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

Usc Kenneth Norris Jr Cancer Hospital

Los Angeles, CA · CCN 050660 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $14,854 across 14 payers · range $10,896-$33,866

Source: https://hospitalpricedisclosure.com/download.aspx?pi=ksKjyMbyRELl8UdC2a3rOg*-* · 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.

15,492 distinct procedures filed
46 distinct payers
370,862 rate rows
2026-04-01 last MRF observed
Data quality

249,658 of 370,862 rate rows are consumer-grade (67.3%)

121,204 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 106,306
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,668
template filing: same amount across many unrelated codes — excluded 4,076
placeholder amount (≤ $0.02) — excluded from medians 128
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=ksKjyMbyRELl8UdC2a3rOg*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=9pu5*_*S9I3IlIh8XJQHHcBw*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint 45b25c4660cf00fd… · 67,195,493 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 1 $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 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,332,000.00 $4,664,000.00 $3,498,000.00 nat. median
$2,405,851
1.5× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.60 $4,910,221.21 $3,282,819.22 nat. median
$2,460,273
1.3× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,090,000.00 $3,090,000.00 $3,090,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $2,754,735.31 $2,311,860.00 nat. median
$809,151
outlier · 2.9×
5834
APR_DRG 		Neonate With Ecmo 1 $1,857,994.01 $1,857,994.01 $1,857,994.01 nat. median
$311,018
outlier · 6.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $2,100,670.93 $1,762,948.71 nat. median
$631,793
outlier · 2.8×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $1,174,321.75 $1,174,321.75 $1,174,321.75 nat. median
$254,667
outlier · 4.6×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $2,009,700.78 $1,124,739.43 nat. median
$624,417
1.8× median
5833
APR_DRG 		Neonate With Ecmo 1 $1,121,809.43 $1,121,809.43 $1,121,809.43 nat. median
$250,089
outlier · 4.5×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,994,974.75 $1,115,399.66 nat. median
$610,161
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,902,427.60 $1,065,422.41 nat. median
$588,565
1.8× median
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $1,052,278.92 $1,052,278.92 $1,052,278.92 nat. median
$119,243
outlier · 8.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,749,637.64 $978,754.81 nat. median
$577,541
1.7× median
24
APR_DRG 		Heart And/Or Lung Transplant 1 $955,625.93 $955,625.93 $955,625.93 nat. median
$243,231
outlier · 3.9×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $86,036.18 $2,169,115.23 $950,021.60 nat. median
$370,165
outlier · 2.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $278,250.00 $834,750.00 $834,750.00 nat. median
$302,242
outlier · 2.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $825,790.39 $825,790.39 $825,790.39 nat. median
$168,174
outlier · 4.9×
113
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $821,304.68 $821,304.68 $821,304.68 nat. median
$67,603
outlier · 12.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $808,005.84 $808,005.84 $808,005.84 nat. median
$168,361
outlier · 4.8×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $794,582.04 $794,582.04 $794,582.04 nat. median
$209,486
outlier · 3.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $764,710.66 $764,710.66 $764,710.66 nat. median
$165,599
outlier · 4.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $760,179.14 $760,179.14 $760,179.14 nat. median
$180,995
outlier · 4.2×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $733,148.29 $733,148.29 $733,148.29 nat. median
$147,847
outlier · 5.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $713,235.43 $713,235.43 $713,235.43 nat. median
$156,285
outlier · 4.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $704,805.47 $704,805.47 $704,805.47 nat. median
$147,677
outlier · 4.8×
5832
APR_DRG 		Neonate With Ecmo 1 $703,959.97 $703,959.97 $703,959.97 nat. median
$169,230
outlier · 4.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $3,123.00 $2,025,179.45 $700,870.32 nat. median
$691,418
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $694,030.61 $694,030.61 $694,030.61 nat. median
$63,564
outlier · 10.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $679,765.49 $679,765.49 $679,765.49 nat. median
$165,646
outlier · 4.1×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $639,381.65 $639,381.65 $639,381.65 nat. median
$127,938
outlier · 5.0×
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 1 $623,696.26 $623,696.26 $623,696.26 nat. median
$89,188
outlier · 7.0×
5893
