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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

KECK HOSPITAL OF USC

Los Angeles, CA · CCN 050696 · Rates published

15,692 distinct procedures filed
60 distinct payers
332,594 rate rows
2026-04-01 last MRF observed
Data quality

243,997 of 332,594 rate rows are consumer-grade (73.4%)

88,597 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 88,192
template filing: same amount across many unrelated codes — excluded 286
placeholder amount (≤ $0.02) — excluded from medians 119
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=5fSixiuBb0ZpZwZgOthF7A*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?ci=9pu5*_*S9I3IlIh8XJQHHcBw*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint a0941870fcc67870… · 114,762,422 bytes · first seen 2026-05-13

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 2 $4,505,000.00 $4,955,500.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,266,500.00 $4,266,500.00 $4,266,500.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,685,266.67 $4,790,846.67 $4,238,056.67 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,316,462.59 $4,974,693.88 $3,913,425.85 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,248,445.72 $4,872,668.57 $3,833,165.94 nat. median
$3,286,000
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,945,740.00 $4,418,610.00 $3,475,973.20 nat. median
$3,004,655
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,455,110.60 $4,910,221.21 $3,130,266.02 nat. median
$2,468,984
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $2,332,000.00 $4,664,000.00 $2,798,400.00 nat. median
$2,448,600
1.1× median
5834
APR_DRG 		Neonate With Ecmo 2 $1,527,882.23 $1,873,607.40 $1,700,744.81 nat. median
$309,665
outlier · 5.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $965,678.75 $1,184,190.00 $1,074,934.38 nat. median
$246,434
outlier · 4.4×
5833
APR_DRG 		Neonate With Ecmo 2 $922,496.35 $1,131,236.40 $1,026,866.38 nat. median
$244,017
outlier · 4.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 13 $770,620.00 $2,196,267.00 $982,540.50 nat. median
$824,563
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $865,319.40 $1,061,121.60 $963,220.50 nat. median
$117,173
outlier · 8.2×
24
APR_DRG 		Heart And/Or Lung Transplant 2 $785,838.85 $963,656.40 $874,747.62 nat. median
$234,729
outlier · 3.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $679,071.33 $832,729.80 $755,900.56 nat. median
$162,982
outlier · 4.6×
113
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $675,382.60 $828,206.40 $751,794.50 nat. median
$60,831
outlier · 12.4×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 35 $523,870.00 $1,910,622.99 $745,507.86 nat. median
$370,174
outlier · 2.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $664,446.58 $814,795.80 $739,621.19 nat. median
$164,289
outlier · 4.5×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $653,407.80 $801,259.20 $727,333.50 nat. median
$207,730
outlier · 3.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $565,868.94 $1,612,726.49 $721,482.91 nat. median
$674,867
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $3,121.00 $1,686,419.67 $700,870.32 nat. median
$753,246
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 2 $628,843.70 $771,136.80 $699,990.25 nat. median
$164,834
outlier · 4.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $625,117.30 $766,567.20 $695,842.25 nat. median
$182,665
outlier · 3.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $562,538.19 $1,603,233.83 $675,045.82 nat. median
$673,137
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $602,889.05 $739,309.20 $671,099.12 nat. median
$145,336
outlier · 4.6×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $557,317.93 $1,588,356.11 $668,781.52 nat. median
$625,184
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $489,304.61 $1,394,518.13 $655,018.99 nat. median
$619,808
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $533,230.17 $1,519,705.99 $655,018.99 nat. median
$634,303
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $586,514.13 $719,229.00 $652,871.56 nat. median
$151,838
outlier · 4.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $579,581.93 $710,728.20 $645,155.06 nat. median
$122,924
outlier · 5.2×
5832
APR_DRG 		Neonate With Ecmo 2 $578,886.65 $709,875.60 $644,381.12 nat. median
$156,126
outlier · 4.1×
112
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $570,721.45 $699,862.80 $635,292.12 nat. median
$58,674
outlier · 10.8×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $558,990.83 $685,477.80 $622,234.31 nat. median
$160,267
outlier · 3.9×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $525,782.03 $644,754.60 $585,268.31 nat. median
$119,796
outlier · 4.9×
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $512,883.48 $628,937.40 $570,910.44 nat. median
$89,796
outlier · 6.4×
