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

SOUTHEASTERN REGIONAL MEDICAL CENTER, INC

Newnan, GA · CCN 110233 · Rates published

10,437 distinct procedures filed
13 distinct payers
122,771 rate rows
2026-05-28 last MRF observed
Data quality

80,401 of 122,771 rate rows are consumer-grade (65.5%)

42,370 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 41,219
per-diem day rate — not a per-procedure price 1,045
placeholder amount (≤ $0.02) — excluded from medians 80
percent-of-charges filed in the dollar field — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cityofhope.org/264572436_southeastern-regional-medical-center,-inc.-_standardcharges.json
Found on page https://www.cityofhope.org/patients/our-value-and-pricing/pricing-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f83183075f21e6a8… · 367,009,027 bytes · first seen 2026-05-05

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
J3392
HCPCS 		Exagamglogene Autotemcel IV Susp 8 $2,320,246.72 $3,287,156.30 $2,320,246.72 nat. median
$2,448,600
0.9× median
Q2042
HCPCS 		Tisagenlecleucel 600000000 Cells IV Susp 12 $347,874.29 $1,706,421.99 $849,517.33 nat. median
$753,246
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10000000000 Cells IV Susp 12 $517,264.64 $2,146,861.02 $822,621.44 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 100000000 Cells IV Susp (70 Ml) 12 $395,106.52 $1,596,530.22 $630,851.87 nat. median
$674,867
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 12 $375,897.31 $1,518,910.44 $607,559.29 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 12 $358,300.04 $1,485,091.36 $562,944.72 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 100000000 Cells IV Susp 12 $328,715.63 $1,364,305.07 $558,280.80 nat. median
$619,808
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $478,440.08 $502,362.08 $490,401.08 nat. median
$207,730
outlier · 2.4×
Q2058
HCPCS 		Obecabtagene Autoleucel 300 X 1,000,000 Cells IV Susp Day 9 12 $186,768.75 $1,312,510.50 $485,625.00 nat. median
$324,450
1.5× median
5834
APR_DRG 		Neonate With Ecmo 2 $456,855.92 $479,698.72 $468,277.32 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $266,549.54 $959,753.05 $459,009.00 nat. median
$370,174
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $411,856.54 $432,449.37 $422,152.95 nat. median
$164,834
outlier · 2.6×
5833
APR_DRG 		Neonate With Ecmo 2 $361,837.92 $379,929.82 $370,883.87 nat. median
$244,017
1.5× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $350,261.31 $367,774.38 $359,017.84 nat. median
$119,796
outlier · 3.0×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $344,787.26 $362,026.62 $353,406.94 nat. median
$105,658
outlier · 3.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $344,431.05 $361,652.60 $353,041.82 nat. median
$150,721
outlier · 2.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $337,611.67 $354,492.25 $346,051.96 nat. median
$246,434
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $199,090.16 $716,855.07 $342,841.00 nat. median
$265,286
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $271,627.19 $285,208.55 $278,417.87 nat. median
$234,729
1.2× median
5832
APR_DRG 		Neonate With Ecmo 2 $266,821.39 $280,162.46 $273,491.93 nat. median
$156,126
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 9 $151,475.98 $545,412.78 $260,848.00 nat. median
$202,976
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $252,676.29 $265,310.10 $258,993.20 nat. median
$160,267
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $247,387.70 $259,757.09 $253,572.40 nat. median
$164,289
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $241,424.97 $253,496.22 $247,460.60 nat. median
$182,665
1.4× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $238,968.34 $250,916.76 $244,942.55 nat. median
$68,217
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 9 $167,669.90 $603,721.53 $244,790.00 nat. median
$206,474
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $236,401.32 $248,221.39 $242,311.36 nat. median
$145,336
1.7× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $235,711.00 $247,496.55 $241,603.77 nat. median
$117,173
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $234,506.97 $246,232.32 $240,369.65 nat. median
$162,982
1.5× median
5831
APR_DRG 		Neonate With Ecmo 2 $230,581.37 $242,110.44 $236,345.90 nat. median
$144,745
1.6× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $220,395.72 $231,415.51 $225,905.61 nat. median
$85,444
