Price Transparency 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

WINCHESTER HOSPITAL

Winchester, MA · CCN 220105 · Rates published

16,804 distinct procedures filed
14 distinct payers
99,978 rate rows
2026-04-01 last MRF observed
Data quality

73,409 of 99,978 rate rows are consumer-grade (73.4%)

26,569 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 26,503
placeholder amount (≤ $0.02) — excluded from medians 66
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://winchesterhospital.org/042104434_winchester-hospital_standardcharges.json
Found on page https://winchesterhospital.org/patients-visitors/billing-financial-services/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-06-16
Content fingerprint 3fe2e1bede861819… · 24,545,433 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 $4,505,000.00 $4,420,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,570,000.00 $3,685,266.67 $3,627,633.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,264,000.00 $3,316,462.59 $3,290,231.29 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,162,000.00 $3,248,445.72 $3,205,222.86 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,856,000.00 $2,945,740.00 $2,900,870.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,146,250.00 $2,455,110.60 $2,300,680.30 nat. median
$2,469,189
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,244,000.00 $2,332,000.00 $2,288,000.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
5834
APR_DRG 		Neonate With Ecmo 2 $480,271.22 $913,095.11 $702,362.60 nat. median
$309,665
outlier · 2.3×
24
APR_DRG 		Heart And/Or Lung Transplant 2 $531,583.10 $691,075.99 $652,436.79 nat. median
$234,738
outlier · 2.8×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $591,726.20 $579,128.75 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $587,649.57 $576,759.25 nat. median
$675,122
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $471,829.07 $748,985.99 $576,128.10 nat. median
$246,434
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $562,538.19 $562,369.71 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $558,081.73 $557,699.83 nat. median
$625,184
0.9× median
5833
APR_DRG 		Neonate With Ecmo 2 $272,848.70 $723,188.71 $556,284.55 nat. median
$244,017
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $431,564.80 $716,119.24 $550,846.63 nat. median
$207,730
outlier · 2.7×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $532,192.24 $533,230.17 $532,711.21 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $489,450.20 $489,377.41 nat. median
$620,080
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $371,163.34 $482,524.88 $471,829.07 nat. median
$182,736
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $183,980.84 $548,621.57 $422,005.62 nat. median
$119,796
outlier · 3.5×
34
APR_DRG 		Description Not Available 1 $419,027.79 $419,027.79 $419,027.79 nat. median
$209,067
outlier · 2.0×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $228,667.19 $543,641.85 $418,175.17 nat. median
$150,721
outlier · 2.8×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $362,377.92 $471,103.54 $416,740.73 nat. median
$117,173
outlier · 3.6×
5832
APR_DRG 		Neonate With Ecmo 2 $267,746.01 $533,282.31 $410,206.50 nat. median
$156,126
outlier · 2.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $348,497.85 $453,058.98 $400,778.41 nat. median
$187,294
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $337,948.72 $439,344.75 $388,646.73 nat. median
$164,834
outlier · 2.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $350,370.60 $505,010.56 $388,459.56 nat. median
$160,267
outlier · 2.4×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $326,016.46 $488,480.23 $375,744.26 nat. median
$151,838
outlier · 2.5×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $369,767.78 $399,440.90 $369,767.78 nat. median
$370,174
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $360,955.54 $472,485.43 $363,440.88 nat. median
$145,336
outlier · 2.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $362,264.40 $471,709.85 $362,844.30 nat. median
$164,279
outlier · 2.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $298,498.61 $468,699.86 $360,528.98 nat. median
$162,982
outlier · 2.2×
5831
APR_DRG 		Neonate With Ecmo 2 $267,746.01 $460,851.72 $354,492.11 nat. median
$145,122
outlier · 2.4×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $196,579.55 $449,972.05 $346,123.35 nat. median
$122,924
outlier · 2.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $337,912.13 $448,756.36 $345,188.23 nat. median
$105,658
outlier · 3.3×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $327,315.97 $441,779.21 $339,821.33 nat. median
$129,535
outlier · 2.6×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $114,573.86 $440,495.81 $338,834.13 nat. median
$85,406
outlier · 4.0×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $281,756.42 $427,350.96 $328,722.96 nat. median
$93,528
outlier · 3.5×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $75,059.38 $418,468.71 $321,890.64 nat. median
$76,806
outlier · 4.2×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $239,230.50 $360,955.54 $311,007.74 nat. median
$124,573
outlier · 2.5×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $260,459.40 $392,656.04 $302,035.26 nat. median
$109,499
outlier · 2.8×
64
APR_DRG 		Pancreas Transplant 2 $142,832.15 $390,141.56 $300,101.09 nat. median
$91,748
outlier · 3.3×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $269,334.36 $350,143.77 $282,743.68 nat. median
