Price Transparency 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

ALLEN HOSPITAL

Waterloo, IA · CCN 160110 · Rates published

14,380 distinct procedures filed
48 distinct payers
1,069,207 rate rows
2026-04-01 last MRF observed
Data quality

474,966 of 1,069,207 rate rows are consumer-grade (44.4%)

594,241 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 579,290
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,807
placeholder amount (≤ $0.02) — excluded from medians 724
exceeds 10× this hospital's gross charge — excluded from medians 210
per-diem day rate — not a per-procedure price 210
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7942/420698265_allen-memorial-hospital-corporation_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/UnityPointHealth-AllenHospital/7942
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 3e8140f43170aefe… · 176,802,774 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
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
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,500,000.00 $3,869,530.00 $3,758,972.00 nat. median
$3,710,000
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
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,800,000.00 $3,098,221.00 $3,009,700.40 nat. median
$3,006,423
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
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,200,000.00 $3,964,400.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $727,000.00 $1,310,054.00 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $578,771.12 $983,910.91 $598,565.94 nat. median
$754,974
0.8× median
5834
APR_DRG 		Neonate With Ecmo 2 $592,773.96 $652,007.09 $592,773.96 nat. median
$309,665
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $553,169.30 $940,387.81 $572,747.09 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,442.28 $877,951.88 $560,592.91 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $527,622.46 $896,958.19 $560,204.56 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $502,840.73 $854,829.24 $551,734.16 nat. median
$634,511
0.9× median
5833
APR_DRG 		Neonate With Ecmo 2 $516,230.03 $567,814.48 $516,230.03 nat. median
$244,017
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,399.16 $831,978.57 $506,860.20 nat. median
$620,080
0.8× 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
$246,434
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $474,182.75 $521,565.61 $474,182.75 nat. median
$207,730
outlier · 2.3×
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
$69,788
outlier · 6.4×
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
$89,790
outlier · 4.5×
C9301
HCPCS 		Status Indicators (SIs) G & K Codes 2 $278,250.00 $473,025.00 $375,637.50 nat. median
$459,112
0.8× 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
$164,279
outlier · 2.2×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $348,860.38 $383,720.37 $348,860.38 nat. median
$119,796
outlier · 2.9×
5832
APR_DRG 		Neonate With Ecmo 2 $323,946.95 $356,317.45 $323,946.95 nat. median
$156,126
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $319,379.62 $351,293.73 $319,379.62 nat. median
$162,982
2.0× 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
$151,838
2.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $298,243.50 $328,045.58 $298,243.50 nat. median
$164,834
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $275,782.50 $283,893.75 $279,838.12 nat. median
$324,450
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $269,227.37 $296,130.00 $269,227.37 nat. median
$182,736
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $260,033.28 $497,122.45 $268,875.29 nat. median
$370,174
0.7× median
5831
APR_DRG 		Neonate With Ecmo 2 $262,336.88 $288,550.98 $262,336.88 nat. median
$145,122
1.8× 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
$93,260
outlier · 2.8×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $262,067.74 $288,254.94 $262,067.74 nat. median
$145,336
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $260,739.45 $286,793.93 $260,739.45 nat. median
$160,267
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $255,771.76 $281,329.84 $255,771.76 nat. median
$187,294
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $247,961.38 $272,739.00 $247,961.38 nat. median
$129,535
1.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $247,818.10 $272,581.41 $247,818.10 nat. median
$85,406
outlier · 2.9×
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
$118,620
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $239,339.56 $263,255.64 $239,339.56 nat. median
$105,658
outlier · 2.3×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $237,253.39 $260,961.01 $237,253.39 nat. median
