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

COMMUNITY HOSPITAL OF BREMEN INC

Bremen, IN · CCN 151300 · Rates published

11,728 distinct procedures filed
21 distinct payers
405,716 rate rows
2026-09-16 last MRF observed
Data quality

383,824 of 405,716 rate rows are consumer-grade (94.6%)

21,892 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
per-diem day rate — not a per-procedure price 16,923
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,569
percent-of-charges filed in the dollar field — excluded from medians 347
placeholder amount (≤ $0.02) — excluded from medians 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/350835006_Community-Hospital-of-Bremen_standardcharges-8.csv
Found on page https://www.beaconhealthsystem.org/hospital-chargemaster/
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint ed3583659b18a372… · 51,800,623 bytes · first seen 2026-08-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,508,750
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,675,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,360,000.00 $3,360,000.00 $3,360,000.00 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,231,250.00 $2,231,250.00 $2,231,250.00 nat. median
$2,455,111
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $763,350.00 $763,350.00 $763,350.00 nat. median
$813,967
0.9× median
114
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $647,979.12 $647,979.12 $647,979.12 nat. median
$135,803
outlier · 4.8×
5834
APR_DRG 		Neonate With Ecmo 6 $588,944.20 $588,944.20 $588,944.20 nat. median
$390,362
1.5× median
5833
APR_DRG 		Neonate With Ecmo 6 $588,944.20 $588,944.20 $588,944.20 nat. median
$268,208
outlier · 2.2×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $583,075.96 $583,075.96 $583,075.96 nat. median
$599,737
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $558,502.30 $558,502.30 $558,502.30 nat. median
$201,678
outlier · 2.8×
5831
APR_DRG 		Neonate With Ecmo 6 $558,502.30 $558,502.30 $558,502.30 nat. median
$173,909
outlier · 3.2×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $557,917.92 $557,917.92 $557,917.92 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $554,728.05 $554,728.05 $554,728.05 nat. median
$574,037
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $551,250.00 $551,250.00 $551,250.00 nat. median
$286,598
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $537,458.68 $537,458.68 $537,458.68 nat. median
$225,531
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $528,759.00 $528,759.00 $528,759.00 nat. median
$562,501
0.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $503,124.62 $503,124.62 $503,124.62 nat. median
$286,698
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $485,100.00 $485,100.00 $485,100.00 nat. median
$513,770
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $469,930.95 $469,930.95 $469,930.95 nat. median
$202,242
outlier · 2.3×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 6 $469,136.53 $469,136.53 $469,136.53 nat. median
$181,762
outlier · 2.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 $424,615.95 $424,615.95 $424,615.95 nat. median
$168,055
outlier · 2.5×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $396,403.43 $396,403.43 $396,403.43 nat. median
$173,134
outlier · 2.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $393,435.20 $393,435.20 $393,435.20 nat. median
$135,630
outlier · 2.9×
113
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $378,177.99 $378,177.99 $378,177.99 nat. median
$68,335
outlier · 5.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $333,375.47 $333,375.47 $333,375.47 nat. median
$149,836
outlier · 2.2×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $332,614.53 $332,614.53 $332,614.53 nat. median
$171,497
1.9× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $328,688.97 $328,688.97 $328,688.97 nat. median
$136,566
outlier · 2.4×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $317,330.38 $317,330.38 $317,330.38 nat. median
$168,439
1.9× median
112
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $304,837.81 $304,837.81 $304,837.81 nat. median
$63,564
outlier · 4.8×
1613
APR_DRG 		Implantable Heart Assist Systems 6 $303,870.59 $303,870.59 $303,870.59 nat. median
$155,539
2.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 6 $303,851.24 $303,851.24 $303,851.24 nat. median
$109,992
outlier · 2.8×
1611
APR_DRG 		Implantable Heart Assist Systems 6 $302,838.59 $302,838.59 $302,838.59 nat. median
$108,954
outlier · 2.8×
23
APR_DRG 		Heart And/or Lung Transplant 6 $295,712.02 $295,712.02 $295,712.02 nat. median
$117,894
