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

NORTHEAST HOSPITAL CORPORATION

Beverly, MA · CCN 220033 · Rates published

16,542 distinct procedures filed
10 distinct payers
64,889 rate rows
2026-04-01 last MRF observed
Data quality

48,809 of 64,889 rate rows are consumer-grade (75.2%)

16,080 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 16,033
placeholder amount (≤ $0.02) — excluded from medians 47
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://beverlyhospital.org/042121317_beverly-hospital-corporation_standardcharges.json
Found on page https://beverlyhospital.org/patients-visitors/billing-financial-services/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-19
Content fingerprint c55f1380b728af1e… · 18,773,590 bytes · first seen 2026-05-18

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $4,335,000.00 $4,505,000.00 $4,420,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,570,000.00 $3,685,266.67 $3,627,633.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,264,000.00 $3,316,462.59 $3,290,231.29 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,162,000.00 $3,248,445.72 $3,205,222.86 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,856,000.00 $2,945,740.00 $2,900,870.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,146,250.00 $2,455,110.60 $2,300,680.30 nat. median
$2,468,984
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,244,000.00 $2,332,000.00 $2,288,000.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $591,726.20 $579,128.75 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $587,649.57 $576,759.25 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $562,538.19 $562,369.71 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $558,081.73 $557,699.83 nat. median
$625,184
0.9× median
5834
APR_DRG 		Neonate With Ecmo 2 $403,625.09 $688,062.58 $545,843.83 nat. median
$309,665
1.8× median
24
APR_DRG 		Heart And/Or Lung Transplant 2 $520,760.13 $548,314.89 $534,537.51 nat. median
$234,729
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $532,192.24 $533,230.17 $532,711.21 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $489,450.20 $489,377.41 nat. median
$619,808
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $396,530.22 $564,398.19 $480,464.20 nat. median
$246,434
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $362,691.69 $539,631.46 $451,161.57 nat. median
$207,730
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $387,434.18 $399,440.90 $387,434.18 nat. median
$370,174
1.0× median
5833
APR_DRG 		Neonate With Ecmo 2 $229,304.97 $544,958.66 $387,131.82 nat. median
$244,017
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $363,606.50 $396,530.22 $380,068.36 nat. median
$182,665
outlier · 2.1×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $354,999.94 $354,999.94 $354,999.94 nat. median
$117,173
outlier · 3.0×
34
APR_DRG 		Description Not Available 1 $352,155.45 $352,155.45 $352,155.45 nat. median
$209,067
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $341,402.47 $341,402.47 $341,402.47 nat. median
$187,061
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $294,455.22 $380,550.57 $337,502.90 nat. median
$160,267
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $331,068.12 $331,068.12 $331,068.12 nat. median
$164,834
outlier · 2.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $304,450.89 $355,456.83 $329,953.86 nat. median
$164,289
outlier · 2.0×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $303,350.91 $356,041.26 $329,696.08 nat. median
$145,336
outlier · 2.3×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $273,987.73 $368,094.15 $321,040.94 nat. median
$151,838
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo 2 $225,016.62 $401,854.74 $313,435.68 nat. median
$156,126
outlier · 2.0×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $283,984.98 $338,160.23 $311,072.60 nat. median
$105,658
outlier · 2.9×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $275,079.86 $332,902.61 $303,991.23 nat. median
$129,535
outlier · 2.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $250,861.44 $353,188.65 $302,025.05 nat. median
$162,982
1.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $192,174.36 $409,661.17 $300,917.77 nat. median
$150,721
2.0× median
5831
APR_DRG 		Neonate With Ecmo 2 $225,016.62 $347,274.69 $286,145.66 nat. median
$144,745
2.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $154,619.47 $413,413.63 $284,016.55 nat. median
$119,796
outlier · 2.4×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $236,791.12 $322,030.20 $279,410.66 nat. median
$93,528
outlier · 3.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $267,750.00 $278,250.00 $273,000.00 nat. median
$324,450
0.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $234,359.80 $303,350.91 $268,855.35 nat. median
$124,573
outlier · 2.2×
J3403
HCPCS 		Revakinagene, Per Implant 2 $257,500.00 $265,000.00 $261,250.00 nat. median
$265,000
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $218,892.88 $295,885.86 $257,389.37 nat. median
$109,499
outlier · 2.4×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $165,207.57 $339,076.32 $252,141.95 nat. median
$122,924
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $251,493.79 $259,221.08 $251,493.79 nat. median
$265,286
0.9× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $237,620.82 $263,850.75 $250,735.79 nat. median
$118,620
