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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

GRINNELL REGIONAL MEDICAL CENTER

Grinnell, IA · CCN 160147 · Rates published

13,808 distinct procedures filed
13 distinct payers
452,211 rate rows
2026-01-28 last MRF observed
Data quality

157,592 of 452,211 rate rows are consumer-grade (34.8%)

294,619 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 294,363
placeholder amount (≤ $0.02) — excluded from medians 193
per-diem day rate — not a per-procedure price 50
exceeds 10× this hospital's gross charge — excluded from medians 11
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7944/420933383_grinnell-regional-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/UnityPointHealth-GrinnellRegionalMedicalCenter/7944
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 1600b215227ca8f1… · 117,086,064 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
$3,710,000
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
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,391,705.69 $2,574,721.38 $2,501,157.91 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,200,000.00 $2,448,600.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $727,000.00 $809,151.00 $786,032.40 nat. median
$824,563
1.0× median
5834
APR_DRG 		Neonate With Ecmo 2 $597,068.14 $656,832.51 $597,068.14 nat. median
$309,665
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $578,771.12 $607,240.81 $589,891.07 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $553,169.30 $581,047.77 $564,446.41 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,442.28 $568,717.44 $552,468.37 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $527,622.46 $568,323.47 $552,085.66 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $502,840.73 $559,730.30 $543,738.01 nat. median
$634,303
0.9× median
5833
APR_DRG 		Neonate With Ecmo 2 $519,969.71 $572,016.80 $519,969.71 nat. median
$244,017
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,399.16 $514,206.00 $499,514.40 nat. median
$619,808
0.8× median
5894
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $492,418.46 $541,707.77 $492,418.46 nat. median
$7,264
outlier · 67.8×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $479,681.34 $527,695.71 $479,681.34 nat. median
$246,434
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $477,617.83 $525,425.65 $477,617.83 nat. median
$207,730
outlier · 2.3×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $447,652.41 $492,460.80 $447,652.41 nat. median
$69,788
outlier · 6.4×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $406,956.74 $447,691.64 $406,956.74 nat. median
$89,796
outlier · 4.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $358,612.59 $394,508.41 $358,612.59 nat. median
$164,289
outlier · 2.2×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $351,387.60 $386,560.23 $351,387.60 nat. median
$119,796
outlier · 2.9×
5832
APR_DRG 		Neonate With Ecmo 2 $326,293.69 $358,954.51 $326,293.69 nat. median
$156,126
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $321,693.27 $353,893.61 $321,693.27 nat. median
$162,982
2.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $301,720.37 $331,921.49 $301,720.37 nat. median
$151,838
2.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $300,404.04 $330,473.40 $300,404.04 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
C9301
HCPCS 		Status Indicators (SIs) G & K Codes 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $271,177.71 $298,321.62 $271,177.71 nat. median
$182,665
1.5× median
5831
APR_DRG 		Neonate With Ecmo 2 $264,237.30 $290,686.50 $264,237.30 nat. median
$144,745
1.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $264,199.54 $290,644.96 $264,199.54 nat. median
$93,370
outlier · 2.8×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $263,966.22 $290,388.28 $263,966.22 nat. median
$145,336
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $262,628.30 $288,916.45 $262,628.30 nat. median
$160,267
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $254,738.37 $497,122.45 $262,230.68 nat. median
$370,174
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $257,624.63 $283,411.92 $257,624.63 nat. median
$187,061
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $249,757.66 $274,757.50 $249,757.66 nat. median
$129,535
1.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $249,613.35 $274,598.74 $249,613.35 nat. median
$85,444
outlier · 2.9×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $247,289.54 $272,042.33 $247,289.54 nat. median
$118,620
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $241,073.38 $265,203.96 $241,073.38 nat. median
$105,658
outlier · 2.3×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $238,972.11 $262,892.35 $238,972.11 nat. median
$108,996
outlier · 2.2×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $237,417.06 $261,181.65 $237,417.06 nat. median
