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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NEW ENGLAND BAPTIST HOSPITAL

Boston, MA · CCN 220088 · Rates published

16,735 distinct procedures filed
7 distinct payers
79,632 rate rows
2026-04-01 last MRF observed
Data quality

65,781 of 79,632 rate rows are consumer-grade (82.6%)

13,851 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 13,784
placeholder amount (≤ $0.02) — excluded from medians 67
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nebh.org/042103612_new-england-baptist-hospital_standardcharges.json
Found on page https://onlinepatientestimation.com/PatientPortal/site/NewEnglandBaptist
Discovered viaDiscovered by HANK
Last fetch success · 2026-06-16
Content fingerprint 47ade3a708565ec0… · 17,872,101 bytes · first seen 2026-06-16

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 $4,916,757.00 $4,625,878.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,570,000.00 $4,022,100.04 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $3,570,000.00 $3,710,000.00 $3,640,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,264,000.00 $3,619,587.27 $3,322,473.30 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,162,000.00 $3,545,353.65 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,856,000.00 $3,214,980.64 $2,948,213.33 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,146,250.00 $2,679,507.71 $2,423,131.23 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,244,000.00 $2,545,144.80 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $841,054.67 $770,620.00 nat. median
$824,563
0.9× median
5834
APR_DRG 		Neonate With Ecmo 2 $452,248.12 $662,726.02 $644,242.79 nat. median
$309,665
outlier · 2.1×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $553,169.30 $617,589.37 $587,649.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $566,531.30 $645,809.98 $578,771.12 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $516,442.29 $613,954.18 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $527,622.46 $608,256.79 $558,081.73 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $502,840.73 $581,967.41 $532,192.24 nat. median
$634,511
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $444,298.56 $543,615.33 $528,454.07 nat. median
$246,434
outlier · 2.1×
5833
APR_DRG 		Neonate With Ecmo 2 $256,928.39 $524,891.62 $510,252.56 nat. median
$244,017
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $406,383.65 $519,760.58 $505,264.62 nat. median
$207,730
outlier · 2.4×
24
APR_DRG 		Heart And/Or Lung Transplant 2 $487,595.12 $614,368.09 $501,584.15 nat. median
$234,738
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,399.16 $534,027.05 $489,450.20 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $437,441.76 $482,631.27 $460,328.65 nat. median
$370,174
1.2× median
34
APR_DRG 		Description Not Available 1 $394,578.15 $394,578.15 $394,578.15 nat. median
$209,067
1.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $173,245.84 $398,190.49 $387,085.08 nat. median
$119,796
outlier · 3.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $215,324.81 $394,576.20 $383,571.59 nat. median
$150,721
outlier · 2.5×
5832
APR_DRG 		Neonate With Ecmo 2 $252,123.44 $387,057.23 $376,262.32 nat. median
$156,126
outlier · 2.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $329,927.01 $366,537.54 $356,314.92 nat. median
$160,267
outlier · 2.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $340,449.94 $444,298.56 $350,217.40 nat. median
$182,736
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $306,993.89 $354,539.80 $344,651.79 nat. median
$151,838
outlier · 2.3×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $332,819.29 $342,367.82 $341,126.82 nat. median
$164,279
outlier · 2.1×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $333,366.51 $342,930.74 $339,894.33 nat. median
$145,336
outlier · 2.3×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $332,391.51 $341,927.77 $337,159.64 nat. median
$117,173
outlier · 2.9×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $281,081.67 $340,183.17 $330,695.56 nat. median
$162,982
outlier · 2.0×
5831
APR_DRG 		Neonate With Ecmo 2 $252,123.44 $334,486.98 $325,158.24 nat. median
$145,122
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $319,660.00 $328,831.00 $324,245.50 nat. median
$187,294
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $316,624.24 $325,708.14 $318,195.46 nat. median
$105,658
outlier · 3.0×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $185,109.43 $326,590.50 $317,481.99 nat. median
$122,924
outlier · 2.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $309,983.80 $318,877.18 $314,430.49 nat. median
$164,834
1.9× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $308,217.58 $320,644.12 $311,701.45 nat. median
$129,535
outlier · 2.4×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $107,888.65 $319,712.63 $310,795.94 nat. median
$85,406
outlier · 3.6×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $265,316.36 $310,172.07 $301,521.46 nat. median
$93,528
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $283,882.11 $313,208.28 $298,734.77 nat. median
$265,286
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $70,679.78 $303,725.32 $295,254.51 nat. median
$76,806
outlier · 3.8×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $267,750.00 $303,682.05 $285,716.03 nat. median
$324,450
0.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $245,261.99 $284,990.44 $277,042.14 nat. median
