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

Johns Hopkins All Children's Hospital

St Petersburg, FL · CCN 109808 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $670 across 1 payer

Source: https://www.hopkinsmedicine.org/-/media/patient-care/documents/billing-insurance/charge-fees/590683252_johns-hopkins-all-children-_s-hospital_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,690 distinct procedures filed
17 distinct payers
81,626 rate rows
2026-04-01 last MRF observed
Data quality

60,689 of 81,626 rate rows are consumer-grade (74.4%)

20,937 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 16,444
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
placeholder amount (≤ $0.02) — excluded from medians 32
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hopkinsmedicine.org/-/media/patient-care/documents/billing-insurance/charge-fees/590683252_johns-hopkins-all-children-_s-hospital_standardcharges.csv
Found on page https://www.hopkinsmedicine.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-20
Content fingerprint f988a474c295abd4… · 18,601,305 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $4,496,025.34 $4,496,025.34 $4,496,025.34 nat. median
$3,703,693
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $4,055,977.72 $4,055,977.72 $4,055,977.72 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,978,853.10 $3,978,853.10 $3,978,853.10 nat. median
$3,286,000
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $3,599,837.74 $3,599,837.74 $3,599,837.74 nat. median
$2,994,107
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,845,040.00 $2,845,040.00 $2,845,040.00 nat. median
$2,401,960
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,260,161.87 $2,260,161.87 $2,260,161.87 nat. median
$2,466,282
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $1,176,256.29 $1,764,362.84 $1,356,544.48 nat. median
$359,358
outlier · 3.8×
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $940,156.40 $1,872,606.60 $1,337,025.70 nat. median
$809,217
1.7× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $705,555.99 $1,405,328.73 $1,003,393.15 nat. median
$738,272
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $675,122.17 $1,344,710.56 $960,112.27 nat. median
$646,415
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $660,795.51 $1,316,174.65 $939,737.88 nat. median
$640,950
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $660,337.75 $1,315,262.89 $939,086.88 nat. median
$622,245
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $650,353.31 $1,295,375.85 $924,887.70 nat. median
$608,101
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $281,047.46 $1,533,085.81 $880,342.79 nat. median
$249,124
outlier · 3.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $597,458.40 $1,190,019.60 $849,664.20 nat. median
$591,650
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $578,153.22 $2,838,371.67 $695,474.40 nat. median
$190,557
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $581,566.27 $872,338.73 $670,704.61 nat. median
$198,433
outlier · 3.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $155,170.64 $565,940.50 $435,127.88 nat. median
$126,722
outlier · 3.4×
5834
APR_DRG 		Neonate With Ecmo 9 $409,024.79 $409,024.79 $409,024.79 nat. median
$307,273
1.3× median
7
MS_DRG 		Lung Transplant 3 $352,750.50 $529,119.27 $406,817.58 nat. median
$117,894
outlier · 3.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $185,494.95 $933,524.58 $358,998.71 nat. median
$110,192
outlier · 3.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $308,666.90 $462,994.68 $355,977.17 nat. median
$103,967
outlier · 3.4×
209
MS_DRG 		Complex Aortic Arch Procedures 3 $308,312.79 $462,463.53 $355,568.78 nat. median
$92,655
outlier · 3.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $300,206.47 $450,304.19 $346,219.98 nat. median
$93,270
outlier · 3.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $296,199.61 $444,293.98 $341,598.98 nat. median
$97,414
outlier · 3.5×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $329,857.50 $329,857.50 $329,857.50 nat. median
$319,951
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $280,847.71 $421,266.41 $323,894.05 nat. median
$94,964
outlier · 3.4×
215
MS_DRG 		Other Heart Assist System Implant 3 $271,218.72 $406,823.11 $313,107.83 nat. median
$93,917
outlier · 3.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $266,473.69 $399,705.64 $307,316.88 nat. median
$90,581
outlier · 3.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $245,412.49 $368,114.24 $283,027.57 nat. median
$78,037
outlier · 3.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $229,622.05 $344,428.85 $264,816.88 nat. median
$77,043
outlier · 3.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $250,519.86 $250,519.86 $250,519.86 nat. median
$247,214
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $214,338.24 $321,503.43 $247,190.48 nat. median
$74,460
outlier · 3.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $90,359.67 $353,809.85 $240,599.88 nat. median