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $213,993.25 $236,709.15 $225,351.20 nat. median
$108,996
outlier · 2.1×
22
APR_DRG 		Heart And/Or Lung Transplant 2 $201,858.90 $238,981.96 $220,420.43 nat. median
$77,804
outlier · 2.8×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $216,688.20 $222,854.25 $219,771.23 nat. median
$68,217
outlier · 3.2×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $96,289.11 $331,935.50 $214,112.30 nat. median
$85,444
outlier · 2.5×
64
APR_DRG 		Pancreas Transplant 2 $120,037.67 $293,991.07 $207,014.37 nat. median
$91,009
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 16,542 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,335,000.00 $4,505,000.00 $4,420,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,570,000.00 $3,685,266.67 $3,627,633.33 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,264,000.00 $3,316,462.59 $3,290,231.29 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,162,000.00 $3,248,445.72 $3,205,222.86 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $2,856,000.00 $2,945,740.00 $2,900,870.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,146,250.00 $2,455,110.60 $2,300,680.30 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,244,000.00 $2,332,000.00 $2,288,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $770,620.00 $770,620.00 $770,620.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $566,531.30 $591,726.20 $579,128.75 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $565,868.94 $587,649.57 $576,759.25 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,201.24 $562,538.19 $562,369.71 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $557,317.93 $558,081.73 $557,699.83 2026-04-01
5834 APR_DRG Neonate With Ecmo 2 2 — — $403,625.09 $688,062.58 $545,843.83 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 2 2 — — $520,760.13 $548,314.89 $534,537.51 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $532,192.24 $533,230.17 $532,711.21 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $489,450.20 $489,377.41 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $396,530.22 $564,398.19 $480,464.20 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $362,691.69 $539,631.46 $451,161.57 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 2 — — $387,434.18 $399,440.90 $387,434.18 2026-04-01
5833 APR_DRG Neonate With Ecmo 2 2 — — $229,304.97 $544,958.66 $387,131.82 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $363,606.50 $396,530.22 $380,068.36 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $354,999.94 $354,999.94 $354,999.94 2026-04-01
34 APR_DRG Description Not Available 1 1 — — $352,155.45 $352,155.45 $352,155.45 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $341,402.47 $341,402.47 $341,402.47 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $294,455.22 $380,550.57 $337,502.90 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $331,068.12 $331,068.12 $331,068.12 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $304,450.89 $355,456.83 $329,953.86 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $303,350.91 $356,041.26 $329,696.08 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $273,987.73 $368,094.15 $321,040.94 2026-04-01
5832 APR_DRG Neonate With Ecmo 2 2 — — $225,016.62 $401,854.74 $313,435.68 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $283,984.98 $338,160.23 $311,072.60 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $275,079.86 $332,902.61 $303,991.23 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $250,861.44 $353,188.65 $302,025.05 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $192,174.36 $409,661.17 $300,917.77 2026-04-01
5831 APR_DRG Neonate With Ecmo 2 2 — — $225,016.62 $347,274.69 $286,145.66 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $154,619.47 $413,413.63 $284,016.55 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 2 2 — — $236,791.12 $322,030.20 $279,410.66 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $267,750.00 $278,250.00 $273,000.00 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $234,359.80 $303,350.91 $268,855.35 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $257,500.00 $265,000.00 $261,250.00 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $218,892.88 $295,885.86 $257,389.37 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $165,207.57 $339,076.32 $252,141.95 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 2 — — $251,493.79 $259,221.08 $251,493.79 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $237,620.82 $263,850.75 $250,735.79 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $213,993.25 $236,709.15 $225,351.20 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 2 2 — — $201,858.90 $238,981.96 $220,420.43 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $216,688.20 $222,854.25 $219,771.23 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $96,289.11 $331,935.50 $214,112.30 2026-04-01
