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

KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN

Honolulu, HI · CCN 123300 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,867 across 6 payers · range $1,582-$15,440

Source: https://hph.pt.panaceainc.com/MRFDownload/hph/kapiolani/990177350_Kapiolani-Medical-Center-for-Women-and-Children_standardcharges.csv · observed 2026-02-12

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.

24,849 distinct procedures filed
18 distinct payers
421,631 rate rows
2026-02-12 last MRF observed
Data quality

385,182 of 421,631 rate rows are consumer-grade (91.4%)

36,449 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 23,961
per-diem day rate — not a per-procedure price 8,222
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,106
template filing: same amount across many unrelated codes — excluded 402
placeholder amount (≤ $0.02) — excluded from medians 222
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 215
percent-of-charges filed in the dollar field — excluded from medians 169
exceeds 10× this hospital's gross charge — excluded from medians 152
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hph.pt.panaceainc.com/MRFDownload/hph/kapiolani/990177350_Kapiolani-Medical-Center-for-Women-and-Children_standardcharges.csv
Found on page https://www.hawaiipacifichealth.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 74eb458e01c52298… · 307,245,368 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,377,500.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $4,452,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $4,422,320.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,324,571.90 $4,974,693.89 $3,407,686.20 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,261,355.00 $4,872,668.58 $3,342,888.88 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,950,686.67 $4,418,610.00 $3,024,453.83 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,452,115.60 $3,682,665.92 $2,513,418.49 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $3,498,000.00 $2,390,300.00 nat. median
$2,405,851
1.0× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 1 $903,537.00 $903,537.00 $903,537.00 nat. median
$53,073
outlier · 17.0×
Q2042
HCPCS 		Tisageniecleucel,</=600mill T-cell Per Therdose 16 $547,500.00 $1,687,500.00 $887,589.30 nat. median
$691,418
1.3× median
Q2054
HCPCS 		Inj,lisocabtagene Mara Car-pos T Pertheradose 16 $529,918.68 $1,633,311.00 $843,807.29 nat. median
$624,417
1.4× median
Q2055
HCPCS 		Inj,idecabtagene Vicleucel Car Per Thera Dose 16 $529,918.68 $1,633,311.00 $835,976.90 nat. median
$610,161
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel</=200millcar+,per Therdose 16 $529,918.68 $1,633,311.00 $799,845.26 nat. median
$588,565
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $741,540.00 $1,155,930.00 $770,620.00 nat. median
$809,151
1.0× median
Q2053
HCPCS 		Brexucabtragn Autoleucl</=200millcar+,per Therdose 16 $489,304.61 $1,633,311.00 $733,956.92 nat. median
$577,541
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $605,251.00 $605,251.00 $605,251.00 nat. median
$199,832
outlier · 3.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $553,378.83 $848,803.43 $573,458.36 nat. median
$631,793
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $524,583.00 $524,583.00 $524,583.00 nat. median
$132,706
outlier · 4.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $495,957.00 $495,957.00 $495,957.00 nat. median
$205,166
outlier · 2.4×
6
MS_DRG 		Liver Transplant Without Mcc 1 $464,970.00 $464,970.00 $464,970.00 nat. median
$46,106
outlier · 10.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $464,970.00 $464,970.00 $464,970.00 nat. median
$99,646
outlier · 4.7×
583-4 Pediatric
OTHER 		Neonate W Ecmo 2 $459,838.51 $459,838.51 $459,838.51 nat. median
$417,542
1.1× median
591-4 Pediatric
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 2 $387,590.37 $387,590.37 $387,590.37 nat. median
$351,939
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $386,250.00 $386,250.00 $386,250.00 nat. median
$265,000
1.5× median
588-4 Pediatric
OTHER 		Neonate Bwt <1500g W Major Procedure 2 $386,019.11 $386,019.11 $386,019.11 nat. median
$350,512
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $350,128.00 $350,128.00 $350,128.00 nat. median
$108,240
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $350,128.00 $350,128.00 $350,128.00 nat. median
$261,939
1.3× median
593-4 Pediatric
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 2 $334,098.48 $334,098.48 $334,098.48 nat. median
$303,367
1.1× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $318,031.00 $318,031.00 $318,031.00 nat. median
$54,267
outlier · 5.9×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 $318,031.00 $318,031.00 $318,031.00 nat. median
$34,270
outlier · 9.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $318,031.00 $318,031.00 $318,031.00 nat. median