$78,262
outlier · 3.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $208,247.60 $312,367.58 $240,166.31 nat. median
$71,758
outlier · 3.3×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $234,193.96 $234,193.96 $234,193.96 nat. median
$124,042
1.9× median
24
APR_DRG 		Heart And/Or Lung Transplant 9 $234,039.39 $234,039.39 $234,039.39 nat. median
$241,915
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $75,841.07 $343,346.12 $233,484.27 nat. median
$77,696
outlier · 3.0×
5833
APR_DRG 		Neonate With Ecmo 9 $232,953.21 $232,953.21 $232,953.21 nat. median
$244,017
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $196,627.45 $294,937.56 $226,765.10 nat. median
$63,648
outlier · 3.6×
10
MS_DRG 		Pancreas Transplant 3 $195,458.89 $293,184.75 $225,417.44 nat. median
$64,903
outlier · 3.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 $195,377.18 $293,062.18 $225,323.20 nat. median
$61,329
outlier · 3.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $194,339.37 $291,505.49 $224,126.32 nat. median
$66,660
outlier · 3.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $194,224.97 $291,333.88 $223,994.39 nat. median
$66,649
outlier · 3.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $49,995.09 $313,719.98 $222,268.38 nat. median
$72,473
outlier · 3.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $93,693.79 $435,036.19 $216,282.45 nat. median
$63,896
outlier · 3.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $98,098.94 $311,333.87 $215,871.77 nat. median
$68,004
outlier · 3.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $183,348.43 $275,019.28 $211,450.78 nat. median
$61,711
outlier · 3.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $182,133.57 $273,197.02 $210,049.71 nat. median
$57,560
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 14,690 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $4,496,025.34 $4,496,025.34 $4,496,025.34 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $4,055,977.72 $4,055,977.72 $4,055,977.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,978,853.10 $3,978,853.10 $3,978,853.10 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $3,599,837.74 $3,599,837.74 $3,599,837.74 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,845,040.00 $2,845,040.00 $2,845,040.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,260,161.87 $2,260,161.87 $2,260,161.87 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 3 — — $1,176,256.29 $1,764,362.84 $1,356,544.48 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 2 — — $940,156.40 $1,872,606.60 $1,337,025.70 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 2 — — $705,555.99 $1,405,328.73 $1,003,393.15 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 2 — — $675,122.17 $1,344,710.56 $960,112.27 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 2 — — $660,795.51 $1,316,174.65 $939,737.88 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 2 — — $660,337.75 $1,315,262.89 $939,086.88 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 2 — — $650,353.31 $1,295,375.85 $924,887.70 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 5 — — $281,047.46 $1,533,085.81 $880,342.79 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 2 — — $597,458.40 $1,190,019.60 $849,664.20 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 6 — — $578,153.22 $2,838,371.67 $695,474.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 3 — — $581,566.27 $872,338.73 $670,704.61 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 6 — — $155,170.64 $565,940.50 $435,127.88 2026-04-01
5834 APR_DRG Neonate With Ecmo 11 9 — — $409,024.79 $409,024.79 $409,024.79 2026-04-01
7 MS_DRG Lung Transplant 5 3 — — $352,750.50 $529,119.27 $406,817.58 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $185,494.95 $933,524.58 $358,998.71 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 3 — — $308,666.90 $462,994.68 $355,977.17 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 5 3 — — $308,312.79 $462,463.53 $355,568.78 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 3 — — $300,206.47 $450,304.19 $346,219.98 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 3 — — $296,199.61 $444,293.98 $341,598.98 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 1 — — $329,857.50 $329,857.50 $329,857.50 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 3 — — $280,847.71 $421,266.41 $323,894.05 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 3 — — $271,218.72 $406,823.11 $313,107.83 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 — — $266,473.69 $399,705.64 $307,316.88 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 3 — — $245,412.49 $368,114.24 $283,027.57 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 3 — — $229,622.05 $344,428.85 $264,816.88 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 9 — — $250,519.86 $250,519.86 $250,519.86 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 3 — — $214,338.24 $321,503.43 $247,190.48 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 8 6 — — $90,359.67 $353,809.85 $240,599.88 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 3 — — $208,247.60 $312,367.58 $240,166.31 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 9 — — $234,193.96 $234,193.96 $234,193.96 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 11 9 — — $234,039.39 $234,039.39 $234,039.39 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $75,841.07 $343,346.12 $233,484.27 2026-04-01