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $512,883.48 $628,937.40 $570,910.44 nat. median
$93,370
outlier · 6.1×
5893
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $512,883.48 $628,937.40 $570,910.44 nat. median
$69,788
outlier · 8.2×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $504,858.70 $619,096.80 $561,977.75 nat. median
$102,919
outlier · 5.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $492,491.03 $603,930.60 $548,210.81 nat. median
$150,721
outlier · 3.6×
5831
APR_DRG 		Neonate With Ecmo 2 $488,435.83 $598,957.80 $543,696.82 nat. median
$144,745
outlier · 3.8×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $484,092.93 $593,632.20 $538,862.56 nat. median
$187,061
outlier · 2.9×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $480,404.20 $589,108.80 $534,756.50 nat. median
$105,658
outlier · 5.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 36 $100,324.27 $1,517,145.20 $510,135.70 nat. median
$265,286
1.9× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $445,534.28 $546,348.60 $495,941.44 nat. median
$129,535
outlier · 3.8×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $428,381.88 $525,315.00 $476,848.44 nat. median
$118,620
outlier · 4.0×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $424,953.45 $521,110.80 $473,032.12 nat. median
$93,528
outlier · 5.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $418,993.95 $513,802.80 $466,398.38 nat. median
$108,996
outlier · 4.3×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $409,938.25 $502,698.00 $456,318.12 nat. median
$81,294
outlier · 5.6×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $400,988.73 $491,723.40 $446,356.07 nat. median
$124,573
outlier · 3.6×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 2 $355,747.90 $436,245.60 $395,996.75 nat. median
$78,990
outlier · 5.0×

Other procedures at this hospital

Browse this hospital's 15,692 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 81 36 — — $100,324.27 $1,517,145.20 $510,135.70 2026-04-01
10 MS_DRG Pancreas Transplant 61 35 — — $65,804.36 $317,488.85 $120,824.44 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $163,125.90 $200,037.60 $181,581.75 2026-04-01
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $241,102.88 $295,659.00 $268,380.94 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $570,721.45 $699,862.80 $635,292.12 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $675,382.60 $828,206.40 $751,794.50 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $865,319.40 $1,061,121.60 $963,220.50 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $198,523.28 $243,444.60 $220,983.94 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $145,360.43 $178,252.20 $161,806.32 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $122,899.28 $150,708.60 $136,803.94 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $246,045.15 $301,719.60 $273,882.38 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $115,823.23 $142,031.40 $128,927.32 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $154,881.93 $189,928.20 $172,405.07 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $445,534.28 $546,348.60 $495,941.44 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 61 35 — — $146,041.08 $531,731.99 $207,477.03 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $118,539.25 $145,362.00 $131,950.62 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $151,843.95 $186,202.80 $169,023.38 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $345,459.20 $423,628.80 $384,544.00 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $355,364.30 $435,775.20 $395,569.75 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $355,364.30 $435,775.20 $395,569.75 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $525,782.03 $644,754.60 $585,268.31 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $653,407.80 $801,259.20 $727,333.50 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $122,909.55 $150,721.20 $136,815.38 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $143,048.55 $175,417.20 $159,232.88 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $186,915.95 $229,210.80 $208,063.38 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $260,957.60 $320,006.40 $290,482.00 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $103,184.98 $126,533.40 $114,859.19 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $119,190.00 $146,160.00 $132,675.00 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $156,817.05 $192,301.20 $174,559.12 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $229,406.50 $281,316.00 $255,361.25 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $113,754.53 $139,494.60 $126,624.57 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $124,601.50 $152,796.00 $138,698.75 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $151,628.18 $185,938.20 $168,783.19 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $205,671.25 $252,210.00 $228,940.62 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $106,822.33 $130,993.80 $118,908.07 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $129,108.80 $158,323.20 $143,716.00 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $177,846.55 $218,089.20 $197,967.88 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $108,343.03 $132,858.60 $120,600.82 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $174,558.55 $214,057.20 $194,307.88 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $109,137.63 $133,833.00 $121,485.32 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $160,577.70 $196,912.80 $178,745.25 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $117,840.55 $144,505.20 $131,172.88 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $102,414.35 $125,588.40 $114,001.38 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 2 2 — — $105,123.53 $128,910.60 $117,017.07 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $116,494.53 $142,854.60 $129,674.57 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $109,627.40 $134,433.60 $122,030.50 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 2 — — $128,331.33 $157,369.80 $142,850.57 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 2 — — $139,873.58 $171,523.80 $155,698.69 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 2 — — $173,510.50 $212,772.00 $193,141.25 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 2 — — $213,973.45 $262,390.80 $238,182.12 2026-04-01
1792 APR_DRG Defibrillator Implants 2 2 — — $107,822.43 $132,220.20 $120,021.32 2026-04-01
1793 APR_DRG Defibrillator Implants 2 2 — — $131,163.80 $160,843.20 $146,003.50 2026-04-01
1794 APR_DRG Defibrillator Implants 2 2 — — $177,671.88 $217,875.00 $197,773.44 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 61 35 — — $523,870.00 $1,910,622.99 $745,507.86 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 2 2 — — $101,417.68 $124,366.20 $112,891.94 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $125,882.45 $154,366.80 $140,124.62 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 — — $101,554.68 $124,534.20 $113,044.44 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $103,260.33 $126,625.80 $114,943.07 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $109,428.75 $134,190.00 $121,809.38 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $133,783.93 $164,056.20 $148,920.07 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $189,871.73 $232,835.40 $211,353.57 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 61 35 — — $86,838.20 $315,670.38 $123,171.73 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 65 37 — — $16,905.39 $858,576.58 $206,386.58 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 71 35 — — $89,340.05 $518,053.73 $143,608.95 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $142,103.25 $174,258.00 $158,180.62 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 71 38 — — $20,154.27 $306,030.48 $111,088.66 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 63 35 — — $23,964.00 $500,800.31 $192,283.77 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 2 2 — — $251,439.53 $308,334.60 $279,887.07 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 68 36 — — $23,022.48 $623,941.69 $189,691.51 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 2 2 — — $109,278.05 $134,005.20 $121,641.62 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $160,382.48 $196,673.40 $178,527.94 2026-04-01
215 MS_DRG Other Heart Assist System Implant 65 35 — — $121,055.68 $453,533.69 $181,583.52 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 87 37 — — $20,712.00 $640,489.10 $178,144.55 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 35 — — $46,136.30 $290,924.15 $116,970.22 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 35 — — $80,057.50 $290,924.15 $114,799.68 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 95 40 — — $5,200.00 $455,254.25 $148,083.69 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 2 2 — — $328,005.40 $402,225.60 $365,115.50 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $147,480.50 $180,852.00 $164,166.25 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $144,533.28 $200,723.00 $192,700.44 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $103,109.63 $126,441.00 $114,775.32 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $105,406.95 $146,385.66 $140,534.87 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 2 2 — — $99,575.03 $122,106.60 $110,840.82 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $136,682.20 $189,819.68 $182,232.91 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $115,648.55 $141,817.20 $128,732.88 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 2 2 — — $103,534.33 $126,961.80 $115,248.07 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $102,120.37 $141,821.36 $136,153.