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

HEYWOOD HOSPITAL -

Gardner, MA · CCN 220095 · Rates published

21,343 distinct procedures filed
8 distinct payers
541,578 rate rows
2025-04-16 last MRF observed · ⚠ 18 mo old
Data quality

456,652 of 541,578 rate rows are consumer-grade (84.3%)

84,926 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 72,204
per-diem day rate — not a per-procedure price 9,786
exceeds 10× this hospital's gross charge — excluded from medians 1,250
template filing: same amount across many unrelated codes — excluded 914
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 544
placeholder amount (≤ $0.02) — excluded from medians 172
percent-of-charges filed in the dollar field — excluded from medians 56

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/HeywoodHealthcare/042103581_heywood-hospital_standardcharges.json
Found on page https://mrfs.hyvehealthcare.com/HeywoodHealthcare/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 91bdd8100666b5e1… · 70,595,679 bytes · first seen 2026-05-06

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
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 3 $111.85 $4,685,410.00 $4,249,805.00 nat. median
$3,703,693
1.1× median
J1413
HCPCS 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 4 $1,287.37 $4,201,916.00 $3,659,713.62 nat. median
$3,324,572
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 5 $557.79 $4,045,642.00 $2,711,735.00 nat. median
$2,466,282
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 8 $495,507.59 $840,459.50 $667,983.55 nat. median
$608,101
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $73.87 $872,333.19 $587,432.19 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $3.49 $899,422.38 $565,298.31 nat. median
$738,272
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 4 $92.90 $865,060.75 $555,659.63 nat. median
$622,245
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $38.14 $852,922.50 $543,473.50 nat. median
$640,950
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $186.55 $772,250.25 $518,735.91 nat. median
$591,650
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 2 $412,483.88 $497,612.44 $440,715.66 nat. median
$307,273
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 2 $376,340.84 $454,010.16 $417,188.38 nat. median
$247,214
1.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $203,617.91 $438,999.94 $380,702.62 nat. median
$93,998
outlier · 4.1×
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 2 $321,705.19 $388,098.78 $369,287.00 nat. median
$202,993
1.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $203,617.91 $399,091.03 $346,093.42 nat. median
$89,188
outlier · 3.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 2 $324,987.88 $398,214.47 $345,333.30 nat. median
$162,514
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant, Severe 2 $297,444.13 $585,301.88 $341,872.83 nat. median
$241,915
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 $312,131.88 $439,399.38 $327,738.47 nat. median
$359,358
0.9× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $73,803.92 $362,810.53 $314,630.84 nat. median
$71,350
outlier · 4.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 2 $265,359.88 $320,124.91 $302,092.72 nat. median
$156,153
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 2 $252,738.61 $423,278.47 $290,489.76 nat. median
$175,429
1.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 2 $261,578.09 $315,562.66 $289,103.12 nat. median
$151,838
1.9× median
5833
APR_DRG 		Neonate With Ecmo, Major 2 $244,772.92 $303,166.78 $262,907.52 nat. median
$244,017
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant, Severe 2 $223,057.36 $293,635.59 $256,375.05 nat. median
$136,728
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 2 $217,013.47 $303,141.41 $249,428.40 nat. median
$122,016
outlier · 2.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $233,136.34 $328,194.50 $244,793.16 nat. median
$249,124
1.0× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $201,585.55 $253,649.72 $231,696.04 nat. median
$118,589
2.0× median
64
APR_DRG 		Pancreas Transplant, Severe 2 $128,134.91 $266,880.59 $231,439.98 nat. median
$91,239
outlier · 2.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 2 $194,826.14 $267,783.50 $223,926.99 nat. median
$165,000
1.4× median
23
APR_DRG 		Heart And/or Lung Transplant, Major 2 $192,877.47 $252,764.05 $221,687.25 nat. median
$111,046
2.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 2 $198,181.45 $247,699.55 $214,806.11 nat. median
$101,541
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $196,342.94 $276,399.09 $206,160.09 nat. median
$198,433
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 2 $173,718.42 $233,658.47 $199,666.45 nat. median
$107,657
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 2 $169,248.03 $228,428.33 $194,528.32 nat. median