64 APR_DRG Pancreas Transplant 2 2 — — $120,037.67 $293,991.07 $207,014.37 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $201,669.02 $205,640.00 $203,654.51 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $201,197.56 $201,197.56 $201,197.56 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $193,998.76 $202,660.97 $198,329.86 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 2 2 — — $190,140.97 $204,871.17 $197,506.07 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $185,657.77 $208,243.29 $196,950.53 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $158,249.41 $231,412.10 $194,830.76 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $156,258.44 $228,341.47 $192,299.96 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $175,401.24 $208,053.11 $191,727.17 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 2 — — $191,648.78 $197,492.13 $191,648.78 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 2 — — $190,525.12 $196,333.10 $190,525.12 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $63,080.71 $315,336.99 $189,208.85 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $171,196.17 $205,745.51 $188,470.84 2026-04-01
33 APR_DRG Description Not Available 1 1 — — $185,788.19 $185,788.19 $185,788.19 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $139,657.59 $230,098.53 $184,878.06 2026-04-01
1784 APR_DRG External Heart Assist Systems 1 1 — — $181,906.45 $181,906.45 $181,906.45 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $175,086.96 $187,614.00 $181,350.48 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $147,471.18 $215,207.84 $181,339.51 2026-04-01
4404 APR_DRG Kidney Transplant 2 2 — — $163,175.75 $195,596.69 $179,386.22 2026-04-01
904 APR_DRG Description Not Available 1 1 — — $176,474.51 $176,474.51 $176,474.51 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $174,740.12 $174,740.12 $174,740.12 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $172,701.55 $172,701.55 $172,701.55 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $135,732.82 $192,319.66 $164,026.24 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $131,471.18 $192,461.13 $161,966.15 2026-04-01
63 APR_DRG Pancreas Transplant 2 2 — — $114,935.34 $206,719.57 $160,827.46 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $157,378.59 $157,378.59 $157,378.59 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $155,228.69 $155,228.69 $155,228.69 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $145,082.65 $164,106.59 $154,594.62 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $149,031.58 $158,751.56 $153,891.57 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $152,587.13 $152,587.13 $152,587.13 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $144,289.09 $157,918.97 $151,104.03 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $143,768.96 $157,659.22 $150,714.09 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $110,271.00 $190,750.67 $150,510.84 2026-04-01
1794 APR_DRG Defibrillator Implants 1 1 — — $148,203.84 $148,203.84 $148,203.84 2026-04-01
7594 APR_DRG Eating Disorders 2 2 — — $33,244.54 $261,633.59 $147,439.07 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $110,736.56 $183,128.67 $146,932.61 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $93,113.31 $197,939.08 $145,526.20 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $114,446.63 $175,960.02 $145,203.33 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $140,582.16 $147,589.25 $144,085.71 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $141,088.15 $143,987.53 $142,537.84 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $110,811.38 $173,198.14 $142,004.76 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $129,070.08 $154,006.48 $141,538.28 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $91,541.14 $190,750.67 $141,145.90 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $140,274.49 $141,462.14 $140,868.32 2026-04-01
6124 APR_DRG Respiratory Condition 2 2 — — $133,154.15 $147,269.20 $140,211.67 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $140,133.02 $140,133.02 $140,133.02 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $111,201.69 $167,467.11 $139,334.40 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $112,961.66 $159,097.12 $136,029.39 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $118,794.06 $150,862.26 $134,828.16 2026-04-01
1783 APR_DRG External Heart Assist Systems 1 1 — — $134,573.90 $134,573.90 $134,573.90 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $104,202.68 $164,725.82 $134,464.25 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $125,851.39 $140,973.44 $133,412.42 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $109,809.43 $155,782.98 $132,796.21 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $112,865.81 $149,129.20 $130,997.51 2026-04-01
234 APR_DRG Spinal Procedures 2 2 — — $127,002.12 $133,683.33 $130,342.72 2026-04-01
62 APR_DRG Pancreas Transplant 2 2 — — $79,440.56 $179,452.74 $129,446.65 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 2 2 — — $6,481.16 $252,346.71 $129,413.93 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $96,850.10 $161,305.00 $129,077.55 2026-04-01
6904 APR_DRG Acute Leukemia 2 2 — — $120,466.21 $137,546.21 $129,006.21 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $119,058.69 $136,886.14 $127,972.42 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $112,872.09 $141,290.30 $127,081.19 2026-04-01
8504 APR_DRG Services 2 2 — — $119,845.96 $134,026.57 $126,936.27 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $124,399.14 $200,139.26 $126,262.29 2026-04-01
1782 APR_DRG External Heart Assist Systems 1 1 — — $125,380.59 $125,380.59 $125,380.59 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $122,822.51 $127,508.11 $125,165.31 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $97,917.08 $150,956.73 $124,436.90 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $116,700.02 $130,174.38 $123,437.20 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $113,791.36 $131,851.16 $122,821.26 2026-04-01