outlier · 2.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $217,524.01 $228,400.21 $222,962.11 nat. median
$187,061
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $209,375.49 $219,844.26 $214,609.88 nat. median
$76,806
outlier · 2.8×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $204,875.85 $215,119.64 $209,997.74 nat. median
$151,838
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $196,460.91 $206,283.96 $201,372.43 nat. median
$109,499
1.8× median
64
APR_DRG 		Pancreas Transplant 2 $195,202.42 $204,962.54 $200,082.48 nat. median
$91,009
outlier · 2.2×
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $186,575.53 $195,904.31 $191,239.92 nat. median
$47,224
outlier · 4.0×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $181,894.84 $190,989.58 $186,442.21 nat. median
$72,936
outlier · 2.6×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $179,451.46 $188,424.03 $183,937.74 nat. median
$68,633
outlier · 2.7×
12
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $179,451.46 $188,424.03 $183,937.74 nat. median
$52,716
outlier · 3.5×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $179,451.46 $188,424.03 $183,937.74 nat. median
$129,535
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $176,915.35 $185,761.12 $181,338.23 nat. median
$108,996
1.7× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $169,794.23 $178,283.94 $174,039.09 nat. median
$93,528
1.9× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $169,283.47 $177,747.64 $173,515.55 nat. median
$81,781
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 9 $99,869.14 $359,594.37 $171,979.00 nat. median
$133,161
1.3× median
1634
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 $164,174.46 $172,383.18 $168,278.82 nat. median
$66,077
outlier · 2.5×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $162,879.17 $171,023.13 $166,951.15 nat. median
$97,957
1.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $155,609.38 $163,389.85 $159,499.61 nat. median
$124,573
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $92,601.95 $333,427.71 $159,464.00 nat. median
$117,357
1.4× median
7
MS_DRG 		Lung Transplant 9 $92,368.71 $332,587.89 $159,062.00 nat. median
$122,708
1.3× median

Other procedures at this hospital

Browse this hospital's 10,437 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
             
J3392 HCPCS Exagamglogene Autotemcel IV Susp 8 8 — — $2,320,246.72 $3,287,156.30 $2,320,246.72 2026-03-27
Q2042 HCPCS Tisagenlecleucel 600000000 Cells IV Susp 24 12 $2,444,654.18 $1,100,094.39 55% off $347,874.29 $1,706,421.99 $849,517.33 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 10000000000 Cells IV Susp 14 12 $3,635,029.08 $1,635,763.09 55% off $517,264.64 $2,146,861.02 $822,621.44 2026-03-27
Q2056 HCPCS Ciltacabtagene Autoleucel 100000000 Cells IV Susp (70 Ml) 15 12 $2,776,574.30 $1,249,458.44 55% off $395,106.52 $1,596,530.22 $630,851.87 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 15 12 $2,641,583.38 $1,188,712.53 55% off $375,897.31 $1,518,910.44 $607,559.29 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 15 12 $2,517,920.14 $1,133,064.07 55% off $358,300.04 $1,485,091.36 $562,944.72 2026-03-27
Q2053 HCPCS Brexucabtagene Autoleucel 100000000 Cells IV Susp 15 12 $2,310,018.48 $1,039,508.32 55% off $328,715.63 $1,364,305.07 $558,280.80 2026-03-27
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $478,440.08 $502,362.08 $490,401.08 2026-03-27
Q2058 HCPCS Obecabtagene Autoleucel 300 X 1,000,000 Cells IV Susp Day 9 23 12 $2,625,021.00 $1,181,259.45 55% off $186,768.75 $1,312,510.50 $485,625.00 2026-03-27
5834 APR_DRG Neonate With Ecmo 2 2 — — $456,855.92 $479,698.72 $468,277.32 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 9 — — $266,549.54 $959,753.05 $459,009.00 2026-03-27
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $411,856.54 $432,449.37 $422,152.95 2026-03-27
5833 APR_DRG Neonate With Ecmo 2 2 — — $361,837.92 $379,929.82 $370,883.87 2026-03-27
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $350,261.31 $367,774.38 $359,017.84 2026-03-27
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $344,787.26 $362,026.62 $353,406.94 2026-03-27
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $344,431.05 $361,652.60 $353,041.82 2026-03-27
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $337,611.67 $354,492.25 $346,051.96 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $199,090.16 $716,855.07 $342,841.00 2026-03-27
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $271,627.19 $285,208.55 $278,417.87 2026-03-27
