Hospital

Children's National Medical Center

Washington, DC · CCN 099801 · Rates published

12,996 distinct procedures filed

27 distinct payers

620,850 rate rows

2026-04-02 last MRF observed

Data quality

479,446 of 620,850 rate rows are consumer-grade (77.2%)

141,404 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 — reason	Rows
professional (physician) fee — not the facility price	138,032
template filing: same amount across many unrelated codes — excluded	1,785
placeholder amount (≤ $0.02) — excluded from medians	703
exceeds 10× this hospital's gross charge — excluded from medians	461
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	419
per-diem day rate — not a per-procedure price	4

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://stronger.childrensnational.org/files/530196580_childrens-national-hospital_standardcharges.csv
Found on page	https://www.childrensnational.org/plan-your-visit/insurance-and-billing/hospital-services-and-charges
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	9372cd7ed1160d6c… · 239,617,936 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J1413 HCPCS	Fns-delandistrogene Moxeparvovec-rokl (Elevidys 17.5-18.4 Kg) Inj Kit	14	$1,382,400.00	$2,611,200.00	$1,651,200.00	nat. median $3,325,455 outlier · 0.5×
J3394 HCPCS	Lovotibeglogene Autotemcel (Lyfgenia) IV Bag 1	13	$1,339,200.00	$2,529,600.00	$1,599,600.00	nat. median $3,286,000 outlier · 0.5×
J3393 HCPCS	Fns-betibeglogene Autotemcel (Zynteglo) IV Bag 1	13	$1,209,600.00	$2,284,800.00	$1,444,800.00	nat. median $3,006,423 outlier · 0.5×
J3399 HCPCS	Fns-onasemnogene Abeparvovec 24.8 Ml Inj Kit	14	$1,084,877.70	$2,049,213.43	$1,295,826.14	nat. median $2,469,189 0.5× median
J3392 HCPCS	Exagamglogene Autotemcel (Casgevy) IV Bag 1	12	$950,400.00	$1,829,520.00	$1,135,200.00	nat. median $2,448,600 outlier · 0.5×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$571,094.16	$1,414,625.35	$1,123,702.82	nat. median $370,174 outlier · 3.0×
5834 APR_DRG	Neonate With Ecmo	10	$637,383.73	$1,227,278.53	$730,833.38	nat. median $309,665 outlier · 2.4×
24 APR_DRG	Heart And/or Lung Transplant	10	$598,149.38	$857,841.93	$727,995.66	nat. median $234,738 outlier · 3.1×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	5	$311,547.14	$918,034.94	$681,625.32	nat. median $265,286 outlier · 2.6×
5833 APR_DRG	Neonate With Ecmo	10	$454,907.48	$972,322.02	$641,930.50	nat. median $244,017 outlier · 2.6×
5891 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	10	$127,268.49	$688,603.79	$640,213.99	nat. median $93,260 outlier · 6.9×
5892 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	10	$99,138.76	$664,240.82	$598,103.08	nat. median $89,790 outlier · 6.7×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	$457,949.38	$1,006,954.43	$516,315.34	nat. median $246,434 outlier · 2.1×
1614 APR_DRG	Implantable Heart Assist Systems	10	$443,529.80	$888,874.14	$514,469.16	nat. median $207,730 outlier · 2.5×
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	4	$382,881.03	$564,719.12	$499,292.45	nat. median $129,535 outlier · 3.9×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	6	$189,530.66	$603,754.92	$489,703.33	nat. median $206,368 outlier · 2.4×
74 APR_DRG	Allogeneic Bone Marrow Transplant	10	$392,621.02	$571,032.52	$481,826.77	nat. median $187,294 outlier · 2.6×
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	$246,271.94	$731,271.11	$452,574.88	nat. median $150,721 outlier · 3.0×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	$15,892.00	$679,270.08	$451,513.00	nat. median $202,986 outlier · 2.2×
23 APR_DRG	Heart And/or Lung Transplant	10	$370,423.00	$531,012.40	$450,717.70	nat. median $93,528 outlier · 4.8×
5832 APR_DRG	Neonate With Ecmo	10	$186,571.84	$717,365.20	$441,690.06	nat. median $156,126 outlier · 2.8×
64 APR_DRG	Pancreas Transplant	4	$338,292.96	$560,098.61	$440,671.43	nat. median $91,748 outlier · 4.8×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	10	$375,860.26	$671,373.02	$435,976.37	nat. median $160,267 outlier · 2.7×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	$353,202.03	$630,660.70	$432,031.29	nat. median $162,982 outlier · 2.7×
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$357,068.21	$585,232.78	$402,576.79	nat. median $117,173 outlier · 3.4×
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	$338,627.00	$634,699.52	$392,787.92	nat. median $164,279 outlier · 2.4×
104 APR_DRG	Head Trauma With Deep Coma	1	$379,631.29	$379,631.29	$379,631.29	nat. median $42,757 outlier · 8.9×
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	10	$263,065.76	$413,229.09	$376,934.88	nat. median $97,957 outlier · 3.8×
Q2042 HCPCS	Fns-tisagenlecleuecel (Kymriah ) Car Positive T-cells IV Bag 1	14	$307,687.68	$1,808,039.51	$367,515.84	nat. median $754,974 outlier · 0.5×
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	$219,488.28	$605,515.25	$360,987.76	nat. median $122,924 outlier · 2.9×
