Price Transparencybeta Hospital negotiated rates

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

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Hospital

BETH ISRAEL DEACONESS HOSPITAL - MILTON

Milton, MA · CCN 220108 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Shoulder arthroscopy/surgery

This hospital’s price: $4,051 across 5 payers · range $2,273-$8,493

Source: https://bidmilton.org/042103604_beth-israel-deaconess-hospital-milton-inc_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,321 distinct procedures filed
7 distinct payers
64,011 rate rows
2026-04-01 last MRF observed
Data quality

48,404 of 64,011 rate rows are consumer-grade (75.6%)

15,607 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 15,507
placeholder amount (≤ $0.02) — excluded from medians 67
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 33
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bidmilton.org/042103604_beth-israel-deaconess-hospital-milton-inc_standardcharges.json
Found on page https://bidmilton.org/patients-visitors/billing-financial-services/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-28
Content fingerprint e29c72cd96324d6c… · 16,454,531 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 2 $640,830.96 $640,830.96 $640,830.96 nat. median
$309,665
outlier · 2.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $525,655.44 $525,655.44 $525,655.44 nat. median
$249,123
outlier · 2.1×
5833
APR_DRG 		Neonate With Ecmo 2 $507,550.32 $507,550.32 $507,550.32 nat. median
$244,017
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $502,588.80 $502,588.80 $502,588.80 nat. median
$202,660
outlier · 2.5×
24
APR_DRG 		Heart And/Or Lung Transplant 2 $485,012.88 $485,012.88 $485,012.88 nat. median
$243,231
2.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $385,035.12 $385,035.12 $385,035.12 nat. median
$121,888
outlier · 3.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $381,540.24 $381,540.24 $381,540.24 nat. median
$154,211
outlier · 2.5×
5832
APR_DRG 		Neonate With Ecmo 2 $374,269.68 $374,269.68 $374,269.68 nat. median
$159,829
outlier · 2.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $354,427.92 $354,427.92 $354,427.92 nat. median
$160,390
outlier · 2.2×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $342,826.56 $342,826.56 $342,826.56 nat. median
$152,569
outlier · 2.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $338,646.96 $338,646.96 $338,646.96 nat. median
$177,531
1.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $331,601.04 $331,601.04 $331,601.04 nat. median
$145,336
outlier · 2.3×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $331,056.72 $331,056.72 $331,056.72 nat. median
$165,334
outlier · 2.0×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $330,631.20 $330,631.20 $330,631.20 nat. median
$122,909
outlier · 2.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $328,944.24 $328,944.24 $328,944.24 nat. median
$165,846
2.0× median
5831
APR_DRG 		Neonate With Ecmo 2 $323,436.24 $323,436.24 $323,436.24 nat. median
$148,245
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $317,967.12 $317,967.12 $317,967.12 nat. median
$171,358
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $315,800.64 $315,800.64 $315,800.64 nat. median
$138,094
outlier · 2.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $314,947.44 $314,947.44 $314,947.44 nat. median
$122,016
outlier · 2.6×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $310,050.72 $310,050.72 $310,050.72 nat. median
$137,215
outlier · 2.3×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $309,150.00 $309,150.00 $309,150.00 nat. median
$85,665
outlier · 3.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 2 $308,342.16 $308,342.16 $308,342.16 nat. median
$165,169
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $296,363.56 $319,379.99 $307,871.78 nat. median
$360,195
0.9× median
23
APR_DRG 		Heart And/Or Lung Transplant 2 $299,924.64 $299,924.64 $299,924.64 nat. median
$111,079
outlier · 2.7×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $293,690.88 $293,690.88 $293,690.88 nat. median
$77,137
outlier · 3.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $275,574.96 $275,574.96 $275,574.96 nat. median
$107,562
outlier · 2.6×
64
APR_DRG 		Pancreas Transplant 2 $273,810.24 $273,810.24 $273,810.24 nat. median
$92,076
outlier · 3.0×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $245,738.88 $245,738.88 $245,738.88 nat. median
$119,800
outlier · 2.1×
7594
APR_DRG 		Eating Disorders 2 $243,673.92 $243,673.92 $243,673.92 nat. median
$27,181
outlier · 9.0×
22
APR_DRG 		Heart And/Or Lung Transplant 2 $222,577.20 $222,577.20 $222,577.20 nat. median
$93,125
outlier · 2.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $220,460.40 $220,460.40 $220,460.40 nat. median
$109,393
outlier · 2.0×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $218,272.32 $218,272.32 $218,272.32 nat. median
