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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

SAINT ANNE'S HOSPITAL

Fall River, MA · CCN 220020 · Rates published

7,810 distinct procedures filed
104 distinct payers
964,706 rate rows
2026-07-17 last MRF observed
Data quality

885,833 of 964,706 rate rows are consumer-grade (91.8%)

78,873 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 51,049
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16,664
per-diem day rate — not a per-procedure price 6,999
placeholder amount (≤ $0.02) — excluded from medians 1,983
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 923
exceeds 10× this hospital's gross charge — excluded from medians 891
template filing: same amount across many unrelated codes — excluded 205
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 159
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.brownhealth.org/sites/default/files/2026-05/994841947_saint-annes-hospital_standardcharges.csv
Found on page https://www.brownhealth.org/locations/saint-annes-hospital/patient-cost-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 96faff3d0d0782ba… · 36,091,207 bytes · first seen 2026-07-06

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,570,000.00 $4,422,320.00 $3,731,332.50 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,264,000.00 $4,974,693.88 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,162,000.00 $4,872,668.57 $3,410,868.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,856,000.00 $4,418,610.00 $3,093,027.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,146,250.00 $3,682,665.91 $2,608,309.51 nat. median
$2,455,111
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 45 $2,688.00 $1,259,092.04 $1,006,884.83 nat. median
$168,055
outlier · 6.0×
7
MS_DRG 		Lung Transplant 42 $8,479.78 $904,648.22 $723,583.85 nat. median
$70,649
outlier · 10.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $529,192.86 $1,736,657.23 $621,312.51 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $527,123.43 $1,660,768.77 $594,162.39 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,726.08 $1,650,993.32 $590,665.09 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $526,587.59 $1,635,672.40 $585,183.83 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $489,455.96 $1,564,977.23 $559,891.68 nat. median
$562,501
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 24 $430,972.35 $1,263,356.67 $549,945.31 nat. median
$225,531
outlier · 2.4×
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $460,530.40 $1,436,060.09 $513,769.84 nat. median
$513,770
1.0× median
5834
APR_DRG 		Neonate With Ecmo 18 $273,462.38 $1,128,929.33 $510,084.96 nat. median
$390,362
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $385,887.15 $906,877.82 $503,769.19 nat. median
$286,698
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 24 $274,868.49 $801,776.61 $439,654.83 nat. median
$202,242
outlier · 2.2×
5833
APR_DRG 		Neonate With Ecmo 18 $226,968.22 $921,481.85 $416,353.82 nat. median
$268,208
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $254,324.90 $584,245.46 $376,946.69 nat. median
$173,134
outlier · 2.2×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $249,033.55 $572,089.96 $368,357.20 nat. median
$152,383
outlier · 2.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 24 $175,597.76 $512,209.23 $341,982.01 nat. median
$173,018
2.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 $245,894.09 $626,578.87 $328,655.29 nat. median
$198,578
1.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 24 $176,311.89 $514,292.31 $322,569.99 nat. median
$136,566
outlier · 2.4×
5832
APR_DRG 		Neonate With Ecmo 18 $223,645.71 $681,961.73 $308,131.27 nat. median
$201,678
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 $2,688.00 $384,864.09 $307,745.60 nat. median
$97,418
outlier · 3.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 18 $202,987.56 $466,311.26 $300,491.43 nat. median
$171,497
1.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 24 $178,554.51 $520,833.90 $298,886.26 nat. median
$135,630
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 42 $8,479.78 $463,403.21 $297,403.43 nat. median
$186,516
1.6× median
23
APR_DRG 		Heart And/or Lung Transplant 24 $182,431.62 $532,143.24 $295,942.16 nat. median
$117,894
outlier · 2.5×
5831
APR_DRG 		Neonate With Ecmo 18 $223,645.71 $546,258.12 $293,531.65 nat. median
$173,909
1.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 18 $178,702.92 $410,523.59 $273,782.41 nat. median
$168,439
1.6× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 18 $202,649.07 $511,832.53 $270,527.63 nat. median
