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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

Southern California Hospital At Culver City

Culver City, CA · CCN 050752 · Rates published

28,422 distinct procedures filed
43 distinct payers
582,388 rate rows
2026-03-18 last MRF observed
Data quality

537,391 of 582,388 rate rows are consumer-grade (92.3%)

44,997 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 31,068
template filing: same amount across many unrelated codes — excluded 9,754
placeholder amount (≤ $0.02) — excluded from medians 3,223
per-diem day rate — not a per-procedure price 581
exceeds 10× this hospital's gross charge — excluded from medians 363
percent-of-charges filed in the dollar field — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7922/954690845_nor-culver-city%2C-llc_standardcharges.csv
Found on page https://www.sch-culvercity.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 fad8025f3aaeb0fe… · 422,489,605 bytes · first seen 2026-05-17

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 20 $3,604,000.00 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 20 $2,948,213.33 $4,790,846.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Drugs 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,570,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $3,570,000.00 $3,570,000.00 $3,570,000.00 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 21 $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 21 $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 21 $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 21 $1,964,088.48 $3,682,665.91 $2,504,212.82 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 21 $1,865,600.00 $4,780,600.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 21 $616,496.00 $1,937,253.91 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 21 $473,380.96 $1,487,534.57 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $98,584.46 $1,422,532.27 $566,416.65 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $90,897.86 $1,414,159.13 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $91,451.00 $1,401,035.97 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $89,892.46 $1,340,481.99 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $89,888.00 $1,230,057.95 $489,304.61 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $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 22 $295,983.54 $643,764.20 $301,903.21 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 21 $222,600.00 $650,749.05 $278,250.00 nat. median
$324,450
0.9× median
5834
APR_DRG 		Neonate With Ecmo 5 $254,412.72 $305,295.26 $277,309.86 nat. median
$309,665
0.9× median
C9301
HCPCS 		Drugs 1 $267,750.00 $267,750.00 $267,750.00 nat. median
$459,112
0.6× median
J3403
HCPCS 		Revakinagene, Per Implant 21 $206,000.00 $619,761.00 $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 22 $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… 22 $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 $227,469.10 nat. median
$246,434
0.9× median
5833
APR_DRG 		Neonate With Ecmo 5 $201,499.63 $241,799.56 $219,634.60 nat. median
$244,017
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $199,529.50 $239,435.40 $217,487.16 nat. median
$207,730
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $192,552.40 $231,062.88 $209,882.11 nat. median
$234,738
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 21 $164,512.00 $516,956.34 $205,640.00 nat. median
$209,753
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $152,860.98 $183,433.18 $166,618.47 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 $165,105.90 nat. median
$150,721
1.1× median
5832
APR_DRG 		Neonate With Ecmo 5 $148,586.54 $178,303.85 $161,959.33 nat. median
$156,126
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $140,708.86 $168,850.63 $153,372.66 nat. median
$160,267
1.0× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 22 $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 $148,353.39 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 $146,544.48 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 $143,494.64 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 $143,260.04 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 $143,074.83 nat. median
$117,173
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $130,592.96 $156,711.55 $142,346.33 nat. median
$162,982
0.9× median
5831
APR_DRG 		Neonate With Ecmo 5 $128,405.71 $154,086.85 $139,962.23 nat. median
$145,122
1.0× median
7
MS_DRG 		Lung Transplant 22 $136,872.32 $297,697.30 $139,609.77 nat. median
$122,708
