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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

LOS ANGELES COMMUNITY HOSPITAL

Los Angeles, CA · CCN 050663 · Rates published

28,412 distinct procedures filed
24 distinct payers
450,367 rate rows
2026-03-18 last MRF observed
Data quality

434,011 of 450,367 rate rows are consumer-grade (96.4%)

16,356 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 9,314
template filing: same amount across many unrelated codes — excluded 3,677
placeholder amount (≤ $0.02) — excluded from medians 2,998
per-diem day rate — not a per-procedure price 352
percent-of-charges filed in the dollar field — excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7919/954691839_nor-la%2C-llc_standardcharges.csv
Found on page https://www.lach-la.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint dc8e26d557e547e5… · 264,799,715 bytes · first seen 2026-05-15

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 18 $3,604,000.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 18 $2,948,213.33 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $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 20 $2,653,170.07 $4,974,693.88 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 20 $2,598,756.57 $4,872,668.57 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 20 $2,356,592.00 $4,418,610.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 20 $1,964,088.48 $3,682,665.91 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 20 $1,865,600.00 $3,498,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 20 $616,496.00 $1,937,331.74 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $473,380.96 $1,487,594.34 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 21 $98,584.46 $1,422,589.42 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 21 $90,897.86 $1,414,215.94 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 21 $91,451.00 $1,401,092.26 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 21 $89,892.46 $1,340,535.84 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 21 $89,888.00 $1,230,107.37 $489,304.61 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $455,994.08 $991,787.12 $465,113.96 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $295,983.54 $643,764.20 $301,903.21 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 20 $222,600.00 $650,775.20 $278,250.00 nat. median
$324,450
0.9× median
5834
APR_DRG 		Neonate With Ecmo 5 $254,412.72 $305,295.26 $270,949.54 nat. median
$309,665
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 19 $206,000.00 $619,785.90 $257,500.00 nat. median
$265,000
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $225,542.13 $490,554.13 $230,052.97 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 20 $224,219.50 $487,677.41 $228,703.89 nat. median
$202,986
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $208,687.25 $250,424.70 $222,251.92 nat. median
$246,434
0.9× median
5833
APR_DRG 		Neonate With Ecmo 5 $201,499.63 $241,799.56 $214,597.10 nat. median
$244,017
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $199,529.50 $239,435.40 $212,498.92 nat. median
$207,730
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 20 $164,512.00 $516,977.11 $205,640.00 nat. median
$209,753
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $192,552.40 $231,062.88 $205,068.30 nat. median
$234,738
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $172,967.03 $172,973.98 $172,970.51 nat. median
$76,377
outlier · 2.3×
1613
APR_DRG 		Implantable Heart Assist Systems 5 $152,860.98 $183,433.18 $162,796.95 nat. median
$119,796
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $151,473.30 $181,767.96 $161,319.07 nat. median
$150,721
1.1× median
5832
APR_DRG 		Neonate With Ecmo 5 $148,586.54 $178,303.85 $158,244.67 nat. median
$156,126
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $140,708.86 $168,850.63 $149,854.94 nat. median
$160,267
0.9× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 20 $146,384.98 $318,387.33 $149,312.68 nat. median
$133,176
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $136,104.03 $163,324.84 $144,950.79 nat. median
$151,838
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $134,444.48 $161,333.38 $143,183.37 nat. median
$182,736
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $131,646.46 $157,975.75 $140,203.48 nat. median
