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

EASTERN IDAHO REGIONAL MEDICAL CENTER

Idaho Falls, ID · CCN 130018 · Rates published

31,195 distinct procedures filed
40 distinct payers
1,421,227 rate rows
2026-03-01 last MRF observed
Data quality

1,319,464 of 1,421,227 rate rows are consumer-grade (92.8%)

101,763 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 46,382
template filing: same amount across many unrelated codes — excluded 32,768
per-diem day rate — not a per-procedure price 12,811
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,944
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 722
placeholder amount (≤ $0.02) — excluded from medians 123
exceeds 10× this hospital's gross charge — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/b9cb52db87014bbb931bed44b4477432?download=true
Found on page https://www.eirmc.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-04
Content fingerprint 335c41d1ca15b2a0… · 351,069,350 bytes · first seen 2026-05-08

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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,897,200.00 $4,874,074.33 nat. median
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 9 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$16,015
outlier · 281.3×
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $4,078,382.75 nat. median
$2,460,273
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 9 $3,672,900.00 $3,758,972.34 $3,685,267.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 8 $3,605,000.00 $3,677,100.00 $3,605,000.00 nat. median
$3,646,097
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 9 $3,335,820.00 $3,402,536.40 $3,335,820.00 nat. median
$29,683
outlier · 112.4×
714
OTHER 		Inj Delandistrogene Mox R 9 $3,325,455.00 $3,394,417.20 $3,327,860.00 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 9 $3,252,508.00 $3,351,720.00 $3,286,000.00 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 9 $3,180,000.00 $3,243,600.00 $3,180,000.00 nat. median
$24,604
outlier · 129.2×
746
OTHER 		Inj, Betibeglogene Autote 9 $2,939,969.00 $3,027,360.00 $2,968,000.00 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 9 $2,388,614.00 $2,640,760.62 $2,588,981.00 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 9 $2,332,000.00 $2,378,640.00 $2,332,000.00 nat. median
$58,186
outlier · 40.1×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$809,151
1.6× median
5834
APR_DRG 		Neonate With Ecmo 2 $654,136.00 $1,000,101.88 $827,118.94 nat. median
$311,018
outlier · 2.7×
2067
OTHER 		Afamitresgene Autoleucel 9 $770,620.00 $786,032.40 $770,620.00 nat. median
$786,032
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $294,258.50 $906,534.77 $627,509.14 nat. median
$370,165
1.7× median
9498
OTHER 		Ciltacabtagene Car-pos T 9 $527,123.40 $599,402.59 $587,649.60 nat. median
$587,650
1.0× median
5833
APR_DRG 		Neonate With Ecmo Pediatric 2 $569,668.00 $603,835.83 $586,751.92 nat. median
$250,089
outlier · 2.3×
9194
OTHER 		Tisagenlecleucel Car-pos 9 $529,192.90 $577,861.93 $566,531.30 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 9 $516,726.10 $573,445.22 $562,201.20 nat. median
$562,201
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $487,901.00 $632,101.78 $560,001.39 nat. median
$254,667
outlier · 2.2×
9422
OTHER 		Idecabtagene Vicleucel Ca 9 $526,587.60 $569,243.44 $558,081.80 nat. median
$560,872
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 9 $489,456.00 $542,836.04 $532,192.20 nat. median
$533,230
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 9 $460,530.40 $499,239.20 $489,450.20 nat. median
$492,768
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $459,965.00 $934,776.65 $488,698.99 nat. median
$691,418
0.7× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $456,476.00 $969,621.79 $476,339.04 nat. median
$631,793
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 30 $219,977.00 $703,417.45 $464,952.88 nat. median
$261,939
1.8× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$302,242
1.5× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $392,732.00 $559,903.54 $458,364.34 nat. median
$243,231
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $436,221.00 $920,834.85 $456,461.93 nat. median
$610,161
0.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $426,468.00 $927,632.05 $446,243.88 nat. median
$624,417
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $404,496.00 $878,117.20 $422,942.82 nat. median
$588,565
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $404,496.00 $807,592.83 $421,676.51 nat. median
$577,541
0.7× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $278,347.00 $630,033.94 $420,357.54 nat. median
$119,243
outlier · 3.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure Pediatric 2 $308,385.00 $444,497.60 $376,441.30 nat. median
$168,174
outlier · 2.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $317,541.00 $434,924.61 $376,232.80 nat. median
$168,361
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 2 $357,481.00 $378,921.04 $368,201.02 nat. median
