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

SAINT ANNE'S HOSPITAL

Fall River, MA · CCN 220020 · Rates published

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You selected 93350 (CPT)

TTE W OR W/O FOL W/CON STRES

This hospital’s price: $657 across 94 payers · range $50-$2,126

Source: https://www.brownhealth.org/sites/default/files/2025-04/994841947_Saint-Annes-Hospital_standardcharges.zip · observed 2026-07-17

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.

19,023 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/2026-03/994841947_brown-university-health-saint-anne-_s-hospital_standardcharges.csv
Found on page https://www.brownhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 6fb13e6b49137c29… · 36,091,209 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,570,000.00 $4,422,320.00 $3,731,332.50 nat. median
$3,705,478
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,264,000.00 $4,974,693.88 $3,482,285.72 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,162,000.00 $4,872,668.57 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,856,000.00 $4,418,610.00 $3,093,027.00 nat. median
$2,994,107
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
$2,467,386
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $529,192.86 $1,736,657.23 $621,312.51 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $527,123.43 $1,660,768.77 $594,162.39 nat. median
$646,415
0.9× median
34
APR_DRG 		Description Not Available 2 $566,841.50 $593,839.47 $593,839.47 nat. median
$241,408
outlier · 2.5×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,726.08 $1,650,993.32 $590,665.09 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $526,587.59 $1,635,672.40 $585,183.83 nat. median
$622,450
0.9× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $581,157.93 $581,157.93 $581,157.93 nat. median
$31,873
outlier · 18.2×
24
APR_DRG 		Heart And/or Lung Transplant 27 $430,972.35 $1,263,356.67 $562,048.47 nat. median
$241,437
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $489,455.96 $1,564,977.23 $559,891.68 nat. median
$608,239
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 21 $385,887.15 $906,877.82 $527,763.11 nat. median
$247,214
outlier · 2.1×
C9081
HCPCS 		Idecabtagene Car Pos T 1 $524,291.94 $524,291.94 $524,291.94 nat. median
$27,427
outlier · 19.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 45 $2,688.00 $1,259,092.04 $524,284.14 nat. median
$359,454
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $460,530.40 $1,436,060.09 $513,769.84 nat. median
$591,721
0.9× median
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $512,793.76 $512,793.76 $512,793.76 nat. median
$27,935
outlier · 18.4×
5834
APR_DRG 		Neonate With Ecmo 21 $273,462.38 $1,128,929.33 $510,084.96 nat. median
$307,206
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 27 $274,868.49 $801,776.61 $482,893.41 nat. median
$202,993
outlier · 2.4×
5833
APR_DRG 		Neonate With Ecmo 21 $226,968.22 $921,481.85 $416,353.82 nat. median
$244,017
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 21 $254,324.90 $584,245.46 $396,953.81 nat. median
$175,204
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 21 $249,033.55 $572,089.96 $388,694.76 nat. median
$145,061
outlier · 2.7×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 27 $175,597.76 $512,209.23 $377,919.17 nat. median
$155,939
outlier · 2.4×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 27 $176,311.89 $514,292.31 $350,232.85 nat. median
$136,566
outlier · 2.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 21 $245,894.09 $626,578.87 $336,299.96 nat. median
$165,000
outlier · 2.0×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 27 $178,554.51 $520,833.90 $335,582.59 nat. median
$122,016
outlier · 2.8×
23
APR_DRG 		Heart And/or Lung Transplant 27 $182,431.62 $532,143.24 $327,626.54 nat. median
$110,944
outlier · 3.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 21 $202,987.56 $466,311.26 $321,593.11 nat. median
$162,342
2.0× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $314,081.85 $314,081.85 $314,081.85 nat. median
$5,127
outlier · 61.3×
5832
APR_DRG 		Neonate With Ecmo 21 $223,645.71 $681,961.73 $308,131.27 nat. median
$159,249
1.9× median
5831
APR_DRG 		Neonate With Ecmo 21 $223,645.71 $546,258.12 $305,871.69 nat. median
$146,500
outlier · 2.1×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 21 $178,702.92 $410,523.59 $305,683.80 nat. median
$151,838
outlier · 2.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 22 $200,000.00 $612,694.50 $298,848.24 nat. median