5832 APR_DRG Neonate With Ecmo 2 2 — — $266,821.39 $280,162.46 $273,491.93 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 13 9 — — $151,475.98 $545,412.78 $260,848.00 2026-03-27
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $252,676.29 $265,310.10 $258,993.20 2026-03-27
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $247,387.70 $259,757.09 $253,572.40 2026-03-27
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $241,424.97 $253,496.22 $247,460.60 2026-03-27
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $238,968.34 $250,916.76 $244,942.55 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 13 9 — — $167,669.90 $603,721.53 $244,790.00 2026-03-27
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $236,401.32 $248,221.39 $242,311.36 2026-03-27
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $235,711.00 $247,496.55 $241,603.77 2026-03-27
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $234,506.97 $246,232.32 $240,369.65 2026-03-27
5831 APR_DRG Neonate With Ecmo 2 2 — — $230,581.37 $242,110.44 $236,345.90 2026-03-27
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $220,395.72 $231,415.51 $225,905.61 2026-03-27
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $217,524.01 $228,400.21 $222,962.11 2026-03-27
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $209,375.49 $219,844.26 $214,609.88 2026-03-27
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $204,875.85 $215,119.64 $209,997.74 2026-03-27
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $196,460.91 $206,283.96 $201,372.43 2026-03-27
64 APR_DRG Pancreas Transplant 2 2 — — $195,202.42 $204,962.54 $200,082.48 2026-03-27
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $186,575.53 $195,904.31 $191,239.92 2026-03-27
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $181,894.84 $190,989.58 $186,442.21 2026-03-27
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $179,451.46 $188,424.03 $183,937.74 2026-03-27
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $179,451.46 $188,424.03 $183,937.74 2026-03-27
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $179,451.46 $188,424.03 $183,937.74 2026-03-27
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $176,915.35 $185,761.12 $181,338.23 2026-03-27
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $169,794.23 $178,283.94 $174,039.09 2026-03-27
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $169,283.47 $177,747.64 $173,515.55 2026-03-27
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 13 9 — — $99,869.14 $359,594.37 $171,979.00 2026-03-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $164,174.46 $172,383.18 $168,278.82 2026-03-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $162,879.17 $171,023.13 $166,951.15 2026-03-27
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $155,609.38 $163,389.85 $159,499.61 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $92,601.95 $333,427.71 $159,464.00 2026-03-27
7 MS_DRG Lung Transplant 13 9 — — $92,368.71 $332,587.89 $159,062.00 2026-03-27
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $154,705.63 $162,440.91 $158,573.27 2026-03-27
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $153,862.22 $161,555.33 $157,708.77 2026-03-27
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $151,239.27 $158,801.23 $155,020.25 2026-03-27
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $150,066.15 $157,569.46 $153,817.80 2026-03-27
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $144,990.99 $152,240.54 $148,615.77 2026-03-27
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $140,907.89 $147,953.28 $144,430.59 2026-03-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $139,528.71 $146,505.15 $143,016.93 2026-03-27
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $138,268.75 $145,182.19 $141,725.47 2026-03-27
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $131,079.92 $137,633.92 $134,356.92 2026-03-27
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $130,488.21 $137,012.62 $133,750.42 2026-03-27
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $129,817.02 $136,307.87 $133,062.45 2026-03-27
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $129,817.02 $136,307.87 $133,062.45 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 9 — — $76,996.78 $277,238.86 $132,591.00 2026-03-27
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $128,424.58 $134,845.81 $131,635.20 2026-03-27
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $126,702.44 $133,037.56 $129,870.00 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $75,268.68 $271,016.58 $129,615.00 2026-03-27
