Price Transparencybeta Hospital negotiated rates

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

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Hospital

LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR

Downey, CA · CCN 050717 · Rates published

22,273 distinct procedures filed
4 distinct payers
214,876 rate rows
2026-07-15 last MRF observed
Data quality

210,321 of 214,876 rate rows are consumer-grade (97.9%)

4,555 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
template filing: same amount across many unrelated codes — excluded 3,887
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 314
placeholder amount (≤ $0.02) — excluded from medians 309
per-diem day rate — not a per-procedure price 45
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://file.lacounty.gov/SDSInter/dhs/1157356_956000927_RanchoLosAmigosNationalRehab.CenterCenter_standardcharges.csv
Found on page https://dhs.lacounty.gov/patient-information/get-coverage/hospital-price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 2a04fb3c79a3e330… · 51,057,031 bytes · first seen 2026-05-09

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
J1411
HCPCS 		"inj, Hemgenix, Per Tx Dose" 3 $4,325,397.49 $4,974,207.11 $4,325,397.49 nat. median
$3,685,267
1.2× median
J1413
HCPCS 		"inj Delandistrogene Mox Rokl" 3 $3,892,532.14 $4,476,411.96 $3,892,532.14 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		"inj, Lovotibeglogene Autotem" 3 $3,812,700.74 $4,384,605.85 $3,812,700.74 nat. median
$3,248,446
1.2× median
J3393
HCPCS 		"inj, Betibeglogene Autotemce" 3 $3,457,415.04 $3,976,027.30 $3,457,415.04 nat. median
$2,968,000
1.2× median
J3399
HCPCS 		"inj Onase Abepar-xioi Treat" 3 $2,881,563.32 $3,313,797.82 $2,881,563.32 nat. median
$2,455,111
1.2× median
J3392
HCPCS 		"inj, Exagamglogene Autotem" 3 $2,737,068.40 $4,926,723.12 $2,737,068.40 nat. median
$2,332,000
1.2× median
6024
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $935,686.66 $1,173,861.45 $1,105,811.51 nat. median
$124,731
outlier · 8.9×
6074
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 1 $769,282.77 $965,100.20 $909,152.36 nat. median
$100,752
outlier · 9.0×
6023
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $765,551.22 $960,418.80 $904,742.35 nat. median
$95,757
outlier · 9.4×
6073
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 1 $618,154.91 $775,503.43 $730,546.71 nat. median
$74,166
outlier · 9.9×
6022
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $617,455.25 $774,625.67 $729,719.84 nat. median
$73,858
outlier · 9.9×
44
APR_DRG 		"tracheostomy With Mv >96 Hours With Extensive Procedure" 1 $544,456.76 $683,045.75 $643,448.90 nat. median
$135,630
outlier · 4.7×
6124
APR_DRG 		"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 1 $524,749.50 $658,322.10 $620,158.50 nat. median
$71,851
outlier · 8.6×
7404
APR_DRG 		"mental Illness Diagnosis With O.r. Procedure" 1 $488,017.04 $612,239.55 $576,747.41 nat. median
$40,859
outlier · 14.1×
1614
APR_DRG 		"implantable Heart Assist Systems" 1 $476,822.38 $598,195.35 $563,517.36 nat. median
$202,242
outlier · 2.8×
6021
APR_DRG 		"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 1 $475,423.05 $596,439.82 $561,863.60 nat. median
$29,873
outlier · 18.8×
6072
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 1 $471,225.05 $591,173.25 $556,902.33 nat. median
$57,149
outlier · 9.7×
18
MS_DRG 		"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 3 $550,703.91 $991,267.04 $550,703.91 nat. median
$168,055
outlier · 3.3×
54
APR_DRG 		"tracheostomy With Mv >96 Hours Without Extensive Procedure" 1 $462,129.39 $579,762.33 $546,152.92 nat. median
$91,350
outlier · 6.0×
6123
APR_DRG 		"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 1 $427,262.70 $536,020.48 $504,946.83 nat. median
$49,397
outlier · 10.2×
94
APR_DRG 		"extracorporeal Membrane Oxygenation (ecmo)" 1 $405,573.06 $508,809.84 $479,313.61 nat. median
$152,792
outlier · 3.1×
B0406
HCPCS 		"traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50.,comorbidi" 3 $400,779.48 $721,403.07 $460,896.41 nat. median
$65,854
outlier · 7.0×
43
APR_DRG 		"tracheostomy With Mv >96 Hours With Extensive Procedure" 1 $384,699.69 $482,623.25 $454,645.09 nat. median
$85,032
outlier · 5.3×
7594
APR_DRG 		"eating Disorders" 1 $354,614.05 $444,879.45 $419,089.33 nat. median
$28,483
outlier · 14.7×
114
APR_DRG 		"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 1 $353,681.16 $443,709.10 $417,986.83 nat. median
$135,803
outlier · 3.1×
1604
APR_DRG 		"major Cardiothoracic Repair Of Heart Anomaly" 1 $351,698.78 $441,222.10 $415,644.01 nat. median
$106,926
outlier · 3.9×
53
APR_DRG 		"tracheostomy With Mv >96 Hours Without Extensive Procedure" 1 $349,949.61 $439,027.69 $413,576.81 nat. median
$52,622
outlier · 7.9×
1613
APR_DRG 		"implantable Heart Assist Systems" 1 $347,500.78 $435,955.52 $410,682.74 nat. median
$155,539
outlier · 2.6×
6071
APR_DRG 		"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 1 $345,051.95 $432,883.35 $407,788.67 nat. median
$31,152
outlier · 13.1×
C1904
HCPCS 		"guillain-barr� M <38.50.,comorbidity In Tier 2" 3 $337,741.58 $607,934.85 $388,402.82 nat. median
$59,669
outlier · 6.5×
7614
APR_DRG 		"schizoaffective Disorders" 1 $316,715.48 $397,333.96 $374,300.11 nat. median
$25,634