$76,806
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 2 $232,979.83 $256,300.27 $232,979.83 nat. median
$234,729
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $224,920.00 $247,433.68 $224,920.00 nat. median
$95,507
outlier · 2.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $219,611.52 $241,593.84 $219,611.52 nat. median
$109,499
outlier · 2.0×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $217,063.82 $238,791.13 $217,063.82 nat. median
$102,919
outlier · 2.1×
4404
APR_DRG 		Kidney Transplant 2 $210,677.73 $231,765.81 $210,677.73 nat. median
$79,034
outlier · 2.7×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $206,202.74 $226,842.89 $206,202.74 nat. median
$80,416
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $190,268.20 $371,702.45 $195,864.32 nat. median
$265,286
0.7× median

Other procedures at this hospital

Browse this hospital's 13,808 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 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 11 7 — — $2,391,705.69 $2,574,721.38 $2,501,157.91 2026-01-28
J3392 HCPCS Inj, Exagamglogene Autotem 11 7 — — $2,200,000.00 $2,448,600.00 $2,378,640.00 2026-01-28
Q2057 HCPCS Afamitresgene Autoleucel 11 7 — — $727,000.00 $809,151.00 $786,032.40 2026-01-28
5834 APR_DRG Neonate With Ecmo 3 2 — — $597,068.14 $656,832.51 $597,068.14 2026-01-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 6 — — $578,771.12 $607,240.81 $589,891.07 2026-01-28
Q2056 HCPCS Ciltacabtagene Car-pos T 8 6 — — $553,169.30 $581,047.77 $564,446.41 2026-01-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 6 — — $516,442.28 $568,717.44 $552,468.37 2026-01-28
Q2055 HCPCS Idecabtagene Vicleucel Car 8 6 — — $527,622.46 $568,323.47 $552,085.66 2026-01-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 6 — — $502,840.73 $559,730.30 $543,738.01 2026-01-28
5833 APR_DRG Neonate With Ecmo 3 2 — — $519,969.71 $572,016.80 $519,969.71 2026-01-28
Q2053 HCPCS Brexucabtagene Car Pos T 8 6 — — $489,399.16 $514,206.00 $499,514.40 2026-01-28
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $492,418.46 $541,707.77 $492,418.46 2026-01-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $479,681.34 $527,695.71 $479,681.34 2026-01-28
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $477,617.83 $525,425.65 $477,617.83 2026-01-28
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $447,652.41 $492,460.80 $447,652.41 2026-01-28
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $406,956.74 $447,691.64 $406,956.74 2026-01-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $358,612.59 $394,508.41 $358,612.59 2026-01-28
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $351,387.60 $386,560.23 $351,387.60 2026-01-28
5832 APR_DRG Neonate With Ecmo 3 2 — — $326,293.69 $358,954.51 $326,293.69 2026-01-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $321,693.27 $353,893.61 $321,693.27 2026-01-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $301,720.37 $331,921.49 $301,720.37 2026-01-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $300,404.04 $330,473.40 $300,404.04 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
C9301 HCPCS Status Indicators (SIs) G & K Codes 2 1 — — $278,250.00 $278,250.00 $278,250.00 2026-01-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $271,177.71 $298,321.62 $271,177.71 2026-01-28
5831 APR_DRG Neonate With Ecmo 3 2 — — $264,237.30 $290,686.50 $264,237.30 2026-01-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $264,199.54 $290,644.96 $264,199.54 2026-01-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $263,966.22 $290,388.28 $263,966.22 2026-01-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $262,628.30 $288,916.45 $262,628.30 2026-01-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 11 — — $254,738.37 $497,122.45 $262,230.68 2026-01-28
74 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $257,624.63 $283,411.92 $257,624.63 2026-01-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $249,757.66 $274,757.50 $249,757.66 2026-01-28
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $249,613.35 $274,598.74 $249,613.35 2026-01-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $247,289.54 $272,042.33 $247,289.54 2026-01-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $241,073.38 $265,203.96 $241,073.38 2026-01-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $238,972.11 $262,892.35 $238,972.11 2026-01-28
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $237,417.06 $261,181.65 $237,417.06 2026-01-28
24 APR_DRG Heart And/or Lung Transplant 3 2 — — $232,979.83 $256,300.27 $232,979.83 2026-01-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $224,920.00 $247,433.68 $224,920.00 2026-01-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $219,611.52 $241,593.84 $219,611.52 2026-01-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $217,063.82 $238,791.13 $217,063.82 2026-01-28
