 $3,209,940.00 $3,776,400.00 $3,399,200.58 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,264,000.00 $3,840,000.00 $3,379,475.38 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 12 $3,162,000.00 $3,720,000.00 $3,310,166.19 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 12 $3,060,000.00 $3,600,000.00 $3,148,710.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 12 $2,856,000.00 $3,360,000.00 $3,001,709.06 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,455,110.60 $3,013,549.16 $2,561,516.79 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 12 $2,244,000.00 $2,640,000.00 $2,376,308.00 nat. median
$2,401,960
1.0× median
5834
APR_DRG 		Neonate With Ecmo 3 $1,698,871.21 $1,843,979.13 $1,843,979.13 nat. median
$307,273
outlier · 6.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $1,073,750.18 $1,183,801.85 $1,183,801.85 nat. median
$247,214
outlier · 4.8×
5833
APR_DRG 		Neonate With Ecmo 3 $1,025,735.14 $1,083,643.34 $1,083,643.34 nat. median
$244,017
outlier · 4.4×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $962,159.38 $1,049,869.49 $1,049,869.49 nat. median
$124,042
outlier · 8.5×
24
APR_DRG 		Heart And/Or Lung Transplant 3 $873,783.97 $1,029,945.09 $1,029,945.09 nat. median
$241,915
outlier · 4.3×
113
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $750,966.29 $930,838.89 $930,838.89 nat. median
$67,766
outlier · 13.7×
1614
APR_DRG 		Implantable Heart Assist Systems 3 $726,532.24 $870,556.87 $870,556.87 nat. median
$202,993
outlier · 4.3×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $738,806.39 $858,178.54 $858,178.54 nat. median
$162,514
outlier · 5.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $755,067.83 $857,721.62 $857,721.62 nat. median
$165,000
outlier · 5.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 3 $699,219.11 $816,297.85 $816,297.85 nat. median
$163,587
outlier · 5.0×
112
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $634,592.26 $806,768.34 $806,768.34 nat. median
$68,020
outlier · 11.9×
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $741,540.00 $4,122,817.00 $804,527.28 nat. median
$809,217
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $652,152.33 $736,454.89 $736,454.89 nat. median
$151,838
outlier · 4.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $621,548.83 $732,602.24 $732,602.24 nat. median
$156,153
outlier · 4.7×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $644,444.33 $732,380.71 $732,380.71 nat. median
$133,164
outlier · 5.5×
5832
APR_DRG 		Neonate With Ecmo 3 $643,671.25 $680,011.68 $680,011.68 nat. median
$159,249
outlier · 4.3×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $662,281.87 $695,075.68 $662,281.87 nat. median
$175,429
outlier · 3.8×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $584,623.56 $660,914.58 $660,914.58 nat. median
$120,517
outlier · 5.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $538,268.93 $652,471.98 $652,471.98 nat. median
$170,172
outlier · 3.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $534,167.39 $616,562.38 $616,562.38 nat. median
$122,016
outlier · 5.1×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $561,358.65 $608,303.24 $608,303.24 nat. median
$101,541
outlier · 6.0×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $130,410.44 $1,599,796.49 $593,067.41 nat. median
$359,358
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $547,606.88 $587,246.94 $587,246.94 nat. median
$154,011
outlier · 3.8×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 3 $495,395.09 $583,439.29 $583,439.29 nat. median
$136,728
outlier · 4.3×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 3 $476,323.12 $578,562.03 $578,562.03 nat. median
$118,589
outlier · 4.9×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $576,921.28 $670,359.82 $576,921.28 nat. median
$145,061
outlier · 4.0×
23
APR_DRG 		Heart And/Or Lung Transplant 3 $472,511.01 $559,094.56 $559,094.56 nat. median
$111,046
outlier · 5.0×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 26 $497,226.98 $3,009,579.29 $557,917.92 nat. median
$640,950
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 26 $555,310.44 $3,027,398.86 $555,310.44 nat. median
$646,415
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 26 $471,240.00 $2,852,781.41 $548,900.00 nat. median
$608,101
0.9× median
5831
APR_DRG 		Neonate With Ecmo 3 $543,097.85 $548,052.37 $548,052.37 nat. median
$146,591
outlier · 3.7×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 26 $508,376.11 $2,981,650.95 $544,161.80 nat. median
$622,245
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 26 $111.72 $3,165,735.18 $529,806.61 nat. median
$738,272
0.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $465,884.57 $519,443.07 $519,443.07 nat. median
