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 →

Export CSV
Hospital

UnityPoint Health - Iowa Lutheran Hospital

Des Moines, IA · CCN 160024 · Rates published

14,440 distinct procedures filed
13 distinct payers
541,510 rate rows
2026-01-28 last MRF observed
Data quality

247,218 of 541,510 rate rows are consumer-grade (45.7%)

294,292 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
professional (physician) fee — not the facility price 287,616
template filing: same amount across many unrelated codes — excluded 4,739
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,248
placeholder amount (≤ $0.02) — excluded from medians 476
per-diem day rate — not a per-procedure price 112
exceeds 10× this hospital's gross charge — excluded from medians 45
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 36
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7945/420680452-1356433049_central-iowa-hospital-corporation_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/UnityPointHealth-IowaLutheranHospital/7945
Discovered viaCMS hospital list
Last fetch success · 2026-08-03
Content fingerprint 37e7415c30ceb658… · 245,832,973 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,465,050.00 $4,596,375.00 $4,530,712.50 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,500,000.00 $3,895,500.00 $3,784,200.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,500,000.00 $3,869,530.00 $3,758,972.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,200,000.00 $3,490,800.50 $3,391,063.34 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,100,000.00 $3,424,422.75 $3,326,582.10 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,800,000.00 $3,098,221.00 $3,009,700.40 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,391,705.69 $4,119,323.09 $2,501,157.91 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,200,000.00 $3,964,400.00 $2,378,640.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $727,000.00 $1,310,054.00 $786,032.40 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $578,771.12 $983,910.91 $598,565.94 nat. median
$621,313
1.0× median
5834
APR_DRG 		Neonate With Ecmo 2 $592,773.96 $652,007.09 $592,773.96 nat. median
$390,362
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $553,169.30 $940,387.81 $572,747.09 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,442.28 $877,951.88 $560,592.91 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $527,622.46 $896,958.19 $560,204.56 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $502,840.73 $854,829.24 $551,734.16 nat. median
$562,501
1.0× median
5833
APR_DRG 		Neonate With Ecmo 2 $516,230.03 $567,814.48 $516,230.03 nat. median
$268,208
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,399.16 $831,978.57 $506,860.20 nat. median
$513,770
1.0× median
5894
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $488,876.93 $537,728.12 $488,876.93 nat. median
$7,264
outlier · 67.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $476,231.42 $523,818.99 $476,231.42 nat. median
$286,698
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $474,182.75 $521,565.61 $474,182.75 nat. median
$202,242
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $446,135.53 $497,122.45 $471,628.99 nat. median
$168,055
outlier · 2.8×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $444,432.85 $488,842.94 $444,432.85 nat. median
$77,096
outlier · 5.8×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $404,029.86 $444,402.67 $404,029.86 nat. median
$96,548
outlier · 4.2×
C9301
HCPCS 		Status Indicators (SIs) G & K Codes 2 $278,250.00 $473,025.00 $375,637.50 nat. median
$377,029
1.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $356,033.41 $391,610.16 $356,033.41 nat. median
$171,497
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $333,579.12 $371,702.45 $352,640.79 nat. median
$186,516
1.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $348,860.38 $383,720.37 $348,860.38 nat. median
$155,539
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 2 $323,946.95 $356,317.45 $323,946.95 nat. median
$201,678
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $319,379.62 $351,293.73 $319,379.62 nat. median
$198,578
1.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $299,550.37 $329,483.03 $299,550.37 nat. median
$168,439
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $298,243.50 $328,045.58 $298,243.50 nat. median
$152,792
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 2 $281,154.20 $313,286.10 $297,220.15 nat. median
$131,925
outlier · 2.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $275,782.50 $283,893.75 $279,838.12 nat. median
$286,598
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $269,227.37 $296,130.00 $269,227.37 nat. median
$173,134
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 2 $254,134.53 $283,178.47 $268,656.50 nat. median
$145,435
1.8× median
5831
APR_DRG 		Neonate With Ecmo 2 $262,336.88 $288,550.98 $262,336.88 nat. median
$173,909
1.5× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $262,299.39 $288,509.74 $262,299.39 nat. median
