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

INDIANA UNIVERSITY HEALTH JAY, INC.

Portland, IN · CCN 151320 · Rates published

26,895 distinct procedures filed
25 distinct payers
1,270,488 rate rows
2026-03-25 last MRF observed
Data quality

1,176,855 of 1,270,488 rate rows are consumer-grade (92.6%)

93,633 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 80,768
per-diem day rate — not a per-procedure price 10,780
exceeds 10× this hospital's gross charge — excluded from medians 1,463
placeholder amount (≤ $0.02) — excluded from medians 622
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.iuhealth.org/resources/822736786_indiana-university-health-jay-inc._standardcharges.zip
Found on page https://iuhealth.org/schedule-an-appointment/price-estimates/standard-charge-listing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 10a598096775c283… · 61,225,828 bytes · first seen 2026-06-16

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
56552177
CDM 		Delandistrogene Moxeparvovec Inj 18 $0.03 $4,694,976.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
56508781
CDM 		Lovotibeglogene Autotemcel Inj 16 $0.03 $4,185,000.00 $3,323,820.00 nat. median
$3,255,000
1.0× median
56501190
CDM 		Betibeglogene Autotemcel Inj 16 $0.03 $4,108,104.00 $3,262,747.49 nat. median
$3,195,192
1.0× median
56507668
CDM 		Exagamglogene Autotemcel Inj 17 $1,384,227.90 $3,103,650.00 $2,517,405.00 nat. median
$2,434,641
1.0× median
56504608
CDM 		Afamitresgene Autoleucel Inj 19 $729,544.50 $1,635,750.00 $1,299,149.00 nat. median
$1,228,630
1.1× median
56507262
CDM 		Lifileucel Inj 16 $645,810.00 $1,453,072.50 $1,162,458.00 nat. median
$1,130,168
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $885,247.40 $888,745.21 $886,996.30 nat. median
$370,165
outlier · 2.4×
56504582
CDM 		Obecabtagene Autoleucel Inj 19 $379,323.00 $850,500.00 $675,486.00 nat. median
$638,820
1.1× median
52590841
CDM 		Tisagenlecleucel Inj (iv)(all) 16 $0.03 $820,908.99 $651,984.16 nat. median
$638,485
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $647,979.12 $647,979.12 $647,979.12 nat. median
$119,243
outlier · 5.4×
5834
APR_DRG 		Neonate W Ecmo 4 $588,944.20 $588,944.20 $588,944.20 nat. median
$311,018
1.9× median
5833
APR_DRG 		Neonate W Ecmo 4 $588,944.20 $588,944.20 $588,944.20 nat. median
$250,089
outlier · 2.4×
52599552
CDM 		Ciltacabtagene Autoleucel Inj 18 $0.03 $749,669.13 $583,075.96 nat. median
$583,076
1.0× median
52597630
CDM 		Lisocabtagene Maraleucel Inj 18 $0.03 $717,323.04 $581,828.69 nat. median
$585,814
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $574,489.95 $576,759.89 $575,624.92 nat. median
$261,939
outlier · 2.2×
52598240
CDM 		Idecabtagene Vicleucel Inj 18 $0.03 $713,221.79 $571,369.89 nat. median
$571,370
1.0× median
52594413
CDM 		Tisagenlecleucel Inj (iv)(dlbcl) 16 $0.03 $706,254.93 $560,923.36 nat. median
$549,309
1.0× median
5831
APR_DRG 		Neonate W Ecmo 4 $558,502.30 $558,502.30 $558,502.30 nat. median
$154,685
outlier · 3.6×
5832
APR_DRG 		Neonate W Ecmo 4 $558,502.30 $558,502.30 $558,502.30 nat. median
$169,230
outlier · 3.3×
24
APR_DRG 		Heart &/or Lung Transplant 4 $537,458.68 $537,458.68 $537,458.68 nat. median
$243,231
outlier · 2.2×
52590668
CDM 		Axicabtagene Ciloleucel Inj (iv) 18 $0.03 $679,833.00 $528,759.00 nat. median
$528,759
1.0× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $503,124.62 $503,124.62 $503,124.62 nat. median
$254,667
2.0× median
52596608
CDM 		Brexucabtagene Autoleucel Inj (iv) 18 $0.03 $623,700.00 $485,100.00 nat. median
$485,100
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $469,930.95 $469,930.95 $469,930.95 nat. median
$209,486
outlier · 2.2×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $469,136.53 $469,136.53 $469,136.53 nat. median
$147,677
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $437,685.25 $439,414.64 $438,549.95 nat. median
$205,166
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $435,116.60 $436,835.84 $435,976.22 nat. median
$199,832
outlier · 2.2×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $396,403.43 $396,403.43 $396,403.43 nat. median
$180,995
outlier · 2.2×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 $393,435.20 $393,435.20 $393,435.20 nat. median
$127,600
outlier · 3.1×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $378,177.99 $378,177.99 $378,177.99 nat. median
$67,603
outlier · 5.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $333,375.47 $333,375.47 $333,375.47 nat. median
$175,480
1.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $332,614.53 $332,614.53 $332,614.53 nat. median
$168,361
2.0× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 4 $328,688.97 $328,688.97 $328,688.97 nat. median