outlier · 2.5×
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $294,207.35 $294,207.35 $294,207.35 nat. median
$130,862
outlier · 2.2×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $294,207.35 $294,207.35 $294,207.35 nat. median
$152,383
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $275,868.79 $275,868.79 $275,868.79 nat. median
$186,516
1.5× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $250,369.68 $250,369.68 $250,369.68 nat. median
$198,578
1.3× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $245,243.37 $245,243.37 $245,243.37 nat. median
$124,731
2.0× median
22
APR_DRG 		Heart And/or Lung Transplant 6 $243,586.70 $243,586.70 $243,586.70 nat. median
$95,481
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $242,358.25 $242,358.25 $242,358.25 nat. median
$106,926
outlier · 2.3×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 $235,523.02 $235,523.02 $235,523.02 nat. median
$187,567
1.3× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $228,748.68 $228,748.68 $228,748.68 nat. median
$91,350
outlier · 2.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $227,390.60 $227,390.60 $227,390.60 nat. median
$152,792
1.5× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $220,943.88 $220,943.88 $220,943.88 nat. median
$81,292
outlier · 2.7×
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $219,132.78 $219,132.78 $219,132.78 nat. median
$100,752
outlier · 2.2×
21
APR_DRG 		Heart And/or Lung Transplant 6 $217,018.03 $217,018.03 $217,018.03 nat. median
$77,825
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $210,385.85 $210,385.85 $210,385.85 nat. median
$131,925
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 1 $209,156.35 $209,156.35 $209,156.35 nat. median
$145,435
1.4× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $199,957.70 $199,957.70 $199,957.70 nat. median
$85,032
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 11,728 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Inj- Beqvez- Per Tx Dose 10 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-09-16
C9172 HCPCS Inj- Beqvez- Per Tx Dose 10 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-09-16
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 10 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-09-16
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 6 — — $3,360,000.00 $3,360,000.00 $3,360,000.00 2026-09-16
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 6 — — $2,231,250.00 $2,231,250.00 $2,231,250.00 2026-09-16
Q2057 HCPCS Afamitresgene Autoleucel 10 6 — — $763,350.00 $763,350.00 $763,350.00 2026-09-16
114 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $647,979.12 $647,979.12 $647,979.12 2026-09-16
5833 APR_DRG Neonate With Ecmo 10 6 — — $588,944.20 $588,944.20 $588,944.20 2026-09-16
5834 APR_DRG Neonate With Ecmo 10 6 — — $588,944.20 $588,944.20 $588,944.20 2026-09-16
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $583,075.96 $583,075.96 $583,075.96 2026-09-16
5831 APR_DRG Neonate With Ecmo 10 6 — — $558,502.30 $558,502.30 $558,502.30 2026-09-16
5832 APR_DRG Neonate With Ecmo 10 6 — — $558,502.30 $558,502.30 $558,502.30 2026-09-16
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 6 — — $557,917.92 $557,917.92 $557,917.92 2026-09-16
Q2055 HCPCS Idecabtagene Vicleucel Car 10 6 — — $554,728.05 $554,728.05 $554,728.05 2026-09-16
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 6 — — $551,250.00 $551,250.00 $551,250.00 2026-09-16
24 APR_DRG Heart And/or Lung Transplant 10 6 — — $537,458.68 $537,458.68 $537,458.68 2026-09-16
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 6 — — $528,759.00 $528,759.00 $528,759.00 2026-09-16
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 10 6 — — $503,124.62 $503,124.62 $503,124.62 2026-09-16
Q2053 HCPCS Brexucabtagene Car Pos T 10 6 — — $485,100.00 $485,100.00 $485,100.00 2026-09-16
1614 APR_DRG Implantable Heart Assist Systems 10 6 — — $469,930.95 $469,930.95 $469,930.95 2026-09-16
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 6 — — $469,136.53 $469,136.53 $469,136.53 2026-09-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 1 — — $424,615.95 $424,615.95 $424,615.95 2026-09-16
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 10 6 — — $396,403.43 $396,403.43 $396,403.43 2026-09-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $393,435.20 $393,435.20 $393,435.20 2026-09-16
113 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $378,177.99 $378,177.99 $378,177.99 2026-09-16
74 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $333,375.47 $333,375.47 $333,375.47 2026-09-16
