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

15,696 distinct procedures filed
7 distinct payers
81,211 rate rows
2026-04-01 last MRF observed
Data quality

67,337 of 81,211 rate rows are consumer-grade (82.9%)

13,874 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 13,802
placeholder amount (≤ $0.02) — excluded from medians 72
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 · 2026-05-19
Content fingerprint 3c5b8d55f8cdcf87… · 17,719,118 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 $4,335,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,570,000.00 $3,685,266.67 $3,570,000.00 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 $3,264,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,162,000.00 $3,248,445.72 $3,162,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,856,000.00 $2,945,740.00 $2,856,000.00 nat. median
$3,004,655
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,244,000.00 $2,332,000.00 $2,244,000.00 nat. median
$2,448,600
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,146,250.00 $2,455,110.60 $2,146,250.00 nat. median
$2,468,984
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant 2 $532,166.91 $747,242.16 $627,279.60 nat. median
$234,729
outlier · 2.7×
5834
APR_DRG 		Neonate With Ecmo 2 $492,626.04 $773,388.03 $626,596.62 nat. median
$309,665
outlier · 2.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $587,649.57 $587,649.57 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $591,726.20 $566,531.30 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $562,538.19 $562,201.24 nat. median
$673,137
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $483,966.72 $634,388.24 $558,575.61 nat. median
$246,434
outlier · 2.3×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $558,081.73 $558,081.73 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $532,192.24 $533,230.17 $532,192.24 nat. median
$634,303
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $442,666.66 $606,550.22 $522,863.46 nat. median
$207,730
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $489,450.20 $489,450.20 nat. median
$619,808
0.8× median
34
APR_DRG 		Description Not Available 1 $429,807.14 $479,916.57 $454,861.85 nat. median
$209,067
outlier · 2.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $371,570.97 $540,390.39 $446,331.71 nat. median
$182,665
outlier · 2.4×
5833
APR_DRG 		Neonate With Ecmo 2 $279,867.64 $612,538.04 $434,695.87 nat. median
$244,017
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $359,383.77 $427,741.99 $395,084.52 nat. median
$160,267
outlier · 2.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $363,242.79 $414,904.92 $385,559.98 nat. median
$164,289
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
$145,336
outlier · 2.7×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $362,775.90 $399,022.88 $380,899.39 nat. median
$117,173
outlier · 3.3×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $368,176.55 $377,068.85 $377,068.85 nat. median
$370,174
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $334,403.13 $413,740.87 $374,773.36 nat. median
$151,838
outlier · 2.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $348,880.59 $383,739.21 $366,309.90 nat. median
$187,061
2.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $345,567.33 $387,014.02 $363,349.85 nat. median
$105,658
outlier · 3.4×
5832
APR_DRG 		Neonate With Ecmo 2 $274,633.69 $451,688.06 $358,654.55 nat. median
$156,126
outlier · 2.3×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $335,736.07 $374,878.14 $357,189.91 nat. median
$129,535
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $338,319.87 $372,123.31 $355,221.59 nat. median
$164,834
outlier · 2.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $306,177.39 $396,986.97 $351,399.14 nat. median
$162,982
outlier · 2.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $234,549.58 $460,462.55 $340,264.58 nat. median
$150,721
outlier · 2.3×
5831
APR_DRG 		Neonate With Ecmo 2 $274,633.69 $390,339.63 $330,766.76 nat. median
$144,745
outlier · 2.3×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $289,004.52 $361,964.61 $325,891.16 nat. median
$93,528
outlier · 3.5×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $239,493.24 $413,405.87 $316,831.68 nat. median
$124,573
outlier · 2.5×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $188,713.69 $464,680.35 $316,592.06 nat. median
$119,796
outlier · 2.6×
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
$118,620
outlier · 2.5×
0100T
HCPCS 		Prosth Retina Receive&Gen 2 $3,294.02 $308,850.06 $292,457.11 nat. median
$11,210
outlier · 26.1×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $201,636.50 $381,124.59 $285,823.97 nat. median
$122,924
outlier · 2.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $267,750.00 $278,250.00 $267,750.00 nat. median
$324,450
0.8× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $257,500.00 $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
$108,996
outlier · 2.4×
22
APR_DRG 		Heart And/Or Lung Transplant 2 $244,216.65 $275,092.81 $257,493.66 nat. median
$77,804
outlier · 3.3×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $227,735.67 $295,302.14 $257,479.42 nat. median
$68,217
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $238,931.77 $244,756.01 $244,756.01 nat. median
$265,286
0.9× median
33
APR_DRG 		Description Not Available 1 $226,755.23 $253,191.69 $239,973.46 nat. median
$113,142
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 15,696 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
             
0100T HCPCS Prosth Retina Receive&Gen 3 2 — — $3,294.02 $308,850.06 $292,457.11 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $238,931.77 $244,756.01 $244,756.01 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
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
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
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
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 2 — — $118,205.93 $181,308.15 $148,412.65 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
1214 APR_DRG Other Respiratory And Chest Procedures 4 2 — — $101,168.19 $129,712.80 $113,722.79 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
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
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