$137,901
outlier · 2.4×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $317,330.38 $317,330.38 $317,330.38 nat. median
$156,285
outlier · 2.0×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $304,837.81 $304,837.81 $304,837.81 nat. median
$63,564
outlier · 4.8×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $303,870.59 $303,870.59 $303,870.59 nat. median
$127,938
outlier · 2.4×
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $303,851.24 $303,851.24 $303,851.24 nat. median
$93,192
outlier · 3.3×
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $302,838.59 $302,838.59 $302,838.59 nat. median
$82,164
outlier · 3.7×
52780152
CDM 		Heartmate 19 $524.16 $385,630.20 $299,934.60 nat. median
$281,167
1.1× median
23
APR_DRG 		Heart &/or Lung Transplant 4 $295,712.02 $295,712.02 $295,712.02 nat. median
$116,111
outlier · 2.5×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $294,207.35 $294,207.35 $294,207.35 nat. median
$147,847
2.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $294,207.35 $294,207.35 $294,207.35 nat. median
$120,928
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $283,953.70 $285,075.66 $284,514.68 nat. median
$132,706
outlier · 2.1×
7
MS_DRG 		Lung Transplant 2 $265,479.10 $266,528.07 $266,003.58 nat. median
$122,690
outlier · 2.2×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $250,369.68 $250,369.68 $250,369.68 nat. median
$168,174
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $246,366.95 $247,340.40 $246,853.67 nat. median
$114,305
outlier · 2.2×
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 $245,243.37 $245,243.37 $245,243.37 nat. median
$123,690
2.0× median
22
APR_DRG 		Heart &/or Lung Transplant 4 $243,586.70 $243,586.70 $243,586.70 nat. median
$94,014
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $242,358.25 $242,358.25 $242,358.25 nat. median
$101,315
outlier · 2.4×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $235,523.02 $235,523.02 $235,523.02 nat. median
$160,171
1.5× median

Other procedures at this hospital

Browse this hospital's 26,895 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
             
52780152 CDM Heartmate 43 19 $428,478.00 $191,701.06 55% off $524.16 $385,630.20 $299,934.60 2026-03-25
55729339 CDM Heartmate 43 19 $276,183.00 $123,564.27 55% off $524.16 $248,564.70 $193,328.10 2026-03-25
55727275 CDM Implant Hvad Pump 43 19 $273,585.00 $122,401.93 55% off $524.16 $246,226.50 $191,509.50 2026-03-25
55747844 CDM Gammatile Therapy Device 43 19 $266,044.00 $119,028.09 55% off $524.16 $239,439.60 $186,230.80 2026-03-25
55747836 CDM Gammatile Therapy Device 43 19 $222,668.00 $99,621.66 55% off $524.16 $200,401.20 $155,867.60 2026-03-25
50730332 CDM Aicd Other Than Sing/dual 43 19 $195,559.00 $87,493.10 55% off $82.84 $176,003.10 $136,891.30 2026-03-25
55747828 CDM Gammatile Therapy Device 43 19 $193,750.00 $86,683.75 55% off $524.16 $174,375.00 $135,625.00 2026-03-25
52799806 CDM Aicd Other Than Sing/dual 43 19 $189,768.00 $84,902.20 55% off $82.84 $170,791.20 $132,837.60 2026-03-25
52573912 CDM Sipuleucel-t 250 Ml 43 19 $196,489.65 $87,909.47 55% off $65,732.65 $176,840.69 $132,036.55 2026-03-25
56507742 CDM Nadofaragene Firadenovec Inj 43 19 $182,700.00 $81,739.98 55% off $63,945.00 $174,225.62 $131,726.70 2026-03-25
52797297 CDM Aicd Dual Chamber 43 19 $181,549.00 $81,225.02 55% off $82.84 $163,394.10 $127,084.30 2026-03-25
55700751 CDM Aicd Other Than Sing/dual 43 19 $180,610.00 $80,804.91 55% off $82.84 $162,549.00 $126,427.00 2026-03-25
52797313 CDM Aicd Dual Chamber 43 19 $175,811.00 $78,657.84 55% off $82.84 $158,229.90 $123,067.70 2026-03-25
56300825 CDM Y-90 Zevalin, Per Dose 43 19 $153,485.10 $68,669.23 55% off $48,770.67 $173,265.87 $122,788.08 2026-03-25
56209950 CDM Aicd Other Than Sing/dual 43 19 $175,116.00 $78,346.90 55% off $82.84 $157,604.40 $122,581.20 2026-03-25
52797305 CDM Aicd Other Than Sing/dual 43 19 $167,818.00 $75,081.77 55% off $82.84 $151,036.20 $117,472.60 2026-03-25
55747810 CDM Gammatile Therapy Device 43 19 $164,831.00 $73,745.39 55% off $524.16 $148,347.90 $115,381.70 2026-03-25
52799947 CDM Aicd Other Than Sing/dual 43 19 $164,467.00 $73,582.54 55% off $82.84 $148,020.30 $115,126.90 2026-03-25
50738376 CDM Aicd Other Than Sing/dual 43 19 $160,522.00 $71,817.54 55% off $82.84 $144,469.80 $112,365.40 2026-03-25
55704142 CDM Generator Neuro Non-recharg 43 19 $158,625.00 $70,968.83 55% off $524.16 $142,762.50 $111,037.50 2026-03-25
55700744 CDM Aicd Other Than Sing/dual 43 19 $157,265.00 $70,360.36 55% off $82.84 $141,538.50 $110,085.50 2026-03-25