$108,798
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $177,379.70 $249,703.86 $186,248.69 nat. median
$190,557
1.0× median
22
APR_DRG 		Heart And/or Lung Transplant, Moderate 2 $160,348.41 $215,475.45 $184,299.37 nat. median
$92,229
2.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $159,816.52 $207,085.09 $183,688.02 nat. median
$96,883
1.9× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 2 $152,232.36 $183,650.13 $174,518.16 nat. median
$82,615
outlier · 2.1×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $143,139.61 $187,233.06 $164,520.12 nat. median
$88,157
1.9× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 2 $146,327.77 $176,526.94 $164,383.15 nat. median
$74,757
outlier · 2.2×
21
APR_DRG 		Heart And/or Lung Transplant, Minor 2 $141,095.95 $202,967.08 $162,171.21 nat. median
$73,922
outlier · 2.2×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 2 $141,072.20 $231,305.06 $162,143.93 nat. median
$81,668
2.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 2 $143,506.88 $173,123.84 $161,779.80 nat. median
$98,624
1.6× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 2 $149,430.45 $180,269.95 $160,325.12 nat. median
$80,771
2.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 2 $138,096.17 $205,137.63 $158,723.36 nat. median
$154,011
1.0× median
4404
APR_DRG 		Kidney Transplant, Severe 2 $135,810.31 $174,182.89 $156,096.08 nat. median
$78,303
2.0× median
63
APR_DRG 		Pancreas Transplant, Major 2 $122,688.39 $177,120.86 $153,599.96 nat. median
$73,635
outlier · 2.1×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns, Severe 2 $137,763.73 $166,195.45 $147,687.93 nat. median
$82,002
1.8× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 2 $127,441.00 $165,049.45 $146,476.65 nat. median
$120,517
1.2× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant, Major 2 $138,628.06 $167,238.16 $145,885.45 nat. median
$73,704
2.0× median
0100T
CPT 		Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 4 $2,890.00 $281,470.34 $140,980.02 nat. median
$11,267
outlier · 12.5×

Other procedures at this hospital

Browse this hospital's 21,343 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 10 3 — — $111.85 $4,685,410.00 $4,249,805.00 2025-04-16
J1413 HCPCS Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 16 4 — — $1,287.37 $4,201,916.00 $3,659,713.62 2025-04-16
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 20 5 — — $557.79 $4,045,642.00 $2,711,735.00 2025-04-16
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 30 8 — — $495,507.59 $840,459.50 $667,983.55 2025-04-16
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 18 4 — — $73.87 $872,333.19 $587,432.19 2025-04-16
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 20 4 — — $3.49 $899,422.38 $565,298.31 2025-04-16
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 18 4 — — $92.90 $865,060.75 $555,659.63 2025-04-16
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 18 4 — — $38.14 $852,922.50 $543,473.50 2025-04-16
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 18 4 — — $186.55 $772,250.25 $518,735.91 2025-04-16
5834 APR_DRG Neonate With Ecmo, Severe 8 2 — — $412,483.88 $497,612.44 $440,715.66 2025-04-16
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 8 2 — — $376,340.84 $454,010.16 $417,188.38 2025-04-16
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 2 — — $203,617.91 $438,999.94 $380,702.62 2025-04-16
1614 APR_DRG Implantable Heart Assist Systems, Severe 8 2 — — $321,705.19 $388,098.78 $369,287.00 2025-04-16
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 2 — — $203,617.91 $399,091.03 $346,093.42 2025-04-16
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 8 2 — — $324,987.88 $398,214.47 $345,333.30 2025-04-16
24 APR_DRG Heart And/or Lung Transplant, Severe 8 2 — — $297,444.13 $585,301.88 $341,872.83 2025-04-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 4 — — $312,131.88 $439,399.38 $327,738.47 2025-04-16
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 2 — — $73,803.92 $362,810.53 $314,630.84 2025-04-16
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 8 2 — — $265,359.88 $320,124.91 $302,092.72 2025-04-16
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 8 2 — — $252,738.61 $423,278.47 $290,489.76 2025-04-16
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 8 2 — — $261,578.09 $315,562.66 $289,103.12 2025-04-16
5833 APR_DRG Neonate With Ecmo, Major 8 2 — — $244,772.92 $303,166.78 $262,907.52 2025-04-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant, Severe 8 2 — — $223,057.36 $293,635.59 $256,375.05 2025-04-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 8 2 — — $217,013.47 $303,141.41 $249,428.40 2025-04-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 4 — — $233,136.34 $328,194.50 $244,793.16 2025-04-16