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 1 $623,696.26 $623,696.26 $623,696.26 nat. median
$71,350
outlier · 8.7×
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 1 $623,696.26 $623,696.26 $623,696.26 nat. median
$96,420
outlier · 6.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $452,894.25 $1,407,668.52 $617,422.56 nat. median
$261,939
outlier · 2.4×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $613,937.66 $613,937.66 $613,937.66 nat. median
$108,751
outlier · 5.6×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $205,640.00 $720,906.25 $605,007.06 nat. median
$209,736
outlier · 2.9×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $598,897.85 $598,897.85 $598,897.85 nat. median
$160,171
outlier · 3.7×
5831
APR_DRG 		Neonate With Ecmo 1 $593,966.49 $593,966.49 $593,966.49 nat. median
$154,685
outlier · 3.8×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $588,685.27 $588,685.27 $588,685.27 nat. median
$175,480
outlier · 3.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $584,199.56 $584,199.56 $584,199.56 nat. median
$127,600
outlier · 4.6×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 1 $541,795.70 $541,795.70 $541,795.70 nat. median
$137,901
outlier · 3.9×
J3403
HCPCS 		Revakinagene, Per Implant 4 $257,500.00 $947,295.50 $522,500.00 nat. median
$265,000
2.0× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 1 $520,937.38 $520,937.38 $520,937.38 nat. median
$123,690
outlier · 4.2×
23
APR_DRG 		Heart And/Or Lung Transplant 1 $516,768.21 $516,768.21 $516,768.21 nat. median
$116,111
outlier · 4.5×

Other procedures at this hospital

Browse this hospital's 15,492 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 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 2 — — $2,332,000.00 $4,664,000.00 $3,498,000.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 2 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 3 — — $2,455,110.60 $4,910,221.21 $3,282,819.22 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 2 1 — — $3,090,000.00 $3,090,000.00 $3,090,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 14 5 — — $770,620.00 $2,754,735.31 $2,311,860.00 2026-04-01
5834 APR_DRG Neonate With Ecmo 2 1 — — $1,857,994.01 $1,857,994.01 $1,857,994.01 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 5 — — $565,868.94 $2,100,670.93 $1,762,948.71 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $1,174,321.75 $1,174,321.75 $1,174,321.75 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 6 — — $562,538.19 $2,009,700.78 $1,124,739.43 2026-04-01
5833 APR_DRG Neonate With Ecmo 2 1 — — $1,121,809.43 $1,121,809.43 $1,121,809.43 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 20 6 — — $557,317.93 $1,994,974.75 $1,115,399.66 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 6 — — $533,230.17 $1,902,427.60 $1,065,422.41 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $1,052,278.92 $1,052,278.92 $1,052,278.92 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 20 6 — — $489,304.61 $1,749,637.64 $978,754.81 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 2 1 — — $955,625.93 $955,625.93 $955,625.93 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 58 14 — — $86,036.18 $2,169,115.23 $950,021.60 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 3 — — $278,250.00 $834,750.00 $834,750.00 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $825,790.39 $825,790.39 $825,790.39 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $821,304.68 $821,304.68 $821,304.68 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $808,005.84 $808,005.84 $808,005.84 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 2 1 — — $794,582.04 $794,582.04 $794,582.04 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $764,710.66 $764,710.66 $764,710.66 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $760,179.14 $760,179.14 $760,179.14 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $733,148.29 $733,148.29 $733,148.29 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $713,235.43 $713,235.43 $713,235.43 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $704,805.47 $704,805.47 $704,805.47 2026-04-01
5832 APR_DRG Neonate With Ecmo 2 1 — — $703,959.97 $703,959.97 $703,959.97 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 6 — — $3,123.00 $2,025,179.45 $700,870.32 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $694,030.61 $694,030.61 $694,030.61 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 1 — — $679,765.49 $679,765.49 $679,765.49 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 2 1 — — $639,381.65 $639,381.65 $639,381.65 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 1 — — $623,696.26 $623,696.26 $623,696.26 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 1 — — $623,696.26 $623,696.26 $623,696.26 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 1 — — $623,696.26 $623,696.26 $623,696.26 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 14 — — $452,894.25 $1,407,668.52 $617,422.56 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $613,937.66 $613,937.66 $613,937.66 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 14 5 — — $205,640.00 $720,906.25 $605,007.06 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $598,897.85 $598,897.85 $598,897.85 2026-04-01