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $126,234.51 $151,481.41 $137,595.62 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 $136,657.20 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 $136,288.83 nat. median
$105,658
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $123,090.99 $147,709.19 $134,169.18 nat. median
$129,535
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $122,733.22 $147,279.86 $133,779.21 nat. median
$85,406
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $122,413.20 $146,895.84 $133,430.39 nat. median
$164,834
0.8× median

Other procedures at this hospital

Browse this hospital's 28,422 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 27 20 — — $3,604,000.00 $4,955,500.00 $4,505,000.00 2026-03-18
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 28 20 — — $2,948,213.33 $4,790,846.67 $3,685,266.67 2026-03-18
C9172 HCPCS Drugs 3 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-18
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 2 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 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 29 21 — — $2,653,170.07 $4,974,693.88 $3,316,462.59 2026-03-18
J3394 HCPCS Inj, Lovotibeglogene Autotem 29 21 — — $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 29 21 — — $2,356,592.00 $4,418,610.00 $2,945,740.00 2026-03-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 29 21 — — $1,964,088.48 $3,682,665.91 $2,504,212.82 2026-03-18
J3392 HCPCS Inj, Exagamglogene Autotem 31 21 — — $1,865,600.00 $4,780,600.00 $2,332,000.00 2026-03-18
Q2057 HCPCS Afamitresgene Autoleucel 32 21 — — $616,496.00 $1,937,253.91 $770,620.00 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 32 21 — — $473,380.96 $1,487,534.57 $591,726.20 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T 34 22 — — $98,584.46 $1,422,532.27 $566,416.65 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 34 22 — — $90,897.86 $1,414,159.13 $562,538.19 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel Car 34 22 — — $91,451.00 $1,401,035.97 $557,317.93 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 34 22 — — $89,892.46 $1,340,481.99 $533,230.17 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T 34 22 — — $89,888.00 $1,230,057.95 $489,304.61 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 22 — — $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 34 22 — — $295,983.54 $643,764.20 $301,903.21 2026-03-18
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 32 21 — — $222,600.00 $650,749.05 $278,250.00 2026-03-18
5834 APR_DRG Neonate With Ecmo 6 5 — — $254,412.72 $305,295.26 $277,309.86 2026-03-18
C9301 HCPCS Drugs 3 1 — — $267,750.00 $267,750.00 $267,750.00 2026-03-18
J3403 HCPCS Revakinagene, Per Implant 31 21 — — $206,000.00 $619,761.00 $257,500.00 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 34 22 — — $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… 34 22 — — $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 $227,469.10 2026-03-18
5833 APR_DRG Neonate With Ecmo 6 5 — — $201,499.63 $241,799.56 $219,634.60 2026-03-18
1614 APR_DRG Implantable Heart Assist Systems 6 5 — — $199,529.50 $239,435.40 $217,487.16 2026-03-18
24 APR_DRG Heart And/or Lung Transplant 6 5 — — $192,552.40 $231,062.88 $209,882.11 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 32 21 — — $164,512.00 $516,956.34 $205,640.00 2026-03-18
1613 APR_DRG Implantable Heart Assist Systems 6 5 — — $152,860.98 $183,433.18 $166,618.47 2026-03-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $151,473.30 $181,767.96 $165,105.90 2026-03-18
5832 APR_DRG Neonate With Ecmo 6 5 — — $148,586.54 $178,303.85 $161,959.33 2026-03-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $140,708.86 $168,850.63 $153,372.66 2026-03-18
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 34 22 — — $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 $148,353.39 2026-03-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $134,444.48 $161,333.38 $146,544.48 2026-03-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $131,646.46 $157,975.75 $143,494.64 2026-03-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $131,431.23 $157,717.48 $143,260.04 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $131,261.31 $157,513.57 $143,074.83 2026-03-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $130,592.96 $156,711.55 $142,346.33 2026-03-18
5831 APR_DRG Neonate With Ecmo 6 5 — — $128,405.71 $154,086.85 $139,962.23 2026-03-18
7 MS_DRG Lung Transplant 34 22 — — $136,872.32 $297,697.30 $139,609.77 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $126,234.51 $151,481.41 $137,595.62 2026-03-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $125,373.58 $150,448.30 $136,657.20 2026-03-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $125,035.63 $150,042.76 $136,288.83 2026-03-18