$169,230
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 $166,562.23 $860,384.25 $366,768.58 nat. median
$205,166
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $312,926.00 $409,181.78 $361,053.89 nat. median
$180,995
2.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure Pediatric 2 $320,741.00 $383,911.88 $352,326.44 nat. median
$156,285
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 2 $304,604.00 $394,631.23 $349,617.61 nat. median
$147,847
outlier · 2.4×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $311,952.00 $379,376.26 $345,664.13 nat. median
$147,677
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $159,170.32 $512,181.78 $338,885.96 nat. median
$199,832
1.7× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $322,368.09 $331,625.00 $326,996.55 nat. median
$160,171
outlier · 2.0×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $278,298.51 $345,220.00 $317,860.07 nat. median
$209,486
1.5× median
5831
APR_DRG 		Neonate With Ecmo Pediatric 2 $289,492.00 $319,714.28 $304,603.14 nat. median
$154,685
2.0× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $149,564.00 $491,741.48 $288,605.66 nat. median
$67,603
outlier · 4.3×
831
OTHER 		Obecbtge Autol Up To 400 9 $278,250.00 $283,815.00 $278,250.00 nat. median
$20,175
outlier · 13.8×

Other procedures at this hospital

Browse this hospital's 31,195 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
             
569370 CDM Cath Vasc Assist Strl 44 25 $159,415.00 $159,415.00 $50.00 $159,415.00 $97,482.27 2026-03-01
99855 CDM System Dlv 1 Cath 1 Clip 44 25 $159,415.00 $159,415.00 $50.00 $159,415.00 $97,482.27 2026-03-01
582233 CDM Set Closure Abd Wall 44 25 $159,415.00 $159,415.00 $50.00 $159,415.00 $97,482.27 2026-03-01
562906 CDM Kit Lo Prfl Comp Shth 7f 44 25 $159,415.00 $159,415.00 $50.00 $159,415.00 $97,482.27 2026-03-01
561320 CDM Clamp Esurg Standard 44 25 $142,571.00 $142,571.00 $50.00 $142,571.00 $87,182.17 2026-03-01
574535 CDM Kit Anchor Sys 44 25 $137,704.00 $137,704.00 $50.00 $137,704.00 $84,205.99 2026-03-01
571501 CDM Kit Anchor Sys 44 25 $126,219.00 $126,219.00 $50.00 $126,219.00 $77,182.92 2026-03-01
565769 CDM Kit Cath Throm 8fr 100cm 44 25 $121,450.00 $121,450.00 $50.00 $121,450.00 $74,266.68 2026-03-01
29862 CDM Stent Eprsth 26x10x20cm 41 25 $115,880.00 $115,880.00 $50.00 $115,880.00 $74,626.72 2026-03-01
340788 CDM Graft Endo Aaa 36x14mm 41 25 $113,633.00 $113,633.00 $50.00 $113,633.00 $73,179.65 2026-03-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,850,948.67 $4,897,200.00 $4,874,074.33 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 10 9 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 2 1 — — $3,884,946.48 $4,271,819.03 $4,078,382.75 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 19 9 — — $3,672,900.00 $3,758,972.34 $3,685,267.00 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 9 8 — — $3,605,000.00 $3,677,100.00 $3,605,000.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 10 9 — — $3,335,820.00 $3,402,536.40 $3,335,820.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 19 9 — — $3,325,455.00 $3,394,417.20 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 19 9 — — $3,252,508.00 $3,351,720.00 $3,286,000.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 10 9 — — $3,180,000.00 $3,243,600.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 19 9 — — $2,939,969.00 $3,027,360.00 $2,968,000.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 19 9 — — $2,388,614.00 $2,640,760.62 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 10 9 — — $2,332,000.00 $2,378,640.00 $2,332,000.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 6 2 — — $654,136.00 $1,000,101.88 $827,118.94 2026-03-01
2067 OTHER Afamitresgene Autoleucel 10 9 — — $770,620.00 $786,032.40 $770,620.00 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 75 30 — — $294,258.50 $906,534.77 $627,509.14 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 19 9 — — $527,123.40 $599,402.59 $587,649.60 2026-03-01
5833 APR_DRG Neonate With Ecmo Pediatric 6 2 — — $569,668.00 $603,835.83 $586,751.92 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 19 9 — — $529,192.90 $577,861.93 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 19 9 — — $516,726.10 $573,445.22 $562,201.20 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 2 — — $487,901.00 $632,101.78 $560,001.39 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 19 9 — — $526,587.60 $569,243.44 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 19 9 — — $489,456.00 $542,836.04 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 19 9 — — $460,530.40 $499,239.20 $489,450.20 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 10 4 — — $459,965.00 $934,776.65 $488,698.99 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 9 4 — — $456,476.00 $969,621.79 $476,339.04 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 78 30 — — $219,977.00 $703,417.45 $464,952.88 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 12 2 — — $392,732.00 $559,903.54 $458,364.34 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 4 — — $436,221.00 $920,834.85 $456,461.93 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 9 4 — — $426,468.00 $927,632.05 $446,243.88 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 10 4 — — $404,496.00 $878,117.20 $422,942.82 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 9 4 — — $404,496.00 $807,592.83 $421,676.51 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 2 — — $278,347.00 $630,033.94 $420,357.54 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure Pediatric 6 2 — — $308,385.00 $444,497.60 $376,441.30 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 2 — — $317,541.00 $434,924.61 $376,232.80 2026-03-01