$118,620
outlier · 2.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $267,750.00 $278,250.00 $273,000.00 nat. median
$324,450
0.8× median
7594
APR_DRG 		Eating Disorders 2 $39,557.49 $347,201.49 $267,071.13 nat. median
$28,106
outlier · 9.5×
J3403
HCPCS 		Revakinagene, Per Implant 2 $257,500.00 $265,000.00 $261,250.00 nat. median
$265,000
1.0× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $227,485.83 $295,739.27 $257,836.07 nat. median
$68,217
outlier · 3.8×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $241,628.68 $314,125.45 $254,629.36 nat. median
$108,996
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 16,804 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 $4,505,000.00 $4,420,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,570,000.00 $3,685,266.67 $3,627,633.33 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,264,000.00 $3,316,462.59 $3,290,231.29 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,162,000.00 $3,248,445.72 $3,205,222.86 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $2,856,000.00 $2,945,740.00 $2,900,870.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,244,000.00 $2,332,000.00 $2,288,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,146,250.00 $2,455,110.60 $2,300,680.30 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $770,620.00 $770,620.00 $770,620.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $566,531.30 $591,726.20 $579,128.75 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $565,868.94 $587,649.57 $576,759.25 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,201.24 $562,538.19 $562,369.71 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $557,317.93 $558,081.73 $557,699.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $532,192.24 $533,230.17 $532,711.21 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 3 2 — — $531,583.10 $691,075.99 $652,436.79 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $489,450.20 $489,377.41 2026-04-01
5834 APR_DRG Neonate With Ecmo 3 2 — — $480,271.22 $913,095.11 $702,362.60 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $471,829.07 $748,985.99 $576,128.10 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $431,564.80 $716,119.24 $550,846.63 2026-04-01
34 APR_DRG Description Not Available 1 1 — — $419,027.79 $419,027.79 $419,027.79 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $371,163.34 $482,524.88 $471,829.07 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 10 — — $369,767.78 $399,440.90 $369,767.78 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $362,377.92 $471,103.54 $416,740.73 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $362,264.40 $471,709.85 $362,844.30 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $360,955.54 $472,485.43 $363,440.88 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $350,370.60 $505,010.56 $388,459.56 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $348,497.85 $453,058.98 $400,778.41 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $337,948.72 $439,344.75 $388,646.73 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $337,912.13 $448,756.36 $345,188.23 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $327,315.97 $441,779.21 $339,821.33 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $326,016.46 $488,480.23 $375,744.26 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $298,498.61 $468,699.86 $360,528.98 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 3 2 — — $281,756.42 $427,350.96 $328,722.96 2026-04-01
5833 APR_DRG Neonate With Ecmo 3 2 — — $272,848.70 $723,188.71 $556,284.55 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $269,334.36 $350,143.77 $282,743.68 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $267,750.00 $278,250.00 $273,000.00 2026-04-01
5832 APR_DRG Neonate With Ecmo 3 2 — — $267,746.01 $533,282.31 $410,206.50 2026-04-01
5831 APR_DRG Neonate With Ecmo 3 2 — — $267,746.01 $460,851.72 $354,492.11 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $260,459.40 $392,656.04 $302,035.26 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $257,500.00 $265,000.00 $261,250.00 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $241,628.68 $314,125.45 $254,629.36 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 3 2 — — $240,190.77 $317,141.60 $243,948.73 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $239,964.41 $259,221.08 $239,964.41 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $239,230.50 $360,955.54 $311,007.74 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $228,667.19 $543,641.85 $418,175.17 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $227,485.83 $295,739.27 $257,836.07 2026-04-01
33 APR_DRG Description Not Available 1 1 — — $221,068.32 $221,068.32 $221,068.32 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $212,571.21 $276,349.76 $220,913.13 2026-04-01
904 APR_DRG Description Not Available 1 1 — — $209,986.02 $209,986.02 $209,986.02 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 3 2 — — $209,129.01 $271,874.78 $226,247.67 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $208,708.95 $276,097.39 $212,377.09 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $206,872.88 $268,941.74 $230,838.03 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $205,379.05 $266,999.71 $236,189.38 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $203,705.36 $273,035.08 $210,021.52 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $201,669.02 $205,640.00 $203,654.51 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $196,579.55 $449,972.05 $346,123.35 2026-04-01