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	$295,607.41	$657,217.05	$342,887.66	nat. median $151,838 outlier · 2.3×
22 APR_DRG	Heart And/or Lung Transplant	10	$275,257.15	$406,617.70	$340,937.42	nat. median $78,029 outlier · 4.4×
209 MS_DRG	Complex Aortic Arch Procedures	3	$275,307.17	$370,792.57	$337,481.34	nat. median $98,017 outlier · 3.4×
7 MS_DRG	Lung Transplant	5	$115,147.31	$424,235.60	$325,988.91	nat. median $122,708 outlier · 2.7×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	6	$129,926.65	$453,758.01	$317,296.80	nat. median $133,176 outlier · 2.4×
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	10	$268,274.62	$545,876.61	$311,183.19	nat. median $164,834 1.9× median
63 APR_DRG	Pancreas Transplant	4	$238,287.90	$372,510.56	$308,089.30	nat. median $64,159 outlier · 4.8×
14 MS_DRG	Allogeneic Bone Marrow Transplant	5	$137,606.54	$393,694.39	$302,520.58	nat. median $117,303 outlier · 2.6×
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	$257,457.76	$557,538.55	$298,636.25	nat. median $105,658 outlier · 2.8×
6034 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	$264,448.49	$528,566.92	$298,152.62	nat. median $109,499 outlier · 2.7×
21 APR_DRG	Heart And/or Lung Transplant	10	$236,170.48	$358,081.62	$297,126.05	nat. median $65,130 outlier · 4.6×
13 APR_DRG	Liver Transplant And/or Intestinal Transplant	4	$221,949.37	$355,496.55	$289,475.79	nat. median $68,633 outlier · 4.2×
5893 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	10	$82,750.51	$543,943.48	$287,013.45	nat. median $69,788 outlier · 4.1×
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	4	$220,837.00	$361,043.49	$286,793.67	nat. median $98,905 outlier · 2.9×
84 APR_DRG	Autologous Bone Marrow Transplant	10	$199,307.31	$370,744.00	$285,025.66	nat. median $79,774 outlier · 3.6×
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	4	$229,507.00	$356,224.64	$282,965.83	nat. median $102,358 outlier · 2.8×
73 APR_DRG	Allogeneic Bone Marrow Transplant	10	$231,960.44	$332,292.99	$282,126.72	nat. median $89,273 outlier · 3.2×
5831 APR_DRG	Neonate With Ecmo	10	$119,015.04	$620,124.23	$276,467.60	nat. median $145,122 1.9× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	5	$173,833.78	$371,218.44	$275,623.37	nat. median $108,660 outlier · 2.5×
62 APR_DRG	Pancreas Transplant	4	$207,043.94	$301,147.43	$270,005.60	nat. median $54,247 outlier · 5.0×

Other procedures at this hospital

Browse this hospital's 12,996 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	9	5	—	—	$311,547.14	$918,034.94	$681,625.32	2026-04-02
103	APR_DRG	Head Trauma With Deep Coma	1	1	—	—	$109,064.07	$109,064.07	$109,064.07	2026-04-02
104	APR_DRG	Head Trauma With Deep Coma	1	1	—	—	$379,631.29	$379,631.29	$379,631.29	2026-04-02
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$165,520.94	$284,402.99	$225,420.12	2026-04-02
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	10	6	—	—	$56,383.69	$178,670.86	$123,170.04	2026-04-02
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	8	—	—	$72,890.86	$103,998.68	$90,408.31	2026-04-02
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	8	—	—	$107,473.17	$163,559.72	$153,630.69	2026-04-02
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	8	—	—	$201,642.65	$288,781.34	$228,764.12	2026-04-02
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	8	—	—	$357,068.21	$585,232.78	$402,576.79	2026-04-02
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$186,248.45	$289,330.70	$241,330.90	2026-04-02
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	10	6	—	—	$40,413.79	$138,111.94	$94,500.39	2026-04-02
1204	APR_DRG	Major Respiratory And Chest Procedures	11	10	—	—	$95,679.58	$200,537.53	$110,982.83	2026-04-02
1214	APR_DRG	Other Respiratory And Chest Procedures	11	10	—	—	$86,323.70	$164,221.51	$100,130.55	2026-04-02
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$221,949.37	$355,496.55	$289,475.79	2026-04-02
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	11	10	—	—	$97,234.82	$190,378.34	$112,786.82	2026-04-02
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$382,881.03	$564,719.12	$499,292.45	2026-04-02
14	MS_DRG	Allogeneic Bone Marrow Transplant	8	5	—	—	$137,606.54	$393,694.39	$302,520.58	2026-04-02
140	MS_DRG	Major Head And Neck Procedures With Mcc	8	5	—	—	$65,669.54	$139,726.96	$107,368.26	2026-04-02
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	8	5	—	—	$50,127.08	$122,734.87	$94,311.29	2026-04-02
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	8	5	—	—	$73,292.50	$194,251.04	$149,265.37	2026-04-02
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	11	10	—	—	$88,659.18	$202,993.82	$102,839.57	2026-04-02
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	11	10	—	—	$263,065.76	$413,229.09	$376,934.88	2026-04-02
1611	APR_DRG	Implantable Heart Assist Systems	11	10	—	—	$155,332.09	$520,006.79	$224,857.73	2026-04-02