$77,385
outlier · 4.1×
609-4 Pediatric
OTHER 		Neonate Bwt 1500-2499g W Major Procedure 2 $305,719.02 $305,719.02 $305,719.02 nat. median
$277,598
1.1× median
591-3 Pediatric
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 2 $305,529.29 $305,529.29 $305,529.29 nat. median
$277,426
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $296,875.00 $296,875.00 $296,875.00 nat. median
$114,305
outlier · 2.6×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $296,875.00 $296,875.00 $296,875.00 nat. median
$55,867
outlier · 5.3×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $296,875.00 $296,875.00 $296,875.00 nat. median
$52,535
outlier · 5.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $291,551.00 $291,551.00 $291,551.00 nat. median
$64,357
outlier · 4.5×
583-3 Pediatric
OTHER 		Neonate W Ecmo 2 $280,153.99 $280,153.99 $280,153.99 nat. median
$254,385
1.1× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $277,772.00 $277,772.00 $277,772.00 nat. median
$37,383
outlier · 7.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $270,375.00 $417,375.00 $277,134.38 nat. median
$302,242
0.9× median
602-4 Pediatric
OTHER 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 $270,426.04 $270,426.04 $270,426.04 nat. median
$245,552
1.1× median
591-2 Pediatric
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 2 $268,279.64 $268,279.64 $268,279.64 nat. median
$243,603
1.1× median
583-2 Pediatric
OTHER 		Neonate W Ecmo 2 $266,101.63 $266,101.63 $266,101.63 nat. median
$241,625
1.1× median
161-4 Pediatric
OTHER 		Implantable Heart Assist Systems 2 $263,734.00 $263,734.00 $263,734.00 nat. median
$239,475
1.1× median
589-1 Pediatric
OTHER 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 2 $253,207.44 $253,207.44 $253,207.44 nat. median
$229,917
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $250,726.00 $250,726.00 $250,726.00 nat. median
$60,895
outlier · 4.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $250,726.00 $250,726.00 $250,726.00 nat. median
$92,900
outlier · 2.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $250,726.00 $250,726.00 $250,726.00 nat. median
$63,840
outlier · 3.9×
630-4 Pediatric
OTHER 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 $250,456.26 $250,456.26 $250,456.26 nat. median
$227,419
1.1× median
588-3 Pediatric
OTHER 		Neonate Bwt <1500g W Major Procedure 2 $247,610.21 $247,610.21 $247,610.21 nat. median
$224,834
1.1× median

Other procedures at this hospital

Browse this hospital's 24,849 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 5 — — $4,377,500.00 $4,596,375.00 $4,377,500.00 2026-02-12
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 6 — — $3,710,000.00 $4,452,000.00 $3,710,000.00 2026-02-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 6 — — $3,685,266.67 $4,422,320.00 $3,685,266.67 2026-02-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 8 — — $3,324,571.90 $4,974,693.89 $3,407,686.20 2026-02-12
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 8 — — $3,261,355.00 $4,872,668.58 $3,342,888.88 2026-02-12
J3393 HCPCS Inj, Betibeglogene Autotemce 10 8 — — $2,950,686.67 $4,418,610.00 $3,024,453.83 2026-02-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,452,115.60 $3,682,665.92 $2,513,418.49 2026-02-12
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $3,498,000.00 $2,390,300.00 2026-02-12
8 MS_DRG Simultaneous Pancreas/kidney Transplant 1 1 — — $903,537.00 $903,537.00 $903,537.00 2026-02-12
Q2042 HCPCS Tisageniecleucel,</=600mill T-cell Per Therdose 29 16 $1,875,000.00 $1,125,000.00 40% off $547,500.00 $1,687,500.00 $887,589.30 2026-02-12
Q2054 HCPCS Inj,lisocabtagene Mara Car-pos T Pertheradose 29 16 $1,814,790.00 $1,088,874.00 40% off $529,918.68 $1,633,311.00 $843,807.29 2026-02-12
Q2055 HCPCS Inj,idecabtagene Vicleucel Car Per Thera Dose 29 16 $1,814,790.00 $1,088,874.00 40% off $529,918.68 $1,633,311.00 $835,976.90 2026-02-12
Q2041 HCPCS Axicabtagene Ciloleucel</=200millcar+,per Therdose 29 16 $1,814,790.00 $1,088,874.00 40% off $529,918.68 $1,633,311.00 $799,845.26 2026-02-12
Q2057 HCPCS Afamitresgene Autoleucel 13 8 — — $741,540.00 $1,155,930.00 $770,620.00 2026-02-12
Q2053 HCPCS Brexucabtragn Autoleucl</=200millcar+,per Therdose 29 16 $1,814,790.00 $1,088,874.00 40% off $489,304.61 $1,633,311.00 $733,956.92 2026-02-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $605,251.00 $605,251.00 $605,251.00 2026-02-12
Q2056 HCPCS Ciltacabtagene Car-pos T 14 8 — — $553,378.83 $848,803.43 $573,458.36 2026-02-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $524,583.00 $524,583.00 $524,583.00 2026-02-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $495,957.00 $495,957.00 $495,957.00 2026-02-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $464,970.00 $464,970.00 $464,970.00 2026-02-12
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $464,970.00 $464,970.00 $464,970.00 2026-02-12