$109,499
outlier · 2.5×
64
APR_DRG 		Pancreas Transplant 2 $134,498.11 $283,165.42 $275,268.03 nat. median
$91,748
outlier · 3.0×
J3403
HCPCS 		Revakinagene, Per Implant 2 $265,000.00 $281,035.50 $273,017.75 nat. median
$265,000
1.0× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $247,047.21 $266,246.01 $254,134.96 nat. median
$118,620
outlier · 2.1×
7594
APR_DRG 		Eating Disorders 2 $37,249.37 $251,999.45 $244,971.26 nat. median
$28,106
outlier · 8.7×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $221,634.15 $239,772.13 $227,992.80 nat. median
$108,996
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 16,735 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 2 — — $4,335,000.00 $4,916,757.00 $4,625,878.50 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,570,000.00 $4,022,100.04 $3,685,266.67 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 2 — — $3,570,000.00 $3,710,000.00 $3,640,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,264,000.00 $3,619,587.27 $3,322,473.30 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,162,000.00 $3,545,353.65 $3,286,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,856,000.00 $3,214,980.64 $2,948,213.33 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,244,000.00 $2,545,144.80 $2,332,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,146,250.00 $2,679,507.71 $2,423,131.23 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $770,620.00 $841,054.67 $770,620.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $566,531.30 $645,809.98 $578,771.12 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $553,169.30 $617,589.37 $587,649.57 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $527,622.46 $608,256.79 $558,081.73 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $516,442.29 $613,954.18 $562,201.24 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $502,840.73 $581,967.41 $532,192.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $489,399.16 $534,027.05 $489,450.20 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 3 2 — — $487,595.12 $614,368.09 $501,584.15 2026-04-01
5834 APR_DRG Neonate With Ecmo 3 2 — — $452,248.12 $662,726.02 $644,242.79 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $444,298.56 $543,615.33 $528,454.07 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $437,441.76 $482,631.27 $460,328.65 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $406,383.65 $519,760.58 $505,264.62 2026-04-01
34 APR_DRG Description Not Available 1 1 — — $394,578.15 $394,578.15 $394,578.15 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $340,449.94 $444,298.56 $350,217.40 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $333,366.51 $342,930.74 $339,894.33 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $332,819.29 $342,367.82 $341,126.82 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $332,391.51 $341,927.77 $337,159.64 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $329,927.01 $366,537.54 $356,314.92 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $319,660.00 $328,831.00 $324,245.50 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $316,624.24 $325,708.14 $318,195.46 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $309,983.80 $318,877.18 $314,430.49 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $308,217.58 $320,644.12 $311,701.45 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $306,993.89 $354,539.80 $344,651.79 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $283,882.11 $313,208.28 $298,734.77 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $281,081.67 $340,183.17 $330,695.56 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $267,750.00 $303,682.05 $285,716.03 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 3 2 — — $265,316.36 $310,172.07 $301,521.46 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $265,000.00 $281,035.50 $273,017.75 2026-04-01
5833 APR_DRG Neonate With Ecmo 3 2 — — $256,928.39 $524,891.62 $510,252.56 2026-04-01
5832 APR_DRG Neonate With Ecmo 3 2 — — $252,123.44 $387,057.23 $376,262.32 2026-04-01
5831 APR_DRG Neonate With Ecmo 3 2 — — $252,123.44 $334,486.98 $325,158.24 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $247,047.21 $266,246.01 $254,134.96 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $245,261.99 $284,990.44 $277,042.14 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 3 2 — — $223,762.22 $230,181.92 $226,176.00 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $221,634.15 $239,772.13 $227,992.80 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $219,434.42 $339,894.33 $225,729.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $216,280.57 $238,623.22 $227,596.33 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $215,324.81 $394,576.20 $383,571.59 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $215,011.28 $237,222.81 $226,260.63 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $208,661.61 $242,791.73 $214,648.08 2026-04-01
33 APR_DRG Description Not Available 1 1 — — $208,169.32 $208,169.32 $208,169.32 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $201,669.02 $224,435.50 $213,052.26 2026-04-01
