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

BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH

Plymouth, MA · CCN 220060 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $20,464 across 3 payers · range $3,294-$21,698

Source: https://bidplymouth.org/222667354_beth-israel-deaconess-hospital---plymouth_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.

14,824 distinct procedures filed
18 distinct payers
81,563 rate rows
2026-04-01 last MRF observed
Data quality

55,834 of 81,563 rate rows are consumer-grade (68.5%)

25,729 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 24,065
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,566
placeholder amount (≤ $0.02) — excluded from medians 70
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bidplymouth.org/222667354_beth-israel-deaconess-hospital---plymouth_standardcharges.json
Found on page https://bidplymouth.org/patients-visitors/billing-financial-services/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint 33a1b2f9066ea301… · 19,421,325 bytes · first seen 2026-07-31

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 1 $4,335,000.00 $4,335,000.00 $4,335,000.00 nat. median
$4,505,000
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
J1411
HCPCS 		Inj, Hemgenix, 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 1 $3,264,000.00 $3,264,000.00 $3,264,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,162,000.00 $3,162,000.00 $3,162,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,856,000.00 $2,856,000.00 $2,856,000.00 nat. median
$2,997,086
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,244,000.00 $2,244,000.00 $2,244,000.00 nat. median
$2,405,851
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,146,250.00 $2,146,250.00 $2,146,250.00 nat. median
$2,460,273
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
24
APR_DRG 		Heart And/Or Lung Transplant 2 $532,166.91 $747,242.16 $627,279.60 nat. median
$243,231
outlier · 2.6×
5834
APR_DRG 		Neonate With Ecmo 2 $492,626.04 $773,388.03 $626,596.62 nat. median
$311,018
outlier · 2.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $587,649.57 $587,649.57 $587,649.57 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $566,531.30 $566,531.30 $566,531.30 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $562,201.24 $562,201.24 $562,201.24 nat. median
$624,417
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $483,966.72 $634,388.24 $558,575.61 nat. median
$254,667
outlier · 2.2×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $558,081.73 $558,081.73 $558,081.73 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $532,192.24 $532,192.24 $532,192.24 nat. median
$588,565
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $442,666.66 $606,550.22 $522,863.46 nat. median
$209,486
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $489,450.20 $489,450.20 $489,450.20 nat. median
$577,541
0.8× median
34
APR_DRG 		Description Not Available 1 $429,807.14 $479,916.57 $454,861.85 nat. median
$241,408
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $371,570.97 $540,390.39 $446,331.71 nat. median
$180,995
outlier · 2.5×
5833
APR_DRG 		Neonate With Ecmo 2 $279,867.64 $612,538.04 $434,695.87 nat. median
$250,089
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $359,383.77 $427,741.99 $395,084.52 nat. median
$165,646
outlier · 2.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $363,242.79 $414,904.92 $385,559.98 nat. median
$168,361
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $363,840.03 $413,405.87 $385,217.17 nat. median
$147,847
outlier · 2.6×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $362,775.90 $399,022.88 $380,899.39 nat. median
$119,243
outlier · 3.2×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $334,403.13 $413,740.87 $374,773.36 nat. median
$156,285
outlier · 2.4×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $368,176.55 $368,176.55 $368,176.55 nat. median
$370,165
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $348,880.59 $383,739.21 $366,309.90 nat. median
$175,480
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $345,567.33 $387,014.02 $363,349.85 nat. median
$127,600
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo 2 $274,633.69 $451,688.06 $358,654.55 nat. median
$169,230
outlier · 2.1×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $335,736.07 $374,878.14 $357,189.91 nat. median
$137,901
outlier · 2.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $338,319.87 $372,123.31 $355,221.59 nat. median
$165,599
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $306,177.39 $396,986.97 $351,399.14 nat. median
$168,174
outlier · 2.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $234,549.58 $460,462.55 $340,264.58 nat. median
$160,171
outlier · 2.1×
5831