outlier · 14.6×
4284
APR_DRG 		"genetic Disorders" 1 $308,319.48 $386,800.81 $364,377.57 nat. median
$60,019
outlier · 6.1×
6122
APR_DRG 		"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 1 $305,754.04 $383,582.34 $361,345.69 nat. median
$34,706
outlier · 10.4×
7584
APR_DRG 		"disorders Of Impulse Control & Development" 1 $297,941.11 $373,780.66 $352,112.22 nat. median
$22,778
outlier · 15.5×
7574
APR_DRG 		"organic Mental Health Conditions And Disturbances" 1 $282,898.29 $354,908.76 $334,334.34 nat. median
$19,457
outlier · 17.2×
6224
APR_DRG 		"neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 1 $281,382.34 $353,006.94 $332,542.77 nat. median
$45,408
outlier · 7.3×
3
MS_DRG 		"ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mout… 3 $331,190.91 $596,143.64 $331,190.91 nat. median
$145,435
outlier · 2.3×
6954
APR_DRG 		"chemotherapy For Acute Leukemia" 1 $266,805.97 $334,720.21 $315,316.14 nat. median
$42,081
outlier · 7.5×
6223
APR_DRG 		"neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 1 $265,639.86 $333,257.28 $313,938.01 nat. median
$28,081
outlier · 11.2×
3614
APR_DRG 		"skin Graft For Skin And Subcutaneous Tissue Diagnoses" 1 $262,957.81 $329,892.52 $310,768.32 nat. median
$40,937
outlier · 7.6×
J3403
HCPCS 		"revakinagene, Per Implant" 3 $302,227.75 $604,455.50 $302,227.75 nat. median
$264,195
1.1× median
52
APR_DRG 		"tracheostomy With Mv >96 Hours Without Extensive Procedure" 1 $253,862.15 $318,481.60 $300,018.90 nat. median
$40,350
outlier · 7.4×
6904
APR_DRG 		"acute Leukemia" 1 $253,512.31 $318,042.72 $299,605.46 nat. median
$48,234
outlier · 6.2×
7514
APR_DRG 		"depressive Disorders" 1 $248,148.21 $311,313.21 $293,266.06 nat. median
$14,895
outlier · 19.7×
914
APR_DRG 		"other Major Head And Neck Procedures" 1 $247,331.93 $310,289.15 $292,301.37 nat. median
$53,846
outlier · 5.4×
6804
APR_DRG 		"major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms" 1 $245,582.77 $308,094.74 $290,234.18 nat. median
$52,992
outlier · 5.5×
B0404
HCPCS 		"traumatic Spinal Cord Injury M <31.50 And A <61.50.,comorbidity In Tier 1" 3 $250,141.67 $450,255.01 $287,662.93 nat. median
$61,232
outlier · 4.7×
6814
APR_DRG 		"other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms" 1 $242,667.49 $304,437.40 $286,788.85 nat. median
$47,145
outlier · 6.1×
3124
APR_DRG 		"skin Graft For Musculoskeletal And Connective Tissue Diagnoses" 1 $242,434.27 $304,144.81 $286,513.23 nat. median
$45,174
outlier · 6.3×
A1904
HCPCS 		"guillain-barr� M <38.50.,without Comorbidities" 3 $247,996.40 $446,393.52 $285,195.86 nat. median
$51,888
outlier · 5.5×

Other procedures at this hospital

Browse this hospital's 22,273 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS "inj, Hemgenix, Per Tx Dose" 5 3 — — $4,325,397.49 $4,974,207.11 $4,325,397.49 2026-07-15
J1413 HCPCS "inj Delandistrogene Mox Rokl" 5 3 — — $3,892,532.14 $4,476,411.96 $3,892,532.14 2026-07-15
J3394 HCPCS "inj, Lovotibeglogene Autotem" 5 3 — — $3,812,700.74 $4,384,605.85 $3,812,700.74 2026-07-15
J3393 HCPCS "inj, Betibeglogene Autotemce" 5 3 — — $3,457,415.04 $3,976,027.30 $3,457,415.04 2026-07-15
J3399 HCPCS "inj Onase Abepar-xioi Treat" 5 3 — — $2,881,563.32 $3,313,797.82 $2,881,563.32 2026-07-15
J3392 HCPCS "inj, Exagamglogene Autotem" 6 3 — — $2,737,068.40 $4,926,723.12 $2,737,068.40 2026-07-15
6024 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $935,686.66 $1,173,861.45 $1,105,811.51 2026-07-15
6074 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $769,282.77 $965,100.20 $909,152.36 2026-07-15
6023 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $765,551.22 $960,418.80 $904,742.35 2026-07-15
6073 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $618,154.91 $775,503.43 $730,546.71 2026-07-15
6022 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $617,455.25 $774,625.67 $729,719.84 2026-07-15
44 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $544,456.76 $683,045.75 $643,448.90 2026-07-15
6124 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $524,749.50 $658,322.10 $620,158.50 2026-07-15
7404 APR_DRG "mental Illness Diagnosis With O.r. Procedure" 5 1 — — $488,017.04 $612,239.55 $576,747.41 2026-07-15
1614 APR_DRG "implantable Heart Assist Systems" 5 1 — — $476,822.38 $598,195.35 $563,517.36 2026-07-15
6021 APR_DRG "neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $475,423.05 $596,439.82 $561,863.60 2026-07-15
6072 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $471,225.05 $591,173.25 $556,902.33 2026-07-15
18 MS_DRG "chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 8 3 — — $550,703.91 $991,267.04 $550,703.91 2026-07-15
54 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $462,129.39 $579,762.33 $546,152.92 2026-07-15
6123 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $427,262.70 $536,020.48 $504,946.83 2026-07-15
94 APR_DRG "extracorporeal Membrane Oxygenation (ecmo)" 5 1 — — $405,573.06 $508,809.84 $479,313.61 2026-07-15
B0406 HCPCS "traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50.,comorbidi" 5 3 — — $400,779.48 $721,403.07 $460,896.41 2026-07-15
43 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $384,699.69 $482,623.25 $454,645.09 2026-07-15
7594 APR_DRG "eating Disorders" 5 1 — — $354,614.05 $444,879.45 $419,089.33 2026-07-15