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $201,585.55 $253,649.72 $231,696.04 2025-04-16
64 APR_DRG Pancreas Transplant, Severe 8 2 — — $128,134.91 $266,880.59 $231,439.98 2025-04-16
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 8 2 — — $194,826.14 $267,783.50 $223,926.99 2025-04-16
23 APR_DRG Heart And/or Lung Transplant, Major 8 2 — — $192,877.47 $252,764.05 $221,687.25 2025-04-16
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 8 2 — — $198,181.45 $247,699.55 $214,806.11 2025-04-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 4 — — $196,342.94 $276,399.09 $206,160.09 2025-04-16
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 8 2 — — $173,718.42 $233,658.47 $199,666.45 2025-04-16
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 8 2 — — $169,248.03 $228,428.33 $194,528.32 2025-04-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 4 — — $177,379.70 $249,703.86 $186,248.69 2025-04-16
22 APR_DRG Heart And/or Lung Transplant, Moderate 8 2 — — $160,348.41 $215,475.45 $184,299.37 2025-04-16
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $159,816.52 $207,085.09 $183,688.02 2025-04-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 8 2 — — $152,232.36 $183,650.13 $174,518.16 2025-04-16
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $143,139.61 $187,233.06 $164,520.12 2025-04-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 8 2 — — $146,327.77 $176,526.94 $164,383.15 2025-04-16
21 APR_DRG Heart And/or Lung Transplant, Minor 8 2 — — $141,095.95 $202,967.08 $162,171.21 2025-04-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 8 2 — — $141,072.20 $231,305.06 $162,143.93 2025-04-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 8 2 — — $143,506.88 $173,123.84 $161,779.80 2025-04-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 8 2 — — $149,430.45 $180,269.95 $160,325.12 2025-04-16
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 8 2 — — $138,096.17 $205,137.63 $158,723.36 2025-04-16
4404 APR_DRG Kidney Transplant, Severe 8 2 — — $135,810.31 $174,182.89 $156,096.08 2025-04-16
63 APR_DRG Pancreas Transplant, Major 8 2 — — $122,688.39 $177,120.86 $153,599.96 2025-04-16
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 8 2 — — $137,763.73 $166,195.45 $147,687.93 2025-04-16
1613 APR_DRG Implantable Heart Assist Systems, Major 8 2 — — $127,441.00 $165,049.45 $146,476.65 2025-04-16
13 APR_DRG Liver Transplant And/or Intestinal Transplant, Major 8 2 — — $138,628.06 $167,238.16 $145,885.45 2025-04-16
0100T CPT Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 12 4 — — $2,890.00 $281,470.34 $140,980.02 2025-04-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 8 2 — — $120,479.26 $161,115.66 $139,720.18 2025-04-16
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 8 2 — — $120,391.90 $184,881.34 $138,374.62 2025-04-16
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 8 2 — — $120,061.05 $176,351.77 $137,994.37 2025-04-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 8 2 — — $119,690.63 $154,022.22 $137,568.61 2025-04-16
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 8 2 — — $120,477.58 $156,908.59 $136,071.80 2025-04-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 8 2 — — $118,206.38 $155,470.59 $134,824.76 2025-04-16
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 8 2 — — $119,969.24 $144,728.52 $134,412.87 2025-04-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 8 2 — — $115,989.58 $151,004.58 $133,314.74 2025-04-16
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $114,777.00 $142,136.17 $131,921.04 2025-04-16
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 8 2 — — $112,829.91 $323,813.69 $129,683.12 2025-04-16
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $111,068.03 $153,467.00 $127,658.07 2025-04-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 8 2 — — $118,699.67 $143,196.94 $124,182.61 2025-04-16
62 APR_DRG Pancreas Transplant, Moderate 8 2 — — $84,799.28 $142,973.52 $123,987.24 2025-04-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 4 — — $116,947.65 $164,631.45 $122,795.03 2025-04-16
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 32 8 — — $99,999.91 $149,999.88 $122,473.19 2025-04-16
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 8 2 — — $109,931.44 $132,619.13 $121,125.51 2025-04-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 8 2 — — $113,936.43 $137,450.66 $120,837.94 2025-04-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 8 2 — — $104,732.86 $127,089.89 $120,376.63 2025-04-16
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 8 2 — — $103,659.59 $186,897.59 $119,143.04 2025-04-16
12 APR_DRG Liver Transplant And/or Intestinal Transplant, Moderate 8 2 — — $103,383.19 $137,318.89 $119,083.53 2025-04-16
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $103,407.89 $159,084.63 $118,853.75 2025-04-16