1612	APR_DRG	Implantable Heart Assist Systems	11	10	—	—	$202,196.27	$547,301.49	$236,748.18	2026-04-02
1613	APR_DRG	Implantable Heart Assist Systems	11	10	—	—	$215,084.00	$681,300.28	$249,485.12	2026-04-02
1614	APR_DRG	Implantable Heart Assist Systems	11	10	—	—	$443,529.80	$888,874.14	$514,469.16	2026-04-02
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	10	—	—	$101,685.85	$251,369.10	$117,949.76	2026-04-02
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	10	—	—	$128,193.01	$376,378.23	$148,696.55	2026-04-02
163	MS_DRG	Major Chest Procedures With Mcc	10	6	—	—	$59,368.99	$146,819.29	$103,057.91	2026-04-02
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	11	10	—	—	$76,288.82	$212,582.60	$88,490.66	2026-04-02
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	11	10	—	—	$112,829.12	$329,148.02	$130,875.32	2026-04-02
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	11	10	—	—	$88,076.18	$300,560.86	$102,163.33	2026-04-02
1673	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	11	10	—	—	$75,821.03	$170,139.74	$87,948.05	2026-04-02
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	11	10	—	—	$98,559.66	$272,312.35	$114,323.56	2026-04-02
1694	APR_DRG	Major Abdominal Vascular Procedures	11	10	—	—	$100,381.96	$247,898.02	$116,437.32	2026-04-02
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	8	5	—	—	$51,896.83	$158,497.87	$126,532.12	2026-04-02
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	11	10	—	—	$78,126.83	$267,799.50	$90,622.65	2026-04-02
1774	APR_DRG	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	11	10	—	—	$84,246.66	$150,171.77	$119,536.16	2026-04-02
1782	APR_DRG	External Heart Assist Systems	10	9	—	—	$87,969.71	$207,606.98	$100,610.67	2026-04-02
1783	APR_DRG	External Heart Assist Systems	10	9	—	—	$90,446.57	$222,726.10	$103,443.45	2026-04-02
1784	APR_DRG	External Heart Assist Systems	10	9	—	—	$95,351.43	$300,570.11	$109,053.11	2026-04-02
1794	APR_DRG	Defibrillator Implants	10	9	—	—	$85,382.88	$245,141.92	$97,652.11	2026-04-02
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	5	—	—	$571,094.16	$1,414,625.35	$1,123,702.82	2026-04-02
1814	APR_DRG	Lower Extremity Arterial Procedures	11	10	—	—	$80,322.67	$226,353.81	$93,169.70	2026-04-02
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	10	9	—	—	$102,071.60	$256,693.58	$116,738.96	2026-04-02
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	7	4	—	—	$161,193.39	$217,100.44	$172,453.00	2026-04-02
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	5	—	—	$173,833.78	$371,218.44	$275,623.37	2026-04-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	6	—	—	$115,816.78	$257,774.02	$180,609.91	2026-04-02
204	APR_DRG	Open Craniotomy For Trauma	11	10	—	—	$118,172.10	$248,777.19	$137,072.86	2026-04-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	10	6	—	—	$63,502.13	$210,794.34	$160,850.10	2026-04-02
209	MS_DRG	Complex Aortic Arch Procedures	5	3	—	—	$275,307.17	$370,792.57	$337,481.34	2026-04-02
21	APR_DRG	Heart And/or Lung Transplant	11	10	—	—	$236,170.48	$358,081.62	$297,126.05	2026-04-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	10	6	—	—	$84,928.66	$173,419.59	$122,608.05	2026-04-02
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	7	4	—	—	$229,507.00	$356,224.64	$282,965.83	2026-04-02
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	5	3	—	—	$138,808.93	$186,952.34	$170,156.93	2026-04-02
214	APR_DRG	Open Craniotomy Except Trauma	11	10	—	—	$93,080.53	$253,142.72	$107,968.09	2026-04-02
215	MS_DRG	Other Heart Assist System Implant	10	6	—	—	$162,790.56	$326,181.36	$247,225.27	2026-04-02
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	6	—	—	$112,340.05	$320,474.75	$220,635.52	2026-04-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	6	—	—	$74,277.71	$215,400.25	$147,991.01	2026-04-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	6	—	—	$65,065.40	$215,400.25	$142,636.51	2026-04-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	6	—	—	$89,725.33	$251,533.43	$174,885.15	2026-04-02
22	APR_DRG	Heart And/or Lung Transplant	11	10	—	—	$275,257.15	$406,617.70	$340,937.42	2026-04-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	6	—	—	$60,624.84	$174,697.20	$120,648.85	2026-04-02
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	11	10	—	—	$76,398.79	$226,910.97	$88,618.22	2026-04-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	6	—	—	$53,896.92	$165,111.91	$109,673.89	2026-04-02
222	MS_DRG	Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc	3	2	—	—	$101,118.16	$135,380.77	$120,974.28	2026-04-02
224	MS_DRG	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc	3	2	—	—	$90,378.18	$121,001.69	$112,009.36	2026-04-02
224	APR_DRG	Ventricular Shunt Procedures	11	10	—	—	$87,355.29	$202,186.00	$101,327.14	2026-04-02
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath W Mcc	3	2	—	—	$82,777.82	$110,826.04	$101,134.22	2026-04-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	10	6	—	—	$82,510.74	$190,200.40	$124,538.43	2026-04-02