4404 APR_DRG Kidney Transplant 3 2 — — $194,161.90 $259,567.06 $199,661.78 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $191,513.19 $248,973.62 $208,334.99 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $188,300.08 $307,095.98 $236,221.54 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $185,931.04 $303,021.11 $233,087.10 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $185,687.02 $241,399.40 $213,543.21 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $183,980.84 $548,621.57 $422,005.62 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 10 — — $182,821.10 $197,492.13 $182,821.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 10 — — $181,748.17 $196,333.10 $181,748.17 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $178,371.75 $231,889.31 $205,130.53 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $176,290.81 $229,184.01 $202,737.41 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $175,475.12 $285,592.09 $219,680.52 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $167,517.22 $217,778.05 $172,633.02 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $162,050.90 $210,671.64 $177,331.83 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $161,507.71 $255,218.27 $196,316.65 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $161,201.00 $209,566.75 $171,688.78 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $160,935.85 $209,222.05 $171,069.87 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $160,649.40 $208,849.64 $184,749.52 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $158,454.82 $205,996.62 $182,225.72 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $156,436.82 $255,406.01 $196,461.06 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $155,758.35 $202,491.12 $179,124.73 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $153,579.76 $204,374.67 $157,207.20 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $151,283.96 $196,674.26 $173,979.11 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $150,656.60 $195,858.67 $167,277.92 2026-04-01
6124 APR_DRG Respiratory Condition 3 2 — — $150,329.90 $195,433.95 $158,439.37 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $146,980.03 $191,079.00 $167,879.99 2026-04-01
32 APR_DRG Description Not Available 1 1 — — $145,107.70 $145,107.70 $145,107.70 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $143,189.82 $186,151.61 $168,325.01 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $143,045.41 $185,963.87 $164,504.64 2026-04-01
64 APR_DRG Pancreas Transplant 3 2 — — $142,832.15 $390,141.56 $300,101.09 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $142,560.09 $273,792.94 $185,332.94 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $139,731.05 $181,655.09 $141,667.27 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $137,370.75 $178,586.62 $157,978.68 2026-04-01
8504 APR_DRG Services 3 2 — — $136,812.05 $177,860.28 $142,604.04 2026-04-01
63 APR_DRG Pancreas Transplant 3 2 — — $136,760.91 $274,327.71 $211,015.83 2026-04-01
234 APR_DRG Spinal Procedures 3 2 — — $136,461.67 $177,404.78 $151,119.11 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $136,179.40 $233,508.18 $179,617.01 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $134,591.42 $174,973.40 $135,399.70 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $134,412.44 $211,130.22 $162,403.64 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $134,305.86 $187,499.64 $144,226.74 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $134,298.39 $197,902.27 $152,228.55 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $132,879.79 $172,748.22 $138,860.70 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $132,318.27 $222,237.64 $170,947.59 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $131,764.81 $243,021.35 $186,934.64 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $130,983.51 $170,282.99 $134,296.52 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $130,661.62 $206,732.19 $159,020.63 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $128,466.96 $167,743.50 $167,011.39 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $127,986.38 $166,386.62 $147,186.50 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $127,484.49 $165,734.15 $132,525.81 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $126,622.76 $164,613.86 $127,494.18 2026-04-01
4414 APR_DRG Major Bladder Procedures 3 2 — — $126,460.18 $174,942.62 $134,567.75 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $125,375.14 $162,991.91 $151,721.18 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $124,745.41 $162,173.25 $127,587.67 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $124,617.57 $162,007.05 $139,831.12 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $124,170.13 $161,425.37 $125,089.62 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $123,990.18 $218,599.80 $168,149.32 2026-04-01
31 APR_DRG Description Not Available 1 1 — — $123,885.47 $123,885.47 $123,885.47 2026-04-01
7914 APR_DRG Description Not Available 1 1 — — $123,606.87 $123,606.87 $123,606.87 2026-04-01
2214 APR_DRG Description Not Available 1 1 — — $123,561.99 $123,561.99 $123,561.99 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $123,332.07 $160,335.86 $126,998.69 2026-04-01
