Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MOUNT AUBURN HOSPITAL

Cambridge, MA · CCN 220002 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $6,125 across 6 payers · range $1,255-$9,926

Source: https://mountauburnhospital.org/042103606_mount-auburn-hospital_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,732 distinct procedures filed
7 distinct payers
64,312 rate rows
2026-04-01 last MRF observed
Data quality

51,325 of 64,312 rate rows are consumer-grade (79.8%)

12,987 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,891
placeholder amount (≤ $0.02) — excluded from medians 68
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mountauburnhospital.org/042103606_mount-auburn-hospital_standardcharges.json
Found on page https://mountauburnhospital.org/patients-visitors/billing-financial-assistance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-01
Content fingerprint a9e5ac64beef14dd… · 16,217,463 bytes · first seen 2026-06-16

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $4,335,000.00 $4,505,000.00 $4,420,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,570,000.00 $3,685,266.67 $3,627,633.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,264,000.00 $3,316,462.59 $3,290,231.29 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,162,000.00 $3,248,445.72 $3,205,222.86 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,856,000.00 $2,945,740.00 $2,900,870.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,146,250.00 $2,455,110.60 $2,300,680.30 nat. median
$2,460,273
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,244,000.00 $2,332,000.00 $2,288,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
5834
APR_DRG 		Neonate With Ecmo 2 $457,128.40 $735,234.85 $686,875.85 nat. median
$311,018
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $591,726.20 $579,128.75 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $587,649.57 $576,759.25 nat. median
$631,793
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $449,093.06 $603,092.27 $563,424.76 nat. median
$254,667
outlier · 2.2×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $562,538.19 $562,369.71 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $558,081.73 $557,699.83 nat. median
$610,161
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant 2 $519,861.95 $620,997.84 $556,462.46 nat. median
$243,231
outlier · 2.3×
5833
APR_DRG 		Neonate With Ecmo 2 $259,700.94 $582,320.00 $544,018.75 nat. median
$250,089
outlier · 2.2×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $410,769.00 $576,627.58 $538,700.74 nat. median
$209,486
outlier · 2.6×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $532,192.24 $533,230.17 $532,711.21 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $489,450.20 $489,377.41 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $382,470.06 $454,416.24 $418,443.15 nat. median
$370,165
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $175,115.36 $441,756.50 $412,700.61 nat. median
$127,938
outlier · 3.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $217,648.41 $437,746.77 $408,954.61 nat. median
$160,171
outlier · 2.6×
5832
APR_DRG 		Neonate With Ecmo 2 $254,844.14 $429,405.15 $401,161.65 nat. median
$169,230
outlier · 2.4×
34
APR_DRG 		Description Not Available 1 $398,836.11 $398,836.11 $398,836.11 nat. median
$241,408
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $362,979.37 $449,093.06 $388,534.67 nat. median
$180,995
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $333,487.30 $406,640.40 $379,894.22 nat. median
$165,646
outlier · 2.3×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $310,306.71 $393,329.99 $367,459.28 nat. median
$156,285
outlier · 2.4×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $354,387.66 $379,338.07 $366,862.86 nat. median
$119,243
outlier · 3.1×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $343,562.19 $380,450.79 $355,427.19 nat. median
$147,847
outlier · 2.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $344,807.98 $379,826.28 $354,843.76 nat. median
$168,361
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $340,813.65 $364,808.39 $352,811.02 nat. median
$175,480
outlier · 2.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $284,114.87 $377,402.60 $352,579.49 nat. median
$168,174
outlier · 2.1×
5831
APR_DRG 		Neonate With Ecmo 2 $254,844.14 $371,083.19 $346,675.73 nat. median
$154,685
outlier · 2.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $330,497.12 $353,765.53 $342,131.33 nat. median
$165,599
outlier · 2.1×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $187,106.98 $362,322.75 $338,491.50 nat. median
$147,677
outlier · 2.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $321,629.16 $361,343.86 $337,577.00 nat. median
$127,600
outlier · 2.6×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $311,543.60 $355,725.78 $332,328.44 nat. median
$137,901
outlier · 2.4×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $109,052.90 $354,692.38 $331,363.00 nat. median
$93,192
outlier · 3.6×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $268,179.43 $344,107.98 $321,474.78 nat. median
$116,111
outlier · 2.8×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $71,442.50 $336,955.90 $314,793.11 nat. median
$82,164
outlier · 3.8×
0100T
OTHER 		Prosth Retina Receive&Gen 1 $297,863.30 $309,547.63 $303,705.46 nat. median
$5,118
outlier · 59.3×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $247,908.65 $316,171.23 $295,375.53 nat. median
$109,499