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $123,090.99 $147,709.19 $134,169.18 2026-03-18
1612 APR_DRG Implantable Heart Assist Systems 6 5 — — $122,733.22 $147,279.86 $133,779.21 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $122,413.20 $146,895.84 $133,430.39 2026-03-18
23 APR_DRG Heart And/or Lung Transplant 6 5 — — $119,071.44 $142,885.73 $129,787.87 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 34 22 — — $127,031.39 $276,293.27 $129,572.02 2026-03-18
1611 APR_DRG Implantable Heart Assist Systems 6 5 — — $116,597.22 $139,916.66 $127,090.97 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 22 — — $119,789.22 $260,541.55 $122,185.00 2026-03-18
209 MS_DRG Complex Aortic Arch Procedures 34 22 — — $119,652.00 $260,243.10 $122,045.04 2026-03-18
90288 CPT Botulism Ig, IV 2 1 — — $121,226.75 $121,226.75 $121,226.75 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 $119,251.32 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 22 — — $116,510.67 $253,410.71 $118,840.88 2026-03-18
64 APR_DRG Pancreas Transplant 6 5 — — $108,703.49 $130,444.19 $118,486.80 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 22 — — $114,957.94 $250,033.52 $117,257.10 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 22 — — $109,008.84 $237,094.23 $111,189.02 2026-03-18
215 MS_DRG Other Heart Assist System Implant 36 22 — — $56,991.00 $228,978.41 $107,382.98 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 $106,339.93 2026-03-18
Q0480 HCPCS Driver Pneumatic Vad, Rep 31 21 — — $1,843.77 $217,547.91 $106,120.93 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 22 — — $56,991.00 $224,979.11 $105,507.44 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 22 — — $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 $96,316.82 2026-03-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $87,523.90 $105,028.68 $95,401.05 2026-03-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $86,655.42 $103,986.50 $94,454.40 2026-03-18
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 28 21 — — $74,573.36 $191,094.24 $94,148.86 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 34 22 — — $91,581.61 $199,190.00 $93,413.24 2026-03-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $85,565.10 $102,678.12 $93,265.96 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $84,429.47 $101,315.36 $92,028.12 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 22 — — $56,991.00 $193,918.80 $90,941.23 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 22 — — $14,543.00 $193,310.39 $90,655.91 2026-03-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $82,400.82 $98,880.98 $89,816.89 2026-03-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $79,573.54 $95,488.25 $86,735.16 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 22 — — $44,992.00 $181,036.86 $84,900.05 2026-03-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $76,998.30 $92,397.96 $83,928.15 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 $83,852.01 2026-03-18
63 APR_DRG Pancreas Transplant 6 5 — — $76,434.74 $91,721.69 $83,313.86 2026-03-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $76,075.07 $91,290.08 $82,921.83 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 22 — — $56,991.00 $176,663.31 $82,849.00 2026-03-18
21 APR_DRG Heart And/or Lung Transplant 6 5 — — $75,751.28 $90,901.54 $82,568.90 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 22 — — $56,991.00 $175,903.39 $82,492.62 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 22 — — $80,608.07 $175,322.55 $82,220.23 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 $81,677.82 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $74,392.86 $89,271.43 $81,088.22 2026-03-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $73,188.32 $87,825.98 $79,775.27 2026-03-18
4404 APR_DRG Kidney Transplant 6 5 — — $72,321.73 $86,786.08 $78,830.68 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 22 — — $76,372.12 $166,109.36 $77,899.56 2026-03-18
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $71,162.50 $85,395.00 $77,567.13 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 5 — — $71,110.58 $85,332.70 $77,510.54 2026-03-18
10 MS_DRG Pancreas Transplant 34 22 — — $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 34 22 — — $75,887.62 $165,055.57 $77,405.37 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 22 — — $75,485.45 $164,180.85 $76,995.16 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 22 — — $8,936.00 $164,084.41 $76,949.93 2026-03-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $69,370.78 $83,244.94 $75,614.15 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 34 22 — — $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 34 22 — — $72,775.85 $158,287.47 $74,231.37 2026-03-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $67,712.18 $81,254.62 $73,806.28 2026-03-18
