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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

ANNA JAQUES HOSPITAL

Newburyport, MA · CCN 220029 · Rates published

17,395 distinct procedures filed
13 distinct payers
80,524 rate rows
2026-04-01 last MRF observed
Data quality

58,401 of 80,524 rate rows are consumer-grade (72.5%)

22,123 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 22,078
placeholder amount (≤ $0.02) — excluded from medians 45
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ajh.org/832671600_anna-jaques-hospital_standardcharges.json
Found on page https://ajh.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 56a99260d00179af… · 20,450,505 bytes · first seen 2026-05-14

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
5834
APR_DRG 		Neonate With Ecmo 1 $592,175.28 $592,175.28 $592,175.28 nat. median
$309,665
1.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $485,744.56 $485,744.56 $485,744.56 nat. median
$246,434
2.0× median
5833
APR_DRG 		Neonate With Ecmo 1 $469,014.09 $469,014.09 $469,014.09 nat. median
$244,017
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $464,429.28 $464,429.28 $464,429.28 nat. median
$207,730
outlier · 2.2×
24
APR_DRG 		Heart And/Or Lung Transplant 1 $448,187.83 $448,187.83 $448,187.83 nat. median
$234,729
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $324,389.19 $369,361.59 $369,361.59 nat. median
$370,174
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $355,800.97 $355,800.97 $355,800.97 nat. median
$119,796
outlier · 3.0×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $352,571.44 $352,571.44 $352,571.44 nat. median
$150,721
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo 1 $345,852.91 $345,852.91 $345,852.91 nat. median
$156,126
outlier · 2.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $327,517.65 $327,517.65 $327,517.65 nat. median
$160,267
outlier · 2.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $316,797.14 $316,797.14 $316,797.14 nat. median
$151,838
outlier · 2.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $312,934.88 $312,934.88 $312,934.88 nat. median
$182,665
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $306,423.92 $306,423.92 $306,423.92 nat. median
$145,336
outlier · 2.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $305,920.93 $305,920.93 $305,920.93 nat. median
$164,289
1.9× median
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $305,527.72 $305,527.72 $305,527.72 nat. median
$117,173
outlier · 2.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $303,968.84 $303,968.84 $303,968.84 nat. median
$162,982
1.9× median
5831
APR_DRG 		Neonate With Ecmo 1 $298,879.04 $298,879.04 $298,879.04 nat. median
$144,745
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $293,825.17 $293,825.17 $293,825.17 nat. median
$187,061
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $291,823.18 $291,823.18 $291,823.18 nat. median
$122,924
outlier · 2.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $291,034.76 $291,034.76 $291,034.76 nat. median
$105,658
outlier · 2.8×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 1 $286,509.83 $286,509.83 $286,509.83 nat. median
$129,535
outlier · 2.2×
1612
APR_DRG 		Implantable Heart Assist Systems 1 $285,677.50 $285,677.50 $285,677.50 nat. median
$85,444
outlier · 3.3×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $284,931.00 $284,931.00 $284,931.00 nat. median
$164,834
1.7× median
23
APR_DRG 		Heart And/Or Lung Transplant 1 $277,152.58 $277,152.58 $277,152.58 nat. median
$93,528
outlier · 3.0×
1611
APR_DRG 		Implantable Heart Assist Systems 1 $271,392.13 $271,392.13 $271,392.13 nat. median
$76,806
outlier · 3.5×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $254,651.68 $254,651.68 $254,651.68 nat. median
$109,499
outlier · 2.3×
64
APR_DRG 		Pancreas Transplant 1 $253,020.94 $253,020.94 $253,020.94 nat. median
$91,009
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $210,515.54 $239,789.46 $239,789.46 nat. median
$265,286
0.9× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 1 $227,080.93 $227,080.93 $227,080.93 nat. median
$118,620
1.9× median
7594
APR_DRG 		Eating Disorders 1 $225,172.75 $225,172.75 $225,172.75 nat. median
$28,077
outlier · 8.0×
22
APR_DRG 		Heart And/Or Lung Transplant 1 $205,677.82 $205,677.82 $205,677.82 nat. median
$77,804
outlier · 2.6×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $203,721.74 $203,721.74 $203,721.74 nat. median
$108,996
1.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $201,699.79 $201,699.79 $201,699.79 nat. median
$124,573
1.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $199,162.88 $199,162.88 $199,162.88 nat. median
$69,926
outlier · 2.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $196,520.17 $196,520.17 $196,520.17 nat. median
$97,957