114 APR_DRG "chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 5 1 — — $353,681.16 $443,709.10 $417,986.83 2026-07-15
1604 APR_DRG "major Cardiothoracic Repair Of Heart Anomaly" 5 1 — — $351,698.78 $441,222.10 $415,644.01 2026-07-15
53 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $349,949.61 $439,027.69 $413,576.81 2026-07-15
1613 APR_DRG "implantable Heart Assist Systems" 5 1 — — $347,500.78 $435,955.52 $410,682.74 2026-07-15
6071 APR_DRG "neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $345,051.95 $432,883.35 $407,788.67 2026-07-15
C1904 HCPCS "guillain-barr� M <38.50.,comorbidity In Tier 2" 5 3 — — $337,741.58 $607,934.85 $388,402.82 2026-07-15
7614 APR_DRG "schizoaffective Disorders" 5 1 — — $316,715.48 $397,333.96 $374,300.11 2026-07-15
4284 APR_DRG "genetic Disorders" 5 1 — — $308,319.48 $386,800.81 $364,377.57 2026-07-15
6122 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $305,754.04 $383,582.34 $361,345.69 2026-07-15
7584 APR_DRG "disorders Of Impulse Control & Development" 5 1 — — $297,941.11 $373,780.66 $352,112.22 2026-07-15
7574 APR_DRG "organic Mental Health Conditions And Disturbances" 5 1 — — $282,898.29 $354,908.76 $334,334.34 2026-07-15
6224 APR_DRG "neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $281,382.34 $353,006.94 $332,542.77 2026-07-15
3 MS_DRG "ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mout… 8 3 — — $331,190.91 $596,143.64 $331,190.91 2026-07-15
6954 APR_DRG "chemotherapy For Acute Leukemia" 5 1 — — $266,805.97 $334,720.21 $315,316.14 2026-07-15
6223 APR_DRG "neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $265,639.86 $333,257.28 $313,938.01 2026-07-15
3614 APR_DRG "skin Graft For Skin And Subcutaneous Tissue Diagnoses" 5 1 — — $262,957.81 $329,892.52 $310,768.32 2026-07-15
J3403 HCPCS "revakinagene, Per Implant" 7 3 — — $302,227.75 $604,455.50 $302,227.75 2026-07-15
52 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $253,862.15 $318,481.60 $300,018.90 2026-07-15
6904 APR_DRG "acute Leukemia" 5 1 — — $253,512.31 $318,042.72 $299,605.46 2026-07-15
7514 APR_DRG "depressive Disorders" 5 1 — — $248,148.21 $311,313.21 $293,266.06 2026-07-15
914 APR_DRG "other Major Head And Neck Procedures" 5 1 — — $247,331.93 $310,289.15 $292,301.37 2026-07-15
6804 APR_DRG "major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms" 5 1 — — $245,582.77 $308,094.74 $290,234.18 2026-07-15
B0404 HCPCS "traumatic Spinal Cord Injury M <31.50 And A <61.50.,comorbidity In Tier 1" 5 3 — — $250,141.67 $450,255.01 $287,662.93 2026-07-15
6814 APR_DRG "other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms" 5 1 — — $242,667.49 $304,437.40 $286,788.85 2026-07-15
3124 APR_DRG "skin Graft For Musculoskeletal And Connective Tissue Diagnoses" 5 1 — — $242,434.27 $304,144.81 $286,513.23 2026-07-15
A1904 HCPCS "guillain-barr� M <38.50.,without Comorbidities" 5 3 — — $247,996.40 $446,393.52 $285,195.86 2026-07-15
93 APR_DRG "extracorporeal Membrane Oxygenation (ecmo)" 5 1 — — $239,169.16 $300,048.58 $282,654.46 2026-07-15
42 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $235,437.61 $295,367.18 $278,244.45 2026-07-15
7534 APR_DRG "bipolar Disorders" 5 1 — — $233,805.06 $293,319.07 $276,315.07 2026-07-15
1624 APR_DRG "cardiac Valve Procedures With Ami Or Complex Principal Diagnosis" 5 1 — — $231,939.28 $290,978.37 $274,110.06 2026-07-15
2614 APR_DRG "major Biliary Tract Procedures" 5 1 — — $231,706.06 $290,685.78 $273,834.43 2026-07-15
4054 APR_DRG "other Procedures For Endocrine, Nutritional And Metabolic Disorders" 5 1 — — $227,624.67 $285,565.50 $269,010.98 2026-07-15
7403 APR_DRG "mental Illness Diagnosis With O.r. Procedure" 5 1 — — $227,041.62 $284,834.03 $268,321.91 2026-07-15
6344 APR_DRG "neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other M… 5 1 — — $225,059.23 $282,347.03 $265,979.09 2026-07-15
1304 APR_DRG "respiratory System Diagnosis With Ventilator Support > 96 Hours" 5 1 — — $222,610.40 $279,274.86 $263,085.02 2026-07-15
4474 APR_DRG "other Kidney, Urinary Tract And Related Non-percutaneous Procedures" 5 1 — — $219,345.29 $275,178.64 $259,226.25 2026-07-15
7613 APR_DRG "schizoaffective Disorders" 5 1 — — $218,062.57 $273,569.41 $257,710.31 2026-07-15
9504 APR_DRG "extensive O.r. Procedure Unrelated To Principal Diagnosis" 5 1 — — $216,779.85 $271,960.17 $256,194.37 2026-07-15
2204 APR_DRG "major Stomach, Esophageal And Duodenal Procedures" 5 1 — — $213,864.57 $268,302.83 $252,749.04 2026-07-15
234 APR_DRG "spinal Procedures" 5 1 — — $212,115.41 $266,108.42 $250,681.85 2026-07-15
6121 APR_DRG "neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $209,549.97 $262,889.96 $247,649.96 2026-07-15
4014 APR_DRG "adrenal Procedures" 5 1 — — $209,433.36 $262,743.66 $247,512.15 2026-07-15
3034 APR_DRG "dorsal And Lumbar Fusion Procedure For Curvature Of Back" 5 1 — — $207,917.41 $260,841.85 $245,720.58 2026-07-15
4844 APR_DRG "other Male Reproductive System And Related Procedures" 5 1 — — $207,334.36 $260,110.38 $245,031.51 2026-07-15
4 MS_DRG "tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Ne… 8 3 — — $242,541.22 $436,574.20 $242,541.22 2026-07-15
D0407 HCPCS "traumatic Spinal Cord Injury M <24.50 And A >=61.50.,comorbidity In Tier 3" 5 3 — — $210,084.95 $378,152.91 $241,597.69 2026-07-15