6904 APR_DRG Acute Leukemia 3 2 — — $122,969.86 $163,665.46 $159,864.97 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $121,355.63 $186,967.20 $143,817.18 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $121,262.96 $179,510.15 $157,645.95 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $119,248.31 $155,026.83 $123,715.32 2026-04-01
274 APR_DRG Other Open Craniotomy 2 1 — — $118,635.15 $154,229.70 $136,432.42 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 10 — — $118,607.44 $128,125.45 $118,607.44 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $116,510.98 $200,327.49 $154,094.07 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $115,732.72 $150,456.44 $138,118.39 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $115,241.38 $214,060.19 $164,657.40 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $115,241.38 $190,057.21 $146,194.05 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $114,816.94 $151,841.41 $116,798.05 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $114,573.86 $440,495.81 $338,834.13 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $114,262.56 $148,545.19 $131,403.88 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $114,219.95 $148,489.79 $119,841.09 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 1 — — $114,153.66 $148,403.62 $131,278.64 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $113,885.78 $160,680.56 $123,597.22 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $113,604.42 $147,689.59 $130,647.01 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $113,549.21 $152,484.65 $117,292.83 2026-04-01
3014 APR_DRG Hip Joint Replacement 1 1 — — $113,192.08 $113,192.08 $113,192.08 2026-04-01
2624 APR_DRG Description Not Available 1 1 — — $113,190.21 $113,190.21 $113,190.21 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $113,114.37 $206,087.49 $147,052.51 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $112,683.51 $146,492.36 $137,493.87 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $112,562.77 $226,973.15 $146,335.40 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $112,136.64 $145,781.42 $128,959.03 2026-04-01
4014 APR_DRG Adrenal Procedures 3 2 — — $111,904.63 $145,479.80 $130,656.01 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $111,308.05 $144,704.22 $128,006.14 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $111,007.39 $144,313.35 $127,660.37 2026-04-01
7 MS_DRG Lung Transplant 10 10 — — $110,890.60 $119,789.35 $110,890.60 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $110,795.00 $262,675.54 $202,052.86 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $110,309.00 $143,405.43 $126,857.21 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $109,263.63 $159,409.47 $122,619.48 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $108,450.59 $140,989.44 $134,412.44 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $107,264.82 $195,606.30 $150,462.47 2026-04-01
4403 APR_DRG Kidney Transplant 3 2 — — $106,062.54 $171,095.50 $131,608.50 2026-04-01
3214 APR_DRG Decompression 3 2 — — $105,784.90 $137,523.95 $132,086.41 2026-04-01
6123 APR_DRG Respiratory Condition 3 2 — — $105,723.35 $137,443.93 $118,601.41 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $105,013.13 $136,520.62 $120,766.88 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $103,746.57 $134,874.05 $115,078.71 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $103,471.95 $134,517.03 $117,346.78 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $103,412.77 $134,440.09 $118,178.84 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $103,109.74 $134,046.15 $116,421.23 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $103,064.76 $133,987.67 $118,526.21 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 10 — — $102,907.46 $111,165.58 $102,907.46 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $102,622.06 $156,840.69 $133,412.14 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $102,394.78 $133,116.68 $117,157.93 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $101,824.24 $132,374.95 $106,505.68 2026-04-01
3024 APR_DRG Knee Joint Replacement 1 1 — — $101,769.47 $101,769.47 $101,769.47 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 3 2 — — $101,312.88 $131,710.17 $117,273.86 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $101,057.20 $131,377.78 $113,255.66 2026-04-01
6504 APR_DRG Splenectomy 3 2 — — $100,912.79 $131,190.04 $106,634.69 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $100,735.48 $133,710.68 $102,851.69 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $100,536.38 $130,700.69 $115,618.54 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $100,107.22 $145,729.10 $112,096.39 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $99,615.46 $141,626.52 $108,940.65 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $99,381.08 $142,676.96 $129,198.77 2026-04-01
8634 APR_DRG Neonatal Aftercare 3 2 — — $99,080.70 $200,361.35 $154,120.11 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $98,882.50 $150,200.99 $115,536.22 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $97,551.08 $126,819.71 $112,859.26 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $97,032.49 $104,819.15 $97,032.49 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 10 — — $96,921.17 $104,698.90 $96,921.17 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $96,820.11 $191,743.79 $147,491.39 2026-04-01