outlier · 2.7×
64
APR_DRG 		Pancreas Transplant 2 $135,949.50 $314,146.54 $293,484.01 nat. median
$92,994
outlier · 3.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $267,750.00 $278,250.00 $273,000.00 nat. median
$302,242
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $248,207.68 $295,038.68 $271,623.18 nat. median
$261,939
1.0× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $263,395.67 $281,939.86 $269,119.12 nat. median
$123,690
outlier · 2.2×
J3403
HCPCS 		Revakinagene, Per Implant 2 $257,500.00 $265,000.00 $261,250.00 nat. median
$265,000
1.0× median
7594
APR_DRG 		Eating Disorders 2 $37,651.33 $279,570.70 $261,182.34 nat. median
$27,933
outlier · 9.4×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $233,955.59 $343,562.19 $250,427.07 nat. median
$120,928
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 14,732 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 2 2 — — $4,335,000.00 $4,505,000.00 $4,420,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,570,000.00 $3,685,266.67 $3,627,633.33 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,264,000.00 $3,316,462.59 $3,290,231.29 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,162,000.00 $3,248,445.72 $3,205,222.86 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $2,856,000.00 $2,945,740.00 $2,900,870.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,146,250.00 $2,455,110.60 $2,300,680.30 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,244,000.00 $2,332,000.00 $2,288,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $770,620.00 $770,620.00 $770,620.00 2026-04-01
5834 APR_DRG Neonate With Ecmo 3 2 — — $457,128.40 $735,234.85 $686,875.85 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $566,531.30 $591,726.20 $579,128.75 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $565,868.94 $587,649.57 $576,759.25 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $449,093.06 $603,092.27 $563,424.76 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,201.24 $562,538.19 $562,369.71 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $557,317.93 $558,081.73 $557,699.83 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 3 2 — — $519,861.95 $620,997.84 $556,462.46 2026-04-01
5833 APR_DRG Neonate With Ecmo 3 2 — — $259,700.94 $582,320.00 $544,018.75 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $410,769.00 $576,627.58 $538,700.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $532,192.24 $533,230.17 $532,711.21 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $489,450.20 $489,377.41 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $382,470.06 $454,416.24 $418,443.15 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $175,115.36 $441,756.50 $412,700.61 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $217,648.41 $437,746.77 $408,954.61 2026-04-01
5832 APR_DRG Neonate With Ecmo 3 2 — — $254,844.14 $429,405.15 $401,161.65 2026-04-01
34 APR_DRG Description Not Available 1 1 — — $398,836.11 $398,836.11 $398,836.11 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $362,979.37 $449,093.06 $388,534.67 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $333,487.30 $406,640.40 $379,894.22 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $310,306.71 $393,329.99 $367,459.28 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $354,387.66 $379,338.07 $366,862.86 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $343,562.19 $380,450.79 $355,427.19 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $344,807.98 $379,826.28 $354,843.76 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $340,813.65 $364,808.39 $352,811.02 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $284,114.87 $377,402.60 $352,579.49 2026-04-01
5831 APR_DRG Neonate With Ecmo 3 2 — — $254,844.14 $371,083.19 $346,675.73 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $330,497.12 $353,765.53 $342,131.33 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $187,106.98 $362,322.75 $338,491.50 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $321,629.16 $361,343.86 $337,577.00 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $311,543.60 $355,725.78 $332,328.44 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $109,052.90 $354,692.38 $331,363.00 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 3 2 — — $268,179.43 $344,107.98 $321,474.78 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $71,442.50 $336,955.90 $314,793.11 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $297,863.30 $309,547.63 $303,705.46 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $247,908.65 $316,171.23 $295,375.53 2026-04-01
64 APR_DRG Pancreas Transplant 3 2 — — $135,949.50 $314,146.54 $293,484.01 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $267,750.00 $278,250.00 $273,000.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $248,207.68 $295,038.68 $271,623.18 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $263,395.67 $281,939.86 $269,119.12 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $257,500.00 $265,000.00 $261,250.00 2026-04-01
