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

ATHOL MEMORIAL HOSPITAL

Athol, MA · CCN 221303 · Rates published

20,274 distinct procedures filed
7 distinct payers
469,544 rate rows
2025-04-16 last MRF observed · ⚠ 18 mo old
Data quality

303,531 of 469,544 rate rows are consumer-grade (64.6%)

166,013 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 150,291
per-diem day rate — not a per-procedure price 14,514
exceeds 10× this hospital's gross charge — excluded from medians 832
template filing: same amount across many unrelated codes — excluded 162
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 103
percent-of-charges filed in the dollar field — excluded from medians 59
placeholder amount (≤ $0.02) — excluded from medians 52

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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/042126583_athol-memorial-hospital_standardcharges.json
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint bfc8df423808d6b2… · 55,868,503 bytes · first seen 2026-05-09

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
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 7 $2,146,250.00 $2,146,250.00 $2,146,250.00 nat. median
$2,455,111
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 1 $431,974.59 $492,348.91 $482,603.56 nat. median
$390,362
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 1 $394,123.72 $449,207.84 $440,316.41 nat. median
$286,698
1.5× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $381,093.41 $434,356.38 $425,758.91 nat. median
$99,483
outlier · 4.3×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $346,448.69 $394,869.59 $387,053.72 nat. median
$96,548
outlier · 4.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 1 $345,687.78 $394,002.31 $386,203.59 nat. median
$171,497
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 1 $336,906.41 $383,993.63 $376,393.03 nat. median
$202,242
1.9× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $314,953.81 $358,972.88 $351,867.50 nat. median
$77,096
outlier · 4.6×
24
APR_DRG 		Heart And/or Lung Transplant, Severe 1 $311,498.97 $355,035.16 $348,007.75 nat. median
$225,531
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 1 $277,898.66 $316,738.78 $310,469.38 nat. median
$173,018
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 1 $273,938.19 $312,224.75 $306,044.72 nat. median
$168,439
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 1 $264,681.03 $301,673.78 $295,702.59 nat. median
$173,134
1.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 1 $263,177.41 $299,960.00 $294,022.72 nat. median
$268,208
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant, Severe 1 $233,597.28 $266,245.66 $260,975.70 nat. median
$136,566
1.9× median
64
APR_DRG 		Pancreas Transplant, Severe 1 $231,677.55 $264,057.63 $258,830.98 nat. median
$92,994
outlier · 2.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 1 $227,267.80 $259,031.56 $253,904.39 nat. median
$135,630
1.9× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 1 $215,026.61 $245,079.48 $240,228.48 nat. median
$120,079
outlier · 2.0×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $211,110.88 $240,616.48 $235,853.81 nat. median
$124,731
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 1 $204,032.08 $232,548.31 $227,945.36 nat. median
$198,578
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant, Major 1 $201,991.33 $230,222.34 $225,665.42 nat. median
$117,894
1.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 1 $181,926.97 $207,353.73 $203,249.45 nat. median
$115,963
1.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 1 $177,245.34 $202,017.78 $198,019.13 nat. median
$114,205
1.7× median
22
APR_DRG 		Heart And/or Lung Transplant, Moderate 1 $167,925.19 $191,395.02 $187,606.63 nat. median
$95,481
2.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $167,368.17 $190,760.14 $186,984.31 nat. median
$100,752
1.9× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 1 $159,425.66 $181,707.55 $178,110.91 nat. median
$75,821
outlier · 2.3×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 1 $156,491.34 $178,363.13 $174,832.69 nat. median
$77,606
outlier · 2.3×
63
APR_DRG 		Pancreas Transplant, Major 1 $153,757.63 $175,247.34 $171,778.56 nat. median
$69,792
outlier · 2.5×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 1 $153,242.06 $174,659.70 $171,202.56 nat. median
$85,032
outlier · 2.0×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 1 $150,287.86 $171,292.63 $167,902.13 nat. median
$106,926
1.6× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $149,903.25 $170,854.27 $167,472.44 nat. median
$95,757
1.7× median
21
APR_DRG 		Heart And/or Lung Transplant, Minor 1 $147,763.03 $168,414.91 $165,081.38 nat. median
$77,825
outlier · 2.1×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 1 $147,738.16 $168,386.56 $165,053.59 nat. median
$91,350
1.8× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant, Major 1 $145,178.52 $165,469.19 $162,193.95 nat. median
$69,772
outlier · 2.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 1 $144,621.50 $164,834.31 $161,571.66 nat. median
$187,567
0.9× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns, Severe 1 $144,273.36 $164,437.52 $161,182.70 nat. median
$91,950
1.8× median
4404
APR_DRG 		Kidney Transplant, Severe 1 $142,227.64 $162,105.88 $158,897.22 nat. median
$76,896
outlier · 2.1×
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma, Severe 1 $139,863.61 $159,411.45 $156,256.13 nat. median
$56,989
outlier · 2.7×
6084
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 1 $136,211.48 $155,248.88 $152,175.94 nat. median
$62,234
outlier · 2.4×
1634
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 1 $134,963.16 $153,826.08 $150,781.31 nat. median
$69,586
outlier · 2.2×
1613
APR_DRG 		Implantable Heart Assist Systems, Major 1 $133,462.84 $152,116.09 $149,105.16 nat. median
$155,539
1.0× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 1 $126,080.66 $143,702.14 $140,857.77 nat. median
$85,835
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 1 $125,734.18 $143,307.23 $140,470.67 nat. median
$181,762
0.8× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 1 $125,638.03 $143,197.66 $140,363.25 nat. median
$85,322
1.6× median
3044
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 1 $125,346.26 $142,865.09 $140,037.28 nat. median
$54,427
outlier · 2.6×
1654
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 1 $124,308.48 $141,682.27 $138,877.88 nat. median
$59,887
outlier · 2.3×
62
APR_DRG 		Pancreas Transplant, Moderate 1 $124,114.51 $141,461.20 $138,661.17 nat. median
$58,322
outlier · 2.4×
3124
APR_DRG 		Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 1 $121,470.32 $138,447.44 $135,707.06 nat. median
$45,174
outlier · 3.0×
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $120,200.45 $137,000.09 $134,288.36 nat. median
$71,851
1.9× median
3033
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 1 $119,320.16 $135,996.77 $133,304.91 nat. median
$49,592
outlier · 2.7×
12
APR_DRG 		Liver Transplant And/or Intestinal Transplant, Moderate 1 $119,205.77 $135,866.39 $133,177.09 nat. median
$51,907
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 20,274 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
             