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $119,338.57 $165,733.43 $159,109.34 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $94,745.55 $131,579.46 $126,320.46 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 — — $102,465.73 $125,651.40 $114,058.57 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 2 — — $104,537.85 $128,192.40 $116,365.12 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 2 2 — — $424,953.45 $521,110.80 $473,032.12 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $126,135.90 $154,677.60 $140,406.75 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 67 37 — — $63,943.00 $372,980.93 $143,207.14 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $110,377.48 $135,353.40 $122,865.44 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 70 37 — — $93,028.48 $338,261.87 $140,938.15 2026-04-01
233 APR_DRG Spinal Procedures 2 2 — — $100,691.58 $123,475.80 $112,083.69 2026-04-01
234 APR_DRG Spinal Procedures 2 2 — — $154,744.93 $189,760.20 $172,252.57 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 79 37 — — $58,075.84 $259,656.21 $110,960.33 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 2 2 — — $785,838.85 $963,656.40 $874,747.62 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $151,724.08 $186,055.80 $168,889.94 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $134,393.58 $164,803.80 $149,598.69 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $105,935.25 $129,906.00 $117,920.62 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $116,093.80 $142,363.20 $129,228.50 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 76 36 — — $79,170.36 $351,241.04 $125,589.14 2026-04-01
274 APR_DRG Other Open Craniotomy 2 2 — — $125,992.05 $154,501.20 $140,246.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 67 35 — — $14,907.52 $546,080.65 $123,099.23 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $115,734.18 $141,922.20 $128,828.19 2026-04-01
2991 APR_DRG Description Not Available 2 2 — — $108,192.33 $132,673.80 $120,433.07 2026-04-01
2992 APR_DRG Description Not Available 2 2 — — $127,136.00 $155,904.00 $141,520.00 2026-04-01
2993 APR_DRG Description Not Available 2 2 — — $169,688.20 $208,084.80 $188,886.50 2026-04-01
2994 APR_DRG Description Not Available 2 2 — — $216,439.45 $265,414.80 $240,927.12 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 87 39 — — $41,378.99 $1,236,401.08 $386,499.24 2026-04-01
3003 APR_DRG Description Not Available 2 2 — — $111,805.70 $137,104.80 $124,455.25 2026-04-01
3004 APR_DRG Description Not Available 2 2 — — $163,660.20 $200,692.80 $182,176.50 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $105,325.60 $129,158.40 $117,242.00 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $119,371.53 $146,382.60 $132,877.07 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $159,707.75 $195,846.00 $177,776.88 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $239,229.40 $293,361.60 $266,295.50 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $121,049.78 $148,440.60 $134,745.19 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $125,605.03 $154,026.60 $139,815.82 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $175,842.93 $215,632.20 $195,737.57 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 2 — — $100,866.25 $123,690.00 $112,278.12 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $102,280.78 $125,424.60 $113,852.69 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $140,459.25 $172,242.00 $156,350.62 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $105,764.00 $129,696.00 $117,730.00 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 2 — — $99,283.90 $121,749.60 $110,516.75 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 68 36 — — $14,156.56 $295,844.19 $113,088.77 2026-04-01
3214 APR_DRG Decompression 2 2 — — $129,461.58 $158,755.80 $144,108.69 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 2 — — $98,640.00 $120,960.00 $109,800.00 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $108,089.58 $132,547.80 $120,318.69 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $132,259.80 $162,187.20 $147,223.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 71 37 — — $10,160.91 $1,073,797.38 $252,404.38 2026-04-01
4014 APR_DRG Adrenal Procedures 2 2 — — $146,339.98 $179,453.40 $162,896.69 2026-04-01
4034 APR_DRG Procedures For Obesity 2 2 — — $117,758.35 $144,404.40 $131,081.38 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $113,665.48 $139,385.40 $126,525.44 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $118,672.83 $145,525.80 $132,099.32 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $140,702.43 $172,540.20 $156,621.32 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $198,595.20 $243,532.80 $221,064.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 69 37 — — $18,858.00 $859,397.01 $185,574.97 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 78 37 — — $83,261.20 $366,738.87 $129,588.45 2026-04-01