$145,336
1.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $131,431.23 $157,717.48 $139,974.26 nat. median
$164,279
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $131,261.31 $157,513.57 $139,793.29 nat. median
$117,173
1.2× median
7
MS_DRG 		Lung Transplant 20 $136,872.32 $297,697.30 $139,609.77 nat. median
$122,708
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $130,592.96 $156,711.55 $139,081.51 nat. median
$162,982
0.9× median
5831
APR_DRG 		Neonate With Ecmo 5 $128,405.71 $154,086.85 $136,752.08 nat. median
$145,122
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $126,234.51 $151,481.41 $134,439.76 nat. median
$187,294
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $125,373.58 $150,448.30 $133,522.86 nat. median
$122,924
1.1× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $125,035.63 $150,042.76 $133,162.95 nat. median
$105,658
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $123,090.99 $147,709.19 $131,091.90 nat. median
$129,535
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $122,733.22 $147,279.86 $130,710.88 nat. median
$85,406
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $122,413.20 $146,895.84 $130,370.06 nat. median
$164,834
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $127,031.39 $276,293.27 $129,572.02 nat. median
$117,303
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $119,071.44 $142,885.73 $126,811.08 nat. median
$93,528
1.4× median

Other procedures at this hospital

Browse this hospital's 28,412 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 20 18 — — $3,604,000.00 $4,730,250.00 $4,505,000.00 2026-03-18
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 18 — — $2,948,213.33 $3,869,530.00 $3,685,266.67 2026-03-18
J3389 HCPCS Topi Adm Prad Zami Per Treat 2 2 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-18
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 20 — — $2,653,170.07 $4,974,693.88 $3,316,462.59 2026-03-18
J3394 HCPCS Inj, Lovotibeglogene Autotem 22 20 — — $2,598,756.57 $4,872,668.57 $3,248,445.72 2026-03-18
J3387 HCPCS Inj Elivaldogene Autotemecel 2 2 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-18
J3393 HCPCS Inj, Betibeglogene Autotemce 22 20 — — $2,356,592.00 $4,418,610.00 $2,945,740.00 2026-03-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 22 20 — — $1,964,088.48 $3,682,665.91 $2,455,110.61 2026-03-18
J3392 HCPCS Inj, Exagamglogene Autotem 22 20 — — $1,865,600.00 $3,498,000.00 $2,332,000.00 2026-03-18
Q2057 HCPCS Afamitresgene Autoleucel 23 20 — — $616,496.00 $1,937,331.74 $770,620.00 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 23 20 — — $473,380.96 $1,487,594.34 $591,726.20 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T 25 21 — — $98,584.46 $1,422,589.42 $565,868.95 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 25 21 — — $90,897.86 $1,414,215.94 $562,538.19 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel Car 25 21 — — $91,451.00 $1,401,092.26 $557,317.93 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 25 21 — — $89,892.46 $1,340,535.84 $533,230.17 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T 25 21 — — $89,888.00 $1,230,107.37 $489,304.61 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 20 — — $455,994.08 $991,787.12 $465,113.96 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 20 — — $295,983.54 $643,764.20 $301,903.21 2026-03-18
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 23 20 — — $222,600.00 $650,775.20 $278,250.00 2026-03-18
5834 APR_DRG Neonate With Ecmo 6 5 — — $254,412.72 $305,295.26 $270,949.54 2026-03-18
J3403 HCPCS Revakinagene, Per Implant 22 19 — — $206,000.00 $619,785.90 $257,500.00 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 28 20 — — $225,542.13 $490,554.13 $230,052.97 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 28 20 — — $224,219.50 $487,677.41 $228,703.89 2026-03-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $208,687.25 $250,424.70 $222,251.92 2026-03-18
5833 APR_DRG Neonate With Ecmo 6 5 — — $201,499.63 $241,799.56 $214,597.10 2026-03-18
1614 APR_DRG Implantable Heart Assist Systems 6 5 — — $199,529.50 $239,435.40 $212,498.92 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 23 20 — — $164,512.00 $516,977.11 $205,640.00 2026-03-18
24 APR_DRG Heart And/or Lung Transplant 6 5 — — $192,552.40 $231,062.88 $205,068.30 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $172,967.03 $172,973.98 $172,970.51 2026-03-18