$115,963
outlier · 2.3×
1613
APR_DRG 		Implantable Heart Assist Systems 24 $163,678.85 $614,240.65 $267,381.95 nat. median
$155,539
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 21 $200,000.00 $612,694.50 $266,708.90 nat. median
$149,836
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 $192,901.65 $569,214.14 $260,506.33 nat. median
$187,567
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 $8,479.78 $293,524.47 $234,705.97 nat. median
$65,418
outlier · 3.6×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 24 $129,098.40 $449,982.56 $228,928.29 nat. median
$130,862
1.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 $149,016.79 $342,327.42 $225,369.64 nat. median
$124,731
1.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 45 $2,688.00 $277,979.64 $222,318.51 nat. median
$41,943
outlier · 5.3×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 18 $139,202.59 $319,781.83 $220,472.55 nat. median
$114,205
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 $2,688.00 $350,979.91 $216,138.48 nat. median
$145,435
1.5× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 24 $146,048.14 $496,309.25 $216,045.84 nat. median
$106,926
outlier · 2.0×
1612
APR_DRG 		Implantable Heart Assist Systems 24 $99,795.04 $493,183.23 $214,685.06 nat. median
$109,992
2.0× median
64
APR_DRG 		Pancreas Transplant 24 $140,404.82 $488,300.23 $212,559.47 nat. median
$92,994
outlier · 2.3×
22
APR_DRG 		Heart And/or Lung Transplant 24 $129,805.78 $378,636.49 $210,601.66 nat. median
$95,481
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 $2,688.00 $366,137.70 $210,319.80 nat. median
$131,925
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 21 $139,000.00 $480,814.08 $209,300.71 nat. median
$152,792
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 $155,507.38 $372,410.83 $208,965.25 nat. median
$181,762
1.1× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 $159,514.86 $372,325.41 $208,243.96 nat. median
$100,752
outlier · 2.1×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $50,021.00 $454,428.44 $205,324.74 nat. median
$135,803
1.5× median

Other procedures at this hospital

Browse this hospital's 7,810 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 5 — — $3,570,000.00 $4,422,320.00 $3,731,332.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 6 — — $3,264,000.00 $4,974,693.88 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 6 — — $3,162,000.00 $4,872,668.57 $3,410,868.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 6 — — $2,856,000.00 $4,418,610.00 $3,093,027.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 7 — — $2,146,250.00 $3,682,665.91 $2,608,309.51 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 55 45 — — $2,688.00 $1,259,092.04 $1,006,884.83 2026-07-17
7 MS_DRG Lung Transplant 52 42 — — $8,479.78 $904,648.22 $723,583.85 2026-07-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $529,192.86 $1,736,657.23 $621,312.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 7 — — $527,123.43 $1,660,768.77 $594,162.39 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $516,726.08 $1,650,993.32 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $526,587.59 $1,635,672.40 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $489,455.96 $1,564,977.23 $559,891.68 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 24 24 — — $430,972.35 $1,263,356.67 $549,945.31 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $460,530.40 $1,436,060.09 $513,769.84 2026-04-01
5834 APR_DRG Neonate With Ecmo 18 18 — — $273,462.38 $1,128,929.33 $510,084.96 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 18 18 — — $385,887.15 $906,877.82 $503,769.19 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 24 24 — — $274,868.49 $801,776.61 $439,654.83 2026-07-17
5833 APR_DRG Neonate With Ecmo 18 18 — — $226,968.22 $921,481.85 $416,353.82 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 18 18 — — $254,324.90 $584,245.46 $376,946.69 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 18 18 — — $249,033.55 $572,089.96 $368,357.20 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 24 24 — — $175,597.76 $512,209.23 $341,982.01 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 18 — — $245,894.09 $626,578.87 $328,655.29 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 24 24 — — $176,311.89 $514,292.31 $322,569.99 2026-07-17