53300687 CDM Srs,(cerebral)1 Ses Multi Co60 43 19 $157,077.00 $70,276.25 55% off $29,078.36 $141,369.30 $109,953.90 2026-03-25
52799780 CDM Aicd Dual Chamber 43 19 $155,189.00 $69,431.56 55% off $82.84 $139,670.10 $108,632.30 2026-03-25
50751577 CDM Aicd Other Than Sing/dual 43 19 $153,226.00 $68,553.31 55% off $82.84 $137,903.40 $107,258.20 2026-03-25
56208754 CDM Aicd Dual Chamber 43 19 $151,037.00 $67,573.95 55% off $82.84 $135,933.30 $105,725.90 2026-03-25
50736792 CDM Aicd Dual Chamber 43 19 $150,462.00 $67,316.70 55% off $82.84 $135,415.80 $105,323.40 2026-03-25
55747802 CDM Gammatile Therapy Device 43 19 $150,373.00 $67,276.88 55% off $524.16 $135,335.70 $105,261.10 2026-03-25
52798253 CDM Aicd Dual Chamber 43 19 $150,270.00 $67,230.80 55% off $82.84 $135,243.00 $105,189.00 2026-03-25
52794633 CDM Aicd Dual Chamber 43 19 $148,184.00 $66,297.52 55% off $82.84 $133,365.60 $103,728.80 2026-03-25
50755347 CDM Aicd Dual Chamber 43 19 $146,622.00 $65,598.68 55% off $82.84 $131,959.80 $102,635.40 2026-03-25
50751544 CDM Aicd Dual Chamber 43 19 $146,622.00 $65,598.68 55% off $82.84 $131,959.80 $102,635.40 2026-03-25
55737928 CDM Aicd Dual Chamber 43 19 $143,732.00 $64,305.70 55% off $82.84 $129,358.80 $100,612.40 2026-03-25
52749710 CDM Aicd Dual Chamber 43 19 $139,326.00 $62,334.45 55% off $82.84 $125,393.40 $97,528.20 2026-03-25
50736800 CDM Aicd Single Chamber 43 19 $138,633.00 $62,024.40 55% off $82.84 $124,769.70 $97,043.10 2026-03-25
55729305 CDM Generator Neuro Non-recharg 43 19 $138,541.00 $61,983.24 55% off $524.16 $124,686.90 $96,978.70 2026-03-25
55737936 CDM Aicd Single Chamber 43 19 $137,983.00 $61,733.59 55% off $82.84 $124,184.70 $96,588.10 2026-03-25
55720247 CDM Pmkr Other Than Sing/dual 43 19 $137,883.00 $61,688.85 55% off $82.84 $124,094.70 $96,518.10 2026-03-25
55700736 CDM Aicd Dual Chamber 43 19 $137,666.00 $61,591.77 55% off $82.84 $123,899.40 $96,366.20 2026-03-25
55747794 CDM Gammatile Therapy Device 43 19 $135,915.00 $60,808.37 55% off $524.16 $122,323.50 $95,140.50 2026-03-25
52794617 CDM Aicd Dual Chamber 43 19 $135,882.00 $60,793.61 55% off $82.84 $122,293.80 $95,117.40 2026-03-25
52799913 CDM Aicd Dual Chamber 43 19 $135,516.00 $60,629.86 55% off $82.84 $121,964.40 $94,861.20 2026-03-25
52730017 CDM Aicd Dual Chamber 43 19 $134,984.00 $60,391.84 55% off $82.84 $121,485.60 $94,488.80 2026-03-25
55737332 CDM Anchor/screw Bn/bntis/bn 43 19 $131,399.00 $58,787.91 55% off $524.16 $118,259.10 $91,979.30 2026-03-25
52794377 CDM Aicd Single Chamber 43 19 $131,301.00 $58,744.07 55% off $82.84 $118,170.90 $91,910.70 2026-03-25
55748008 CDM System Circulatory Assist 43 19 $130,130.00 $58,220.16 55% off $524.16 $117,117.00 $91,091.00 2026-03-25
52550092 CDM Histrelin Inj 50 Mg (Supprelin La) 43 19 $125,577.35 $56,183.31 55% off $50,406.75 $124,713.11 $90,541.27 2026-03-25
55751507 CDM Device Ventricular Assist 43 19 $127,767.00 $57,162.96 55% off $121.68 $114,990.30 $89,436.90 2026-03-25
56504608 CDM Afamitresgene Autoleucel Inj 40 19 $1,817,500.00 $813,149.50 55% off $729,544.50 $1,635,750.00 $1,299,149.00 2026-03-25
56504582 CDM Obecabtagene Autoleucel Inj 40 19 $945,000.00 $422,793.00 55% off $379,323.00 $850,500.00 $675,486.00 2026-03-25
56329485 CDM Gemcitabine Ives Sys 225mg 39 18 $216,315.00 $96,779.33 55% off $37.28 $194,683.50 $133,682.67 2026-03-25
52760881 CDM Lung Acquisition-double 36 17 $210,810.00 $94,316.39 55% off $84,324.00 $189,729.00 $152,942.65 2026-03-25
58100025 CDM Kidney Acquisition-lrd 36 17 $204,309.00 $91,407.85 55% off $81,723.60 $183,878.10 $148,226.18 2026-03-25
50721950 CDM Bmt Allogeneic Unrelated 36 17 $172,363.00 $77,115.21 55% off $68,945.20 $155,126.70 $125,049.36 2026-03-25
58100033 CDM Heart Acquisition 36 17 $157,985.00 $70,682.49 55% off $63,194.00 $142,186.50 $114,618.12 2026-03-25
58142134 CDM Liver Acquistion Domino 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 2026-03-25
58100058 CDM Liver Acquisition Cadaveric 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 2026-03-25
58142126 CDM Liver Acquisition Living Donor 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 2026-03-25
58100074 CDM Pancreas Acquisition 36 17 $152,460.00 $68,210.60 55% off $60,984.00 $137,214.00 $110,609.73 2026-03-25
57601171 CDM Intestine Acquisition 36 17 $149,697.00 $66,974.44 55% off $59,878.80 $134,727.30 $108,605.17 2026-03-25
58100017 CDM Lung Acquisition-single 36 17 $146,611.00 $65,593.76 55% off $58,644.40 $131,949.90 $106,366.28 2026-03-25
58100041 CDM Kidney Acquisition-cadaveric 36 17 $137,181.00 $61,374.78 55% off $54,872.40 $123,462.90 $99,524.82 2026-03-25
58100066 CDM Pancreas Acq-combined W/kidney 36 17 $125,917.00 $56,335.27 55% off $50,366.80 $113,325.30 $91,352.79 2026-03-25