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $126,377.15 $132,696.01 $129,536.58 2026-03-27
215 MS_DRG Other Heart Assist System Implant 13 9 — — $74,882.78 $269,627.06 $128,953.00 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $74,038.87 $266,588.46 $127,582.00 2026-03-27
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $123,640.86 $129,822.90 $126,731.88 2026-03-27
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $123,224.31 $129,385.53 $126,304.92 2026-03-27
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $120,155.37 $126,163.14 $123,159.26 2026-03-27
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $119,478.28 $125,452.19 $122,465.24 2026-03-27
84 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $116,422.59 $122,243.72 $119,333.15 2026-03-27
83 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $116,422.59 $122,243.72 $119,333.15 2026-03-27
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $116,023.70 $121,824.89 $118,924.29 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $68,212.82 $245,610.85 $117,465.00 2026-03-27
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $113,655.39 $119,338.16 $116,496.77 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $77,885.92 $280,440.35 $114,463.00 2026-03-27
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $111,459.29 $117,032.25 $114,245.77 2026-03-27
1784 APR_DRG External Heart Assist Systems 2 2 — — $111,029.49 $116,580.96 $113,805.23 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 13 9 — — $65,108.60 $234,433.65 $112,120.00 2026-03-27
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $107,535.17 $112,911.93 $110,223.55 2026-03-27
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $106,535.74 $111,862.53 $109,199.14 2026-03-27
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $105,946.97 $111,244.32 $108,595.65 2026-03-27
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $105,141.83 $110,398.92 $107,770.38 2026-03-27
4404 APR_DRG Kidney Transplant 2 2 — — $103,977.55 $109,176.43 $106,576.99 2026-03-27
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $102,586.59 $107,715.92 $105,151.26 2026-03-27
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $102,293.68 $107,408.36 $104,851.02 2026-03-27
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $102,256.88 $107,369.72 $104,813.30 2026-03-27
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $102,231.86 $107,343.45 $104,787.65 2026-03-27
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $102,064.06 $107,167.26 $104,615.66 2026-03-27
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $102,064.06 $107,167.26 $104,615.66 2026-03-27
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $102,064.06 $107,167.26 $104,615.66 2026-03-27
63 APR_DRG Pancreas Transplant 2 2 — — $101,587.16 $106,666.52 $104,126.84 2026-03-27
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $101,314.85 $106,380.59 $103,847.72 2026-03-27
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $100,867.39 $105,910.76 $103,389.07 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 9 — — $59,892.51 $215,652.29 $103,138.00 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $59,859.29 $215,532.67 $103,080.00 2026-03-27
8634 APR_DRG Neonatal Aftercare 2 2 — — $100,249.19 $105,261.65 $102,755.42 2026-03-27
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $99,635.40 $104,617.17 $102,126.29 2026-03-27
1794 APR_DRG Defibrillator Implants 2 2 — — $99,492.62 $104,467.25 $101,979.93 2026-03-27
4403 APR_DRG Kidney Transplant 2 2 — — $99,313.05 $104,278.70 $101,795.88 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 9 — — $58,950.36 $212,259.93 $101,514.00 2026-03-27
1824 APR_DRG Other Peripheral Vascular And Related Procedures 2 2 — — $99,034.86 $103,986.60 $101,510.73 2026-03-27
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $98,702.20 $103,637.31 $101,169.76 2026-03-27
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $97,908.84 $102,804.28 $100,356.56 2026-03-27
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $97,486.40 $102,360.72 $99,923.56 2026-03-27
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $96,210.25 $101,020.76 $98,615.51 2026-03-27
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $95,937.95 $100,734.85 $98,336.40 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 9 — — $56,974.89 $205,146.93 $98,112.00 2026-03-27
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $95,605.29 $100,385.55 $97,995.42 2026-03-27