APR_DRG 		Neonate With Ecmo 2 $274,633.69 $390,339.63 $330,766.76 nat. median
$154,685
outlier · 2.1×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $289,004.52 $361,964.61 $325,891.16 nat. median
$116,111
outlier · 2.8×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $239,493.24 $413,405.87 $316,831.68 nat. median
$120,928
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $188,713.69 $464,680.35 $316,592.06 nat. median
$127,938
outlier · 2.5×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $267,159.63 $332,578.15 $300,336.82 nat. median
$109,499
outlier · 2.7×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $269,630.16 $323,829.06 $293,293.79 nat. median
$123,690
outlier · 2.4×
0100T
OTHER 		Prosth Retina Receive&Gen 2 $3,294.02 $308,850.06 $292,457.11 nat. median
$5,118
outlier · 57.1×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $201,636.50 $381,124.59 $285,823.97 nat. median
$147,677
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $267,750.00 $267,750.00 $267,750.00 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $265,000.00 $265,000.00 $265,000.00 nat. median
$265,000
1.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $241,894.05 $291,629.47 $263,621.33 nat. median
$112,711
outlier · 2.3×
22
APR_DRG 		Heart And/Or Lung Transplant 2 $244,216.65 $275,092.81 $257,493.66 nat. median
$94,014
outlier · 2.7×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $227,735.67 $295,302.14 $257,479.42 nat. median
$88,000
outlier · 2.9×
33
APR_DRG 		Description Not Available 1 $226,755.23 $253,191.69 $239,973.46 nat. median
$129,813
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $238,931.77 $238,931.77 $238,931.77 nat. median
$261,939
0.9× median

Other procedures at this hospital

Browse this hospital's 14,824 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 1 — — $4,335,000.00 $4,335,000.00 $4,335,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,264,000.00 $3,264,000.00 $3,264,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,162,000.00 $3,162,000.00 $3,162,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,856,000.00 $2,856,000.00 $2,856,000.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,244,000.00 $2,244,000.00 $2,244,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,146,250.00 $2,146,250.00 $2,146,250.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $770,620.00 $770,620.00 $770,620.00 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 4 2 — — $532,166.91 $747,242.16 $627,279.60 2026-04-01
5834 APR_DRG Neonate With Ecmo 4 2 — — $492,626.04 $773,388.03 $626,596.62 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 1 — — $587,649.57 $587,649.57 $587,649.57 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $566,531.30 $566,531.30 $566,531.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $562,201.24 $562,201.24 $562,201.24 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $483,966.72 $634,388.24 $558,575.61 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 1 — — $558,081.73 $558,081.73 $558,081.73 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 1 — — $532,192.24 $532,192.24 $532,192.24 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 4 2 — — $442,666.66 $606,550.22 $522,863.46 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 1 — — $489,450.20 $489,450.20 $489,450.20 2026-04-01
34 APR_DRG Description Not Available 2 1 — — $429,807.14 $479,916.57 $454,861.85 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $371,570.97 $540,390.39 $446,331.71 2026-04-01
5833 APR_DRG Neonate With Ecmo 4 2 — — $279,867.64 $612,538.04 $434,695.87 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $359,383.77 $427,741.99 $395,084.52 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $363,242.79 $414,904.92 $385,559.98 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $363,840.03 $413,405.87 $385,217.17 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $362,775.90 $399,022.88 $380,899.39 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $334,403.13 $413,740.87 $374,773.36 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $368,176.55 $368,176.55 $368,176.55 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $348,880.59 $383,739.21 $366,309.90 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $345,567.33 $387,014.02 $363,349.85 2026-04-01
5832 APR_DRG Neonate With Ecmo 4 2 — — $274,633.69 $451,688.06 $358,654.55 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 2 — — $335,736.07 $374,878.14 $357,189.91 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $338,319.87 $372,123.31 $355,221.59 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $306,177.39 $396,986.97 $351,399.14 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $234,549.58 $460,462.55 $340,264.58 2026-04-01