$108,798
outlier · 4.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 26 $471,240.00 $2,617,779.65 $503,580.00 nat. median
$591,650
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $395,133.97 $501,990.19 $501,990.19 nat. median
$84,808
outlier · 5.9×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $445,864.34 $491,564.15 $491,564.15 nat. median
$120,505
outlier · 4.1×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $384,120.37 $489,746.87 $489,746.87 nat. median
$98,624
outlier · 5.0×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $455,815.43 $468,742.48 $468,742.48 nat. median
$82,224
outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 16,194 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 11 9 — — $4,335,000.00 $4,955,500.00 $4,335,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 12 — — $3,570,000.00 $4,200,000.00 $3,755,286.73 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 9 7 — — $3,570,000.00 $4,200,000.00 $3,570,000.00 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 9 7 — — $3,570,000.00 $4,200,000.00 $3,570,000.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 14 12 — — $3,209,940.00 $3,776,400.00 $3,399,200.58 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 12 — — $3,264,000.00 $3,840,000.00 $3,379,475.38 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 12 — — $3,162,000.00 $3,720,000.00 $3,310,166.19 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 14 12 — — $3,060,000.00 $3,600,000.00 $3,148,710.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 12 — — $2,856,000.00 $3,360,000.00 $3,001,709.06 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 12 — — $2,455,110.60 $3,013,549.16 $2,561,516.79 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 12 — — $2,244,000.00 $2,640,000.00 $2,376,308.00 2026-04-01
5834 APR_DRG Neonate With Ecmo 3 3 — — $1,698,871.21 $1,843,979.13 $1,843,979.13 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $1,073,750.18 $1,183,801.85 $1,183,801.85 2026-04-01
5833 APR_DRG Neonate With Ecmo 3 3 — — $1,025,735.14 $1,083,643.34 $1,083,643.34 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $962,159.38 $1,049,869.49 $1,049,869.49 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 3 3 — — $873,783.97 $1,029,945.09 $1,029,945.09 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $750,966.29 $930,838.89 $930,838.89 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $726,532.24 $870,556.87 $870,556.87 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $738,806.39 $858,178.54 $858,178.54 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $755,067.83 $857,721.62 $857,721.62 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $699,219.11 $816,297.85 $816,297.85 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $634,592.26 $806,768.34 $806,768.34 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 16 14 — — $741,540.00 $4,122,817.00 $804,527.28 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $652,152.33 $736,454.89 $736,454.89 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $621,548.83 $732,602.24 $732,602.24 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $644,444.33 $732,380.71 $732,380.71 2026-04-01
5832 APR_DRG Neonate With Ecmo 3 3 — — $643,671.25 $680,011.68 $680,011.68 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $662,281.87 $695,075.68 $662,281.87 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $584,623.56 $660,914.58 $660,914.58 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $538,268.93 $652,471.98 $652,471.98 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $534,167.39 $616,562.38 $616,562.38 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $561,358.65 $608,303.24 $608,303.24 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 10 — — $130,410.44 $1,599,796.49 $593,067.41 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $547,606.88 $587,246.94 $587,246.94 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $495,395.09 $583,439.29 $583,439.29 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $476,323.12 $578,562.03 $578,562.03 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $576,921.28 $670,359.82 $576,921.28 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 3 3 — — $472,511.01 $559,094.56 $559,094.56 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 52 26 — — $497,226.98 $3,009,579.29 $557,917.92 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 38 26 — — $555,310.44 $3,027,398.86 $555,310.44 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 49 26 — — $471,240.00 $2,852,781.41 $548,900.00 2026-04-01