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 2 — — $335,736.07 $374,878.14 $357,189.91 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $102,464.62 $105,049.35 $105,049.35 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $190,714.06 $256,657.71 $223,145.85 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 4 2 — — $76,990.26 $354,441.38 $204,105.20 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 4 2 — — $117,521.24 $373,098.25 $235,214.40 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 4 2 — — $188,713.69 $464,680.35 $316,592.06 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 4 2 — — $442,666.66 $606,550.22 $522,863.46 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
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
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
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
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
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
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
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
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
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
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
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
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
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 2 — — $70,601.73 $115,322.23 $91,839.66 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
1693 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $71,257.66 $97,619.45 $84,158.52 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $137,760.84 $158,811.47 $149,103.47 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
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 2 — — $73,432.56 $94,817.14 $84,098.88 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
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
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
1781 APR_DRG External Heart Assist Systems 2 1 — — $114,279.03 $125,697.29 $119,988.16 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $128,126.94 $140,928.82 $134,527.88 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $137,521.62 $151,262.18 $144,391.90 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $185,890.95 $204,464.36 $195,177.65 2026-04-01
1791 APR_DRG Defibrillator Implants 2 1 — — $79,395.00 $87,327.80 $83,361.40 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $89,974.68 $98,964.56 $94,469.62 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $110,430.15 $121,463.85 $115,947.00 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $151,450.11 $166,582.34 $159,016.22 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 3 — — $368,176.55 $377,068.85 $377,068.85 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 4 2 — — $85,910.13 $103,201.03 $93,459.71 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 4 2 — — $76,569.96 $87,593.77 $81,334.18 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 4 2 — — $119,379.27 $141,692.35 $129,102.49 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 4 2 — — $101,424.15 $134,314.88 $115,924.35 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $93,034.35 $102,329.93 $97,682.14 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $95,700.60 $105,262.58 $100,481.59 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $111,430.29 $122,563.92 $116,997.10 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $158,628.84 $174,478.34 $166,553.59 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $96,614.93 $99,060.80 $99,060.80 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 4 2 — — $124,306.50 $143,266.35 $132,517.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 3 — — $96,504.09 $98,947.33 $98,947.33 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $92,712.58 $95,065.81 $95,065.81 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 4 2 — — $83,081.51 $94,989.19 $89,564.04 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 4 2 — — $134,739.24 $155,074.58 $143,542.30 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 3 — — $84,893.38 $87,061.00 $87,061.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $83,408.15 $85,540.51 $85,540.51 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
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 2 — — $127,624.50 $151,783.10 $138,155.59 2026-04-01
2214 APR_DRG Description Not Available 2 1 — — $126,740.59 $141,516.74 $134,128.66 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
2234 APR_DRG Other Small And Large Bowel Procedures 4 2 — — $90,102.66 $119,463.58 $103,047.68 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 4 2 — — $102,964.65 $115,373.31 $108,289.64 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 4 2 — — $87,505.14 $119,251.57 $101,524.23 2026-04-01
2254 APR_DRG Description Not Available 2 1 — — $77,908.93 $86,992.01 $82,450.47 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
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 2 — — $93,702.69 $123,924.32 $107,025.04 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
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $114,388.05 $125,817.20 $120,102.62 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $100,646.79 $110,702.98 $105,674.88 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 1 — — $93,970.50 $103,359.62 $98,665.06 2026-04-01
233 APR_DRG Spinal Procedures 4 2 — — $82,400.66 $92,332.86 $87,976.40 2026-04-01
234 APR_DRG Spinal Procedures 4 2 — — $136,611.54 $173,078.17 $152,633.89 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
244 APR_DRG Open Extracranial Vascular Procedures 4 2 — — $90,097.92 $145,484.94 $114,697.28 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
2614 APR_DRG Major Biliary Tract Procedures 4 2 — — $116,926.32 $131,500.95 $123,189.83 2026-04-01
2624 APR_DRG Description Not Available 2 1 — — $116,101.99 $129,637.84 $122,869.92 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
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 2 — — $103,860.51 $131,800.76 $116,138.43 2026-04-01
274 APR_DRG Other Open Craniotomy 2 1 — — $118,765.44 $130,631.96 $124,698.70 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $96,285.99 $105,906.46 $101,096.23 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $180,966.06 $185,414.28 $185,414.28 2026-04-01
3014 APR_DRG Hip Joint Replacement 2 1 — — $116,103.91 $129,639.99 $122,871.95 2026-04-01
3024 APR_DRG Knee Joint Replacement 2 1 — — $104,387.46 $116,557.56 $110,472.51 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
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
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