5832 APR_DRG Neonate With Ecmo, Moderate 8 2 — — $102,298.21 $240,195.30 $117,578.32 2025-04-16
11 APR_DRG Liver Transplant And/or Intestinal Transplant, Minor 8 2 — — $103,383.19 $134,962.31 $117,039.90 2025-04-16
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 8 2 — — $103,840.05 $125,270.59 $117,005.96 2025-04-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 8 2 — — $101,576.36 $154,869.31 $116,748.65 2025-04-16
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 8 2 — — $100,688.30 $150,605.36 $115,727.94 2025-04-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 8 2 — — $109,454.95 $132,044.30 $115,397.77 2025-04-16
234 APR_DRG Spinal Procedures, Severe 8 2 — — $99,773.32 $135,569.16 $114,676.30 2025-04-16
214 APR_DRG Open Craniotomy Except Trauma, Severe 8 2 — — $99,703.67 $121,467.24 $114,596.23 2025-04-16
14 MS_DRG Allogeneic Bone Marrow Transplant 12 4 — — $108,437.70 $152,651.69 $113,859.59 2025-04-16
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 32 8 — — $91,031.93 $136,547.91 $113,789.92 2025-04-16
7 MS_DRG Lung Transplant 12 4 — — $108,164.58 $152,267.20 $113,572.81 2025-04-16
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 8 2 — — $98,662.06 $245,620.00 $113,399.04 2025-04-16
6904 APR_DRG Acute Leukemia, Severe 8 2 — — $98,278.97 $146,824.50 $112,958.73 2025-04-16
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 8 2 — — $98,058.94 $120,485.96 $112,705.83 2025-04-16
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 8 2 — — $97,764.50 $118,494.89 $112,367.41 2025-04-16
4014 APR_DRG Adrenal Procedures, Severe 8 2 — — $97,123.38 $117,211.68 $111,630.54 2025-04-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 8 2 — — $104,522.15 $126,878.56 $110,029.63 2025-04-16
204 APR_DRG Open Craniotomy For Trauma, Severe 8 2 — — $98,310.63 $118,600.01 $109,804.15 2025-04-16
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 8 2 — — $95,184.21 $150,065.23 $109,401.71 2025-04-16
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 8 2 — — $93,930.47 $113,930.69 $107,960.70 2025-04-16
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 8 2 — — $97,231.03 $117,297.59 $107,539.60 2025-04-16
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 8 2 — — $92,081.53 $114,459.07 $105,835.58 2025-04-16
4414 APR_DRG Major Bladder Procedures, Severe 8 2 — — $91,894.73 $113,447.59 $105,620.89 2025-04-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 8 2 — — $90,854.70 $124,572.11 $104,425.51 2025-04-16
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 8 2 — — $90,637.83 $136,109.27 $104,176.24 2025-04-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 8 2 — — $96,227.41 $119,701.91 $103,806.01 2025-04-16
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 8 2 — — $89,768.76 $114,375.20 $103,177.37 2025-04-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 8 2 — — $89,619.96 $118,889.08 $103,006.35 2025-04-16
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 8 2 — — $86,857.45 $117,566.86 $101,954.49 2025-04-16
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 8 2 — — $88,245.92 $110,985.17 $101,427.06 2025-04-16
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 8 2 — — $87,145.73 $150,482.91 $100,162.54 2025-04-16
244 APR_DRG Open Extracranial Vascular Procedures, Severe 8 2 — — $84,563.86 $113,955.85 $97,195.01 2025-04-16
4403 APR_DRG Kidney Transplant, Major 8 2 — — $90,777.14 $109,511.75 $97,154.90 2025-04-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 4 — — $91,205.10 $128,392.73 $95,765.35 2025-04-16
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 8 2 — — $82,903.29 $102,167.08 $95,286.41 2025-04-16
8634 APR_DRG Neonatal Aftercare, Severe 8 2 — — $88,885.43 $109,479.28 $94,940.90 2025-04-16
4034 APR_DRG Procedures For Obesity, Severe 8 2 — — $82,407.81 $110,317.57 $94,716.93 2025-04-16
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 12 4 — — $90,163.91 $126,927.01 $94,672.10 2025-04-16
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 8 2 — — $81,898.09 $107,509.60 $94,131.07 2025-04-16
1612 APR_DRG Implantable Heart Assist Systems, Moderate 8 2 — — $81,559.33 $102,784.36 $93,741.70 2025-04-16
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 8 2 — — $81,249.06 $123,906.18 $93,385.09 2025-04-16
61 APR_DRG Pancreas Transplant, Minor 8 2 — — $84,799.28 $107,397.71 $93,135.75 2025-04-16
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 8 2 — — $80,677.60 $120,581.58 $92,728.27 2025-04-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 4 — — $88,140.29 $124,078.29 $92,547.31 2025-04-16
215 MS_DRG Other Heart Assist System Implant 12 4 — — $87,688.39 $123,442.13 $92,072.81 2025-04-16
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $79,932.00 $125,442.68 $91,871.30 2025-04-16
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 8 2 — — $78,831.82 $98,020.55 $90,606.79 2025-04-16