1613 APR_DRG Implantable Heart Assist Systems 6 5 — — $152,860.98 $183,433.18 $162,796.95 2026-03-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $151,473.30 $181,767.96 $161,319.07 2026-03-18
5832 APR_DRG Neonate With Ecmo 6 5 — — $148,586.54 $178,303.85 $158,244.67 2026-03-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $140,708.86 $168,850.63 $149,854.94 2026-03-18
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 28 20 — — $146,384.98 $318,387.33 $149,312.68 2026-03-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $136,104.03 $163,324.84 $144,950.79 2026-03-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $134,444.48 $161,333.38 $143,183.37 2026-03-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $131,646.46 $157,975.75 $140,203.48 2026-03-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $131,431.23 $157,717.48 $139,974.26 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $131,261.31 $157,513.57 $139,793.29 2026-03-18
7 MS_DRG Lung Transplant 28 20 — — $136,872.32 $297,697.30 $139,609.77 2026-03-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $130,592.96 $156,711.55 $139,081.51 2026-03-18
5831 APR_DRG Neonate With Ecmo 6 5 — — $128,405.71 $154,086.85 $136,752.08 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $126,234.51 $151,481.41 $134,439.76 2026-03-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $125,373.58 $150,448.30 $133,522.86 2026-03-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $125,035.63 $150,042.76 $133,162.95 2026-03-18
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $123,090.99 $147,709.19 $131,091.90 2026-03-18
1612 APR_DRG Implantable Heart Assist Systems 6 5 — — $122,733.22 $147,279.86 $130,710.88 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $122,413.20 $146,895.84 $130,370.06 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 28 20 — — $127,031.39 $276,293.27 $129,572.02 2026-03-18
23 APR_DRG Heart And/or Lung Transplant 6 5 — — $119,071.44 $142,885.73 $126,811.08 2026-03-18
1611 APR_DRG Implantable Heart Assist Systems 6 5 — — $116,597.22 $139,916.66 $124,176.04 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 20 — — $119,789.22 $260,541.55 $122,185.00 2026-03-18
209 MS_DRG Complex Aortic Arch Procedures 28 20 — — $119,652.00 $260,243.10 $122,045.04 2026-03-18
90288 CPT Botulism Ig, IV 2 1 — — $121,226.75 $121,231.62 $121,229.18 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 20 — — $116,510.67 $253,410.71 $118,840.88 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 20 — — $114,957.94 $250,033.52 $117,257.10 2026-03-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $109,404.88 $131,285.86 $116,516.20 2026-03-18
64 APR_DRG Pancreas Transplant 6 5 — — $108,703.49 $130,444.19 $115,769.21 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 20 — — $109,008.84 $237,094.23 $111,189.02 2026-03-18
215 MS_DRG Other Heart Assist System Implant 30 20 — — $56,991.00 $228,978.41 $106,856.59 2026-03-18
Q0480 HCPCS Driver Pneumatic Vad, Rep 23 19 — — $4,604.41 $159,181.40 $106,120.93 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 20 — — $56,991.00 $224,979.11 $104,990.25 2026-03-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $97,559.57 $117,071.48 $103,900.95 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 20 — — $95,277.11 $207,227.71 $97,182.65 2026-03-18
22 APR_DRG Heart And/or Lung Transplant 6 5 — — $88,364.06 $106,036.87 $94,107.73 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 28 20 — — $91,581.61 $199,190.00 $93,413.24 2026-03-18
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 22 19 — — $74,573.36 $139,825.05 $93,216.70 2026-03-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $87,523.90 $105,028.68 $93,212.95 2026-03-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $86,655.42 $103,986.50 $92,288.02 2026-03-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $85,565.10 $102,678.12 $91,126.83 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 20 — — $56,991.00 $193,918.80 $90,495.44 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 20 — — $14,543.00 $193,310.39 $90,211.51 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $84,429.47 $101,315.36 $89,917.39 2026-03-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $82,400.82 $98,880.98 $87,756.87 2026-03-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $79,573.54 $95,488.25 $84,745.82 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 20 — — $44,992.00 $181,036.86 $84,483.87 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 20 — — $56,991.00 $176,663.31 $82,442.88 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 20 — — $80,608.07 $175,322.55 $82,220.23 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 20 — — $56,991.00 $175,903.39 $82,088.24 2026-03-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $76,998.30 $92,397.96 $82,003.19 2026-03-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $76,928.45 $92,314.14 $81,928.80 2026-03-18
63 APR_DRG Pancreas Transplant 6 5 — — $76,434.74 $91,721.69 $81,402.99 2026-03-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $76,075.07 $91,290.08 $81,019.95 2026-03-18
21 APR_DRG Heart And/or Lung Transplant 6 5 — — $75,751.28 $90,901.54 $80,675.12 2026-03-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $74,933.78 $89,920.54 $79,804.48 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $74,392.86 $89,271.43 $79,228.40 2026-03-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $73,188.32 $87,825.98 $77,945.56 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 20 — — $76,372.12 $166,109.36 $77,899.56 2026-03-18
10 MS_DRG Pancreas Transplant 28 20 — — $75,919.29 $165,124.46 $77,437.68 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 20 — — $75,887.62 $165,055.57 $77,405.37 2026-03-18
4404 APR_DRG Kidney Transplant 6 5 — — $72,321.73 $86,786.08 $77,022.64 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 20 — — $75,485.45 $164,180.85 $76,995.16 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 20 — — $8,936.00 $164,084.41 $76,572.73 2026-03-18
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $71,162.50 $85,395.00 $75,788.07 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 5 — — $71,110.58 $85,332.70 $75,732.77 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 28 20 — — $73,133.67 $159,065.73 $74,596.34 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 20 — — $72,775.85 $158,287.47 $74,231.37 2026-03-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $69,370.78 $83,244.94 $73,879.88 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 20 — — $44,992.00 $154,917.20 $72,294.70 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 20 — — $70,703.79 $153,780.74 $72,117.87 2026-03-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $67,712.18 $81,254.62 $72,113.48 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 20 — — $8,935.00 $153,893.23 $71,816.85 2026-03-18
1784 APR_DRG External Heart Assist Systems 6 5 — — $67,260.94 $80,713.13 $71,632.90 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 20 — — $69,329.45 $150,791.55 $70,716.04 2026-03-18
62 APR_DRG Pancreas Transplant 6 5 — — $66,352.82 $79,623.38 $70,665.75 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 20 — — $56,991.00 $151,340.31 $70,625.48 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 20 — — $56,991.00 $151,340.31 $70,625.48 2026-03-18
C1882 HCPCS Cardioverter-defibrillator 2 1 — — $70,388.67 $70,391.50 $70,390.08 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 28 20 — — $68,097.63 $148,112.35 $69,459.58 2026-03-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $65,061.42 $78,073.70 $69,290.41 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $64,610.19 $77,532.23 $68,809.86 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 6 5 — — $63,856.88 $76,628.26 $68,007.58 2026-03-18
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 22 19 — — $53,962.13 $118,052.34 $67,452.66 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 20 — — $64,864.46 $141,080.20 $66,161.75 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 20 — — $64,789.53 $140,917.23 $66,085.32 2026-03-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $61,921.68 $74,306.02 $65,946.59 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 20 — — $56,991.00 $139,569.55 $65,453.31 2026-03-18