5831 APR_DRG Neonate With Ecmo 4 2 — — $274,633.69 $390,339.63 $330,766.76 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 4 2 — — $289,004.52 $361,964.61 $325,891.16 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $239,493.24 $413,405.87 $316,831.68 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 4 2 — — $188,713.69 $464,680.35 $316,592.06 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $267,159.63 $332,578.15 $300,336.82 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $269,630.16 $323,829.06 $293,293.79 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 3 2 — — $3,294.02 $308,850.06 $292,457.11 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $201,636.50 $381,124.59 $285,823.97 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 1 — — $267,750.00 $267,750.00 $267,750.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 2 1 — — $265,000.00 $265,000.00 $265,000.00 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $241,894.05 $291,629.47 $263,621.33 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 4 2 — — $244,216.65 $275,092.81 $257,493.66 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $227,735.67 $295,302.14 $257,479.42 2026-04-01
33 APR_DRG Description Not Available 2 1 — — $226,755.23 $253,191.69 $239,973.46 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $238,931.77 $238,931.77 $238,931.77 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 4 2 — — $117,521.24 $373,098.25 $235,214.40 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $207,100.08 $264,381.02 $232,284.43 2026-04-01
64 APR_DRG Pancreas Transplant 4 2 — — $146,506.46 $330,448.40 $232,008.86 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 4 2 — — $209,358.69 $259,123.64 $231,172.36 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $212,804.67 $253,013.94 $230,331.61 2026-04-01
904 APR_DRG Description Not Available 2 1 — — $215,387.84 $240,499.02 $227,943.43 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $193,144.04 $260,109.11 $226,071.43 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $212,610.33 $239,036.37 $223,965.67 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $190,714.06 $256,657.71 $223,145.85 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $208,945.62 $233,305.72 $220,755.92 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $142,716.66 $313,577.70 $218,906.23 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $205,604.61 $226,147.72 $215,876.16 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $191,723.52 $238,608.07 $212,287.02 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $179,989.16 $241,895.40 $210,447.57 2026-04-01
4404 APR_DRG Kidney Transplant 4 2 — — $199,156.65 $222,375.50 $209,866.68 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 4 2 — — $76,990.26 $354,441.38 $204,105.20 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 1 — — $201,669.02 $201,669.02 $201,669.02 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $185,890.95 $204,464.36 $195,177.65 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $165,662.45 $216,168.89 $190,754.30 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 2 — — $160,461.10 $216,327.90 $187,922.71 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $178,567.65 $196,409.35 $187,488.50 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $176,484.42 $194,117.97 $185,301.20 2026-04-01
63 APR_DRG Pancreas Transplant 4 2 — — $140,279.04 $232,354.51 $183,940.58 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $182,034.36 $182,034.36 $182,034.36 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $180,966.06 $180,966.06 $180,966.06 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $167,701.20 $197,718.27 $180,765.56 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $162,228.87 $203,099.86 $180,165.86 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 4 2 — — $112,686.39 $259,954.54 $178,378.74 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $161,378.04 $196,636.81 $176,803.82 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $161,112.60 $195,927.98 $176,340.42 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $135,154.41 $205,838.14 $169,025.73 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $160,825.83 $176,894.84 $168,860.33 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $150,822.06 $191,585.01 $168,736.32 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $113,238.60 $236,033.99 $167,970.96 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $139,682.57 $197,780.52 $167,890.93 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 4 2 — — $93,546.27 $259,954.54 $167,852.48 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $147,141.45 $192,274.58 $167,020.91 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $158,628.84 $174,478.34 $166,553.59 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $157,379.85 $175,896.39 $165,317.55 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 2 — — $143,347.08 $192,784.25 $165,162.40 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $113,645.16 $222,485.17 $164,584.67 2026-04-01