1784 APR_DRG External Heart Assist Systems 6 5 — — $67,260.94 $80,713.13 $73,314.43 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 22 — — $44,992.00 $154,917.20 $72,650.83 2026-03-18
62 APR_DRG Pancreas Transplant 6 5 — — $66,352.82 $79,623.38 $72,324.57 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 22 — — $8,935.00 $153,893.23 $72,170.62 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 22 — — $70,703.79 $153,780.74 $72,117.87 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implnt 5 2 — — $71,167.10 $172,967.03 $71,167.10 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 22 — — $56,991.00 $151,340.31 $70,973.39 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 22 — — $56,991.00 $151,340.31 $70,973.39 2026-03-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $65,061.42 $78,073.70 $70,916.95 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 22 — — $69,329.45 $150,791.55 $70,716.04 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $64,610.19 $77,532.23 $70,425.11 2026-03-18
C1882 HCPCS Cardioverter-defibrillator 2 1 — — $70,388.67 $70,388.67 $70,388.67 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 6 5 — — $63,856.88 $76,628.26 $69,604.00 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 34 22 — — $68,097.63 $148,112.35 $69,459.58 2026-03-18
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 28 21 — — $53,962.13 $138,277.95 $68,127.18 2026-03-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $61,921.68 $74,306.02 $67,494.63 2026-03-18
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $60,907.82 $73,089.38 $66,389.52 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 22 — — $64,864.46 $141,080.20 $66,161.75 2026-03-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $60,679.38 $72,815.26 $66,140.52 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 22 — — $64,789.53 $140,917.23 $66,085.32 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 22 — — $56,991.00 $139,569.55 $65,453.31 2026-03-18
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $59,642.86 $71,571.43 $65,010.72 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 36 22 — — $14,543.00 $138,322.89 $64,868.66 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 22 — — $8,936.00 $138,283.89 $64,850.38 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 22 — — $14,543.00 $137,285.20 $64,382.02 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 22 — — $62,912.74 $136,835.21 $64,170.99 2026-03-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $58,827.25 $70,592.70 $64,121.71 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 22 — — $62,767.07 $136,518.38 $64,022.41 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 $63,980.74 2026-03-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $58,391.12 $70,069.34 $63,646.32 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 $63,541.36 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $58,190.99 $69,829.19 $63,428.18 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 22 — — $56,991.00 $135,115.63 $63,364.57 2026-03-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 32 21 — — $50,673.83 $159,235.52 $63,342.28 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 22 — — $62,082.03 $135,028.42 $63,323.67 2026-03-18
0164T CPT Remove Lumb Artif Disc Addl 3 2 — — $846.00 $63,132.99 $63,132.99 2026-03-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $57,600.99 $69,121.19 $62,785.08 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $57,396.14 $68,875.37 $62,561.79 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 22 — — $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
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $56,943.97 $68,332.76 $62,068.93 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 22 — — $44,992.00 $131,940.52 $61,875.56 2026-03-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 34 22 — — $60,415.29 $131,403.26 $61,623.60 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 22 — — $60,337.19 $131,233.39 $61,543.93 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $56,419.10 $67,702.92 $61,496.82 2026-03-18
8634 APR_DRG Neonatal Aftercare 6 5 — — $55,826.27 $66,991.52 $60,850.63 2026-03-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $55,816.83 $66,980.20 $60,840.34 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 22 — — $59,519.13 $129,454.11 $60,709.51 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 34 22 — — $59,335.46 $129,054.63 $60,522.17 2026-03-18