904 APR_DRG Description Not Available 1 1 — — $197,733.65 $197,733.65 $197,733.65 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $194,981.16 $208,023.18 $200,575.14 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $194,803.09 $200,391.96 $196,531.09 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 3 2 — — $191,823.80 $213,046.46 $197,327.19 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $191,819.46 $198,169.33 $192,642.45 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $189,754.36 $217,368.98 $195,198.38 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $188,384.14 $193,788.85 $191,086.49 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $185,109.43 $326,590.50 $317,481.99 2026-04-01
4404 APR_DRG Kidney Transplant 3 2 — — $182,832.85 $188,394.22 $183,139.97 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $177,313.05 $222,890.80 $216,674.44 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $175,665.66 $196,178.95 $180,705.48 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $175,082.25 $219,933.25 $213,799.38 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $173,245.84 $398,190.49 $387,085.08 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $170,321.60 $175,208.10 $172,764.85 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $165,236.41 $207,283.24 $201,502.17 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $163,611.67 $168,305.66 $165,958.67 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $161,702.92 $166,342.15 $164,022.54 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $153,655.34 $162,560.15 $158,063.69 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $152,083.98 $185,237.87 $180,071.64 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $148,641.35 $166,984.79 $152,905.84 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $147,861.78 $161,671.00 $152,103.91 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $147,618.57 $161,088.20 $151,853.72 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $147,355.82 $151,583.43 $149,469.62 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $147,308.97 $185,374.13 $180,204.10 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $145,342.84 $149,512.70 $147,427.77 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $144,198.46 $148,335.49 $144,618.62 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $142,869.50 $146,968.40 $144,918.95 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 — — $140,314.68 $154,809.76 $147,655.92 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $138,765.36 $142,746.52 $140,755.94 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $138,189.92 $157,517.50 $142,154.56 2026-04-01
6124 APR_DRG Respiratory Condition 3 2 — — $137,890.25 $149,194.68 $141,846.30 2026-04-01
32 APR_DRG Description Not Available 1 1 — — $136,640.88 $136,640.88 $136,640.88 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $134,817.58 $158,084.45 $138,685.47 2026-04-01
64 APR_DRG Pancreas Transplant 3 2 — — $134,498.11 $283,165.42 $275,268.03 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $131,341.01 $158,503.50 $135,109.16 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $131,208.54 $134,972.90 $133,090.72 2026-04-01
7 MS_DRG Lung Transplant 3 3 — — $131,185.53 $144,737.52 $138,049.13 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $130,763.39 $257,817.54 $134,514.97 2026-04-01
63 APR_DRG Pancreas Transplant 3 2 — — $128,781.12 $199,107.53 $193,554.48 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $128,233.54 $169,480.64 $164,753.88 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $128,168.44 $133,401.20 $131,845.58 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $126,569.68 $153,238.68 $148,964.90 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $126,469.32 $136,087.56 $132,292.12 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $126,462.28 $143,637.81 $139,631.79 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $126,003.46 $129,618.48 $127,810.97 2026-04-01
8504 APR_DRG Services 3 2 — — $125,490.99 $134,283.31 $129,091.30 2026-04-01
234 APR_DRG Spinal Procedures 3 2 — — $125,169.60 $142,301.53 $128,760.70 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $124,597.70 $161,300.46 $156,801.84 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $124,076.53 $176,385.32 $171,465.98 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $123,454.12 $127,499.33 $126,996.00 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $123,037.72 $150,046.58 $145,861.83 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $121,884.12 $130,758.39 $125,380.96 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $121,741.33 $134,317.70 $128,110.81 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $120,144.75 $126,460.52 $123,591.69 2026-04-01
4414 APR_DRG Major Bladder Procedures 3 2 — — $119,081.42 $126,973.66 $123,432.40 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $118,136.79 $118,136.79 $118,136.79 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $117,836.45 $157,955.92 $121,217.16 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $117,395.63 $120,763.70 $119,079.67 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $116,935.28 $124,793.13 $120,290.13 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $116,755.54 $158,660.11 $154,235.13 2026-04-01
31 APR_DRG Description Not Available 1 1 — — $116,656.94 $116,656.94 $116,656.94 2026-04-01
7914 APR_DRG Description Not Available 1 1 — — $116,394.59 $116,394.59 $116,394.59 2026-04-01