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 6 — — $332,614.53 $332,614.53 $332,614.53 2026-09-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 6 — — $328,688.97 $328,688.97 $328,688.97 2026-09-16
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 6 — — $317,330.38 $317,330.38 $317,330.38 2026-09-16
112 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $304,837.81 $304,837.81 $304,837.81 2026-09-16
1613 APR_DRG Implantable Heart Assist Systems 10 6 — — $303,870.59 $303,870.59 $303,870.59 2026-09-16
1612 APR_DRG Implantable Heart Assist Systems 10 6 — — $303,851.24 $303,851.24 $303,851.24 2026-09-16
1611 APR_DRG Implantable Heart Assist Systems 10 6 — — $302,838.59 $302,838.59 $302,838.59 2026-09-16
23 APR_DRG Heart And/or Lung Transplant 10 6 — — $295,712.02 $295,712.02 $295,712.02 2026-09-16
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 10 6 — — $294,207.35 $294,207.35 $294,207.35 2026-09-16
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 10 6 — — $294,207.35 $294,207.35 $294,207.35 2026-09-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $275,868.79 $275,868.79 $275,868.79 2026-09-16
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 6 — — $250,369.68 $250,369.68 $250,369.68 2026-09-16
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $245,243.37 $245,243.37 $245,243.37 2026-09-16
22 APR_DRG Heart And/or Lung Transplant 10 6 — — $243,586.70 $243,586.70 $243,586.70 2026-09-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 6 — — $242,358.25 $242,358.25 $242,358.25 2026-09-16
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 6 — — $235,523.02 $235,523.02 $235,523.02 2026-09-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 6 — — $228,748.68 $228,748.68 $228,748.68 2026-09-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $227,390.60 $227,390.60 $227,390.60 2026-09-16
73 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $220,943.88 $220,943.88 $220,943.88 2026-09-16
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $219,132.78 $219,132.78 $219,132.78 2026-09-16
21 APR_DRG Heart And/or Lung Transplant 10 6 — — $217,018.03 $217,018.03 $217,018.03 2026-09-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $210,385.85 $210,385.85 $210,385.85 2026-09-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 1 1 — — $209,156.35 $209,156.35 $209,156.35 2026-09-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $199,957.70 $199,957.70 $199,957.70 2026-09-16
72 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $198,437.33 $198,437.33 $198,437.33 2026-09-16
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 6 — — $191,842.30 $191,842.30 $191,842.30 2026-09-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 6 — — $186,758.52 $186,758.52 $186,758.52 2026-09-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 6 — — $181,159.91 $181,159.91 $181,159.91 2026-09-16
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 6 — — $180,772.13 $180,772.13 $180,772.13 2026-09-16
8514 APR_DRG Gender Related Procedures 10 6 — — $180,152.55 $180,152.55 $180,152.55 2026-09-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 6 — — $180,120.92 $180,120.92 $180,120.92 2026-09-16
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $172,990.93 $172,990.93 $172,990.93 2026-09-16
63 APR_DRG Pancreas Transplant 10 6 — — $171,455.28 $171,455.28 $171,455.28 2026-09-16
64 APR_DRG Pancreas Transplant 10 6 — — $171,455.28 $171,455.28 $171,455.28 2026-09-16
62 APR_DRG Pancreas Transplant 10 6 — — $171,455.28 $171,455.28 $171,455.28 2026-09-16
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 10 6 — — $169,641.18 $169,641.18 $169,641.18 2026-09-16
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 6 — — $167,555.65 $167,555.65 $167,555.65 2026-09-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 6 — — $166,227.07 $166,227.07 $166,227.07 2026-09-16
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 6 — — $166,222.61 $166,222.61 $166,222.61 2026-09-16
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 6 — — $166,061.36 $166,061.36 $166,061.36 2026-09-16
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 6 — — $157,422.04 $157,422.04 $157,422.04 2026-09-16
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $153,859.46 $153,859.46 $153,859.46 2026-09-16
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 6 — — $152,229.56 $152,229.56 $152,229.56 2026-09-16
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 6 — — $151,921.76 $151,921.76 $151,921.76 2026-09-16
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 6 — — $150,780.11 $150,780.11 $150,780.11 2026-09-16