outlier · 2.0×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $191,797.64 $191,797.64 $191,797.64 nat. median
$68,217
outlier · 2.8×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $185,216.82 $185,216.82 $185,216.82 nat. median
$81,781
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $160,384.96 $182,747.94 $182,747.94 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $159,443.70 $181,676.93 $181,676.93 nat. median
$202,976
0.9× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $179,222.84 $179,222.84 $179,222.84 nat. median
$102,919
1.7× median
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 1 $179,059.16 $179,059.16 $179,059.16 nat. median
$86,492
outlier · 2.1×
63
APR_DRG 		Pancreas Transplant 1 $177,911.46 $177,911.46 $177,911.46 nat. median
$64,159
outlier · 2.8×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $177,073.14 $177,073.14 $177,073.14 nat. median
$84,063
outlier · 2.1×
21
APR_DRG 		Heart And/Or Lung Transplant 1 $176,320.65 $176,320.65 $176,320.65 nat. median
$64,672
outlier · 2.7×
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 1 $174,418.46 $174,418.46 $174,418.46 nat. median
$95,507
1.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $173,158.99 $173,158.99 $173,158.99 nat. median
$89,273
1.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $170,354.61 $170,354.61 $170,354.61 nat. median
$72,936
outlier · 2.3×
4404
APR_DRG 		Kidney Transplant 1 $168,338.65 $168,338.65 $168,338.65 nat. median
$79,034
outlier · 2.1×
13
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 1 $165,640.06 $165,640.06 $165,640.06 nat. median
$68,633
outlier · 2.4×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $165,518.30 $165,518.30 $165,518.30 nat. median
$80,416
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 17,395 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
             
5834 APR_DRG Neonate With Ecmo 1 1 — — $592,175.28 $592,175.28 $592,175.28 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $485,744.56 $485,744.56 $485,744.56 2026-04-01
5833 APR_DRG Neonate With Ecmo 1 1 — — $469,014.09 $469,014.09 $469,014.09 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $464,429.28 $464,429.28 $464,429.28 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 1 1 — — $448,187.83 $448,187.83 $448,187.83 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 10 — — $324,389.19 $369,361.59 $369,361.59 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $355,800.97 $355,800.97 $355,800.97 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $352,571.44 $352,571.44 $352,571.44 2026-04-01
5832 APR_DRG Neonate With Ecmo 1 1 — — $345,852.91 $345,852.91 $345,852.91 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $327,517.65 $327,517.65 $327,517.65 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $316,797.14 $316,797.14 $316,797.14 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $312,934.88 $312,934.88 $312,934.88 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $306,423.92 $306,423.92 $306,423.92 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $305,920.93 $305,920.93 $305,920.93 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $305,527.72 $305,527.72 $305,527.72 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $303,968.84 $303,968.84 $303,968.84 2026-04-01
5831 APR_DRG Neonate With Ecmo 1 1 — — $298,879.04 $298,879.04 $298,879.04 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $293,825.17 $293,825.17 $293,825.17 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $291,823.18 $291,823.18 $291,823.18 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $291,034.76 $291,034.76 $291,034.76 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 1 1 — — $286,509.83 $286,509.83 $286,509.83 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $285,677.50 $285,677.50 $285,677.50 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $284,931.00 $284,931.00 $284,931.00 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 1 1 — — $277,152.58 $277,152.58 $277,152.58 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $271,392.13 $271,392.13 $271,392.13 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $254,651.68 $254,651.68 $254,651.68 2026-04-01
64 APR_DRG Pancreas Transplant 1 1 — — $253,020.94 $253,020.94 $253,020.94 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 10 — — $210,515.54 $239,789.46 $239,789.46 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 1 1 — — $227,080.93 $227,080.93 $227,080.93 2026-04-01