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $60,907.82 $73,089.38 $64,866.83 2026-03-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $60,679.38 $72,815.26 $64,623.54 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 30 20 — — $14,543.00 $138,322.89 $64,550.68 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 20 — — $8,936.00 $138,283.89 $64,532.49 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 20 — — $62,912.74 $136,835.21 $64,170.99 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 20 — — $14,543.00 $137,285.20 $64,066.43 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 20 — — $62,767.07 $136,518.38 $64,022.41 2026-03-18
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $59,642.86 $71,571.43 $63,519.65 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 20 — — $56,991.00 $135,115.63 $63,364.57 2026-03-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 24 20 — — $3,789.20 $159,241.91 $63,342.28 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 20 — — $62,082.03 $135,028.42 $63,323.67 2026-03-18
0164T CPT Remove Lumb Artif Disc Addl 3 2 — — $587.00 $63,135.52 $63,132.99 2026-03-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $58,827.25 $70,592.70 $62,651.03 2026-03-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $58,697.92 $70,437.50 $62,513.29 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 20 — — $61,050.75 $132,785.38 $62,271.77 2026-03-18
230 MS_DRG Cardiac Procedures 2 1 — — $56,991.00 $67,489.00 $62,240.00 2026-03-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $58,391.12 $70,069.34 $62,186.54 2026-03-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $58,294.83 $69,953.80 $62,083.99 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $58,190.99 $69,829.19 $61,973.40 2026-03-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 20 — — $60,415.29 $131,403.26 $61,623.60 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 20 — — $44,992.00 $131,940.52 $61,572.24 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 20 — — $60,337.19 $131,233.39 $61,543.93 2026-03-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $57,600.99 $69,121.19 $61,345.05 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $57,396.14 $68,875.37 $61,126.88 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 20 — — $59,519.13 $129,454.11 $60,709.51 2026-03-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $56,943.97 $68,332.76 $60,645.33 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 20 — — $59,335.46 $129,054.63 $60,522.17 2026-03-18
C1721 HCPCS Cardioverter-defibrillator 2 1 — — $60,440.11 $60,442.54 $60,441.32 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 20 — — $58,930.13 $128,173.03 $60,108.73 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $56,419.10 $67,702.92 $60,086.34 2026-03-18
8634 APR_DRG Neonatal Aftercare 6 5 — — $55,826.27 $66,991.52 $59,454.98 2026-03-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $55,816.83 $66,980.20 $59,444.92 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 20 — — $16,966.00 $127,181.25 $59,351.25 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 28 20 — — $58,124.75 $126,421.33 $59,287.25 2026-03-18
38240 CPT Transplt Allo Hct/donor 28 21 — — $104.24 $190,634.51 $59,142.33 2026-03-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 20 — — $57,919.97 $125,975.93 $59,078.37 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 20 — — $56,991.00 $125,796.85 $58,994.38 2026-03-18
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 20 — — $57,746.86 $125,599.42 $58,901.80 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $55,140.93 $66,169.12 $58,725.09 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 20 — — $57,516.74 $125,098.91 $58,667.07 2026-03-18
1794 APR_DRG Defibrillator Implants 6 5 — — $54,798.26 $65,757.91 $58,360.15 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 5 — — $54,571.70 $65,486.04 $58,118.86 2026-03-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $54,501.84 $65,402.21 $58,044.46 2026-03-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $54,452.75 $65,343.30 $57,992.18 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 20 — — $56,463.69 $122,814.57 $57,595.80 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 20 — — $56,429.80 $122,741.08 $57,561.33 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 20 — — $44,992.00 $121,919.17 $57,175.89 2026-03-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 5 — — $53,424.74 $64,109.69 $56,897.35 2026-03-18
A9543 HCPCS Y90 Ibritumomab, Rx 26 21 — — $3,388.67 $168,102.56 $56,824.55 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 20 — — $8,935.00 $121,517.45 $56,708.14 2026-03-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $53,239.71 $63,887.65 $56,700.29 2026-03-18