6124 APR_DRG Respiratory Condition 4 2 — — $150,495.00 $181,462.14 $164,023.48 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $155,929.41 $171,509.19 $163,719.30 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $135,722.11 $188,234.42 $161,340.36 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $151,450.11 $166,582.34 $159,016.22 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 2 — — $121,396.14 $205,594.71 $158,826.75 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $137,870.16 $178,826.48 $158,262.93 2026-04-01
32 APR_DRG Description Not Available 2 1 — — $148,840.55 $166,193.25 $157,516.90 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $128,608.05 $192,118.25 $156,758.32 2026-04-01
7594 APR_DRG Eating Disorders 4 2 — — $40,575.09 $294,078.32 $156,335.01 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 2 — — $127,179.78 $185,153.18 $155,170.57 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $134,022.85 $175,101.36 $154,421.64 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $137,753.17 $167,622.45 $153,104.49 2026-04-01
234 APR_DRG Spinal Procedures 4 2 — — $136,611.54 $173,078.17 $152,633.89 2026-04-01
6904 APR_DRG Acute Leukemia 4 2 — — $123,104.91 $187,447.64 $151,640.36 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $143,202.51 $157,510.68 $150,356.60 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $139,884.51 $162,252.89 $149,586.39 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $137,760.84 $158,811.47 $149,103.47 2026-04-01
8504 APR_DRG Services 4 2 — — $136,962.30 $163,325.78 $148,459.73 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 2 — — $118,205.93 $181,308.15 $148,412.65 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $125,512.83 $173,767.73 $146,838.84 2026-04-01
62 APR_DRG Pancreas Transplant 4 2 — — $96,957.52 $201,706.36 $145,822.44 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $137,521.62 $151,262.18 $144,391.90 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 2 — — $133,025.73 $159,038.50 $144,374.96 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $119,508.18 $169,676.61 $143,852.22 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 4 2 — — $134,739.24 $155,074.58 $143,542.30 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 2 — — $124,477.46 $158,360.49 $141,482.45 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $131,127.36 $153,811.10 $140,990.14 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $124,754.43 $160,149.94 $140,323.79 2026-04-01
4414 APR_DRG Major Bladder Procedures 4 2 — — $129,713.33 $148,175.73 $139,775.80 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 2 — — $118,205.93 $160,977.72 $139,170.84 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 2 — — $127,624.50 $151,783.10 $138,155.59 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 2 — — $102,734.76 $179,631.16 $136,937.47 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $110,024.17 $165,677.78 $136,739.58 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 2 — — $126,761.82 $146,020.32 $135,100.61 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 4 2 — — $115,859.82 $158,188.32 $134,553.73 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $128,126.94 $140,928.82 $134,527.88 2026-04-01
31 APR_DRG Description Not Available 2 1 — — $127,072.38 $141,887.22 $134,479.80 2026-04-01
7914 APR_DRG Description Not Available 2 1 — — $126,786.62 $141,568.14 $134,177.38 2026-04-01
2214 APR_DRG Description Not Available 2 1 — — $126,740.59 $141,516.74 $134,128.66 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $124,882.41 $146,127.39 $134,114.96 2026-04-01
8634 APR_DRG Neonatal Aftercare 4 2 — — $101,629.52 $169,705.29 $133,883.73 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 2 — — $123,467.52 $145,452.82 $133,034.77 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 2 — — $112,807.26 $157,473.06 $132,554.66 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 4 2 — — $124,306.50 $143,266.35 $132,517.08 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $99,310.78 $162,406.25 $129,271.19 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 4 2 — — $119,379.27 $141,692.35 $129,102.49 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $108,569.70 $153,943.87 $128,643.83 2026-04-01
4014 APR_DRG Adrenal Procedures 4 2 — — $112,027.53 $149,641.60 $128,618.96 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 2 — — $99,490.23 $163,409.30 $127,889.07 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 4 2 — — $116,815.45 $136,095.81 $127,083.72 2026-04-01
4403 APR_DRG Kidney Transplant 4 2 — — $108,790.96 $144,917.23 $126,613.74 2026-04-01