7594 APR_DRG Eating Disorders 1 1 — — $225,172.75 $225,172.75 $225,172.75 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 1 1 — — $205,677.82 $205,677.82 $205,677.82 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $203,721.74 $203,721.74 $203,721.74 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $201,699.79 $201,699.79 $201,699.79 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $199,162.88 $199,162.88 $199,162.88 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $196,520.17 $196,520.17 $196,520.17 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $191,797.64 $191,797.64 $191,797.64 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $185,216.82 $185,216.82 $185,216.82 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 10 — — $160,384.96 $182,747.94 $182,747.94 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 10 — — $159,443.70 $181,676.93 $181,676.93 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $179,222.84 $179,222.84 $179,222.84 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 1 1 — — $179,059.16 $179,059.16 $179,059.16 2026-04-01
63 APR_DRG Pancreas Transplant 1 1 — — $177,911.46 $177,911.46 $177,911.46 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $177,073.14 $177,073.14 $177,073.14 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 1 1 — — $176,320.65 $176,320.65 $176,320.65 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 1 1 — — $174,418.46 $174,418.46 $174,418.46 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $173,158.99 $173,158.99 $173,158.99 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $170,354.61 $170,354.61 $170,354.61 2026-04-01
4404 APR_DRG Kidney Transplant 1 1 — — $168,338.65 $168,338.65 $168,338.65 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 1 1 — — $165,640.06 $165,640.06 $165,640.06 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $165,518.30 $165,518.30 $165,518.30 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $161,468.42 $161,468.42 $161,468.42 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 1 1 — — $157,799.77 $157,799.77 $157,799.77 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $157,608.15 $157,608.15 $157,608.15 2026-04-01
1784 APR_DRG External Heart Assist Systems 1 1 — — $156,556.26 $156,556.26 $156,556.26 2026-04-01
62 APR_DRG Pancreas Transplant 1 1 — — $154,444.49 $154,444.49 $154,444.49 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $151,438.52 $151,438.52 $151,438.52 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $150,388.62 $150,388.62 $150,388.62 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $148,634.14 $148,634.14 $148,634.14 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $144,129.16 $144,129.16 $144,129.16 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $141,769.89 $141,769.89 $141,769.89 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $141,236.96 $141,236.96 $141,236.96 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 1 1 — — $138,825.79 $138,825.79 $138,825.79 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $136,925.60 $136,925.60 $136,925.60 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 1 1 — — $136,628.20 $136,628.20 $136,628.20 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $135,911.63 $135,911.63 $135,911.63 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 1 1 — — $135,688.08 $135,688.08 $135,688.08 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $135,446.56 $135,446.56 $135,446.56 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $134,073.32 $134,073.32 $134,073.32 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $133,596.27 $133,596.27 $133,596.27 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 2 2 — — $1,509.42 $263,682.26 $132,595.84 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $132,544.38 $132,544.38 $132,544.38 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $131,322.83 $131,322.83 $131,322.83 2026-04-01
8634 APR_DRG Neonatal Aftercare 1 1 — — $129,941.60 $129,941.60 $129,941.60 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $129,919.64 $129,919.64 $129,919.64 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $128,346.79 $128,346.79 $128,346.79 2026-04-01
1794 APR_DRG Defibrillator Implants 1 1 — — $127,550.39 $127,550.39 $127,550.39 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $127,021.45 $127,021.45 $127,021.45 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $126,857.78 $126,857.78 $126,857.78 2026-04-01
6124 APR_DRG Respiratory Condition 1 1 — — $126,746.00 $126,746.00 $126,746.00 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $124,352.80 $124,352.80 $124,352.80 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $123,921.66 $123,921.66 $123,921.66 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 1 1 — — $123,258.99 $123,258.99 $123,258.99 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $121,600.31 $121,600.31 $121,600.31 2026-04-01