5831 APR_DRG Neonate With Ecmo 2 1 — — $593,966.49 $593,966.49 $593,966.49 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $588,685.27 $588,685.27 $588,685.27 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $584,199.56 $584,199.56 $584,199.56 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $541,795.70 $541,795.70 $541,795.70 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 8 4 — — $257,500.00 $947,295.50 $522,500.00 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $520,937.38 $520,937.38 $520,937.38 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 2 1 — — $516,768.21 $516,768.21 $516,768.21 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $509,521.11 $509,521.11 $509,521.11 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $498,508.85 $498,508.85 $498,508.85 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 14 — — $343,020.46 $1,792,699.28 $488,235.20 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $487,625.71 $487,625.71 $487,625.71 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 14 — — $345,045.43 $1,072,456.97 $470,394.22 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $432,610.22 $432,610.22 $432,610.22 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 2 1 — — $432,143.74 $432,143.74 $432,143.74 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 2 1 — — $432,143.74 $432,143.74 $432,143.74 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $420,098.56 $420,098.56 $420,098.56 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $415,567.04 $415,567.04 $415,567.04 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 2 1 — — $398,873.72 $398,873.72 $398,873.72 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $396,162.31 $396,162.31 $396,162.31 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $387,765.67 $387,765.67 $387,765.67 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $387,253.37 $387,253.37 $387,253.37 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $376,774.23 $376,774.23 $376,774.23 2026-04-01
64 APR_DRG Pancreas Transplant 2 1 — — $365,362.13 $365,362.13 $365,362.13 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $363,517.04 $363,517.04 $363,517.04 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $363,125.53 $363,125.53 $363,125.53 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $350,742.98 $350,742.98 $350,742.98 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $326,765.08 $326,765.08 $326,765.08 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $325,261.51 $325,261.51 $325,261.51 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 1 — — $244,704.00 $334,562.64 $321,019.53 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $317,339.68 $317,339.68 $317,339.68 2026-04-01
8634 APR_DRG Neonatal Aftercare 2 1 — — $311,766.91 $311,766.91 $311,766.91 2026-04-01
63 APR_DRG Pancreas Transplant 2 1 — — $310,950.57 $310,950.57 $310,950.57 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 2 1 — — $305,765.15 $305,765.15 $305,765.15 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 42 14 — — $223,852.48 $695,769.67 $305,174.04 2026-04-01
4404 APR_DRG Kidney Transplant 2 1 — — $302,116.61 $302,116.61 $302,116.61 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $299,205.27 $299,205.27 $299,205.27 2026-04-01
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $293,195.18 $293,195.18 $293,195.18 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $293,186.85 $293,186.85 $293,186.85 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $290,916.92 $290,916.92 $290,916.92 2026-04-01
7 MS_DRG Lung Transplant 46 16 — — $91,630.23 $650,501.50 $284,904.40 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $278,971.70 $278,971.70 $278,971.70 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $211,758.98 $289,519.76 $277,799.99 2026-04-01
8514 APR_DRG Gender Related Procedures 2 1 — — $273,469.74 $273,469.74 $273,469.74 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $272,316.03 $272,316.03 $272,316.03 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $265,464.61 $265,464.61 $265,464.61 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 68 16 — — $178,730.84 $603,671.13 $264,586.08 2026-04-01
2994 APR_DRG Description Not Available 2 1 — — $263,203.01 $263,203.01 $263,203.01 2026-04-01