2214 APR_DRG Description Not Available 1 1 — — $116,352.34 $116,352.34 $116,352.34 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $116,144.85 $120,055.09 $119,477.03 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $115,000.47 $142,868.48 $118,299.81 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $114,791.13 $126,649.52 $120,796.99 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 3 3 — — $114,659.44 $126,504.23 $120,658.41 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $114,422.85 $120,143.13 $117,705.62 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $114,305.59 $131,672.19 $117,585.00 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $114,274.71 $135,701.12 $131,916.45 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $113,895.18 $117,790.83 $117,162.81 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $113,126.46 $119,588.50 $116,372.04 2026-04-01
6904 APR_DRG Acute Leukemia 3 2 — — $112,794.22 $154,115.83 $116,030.27 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $111,644.76 $123,178.11 $117,485.99 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $111,228.57 $169,036.00 $114,419.70 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $110,154.63 $121,534.05 $115,917.91 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $109,712.74 $145,398.04 $141,342.94 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $109,380.63 $116,496.72 $112,518.74 2026-04-01
274 APR_DRG Other Open Craniotomy 2 1 — — $108,818.21 $111,940.19 $110,379.20 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $108,517.22 $155,365.26 $151,032.17 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $108,517.22 $137,943.85 $134,096.64 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $107,888.65 $319,712.63 $310,795.94 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $107,240.72 $116,622.23 $113,369.67 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $107,133.12 $110,206.76 $108,117.54 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $106,923.79 $110,673.62 $107,586.97 2026-04-01
3014 APR_DRG Hip Joint Replacement 1 1 — — $106,587.50 $106,587.50 $106,587.50 2026-04-01
2624 APR_DRG Description Not Available 1 1 — — $106,585.74 $106,585.74 $106,585.74 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $106,155.95 $130,059.39 $109,201.55 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $104,807.45 $107,814.36 $106,310.90 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $104,768.36 $112,848.55 $107,774.15 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 1 — — $104,707.56 $107,711.60 $106,209.58 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $104,445.37 $115,234.99 $109,909.93 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $104,330.28 $190,650.36 $185,333.18 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $104,203.77 $107,193.36 $105,698.57 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $103,754.27 $194,062.59 $106,730.96 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $103,359.06 $129,471.31 $106,324.41 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $103,248.31 $213,729.61 $106,210.49 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $102,888.27 $115,699.67 $112,472.84 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $102,857.44 $105,808.40 $104,332.92 2026-04-01
4014 APR_DRG Adrenal Procedures 3 2 — — $102,644.63 $123,032.43 $105,589.49 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $102,097.42 $105,026.57 $103,561.99 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $101,821.64 $104,742.88 $103,282.26 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $101,181.04 $104,083.91 $102,632.48 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $101,006.08 $141,971.39 $138,011.85 2026-04-01
215 MS_DRG Other Heart Assist System Implant 3 3 — — $100,864.41 $111,284.11 $106,141.62 2026-04-01
4403 APR_DRG Kidney Transplant 3 2 — — $99,873.95 $124,181.41 $120,718.03 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $99,476.42 $126,569.68 $102,330.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $99,099.76 $109,337.17 $104,284.65 2026-04-01
3214 APR_DRG Decompression 3 2 — — $97,031.31 $124,379.37 $99,815.12 2026-04-01
6123 APR_DRG Respiratory Condition 3 2 — — $96,974.85 $111,681.20 $99,757.04 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $96,323.40 $99,086.90 $97,705.15 2026-04-01
3024 APR_DRG Knee Joint Replacement 1 1 — — $95,831.38 $95,831.38 $95,831.38 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $95,161.64 $108,364.04 $97,891.82 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $94,909.75 $110,499.77 $97,632.70 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $94,855.46 $111,283.28 $97,576.85 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $94,577.51 $109,628.22 $97,290.93 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $94,536.25 $97,248.48 $95,892.36 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $94,340.82 $97,047.44 $94,857.71 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $94,266.12 $105,770.43 $102,820.53 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $94,130.18 $147,689.28 $96,830.76 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $93,921.72 $110,321.94 $96,616.32 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $93,803.05 $102,792.77 $99,925.92 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $93,398.39 $100,291.23 $96,077.97 2026-04-01
8634 APR_DRG Neonatal Aftercare 3 2 — — $93,299.49 $145,422.61 $141,366.82 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $93,112.86 $109,016.14 $105,975.71 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 3 2 — — $92,929.34 $110,431.10 $95,595.47 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $92,694.82 $106,647.36 $95,354.22 2026-04-01