6224 APR_DRG Respiratory Condition 3 2 — — $96,649.96 $126,551.95 $97,345.12 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $96,180.36 $125,037.72 $110,609.04 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $95,595.61 $124,277.53 $109,936.57 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $95,418.06 $124,046.70 $107,421.88 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $94,899.60 $123,372.68 $119,216.58 2026-04-01
62 APR_DRG Pancreas Transplant 3 2 — — $94,525.87 $238,143.19 $183,182.31 2026-04-01
61 APR_DRG Pancreas Transplant 3 2 — — $94,525.87 $187,191.87 $143,990.00 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $94,482.93 $122,831.01 $108,656.97 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $94,381.89 $125,034.64 $96,177.99 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 — — $94,372.87 $101,946.10 $94,372.87 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $94,165.00 $154,088.13 $118,526.25 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 1 — — $93,867.41 $122,030.81 $107,949.11 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $93,644.87 $121,741.50 $103,474.73 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $93,599.89 $121,683.02 $108,201.59 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $93,443.65 $226,973.15 $121,479.90 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $93,232.95 $121,205.98 $107,219.46 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $93,185.60 $121,144.43 $117,331.82 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 10 — — $93,113.27 $100,585.43 $93,113.27 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $92,932.29 $120,815.11 $106,873.70 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $92,877.84 $120,744.33 $106,811.08 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $92,089.49 $119,719.45 $106,316.83 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $91,820.27 $123,695.84 $95,148.17 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $91,559.20 $140,298.57 $119,030.05 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $91,171.45 $172,800.54 $132,920.04 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $91,012.33 $118,319.10 $117,831.06 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $90,927.10 $118,208.30 $94,165.00 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $90,898.46 $164,136.82 $126,255.81 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $90,624.07 $121,000.37 $117,814.36 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $90,003.81 $117,008.00 $104,306.79 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $89,999.08 $127,026.73 $117,001.84 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $89,984.13 $132,211.84 $101,698.77 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $89,875.97 $116,841.80 $103,358.89 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $89,378.31 $162,662.60 $125,121.82 2026-04-01
4034 APR_DRG Procedures For Obesity 3 2 — — $88,595.21 $122,971.14 $115,176.77 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $88,296.92 $114,788.98 $101,542.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 10 — — $88,287.25 $95,372.13 $88,287.25 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $88,100.42 $114,533.53 $98,607.64 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $87,409.14 $113,634.84 $104,121.68 2026-04-01
4402 APR_DRG Kidney Transplant 3 2 — — $86,859.69 $146,741.66 $112,875.26 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $86,265.69 $112,148.31 $95,984.31 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 3 2 — — $85,815.88 $111,563.55 $90,107.53 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 10 — — $85,260.28 $92,102.25 $85,260.28 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $84,993.63 $161,785.46 $124,447.12 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $84,331.52 $111,774.77 $109,633.83 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $84,208.42 $109,473.79 $93,557.31 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $84,172.91 $109,427.62 $99,968.86 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $83,806.31 $155,026.83 $119,248.31 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $83,768.64 $90,490.90 $83,768.64 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 3 2 — — $83,313.54 $127,935.46 $108,310.42 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $82,641.42 $125,053.11 $96,192.20 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $82,409.19 $113,100.46 $107,134.74 2026-04-01
6122 APR_DRG Respiratory Condition 3 2 — — $81,871.79 $106,436.10 $85,077.77 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $81,305.99 $105,700.53 $93,503.26 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $81,216.02 $111,511.13 $105,583.58 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $80,997.87 $112,148.31 $86,265.69 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $80,960.35 $105,251.18 $81,588.72 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 2 1 — — $80,910.63 $105,186.55 $93,048.59 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 1 — — $80,834.87 $105,088.07 $92,961.47 2026-04-01
233 APR_DRG Spinal Procedures 3 2 — — $80,334.09 $109,012.13 $83,853.31 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $80,117.55 $110,909.06 $104,155.52 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $80,016.22 $117,718.95 $90,550.68 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 3 2 — — $79,916.32 $115,663.96 $103,893.92 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 3 2 — — $79,861.87 $118,133.96 $103,823.13 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $79,596.72 $111,580.32 $103,478.43 2026-04-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $79,539.91 $103,404.56 $91,472.24 2026-04-01