$122,978
1.8× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $215,526.96 $215,526.96 $215,526.96 nat. median
$75,127
outlier · 2.9×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $212,667.12 $212,667.12 $212,667.12 nat. median
$99,544
outlier · 2.1×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $207,556.56 $207,556.56 $207,556.56 nat. median
$82,146
outlier · 2.5×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $200,435.04 $200,435.04 $200,435.04 nat. median
$80,771
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $192,328.03 $207,264.76 $199,796.40 nat. median
$247,805
0.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $193,948.56 $193,948.56 $193,948.56 nat. median
$103,993
1.9× median
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $193,771.44 $193,771.44 $193,771.44 nat. median
$89,743
outlier · 2.2×
63
APR_DRG 		Pancreas Transplant 2 $192,529.44 $192,529.44 $192,529.44 nat. median
$74,184
outlier · 2.6×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 $191,622.24 $191,622.24 $191,622.24 nat. median
$82,615
outlier · 2.3×
21
APR_DRG 		Heart And/Or Lung Transplant 2 $190,807.92 $190,807.92 $190,807.92 nat. median
$73,922
outlier · 2.6×
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $188,749.44 $188,749.44 $188,749.44 nat. median
$96,980
1.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $187,386.48 $187,386.48 $187,386.48 nat. median
$89,273
outlier · 2.1×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $184,351.68 $184,351.68 $184,351.68 nat. median
$76,612
outlier · 2.4×
4404
APR_DRG 		Kidney Transplant 2 $182,170.08 $182,170.08 $182,170.08 nat. median
$78,303
outlier · 2.3×
13
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $179,249.76 $179,249.76 $179,249.76 nat. median
$73,704
outlier · 2.4×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $179,118.00 $179,118.00 $179,118.00 nat. median
$83,417
outlier · 2.1×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $174,735.36 $174,735.36 $174,735.36 nat. median
$86,338
outlier · 2.0×
7524
APR_DRG 		Disorders Of Personality And Impulse Control 2 $170,765.28 $170,765.28 $170,765.28 nat. median
$15,595
outlier · 11.0×

Other procedures at this hospital

Browse this hospital's 16,321 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
             
5834 APR_DRG Neonate With Ecmo 2 2 — — $640,830.96 $640,830.96 $640,830.96 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $525,655.44 $525,655.44 $525,655.44 2026-04-01
5833 APR_DRG Neonate With Ecmo 2 2 — — $507,550.32 $507,550.32 $507,550.32 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $502,588.80 $502,588.80 $502,588.80 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 2 2 — — $485,012.88 $485,012.88 $485,012.88 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $385,035.12 $385,035.12 $385,035.12 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $381,540.24 $381,540.24 $381,540.24 2026-04-01
5832 APR_DRG Neonate With Ecmo 2 2 — — $374,269.68 $374,269.68 $374,269.68 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $354,427.92 $354,427.92 $354,427.92 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $342,826.56 $342,826.56 $342,826.56 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $338,646.96 $338,646.96 $338,646.96 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $331,601.04 $331,601.04 $331,601.04 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $331,056.72 $331,056.72 $331,056.72 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $330,631.20 $330,631.20 $330,631.20 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $328,944.24 $328,944.24 $328,944.24 2026-04-01
5831 APR_DRG Neonate With Ecmo 2 2 — — $323,436.24 $323,436.24 $323,436.24 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $317,967.12 $317,967.12 $317,967.12 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $315,800.64 $315,800.64 $315,800.64 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $314,947.44 $314,947.44 $314,947.44 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $310,050.72 $310,050.72 $310,050.72 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $309,150.00 $309,150.00 $309,150.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $308,342.16 $308,342.16 $308,342.16 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $296,363.56 $319,379.99 $307,871.78 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 2 2 — — $299,924.64 $299,924.64 $299,924.64 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $293,690.88 $293,690.88 $293,690.88 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $275,574.96 $275,574.96 $275,574.96 2026-04-01
64 APR_DRG Pancreas Transplant 2 2 — — $273,810.24 $273,810.24 $273,810.24 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $245,738.88 $245,738.88 $245,738.88 2026-04-01