62 APR_DRG Pancreas Transplant 2 1 — — $262,940.62 $262,940.62 $262,940.62 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $200,256.19 $273,792.99 $262,709.83 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $261,058.04 $261,058.04 $261,058.04 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $260,204.21 $260,204.21 $260,204.21 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $255,801.81 $255,801.81 $255,801.81 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $253,590.19 $253,590.19 $253,590.19 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $250,108.25 $250,108.25 $250,108.25 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 14 — — $183,133.22 $569,207.65 $249,662.22 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 13 — — $182,923.13 $568,554.64 $249,013.60 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $241,503.36 $241,503.36 $241,503.36 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $241,415.90 $241,415.90 $241,415.90 2026-04-01
6124 APR_DRG Respiratory Condition 2 1 — — $239,466.68 $239,466.68 $239,466.68 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 13 — — $175,736.33 $546,216.92 $239,230.20 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 15 — — $166,627.99 $966,007.77 $238,095.23 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $237,396.67 $237,396.67 $237,396.67 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 15 — — $38,390.36 $553,605.90 $236,933.76 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 1 — — $179,333.31 $245,186.94 $235,261.76 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $234,418.70 $234,418.70 $234,418.70 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $230,895.11 $230,895.11 $230,895.11 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 1 — — $174,845.65 $239,051.35 $229,374.54 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $227,300.71 $227,300.71 $227,300.71 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $223,902.07 $223,902.07 $223,902.07 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $223,727.14 $223,727.14 $223,727.14 2026-04-01
215 MS_DRG Other Heart Assist System Implant 42 14 — — $160,915.08 $500,150.07 $219,372.62 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $217,304.71 $217,304.71 $217,304.71 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $216,271.79 $216,271.79 $216,271.79 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $216,059.38 $216,059.38 $216,059.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 14 — — $158,099.83 $491,399.83 $215,534.65 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 1 — — $214,980.64 $214,980.64 $214,980.64 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $213,835.27 $213,835.27 $213,835.27 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 1 — — $162,277.53 $221,868.05 $212,886.82 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $212,273.39 $212,273.39 $212,273.39 2026-04-01
61 APR_DRG Pancreas Transplant 2 1 — — $212,181.76 $212,181.76 $212,181.76 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 2 1 — — $211,552.85 $211,552.85 $211,552.85 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $210,998.90 $210,998.90 $210,998.90 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $208,562.38 $208,562.38 $208,562.38 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $208,200.02 $208,200.02 $208,200.02 2026-04-01
2993 APR_DRG Description Not Available 2 1 — — $206,350.76 $206,350.76 $206,350.76 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 1 — — $205,559.41 $205,559.41 $205,559.41 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $205,238.71 $205,238.71 $205,238.71 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $154,434.11 $211,144.42 $202,597.29 2026-04-01
4403 APR_DRG Kidney Transplant 2 1 — — $201,111.19 $201,111.19 $201,111.19 2026-04-01
3004 APR_DRG Description Not Available 2 1 — — $199,020.36 $199,020.36 $199,020.36 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $198,370.62 $198,370.62 $198,370.62 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 13 — — $145,604.15 $452,561.22 $198,211.20 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $196,388.08 $196,388.08 $196,388.08 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $196,333.94 $196,333.94 $196,333.94 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $149,618.87 $204,560.95 $196,280.31 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $195,271.86 $195,271.86 $195,271.86 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 2 1 — — $195,034.46 $195,034.46 $195,034.46 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $194,917.84 $194,917.84 $194,917.84 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $194,213.95 $194,213.95 $194,213.95 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $192,073.14 $192,073.14 $192,073.14 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $190,698.69 $190,698.69 $190,698.69 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 44 14 — — $138,315.00 $446,003.35 $190,509.00 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $189,886.52 $189,886.52 $189,886.52 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $189,886.52 $189,886.52 $189,886.52 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $188,345.47 $188,345.47 $188,345.47 2026-04-01