5833 APR_DRG Neonate With Ecmo 11 9 — — $232,953.21 $232,953.21 $232,953.21 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 3 — — $196,627.45 $294,937.56 $226,765.10 2026-04-01
10 MS_DRG Pancreas Transplant 5 3 — — $195,458.89 $293,184.75 $225,417.44 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 3 — — $195,377.18 $293,062.18 $225,323.20 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 3 — — $194,339.37 $291,505.49 $224,126.32 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 3 — — $194,224.97 $291,333.88 $223,994.39 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $49,995.09 $313,719.98 $222,268.38 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 5 — — $93,693.79 $435,036.19 $216,282.45 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 4 — — $98,098.94 $311,333.87 $215,871.77 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 3 — — $183,348.43 $275,019.28 $211,450.78 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 3 — — $182,133.57 $273,197.02 $210,049.71 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 3 — — $182,000.10 $272,996.81 $209,895.78 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 — — $179,104.60 $268,653.61 $206,556.47 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 — — $179,104.60 $268,653.61 $206,556.47 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 4 — — $178,453.58 $277,696.51 $206,015.33 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 3 — — $166,931.49 $250,394.17 $192,517.56 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 3 — — $166,738.09 $250,104.08 $192,294.52 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 — — $31,687.99 $436,859.92 $191,129.74 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 3 — — $165,139.16 $247,705.71 $190,450.52 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 3 — — $163,613.78 $245,417.66 $188,691.33 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 9 — — $7,609.24 $631,231.69 $186,709.11 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 8 4 — — $154,295.71 $338,311.10 $186,465.35 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 3 — — $159,854.80 $239,779.26 $184,356.20 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 3 — — $157,090.04 $235,632.17 $181,167.68 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 6 — — $48,434.36 $262,908.97 $180,344.34 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 14 6 — — $6,632.84 $961,585.07 $179,923.97 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 3 — — $155,450.25 $233,172.52 $179,276.56 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 — — $155,248.68 $232,870.17 $179,044.09 2026-04-01
5832 APR_DRG Neonate With Ecmo 11 9 — — $178,865.02 $178,865.02 $178,865.02 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 3 — — $153,137.66 $229,703.68 $176,609.51 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 3 — — $152,663.70 $228,992.75 $176,062.90 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 3 — — $159,751.29 $239,624.00 $175,193.30 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 3 — — $151,617.72 $227,423.80 $174,856.61 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 11 9 — — $174,650.86 $174,650.86 $174,650.86 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 9 — — $174,543.58 $174,543.58 $174,543.58 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 9 — — $174,290.21 $174,290.21 $174,290.21 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 3 — — $150,441.00 $225,658.73 $173,499.52 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 5 — — $66,927.72 $488,830.49 $172,635.40 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 3 — — $149,010.95 $223,513.69 $171,850.29 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 3 — — $148,798.49 $223,195.00 $171,605.26 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 11 9 — — $171,214.46 $171,214.46 $171,214.46 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 5 3 — — $147,970.42 $221,952.91 $170,650.27 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 6 — — $46,140.26 $244,626.74 $168,388.26 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 9 — — $167,879.69 $167,879.69 $167,879.69 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 3 — — $145,172.97 $217,756.80 $167,424.05 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 5 — — $51,542.63 $291,557.64 $167,381.93 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 9 — — $166,845.74 $166,845.74 $166,845.74 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 3 — — $144,197.82 $216,294.08 $166,299.43 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 9 — — $164,278.85 $164,278.85 $164,278.85 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 9 5 — — $31,678.36 $245,487.12 $163,660.08 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 3 — — $141,789.89 $212,682.23 $163,522.44 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 5 3 — — $141,544.74 $212,314.51 $163,239.71 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 4 — — $88,245.56 $222,843.62 $162,924.88 2026-04-01