7594 APR_DRG Eating Disorders 2 2 — — $243,673.92 $243,673.92 $243,673.92 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 2 2 — — $222,577.20 $222,577.20 $222,577.20 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $220,460.40 $220,460.40 $220,460.40 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $218,272.32 $218,272.32 $218,272.32 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $215,526.96 $215,526.96 $215,526.96 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $212,667.12 $212,667.12 $212,667.12 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $207,556.56 $207,556.56 $207,556.56 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $200,435.04 $200,435.04 $200,435.04 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $192,328.03 $207,264.76 $199,796.40 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $193,948.56 $193,948.56 $193,948.56 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $193,771.44 $193,771.44 $193,771.44 2026-04-01
63 APR_DRG Pancreas Transplant 2 2 — — $192,529.44 $192,529.44 $192,529.44 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $191,622.24 $191,622.24 $191,622.24 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 2 2 — — $190,807.92 $190,807.92 $190,807.92 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $188,749.44 $188,749.44 $188,749.44 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $187,386.48 $187,386.48 $187,386.48 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $184,351.68 $184,351.68 $184,351.68 2026-04-01
4404 APR_DRG Kidney Transplant 2 2 — — $182,170.08 $182,170.08 $182,170.08 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $179,249.76 $179,249.76 $179,249.76 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $179,118.00 $179,118.00 $179,118.00 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $174,735.36 $174,735.36 $174,735.36 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 2 2 — — $170,765.28 $170,765.28 $170,765.28 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $170,557.92 $170,557.92 $170,557.92 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 2 — — $169,419.60 $169,419.60 $169,419.60 2026-04-01
62 APR_DRG Pancreas Transplant 2 2 — — $167,134.32 $167,134.32 $167,134.32 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $163,881.36 $163,881.36 $163,881.36 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $162,745.20 $162,745.20 $162,745.20 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $160,846.56 $160,846.56 $160,846.56 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $155,971.44 $155,971.44 $155,971.44 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $153,418.32 $153,418.32 $153,418.32 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $152,841.60 $152,841.60 $152,841.60 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $146,528.48 $157,908.30 $152,218.39 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $145,668.55 $156,981.58 $151,325.07 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $150,232.32 $150,232.32 $150,232.32 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $148,176.00 $148,176.00 $148,176.00 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $147,854.16 $147,854.16 $147,854.16 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $147,078.72 $147,078.72 $147,078.72 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $146,836.80 $146,836.80 $146,836.80 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $146,575.44 $146,575.44 $146,575.44 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $145,089.36 $145,089.36 $145,089.36 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $144,573.12 $144,573.12 $144,573.12 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $143,434.80 $143,434.80 $143,434.80 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $142,112.88 $142,112.88 $142,112.88 2026-04-01
8634 APR_DRG Neonatal Aftercare 2 2 — — $140,618.16 $140,618.16 $140,618.16 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $140,594.40 $140,594.40 $140,594.40 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $138,892.32 $138,892.32 $138,892.32 2026-04-01
1794 APR_DRG Defibrillator Implants 2 2 — — $138,030.48 $138,030.48 $138,030.48 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $137,458.08 $137,458.08 $137,458.08 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $137,280.96 $137,280.96 $137,280.96 2026-04-01
6124 APR_DRG Respiratory Condition 2 2 — — $137,160.00 $137,160.00 $137,160.00 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $134,570.16 $134,570.16 $134,570.16 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $134,103.60 $134,103.60 $134,103.60 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $133,386.48 $133,386.48 $133,386.48 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $131,591.52 $131,591.52 $131,591.52 2026-04-01