61 APR_DRG Pancreas Transplant 1 1 — — $121,400.71 $121,400.71 $121,400.71 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $121,255.00 $121,255.00 $121,255.00 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $120,726.06 $120,726.06 $120,726.06 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $120,604.31 $120,604.31 $120,604.31 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $120,195.13 $120,195.13 $120,195.13 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $108,243.35 $132,128.29 $120,185.82 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $120,093.33 $120,093.33 $120,093.33 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 10 — — $104,051.72 $118,648.68 $118,648.68 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $117,809.91 $117,809.91 $117,809.91 2026-04-01
1783 APR_DRG External Heart Assist Systems 1 1 — — $115,819.90 $115,819.90 $115,819.90 2026-04-01
8504 APR_DRG Services 1 1 — — $115,348.84 $115,348.84 $115,348.84 2026-04-01
234 APR_DRG Spinal Procedures 1 1 — — $115,053.43 $115,053.43 $115,053.43 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $114,097.24 $114,097.24 $114,097.24 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $113,476.59 $113,476.59 $113,476.59 2026-04-01
4414 APR_DRG Major Bladder Procedures 1 1 — — $113,456.63 $113,456.63 $113,456.63 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $112,067.42 $112,067.42 $112,067.42 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $112,033.48 $112,033.48 $112,033.48 2026-04-01
4403 APR_DRG Kidney Transplant 1 1 — — $110,961.63 $110,961.63 $110,961.63 2026-04-01
7 MS_DRG Lung Transplant 11 10 — — $97,281.90 $110,945.59 $110,945.59 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 1 1 — — $110,598.36 $110,598.36 $110,598.36 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $110,434.69 $110,434.69 $110,434.69 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $108,312.94 $108,312.94 $108,312.94 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $108,083.40 $108,083.40 $108,083.40 2026-04-01
1782 APR_DRG External Heart Assist Systems 1 1 — — $107,907.75 $107,907.75 $107,907.75 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $107,484.60 $107,484.60 $107,484.60 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $106,758.06 $106,758.06 $106,758.06 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $106,448.68 $106,448.68 $106,448.68 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $105,706.16 $105,706.16 $105,706.16 2026-04-01
7504 APR_DRG Schizophrenia 1 1 — — $105,668.24 $105,668.24 $105,668.24 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $105,492.59 $105,492.59 $105,492.59 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $105,175.23 $105,175.23 $105,175.23 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 1 1 — — $105,067.44 $105,067.44 $105,067.44 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $104,923.73 $104,923.73 $104,923.73 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $104,690.20 $104,690.20 $104,690.20 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $104,207.17 $104,207.17 $104,207.17 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $103,983.62 $103,983.62 $103,983.62 2026-04-01
6904 APR_DRG Acute Leukemia 1 1 — — $103,678.23 $103,678.23 $103,678.23 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $103,382.82 $103,382.82 $103,382.82 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 10 — — $90,278.46 $102,976.67 $102,976.67 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $102,239.11 $102,239.11 $102,239.11 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $79,539.70 $124,542.43 $102,041.07 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $100,540.52 $100,540.52 $100,540.52 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $100,540.52 $100,540.52 $100,540.52 2026-04-01
274 APR_DRG Other Open Craniotomy 1 1 — — $100,023.55 $100,023.55 $100,023.55 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $99,931.74 $99,931.74 $99,931.74 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $98,891.82 $98,891.82 $98,891.82 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $98,770.06 $98,770.06 $98,770.06 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $98,474.66 $98,474.66 $98,474.66 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $97,576.46 $97,576.46 $97,576.46 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $97,410.79 $97,410.79 $97,410.79 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 10 — — $85,124.48 $97,112.16 $97,112.16 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 11 10 — — $85,026.83 $97,001.04 $97,001.04 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $96,336.94 $96,336.94 $96,336.94 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $96,301.01 $96,301.01 $96,301.01 2026-04-01
1781 APR_DRG External Heart Assist Systems 1 1 — — $96,245.12 $96,245.12 $96,245.12 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $95,782.05 $95,782.05 $95,782.05 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $95,368.88 $95,368.88 $95,368.88 2026-04-01