4404 APR_DRG Kidney Transplant 3 2 — — $210,677.73 $231,765.81 $210,677.73 2026-01-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $206,202.74 $226,842.89 $206,202.74 2026-01-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 11 — — $190,268.20 $371,702.45 $195,864.32 2026-01-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $194,837.25 $214,339.75 $194,837.25 2026-01-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $184,921.61 $203,431.59 $184,921.61 2026-01-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $184,206.79 $202,645.23 $184,206.79 2026-01-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $177,637.28 $195,418.13 $177,637.28 2026-01-28
64 APR_DRG Pancreas Transplant 3 2 — — $172,822.42 $190,121.32 $172,822.42 2026-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 11 11 — — $160,240.23 $313,286.10 $164,953.17 2026-01-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $162,391.57 $178,646.38 $162,391.57 2026-01-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $161,123.79 $177,251.70 $161,123.79 2026-01-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $160,686.82 $176,770.99 $160,686.82 2026-01-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $158,292.87 $174,137.42 $158,292.87 2026-01-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $154,651.38 $170,131.43 $154,651.38 2026-01-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $154,546.18 $170,015.70 $154,546.18 2026-01-28
1784 APR_DRG External Heart Assist Systems 3 2 — — $149,083.95 $164,006.71 $149,083.95 2026-01-28
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 11 11 — — $144,763.87 $283,178.47 $149,021.63 2026-01-28
23 APR_DRG Heart And/or Lung Transplant 3 2 — — $147,454.72 $162,214.40 $147,454.72 2026-01-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $146,079.05 $160,701.03 $146,079.05 2026-01-28
8514 APR_DRG Gender Related Procedures 3 2 — — $141,764.55 $155,954.67 $141,764.55 2026-01-28
73 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $139,257.32 $153,196.48 $139,257.32 2026-01-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $139,177.75 $153,108.94 $139,177.75 2026-01-28
63 APR_DRG Pancreas Transplant 3 2 — — $136,821.57 $150,516.91 $136,821.57 2026-01-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $135,615.83 $149,190.49 $135,615.83 2026-01-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $134,805.26 $148,298.78 $134,805.26 2026-01-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $133,163.89 $146,493.12 $133,163.89 2026-01-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 6 — — $119,999.99 $136,014.38 $132,128.25 2026-01-28
4403 APR_DRG Kidney Transplant 3 2 — — $131,647.96 $144,825.44 $131,647.96 2026-01-28
8634 APR_DRG Neonatal Aftercare 3 2 — — $130,772.65 $143,862.52 $130,772.65 2026-01-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $128,146.73 $140,973.76 $128,146.73 2026-01-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $126,443.32 $139,099.84 $126,443.32 2026-01-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $125,789.20 $138,380.25 $125,789.20 2026-01-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $125,052.81 $137,570.15 $125,052.81 2026-01-28
6904 APR_DRG Acute Leukemia 3 2 — — $124,672.48 $137,151.74 $124,672.48 2026-01-28
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $124,091.19 $136,512.27 $124,091.19 2026-01-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $123,771.55 $136,160.63 $123,771.55 2026-01-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $122,963.68 $135,271.90 $122,963.68 2026-01-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $120,068.02 $132,086.39 $120,068.02 2026-01-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $119,895.38 $131,896.48 $119,895.38 2026-01-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $119,872.46 $131,871.26 $119,872.46 2026-01-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $118,565.57 $130,433.55 $118,565.57 2026-01-28
234 APR_DRG Spinal Procedures 3 2 — — $118,109.71 $129,932.06 $118,109.71 2026-01-28
4402 APR_DRG Kidney Transplant 3 2 — — $116,541.17 $128,206.52 $116,541.17 2026-01-28
72 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $116,325.38 $127,969.13 $116,325.38 2026-01-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 6 — — $114,097.20 $117,453.00 $115,775.10 2026-01-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 2 — — $115,726.55 $127,310.36 $115,726.55 2026-01-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $115,553.92 $127,120.45 $115,553.92 2026-01-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $115,332.73 $126,877.12 $115,332.73 2026-01-28
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $112,903.72 $124,204.98 $112,903.72 2026-01-28