5832 APR_DRG Neonate With Ecmo 6 2 — — $357,481.00 $378,921.04 $368,201.02 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 74 30 — — $166,562.23 $860,384.25 $366,768.58 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 2 — — $312,926.00 $409,181.78 $361,053.89 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure Pediatric 6 2 — — $320,741.00 $383,911.88 $352,326.44 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 6 2 — — $304,604.00 $394,631.23 $349,617.61 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 2 — — $311,952.00 $379,376.26 $345,664.13 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 72 30 — — $159,170.32 $512,181.78 $338,885.96 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 2 — — $322,368.09 $331,625.00 $326,996.55 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 12 2 — — $278,298.51 $345,220.00 $317,860.07 2026-03-01
5831 APR_DRG Neonate With Ecmo Pediatric 6 2 — — $289,492.00 $319,714.28 $304,603.14 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 2 — — $149,564.00 $491,741.48 $288,605.66 2026-03-01
831 OTHER Obecbtge Autol Up To 400 10 9 — — $278,250.00 $283,815.00 $278,250.00 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 2 — — $246,491.00 $317,438.20 $273,771.47 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 12 2 — — $247,963.01 $302,775.88 $269,275.50 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 2 — — $207,895.00 $330,463.54 $269,179.27 2026-03-01
897 OTHER Revakinagene, Per Implant 10 9 — — $265,000.00 $270,300.00 $265,000.00 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $231,442.00 $280,405.55 $255,923.77 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 12 2 — — $185,588.00 $344,912.71 $249,495.31 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 2 — — $191,001.00 $327,040.92 $245,335.12 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure Pediatric 6 2 — — $216,040.00 $274,259.48 $245,149.74 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 2 — — $212,522.00 $290,712.75 $243,012.85 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 12 2 — — $223,939.77 $273,442.25 $242,911.50 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 75 30 — — $86,520.52 $386,884.33 $239,519.28 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 6 2 — — $202,595.00 $262,474.62 $232,534.81 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 2 — — $106,833.00 $415,540.33 $232,476.10 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 52 28 — — $88,735.82 $368,904.00 $228,819.91 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 2 — — $116,087.00 $335,717.99 $225,902.49 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 72 30 — — $105,185.61 $337,685.49 $223,034.68 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 2 — — $202,804.88 $240,602.00 $221,703.44 2026-03-01
215 MS_DRG Other Heart Assist System Implant 81 31 — — $78,170.91 $354,412.00 $216,291.45 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 2 — — $187,469.00 $249,841.46 $211,662.77 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 2 — — $84,545.00 $335,717.99 $210,131.49 2026-03-01
7 MS_DRG Lung Transplant 75 29 — — $102,462.10 $312,322.81 $208,750.76 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 76 30 — — $97,675.80 $313,111.51 $205,393.65 2026-03-01
64 APR_DRG Pancreas Transplant 12 2 — — $175,313.53 $229,128.00 $205,231.02 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 2 — — $70,997.00 $335,717.99 $203,357.49 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 10 9 — — $201,669.00 $205,702.38 $201,669.00 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 12 2 — — $178,897.00 $233,701.61 $200,053.28 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 29 — — $6,453.41 $312,669.00 $199,548.01 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 2 — — $122,887.00 $268,332.71 $195,609.86 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $179,912.00 $208,721.68 $194,316.84 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 2 — — $167,976.00 $213,240.69 $190,608.35 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $174,837.00 $195,460.39 $185,148.70 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 12 2 — — $151,355.53 $209,785.00 $182,314.54 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 21 9 — — $90,423.00 $223,266.58 $180,497.95 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 12 2 — — $151,355.53 $199,536.00 $177,921.54 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 2 — — $175,078.33 $179,640.00 $177,359.16 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 81 31 — — $57,922.01 $368,904.00 $175,869.34 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 72 29 — — $83,632.16 $254,501.54 $169,218.30 2026-03-01