4402 APR_DRG Kidney Transplant 1 1 — — $95,167.28 $95,167.28 $95,167.28 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $95,005.61 $95,005.61 $95,005.61 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 1 1 — — $94,903.81 $94,903.81 $94,903.81 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $94,544.53 $94,544.53 $94,544.53 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $94,510.60 $94,510.60 $94,510.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $82,791.25 $94,457.28 $94,457.28 2026-04-01
4014 APR_DRG Adrenal Procedures 1 1 — — $94,348.92 $94,348.92 $94,348.92 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $93,845.93 $93,845.93 $93,845.93 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 1 1 — — $93,752.12 $93,752.12 $93,752.12 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $93,592.44 $93,592.44 $93,592.44 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $81,686.24 $93,199.93 $93,199.93 2026-04-01
1793 APR_DRG Defibrillator Implants 1 1 — — $93,003.62 $93,003.62 $93,003.62 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $92,718.19 $92,718.19 $92,718.19 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $91,849.93 $91,849.93 $91,849.93 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $91,436.76 $91,436.76 $91,436.76 2026-04-01
7574 APR_DRG Organic Mental Health Disturbances 1 1 — — $90,454.73 $90,454.73 $90,454.73 2026-04-01
3214 APR_DRG Decompression 1 1 — — $89,189.26 $89,189.26 $89,189.26 2026-04-01
6123 APR_DRG Respiratory Condition 1 1 — — $89,137.37 $89,137.37 $89,137.37 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $88,538.57 $88,538.57 $88,538.57 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $88,534.58 $88,534.58 $88,534.58 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $88,500.64 $88,500.64 $88,500.64 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 10 — — $77,452.48 $88,382.50 $88,382.50 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $88,301.04 $88,301.04 $88,301.04 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $87,470.71 $87,470.71 $87,470.71 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 1 1 — — $87,239.17 $87,239.17 $87,239.17 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $87,189.27 $87,189.27 $87,189.27 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $86,933.78 $86,933.78 $86,933.78 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $86,895.86 $86,895.86 $86,895.86 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $86,716.22 $86,716.22 $86,716.22 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 1 1 — — $86,522.61 $86,522.61 $86,522.61 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $86,330.99 $86,330.99 $86,330.99 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $85,849.96 $85,849.96 $85,849.96 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $85,798.06 $85,798.06 $85,798.06 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $85,744.17 $85,744.17 $85,744.17 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 1 1 — — $85,418.82 $85,418.82 $85,418.82 2026-04-01
215 MS_DRG Other Heart Assist System Implant 11 10 — — $74,796.98 $85,360.93 $85,360.93 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 1 1 — — $85,203.25 $85,203.25 $85,203.25 2026-04-01
6504 APR_DRG Splenectomy 1 1 — — $85,081.50 $85,081.50 $85,081.50 2026-04-01
4401 APR_DRG Kidney Transplant 1 1 — — $84,977.70 $84,977.70 $84,977.70 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 1 1 — — $84,764.13 $84,764.13 $84,764.13 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $73,488.39 $83,871.94 $83,871.94 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 1 1 — — $83,790.08 $83,790.08 $83,790.08 2026-04-01
8633 APR_DRG Neonatal Aftercare 1 1 — — $83,374.92 $83,374.92 $83,374.92 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $83,037.59 $83,037.59 $83,037.59 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 1 1 — — $82,524.62 $82,524.62 $82,524.62 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 1 1 — — $82,247.18 $82,247.18 $82,247.18 2026-04-01
6224 APR_DRG Respiratory Condition 1 1 — — $82,073.52 $82,073.52 $82,073.52 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $81,101.47 $81,101.47 $81,101.47 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $81,091.49 $81,091.49 $81,091.49 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $81,089.50 $81,089.50 $81,089.50 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $80,598.48 $80,598.48 $80,598.48 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 1 1 — — $80,448.78 $80,448.78 $80,448.78 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 1 1 — — $80,221.24 $80,221.24 $80,221.24 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $80,011.66 $80,011.66 $80,011.66 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $79,660.36 $79,660.36 $79,660.36 2026-04-01