C1721 HCPCS Cardioverter-defibrillator 2 1 — — $60,440.11 $60,440.11 $60,440.11 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 22 — — $58,930.13 $128,173.03 $60,108.73 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $55,140.93 $66,169.12 $60,103.62 2026-03-18
1794 APR_DRG Defibrillator Implants 6 5 — — $54,798.26 $65,757.91 $59,730.10 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 22 — — $16,966.00 $127,181.25 $59,643.62 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 5 — — $54,571.70 $65,486.04 $59,483.15 2026-03-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $54,501.84 $65,402.21 $59,407.01 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 $59,353.50 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 34 22 — — $58,124.75 $126,421.33 $59,287.25 2026-03-18
38240 CPT Transplt Allo Hct/donor 37 22 — — $58.06 $190,634.51 $59,142.33 2026-03-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 22 — — $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 36 22 — — $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 34 22 — — $57,746.86 $125,599.42 $58,901.80 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 22 — — $57,516.74 $125,098.91 $58,667.07 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 $58,232.96 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 $58,031.29 2026-03-18
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $52,954.62 $63,545.54 $57,720.54 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 22 — — $56,466.47 $122,814.57 $57,595.80 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 22 — — $56,432.68 $122,741.08 $57,561.33 2026-03-18
A9543 HCPCS Y90 Ibritumomab, Rx 34 22 — — $806.60 $168,095.81 $57,392.79 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 22 — — $44,992.00 $121,919.17 $57,175.89 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 22 — — $8,935.00 $121,517.45 $56,987.49 2026-03-18
1694 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $52,241.90 $62,690.28 $56,943.68 2026-03-18
61 APR_DRG Pancreas Transplant 6 5 — — $52,156.94 $62,588.33 $56,851.07 2026-03-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 5 — — $52,093.70 $62,512.44 $56,782.14 2026-03-18
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 5 — — $51,867.14 $62,240.57 $56,535.18 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $51,814.27 $62,177.12 $56,477.56 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 34 22 — — $53,066.90 $138,948.55 $56,377.77 2026-03-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $51,638.69 $61,966.43 $56,286.17 2026-03-18
914 APR_DRG Other Major Head And Neck Procedures 6 5 — — $51,595.26 $61,914.31 $56,238.84 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 22 — — $55,121.69 $119,889.68 $56,224.12 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 34 22 — — $55,026.69 $119,683.05 $56,127.22 2026-03-18
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 5 — — $23,000.00 $59,395.30 $55,831.58 2026-03-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 5 — — $50,613.50 $60,736.20 $55,168.72 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 22 — — $53,377.92 $116,096.98 $54,445.48 2026-03-18
1783 APR_DRG External Heart Assist Systems 6 5 — — $49,759.18 $59,711.02 $54,237.51 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 $54,016.28 2026-03-18
234 APR_DRG Spinal Procedures 6 5 — — $49,429.73 $59,315.68 $53,878.40 2026-03-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 22 — — $52,820.58 $114,884.76 $53,876.99 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 22 — — $52,398.36 $113,966.43 $53,446.33 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 22 — — $52,305.46 $113,764.38 $53,351.57 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 22 — — $52,127.08 $113,376.40 $53,169.62 2026-03-18
214 APR_DRG Open Craniotomy Except Trauma 6 5 — — $48,751.94 $58,502.33 $53,139.62 2026-03-18
4414 APR_DRG Major Bladder Procedures 6 5 — — $48,743.44 $58,492.13 $53,130.35 2026-03-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 22 — — $51,910.69 $112,905.75 $52,948.90 2026-03-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $48,146.83 $57,776.20 $52,480.04 2026-03-18
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 5 — — $48,131.73 $57,758.08 $52,463.58 2026-03-18
471 MS_DRG Cervical Spinal Fusion With Mcc 36 22 — — $14,543.00 $111,241.29 $52,168.33 2026-03-18
4403 APR_DRG Kidney Transplant 6 5 — — $47,672.00 $57,206.40 $51,962.48 2026-03-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 22 — — $50,887.86 $110,681.10 $51,905.62 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 $51,715.53 2026-03-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 22 — — $50,428.68 $109,682.38 $51,437.25 2026-03-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 22 — — $49,801.69 $108,318.68 $50,797.72 2026-03-18