4284 APR_DRG Description Not Available 2 2 — — $117,778.90 $144,429.60 $131,104.25 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 64 35 — — $17,319.50 $398,629.75 $161,615.52 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $318,449.65 $390,507.60 $354,478.62 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 2 2 — — $105,599.60 $129,494.40 $117,547.00 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $480,404.20 $589,108.80 $534,756.50 2026-04-01
4401 APR_DRG Kidney Transplant 2 2 — — $130,413.73 $159,923.40 $145,168.57 2026-04-01
4402 APR_DRG Kidney Transplant 2 2 — — $142,747.15 $175,047.60 $158,897.38 2026-04-01
4403 APR_DRG Kidney Transplant 2 2 — — $165,379.55 $202,801.20 $184,090.38 2026-04-01
4404 APR_DRG Kidney Transplant 2 2 — — $248,439.23 $304,655.40 $276,547.32 2026-04-01
4414 APR_DRG Major Bladder Procedures 2 2 — — $140,394.18 $172,162.20 $156,278.19 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $112,223.55 $137,617.20 $124,920.38 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 2 2 — — $100,160.70 $122,824.80 $111,492.75 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 62 35 — — $57,357.18 $295,627.39 $116,651.60 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $112,514.68 $137,974.20 $125,244.44 2026-04-01
4484 APR_DRG Description Not Available 2 2 — — $109,250.65 $133,971.60 $121,611.12 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 1 — — $167,019.46 $231,951.06 $222,680.37 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $110,760.37 $153,820.31 $147,672.37 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 1 — — $86,914.47 $120,703.92 $115,879.59 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 36 — — $102,220.55 $381,742.55 $150,775.32 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 1 — — $122,401.56 $169,987.21 $163,193.11 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 2 2 — — $99,030.45 $121,438.80 $110,234.62 2026-04-01
4854 APR_DRG Description Not Available 2 2 — — $133,986.00 $164,304.00 $149,145.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 78 38 — — $21,829.24 $1,598,757.80 $217,286.61 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $123,858.28 $151,884.60 $137,871.44 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 2 — — $123,252.05 $151,141.20 $137,196.62 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 2 2 — — $98,914.00 $121,296.00 $110,105.00 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 2 2 — — $99,674.35 $122,228.40 $110,951.38 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 2 2 — — $101,219.03 $124,122.60 $112,670.82 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $161,451.08 $197,983.80 $179,717.44 2026-04-01
5204 APR_DRG Description Not Available 2 2 — — $138,859.78 $170,280.60 $154,570.19 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $241,096.03 $295,650.60 $268,373.32 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $341,732.80 $419,059.20 $380,396.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 35 — — $79,767.75 $289,866.69 $114,383.30 2026-04-01
5831 APR_DRG Neonate With Ecmo 2 2 — — $488,435.83 $598,957.80 $543,696.82 2026-04-01
5832 APR_DRG Neonate With Ecmo 2 2 — — $578,886.65 $709,875.60 $644,381.12 2026-04-01
5833 APR_DRG Neonate With Ecmo 2 2 — — $922,496.35 $1,131,236.40 $1,026,866.38 2026-04-01
5834 APR_DRG Neonate With Ecmo 2 2 — — $1,527,882.23 $1,873,607.40 $1,700,744.81 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $400,988.73 $491,723.40 $446,356.07 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $602,889.05 $739,309.20 $671,099.12 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $625,117.30 $766,567.20 $695,842.25 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $965,678.75 $1,184,190.00 $1,074,934.38 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $512,883.48 $628,937.40 $570,910.44 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $512,883.48 $628,937.40 $570,910.44 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $512,883.48 $628,937.40 $570,910.44 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $409,938.25 $502,698.00 $456,318.12 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $504,858.70 $619,096.80 $561,977.75 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $664,446.58 $814,795.80 $739,621.19 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $161,495.60 $198,038.40 $179,767.00 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $325,775.73 $399,491.40 $362,633.57 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $418,993.95 $513,802.80 $466,398.38 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $586,514.13 $719,229.00 $652,871.56 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $128,005.95 $156,970.80 $142,488.38 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $218,299.23 $267,695.40 $242,997.32 