$108,996
outlier · 2.2×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $235,709.53 $259,262.88 $235,709.53 nat. median
$76,806
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 2 $231,304.22 $254,417.36 $231,304.22 nat. median
$234,738
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
$95,507
outlier · 2.3×
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
$109,499
2.0× 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
$102,636
outlier · 2.1×
4404
APR_DRG 		Kidney Transplant 2 $209,162.51 $230,063.14 $209,162.51 nat. median
$79,034
outlier · 2.6×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $204,719.71 $225,176.39 $204,719.71 nat. median
$80,494
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $194,428.97 $371,702.45 $200,827.30 nat. median
$265,286
0.8× median

Other procedures at this hospital

Browse this hospital's 14,380 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 6 — — $4,465,050.00 $4,596,375.00 $4,530,712.50 2026-01-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 22 7 — — $3,500,000.00 $3,895,500.00 $3,784,200.00 2026-01-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 7 — — $3,500,000.00 $3,869,530.00 $3,758,972.00 2026-01-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 7 — — $3,200,000.00 $3,490,800.50 $3,391,063.34 2026-01-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 22 7 — — $3,100,000.00 $3,424,422.75 $3,326,582.10 2026-01-28
J3393 HCPCS Inj, Betibeglogene Autotemce 22 7 — — $2,800,000.00 $3,098,221.00 $3,009,700.40 2026-01-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 26 7 — — $2,391,705.69 $4,119,323.09 $2,501,157.91 2026-01-28
J3392 HCPCS Inj, Exagamglogene Autotem 26 7 — — $2,200,000.00 $3,964,400.00 $2,378,640.00 2026-01-28
Q2057 HCPCS Afamitresgene Autoleucel 26 7 — — $727,000.00 $1,310,054.00 $786,032.40 2026-01-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 6 — — $578,771.12 $983,910.91 $598,565.94 2026-01-28
5834 APR_DRG Neonate With Ecmo 6 2 — — $592,773.96 $652,007.09 $592,773.96 2026-01-28
Q2056 HCPCS Ciltacabtagene Car-pos T 20 6 — — $553,169.30 $940,387.81 $572,747.09 2026-01-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 6 — — $516,442.28 $877,951.88 $560,592.91 2026-01-28
Q2055 HCPCS Idecabtagene Vicleucel Car 20 6 — — $527,622.46 $896,958.19 $560,204.56 2026-01-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 6 — — $502,840.73 $854,829.24 $551,734.16 2026-01-28
5833 APR_DRG Neonate With Ecmo 6 2 — — $516,230.03 $567,814.48 $516,230.03 2026-01-28
Q2053 HCPCS Brexucabtagene Car Pos T 20 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 … 6 2 — — $488,876.93 $537,728.12 $488,876.93 2026-01-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 2 — — $476,231.42 $523,818.99 $476,231.42 2026-01-28
1614 APR_DRG Implantable Heart Assist Systems 6 2 — — $474,182.75 $521,565.61 $474,182.75 2026-01-28
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 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 … 6 2 — — $404,029.86 $444,402.67 $404,029.86 2026-01-28
C9301 HCPCS Status Indicators (SIs) G & K Codes 8 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 6 2 — — $356,033.41 $391,610.16 $356,033.41 2026-01-28
1613 APR_DRG Implantable Heart Assist Systems 6 2 — — $348,860.38 $383,720.37 $348,860.38 2026-01-28
5832 APR_DRG Neonate With Ecmo 6 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 6 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 6 2 — — $299,550.37 $329,483.03 $299,550.37 2026-01-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $298,243.50 $328,045.58 $298,243.50 2026-01-28
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 6 — — $275,782.50 $283,893.75 $279,838.12 2026-01-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 2 — — $269,227.37 $296,130.00 $269,227.37 2026-01-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 11 — — $260,033.28 $497,122.45 $268,875.29 2026-01-28
5831 APR_DRG Neonate With Ecmo 6 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 … 6 2 — — $262,299.39 $288,509.74 $262,299.39 2026-01-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 2 — — $262,067.74 $288,254.94 $262,067.74 2026-01-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 2 — — $260,739.45 $286,793.93 $260,739.45 2026-01-28
74 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $255,771.76 $281,329.84 $255,771.76 2026-01-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 2 — — $247,961.38 $272,739.00 $247,961.38 2026-01-28