583-4 Pediatric OTHER Neonate W Ecmo 4 2 — — $459,838.51 $459,838.51 $459,838.51 2026-02-12
591-4 Pediatric OTHER Neonate Birthwt 500-749g Without Major Procedure 4 2 — — $387,590.37 $387,590.37 $387,590.37 2026-02-12
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $386,250.00 $386,250.00 $386,250.00 2026-02-12
588-4 Pediatric OTHER Neonate Bwt <1500g W Major Procedure 4 2 — — $386,019.11 $386,019.11 $386,019.11 2026-02-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $350,128.00 $350,128.00 $350,128.00 2026-02-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $350,128.00 $350,128.00 $350,128.00 2026-02-12
593-4 Pediatric OTHER Neonate Birthwt 750-999g Without Major Procedure 4 2 — — $334,098.48 $334,098.48 $334,098.48 2026-02-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $318,031.00 $318,031.00 $318,031.00 2026-02-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $318,031.00 $318,031.00 $318,031.00 2026-02-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $318,031.00 $318,031.00 $318,031.00 2026-02-12
609-4 Pediatric OTHER Neonate Bwt 1500-2499g W Major Procedure 4 2 — — $305,719.02 $305,719.02 $305,719.02 2026-02-12
591-3 Pediatric OTHER Neonate Birthwt 500-749g Without Major Procedure 4 2 — — $305,529.29 $305,529.29 $305,529.29 2026-02-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $296,875.00 $296,875.00 $296,875.00 2026-02-12
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $296,875.00 $296,875.00 $296,875.00 2026-02-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $296,875.00 $296,875.00 $296,875.00 2026-02-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $291,551.00 $291,551.00 $291,551.00 2026-02-12
583-3 Pediatric OTHER Neonate W Ecmo 4 2 — — $280,153.99 $280,153.99 $280,153.99 2026-02-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $277,772.00 $277,772.00 $277,772.00 2026-02-12
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 8 — — $270,375.00 $417,375.00 $277,134.38 2026-02-12
602-4 Pediatric OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 2 — — $270,426.04 $270,426.04 $270,426.04 2026-02-12
591-2 Pediatric OTHER Neonate Birthwt 500-749g Without Major Procedure 4 2 — — $268,279.64 $268,279.64 $268,279.64 2026-02-12
583-2 Pediatric OTHER Neonate W Ecmo 4 2 — — $266,101.63 $266,101.63 $266,101.63 2026-02-12
161-4 Pediatric OTHER Implantable Heart Assist Systems 4 2 — — $263,734.00 $263,734.00 $263,734.00 2026-02-12
589-1 Pediatric OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 2 — — $253,207.44 $253,207.44 $253,207.44 2026-02-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $250,726.00 $250,726.00 $250,726.00 2026-02-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $250,726.00 $250,726.00 $250,726.00 2026-02-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $250,726.00 $250,726.00 $250,726.00 2026-02-12
630-4 Pediatric OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 2 — — $250,456.26 $250,456.26 $250,456.26 2026-02-12
588-3 Pediatric OTHER Neonate Bwt <1500g W Major Procedure 4 2 — — $247,610.21 $247,610.21 $247,610.21 2026-02-12
593-3 Pediatric OTHER Neonate Birthwt 750-999g Without Major Procedure 4 2 — — $244,965.76 $244,965.76 $244,965.76 2026-02-12
589-2 Pediatric OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 2 — — $241,149.29 $241,149.29 $241,149.29 2026-02-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $240,177.00 $240,177.00 $240,177.00 2026-02-12
002-4 Pediatric OTHER Heart &/or Lung Transplant 4 2 — — $239,619.41 $239,619.41 $239,619.41 2026-02-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $236,870.00 $236,870.00 $236,870.00 2026-02-12
007-4 Pediatric OTHER Allogeneic Bone Marrow Transplant 4 2 — — $234,371.24 $234,371.24 $234,371.24 2026-02-12
589-3 Pediatric OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 2 — — $229,666.27 $229,666.27 $229,666.27 2026-02-12
161-4 Adult OTHER Implantable Heart Assist Systems 4 2 — — $229,333.91 $229,333.91 $229,333.91 2026-02-12
603-4 Pediatric OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 2 — — $224,395.15 $224,395.15 $224,395.15 2026-02-12
215 MS_DRG Other Heart Assist System Implant 1 1 — — $221,231.00 $221,231.00 $221,231.00 2026-02-12
631-4 Pediatric OTHER Neonate Birthwt >2499g W Other Major Procedure 4 2 — — $217,608.11 $217,608.11 $217,608.11 2026-02-12
593-2 Pediatric OTHER Neonate Birthwt 750-999g Without Major Procedure 4 2 — — $211,222.29 $211,222.29 $211,222.29 2026-02-12
161-3 Pediatric OTHER Implantable Heart Assist Systems 4 2 — — $210,680.43 $210,680.43 $210,680.43 2026-02-12
607-4 Pediatric OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 2 — — $210,524.61 $210,524.61 $210,524.61 2026-02-12
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $209,711.00 $209,711.00 $209,711.00 2026-02-12
002-4 Adult OTHER Heart &/or Lung Transplant 4 2 — — $208,364.70 $208,364.70 $208,364.70 2026-02-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $207,505.00 $207,505.00 $207,505.00 2026-02-12