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $298,608.63 $366,177.00 $332,392.82 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $428,381.88 $525,315.00 $476,848.44 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $109,096.53 $133,782.60 $121,439.57 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $126,803.78 $155,496.60 $141,150.19 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $309,832.35 $379,940.40 $344,886.38 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $152,528.95 $187,042.80 $169,785.88 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $223,933.35 $274,604.40 $249,268.88 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $318,870.93 $391,024.20 $354,947.57 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $156,149.18 $191,482.20 $173,815.69 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $156,149.18 $191,482.20 $173,815.69 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $107,483.35 $131,804.40 $119,643.88 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $133,533.90 $163,749.60 $148,641.75 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $208,534.55 $255,721.20 $232,127.88 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $679,071.33 $832,729.80 $755,900.56 2026-04-01
61 APR_DRG Pancreas Transplant 2 2 — — $174,483.20 $213,964.80 $194,224.00 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $116,813.05 $143,245.20 $130,029.12 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $268,708.38 $329,511.00 $299,109.69 2026-04-01
6123 APR_DRG Respiratory Condition 2 2 — — $136,253.35 $167,084.40 $151,668.88 2026-04-01
6124 APR_DRG Respiratory Condition 2 2 — — $196,920.38 $241,479.00 $219,199.69 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $126,471.55 $155,089.20 $140,780.38 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $171,506.88 $210,315.00 $190,910.94 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $107,606.65 $131,955.60 $119,781.12 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $129,824.63 $159,201.00 $144,512.82 2026-04-01
62 APR_DRG Pancreas Transplant 2 2 — — $216,223.68 $265,150.20 $240,686.94 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $183,977.30 $225,607.20 $204,792.25 2026-04-01
6224 APR_DRG Respiratory Condition 2 2 — — $115,008.08 $141,031.80 $128,019.94 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $110,548.73 $135,563.40 $123,056.07 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $105,010.50 $128,772.00 $116,891.25 2026-04-01
63 APR_DRG Pancreas Transplant 2 2 — — $255,703.65 $313,563.60 $284,633.62 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $105,356.43 $129,196.20 $117,276.32 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $267,471.95 $327,994.80 $297,733.38 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $492,491.03 $603,930.60 $548,210.81 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $160,286.58 $196,555.80 $178,421.19 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $579,581.93 $710,728.20 $645,155.06 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $192,769.28 $236,388.60 $214,578.94 2026-04-01
6344 APR_DRG Respiratory Condition 2 2 — — $109,192.43 $133,900.20 $121,546.32 2026-04-01
64 APR_DRG Pancreas Transplant 2 2 — — $300,447.85 $368,432.40 $334,440.12 2026-04-01
6504 APR_DRG Splenectomy 2 2 — — $113,237.35 $138,860.40 $126,048.88 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $124,464.50 $152,628.00 $138,546.25 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $171,208.90 $209,949.60 $190,579.25 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $138,393.98 $169,709.40 $154,051.69 2026-04-01
6904 APR_DRG Acute Leukemia 2 2 — — $145,641.28 $178,596.60 $162,118.94 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $126,084.53 $154,614.60 $140,349.57 2026-04-01
7 MS_DRG Lung Transplant 64 35 — — $157,343.86 $572,981.60 $232,082.20 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $178,695.95 $219,130.80 $198,913.38 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $119,220.83 $146,197.80 $132,709.32 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $115,261.53 $141,342.60 $128,302.07 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $214,675.58 $263,251.80 $238,963.69 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $288,426.10 $353,690.40 $321,058.25 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $484,092.93 $593,632.20 $538,862.56 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $147,114.03 $180,402.60 $163,758.32 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 2 2 — — $107,630.63 $131,985.00 $119,807.82 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $125,187.18 $153,514.20 $139,350.69 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $111,665.28 $136,932.60 $124,298.94 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $137,972.70 $169,192.80 $153,582.75 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $210,353.23 $257,951.40 $234,152.32 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $169,037.45 $207,286.80 $188,162.12 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $558,990.83 $685,477.80 $622,234.31 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $104,260.43 $127,852.20 $116,056.32 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $298,930.58 $366,571.80 $332,751.19 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 63 37 — — $19,128.78 $383,139.58 $145,808.66 2026-04-01