1612 APR_DRG Implantable Heart Assist Systems 6 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… 6 2 — — $245,511.01 $270,043.77 $245,511.01 2026-01-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 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 6 2 — — $237,253.39 $260,961.01 $237,253.39 2026-01-28
1611 APR_DRG Implantable Heart Assist Systems 6 2 — — $235,709.53 $259,262.88 $235,709.53 2026-01-28
24 APR_DRG Heart And/or Lung Transplant 6 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… 6 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 6 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 6 2 — — $215,502.68 $237,036.85 $215,502.68 2026-01-28
4404 APR_DRG Kidney Transplant 6 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 6 2 — — $204,719.71 $225,176.39 $204,719.71 2026-01-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 11 — — $194,428.97 $371,702.45 $200,827.30 2026-01-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 2 — — $193,435.96 $212,765.11 $193,435.96 2026-01-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 2 — — $183,591.63 $201,937.08 $183,591.63 2026-01-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 2 — — $182,881.96 $201,156.50 $182,881.96 2026-01-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 — — $176,359.69 $193,982.49 $176,359.69 2026-01-28
64 APR_DRG Pancreas Transplant 6 2 — — $171,579.46 $188,724.59 $171,579.46 2026-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 30 11 — — $163,872.73 $313,286.10 $169,132.89 2026-01-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 2 — — $161,223.63 $177,333.96 $161,223.63 2026-01-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 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 6 2 — — $159,531.14 $175,472.34 $159,531.14 2026-01-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 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… 6 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… 6 2 — — $153,434.67 $168,766.68 $153,434.67 2026-01-28
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 30 11 — — $148,124.12 $283,178.47 $152,797.66 2026-01-28
1784 APR_DRG External Heart Assist Systems 6 2 — — $148,011.72 $162,801.84 $148,011.72 2026-01-28
23 APR_DRG Heart And/or Lung Transplant 6 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 6 2 — — $145,028.43 $159,520.44 $145,028.43 2026-01-28
8514 APR_DRG Gender Related Procedures 6 2 — — $140,744.97 $154,808.95 $140,744.97 2026-01-28
73 APR_DRG Allogeneic Bone Marrow Transplant 6 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 6 2 — — $138,176.77 $151,984.12 $138,176.77 2026-01-28
63 APR_DRG Pancreas Transplant 6 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 6 2 — — $134,640.47 $148,094.46 $134,640.47 2026-01-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 2 — — $133,835.73 $147,209.31 $133,835.73 2026-01-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 2 — — $132,206.17 $145,416.91 $132,206.17 2026-01-28
4403 APR_DRG Kidney Transplant 6 2 — — $130,701.13 $143,761.48 $130,701.13 2026-01-28
8634 APR_DRG Neonatal Aftercare 6 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 6 2 — — $127,225.09 $139,938.09 $127,225.09 2026-01-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $125,533.93 $138,077.95 $125,533.93 2026-01-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 — — $124,884.51 $137,363.64 $124,884.51 2026-01-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 2 — — $124,153.42 $136,559.49 $124,153.42 2026-01-28
6904 APR_DRG Acute Leukemia 6 2 — — $123,775.82 $136,144.16 $123,775.82 2026-01-28
204 APR_DRG Open Craniotomy For Trauma 6 2 — — $123,198.71 $135,509.38 $123,198.71 2026-01-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $122,881.37 $135,160.33 $122,881.37 2026-01-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 2 — — $122,079.31 $134,278.12 $122,079.31 2026-01-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 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… 6 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 6 2 — — $119,010.32 $130,902.46 $119,010.32 2026-01-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 2 — — $117,712.83 $129,475.32 $117,712.83 2026-01-28
234 APR_DRG Spinal Procedures 6 2 — — $117,260.25 $128,977.51 $117,260.25 2026-01-28
4402 APR_DRG Kidney Transplant 6 2 — — $115,702.99 $127,264.65 $115,702.99 2026-01-28
72 APR_DRG Allogeneic Bone Marrow Transplant 6 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… 6 2 — — $114,894.23 $126,375.08 $114,894.23 2026-01-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 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 6 2 — — $114,503.25 $125,945.02 $114,503.25 2026-01-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 22 7 — — $110,356.86 $195,364.82 $113,602.65 2026-01-28