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
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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $105,128.46 $115,632.43 $110,380.45 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
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
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 2 — — $91,112.28 $134,953.05 $110,539.02 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
3094 APR_DRG Other Significant Hip And Femur Surgery 4 2 — — $95,522.85 $123,031.32 $107,626.17 2026-04-01
31 APR_DRG Description Not Available 2 1 — — $127,072.38 $141,887.22 $134,479.80 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
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
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
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 2 — — $90,723.60 $138,582.89 $111,950.68 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
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 2 — — $79,949.58 $135,299.97 $104,555.35 2026-04-01
32 APR_DRG Description Not Available 2 1 — — $148,840.55 $166,193.25 $157,516.90 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
3214 APR_DRG Decompression 4 2 — — $105,901.08 $151,279.84 $125,983.27 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
3244 APR_DRG Elective Hip Joint Replacement 2 1 — — $80,999.49 $89,092.60 $85,046.05 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
33 APR_DRG Description Not Available 2 1 — — $226,755.23 $253,191.69 $239,973.46 2026-04-01
34 APR_DRG Description Not Available 2 1 — — $429,807.14 $479,916.57 $454,861.85 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
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 4 2 — — $68,528.55 $113,698.66 $88,601.34 2026-04-01
3814 APR_DRG Major Skin Disorders 4 2 — — $55,974.66 $126,408.46 $87,388.60 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $118,097.04 $121,052.85 $121,052.85 2026-04-01
4014 APR_DRG Adrenal Procedures 4 2 — — $112,027.53 $149,641.60 $128,618.96 2026-04-01
4034 APR_DRG Procedures For Obesity 4 2 — — $88,692.51 $140,840.03 $111,844.40 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
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
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
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
4234 APR_DRG Inborn Errors Of Metabolism 4 2 — — $52,637.70 $116,461.19 $81,099.10 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $93,966.75 $96,349.76 $96,349.76 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
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
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
4401 APR_DRG Kidney Transplant 4 2 — — $71,077.37 $110,981.90 $90,132.18 2026-04-01
4402 APR_DRG Kidney Transplant 4 2 — — $89,094.13 $124,289.62 $106,240.24 2026-04-01
4403 APR_DRG Kidney Transplant 4 2 — — $108,790.96 $144,917.23 $126,613.74 2026-04-01
4404 APR_DRG Kidney Transplant 4 2 — — $199,156.65 $222,375.50 $209,866.68 2026-04-01
4414 APR_DRG Major Bladder Procedures 4 2 — — $129,713.33 $148,175.73 $139,775.80 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
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
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
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 2 — — $99,490.23 $163,409.30 $127,889.07 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
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 2 — — $79,684.14 $127,794.01 $101,048.26 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $87,907.32 $90,146.49 $90,146.49 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
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
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
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
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
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
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
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
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
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
5464 APR_DRG Description Not Available 2 1 — — $82,617.38 $92,249.40 $87,433.39 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
5831 APR_DRG Neonate With Ecmo 4 2 — — $274,633.69 $390,339.63 $330,766.76 2026-04-01
5832 APR_DRG Neonate With Ecmo 4 2 — — $274,633.69 $451,688.06 $358,654.55 2026-04-01
5833 APR_DRG Neonate With Ecmo 4 2 — — $279,867.64 $612,538.04 $434,695.87 2026-04-01
5834 APR_DRG Neonate With Ecmo 4 2 — — $492,626.04 $773,388.03 $626,596.62 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
6021 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $31,900.20 $139,041.17 $79,805.51 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
6023 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $212,610.33 $239,036.37 $223,965.67 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
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
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
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
6071 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $51,637.56 $129,372.30 $86,330.57 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
6073 APR_DRG Respiratory Condition Or Major Anomaly 4 2 — — $161,112.60 $195,927.98 $176,340.42 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
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
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
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
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
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
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
61 APR_DRG Pancreas Transplant 4 2 — — $96,957.52 $158,550.79 $126,204.77 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
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
6122 APR_DRG Respiratory Condition 4 2 — — $81,961.71 $97,440.39 $88,708.67 2026-04-01
6123 APR_DRG Respiratory Condition 4 2 — — $105,839.46 $135,835.35 $119,033.43 2026-04-01
6124 APR_DRG Respiratory Condition 4 2 — — $150,495.00 $181,462.14 $164,023.48 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
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
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
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
62 APR_DRG Pancreas Transplant 4 2 — — $96,957.52 $201,706.36 $145,822.44 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
