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

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Hospital

Usc Kenneth Norris Jr Cancer Hospital

Los Angeles, CA · CCN 050660 · Rates published

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

249,724 of 370,862 rate rows are consumer-grade (67.3%)

121,138 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 116,934
template filing: same amount across many unrelated codes — excluded 4,076
placeholder amount (≤ $0.02) — excluded from medians 128
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 · 2026-05-15
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
$2,448,600
1.4× 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
$3,325,455
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
$2,469,189
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
$3,006,423
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $2,754,735.31 $2,311,860.00 nat. median
$824,563
outlier · 2.8×
5834
APR_DRG 		Neonate With Ecmo 1 $1,857,994.01 $1,857,994.01 $1,857,994.01 nat. median
$309,665
outlier · 6.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $2,100,670.93 $1,762,948.71 nat. median
$675,122
outlier · 2.6×
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
$246,434
outlier · 4.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $2,009,700.78 $1,124,739.43 nat. median
$674,188
1.7× median
5833
APR_DRG 		Neonate With Ecmo 1 $1,121,809.43 $1,121,809.43 $1,121,809.43 nat. median
$244,017
outlier · 4.6×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,994,974.75 $1,115,399.66 nat. median
$625,184
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,902,427.60 $1,065,422.41 nat. median
$634,511
1.7× 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
$117,173
outlier · 9.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,749,637.64 $978,754.81 nat. median
$620,080
1.6× median
24
APR_DRG 		Heart And/Or Lung Transplant 1 $955,625.93 $955,625.93 $955,625.93 nat. median
$234,738
outlier · 4.1×
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
$370,174
outlier · 2.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $278,250.00 $834,750.00 $834,750.00 nat. median
$324,450
outlier · 2.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $825,790.39 $825,790.39 $825,790.39 nat. median
$162,982
outlier · 5.1×
113
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $821,304.68 $821,304.68 $821,304.68 nat. median
$60,845
outlier · 13.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $808,005.84 $808,005.84 $808,005.84 nat. median
$164,279
outlier · 4.9×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $794,582.04 $794,582.04 $794,582.04 nat. median
$207,730
outlier · 3.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $764,710.66 $764,710.66 $764,710.66 nat. median
$164,834
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
$182,736
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
$145,336
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
$151,838
outlier · 4.7×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $704,805.47 $704,805.47 $704,805.47 nat. median
$122,924
outlier · 5.7×
5832
APR_DRG 		Neonate With Ecmo 1 $703,959.97 $703,959.97 $703,959.97 nat. median
$156,126
outlier · 4.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $3,123.00 $2,025,179.45 $700,870.32 nat. median
$754,974
0.9× 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
$58,674
outlier · 11.8×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $679,765.49 $679,765.49 $679,765.49 nat. median
$160,267
outlier · 4.2×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $639,381.65 $639,381.65 $639,381.65 nat. median
$119,796
outlier · 5.3×
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
$69,788
outlier · 8.9×
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
$89,790
outlier · 6.9×
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
$93,260
outlier · 6.7×
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
$265,286
outlier · 2.3×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $613,937.66 $613,937.66 $613,937.66 nat. median
$102,636
outlier · 6.0×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $205,640.00 $720,906.25 $605,007.06 nat. median
$209,753
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
$150,721
outlier · 4.0×
5831
APR_DRG 		Neonate With Ecmo 1 $593,966.49 $593,966.49 $593,966.49 nat. median
$145,122
outlier · 4.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $588,685.27 $588,685.27 $588,685.27 nat. median
$187,294
outlier · 3.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $584,199.56 $584,199.56 $584,199.56 nat. median
$105,658
outlier · 5.5×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 1 $541,795.70 $541,795.70 $541,795.70 nat. median
$129,535
outlier · 4.2×
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
$118,620
outlier · 4.4×
23
APR_DRG 		Heart And/Or Lung Transplant 1 $516,768.21 $516,768.21 $516,768.21 nat. median
$93,528
outlier · 5.5×