5831 APR_DRG Neonate With Ecmo 3 3 — — $543,097.85 $548,052.37 $548,052.37 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 52 26 — — $508,376.11 $2,981,650.95 $544,161.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 58 26 — — $111.72 $3,165,735.18 $529,806.61 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $465,884.57 $519,443.07 $519,443.07 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 43 26 — — $471,240.00 $2,617,779.65 $503,580.00 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $395,133.97 $501,990.19 $501,990.19 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $445,864.34 $491,564.15 $491,564.15 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $384,120.37 $489,746.87 $489,746.87 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $455,815.43 $468,742.48 $468,742.48 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $344,506.43 $450,939.99 $450,939.99 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $395,133.97 $446,696.19 $446,696.19 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $395,560.50 $441,441.63 $441,441.63 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $379,976.94 $438,263.98 $438,263.98 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 3 3 — — $364,713.27 $413,964.25 $413,964.25 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $332,026.64 $407,657.39 $407,657.39 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $354,556.54 $402,686.68 $402,686.68 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $362,234.07 $392,416.41 $392,416.41 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 3 — — $390,332.59 $570,281.50 $390,332.59 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 3 — — $390,332.59 $570,281.50 $390,332.59 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 3 — — $390,332.59 $570,281.50 $390,332.59 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $354,088.12 $388,155.30 $388,155.30 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $371,006.31 $1,038,817.67 $385,104.55 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $332,384.62 $383,153.44 $383,153.44 2026-04-01
8634 APR_DRG Neonatal Aftercare 3 3 — — $285,066.49 $363,914.42 $363,914.42 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $320,704.56 $357,538.34 $357,538.34 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $298,780.18 $339,455.46 $339,455.46 2026-04-01
64 APR_DRG Pancreas Transplant 3 3 — — $334,071.69 $337,783.55 $337,783.55 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $297,405.38 $335,076.66 $335,076.66 2026-04-01
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $268,085.28 $332,300.54 $332,300.54 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 3 3 — — $279,578.73 $330,808.63 $330,808.63 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $290,161.99 $329,974.41 $329,974.41 2026-04-01
63 APR_DRG Pancreas Transplant 3 3 — — $284,320.06 $314,795.73 $314,795.73 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $266,002.14 $311,434.62 $311,434.62 2026-04-01
4404 APR_DRG Kidney Transplant 3 3 — — $276,242.66 $304,560.08 $304,560.08 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $273,580.66 $301,742.42 $301,742.42 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $187,954.84 $299,447.44 $299,447.44 2026-04-01
6124 APR_DRG Respiratory Condition 3 3 — — $218,958.21 $298,464.38 $298,464.38 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 10 — — $282,806.44 $791,858.03 $296,946.76 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $255,079.93 $296,519.01 $296,519.01 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $242,729.62 $295,667.48 $295,667.48 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $248,994.27 $295,546.33 $295,546.33 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 13 — — $33,930.00 $880,579.33 $293,521.02 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $268,077.66 $290,866.38 $290,866.38 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 14 — — $267,750.00 $1,488,637.50 $290,493.00 2026-04-01
8514 APR_DRG Gender Related Procedures 3 3 — — $250,049.17 $286,660.66 $286,660.66 2026-04-01
1784 APR_DRG External Heart Assist Systems 3 3 — — $237,919.73 $286,657.20 $286,657.20 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $233,894.36 $278,048.45 $278,048.45 2026-04-01
2994 APR_DRG Description Not Available 3 3 — — $240,661.71 $274,493.49 $274,493.49 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 16 14 — — $255,000.00 $1,377,625.00 $268,830.00 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $231,872.15 $267,989.33 $267,989.33 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 9 7 — — $267,750.00 $315,000.00 $267,750.00 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $214,342.55 $266,057.81 $266,057.81 2026-04-01