32 APR_DRG Description Not Available 1 1 — — $121,950.07 $121,950.07 $121,950.07 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $101,988.57 $140,889.08 $121,438.82 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $112,864.23 $128,316.70 $120,590.46 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $96,850.10 $143,217.56 $120,033.83 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $117,515.58 $122,080.37 $119,797.98 2026-04-01
4414 APR_DRG Major Bladder Procedures 2 2 — — $106,278.50 $131,827.97 $119,053.24 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $90,146.50 $147,399.08 $118,772.79 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $111,376.12 $124,888.92 $118,132.52 2026-04-01
8634 APR_DRG Neonatal Aftercare 2 2 — — $83,268.49 $150,982.24 $117,125.36 2026-04-01
7 MS_DRG Lung Transplant 3 2 — — $116,317.45 $119,789.35 $116,317.45 2026-04-01
274 APR_DRG Other Open Craniotomy 1 1 — — $116,219.75 $116,219.75 $116,219.75 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $100,532.68 $131,810.60 $116,171.64 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $107,147.48 $124,044.73 $115,596.10 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $113,376.41 $116,076.18 $114,726.29 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $107,226.05 $122,205.61 $114,715.83 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $106,731.06 $120,821.04 $113,776.05 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $105,126.66 $121,642.04 $113,384.35 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $110,389.28 $115,551.33 $112,970.30 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $81,368.66 $144,488.48 $112,928.57 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $111,936.19 $111,936.19 $111,936.19 2026-04-01
1781 APR_DRG External Heart Assist Systems 1 1 — — $111,829.50 $111,829.50 $111,829.50 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $111,291.45 $111,291.45 $111,291.45 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $103,971.68 $116,820.42 $110,396.05 2026-04-01
61 APR_DRG Pancreas Transplant 2 2 — — $79,440.56 $141,058.38 $110,249.47 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $109,853.55 $109,853.55 $109,853.55 2026-04-01
4014 APR_DRG Adrenal Procedures 2 2 — — $109,626.26 $109,804.72 $109,715.49 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $106,242.55 $112,961.66 $109,602.11 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $109,041.83 $109,041.83 $109,041.83 2026-04-01
4403 APR_DRG Kidney Transplant 2 2 — — $89,136.09 $128,928.97 $109,032.53 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $108,747.29 $108,747.29 $108,747.29 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $97,357.70 $119,907.25 $108,632.48 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $95,710.83 $121,080.79 $108,395.81 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
1793 APR_DRG Defibrillator Implants 1 1 — — $108,063.12 $108,063.12 $108,063.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 2 — — $107,956.87 $111,165.58 $107,956.87 2026-04-01
3214 APR_DRG Decompression 2 2 — — $103,631.13 $111,006.84 $107,318.99 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $100,715.74 $111,894.44 $106,305.09 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $91,826.33 $120,122.96 $105,974.65 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $96,493.39 $114,420.05 $105,456.72 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $95,427.98 $114,904.76 $105,166.37 2026-04-01
31 APR_DRG Description Not Available 1 1 — — $104,114.68 $104,114.68 $104,114.68 2026-04-01
7914 APR_DRG Description Not Available 1 1 — — $103,880.54 $103,880.54 $103,880.54 2026-04-01
2214 APR_DRG Description Not Available 1 1 — — $103,842.83 $103,842.83 $103,842.83 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 2 — — $89,695.06 $117,908.43 $103,801.74 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $76,621.46 $130,213.80 $103,417.63 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $102,875.07 $102,875.07 $102,875.07 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $65,098.39 $139,539.31 $102,318.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $101,804.13 $104,819.15 $101,804.13 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 3 2 — — $101,687.55 $104,698.90 $101,687.55 2026-04-01
6123 APR_DRG Respiratory Condition 2 2 — — $99,673.90 $103,570.83 $101,622.36 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $100,966.37 $100,966.37 $100,966.37 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $99,318.77 $101,307.29 $100,313.03 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $76,392.04 $123,685.26 $100,038.65 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $98,619.49 $101,365.27 $99,992.38 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $97,841.65 $101,010.44 $99,426.04 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $98,460.78 $100,310.04 $99,385.41 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $96,713.38 $101,634.30 $99,173.84 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 2 2 — — $14,900.01 $183,351.31 $99,125.66 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $99,018.77 $101,946.10 $99,018.77 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 — — $98,558.21 $99,250.16 $98,904.18 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $75,114.49 $122,574.36 $98,844.43 