5832 APR_DRG Neonate With Ecmo 18 18 — — $223,645.71 $681,961.73 $308,131.27 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 57 45 — — $2,688.00 $384,864.09 $307,745.60 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 18 18 — — $202,987.56 $466,311.26 $300,491.43 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 24 24 — — $178,554.51 $520,833.90 $298,886.26 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 52 42 — — $8,479.78 $463,403.21 $297,403.43 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 24 24 — — $182,431.62 $532,143.24 $295,942.16 2026-07-17
5831 APR_DRG Neonate With Ecmo 18 18 — — $223,645.71 $546,258.12 $293,531.65 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 18 18 — — $178,702.92 $410,523.59 $273,782.41 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 18 18 — — $202,649.07 $511,832.53 $270,527.63 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 24 24 — — $163,678.85 $614,240.65 $267,381.95 2026-07-17
74 APR_DRG Allogeneic Bone Marrow Transplant 21 21 — — $200,000.00 $612,694.50 $266,708.90 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 18 — — $192,901.65 $569,214.14 $260,506.33 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 52 42 — — $8,479.78 $293,524.47 $234,705.97 2026-07-17
5881 APR_DRG Female Reproductive System Reconstructive Procedures 24 24 — — $129,098.40 $449,982.56 $228,928.29 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $149,016.79 $342,327.42 $225,369.64 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 55 45 — — $2,688.00 $277,979.64 $222,318.51 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 18 18 — — $139,202.59 $319,781.83 $220,472.55 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 46 — — $2,688.00 $350,979.91 $216,138.48 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 24 — — $146,048.14 $496,309.25 $216,045.84 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 24 24 — — $99,795.04 $493,183.23 $214,685.06 2026-07-17
64 APR_DRG Pancreas Transplant 24 24 — — $140,404.82 $488,300.23 $212,559.47 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 24 24 — — $129,805.78 $378,636.49 $210,601.66 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 45 — — $2,688.00 $366,137.70 $210,319.80 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 21 — — $139,000.00 $480,814.08 $209,300.71 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 18 — — $155,507.38 $372,410.83 $208,965.25 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $159,514.86 $372,325.41 $208,243.96 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 15 — — $50,021.00 $454,428.44 $205,324.74 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 24 — — $115,222.51 $336,097.86 $205,008.61 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 24 24 — — $70,813.31 $468,523.65 $203,950.63 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 18 — — $130,959.64 $300,845.79 $203,700.85 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 18 18 — — $128,097.37 $294,270.46 $198,188.37 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 24 24 — — $118,763.28 $346,426.10 $195,076.23 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $128,225.86 $294,565.64 $194,639.07 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 18 18 — — $107,746.97 $247,520.71 $189,964.57 2026-07-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 15 — — $130,198.49 $299,097.24 $188,400.17 2026-07-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 24 24 — — $96,011.37 $280,060.00 $180,620.78 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 24 — — $71,311.74 $247,917.83 $179,377.59 2026-07-17
21 APR_DRG Heart And/or Lung Transplant 24 24 — — $111,278.90 $324,594.56 $178,553.10 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 52 42 — — $8,479.78 $219,701.97 $175,711.58 2026-07-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 24 24 — — $110,714.15 $322,947.21 $175,007.34 2026-07-17
4404 APR_DRG Kidney Transplant 24 24 — — $90,390.85 $263,665.26 $171,795.08 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 21 — — $120,000.00 $393,142.12 $171,136.68 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 42 — — $8,479.78 $211,947.64 $169,502.02 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $109,854.21 $252,361.54 $162,114.24 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 46 — — $2,688.00 $199,606.05 $159,618.17 2026-07-17
12 APR_DRG Liver Transplant And/or Intestinal Transplant 24 24 — — $93,128.83 $271,651.79 $156,931.92 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 18 18 — — $106,277.29 $244,144.49 $156,693.23 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 18 — — $118,891.28 $274,614.76 $155,949.36 2026-07-17