1791 APR_DRG Defibrillator Implants 2 1 — — $79,307.90 $103,102.95 $91,205.42 2026-04-01
8633 APR_DRG Neonatal Aftercare 3 2 — — $77,624.75 $128,558.61 $98,888.67 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $77,460.20 $185,175.98 $142,439.36 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 2 — — $77,118.06 $100,256.08 $94,757.72 2026-04-01
6344 APR_DRG Respiratory Condition 3 2 — — $75,418.38 $111,689.73 $85,912.95 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $75,087.43 $136,462.14 $104,968.15 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $75,059.38 $418,468.71 $321,890.64 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $74,326.89 $96,627.47 $82,269.33 2026-04-01
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $74,038.07 $96,251.99 $85,145.03 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $73,801.01 $136,514.46 $105,008.39 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 3 2 — — $73,791.86 $118,444.35 $95,931.91 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $73,548.58 $112,105.22 $86,232.55 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 3 2 — — $73,283.07 $127,247.51 $97,880.15 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $72,518.20 $128,988.15 $94,276.11 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $72,494.02 $117,919.00 $90,704.56 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 3 2 — — $72,262.52 $118,410.69 $93,943.71 2026-04-01
273 APR_DRG Other Open Craniotomy 2 1 — — $71,952.39 $93,540.54 $82,746.46 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 3 2 — — $71,590.90 $111,945.18 $86,109.44 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $71,239.38 $114,321.17 $87,937.07 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 3 2 — — $71,159.31 $107,865.02 $92,509.51 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 2 — — $70,818.40 $110,649.15 $92,066.32 2026-04-01
6903 APR_DRG Acute Leukemia 3 2 — — $70,626.64 $113,364.10 $91,817.02 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $70,605.34 $91,789.32 $84,658.93 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $70,526.99 $144,559.57 $111,196.78 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $69,470.55 $115,253.71 $88,654.40 2026-04-01
4401 APR_DRG Kidney Transplant 3 2 — — $69,294.79 $131,030.00 $100,789.69 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $69,184.47 $128,038.48 $98,488.57 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $68,894.65 $118,192.91 $90,915.26 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 3 2 — — $68,834.52 $89,780.32 $89,487.21 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $68,831.08 $136,154.37 $104,731.41 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 3 2 — — $68,453.37 $99,273.29 $88,991.70 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $67,221.18 $110,914.15 $85,316.36 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $67,064.12 $166,657.46 $128,194.71 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $66,398.47 $152,296.91 $117,148.42 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $64,734.35 $132,294.93 $101,762.69 2026-04-01
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 3 2 — — $62,781.08 $83,314.55 $81,617.53 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $61,596.82 $106,996.24 $82,302.66 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $60,985.40 $114,912.08 $88,391.61 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $58,433.12 $116,143.16 $89,338.57 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $58,433.12 $114,262.69 $87,892.09 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $146,521.48 $89,400.07 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $56,580.15 $170,535.36 $131,177.63 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $56,555.84 $115,709.21 $89,004.77 2026-04-01
7504 APR_DRG Schizophrenia 3 2 — — $54,315.82 $162,933.44 $125,330.16 2026-04-01
3624 APR_DRG Mastectomy Procedures 3 2 — — $54,293.38 $115,780.00 $89,059.22 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $49,861.96 $142,965.32 $109,970.46 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $48,568.06 $110,474.04 $84,977.82 2026-04-01
7514 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 3 2 — — $43,154.98 $119,700.99 $92,075.29 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $40,161.43 $112,049.82 $86,189.93 2026-04-01
7594 APR_DRG Eating Disorders 3 2 — — $39,557.49 $347,201.49 $267,071.13 2026-04-01
7534 APR_DRG Bipolar Disorders 3 2 — — $33,181.47 $117,878.99 $90,673.79 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 3 — — $31,905.54 $150,767.50 $88,845.85 2026-04-01
7734 APR_DRG Opioid Abuse And Dependence 3 2 — — $24,311.14 $109,289.13 $84,066.37 2026-04-01
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy 3 2 — — $20,388.30 $119,285.50 $91,755.69 2026-04-01
7744 APR_DRG Cocaine Abuse And Dependence 3 2 — — $18,883.11 $108,855.17 $83,732.57 2026-04-01
7574 APR_DRG Organic Mental Health Disturbances 3 2 — — $18,019.26 $139,475.21 $107,285.83 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 3 2 — — $17,729.44 $243,316.81 $187,161.91 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 4 3 — — $5,144.90 $275,889.77 $131,287.52 2026-04-01
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