7594 APR_DRG Eating Disorders 3 2 — — $37,651.33 $279,570.70 $261,182.34 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $233,955.59 $343,562.19 $250,427.07 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $236,300.89 $252,937.48 $242,359.55 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 3 2 — — $228,616.70 $255,366.12 $238,569.78 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $222,469.88 $245,411.73 $238,132.72 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $179,226.47 $247,277.27 $231,012.97 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $176,971.59 $243,996.14 $227,947.65 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $202,311.44 $219,714.64 $216,555.03 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 3 2 — — $204,517.82 $218,916.75 $215,345.48 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $167,019.51 $229,962.09 $214,836.67 2026-04-01
33 APR_DRG Description Not Available 1 1 — — $210,415.71 $210,415.71 $210,415.71 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $207,884.12 $222,520.06 $210,268.00 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $200,850.55 $214,991.28 $207,920.91 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $198,651.89 $222,316.84 $207,694.28 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $189,101.38 $224,875.93 $206,988.65 2026-04-01
63 APR_DRG Pancreas Transplant 3 2 — — $130,170.82 $220,891.88 $206,363.04 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $187,991.60 $223,558.55 $205,775.08 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $193,889.42 $219,851.03 $205,390.65 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $201,669.02 $205,640.00 $203,654.51 2026-04-01
904 APR_DRG Description Not Available 1 1 — — $199,867.43 $199,867.43 $199,867.43 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $187,290.42 $200,476.47 $198,295.95 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $105,456.12 $211,509.41 $197,597.69 2026-04-01
4404 APR_DRG Kidney Transplant 3 2 — — $184,805.83 $209,006.43 $195,259.34 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $148,898.60 $205,655.91 $192,129.19 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $153,725.15 $205,504.74 $191,987.96 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $190,464.24 $190,464.24 $190,464.24 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $181,592.71 $194,377.62 $187,985.16 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 3 2 — — $16,875.12 $195,921.54 $183,035.08 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $125,415.46 $195,683.63 $182,812.82 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $174,438.74 $186,719.98 $180,579.36 2026-04-01
62 APR_DRG Pancreas Transplant 3 2 — — $89,970.95 $191,755.68 $179,143.23 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $172,403.68 $184,541.64 $178,472.66 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $129,617.33 $188,023.51 $175,656.54 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $158,477.76 $169,635.27 $168,786.75 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $125,942.25 $178,948.34 $167,178.28 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $118,015.47 $176,019.11 $164,441.71 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $163,823.55 $175,357.43 $164,314.36 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $157,646.60 $168,745.59 $163,415.61 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $157,387.30 $168,468.04 $162,826.53 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $157,107.16 $168,168.17 $162,637.67 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $109,688.25 $172,363.77 $161,026.79 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $154,960.97 $165,870.88 $160,415.92 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $127,935.51 $170,004.52 $158,822.72 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $147,334.70 $159,217.30 $157,707.69 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $152,323.95 $163,048.21 $157,686.08 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $124,365.44 $166,463.17 $155,514.30 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $143,739.19 $159,790.36 $153,859.05 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $146,179.22 $164,564.87 $153,740.86 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $147,948.23 $158,364.41 $153,156.32 2026-04-01
6124 APR_DRG Respiratory Condition 3 2 — — $147,015.20 $157,365.70 $150,804.66 2026-04-01
8634 APR_DRG Neonatal Aftercare 3 2 — — $94,306.30 $161,333.30 $150,721.84 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $110,896.67 $161,306.04 $150,696.37 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $140,032.56 $160,213.93 $149,891.45 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $139,416.71 $260,599.69 $149,232.25 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $127,826.95 $159,353.22 $148,871.99 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $102,096.05 $157,504.48 $147,144.85 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $139,891.33 $149,740.28 $144,815.80 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $92,154.65 $154,394.34 $144,239.28 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $109,688.25 $153,036.28 $142,970.55 2026-04-01
234 APR_DRG Spinal Procedures 3 2 — — $133,452.76 $143,837.13 $142,848.40 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $127,834.07 $150,976.90 $141,046.61 2026-04-01
61 APR_DRG Pancreas Transplant 3 2 — — $89,970.95 $150,729.08 $140,815.09 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $115,507.87 $150,548.17 $140,646.08 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $73,727.63 $149,105.86 $139,298.64 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $134,341.80 $143,800.03 $139,070.91 2026-04-01
32 APR_DRG Description Not Available 1 1 — — $138,115.40 $138,115.40 $138,115.40 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $134,840.75 $146,270.80 $136,650.05 2026-04-01