55748990 CDM Cultured Chondrocyter Implnt 35 16 $148,357.00 $66,374.92 55% off $59,550.50 $170,165.33 $131,014.07 2026-03-25
56507668 CDM Exagamglogene Autotemcel Inj 33 17 $3,448,500.00 $1,542,858.90 55% off $1,384,227.90 $3,103,650.00 $2,517,405.00 2026-03-25
56552177 CDM Delandistrogene Moxeparvovec Inj 31 18 — $2,333,924.74 $0.03 $4,694,976.00 $3,360,000.00 2026-03-25
56507262 CDM Lifileucel Inj 31 16 $1,614,525.00 $722,338.49 55% off $645,810.00 $1,453,072.50 $1,162,458.00 2026-03-25
52599552 CDM Ciltacabtagene Autoleucel Inj 31 18 $832,965.70 $372,668.85 55% off $0.03 $749,669.13 $583,075.96 2026-03-25
52597630 CDM Lisocabtagene Maraleucel Inj 31 18 $797,025.60 $356,589.25 55% off $0.03 $717,323.04 $581,828.69 2026-03-25
52598240 CDM Idecabtagene Vicleucel Inj 31 18 $792,468.65 $354,550.47 55% off $0.03 $713,221.79 $571,369.89 2026-03-25
52590668 CDM Axicabtagene Ciloleucel Inj (iv) 31 18 $755,370.00 $337,952.54 55% off $0.03 $679,833.00 $528,759.00 2026-03-25
52596608 CDM Brexucabtagene Autoleucel Inj (iv) 31 18 $693,000.00 $310,048.20 55% off $0.03 $623,700.00 $485,100.00 2026-03-25
52596475 CDM Botulism Immune Globulin Inj 50 mg/mL (iv) 31 16 $178,162.85 $79,710.06 55% off $71,265.14 $160,346.57 $128,277.25 2026-03-25
52534120 CDM Sod Benzo-sod Phenylac Inj 100mg/mL 31 16 $136,187.30 $60,930.20 55% off $54,474.92 $122,568.57 $98,054.86 2026-03-25
56508781 CDM Lovotibeglogene Autotemcel Inj 24 16 $4,650,000.00 $2,080,410.00 55% off $0.03 $4,185,000.00 $3,323,820.00 2026-03-25
56501190 CDM Betibeglogene Autotemcel Inj 24 16 $4,564,560.00 $2,042,184.14 55% off $0.03 $4,108,104.00 $3,262,747.49 2026-03-25
52590841 CDM Tisagenlecleucel Inj (iv)(all) 24 16 $912,121.10 $408,082.98 55% off $0.03 $820,908.99 $651,984.16 2026-03-25
52594413 CDM Tisagenlecleucel Inj (iv)(dlbcl) 24 16 $784,727.70 $351,087.17 55% off $0.03 $706,254.93 $560,923.36 2026-03-25
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $647,979.12 $647,979.12 $647,979.12 2026-03-25
5834 APR_DRG Neonate W Ecmo 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
5833 APR_DRG Neonate W Ecmo 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
5831 APR_DRG Neonate W Ecmo 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
5832 APR_DRG Neonate W Ecmo 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
24 APR_DRG Heart &/or Lung Transplant 7 4 — — $537,458.68 $537,458.68 $537,458.68 2026-03-25
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $503,124.62 $503,124.62 $503,124.62 2026-03-25
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $469,930.95 $469,930.95 $469,930.95 2026-03-25
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 7 4 — — $469,136.53 $469,136.53 $469,136.53 2026-03-25
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $396,403.43 $396,403.43 $396,403.43 2026-03-25
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 4 — — $393,435.20 $393,435.20 $393,435.20 2026-03-25
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $378,177.99 $378,177.99 $378,177.99 2026-03-25
74 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $333,375.47 $333,375.47 $333,375.47 2026-03-25
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $332,614.53 $332,614.53 $332,614.53 2026-03-25
14 APR_DRG Liver Transplant &/or Intestinal Transplant 7 4 — — $328,688.97 $328,688.97 $328,688.97 2026-03-25
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $317,330.38 $317,330.38 $317,330.38 2026-03-25
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $304,837.81 $304,837.81 $304,837.81 2026-03-25
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $303,870.59 $303,870.59 $303,870.59 2026-03-25
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $303,851.24 $303,851.24 $303,851.24 2026-03-25
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $302,838.59 $302,838.59 $302,838.59 2026-03-25
23 APR_DRG Heart &/or Lung Transplant 7 4 — — $295,712.02 $295,712.02 $295,712.02 2026-03-25
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $294,207.35 $294,207.35 $294,207.35 2026-03-25
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $294,207.35 $294,207.35 $294,207.35 2026-03-25
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $250,369.68 $250,369.68 $250,369.68 2026-03-25
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $245,243.37 $245,243.37 $245,243.37 2026-03-25
22 APR_DRG Heart &/or Lung Transplant 7 4 — — $243,586.70 $243,586.70 $243,586.70 2026-03-25
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 4 — — $242,358.25 $242,358.25 $242,358.25 2026-03-25
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $235,523.02 $235,523.02 $235,523.02 2026-03-25