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 1 1 — — $98,489.47 $98,489.47 $98,489.47 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $83,101.92 $113,183.92 $98,142.92 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $97,699.62 $100,585.43 $97,699.62 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $79,137.28 $116,113.07 $97,625.18 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 2 2 — — $88,166.71 $106,754.63 $97,460.67 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $95,181.27 $98,999.69 $97,090.48 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $84,131.18 $109,814.12 $96,972.65 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $71,429.56 $121,913.39 $96,671.48 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $92,967.45 $100,190.89 $96,579.17 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $88,778.98 $101,690.01 $95,234.49 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $83,717.91 $106,722.63 $95,220.27 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $94,848.13 $95,564.96 $95,206.55 2026-04-01
3014 APR_DRG Hip Joint Replacement 1 1 — — $95,127.84 $95,127.84 $95,127.84 2026-04-01
2624 APR_DRG Description Not Available 1 1 — — $95,126.27 $95,126.27 $95,126.27 2026-04-01
4034 APR_DRG Procedures For Obesity 2 2 — — $86,791.42 $103,346.26 $95,068.84 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $91,288.35 $98,606.92 $94,947.64 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $89,508.52 $99,751.11 $94,629.82 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 2 2 — — $81,617.29 $107,518.33 $94,567.81 2026-04-01
6504 APR_DRG Splenectomy 2 2 — — $89,616.94 $98,858.22 $94,237.58 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $94,222.14 $94,222.14 $94,222.14 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 2 — — $89,159.32 $99,026.49 $94,092.90 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $93,649.30 $93,649.30 $93,649.30 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $70,431.72 $116,820.42 $93,626.07 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $84,659.18 $100,757.64 $92,708.41 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $92,645.43 $95,372.13 $92,645.43 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $92,559.27 $92,559.27 $92,559.27 2026-04-01
2324 APR_DRG Gastric Fundoplication 1 1 — — $91,956.28 $91,956.28 $91,956.28 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $90,278.50 $93,475.36 $91,876.93 2026-04-01
4402 APR_DRG Kidney Transplant 2 2 — — $72,997.82 $110,577.14 $91,787.48 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 1 1 — — $91,334.73 $91,334.73 $91,334.73 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 2 — — $90,933.78 $91,694.21 $91,313.99 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $91,040.20 $91,040.20 $91,040.20 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $90,986.85 $90,986.85 $90,986.85 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $56,361.40 $125,584.68 $90,973.04 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $89,349.80 $90,214.56 $89,782.18 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $71,041.73 $108,403.03 $89,722.38 2026-04-01
215 MS_DRG Other Heart Assist System Implant 3 2 — — $89,475.35 $92,102.25 $89,475.35 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $86,961.28 $91,738.28 $89,349.78 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 2 2 — — $78,235.89 $99,281.05 $88,758.47 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $31,905.54 $150,795.97 $88,527.69 2026-04-01
6224 APR_DRG Respiratory Condition 2 2 — — $81,225.67 $95,363.18 $88,294.42 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 2 2 — — $82,614.54 $93,936.72 $88,275.63 2026-04-01
1792 APR_DRG Defibrillator Implants 1 1 — — $88,046.11 $88,046.11 $88,046.11 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $47,550.56 $128,506.87 $88,028.71 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 2 2 — — $87,660.55 $88,171.35 $87,915.95 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $87,913.17 $90,490.90 $87,913.17 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 2 2 — — $80,731.35 $95,050.84 $87,891.10 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 2 2 — — $78,289.23 $97,205.23 $87,747.23 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $75,623.63 $99,628.19 $87,625.91 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $79,319.56 $94,219.82 $86,769.69 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $79,562.48 $93,715.15 $86,638.82 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $3,474.16 $169,755.20 $86,614.68 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 2 2 — — $85,629.50 $87,504.98 $86,567.24 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $86,499.20 $86,499.20 $86,499.20 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 2 2 — — $72,289.46 $99,541.90 $85,915.68 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 2 2 — — $77,976.14 $93,773.30 $85,874.72 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $78,486.37 $93,209.16 $85,847.76 2026-04-01
3024 APR_DRG Knee Joint Replacement 1 1 — — $85,528.16 $85,528.16 $85,528.16 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $55,801.99 $114,763.29 $85,282.64 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $77,166.74 $93,210.97 $85,188.86 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 2 2 — — $70,791.26 $99,513.62 $85,152.44 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 — — $82,870.92 $86,306.71 $84,588.82 2026-04-01