8504 APR_DRG Services 3 2 — — $133,795.41 $143,215.18 $135,732.38 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $125,634.33 $159,660.45 $134,479.52 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $122,681.85 $146,031.94 $134,356.90 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $129,949.86 $139,098.89 $132,169.42 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $128,875.20 $140,890.63 $131,623.75 2026-04-01
4414 APR_DRG Major Bladder Procedures 3 2 — — $120,366.45 $140,865.84 $131,600.60 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $122,610.68 $144,410.20 $131,242.99 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $121,869.81 $133,093.08 $130,449.97 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $86,778.17 $139,141.02 $129,989.22 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $125,164.34 $133,976.45 $129,570.40 2026-04-01
6904 APR_DRG Acute Leukemia 3 2 — — $120,258.43 $155,778.92 $128,725.14 2026-04-01
4403 APR_DRG Kidney Transplant 3 2 — — $100,951.70 $137,768.09 $128,706.60 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $53,853.72 $137,317.06 $128,285.23 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $127,825.17 $137,113.85 $128,095.39 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $118,589.17 $170,860.10 $126,938.36 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $124,673.52 $133,451.07 $126,139.80 2026-04-01
7 MS_DRG Lung Transplant 2 2 — — $114,699.92 $136,556.91 $125,628.42 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $63,832.50 $134,194.53 $125,368.08 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $121,350.62 $132,549.01 $123,830.79 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $86,518.34 $132,164.88 $123,471.93 2026-04-01
7504 APR_DRG Schizophrenia 3 2 — — $51,698.51 $131,195.91 $122,566.69 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $85,071.44 $130,977.83 $122,362.95 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $121,439.61 $130,583.79 $121,994.83 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $80,898.04 $130,271.54 $121,703.12 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $119,061.93 $129,981.59 $121,432.24 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $113,180.87 $131,462.88 $121,149.29 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $120,612.66 $129,104.31 $120,879.00 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $108,397.97 $129,381.87 $120,871.96 2026-04-01
274 APR_DRG Other Open Craniotomy 2 1 — — $116,019.30 $124,187.56 $120,103.43 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $103,998.55 $128,358.37 $119,915.78 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $110,620.26 $196,156.75 $118,408.40 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $110,198.89 $130,868.46 $117,957.36 2026-04-01
31 APR_DRG Description Not Available 1 1 — — $117,915.80 $117,915.80 $117,915.80 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $110,080.81 $216,036.00 $117,830.98 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $116,618.94 $124,829.41 $117,753.85 2026-04-01
7914 APR_DRG Description Not Available 1 1 — — $117,650.63 $117,650.63 $117,650.63 2026-04-01
2214 APR_DRG Description Not Available 1 1 — — $117,607.92 $117,607.92 $117,607.92 2026-04-01
4014 APR_DRG Adrenal Procedures 3 2 — — $109,437.19 $124,360.10 $117,142.04 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $79,767.93 $124,829.41 $116,618.94 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $106,442.54 $126,754.90 $116,598.72 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $89,627.47 $124,073.56 $115,912.80 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $111,743.13 $119,610.32 $115,676.73 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 1 — — $111,636.63 $119,496.33 $115,566.48 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $111,099.50 $118,921.38 $115,010.44 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $108,077.62 $122,782.42 $114,706.58 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $63,198.93 $122,631.25 $114,565.36 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $109,284.26 $122,264.48 $114,222.71 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $111,701.45 $119,565.72 $114,066.31 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $106,059.31 $127,935.51 $113,526.34 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $109,664.08 $117,384.90 $113,524.49 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $94,117.65 $120,943.59 $112,988.71 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $108,853.76 $116,517.53 $112,685.64 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $108,559.73 $116,202.80 $112,381.26 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $107,876.74 $115,471.73 $111,674.24 2026-04-01
3214 APR_DRG Decompression 3 2 — — $103,452.40 $125,721.57 $110,735.89 2026-04-01
6123 APR_DRG Respiratory Condition 3 2 — — $103,392.20 $112,886.37 $110,671.46 2026-04-01
4402 APR_DRG Kidney Transplant 3 2 — — $82,674.18 $118,158.10 $110,386.42 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $100,365.75 $119,541.38 $109,953.57 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $100,250.61 $119,404.70 $109,827.65 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $95,283.36 $117,342.77 $109,624.72 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $67,128.50 $116,401.05 $108,744.94 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $101,459.01 $109,533.42 $108,602.16 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $101,190.45 $111,692.19 $108,314.69 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $101,132.57 $112,484.16 $108,252.73 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $100,836.22 $110,811.24 $107,935.52 2026-04-01