570 MS_DRG Skin Debridement With Mcc 57 45 — — $2,688.00 $193,592.49 $154,842.96 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 18 18 — — $107,693.13 $247,397.02 $154,418.91 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 43 — — $18,888.31 $192,638.10 $154,041.74 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 18 — — $112,722.73 $337,132.37 $153,246.67 2026-07-17
1784 APR_DRG External Heart Assist Systems 21 21 — — $81,516.76 $237,780.00 $153,046.02 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 15 15 — — $111,416.89 $255,951.41 $150,550.70 2026-07-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 24 24 — — $65,096.60 $207,893.16 $150,418.27 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 24 24 — — $89,563.97 $261,253.27 $148,786.03 2026-07-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 21 — — $78,620.73 $229,332.44 $147,608.78 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 24 24 — — $77,048.87 $259,753.57 $146,509.35 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 24 — — $78,539.77 $229,096.30 $145,677.27 2026-07-17
11 APR_DRG Liver Transplant And/or Intestinal Transplant 24 24 — — $80,558.80 $234,985.70 $144,025.38 2026-07-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 18 — — $98,697.24 $227,974.64 $142,932.02 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 24 24 — — $57,588.12 $226,237.89 $141,950.03 2026-07-17
63 APR_DRG Pancreas Transplant 24 24 — — $102,358.42 $324,813.83 $141,393.04 2026-07-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 24 24 — — $72,597.37 $290,518.62 $140,464.83 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 24 24 — — $50,739.81 $224,695.71 $138,880.21 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $70,504.40 $179,734.76 $138,824.15 2026-07-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 24 24 — — $85,075.84 $248,161.65 $138,030.17 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 42 — — $8,479.78 $172,534.77 $137,918.03 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 18 18 — — $94,760.90 $217,688.57 $136,226.64 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 21 21 — — $106,040.02 $309,313.04 $134,645.47 2026-07-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 24 24 — — $51,502.12 $185,336.34 $134,097.59 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 24 24 — — $53,071.08 $198,347.79 $133,542.53 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 24 24 — — $70,181.28 $204,715.02 $131,793.67 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 18 18 — — $85,810.64 $197,127.67 $131,464.71 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 24 24 — — $82,796.60 $241,513.24 $131,311.51 2026-07-17
6904 APR_DRG Acute Leukemia 24 24 — — $75,965.63 $221,587.66 $131,096.34 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 18 18 — — $94,244.49 $216,502.26 $130,266.05 2026-07-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 24 24 — — $48,225.41 $199,320.65 $129,185.85 2026-07-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 24 24 — — $52,983.38 $182,422.12 $129,172.05 2026-07-17
214 APR_DRG Open Craniotomy Except Trauma 24 24 — — $60,405.13 $188,743.53 $128,524.02 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 18 — — $92,543.62 $283,329.39 $128,016.93 2026-07-17
1794 APR_DRG Defibrillator Implants 21 21 — — $67,974.32 $198,277.44 $127,620.37 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 45 — — $2,688.00 $157,801.03 $126,189.20 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $82,031.80 $188,446.78 $126,035.83 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 24 24 — — $77,590.49 $226,327.30 $125,885.67 2026-07-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 24 24 — — $67,735.32 $222,776.17 $124,539.49 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 60 45 — — $2,688.00 $153,346.77 $122,615.32 2026-07-17
8634 APR_DRG Neonatal Aftercare 18 18 — — $79,518.61 $269,858.26 $121,930.26 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 21 21 — — $95,975.71 $279,955.99 $121,866.21 2026-07-17
62 APR_DRG Pancreas Transplant 24 24 — — $82,290.11 $279,315.04 $121,587.20 2026-07-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 24 24 — — $48,763.19 $171,234.23 $120,067.03 2026-07-17
1694 APR_DRG Major Abdominal Vascular Procedures 24 24 — — $53,020.97 $167,940.47 $120,037.68 2026-07-17
4414 APR_DRG Major Bladder Procedures 24 24 — — $61,683.04 $184,799.74 $120,010.89 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $54,856.74 $154,946.46 $119,678.08 2026-07-17