$99,483
outlier · 2.6×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $262,067.74 $288,254.94 $262,067.74 nat. median
$152,383
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $260,739.45 $286,793.93 $260,739.45 nat. median
$173,018
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $255,771.76 $281,329.84 $255,771.76 nat. median
$149,836
1.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $247,961.38 $272,739.00 $247,961.38 nat. median
$136,566
1.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $247,818.10 $272,581.41 $247,818.10 nat. median
$109,992
outlier · 2.3×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $245,511.01 $270,043.77 $245,511.01 nat. median
$124,731
2.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $239,339.56 $263,255.64 $239,339.56 nat. median
$135,630
1.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $237,253.39 $260,961.01 $237,253.39 nat. median
$114,205
outlier · 2.1×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $235,709.53 $259,262.88 $235,709.53 nat. median
$108,954
outlier · 2.2×
24
APR_DRG 		Heart And/or Lung Transplant 2 $231,304.22 $254,417.36 $231,304.22 nat. median
$225,531
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $223,302.35 $245,615.91 $223,302.35 nat. median
$100,752
outlier · 2.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $218,032.05 $239,818.97 $218,032.05 nat. median
$115,963
1.9× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $215,502.68 $237,036.85 $215,502.68 nat. median
$120,079
1.8× median

Other procedures at this hospital

Browse this hospital's 14,440 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,465,050.00 $4,596,375.00 $4,530,712.50 2026-01-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 11 7 — — $3,500,000.00 $3,895,500.00 $3,784,200.00 2026-01-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 7 — — $3,500,000.00 $3,869,530.00 $3,758,972.00 2026-01-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 7 — — $3,200,000.00 $3,490,800.50 $3,391,063.34 2026-01-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 11 7 — — $3,100,000.00 $3,424,422.75 $3,326,582.10 2026-01-28
J3393 HCPCS Inj, Betibeglogene Autotemce 11 7 — — $2,800,000.00 $3,098,221.00 $3,009,700.40 2026-01-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 7 — — $2,391,705.69 $4,119,323.09 $2,501,157.91 2026-01-28
J3392 HCPCS Inj, Exagamglogene Autotem 13 7 — — $2,200,000.00 $3,964,400.00 $2,378,640.00 2026-01-28
Q2057 HCPCS Afamitresgene Autoleucel 13 7 — — $727,000.00 $1,310,054.00 $786,032.40 2026-01-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 6 — — $578,771.12 $983,910.91 $598,565.94 2026-01-28
5834 APR_DRG Neonate With Ecmo 3 2 — — $592,773.96 $652,007.09 $592,773.96 2026-01-28
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $553,169.30 $940,387.81 $572,747.09 2026-01-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 6 — — $516,442.28 $877,951.88 $560,592.91 2026-01-28
Q2055 HCPCS Idecabtagene Vicleucel Car 10 6 — — $527,622.46 $896,958.19 $560,204.56 2026-01-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 6 — — $502,840.73 $854,829.24 $551,734.16 2026-01-28
5833 APR_DRG Neonate With Ecmo 3 2 — — $516,230.03 $567,814.48 $516,230.03 2026-01-28
Q2053 HCPCS Brexucabtagene Car Pos T 10 6 — — $489,399.16 $831,978.57 $506,860.20 2026-01-28
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $488,876.93 $537,728.12 $488,876.93 2026-01-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $476,231.42 $523,818.99 $476,231.42 2026-01-28
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $474,182.75 $521,565.61 $474,182.75 2026-01-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $446,135.53 $497,122.45 $471,628.99 2026-01-28
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $444,432.85 $488,842.94 $444,432.85 2026-01-28
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $404,029.86 $444,402.67 $404,029.86 2026-01-28
C9301 HCPCS Status Indicators (SIs) G & K Codes 4 2 — — $278,250.00 $473,025.00 $375,637.50 2026-01-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $356,033.41 $391,610.16 $356,033.41 2026-01-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $333,579.12 $371,702.45 $352,640.79 2026-01-28
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $348,860.38 $383,720.37 $348,860.38 2026-01-28
5832 APR_DRG Neonate With Ecmo 3 2 — — $323,946.95 $356,317.45 $323,946.95 2026-01-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $319,379.62 $351,293.73 $319,379.62 2026-01-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $299,550.37 $329,483.03 $299,550.37 2026-01-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $298,243.50 $328,045.58 $298,243.50 2026-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 2 2 — — $281,154.20 $313,286.10 $297,220.15 2026-01-28
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 6 — — $275,782.50 $283,893.75 $279,838.12 2026-01-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $269,227.37 $296,130.00 $269,227.37 2026-01-28
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 2 2 — — $254,134.53 $283,178.47 $268,656.50 2026-01-28