6504 APR_DRG Splenectomy 3 2 — — $92,562.36 $100,412.72 $95,217.96 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $92,217.09 $94,862.78 $93,539.93 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $91,267.25 $100,695.52 $96,042.34 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $91,170.81 $139,167.97 $135,286.62 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $91,157.40 $134,351.97 $93,772.69 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $89,478.83 $106,274.09 $92,045.96 2026-04-01
6224 APR_DRG Respiratory Condition 3 2 — — $89,289.91 $91,851.62 $91,010.58 2026-04-01
62 APR_DRG Pancreas Transplant 3 2 — — $89,010.43 $172,844.74 $168,024.16 2026-04-01
61 APR_DRG Pancreas Transplant 3 2 — — $89,010.43 $135,864.18 $132,074.97 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $88,670.61 $111,837.43 $108,718.32 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $88,221.53 $90,752.59 $89,487.06 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $88,219.36 $90,750.36 $88,874.85 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $87,720.74 $96,782.64 $92,310.27 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $87,685.17 $90,200.84 $88,943.01 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $87,522.31 $101,153.98 $90,033.31 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $87,046.75 $112,260.47 $89,544.11 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $86,664.57 $89,150.96 $87,907.77 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $86,462.69 $89,778.66 $87,274.76 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 1 — — $86,099.98 $88,570.17 $87,335.07 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $85,895.85 $97,437.14 $88,360.19 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $85,854.60 $101,888.19 $88,317.75 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $85,851.73 $125,418.93 $121,921.04 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $85,711.28 $213,729.61 $88,170.32 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $85,594.67 $119,130.79 $115,808.27 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $85,518.01 $87,971.51 $86,744.76 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $85,474.58 $110,485.69 $87,926.84 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $85,394.89 $94,216.52 $89,862.73 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $85,242.23 $87,687.82 $86,465.02 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $85,192.29 $87,636.44 $86,414.36 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $84,733.69 $95,959.58 $93,283.30 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $84,469.18 $100,113.40 $86,892.59 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $84,163.22 $118,060.80 $114,768.12 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $83,982.76 $132,112.36 $86,392.22 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $83,481.15 $110,955.79 $85,876.21 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $83,402.97 $88,670.61 $85,795.79 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $83,125.02 $113,940.18 $85,509.86 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $82,556.09 $98,220.65 $84,924.61 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $82,551.74 $119,614.92 $84,920.14 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $82,438.83 $84,803.98 $83,621.40 2026-04-01
4402 APR_DRG Kidney Transplant 3 2 — — $81,791.56 $106,505.35 $103,534.95 2026-04-01
4034 APR_DRG Procedures For Obesity 3 2 — — $81,264.04 $115,795.96 $83,595.50 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $80,990.44 $83,314.04 $82,152.24 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $80,810.20 $92,854.04 $83,128.63 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $80,176.12 $98,046.34 $82,476.36 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $80,034.38 $117,424.16 $114,149.24 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $79,710.94 $87,945.41 $83,881.41 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $79,127.29 $90,383.77 $81,397.44 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $78,916.33 $112,518.74 $109,380.63 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 3 2 — — $78,714.70 $84,849.89 $80,973.02 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $77,819.42 $90,763.76 $88,232.39 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $77,781.18 $85,816.29 $81,850.68 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $77,445.88 $85,446.35 $81,497.83 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $77,353.17 $105,252.89 $79,572.42 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $77,240.26 $88,098.39 $79,456.27 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $77,207.68 $94,135.83 $79,422.76 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $77,189.59 $85,163.58 $81,228.13 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 3 2 — — $76,419.43 $120,470.62 $78,611.89 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $76,271.76 $81,397.44 $79,127.29 2026-04-01
5464 APR_DRG Description Not Available 1 1 — — $75,845.67 $75,845.67 $75,845.67 2026-04-01
233 APR_DRG Spinal Procedures 3 2 — — $75,646.71 $79,121.20 $76,914.53 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $75,589.92 $106,501.22 $77,758.58 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $75,347.40 $85,440.62 $83,057.70 2026-04-01