234 APR_DRG Spinal Procedures 24 24 — — $42,948.95 $182,313.05 $118,688.01 2026-07-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 24 24 — — $57,536.08 $167,829.66 $118,036.93 2026-07-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 18 18 — — $87,990.33 $245,122.78 $117,605.45 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 24 — — $69,948.06 $204,034.72 $117,534.17 2026-07-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 24 24 — — $64,616.66 $188,483.33 $117,448.48 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 21 — — $66,445.84 $231,805.00 $117,248.45 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 52 42 — — $8,479.78 $202,213.18 $116,517.55 2026-07-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 6 — — $108,243.35 $317,683.41 $116,471.73 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 24 24 — — $61,790.02 $189,563.70 $115,278.68 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 24 24 — — $55,751.25 $200,841.02 $115,100.82 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 21 21 — — $68,586.30 $200,062.54 $115,000.00 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 53 43 — — $15,792.01 $143,703.32 $114,905.19 2026-07-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 24 24 — — $52,305.88 $156,580.26 $113,291.52 2026-07-17
1783 APR_DRG External Heart Assist Systems 21 21 — — $60,305.86 $205,916.00 $112,764.29 2026-07-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 18 — — $80,388.35 $184,671.38 $112,412.82 2026-07-17
1204 APR_DRG Major Respiratory And Chest Procedures 24 24 — — $59,428.86 $173,350.80 $112,248.17 2026-07-17
914 APR_DRG Other Major Head And Neck Procedures 24 24 — — $68,339.77 $256,260.63 $111,551.50 2026-07-17
4403 APR_DRG Kidney Transplant 24 24 — — $70,330.66 $205,150.75 $111,270.40 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 24 24 — — $48,959.78 $159,110.57 $110,114.22 2026-07-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 24 — — $64,537.63 $188,252.81 $109,232.95 2026-07-17
224 APR_DRG Ventricular Shunt Procedures 24 24 — — $51,043.38 $170,464.23 $108,634.22 2026-07-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 18 18 — — $82,615.02 $196,984.30 $107,852.53 2026-07-17
2614 APR_DRG Major Biliary Tract Procedures 24 24 — — $43,910.76 $155,816.80 $107,789.89 2026-07-17
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 18 — — $73,665.26 $169,226.81 $107,549.00 2026-07-17
61 APR_DRG Pancreas Transplant 24 24 — — $76,618.08 $223,490.83 $107,428.36 2026-07-17
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 24 24 — — $65,077.33 $189,827.07 $106,162.26 2026-07-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 24 24 — — $50,509.47 $187,825.20 $104,783.56 2026-07-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 18 18 — — $71,452.78 $164,144.22 $103,916.86 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 55 45 — — $2,688.00 $130,118.48 $103,636.99 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 18 18 — — $77,094.48 $214,056.54 $103,042.36 2026-07-17
209 MS_DRG Complex Aortic Arch Procedures 17 10 — — $102,007.63 $187,167.68 $102,007.63 2026-04-01
4014 APR_DRG Adrenal Procedures 24 24 — — $57,458.98 $222,335.55 $101,891.17 2026-07-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 24 24 — — $34,974.03 $212,242.67 $101,622.95 2026-07-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $65,227.73 $149,843.79 $100,816.49 2026-07-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 21 21 — — $53,577.05 $156,281.37 $100,589.79 2026-07-17
274 APR_DRG Other Open Craniotomy 21 21 — — $52,945.80 $208,918.03 $99,404.64 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — — $99,333.20 $182,246.56 $99,333.20 2026-04-01
2324 APR_DRG Gastric Fundoplication 15 15 — — $67,908.90 $249,234.15 $99,144.82 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 24 24 — — $50,153.85 $146,296.10 $99,092.35 2026-07-17
264 APR_DRG Other Nervous System And Related Procedures 24 24 — — $53,652.22 $167,576.19 $98,912.39 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 55 43 — — $8,268.48 $123,492.81 $98,744.17 2026-07-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 19 — — $50,000.00 $226,833.31 $98,741.64 2026-07-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 55 45 — — $2,688.00 $179,814.12 $98,011.26 2026-07-17
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 18 18 — — $64,497.18 $148,165.53 $97,873.36 2026-07-17
1782 APR_DRG External Heart Assist Systems 21 21 — — $56,185.89 $163,891.21 $96,782.20 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 43 — — $1,875.00 $120,431.69 $96,292.99 2026-07-17
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 24 24 — — $46,739.33 $151,469.47 $96,261.93 2026-07-17
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 24 24 — — $42,380.35 $157,177.93 $96,012.37 2026-07-17