2304 APR_DRG "major Small Bowel Procedures" 5 1 — — $204,419.08 $256,453.03 $241,586.19 2026-07-15
264 APR_DRG "other Nervous System And Related Procedures" 5 1 — — $204,302.47 $256,306.74 $241,448.38 2026-07-15
J3402 HCPCS "inj. Remestemcel-l-rknd/ Td" 7 3 — — $241,359.67 $482,719.34 $241,359.67 2026-07-15
C0406 HCPCS "traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50.,comorbidi" 5 3 — — $209,204.18 $376,567.52 $240,584.80 2026-07-15
4414 APR_DRG "major Bladder Procedures" 5 1 — — $202,669.92 $254,258.62 $239,518.99 2026-07-15
434 APR_DRG "multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies" 5 1 — — $201,387.20 $252,649.39 $238,003.05 2026-07-15
5204 APR_DRG "other GYN Procedures For Malignancy" 5 1 — — $199,521.42 $250,308.69 $235,798.04 2026-07-15
4283 APR_DRG "genetic Disorders" 5 1 — — $199,288.20 $250,016.10 $235,522.42 2026-07-15
224 APR_DRG "ventricular Shunt Procedures" 5 1 — — $197,305.81 $247,529.11 $233,179.60 2026-07-15
494 APR_DRG "bacterial And Tuberculous Infections Of Nervous System" 5 1 — — $196,839.37 $246,943.93 $232,628.34 2026-07-15
1214 APR_DRG "other Respiratory And Chest Procedures" 5 1 — — $196,722.76 $246,797.64 $232,490.53 2026-07-15
1612 APR_DRG "implantable Heart Assist Systems" 5 1 — — $196,023.09 $245,919.88 $231,663.65 2026-07-15
924 APR_DRG "facial Bone Procedures Except Major Cranial Or Facial Bone Procedures" 5 1 — — $195,789.87 $245,627.29 $231,388.03 2026-07-15
6514 APR_DRG "other Procedures Of Blood And Blood-forming Organs" 5 1 — — $195,323.43 $245,042.12 $230,836.78 2026-07-15
9514 APR_DRG "moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis" 5 1 — — $195,206.81 $244,895.82 $230,698.96 2026-07-15
3054 APR_DRG "amputation Of Lower Limb Except Toes" 5 1 — — $194,740.37 $244,310.65 $230,147.71 2026-07-15
41 APR_DRG "tracheostomy With Mv >96 Hours With Extensive Procedure" 5 1 — — $194,390.54 $243,871.76 $229,734.27 2026-07-15
2604 APR_DRG "major Pancreas, Liver And Shunt Procedures" 5 1 — — $193,690.87 $242,994.00 $228,907.39 2026-07-15
894 APR_DRG "major Cranial Or Facial Bone Procedures" 5 1 — — $193,107.82 $242,262.53 $228,218.33 2026-07-15
7593 APR_DRG "eating Disorders" 5 1 — — $192,991.21 $242,116.24 $228,080.52 2026-07-15
1634 APR_DRG "cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis" 5 1 — — $191,825.10 $240,653.30 $226,702.39 2026-07-15
B0205 HCPCS "traumatic Brain Injury M <35.50.,comorbidity In Tier 1" 5 3 — — $196,196.55 $353,153.78 $225,626.03 2026-07-15
1654 APR_DRG "coronary Bypass With Ami Or Complex Principal Diagnosis" 5 1 — — $190,775.60 $239,336.66 $225,462.07 2026-07-15
3044 APR_DRG "dorsal And Lumbar Fusion Procedure Except For Curvature Of Back" 5 1 — — $190,425.76 $238,897.78 $225,048.63 2026-07-15
C0404 HCPCS "traumatic Spinal Cord Injury M <31.50 And A <61.50.,comorbidity In Tier 2" 5 3 — — $195,448.61 $351,807.51 $224,765.91 2026-07-15
9524 APR_DRG "non-extensive O.r. Procedure Unrelated To Principal Diagnosis" 5 1 — — $189,609.49 $237,873.72 $224,083.94 2026-07-15
4854 APR_DRG "prostatectomy Procedures" 5 1 — — $187,277.27 $234,947.84 $221,327.68 2026-07-15
6222 APR_DRG "neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $186,927.43 $234,508.96 $220,914.24 2026-07-15
2324 APR_DRG "gastric Fundoplication" 5 1 — — $186,577.60 $234,070.08 $220,500.80 2026-07-15
734 APR_DRG "orbit And Eye Procedures" 5 1 — — $185,994.55 $233,338.61 $219,811.74 2026-07-15
6903 APR_DRG "acute Leukemia" 5 1 — — $185,877.93 $233,192.32 $219,673.92 2026-07-15
1204 APR_DRG "major Respiratory And Chest Procedures" 5 1 — — $185,877.93 $233,192.32 $219,673.92 2026-07-15
984 APR_DRG "other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures" 5 1 — — $185,644.71 $232,899.73 $219,398.30 2026-07-15
7924 APR_DRG "extensive O.r. Procedures For Other Complications Of Treatment" 5 1 — — $184,711.82 $231,729.38 $218,295.79 2026-07-15
7104 APR_DRG "infectious And Parasitic Diseases Including HIV With O.r. Procedure" 5 1 — — $184,595.21 $231,583.09 $218,157.98 2026-07-15
5124 APR_DRG "uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy" 5 1 — — $183,545.71 $230,266.44 $216,917.66 2026-07-15
504 APR_DRG "non-bacterial Infections Of Nervous System Except Viral Meningitis" 5 1 — — $182,729.44 $229,242.38 $215,952.97 2026-07-15
404 APR_DRG "spinal Disorders And Injuries" 5 1 — — $182,612.83 $229,096.09 $215,815.16 2026-07-15
4444 APR_DRG "renal Dialysis Access Device Procedures" 5 1 — — $182,379.60 $228,803.50 $215,539.53 2026-07-15
1303 APR_DRG "respiratory System Diagnosis With Ventilator Support > 96 Hours" 5 1 — — $182,146.38 $228,510.92 $215,263.91 2026-07-15
2994 APR_DRG "multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical" 5 1 — — $182,146.38 $228,510.92 $215,263.91 2026-07-15
3214 APR_DRG "spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures" 5 1 — — $181,913.16 $228,218.33 $214,988.28 2026-07-15
Q2053 HCPCS "brexucabtagene Car Pos T" 15 4 — — $151,630.74 $1,148,593.64 $214,810.21 2026-07-15
2314 APR_DRG "major Large Bowel Procedures" 5 1 — — $180,980.27 $227,047.98 $213,885.78 2026-07-15
5114 APR_DRG "uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy" 5 1 — — $180,397.22 $226,316.51 $213,196.71 2026-07-15
113 APR_DRG "chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 5 1 — — $179,930.77 $225,731.33 $212,645.46 2026-07-15