2294	APR_DRG	Other Digestive System And Abdominal Procedures	11	10	—	—	$82,160.68	$181,784.39	$95,301.69	2026-04-02
23	APR_DRG	Heart And/or Lung Transplant	11	10	—	—	$370,423.00	$531,012.40	$450,717.70	2026-04-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	10	6	—	—	$63,487.88	$187,718.90	$129,785.04	2026-04-02
2304	APR_DRG	Major Small Bowel Procedures	11	10	—	—	$95,105.31	$196,394.18	$110,316.71	2026-04-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	10	6	—	—	$92,652.47	$276,155.09	$191,783.23	2026-04-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	10	6	—	—	$68,583.67	$198,604.71	$138,078.31	2026-04-02
2324	APR_DRG	Gastric Fundoplication	11	10	—	—	$83,319.70	$180,342.82	$96,646.08	2026-04-02
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	10	6	—	—	$87,340.65	$250,449.11	$175,312.60	2026-04-02
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	10	6	—	—	$58,253.21	$178,952.59	$122,477.12	2026-04-02
234	APR_DRG	Spinal Procedures	11	10	—	—	$96,173.56	$253,898.06	$111,555.82	2026-04-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	10	6	—	—	$68,968.26	$192,249.47	$133,353.98	2026-04-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	10	6	—	—	$45,121.43	$137,220.90	$94,258.09	2026-04-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	10	6	—	—	$57,427.06	$161,229.97	$112,912.26	2026-04-02
24	APR_DRG	Heart And/or Lung Transplant	11	10	—	—	$598,149.38	$857,841.93	$727,995.66	2026-04-02
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	10	6	—	—	$45,077.51	$128,149.93	$87,620.57	2026-04-02
245	MS_DRG	Aicd Generator Procedures	10	6	—	—	$55,627.57	$149,459.66	$106,962.63	2026-04-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	10	6	—	—	$50,999.46	$148,945.35	$102,405.19	2026-04-02
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	11	10	—	—	$77,196.48	$231,370.24	$89,543.50	2026-04-02
2614	APR_DRG	Major Biliary Tract Procedures	11	10	—	—	$83,970.77	$189,580.56	$97,401.28	2026-04-02
2634	APR_DRG	Cholecystectomy	11	10	—	—	$77,393.72	$143,974.68	$87,257.61	2026-04-02
264	APR_DRG	Other Nervous System And Related Procedures	11	10	—	—	$84,463.00	$175,087.16	$97,972.24	2026-04-02
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	10	6	—	—	$102,065.38	$200,760.26	$142,855.01	2026-04-02
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	10	6	—	—	$77,837.52	$155,959.05	$110,004.36	2026-04-02
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	10	6	—	—	$74,551.91	$225,313.13	$153,881.08	2026-04-02
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	10	6	—	—	$46,341.67	$138,347.81	$95,187.95	2026-04-02
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	10	6	—	—	$56,203.26	$172,846.31	$132,817.66	2026-04-02
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	10	6	—	—	$42,137.31	$135,147.25	$91,362.27	2026-04-02
274	APR_DRG	Other Open Craniotomy	10	9	—	—	$94,113.87	$192,540.30	$107,637.72	2026-04-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	7	4	—	—	$148,884.00	$233,584.77	$185,547.27	2026-04-02
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	7	4	—	—	$130,501.00	$196,770.21	$156,303.75	2026-04-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	7	4	—	—	$98,017.00	$151,297.44	$120,182.61	2026-04-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	7	4	—	—	$105,406.00	$182,343.15	$144,843.66	2026-04-02
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	7	4	—	—	$67,509.00	$118,142.06	$93,845.74	2026-04-02
28	MS_DRG	Spinal Procedures With Mcc	10	6	—	—	$63,735.96	$196,825.90	$137,110.44	2026-04-02
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	6	3	—	—	$15,892.00	$679,270.08	$451,513.00	2026-04-02
3013	APR_DRG	Hip Joint Replacement	1	1	—	—	$97,259.43	$97,259.43	$97,259.43	2026-04-02
3014	APR_DRG	Hip Joint Replacement	1	1	—	—	$152,766.64	$152,766.64	$152,766.64	2026-04-02
3023	APR_DRG	Knee Joint Replacement	1	1	—	—	$93,554.58	$93,554.58	$93,554.58	2026-04-02
3024	APR_DRG	Knee Joint Replacement	1	1	—	—	$154,462.50	$154,462.50	$154,462.50	2026-04-02
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	10	—	—	$135,546.80	$386,155.88	$157,226.53	2026-04-02
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	11	10	—	—	$119,088.48	$304,111.30	$138,135.82	2026-04-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	10	6	—	—	$44,908.96	$146,776.70	$98,632.10	2026-04-02
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	11	10	—	—	$121,701.50	$294,782.94	$141,166.76	2026-04-02
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	7	4	—	—	$130,333.00	$219,043.05	$173,996.10	2026-04-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	8	5	—	—	$68,044.28	$146,200.14	$112,342.35	2026-04-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	7	4	—	—	$89,737.00	$141,761.30	$112,607.60	2026-04-02
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	10	6	—	—	$64,634.52	$163,382.24	$114,155.76	2026-04-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	10	6	—	—	$60,191.58	$150,576.74	$104,271.83	2026-04-02