5831 APR_DRG Neonate With Ecmo 11 9 — — $160,553.08 $160,553.08 $160,553.08 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 6 — — $61,914.14 $304,050.76 $158,290.79 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 11 9 — — $155,356.49 $155,356.49 $155,356.49 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 6 — — $13,615.10 $816,859.29 $155,141.18 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 3 — — $134,062.19 $201,090.82 $154,610.28 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 3 — — $133,503.79 $200,253.23 $153,966.30 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 9 — — $152,249.68 $152,249.68 $152,249.68 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 6 — — $38,225.97 $217,887.54 $151,078.22 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 3 — — $129,679.43 $194,516.77 $149,555.77 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 3 — — $128,061.43 $192,089.80 $147,689.78 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 3 — — $127,418.59 $191,125.55 $146,948.41 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 5 3 — — $126,307.24 $189,458.55 $145,666.72 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 3 — — $125,803.32 $188,702.67 $145,085.56 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 9 — — $144,432.56 $144,432.56 $144,432.56 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 4 — — $36,930.60 $197,291.02 $144,242.92 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 — — $26,572.53 $511,388.81 $143,514.05 2026-04-01
245 MS_DRG Aicd Generator Procedures 5 3 — — $124,275.21 $186,410.54 $143,323.23 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 9 — — $142,968.79 $142,968.79 $142,968.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 3 — — $123,902.04 $185,850.78 $142,892.86 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 5 3 — — $123,362.71 $185,041.80 $142,270.86 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 4 — — $36,226.68 $242,175.10 $140,197.54 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 6 — — $56,530.30 $358,703.88 $140,159.84 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 — — $40,504.28 $205,932.49 $140,039.44 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 7 — — $17,048.96 $448,911.44 $138,572.42 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 9 — — $138,558.42 $138,558.42 $138,558.42 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 11 9 — — $137,793.37 $137,793.37 $137,793.37 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 6 — — $34,104.78 $546,558.45 $137,306.65 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 4 — — $18,132.85 $187,325.76 $136,957.15 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 11 9 — — $136,755.88 $136,755.88 $136,755.88 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 3 — — $117,874.05 $176,808.91 $135,940.94 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 3 — — $116,934.30 $175,399.31 $134,857.16 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 5 3 — — $116,182.51 $174,271.63 $133,990.13 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 5 — — $15,050.56 $254,688.96 $132,918.69 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 4 — — $34,684.10 $172,551.51 $132,667.60 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 3 — — $114,839.62 $172,257.33 $132,441.42 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 3 — — $114,782.42 $172,171.53 $132,375.45 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $114,447.38 $376,581.17 $132,123.51 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 3 — — $114,311.19 $171,464.68 $131,831.99 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 3 — — $114,098.72 $171,145.99 $131,586.96 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 9 — — $131,580.46 $131,580.46 $131,580.46 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $96,589.06 $179,481.02 $131,221.72 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 3 — — $113,123.57 $169,683.27 $130,462.34 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 11 9 — — $130,271.26 $130,271.26 $130,271.26 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 11 9 — — $127,485.58 $127,485.58 $127,485.58 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 3 — — $109,514.40 $164,269.59 $126,299.99 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 7 — — $30,135.11 $857,391.44 $126,175.66 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 9 — — $123,894.62 $123,894.62 $123,894.62 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 5 — — $50,671.02 $168,559.68 $123,617.93 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 — — $106,556.24 $159,832.41 $122,888.43 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 9 — — $122,545.18 $122,545.18 $122,545.