Q2042 HCPCS "tisagenlecleucel Car-pos T" 15 4 — — $149,434.07 $1,389,018.08 $211,698.27 2026-07-15
1674 APR_DRG "other Cardiothoracic And Thoracic Circulatory Procedures" 5 1 — — $179,114.50 $224,707.28 $211,680.77 2026-07-15
2644 APR_DRG "other Hepatobiliary, Pancreas And Abdominal Procedures" 5 1 — — $178,997.89 $224,560.98 $211,542.96 2026-07-15
C0407 HCPCS "traumatic Spinal Cord Injury M <24.50 And A >=61.50.,comorbidity In Tier 2" 5 3 — — $183,538.10 $330,368.58 $211,068.82 2026-07-15
274 APR_DRG "other Open Craniotomy" 5 1 — — $177,948.39 $223,244.34 $210,302.64 2026-07-15
A1806 HCPCS "major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,without Com" 5 3 — — $181,983.72 $327,570.70 $209,281.28 2026-07-15
3104 APR_DRG "vertebral And Intervertebral Spinal Procedures Including Disc Procedures" 5 1 — — $177,015.50 $222,073.99 $209,200.13 2026-07-15
C0205 HCPCS "traumatic Brain Injury M <35.50.,comorbidity In Tier 2" 5 3 — — $181,625.20 $326,925.35 $208,868.98 2026-07-15
2244 APR_DRG "peritoneal Adhesiolysis" 5 1 — — $176,315.83 $221,196.23 $208,373.26 2026-07-15
3634 APR_DRG "breast Procedures Except Mastectomy" 5 1 — — $175,499.56 $220,172.17 $207,408.57 2026-07-15
4834 APR_DRG "penis, Testes And Scrotal Procedures" 5 1 — — $173,750.39 $217,977.76 $205,341.37 2026-07-15
D0405 HCPCS "traumatic Spinal Cord Injury M >=31.50 And M <41.50.,comorbidity In Tier 3" 5 3 — — $178,532.13 $321,357.83 $205,311.95 2026-07-15
2274 APR_DRG "hernia Procedures Except Inguinal, Femoral And Umbilical" 5 1 — — $172,351.06 $216,222.24 $203,687.61 2026-07-15
3174 APR_DRG "tendon, Muscle And Other Soft Tissue Procedures" 5 1 — — $172,117.84 $215,929.65 $203,411.99 2026-07-15
1804 APR_DRG "other Circulatory System Procedures" 5 1 — — $171,884.61 $215,637.06 $203,136.36 2026-07-15
Q2056 HCPCS "ciltacabtagene Car-pos T" 15 4 — — $142,823.89 $1,328,320.76 $202,333.84 2026-07-15
5184 APR_DRG "other Female Reproductive System And Related Procedures" 5 1 — — $170,835.12 $214,320.42 $201,896.05 2026-07-15
584 APR_DRG "other Disorders Of Nervous System" 5 1 — — $170,485.28 $213,881.54 $201,482.61 2026-07-15
1664 APR_DRG "coronary Bypass Without Ami Or Complex Principal Diagnosis" 5 1 — — $170,368.67 $213,735.24 $201,344.79 2026-07-15
4044 APR_DRG "thyroid, Parathyroid And Thyroglossal Procedures" 5 1 — — $170,018.84 $213,296.36 $200,931.35 2026-07-15
6914 APR_DRG "lymphoma, Myeloma And Non-acute Leukemia" 5 1 — — $169,552.39 $212,711.19 $200,380.10 2026-07-15
1814 APR_DRG "lower Extremity Vascular Procedures" 5 1 — — $169,435.78 $212,564.89 $200,242.29 2026-07-15
8904 APR_DRG "hiv With Multiple Major HIV Related Conditions" 5 1 — — $169,085.95 $212,126.01 $199,828.85 2026-07-15
Q2057 HCPCS "afamitresgene Autoleucel" 15 4 — — $140,779.19 $1,808,953.38 $199,437.18 2026-07-15
1934 APR_DRG "acute And Subacute Endocarditis" 5 1 — — $168,736.12 $211,687.13 $199,415.41 2026-07-15
2234 APR_DRG "other Small And Large Bowel Procedures" 5 1 — — $168,036.45 $210,809.37 $198,588.53 2026-07-15
2224 APR_DRG "other Stomach, Esophageal And Duodenal Procedures" 5 1 — — $167,570.01 $210,224.19 $198,037.28 2026-07-15
3644 APR_DRG "other Skin, Subcutaneous Tissue And Related Procedures" 5 1 — — $166,403.90 $208,761.25 $196,659.15 2026-07-15
3204 APR_DRG "other Musculoskeletal System And Connective Tissue Procedures" 5 1 — — $166,287.29 $208,614.96 $196,521.34 2026-07-15
D1806 HCPCS "major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity" 5 3 — — $169,830.62 $305,695.11 $195,305.21 2026-07-15
7934 APR_DRG "moderately Extensive O.r. Procedures For Other Complications Of Treatment" 5 1 — — $165,237.79 $207,298.31 $195,281.02 2026-07-15
212 MS_DRG "concomitant Aortic And Mitral Valve Procedures" 8 3 — — $193,252.53 $347,854.55 $193,252.53 2026-07-15
294 APR_DRG "other Percutaneous Intracranial Procedures" 5 1 — — $163,488.62 $205,103.91 $193,213.83 2026-07-15
Q2055 HCPCS "idecabtagene Vicleucel Car" 15 4 — — $136,227.91 $1,308,248.12 $192,989.53 2026-07-15
4484 APR_DRG "other Kidney, Urinary Tract And Related Percutaneous Procedures" 5 1 — — $163,138.79 $204,665.03 $192,800.39 2026-07-15
4234 APR_DRG "inborn Errors Of Metabolism" 5 1 — — $163,022.18 $204,518.73 $192,662.57 2026-07-15
C0405 HCPCS "traumatic Spinal Cord Injury M >=31.50 And M <41.50.,comorbidity In Tier 2" 5 3 — — $167,521.98 $301,539.55 $192,650.27 2026-07-15
4434 APR_DRG "kidney And Urinary Tract Procedures For Non-malignancy" 5 1 — — $162,905.57 $204,372.44 $192,524.76 2026-07-15
3004 APR_DRG "single Level Combined Anterior And Posterior Spinal Fusion Except Cervical" 5 1 — — $162,788.96 $204,226.14 $192,386.95 2026-07-15
5134 APR_DRG "uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma" 5 1 — — $162,788.96 $204,226.14 $192,386.95 2026-07-15
Q2058 HCPCS "obecbtge Autol Up To 400 Mil" 15 4 — — $135,550.80 $653,164.06 $192,030.30 2026-07-15
3134 APR_DRG "knee And Lower Leg Procedures Except Foot" 5 1 — — $162,439.12 $203,787.26 $191,973.51 2026-07-15
209 MS_DRG "complex Aortic Arch Procedures" 8 3 — — $191,430.99 $344,575.78 $191,430.99 2026-07-15
4454 APR_DRG "other Bladder Procedures" 5 1 — — $161,739.46 $202,909.50 $191,146.63 2026-07-15
3094 APR_DRG "other Significant Hip And Femur Surgery" 5 1 — — $160,923.18 $201,885.44 $190,181.94 2026-07-15