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	10	6	—	—	$43,742.14	$126,800.26	$88,037.02	2026-04-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	10	6	—	—	$44,616.96	$143,903.74	$98,357.04	2026-04-02
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	5	3	—	—	$83,637.07	$112,645.10	$102,525.30	2026-04-02
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	11	10	—	—	$109,219.43	$196,774.92	$126,688.28	2026-04-02
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	6	—	—	$129,926.65	$453,758.01	$317,296.80	2026-04-02
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	10	6	—	—	$45,158.23	$126,489.05	$86,691.99	2026-04-02
4014	APR_DRG	Adrenal Procedures	11	10	—	—	$95,288.59	$247,216.80	$110,529.31	2026-04-02
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	7	4	—	—	$82,784.00	$131,707.56	$104,621.45	2026-04-02
4044	APR_DRG	Thyroid, Parathyroid And Thyroglossal Procedures	11	10	—	—	$87,269.76	$182,282.47	$101,227.93	2026-04-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	10	6	—	—	$66,339.06	$179,208.11	$123,714.99	2026-04-02
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	11	10	—	—	$87,046.34	$181,782.79	$100,968.77	2026-04-02
4078788	CDM	Organ Acquisition-heart	32	12	$307,127.00	$153,563.50 50% off	$110,565.72	$212,839.01	$135,135.88	2026-04-02
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	10	—	—	$91,715.55	$205,751.50	$106,384.79	2026-04-02
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	10	—	—	$118,533.41	$264,148.47	$137,491.97	2026-04-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	10	6	—	—	$50,625.55	$136,048.13	$93,351.71	2026-04-02
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	7	4	—	—	$220,837.00	$361,043.49	$286,793.67	2026-04-02
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	7	4	—	—	$149,563.00	$236,474.12	$187,842.41	2026-04-02
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	7	4	—	—	$115,989.00	$184,171.10	$146,295.68	2026-04-02
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	7	4	—	—	$175,715.00	$295,145.49	$234,447.81	2026-04-02
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	10	—	—	$137,517.47	$381,983.80	$159,512.39	2026-04-02
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	7	4	—	—	$115,250.00	$188,924.43	$150,071.48	2026-04-02
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	10	—	—	$257,457.76	$557,538.55	$298,636.25	2026-04-02
4402	APR_DRG	Kidney Transplant	11	10	—	—	$112,212.96	$197,959.13	$128,120.28	2026-04-02
4403	APR_DRG	Kidney Transplant	11	10	—	—	$138,618.88	$231,217.66	$156,285.95	2026-04-02
4404	APR_DRG	Kidney Transplant	11	10	—	—	$141,895.19	$344,752.16	$164,590.29	2026-04-02
4414	APR_DRG	Major Bladder Procedures	11	10	—	—	$103,391.20	$234,033.76	$119,927.87	2026-04-02
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	7	4	—	—	$141,251.00	$218,882.53	$173,868.60	2026-04-02
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures	11	10	—	—	$83,078.82	$161,523.03	$96,366.67	2026-04-02
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	7	4	—	—	$86,029.00	$138,924.37	$110,354.10	2026-04-02
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	7	4	—	—	$108,499.00	$174,592.37	$138,686.85	2026-04-02
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	3	2	—	—	$135,678.85	$181,651.92	$144,645.84	2026-04-02
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	3	2	—	—	$95,788.53	$128,245.26	$96,236.22	2026-04-02
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	6	—	—	$111,650.41	$275,286.98	$191,410.45	2026-04-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	6	—	—	$83,969.57	$195,345.19	$132,977.74	2026-04-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	6	—	—	$62,894.38	$136,690.20	$96,230.07	2026-04-02
459	MS_DRG	Spinal Fusion Except Cervical W Mcc	3	2	—	—	$77,695.09	$104,801.40	$104,021.09	2026-04-02
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	10	6	—	—	$60,509.70	$175,607.90	$129,839.93	2026-04-02
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	10	6	—	—	$60,570.24	$186,709.92	$126,207.97	2026-04-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	10	6	—	—	$59,817.68	$170,523.70	$116,971.47	2026-04-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	10	6	—	—	$58,202.17	$158,183.38	$109,890.24	2026-04-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	10	6	—	—	$43,040.62	$140,631.11	$99,449.11	2026-04-02
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	8	5	—	—	$127,321.18	$337,761.67	$259,541.06	2026-04-02
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	11	10	—	—	$75,791.36	$208,829.87	$87,913.63	2026-04-02
5114	APR_DRG	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	11	10	—	—	$75,808.81	$189,886.24	$87,933.88	2026-04-02
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	10	—	—	$90,694.43	$201,099.30	$105,200.35	2026-04-02
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	10	—	—	$107,615.31	$271,495.90	$124,827.60	2026-04-02