6122 APR_DRG Respiratory Condition 3 2 — — $75,096.98 $80,113.61 $77,251.51 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $74,578.00 $76,717.63 $75,647.82 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $74,495.48 $105,004.63 $76,632.74 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $74,260.96 $76,828.14 $76,391.49 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 2 1 — — $74,215.36 $76,344.58 $75,279.97 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 1 — — $74,145.87 $76,273.10 $75,209.49 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $73,487.90 $104,437.68 $75,596.26 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 3 2 — — $73,303.33 $108,915.14 $75,406.39 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 3 2 — — $73,253.38 $111,241.03 $75,355.01 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $73,124.42 $80,678.47 $76,950.28 2026-04-01
8633 APR_DRG Neonatal Aftercare 3 2 — — $73,095.46 $93,308.06 $90,705.73 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $73,010.17 $105,069.77 $75,104.82 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $72,940.52 $134,401.04 $130,652.64 2026-04-01
10 MS_DRG Pancreas Transplant 3 3 — — $72,689.84 $80,199.00 $76,492.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 3 — — $72,659.45 $80,165.47 $76,460.98 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $72,273.50 $79,739.64 $76,054.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $72,230.95 $79,692.70 $76,010.06 2026-04-01
6344 APR_DRG Respiratory Condition 3 2 — — $71,017.83 $81,064.60 $78,803.74 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $70,706.19 $99,044.46 $96,282.14 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $70,679.78 $303,725.32 $295,254.51 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $69,494.83 $99,082.43 $96,319.05 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $69,257.13 $81,366.17 $79,096.89 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 3 2 — — $69,007.12 $92,356.46 $89,780.67 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $68,264.10 $85,585.81 $83,198.85 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 3 2 — — $67,413.68 $81,250.01 $78,983.97 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $67,082.67 $82,974.50 $80,660.37 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $66,411.84 $104,921.59 $101,995.36 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $65,417.05 $83,651.34 $81,318.33 2026-04-01
4401 APR_DRG Kidney Transplant 3 2 — — $65,251.54 $95,101.80 $92,449.44 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $65,147.66 $92,930.55 $90,338.74 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $64,874.75 $85,784.62 $83,392.11 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $64,814.89 $98,821.08 $96,064.99 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $63,298.93 $80,501.68 $78,256.52 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $63,151.03 $120,960.27 $117,586.73 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $62,524.22 $110,537.36 $107,454.51 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $60,957.19 $96,019.89 $93,341.93 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $60,406.20 $106,371.01 $90,684.64 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $58,002.74 $77,658.06 $75,492.20 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $57,426.99 $83,403.39 $81,077.30 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $119,081.07 $79,191.45 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $55,023.64 $84,296.91 $81,945.90 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $55,023.64 $82,932.06 $80,619.11 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $53,278.78 $123,774.86 $120,322.82 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $53,255.89 $83,981.94 $81,639.71 2026-04-01
7504 APR_DRG Schizophrenia 3 2 — — $51,146.57 $118,257.37 $114,959.21 2026-04-01
3624 APR_DRG Mastectomy Procedures 3 2 — — $51,125.45 $84,033.32 $81,689.66 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $46,952.59 $103,764.48 $100,870.52 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $45,734.18 $80,182.25 $77,945.99 2026-04-01
7514 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 3 2 — — $40,636.96 $86,879.18 $84,456.15 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $37,818.08 $81,325.96 $79,057.80 2026-04-01
7594 APR_DRG Eating Disorders 3 2 — — $37,249.37 $251,999.45 $244,971.26 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 3 — — $31,905.54 $91,805.56 $82,800.83 2026-04-01
7534 APR_DRG Bipolar Disorders 3 2 — — $31,245.38 $85,556.77 $83,170.62 2026-04-01
7734 APR_DRG Opioid Abuse And Dependence 3 2 — — $22,892.62 $79,322.24 $77,109.97 2026-04-01
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy 3 2 — — $19,198.67 $86,577.62 $84,163.00 2026-04-01
7744 APR_DRG Cocaine Abuse And Dependence 3 2 — — $17,781.31 $79,007.27 $76,803.78 2026-04-01
7574 APR_DRG Organic Mental Health Disturbances 3 2 — — $16,967.87 $101,231.35 $98,408.04 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 3 2 — — $16,694.96 $176,599.76 $171,674.45 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 4 3 — — $5,276.76 $242,929.49 $125,210.65 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $500.00 $93,920.35 $88,646.80 2026-04-01
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