7504 APR_DRG Schizophrenia 2 2 — — $45,647.60 $122,778.45 $84,213.02 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $79,137.28 $89,075.83 $84,106.55 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $59,271.64 $108,932.82 $84,102.23 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 2 2 — — $82,459.16 $84,014.90 $83,237.03 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $63,104.28 $102,831.01 $82,967.64 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 2 — — $80,666.25 $84,509.33 $82,587.79 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $62,023.16 $102,870.44 $82,446.80 2026-04-01
6903 APR_DRG Acute Leukemia 2 2 — — $69,188.69 $95,272.41 $82,230.55 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $69,452.74 $94,233.73 $81,843.24 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 2 2 — — $69,376.55 $92,990.74 $81,183.65 2026-04-01
8633 APR_DRG Neonatal Aftercare 2 2 — — $65,236.67 $96,875.30 $81,055.99 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $80,979.35 $83,338.80 $80,979.35 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 2 2 — — $78,626.57 $82,493.94 $80,560.26 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $57,846.38 $102,599.09 $80,222.74 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 2 2 — — $69,710.51 $90,650.92 $80,180.71 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 2 2 — — $75,727.34 $84,068.68 $79,898.01 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 1 1 — — $79,650.60 $79,650.60 $79,650.60 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 1 1 — — $79,263.30 $79,263.30 $79,263.30 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 1 1 — — $79,189.08 $79,189.08 $79,189.08 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 2 2 — — $61,587.88 $95,887.32 $78,737.60 2026-04-01
4401 APR_DRG Kidney Transplant 2 2 — — $58,236.08 $98,737.62 $78,486.85 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $67,246.49 $88,707.08 $77,976.79 2026-04-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $77,920.48 $77,920.48 $77,920.48 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 2 — — $52,787.39 $103,051.15 $77,919.27 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $77,839.76 $80,100.38 $77,839.76 2026-04-01
1791 APR_DRG Defibrillator Implants 1 1 — — $77,693.20 $77,693.20 $77,693.20 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 2 2 — — $75,547.94 $79,635.41 $77,591.68 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $58,143.37 $96,483.36 $77,313.37 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $54,403.44 $99,690.81 $77,047.12 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 2 2 — — $68,071.48 $84,509.33 $76,290.40 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $40,885.18 $111,284.98 $76,085.08 2026-04-01
6122 APR_DRG Respiratory Condition 2 2 — — $71,500.27 $80,204.89 $75,852.58 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 2 — — $75,780.78 $77,976.58 $75,780.78 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $75,543.14 $77,731.45 $75,543.14 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 2 2 — — $67,059.67 $83,430.34 $75,245.01 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $60,924.75 $88,857.83 $74,891.29 2026-04-01
233 APR_DRG Spinal Procedures 2 2 — — $67,513.63 $82,146.06 $74,829.85 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $41,904.52 $107,731.48 $74,818.00 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $68,568.04 $79,312.00 $73,940.02 2026-04-01
6344 APR_DRG Respiratory Condition 2 2 — — $63,382.42 $84,163.77 $73,773.10 2026-04-01
3814 APR_DRG Major Skin Disorders 2 2 — — $54,774.87 $92,756.60 $73,765.74 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $57,899.80 $89,064.24 $73,482.02 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $61,811.02 $84,476.86 $73,143.94 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $59,870.34 $86,146.68 $73,008.51 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $50,530.73 $94,931.42 $72,731.07 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $58,383.80 $86,849.40 $72,616.60 2026-04-01
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $72,530.66 $72,530.66 $72,530.66 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 2 2 — — $60,165.76 $84,356.26 $72,261.01 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 2 2 — — $67,224.49 $75,965.40 $71,594.95 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 2 2 — — $67,433.06 $75,452.34 $71,442.70 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $3,010.32 $139,688.03 $71,349.18 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $69,140.03 $72,813.60 $70,976.82 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $70,749.01 $72,786.40 $70,749.01 2026-04-01
273 APR_DRG Other Open Craniotomy 1 1 — — $70,487.45 $70,487.45 $70,487.45 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 2 2 — — $65,393.81 $74,926.39 $70,160.10 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $69,167.82 $71,148.28 $70,158.05 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $56,493.40 $83,579.33 $70,036.37 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $64,274.97 $74,928.71 $69,601.84 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $61,842.45 $77,094.85 $69,468.65 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $56,824.55 $146,549.14 $69,162.84 2026-04-01
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