61 APR_DRG Pancreas Transplant 4 2 — — $96,957.52 $158,550.79 $126,204.77 2026-04-01
3214 APR_DRG Decompression 4 2 — — $105,901.08 $151,279.84 $125,983.27 2026-04-01
274 APR_DRG Other Open Craniotomy 2 1 — — $118,765.44 $130,631.96 $124,698.70 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 2 — — $114,345.39 $137,255.16 $124,347.12 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $112,074.40 $135,019.21 $123,947.42 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $116,470.23 $130,049.01 $123,287.78 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 4 2 — — $116,926.32 $131,500.95 $123,189.83 2026-04-01
3014 APR_DRG Hip Joint Replacement 2 1 — — $116,103.91 $129,639.99 $122,871.95 2026-04-01
2624 APR_DRG Description Not Available 2 1 — — $116,101.99 $129,637.84 $122,869.92 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 1 — — $121,501.35 $123,301.37 $122,401.36 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 2 — — $91,659.75 $160,685.31 $122,362.85 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $114,388.05 $125,817.20 $120,102.62 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 1 — — $114,279.03 $125,697.29 $119,988.16 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $113,729.19 $125,092.51 $119,410.85 2026-04-01
6123 APR_DRG Respiratory Condition 4 2 — — $105,839.46 $135,835.35 $119,033.43 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $93,516.80 $146,361.39 $118,742.78 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $118,097.04 $118,097.04 $118,097.04 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $112,259.79 $123,476.30 $117,868.04 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 2 — — $103,526.34 $135,351.37 $117,544.60 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 4 2 — — $103,585.59 $134,398.40 $117,150.45 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $111,430.29 $122,563.92 $116,997.10 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $111,129.30 $122,232.85 $116,681.08 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 2 — — $103,222.98 $133,338.36 $116,476.35 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $102,507.24 $134,182.11 $116,460.54 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 2 — — $103,860.51 $131,800.76 $116,138.43 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $110,430.15 $121,463.85 $115,947.00 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 4 2 — — $101,424.15 $134,314.88 $115,924.35 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 4 2 — — $79,452.84 $156,843.34 $115,655.86 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $93,236.79 $139,023.25 $115,250.68 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 4 2 — — $90,097.92 $145,484.94 $114,697.28 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $101,426.22 $127,219.66 $114,457.10 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $91,677.54 $137,774.59 $113,812.54 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 4 2 — — $101,168.19 $129,712.80 $113,722.79 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 2 — — $102,682.45 $123,431.98 $113,436.64 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 2 — — $95,003.82 $136,539.90 $113,389.79 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $96,587.36 $130,512.05 $113,252.25 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 2 — — $90,723.60 $138,582.89 $111,950.68 2026-04-01
4034 APR_DRG Procedures For Obesity 4 2 — — $88,692.51 $140,840.03 $111,844.40 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 2 — — $97,658.22 $129,258.80 $111,589.17 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $102,178.04 $119,957.12 $111,575.42 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 4 2 — — $83,405.04 $146,525.71 $111,482.53 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $93,287.94 $134,381.27 $111,479.50 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $87,180.06 $137,031.66 $110,963.90 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $101,936.07 $121,981.98 $110,683.29 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 2 — — $91,112.28 $134,953.05 $110,539.02 2026-04-01
3024 APR_DRG Knee Joint Replacement 2 1 — — $104,387.46 $116,557.56 $110,472.51 2026-04-01
7 MS_DRG Lung Transplant 1 1 — — $110,413.41 $110,413.41 $110,413.41 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $105,128.46 $115,632.43 $110,380.45 2026-04-01
6504 APR_DRG Splenectomy 4 2 — — $101,023.62 $122,129.75 $110,247.65 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $103,177.95 $113,487.04 $108,332.49 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 4 2 — — $102,964.65 $115,373.31 $108,289.64 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $85,962.20 $131,307.12 $107,681.72 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 4 2 — — $95,522.85 $123,031.32 $107,626.17 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 2 — — $93,702.69 $123,924.32 $107,025.04 2026-04-01