62 APR_DRG Pancreas Transplant 3 3 — — $240,421.79 $263,790.53 $263,790.53 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $238,700.44 $257,057.91 $257,057.91 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $228,688.42 $255,856.77 $255,856.77 2026-04-01
8504 APR_DRG Services 3 3 — — $169,416.03 $250,553.75 $250,553.75 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $220,820.47 $245,783.81 $245,783.81 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $220,740.49 $244,579.21 $244,579.21 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $204,566.64 $238,559.66 $238,559.66 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $194,093.82 $237,247.75 $237,247.75 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $211,120.73 $237,206.21 $237,206.21 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $196,569.21 $236,025.84 $236,025.84 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $204,726.59 $232,418.96 $232,418.96 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $207,834.16 $230,591.28 $230,591.28 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $195,521.93 $228,479.77 $228,479.77 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $140,994.69 $224,557.89 $224,557.89 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $190,700.62 $223,387.90 $223,387.90 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $190,369.30 $222,865.22 $222,865.22 2026-04-01
1783 APR_DRG External Heart Assist Systems 3 3 — — $192,928.48 $219,123.33 $219,123.33 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $197,749.79 $218,271.81 $218,271.81 2026-04-01
1794 APR_DRG Defibrillator Implants 3 3 — — $197,555.56 $217,925.66 $217,925.66 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $187,661.60 $214,896.84 $214,896.84 2026-04-01
61 APR_DRG Pancreas Transplant 3 3 — — $194,010.04 $214,806.84 $214,806.84 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 16 14 — — $197,880.00 $1,100,174.00 $214,688.16 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $198,694.24 $212,702.25 $212,702.25 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $173,624.21 $211,926.88 $211,926.88 2026-04-01
2993 APR_DRG Description Not Available 3 3 — — $188,678.42 $211,784.95 $211,784.95 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $193,434.98 $211,144.58 $211,144.58 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $178,331.26 $206,994.24 $206,994.24 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $178,224.63 $205,028.11 $205,028.11 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $156,178.38 $204,602.34 $204,602.34 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $173,624.21 $201,836.60 $201,836.60 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $169,598.83 $201,133.92 $201,133.92 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $181,381.71 $200,884.69 $200,884.69 2026-04-01
4403 APR_DRG Kidney Transplant 3 3 — — $183,887.57 $200,362.00 $200,362.00 2026-04-01
234 APR_DRG Spinal Procedures 3 3 — — $172,062.80 $198,880.48 $198,880.48 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $163,577.91 $198,742.02 $198,742.02 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $164,663.28 $197,578.96 $197,578.96 2026-04-01
6904 APR_DRG Acute Leukemia 3 3 — — $161,940.34 $197,270.88 $197,270.88 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $178,548.34 $196,121.67 $196,121.67 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $161,628.06 $195,730.52 $195,730.52 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $177,581.03 $195,567.83 $195,567.83 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $172,215.13 $193,342.08 $193,342.08 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $174,366.82 $191,060.95 $191,060.95 2026-04-01
4014 APR_DRG Adrenal Procedures 3 3 — — $162,717.23 $189,970.58 $189,970.58 2026-04-01
3004 APR_DRG Description Not Available 3 3 — — $181,975.81 $189,510.20 $189,510.20 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $168,597.25 $188,977.13 $188,977.13 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $179,519.45 $188,056.37 $188,056.37 2026-04-01
6123 APR_DRG Respiratory Condition 3 3 — — $151,501.79 $187,973.30 $187,973.30 2026-04-01
4414 APR_DRG Major Bladder Procedures 3 3 — — $156,106.03 $187,883.30 $187,883.30 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $153,881.98 $187,499.07 $187,499.07 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $168,703.88 $187,346.76 $187,346.76 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $138,393.62 $185,802.94 $185,802.94 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $142,331.40 $184,176.03 $184,176.03 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $168,837.17 $184,151.80 $184,151.80 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 9 — — $133,749.93 $514,342.08 $183,693.60 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $160,740.73 $182,466.05 $182,466.05 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $163,985.40 $180,589.92 $180,589.92 2026-04-01