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 5 — — $46,533.54 $55,840.25 $50,721.56 2026-03-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 22 — — $49,700.36 $108,098.28 $50,694.37 2026-03-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $46,435.36 $55,722.43 $50,614.54 2026-03-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 22 — — $49,552.58 $107,776.86 $50,543.63 2026-03-18
1782 APR_DRG External Heart Assist Systems 6 5 — — $46,359.84 $55,631.81 $50,532.23 2026-03-18
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 5 — — $46,178.59 $55,414.31 $50,334.66 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 34 22 — — $49,121.91 $106,840.15 $50,104.35 2026-03-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 5 — — $45,865.18 $55,038.22 $49,993.05 2026-03-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 22 — — $8,936.00 $106,415.44 $49,905.17 2026-03-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $45,733.02 $54,879.62 $49,848.99 2026-03-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 22 — — $48,694.41 $105,910.34 $49,668.30 2026-03-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 22 — — $48,570.90 $105,641.71 $49,542.32 2026-03-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 5 — — $45,413.95 $54,496.74 $49,501.21 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $45,322.38 $54,386.86 $49,401.40 2026-03-18
245 MS_DRG Aicd Generator Procedures 36 22 — — $36,444.00 $105,127.43 $49,301.14 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 $49,253.23 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 $49,201.79 2026-03-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 22 — — $48,189.85 $104,812.92 $49,153.65 2026-03-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $45,077.89 $54,093.47 $49,134.90 2026-03-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 22 — — $44,992.00 $104,767.03 $49,132.13 2026-03-18
204 APR_DRG Open Craniotomy For Trauma 6 5 — — $44,977.82 $53,973.38 $49,025.82 2026-03-18
799 MS_DRG Splenic Procedures With Mcc 34 22 — — $47,980.85 $104,358.35 $48,940.47 2026-03-18
1204 APR_DRG Major Respiratory And Chest Procedures 6 5 — — $44,770.14 $53,724.17 $48,799.45 2026-03-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 5 — — $44,673.86 $53,608.63 $48,694.51 2026-03-18
6904 APR_DRG Acute Leukemia 6 5 — — $44,542.64 $53,451.17 $48,551.48 2026-03-18
7594 APR_DRG Eating Disorders 6 5 — — $44,462.40 $53,354.88 $48,464.01 2026-03-18
163 MS_DRG Major Chest Procedures With Mcc 34 22 — — $47,483.68 $103,277.00 $48,433.35 2026-03-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 22 — — $44,992.00 $103,247.21 $48,419.38 2026-03-18
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $44,415.20 $53,298.24 $48,412.57 2026-03-18
C1722 HCPCS Cardioverter-defibrillator 2 1 — — $48,273.76 $48,273.76 $48,273.76 2026-03-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 22 — — $47,284.18 $102,843.09 $48,229.86 2026-03-18
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 5 — — $43,924.32 $52,709.18 $47,877.51 2026-03-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 22 — — $46,544.25 $101,233.74 $47,475.14 2026-03-18
L7181 HCPCS Electronic Elbo Simultaneous 31 21 — — $820.26 $96,783.10 $47,211.27 2026-03-18
1814 APR_DRG Lower Extremity Arterial Procedures 6 5 — — $43,194.61 $51,833.53 $47,082.12 2026-03-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $43,194.61 $51,833.53 $47,082.12 2026-03-18
274 APR_DRG Other Open Craniotomy 6 5 — — $42,971.82 $51,566.18 $46,839.28 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 $46,797.10 2026-03-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 22 — — $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 34 22 — — $45,489.75 $98,940.21 $46,399.55 2026-03-18
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 5 — — $42,486.61 $50,983.93 $46,310.40 2026-03-18
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 5 — — $42,434.69 $50,921.63 $46,253.81 2026-03-18
2614 APR_DRG Major Biliary Tract Procedures 6 5 — — $42,307.25 $50,768.70 $46,114.90 2026-03-18
140 MS_DRG Major Head And Neck Procedures With Mcc 34 22 — — $45,198.42 $98,306.56 $46,102.39 2026-03-18
J9226 HCPCS Supprelin La Implant 34 22 — — $43,185.34 $113,176.97 $45,921.06 2026-03-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 22 — — $44,939.81 $97,744.09 $45,838.61 2026-03-18
6954 APR_DRG Chemotherapy For Acute Leukemia 6 5 — — $41,921.15 $50,305.38 $45,694.05 2026-03-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 22 — — $44,754.02 $97,339.99 $45,649.10 2026-03-18