61 APR_DRG Pancreas Transplant 2 2 — — $131,375.52 $131,375.52 $131,375.52 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $131,217.84 $131,217.84 $131,217.84 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $130,645.44 $130,645.44 $130,645.44 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $130,513.68 $130,513.68 $130,513.68 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $130,070.88 $130,070.88 $130,070.88 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $129,960.72 $129,960.72 $129,960.72 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $127,489.68 $127,489.68 $127,489.68 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 2 — — $125,336.16 $125,336.16 $125,336.16 2026-04-01
8504 APR_DRG Services 2 2 — — $124,826.40 $124,826.40 $124,826.40 2026-04-01
234 APR_DRG Spinal Procedures 2 2 — — $124,506.72 $124,506.72 $124,506.72 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $122,800.32 $122,800.32 $122,800.32 2026-04-01
4414 APR_DRG Major Bladder Procedures 2 2 — — $122,778.72 $122,778.72 $122,778.72 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $121,275.36 $121,275.36 $121,275.36 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $121,238.64 $121,238.64 $121,238.64 2026-04-01
4403 APR_DRG Kidney Transplant 2 2 — — $120,078.72 $120,078.72 $120,078.72 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $119,685.60 $119,685.60 $119,685.60 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $119,508.48 $119,508.48 $119,508.48 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $117,212.40 $117,212.40 $117,212.40 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $116,964.00 $116,964.00 $116,964.00 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 2 — — $116,773.92 $116,773.92 $116,773.92 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 4 4 — — $5,061.76 $227,234.12 $116,359.06 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $116,316.00 $116,316.00 $116,316.00 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $115,529.76 $115,529.76 $115,529.76 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $115,194.96 $115,194.96 $115,194.96 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $114,391.44 $114,391.44 $114,391.44 2026-04-01
7504 APR_DRG Schizophrenia 2 2 — — $114,350.40 $114,350.40 $114,350.40 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $114,160.32 $114,160.32 $114,160.32 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $113,816.88 $113,816.88 $113,816.88 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $113,700.24 $113,700.24 $113,700.24 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $113,544.72 $113,544.72 $113,544.72 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $113,292.00 $113,292.00 $113,292.00 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $112,769.28 $112,769.28 $112,769.28 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $112,527.36 $112,527.36 $112,527.36 2026-04-01
6904 APR_DRG Acute Leukemia 2 2 — — $112,196.88 $112,196.88 $112,196.88 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $111,877.20 $111,877.20 $111,877.20 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $110,639.52 $110,639.52 $110,639.52 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $108,801.36 $108,801.36 $108,801.36 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $108,801.36 $108,801.36 $108,801.36 2026-04-01
274 APR_DRG Other Open Craniotomy 2 2 — — $108,241.92 $108,241.92 $108,241.92 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $108,142.56 $108,142.56 $108,142.56 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $107,017.20 $107,017.20 $107,017.20 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $106,885.44 $106,885.44 $106,885.44 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $106,565.76 $106,565.76 $106,565.76 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $105,593.76 $105,593.76 $105,593.76 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $105,414.48 $105,414.48 $105,414.48 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $104,252.40 $104,252.40 $104,252.40 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $104,213.52 $104,213.52 $104,213.52 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 2 — — $104,153.04 $104,153.04 $104,153.04 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $103,651.92 $103,651.92 $103,651.92 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $103,204.80 $103,204.80 $103,204.80 2026-04-01
4402 APR_DRG Kidney Transplant 2 2 — — $102,986.64 $102,986.64 $102,986.64 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $102,811.68 $102,811.68 $102,811.68 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $102,701.52 $102,701.52 $102,701.52 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $102,312.72 $102,312.72 $102,312.72 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $102,276.00 $102,276.00 $102,276.00 2026-04-01