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $52,954.62 $63,545.54 $56,396.67 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 20 — — $55,114.78 $119,889.68 $56,224.12 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 28 20 — — $55,019.48 $119,683.05 $56,127.22 2026-03-18
1694 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $52,241.90 $62,690.28 $55,637.62 2026-03-18
61 APR_DRG Pancreas Transplant 6 5 — — $52,156.94 $62,588.33 $55,547.14 2026-03-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 5 — — $52,093.70 $62,512.44 $55,479.79 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 21 — — $2,816.92 $138,954.13 $55,272.32 2026-03-18
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 5 — — $51,867.14 $62,240.57 $55,238.50 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $51,814.27 $62,177.12 $55,182.20 2026-03-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $51,638.69 $61,966.43 $54,995.21 2026-03-18
914 APR_DRG Other Major Head And Neck Procedures 6 5 — — $51,595.26 $61,914.31 $54,948.96 2026-03-18
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 5 — — $23,000.00 $59,395.30 $54,643.68 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 20 — — $53,365.64 $116,096.98 $54,445.48 2026-03-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 5 — — $50,613.50 $60,736.20 $53,903.38 2026-03-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 20 — — $52,806.59 $114,884.76 $53,876.99 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 20 — — $52,383.07 $113,966.43 $53,446.33 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 20 — — $52,289.90 $113,764.38 $53,351.57 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 20 — — $52,110.96 $113,376.40 $53,169.62 2026-03-18
1783 APR_DRG External Heart Assist Systems 6 5 — — $49,759.18 $59,711.02 $52,993.53 2026-03-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 20 — — $51,893.91 $112,905.75 $52,948.90 2026-03-18
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 5 — — $49,556.22 $59,467.46 $52,777.38 2026-03-18
234 APR_DRG Spinal Procedures 6 5 — — $49,429.73 $59,315.68 $52,642.66 2026-03-18
214 APR_DRG Open Craniotomy Except Trauma 6 5 — — $48,751.94 $58,502.33 $51,920.82 2026-03-18
471 MS_DRG Cervical Spinal Fusion With Mcc 30 20 — — $14,543.00 $111,241.29 $51,912.60 2026-03-18
4414 APR_DRG Major Bladder Procedures 6 5 — — $48,743.44 $58,492.13 $51,911.76 2026-03-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 20 — — $50,867.93 $110,681.10 $51,905.62 2026-03-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 20 — — $50,407.35 $109,682.38 $51,437.25 2026-03-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $48,146.83 $57,776.20 $51,276.37 2026-03-18
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 5 — — $48,131.73 $57,758.08 $51,260.29 2026-03-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 20 — — $49,778.42 $108,318.68 $50,797.72 2026-03-18
4403 APR_DRG Kidney Transplant 6 5 — — $47,672.00 $57,206.40 $50,770.68 2026-03-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 20 — — $49,676.78 $108,098.28 $50,694.37 2026-03-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 20 — — $49,528.55 $107,776.86 $50,543.63 2026-03-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $47,445.44 $56,934.53 $50,529.39 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 28 20 — — $49,096.56 $106,840.15 $50,104.35 2026-03-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 20 — — $48,667.74 $105,910.34 $49,668.30 2026-03-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 20 — — $8,936.00 $106,415.44 $49,660.54 2026-03-18
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 5 — — $46,533.54 $55,840.25 $49,558.22 2026-03-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 20 — — $48,543.86 $105,641.71 $49,542.32 2026-03-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $46,435.36 $55,722.43 $49,453.66 2026-03-18
1782 APR_DRG External Heart Assist Systems 6 5 — — $46,359.84 $55,631.81 $49,373.23 2026-03-18
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 5 — — $46,178.59 $55,414.31 $49,180.20 2026-03-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 20 — — $48,161.64 $104,812.92 $49,153.65 2026-03-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 20 — — $44,992.00 $104,767.03 $49,132.13 2026-03-18