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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
10 MS_DRG Pancreas Transplant 42 14 — — $96,411.46 $360,442.59 $150,661.00 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
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
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
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
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
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
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $241,415.90 $241,415.90 $241,415.90 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
1214 APR_DRG Other Respiratory And Chest Procedures 2 1 — — $149,452.70 $149,452.70 $149,452.70 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
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
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
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $541,795.70 $541,795.70 $541,795.70 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 68 16 — — $178,730.84 $603,671.13 $264,586.08 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
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $144,150.65 $144,150.65 $144,150.65 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $420,098.56 $420,098.56 $420,098.56 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
1613 APR_DRG Implantable Heart Assist Systems 2 1 — — $639,381.65 $639,381.65 $639,381.65 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 2 1 — — $794,582.04 $794,582.04 $794,582.04 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $131,751.45 $131,751.45 $131,751.45 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
1693 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $132,717.73 $132,717.73 $132,717.73 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $195,271.86 $195,271.86 $195,271.86 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
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 2 1 — — $127,836.35 $127,836.35 $127,836.35 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
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
1781 APR_DRG External Heart Assist Systems 2 1 — — $156,058.39 $156,058.39 $156,058.39 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $170,094.44 $170,094.44 $170,094.44 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $210,998.90 $210,998.90 $210,998.90 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $260,204.21 $260,204.21 $260,204.21 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $131,118.37 $131,118.37 $131,118.37 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $159,502.84 $159,502.84 $159,502.84 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $216,059.38 $216,059.38 $216,059.38 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
1814 APR_DRG Lower Extremity Arterial Procedures 2 1 — — $153,080.41 $153,080.41 $153,080.41 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $125,570.59 $125,570.59 $125,570.59 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $133,071.75 $133,071.75 $133,071.75 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $162,689.07 $162,689.07 $162,689.07 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $230,895.11 $230,895.11 $230,895.11 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
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
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
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
209 MS_DRG Complex Aortic Arch Procedures 36 13 — — $182,923.13 $568,554.64 $249,013.60 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 13 — — $175,736.33 $546,216.92 $239,230.20 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 2 1 — — $132,888.49 $132,888.49 $132,888.49 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
214 APR_DRG Open Craniotomy Except Trauma 2 1 — — $195,034.46 $195,034.46 $195,034.46 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
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
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
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
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
22 APR_DRG Heart And/Or Lung Transplant 2 1 — — $398,873.72 $398,873.72 $398,873.72 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
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
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
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
224 APR_DRG Ventricular Shunt Procedures 2 1 — — $140,635.39 $140,635.39 $140,635.39 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 2 1 — — $125,903.79 $125,903.79 $125,903.79 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
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
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
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 1 — — $127,124.13 $127,124.13 $127,124.13 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
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
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $153,388.62 $153,388.62 $153,388.62 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
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $134,225.46 $134,225.46 $134,225.46 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
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
234 APR_DRG Spinal Procedures 2 1 — — $188,178.87 $188,178.87 $188,178.87 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
24 APR_DRG Heart And/Or Lung Transplant 2 1 — — $955,625.93 $955,625.93 $955,625.93 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
2614 APR_DRG Major Biliary Tract Procedures 2 1 — — $163,430.44 $163,430.44 $163,430.44 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
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 1 — — $141,176.84 $141,176.84 $141,176.84 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
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
274 APR_DRG Other Open Craniotomy 2 1 — — $153,213.69 $153,213.69 $153,213.69 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
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
28 MS_DRG Spinal Procedures With Mcc 42 14 — — $97,100.14 $301,802.92 $132,374.87 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $140,739.52 $140,739.52 $140,739.52 2026-04-01
2991 APR_DRG Description Not Available 2 1 — — $131,568.19 $131,568.19 $131,568.19 2026-04-01
2992 APR_DRG Description Not Available 2 1 — — $154,604.80 $154,604.80 $154,604.80 2026-04-01
2993 APR_DRG Description Not Available 2 1 — — $206,350.76 $206,350.76 $206,350.76 2026-04-01
2994 APR_DRG Description Not Available 2 1 — — $263,203.01 $263,203.01 $263,203.01 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
3003 APR_DRG Description Not Available 2 1 — — $135,962.26 $135,962.26 $135,962.26 2026-04-01
3004 APR_DRG Description Not Available 2 1 — — $199,020.36 $199,020.36 $199,020.36 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
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
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
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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $147,203.60 $147,203.60 $147,203.60 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
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
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
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 1 — — $128,615.20 $128,615.20 $128,615.20 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
3214 APR_DRG Decompression 2 1 — — $157,432.84 $157,432.84 $157,432.84 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
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
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
4014 APR_DRG Adrenal Procedures 2 1 — — $177,957.96 $177,957.96 $177,957.96 2026-04-01
4034 APR_DRG Procedures For Obesity 2 1 — — $143,201.03 $143,201.03 $143,201.03 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
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
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
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
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
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
4284 APR_DRG Description Not Available 2 1 — — $143,226.02 $143,226.02 $143,226.02 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
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
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
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
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
4401 APR_DRG Kidney Transplant 2 1 — — $158,590.71 $158,590.71 $158,590.71 2026-04-01
4402 APR_DRG Kidney Transplant 2 1 — — $173,588.87 $173,588.87 $173,588.87 2026-04-01
4403 APR_DRG Kidney Transplant 2 1 — — $201,111.19 $201,111.19 $201,111.19 2026-04-01
4404 APR_DRG Kidney Transplant 2 1 — — $302,116.61 $302,116.61 $302,116.61 2026-04-01
4414 APR_DRG Major Bladder Procedures 2 1 — — $170,727.52 $170,727.52 $170,727.52 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
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