$170,082
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 42 $8,479.78 $463,403.21 $297,113.03 nat. median
$249,036
1.2× median
33
APR_DRG 		Description Not Available 2 $277,110.00 $290,308.41 $290,308.41 nat. median
$129,917
outlier · 2.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 21 $202,649.07 $511,832.53 $277,155.40 nat. median
$107,681
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems 27 $163,678.85 $614,240.65 $267,381.95 nat. median
$120,517
outlier · 2.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 21 $192,901.65 $569,214.14 $263,824.22 nat. median
$154,011
1.7× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $50,021.00 $454,428.44 $260,558.80 nat. median
$123,836
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 21 $139,202.59 $319,781.83 $254,587.95 nat. median
$108,695
outlier · 2.3×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 27 $129,098.40 $449,982.56 $254,267.04 nat. median
$120,208
outlier · 2.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 21 $149,016.79 $342,327.42 $248,201.94 nat. median
$118,620
outlier · 2.1×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 27 $115,222.51 $336,097.86 $236,905.64 nat. median
$81,521
outlier · 2.9×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 22 $139,000.00 $480,814.08 $234,522.17 nat. median
$163,587
1.4× median
22
APR_DRG 		Heart And/or Lung Transplant 27 $129,805.78 $378,636.49 $225,113.03 nat. median
$92,229
outlier · 2.4×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 21 $128,097.37 $294,270.46 $223,545.36 nat. median
$101,406
outlier · 2.2×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 21 $130,959.64 $300,845.79 $223,222.17 nat. median
$82,615
outlier · 2.7×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 21 $159,514.86 $372,325.41 $218,162.37 nat. median
$96,883
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 19,023 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 14 5 — — $3,570,000.00 $4,422,320.00 $3,731,332.50 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 6 — — $3,264,000.00 $4,974,693.88 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 6 — — $3,162,000.00 $4,872,668.57 $3,410,868.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 18 6 — — $2,856,000.00 $4,418,610.00 $3,093,027.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 7 — — $2,146,250.00 $3,682,665.91 $2,608,309.51 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 22 7 — — $529,192.86 $1,736,657.23 $621,312.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 22 7 — — $527,123.43 $1,660,768.77 $594,162.39 2026-04-01
34 APR_DRG Description Not Available 3 2 — — $566,841.50 $593,839.47 $593,839.47 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 22 7 — — $516,726.08 $1,650,993.32 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 22 7 — — $526,587.59 $1,635,672.40 $585,183.83 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $581,157.93 $581,157.93 $581,157.93 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 30 27 — — $430,972.35 $1,263,356.67 $562,048.47 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 7 — — $489,455.96 $1,564,977.23 $559,891.68 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 24 21 — — $385,887.15 $906,877.82 $527,763.11 2026-07-17
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $524,291.94 $524,291.94 $524,291.94 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 72 45 — — $2,688.00 $1,259,092.04 $524,284.14 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 22 7 — — $460,530.40 $1,436,060.09 $513,769.84 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 1 1 — — $512,793.76 $512,793.76 $512,793.76 2026-04-01
5834 APR_DRG Neonate With Ecmo 24 21 — — $273,462.38 $1,128,929.33 $510,084.96 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 30 27 — — $274,868.49 $801,776.61 $482,893.41 2026-07-17
5833 APR_DRG Neonate With Ecmo 24 21 — — $226,968.22 $921,481.85 $416,353.82 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 24 21 — — $254,324.90 $584,245.46 $396,953.81 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 24 21 — — $249,033.55 $572,089.96 $388,694.76 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 30 27 — — $175,597.76 $512,209.23 $377,919.17 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 30 27 — — $176,311.89 $514,292.31 $350,232.85 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 24 21 — — $245,894.09 $626,578.87 $336,299.96 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 27 — — $178,554.51 $520,833.90 $335,582.59 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 30 27 — — $182,431.62 $532,143.24 $327,626.54 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 24 21 — — $202,987.56 $466,311.26 $321,593.11 2026-07-17