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 24 24 — — $40,667.79 $181,647.76 $95,912.95 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 55 45 — — $2,688.00 $119,715.32 $95,708.99 2026-07-17
10 MS_DRG Pancreas Transplant 52 42 — — $8,479.78 $123,055.28 $95,471.24 2026-07-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 21 21 — — $50,777.39 $205,038.88 $95,333.50 2026-07-17
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 18 18 — — $67,524.65 $155,120.36 $95,062.76 2026-07-17
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 21 — — $55,338.76 $161,420.19 $95,000.00 2026-07-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 24 — — $58,311.89 $170,092.65 $94,543.12 2026-07-17
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 18 18 — — $37,711.26 $133,506.47 $94,454.60 2026-07-17
215 MS_DRG Other Heart Assist System Implant 56 45 — — $2,688.00 $164,648.95 $94,342.92 2026-07-17
4034 APR_DRG Procedures For Obesity 24 24 — — $40,562.74 $176,635.13 $93,576.21 2026-07-17
4402 APR_DRG Kidney Transplant 24 24 — — $66,852.53 $195,005.24 $93,112.13 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 55 45 — — $2,688.00 $116,416.19 $93,075.97 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $65,455.35 $150,366.67 $93,046.98 2026-07-17
2234 APR_DRG Other Small And Large Bowel Procedures 18 18 — — $37,504.45 $132,372.19 $92,963.83 2026-07-17
1214 APR_DRG Other Respiratory And Chest Procedures 24 24 — — $39,571.06 $157,705.81 $92,857.34 2026-07-17
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 24 24 — — $54,725.83 $159,632.29 $92,693.13 2026-07-17
1793 APR_DRG Defibrillator Implants 21 21 — — $49,246.01 $143,647.98 $92,458.37 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 24 — — $46,786.56 $161,889.84 $91,976.63 2026-07-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 24 24 — — $23,072.72 $210,879.92 $89,888.67 2026-07-17
1781 APR_DRG External Heart Assist Systems 21 21 — — $50,113.38 $146,178.03 $88,719.35 2026-07-17
294 APR_DRG Other Percutaneous Intracranial Procedures 21 21 — — $47,068.93 $137,297.54 $88,370.94 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 43 — — $27,340.12 $161,768.38 $88,204.12 2026-07-17
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 24 24 — — $40,981.00 $150,684.20 $88,135.95 2026-07-17
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 24 24 — — $51,841.36 $151,218.46 $87,715.82 2026-07-17
4234 APR_DRG Inborn Errors Of Metabolism 18 18 — — $55,536.10 $163,016.94 $87,652.58 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 18 18 — — $31,510.68 $192,573.58 $87,010.66 2026-07-17
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 24 24 — — $38,643.94 $119,803.54 $86,682.23 2026-07-17
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 18 18 — — $64,633.01 $148,477.57 $86,503.29 2026-07-17
3054 APR_DRG Amputation Of Lower Limb Except Toes 24 24 — — $37,665.75 $145,671.58 $86,350.46 2026-07-17
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 24 24 — — $47,716.56 $175,500.85 $86,083.23 2026-07-17
6504 APR_DRG Splenectomy 24 24 — — $43,173.51 $142,074.61 $86,072.50 2026-07-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 18 — — $60,621.67 $139,262.55 $85,656.67 2026-07-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 55 45 — — $2,688.00 $106,906.69 $85,488.95 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 21 21 — — $58,365.86 $170,250.08 $85,000.00 2026-07-17
4444 APR_DRG Renal Dialysis Access Device Procedures 24 24 — — $37,860.42 $149,329.62 $84,409.38 2026-07-17
1814 APR_DRG Lower Extremity Arterial Procedures 21 21 — — $44,882.22 $151,048.40 $84,265.42 2026-07-17
3094 APR_DRG Other Significant Hip And Femur Surgery 24 24 — — $44,090.02 $143,675.69 $84,019.89 2026-07-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 18 — — $58,635.58 $134,700.02 $83,653.86 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 43 — — $23,991.97 $138,958.62 $83,388.70 2026-07-17
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 24 24 — — $45,415.16 $132,473.58 $83,353.38 2026-07-17
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 24 24 — — $38,271.94 $147,377.35 $83,043.26 2026-07-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 24 24 — — $34,578.65 $190,153.16 $82,774.60 2026-07-17
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 24 24 — — $34,343.74 $155,081.70 $82,552.26 2026-07-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 21 — — $59,643.74 $188,803.80 $82,187.21 2026-07-17
4401 APR_DRG Kidney Transplant 24 24 — — $61,353.36 $188,460.84 $82,037.92 2026-07-17