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 3 — — $197,880.00 $308,460.00 $205,640.00 2026-02-12
007-4 Adult OTHER Allogeneic Bone Marrow Transplant 4 2 — — $203,801.08 $203,801.08 $203,801.08 2026-02-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $200,623.00 $200,623.00 $200,623.00 2026-02-12
652 MS_DRG Kidney Transplant 1 1 — — $200,623.00 $200,623.00 $200,623.00 2026-02-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $200,623.00 $200,623.00 $200,623.00 2026-02-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $199,733.00 $199,733.00 $199,733.00 2026-02-12
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 1 1 — — $199,733.00 $199,733.00 $199,733.00 2026-02-12
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $199,733.00 $199,733.00 $199,733.00 2026-02-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $198,069.00 $198,069.00 $198,069.00 2026-02-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $198,069.00 $198,069.00 $198,069.00 2026-02-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $198,069.00 $198,069.00 $198,069.00 2026-02-12
608-4 Pediatric OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 2 — — $196,551.30 $196,551.30 $196,551.30 2026-02-12
602-3 Pediatric OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 2 — — $194,112.40 $194,112.40 $194,112.40 2026-02-12
001-4 Pediatric OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $185,778.40 $185,778.40 $185,778.40 2026-02-12
841-4 Pediatric OTHER Extensive 3rd Degree Burns W Skin Graft 4 2 — — $185,310.62 $185,310.62 $185,310.62 2026-02-12
161-3 Adult OTHER Implantable Heart Assist Systems 4 2 — — $183,200.37 $183,200.37 $183,200.37 2026-02-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $182,172.00 $182,172.00 $182,172.00 2026-02-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $182,172.00 $182,172.00 $182,172.00 2026-02-12
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $181,142.00 $181,142.00 $181,142.00 2026-02-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $181,142.00 $181,142.00 $181,142.00 2026-02-12
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 1 1 — — $181,142.00 $181,142.00 $181,142.00 2026-02-12
836 MS_DRG Acute Leukemia Without Major O.r. Procedures Without Cc/mcc 1 1 — — $181,142.00 $181,142.00 $181,142.00 2026-02-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $178,000.00 $178,000.00 $178,000.00 2026-02-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $178,000.00 $178,000.00 $178,000.00 2026-02-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $178,000.00 $178,000.00 $178,000.00 2026-02-12
603-3 Pediatric OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 2 — — $174,496.40 $174,496.40 $174,496.40 2026-02-12
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $171,366.00 $171,366.00 $171,366.00 2026-02-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $171,366.00 $171,366.00 $171,366.00 2026-02-12
583-1 Pediatric OTHER Neonate W Ecmo 4 2 — — $168,517.72 $168,517.72 $168,517.72 2026-02-12
002-3 Pediatric OTHER Heart &/or Lung Transplant 4 2 — — $168,340.22 $168,340.22 $168,340.22 2026-02-12
006-4 Pediatric OTHER Pancreas Transplant 4 2 — — $167,664.22 $167,664.22 $167,664.22 2026-02-12
611-4 Pediatric OTHER Neonate Birthwt 1500-1999g W Major Anomaly 4 2 — — $166,792.30 $166,792.30 $166,792.30 2026-02-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $165,362.00 $165,362.00 $165,362.00 2026-02-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 1 1 — — $165,096.00 $165,096.00 $165,096.00 2026-02-12
009-4 Pediatric OTHER Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $165,054.07 $165,054.07 $165,054.07 2026-02-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $164,197.00 $164,197.00 $164,197.00 2026-02-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $163,061.00 $163,061.00 $163,061.00 2026-02-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $163,061.00 $163,061.00 $163,061.00 2026-02-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $163,061.00 $163,061.00 $163,061.00 2026-02-12
588-2 Pediatric OTHER Neonate Bwt <1500g W Major Procedure 4 2 — — $162,523.23 $162,523.23 $162,523.23 2026-02-12
004-4 Pediatric OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 2 — — $162,241.56 $162,241.56 $162,241.56 2026-02-12
001-4 Adult OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $161,546.43 $161,546.43 $161,546.43 2026-02-12
841-4 Adult OTHER Extensive 3rd Degree Burns W Skin Graft 4 2 — — $161,139.67 $161,139.67 $161,139.67 2026-02-12
007-3 Pediatric OTHER Allogeneic Bone Marrow Transplant 4 2 — — $153,045.90 $153,045.90 $153,045.90 2026-02-12
602-2 Pediatric OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 2 — — $151,635.12 $151,635.12 $151,635.12 2026-02-12