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $41,849.41 $50,219.29 $45,615.85 2026-03-18
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 22 — — $44,678.03 $97,174.72 $45,571.59 2026-03-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 22 — — $44,655.87 $97,126.52 $45,548.99 2026-03-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 22 — — $44,526.02 $96,844.09 $45,416.54 2026-03-18
C1767 HCPCS Generator, Neuro Non-recharg 2 1 — — $45,377.38 $45,377.38 $45,377.38 2026-03-18
901 MS_DRG Wound Debridements For Injuries With Mcc 34 22 — — $44,473.26 $96,729.34 $45,362.73 2026-03-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 22 — — $44,390.92 $96,550.25 $45,278.74 2026-03-18
2304 APR_DRG Major Small Bowel Procedures 6 5 — — $41,388.74 $49,666.49 $45,113.73 2026-03-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 22 — — $14,543.00 $96,178.28 $45,104.30 2026-03-18
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 5 — — $41,373.63 $49,648.36 $45,097.25 2026-03-18
793 MS_DRG Full Term Neonate With Major Problems 34 22 — — $44,188.24 $96,109.42 $45,072.00 2026-03-18
1781 APR_DRG External Heart Assist Systems 6 5 — — $41,349.09 $49,618.91 $45,070.50 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 $45,023.54 2026-03-18
33276 CPT Insj Phrnc Nrv Stim Sys 32 21 — — $1,145.03 $92,251.03 $45,000.50 2026-03-18
0266T CPT Apc 28 21 — — $260.52 $92,251.03 $45,000.50 2026-03-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 22 — — $44,013.03 $95,728.34 $44,893.29 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $41,149.90 $49,379.88 $44,853.40 2026-03-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $40,972.43 $49,166.92 $44,659.94 2026-03-18
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 36 22 — — $10,639.00 $95,096.96 $44,597.19 2026-03-18
4402 APR_DRG Kidney Transplant 6 5 — — $40,886.53 $49,063.84 $44,566.32 2026-03-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 5 — — $40,816.67 $48,980.00 $44,490.17 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 $44,441.81 2026-03-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 5 — — $40,618.43 $48,742.12 $44,274.09 2026-03-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 5 — — $40,604.27 $48,725.12 $44,258.65 2026-03-18
4014 APR_DRG Adrenal Procedures 6 5 — — $40,534.42 $48,641.30 $44,182.51 2026-03-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $40,319.18 $48,383.02 $43,947.91 2026-03-18
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 5 — — $40,278.59 $48,334.31 $43,903.66 2026-03-18
791 MS_DRG Prematurity With Major Problems 34 22 — — $43,020.79 $93,570.22 $43,881.21 2026-03-18
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 5 — — $37,332.37 $46,665.46 $43,865.54 2026-03-18
83 APR_DRG Autologous Bone Marrow Transplant 6 5 — — $40,209.68 $48,251.62 $43,828.55 2026-03-18
1793 APR_DRG Defibrillator Implants 6 5 — — $39,956.69 $47,948.03 $43,552.79 2026-03-18
L7180 HCPCS Electronic Elbow Sequential 33 22 — — $755.56 $89,148.58 $43,487.11 2026-03-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 22 — — $42,614.41 $92,686.34 $43,466.70 2026-03-18
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 5 — — $39,833.97 $47,800.76 $43,419.03 2026-03-18
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 22 — — $42,230.19 $91,850.66 $43,074.79 2026-03-18
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $39,460.14 $47,352.17 $43,011.55 2026-03-18
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $39,282.67 $47,139.20 $42,818.11 2026-03-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 22 — — $41,468.07 $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 34 22 — — $41,281.25 $89,786.72 $42,106.88 2026-03-18
74178 CPT CT Scan Abd&pelvis W/wo Cont 114 43 $9,624.05 $9,624.05 $14.77 $77,010.06 $41,873.45 2026-03-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 22 — — $41,033.19 $89,247.19 $41,853.85 2026-03-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 38 22 — — $22,806.00 $89,114.03 $41,791.41 2026-03-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 36 22 — — $40,932.91 $89,029.08 $41,751.57 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 $41,741.82 2026-03-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 22 — — $40,701.75 $88,526.31 $41,515.79 2026-03-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 5 — — $38,037.54 $45,645.05 $41,460.92 2026-03-18
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $38,036.59 $45,643.91 $41,459.89 2026-03-18
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $38,022.43 $45,626.92 $41,444.44 2026-03-18
74177 CPT CT Scan Abd&pelvis W Cont 114 43 $8,322.39 $8,322.39 $14.77 $77,010.06 $41,417.86 2026-03-18
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