2324 APR_DRG Gastric Fundoplication 1 1 — — $79,141.40 $79,141.40 $79,141.40 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $78,953.78 $78,953.78 $78,953.78 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 1 1 — — $78,915.85 $78,915.85 $78,915.85 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 1 1 — — $78,784.12 $78,784.12 $78,784.12 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $78,606.47 $78,606.47 $78,606.47 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $78,566.55 $78,566.55 $78,566.55 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $78,352.98 $78,352.98 $78,352.98 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $78,307.07 $78,307.07 $78,307.07 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $77,642.40 $77,642.40 $77,642.40 2026-04-01
7514 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 1 1 — — $77,630.43 $77,630.43 $77,630.43 2026-04-01
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy 1 1 — — $77,360.97 $77,360.97 $77,360.97 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $67,680.12 $77,262.94 $77,262.94 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 1 1 — — $77,195.30 $77,195.30 $77,195.30 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 1 1 — — $76,734.22 $76,734.22 $76,734.22 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $76,662.37 $76,662.37 $76,662.37 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 1 1 — — $76,652.39 $76,652.39 $76,652.39 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $76,474.74 $76,474.74 $76,474.74 2026-04-01
7534 APR_DRG Bipolar Disorders 1 1 — — $76,448.80 $76,448.80 $76,448.80 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 1 1 — — $76,406.88 $76,406.88 $76,406.88 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $76,345.00 $76,345.00 $76,345.00 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 1 1 — — $75,883.93 $75,883.93 $75,883.93 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 1 1 — — $75,879.94 $75,879.94 $75,879.94 2026-04-01
1792 APR_DRG Defibrillator Implants 1 1 — — $75,776.14 $75,776.14 $75,776.14 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 2 — — $68,801.71 $82,562.05 $75,681.88 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $75,323.05 $75,323.05 $75,323.05 2026-04-01
3624 APR_DRG Mastectomy Procedures 1 1 — — $75,087.52 $75,087.52 $75,087.52 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $75,041.62 $75,041.62 $75,041.62 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $74,746.21 $74,746.21 $74,746.21 2026-04-01
4034 APR_DRG Procedures For Obesity 1 1 — — $74,696.31 $74,696.31 $74,696.31 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $74,524.65 $74,524.65 $74,524.65 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $74,444.81 $74,444.81 $74,444.81 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 1 1 — — $74,279.14 $74,279.14 $74,279.14 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 11 10 — — $65,050.16 $74,270.42 $74,270.42 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $74,141.42 $74,141.42 $74,141.42 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $74,103.50 $74,103.50 $74,103.50 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 1 1 — — $73,696.31 $73,696.31 $73,696.31 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 1 1 — — $72,732.24 $72,732.24 $72,732.24 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 1 1 — — $72,732.24 $72,732.24 $72,732.24 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $72,704.30 $72,704.30 $72,704.30 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 1 1 — — $72,668.37 $72,668.37 $72,668.37 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 1 1 — — $72,600.51 $72,600.51 $72,600.51 2026-04-01
6344 APR_DRG Respiratory Condition 1 1 — — $72,434.84 $72,434.84 $72,434.84 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 1 1 — — $72,353.00 $72,353.00 $72,353.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 10 — — $63,325.41 $72,307.90 $72,307.90 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $63,126.34 $72,081.39 $72,081.39 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $71,931.85 $71,931.85 $71,931.85 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $71,646.42 $71,646.42 $71,646.42 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 1 1 — — $71,101.51 $71,101.51 $71,101.51 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 1 1 — — $70,997.72 $70,997.72 $70,997.72 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $70,967.78 $70,967.78 $70,967.78 2026-04-01
7734 APR_DRG Opioid Abuse And Dependence 1 1 — — $70,877.96 $70,877.96 $70,877.96 2026-04-01
233 APR_DRG Spinal Procedures 1 1 — — $70,698.32 $70,698.32 $70,698.32 2026-04-01