0100T OTHER Prosth Retina Receive&Gen 3 1 — — $314,081.85 $314,081.85 $314,081.85 2026-04-01
5832 APR_DRG Neonate With Ecmo 24 21 — — $223,645.71 $681,961.73 $308,131.27 2026-07-17
5831 APR_DRG Neonate With Ecmo 24 21 — — $223,645.71 $546,258.12 $305,871.69 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 24 21 — — $178,702.92 $410,523.59 $305,683.80 2026-07-17
74 APR_DRG Allogeneic Bone Marrow Transplant 24 22 — — $200,000.00 $612,694.50 $298,848.24 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 69 42 — — $8,479.78 $463,403.21 $297,113.03 2026-07-17
33 APR_DRG Description Not Available 3 2 — — $277,110.00 $290,308.41 $290,308.41 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 24 21 — — $202,649.07 $511,832.53 $277,155.40 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 30 27 — — $163,678.85 $614,240.65 $267,381.95 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 24 21 — — $192,901.65 $569,214.14 $263,824.22 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 16 — — $50,021.00 $454,428.44 $260,558.80 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 24 21 — — $139,202.59 $319,781.83 $254,587.95 2026-07-17
5881 APR_DRG Female Reproductive System Reconstructive Procedures 30 27 — — $129,098.40 $449,982.56 $254,267.04 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $149,016.79 $342,327.42 $248,201.94 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 27 — — $115,222.51 $336,097.86 $236,905.64 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 24 22 — — $139,000.00 $480,814.08 $234,522.17 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 30 27 — — $129,805.78 $378,636.49 $225,113.03 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 24 21 — — $128,097.37 $294,270.46 $223,545.36 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 21 — — $130,959.64 $300,845.79 $223,222.17 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $159,514.86 $372,325.41 $218,162.37 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 24 21 — — $155,507.38 $377,074.74 $217,798.10 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 27 — — $146,048.14 $496,309.25 $216,045.84 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 73 46 — — $2,688.00 $350,979.91 $215,917.54 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $128,225.86 $294,565.64 $215,202.70 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 27 — — $118,763.28 $346,426.10 $214,825.03 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 30 27 — — $99,795.04 $493,183.23 $214,685.06 2026-07-17
64 APR_DRG Pancreas Transplant 30 27 — — $140,404.82 $488,300.23 $212,559.47 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 72 45 — — $2,688.00 $366,137.70 $208,237.42 2026-07-17
32 APR_DRG Description Not Available 3 2 — — $195,348.81 $204,653.04 $204,653.04 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 30 27 — — $70,813.31 $468,523.65 $203,950.63 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 24 21 — — $107,746.97 $247,520.71 $203,550.52 2026-07-17
21 APR_DRG Heart And/or Lung Transplant 30 27 — — $111,278.90 $324,594.56 $197,329.23 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 27 — — $71,311.74 $247,917.83 $195,808.88 2026-07-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 30 27 — — $110,714.15 $322,947.21 $195,805.51 2026-07-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 30 27 — — $96,011.37 $280,060.00 $194,840.93 2026-07-17
4404 APR_DRG Kidney Transplant 30 27 — — $90,390.85 $263,665.26 $191,204.59 2026-07-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 16 — — $130,198.49 $299,097.24 $190,766.01 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 24 22 — — $120,000.00 $393,142.12 $178,669.46 2026-07-17
31 APR_DRG Description Not Available 3 2 — — $170,379.47 $178,494.44 $178,494.44 2026-04-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 30 27 — — $93,128.83 $271,651.79 $174,381.10 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $109,854.21 $252,361.54 $172,744.20 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 30 27 — — $57,588.12 $226,237.89 $169,122.76 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 76 45 — — $2,688.00 $384,864.09 $164,554.01 2026-07-17