5831 APR_DRG Neonate With Ecmo 3 2 — — $262,336.88 $288,550.98 $262,336.88 2026-01-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $262,299.39 $288,509.74 $262,299.39 2026-01-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $262,067.74 $288,254.94 $262,067.74 2026-01-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $260,739.45 $286,793.93 $260,739.45 2026-01-28
74 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $255,771.76 $281,329.84 $255,771.76 2026-01-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $247,961.38 $272,739.00 $247,961.38 2026-01-28
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $247,818.10 $272,581.41 $247,818.10 2026-01-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $245,511.01 $270,043.77 $245,511.01 2026-01-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $239,339.56 $263,255.64 $239,339.56 2026-01-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $237,253.39 $260,961.01 $237,253.39 2026-01-28
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $235,709.53 $259,262.88 $235,709.53 2026-01-28
24 APR_DRG Heart And/or Lung Transplant 3 2 — — $231,304.22 $254,417.36 $231,304.22 2026-01-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $223,302.35 $245,615.91 $223,302.35 2026-01-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $218,032.05 $239,818.97 $218,032.05 2026-01-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $215,502.68 $237,036.85 $215,502.68 2026-01-28
4404 APR_DRG Kidney Transplant 3 2 — — $209,162.51 $230,063.14 $209,162.51 2026-01-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $204,719.71 $225,176.39 $204,719.71 2026-01-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $193,435.96 $212,765.11 $193,435.96 2026-01-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $183,591.63 $201,937.08 $183,591.63 2026-01-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $182,881.96 $201,156.50 $182,881.96 2026-01-28
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 2 2 — — $168,028.16 $187,231.38 $177,629.77 2026-01-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $176,359.69 $193,982.49 $176,359.69 2026-01-28
64 APR_DRG Pancreas Transplant 3 2 — — $171,579.46 $188,724.59 $171,579.46 2026-01-28
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $155,902.81 $173,720.27 $164,811.54 2026-01-28
7 MS_DRG Lung Transplant 2 2 — — $155,513.66 $173,286.65 $164,400.15 2026-01-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $161,223.63 $177,333.96 $161,223.63 2026-01-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $159,964.97 $175,949.52 $159,964.97 2026-01-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $159,531.14 $175,472.34 $159,531.14 2026-01-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $157,154.41 $172,858.12 $157,154.41 2026-01-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $153,539.11 $168,881.56 $153,539.11 2026-01-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $153,434.67 $168,766.68 $153,434.67 2026-01-28
1784 APR_DRG External Heart Assist Systems 3 2 — — $148,011.72 $162,801.84 $148,011.72 2026-01-28
23 APR_DRG Heart And/or Lung Transplant 3 2 — — $146,394.21 $161,022.70 $146,394.21 2026-01-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $145,028.43 $159,520.44 $145,028.43 2026-01-28
8514 APR_DRG Gender Related Procedures 3 2 — — $140,744.97 $154,808.95 $140,744.97 2026-01-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $131,349.00 $146,360.31 $138,854.65 2026-01-28
73 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $138,255.77 $152,071.02 $138,255.77 2026-01-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $138,176.77 $151,984.12 $138,176.77 2026-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $129,865.47 $144,707.24 $137,286.35 2026-01-28
63 APR_DRG Pancreas Transplant 3 2 — — $135,837.53 $149,411.14 $135,837.53 2026-01-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $134,640.47 $148,094.46 $134,640.47 2026-01-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $126,982.14 $141,494.38 $134,238.26 2026-01-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $133,835.73 $147,209.31 $133,835.73 2026-01-28
215 MS_DRG Other Heart Assist System Implant 2 2 — — $126,338.22 $140,776.88 $133,557.55 2026-01-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $132,206.17 $145,416.91 $132,206.17 2026-01-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $124,930.19 $139,207.93 $132,069.06 2026-01-28
4403 APR_DRG Kidney Transplant 3 2 — — $130,701.13 $143,761.48 $130,701.13 2026-01-28
8634 APR_DRG Neonatal Aftercare 3 2 — — $129,832.12 $142,805.63 $129,832.12 2026-01-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $127,225.09 $139,938.09 $127,225.09 2026-01-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $125,533.93 $138,077.95 $125,533.93 2026-01-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $124,884.51 $137,363.64 $124,884.51 2026-01-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $124,153.42 $136,559.49 $124,153.42 2026-01-28