7744 APR_DRG Cocaine Abuse And Dependence 1 1 — — $70,596.52 $70,596.52 $70,596.52 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 4 4 — — $1,509.42 $113,975.22 $70,451.24 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 1 1 — — $70,243.23 $70,243.23 $70,243.23 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $69,480.76 $69,480.76 $69,480.76 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $69,390.94 $69,390.94 $69,390.94 2026-04-01
6122 APR_DRG Respiratory Condition 1 1 — — $69,027.67 $69,027.67 $69,027.67 2026-04-01
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $68,730.26 $68,730.26 $68,730.26 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 1 1 — — $68,550.62 $68,550.62 $68,550.62 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $68,474.78 $68,474.78 $68,474.78 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $68,370.98 $68,370.98 $68,370.98 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $68,335.06 $68,335.06 $68,335.06 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $68,259.21 $68,259.21 $68,259.21 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 1 1 — — $68,217.29 $68,217.29 $68,217.29 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 1 1 — — $68,153.42 $68,153.42 $68,153.42 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $67,927.87 $67,927.87 $67,927.87 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 1 1 — — $67,598.53 $67,598.53 $67,598.53 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $67,548.63 $67,548.63 $67,548.63 2026-04-01
734 APR_DRG Orbit And Eye Procedures 1 1 — — $67,536.66 $67,536.66 $67,536.66 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 10 — — $59,110.43 $67,511.84 $67,511.84 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 1 1 — — $67,378.97 $67,378.97 $67,378.97 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 1 1 — — $67,333.06 $67,333.06 $67,333.06 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $67,109.51 $67,109.51 $67,109.51 2026-04-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $67,061.61 $67,061.61 $67,061.61 2026-04-01
203 APR_DRG Open Craniotomy For Trauma 1 1 — — $66,965.80 $66,965.80 $66,965.80 2026-04-01
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $66,929.87 $66,929.87 $66,929.87 2026-04-01
1791 APR_DRG Defibrillator Implants 1 1 — — $66,866.00 $66,866.00 $66,866.00 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $66,351.03 $66,351.03 $66,351.03 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $66,303.13 $66,303.13 $66,303.13 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $57,679.39 $65,883.52 $65,883.52 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 10 — — $57,430.74 $65,600.60 $65,600.60 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 10 — — $57,240.69 $65,384.34 $65,384.34 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 1 1 — — $65,378.98 $65,378.98 $65,378.98 2026-04-01
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $65,117.50 $65,117.50 $65,117.50 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 1 1 — — $65,019.70 $65,019.70 $65,019.70 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 4 — — $63,342.28 $106,575.00 $65,003.68 2026-04-01
6924 APR_DRG Radiotherapy 1 1 — — $64,698.34 $64,698.34 $64,698.34 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $56,824.55 $121,034.97 $64,509.68 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $64,486.77 $64,486.77 $64,486.77 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 1 1 — — $64,484.77 $64,484.77 $64,484.77 2026-04-01
7604 APR_DRG Other Mental Health Disorders 1 1 — — $63,139.47 $63,139.47 $63,139.47 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 1 1 — — $62,666.42 $62,666.42 $62,666.42 2026-04-01
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $62,422.90 $62,422.90 $62,422.90 2026-04-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $62,369.01 $62,369.01 $62,369.01 2026-04-01
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $62,355.04 $62,355.04 $62,355.04 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 — — $62,215.32 $62,215.32 $62,215.32 2026-04-01
4454 APR_DRG Other Bladder Procedures 1 1 — — $62,213.32 $62,213.32 $62,213.32 2026-04-01
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $62,113.52 $62,113.52 $62,113.52 2026-04-01
2634 APR_DRG Cholecystectomy 1 1 — — $62,071.61 $62,071.61 $62,071.61 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $54,226.12 $61,954.20 $61,954.20 2026-04-01
10 MS_DRG Pancreas Transplant 11 10 — — $53,903.86 $61,587.50 $61,587.50 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 10 — — $53,881.32 $61,561.86 $61,561.86 2026-04-01
7544 APR_DRG Depression Except Major Depressive Disorder 1 1 — — $61,440.87 $61,440.87 $61,440.87 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 10 — — $53,595.12 $61,236.20 $61,236.20 2026-04-01
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