2244 APR_DRG Peritoneal Adhesiolysis 6 2 — — $112,091.71 $123,292.51 $112,091.71 2026-01-28
62 APR_DRG Pancreas Transplant 6 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 6 2 — — $111,360.61 $122,488.36 $111,360.61 2026-01-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 2 — — $110,680.40 $121,740.18 $110,680.40 2026-01-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 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 6 2 — — $109,409.69 $120,342.49 $109,409.69 2026-01-28
214 APR_DRG Open Craniotomy Except Trauma 6 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 6 2 — — $108,258.15 $119,075.88 $108,258.15 2026-01-28
914 APR_DRG Other Major Head And Neck Procedures 6 2 — — $106,987.44 $117,678.19 $106,987.44 2026-01-28
4414 APR_DRG Major Bladder Procedures 6 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… 6 2 — — $105,519.90 $116,064.00 $105,519.90 2026-01-28
22 APR_DRG Heart And/or Lung Transplant 6 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 6 2 — — $105,281.55 $115,801.85 $105,281.55 2026-01-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 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 6 2 — — $103,638.60 $113,994.72 $103,638.60 2026-01-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 2 — — $101,236.43 $111,352.52 $101,236.43 2026-01-28
1824 APR_DRG Other Peripheral Vascular And Related Procedures 6 2 — — $101,095.84 $111,197.87 $101,095.84 2026-01-28
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 30 11 — — $97,936.41 $187,231.38 $101,008.93 2026-01-28
1783 APR_DRG External Heart Assist Systems 6 2 — — $100,878.92 $110,959.28 $100,878.92 2026-01-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 2 — — $100,742.34 $110,809.05 $100,742.34 2026-01-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 2 — — $99,810.40 $109,783.98 $99,810.40 2026-01-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 2 — — $98,668.23 $108,527.69 $98,668.23 2026-01-28
1694 APR_DRG Major Abdominal Vascular Procedures 6 2 — — $97,373.42 $107,103.49 $97,373.42 2026-01-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 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 6 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… 6 2 — — $95,324.75 $104,850.10 $95,324.75 2026-01-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 2 — — $94,779.78 $104,250.68 $94,779.78 2026-01-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 2 — — $94,394.14 $103,826.51 $94,394.14 2026-01-28
14 MS_DRG Allogeneic Bone Marrow Transplant 30 11 — — $90,869.07 $173,720.27 $93,719.86 2026-01-28
7 MS_DRG Lung Transplant 30 11 — — $90,642.25 $173,286.65 $93,485.93 2026-01-28
61 APR_DRG Pancreas Transplant 6 2 — — $92,690.94 $101,953.11 $92,690.94 2026-01-28
1794 APR_DRG Defibrillator Implants 6 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 6 2 — — $91,698.74 $100,861.76 $91,698.74 2026-01-28
71 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $91,082.80 $100,184.27 $91,082.80 2026-01-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 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 6 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 6 2 — — $90,284.75 $99,306.49 $90,284.75 2026-01-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 2 — — $89,917.87 $98,902.94 $89,917.87 2026-01-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 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 6 2 — — $89,039.48 $97,936.78 $89,039.48 2026-01-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 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 6 2 — — $88,882.82 $97,764.46 $88,882.82 2026-01-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 2 — — $88,877.46 $97,758.57 $88,877.46 2026-01-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 2 — — $88,805.16 $97,679.04 $88,805.16 2026-01-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 2 — — $87,950.88 $96,739.40 $87,950.88 2026-01-28
1782 APR_DRG External Heart Assist Systems 6 2 — — $87,918.74 $96,704.05 $87,918.74 2026-01-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 2 — — $87,776.81 $96,547.93 $87,776.81 2026-01-28
1814 APR_DRG Lower Extremity Arterial Procedures 6 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 6 2 — — $87,053.75 $95,752.62 $87,053.75 2026-01-28
21 APR_DRG Heart And/or Lung Transplant 6 2 — — $86,619.91 $95,275.43 $86,619.91 2026-01-28
3094 APR_DRG Other Significant Hip And Femur Surgery 6 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 6 2 — — $85,479.08 $94,020.61 $85,479.08 2026-01-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 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 6 2 — — $84,369.05 $92,799.66 $84,369.05 2026-01-28