6904 APR_DRG Acute Leukemia 3 2 — — $123,775.82 $136,144.16 $123,775.82 2026-01-28
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $123,198.71 $135,509.38 $123,198.71 2026-01-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $122,881.37 $135,160.33 $122,881.37 2026-01-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $122,079.31 $134,278.12 $122,079.31 2026-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $115,209.40 $128,376.18 $121,792.79 2026-01-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $119,204.48 $131,116.02 $119,204.48 2026-01-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $119,033.08 $130,927.50 $119,033.08 2026-01-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $119,010.32 $130,902.46 $119,010.32 2026-01-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $117,712.83 $129,475.32 $117,712.83 2026-01-28
234 APR_DRG Spinal Procedures 3 2 — — $117,260.25 $128,977.51 $117,260.25 2026-01-28
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $110,029.99 $122,604.85 $116,317.42 2026-01-28
4402 APR_DRG Kidney Transplant 3 2 — — $115,702.99 $127,264.65 $115,702.99 2026-01-28
72 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $115,488.75 $127,029.00 $115,488.75 2026-01-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 2 — — $114,894.23 $126,375.08 $114,894.23 2026-01-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $114,722.84 $126,186.56 $114,722.84 2026-01-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $114,503.25 $125,945.02 $114,503.25 2026-01-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 7 — — $110,356.86 $195,364.82 $113,602.65 2026-01-28
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $112,091.71 $123,292.51 $112,091.71 2026-01-28
62 APR_DRG Pancreas Transplant 3 2 — — $111,580.21 $122,729.90 $111,580.21 2026-01-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $111,360.61 $122,488.36 $111,360.61 2026-01-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $110,680.40 $121,740.18 $110,680.40 2026-01-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $110,171.58 $121,180.51 $110,171.58 2026-01-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $109,409.69 $120,342.49 $109,409.69 2026-01-28
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $108,358.58 $119,186.34 $108,358.58 2026-01-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $108,258.15 $119,075.88 $108,258.15 2026-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $101,326.89 $112,907.11 $107,117.00 2026-01-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $101,271.45 $112,845.33 $107,058.39 2026-01-28
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $106,987.44 $117,678.19 $106,987.44 2026-01-28
4414 APR_DRG Major Bladder Procedures 3 2 — — $105,747.53 $116,314.38 $105,747.53 2026-01-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $105,519.90 $116,064.00 $105,519.90 2026-01-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $99,754.90 $111,155.46 $105,455.18 2026-01-28
22 APR_DRG Heart And/or Lung Transplant 3 2 — — $105,363.23 $115,891.69 $105,363.23 2026-01-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $105,281.55 $115,801.85 $105,281.55 2026-01-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $104,917.35 $115,401.24 $104,917.35 2026-01-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $103,638.60 $113,994.72 $103,638.60 2026-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $96,458.81 $107,482.67 $101,970.74 2026-01-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $101,236.43 $111,352.52 $101,236.43 2026-01-28
1824 APR_DRG Other Peripheral Vascular And Related Procedures 3 2 — — $101,095.84 $111,197.87 $101,095.84 2026-01-28
1783 APR_DRG External Heart Assist Systems 3 2 — — $100,878.92 $110,959.28 $100,878.92 2026-01-28
10 MS_DRG Pancreas Transplant 2 2 — — $95,419.87 $106,325.00 $100,872.43 2026-01-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $100,742.34 $110,809.05 $100,742.34 2026-01-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $94,880.94 $105,724.48 $100,302.71 2026-01-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $99,810.40 $109,783.98 $99,810.40 2026-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $93,573.11 $104,267.18 $98,920.14 2026-01-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $98,668.23 $108,527.69 $98,668.23 2026-01-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $92,642.66 $103,230.39 $97,936.52 2026-01-28
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $97,373.42 $107,103.49 $97,373.42 2026-01-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 6 — — $95,081.03 $97,877.54 $96,479.29 2026-01-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $95,828.21 $105,403.88 $95,828.21 2026-01-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $95,324.75 $104,850.10 $95,324.75 2026-01-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $94,779.78 $104,250.68 $94,779.78 2026-01-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $89,419.70 $99,639.09 $94,529.39 2026-01-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $94,394.14 $103,826.51 $94,394.14 2026-01-28