62 APR_DRG Pancreas Transplant 3 2 — — $112,388.52 $123,638.20 $112,388.52 2026-01-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $112,167.33 $123,394.88 $112,167.33 2026-01-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $111,482.19 $122,641.16 $111,482.19 2026-01-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $110,969.69 $122,077.35 $110,969.69 2026-01-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $110,202.28 $121,233.13 $110,202.28 2026-01-28
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $109,143.55 $120,068.42 $109,143.55 2026-01-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $109,042.40 $119,957.15 $109,042.40 2026-01-28
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $107,762.48 $118,549.11 $107,762.48 2026-01-28
4414 APR_DRG Major Bladder Procedures 3 2 — — $106,513.58 $117,175.21 $106,513.58 2026-01-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $106,284.30 $116,922.98 $106,284.30 2026-01-28
22 APR_DRG Heart And/or Lung Transplant 3 2 — — $106,126.51 $116,749.39 $106,126.51 2026-01-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $106,044.23 $116,658.88 $106,044.23 2026-01-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $105,677.39 $116,255.31 $105,677.39 2026-01-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $104,389.38 $114,838.38 $104,389.38 2026-01-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $101,969.81 $112,176.62 $101,969.81 2026-01-28
1824 APR_DRG Other Peripheral Vascular And Related Procedures 3 2 — — $101,828.20 $112,020.83 $101,828.20 2026-01-28
1783 APR_DRG External Heart Assist Systems 3 2 — — $101,609.71 $111,780.47 $101,609.71 2026-01-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $101,472.14 $111,629.14 $101,472.14 2026-01-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $100,533.45 $110,596.48 $100,533.45 2026-01-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $99,383.01 $109,330.89 $99,383.01 2026-01-28
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 11 — — $95,443.81 $187,231.38 $98,250.98 2026-01-28
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $98,078.81 $107,896.15 $98,078.81 2026-01-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $96,522.41 $106,183.96 $96,522.41 2026-01-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $96,015.30 $105,626.09 $96,015.30 2026-01-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $95,466.38 $105,022.22 $95,466.38 2026-01-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $95,077.96 $104,594.92 $95,077.96 2026-01-28
61 APR_DRG Pancreas Transplant 3 2 — — $93,362.41 $102,707.65 $93,362.41 2026-01-28
1794 APR_DRG Defibrillator Implants 3 2 — — $93,181.68 $102,508.83 $93,181.68 2026-01-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $92,363.02 $101,608.23 $92,363.02 2026-01-28
71 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $91,742.62 $100,925.73 $91,742.62 2026-01-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $91,517.39 $100,677.95 $91,517.39 2026-01-28
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $91,145.15 $100,268.45 $91,145.15 2026-01-28
14 MS_DRG Allogeneic Bone Marrow Transplant 11 11 — — $88,498.64 $173,720.27 $91,101.54 2026-01-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $90,938.79 $100,041.44 $90,938.79 2026-01-28
7 MS_DRG Lung Transplant 11 11 — — $88,275.73 $173,286.65 $90,872.07 2026-01-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $90,569.25 $99,634.91 $90,569.25 2026-01-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $89,947.50 $98,950.92 $89,947.50 2026-01-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $89,684.50 $98,661.60 $89,684.50 2026-01-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 2 — — $89,530.75 $98,492.46 $89,530.75 2026-01-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $89,526.71 $98,488.01 $89,526.71 2026-01-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $89,521.31 $98,482.07 $89,521.31 2026-01-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 2 — — $89,448.48 $98,401.95 $89,448.48 2026-01-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $88,588.01 $97,455.35 $88,588.01 2026-01-28
1782 APR_DRG External Heart Assist Systems 3 2 — — $88,555.64 $97,419.74 $88,555.64 2026-01-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $88,412.68 $97,262.47 $88,412.68 2026-01-28
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $88,206.33 $97,035.46 $88,206.33 2026-01-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $87,684.38 $96,461.27 $87,684.38 2026-01-28
21 APR_DRG Heart And/or Lung Transplant 3 2 — — $87,247.40 $95,980.55 $87,247.40 2026-01-28
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $86,987.10 $95,694.20 $86,987.10 2026-01-28
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $86,098.31 $94,716.44 $86,098.31 2026-01-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $85,129.94 $93,651.14 $85,129.94 2026-01-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 8 6 — — $82,562.05 $97,131.83 $84,990.35 2026-01-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $84,980.24 $93,486.45 $84,980.24 2026-01-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $84,748.26 $93,231.26 $84,748.26 2026-01-28