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $95,093.07 $99,847.72 $97,470.40 2026-03-27
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $94,966.48 $99,714.80 $97,340.64 2026-03-27
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $94,714.79 $99,450.53 $97,082.66 2026-03-27
10 MS_DRG Pancreas Transplant 13 9 — — $56,352.21 $202,904.88 $97,042.00 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $56,029.21 $201,741.86 $96,484.00 2026-03-27
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $93,783.06 $98,472.21 $96,127.64 2026-03-27
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $93,139.84 $97,796.83 $95,468.33 2026-03-27
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $93,045.63 $97,697.91 $95,371.77 2026-03-27
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $92,988.23 $97,637.64 $95,312.93 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 9 — — $55,245.38 $198,919.56 $95,134.00 2026-03-27
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $92,729.17 $97,365.63 $95,047.40 2026-03-27
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $92,545.18 $97,172.44 $94,858.81 2026-03-27
893 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $92,545.18 $97,172.44 $94,858.81 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $54,687.72 $196,911.64 $94,175.00 2026-03-27
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $91,557.53 $96,135.41 $93,846.47 2026-03-27
6903 APR_DRG Acute Leukemia 2 2 — — $90,980.54 $95,529.57 $93,255.05 2026-03-27
6904 APR_DRG Acute Leukemia 2 2 — — $90,980.54 $95,529.57 $93,255.05 2026-03-27
1783 APR_DRG External Heart Assist Systems 2 2 — — $90,643.47 $95,175.64 $92,909.55 2026-03-27
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $90,524.24 $95,050.45 $92,787.35 2026-03-27
61 APR_DRG Pancreas Transplant 2 2 — — $90,256.36 $94,769.18 $92,512.77 2026-03-27
62 APR_DRG Pancreas Transplant 2 2 — — $90,256.36 $94,769.18 $92,512.77 2026-03-27
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $90,007.60 $94,507.98 $92,257.79 2026-03-27
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $89,106.79 $93,562.13 $91,334.46 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 9 — — $52,756.07 $189,956.43 $90,848.00 2026-03-27
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $88,155.93 $92,563.73 $90,359.83 2026-03-27
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $87,670.20 $92,053.71 $89,861.96 2026-03-27
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $85,325.44 $89,591.71 $87,458.58 2026-03-27
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $85,200.33 $89,460.35 $87,330.34 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $50,201.03 $180,756.61 $86,405.00 2026-03-27
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $84,031.63 $88,233.21 $86,132.42 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 9 — — $49,948.71 $179,848.08 $86,013.00 2026-03-27
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $82,677.47 $86,811.34 $84,744.40 2026-03-27
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $82,656.86 $86,789.70 $84,723.28 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 13 9 — — $49,167.71 $177,035.97 $84,675.00 2026-03-27
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $82,603.87 $86,734.06 $84,668.96 2026-03-27
1782 APR_DRG External Heart Assist Systems 2 2 — — $81,691.28 $85,775.84 $83,733.56 2026-03-27
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $81,274.73 $85,338.47 $83,306.60 2026-03-27
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $81,140.79 $85,197.83 $83,169.31 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 9 — — $48,261.61 $173,773.40 $83,109.00 2026-03-27
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $80,220.84 $84,231.88 $82,226.36 2026-03-27
7594 APR_DRG Eating Disorders 2 2 — — $79,842.56 $83,834.69 $81,838.62 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 9 — — $47,388.02 $170,627.91 $81,604.00 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 9 — — $47,205.66 $169,971.32 $81,291.00 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 9 — — $47,125.80 $169,683.76 $81,153.00 2026-03-27
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $78,189.60 $82,099.08 $80,144.34 2026-03-27
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $77,973.23 $81,871.89 $79,922.56 2026-03-27
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $77,422.73 $81,293.87 $79,358.30 2026-03-27
274 APR_DRG Other Open Craniotomy 2 2 — — $77,166.62 $81,024.95 $79,095.79 2026-03-27