4402 APR_DRG Kidney Transplant 4 2 — — $89,094.13 $124,289.62 $106,240.24 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $72,597.84 $147,731.38 $106,078.91 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $100,646.79 $110,702.98 $105,674.88 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $3,550.26 $231,341.96 $105,545.95 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $92,190.63 $121,765.69 $105,226.85 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 2 — — $93,747.72 $118,510.61 $104,625.58 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 2 — — $79,949.58 $135,299.97 $104,555.35 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 4 2 — — $18,185.53 $206,088.39 $103,836.58 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 2 — — $84,424.14 $128,016.73 $103,754.79 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 2 — — $82,499.70 $129,535.05 $103,376.33 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 4 2 — — $80,004.09 $132,471.05 $103,318.57 2026-04-01
6224 APR_DRG Respiratory Condition 4 2 — — $97,452.03 $110,694.14 $103,162.63 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 4 2 — — $90,102.66 $119,463.58 $103,047.68 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $68,789.32 $141,158.22 $102,572.34 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $102,464.62 $102,464.62 $102,464.62 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 2 — — $92,298.94 $111,982.91 $102,435.08 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 2 — — $81,305.22 $127,714.78 $101,904.30 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 4 2 — — $87,505.14 $119,251.57 $101,524.23 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 2 — — $73,872.90 $135,655.46 $101,372.62 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $96,283.62 $108,096.50 $101,356.85 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $96,285.99 $105,906.46 $101,096.23 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 2 — — $79,684.14 $127,794.01 $101,048.26 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $80,205.54 $127,025.21 $100,990.74 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 4 2 — — $72,341.88 $135,616.91 $100,513.37 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $95,700.60 $105,262.58 $100,481.59 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 2 — — $94,182.32 $105,162.64 $100,011.29 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $94,586.70 $104,037.39 $99,312.04 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 2 — — $88,197.18 $112,936.29 $99,076.88 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 1 — — $93,970.50 $103,359.62 $98,665.06 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $91,026.96 $107,848.08 $98,354.67 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 2 — — $58,035.65 $144,442.79 $98,061.74 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $93,335.34 $102,661.00 $97,998.17 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $93,034.35 $102,329.93 $97,682.14 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $92,979.84 $102,269.98 $97,624.91 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 2 — — $84,265.35 $114,495.30 $97,612.65 2026-04-01
6903 APR_DRG Acute Leukemia 4 2 — — $70,704.21 $129,837.00 $97,024.51 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 4 2 — — $86,360.43 $109,931.76 $96,721.33 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 2 — — $68,106.55 $128,994.89 $96,661.95 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $96,614.93 $96,614.93 $96,614.93 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $96,504.09 $96,504.09 $96,504.09 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 2 — — $72,341.27 $122,441.40 $96,047.07 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 2 — — $70,896.18 $126,727.55 $95,737.70 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $77,019.03 $115,582.91 $95,540.89 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $84,767.34 $105,919.50 $95,473.93 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $75,699.51 $115,627.22 $94,824.36 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 4 2 — — $71,237.46 $123,538.85 $94,497.51 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $89,974.68 $98,964.56 $94,469.62 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 2 — — $84,300.90 $107,152.09 $94,343.96 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $93,966.75 $93,966.75 $93,966.75 2026-04-01
8633 APR_DRG Neonatal Aftercare 4 2 — — $79,621.62 $108,888.64 $93,950.82 2026-04-01