3014 APR_DRG Hip Joint Replacement 1 1 — — $107,737.70 $107,737.70 $107,737.70 2026-04-01
2624 APR_DRG Description Not Available 1 1 — — $107,735.92 $107,735.92 $107,735.92 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $47,459.26 $115,117.35 $107,545.67 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $100,359.29 $149,283.02 $107,425.01 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $100,137.03 $111,512.44 $107,187.11 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $97,614.77 $116,275.80 $106,945.29 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $94,815.30 $114,039.33 $106,538.56 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $102,697.64 $109,928.00 $106,312.82 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 3 2 — — $99,078.98 $111,622.78 $106,054.57 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $98,828.94 $107,798.21 $105,786.92 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $96,311.90 $114,729.22 $105,520.56 2026-04-01
7574 APR_DRG Organic Mental Health Disturbances 3 2 — — $17,150.97 $112,307.07 $104,920.23 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $100,792.23 $107,888.44 $104,340.33 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $97,189.78 $135,801.79 $104,032.36 2026-04-01
215 MS_DRG Other Heart Assist System Implant 3 3 — — $88,189.15 $105,087.02 $103,092.08 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $70,244.76 $109,923.04 $102,693.01 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $71,469.19 $109,880.91 $102,653.65 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $65,514.32 $109,633.09 $102,422.13 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $95,400.13 $107,420.91 $102,116.71 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $98,319.60 $105,241.72 $101,780.66 2026-04-01
6504 APR_DRG Splenectomy 3 2 — — $98,687.72 $105,635.75 $101,496.29 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $99,579.07 $106,589.86 $101,373.49 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $95,881.34 $107,665.40 $100,583.86 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $91,320.10 $108,803.64 $100,061.87 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $93,314.14 $102,245.54 $99,883.85 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $61,614.99 $106,525.43 $99,518.87 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $85,648.06 $106,458.52 $99,456.36 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $92,807.11 $113,471.89 $99,341.13 2026-04-01
4401 APR_DRG Kidney Transplant 3 2 — — $65,955.68 $105,506.89 $98,567.32 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $91,580.05 $98,488.60 $98,027.68 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $91,536.06 $102,987.68 $97,980.59 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $91,383.26 $216,036.00 $97,817.03 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $91,130.90 $111,677.95 $97,546.91 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $94,059.63 $100,681.83 $97,370.73 2026-04-01
3024 APR_DRG Knee Joint Replacement 1 1 — — $96,865.51 $96,865.51 $96,865.51 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $93,487.78 $100,069.72 $96,778.75 2026-04-01
8633 APR_DRG Neonatal Aftercare 3 2 — — $73,884.25 $103,516.89 $96,708.22 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $90,058.96 $101,193.74 $96,399.50 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $65,850.68 $103,098.08 $96,316.95 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $89,540.36 $133,538.01 $95,844.39 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 3 2 — — $69,751.78 $102,461.18 $95,721.94 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $92,399.63 $98,904.96 $95,652.30 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $89,005.55 $112,153.13 $95,271.92 2026-04-01
6224 APR_DRG Respiratory Condition 3 2 — — $91,992.69 $101,901.11 $95,198.71 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 1 — — $91,797.68 $98,260.63 $95,029.15 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $88,625.86 $115,169.73 $94,865.50 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $91,177.21 $97,596.47 $94,386.84 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $88,019.27 $99,280.56 $94,216.21 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $88,014.64 $120,905.70 $94,211.25 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $90,883.18 $97,281.74 $94,082.46 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $78,659.18 $100,694.22 $94,071.21 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $89,833.92 $100,679.35 $94,057.32 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $90,829.93 $97,224.74 $94,027.33 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $87,395.73 $99,601.34 $93,050.20 2026-04-01
4034 APR_DRG Procedures For Obesity 3 2 — — $86,641.73 $117,045.53 $92,741.68 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $86,157.85 $93,856.04 $92,223.73 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $85,481.81 $99,104.37 $91,500.10 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $87,894.25 $94,082.38 $90,988.32 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $84,363.57 $91,359.12 $90,303.13 2026-04-01