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $77,112.15 $80,967.76 $79,039.95 2026-03-27
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $77,095.96 $80,950.76 $79,023.36 2026-03-27
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $77,047.39 $80,899.76 $78,973.57 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 13 9 — — $45,709.39 $164,583.77 $78,725.00 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $45,643.66 $164,347.10 $78,599.00 2026-03-27
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $76,327.62 $80,144.00 $78,235.81 2026-03-27
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $75,971.42 $79,769.99 $77,870.71 2026-03-27
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $75,964.06 $79,762.26 $77,863.16 2026-03-27
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $75,846.31 $79,638.63 $77,742.47 2026-03-27
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $75,688.81 $79,473.25 $77,581.03 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 9 — — $44,699.39 $160,947.11 $76,975.00 2026-03-27
213 APR_DRG Open Craniotomy Except Trauma 2 2 — — $74,659.94 $78,392.94 $76,526.44 2026-03-27
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $74,581.93 $78,311.03 $76,446.48 2026-03-27
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $74,294.91 $78,009.66 $76,152.29 2026-03-27
1781 APR_DRG External Heart Assist Systems 2 2 — — $74,250.75 $77,963.29 $76,107.02 2026-03-27
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $73,894.55 $77,589.28 $75,741.92 2026-03-27
234 APR_DRG Spinal Procedures 2 2 — — $73,770.91 $77,459.46 $75,615.18 2026-03-27
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $73,575.14 $77,253.90 $75,414.52 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 9 — — $43,781.28 $157,641.28 $75,393.00 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 9 — — $43,724.73 $157,437.69 $75,296.00 2026-03-27
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $73,295.48 $76,960.25 $75,127.86 2026-03-27
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $73,216.00 $76,876.80 $75,046.40 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $43,525.42 $156,720.03 $74,953.00 2026-03-27
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $73,107.07 $76,762.42 $74,934.74 2026-03-27
4014 APR_DRG Adrenal Procedures 2 2 — — $72,787.67 $76,427.05 $74,607.36 2026-03-27
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $72,731.74 $76,368.33 $74,550.04 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 9 — — $43,175.56 $155,460.31 $74,350.00 2026-03-27
1793 APR_DRG Defibrillator Implants 2 2 — — $72,510.95 $76,136.50 $74,323.73 2026-03-27
1792 APR_DRG Defibrillator Implants 2 2 — — $72,510.95 $76,136.50 $74,323.73 2026-03-27
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $72,328.43 $75,944.85 $74,136.64 2026-03-27
1693 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $72,313.71 $75,929.40 $74,121.55 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 13 9 — — $42,969.18 $154,717.20 $73,995.00 2026-03-27
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $71,954.56 $75,552.29 $73,753.42 2026-03-27
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $71,720.53 $75,306.56 $73,513.54 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 9 — — $42,661.02 $153,607.62 $73,464.00 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 9 — — $42,661.02 $153,607.62 $73,464.00 2026-03-27
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $71,530.65 $75,107.18 $73,318.91 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 9 — — $42,342.26 $152,459.87 $72,915.00 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 9 — — $43,373.46 $156,172.88 $72,915.00 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $42,048.94 $151,403.74 $72,412.00 2026-03-27
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $70,541.53 $74,068.61 $72,305.07 2026-03-27
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $70,049.91 $73,552.41 $71,801.16 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 9 — — $41,588.82 $149,747.00 $71,618.00 2026-03-27
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $69,695.18 $73,179.94 $71,437.56 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 9 — — $41,151.32 $148,171.72 $70,864.00 2026-03-27
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $68,502.92 $71,928.07 $70,215.49 2026-03-27
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 2 — — $68,385.17 $71,804.43 $70,094.80 2026-03-27