294 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $84,748.26 $93,231.26 $84,748.26 2026-01-28
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $84,710.50 $93,189.71 $84,710.50 2026-01-28
274 APR_DRG Other Open Craniotomy 3 2 — — $84,465.03 $92,919.68 $84,465.03 2026-01-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $84,046.94 $92,459.73 $84,046.94 2026-01-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $83,932.30 $92,333.62 $83,932.30 2026-01-28
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $83,636.93 $92,008.69 $83,636.93 2026-01-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $83,402.26 $91,750.52 $83,402.26 2026-01-28
1781 APR_DRG External Heart Assist Systems 3 2 — — $83,330.78 $91,671.89 $83,330.78 2026-01-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $83,314.59 $91,654.08 $83,314.59 2026-01-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $83,260.65 $91,594.74 $83,260.65 2026-01-28
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $82,996.30 $91,303.93 $82,996.30 2026-01-28
4014 APR_DRG Adrenal Procedures 3 2 — — $82,424.45 $90,674.84 $82,424.45 2026-01-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $81,800.00 $89,987.89 $81,800.00 2026-01-28
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 3 2 — — $81,663.79 $89,838.04 $81,663.79 2026-01-28
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $81,121.61 $89,241.59 $81,121.61 2026-01-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $81,051.48 $89,164.44 $81,051.48 2026-01-28
4034 APR_DRG Procedures For Obesity 3 2 — — $80,115.48 $88,134.75 $80,115.48 2026-01-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $79,662.31 $87,636.22 $79,662.31 2026-01-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $79,422.25 $87,372.13 $79,422.25 2026-01-28
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $78,606.28 $86,474.49 $78,606.28 2026-01-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $77,825.38 $85,615.42 $77,825.38 2026-01-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $77,778.18 $85,563.50 $77,778.18 2026-01-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 2 — — $77,728.28 $85,508.60 $77,728.28 2026-01-28
293 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $77,717.49 $85,496.73 $77,717.49 2026-01-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $77,588.01 $85,354.29 $77,588.01 2026-01-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $77,053.93 $84,766.75 $77,053.93 2026-01-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 11 — — $74,434.68 $146,360.31 $76,623.94 2026-01-28
2324 APR_DRG Gastric Fundoplication 3 2 — — $75,818.52 $83,407.68 $75,818.52 2026-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 11 — — $73,584.94 $144,707.24 $75,749.21 2026-01-28
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $75,238.58 $82,769.69 $75,238.58 2026-01-28
4401 APR_DRG Kidney Transplant 3 2 — — $74,958.05 $82,461.08 $74,958.05 2026-01-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $74,484.65 $81,940.30 $74,484.65 2026-01-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $74,475.21 $81,929.91 $74,475.21 2026-01-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $74,115.11 $81,533.77 $74,115.11 2026-01-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $74,063.86 $81,477.39 $74,063.86 2026-01-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 11 — — $71,933.43 $141,494.38 $74,049.12 2026-01-28
250 EAPG Cochlear Device Implantation 3 2 — — $74,039.76 $81,588.91 $74,039.76 2026-01-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $73,810.30 $81,198.45 $73,810.30 2026-01-28
215 MS_DRG Other Heart Assist System Implant 11 11 — — $71,564.63 $140,776.88 $73,669.47 2026-01-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $73,597.21 $80,964.03 $73,597.21 2026-01-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $73,590.47 $80,956.61 $73,590.47 2026-01-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 11 — — $70,758.10 $139,207.93 $72,839.22 2026-01-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $72,804.17 $80,091.61 $72,804.17 2026-01-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $72,794.73 $80,081.22 $72,794.73 2026-01-28
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $72,129.82 $79,349.76 $72,129.82 2026-01-28
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $72,125.78 $79,345.31 $72,125.78 2026-01-28
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $72,092.06 $79,308.22 $72,092.06 2026-01-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $71,792.65 $78,978.83 $71,792.65 2026-01-28
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 2 — — $71,591.69 $78,757.76 $71,591.69 2026-01-28