161-2 Pediatric OTHER Implantable Heart Assist Systems 4 2 — — $150,316.97 $150,316.97 $150,316.97 2026-02-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $149,886.00 $149,886.00 $149,886.00 2026-02-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $149,886.00 $149,886.00 $149,886.00 2026-02-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $149,886.00 $149,886.00 $149,886.00 2026-02-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $149,886.00 $149,886.00 $149,886.00 2026-02-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $149,886.00 $149,886.00 $149,886.00 2026-02-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $149,886.00 $149,886.00 $149,886.00 2026-02-12
002-3 Adult OTHER Heart &/or Lung Transplant 4 2 — — $146,382.80 $146,382.80 $146,382.80 2026-02-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $146,093.00 $146,093.00 $146,093.00 2026-02-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $146,093.00 $146,093.00 $146,093.00 2026-02-12
006-4 Adult OTHER Pancreas Transplant 4 2 — — $145,794.98 $145,794.98 $145,794.98 2026-02-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 1 1 — — $144,910.00 $144,910.00 $144,910.00 2026-02-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $144,293.00 $144,293.00 $144,293.00 2026-02-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $144,293.00 $144,293.00 $144,293.00 2026-02-12
630-3 Pediatric OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 2 — — $144,110.87 $144,110.87 $144,110.87 2026-02-12
009-4 Adult OTHER Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $143,525.28 $143,525.28 $143,525.28 2026-02-12
609-3 Pediatric OTHER Neonate Bwt 1500-2499g W Major Procedure 4 2 — — $141,837.99 $141,837.99 $141,837.99 2026-02-12
612-4 Pediatric OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 2 — — $141,616.63 $141,616.63 $141,616.63 2026-02-12
607-3 Pediatric OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 2 — — $141,583.03 $141,583.03 $141,583.03 2026-02-12
004-4 Adult OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 2 — — $141,079.61 $141,079.61 $141,079.61 2026-02-12
621-4 Pediatric OTHER Neonate Bwt 2000-2499g W Major Anomaly 4 2 — — $138,266.59 $138,266.59 $138,266.59 2026-02-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $135,973.00 $135,973.00 $135,973.00 2026-02-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $133,558.00 $133,558.00 $133,558.00 2026-02-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $133,558.00 $133,558.00 $133,558.00 2026-02-12
007-3 Adult OTHER Allogeneic Bone Marrow Transplant 4 2 — — $133,083.39 $133,083.39 $133,083.39 2026-02-12
614-4 Pediatric OTHER Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 2 — — $133,082.43 $133,082.43 $133,082.43 2026-02-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $131,120.00 $131,120.00 $131,120.00 2026-02-12
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $131,120.00 $131,120.00 $131,120.00 2026-02-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $131,120.00 $131,120.00 $131,120.00 2026-02-12
161-2 Adult OTHER Implantable Heart Assist Systems 4 2 — — $130,710.41 $130,710.41 $130,710.41 2026-02-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $130,678.00 $130,678.00 $130,678.00 2026-02-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $129,555.00 $129,555.00 $129,555.00 2026-02-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $128,470.00 $128,470.00 $128,470.00 2026-02-12
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $128,470.00 $128,470.00 $128,470.00 2026-02-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $126,033.00 $126,033.00 $126,033.00 2026-02-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $125,528.00 $125,528.00 $125,528.00 2026-02-12
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 1 1 — — $125,528.00 $125,528.00 $125,528.00 2026-02-12
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $125,528.00 $125,528.00 $125,528.00 2026-02-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $124,524.00 $124,524.00 $124,524.00 2026-02-12
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $124,524.00 $124,524.00 $124,524.00 2026-02-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $124,524.00 $124,524.00 $124,524.00 2026-02-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $121,131.00 $121,131.00 $121,131.00 2026-02-12
160-4 Pediatric OTHER Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $120,414.58 $120,414.58 $120,414.58 2026-02-12
002-2 Pediatric OTHER Heart &/or Lung Transplant 4 2 — — $120,408.72 $120,408.72 $120,408.72 2026-02-12
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $119,970.00 $119,970.00 $119,970.00 2026-02-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $119,970.00 $119,970.00 $119,970.00 2026-02-12
161-1 Pediatric OTHER Implantable Heart Assist Systems 4 2 — — $119,828.03 $119,828.03 $119,828.03 2026-02-12
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 1 1 — — $119,777.00 $119,777.00 $119,777.00 2026-02-12