63 APR_DRG Pancreas Transplant 12 2 — — $149,204.80 $182,186.91 $168,441.00 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 81 31 — — $72,069.80 $253,294.98 $165,057.23 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 5 — — $149,621.92 $204,506.41 $163,288.87 2026-03-01
4404 APR_DRG Kidney Transplant 12 2 — — $144,965.40 $177,010.39 $161,419.50 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 64 29 — — $62,380.63 $250,497.00 $160,658.98 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 12 2 — — $146,716.30 $179,148.32 $159,326.00 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 81 31 — — $60,313.99 $250,623.63 $156,297.11 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 2 — — $136,453.00 $175,889.10 $156,171.05 2026-03-01
8634 APR_DRG Neonatal Aftercare 6 2 — — $143,310.00 $167,813.58 $155,561.79 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 2 — — $140,251.00 $175,304.15 $153,597.02 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 2 — — $134,923.00 $179,662.25 $152,273.59 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 71 29 — — $33,814.00 $260,345.09 $147,914.55 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 2 — — $128,718.00 $177,724.74 $147,860.72 2026-03-01
1907 OTHER New Technology - Level 52 19 9 — — $146,379.10 $150,417.36 $147,468.00 2026-03-01
1908 OTHER New Technology - Level 52 19 9 — — $146,379.10 $150,417.36 $147,468.00 2026-03-01
64565 CPT HPercutaneous Implantation Of Neurostimulator Electrode Array; Neuromuscular 2 1 — — $144,160.00 $149,984.00 $147,072.00 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 12 2 — — $106,384.00 $205,501.18 $146,206.69 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 5 — — $138,541.88 $178,791.03 $144,542.07 2026-03-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $135,386.00 $146,579.78 $140,982.89 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 2 — — $123,905.00 $165,615.35 $140,094.13 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $135,637.00 $142,891.48 $139,264.24 2026-03-01
62 APR_DRG Pancreas Transplant 12 2 — — $126,168.54 $154,058.43 $138,361.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 81 31 — — $63,331.50 $208,804.86 $137,461.44 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 81 31 — — $63,367.00 $207,207.00 $136,765.30 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure Pediatric 6 2 — — $134,507.00 $136,500.62 $135,503.81 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 29 — — $53,202.38 $213,319.00 $135,122.64 2026-03-01
1905 OTHER New Technology - Level 51 19 9 — — $131,981.20 $135,622.26 $132,963.00 2026-03-01
1906 OTHER New Technology - Level 51 19 9 — — $131,981.20 $135,622.26 $132,963.00 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 80 31 — — $55,901.22 $205,172.00 $132,605.80 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 22 9 — — $86,740.00 $163,481.76 $131,334.85 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 2 — — $116,002.00 $155,464.02 $131,327.83 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 81 31 — — $50,011.85 $206,122.00 $130,202.57 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $128,898.06 $131,157.00 $130,027.53 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 12 5 — — $123,540.17 $160,567.56 $129,809.47 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 81 31 — — $44,702.17 $207,041.00 $129,212.55 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 81 31 — — $42,895.06 $298,997.00 $128,707.06 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 81 31 — — $45,879.31 $209,081.00 $128,519.50 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 81 31 — — $58,504.67 $196,054.00 $128,144.94 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 81 31 — — $15,447.29 $257,451.00 $128,099.20 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 64 29 — — $33,814.00 $220,150.07 $127,817.04 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 64 29 — — $50,285.43 $201,365.00 $127,062.61 2026-03-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 2 — — $115,838.90 $141,445.39 $126,766.00 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 2 — — $86,494.00 $185,013.50 $126,214.84 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 2 — — $111,146.00 $135,715.11 $124,999.50 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 81 31 — — $45,007.55 $200,318.00 $124,393.24 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 76 30 — — $58,376.16 $189,448.13 $123,912.15 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 71 29 — — $52,964.30 $187,387.00 $121,814.52 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 2 — — $101,891.72 $136,734.00 $120,807.58 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 21 9 — — $60,972.00 $148,092.36 $119,838.46 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 5 — — $102,677.92 $150,860.85 $119,778.89 2026-03-01