1784 APR_DRG External Heart Assist Systems 24 22 — — $81,516.76 $237,780.00 $164,487.71 2026-07-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 27 — — $65,096.60 $207,893.16 $164,040.76 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 27 — — $78,539.77 $229,096.30 $163,075.17 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 24 21 — — $107,693.13 $247,397.02 $162,413.97 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 27 — — $89,563.97 $261,253.27 $161,095.62 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $70,504.40 $179,734.76 $161,063.37 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 30 27 — — $77,048.87 $259,753.57 $160,125.93 2026-07-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 24 22 — — $78,620.73 $229,332.44 $159,890.68 2026-07-17
7 MS_DRG Lung Transplant 69 42 — — $8,479.78 $904,648.22 $159,753.01 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 24 21 — — $106,277.29 $244,144.49 $159,133.17 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 24 21 — — $118,891.28 $274,614.76 $155,949.36 2026-07-17
11 APR_DRG Liver Transplant And/or Intestinal Transplant 30 27 — — $80,558.80 $234,985.70 $155,382.90 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 24 21 — — $112,722.73 $337,132.37 $154,166.58 2026-07-17
1734 APR_DRG Description Not Available 3 2 — — $145,457.05 $152,384.99 $152,384.99 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 30 27 — — $72,597.37 $290,518.62 $152,189.84 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 24 22 — — $106,040.02 $309,313.04 $150,870.71 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 18 16 — — $111,416.89 $255,951.41 $150,819.21 2026-07-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 30 27 — — $85,075.84 $248,161.65 $149,028.28 2026-07-17
7914 APR_DRG Description Not Available 3 2 — — $140,900.64 $147,611.57 $147,611.57 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 27 — — $51,502.12 $186,234.23 $146,923.91 2026-07-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 30 27 — — $48,225.41 $199,320.65 $146,141.84 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 30 27 — — $50,739.81 $224,695.71 $145,411.20 2026-07-17
2214 APR_DRG Description Not Available 3 2 — — $138,609.73 $145,211.55 $145,211.55 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 24 21 — — $98,697.24 $227,974.64 $142,932.02 2026-07-17
214 APR_DRG Open Craniotomy Except Trauma 30 27 — — $60,405.13 $188,743.53 $142,158.42 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 30 27 — — $70,181.28 $204,715.02 $142,098.15 2026-07-17
6934 APR_DRG Description Not Available 3 2 — — $135,599.49 $142,057.93 $142,057.93 2026-04-01
63 APR_DRG Pancreas Transplant 30 27 — — $102,358.42 $324,813.83 $141,393.04 2026-07-17
4414 APR_DRG Major Bladder Procedures 30 27 — — $61,683.04 $184,799.74 $141,350.42 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $82,031.80 $188,446.78 $141,141.07 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 24 21 — — $94,760.90 $217,688.57 $140,084.96 2026-07-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 30 27 — — $52,983.38 $182,422.12 $139,554.73 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 69 42 — — $8,479.78 $293,524.47 $137,868.01 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 24 22 — — $95,975.71 $279,955.99 $136,551.51 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 30 27 — — $53,071.08 $198,347.79 $136,025.30 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 30 27 — — $82,796.60 $241,513.24 $135,441.79 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 27 — — $69,948.06 $204,034.72 $135,218.33 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 30 27 — — $77,590.49 $226,327.30 $134,671.01 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 24 21 — — $85,810.64 $197,127.67 $133,413.41 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 30 27 — — $55,751.25 $200,841.02 $133,255.43 2026-07-17
6904 APR_DRG Acute Leukemia 30 27 — — $75,965.63 $221,587.66 $133,137.70 2026-07-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 30 27 — — $48,763.19 $171,234.23 $132,258.48 2026-07-17
234 APR_DRG Spinal Procedures 30 27 — — $42,948.95 $182,313.05 $131,977.86 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 24 21 — — $94,244.49 $216,502.26 $131,901.86 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $54,856.74 $154,946.46 $131,623.82 2026-07-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 30 27 — — $52,305.88 $156,677.75 $130,851.62 2026-07-17
1794 APR_DRG Defibrillator Implants 24 22 — — $67,974.32 $198,277.44 $130,794.82 2026-07-17