8634 APR_DRG Neonatal Aftercare 10 6 — — $150,117.29 $150,117.29 $150,117.29 2026-09-16
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 10 6 — — $149,016.91 $149,016.91 $149,016.91 2026-09-16
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 6 — — $147,993.49 $147,993.49 $147,993.49 2026-09-16
914 APR_DRG Other Major Head And Neck Procedures 10 6 — — $143,859.47 $143,859.47 $143,859.47 2026-09-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 6 — — $142,378.87 $142,378.87 $142,378.87 2026-09-16
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 10 6 — — $141,031.91 $141,031.91 $141,031.91 2026-09-16
4404 APR_DRG Kidney Transplant 10 6 — — $140,057.84 $140,057.84 $140,057.84 2026-09-16
4403 APR_DRG Kidney Transplant 10 6 — — $138,967.79 $138,967.79 $138,967.79 2026-09-16
4402 APR_DRG Kidney Transplant 10 6 — — $138,883.94 $138,883.94 $138,883.94 2026-09-16
4401 APR_DRG Kidney Transplant 10 6 — — $138,825.89 $138,825.89 $138,825.89 2026-09-16
214 APR_DRG Open Craniotomy Except Trauma 10 6 — — $138,009.22 $138,009.22 $138,009.22 2026-09-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 1 1 — — $136,800.72 $136,800.72 $136,800.72 2026-09-16
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $135,568.66 $135,568.66 $135,568.66 2026-09-16
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $134,562.75 $134,562.75 $134,562.75 2026-09-16
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 10 6 — — $134,367.74 $134,367.74 $134,367.74 2026-09-16
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 10 6 — — $134,367.74 $134,367.74 $134,367.74 2026-09-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 6 — — $133,236.70 $133,236.70 $133,236.70 2026-09-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 6 — — $132,125.87 $132,125.87 $132,125.87 2026-09-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 6 — — $131,273.94 $131,273.94 $131,273.94 2026-09-16
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 10 6 — — $131,271.86 $131,271.86 $131,271.86 2026-09-16
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $129,752.55 $129,752.55 $129,752.55 2026-09-16
7 MS_DRG Lung Transplant 1 1 — — $127,957.66 $127,957.66 $127,957.66 2026-09-16
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 10 6 — — $127,924.41 $127,924.41 $127,924.41 2026-09-16
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 10 6 — — $127,924.41 $127,924.41 $127,924.41 2026-09-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 6 — — $127,441.76 $127,441.76 $127,441.76 2026-09-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 6 — — $125,385.71 $125,385.71 $125,385.71 2026-09-16
224 APR_DRG Ventricular Shunt Procedures 10 6 — — $124,923.91 $124,923.91 $124,923.91 2026-09-16
71 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $122,893.92 $122,893.92 $122,893.92 2026-09-16
111 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $122,184.42 $122,184.42 $122,184.42 2026-09-16
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 6 — — $120,077.11 $120,077.11 $120,077.11 2026-09-16
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $119,929.30 $119,929.30 $119,929.30 2026-09-16
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $118,809.44 $118,809.44 $118,809.44 2026-09-16
1784 APR_DRG External Heart Assist Systems 10 6 — — $118,390.37 $118,390.37 $118,390.37 2026-09-16
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 10 6 — — $116,133.18 $116,133.18 $116,133.18 2026-09-16
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 6 — — $115,963.34 $115,963.34 $115,963.34 2026-09-16
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 6 — — $115,169.99 $115,169.99 $115,169.99 2026-09-16
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $115,017.12 $115,017.12 $115,017.12 2026-09-16
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $114,901.02 $114,901.02 $114,901.02 2026-09-16
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $114,623.02 $114,623.02 $114,623.02 2026-09-16
8633 APR_DRG Neonatal Aftercare 10 6 — — $113,807.97 $113,807.97 $113,807.97 2026-09-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $113,743.82 $113,743.82 $113,743.82 2026-09-16
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 6 — — $112,777.42 $112,777.42 $112,777.42 2026-09-16
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 6 — — $112,195.05 $112,195.05 $112,195.05 2026-09-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $112,077.05 $112,077.05 $112,077.05 2026-09-16
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 1 1 — — $111,949.49 $111,949.49 $111,949.49 2026-09-16
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $111,911.47 $111,911.47 $111,911.47 2026-09-16