1904 OTHER New Technology - Level 50 19 9 — — $117,583.30 $120,827.16 $118,458.00 2026-03-01
1903 OTHER New Technology - Level 50 19 9 — — $117,583.30 $120,827.16 $118,458.00 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 64 29 — — $46,453.83 $179,634.00 $116,216.12 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 75 30 — — $51,200.08 $178,923.00 $116,033.62 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 81 31 — — $37,558.03 $192,729.00 $116,017.61 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 81 31 — — $41,583.36 $188,241.00 $115,117.30 2026-03-01
61 APR_DRG Pancreas Transplant 12 2 — — $101,812.81 $124,318.80 $114,938.50 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 12 2 — — $90,085.00 $149,873.79 $113,920.23 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 2 — — $106,578.00 $120,424.92 $113,501.46 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 2 — — $100,294.00 $126,180.01 $113,237.01 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 2 — — $111,170.00 $112,261.91 $111,715.96 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 81 31 — — $35,498.79 $200,130.00 $111,583.66 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 12 2 — — $83,798.00 $152,953.49 $111,513.82 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 81 31 — — $43,148.69 $175,242.00 $111,214.04 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 5 — — $99,510.25 $136,646.84 $110,470.96 2026-03-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 12 2 — — $95,184.87 $121,678.00 $110,260.87 2026-03-01
8514 APR_DRG Gender Related Procedures 12 2 — — $95,780.43 $119,145.00 $109,538.48 2026-03-01
10 MS_DRG Pancreas Transplant 72 29 — — $58,706.93 $190,545.14 $109,182.08 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 74 30 — — $50,095.40 $163,775.90 $108,093.18 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 52 28 — — $45,198.46 $168,385.00 $106,791.73 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 81 31 — — $48,460.57 $160,661.00 $106,298.27 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 81 31 — — $34,669.92 $179,893.00 $106,020.62 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 76 30 — — $47,727.39 $163,345.77 $106,012.59 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 2 — — $97,624.00 $119,308.01 $105,802.07 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 64 29 — — $41,160.42 $164,298.00 $104,981.74 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 29 — — $41,419.95 $165,307.00 $104,923.40 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 2 — — $91,148.00 $125,386.48 $104,513.60 2026-03-01
1901 OTHER New Technology - Level 49 19 9 — — $103,185.40 $106,032.06 $103,953.00 2026-03-01
1902 OTHER New Technology - Level 49 19 9 — — $103,185.40 $106,032.06 $103,953.00 2026-03-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 2 — — $102,304.00 $104,918.52 $103,611.26 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 12 5 — — $98,081.30 $127,542.39 $103,110.55 2026-03-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 2 — — $53,392.00 $175,546.98 $103,028.96 2026-03-01
4403 APR_DRG Kidney Transplant 12 2 — — $93,108.00 $117,833.04 $102,563.60 2026-03-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $92,186.05 $112,564.01 $102,375.03 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 81 31 — — $32,639.51 $228,519.00 $101,770.00 2026-03-01
1784 APR_DRG External Heart Assist Devices 12 2 — — $91,134.88 $111,280.48 $101,617.50 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 81 31 — — $40,049.83 $159,879.00 $101,591.48 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 81 31 — — $44,219.35 $156,659.00 $101,555.96 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 31 11 — — $86,399.92 $110,407.86 $100,999.90 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 81 31 — — $33,780.41 $214,279.00 $100,715.71 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 81 31 — — $38,666.41 $367,247.42 $100,459.42 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 2 — — $98,256.00 $102,210.44 $100,233.22 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 81 31 — — $45,663.40 $151,896.00 $99,716.37 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 2 — — $83,002.44 $116,179.00 $99,590.72 2026-03-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $98,497.00 $99,840.17 $99,168.58 2026-03-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 2 — — $96,064.00 $102,210.44 $99,137.22 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 64 29 — — $38,791.37 $153,719.00 $97,995.18 2026-03-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 2 — — $87,599.42 $106,963.50 $97,960.00 2026-03-01