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $77,997.58 $106,397.48 $89,647.94 2025-04-16
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 8 2 — — $77,991.24 $323,813.69 $89,640.67 2025-04-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 8 2 — — $81,877.51 $98,775.41 $89,073.51 2025-04-16
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 8 2 — — $77,410.28 $105,206.53 $88,972.93 2025-04-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 8 2 — — $77,342.21 $101,865.15 $88,894.68 2025-04-16
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 8 2 — — $81,545.12 $102,216.69 $88,642.76 2025-04-16
224 APR_DRG Ventricular Shunt Procedures, Severe 8 2 — — $78,410.74 $94,593.17 $88,011.20 2025-04-16
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 8 2 — — $76,555.46 $105,102.53 $87,990.42 2025-04-16
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 8 2 — — $76,247.89 $100,478.87 $87,135.71 2025-04-16
914 APR_DRG Other Major Head And Neck Procedures, Severe 8 2 — — $69,489.65 $99,617.59 $86,388.80 2025-04-16
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 8 2 — — $74,472.24 $106,018.39 $85,596.02 2025-04-16
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 8 2 — — $74,844.24 $90,290.62 $85,560.87 2025-04-16
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 8 2 — — $74,383.59 $104,441.63 $85,494.14 2025-04-16
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 8 2 — — $73,826.37 $95,546.38 $84,853.69 2025-04-16
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 8 2 — — $73,775.72 $123,345.93 $84,795.47 2025-04-16
6504 APR_DRG Splenectomy, Severe 8 2 — — $73,275.49 $95,662.12 $84,220.52 2025-04-16
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $74,758.76 $90,187.49 $84,184.01 2025-04-16
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 8 2 — — $73,014.29 $93,573.76 $83,920.31 2025-04-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 4 — — $79,877.81 $112,446.90 $83,871.70 2025-04-16
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 8 2 — — $74,389.92 $89,742.53 $82,965.21 2025-04-16
2614 APR_DRG Major Biliary Tract Procedures, Severe 8 2 — — $71,988.51 $103,002.42 $82,741.31 2025-04-16
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 8 2 — — $71,657.66 $101,246.19 $82,361.04 2025-04-16
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 28 8 — — $65,871.74 $98,807.61 $82,339.68 2025-04-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 8 2 — — $77,139.59 $93,059.68 $82,222.66 2025-04-16
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 8 2 — — $71,491.45 $103,237.26 $82,170.00 2025-04-16
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 8 2 — — $73,072.86 $88,153.66 $82,148.57 2025-04-16
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 8 2 — — $71,170.10 $140,701.98 $81,800.65 2025-04-16
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 8 2 — — $71,135.27 $96,368.31 $81,760.62 2025-04-16
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 8 2 — — $73,823.21 $89,058.86 $81,506.66 2025-04-16
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 8 2 — — $75,182.75 $93,731.90 $81,284.70 2025-04-16
4402 APR_DRG Kidney Transplant, Moderate 8 2 — — $77,171.25 $93,097.88 $81,110.22 2025-04-16
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 8 2 — — $70,101.57 $106,949.35 $80,572.52 2025-04-16
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 8 2 — — $69,555.44 $97,067.78 $79,944.82 2025-04-16
3054 APR_DRG Amputation Of Lower Limb Except Toes, Severe 8 2 — — $69,466.79 $105,706.39 $79,842.92 2025-04-16
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 8 2 — — $68,900.08 $101,601.80 $79,191.56 2025-04-16
5144 APR_DRG Female Reproductive System Reconstructive Procedures, Severe 8 2 — — $52,420.43 $91,243.56 $79,126.80 2025-04-16
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 8 2 — — $68,830.42 $92,827.32 $79,111.51 2025-04-16
G0059 HCPCS Patient Safety And Support Of Positive Experiences With Anesthesia Mips Value Pa… 22 7 — — $78,753.59 $78,753.59 $78,753.59 2025-04-16
264 APR_DRG Other Nervous System And Related Procedures, Severe 8 2 — — $68,513.82 $105,271.95 $78,747.62 2025-04-16
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 8 2 — — $69,371.81 $83,688.78 $78,251.80 2025-04-16
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 8 2 — — $67,738.15 $161,038.80 $77,856.08 2025-04-16
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 8 2 — — $67,619.43 $105,978.13 $77,719.63 2025-04-16
2244 APR_DRG Peritoneal Adhesiolysis, Severe 8 2 — — $67,535.53 $93,407.70 $77,623.20 2025-04-16
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 8 2 — — $63,269.85 $89,163.89 $77,323.31 2025-04-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 2 — — $66,870.67 $127,930.27 $76,859.03 2025-04-16