4014 APR_DRG Adrenal Procedures 2 2 — — $102,101.04 $102,101.04 $102,101.04 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $101,556.72 $101,556.72 $101,556.72 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $101,455.20 $101,455.20 $101,455.20 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $101,282.40 $101,282.40 $101,282.40 2026-04-01
1793 APR_DRG Defibrillator Implants 2 2 — — $100,645.20 $100,645.20 $100,645.20 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $100,336.32 $100,336.32 $100,336.32 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $99,396.72 $99,396.72 $99,396.72 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $98,949.60 $98,949.60 $98,949.60 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $95,062.16 $102,444.95 $98,753.55 2026-04-01
7574 APR_DRG Organic Mental Health Disturbances 2 2 — — $97,886.88 $97,886.88 $97,886.88 2026-04-01
3214 APR_DRG Decompression 2 2 — — $96,517.44 $96,517.44 $96,517.44 2026-04-01
6123 APR_DRG Respiratory Condition 2 2 — — $96,461.28 $96,461.28 $96,461.28 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $95,813.28 $95,813.28 $95,813.28 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $95,808.96 $95,808.96 $95,808.96 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $95,772.24 $95,772.24 $95,772.24 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $95,556.24 $95,556.24 $95,556.24 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $94,657.68 $94,657.68 $94,657.68 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $94,407.12 $94,407.12 $94,407.12 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $94,353.12 $94,353.12 $94,353.12 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $94,076.64 $94,076.64 $94,076.64 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $94,035.60 $94,035.60 $94,035.60 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $93,841.20 $93,841.20 $93,841.20 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $93,631.68 $93,631.68 $93,631.68 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $93,424.32 $93,424.32 $93,424.32 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $92,903.76 $92,903.76 $92,903.76 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $92,847.60 $92,847.60 $92,847.60 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $92,789.28 $92,789.28 $92,789.28 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 — — $92,437.20 $92,437.20 $92,437.20 2026-04-01
7 MS_DRG Lung Transplant 2 2 — — $88,877.22 $95,779.68 $92,328.45 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $92,203.92 $92,203.92 $92,203.92 2026-04-01
6504 APR_DRG Splenectomy 2 2 — — $92,072.16 $92,072.16 $92,072.16 2026-04-01
4401 APR_DRG Kidney Transplant 2 2 — — $91,959.84 $91,959.84 $91,959.84 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $91,728.72 $91,728.72 $91,728.72 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $90,674.64 $90,674.64 $90,674.64 2026-04-01
8633 APR_DRG Neonatal Aftercare 2 2 — — $90,225.36 $90,225.36 $90,225.36 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $89,860.32 $89,860.32 $89,860.32 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 2 2 — — $89,305.20 $89,305.20 $89,305.20 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $89,004.96 $89,004.96 $89,004.96 2026-04-01
6224 APR_DRG Respiratory Condition 2 2 — — $88,817.04 $88,817.04 $88,817.04 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $87,765.12 $87,765.12 $87,765.12 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $87,754.32 $87,754.32 $87,754.32 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $87,752.16 $87,752.16 $87,752.16 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $87,220.80 $87,220.80 $87,220.80 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $87,058.80 $87,058.80 $87,058.80 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $86,812.56 $86,812.56 $86,812.56 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $86,585.76 $86,585.76 $86,585.76 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $86,205.60 $86,205.60 $86,205.60 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $82,478.85 $88,884.39 $85,681.62 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 2 — — $85,644.00 $85,644.00 $85,644.00 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $85,440.96 $85,440.96 $85,440.96 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 2 — — $85,399.92 $85,399.92 $85,399.92 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $61,627.62 $89,185.07 $85,398.61 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $85,257.36 $85,257.36 $85,257.36 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $85,065.12 $85,065.12 $85,065.12 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $85,021.92 $85,021.92 $85,021.92 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $84,790.80 $84,790.80 $84,790.80 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $84,741.12 $84,741.12 $84,741.12 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $84,021.84 $84,021.84 $84,021.84 2026-04-01