234 APR_DRG Spinal Procedures 2 1 — — $188,178.87 $188,178.87 $188,178.87 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 14 — — $136,235.61 $423,442.31 $185,727.56 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $185,484.11 $185,484.11 $185,484.11 2026-04-01
8504 APR_DRG Services 2 1 — — $185,284.19 $185,284.19 $185,284.19 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 14 — — $135,807.35 $422,111.19 $185,143.71 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $184,651.11 $184,651.11 $184,651.11 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 1 — — $184,505.34 $184,505.34 $184,505.34 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $184,388.72 $184,388.72 $184,388.72 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 1 — — $138,813.86 $189,788.20 $182,105.56 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 1 — — $180,086.27 $180,086.27 $180,086.27 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 1 — — $179,344.90 $179,344.90 $179,344.90 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 1 — — $178,899.25 $178,899.25 $178,899.25 2026-04-01
4014 APR_DRG Adrenal Procedures 2 1 — — $177,957.96 $177,957.96 $177,957.96 2026-04-01
6904 APR_DRG Acute Leukemia 2 1 — — $177,108.30 $177,108.30 $177,108.30 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 2 1 — — $176,766.77 $176,766.77 $176,766.77 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $175,796.32 $175,796.32 $175,796.32 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $173,955.39 $173,955.39 $173,955.39 2026-04-01
4402 APR_DRG Kidney Transplant 2 1 — — $173,588.87 $173,588.87 $173,588.87 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 14 — — $127,167.68 $395,257.69 $173,365.40 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 2 1 — — $172,805.85 $172,805.85 $172,805.85 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $171,102.37 $171,102.37 $171,102.37 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $170,806.65 $170,806.65 $170,806.65 2026-04-01
4414 APR_DRG Major Bladder Procedures 2 1 — — $170,727.52 $170,727.52 $170,727.52 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $170,094.44 $170,094.44 $170,094.44 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 14 — — $124,089.01 $385,688.69 $169,168.31 2026-04-01
5204 APR_DRG Description Not Available 2 1 — — $168,861.60 $168,861.60 $168,861.60 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 14 — — $123,554.08 $384,026.04 $168,439.05 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $168,295.16 $168,295.16 $168,295.16 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 14 — — $123,145.20 $382,755.20 $167,881.64 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $167,782.86 $167,782.86 $167,782.86 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 1 — — $127,340.36 $174,101.48 $167,053.84 2026-04-01
6123 APR_DRG Respiratory Condition 2 1 — — $165,692.03 $165,692.03 $165,692.03 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 2 1 — — $163,430.44 $163,430.44 $163,430.44 2026-04-01
4854 APR_DRG Description Not Available 2 1 — — $162,934.80 $162,934.80 $162,934.80 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $162,689.07 $162,689.07 $162,689.07 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $162,385.02 $162,385.02 $162,385.02 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 1 — — $160,835.64 $160,835.64 $160,835.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 16 — — $108,152.71 $347,186.63 $159,610.74 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $159,502.84 $159,502.84 $159,502.84 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 13 — — $116,659.79 $362,597.50 $158,809.20 2026-04-01
4401 APR_DRG Kidney Transplant 2 1 — — $158,590.71 $158,590.71 $158,590.71 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 66 17 — — $665.66 $641,143.02 $158,454.98 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 42 14 — — $115,918.00 $360,291.89 $158,028.93 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $157,874.33 $157,874.33 $157,874.33 2026-04-01
3214 APR_DRG Decompression 2 1 — — $157,432.84 $157,432.84 $157,432.84 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 14 — — $115,302.27 $358,378.09 $157,189.51 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $157,003.84 $157,003.84 $157,003.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 13 — — $115,234.39 $358,167.12 $156,868.80 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 1 — — $156,058.39 $156,058.39 $156,058.39 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $155,662.71 $155,662.71 $155,662.71 2026-04-01