006-3 Pediatric OTHER Pancreas Transplant 4 2 — — $117,198.81 $117,198.81 $117,198.81 2026-02-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $117,180.00 $117,180.00 $117,180.00 2026-02-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $116,216.00 $116,216.00 $116,216.00 2026-02-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $115,523.00 $115,523.00 $115,523.00 2026-02-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $115,523.00 $115,523.00 $115,523.00 2026-02-12
608-3 Pediatric OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 2 — — $115,093.03 $115,093.03 $115,093.03 2026-02-12
004-3 Pediatric OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 2 — — $113,494.74 $113,494.74 $113,494.74 2026-02-12
008-4 Pediatric OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 2 — — $113,170.67 $113,170.67 $113,170.67 2026-02-12
303-4 Pediatric OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 2 — — $112,969.78 $112,969.78 $112,969.78 2026-02-12
588-1 Pediatric OTHER Neonate Bwt <1500g W Major Procedure 4 2 — — $112,339.87 $112,339.87 $112,339.87 2026-02-12
001-3 Pediatric OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $112,221.93 $112,221.93 $112,221.93 2026-02-12
603-2 Pediatric OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 2 — — $111,944.59 $111,944.59 $111,944.59 2026-02-12
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $111,559.00 $111,559.00 $111,559.00 2026-02-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $111,495.00 $111,495.00 $111,495.00 2026-02-12
162-4 Pediatric OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 4 2 — — $111,259.98 $111,259.98 $111,259.98 2026-02-12
613-4 Pediatric OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 2 — — $110,897.09 $110,897.09 $110,897.09 2026-02-12
642 MS_DRG Inborn Errors Of Metabolism 1 1 — — $110,639.00 $110,639.00 $110,639.00 2026-02-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $109,240.00 $109,240.00 $109,240.00 2026-02-12
607-2 Pediatric OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 2 — — $108,883.11 $108,883.11 $108,883.11 2026-02-12
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 1 1 — — $107,777.00 $107,777.00 $107,777.00 2026-02-12
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 1 1 — — $107,777.00 $107,777.00 $107,777.00 2026-02-12
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 1 1 — — $107,777.00 $107,777.00 $107,777.00 2026-02-12
440-4 Pediatric OTHER Kidney Transplant 4 2 — — $107,715.75 $107,715.75 $107,715.75 2026-02-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $106,689.00 $106,689.00 $106,689.00 2026-02-12
007-2 Pediatric OTHER Allogeneic Bone Marrow Transplant 4 2 — — $105,659.88 $105,659.88 $105,659.88 2026-02-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $104,769.00 $104,769.00 $104,769.00 2026-02-12
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 1 — — $104,769.00 $104,769.00 $104,769.00 2026-02-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $104,769.00 $104,769.00 $104,769.00 2026-02-12
160-4 Adult OTHER Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $104,708.33 $104,708.33 $104,708.33 2026-02-12
002-2 Adult OTHER Heart &/or Lung Transplant 4 2 — — $104,703.23 $104,703.23 $104,703.23 2026-02-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $104,462.00 $104,462.00 $104,462.00 2026-02-12
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 1 1 — — $104,311.00 $104,311.00 $104,311.00 2026-02-12
161-1 Adult OTHER Implantable Heart Assist Systems 4 2 — — $104,198.29 $104,198.29 $104,198.29 2026-02-12
633-4 Pediatric OTHER Neonate Birthwt >2499g W Major Anomaly 4 2 — — $103,967.75 $103,967.75 $103,967.75 2026-02-12
005-4 Pediatric OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 2 — — $103,750.66 $103,750.66 $103,750.66 2026-02-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $102,793.00 $102,793.00 $102,793.00 2026-02-12
006-3 Adult OTHER Pancreas Transplant 4 2 — — $101,912.01 $101,912.01 $101,912.01 2026-02-12
631-3 Pediatric OTHER Neonate Birthwt >2499g W Other Major Procedure 4 2 — — $101,690.91 $101,690.91 $101,690.91 2026-02-12
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 1 — — $101,007.50 $101,007.50 $101,007.50 2026-02-12
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $100,780.00 $100,780.00 $100,780.00 2026-02-12
611-3 Pediatric OTHER Neonate Birthwt 1500-1999g W Major Anomaly 4 2 — — $100,311.36 $100,311.36 $100,311.36 2026-02-12
245 MS_DRG Aicd Generator Procedures 1 1 — — $100,238.00 $100,238.00 $100,238.00 2026-02-12
265 MS_DRG Aicd Lead Procedures 1 1 — — $100,238.00 $100,238.00 $100,238.00 2026-02-12
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $99,382.00 $99,382.00 $99,382.00 2026-02-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $99,208.00 $99,208.00 $99,208.00 2026-02-12
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $99,208.00 $99,208.00 $99,208.00 2026-02-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $99,195.00 $99,195.00 $99,195.00 2026-02-12