1694 APR_DRG Major Abdominal Vascular Procedures 30 27 — — $53,020.97 $167,940.47 $130,380.07 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 69 42 — — $8,479.78 $172,534.77 $130,178.27 2026-07-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 30 27 — — $67,735.32 $222,776.17 $128,884.79 2026-07-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 30 27 — — $57,536.08 $167,829.66 $128,212.78 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 24 21 — — $92,543.62 $283,329.39 $128,016.93 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 30 27 — — $48,959.78 $159,110.57 $122,894.37 2026-07-17
8634 APR_DRG Neonatal Aftercare 24 21 — — $79,518.61 $269,858.26 $121,930.26 2026-07-17
62 APR_DRG Pancreas Transplant 30 27 — — $82,290.11 $279,315.04 $121,587.20 2026-07-17
2614 APR_DRG Major Biliary Tract Procedures 30 27 — — $43,910.76 $155,816.80 $120,350.32 2026-07-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 24 21 — — $87,990.33 $245,122.78 $120,341.01 2026-07-17
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 30 27 — — $65,077.33 $189,827.07 $119,552.82 2026-07-17
4014 APR_DRG Adrenal Procedures 30 27 — — $57,458.98 $222,335.55 $118,938.26 2026-07-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 30 27 — — $64,616.66 $188,483.33 $118,923.34 2026-07-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 27 — — $64,537.63 $188,252.81 $118,613.19 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 24 22 — — $66,445.84 $231,805.00 $117,984.62 2026-07-17
1204 APR_DRG Major Respiratory And Chest Procedures 30 27 — — $59,428.86 $173,350.80 $117,620.54 2026-07-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 6 — — $108,243.35 $317,683.41 $116,471.73 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 27 — — $61,790.02 $189,563.70 $116,348.36 2026-07-17
274 APR_DRG Other Open Craniotomy 24 22 — — $52,945.80 $208,918.03 $116,206.60 2026-07-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 24 21 — — $80,388.35 $184,671.38 $115,502.14 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 69 42 — — $8,479.78 $202,213.18 $115,120.43 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 24 22 — — $68,586.30 $200,062.54 $115,000.00 2026-07-17
1783 APR_DRG External Heart Assist Systems 24 22 — — $60,305.86 $205,916.00 $114,926.40 2026-07-17
3014 APR_DRG Hip Joint Replacement 3 2 — — $109,117.22 $114,314.34 $114,314.34 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 27 — — $46,786.56 $163,917.28 $113,229.91 2026-07-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 24 21 — — $82,615.02 $196,984.30 $112,989.41 2026-07-17
61 APR_DRG Pancreas Transplant 30 27 — — $76,618.08 $223,490.83 $112,545.04 2026-07-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $65,227.73 $149,843.79 $112,368.46 2026-07-17
4403 APR_DRG Kidney Transplant 30 27 — — $70,330.66 $205,150.75 $112,052.14 2026-07-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 30 27 — — $34,974.03 $212,242.67 $111,732.34 2026-07-17
914 APR_DRG Other Major Head And Neck Procedures 30 27 — — $68,339.77 $256,260.63 $111,551.50 2026-07-17
224 APR_DRG Ventricular Shunt Procedures 30 27 — — $51,043.38 $170,464.23 $110,330.75 2026-07-17
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 30 27 — — $47,716.56 $175,500.85 $110,267.43 2026-07-17
264 APR_DRG Other Nervous System And Related Procedures 30 27 — — $53,652.22 $167,576.19 $109,975.55 2026-07-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 24 21 — — $71,452.78 $164,144.22 $109,509.74 2026-07-17
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 30 27 — — $42,380.35 $157,177.93 $109,226.84 2026-07-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 30 27 — — $50,509.47 $187,825.20 $109,072.24 2026-07-17
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 21 — — $73,665.26 $169,226.81 $108,899.55 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 30 27 — — $50,153.85 $146,296.10 $107,898.39 2026-07-17
904 APR_DRG Description Not Available 3 2 — — $102,627.61 $107,515.64 $107,515.64 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 30 27 — — $39,571.06 $157,705.81 $107,409.03 2026-07-17
6504 APR_DRG Splenectomy 30 27 — — $43,173.51 $142,074.61 $106,586.31 2026-07-17
3024 APR_DRG Knee Joint Replacement 3 2 — — $101,374.65 $106,203.00 $106,203.00 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 24 22 — — $53,577.05 $156,281.37 $105,782.89 2026-07-17
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 30 27 — — $40,667.79 $181,647.76 $105,627.55 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 24 21 — — $77,094.48 $214,056.54 $105,439.17 2026-07-17
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 30 27 — — $54,725.83 $159,632.29 $104,829.94 2026-07-17