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 1 — — $136,824.42 $136,824.42 $136,824.42 2026-04-01
4484 APR_DRG Description Not Available 2 1 — — $132,855.17 $132,855.17 $132,855.17 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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 1 — — $179,333.31 $245,186.94 $235,261.76 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
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
4854 APR_DRG Description Not Available 2 1 — — $162,934.80 $162,934.80 $162,934.80 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
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
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
5204 APR_DRG Description Not Available 2 1 — — $168,861.60 $168,861.60 $168,861.60 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
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
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
5831 APR_DRG Neonate With Ecmo 2 1 — — $593,966.49 $593,966.49 $593,966.49 2026-04-01
5832 APR_DRG Neonate With Ecmo 2 1 — — $703,959.97 $703,959.97 $703,959.97 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
5834 APR_DRG Neonate With Ecmo 2 1 — — $1,857,994.01 $1,857,994.01 $1,857,994.01 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
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
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
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
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
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
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
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
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
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
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
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
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
6021 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $155,662.71 $155,662.71 $155,662.71 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
6023 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $363,125.53 $363,125.53 $363,125.53 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
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
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
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
6072 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $185,484.11 $185,484.11 $185,484.11 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
6074 APR_DRG Respiratory Condition Or Major Anomaly 2 1 — — $387,765.67 $387,765.67 $387,765.67 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
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
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
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
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
61 APR_DRG Pancreas Transplant 2 1 — — $212,181.76 $212,181.76 $212,181.76 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
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
6123 APR_DRG Respiratory Condition 2 1 — — $165,692.03 $165,692.03 $165,692.03 2026-04-01
6124 APR_DRG Respiratory Condition 2 1 — — $239,466.68 $239,466.68 $239,466.68 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
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
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
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
62 APR_DRG Pancreas Transplant 2 1 — — $262,940.62 $262,940.62 $262,940.62 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
6224 APR_DRG Respiratory Condition 2 1 — — $139,856.54 $139,856.54 $139,856.54 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
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
63 APR_DRG Pancreas Transplant 2 1 — — $310,950.57 $310,950.57 $310,950.57 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
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
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
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
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
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
6344 APR_DRG Respiratory Condition 2 1 — — $132,784.37 $132,784.37 $132,784.37 2026-04-01
64 APR_DRG Pancreas Transplant 2 1 — — $365,362.13 $365,362.13 $365,362.13 2026-04-01
6504 APR_DRG Splenectomy 2 1 — — $137,703.23 $137,703.23 $137,703.23 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
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
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
6904 APR_DRG Acute Leukemia 2 1 — — $177,108.30 $177,108.30 $177,108.30 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 2 1 — — $153,326.15 $153,326.15 $153,326.15 2026-04-01
7 MS_DRG Lung Transplant 46 16 — — $91,630.23 $650,501.50 $284,904.40 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $217,304.71 $217,304.71 $217,304.71 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
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
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $261,058.04 $261,058.04 $261,058.04 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $350,742.98 $350,742.98 $350,742.98 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $588,685.27 $588,685.27 $588,685.27 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
7524 APR_DRG Disorders Of Personality And Impulse Control 2 1 — — $130,885.13 $130,885.13 $130,885.13 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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 66 17 — — $665.66 $641,143.02 $158,454.98 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
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 1 — — $205,559.41 $205,559.41 $205,559.41 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
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
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
850 MS_DRG Acute Leukemia With Other Procedures 44 14 — — $138,315.00 $446,003.35 $190,509.00 2026-04-01
8504 APR_DRG Services 2 1 — — $185,284.19 $185,284.19 $185,284.19 2026-04-01
8514 APR_DRG Gender Related Procedures 2 1 — — $273,469.74 $273,469.74 $273,469.74 2026-04-01
8633 APR_DRG Neonatal Aftercare 2 1 — — $144,321.42 $144,321.42 $144,321.42 2026-04-01
8634 APR_DRG Neonatal Aftercare 2 1 — — $311,766.91 $311,766.91 $311,766.91 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
893 APR_DRG Major Cranial Or Facial Bone Procedures 2 1 — — $125,599.74 $125,599.74 $125,599.74 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
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $192,073.14 $192,073.14 $192,073.14 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
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $223,902.07 $223,902.07 $223,902.07 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
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
913 APR_DRG Other Major Head And Neck Procedures 2 1 — — $134,371.23 $134,371.23 $134,371.23 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
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $237,396.67 $237,396.67 $237,396.67 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
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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $432,610.22 $432,610.22 $432,610.22 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $764,710.66 $764,710.66 $764,710.66 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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 14 — — $108,781.31 $338,109.88 $148,299.60 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
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
A9543 HCPCS Y90 Ibritumomab, Rx 14 4 — — $56,824.55 $170,473.65 $131,153.39 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 6 1 — — $140,085.39 $140,085.39 $140,085.39 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 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
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
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 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
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 3 — — $2,455,110.60 $4,910,221.21 $3,282,819.22 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 14 5 — — $205,640.00 $720,906.25 $605,007.06 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 8 4 — — $257,500.00 $947,295.50 $522,500.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 6 — — $63,342.28 $229,763.10 $141,594.44 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 6 — — $533,230.17 $1,902,427.60 $1,065,422.41 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 6 — — $3,123.00 $2,025,179.45 $700,870.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 20 6 — — $489,304.61 $1,749,637.64 $978,754.81 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
Q2055 HCPCS Idecabtagene Vicleucel Car 20 6 — — $557,317.93 $1,994,974.75 $1,115,399.66 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
Q2057 HCPCS Afamitresgene Autoleucel 14 5 — — $770,620.00 $2,754,735.31 $2,311,860.00 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
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