3060 EAPG Ventricular Assist Device Procedures 3 2 — — $71,533.62 $78,827.24 $71,533.62 2026-01-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $71,231.59 $78,361.62 $71,231.59 2026-01-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $70,840.47 $77,931.34 $70,840.47 2026-01-28
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 2 — — $70,798.66 $77,885.35 $70,798.66 2026-01-28
2304 APR_DRG Major Small Bowel Procedures 3 2 — — $70,321.22 $77,360.12 $70,321.22 2026-01-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $70,311.78 $77,349.73 $70,311.78 2026-01-28
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $70,190.39 $77,216.20 $70,190.39 2026-01-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $70,101.38 $77,118.27 $70,101.38 2026-01-28
1793 APR_DRG Defibrillator Implants 3 2 — — $69,757.46 $76,739.93 $69,757.46 2026-01-28
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $69,719.70 $76,698.39 $69,719.70 2026-01-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $69,632.03 $76,601.95 $69,632.03 2026-01-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $69,521.44 $76,480.28 $69,521.44 2026-01-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $68,964.43 $75,867.52 $68,964.43 2026-01-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $68,478.89 $75,333.38 $68,478.89 2026-01-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $68,307.61 $75,144.95 $68,307.61 2026-01-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $68,028.43 $74,837.83 $68,028.43 2026-01-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $67,917.83 $74,716.16 $67,917.83 2026-01-28
8633 APR_DRG Neonatal Aftercare 3 2 — — $67,683.16 $74,458.00 $67,683.16 2026-01-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $67,448.49 $74,199.84 $67,448.49 2026-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 — — $65,190.21 $128,376.18 $67,107.57 2026-01-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $66,998.02 $73,704.28 $66,998.02 2026-01-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 7 — — $63,235.61 $69,201.23 $66,602.61 2026-01-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $66,596.11 $73,262.14 $66,596.11 2026-01-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $65,973.01 $72,576.67 $65,973.01 2026-01-28
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $65,822.00 $65,822.00 $65,822.00 2026-01-28
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $65,786.89 $72,371.92 $65,786.89 2026-01-28
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $65,478.04 $72,032.15 $65,478.04 2026-01-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $65,242.01 $71,772.50 $65,242.01 2026-01-28
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $65,043.75 $71,554.40 $65,043.75 2026-01-28
6504 APR_DRG Splenic Procedures 3 2 — — $65,014.08 $71,521.76 $65,014.08 2026-01-28
233 APR_DRG Spinal Procedures 3 2 — — $64,987.11 $71,492.08 $64,987.11 2026-01-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $64,836.06 $71,325.91 $64,836.06 2026-01-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $64,556.87 $71,018.78 $64,556.87 2026-01-28
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 2 — — $64,500.23 $70,956.47 $64,500.23 2026-01-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $64,448.98 $70,900.09 $64,448.98 2026-01-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $64,167.10 $70,589.99 $64,167.10 2026-01-28
850 MS_DRG Acute Leukemia With Other Procedures 11 11 — — $62,223.55 $122,604.85 $64,053.65 2026-01-28
444 APR_DRG Intracranial Hemorrhage 3 2 — — $63,932.43 $70,331.83 $63,932.43 2026-01-28
6903 APR_DRG Acute Leukemia 3 2 — — $63,908.15 $70,305.12 $63,908.15 2026-01-28
984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 3 2 — — $63,883.87 $70,278.42 $63,883.87 2026-01-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $63,850.16 $70,241.33 $63,850.16 2026-01-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $63,279.66 $69,613.72 $63,279.66 2026-01-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $63,155.57 $69,477.22 $63,155.57 2026-01-28
4444 APR_DRG Renal Dialysis Access Device Procedures 3 2 — — $62,919.55 $69,217.57 $62,919.55 2026-01-28
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $62,862.91 $69,155.26 $62,862.91 2026-01-28
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $62,791.43 $69,076.62 $62,791.43 2026-01-28
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $62,721.29 $68,999.47 $62,721.29 2026-01-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $62,490.67 $68,745.76 $62,490.67 2026-01-28
3084 APR_DRG Hip And Femur Fracture Repair 3 2 — — $62,390.86 $68,635.96 $62,390.86 2026-01-28
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 2 — — $62,092.80 $68,308.06 $62,092.80 2026-01-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $62,068.52 $68,281.36 $62,068.52 2026-01-28