1782 APR_DRG External Heart Assist Systems 3 3 — — $155,527.16 $180,326.84 $180,326.84 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $178,689.55 $179,568.96 $178,689.55 2026-04-01
7 MS_DRG Lung Transplant 9 8 — — $171,782.78 $480,991.78 $178,310.53 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $159,057.46 $176,844.57 $176,844.57 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 2 2 — — $107,329.73 $245,906.54 $176,618.14 2026-04-01
4402 APR_DRG Kidney Transplant 3 3 — — $158,722.33 $175,532.66 $175,532.66 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $158,006.37 $173,867.68 $173,867.68 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $156,448.77 $173,538.84 $173,538.84 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $140,625.29 $172,375.78 $172,375.78 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $147,061.31 $171,005.02 $171,005.02 2026-04-01
3214 APR_DRG Decompression 3 3 — — $143,949.93 $169,776.19 $169,776.19 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $140,758.58 $169,717.34 $169,717.34 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $153,413.56 $167,000.07 $167,000.07 2026-04-01
1781 APR_DRG External Heart Assist Systems 3 3 — — $142,693.19 $165,421.62 $165,421.62 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $131,028.37 $164,490.48 $164,490.48 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $148,756.01 $163,216.65 $163,216.65 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 8 — — $145,161.58 $446,490.55 $162,490.67 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $140,194.95 $162,160.89 $162,160.89 2026-04-01
4401 APR_DRG Kidney Transplant 3 3 — — $145,008.64 $159,862.45 $159,862.45 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $144,353.61 $159,325.92 $159,325.92 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $143,557.68 $158,997.08 $158,997.08 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $121,305.78 $158,782.47 $158,782.47 2026-04-01
1793 APR_DRG Defibrillator Implants 3 3 — — $145,842.66 $158,415.55 $158,415.55 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $148,478.00 $158,194.01 $158,194.01 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $139,970.26 $158,010.55 $158,010.55 2026-04-01
274 APR_DRG Other Open Craniotomy 3 3 — — $140,092.12 $157,387.48 $157,387.48 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $139,197.17 $157,044.79 $157,044.79 2026-04-01
4854 APR_DRG Description Not Available 3 3 — — $148,980.70 $156,840.56 $156,840.56 2026-04-01
2992 APR_DRG Description Not Available 3 3 — — $141,364.10 $156,629.41 $156,629.41 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $126,386.05 $156,629.41 $156,629.41 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $138,545.95 $156,259.03 $156,259.03 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $150,392.98 $421,100.34 $156,107.91 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 9 8 — — $150,221.16 $420,619.25 $155,929.56 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $139,661.79 $155,781.35 $155,781.35 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $140,252.07 $155,307.12 $155,307.12 2026-04-01
5204 APR_DRG Description Not Available 1 1 — — $154,399.91 $154,399.91 $154,399.91 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $136,653.23 $154,178.67 $154,178.67 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $146,287.89 $409,606.09 $151,846.83 2026-04-01
6344 APR_DRG Respiratory Condition 3 3 — — $121,412.41 $150,824.48 $150,824.48 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 9 — — $144,343.73 $404,162.44 $150,694.86 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $136,664.65 $150,474.87 $150,474.87 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $134,596.75 $150,312.18 $150,312.18 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $137,719.55 $150,253.33 $150,253.33 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $128,591.06 $149,623.34 $149,623.34 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $132,563.11 $149,349.88 $149,349.88 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $132,730.68 $149,201.03 $149,201.03 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 3 3 — — $88,200.23 $149,090.27 $149,090.27 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $148,910.27 $149,433.88 $148,910.27 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 3 3 — — $128,686.27 $147,899.51 $147,899.51 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $128,160.72 $147,023.75 $147,023.75 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $132,528.84 $146,940.68 $146,940.68 2026-04-01