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 4 — — $228,748.68 $228,748.68 $228,748.68 2026-03-25
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 4 — — $227,390.60 $227,390.60 $227,390.60 2026-03-25
73 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $220,943.88 $220,943.88 $220,943.88 2026-03-25
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $219,132.78 $219,132.78 $219,132.78 2026-03-25
21 APR_DRG Heart &/or Lung Transplant 7 4 — — $217,018.03 $217,018.03 $217,018.03 2026-03-25
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 4 — — $199,957.70 $199,957.70 $199,957.70 2026-03-25
72 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $198,437.33 $198,437.33 $198,437.33 2026-03-25
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $191,842.30 $191,842.30 $191,842.30 2026-03-25
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 7 4 — — $186,758.52 $186,758.52 $186,758.52 2026-03-25
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 7 4 — — $181,159.91 $181,159.91 $181,159.91 2026-03-25
13 APR_DRG Liver Transplant &/or Intestinal Transplant 7 4 — — $180,772.13 $180,772.13 $180,772.13 2026-03-25
8514 APR_DRG Gender Related Procedures 7 4 — — $180,152.55 $180,152.55 $180,152.55 2026-03-25
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $180,120.92 $180,120.92 $180,120.92 2026-03-25
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $172,990.93 $172,990.93 $172,990.93 2026-03-25
64 APR_DRG Pancreas Transplant 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
63 APR_DRG Pancreas Transplant 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
62 APR_DRG Pancreas Transplant 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 7 4 — — $169,641.18 $169,641.18 $169,641.18 2026-03-25
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $167,555.65 $167,555.65 $167,555.65 2026-03-25
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 4 — — $166,227.07 $166,227.07 $166,227.07 2026-03-25
84 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $166,222.61 $166,222.61 $166,222.61 2026-03-25
83 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $166,061.36 $166,061.36 $166,061.36 2026-03-25
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $157,422.04 $157,422.04 $157,422.04 2026-03-25
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $153,859.46 $153,859.46 $153,859.46 2026-03-25
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 4 — — $152,229.56 $152,229.56 $152,229.56 2026-03-25
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $151,921.76 $151,921.76 $151,921.76 2026-03-25
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $150,780.11 $150,780.11 $150,780.11 2026-03-25
8634 APR_DRG Neonatal Aftercare 7 4 — — $150,117.29 $150,117.29 $150,117.29 2026-03-25
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 7 4 — — $149,016.91 $149,016.91 $149,016.91 2026-03-25
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $147,993.49 $147,993.49 $147,993.49 2026-03-25
914 APR_DRG Other Major Head & Neck Procedures 7 4 — — $143,859.47 $143,859.47 $143,859.47 2026-03-25
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $142,378.87 $142,378.87 $142,378.87 2026-03-25
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 7 4 — — $141,031.91 $141,031.91 $141,031.91 2026-03-25
4404 APR_DRG Kidney Transplant 7 4 — — $140,057.84 $140,057.84 $140,057.84 2026-03-25
4403 APR_DRG Kidney Transplant 7 4 — — $138,967.79 $138,967.79 $138,967.79 2026-03-25
4402 APR_DRG Kidney Transplant 7 4 — — $138,883.94 $138,883.94 $138,883.94 2026-03-25
4401 APR_DRG Kidney Transplant 7 4 — — $138,825.89 $138,825.89 $138,825.89 2026-03-25
214 APR_DRG Craniotomy Except For Trauma 7 4 — — $138,009.22 $138,009.22 $138,009.22 2026-03-25
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $135,568.66 $135,568.66 $135,568.66 2026-03-25
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $134,562.75 $134,562.75 $134,562.75 2026-03-25
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $134,367.74 $134,367.74 $134,367.74 2026-03-25
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $134,367.74 $134,367.74 $134,367.74 2026-03-25
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 4 — — $133,236.70 $133,236.70 $133,236.70 2026-03-25
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 7 4 — — $132,125.87 $132,125.87 $132,125.87 2026-03-25
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 7 4 — — $131,273.94 $131,273.94 $131,273.94 2026-03-25
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 7 4 — — $131,271.86 $131,271.86 $131,271.86 2026-03-25
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $129,752.55 $129,752.55 $129,752.55 2026-03-25