Q2054 HCPCS "lisocabtagene Mara Car Pos T" 15 4 — — $133,341.26 $1,320,502.14 $188,900.12 2026-07-15
6924 APR_DRG "radiotherapy" 5 1 — — $159,757.07 $200,422.51 $188,803.81 2026-07-15
6343 APR_DRG "neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other M… 5 1 — — $159,523.85 $200,129.92 $188,528.18 2026-07-15
403 APR_DRG "spinal Disorders And Injuries" 5 1 — — $159,290.63 $199,837.33 $188,252.56 2026-07-15
A0405 HCPCS "traumatic Spinal Cord Injury M >=31.50 And M <41.50.,without Comorbidities" 5 3 — — $163,028.75 $293,451.74 $187,483.06 2026-07-15
3444 APR_DRG "osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections" 5 1 — — $158,241.13 $198,520.69 $187,012.24 2026-07-15
1794 APR_DRG "defibrillator Implants" 5 1 — — $158,241.13 $198,520.69 $187,012.24 2026-07-15
1623 APR_DRG "cardiac Valve Procedures With Ami Or Complex Principal Diagnosis" 5 1 — — $157,891.29 $198,081.81 $186,598.80 2026-07-15
3144 APR_DRG "foot And Toe Procedures" 5 1 — — $157,658.07 $197,789.22 $186,323.18 2026-07-15
B1806 HCPCS "major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity" 5 3 — — $161,887.21 $291,396.98 $186,170.29 2026-07-15
4624 APR_DRG "nephritis And Nephrosis" 5 1 — — $157,075.02 $197,057.75 $185,634.11 2026-07-15
426 MS_DRG "multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wi… 8 3 — — $185,421.95 $333,759.51 $185,421.95 2026-07-15
Q2041 HCPCS "axicabtagene Ciloleucel Car+" 15 4 — — $129,829.46 $1,251,704.50 $183,925.06 2026-07-15
3123 APR_DRG "skin Graft For Musculoskeletal And Connective Tissue Diagnoses" 5 1 — — $155,442.46 $195,009.64 $183,704.73 2026-07-15
1704 APR_DRG "permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock" 5 1 — — $155,209.24 $194,717.05 $183,429.10 2026-07-15
1302 APR_DRG "respiratory System Diagnosis With Ventilator Support > 96 Hours" 5 1 — — $155,209.24 $194,717.05 $183,429.10 2026-07-15
A0404 HCPCS "traumatic Spinal Cord Injury M <31.50 And A <61.50.,without Comorbidities" 5 3 — — $158,893.81 $286,008.86 $182,727.88 2026-07-15
D1904 HCPCS "guillain-barr� M <38.50.,comorbidity In Tier 3" 5 3 — — $158,338.04 $285,008.48 $182,088.75 2026-07-15
1834 APR_DRG "percutaneous Structural Cardiac Procedures" 5 1 — — $154,043.13 $193,254.11 $182,050.97 2026-07-15
1144 APR_DRG "dental Diseases And Disorders" 5 1 — — $154,043.13 $193,254.11 $182,050.97 2026-07-15
7944 APR_DRG "non-extensive O.r. Procedures For Other Complications Of Treatment" 5 1 — — $153,226.85 $192,230.05 $181,086.28 2026-07-15
4034 APR_DRG "procedures For Obesity" 5 1 — — $153,110.24 $192,083.76 $180,948.47 2026-07-15
3164 APR_DRG "hand And Wrist Procedures" 5 1 — — $152,877.02 $191,791.17 $180,672.84 2026-07-15
424 APR_DRG "degenerative Nervous System Disorders Except Multiple Sclerosis" 5 1 — — $152,760.41 $191,644.88 $180,535.03 2026-07-15
216 MS_DRG "cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriz… 8 3 — — $178,429.07 $321,172.33 $178,429.07 2026-07-15
850 MS_DRG "acute Leukemia With Other Procedures" 8 3 — — $178,122.57 $320,620.63 $178,122.57 2026-07-15
583 APR_DRG "other Disorders Of Nervous System" 5 1 — — $150,661.41 $189,011.59 $178,054.40 2026-07-15
3613 APR_DRG "skin Graft For Skin And Subcutaneous Tissue Diagnoses" 5 1 — — $150,661.41 $189,011.59 $178,054.40 2026-07-15
1694 APR_DRG "major Abdominal Vascular Procedures" 5 1 — — $150,194.97 $188,426.41 $177,503.14 2026-07-15
4424 APR_DRG "kidney And Urinary Tract Procedures For Malignancy" 5 1 — — $149,028.86 $186,963.48 $176,125.01 2026-07-15
7402 APR_DRG "mental Illness Diagnosis With O.r. Procedure" 5 1 — — $147,629.53 $185,207.95 $174,471.26 2026-07-15
4464 APR_DRG "urethral And Transurethral Procedures" 5 1 — — $147,396.30 $184,915.36 $174,195.63 2026-07-15
7523 APR_DRG "personality Disorders" 5 1 — — $147,163.08 $184,622.78 $173,920.01 2026-07-15
7524 APR_DRG "personality Disorders" 5 1 — — $147,163.08 $184,622.78 $173,920.01 2026-07-15
493 APR_DRG "bacterial And Tuberculous Infections Of Nervous System" 5 1 — — $146,696.64 $184,037.60 $173,368.75 2026-07-15
484 APR_DRG "peripheral, Cranial And Autonomic Nerve Disorders" 5 1 — — $146,580.03 $183,891.31 $173,230.94 2026-07-15
2824 APR_DRG "disorders Of Pancreas Except Malignancy" 5 1 — — $146,346.81 $183,598.72 $172,955.32 2026-07-15
3154 APR_DRG "shoulder, Upper Arm And Forearm Procedures Except Joint Replacement" 5 1 — — $146,230.19 $183,452.43 $172,817.50 2026-07-15
2294 APR_DRG "other Digestive System And Abdominal Procedures" 5 1 — — $146,230.19 $183,452.43 $172,817.50 2026-07-15
2264 APR_DRG "anal And Perineal Procedures" 5 1 — — $145,763.75 $182,867.25 $172,266.25 2026-07-15
215 MS_DRG "other Heart Assist System Implant" 8 3 — — $172,251.46 $310,052.63 $172,251.46 2026-07-15
4214 APR_DRG "malnutrition, Failure To Thrive And Other Nutritional Disorders" 5 1 — — $145,530.53 $182,574.66 $171,990.62 2026-07-15
7754 APR_DRG "alcohol Abuse And Dependence" 5 1 — — $145,413.92 $182,428.37 $171,852.81 2026-07-15
3814 APR_DRG "major Skin Disorders" 5 1 — — $144,131.20 $180,819.14 $170,336.87 2026-07-15
3464 APR_DRG "connective Tissue Disorders" 5 1 — — $143,897.97 $180,526.55 $170,061.24 2026-07-15
244 APR_DRG "open Extracranial Vascular Procedures" 5 1 — — $143,548.14 $180,087.67 $169,647.80 2026-07-15
6953 APR_DRG "chemotherapy For Acute Leukemia" 5 1 — — $142,498.64 $178,771.02 $168,407.49 2026-07-15