6224 APR_DRG Respiratory Condition 4 2 — — $97,452.03 $110,694.14 $103,162.63 2026-04-01
63 APR_DRG Pancreas Transplant 4 2 — — $140,279.04 $232,354.51 $183,940.58 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
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
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
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
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
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
6344 APR_DRG Respiratory Condition 4 2 — — $77,358.50 $94,600.77 $86,192.35 2026-04-01
64 APR_DRG Pancreas Transplant 4 2 — — $146,506.46 $330,448.40 $232,008.86 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 3 2 — — $52,787.39 $123,301.37 $121,501.35 2026-04-01
6504 APR_DRG Splenectomy 4 2 — — $101,023.62 $122,129.75 $110,247.65 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
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
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
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
6903 APR_DRG Acute Leukemia 4 2 — — $70,704.21 $129,837.00 $97,024.51 2026-04-01
6904 APR_DRG Acute Leukemia 4 2 — — $123,104.91 $187,447.64 $151,640.36 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
6954 APR_DRG Chemotherapy For Acute Leukemia 4 2 — — $115,859.82 $158,188.32 $134,553.73 2026-04-01
7 MS_DRG Lung Transplant 4 3 — — $110,413.41 $113,186.83 $113,186.83 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $143,202.51 $157,510.68 $150,356.60 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
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
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $160,825.83 $176,894.84 $168,860.33 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $205,604.61 $226,147.72 $215,876.16 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $348,880.59 $383,739.21 $366,309.90 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
7504 APR_DRG Schizophrenia 4 2 — — $55,713.08 $138,003.99 $93,838.12 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
7594 APR_DRG Eating Disorders 4 2 — — $40,575.09 $294,078.32 $156,335.01 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 4 2 — — $75,168.25 $107,778.15 $90,959.73 2026-04-01
7914 APR_DRG Description Not Available 2 1 — — $126,786.62 $141,568.14 $134,177.38 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
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
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
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
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
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $41,780.73 $151,658.89 $90,889.52 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
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $359,383.77 $427,741.99 $395,084.52 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
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
8504 APR_DRG Services 4 2 — — $136,962.30 $163,325.78 $148,459.73 2026-04-01
8633 APR_DRG Neonatal Aftercare 4 2 — — $79,621.62 $108,888.64 $93,950.82 2026-04-01
8634 APR_DRG Neonatal Aftercare 4 2 — — $101,629.52 $169,705.29 $133,883.73 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
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 2 — — $126,761.82 $146,020.32 $135,100.61 2026-04-01
903 APR_DRG Description Not Available 2 1 — — $78,376.90 $87,514.54 $82,945.72 2026-04-01
904 APR_DRG Description Not Available 2 1 — — $215,387.84 $240,499.02 $227,943.43 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $93,335.34 $102,661.00 $97,998.17 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
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $74,358.90 $99,876.94 $86,916.14 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
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
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
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
913 APR_DRG Other Major Head And Neck Procedures 4 2 — — $70,666.94 $100,108.94 $84,960.41 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
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $113,729.19 $125,092.51 $119,410.85 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $182,034.36 $186,507.95 $186,507.95 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $155,929.41 $171,509.19 $163,719.30 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $338,319.87 $372,123.31 $355,221.59 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
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
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
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 4 2 — — $76,567.59 $89,118.52 $82,015.65 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $89,054.16 $89,054.16 $89,054.16 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 2 — — $3,570,000.00 $3,685,266.67 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 2 — — $3,264,000.00 $3,316,462.59 $3,264,000.00 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
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 2 — — $4,335,000.00 $4,505,000.00 $4,335,000.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 2 — — $2,244,000.00 $2,332,000.00 $2,244,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,856,000.00 $2,945,740.00 $2,856,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 2 — — $3,162,000.00 $3,248,445.72 $3,162,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,146,250.00 $2,455,110.60 $2,146,250.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 2 — — $201,669.02 $205,640.00 $201,669.02 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 3 2 — — $257,500.00 $265,000.00 $265,000.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $31,905.54 $103,893.67 $79,539.70 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $532,192.24 $533,230.17 $532,192.24 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $566,531.30 $591,726.20 $566,531.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $489,304.61 $489,450.20 $489,450.20 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 2 — — $562,201.24 $562,538.19 $562,201.24 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $557,317.93 $558,081.73 $558,081.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 2 — — $565,868.94 $587,649.57 $587,649.57 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $770,620.00 $770,620.00 $770,620.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 2 — — $267,750.00 $278,250.00 $267,750.00 2026-04-01
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