61 APR_DRG Pancreas Transplant 3 2 — — $92,690.94 $101,953.11 $92,690.94 2026-01-28
1794 APR_DRG Defibrillator Implants 3 2 — — $92,511.51 $101,755.75 $92,511.51 2026-01-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $91,698.74 $100,861.76 $91,698.74 2026-01-28
71 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $91,082.80 $100,184.27 $91,082.80 2026-01-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $90,859.18 $99,938.32 $90,859.18 2026-01-28
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $90,489.62 $99,531.82 $90,489.62 2026-01-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $90,284.75 $99,306.49 $90,284.75 2026-01-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $85,156.58 $94,888.76 $90,022.67 2026-01-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $89,917.87 $98,902.94 $89,917.87 2026-01-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $84,735.58 $94,419.64 $89,577.61 2026-01-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $89,300.59 $98,223.98 $89,300.59 2026-01-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $89,039.48 $97,936.78 $89,039.48 2026-01-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 2 — — $88,886.84 $97,768.88 $88,886.84 2026-01-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $88,882.82 $97,764.46 $88,882.82 2026-01-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $88,877.46 $97,758.57 $88,877.46 2026-01-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 2 — — $88,805.16 $97,679.04 $88,805.16 2026-01-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 2 2 — — $83,432.49 $92,967.63 $88,200.06 2026-01-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $87,950.88 $96,739.40 $87,950.88 2026-01-28
1782 APR_DRG External Heart Assist Systems 3 2 — — $87,918.74 $96,704.05 $87,918.74 2026-01-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $87,776.81 $96,547.93 $87,776.81 2026-01-28
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $87,571.94 $96,322.59 $87,571.94 2026-01-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $87,053.75 $95,752.62 $87,053.75 2026-01-28
21 APR_DRG Heart And/or Lung Transplant 3 2 — — $86,619.91 $95,275.43 $86,619.91 2026-01-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $81,920.63 $91,282.99 $86,601.81 2026-01-28
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $86,361.48 $94,991.18 $86,361.48 2026-01-28
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $85,479.08 $94,020.61 $85,479.08 2026-01-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $80,463.04 $89,658.82 $85,060.93 2026-01-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $80,158.80 $89,319.81 $84,739.30 2026-01-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $80,025.52 $89,171.30 $84,598.41 2026-01-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $84,517.68 $92,963.14 $84,517.68 2026-01-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $84,369.05 $92,799.66 $84,369.05 2026-01-28
294 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $84,138.74 $92,546.33 $84,138.74 2026-01-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $84,138.74 $92,546.33 $84,138.74 2026-01-28
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $84,101.25 $92,505.10 $84,101.25 2026-01-28
274 APR_DRG Other Open Craniotomy 3 2 — — $83,857.55 $92,237.05 $83,857.55 2026-01-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $83,442.46 $91,780.48 $83,442.46 2026-01-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $83,328.65 $91,655.29 $83,328.65 2026-01-28
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $83,035.41 $91,332.75 $83,035.41 2026-01-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $82,802.42 $91,076.48 $82,802.42 2026-01-28
1781 APR_DRG External Heart Assist Systems 3 2 — — $82,731.45 $90,998.42 $82,731.45 2026-01-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $82,715.39 $90,980.75 $82,715.39 2026-01-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $82,661.83 $90,921.84 $82,661.83 2026-01-28
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $82,399.38 $90,633.17 $82,399.38 2026-01-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 2 2 — — $77,662.27 $86,537.96 $82,100.12 2026-01-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $77,552.58 $86,415.73 $81,984.15 2026-01-28
4014 APR_DRG Adrenal Procedures 3 2 — — $81,831.65 $90,008.70 $81,831.65 2026-01-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $81,211.69 $89,326.79 $81,211.69 2026-01-28
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 3 2 — — $81,076.45 $89,178.04 $81,076.45 2026-01-28
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $80,538.17 $88,585.97 $80,538.17 2026-01-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $80,468.54 $88,509.39 $80,468.54 2026-01-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $75,977.07 $84,660.17 $80,318.62 2026-01-28