1814 APR_DRG Lower Extremity Arterial Procedures 24 22 — — $44,882.22 $151,048.40 $104,221.54 2026-07-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 24 22 — — $40,470.22 $296,867.26 $104,032.85 2026-07-17
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 30 27 — — $46,739.33 $151,469.47 $103,504.06 2026-07-17
2624 APR_DRG Description Not Available 3 2 — — $98,151.35 $102,826.18 $102,826.18 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 24 21 — — $64,497.18 $148,165.53 $102,223.14 2026-07-17
209 MS_DRG Complex Aortic Arch Procedures 34 10 — — $102,007.63 $187,167.68 $102,007.63 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 24 22 — — $50,777.39 $205,038.88 $101,569.69 2026-07-17
3094 APR_DRG Other Significant Hip And Femur Surgery 30 27 — — $44,090.02 $143,675.69 $100,782.66 2026-07-17
2324 APR_DRG Gastric Fundoplication 18 16 — — $67,908.90 $249,234.15 $100,389.84 2026-07-17
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 30 27 — — $34,343.74 $155,081.70 $100,235.04 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 10 — — $99,333.20 $182,246.56 $99,333.20 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 30 27 — — $40,981.00 $150,684.20 $99,042.66 2026-07-17
2294 APR_DRG Other Digestive System And Abdominal Procedures 30 27 — — $39,801.39 $130,433.01 $98,862.26 2026-07-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 20 — — $50,000.00 $226,833.31 $98,741.64 2026-07-17
G0448 HCPCS Place Perm Pacing Cardiovert 3 2 — — $36,298.08 $98,695.43 $98,695.43 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 24 21 — — $37,711.26 $133,506.47 $98,488.38 2026-07-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 72 45 — — $2,688.00 $179,814.12 $98,011.26 2026-07-17
1782 APR_DRG External Heart Assist Systems 24 22 — — $56,185.89 $163,891.21 $98,000.00 2026-07-17
4402 APR_DRG Kidney Transplant 30 27 — — $66,852.53 $195,005.24 $97,546.95 2026-07-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 27 — — $58,311.89 $170,092.65 $97,263.65 2026-07-17
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 24 21 — — $67,524.65 $155,120.36 $97,245.22 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 72 45 — — $2,688.00 $130,118.48 $97,196.90 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $65,455.35 $150,366.67 $97,150.68 2026-07-17
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 30 27 — — $51,841.36 $151,218.46 $97,018.96 2026-07-17
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 30 27 — — $45,415.16 $132,473.58 $96,992.25 2026-07-17
3054 APR_DRG Amputation Of Lower Limb Except Toes 30 27 — — $37,665.75 $145,671.58 $96,732.79 2026-07-17
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 30 27 — — $38,360.60 $158,475.81 $96,320.14 2026-07-17
2234 APR_DRG Other Small And Large Bowel Procedures 24 21 — — $37,504.45 $132,372.19 $96,257.77 2026-07-17
244 APR_DRG Open Extracranial Vascular Procedures 30 27 — — $37,020.04 $153,722.75 $95,655.86 2026-07-17
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 30 27 — — $38,643.94 $119,803.54 $95,608.61 2026-07-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 27 — — $35,815.37 $137,545.98 $95,170.43 2026-07-17
903 APR_DRG Description Not Available 3 2 — — $90,764.54 $95,087.55 $95,087.55 2026-04-01
4034 APR_DRG Procedures For Obesity 30 27 — — $40,562.74 $176,635.13 $95,037.58 2026-07-17
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 24 22 — — $55,338.76 $161,420.19 $95,000.00 2026-07-17
1793 APR_DRG Defibrillator Implants 24 22 — — $49,246.01 $143,647.98 $94,200.54 2026-07-17
215 MS_DRG Other Heart Assist System Implant 74 45 — — $2,688.00 $164,648.95 $93,661.25 2026-07-17
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 30 27 — — $35,326.75 $149,781.15 $93,637.87 2026-07-17
1781 APR_DRG External Heart Assist Systems 24 22 — — $50,113.38 $146,178.03 $92,923.71 2026-07-17
10 MS_DRG Pancreas Transplant 69 42 — — $8,479.78 $123,055.28 $92,129.74 2026-07-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 24 22 — — $59,643.74 $188,803.80 $92,091.05 2026-07-17
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 27 — — $39,518.05 $135,575.55 $91,896.31 2026-07-17
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 30 27 — — $32,217.74 $122,874.81 $91,115.72 2026-07-17
1804 APR_DRG Other Circulatory System Procedures 30 27 — — $38,108.10 $127,501.35 $90,640.63 2026-07-17
2254 APR_DRG Description Not Available 3 2 — — $86,258.96 $90,367.37 $90,367.37 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 24 21 — — $64,633.01 $148,477.57 $90,340.28 2026-07-17