006-2 Pediatric OTHER Pancreas Transplant 4 2 — — $98,920.41 $98,920.41 $98,920.41 2026-02-12
863-4 Pediatric OTHER Neonatal Aftercare 4 2 — — $98,713.65 $98,713.65 $98,713.65 2026-02-12
004-3 Adult OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 2 — — $98,691.08 $98,691.08 $98,691.08 2026-02-12
002-1 Pediatric OTHER Heart &/or Lung Transplant 4 2 — — $98,603.67 $98,603.67 $98,603.67 2026-02-12
008-4 Adult OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 2 — — $98,409.28 $98,409.28 $98,409.28 2026-02-12
303-4 Adult OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 2 — — $98,234.59 $98,234.59 $98,234.59 2026-02-12
612-3 Pediatric OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 2 — — $98,125.44 $98,125.44 $98,125.44 2026-02-12
001-3 Adult OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $97,584.28 $97,584.28 $97,584.28 2026-02-12
162-4 Adult OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 4 2 — — $96,747.81 $96,747.81 $96,747.81 2026-02-12
622-4 Pediatric OTHER Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 4 2 — — $95,722.11 $95,722.11 $95,722.11 2026-02-12
842-4 Pediatric OTHER Burns W Skin Graft Except Extensive 3rd Degree Burns 4 2 — — $95,631.32 $95,631.32 $95,631.32 2026-02-12
613-3 Pediatric OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 2 — — $95,558.07 $95,558.07 $95,558.07 2026-02-12
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $95,226.00 $95,226.00 $95,226.00 2026-02-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $95,226.00 $95,226.00 $95,226.00 2026-02-12
007-1 Pediatric OTHER Allogeneic Bone Marrow Transplant 4 2 — — $95,028.64 $95,028.64 $95,028.64 2026-02-12
163-4 Pediatric OTHER Cardiac Valve Procedures Without Ami Or Complex Pdx 4 2 — — $94,318.91 $94,318.91 $94,318.91 2026-02-12
440-4 Adult OTHER Kidney Transplant 4 2 — — $93,665.87 $93,665.87 $93,665.87 2026-02-12
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $93,238.00 $93,238.00 $93,238.00 2026-02-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $93,238.00 $93,238.00 $93,238.00 2026-02-12
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $93,238.00 $93,238.00 $93,238.00 2026-02-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 1 — — $93,216.70 $93,216.70 $93,216.70 2026-02-12
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $92,840.00 $92,840.00 $92,840.00 2026-02-12
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $92,840.00 $92,840.00 $92,840.00 2026-02-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $92,840.00 $92,840.00 $92,840.00 2026-02-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $92,813.00 $92,813.00 $92,813.00 2026-02-12
001-2 Pediatric OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $92,604.72 $92,604.72 $92,604.72 2026-02-12
178-4 Pediatric OTHER External Heart Assist Systems 4 2 — — $92,584.19 $92,584.19 $92,584.19 2026-02-12
332 MS_DRG Rectal Resection With Mcc 1 1 — — $92,338.00 $92,338.00 $92,338.00 2026-02-12
333 MS_DRG Rectal Resection With Cc 1 1 — — $92,338.00 $92,338.00 $92,338.00 2026-02-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $92,300.00 $92,300.00 $92,300.00 2026-02-12
001-1 Pediatric OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $91,974.18 $91,974.18 $91,974.18 2026-02-12
007-2 Adult OTHER Allogeneic Bone Marrow Transplant 4 2 — — $91,878.16 $91,878.16 $91,878.16 2026-02-12
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $91,025.00 $91,025.00 $91,025.00 2026-02-12
005-4 Adult OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 2 — — $90,217.96 $90,217.96 $90,217.96 2026-02-12
841-3 Pediatric OTHER Extensive 3rd Degree Burns W Skin Graft 4 2 — — $89,752.61 $89,752.61 $89,752.61 2026-02-12
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $87,578.00 $87,578.00 $87,578.00 2026-02-12
183-4 Pediatric OTHER Percutaneous Structural Cardiac Procedures 4 2 — — $87,514.92 $87,514.92 $87,514.92 2026-02-12
303-3 Pediatric OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 2 — — $86,507.52 $86,507.52 $86,507.52 2026-02-12
004-2 Pediatric OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 2 — — $86,344.75 $86,344.75 $86,344.75 2026-02-12
165-4 Pediatric OTHER Coronary Bypass W Ami Or Complex Pdx 4 2 — — $86,267.03 $86,267.03 $86,267.03 2026-02-12
009-3 Pediatric OTHER Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $86,209.84 $86,209.84 $86,209.84 2026-02-12
609-2 Pediatric OTHER Neonate Bwt 1500-2499g W Major Procedure 4 2 — — $86,132.51 $86,132.51 $86,132.51 2026-02-12
006-2 Adult OTHER Pancreas Transplant 4 2 — — $86,017.75 $86,017.75 $86,017.75 2026-02-12
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 1 1 — — $85,981.00 $85,981.00 $85,981.00 2026-02-12
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 1 1 — — $85,981.00 $85,981.00 $85,981.00 2026-02-12
863-4 Adult OTHER Neonatal Aftercare 4 2 — — $85,837.96 $85,837.96 $85,837.96 2026-02-12