4034 APR_DRG Procedures For Obesity 3 2 — — $79,539.28 $87,487.27 $79,539.28 2026-01-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $79,089.37 $86,992.40 $79,089.37 2026-01-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $78,851.03 $86,730.25 $78,851.03 2026-01-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $74,445.18 $82,953.20 $78,699.19 2026-01-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $74,350.85 $82,848.09 $78,599.47 2026-01-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $74,018.30 $82,477.53 $78,247.92 2026-01-28
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $78,040.94 $85,839.20 $78,040.94 2026-01-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $73,764.76 $82,195.02 $77,979.89 2026-01-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $73,434.53 $81,827.05 $77,630.79 2026-01-28
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $73,090.20 $81,443.37 $77,266.79 2026-01-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $77,265.66 $84,986.45 $77,265.66 2026-01-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $77,218.79 $84,934.90 $77,218.79 2026-01-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 2 — — $77,169.25 $84,880.41 $77,169.25 2026-01-28
293 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $77,158.54 $84,868.63 $77,158.54 2026-01-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $77,029.99 $84,727.24 $77,029.99 2026-01-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $72,576.04 $80,870.44 $76,723.24 2026-01-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $72,576.04 $80,870.44 $76,723.24 2026-01-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $76,499.75 $84,144.01 $76,499.75 2026-01-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $72,044.16 $80,277.78 $76,160.97 2026-01-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $71,554.75 $79,732.44 $75,643.60 2026-01-28
2324 APR_DRG Gastric Fundoplication 3 2 — — $75,273.22 $82,794.92 $75,273.22 2026-01-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $70,787.08 $78,877.03 $74,832.05 2026-01-28
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $74,697.45 $82,161.62 $74,697.45 2026-01-28
4401 APR_DRG Kidney Transplant 3 2 — — $74,418.94 $81,855.28 $74,418.94 2026-01-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $70,057.07 $78,063.59 $74,060.33 2026-01-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $73,948.95 $81,338.33 $73,948.95 2026-01-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $73,939.58 $81,328.02 $73,939.58 2026-01-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $73,582.07 $80,934.78 $73,582.07 2026-01-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $73,531.19 $80,878.81 $73,531.19 2026-01-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $73,279.45 $80,601.93 $73,279.45 2026-01-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $73,067.89 $80,369.22 $73,067.89 2026-01-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $73,061.20 $80,361.86 $73,061.20 2026-01-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $69,079.43 $76,974.22 $73,026.82 2026-01-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $68,674.99 $76,523.56 $72,599.27 2026-01-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $72,280.56 $79,503.22 $72,280.56 2026-01-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $72,271.19 $79,492.91 $72,271.19 2026-01-28
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $71,611.06 $78,766.82 $71,611.06 2026-01-28
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $71,607.04 $78,762.40 $71,607.04 2026-01-28
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $71,573.57 $78,725.58 $71,573.57 2026-01-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $71,276.31 $78,398.62 $71,276.31 2026-01-28
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 2 — — $71,076.80 $78,179.17 $71,076.80 2026-01-28
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $67,136.02 $74,808.71 $70,972.37 2026-01-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 7 — — $68,801.71 $160,979.82 $70,825.29 2026-01-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $70,719.29 $77,785.93 $70,719.29 2026-01-28
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $66,578.21 $74,187.15 $70,382.68 2026-01-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $66,578.21 $74,187.15 $70,382.68 2026-01-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $70,330.98 $77,358.82 $70,330.98 2026-01-28
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 2 — — $70,289.47 $77,313.16 $70,289.47 2026-01-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $66,304.63 $73,882.30 $70,093.46 2026-01-28
2304 APR_DRG Major Small Bowel Procedures 3 2 — — $69,815.46 $76,791.79 $69,815.46 2026-01-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $69,806.09 $76,781.48 $69,806.09 2026-01-28
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $69,685.58 $76,648.93 $69,685.58 2026-01-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $65,908.38 $73,440.76 $69,674.57 2026-01-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $69,597.20 $76,551.73 $69,597.20 2026-01-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $65,561.67 $73,054.43 $69,308.05 2026-01-28
1793 APR_DRG Defibrillator Implants 3 2 — — $69,255.76 $76,176.16 $69,255.76 2026-01-28