204 APR_DRG Open Craniotomy For Trauma 10 6 — — $111,739.26 $111,739.26 $111,739.26 2026-09-16
6954 APR_DRG Chemotherapy For Acute Leukemia 10 6 — — $111,363.86 $111,363.86 $111,363.86 2026-09-16
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 10 6 — — $111,276.39 $111,276.39 $111,276.39 2026-09-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 6 — — $111,053.89 $111,053.89 $111,053.89 2026-09-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 6 — — $110,819.19 $110,819.19 $110,819.19 2026-09-16
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $109,899.76 $109,899.76 $109,899.76 2026-09-16
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 6 — — $109,627.95 $109,627.95 $109,627.95 2026-09-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $109,029.30 $109,029.30 $109,029.30 2026-09-16
2004 APR_DRG Cardiac Structural And Valvular Disorders 10 6 — — $107,954.58 $107,954.58 $107,954.58 2026-09-16
212 MS_DRG Testes Procedures Age 0-17 1 1 — — $107,585.88 $107,585.88 $107,585.88 2026-09-16
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $104,674.53 $104,674.53 $104,674.53 2026-09-16
1694 APR_DRG Major Abdominal Vascular Procedures 10 6 — — $104,651.81 $104,651.81 $104,651.81 2026-09-16
1814 APR_DRG Lower Extremity Arterial Procedures 10 6 — — $103,777.96 $103,777.96 $103,777.96 2026-09-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $102,055.53 $102,055.53 $102,055.53 2026-09-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 6 — — $102,054.57 $102,054.57 $102,054.57 2026-09-16
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 6 — — $101,277.72 $101,277.72 $101,277.72 2026-09-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 6 — — $101,038.94 $101,038.94 $101,038.94 2026-09-16
2304 APR_DRG Major Small Bowel Procedures 10 6 — — $100,576.91 $100,576.91 $100,576.91 2026-09-16
215 MS_DRG Other Heart Assist System Implant 1 1 — — $98,586.80 $98,586.80 $98,586.80 2026-09-16
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $98,064.99 $98,064.99 $98,064.99 2026-09-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 6 — — $97,549.52 $97,549.52 $97,549.52 2026-09-16
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 6 — — $97,374.00 $97,374.00 $97,374.00 2026-09-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 6 — — $97,069.40 $97,069.40 $97,069.40 2026-09-16
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 6 — — $97,040.10 $97,040.10 $97,040.10 2026-09-16
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 6 — — $96,948.30 $96,948.30 $96,948.30 2026-09-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $96,877.46 $96,877.46 $96,877.46 2026-09-16
3213 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 6 — — $96,872.40 $96,872.40 $96,872.40 2026-09-16
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 6 — — $96,758.04 $96,758.04 $96,758.04 2026-09-16
6301 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 6 — — $96,758.04 $96,758.04 $96,758.04 2026-09-16
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 6 — — $96,758.04 $96,758.04 $96,758.04 2026-09-16
6903 APR_DRG Acute Leukemia 10 6 — — $95,802.54 $95,802.54 $95,802.54 2026-09-16
6904 APR_DRG Acute Leukemia 10 6 — — $95,802.54 $95,802.54 $95,802.54 2026-09-16
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 6 — — $94,985.80 $94,985.80 $94,985.80 2026-09-16
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 6 — — $94,520.97 $94,520.97 $94,520.97 2026-09-16
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $93,687.08 $93,687.08 $93,687.08 2026-09-16
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 10 6 — — $93,332.37 $93,332.37 $93,332.37 2026-09-16
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 10 6 — — $93,047.62 $93,047.62 $93,047.62 2026-09-16
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 6 — — $92,323.37 $92,323.37 $92,323.37 2026-09-16
1204 APR_DRG Major Respiratory And Chest Procedures 10 6 — — $92,232.30 $92,232.30 $92,232.30 2026-09-16
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 6 — — $90,448.37 $90,448.37 $90,448.37 2026-09-16
1783 APR_DRG External Heart Assist Systems 10 6 — — $90,339.64 $90,339.64 $90,339.64 2026-09-16
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $90,231.60 $90,231.60 $90,231.60 2026-09-16
234 APR_DRG Spinal Procedures 10 6 — — $90,204.57 $90,204.57 $90,204.57 2026-09-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 6 — — $89,298.56 $89,298.56 $89,298.56 2026-09-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $89,290.41 $89,290.41 $89,290.41 2026-09-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $88,620.13 $88,620.13 $88,620.13 2026-09-16