002-1 Adult OTHER Heart &/or Lung Transplant 4 2 — — $85,742.32 $85,742.32 $85,742.32 2026-02-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $85,642.00 $85,642.00 $85,642.00 2026-02-12
630-2 Pediatric OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 2 — — $85,359.73 $85,359.73 $85,359.73 2026-02-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $84,885.00 $84,885.00 $84,885.00 2026-02-12
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 1 1 — — $84,885.00 $84,885.00 $84,885.00 2026-02-12
167-4 Pediatric OTHER Other Cardiothoracic & Thoracic Vascular Procedures 4 2 — — $84,689.21 $84,689.21 $84,689.21 2026-02-12
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $84,565.00 $84,565.00 $84,565.00 2026-02-12
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 1 1 — — $84,360.00 $84,360.00 $84,360.00 2026-02-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $84,360.00 $84,360.00 $84,360.00 2026-02-12
791 MS_DRG Prematurity With Major Problems 1 1 — — $84,359.00 $84,359.00 $84,359.00 2026-02-12
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $84,330.00 $84,330.00 $84,330.00 2026-02-12
634-4 Pediatric OTHER Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 4 2 — — $84,175.85 $84,175.85 $84,175.85 2026-02-12
842-4 Adult OTHER Burns W Skin Graft Except Extensive 3rd Degree Burns 4 2 — — $83,157.67 $83,157.67 $83,157.67 2026-02-12
007-1 Adult OTHER Allogeneic Bone Marrow Transplant 4 2 — — $82,633.60 $82,633.60 $82,633.60 2026-02-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $82,335.00 $82,335.00 $82,335.00 2026-02-12
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $82,265.00 $82,265.00 $82,265.00 2026-02-12
614-3 Pediatric OTHER Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 2 — — $82,043.29 $82,043.29 $82,043.29 2026-02-12
163-4 Adult OTHER Cardiac Valve Procedures Without Ami Or Complex Pdx 4 2 — — $82,016.45 $82,016.45 $82,016.45 2026-02-12
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $81,958.00 $81,958.00 $81,958.00 2026-02-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $81,718.00 $81,718.00 $81,718.00 2026-02-12
304-4 Pediatric OTHER Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 2 — — $80,989.54 $80,989.54 $80,989.54 2026-02-12
001-2 Adult OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $80,525.84 $80,525.84 $80,525.84 2026-02-12
178-4 Adult OTHER External Heart Assist Systems 4 2 — — $80,507.99 $80,507.99 $80,507.99 2026-02-12
910-4 Pediatric OTHER Craniotomy For Multiple Significant Trauma 4 2 — — $80,468.97 $80,468.97 $80,468.97 2026-02-12
910-4 Adult OTHER Craniotomy For Multiple Significant Trauma 4 2 — — $80,468.97 $80,468.97 $80,468.97 2026-02-12
179-4 Pediatric OTHER Defibrillator Implants 4 2 — — $80,339.93 $80,339.93 $80,339.93 2026-02-12
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $80,278.00 $80,278.00 $80,278.00 2026-02-12
607-1 Pediatric OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 2 — — $80,021.41 $80,021.41 $80,021.41 2026-02-12
001-1 Adult OTHER Liver Transplant &/or Intestinal Transplant 4 2 — — $79,977.54 $79,977.54 $79,977.54 2026-02-12
608-2 Pediatric OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 2 — — $79,940.37 $79,940.37 $79,940.37 2026-02-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $79,890.00 $79,890.00 $79,890.00 2026-02-12
005-3 Pediatric OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 2 — — $79,867.76 $79,867.76 $79,867.76 2026-02-12
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $79,660.00 $79,660.00 $79,660.00 2026-02-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $79,660.00 $79,660.00 $79,660.00 2026-02-12
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $79,550.00 $79,550.00 $79,550.00 2026-02-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $78,940.00 $78,940.00 $78,940.00 2026-02-12
570 MS_DRG Skin Debridement With Mcc 1 1 — — $78,833.00 $78,833.00 $78,833.00 2026-02-12
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $78,452.00 $78,452.00 $78,452.00 2026-02-12
162-3 Pediatric OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 4 2 — — $78,435.10 $78,435.10 $78,435.10 2026-02-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $78,343.00 $78,343.00 $78,343.00 2026-02-12
841-3 Adult OTHER Extensive 3rd Degree Burns W Skin Graft 4 2 — — $78,045.75 $78,045.75 $78,045.75 2026-02-12
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $77,657.00 $77,657.00 $77,657.00 2026-02-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $77,657.00 $77,657.00 $77,657.00 2026-02-12
004-1 Pediatric OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 2 — — $77,549.41 $77,549.41 $77,549.41 2026-02-12
137 MS_DRG Mouth Procedures With Cc/mcc 1 1 — — $77,508.00 $77,508.00 $77,508.00 2026-02-12
166-4 Pediatric OTHER Coronary Bypass Without Ami Or Complex Pdx 4 2 — — $77,209.21 $77,209.21 $77,209.21 2026-02-12
091-4 Pediatric OTHER Other Major Head & Neck Procedures 4 2 — — $76,433.50 $76,433.50 $76,433.50 2026-02-12
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