1824 APR_DRG Other Peripheral Vascular And Related Procedures 24 22 — — $42,154.83 $122,963.39 $90,000.00 2026-07-17
294 APR_DRG Other Percutaneous Intracranial Procedures 24 22 — — $47,068.93 $137,297.54 $90,000.00 2026-07-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 30 27 — — $23,072.72 $210,879.92 $89,888.67 2026-07-17
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 30 27 — — $31,183.65 $137,921.42 $89,501.23 2026-07-17
2314 APR_DRG Major Large Bowel Procedures 24 22 — — $31,527.71 $134,161.49 $89,280.29 2026-07-17
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 30 27 — — $38,165.93 $136,717.34 $88,550.11 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 24 22 — — $58,365.86 $170,250.08 $88,485.94 2026-07-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 24 21 — — $60,621.67 $139,262.55 $88,479.20 2026-07-17
5144 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 27 — — $50,077.72 $146,074.02 $88,208.92 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 43 — — $27,340.12 $161,768.38 $88,204.12 2026-07-17
4234 APR_DRG Inborn Errors Of Metabolism 24 21 — — $55,536.10 $163,016.94 $87,652.58 2026-07-17
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 30 27 — — $37,513.48 $110,892.93 $87,164.87 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 24 21 — — $31,510.68 $192,573.58 $87,010.66 2026-07-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 24 21 — — $58,635.58 $134,700.02 $86,682.13 2026-07-17
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 30 27 — — $30,720.09 $140,778.92 $86,320.76 2026-07-17
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 24 22 — — $37,224.35 $112,281.12 $85,932.50 2026-07-17
4444 APR_DRG Renal Dialysis Access Device Procedures 30 27 — — $37,860.42 $149,329.62 $85,727.59 2026-07-17
1832 APR_DRG Percutaneous Structural Cardiac Procedures 24 22 — — $41,159.29 $138,842.79 $85,417.14 2026-07-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 27 — — $62,383.51 $183,451.33 $85,319.54 2026-07-17
2244 APR_DRG Peritoneal Adhesiolysis 30 27 — — $30,915.73 $110,441.40 $85,303.11 2026-07-17
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 30 27 — — $38,271.94 $147,377.35 $85,153.24 2026-07-17
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 30 27 — — $43,630.32 $148,001.21 $84,881.49 2026-07-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 30 27 — — $46,733.55 $136,319.26 $84,405.90 2026-07-17
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 30 27 — — $33,237.37 $103,118.78 $84,314.07 2026-07-17
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 21 — — $45,711.91 $105,011.26 $84,167.43 2026-07-17
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 30 27 — — $38,695.02 $113,074.23 $84,071.81 2026-07-17
4401 APR_DRG Kidney Transplant 30 27 — — $61,353.36 $188,460.84 $83,910.65 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 72 43 — — $18,888.31 $192,638.10 $83,833.33 2026-07-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 27 — — $36,369.52 $129,911.85 $83,436.37 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 43 — — $23,991.97 $138,958.62 $83,169.15 2026-07-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 30 27 — — $34,578.65 $190,153.16 $82,774.60 2026-07-17
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 30 27 — — $29,569.38 $124,905.60 $82,476.64 2026-07-17
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 30 27 — — $29,345.80 $114,354.71 $82,315.80 2026-07-17
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 30 27 — — $39,059.31 $127,453.36 $81,798.09 2026-07-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 24 21 — — $57,476.86 $180,685.14 $81,639.10 2026-07-17
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 24 22 — — $36,152.68 $234,649.59 $81,416.04 2026-07-17
1831 APR_DRG Percutaneous Structural Cardiac Procedures 24 22 — — $39,179.77 $164,484.05 $81,255.75 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 10 — — $81,255.63 $148,982.75 $81,255.63 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 30 27 — — $31,690.57 $104,274.87 $80,652.27 2026-07-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 24 21 — — $51,205.18 $117,630.60 $80,312.76 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 37 35 — — $2,688.00 $273,655.62 $79,593.50 2026-07-17
9103 APR_DRG Craniotomy For Multiple Significant Trauma 30 27 — — $41,816.57 $121,976.67 $79,480.08 2026-07-17
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 30 27 — — $39,276.15 $114,566.42 $79,247.08 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 70 43 — — $24,005.29 $139,396.83 $79,239.32 2026-07-17