8633 APR_DRG Neonatal Aftercare 3 3 — — $131,961.40 $146,570.29 $146,570.29 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 3 — — $129,531.71 $145,563.00 $145,563.00 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 3 — — $101,346.48 $145,237.62 $145,237.62 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $125,106.46 $145,199.54 $145,199.54 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $145,158.00 $217,065.48 $145,158.00 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $131,805.26 $144,988.39 $144,988.39 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $121,233.42 $144,441.47 $144,441.47 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 11 — — $136,894.83 $430,708.00 $144,424.04 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $129,086.14 $144,289.17 $144,289.17 2026-04-01
6504 APR_DRG Splenectomy 3 3 — — $125,910.01 $144,289.17 $144,289.17 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $124,782.76 $143,548.40 $143,548.40 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $128,785.28 $143,358.02 $143,358.02 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $131,953.79 $143,049.95 $143,049.95 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $141,601.76 $141,601.76 $141,601.76 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $126,485.07 $141,419.58 $141,419.58 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $98,117.04 $141,364.20 $141,364.20 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $117,790.72 $140,876.13 $140,876.13 2026-04-01
6224 APR_DRG Respiratory Condition 3 3 — — $127,878.91 $140,426.13 $140,426.13 2026-04-01
4034 APR_DRG Procedures For Obesity 3 3 — — $130,936.97 $139,353.07 $139,353.07 2026-04-01
4484 APR_DRG Description Not Available 3 3 — — $121,477.15 $138,788.84 $138,788.84 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 3 3 — — $122,730.08 $138,570.77 $138,570.77 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $122,204.54 $138,359.62 $138,359.62 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $119,512.07 $138,127.70 $138,127.70 2026-04-01
3003 APR_DRG Description Not Available 3 3 — — $124,318.15 $138,016.93 $138,016.93 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $137,902.70 $175,623.56 $137,902.70 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $129,885.88 $137,618.86 $137,618.86 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $121,896.07 $137,397.32 $137,397.32 2026-04-01
215 MS_DRG Other Heart Assist System Implant 11 8 — — $111,665.98 $370,223.73 $137,247.22 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 1 1 — — $137,045.48 $137,045.48 $137,045.48 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $122,920.50 $136,943.86 $136,943.86 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 12 — — $81,707.05 $447,314.95 $135,636.92 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 3 — — $117,417.51 $135,223.50 $135,223.50 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 3 — — $120,186.14 $134,299.28 $134,299.28 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 3 3 — — $121,507.62 $134,268.12 $134,268.12 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 3 — — $117,600.30 $134,105.43 $134,105.43 2026-04-01
2991 APR_DRG Description Not Available 3 3 — — $120,300.39 $133,977.36 $133,977.36 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 3 3 — — $122,863.37 $133,651.98 $133,651.98 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $120,467.95 $133,638.13 $133,638.13 2026-04-01
4284 APR_DRG Description Not Available 3 3 — — $130,959.82 $133,510.06 $133,510.06 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $116,762.48 $132,700.06 $132,700.06 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $115,928.46 $132,675.83 $132,675.83 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 3 3 — — $119,675.83 $132,488.91 $132,488.91 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 3 3 — — $116,888.15 $132,340.07 $132,340.07 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $121,675.18 $132,236.22 $132,236.22 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 3 — — $112,154.44 $132,232.76 $132,232.76 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $118,777.07 $132,132.38 $132,132.38 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 3 3 — — $115,121.10 $131,630.46 $131,630.46 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 3 3 — — $112,919.90 $131,429.69 $131,429.69 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $114,843.09 $131,412.39 $131,412.39 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 3 — — $116,236.93 $131,291.23 $131,291.23 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 3 3 — — $113,727.26 $129,872.02 $129,872.02 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $117,112.84 $129,868.56 $129,868.56 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $117,147.12 $129,761.25 $129,761.25 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 3 — — $113,875.79 $129,439.33 $129,439.33 2026-04-01