7514 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 2 2 — — $84,008.88 $84,008.88 $84,008.88 2026-04-01
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy 2 2 — — $83,717.28 $83,717.28 $83,717.28 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 2 — — $83,538.00 $83,538.00 $83,538.00 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 2 — — $83,039.04 $83,039.04 $83,039.04 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $82,961.28 $82,961.28 $82,961.28 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $82,950.48 $82,950.48 $82,950.48 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $82,758.24 $82,758.24 $82,758.24 2026-04-01
7534 APR_DRG Bipolar Disorders 2 2 — — $82,730.16 $82,730.16 $82,730.16 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $82,684.80 $82,684.80 $82,684.80 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $82,617.84 $82,617.84 $82,617.84 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 2 2 — — $82,118.88 $82,118.88 $82,118.88 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 2 2 — — $82,114.56 $82,114.56 $82,114.56 2026-04-01
1792 APR_DRG Defibrillator Implants 2 2 — — $82,002.24 $82,002.24 $82,002.24 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $81,511.92 $81,511.92 $81,511.92 2026-04-01
3624 APR_DRG Mastectomy Procedures 2 2 — — $81,257.04 $81,257.04 $81,257.04 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $81,207.36 $81,207.36 $81,207.36 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $80,887.68 $80,887.68 $80,887.68 2026-04-01
4034 APR_DRG Procedures For Obesity 2 2 — — $80,833.68 $80,833.68 $80,833.68 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $77,770.14 $83,809.99 $80,790.07 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $77,680.92 $83,713.84 $80,697.38 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $80,647.92 $80,647.92 $80,647.92 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $80,561.52 $80,561.52 $80,561.52 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 — — $80,382.24 $80,382.24 $80,382.24 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $80,233.20 $80,233.20 $80,233.20 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 2 2 — — $80,192.16 $80,192.16 $80,192.16 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 2 2 — — $79,751.52 $79,751.52 $79,751.52 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $79,539.70 $83,977.18 $79,539.70 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 2 — — $78,708.24 $78,708.24 $78,708.24 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 2 2 — — $78,708.24 $78,708.24 $78,708.24 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $78,678.00 $78,678.00 $78,678.00 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 2 2 — — $78,639.12 $78,639.12 $78,639.12 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $75,638.50 $81,512.80 $78,575.65 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 2 2 — — $78,565.68 $78,565.68 $78,565.68 2026-04-01
6344 APR_DRG Respiratory Condition 2 2 — — $78,386.40 $78,386.40 $78,386.40 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 2 2 — — $78,297.84 $78,297.84 $78,297.84 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $77,842.08 $77,842.08 $77,842.08 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $77,533.20 $77,533.20 $77,533.20 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $74,628.95 $80,424.84 $77,526.89 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 2 2 — — $76,943.52 $76,943.52 $76,943.52 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 2 2 — — $76,831.20 $76,831.20 $76,831.20 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 2 2 — — $76,798.80 $76,798.80 $76,798.80 2026-04-01
7734 APR_DRG Opioid Abuse And Dependence 2 2 — — $76,701.60 $76,701.60 $76,701.60 2026-04-01
233 APR_DRG Spinal Procedures 2 2 — — $76,507.20 $76,507.20 $76,507.20 2026-04-01
7744 APR_DRG Cocaine Abuse And Dependence 2 2 — — $76,397.04 $76,397.04 $76,397.04 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 2 2 — — $76,014.72 $76,014.72 $76,014.72 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 2 2 — — $75,189.60 $75,189.60 $75,189.60 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $75,092.40 $75,092.40 $75,092.40 2026-04-01
6122 APR_DRG Respiratory Condition 2 2 — — $74,699.28 $74,699.28 $74,699.28 2026-04-01