0424T CPT Insertion Or Replacement Of Neurostimulator System For Treatment Of Central Slee… 2 2 — — $45,654.30 $149,931.36 $97,792.83 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 71 29 — — $46,512.98 $148,036.60 $97,780.07 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 81 31 — — $14,700.00 $149,189.00 $95,742.59 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 81 31 — — $43,771.76 $155,509.53 $95,666.14 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 21 11 — — $91,031.90 $96,982.62 $95,081.00 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 76 30 — — $44,676.45 $144,248.45 $94,462.45 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 21 9 — — $49,474.00 $116,349.44 $94,061.70 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 81 31 — — $33,814.00 $156,743.39 $93,312.60 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 81 31 — — $31,697.51 $149,497.00 $92,590.49 2026-03-01
6904 APR_DRG Acute Leukemia 12 2 — — $83,480.00 $106,039.72 $92,117.93 2026-03-01
5204 APR_DRG Other GYN Procedures For Malignancy 6 2 — — $82,799.19 $101,102.17 $91,950.68 2026-03-01
1599 OTHER New Technology - Level 48 19 9 — — $91,187.18 $93,702.79 $91,865.48 2026-03-01
1585 OTHER New Technology - Level 48 19 9 — — $91,187.18 $93,702.79 $91,865.48 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 81 31 — — $33,814.00 $147,171.42 $91,327.71 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 81 31 — — $25,574.49 $188,241.00 $91,131.81 2026-03-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 2 — — $80,869.42 $98,745.82 $90,846.00 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 12 2 — — $66,090.00 $127,318.84 $90,687.37 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 12 2 — — $74,347.76 $105,300.00 $90,519.76 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 81 31 — — $38,381.73 $138,465.00 $89,886.40 2026-03-01
4402 APR_DRG Kidney Transplant 12 2 — — $81,861.00 $101,707.32 $89,399.89 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 2 — — $80,669.00 $103,282.50 $89,349.40 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 81 31 — — $11,144.00 $166,260.35 $89,066.68 2026-03-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 6 2 — — $84,977.29 $93,102.00 $89,039.64 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 75 29 — — $43,098.71 $131,789.84 $88,926.46 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 2 — — $74,893.86 $99,315.00 $88,288.18 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 81 31 — — $28,603.09 $227,808.00 $87,818.35 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 81 31 — — $33,814.00 $139,165.19 $87,324.60 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 81 31 — — $33,814.00 $139,143.41 $87,313.71 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 2 — — $78,419.85 $95,754.77 $86,925.50 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 81 31 — — $31,117.07 $139,957.00 $86,688.99 2026-03-01
1794 APR_DRG Defibrillator Implants 12 2 — — $75,673.56 $93,753.00 $86,380.20 2026-03-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 2 — — $75,747.21 $92,865.00 $86,045.17 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 71 29 — — $35,112.82 $135,212.00 $85,983.30 2026-03-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $82,487.00 $89,188.38 $85,837.69 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 2 — — $78,149.00 $97,207.89 $85,391.96 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 81 31 — — $33,814.00 $133,223.38 $84,353.69 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 12 2 — — $74,095.23 $90,567.00 $84,051.58 2026-03-01
245 MS_DRG Aicd Generator Procedures 81 31 — — $36,319.37 $131,478.99 $83,899.18 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 2 — — $72,920.95 $91,621.00 $83,786.16 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 81 31 — — $11,144.00 $178,075.04 $83,225.51 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 81 31 — — $33,814.00 $130,597.44 $83,040.72 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 80 31 — — $28,975.75 $135,259.00 $82,688.30 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 81 31 — — $33,814.00 $128,954.84 $82,219.42 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 81 31 — — $33,814.00 $129,614.46 $82,211.05 2026-03-01
1598 OTHER New Technology - Level 47 19 9 — — $81,588.58 $83,839.39 $82,195.48 2026-03-01
1584 OTHER New Technology - Level 47 19 9 — — $81,588.58 $83,839.39 $82,195.48 2026-03-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 2 — — $76,426.00 $87,406.25 $81,916.12 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 71 29 — — $37,705.92 $119,569.31 $81,838.10 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 2 — — $68,022.87 $93,484.00 $81,594.25 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 81 31 — — $33,192.58 $127,438.00 $81,492.73 2026-03-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 2 — — $79,762.00 $82,783.13 $81,272.57 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 64 29 — — $29,766.92 $130,000.00 $81,057.65 2026-03-01