2634 APR_DRG "cholecystectomy" 5 1 — — $142,382.03 $178,624.73 $168,269.67 2026-07-15
3434 APR_DRG "musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mal… 5 1 — — $141,915.59 $178,039.55 $167,718.42 2026-07-15
1824 APR_DRG "other Peripheral Vascular And Related Procedures" 5 1 — — $141,565.75 $177,600.67 $167,304.98 2026-07-15
429 MS_DRG "combined Anterior And Posterior Cervical Spinal Fusion With Mcc" 8 3 — — $167,138.27 $300,848.89 $167,138.27 2026-07-15
3234 APR_DRG "non-elective Or Complex Hip Joint Replacement" 5 1 — — $140,866.09 $176,722.91 $166,478.10 2026-07-15
1924 APR_DRG "cardiac Catheterization For Other Non-coronary Conditions" 5 1 — — $140,516.26 $176,284.03 $166,064.67 2026-07-15
7533 APR_DRG "bipolar Disorders" 5 1 — — $140,516.26 $176,284.03 $166,064.67 2026-07-15
2284 APR_DRG "inguinal, Femoral And Umbilical Hernia Procedures" 5 1 — — $140,516.26 $176,284.03 $166,064.67 2026-07-15
51 APR_DRG "tracheostomy With Mv >96 Hours Without Extensive Procedure" 5 1 — — $139,933.20 $175,552.56 $165,375.60 2026-07-15
5144 APR_DRG "female Reproductive System Reconstructive Procedures" 5 1 — — $139,933.20 $175,552.56 $165,375.60 2026-07-15
913 APR_DRG "other Major Head And Neck Procedures" 5 1 — — $139,816.59 $175,406.27 $165,237.79 2026-07-15
5194 APR_DRG "uterine And Adnexa Procedures For Leiomyoma" 5 1 — — $139,116.92 $174,528.50 $164,410.91 2026-07-15
7244 APR_DRG "other Infectious And Parasitic Diseases" 5 1 — — $138,300.65 $173,504.45 $163,446.22 2026-07-15
7103 APR_DRG "infectious And Parasitic Diseases Including HIV With O.r. Procedure" 5 1 — — $137,600.98 $172,626.68 $162,619.34 2026-07-15
1104 APR_DRG "ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies" 5 1 — — $136,901.31 $171,748.92 $161,792.46 2026-07-15
1714 APR_DRG "permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock" 5 1 — — $136,085.04 $170,724.86 $160,827.77 2026-07-15
2303 APR_DRG "major Small Bowel Procedures" 5 1 — — $136,085.04 $170,724.86 $160,827.77 2026-07-15
231 MS_DRG "coronary Bypass With Ptca With Mcc" 8 3 — — $160,700.42 $289,260.76 $160,700.42 2026-07-15
C1705 HCPCS "major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50.,comorbid" 5 3 — — $139,638.26 $251,348.87 $160,584.00 2026-07-15
C0502 HCPCS "non-traumatic Spinal Cord Injury M >=53.50 And M <60.50.,comorbidity In Tier" 5 3 — — $139,492.60 $251,086.67 $160,416.49 2026-07-15
456 MS_DRG "spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or E… 8 3 — — $160,406.12 $288,731.02 $160,406.12 2026-07-15
2334 APR_DRG "appendectomy With Complex Principal Diagnosis" 5 1 — — $135,385.37 $169,847.10 $160,000.89 2026-07-15
7583 APR_DRG "disorders Of Impulse Control & Development" 5 1 — — $135,385.37 $169,847.10 $160,000.89 2026-07-15
1653 APR_DRG "coronary Bypass With Ami Or Complex Principal Diagnosis" 5 1 — — $135,035.54 $169,408.22 $159,587.45 2026-07-15
8614 APR_DRG "signs, Symptoms And Other Factors Influencing Health Status" 5 1 — — $134,569.09 $168,823.05 $159,036.20 2026-07-15
7592 APR_DRG "eating Disorders" 5 1 — — $134,452.48 $168,676.75 $158,898.39 2026-07-15
3254 APR_DRG "non-elective Or Complex Knee Joint Replacement" 5 1 — — $134,219.26 $168,384.16 $158,622.76 2026-07-15
D2005 HCPCS "miscellaneous M <46.50 And A <77.50.,comorbidity In Tier 3" 5 3 — — $137,210.35 $246,978.63 $157,791.90 2026-07-15
6504 APR_DRG "splenic Procedures" 5 1 — — $133,169.76 $167,067.52 $157,382.45 2026-07-15
3804 APR_DRG "skin Ulcers" 5 1 — — $132,819.93 $166,628.64 $156,969.01 2026-07-15
2454 APR_DRG "inflammatory Bowel Disease" 5 1 — — $132,819.93 $166,628.64 $156,969.01 2026-07-15
20 MS_DRG "intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc" 8 3 — — $155,821.16 $280,478.09 $155,821.16 2026-07-15
1933 APR_DRG "acute And Subacute Endocarditis" 5 1 — — $131,770.43 $165,311.99 $155,728.69 2026-07-15
B0505 HCPCS "non-traumatic Spinal Cord Injury M <39.50.,comorbidity In Tier 1" 5 3 — — $135,109.44 $243,197.00 $155,375.86 2026-07-15
4824 APR_DRG "transurethral Prostatectomy" 5 1 — — $131,420.60 $164,873.11 $155,315.25 2026-07-15
4694 APR_DRG "acute Kidney Injury" 5 1 — — $131,070.76 $164,434.23 $154,901.81 2026-07-15
514 APR_DRG "viral Meningitis" 5 1 — — $130,604.32 $163,849.06 $154,350.56 2026-07-15
7513 APR_DRG "depressive Disorders" 5 1 — — $130,021.27 $163,117.59 $153,661.50 2026-07-15
112 APR_DRG "chimeric Antigen Receptor (car) T-cell And Other Immunotherapies" 5 1 — — $129,904.65 $162,971.29 $153,523.68 2026-07-15
6964 APR_DRG "other Chemotherapy" 5 1 — — $129,788.04 $162,825.00 $153,385.87 2026-07-15
304 APR_DRG "percutaneous Intracranial And Extracranial Vascular Procedures" 5 1 — — $129,438.21 $162,386.12 $152,972.43 2026-07-15
6624 APR_DRG "sickle Cell Anemia Crisis" 5 1 — — $129,321.60 $162,239.82 $152,834.62 2026-07-15
D2102 HCPCS "burns M <52.50.,comorbidity In Tier 3" 5 3 — — $132,870.26 $239,166.47 $152,800.80 2026-07-15
7573 APR_DRG "organic Mental Health Conditions And Disturbances" 5 1 — — $129,204.99 $162,093.53 $152,696.80 2026-07-15
1944 APR_DRG "heart Failure" 5 1 — — $129,088.38 $161,947.24 $152,558.99 2026-07-15
1603 APR_DRG "major Cardiothoracic Repair Of Heart Anomaly" 5 1 — — $128,738.54 $161,508.36 $152,145.55 2026-07-15
2524 APR_DRG "malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure" 5 1 — — $128,738.54 $161,508.36 $152,145.55 2026-07-15