294 APR_DRG Other Percutaneous Intracranial Procedures 6 2 — — $84,138.74 $92,546.33 $84,138.74 2026-01-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $84,138.74 $92,546.33 $84,138.74 2026-01-28
2614 APR_DRG Major Biliary Tract Procedures 6 2 — — $84,101.25 $92,505.10 $84,101.25 2026-01-28
274 APR_DRG Other Open Craniotomy 6 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 6 2 — — $83,442.46 $91,780.48 $83,442.46 2026-01-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 — — $83,328.65 $91,655.29 $83,328.65 2026-01-28
1214 APR_DRG Other Respiratory And Chest Procedures 6 2 — — $83,035.41 $91,332.75 $83,035.41 2026-01-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 2 — — $82,802.42 $91,076.48 $82,802.42 2026-01-28
1781 APR_DRG External Heart Assist Systems 6 2 — — $82,731.45 $90,998.42 $82,731.45 2026-01-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 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 6 2 — — $82,661.83 $90,921.84 $82,661.83 2026-01-28
1204 APR_DRG Major Respiratory And Chest Procedures 6 2 — — $82,399.38 $90,633.17 $82,399.38 2026-01-28
4014 APR_DRG Adrenal Procedures 6 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 6 2 — — $81,211.69 $89,326.79 $81,211.69 2026-01-28
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 6 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… 6 2 — — $80,538.17 $88,585.97 $80,538.17 2026-01-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 2 — — $80,468.54 $88,509.39 $80,468.54 2026-01-28
4034 APR_DRG Procedures For Obesity 6 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 6 2 — — $79,089.37 $86,992.40 $79,089.37 2026-01-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 11 — — $76,557.70 $146,360.31 $78,959.51 2026-01-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 2 — — $78,851.03 $86,730.25 $78,851.03 2026-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 11 — — $75,693.02 $144,707.24 $78,067.70 2026-01-28
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 2 — — $78,040.94 $85,839.20 $78,040.94 2026-01-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 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 6 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… 6 2 — — $77,169.25 $84,880.41 $77,169.25 2026-01-28
293 APR_DRG Other Percutaneous Intracranial Procedures 6 2 — — $77,158.54 $84,868.63 $77,158.54 2026-01-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $77,029.99 $84,727.24 $77,029.99 2026-01-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $76,499.75 $84,144.01 $76,499.75 2026-01-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 11 — — $74,012.44 $141,494.38 $76,334.40 2026-01-28
215 MS_DRG Other Heart Assist System Implant 30 11 — — $73,637.14 $140,776.88 $75,947.32 2026-01-28
2324 APR_DRG Gastric Fundoplication 6 2 — — $75,273.22 $82,794.92 $75,273.22 2026-01-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 11 — — $72,816.45 $139,207.93 $75,100.89 2026-01-28
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 2 — — $74,697.45 $82,161.62 $74,697.45 2026-01-28
4401 APR_DRG Kidney Transplant 6 2 — — $74,418.94 $81,855.28 $74,418.94 2026-01-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 6 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… 6 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 6 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 6 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 6 2 — — $73,279.45 $80,601.93 $73,279.45 2026-01-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 6 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 6 2 — — $73,061.20 $80,361.86 $73,061.20 2026-01-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 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 6 2 — — $72,271.19 $79,492.91 $72,271.19 2026-01-28
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 2 — — $71,611.06 $78,766.82 $71,611.06 2026-01-28
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 2 — — $71,607.04 $78,762.40 $71,607.04 2026-01-28
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 2 — — $71,573.57 $78,725.58 $71,573.57 2026-01-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 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 6 2 — — $71,076.80 $78,179.17 $71,076.80 2026-01-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 22 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 6 2 — — $70,719.29 $77,785.93 $70,719.29 2026-01-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 — — $70,330.98 $77,358.82 $70,330.98 2026-01-28
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 6 2 — — $70,289.47 $77,313.16 $70,289.47 2026-01-28