2992 APR_DRG Description Not Available 2 1 — — $154,604.80 $154,604.80 $154,604.80 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $154,200.80 $154,200.80 $154,200.80 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 1 — — $153,942.57 $153,942.57 $153,942.57 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $153,796.79 $153,796.79 $153,796.79 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $153,388.62 $153,388.62 $153,388.62 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 2 1 — — $153,326.15 $153,326.15 $153,326.15 2026-04-01
274 APR_DRG Other Open Craniotomy 2 1 — — $153,213.69 $153,213.69 $153,213.69 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 2 1 — — $153,080.41 $153,080.41 $153,080.41 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $152,743.05 $152,743.05 $152,743.05 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $152,234.92 $152,234.92 $152,234.92 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 14 — — $111,153.74 $345,483.79 $151,533.89 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $151,522.70 $151,522.70 $151,522.70 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 1 — — $151,356.10 $151,356.10 $151,356.10 2026-04-01
10 MS_DRG Pancreas Transplant 42 14 — — $96,411.46 $360,442.59 $150,661.00 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 1 — — $150,618.90 $150,618.90 $150,618.90 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 1 — — $149,881.69 $149,881.69 $149,881.69 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $149,465.19 $149,465.19 $149,465.19 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 2 1 — — $149,452.70 $149,452.70 $149,452.70 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 14 — — $108,781.31 $338,109.88 $148,299.60 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 14 — — $103,991.19 $511,692.32 $147,269.43 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $147,203.60 $147,203.60 $147,203.60 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 13 — — $108,060.53 $335,869.58 $147,103.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 13 — — $107,981.34 $335,623.45 $146,995.20 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $145,162.75 $145,162.75 $145,162.75 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 1 — — $144,979.49 $144,979.49 $144,979.49 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $144,942.00 $144,942.00 $144,942.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 14 — — $106,263.42 $330,283.89 $144,867.01 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 14 — — $106,263.42 $330,283.89 $144,867.01 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 14 — — $105,877.18 $329,083.37 $144,340.44 2026-04-01
8633 APR_DRG Neonatal Aftercare 2 1 — — $144,321.42 $144,321.42 $144,321.42 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 1 — — $144,313.09 $144,313.09 $144,313.09 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $144,150.65 $144,150.65 $144,150.65 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 1 — — $143,300.99 $143,300.99 $143,300.99 2026-04-01
4284 APR_DRG Description Not Available 2 1 — — $143,226.02 $143,226.02 $143,226.02 2026-04-01
4034 APR_DRG Procedures For Obesity 2 1 — — $143,201.03 $143,201.03 $143,201.03 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $142,051.49 $142,051.49 $142,051.49 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 1 — — $141,664.15 $141,664.15 $141,664.15 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 6 — — $63,342.28 $229,763.10 $141,594.44 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 1 — — $141,176.84 $141,176.84 $141,176.84 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $140,847.81 $140,847.81 $140,847.81 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $140,739.52 $140,739.52 $140,739.52 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 2 1 — — $140,635.39 $140,635.39 $140,635.39 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 1 — — $140,164.75 $140,164.75 $140,164.75 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 6 1 — — $140,085.39 $140,085.39 $140,085.39 2026-04-01
6224 APR_DRG Respiratory Condition 2 1 — — $139,856.54 $139,856.54 $139,856.54 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $138,332.15 $138,332.15 $138,332.15 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 1 — — $138,223.86 $138,223.86 $138,223.86 2026-04-01
6504 APR_DRG Splenectomy 2 1 — — $137,703.23 $137,703.23 $137,703.23 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 1 — — $104,686.33 $143,128.58 $137,334.73 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 1 — — $136,824.42 $136,824.42 $136,824.42 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 1 — — $136,470.39 $136,470.39 $136,470.39 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 68 18 — — $14,449.16 $297,854.76 $136,036.27 2026-04-01