245 MS_DRG Aicd Generator Procedures 30 20 — — $36,444.00 $105,127.43 $49,059.46 2026-03-18
799 MS_DRG Splenic Procedures With Mcc 28 20 — — $47,951.99 $104,358.35 $48,940.47 2026-03-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 5 — — $45,865.18 $55,038.22 $48,846.42 2026-03-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $45,733.02 $54,879.62 $48,705.67 2026-03-18
163 MS_DRG Major Chest Procedures With Mcc 28 20 — — $47,453.30 $103,277.00 $48,433.35 2026-03-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 20 — — $44,992.00 $103,247.21 $48,419.38 2026-03-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 5 — — $45,413.95 $54,496.74 $48,365.86 2026-03-18
C1722 HCPCS Cardioverter-defibrillator 2 1 — — $48,273.76 $48,275.70 $48,274.73 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $45,322.38 $54,386.86 $48,268.34 2026-03-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 20 — — $47,253.19 $102,843.09 $48,229.86 2026-03-18
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $45,186.45 $54,223.74 $48,123.57 2026-03-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $45,139.25 $54,167.10 $48,073.31 2026-03-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $45,077.89 $54,093.47 $48,007.96 2026-03-18
204 APR_DRG Open Craniotomy For Trauma 6 5 — — $44,977.82 $53,973.38 $47,901.38 2026-03-18
1204 APR_DRG Major Respiratory And Chest Procedures 6 5 — — $44,770.14 $53,724.17 $47,680.19 2026-03-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 5 — — $44,673.86 $53,608.63 $47,577.67 2026-03-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 20 — — $46,510.97 $101,233.74 $47,475.14 2026-03-18
6904 APR_DRG Acute Leukemia 6 5 — — $44,542.64 $53,451.17 $47,437.91 2026-03-18
7594 APR_DRG Eating Disorders 6 5 — — $44,462.40 $53,354.88 $47,352.46 2026-03-18
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $44,415.20 $53,298.24 $47,302.19 2026-03-18
L7181 HCPCS Electronic Elbo Simultaneous 23 19 — — $2,048.42 $70,816.91 $47,211.27 2026-03-18
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 5 — — $43,924.32 $52,709.18 $46,779.40 2026-03-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 20 — — $10,639.00 $99,732.28 $46,771.00 2026-03-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 20 — — $45,453.23 $98,940.21 $46,399.55 2026-03-18
140 MS_DRG Major Head And Neck Procedures With Mcc 28 20 — — $45,161.00 $98,306.56 $46,102.39 2026-03-18
1814 APR_DRG Lower Extremity Arterial Procedures 6 5 — — $43,194.61 $51,833.53 $46,002.26 2026-03-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $43,194.61 $51,833.53 $46,002.26 2026-03-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 20 — — $44,901.59 $97,744.09 $45,838.61 2026-03-18
274 APR_DRG Other Open Craniotomy 6 5 — — $42,971.82 $51,566.18 $45,764.99 2026-03-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 5 — — $42,933.12 $51,519.74 $45,723.77 2026-03-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 20 — — $44,715.24 $97,339.99 $45,649.10 2026-03-18
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 20 — — $44,639.01 $97,174.72 $45,571.59 2026-03-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 20 — — $44,616.77 $97,126.52 $45,548.99 2026-03-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 20 — — $44,486.54 $96,844.09 $45,416.54 2026-03-18
C1767 HCPCS Generator, Neuro Non-recharg 2 1 — — $45,377.38 $45,379.21 $45,378.29 2026-03-18
901 MS_DRG Wound Debridements For Injuries With Mcc 28 20 — — $44,433.60 $96,729.34 $45,362.73 2026-03-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 20 — — $44,351.01 $96,550.25 $45,278.74 2026-03-18
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 5 — — $42,486.61 $50,983.93 $45,248.24 2026-03-18
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 5 — — $42,434.69 $50,921.63 $45,192.95 2026-03-18
793 MS_DRG Full Term Neonate With Major Problems 28 20 — — $44,147.72 $96,109.42 $45,072.00 2026-03-18
2614 APR_DRG Major Biliary Tract Procedures 6 5 — — $42,307.25 $50,768.70 $45,057.23 2026-03-18
J9226 HCPCS Supprelin La Implant 26 21 — — $2,248.66 $113,181.52 $45,020.65 2026-03-18
0266T CPT Apc 23 19 — — $260.52 $67,500.75 $45,000.50 2026-03-18