8504 APR_DRG Services 2 2 — — $152,364.55 $186,841.20 $169,602.88 2026-04-01
8514 APR_DRG Gender Related Procedures 2 2 — — $224,882.08 $275,767.80 $250,324.94 2026-04-01
8633 APR_DRG Neonatal Aftercare 2 2 — — $118,679.68 $145,534.20 $132,106.94 2026-04-01
8634 APR_DRG Neonatal Aftercare 2 2 — — $256,374.95 $314,386.80 $285,380.88 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 36 — — $41,946.37 $305,812.59 $120,662.05 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $103,284.30 $126,655.20 $114,969.75 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $148,090.15 $181,599.60 $164,844.88 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $157,947.30 $193,687.20 $175,817.25 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $109,031.45 $133,702.80 $121,367.12 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $184,121.15 $225,783.60 $204,952.38 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $176,784.80 $216,787.20 $196,786.00 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $100,201.80 $122,875.20 $111,538.50 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $168,773.73 $206,963.40 $187,868.57 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $110,497.35 $135,500.40 $122,998.88 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $173,966.03 $213,330.60 $193,648.32 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $195,218.15 $239,391.60 $217,304.88 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $126,591.43 $155,236.20 $140,913.82 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 61 35 — — $259,185.24 $944,652.87 $375,818.60 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 61 35 — — $87,300.11 $317,356.11 $123,829.49 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $355,747.90 $436,245.60 $395,996.75 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $628,843.70 $771,136.80 $699,990.25 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $144,562.40 $177,273.60 $160,918.00 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $109,904.83 $134,773.80 $122,339.32 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $97,828.28 $119,964.60 $108,896.44 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 61 35 — — $81,946.35 $297,817.52 $116,205.71 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 35 — — $74,554.66 $337,142.48 $132,998.24 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 2 2 — — $98,890.03 $121,266.60 $110,078.32 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $158,219.57 $164,150.06 $161,184.82 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 7 — — $3,685,266.67 $4,790,846.67 $4,238,056.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 9 — — $3,316,462.59 $4,974,693.88 $3,913,425.85 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 1 — — $4,266,500.00 $4,266,500.00 $4,266,500.00 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,955,500.00 $4,730,250.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 13 11 — — $2,332,000.00 $4,664,000.00 $2,798,400.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 11 9 — — $2,945,740.00 $4,418,610.00 $3,475,973.20 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 11 9 — — $3,248,445.72 $4,872,668.57 $3,833,165.94 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 12 — — $2,455,110.60 $4,910,221.21 $3,130,266.02 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 12 — — $205,640.00 $586,074.00 $298,178.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 13 12 — — $257,500.00 $733,875.00 $373,375.00 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 14 — — $533,230.17 $1,519,705.99 $655,018.99 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 22 14 — — $3,121.00 $1,686,419.67 $700,870.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 19 14 — — $489,304.61 $1,394,518.13 $655,018.99 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 19 14 — — $562,538.19 $1,603,233.83 $675,045.82 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 19 14 — — $557,317.93 $1,588,356.11 $668,781.52 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 16 13 — — $565,868.94 $1,612,726.49 $721,482.91 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 16 13 — — $770,620.00 $2,196,267.00 $982,540.50 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 12 — — $278,250.00 $793,012.50 $340,856.25 2026-04-01
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