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

ANNA JAQUES HOSPITAL

Newburyport, MA · CCN 220029 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $758 across 4 payers · range $416-$990

Source: https://ajh.org/832671600_anna-jaques-hospital_standardcharges.json · observed 2026-04-01

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

17,394 distinct procedures filed
13 distinct payers
80,524 rate rows
2026-04-01 last MRF observed
Data quality

58,379 of 80,524 rate rows are consumer-grade (72.5%)

22,145 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
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/patients-visitors/billing-financial-services/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-09-28
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
$307,273
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
$247,214
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
$202,993
outlier · 2.3×
24
APR_DRG 		Heart And/Or Lung Transplant 1 $448,187.83 $448,187.83 $448,187.83 nat. median
$241,915
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
$359,358
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $355,800.97 $355,800.97 $355,800.97 nat. median
$120,517
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
$154,011
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo 1 $345,852.91 $345,852.91 $345,852.91 nat. median
$159,249
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
$156,153
outlier · 2.1×
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
$175,429
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $306,423.92 $306,423.92 $306,423.92 nat. median
$145,061
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
$162,514
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
$124,042
outlier · 2.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $303,968.84 $303,968.84 $303,968.84 nat. median
$165,000
1.8× median
5831
APR_DRG 		Neonate With Ecmo 1 $298,879.04 $298,879.04 $298,879.04 nat. median
$146,591
outlier · 2.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $293,825.17 $293,825.17 $293,825.17 nat. median
$170,172
1.7× 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
$133,164
outlier · 2.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $291,034.76 $291,034.76 $291,034.76 nat. median
$122,016
outlier · 2.4×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 1 $286,509.83 $286,509.83 $286,509.83 nat. median
$136,728
outlier · 2.1×
1612
APR_DRG 		Implantable Heart Assist Systems 1 $285,677.50 $285,677.50 $285,677.50 nat. median
$84,808
outlier · 3.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $284,931.00 $284,931.00 $284,931.00 nat. median
$163,587
1.7× median
23
APR_DRG 		Heart And/Or Lung Transplant 1 $277,152.58 $277,152.58 $277,152.58 nat. median
$111,046
outlier · 2.5×
1611
APR_DRG 		Implantable Heart Assist Systems 1 $271,392.13 $271,392.13 $271,392.13 nat. median
$76,852
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
$107,657
outlier · 2.4×
64
APR_DRG 		Pancreas Transplant 1 $253,020.94 $253,020.94 $253,020.94 nat. median
$91,239
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
$249,124
1.0× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 1 $227,080.93 $227,080.93 $227,080.93 nat. median
$118,589
1.9× median
7594
APR_DRG 		Eating Disorders 1 $225,172.75 $225,172.75 $225,172.75 nat. median
$27,181
outlier · 8.3×
22
APR_DRG 		Heart And/Or Lung Transplant 1 $205,677.82 $205,677.82 $205,677.82 nat. median
$92,229
outlier · 2.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $203,721.74 $203,721.74 $203,721.74 nat. median
$108,798
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
$120,505
1.7× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $199,162.88 $199,162.88 $199,162.88 nat. median
$74,757
outlier · 2.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $196,520.17 $196,520.17 $196,520.17 nat. median
$98,624
2.0× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $191,797.64 $191,797.64 $191,797.64 nat. median
$81,668
outlier · 2.3×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $185,216.82 $185,216.82 $185,216.82 nat. median
$80,771
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
$198,433
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
$190,557
1.0× 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
$101,541
1.8× median
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 1 $179,059.16 $179,059.16 $179,059.16 nat. median
$88,157
outlier · 2.0×
63
APR_DRG 		Pancreas Transplant 1 $177,911.46 $177,911.46 $177,911.46 nat. median
$73,635
outlier · 2.4×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $177,073.14 $177,073.14 $177,073.14 nat. median
$82,615
outlier · 2.1×
21
APR_DRG 		Heart And/Or Lung Transplant 1 $176,320.65 $176,320.65 $176,320.65 nat. median
$73,922
outlier · 2.4×
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 1 $174,418.46 $174,418.46 $174,418.46 nat. median
$96,883
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
$75,282
outlier · 2.3×
4404
APR_DRG 		Kidney Transplant 1 $168,338.65 $168,338.65 $168,338.65 nat. median
$78,303
outlier · 2.1×
13
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 1 $165,640.06 $165,640.06 $165,640.06 nat. median
$73,704
outlier · 2.2×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $165,518.30 $165,518.30 $165,518.30 nat. median
$82,002
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 17,394 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 CPT 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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