3003 APR_DRG Description Not Available 2 1 — — $135,962.26 $135,962.26 $135,962.26 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $135,791.50 $135,791.50 $135,791.50 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 14 — — $99,041.07 $307,835.66 $135,020.91 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 14 — — $98,926.33 $307,479.02 $134,864.48 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $134,433.71 $134,433.71 $134,433.71 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 2 1 — — $134,371.23 $134,371.23 $134,371.23 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $134,225.46 $134,225.46 $134,225.46 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $133,650.69 $133,650.69 $133,650.69 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 14 — — $97,977.68 $304,530.46 $133,571.20 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 1 — — $133,313.32 $133,313.32 $133,313.32 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $133,071.75 $133,071.75 $133,071.75 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 2 1 — — $132,888.49 $132,888.49 $132,888.49 2026-04-01
4484 APR_DRG Description Not Available 2 1 — — $132,855.17 $132,855.17 $132,855.17 2026-04-01
6344 APR_DRG Respiratory Condition 2 1 — — $132,784.37 $132,784.37 $132,784.37 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $132,717.73 $132,717.73 $132,717.73 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $132,667.75 $132,667.75 $132,667.75 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $132,588.61 $132,588.61 $132,588.61 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 42 14 — — $97,100.14 $301,802.92 $132,374.87 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 13 — — $97,072.66 $301,717.52 $132,145.20 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $131,751.45 $131,751.45 $131,751.45 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 16 — — $88,143.71 $1,393,779.62 $131,732.88 2026-04-01
2991 APR_DRG Description Not Available 2 1 — — $131,568.19 $131,568.19 $131,568.19 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $131,443.24 $131,443.24 $131,443.24 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 14 — — $96,369.66 $299,532.48 $131,379.02 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 4 — — $56,824.55 $170,473.65 $131,153.39 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $131,118.37 $131,118.37 $131,118.37 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 14 — — $96,052.90 $298,547.95 $130,947.19 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 2 1 — — $130,885.13 $130,885.13 $130,885.13 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $130,855.97 $130,855.97 $130,855.97 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $130,706.03 $130,706.03 $130,706.03 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $129,902.19 $129,902.19 $129,902.19 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 14 — — $94,842.44 $294,785.65 $129,297.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 14 — — $94,781.03 $294,594.77 $129,213.27 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 2 1 — — $128,823.45 $128,823.45 $128,823.45 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 1 — — $128,615.20 $128,615.20 $128,615.20 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 2 1 — — $128,415.28 $128,415.28 $128,415.28 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $128,119.57 $128,119.57 $128,119.57 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $128,082.08 $128,082.08 $128,082.08 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 2 1 — — $127,836.35 $127,836.35 $127,836.35 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 1 — — $127,698.90 $127,698.90 $127,698.90 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 1 — — $127,124.13 $127,124.13 $127,124.13 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 13 — — $93,202.10 $289,687.20 $126,876.20 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $126,786.77 $126,786.77 $126,786.77 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 14 — — $92,607.38 $287,838.70 $126,249.97 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 2 1 — — $125,903.79 $125,903.79 $125,903.79 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 2 1 — — $125,599.74 $125,599.74 $125,599.74 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 14 — — $92,109.62 $286,291.58 $125,571.38 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $125,570.59 $125,570.59 $125,570.59 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 13 — — $92,229.21 $286,663.29 $125,551.80 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $125,478.96 $125,478.96 $125,478.96 2026-04-01
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