7504 APR_DRG Schizophrenia 4 2 — — $55,713.08 $138,003.99 $93,838.12 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 4 2 — — $85,910.13 $103,201.03 $93,459.71 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $88,393.89 $97,225.82 $92,809.86 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $92,712.58 $92,712.58 $92,712.58 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 2 — — $70,601.73 $115,322.23 $91,839.66 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $82,074.61 $99,707.49 $91,146.74 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 4 2 — — $77,202.75 $108,526.94 $91,055.92 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 4 2 — — $75,168.25 $107,778.15 $90,959.73 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $41,780.73 $151,658.89 $90,889.52 2026-04-01
4401 APR_DRG Kidney Transplant 4 2 — — $71,077.37 $110,981.90 $90,132.18 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 4 2 — — $83,081.51 $94,989.19 $89,564.04 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $89,054.16 $89,054.16 $89,054.16 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $70,964.22 $108,448.09 $88,917.19 2026-04-01
6122 APR_DRG Respiratory Condition 4 2 — — $81,961.71 $97,440.39 $88,708.67 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 4 2 — — $68,528.55 $113,698.66 $88,601.34 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $66,399.62 $112,053.30 $88,007.66 2026-04-01
233 APR_DRG Spinal Procedures 4 2 — — $82,400.66 $92,332.86 $87,976.40 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $87,907.32 $87,907.32 $87,907.32 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 4 — — $61,627.62 $164,120.65 $87,474.76 2026-04-01
5464 APR_DRG Description Not Available 2 1 — — $82,617.38 $92,249.40 $87,433.39 2026-04-01
3814 APR_DRG Major Skin Disorders 4 2 — — $55,974.66 $126,408.46 $87,388.60 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $3,076.26 $190,366.50 $86,936.71 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $74,358.90 $99,876.94 $86,916.14 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $81,049.26 $93,444.35 $86,417.46 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $51,637.56 $129,372.30 $86,330.57 2026-04-01
6344 APR_DRG Respiratory Condition 4 2 — — $77,358.50 $94,600.77 $86,192.35 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $81,395.28 $89,527.94 $85,461.61 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $75,440.60 $94,952.69 $85,281.57 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 2 1 — — $80,999.49 $89,092.60 $85,046.05 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 1 — — $80,923.65 $89,009.19 $84,966.42 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 4 2 — — $70,666.94 $100,108.94 $84,960.41 2026-04-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $84,893.38 $84,893.38 $84,893.38 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 4 2 — — $73,071.99 $96,829.59 $84,812.40 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $71,257.66 $97,619.45 $84,158.52 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 2 — — $73,432.56 $94,817.14 $84,098.88 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 4 2 — — $68,910.12 $102,826.26 $83,942.61 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 4 2 — — $77,629.35 $91,613.37 $83,716.74 2026-04-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $79,627.26 $87,583.27 $83,605.26 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 2 — — $51,144.64 $121,091.07 $83,599.31 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $83,408.15 $83,408.15 $83,408.15 2026-04-01
1791 APR_DRG Defibrillator Implants 2 1 — — $79,395.00 $87,327.80 $83,361.40 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 4 2 — — $74,408.52 $94,223.86 $83,114.38 2026-04-01
903 APR_DRG Description Not Available 2 1 — — $78,376.90 $87,514.54 $82,945.72 2026-04-01
2254 APR_DRG Description Not Available 2 1 — — $77,908.93 $86,992.01 $82,450.47 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 2 — — $70,682.88 $96,960.70 $82,290.98 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 4 2 — — $76,567.59 $89,118.52 $82,015.65 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $75,478.95 $86,655.25 $81,531.13 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 4 2 — — $76,569.96 $87,593.77 $81,334.18 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $68,950.42 $93,943.86 $81,199.57 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 4 2 — — $52,637.70 $116,461.19 $81,099.10 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $74,197.80 $86,592.68 $80,787.43 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $72,101.53 $88,714.62 $80,581.70 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $31,900.20 $139,041.17 $79,805.51 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $31,905.54 $103,893.67 $79,539.70 2026-04-01
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