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 2 — — $68,210.01 $71,620.51 $69,915.26 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $40,565.39 $146,061.99 $69,855.00 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 9 — — $40,322.96 $145,189.09 $69,438.00 2026-03-27
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $67,730.17 $71,116.68 $69,423.42 2026-03-27
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $67,067.81 $70,421.20 $68,744.51 2026-03-27
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $67,010.40 $70,360.92 $68,685.66 2026-03-27
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $66,900.01 $70,245.01 $68,572.51 2026-03-27
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $66,458.43 $69,781.35 $68,119.89 2026-03-27
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $66,231.76 $69,543.35 $67,887.55 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 13 9 — — $39,400.60 $141,867.99 $67,849.00 2026-03-27
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $66,149.33 $69,456.80 $67,803.07 2026-03-27
6504 APR_DRG Splenectomy 2 2 — — $65,638.58 $68,920.51 $67,279.54 2026-03-27
834 MS_DRG Acute Leukemia With Mcc 13 9 — — $39,066.29 $140,664.26 $67,273.00 2026-03-27
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $65,623.86 $68,905.05 $67,264.46 2026-03-27
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 16 12 $78,750.00 $35,437.50 55% off $25,593.75 $78,750.00 $67,039.01 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $38,902.32 $140,073.84 $67,009.00 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 9 — — $38,664.84 $139,218.76 $66,582.00 2026-03-27
3084 APR_DRG Hip And Femur Fracture Repair 2 2 — — $64,905.56 $68,150.84 $66,528.20 2026-03-27
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $64,761.32 $67,999.39 $66,380.35 2026-03-27
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 9 — — $38,457.04 $138,470.56 $66,225.00 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 9 — — $38,369.40 $138,154.98 $66,074.00 2026-03-27
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $64,416.89 $67,637.73 $66,027.31 2026-03-27
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 2 2 — — $64,387.45 $67,606.82 $65,997.14 2026-03-27
8633 APR_DRG Neonatal Aftercare 2 2 — — $64,322.69 $67,538.82 $65,930.76 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 — — $38,173.62 $137,450.05 $65,737.00 2026-03-27
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 9 — — $38,137.57 $137,320.26 $65,675.00 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $38,133.33 $137,304.99 $65,667.00 2026-03-27
3094 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $63,991.50 $67,191.08 $65,591.29 2026-03-27
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $63,842.84 $67,034.98 $65,438.91 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 9 — — $39,066.29 $140,664.26 $65,005.00 2026-03-27
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $63,318.84 $66,484.78 $64,901.81 2026-03-27
4402 APR_DRG Kidney Transplant 2 2 — — $63,267.32 $66,430.69 $64,849.01 2026-03-27
4414 APR_DRG Major Bladder Procedures 2 2 — — $63,202.56 $66,362.69 $64,782.62 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 9 — — $37,602.54 $135,393.77 $64,754.00 2026-03-27
2234 APR_DRG Other Small And Large Bowel Procedures 2 2 — — $63,022.98 $66,174.13 $64,598.56 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $37,436.44 $134,795.72 $64,467.00 2026-03-27
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $62,559.33 $65,687.30 $64,123.32 2026-03-27
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $62,544.61 $65,671.84 $64,108.22 2026-03-27
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $62,409.20 $65,529.66 $63,969.43 2026-03-27
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $62,373.87 $65,492.56 $63,933.21 2026-03-27
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $61,456.87 $64,529.71 $62,993.29 2026-03-27
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $61,244.91 $64,307.16 $62,776.04 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 9 — — $36,400.29 $131,064.89 $62,682.00 2026-03-27
2324 APR_DRG Gastric Fundoplication 2 2 — — $61,056.51 $64,109.34 $62,582.93 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 9 — — $36,279.43 $130,629.72 $62,476.00 2026-03-27
1813 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $60,899.01 $63,943.96 $62,421.49 2026-03-27
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $60,779.79 $63,818.78 $62,299.29 2026-03-27