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 24 24 — — $43,630.32 $148,001.21 $81,752.15 2026-07-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 18 — — $57,476.86 $180,685.14 $81,639.10 2026-07-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 24 — — $62,383.51 $183,451.33 $81,440.62 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 10 — — $81,255.63 $148,982.75 $81,255.63 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 24 24 — — $29,569.38 $124,905.60 $81,228.68 2026-07-17
5144 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 24 24 — — $50,077.72 $146,074.02 $80,556.71 2026-07-17
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 24 24 — — $39,059.31 $127,453.36 $80,374.98 2026-07-17
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 24 24 — — $37,513.48 $110,892.93 $80,235.08 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 53 43 — — $24,005.29 $139,396.83 $79,999.88 2026-07-17
244 APR_DRG Open Extracranial Vascular Procedures 24 24 — — $37,020.04 $153,722.75 $79,711.71 2026-07-17
1804 APR_DRG Other Circulatory System Procedures 24 24 — — $38,108.10 $127,501.35 $79,618.38 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 36 35 — — $2,688.00 $273,655.62 $79,593.50 2026-07-17
1824 APR_DRG Other Peripheral Vascular And Related Procedures 21 21 — — $42,154.83 $122,963.39 $79,144.82 2026-07-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 18 — — $50,453.02 $181,331.71 $78,720.14 2026-07-17
2294 APR_DRG Other Digestive System And Abdominal Procedures 24 24 — — $39,801.39 $130,433.01 $78,587.67 2026-07-17
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 24 24 — — $35,326.75 $149,781.15 $78,443.61 2026-07-17
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 24 24 — — $38,695.02 $113,074.23 $78,395.71 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 17 10 — — $78,109.40 $143,193.49 $78,109.40 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 24 24 — — $38,360.60 $158,475.81 $78,078.40 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 57 45 — — $2,688.00 $96,802.89 $77,398.33 2026-07-17
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 18 18 — — $48,785.89 $160,829.43 $77,310.58 2026-07-17
1832 APR_DRG Percutaneous Structural Cardiac Procedures 21 21 — — $41,159.29 $138,842.79 $77,275.72 2026-07-17
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 24 24 — — $32,217.74 $122,874.81 $76,942.18 2026-07-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 24 24 — — $35,815.37 $135,844.73 $76,841.83 2026-07-17
2244 APR_DRG Peritoneal Adhesiolysis 24 24 — — $30,915.73 $110,441.40 $76,556.54 2026-07-17
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 24 24 — — $34,048.84 $138,604.16 $76,325.26 2026-07-17
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 24 24 — — $39,518.05 $133,898.66 $76,099.14 2026-07-17
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 13 7 — — $63,342.28 $185,903.26 $76,010.74 2026-04-01
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 24 24 — — $38,165.93 $136,717.34 $75,990.60 2026-07-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 21 21 — — $40,470.22 $296,867.26 $75,982.00 2026-07-17
2304 APR_DRG Major Small Bowel Procedures 21 21 — — $48,564.65 $141,660.48 $75,959.56 2026-07-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 24 24 — — $46,733.55 $136,319.26 $75,929.68 2026-07-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 18 18 — — $51,205.18 $117,630.60 $75,801.27 2026-07-17
6903 APR_DRG Acute Leukemia 24 24 — — $44,631.64 $130,188.09 $75,294.02 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 43 — — $21,919.18 $126,968.37 $75,069.71 2026-07-17
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 24 24 — — $31,183.65 $137,921.42 $74,834.10 2026-07-17
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 24 24 — — $33,237.37 $103,118.78 $74,610.19 2026-07-17
213 APR_DRG Open Craniotomy Except Trauma 24 24 — — $31,690.57 $104,274.87 $74,240.63 2026-07-17
1831 APR_DRG Percutaneous Structural Cardiac Procedures 21 21 — — $39,179.77 $164,484.05 $73,559.22 2026-07-17
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 18 18 — — $49,736.71 $114,257.19 $73,557.17 2026-07-17
7594 APR_DRG Eating Disorders 24 24 — — $15,287.43 $185,680.59 $73,354.99 2026-07-17
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 18 — — $45,711.91 $105,011.26 $72,646.77 2026-07-17
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 24 24 — — $36,499.68 $166,876.67 $72,642.23 2026-07-17
9103 APR_DRG Craniotomy For Multiple Significant Trauma 24 24 — — $41,816.57 $121,976.67 $72,437.98 2026-07-17
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 24 24 — — $39,276.15 $114,566.42 $71,475.95 2026-07-17