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $88,491.13 $88,491.13 $88,491.13 2026-09-16
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 6 — — $87,793.50 $87,793.50 $87,793.50 2026-09-16
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 6 — — $87,568.42 $87,568.42 $87,568.42 2026-09-16
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 10 6 — — $85,912.30 $85,912.30 $85,912.30 2026-09-16
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $85,855.05 $85,855.05 $85,855.05 2026-09-16
1794 APR_DRG Defibrillator Implants 10 6 — — $85,673.79 $85,673.79 $85,673.79 2026-09-16
894 APR_DRG Major Cranial/facial Bone Procedures 10 6 — — $85,568.88 $85,568.88 $85,568.88 2026-09-16
274 APR_DRG Other Open Craniotomy 10 6 — — $84,403.30 $84,403.30 $84,403.30 2026-09-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $83,602.08 $83,602.08 $83,602.08 2026-09-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 1 1 — — $83,342.05 $83,342.05 $83,342.05 2026-09-16
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 10 6 — — $83,239.52 $83,239.52 $83,239.52 2026-09-16
294 APR_DRG Other Percutaneous Intracranial Procedures 10 6 — — $81,963.38 $81,963.38 $81,963.38 2026-09-16
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 10 6 — — $80,814.58 $80,814.58 $80,814.58 2026-09-16
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 6 — — $80,603.23 $80,603.23 $80,603.23 2026-09-16
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 6 — — $80,551.63 $80,551.63 $80,551.63 2026-09-16
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 6 — — $79,950.34 $79,950.34 $79,950.34 2026-09-16
6902 APR_DRG Acute Leukemia 10 6 — — $79,314.45 $79,314.45 $79,314.45 2026-09-16
4414 APR_DRG Major Bladder Procedures 10 6 — — $79,252.26 $79,252.26 $79,252.26 2026-09-16
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 10 6 — — $78,591.47 $78,591.47 $78,591.47 2026-09-16
1214 APR_DRG Other Respiratory And Chest Procedures 10 6 — — $78,448.14 $78,448.14 $78,448.14 2026-09-16
213 APR_DRG Open Craniotomy Except Trauma 10 6 — — $78,298.23 $78,298.23 $78,298.23 2026-09-16
4284 APR_DRG Genetic Disorders 10 6 — — $78,294.40 $78,294.40 $78,294.40 2026-09-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $78,096.26 $78,096.26 $78,096.26 2026-09-16
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $78,058.12 $78,058.12 $78,058.12 2026-09-16
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 10 6 — — $77,900.70 $77,900.70 $77,900.70 2026-09-16
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 10 6 — — $77,121.40 $77,121.40 $77,121.40 2026-09-16
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 10 6 — — $76,940.27 $76,940.27 $76,940.27 2026-09-16
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 6 — — $76,935.52 $76,935.52 $76,935.52 2026-09-16
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 10 6 — — $76,544.35 $76,544.35 $76,544.35 2026-09-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 6 — — $76,239.22 $76,239.22 $76,239.22 2026-09-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $76,227.00 $76,227.00 $76,227.00 2026-09-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 1 1 — — $75,902.19 $75,902.19 $75,902.19 2026-09-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $75,653.95 $75,653.95 $75,653.95 2026-09-16
6223 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $75,527.18 $75,527.18 $75,527.18 2026-09-16
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 10 6 — — $75,266.96 $75,266.96 $75,266.96 2026-09-16
3084 APR_DRG Hip And Femur Fracture Repair 10 6 — — $74,569.02 $74,569.02 $74,569.02 2026-09-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $74,455.37 $74,455.37 $74,455.37 2026-09-16
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 10 6 — — $74,022.53 $74,022.53 $74,022.53 2026-09-16
1782 APR_DRG External Heart Assist Systems 10 6 — — $73,715.50 $73,715.50 $73,715.50 2026-09-16
5204 APR_DRG Other GYN Procedures For Malignancy 10 6 — — $73,420.43 $73,420.43 $73,420.43 2026-09-16
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 6 — — $72,944.62 $72,944.62 $72,944.62 2026-09-16
Q0480 HCPCS Driver Pneumatic Vad- Rep 10 6 — — $72,648.53 $72,648.53 $72,648.53 2026-09-16
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 6 — — $71,827.10 $71,827.10 $71,827.10 2026-09-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $71,716.18 $71,716.18 $71,716.18 2026-09-16
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 6 — — $71,420.76 $71,420.76 $71,420.76 2026-09-16