2804 APR_DRG "alcoholic Liver Disease" 5 1 — — $128,738.54 $161,508.36 $152,145.55 2026-07-15
433 APR_DRG "multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies" 5 1 — — $128,621.93 $161,362.06 $152,007.74 2026-07-15
233 MS_DRG "coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc" 8 3 — — $151,985.95 $273,574.71 $151,985.95 2026-07-15
1314 APR_DRG "cystic Fibrosis - Pulmonary Disease" 5 1 — — $128,388.71 $161,069.47 $151,732.11 2026-07-15
4274 APR_DRG "thyroid Disorders" 5 1 — — $128,272.10 $160,923.18 $151,594.30 2026-07-15
C1805 HCPCS "major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.5" 5 3 — — $131,786.62 $237,215.91 $151,554.61 2026-07-15
1764 APR_DRG "insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices" 5 1 — — $128,155.49 $160,776.89 $151,456.49 2026-07-15
6803 APR_DRG "major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms" 5 1 — — $127,922.27 $160,484.30 $151,180.86 2026-07-15
2484 APR_DRG "major Gastrointestinal And Peritoneal Infections" 5 1 — — $127,922.27 $160,484.30 $151,180.86 2026-07-15
1754 APR_DRG "percutaneous Cardiac Intervention Without Ami" 5 1 — — $127,805.66 $160,338.00 $151,043.05 2026-07-15
D0404 HCPCS "traumatic Spinal Cord Injury M <31.50 And A <61.50.,comorbidity In Tier 3" 5 3 — — $131,324.80 $236,384.63 $151,023.52 2026-07-15
2203 APR_DRG "major Stomach, Esophageal And Duodenal Procedures" 5 1 — — $127,105.99 $159,460.24 $150,216.17 2026-07-15
3053 APR_DRG "amputation Of Lower Limb Except Toes" 5 1 — — $126,639.55 $158,875.07 $149,664.92 2026-07-15
219 MS_DRG "cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Cathete… 8 3 — — $149,649.48 $269,369.06 $149,649.48 2026-07-15
6221 APR_DRG "neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe… 5 1 — — $126,522.94 $158,728.77 $149,527.11 2026-07-15
9503 APR_DRG "extensive O.r. Procedure Unrelated To Principal Diagnosis" 5 1 — — $125,823.27 $157,851.01 $148,700.23 2026-07-15
7612 APR_DRG "schizoaffective Disorders" 5 1 — — $125,706.66 $157,704.72 $148,562.41 2026-07-15
D0505 HCPCS "non-traumatic Spinal Cord Injury M <39.50.,comorbidity In Tier 3" 5 3 — — $128,957.90 $232,124.21 $148,301.58 2026-07-15
C0504 HCPCS "non-traumatic Spinal Cord Injury M >=39.50 And M <48.50.,comorbidity In Tier" 5 3 — — $128,940.78 $232,093.40 $148,281.89 2026-07-15
2323 APR_DRG "gastric Fundoplication" 5 1 — — $125,356.83 $157,265.84 $148,148.98 2026-07-15
8924 APR_DRG "hiv With Major HIV Related Condition" 5 1 — — $125,240.21 $157,119.54 $148,011.16 2026-07-15
870 MS_DRG "septicemia Or Severe Sepsis With Mv >96 Hours" 8 3 — — $147,897.29 $266,215.12 $147,897.29 2026-07-15
3834 APR_DRG "cellulitis And Other Skin Infections" 5 1 — — $125,123.60 $156,973.25 $147,873.35 2026-07-15
3494 APR_DRG "malfunction, Reaction, Complication Of Orthopedic Device Or Procedure" 5 1 — — $125,123.60 $156,973.25 $147,873.35 2026-07-15
A0205 HCPCS "traumatic Brain Injury M <35.50.,without Comorbidities" 5 3 — — $128,472.08 $231,249.74 $147,742.89 2026-07-15
3224 APR_DRG "shoulder And Elbow Joint Replacement" 5 1 — — $124,890.38 $156,680.66 $147,597.72 2026-07-15
B0704 HCPCS "fracture Of Lower Extremity M <41.50.,comorbidity In Tier 1" 5 3 — — $128,086.88 $230,556.38 $147,299.91 2026-07-15
573 MS_DRG "skin Graft For Skin Ulcer Or Cellulitis With Mcc" 8 3 — — $146,598.94 $263,878.09 $146,598.94 2026-07-15
3084 APR_DRG "hip And Femur Fracture Repair" 5 1 — — $123,957.49 $155,510.31 $146,495.22 2026-07-15
1313 APR_DRG "cystic Fibrosis - Pulmonary Disease" 5 1 — — $123,141.22 $154,486.25 $145,530.53 2026-07-15
7591 APR_DRG "eating Disorders" 5 1 — — $123,024.61 $154,339.96 $145,392.72 2026-07-15
4244 APR_DRG "other Endocrine Disorders" 5 1 — — $123,024.61 $154,339.96 $145,392.72 2026-07-15
6604 APR_DRG "major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagul… 5 1 — — $122,907.99 $154,193.67 $145,254.90 2026-07-15
2243 APR_DRG "peritoneal Adhesiolysis" 5 1 — — $122,907.99 $154,193.67 $145,254.90 2026-07-15
5004 APR_DRG "malignancy, Male Reproductive System" 5 1 — — $122,907.99 $154,193.67 $145,254.90 2026-07-15
233 APR_DRG "spinal Procedures" 5 1 — — $122,907.99 $154,193.67 $145,254.90 2026-07-15
4614 APR_DRG "kidney And Urinary Tract Malignancy" 5 1 — — $122,791.38 $154,047.37 $145,117.09 2026-07-15
8624 APR_DRG "other Aftercare And Convalescence" 5 1 — — $122,791.38 $154,047.37 $145,117.09 2026-07-15
8623 APR_DRG "other Aftercare And Convalescence" 5 1 — — $122,791.38 $154,047.37 $145,117.09 2026-07-15
6944 APR_DRG "lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior" 5 1 — — $122,674.77 $153,901.08 $144,979.28 2026-07-15
1633 APR_DRG "cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis" 5 1 — — $122,558.16 $153,754.78 $144,841.46 2026-07-15
2404 APR_DRG "digestive Malignancy" 5 1 — — $122,441.55 $153,608.49 $144,703.65 2026-07-15
423 APR_DRG "degenerative Nervous System Disorders Except Multiple Sclerosis" 5 1 — — $122,441.55 $153,608.49 $144,703.65 2026-07-15
1784 APR_DRG "external Heart Assist Devices" 5 1 — — $122,324.94 $153,462.20 $144,565.84 2026-07-15
503 APR_DRG "non-bacterial Infections Of Nervous System Except Viral Meningitis" 5 1 — — $122,324.94 $153,462.20 $144,565.84 2026-07-15
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