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 8 2 — — $66,728.20 $105,258.53 $76,695.27 2025-04-16
4804 APR_DRG Major Male Pelvic Procedures, Severe 8 2 — — $43,570.47 $88,025.71 $76,336.27 2025-04-16
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 8 2 — — $66,202.64 $108,549.59 $76,091.21 2025-04-16
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 8 2 — — $67,361.03 $87,137.70 $75,566.19 2025-04-16
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 8 2 — — $65,624.85 $101,462.57 $75,427.12 2025-04-16
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 2 — — $67,657.93 $86,950.55 $75,403.89 2025-04-16
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 30 8 — — $26,434.54 $121,539.80 $74,718.37 2025-04-16
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 8 2 — — $44,731.23 $86,096.91 $74,663.61 2025-04-16
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 8 2 — — $68,795.60 $82,993.65 $74,643.51 2025-04-16
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 8 2 — — $64,918.83 $99,394.34 $74,615.65 2025-04-16
5831 APR_DRG Neonate With Ecmo, Minor 8 2 — — $64,784.28 $240,195.30 $74,460.99 2025-04-16
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 8 2 — — $64,277.72 $127,995.68 $73,878.77 2025-04-16
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 8 2 — — $64,227.06 $100,273.29 $73,820.54 2025-04-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 4 — — $70,134.66 $98,731.10 $73,641.39 2025-04-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 4 — — $70,095.76 $98,676.34 $73,600.55 2025-04-16
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 8 2 — — $66,206.98 $84,341.90 $73,141.66 2025-04-16
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 8 2 — — $63,001.82 $86,107.65 $72,412.29 2025-04-16
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement, Severe 8 2 — — $62,875.18 $106,256.58 $72,266.73 2025-04-16
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 8 2 — — $62,748.54 $88,461.04 $72,121.18 2025-04-16
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 8 2 — — $62,685.22 $100,098.85 $72,048.40 2025-04-16
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 8 2 — — $62,007.69 $95,376.96 $71,269.68 2025-04-16
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 8 2 — — $64,671.88 $78,018.88 $71,201.96 2025-04-16
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Moderate 8 2 — — $62,065.48 $81,947.14 $71,064.90 2025-04-16
4401 APR_DRG Kidney Transplant, Minor 8 2 — — $62,164.44 $81,887.94 $71,013.57 2025-04-16
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 8 2 — — $61,607.19 $125,862.03 $70,809.35 2025-04-16
9103 APR_DRG Craniotomy For Multiple Significant Trauma, Major 8 2 — — $65,034.48 $81,112.60 $70,341.19 2025-04-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 4 — — $66,718.10 $93,921.49 $70,054.00 2025-04-16
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 8 2 — — $60,418.36 $84,475.54 $69,442.95 2025-04-16
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 8 2 — — $59,566.15 $79,905.67 $69,294.54 2025-04-16
10 MS_DRG Pancreas Transplant 12 4 — — $65,988.93 $92,895.02 $69,288.38 2025-04-16
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 8 2 — — $60,122.34 $115,715.44 $69,102.71 2025-04-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 4 — — $65,610.69 $92,362.56 $68,891.23 2025-04-16
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 8 2 — — $61,748.45 $79,382.41 $68,840.76 2025-04-16
J9029 HCPCS Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 20 5 — — $4,524.82 $109,107.74 $68,619.63 2025-04-16
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 8 2 — — $59,500.22 $103,762.29 $68,387.67 2025-04-16
1744 APR_DRG Percutaneous Cardiac Intervention With Ami, Severe 8 2 — — $64,224.29 $78,715.92 $68,262.79 2025-04-16
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 8 2 — — $59,284.93 $80,542.04 $68,140.22 2025-04-16
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 8 2 — — $58,073.27 $78,513.50 $68,087.24 2025-04-16
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Minor 8 2 — — $64,030.77 $77,245.46 $67,962.47 2025-04-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 4 — — $64,692.83 $91,070.44 $67,927.47 2025-04-16
3634 APR_DRG Breast Procedures Except Mastectomy, Severe 8 2 — — $39,591.67 $77,890.93 $67,547.35 2025-04-16
1611 APR_DRG Implantable Heart Assist Systems, Minor 8 2 — — $61,892.13 $74,665.45 $67,472.07 2025-04-16
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 8 2 — — $52,420.43 $77,730.52 $67,408.24 2025-04-16
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 8 2 — — $58,521.93 $100,036.78 $67,263.24 2025-04-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 4 — — $64,039.81 $90,151.16 $67,241.80 2025-04-16
213 APR_DRG Open Craniotomy Except Trauma, Major 8 2 — — $58,297.14 $72,663.29 $67,004.89 2025-04-16