2314 APR_DRG Major Large Bowel Procedures 3 2 — — $61,870.26 $68,063.25 $61,870.26 2026-01-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $61,817.66 $68,005.39 $61,817.66 2026-01-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 3 2 — — $61,801.48 $67,987.59 $61,801.48 2026-01-28
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $61,667.96 $67,840.70 $61,667.96 2026-01-28
3244 APR_DRG Elective Hip Joint Replacement 3 2 — — $61,554.67 $67,716.07 $61,554.67 2026-01-28
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $61,489.93 $67,644.85 $61,489.93 2026-01-28
224 EAPG Level Ii Neurostimulator And Related Device Implantation 3 2 — — $61,336.17 $67,590.05 $61,336.17 2026-01-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $61,113.64 $67,230.90 $61,113.64 2026-01-28
7524 APR_DRG Disorders Of Personality And Impulse Control 3 2 — — $60,854.69 $66,946.03 $60,854.69 2026-01-28
7754 APR_DRG Alcohol Abuse And Dependence 3 2 — — $60,605.18 $66,671.54 $60,605.18 2026-01-28
7594 APR_DRG Eating Disorders 3 2 — — $60,512.12 $66,569.17 $60,512.12 2026-01-28
L7181 HCPCS Electronic Elbo Simultaneous 8 6 — — $58,766.80 $69,137.41 $60,495.24 2026-01-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $60,379.95 $66,423.77 $60,379.95 2026-01-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 2 — — $60,125.05 $66,143.35 $60,125.05 2026-01-28
4234 APR_DRG Inborn Errors Of Metabolism 3 2 — — $59,986.13 $65,990.52 $59,986.13 2026-01-28
1792 APR_DRG Defibrillator Implants 3 2 — — $59,899.81 $65,895.57 $59,899.81 2026-01-28
3634 APR_DRG Breast Procedures Except Mastectomy 3 2 — — $59,829.68 $65,818.42 $59,829.68 2026-01-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $59,801.36 $65,787.26 $59,801.36 2026-01-28
3624 APR_DRG Mastectomy Procedures 3 2 — — $59,752.80 $65,733.84 $59,752.80 2026-01-28
A9543 HCPCS Y90 Ibritumomab, Rx 11 7 — — $56,824.55 $66,804.65 $59,665.78 2026-01-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $59,321.22 $65,259.06 $59,321.22 2026-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 11 — — $57,238.59 $112,907.11 $58,922.07 2026-01-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 11 — — $57,206.84 $112,845.33 $58,889.40 2026-01-28
1791 APR_DRG Defibrillator Implants 3 2 — — $58,738.58 $64,618.10 $58,738.58 2026-01-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $58,178.87 $64,002.37 $58,178.87 2026-01-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 11 — — $56,338.18 $111,155.46 $57,995.19 2026-01-28
1823 APR_DRG Other Peripheral Vascular And Related Procedures 3 2 — — $57,963.08 $63,764.97 $57,963.08 2026-01-28
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 8 8 — — $56,303.90 $58,844.52 $57,959.90 2026-01-28
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $57,593.54 $63,358.44 $57,593.54 2026-01-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $57,171.39 $62,894.04 $57,171.39 2026-01-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 7 — — $57,017.10 $58,743.27 $57,064.89 2026-01-28
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $56,081.64 $61,695.21 $56,081.64 2026-01-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $56,069.51 $61,681.86 $56,069.51 2026-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 11 — — $54,450.26 $107,482.67 $56,051.74 2026-01-28
3103 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 2 — — $55,801.11 $61,386.60 $55,801.11 2026-01-28
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $55,542.16 $61,101.73 $55,542.16 2026-01-28
10 MS_DRG Pancreas Transplant 11 11 — — $53,855.16 $106,325.00 $55,439.14 2026-01-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $55,307.49 $60,843.57 $55,307.49 2026-01-28
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $55,223.87 $60,751.58 $55,223.87 2026-01-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 11 — — $53,546.48 $105,724.48 $55,121.38 2026-01-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $54,967.62 $60,469.68 $54,967.62 2026-01-28
273 APR_DRG Other Open Craniotomy 3 2 — — $54,924.46 $60,422.20 $54,924.46 2026-01-28
L7180 HCPCS Electronic Elbow Sequential 8 6 — — $53,323.46 $62,733.48 $54,891.80 2026-01-28
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $54,759.92 $60,241.19 $54,759.92 2026-01-28
4233 APR_DRG Inborn Errors Of Metabolism 3 2 — — $54,533.34 $59,991.93 $54,533.34 2026-01-28
4694 APR_DRG Acute Kidney Injury 3 2 — — $54,523.89 $59,981.54 $54,523.89 2026-01-28
734 APR_DRG Orbit And Eye Procedures 3 2 — — $54,510.41 $59,966.70 $54,510.41 2026-01-28
1203 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $54,509.06 $59,965.22 $54,509.06 2026-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 11 — — $52,797.39 $104,267.18 $54,350.26 2026-01-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $54,308.10 $59,744.15 $54,308.10 2026-01-28
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