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $127,924.41 $127,924.41 $127,924.41 2026-03-25
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $127,924.41 $127,924.41 $127,924.41 2026-03-25
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 4 — — $127,441.76 $127,441.76 $127,441.76 2026-03-25
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 7 4 — — $125,385.71 $125,385.71 $125,385.71 2026-03-25
224 APR_DRG Ventricular Shunt Procedures 7 4 — — $124,923.91 $124,923.91 $124,923.91 2026-03-25
71 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $122,893.92 $122,893.92 $122,893.92 2026-03-25
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $122,184.42 $122,184.42 $122,184.42 2026-03-25
12 APR_DRG Liver Transplant &/or Intestinal Transplant 7 4 — — $120,077.11 $120,077.11 $120,077.11 2026-03-25
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 4 — — $119,929.30 $119,929.30 $119,929.30 2026-03-25
1784 APR_DRG External Heart Assist Devices 7 4 — — $118,390.37 $118,390.37 $118,390.37 2026-03-25
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 4 — — $116,133.18 $116,133.18 $116,133.18 2026-03-25
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 4 — — $115,963.34 $115,963.34 $115,963.34 2026-03-25
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 4 — — $115,169.99 $115,169.99 $115,169.99 2026-03-25
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $115,017.12 $115,017.12 $115,017.12 2026-03-25
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $114,901.02 $114,901.02 $114,901.02 2026-03-25
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 4 — — $114,623.02 $114,623.02 $114,623.02 2026-03-25
8633 APR_DRG Neonatal Aftercare 7 4 — — $113,807.97 $113,807.97 $113,807.97 2026-03-25
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 4 — — $113,743.82 $113,743.82 $113,743.82 2026-03-25
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $112,777.42 $112,777.42 $112,777.42 2026-03-25
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $112,195.05 $112,195.05 $112,195.05 2026-03-25
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $111,911.47 $111,911.47 $111,911.47 2026-03-25
204 APR_DRG Craniotomy For Trauma 7 4 — — $111,739.26 $111,739.26 $111,739.26 2026-03-25
6954 APR_DRG Chemotherapy For Acute Leukemia 7 4 — — $111,363.86 $111,363.86 $111,363.86 2026-03-25
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 4 — — $111,276.39 $111,276.39 $111,276.39 2026-03-25
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 4 — — $111,053.89 $111,053.89 $111,053.89 2026-03-25
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 7 4 — — $110,819.19 $110,819.19 $110,819.19 2026-03-25
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $109,899.76 $109,899.76 $109,899.76 2026-03-25
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $109,627.95 $109,627.95 $109,627.95 2026-03-25
2004 APR_DRG Cardiac Structural & Valvular Disorders 7 4 — — $107,954.58 $107,954.58 $107,954.58 2026-03-25
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $104,674.53 $104,674.53 $104,674.53 2026-03-25
1694 APR_DRG Major Abdominal Vascular Procedures 7 4 — — $104,651.81 $104,651.81 $104,651.81 2026-03-25
1814 APR_DRG Lower Extremity Arterial Procedures 7 4 — — $103,777.96 $103,777.96 $103,777.96 2026-03-25
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 4 — — $102,054.57 $102,054.57 $102,054.57 2026-03-25
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 7 4 — — $101,277.72 $101,277.72 $101,277.72 2026-03-25
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $101,038.94 $101,038.94 $101,038.94 2026-03-25
2304 APR_DRG Major Small Bowel Procedures 7 4 — — $100,576.91 $100,576.91 $100,576.91 2026-03-25
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $98,064.99 $98,064.99 $98,064.99 2026-03-25
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 7 4 — — $97,549.52 $97,549.52 $97,549.52 2026-03-25
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 4 — — $97,374.00 $97,374.00 $97,374.00 2026-03-25
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 7 4 — — $97,069.40 $97,069.40 $97,069.40 2026-03-25
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 7 4 — — $97,040.10 $97,040.10 $97,040.10 2026-03-25
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 4 — — $96,948.30 $96,948.30 $96,948.30 2026-03-25
3213 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 7 4 — — $96,872.40 $96,872.40 $96,872.40 2026-03-25
6301 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6903 APR_DRG Acute Leukemia 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
6904 APR_DRG Acute Leukemia 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 4 — — $94,985.80 $94,985.80 $94,985.80 2026-03-25