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 5 — — $18,316.47 $183,064.27 $122,496.17 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 3 — — $106,074.11 $159,109.22 $122,332.40 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 3 — — $105,434.00 $158,149.06 $121,594.17 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 3 — — $105,276.01 $157,912.08 $121,411.97 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $104,578.69 $170,024.70 $120,730.63 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 5 — — $26,253.78 $173,270.61 $120,141.86 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 3 — — $56,596.74 $162,782.36 $119,013.04 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 3 — — $101,800.31 $824,797.22 $117,523.13 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 6 — — $33,363.51 $390,135.95 $117,416.11 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 3 — — $101,514.31 $152,269.59 $117,073.70 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 11 9 — — $116,776.91 $116,776.91 $116,776.91 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 11 9 — — $116,776.91 $116,776.91 $116,776.91 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 11 9 — — $116,776.91 $116,776.91 $116,776.91 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 3 — — $100,942.29 $151,411.58 $116,414.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 5 3 — — $100,051.57 $150,075.52 $115,386.76 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 4 — — $33,616.26 $157,760.91 $115,341.77 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 3 — — $100,010.71 $150,014.23 $115,339.64 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 11 9 — — $115,066.83 $115,066.83 $115,066.83 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 3 — — $98,836.71 $148,253.25 $113,985.70 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 3 — — $98,760.44 $148,138.85 $113,897.74 2026-04-01
332 MS_DRG Rectal Resection With Mcc 5 3 — — $98,624.25 $147,934.56 $113,740.67 2026-04-01
265 MS_DRG Aicd Lead Procedures 5 3 — — $98,556.15 $147,832.42 $113,662.13 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 6 — — $43,717.30 $173,182.71 $113,657.45 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 3 — — $98,234.73 $147,350.29 $113,291.45 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 3 — — $97,591.89 $146,386.04 $112,550.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 4 — — $73,827.21 $153,748.65 $112,408.33 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 3 — — $97,365.81 $146,046.92 $112,289.34 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 — — $97,123.38 $145,683.28 $112,009.76 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 5 — — $19,679.76 $153,078.58 $111,918.43 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 3 — — $97,041.66 $145,560.71 $111,915.52 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 3 — — $96,949.05 $145,421.79 $111,808.71 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 3 — — $96,061.06 $254,188.98 $110,897.46 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 3 — — $95,864.94 $143,795.65 $110,558.43 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 2 — — $77,385.88 $154,137.45 $110,052.87 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 9 5 — — $95,017.80 $397,208.30 $109,804.71 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 — — $94,993.29 $142,488.19 $109,553.18 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 3 — — $94,557.46 $141,834.46 $109,050.56 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 11 9 — — $108,805.93 $108,805.93 $108,805.93 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 3 — — $93,664.03 $140,494.32 $108,020.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 3 — — $92,806.00 $139,207.29 $107,030.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 14 6 — — $17,575.04 $165,842.62 $106,832.25 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 4 — — $32,647.29 $145,899.83 $106,669.93 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 9 — — $106,265.86 $106,265.86 $106,265.86 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 9 — — $105,656.78 $105,656.78 $105,656.78 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 4 — — $90,994.60 $378,389.28 $105,048.51 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 3 — — $89,978.59 $134,966.23 $103,769.87 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 5 3 — — $89,673.51 $134,508.62 $103,418.03 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 4 — — $24,261.94 $141,148.05 $103,195.81 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $43,905.74 $140,077.57 $102,688.02 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 5 — — $15,130.36 $177,063.28 $102,322.29 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 4 — — $86,071.13 $224,086.97 $102,183.46 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 — — $59,748.14 $145,303.31 $101,854.30 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 3 — — $88,115.44 $136,088.21 $101,724.66 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 3 — — $87,992.87 $131,987.68 $101,479.79 2026-04-01