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $60,673.81 $63,707.50 $62,190.65 2026-03-27
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $60,642.90 $63,675.05 $62,158.98 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 9 — — $36,008.02 $129,652.47 $62,008.00 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 9 — — $35,897.76 $129,255.47 $61,818.00 2026-03-27
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $60,133.62 $63,140.30 $61,636.96 2026-03-27
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $59,828.93 $62,820.38 $61,324.65 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 9 — — $35,600.20 $128,184.06 $61,304.00 2026-03-27
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 2 — — $59,555.15 $62,532.91 $61,044.03 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 9 — — $35,390.29 $127,428.23 $60,943.00 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 9 — — $35,362.72 $127,328.98 $60,895.00 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 9 — — $35,348.59 $127,278.08 $60,878.00 2026-03-27
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $59,251.94 $62,214.54 $60,733.24 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 9 — — $35,221.37 $126,820.00 $60,652.00 2026-03-27
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $59,122.41 $62,078.53 $60,600.47 2026-03-27
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $58,960.50 $61,908.53 $60,434.51 2026-03-27
4401 APR_DRG Kidney Transplant 2 2 — — $58,599.88 $61,529.87 $60,064.88 2026-03-27
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $58,576.33 $61,505.15 $60,040.74 2026-03-27
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $58,109.73 $61,015.22 $59,562.48 2026-03-27
245 MS_DRG Aicd Generator Procedures 13 9 — — $34,539.32 $124,364.18 $59,478.00 2026-03-27
3093 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $58,017.00 $60,917.85 $59,467.43 2026-03-27
3624 APR_DRG Mastectomy Procedures 2 2 — — $57,928.69 $60,825.12 $59,376.90 2026-03-27
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $57,900.72 $60,795.76 $59,348.24 2026-03-27
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $57,866.87 $60,760.21 $59,313.54 2026-03-27
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 2 2 — — $57,710.84 $60,596.38 $59,153.61 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 13 9 — — $34,330.81 $123,613.43 $59,119.00 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 13 9 — — $34,273.56 $123,407.29 $59,021.00 2026-03-27
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $57,322.26 $60,188.37 $58,755.32 2026-03-27
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $57,235.41 $60,097.18 $58,666.29 2026-03-27
5144 APR_DRG Female Reproductive System Reconstructive Procedures 2 2 — — $57,169.18 $60,027.64 $58,598.41 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 9 — — $33,752.66 $121,531.70 $58,124.00 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 13 9 — — $33,606.36 $121,004.91 $57,872.00 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 9 — — $33,599.99 $120,982.00 $57,869.00 2026-03-27
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $56,409.67 $59,230.15 $57,819.91 2026-03-27
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $56,090.26 $58,894.77 $57,492.51 2026-03-27
4844 APR_DRG Other Male Reproductive System And Related Procedures 2 2 — — $56,062.30 $58,865.42 $57,463.86 2026-03-27
7524 APR_DRG Disorders Of Personality And Impulse Control 2 2 — — $55,953.38 $58,751.05 $57,352.21 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 9 — — $33,252.26 $119,729.91 $57,262.00 2026-03-27
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $55,812.07 $58,602.67 $57,207.37 2026-03-27
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $55,756.14 $58,543.95 $57,150.04 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 9 — — $33,074.14 $119,088.60 $56,955.00 2026-03-27
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $55,494.14 $58,268.85 $56,881.49 2026-03-27
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $55,273.35 $58,037.02 $56,655.18 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 9 — — $32,879.07 $118,386.21 $56,627.00 2026-03-27
4034 APR_DRG Procedures For Obesity 2 2 — — $55,195.34 $57,955.11 $56,575.22 2026-03-27
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $55,160.01 $57,918.01 $56,539.01 2026-03-27
A9543 HCPCS Hc Provsn,ther Radiorx_zeval 15 12 $138,060.00 $62,127.00 55% off $19,645.94 $138,060.00 $56,538.15 2026-03-27
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