1792 APR_DRG Defibrillator Implants 3 3 — — $119,889.09 $129,290.49 $129,290.49 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 3 — — $110,113.19 $128,657.03 $128,657.03 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $124,162.00 $128,532.42 $128,532.42 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 3 3 — — $112,767.57 $127,767.43 $127,767.43 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $114,732.65 $127,535.51 $127,535.51 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 3 — — $114,648.87 $127,514.74 $127,514.74 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 3 — — $113,932.91 $126,853.59 $126,853.59 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $110,395.00 $126,521.29 $126,521.29 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 3 3 — — $107,782.51 $126,330.90 $126,330.90 2026-04-01
233 APR_DRG Spinal Procedures 3 3 — — $111,960.21 $126,282.44 $126,282.44 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $121,351.48 $125,981.29 $125,981.29 2026-04-01
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 3 3 — — $78,778.49 $125,946.68 $125,946.68 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $111,415.62 $125,766.68 $125,766.68 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 3 3 — — $107,614.94 $125,687.06 $125,687.06 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 3 3 — — $109,983.70 $125,299.38 $125,299.38 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $114,816.44 $124,617.46 $124,617.46 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 8 — — $119,701.32 $335,163.70 $124,249.97 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 3 — — $110,829.15 $123,579.01 $123,579.01 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 3 3 — — $109,679.04 $123,392.09 $123,392.09 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 3 3 — — $111,369.93 $121,166.35 $121,166.35 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $108,776.47 $120,775.20 $120,775.20 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 3 3 — — $105,303.30 $120,591.74 $120,591.74 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $104,732.06 $120,439.43 $120,439.43 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 3 3 — — $98,516.91 $120,276.74 $120,276.74 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 3 3 — — $110,718.71 $120,017.13 $120,017.13 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 3 — — $101,685.42 $119,802.52 $119,802.52 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 3 — — $105,448.02 $119,463.29 $119,463.29 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 9 8 — — $115,074.18 $322,207.70 $119,447.00 2026-04-01
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $106,940.87 $119,390.60 $119,390.60 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 3 3 — — $109,957.05 $118,971.75 $118,971.75 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $105,996.41 $118,774.45 $118,774.45 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $117,999.07 $119,649.17 $117,999.07 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $101,959.62 $117,268.70 $117,268.70 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 — — $112,039.64 $313,710.99 $116,297.15 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $96,150.42 $135,875.30 $116,012.86 2026-04-01
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $94,442.03 $115,818.33 $115,818.33 2026-04-01
3213 APR_DRG Decompression 3 3 — — $103,300.14 $115,413.33 $115,413.33 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 3 3 — — $101,731.12 $115,292.18 $115,292.18 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $108,243.35 $579,101.92 $114,737.95 2026-04-01
6122 APR_DRG Respiratory Condition 3 3 — — $99,743.19 $114,312.58 $114,312.58 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 3 3 — — $106,007.84 $114,253.73 $114,253.73 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 3 — — $112,546.69 $113,911.04 $113,911.04 2026-04-01
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $104,804.42 $113,606.43 $113,606.43 2026-04-01
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $105,048.15 $113,433.36 $113,433.36 2026-04-01
6223 APR_DRG Respiratory Condition 3 3 — — $90,477.59 $113,395.28 $113,395.28 2026-04-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $105,086.23 $113,239.51 $113,239.51 2026-04-01
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