652 MS_DRG Kidney Transplant 5 3 — — $87,968.35 $131,950.91 $101,451.51 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 5 3 — — $87,731.37 $131,595.45 $101,178.21 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 3 — — $87,448.09 $131,170.52 $100,851.51 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 11 9 — — $100,625.34 $100,625.34 $100,625.34 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 11 9 — — $100,625.34 $100,625.34 $100,625.34 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 4 — — $86,807.97 $567,262.51 $100,317.24 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 9 — — $100,259.04 $100,259.04 $100,259.04 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 3 — — $86,723.53 $130,083.70 $100,015.89 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 3 — — $86,549.20 $129,822.21 $99,814.84 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 3 — — $86,205.99 $129,307.40 $99,520.30 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 3 — — $85,830.09 $128,743.56 $98,985.51 2026-04-01
665 MS_DRG Prostatectomy With Mcc 5 3 — — $85,018.37 $127,525.99 $98,049.38 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 — — $84,841.31 $127,260.41 $97,845.19 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 2 — — $68,254.08 $135,948.71 $97,066.26 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 4 — — $36,649.46 $132,318.63 $96,740.48 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 11 9 — — $96,536.80 $96,536.80 $96,536.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 3 — — $86,739.87 $131,852.85 $96,399.93 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $96,363.41 $96,363.41 $96,363.41 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 5 3 — — $83,392.20 $125,086.77 $96,173.96 2026-04-01
263 MS_DRG Vein Ligation And Stripping 5 3 — — $83,280.52 $124,919.25 $96,045.16 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 3 — — $82,621.33 $123,930.49 $95,284.94 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 3 — — $82,275.40 $123,411.59 $94,885.99 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 3 — — $82,264.50 $123,395.25 $94,873.42 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 3 — — $82,174.62 $123,260.41 $94,769.76 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 4 — — $21,086.89 $130,451.42 $94,589.31 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 3 — — $71,717.00 $128,379.92 $93,860.81 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 3 — — $81,074.16 $121,609.75 $93,500.63 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 6 — — $24,747.71 $139,391.15 $92,928.57 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 5 3 — — $80,194.34 $120,290.04 $92,485.96 2026-04-01
570 MS_DRG Skin Debridement With Mcc 5 3 — — $80,112.62 $120,167.46 $92,391.72 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 5 3 — — $79,537.88 $119,305.36 $91,728.88 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 9 — — $91,663.45 $91,663.45 $91,663.45 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 6 — — $10,343.26 $129,111.28 $91,652.70 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 4 — — $11,120.44 $134,492.28 $91,458.24 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 9 — — $90,734.66 $90,734.66 $90,734.66 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 3 — — $78,649.89 $117,973.39 $90,704.78 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 3 — — $78,611.75 $117,916.19 $90,660.80 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 5 3 — — $78,497.35 $117,744.58 $90,528.87 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 6 — — $32,415.06 $234,980.21 $90,180.54 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 3 — — $78,181.38 $117,270.63 $90,164.46 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 3 — — $77,644.77 $116,465.73 $89,545.61 2026-04-01
503 MS_DRG Foot Procedures With Mcc 5 3 — — $76,026.77 $114,038.76 $87,679.62 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 11 9 — — $87,637.73 $87,637.73 $87,637.73 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 3 — — $75,503.78 $113,254.29 $87,076.47 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 11 9 — — $86,977.13 $86,977.13 $86,977.13 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 6 — — $34,240.48 $848,912.59 $86,688.54 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 3 — — $75,100.65 $112,649.59 $86,611.54 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 3 — — $74,852.77 $112,277.78 $86,325.67 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 3 — — $74,111.87 $111,166.45 $85,471.21 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 11 9 — — $85,322.80 $85,322.80 $85,322.80 2026-04-01
849 MS_DRG Radiotherapy 5 3 — — $73,804.07 $110,704.75 $85,116.23 2026-04-01