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $69,218.27 $76,134.92 $69,218.27 2026-01-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $65,415.44 $72,891.49 $69,153.46 2026-01-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $69,131.23 $76,039.19 $69,131.23 2026-01-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $69,021.43 $75,918.42 $69,021.43 2026-01-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $65,088.77 $72,527.48 $68,808.12 2026-01-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $65,028.64 $72,460.48 $68,744.56 2026-01-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $65,021.57 $72,452.60 $68,737.09 2026-01-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $68,468.43 $75,310.16 $68,468.43 2026-01-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $67,986.39 $74,779.95 $67,986.39 2026-01-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $67,816.33 $74,592.90 $67,816.33 2026-01-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $64,135.94 $71,465.76 $67,800.85 2026-01-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $67,539.16 $74,288.03 $67,539.16 2026-01-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $63,858.78 $71,156.92 $67,507.85 2026-01-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $67,429.36 $74,167.26 $67,429.36 2026-01-28
8633 APR_DRG Neonatal Aftercare 3 2 — — $67,196.38 $73,911.00 $67,196.38 2026-01-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $66,963.39 $73,654.73 $66,963.39 2026-01-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 7 — — $63,235.61 $107,500.53 $66,602.61 2026-01-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $66,516.16 $73,162.81 $66,516.16 2026-01-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $66,117.14 $72,723.92 $66,117.14 2026-01-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $62,129.97 $69,230.54 $65,680.26 2026-01-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $65,498.52 $72,043.48 $65,498.52 2026-01-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $61,928.28 $69,005.80 $65,467.04 2026-01-28
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $65,313.74 $71,840.24 $65,313.74 2026-01-28
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $65,007.11 $71,502.97 $65,007.11 2026-01-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $61,475.45 $68,501.22 $64,988.33 2026-01-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $61,291.48 $68,296.22 $64,793.85 2026-01-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $64,772.79 $71,245.23 $64,772.79 2026-01-28
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $64,575.95 $71,028.73 $64,575.95 2026-01-28
6504 APR_DRG Splenic Procedures 3 2 — — $64,546.50 $70,996.32 $64,546.50 2026-01-28
233 APR_DRG Spinal Procedures 3 2 — — $64,519.72 $70,966.87 $64,519.72 2026-01-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $64,369.75 $70,801.91 $64,369.75 2026-01-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $60,795.02 $67,743.02 $64,269.02 2026-01-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $64,092.57 $70,497.04 $64,092.57 2026-01-28
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 2 — — $64,036.34 $70,435.19 $64,036.34 2026-01-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $63,985.45 $70,379.22 $63,985.45 2026-01-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $60,444.76 $67,352.73 $63,898.74 2026-01-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $60,398.78 $67,301.50 $63,850.14 2026-01-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $60,375.19 $67,275.21 $63,825.20 2026-01-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $63,705.60 $70,071.41 $63,705.60 2026-01-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $60,162.94 $67,038.70 $63,600.82 2026-01-28
444 APR_DRG Intracranial Hemorrhage 3 2 — — $63,472.62 $69,815.14 $63,472.62 2026-01-28
6903 APR_DRG Acute Leukemia 3 2 — — $63,448.52 $69,788.63 $63,448.52 2026-01-28
984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 3 2 — — $63,424.41 $69,762.12 $63,424.41 2026-01-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $63,390.94 $69,725.30 $63,390.94 2026-01-28
250 EAPG Cochlear Device Implantation 3 2 — — $63,006.38 $69,394.13 $63,006.38 2026-01-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $62,824.54 $69,102.30 $62,824.54 2026-01-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $62,701.35 $68,966.81 $62,701.35 2026-01-28
4444 APR_DRG Renal Dialysis Access Device Procedures 3 2 — — $62,467.03 $68,709.07 $62,467.03 2026-01-28
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $62,410.79 $68,647.21 $62,410.79 2026-01-28
245 MS_DRG Aicd Generator Procedures 2 2 — — $59,024.93 $65,770.63 $62,397.78 2026-01-28
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $62,339.82 $68,569.15 $62,339.82 2026-01-28
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $62,270.20 $68,492.56 $62,270.20 2026-01-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $62,041.23 $68,240.72 $62,041.23 2026-01-28
See an error in this hospital's data? Submit a correction