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 8 2 — — $57,285.60 $99,496.66 $65,842.26 2025-04-16
1804 APR_DRG Other Circulatory System Procedures, Severe 8 2 — — $57,152.63 $80,835.58 $65,689.43 2025-04-16
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures, Severe 8 2 — — $57,090.90 $83,930.39 $65,618.46 2025-04-16
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 8 2 — — $57,054.49 $71,782.66 $65,576.62 2025-04-16
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 8 2 — — $36,028.87 $75,585.93 $65,548.44 2025-04-16
8444 APR_DRG Partial Thickness Burns Without Skin Graft, Severe 8 2 — — $56,845.53 $85,206.89 $65,336.45 2025-04-16
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure, Severe 8 2 — — $61,292.20 $75,339.57 $65,334.80 2025-04-16
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 8 2 — — $56,831.28 $114,771.06 $65,320.07 2025-04-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 4 — — $61,777.82 $86,966.89 $64,866.72 2025-04-16
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 8 2 — — $55,258.59 $74,724.65 $64,801.54 2025-04-16
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 8 2 — — $56,354.80 $89,682.19 $64,772.42 2025-04-16
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 8 2 — — $55,859.32 $85,007.28 $64,202.93 2025-04-16
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 8 2 — — $57,340.24 $73,053.66 $63,352.45 2025-04-16
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Major 8 2 — — $55,346.43 $66,768.84 $63,236.05 2025-04-16
233 APR_DRG Spinal Procedures, Major 8 2 — — $55,015.58 $72,067.81 $63,233.17 2025-04-16
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $54,874.70 $76,323.38 $63,071.24 2025-04-16
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Moderate 8 2 — — $54,710.08 $72,159.92 $62,577.40 2025-04-16
3084 APR_DRG Hip And Femur Fracture Repair, Severe 8 2 — — $53,834.66 $96,765.85 $61,875.85 2025-04-16
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Moderate 8 2 — — $57,735.18 $69,650.58 $61,685.79 2025-04-16
1693 APR_DRG Major Abdominal Vascular Procedures, Major 8 2 — — $55,821.33 $67,341.75 $61,649.45 2025-04-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 4 — — $58,490.38 $82,339.03 $61,414.90 2025-04-16
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 28 6 — — $26.88 $95,384.84 $61,246.39 2025-04-16
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Minor 8 2 — — $50,736.32 $70,397.27 $61,048.82 2025-04-16
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 8 2 — — $52,840.54 $69,805.00 $60,733.24 2025-04-16
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 8 2 — — $52,764.56 $118,791.79 $60,645.90 2025-04-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 4 — — $57,575.82 $81,051.57 $60,454.61 2025-04-16
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Moderate 8 2 — — $52,671.16 $63,541.45 $60,091.60 2025-04-16
913 APR_DRG Other Major Head And Neck Procedures, Major 8 2 — — $53,432.58 $64,460.01 $60,086.45 2025-04-16
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Maj… 8 2 — — $52,645.83 $63,510.89 $59,807.71 2025-04-16
38240 CPT Transplantation Of Donor Stem Cells, Per Donor 30 7 — — $1,888.00 $89,462.70 $59,641.80 2025-04-16
2634 APR_DRG Cholecystectomy, Severe 8 2 — — $52,436.88 $63,258.81 $59,417.65 2025-04-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 4 — — $56,514.77 $79,557.89 $59,340.50 2025-04-16
974 APR_DRG Tonsil And Adenoid Procedures, Severe 8 2 — — $51,507.65 $66,663.23 $59,201.26 2025-04-16
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Major 8 2 — — $51,463.33 $73,193.35 $59,150.32 2025-04-16
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 8 2 — — $51,330.36 $63,908.94 $58,997.49 2025-04-16
9102 APR_DRG Craniotomy For Multiple Significant Trauma, Moderate 8 2 — — $50,947.27 $63,060.18 $58,557.18 2025-04-16
5424 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c, Severe 8 2 — — $25,847.06 $67,276.82 $58,342.75 2025-04-16
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 8 2 — — $50,564.19 $64,893.57 $58,116.88 2025-04-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 4 — — $55,278.25 $77,817.20 $58,042.16 2025-04-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 4 — — $55,184.72 $77,685.54 $57,943.96 2025-04-16
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 28 8 — — $46,104.76 $69,157.14 $57,630.95 2025-04-16
3144 APR_DRG Foot And Toe Procedures, Severe 8 2 — — $50,078.21 $64,496.03 $57,558.30 2025-04-16
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 8 2 — — $52,805.71 $63,703.77 $57,338.68 2025-04-16
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Ma… 8 2 — — $49,878.75 $75,947.64 $57,329.05 2025-04-16
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $49,628.63 $60,483.69 $57,041.57 2025-04-16