4401 APR_DRG Kidney Transplant 12 2 — — $73,400.00 $92,920.46 $80,866.32 2026-03-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $72,273.84 $88,250.16 $80,262.00 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 81 31 — — $33,814.00 $124,919.61 $80,201.80 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 81 31 — — $31,476.43 $126,657.00 $80,172.43 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 81 31 — — $36,627.13 $121,832.99 $80,109.16 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 8 6 — — $54,779.37 $106,053.40 $79,807.09 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 12 2 — — $71,803.00 $91,801.39 $79,476.08 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 81 31 — — $11,144.00 $146,926.68 $79,399.84 2026-03-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 2 — — $71,506.00 $91,941.43 $79,360.43 2026-03-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 2 — — $76,462.06 $81,867.00 $79,164.53 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 81 31 — — $29,624.95 $125,144.00 $79,036.95 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 81 31 — — $33,814.00 $122,318.69 $78,901.35 2026-03-01
1783 APR_DRG External Heart Assist Devices 12 2 — — $71,875.00 $90,237.77 $78,877.81 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 81 31 — — $25,693.96 $134,284.00 $78,800.47 2026-03-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure Pediatric 6 2 — — $68,963.61 $87,645.00 $78,304.30 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 64 29 — — $30,905.60 $122,642.00 $78,233.20 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 81 31 — — $33,814.00 $122,056.38 $77,982.15 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 81 31 — — $33,814.00 $120,372.35 $77,928.18 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 81 31 — — $33,814.00 $152,045.31 $77,781.80 2026-03-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 2 — — $71,592.00 $87,773.49 $77,703.73 2026-03-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $69,705.37 $85,113.92 $77,409.64 2026-03-01
1694 APR_DRG Major Abdominal Vascular Procedures 12 2 — — $68,393.25 $83,511.76 $77,292.50 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 22 9 — — $54,255.00 $130,000.00 $77,179.74 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 2 — — $64,895.67 $87,438.00 $77,094.01 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 75 29 — — $38,276.07 $115,888.71 $77,082.39 2026-03-01
8633 APR_DRG Neonatal Aftercare 6 2 — — $76,322.00 $77,683.74 $77,002.87 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $77,046.96 $76,916.17 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 2 — — $69,860.00 $87,910.97 $76,750.02 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 81 31 — — $33,814.00 $117,789.54 $76,636.77 2026-03-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 2 1 — — $75,702.00 $77,506.00 $76,604.00 2026-03-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 2 1 — — $75,702.00 $77,506.00 $76,604.00 2026-03-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 2 1 — — $75,702.00 $77,506.00 $76,604.00 2026-03-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 2 1 — — $75,702.00 $77,506.00 $76,604.00 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 71 29 — — $24,406.22 $142,386.00 $76,000.42 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 81 31 — — $25,532.34 $150,958.00 $75,727.15 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 12 2 — — $68,309.07 $83,408.97 $75,664.50 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 81 31 — — $11,144.00 $138,402.64 $75,137.82 2026-03-01
234 APR_DRG Spinal Procedures 12 2 — — $65,908.96 $81,043.00 $74,972.15 2026-03-01
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 5 3 — — $48,734.00 $75,213.87 $74,966.36 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 81 31 — — $26,038.09 $121,023.00 $74,653.30 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 81 31 — — $33,814.00 $113,627.77 $74,555.88 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 76 30 — — $36,609.06 $110,107.30 $74,450.82 2026-03-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $73,454.00 $75,281.36 $74,367.68 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 81 31 — — $33,814.00 $111,832.88 $73,658.44 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 81 31 — — $33,814.00 $110,392.32 $72,938.16 2026-03-01
1597 OTHER New Technology - Level 46 19 9 — — $71,989.98 $73,975.99 $72,525.48 2026-03-01
1583 OTHER New Technology - Level 46 19 9 — — $71,989.98 $73,975.99 $72,525.48 2026-03-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 2 — — $64,621.04 $78,905.69 $72,336.00 2026-03-01
1204 APR_DRG Major Respiratory And Chest Procedures 12 2 — — $61,911.57 $79,926.00 $72,052.64 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 12 2 — — $62,813.33 $78,488.00 $71,986.69 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 52 28 — — $27,600.89 $116,116.00 $71,858.45 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant 12 2 — — $53,986.00 $98,305.13 $71,746.26 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 81 31 — — $28,719.60 $114,766.00 $71,742.80 2026-03-01
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