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $74,377.44 $74,377.44 $74,377.44 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 2 — — $74,183.04 $74,183.04 $74,183.04 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $74,100.96 $74,100.96 $74,100.96 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $73,988.64 $73,988.64 $73,988.64 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $73,949.76 $73,949.76 $73,949.76 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $73,867.68 $73,867.68 $73,867.68 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 2 2 — — $73,822.32 $73,822.32 $73,822.32 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 2 — — $73,753.20 $73,753.20 $73,753.20 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $73,509.12 $73,509.12 $73,509.12 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $70,760.96 $76,256.46 $73,508.71 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 2 2 — — $73,152.72 $73,152.72 $73,152.72 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $73,098.72 $73,098.72 $73,098.72 2026-04-01
734 APR_DRG Orbit And Eye Procedures 2 2 — — $73,085.76 $73,085.76 $73,085.76 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 2 2 — — $72,915.12 $72,915.12 $72,915.12 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 2 2 — — $72,865.44 $72,865.44 $72,865.44 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 2 2 — — $72,623.52 $72,623.52 $72,623.52 2026-04-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $72,571.68 $72,571.68 $72,571.68 2026-04-01
203 APR_DRG Open Craniotomy For Trauma 2 2 — — $72,468.00 $72,468.00 $72,468.00 2026-04-01
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $72,429.12 $72,429.12 $72,429.12 2026-04-01
1791 APR_DRG Defibrillator Implants 2 2 — — $72,360.00 $72,360.00 $72,360.00 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $71,802.72 $71,802.72 $71,802.72 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $71,750.88 $71,750.88 $71,750.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 2 2 — — $68,334.89 $73,641.97 $70,988.43 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 2 2 — — $70,750.80 $70,750.80 $70,750.80 2026-04-01
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $70,467.84 $70,467.84 $70,467.84 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 2 2 — — $70,362.00 $70,362.00 $70,362.00 2026-04-01
6924 APR_DRG Radiotherapy 2 2 — — $70,014.24 $70,014.24 $70,014.24 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $69,785.28 $69,785.28 $69,785.28 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 2 2 — — $69,783.12 $69,783.12 $69,783.12 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $67,139.36 $72,353.59 $69,746.48 2026-04-01
7604 APR_DRG Other Mental Health Disorders 2 2 — — $68,327.28 $68,327.28 $68,327.28 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $67,815.36 $67,815.36 $67,815.36 2026-04-01
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $67,551.84 $67,551.84 $67,551.84 2026-04-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $67,493.52 $67,493.52 $67,493.52 2026-04-01
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $67,478.40 $67,478.40 $67,478.40 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 2 2 — — $67,327.20 $67,327.20 $67,327.20 2026-04-01
4454 APR_DRG Other Bladder Procedures 2 2 — — $67,325.04 $67,325.04 $67,325.04 2026-04-01
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $67,217.04 $67,217.04 $67,217.04 2026-04-01
2634 APR_DRG Cholecystectomy 2 2 — — $67,171.68 $67,171.68 $67,171.68 2026-04-01
7544 APR_DRG Depression Except Major Depressive Disorder 2 2 — — $66,489.12 $66,489.12 $66,489.12 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $66,165.12 $66,165.12 $66,165.12 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $66,052.80 $66,052.80 $66,052.80 2026-04-01
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $65,992.32 $65,992.32 $65,992.32 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 2 2 — — $65,931.84 $65,931.84 $65,931.84 2026-04-01
3634 APR_DRG Breast Procedures Except Mastectomy 2 2 — — $65,668.32 $65,668.32 $65,668.32 2026-04-01
273 APR_DRG Other Open Craniotomy 2 2 — — $65,648.88 $65,648.88 $65,648.88 2026-04-01
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $65,124.00 $65,124.00 $65,124.00 2026-04-01
3164 APR_DRG Hand And Wrist Procedures 2 2 — — $65,024.64 $65,024.64 $65,024.64 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 4 — — $64,274.79 $71,862.00 $65,003.68 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 2 2 — — $64,925.28 $64,925.28 $64,925.28 2026-04-01
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 2 2 — — $64,892.88 $64,892.88 $64,892.88 2026-04-01
1203 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $64,648.80 $64,648.80 $64,648.80 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 2 2 — — $64,614.24 $64,614.24 $64,614.24 2026-04-01
1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $64,534.32 $64,534.32 $64,534.32 2026-04-01
6903 APR_DRG Acute Leukemia 2 2 — — $64,439.28 $64,439.28 $64,439.28 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $64,419.84 $64,419.84 $64,419.84 2026-04-01
9101 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $64,260.00 $64,260.00 $64,260.00 2026-04-01
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