2304 APR_DRG Major Small Bowel Procedures 6 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 6 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 6 2 — — $69,685.58 $76,648.93 $69,685.58 2026-01-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $69,597.20 $76,551.73 $69,597.20 2026-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 11 — — $67,150.62 $128,376.18 $69,257.30 2026-01-28
1793 APR_DRG Defibrillator Implants 6 2 — — $69,255.76 $76,176.16 $69,255.76 2026-01-28
264 APR_DRG Other Nervous System And Related Procedures 6 2 — — $69,218.27 $76,134.92 $69,218.27 2026-01-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 2 — — $69,131.23 $76,039.19 $69,131.23 2026-01-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 2 — — $69,021.43 $75,918.42 $69,021.43 2026-01-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 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 6 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 6 2 — — $67,816.33 $74,592.90 $67,816.33 2026-01-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 2 — — $67,539.16 $74,288.03 $67,539.16 2026-01-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 2 — — $67,429.36 $74,167.26 $67,429.36 2026-01-28
8633 APR_DRG Neonatal Aftercare 6 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 6 2 — — $66,963.39 $73,654.73 $66,963.39 2026-01-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 26 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 6 2 — — $66,516.16 $73,162.81 $66,516.16 2026-01-28
850 MS_DRG Acute Leukemia With Other Procedures 30 11 — — $64,131.77 $122,604.85 $66,143.74 2026-01-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $66,117.14 $72,723.92 $66,117.14 2026-01-28
J7330 HCPCS Cultured Chondrocytes Implnt 6 2 — — $65,822.00 $65,822.00 $65,822.00 2026-01-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 2 — — $65,498.52 $72,043.48 $65,498.52 2026-01-28
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 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 6 2 — — $65,007.11 $71,502.97 $65,007.11 2026-01-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 2 — — $64,772.79 $71,245.23 $64,772.79 2026-01-28
4804 APR_DRG Major Male Pelvic Procedures 6 2 — — $64,575.95 $71,028.73 $64,575.95 2026-01-28
6504 APR_DRG Splenic Procedures 6 2 — — $64,546.50 $70,996.32 $64,546.50 2026-01-28
233 APR_DRG Spinal Procedures 6 2 — — $64,519.72 $70,966.87 $64,519.72 2026-01-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 2 — — $64,369.75 $70,801.91 $64,369.75 2026-01-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 2 — — $64,092.57 $70,497.04 $64,092.57 2026-01-28
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 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 6 2 — — $63,985.45 $70,379.22 $63,985.45 2026-01-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 2 — — $63,705.60 $70,071.41 $63,705.60 2026-01-28
444 APR_DRG Intracranial Hemorrhage 6 2 — — $63,472.62 $69,815.14 $63,472.62 2026-01-28
6903 APR_DRG Acute Leukemia 6 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 6 2 — — $63,424.41 $69,762.12 $63,424.41 2026-01-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $63,390.94 $69,725.30 $63,390.94 2026-01-28
250 EAPG Cochlear Device Implantation 6 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 6 2 — — $62,824.54 $69,102.30 $62,824.54 2026-01-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 6 2 — — $62,701.35 $68,966.81 $62,701.35 2026-01-28
4444 APR_DRG Renal Dialysis Access Device Procedures 6 2 — — $62,467.03 $68,709.07 $62,467.03 2026-01-28
224 APR_DRG Ventricular Shunt Procedures 6 2 — — $62,410.79 $68,647.21 $62,410.79 2026-01-28
244 APR_DRG Open Extracranial Vascular Procedures 6 2 — — $62,339.82 $68,569.15 $62,339.82 2026-01-28
213 APR_DRG Open Craniotomy Except Trauma 6 2 — — $62,270.20 $68,492.56 $62,270.20 2026-01-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $62,041.23 $68,240.72 $62,041.23 2026-01-28
3084 APR_DRG Hip And Femur Fracture Repair 6 2 — — $61,942.14 $68,131.73 $61,942.14 2026-01-28
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 2 — — $61,646.22 $67,806.24 $61,646.22 2026-01-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 2 — — $61,622.12 $67,779.73 $61,622.12 2026-01-28
2314 APR_DRG Major Large Bowel Procedures 6 2 — — $61,425.29 $67,563.23 $61,425.29 2026-01-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 6 2 — — $61,373.07 $67,505.79 $61,373.07 2026-01-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 6 2 — — $61,357.00 $67,488.11 $61,357.00 2026-01-28
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 6 2 — — $61,224.44 $67,342.31 $61,224.44 2026-01-28