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Major 8 2 — — $49,590.64 $67,002.07 $56,997.91 2025-04-16
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures, Severe 8 2 — — $49,536.82 $74,741.59 $56,936.05 2025-04-16
203 APR_DRG Open Craniotomy For Trauma, Major 8 2 — — $49,414.93 $59,613.20 $56,699.46 2025-04-16
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 8 2 — — $49,318.37 $106,226.39 $56,684.96 2025-04-16
1813 APR_DRG Lower Extremity Arterial Procedures, Major 8 2 — — $49,277.21 $68,610.69 $56,637.66 2025-04-16
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Minor 8 2 — — $50,384.06 $64,851.50 $56,239.50 2025-04-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 4 — — $53,526.10 $75,350.64 $56,202.41 2025-04-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 4 — — $53,449.13 $75,242.28 $56,121.59 2025-04-16
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 8 2 — — $48,460.38 $66,732.00 $55,698.82 2025-04-16
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection, Severe 8 2 — — $44,982.84 $64,192.66 $55,668.15 2025-04-16
3624 APR_DRG Mastectomy Procedures, Severe 8 2 — — $48,706.66 $64,133.46 $55,616.81 2025-04-16
1203 APR_DRG Major Respiratory And Chest Procedures, Major 8 2 — — $49,880.33 $60,174.65 $55,459.93 2025-04-16
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 8 2 — — $48,053.55 $89,806.32 $55,231.22 2025-04-16
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 28 8 — — $44,119.09 $66,178.64 $55,148.86 2025-04-16
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 8 2 — — $47,966.48 $90,022.70 $55,131.15 2025-04-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 4 — — $52,343.39 $73,685.68 $54,960.55 2025-04-16
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Major 8 2 — — $47,931.66 $57,823.81 $54,718.51 2025-04-16
6924 APR_DRG Radiotherapy, Severe 8 2 — — $51,942.98 $62,662.99 $54,568.59 2025-04-16
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 8 2 — — $47,471.00 $63,808.30 $54,561.67 2025-04-16
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Major 8 2 — — $47,377.61 $60,436.72 $54,454.32 2025-04-16
8633 APR_DRG Neonatal Aftercare, Major 8 2 — — $47,089.50 $69,637.26 $54,123.18 2025-04-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc 12 4 — — $51,268.26 $72,172.19 $53,831.67 2025-04-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 4 — — $50,968.65 $71,750.42 $53,517.08 2025-04-16
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 8 2 — — $46,404.06 $99,263.50 $53,335.36 2025-04-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 4 — — $50,790.70 $71,499.92 $53,330.24 2025-04-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 4 — — $50,558.96 $71,173.69 $53,086.91 2025-04-16
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Moderate 8 2 — — $47,633.13 $60,969.08 $52,872.65 2025-04-16
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures, Severe 8 2 — — $45,970.32 $89,058.20 $52,836.83 2025-04-16
28 MS_DRG Spinal Procedures With Mcc 12 4 — — $50,317.29 $70,833.47 $52,833.15 2025-04-16
3164 APR_DRG Hand And Wrist Procedures, Severe 8 2 — — $40,046.25 $60,844.95 $52,765.00 2025-04-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 4 — — $49,956.43 $70,325.48 $52,454.25 2025-04-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 4 — — $49,956.43 $70,325.48 $52,454.25 2025-04-16
2603 APR_DRG Major Pancreas, Liver And Shunt Procedures, Major 8 2 — — $47,697.37 $57,541.17 $52,430.06 2025-04-16
4413 APR_DRG Major Bladder Procedures, Major 8 2 — — $47,458.34 $57,252.81 $52,320.47 2025-04-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 4 — — $49,583.16 $69,800.01 $52,062.31 2025-04-16
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions, Severe 8 2 — — $45,237.39 $69,063.59 $51,994.43 2025-04-16
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 8 2 — — $45,118.67 $57,538.17 $51,857.96 2025-04-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 4 — — $49,239.68 $69,316.48 $51,701.66 2025-04-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 4 — — $49,202.43 $69,264.05 $51,662.56 2025-04-16
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Minor 8 2 — — $45,995.65 $55,488.24 $51,509.00 2025-04-16
1823 APR_DRG Other Peripheral Vascular And Related Procedures, Major 8 2 — — $44,632.69 $54,079.38 $51,299.39 2025-04-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 4 — — $48,700.88 $68,557.99 $51,135.92 2025-04-16
734 APR_DRG Orbit And Eye Procedures, Severe 8 2 — — $43,219.89 $58,904.70 $51,082.40 2025-04-16
4013 APR_DRG Adrenal Procedures, Major 8 2 — — $45,918.08 $55,394.67 $51,069.93 2025-04-16
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Moderate 8 2 — — $44,327.17 $67,681.41 $50,948.24 2025-04-16
3464 APR_DRG Connective Tissue Disorders, Severe 8 2 — — $44,268.60 $81,764.86 $50,880.92 2025-04-16
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