7514 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 3 2 — — $41,075.48 $96,384.63 $90,045.07 2026-04-01
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy 3 2 — — $19,405.85 $96,050.08 $89,732.52 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $88,922.20 $95,182.71 $89,627.47 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $86,350.01 $92,429.43 $89,389.72 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $57,679.17 $103,255.51 $89,155.63 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $89,107.20 $89,107.20 $89,107.20 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $65,574.83 $95,170.31 $88,910.63 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $69,000.75 $94,949.75 $88,704.57 2026-04-01
7534 APR_DRG Bipolar Disorders 3 2 — — $31,582.56 $94,917.54 $88,674.48 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $76,160.48 $94,788.67 $88,554.08 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $82,472.05 $106,388.69 $88,278.44 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $82,351.66 $89,049.07 $88,149.57 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $82,316.94 $95,151.66 $88,112.40 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $139,700.93 $87,506.26 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $79,798.03 $95,126.25 $87,462.14 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $55,617.40 $93,519.83 $87,368.70 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 3 2 — — $81,476.52 $121,770.63 $87,212.81 2026-04-01
3624 APR_DRG Mastectomy Procedures 3 2 — — $51,677.15 $93,227.41 $87,095.51 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $53,830.59 $93,170.41 $87,042.26 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $66,122.97 $92,803.63 $86,699.61 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $58,046.70 $92,528.55 $86,442.62 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $80,592.11 $107,650.49 $86,266.14 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $67,806.57 $92,052.74 $85,998.10 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $55,617.40 $92,005.65 $85,954.12 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 3 2 — — $83,923.68 $89,832.27 $85,765.52 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $79,425.25 $106,137.75 $85,017.13 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $77,094.82 $90,303.13 $84,363.57 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $70,004.50 $90,268.44 $84,331.16 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $38,226.18 $90,223.83 $84,289.49 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 3 2 — — $68,141.15 $90,139.57 $84,210.77 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $76,697.19 $91,445.37 $84,071.28 2026-04-01
6344 APR_DRG Respiratory Condition 3 2 — — $71,784.20 $89,933.88 $84,018.61 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $78,351.00 $105,564.69 $83,867.24 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 3 2 — — $78,154.21 $110,090.46 $83,656.60 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 3 2 — — $78,100.96 $112,441.45 $83,599.60 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $63,981.99 $89,309.37 $83,435.18 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $77,841.65 $106,203.60 $83,322.04 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $46,227.71 $88,954.99 $83,104.10 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $82,341.00 $82,341.00 $82,341.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $82,341.00 $82,341.00 $82,341.00 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $79,513.23 $85,111.30 $82,312.26 2026-04-01
7734 APR_DRG Opioid Abuse And Dependence 3 2 — — $23,139.66 $88,000.88 $82,212.75 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 2 — — $52,787.39 $111,601.24 $82,194.32 2026-04-01
233 APR_DRG Spinal Procedures 3 2 — — $76,463.03 $87,777.84 $82,004.38 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 2 1 — — $79,126.59 $84,697.44 $81,912.01 2026-04-01
7744 APR_DRG Cocaine Abuse And Dependence 3 2 — — $17,973.19 $87,651.46 $81,886.31 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 1 — — $79,052.50 $84,618.14 $81,835.32 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $74,428.91 $88,752.79 $81,590.85 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 5 — — $39,052.11 $200,408.79 $81,246.61 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $41,525.49 $126,796.86 $81,129.24 2026-04-01
6122 APR_DRG Respiratory Condition 3 2 — — $80,066.56 $85,703.59 $80,978.13 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 2 — — $75,417.64 $90,191.64 $80,727.37 2026-04-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $77,786.09 $83,262.56 $80,524.32 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $58,628.66 $86,154.62 $80,487.93 2026-04-01
1791 APR_DRG Defibrillator Implants 2 1 — — $77,559.20 $83,019.70 $80,289.45 2026-04-01
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $52,216.40 $85,334.34 $79,721.60 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 3 — — $31,905.54 $103,955.54 $79,539.70 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $60,470.65 $84,888.26 $79,304.86 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $63,494.36 $84,843.66 $79,263.19 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $77,657.21 $84,749.48 $79,175.21 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $66,906.04 $84,338.10 $78,790.89 2026-04-01
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