3244 APR_DRG Elective Hip Joint Replacement 6 2 — — $61,111.96 $67,218.59 $61,111.96 2026-01-28
913 APR_DRG Other Major Head And Neck Procedures 6 2 — — $61,047.69 $67,147.90 $61,047.69 2026-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 11 — — $59,059.10 $112,907.11 $60,911.94 2026-01-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 11 — — $59,026.79 $112,845.33 $60,878.61 2026-01-28
3060 EAPG Ventricular Assist Device Procedures 6 2 — — $60,873.71 $67,045.24 $60,873.71 2026-01-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 2 — — $60,674.11 $66,736.99 $60,674.11 2026-01-28
7524 APR_DRG Disorders Of Personality And Impulse Control 6 2 — — $60,417.02 $66,454.21 $60,417.02 2026-01-28
7754 APR_DRG Alcohol Abuse And Dependence 6 2 — — $60,169.30 $66,181.74 $60,169.30 2026-01-28
7594 APR_DRG Eating Disorders 6 2 — — $60,076.91 $66,080.12 $60,076.91 2026-01-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 11 — — $58,142.86 $111,155.46 $59,966.95 2026-01-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 2 — — $59,945.69 $65,935.78 $59,945.69 2026-01-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 2 — — $59,692.62 $65,657.42 $59,692.62 2026-01-28
A9543 HCPCS Y90 Ibritumomab, Rx 26 7 — — $56,824.55 $96,601.73 $59,665.78 2026-01-28
4234 APR_DRG Inborn Errors Of Metabolism 6 2 — — $59,554.70 $65,505.73 $59,554.70 2026-01-28
1792 APR_DRG Defibrillator Implants 6 2 — — $59,469.01 $65,411.47 $59,469.01 2026-01-28
3634 APR_DRG Breast Procedures Except Mastectomy 6 2 — — $59,399.38 $65,334.88 $59,399.38 2026-01-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 2 — — $59,371.26 $65,303.95 $59,371.26 2026-01-28
3624 APR_DRG Mastectomy Procedures 6 2 — — $59,323.06 $65,250.93 $59,323.06 2026-01-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 6 2 — — $58,894.58 $64,779.64 $58,894.58 2026-01-28
1791 APR_DRG Defibrillator Implants 6 2 — — $58,316.13 $64,143.39 $58,316.13 2026-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 11 — — $56,221.71 $107,482.67 $57,985.52 2026-01-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 2 — — $57,760.44 $63,532.17 $57,760.44 2026-01-28
1823 APR_DRG Other Peripheral Vascular And Related Procedures 6 2 — — $57,546.20 $63,296.53 $57,546.20 2026-01-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 11 — — $26,006.93 $79,673.33 $57,539.63 2026-01-28
10 MS_DRG Pancreas Transplant 30 11 — — $55,616.15 $106,325.00 $57,360.97 2026-01-28
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 26 9 — — $49,021.63 $161,172.45 $57,255.69 2026-01-28
2234 APR_DRG Other Small And Large Bowel Procedures 6 2 — — $57,179.32 $62,892.98 $57,179.32 2026-01-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 7 — — $57,017.10 $96,929.08 $57,064.89 2026-01-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 11 — — $55,302.03 $105,724.48 $57,037.00 2026-01-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 2 — — $56,760.21 $62,431.99 $56,760.21 2026-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 11 — — $54,539.76 $104,267.18 $56,250.81 2026-01-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 11 — — $53,997.43 $103,230.39 $55,691.47 2026-01-28
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 2 — — $55,678.30 $61,241.97 $55,678.30 2026-01-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 2 — — $55,666.25 $61,228.71 $55,666.25 2026-01-28
3103 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 6 2 — — $55,399.79 $60,935.63 $55,399.79 2026-01-28
6954 APR_DRG Chemotherapy For Acute Leukemia 6 2 — — $55,142.70 $60,652.85 $55,142.70 2026-01-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 2 — — $54,909.71 $60,396.58 $54,909.71 2026-01-28
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 2 — — $54,826.69 $60,305.27 $54,826.69 2026-01-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 2 — — $54,572.28 $60,025.44 $54,572.28 2026-01-28
273 APR_DRG Other Open Craniotomy 6 2 — — $54,529.44 $59,978.31 $54,529.44 2026-01-28
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 2 — — $54,366.08 $59,798.63 $54,366.08 2026-01-28
4233 APR_DRG Inborn Errors Of Metabolism 6 2 — — $54,141.13 $59,551.20 $54,141.13 2026-01-28
4694 APR_DRG Acute Kidney Injury 6 2 — — $54,131.75 $59,540.89 $54,131.75 2026-01-28
734 APR_DRG Orbit And Eye Procedures 6 2 — — $54,118.36 $59,526.16 $54,118.36 2026-01-28
1203 APR_DRG Major Respiratory And Chest Procedures 6 2 — — $54,117.02 $59,524.68 $54,117.02 2026-01-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 2 — — $53,917.51 $59,305.24 $53,917.51 2026-01-28
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 2 — — $53,833.16 $59,212.45 $53,833.16 2026-01-28
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