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	10	—	—	$187,656.96	$389,570.17	$217,671.32	2026-04-02
5464	APR_DRG	Oth O.r. Proc For OB Diag Exc Del	1	1	—	—	$88,151.37	$88,151.37	$88,151.37	2026-04-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	10	6	—	—	$46,447.31	$214,617.31	$144,544.35	2026-04-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	10	6	—	—	$63,496.19	$160,558.41	$116,438.45	2026-04-02
5831	APR_DRG	Neonate With Ecmo	11	10	—	—	$119,015.04	$620,124.23	$276,467.60	2026-04-02
5832	APR_DRG	Neonate With Ecmo	11	10	—	—	$186,571.84	$717,365.20	$441,690.06	2026-04-02
5833	APR_DRG	Neonate With Ecmo	11	10	—	—	$454,907.48	$972,322.02	$641,930.50	2026-04-02
5834	APR_DRG	Neonate With Ecmo	11	10	—	—	$637,383.73	$1,227,278.53	$730,833.38	2026-04-02
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$129,543.82	$418,951.72	$182,422.48	2026-04-02
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$161,800.87	$635,739.82	$186,084.53	2026-04-02
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$168,854.43	$649,220.14	$195,861.47	2026-04-02
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$457,949.38	$1,006,954.43	$516,315.34	2026-04-02
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	10	—	—	$127,268.49	$688,603.79	$640,213.99	2026-04-02
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	10	—	—	$99,138.76	$664,240.82	$598,103.08	2026-04-02
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	10	—	—	$82,750.51	$543,943.48	$287,013.45	2026-04-02
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	10	—	—	$3,966.22	$137,311.77	$119,538.58	2026-04-02
5911859	CDM	Hypochlorous Acid (Vashe) 0.033% Top Soln 250 Ml	30	12	$272,000.00	$136,000.00 50% off	$97,920.00	$188,496.00	$125,120.00	2026-04-02
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	10	—	—	$138,968.48	$231,452.99	$185,112.71	2026-04-02
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	10	—	—	$198,838.63	$372,422.16	$230,641.42	2026-04-02
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	10	—	—	$338,627.00	$634,699.52	$392,787.92	2026-04-02
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	10	—	—	$138,124.91	$335,666.88	$160,216.98	2026-04-02
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	10	—	—	$203,818.54	$423,137.38	$236,417.83	2026-04-02
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	10	—	—	$295,607.41	$657,217.05	$342,887.66	2026-04-02
6	MS_DRG	Liver Transplant Without Mcc	8	5	—	—	$57,367.71	$151,903.48	$116,724.88	2026-04-02
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$136,149.00	$284,243.51	$157,925.04	2026-04-02
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$180,397.42	$372,083.66	$209,250.68	2026-04-02
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$199,433.85	$471,492.31	$231,331.84	2026-04-02
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	10	—	—	$76,824.69	$127,978.92	$89,112.24	2026-04-02
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	10	—	—	$132,076.75	$257,939.84	$153,201.46	2026-04-02
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	10	—	—	$264,448.49	$528,566.92	$298,152.62	2026-04-02
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$85,669.14	$218,909.45	$99,371.29	2026-04-02
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$116,492.92	$282,300.22	$135,125.12	2026-04-02
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$156,424.73	$362,474.33	$181,443.72	2026-04-02
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	10	—	—	$85,639.47	$219,135.43	$99,336.87	2026-04-02
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	10	—	—	$112,125.68	$236,577.09	$130,059.37	2026-04-02
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	10	—	—	$172,943.16	$314,904.16	$208,718.43	2026-04-02
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	10	—	—	$353,202.03	$630,660.70	$432,031.29	2026-04-02
61	APR_DRG	Pancreas Transplant	4	4	—	—	$163,047.63	$233,390.34	$197,317.66	2026-04-02
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	10	—	—	$86,297.52	$180,124.43	$100,100.18	2026-04-02
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	10	—	—	$125,560.80	$275,790.17	$145,643.33	2026-04-02
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$95,761.62	$185,932.05	$111,077.99	2026-04-02
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$146,307.81	$263,788.13	$164,954.84	2026-04-02
6133	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	10	—	—	$79,654.15	$169,272.03	$92,394.25	2026-04-02
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	10	—	—	$141,510.44	$258,832.02	$167,095.98	2026-04-02
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	11	10	—	—	$98,151.21	$208,278.90	$113,849.78	2026-04-02
62	APR_DRG	Pancreas Transplant	4	4	—	—	$207,043.94	$301,147.43	$270,005.60	2026-04-02
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	11	10	—	—	$107,962.67	$216,666.12	$125,230.51	2026-04-02