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 4 — — $94,520.97 $94,520.97 $94,520.97 2026-03-25
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $93,687.08 $93,687.08 $93,687.08 2026-03-25
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 7 4 — — $93,332.37 $93,332.37 $93,332.37 2026-03-25
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 7 4 — — $93,047.62 $93,047.62 $93,047.62 2026-03-25
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 4 — — $92,323.37 $92,323.37 $92,323.37 2026-03-25
1204 APR_DRG Major Respiratory & Chest Procedures 7 4 — — $92,232.30 $92,232.30 $92,232.30 2026-03-25
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $90,448.37 $90,448.37 $90,448.37 2026-03-25
1783 APR_DRG External Heart Assist Devices 7 4 — — $90,339.64 $90,339.64 $90,339.64 2026-03-25
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $90,231.60 $90,231.60 $90,231.60 2026-03-25
234 APR_DRG Spinal Procedures 7 4 — — $90,204.57 $90,204.57 $90,204.57 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $885,247.40 $888,745.21 $886,996.30 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $574,489.95 $576,759.89 $575,624.92 2026-03-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $437,685.25 $439,414.64 $438,549.95 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $435,116.60 $436,835.84 $435,976.22 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $283,953.70 $285,075.66 $284,514.68 2026-03-25
7 MS_DRG Lung Transplant 2 2 — — $265,479.10 $266,528.07 $266,003.58 2026-03-25
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $246,366.95 $247,340.40 $246,853.67 2026-03-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $232,301.90 $233,219.78 $232,760.84 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $232,035.40 $232,952.22 $232,493.81 2026-03-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $225,934.60 $226,827.32 $226,380.96 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $222,919.05 $223,799.85 $223,359.45 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $211,365.25 $212,200.40 $211,782.83 2026-03-25
215 MS_DRG Other Heart Assist System Implant 2 2 — — $204,118.50 $204,925.02 $204,521.76 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $200,547.40 $201,339.81 $200,943.60 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $184,696.80 $185,426.58 $185,061.69 2026-03-25
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $177,519.75 $178,221.17 $177,870.46 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $172,812.95 $173,495.77 $173,154.36 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $172,269.70 $172,950.38 $172,610.04 2026-03-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $161,310.40 $161,947.77 $161,629.08 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $157,405.15 $158,027.09 $157,716.12 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $156,726.60 $157,345.86 $157,036.23 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $156,207.95 $156,825.16 $156,516.55 2026-03-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $147,981.30 $148,566.01 $148,273.65 2026-03-25
10 MS_DRG Pancreas Transplant 2 2 — — $147,101.85 $147,683.08 $147,392.46 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $147,040.35 $147,621.34 $147,330.85 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $146,259.30 $146,837.20 $146,548.25 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $146,173.20 $146,750.76 $146,461.98 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $141,691.90 $142,251.76 $141,971.83 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $140,996.95 $141,554.06 $141,275.51 2026-03-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $137,987.55 $138,532.77 $138,260.16 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $137,073.25 $137,614.86 $137,344.05 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $136,972.80 $137,514.01 $137,243.40 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $134,793.65 $135,326.25 $135,059.95 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $134,793.65 $135,326.25 $135,059.95 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $134,303.70 $134,834.36 $134,569.03 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $131,911.35 $132,432.56 $132,171.96 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $125,632.20 $126,128.60 $125,880.40 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $125,486.65 $125,982.48 $125,734.57 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $124,283.30 $124,774.37 $124,528.83 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $123,170.15 $123,656.82 $123,413.49 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $123,135.30 $123,621.83 $123,378.57 2026-03-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $122,243.55 $122,726.56 $122,485.05 2026-03-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $121,841.75 $122,323.17 $122,082.46 2026-03-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $121,558.85 $122,039.16 $121,799.01 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $120,306.30 $120,781.66 $120,543.98 2026-03-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $120,228.40 $120,703.45 $120,465.92 2026-03-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $118,225.55 $118,692.69 $118,459.12 2026-03-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $117,471.15 $117,935.30 $117,703.23 2026-03-25
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $116,991.45 $117,453.71 $117,222.58 2026-03-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $116,839.75 $117,301.41 $117,070.58 2026-03-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $115,251.00 $115,706.38 $115,478.69 2026-03-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $114,894.30 $115,348.27 $115,121.29 2026-03-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $114,107.10 $114,557.96 $114,332.53 2026-03-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $113,221.50 $113,668.86 $113,445.18 2026-03-25
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $112,542.95 $112,987.63 $112,765.29 2026-03-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $112,145.25 $112,588.36 $112,366.80 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $111,985.35 $112,427.83 $112,206.59 2026-03-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $111,809.05 $112,250.83 $112,029.94 2026-03-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $111,362.15 $111,802.17 $111,582.16 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $109,322.40 $109,754.36 $109,538.38 2026-03-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $109,256.80 $109,688.50 $109,472.65 2026-03-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $108,522.90 $108,951.70 $108,737.30 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $108,164.15 $108,591.53 $108,377.84 2026-03-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $106,710.70 $107,132.34 $106,921.52 2026-03-25
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $106,526.20 $106,947.11 $106,736.65 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $103,324.10 $103,732.36 $103,528.23 2026-03-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $102,241.70 $102,645.68 $102,443.69 2026-03-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $101,421.70 $101,822.44 $101,622.07 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $101,241.30 $101,641.33 $101,441.32 2026-03-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $100,894.85 $101,293.51 $101,094.18 2026-03-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $100,474.60 $100,871.60 $100,673.10 2026-03-25
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $98,988.35 $99,379.47 $99,183.91 2026-03-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $98,488.15 $98,877.30 $98,682.73 2026-03-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $97,596.40 $97,982.02 $97,789.21 2026-03-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $96,378.70 $96,759.51 $96,569.10 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $96,181.90 $96,561.94 $96,371.92 2026-03-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $95,894.90 $96,273.80 $96,084.35 2026-03-25
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $95,058.50 $95,434.10 $95,246.30 2026-03-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $94,679.25 $95,053.35 $94,866.30 2026-03-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $94,228.25 $94,600.57 $94,414.41 2026-03-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $93,988.40 $94,359.77 $94,174.08 2026-03-25
245 MS_DRG Aicd Generator Procedures 2 2 — — $93,529.20 $93,898.75 $93,713.98 2026-03-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $93,248.35 $93,616.79 $93,432.57 2026-03-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $93,207.35 $93,575.63 $93,391.49 2026-03-25
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $92,842.45 $93,209.29 $93,025.87 2026-03-25
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $91,876.90 $92,239.93 $92,058.41 2026-03-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $91,850.25 $92,213.17 $92,031.71 2026-03-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $91,489.45 $91,850.94 $91,670.20 2026-03-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $90,052.40 $90,408.22 $90,230.31 2026-03-25
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