10 MS_DRG Pancreas Transplant 1 1 — — $71,295.21 $71,295.21 $71,295.21 2026-09-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $71,265.78 $71,265.78 $71,265.78 2026-09-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $70,891.91 $70,891.91 $70,891.91 2026-09-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $70,850.70 $70,850.70 $70,850.70 2026-09-16
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 10 6 — — $70,758.66 $70,758.66 $70,758.66 2026-09-16
1824 APR_DRG Other Peripheral Vascular Procedures 10 6 — — $70,195.10 $70,195.10 $70,195.10 2026-09-16
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 10 6 — — $70,070.79 $70,070.79 $70,070.79 2026-09-16
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 10 6 — — $69,722.43 $69,722.43 $69,722.43 2026-09-16
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $69,137.09 $69,137.09 $69,137.09 2026-09-16
6953 APR_DRG Chemotherapy For Acute Leukemia 10 6 — — $69,037.41 $69,037.41 $69,037.41 2026-09-16
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 6 — — $68,755.81 $68,755.81 $68,755.81 2026-09-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $68,705.68 $68,705.68 $68,705.68 2026-09-16
2064 APR_DRG Malfunction,reaction,complication Of Cardiac/vasc Device Or Procedure 10 6 — — $68,672.66 $68,672.66 $68,672.66 2026-09-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $68,373.04 $68,373.04 $68,373.04 2026-09-16
1793 APR_DRG Defibrillator Implants 10 6 — — $67,549.46 $67,549.46 $67,549.46 2026-09-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $66,932.56 $66,932.56 $66,932.56 2026-09-16
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $66,705.33 $66,705.33 $66,705.33 2026-09-16
A9604 HCPCS Sm 153 Lexidronam 10 6 — — $66,678.38 $66,678.38 $66,678.38 2026-09-16
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 6 — — $66,541.14 $66,541.14 $66,541.14 2026-09-16
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $66,494.92 $66,494.92 $66,494.92 2026-09-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $66,446.85 $66,446.85 $66,446.85 2026-09-16
233 APR_DRG Spinal Procedures 10 6 — — $66,407.89 $66,407.89 $66,407.89 2026-09-16
2244 APR_DRG Peritoneal Adhesiolysis 10 6 — — $66,397.62 $66,397.62 $66,397.62 2026-09-16
734 APR_DRG Orbit And Eye Procedures 10 6 — — $66,312.82 $66,312.82 $66,312.82 2026-09-16
293 APR_DRG Other Percutaneous Intracranial Procedures 10 6 — — $66,238.49 $66,238.49 $66,238.49 2026-09-16
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 10 6 — — $66,086.72 $66,086.72 $66,086.72 2026-09-16
1804 APR_DRG Other Circulatory System Procedures 10 6 — — $65,886.11 $65,886.11 $65,886.11 2026-09-16
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 6 — — $65,732.65 $65,732.65 $65,732.65 2026-09-16
264 APR_DRG Other Nervous System And Related Procedures 10 6 — — $65,432.59 $65,432.59 $65,432.59 2026-09-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $65,403.77 $65,403.77 $65,403.77 2026-09-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $65,403.77 $65,403.77 $65,403.77 2026-09-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 6 — — $65,226.10 $65,226.10 $65,226.10 2026-09-16
2294 APR_DRG Other Digestive System And Abdominal Procedures 10 6 — — $65,179.74 $65,179.74 $65,179.74 2026-09-16
3054 APR_DRG Amputation Of Lower Limb Except Toes 10 6 — — $65,173.95 $65,173.95 $65,173.95 2026-09-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $65,169.26 $65,169.26 $65,169.26 2026-09-16
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 6 — — $65,116.56 $65,116.56 $65,116.56 2026-09-16
2804 APR_DRG Alcoholic Liver Disease 10 6 — — $65,080.29 $65,080.29 $65,080.29 2026-09-16
6333 APR_DRG Neonate Birthwt >2499g W Major Anomaly 10 6 — — $64,851.31 $64,851.31 $64,851.31 2026-09-16
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 6 — — $64,275.23 $64,275.23 $64,275.23 2026-09-16
2234 APR_DRG Other Small And Large Bowel Procedures 10 6 — — $64,136.78 $64,136.78 $64,136.78 2026-09-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $64,024.12 $64,024.12 $64,024.12 2026-09-16
J9029 HCPCS Instill Adstiladrin- Tx Dose 10 6 — — $63,945.00 $63,945.00 $63,945.00 2026-09-16
9103 APR_DRG Craniotomy For Multiple Significant Trauma 10 6 — — $63,841.42 $63,841.42 $63,841.42 2026-09-16
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 10 6 — — $63,777.03 $63,777.03 $63,777.03 2026-09-16
8632 APR_DRG Neonatal Aftercare 10 6 — — $63,739.24 $63,739.24 $63,739.24 2026-09-16
9113 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 10 6 — — $63,495.98 $63,495.98 $63,495.98 2026-09-16
1781 APR_DRG External Heart Assist Systems 10 6 — — $63,427.05 $63,427.05 $63,427.05 2026-09-16