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	11	10	—	—	$82,489.44	$157,338.01	$93,173.31	2026-04-02
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	11	10	—	—	$101,499.39	$145,057.22	$127,796.20	2026-04-02
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	10	6	—	—	$40,848.23	$122,086.24	$86,895.98	2026-04-02
63	APR_DRG	Pancreas Transplant	4	4	—	—	$238,287.90	$372,510.56	$308,089.30	2026-04-02
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	10	—	—	$75,609.41	$225,155.05	$139,243.36	2026-04-02
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	10	—	—	$119,256.56	$354,062.64	$186,683.13	2026-04-02
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	10	—	—	$246,271.94	$731,271.11	$452,574.88	2026-04-02
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	10	—	—	$76,332.36	$233,402.42	$154,682.05	2026-04-02
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	10	—	—	$219,488.28	$605,515.25	$360,987.76	2026-04-02
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	11	10	—	—	$92,698.67	$197,055.89	$128,360.52	2026-04-02
64	APR_DRG	Pancreas Transplant	4	4	—	—	$338,292.96	$560,098.61	$440,671.43	2026-04-02
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	6	4	—	—	$97,065.00	$154,013.16	$131,258.39	2026-04-02
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	6	4	—	—	$73,156.00	$121,398.30	$103,462.23	2026-04-02
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	11	10	—	—	$105,318.23	$188,691.89	$122,163.12	2026-04-02
653	MS_DRG	Major Bladder Procedures With Mcc	10	6	—	—	$71,761.27	$170,228.87	$121,917.52	2026-04-02
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	10	6	—	—	$39,834.53	$137,640.21	$95,237.26	2026-04-02
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	11	10	—	—	$170,532.68	$244,132.77	$228,803.48	2026-04-02
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	11	10	—	—	$145,622.38	$232,368.47	$216,039.40	2026-04-02
6904	APR_DRG	Acute Leukemia	11	10	—	—	$128,353.60	$248,593.60	$144,712.35	2026-04-02
6954	APR_DRG	Chemotherapy For Acute Leukemia	11	10	—	—	$77,456.56	$207,864.94	$89,845.18	2026-04-02
7	MS_DRG	Lung Transplant	8	5	—	—	$115,147.31	$424,235.60	$325,988.91	2026-04-02
7047444	CDM	Organ Acquisition-lung	32	12	$307,127.00	$153,563.50 50% off	$110,565.72	$212,839.01	$135,135.88	2026-04-02
71	APR_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$161,986.37	$231,867.24	$196,926.80	2026-04-02
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	11	10	—	—	$78,043.05	$189,989.78	$90,525.47	2026-04-02
72	APR_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$181,748.96	$260,230.21	$220,989.58	2026-04-02
73	APR_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$231,960.44	$332,292.99	$282,126.72	2026-04-02
74	APR_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$392,621.02	$571,032.52	$481,826.77	2026-04-02
7403	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	4	4	—	—	$63,877.18	$137,829.80	$104,636.96	2026-04-02
7404	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	4	4	—	—	$120,097.87	$327,226.58	$231,122.33	2026-04-02
7504	APR_DRG	Schizophrenia	4	4	—	—	$61,248.73	$144,481.29	$96,904.09	2026-04-02
7524	APR_DRG	Disorders Of Personality And Impulse Control	4	4	—	—	$56,522.33	$215,067.05	$120,514.79	2026-04-02
7594	APR_DRG	Eating Disorders	4	4	—	—	$73,482.44	$306,288.41	$157,002.11	2026-04-02
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	10	6	—	—	$62,080.10	$194,703.12	$134,909.38	2026-04-02
791	MS_DRG	Prematurity With Major Problems	10	6	—	—	$42,398.45	$132,968.78	$92,134.53	2026-04-02
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	11	10	—	—	$127,290.67	$255,715.06	$222,616.13	2026-04-02
793	MS_DRG	Full Term Neonate With Major Problems	10	6	—	—	$43,553.40	$136,591.93	$94,643.59	2026-04-02
799	MS_DRG	Splenic Procedures With Mcc	10	6	—	—	$56,464.40	$148,362.24	$105,164.71	2026-04-02
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	8	5	—	—	$64,499.21	$183,601.09	$141,081.79	2026-04-02
81	APR_DRG	Autologous Bone Marrow Transplant	11	10	—	—	$79,756.03	$180,467.34	$130,111.68	2026-04-02
82	APR_DRG	Autologous Bone Marrow Transplant	11	10	—	—	$105,671.11	$181,843.91	$143,757.51	2026-04-02
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	10	6	—	—	$70,214.61	$192,124.98	$132,655.77	2026-04-02
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	10	6	—	—	$52,864.23	$150,193.46	$105,051.04	2026-04-02
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	10	6	—	—	$61,503.22	$153,240.05	$107,193.57	2026-04-02
83	APR_DRG	Autologous Bone Marrow Transplant	11	10	—	—	$126,021.68	$237,222.73	$181,622.20	2026-04-02
834	MS_DRG	Acute Leukemia With Mcc	10	6	—	—	$66,460.13	$179,843.63	$124,988.42	2026-04-02
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	10	6	—	—	$72,820.08	$157,384.06	$111,171.49	2026-04-02
84	APR_DRG	Autologous Bone Marrow Transplant	11	10	—	—	$199,307.31	$370,744.00	$285,025.66	2026-04-02