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 24 24 — — $30,720.09 $140,778.92 $71,058.20 2026-07-17
4834 APR_DRG Penis, Testes And Scrotal Procedures 18 18 — — $52,907.10 $139,535.23 $70,714.17 2026-07-17
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 24 24 — — $29,565.53 $105,668.72 $70,709.22 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 55 45 — — $2,688.00 $122,349.95 $70,451.85 2026-07-17
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 21 — — $37,473.00 $118,729.02 $70,354.77 2026-07-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 24 24 — — $51,029.48 $161,355.54 $70,238.85 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 53 43 — — $22,142.69 $126,421.03 $70,151.52 2026-07-17
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $45,872.22 $105,379.52 $69,911.76 2026-07-17
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 21 21 — — $37,224.35 $110,892.35 $69,887.95 2026-07-17
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 24 24 — — $37,001.73 $107,932.06 $69,746.18 2026-07-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 24 — — $36,369.52 $128,305.01 $69,552.98 2026-07-17
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 24 24 — — $42,851.62 $124,995.86 $69,524.04 2026-07-17
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 21 21 — — $36,724.18 $107,122.44 $68,948.87 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 55 45 — — $2,688.00 $126,002.67 $68,766.86 2026-07-17
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 24 24 — — $23,905.50 $108,364.80 $68,623.01 2026-07-17
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 18 — — $47,242.78 $108,528.03 $68,564.94 2026-07-17
3224 APR_DRG Shoulder And Elbow Joint Replacement 21 21 — — $36,298.21 $155,478.02 $68,149.12 2026-07-17
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 21 21 — — $36,152.68 $234,649.59 $67,875.90 2026-07-17
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 24 24 — — $41,734.65 $121,737.72 $67,711.83 2026-07-17
913 APR_DRG Other Major Head And Neck Procedures 24 24 — — $39,996.06 $116,666.37 $67,629.30 2026-07-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 21 — — $50,000.00 $154,948.88 $67,450.00 2026-07-17
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 24 24 — — $29,345.80 $112,940.30 $67,440.21 2026-07-17
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 18 18 — — $50,409.60 $127,613.06 $67,373.77 2026-07-17
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 24 24 — — $39,782.11 $116,042.29 $67,337.01 2026-07-17
1792 APR_DRG Defibrillator Implants 21 21 — — $35,749.84 $189,447.18 $67,119.57 2026-07-17
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 24 24 — — $35,184.13 $112,983.60 $65,992.05 2026-07-17
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 24 24 — — $22,740.34 $159,627.53 $65,762.71 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 8 — — $55,015.23 $162,218.74 $65,625.20 2026-04-01
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 15 15 — — $37,125.10 $85,285.28 $65,615.62 2026-07-17
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 24 24 — — $30,108.11 $91,296.13 $65,278.98 2026-07-17
8633 APR_DRG Neonatal Aftercare 18 18 — — $43,175.15 $106,399.09 $65,218.88 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — — $65,160.52 $119,366.77 $65,160.52 2026-04-01
7504 APR_DRG Schizophrenia 20 20 — — $16,636.80 $152,691.51 $65,085.56 2026-07-17
203 APR_DRG Open Craniotomy For Trauma 24 24 — — $28,218.23 $92,264.63 $65,010.96 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 45 — — $2,688.00 $94,756.24 $64,983.36 2026-07-17
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 24 24 — — $24,346.90 $97,966.55 $64,606.11 2026-07-17
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 24 24 — — $25,993.92 $92,649.30 $64,432.05 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 53 43 — — $20,019.75 $117,908.29 $64,367.89 2026-07-17
1693 APR_DRG Major Abdominal Vascular Procedures 24 24 — — $31,524.81 $95,387.55 $64,359.46 2026-07-17
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 18 — — $43,257.14 $128,596.36 $64,035.44 2026-07-17
L7181 HCPCS Electronic Elbo Simultaneous 12 7 — — $48,155.50 $141,331.58 $63,806.04 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 24 24 — — $37,995.34 $110,830.38 $63,763.79 2026-07-17
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 24 24 — — $24,464.47 $93,957.32 $63,711.84 2026-07-17
3624 APR_DRG Mastectomy Procedures 24 24 — — $43,950.25 $148,010.91 $63,559.07 2026-07-17
2634 APR_DRG Cholecystectomy 24 24 — — $26,985.61 $87,633.73 $63,271.96 2026-07-17
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