1792 APR_DRG Defibrillator Implants 24 22 — — $35,749.84 $189,447.18 $78,855.49 2026-07-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 24 21 — — $50,453.02 $181,331.71 $78,720.14 2026-07-17
4814 APR_DRG Description Not Available 3 2 — — $75,023.34 $78,596.61 $78,596.61 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 24 21 — — $48,785.89 $160,829.43 $78,514.41 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 77 46 — — $2,688.00 $199,606.05 $78,456.42 2026-07-17
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 24 21 — — $49,736.71 $114,257.19 $78,371.91 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 34 10 — — $78,109.40 $143,193.49 $78,109.40 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 15 8 — — $825.00 $221,243.56 $78,041.90 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 30 27 — — $39,782.11 $116,042.29 $78,025.76 2026-07-17
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 30 27 — — $22,740.34 $159,627.53 $77,940.58 2026-07-17
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 30 27 — — $42,851.62 $124,995.86 $77,822.81 2026-07-17
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 24 21 — — $45,872.22 $105,379.52 $77,628.96 2026-07-17
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 30 27 — — $34,048.84 $138,604.16 $77,517.23 2026-07-17
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 27 — — $35,184.13 $114,398.56 $77,237.32 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 70 43 — — $15,792.01 $143,703.32 $77,035.79 2026-07-17
6903 APR_DRG Acute Leukemia 30 27 — — $44,631.64 $130,188.09 $76,466.45 2026-07-17
2304 APR_DRG Major Small Bowel Procedures 24 22 — — $48,564.65 $141,660.48 $76,243.43 2026-07-17
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 26 7 — — $63,342.28 $185,903.26 $76,010.74 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 72 45 — — $2,688.00 $277,979.64 $75,981.25 2026-07-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 24 22 — — $50,000.00 $154,948.88 $75,577.96 2026-07-17
1693 APR_DRG Major Abdominal Vascular Procedures 30 27 — — $31,524.81 $96,582.14 $75,168.87 2026-07-17
3084 APR_DRG Hip And Femur Fracture Repair 30 27 — — $23,004.41 $116,573.03 $75,160.03 2026-07-17
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 24 22 — — $30,504.22 $125,140.45 $75,077.57 2026-07-17
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 30 27 — — $37,001.73 $107,932.06 $74,799.96 2026-07-17
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 30 27 — — $29,565.53 $105,668.72 $74,574.91 2026-07-17
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 24 22 — — $36,724.18 $107,122.44 $74,466.85 2026-07-17
913 APR_DRG Other Major Head And Neck Procedures 30 27 — — $39,996.06 $116,666.37 $74,313.26 2026-07-17
3224 APR_DRG Shoulder And Elbow Joint Replacement 24 22 — — $36,298.21 $155,478.02 $74,018.46 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 43 — — $21,919.18 $126,968.37 $73,938.33 2026-07-17
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 24 22 — — $37,473.00 $118,729.02 $73,717.24 2026-07-17
7594 APR_DRG Eating Disorders 30 27 — — $15,287.43 $290,953.43 $73,354.99 2026-07-17
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 30 27 — — $25,993.92 $93,809.60 $73,103.39 2026-07-17
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 24 21 — — $47,242.78 $108,528.03 $72,674.18 2026-07-17
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 30 27 — — $36,499.68 $166,876.67 $72,642.23 2026-07-17
4834 APR_DRG Penis, Testes And Scrotal Procedures 24 21 — — $52,907.10 $139,535.23 $72,359.01 2026-07-17
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 30 27 — — $23,905.50 $108,364.80 $72,301.96 2026-07-17
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 27 — — $28,733.83 $107,295.72 $72,147.98 2026-07-17
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 27 — — $31,357.12 $110,862.61 $72,030.70 2026-07-17
8633 APR_DRG Neonatal Aftercare 24 21 — — $43,175.15 $107,731.59 $71,733.58 2026-07-17
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 30 27 — — $24,464.47 $93,957.32 $71,414.96 2026-07-17
203 APR_DRG Open Craniotomy For Trauma 30 27 — — $28,218.23 $92,264.63 $71,263.67 2026-07-17
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 30 27 — — $30,108.11 $91,296.13 $70,902.15 2026-07-17
233 APR_DRG Spinal Procedures 30 27 — — $32,045.23 $93,474.21 $70,800.52 2026-07-17
1791 APR_DRG Defibrillator Implants 24 22 — — $31,692.50 $139,392.97 $70,506.32 2026-07-17
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