64 APR_DRG Pancreas Transplant 11 9 — — $85,092.72 $85,092.72 $85,092.72 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 3 — — $73,714.18 $110,569.92 $85,012.57 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 9 — — $84,982.62 $84,982.62 $84,982.62 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 3 — — $73,474.48 $110,210.37 $84,736.12 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 6 — — $17,738.69 $127,035.69 $84,691.50 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 11 9 — — $84,107.47 $84,107.47 $84,107.47 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 9 — — $83,923.26 $83,923.26 $83,923.26 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 3 — — $72,455.74 $108,682.28 $83,561.24 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 7 4 — — $42,317.42 $120,371.75 $83,463.01 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 3 — — $72,202.42 $108,302.30 $83,269.09 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 5 3 — — $71,840.14 $107,758.89 $82,851.28 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 4 — — $26,357.49 $118,496.37 $82,162.67 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 5 — — $21,061.94 $118,990.75 $80,916.80 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 5 3 — — $69,938.86 $104,907.00 $80,658.59 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 6 3 — — $69,541.17 $104,310.47 $80,281.64 2026-04-01
8514 APR_DRG Gender Related Procedures 11 9 — — $80,258.90 $80,258.90 $80,258.90 2026-04-01
8513 APR_DRG Gender Related Procedures 11 9 — — $80,258.90 $80,258.90 $80,258.90 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 9 — — $79,581.36 $79,581.36 $79,581.36 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 8 3 — — $58,570.27 $106,051.02 $79,513.42 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 7 5 — — $13,590.11 $114,373.80 $79,304.17 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 11 5 — — $22,052.22 $103,125.59 $79,288.94 2026-04-01
J9226 HCPCS Supprelin La Implant 4 2 — — $55,583.68 $110,711.75 $79,047.28 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 7 4 — — $21,089.89 $101,814.05 $78,280.55 2026-04-01
800 MS_DRG Splenic Procedures With Cc 8 5 — — $20,603.09 $114,786.47 $78,057.77 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 5 3 — — $66,874.47 $100,310.48 $77,124.51 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 6 4 — — $22,864.66 $105,380.95 $77,045.87 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 5 — — $22,437.28 $223,920.05 $77,045.87 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 5 — — $18,269.63 $111,697.60 $76,146.46 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 5 3 — — $65,978.31 $98,966.25 $76,090.99 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 4 — — $14,146.08 $103,816.09 $75,901.76 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 5 3 — — $65,763.12 $98,643.47 $75,842.82 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 11 9 — — $75,545.76 $75,545.76 $75,545.76 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 8 4 — — $60,274.46 $388,271.65 $75,096.30 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 3 — — $65,114.83 $97,671.05 $75,095.17 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 5 — — $14,271.10 $112,306.38 $74,871.84 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 5 3 — — $64,041.61 $96,061.24 $73,857.46 2026-04-01
333 MS_DRG Rectal Resection With Cc 5 3 — — $63,799.19 $95,697.61 $73,577.87 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 3 — — $65,214.20 $100,477.99 $73,461.23 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 3 — — $63,654.82 $95,481.06 $73,411.38 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 7 4 — — $63,344.29 $125,877.61 $73,202.09 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 4 — — $12,581.05 $105,528.04 $73,170.72 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 5 3 — — $63,387.88 $95,080.65 $73,103.52 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 5 — — $30,468.85 $94,917.22 $72,977.86 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 6 4 — — $19,790.86 $99,746.64 $72,926.51 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 5 3 — — $62,529.85 $93,793.62 $72,113.98 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 4 — — $25,952.17 $98,275.75 $71,851.12 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 5 3 — — $62,148.50 $93,221.61 $71,674.18 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 6 4 — — $52,425.00 $97,850.82 $71,540.46 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 3 — — $61,987.79 $92,980.55 $71,488.84 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 4 — — $15,370.04 $97,503.53 $71,286.54 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 3 — — $61,712.68 $92,567.88 $71,244.06 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 5 — — $17,995.00 $105,924.37 $70,617.11 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 5 — — $15,654.57 $103,619.97 $70,464.27 2026-04-01
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