4854 APR_DRG Prostatectomy Procedures 10 6 — — $63,155.40 $63,155.40 $63,155.40 2026-09-16
913 APR_DRG Other Major Head And Neck Procedures 10 6 — — $63,111.68 $63,111.68 $63,111.68 2026-09-16
2614 APR_DRG Major Biliary Tract Procedures 10 6 — — $62,708.61 $62,708.61 $62,708.61 2026-09-16
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 6 — — $62,661.22 $62,661.22 $62,661.22 2026-09-16
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 10 6 — — $62,534.12 $62,534.12 $62,534.12 2026-09-16
404 APR_DRG Spinal Disorders And Injuries 10 6 — — $62,277.48 $62,277.48 $62,277.48 2026-09-16
403 APR_DRG Spinal Disorders And Injuries 10 6 — — $62,277.48 $62,277.48 $62,277.48 2026-09-16
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 6 — — $61,869.17 $61,869.17 $61,869.17 2026-09-16
6312 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 6 — — $61,660.06 $61,660.06 $61,660.06 2026-09-16
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 10 6 — — $61,559.03 $61,559.03 $61,559.03 2026-09-16
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 6 — — $61,349.82 $61,349.82 $61,349.82 2026-09-16
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 1 1 — — $61,018.55 $61,018.55 $61,018.55 2026-09-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $60,948.87 $60,948.87 $60,948.87 2026-09-16
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 6 — — $60,936.37 $60,936.37 $60,936.37 2026-09-16
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 6 — — $60,877.12 $60,877.12 $60,877.12 2026-09-16
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 6 — — $60,862.60 $60,862.60 $60,862.60 2026-09-16
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $60,526.41 $60,526.41 $60,526.41 2026-09-16
2314 APR_DRG Major Large Bowel Procedures 10 6 — — $60,388.22 $60,388.22 $60,388.22 2026-09-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $60,372.89 $60,372.89 $60,372.89 2026-09-16
4034 APR_DRG Procedures For Obesity 10 6 — — $60,156.30 $60,156.30 $60,156.30 2026-09-16
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 10 6 — — $60,046.08 $60,046.08 $60,046.08 2026-09-16
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $59,840.06 $59,840.06 $59,840.06 2026-09-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $59,823.38 $59,823.38 $59,823.38 2026-09-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 1 1 — — $59,396.55 $59,396.55 $59,396.55 2026-09-16
1744 APR_DRG Percutaneous Coronary Intervention W Ami 10 6 — — $59,372.64 $59,372.64 $59,372.64 2026-09-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 1 1 — — $59,204.21 $59,204.21 $59,204.21 2026-09-16
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 10 6 — — $59,072.93 $59,072.93 $59,072.93 2026-09-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $59,068.80 $59,068.80 $59,068.80 2026-09-16
244 APR_DRG Open Extracranial Vascular Procedures 10 6 — — $59,064.33 $59,064.33 $59,064.33 2026-09-16
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $58,915.66 $58,915.66 $58,915.66 2026-09-16
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 6 — — $58,642.72 $58,642.72 $58,642.72 2026-09-16
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 6 — — $58,534.65 $58,534.65 $58,534.65 2026-09-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $58,469.24 $58,469.24 $58,469.24 2026-09-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $58,431.97 $58,431.97 $58,431.97 2026-09-16
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 10 6 — — $58,099.48 $58,099.48 $58,099.48 2026-09-16
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 6 — — $58,094.37 $58,094.37 $58,094.37 2026-09-16
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 10 6 — — $57,893.58 $57,893.58 $57,893.58 2026-09-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $57,473.28 $57,473.28 $57,473.28 2026-09-16
3094 APR_DRG Other Significant Hip And Femur Surgery 10 6 — — $57,414.32 $57,414.32 $57,414.32 2026-09-16
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 10 6 — — $57,366.69 $57,366.69 $57,366.69 2026-09-16
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 10 6 — — $57,355.58 $57,355.58 $57,355.58 2026-09-16
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 10 6 — — $57,189.50 $57,189.50 $57,189.50 2026-09-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $57,112.18 $57,112.18 $57,112.18 2026-09-16
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 10 6 — — $57,099.72 $57,099.72 $57,099.72 2026-09-16
213 MS_DRG Splenic Procedures Age 0-17 1 1 — — $56,882.57 $56,882.57 $56,882.57 2026-09-16
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