33276 CPT Insj Phrnc Nrv Stim Sys 24 20 — — $1,278.43 $67,500.75 $45,000.50 2026-03-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 20 — — $43,971.96 $95,728.34 $44,893.29 2026-03-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 20 — — $14,543.00 $96,178.28 $44,883.20 2026-03-18
6954 APR_DRG Chemotherapy For Acute Leukemia 6 5 — — $41,921.15 $50,305.38 $44,646.02 2026-03-18
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $41,849.41 $50,219.29 $44,569.62 2026-03-18
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 20 — — $10,639.00 $95,096.96 $44,378.58 2026-03-18
2304 APR_DRG Major Small Bowel Procedures 6 5 — — $41,388.74 $49,666.49 $44,079.01 2026-03-18
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 5 — — $38,317.90 $47,897.38 $44,065.59 2026-03-18
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 5 — — $41,373.63 $49,648.36 $44,062.91 2026-03-18
1781 APR_DRG External Heart Assist Systems 6 5 — — $41,349.09 $49,618.91 $44,036.78 2026-03-18
791 MS_DRG Prematurity With Major Problems 28 20 — — $42,976.69 $93,570.22 $43,881.21 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $41,149.90 $49,379.88 $43,824.65 2026-03-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $40,972.43 $49,166.92 $43,635.63 2026-03-18
4402 APR_DRG Kidney Transplant 6 5 — — $40,886.53 $49,063.84 $43,544.15 2026-03-18
L7180 HCPCS Electronic Elbow Sequential 25 20 — — $1,886.84 $65,230.67 $43,487.11 2026-03-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 5 — — $40,816.67 $48,980.00 $43,469.75 2026-03-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 20 — — $42,569.05 $92,686.34 $43,466.70 2026-03-18
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 5 — — $40,772.30 $48,926.76 $43,422.50 2026-03-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 5 — — $40,618.43 $48,742.12 $43,258.62 2026-03-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 5 — — $40,604.27 $48,725.12 $43,243.55 2026-03-18
4014 APR_DRG Adrenal Procedures 6 5 — — $40,534.42 $48,641.30 $43,169.15 2026-03-18
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 20 — — $42,183.65 $91,850.66 $43,074.79 2026-03-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $40,319.18 $48,383.02 $42,939.93 2026-03-18
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 5 — — $37,332.37 $46,665.46 $42,932.22 2026-03-18
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 5 — — $40,278.59 $48,334.31 $42,896.70 2026-03-18
83 APR_DRG Autologous Bone Marrow Transplant 6 5 — — $40,209.68 $48,251.62 $42,823.31 2026-03-18
1793 APR_DRG Defibrillator Implants 6 5 — — $39,956.69 $47,948.03 $42,553.88 2026-03-18
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 5 — — $39,833.97 $47,800.76 $42,423.18 2026-03-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 20 — — $41,419.20 $90,193.05 $42,297.43 2026-03-18
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 28 20 — — $41,231.79 $89,786.72 $42,106.88 2026-03-18
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $39,460.14 $47,352.17 $42,025.04 2026-03-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 20 — — $40,982.97 $89,247.19 $41,853.85 2026-03-18
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $39,282.67 $47,139.20 $41,836.04 2026-03-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 20 — — $40,882.39 $89,029.08 $41,751.57 2026-03-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 20 — — $40,650.51 $88,526.31 $41,515.79 2026-03-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 20 — — $25,000.00 $89,114.03 $41,381.69 2026-03-18
S2066 HCPCS Breast Gap Flap Reconst 2 1 — — $41,006.03 $41,007.67 $41,006.85 2026-03-18
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $38,295.25 $45,954.30 $40,784.44 2026-03-18
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 20 — — $39,842.64 $86,774.58 $40,694.29 2026-03-18
S2068 HCPCS Breast Diep Or Siea Flap 2 1 — — $40,692.16 $40,693.80 $40,692.98 2026-03-18
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 20 — — $39,669.00 $86,398.09 $40,517.73 2026-03-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 5 — — $38,037.54 $45,645.05 $40,509.98 2026-03-18
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $38,036.59 $45,643.91 $40,508.97 2026-03-18
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $38,022.43 $45,626.92 $40,493.88 2026-03-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 20 — — $39,574.77 $86,193.73 $40,421.89 2026-03-18
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