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	11	10	—	—	$42,567.75	$123,283.19	$88,013.54	2026-04-02
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft	11	10	—	—	$48,259.38	$135,376.79	$88,013.54	2026-04-02
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	11	10	—	—	$125,590.47	$251,096.34	$145,677.75	2026-04-02
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	11	10	—	—	$375,860.26	$671,373.02	$435,976.37	2026-04-02
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	11	10	—	—	$185,241.19	$349,676.90	$214,869.17	2026-04-02
850	MS_DRG	Acute Leukemia With Other Procedures	7	4	—	—	$194,073.00	$283,676.56	$225,337.51	2026-04-02
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	11	10	—	—	$92,995.63	$185,088.81	$148,261.67	2026-04-02
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	10	6	—	—	$60,933.46	$161,783.60	$112,749.29	2026-04-02
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	10	6	—	—	$55,277.40	$149,010.86	$102,843.51	2026-04-02
8634	APR_DRG	Neonatal Aftercare	11	10	—	—	$126,840.25	$270,404.34	$147,127.42	2026-04-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	10	6	—	—	$69,774.23	$226,423.66	$157,340.85	2026-04-02
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	10	6	—	—	$36,608.27	$126,610.26	$88,397.48	2026-04-02
8904	APR_DRG	HIV With Multiple Major HIV Related Conditions	11	10	—	—	$65,196.97	$136,941.26	$119,216.03	2026-04-02
894	APR_DRG	Major Cranial Or Facial Bone Procedures	11	10	—	—	$88,852.93	$228,675.47	$103,064.31	2026-04-02
901	MS_DRG	Wound Debridements For Injuries With Mcc	10	6	—	—	$46,732.19	$137,476.42	$97,706.95	2026-04-02
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	10	6	—	—	$45,192.65	$125,771.63	$88,655.64	2026-04-02
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	11	10	—	—	$80,498.97	$205,751.50	$93,374.19	2026-04-02
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	11	10	—	—	$125,148.86	$339,061.36	$145,165.51	2026-04-02
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	11	10	—	—	$99,357.35	$247,488.87	$115,248.83	2026-04-02
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	11	10	—	—	$93,574.51	$266,321.89	$108,541.07	2026-04-02
914	APR_DRG	Other Major Head And Neck Procedures	11	10	—	—	$94,958.69	$230,894.01	$110,146.64	2026-04-02
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	11	10	—	—	$80,498.97	$264,148.47	$93,374.19	2026-04-02
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	11	10	—	—	$90,923.10	$188,352.99	$105,465.58	2026-04-02
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	6	—	—	$189,530.66	$603,754.92	$489,703.33	2026-04-02
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	10	6	—	—	$68,132.61	$234,970.48	$157,585.29	2026-04-02
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	11	10	—	—	$129,915.82	$371,268.77	$150,694.91	2026-04-02
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	10	6	—	—	$34,049.10	$125,031.28	$91,996.29	2026-04-02
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	11	10	—	—	$268,274.62	$545,876.61	$311,183.19	2026-04-02
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	11	10	—	—	$107,716.55	$225,816.96	$124,945.03	2026-04-02
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	11	10	—	—	$79,315.52	$174,212.55	$92,001.46	2026-04-02
955	MS_DRG	Craniotomy For Multiple Significant Trauma	10	6	—	—	$67,389.55	$220,504.10	$153,788.77	2026-04-02
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	6	—	—	$77,753.25	$249,620.30	$171,295.91	2026-04-02
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	10	6	—	—	$45,776.65	$138,043.15	$94,538.85	2026-04-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	10	6	—	—	$59,695.42	$200,527.67	$141,063.19	2026-04-02
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	10	6	—	—	$57,607.48	$153,698.68	$107,143.32	2026-04-02
J1413	HCPCS	Fns-delandistrogene Moxeparvovec-rokl (Elevidys 17.5-18.4 Kg) Inj Kit	33	14	$3,840,000.00	$1,920,000.00 50% off	$1,382,400.00	$2,611,200.00	$1,651,200.00	2026-04-02
J3392	HCPCS	Exagamglogene Autotemcel (Casgevy) IV Bag 1	27	12	$2,640,000.00	$1,320,000.00 50% off	$950,400.00	$1,829,520.00	$1,135,200.00	2026-04-02
J3393	HCPCS	Fns-betibeglogene Autotemcel (Zynteglo) IV Bag 1	32	13	$3,360,000.00	$1,680,000.00 50% off	$1,209,600.00	$2,284,800.00	$1,444,800.00	2026-04-02
J3394	HCPCS	Lovotibeglogene Autotemcel (Lyfgenia) IV Bag 1	32	13	$3,720,000.00	$1,860,000.00 50% off	$1,339,200.00	$2,529,600.00	$1,599,600.00	2026-04-02
J3399	HCPCS	Fns-onasemnogene Abeparvovec 24.8 Ml Inj Kit	33	14	$3,013,549.16	$1,506,774.58 50% off	$1,084,877.70	$2,049,213.43	$1,295,826.14	2026-04-02
J9226	HCPCS	Histrelin 50 Mg Implant (Supprelin La)	40	13	$301,089.70	$150,544.85 50% off	$45,560.39	$193,901.77	$126,457.67	2026-04-02
Q2042	HCPCS	Fns-tisagenlecleuecel (Kymriah ) Car Positive T-cells IV Bag 1	39	14	$854,688.01	$427,344.00 50% off	$307,687.68	$1,808,039.51	$367,515.84	2026-04-02

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