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 24 7 — — $2,146,250.00 $2,146,250.00 $2,146,250.00 2025-04-16
5834 APR_DRG Neonate With Ecmo, Severe 6 1 — — $431,974.59 $492,348.91 $482,603.56 2025-04-16
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 6 1 — — $394,123.72 $449,207.84 $440,316.41 2025-04-16
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 1 — — $381,093.41 $434,356.38 $425,758.91 2025-04-16
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 1 — — $346,448.69 $394,869.59 $387,053.72 2025-04-16
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 6 1 — — $345,687.78 $394,002.31 $386,203.59 2025-04-16
1614 APR_DRG Implantable Heart Assist Systems, Severe 6 1 — — $336,906.41 $383,993.63 $376,393.03 2025-04-16
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 1 — — $314,953.81 $358,972.88 $351,867.50 2025-04-16
24 APR_DRG Heart And/or Lung Transplant, Severe 6 1 — — $311,498.97 $355,035.16 $348,007.75 2025-04-16
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 6 1 — — $277,898.66 $316,738.78 $310,469.38 2025-04-16
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 6 1 — — $273,938.19 $312,224.75 $306,044.72 2025-04-16
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 6 1 — — $264,681.03 $301,673.78 $295,702.59 2025-04-16
5833 APR_DRG Neonate With Ecmo, Major 6 1 — — $263,177.41 $299,960.00 $294,022.72 2025-04-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant, Severe 6 1 — — $233,597.28 $266,245.66 $260,975.70 2025-04-16
64 APR_DRG Pancreas Transplant, Severe 6 1 — — $231,677.55 $264,057.63 $258,830.98 2025-04-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 1 — — $227,267.80 $259,031.56 $253,904.39 2025-04-16
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 6 1 — — $215,026.61 $245,079.48 $240,228.48 2025-04-16
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $211,110.88 $240,616.48 $235,853.81 2025-04-16
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 6 1 — — $204,032.08 $232,548.31 $227,945.36 2025-04-16
23 APR_DRG Heart And/or Lung Transplant, Major 6 1 — — $201,991.33 $230,222.34 $225,665.42 2025-04-16
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 6 1 — — $181,926.97 $207,353.73 $203,249.45 2025-04-16
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 6 1 — — $177,245.34 $202,017.78 $198,019.13 2025-04-16
22 APR_DRG Heart And/or Lung Transplant, Moderate 6 1 — — $167,925.19 $191,395.02 $187,606.63 2025-04-16
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $167,368.17 $190,760.14 $186,984.31 2025-04-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 6 1 — — $159,425.66 $181,707.55 $178,110.91 2025-04-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 6 1 — — $156,491.34 $178,363.13 $174,832.69 2025-04-16
63 APR_DRG Pancreas Transplant, Major 6 1 — — $153,757.63 $175,247.34 $171,778.56 2025-04-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 6 1 — — $153,242.06 $174,659.70 $171,202.56 2025-04-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 6 1 — — $150,287.86 $171,292.63 $167,902.13 2025-04-16
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $149,903.25 $170,854.27 $167,472.44 2025-04-16
21 APR_DRG Heart And/or Lung Transplant, Minor 6 1 — — $147,763.03 $168,414.91 $165,081.38 2025-04-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 6 1 — — $147,738.16 $168,386.56 $165,053.59 2025-04-16
13 APR_DRG Liver Transplant And/or Intestinal Transplant, Major 6 1 — — $145,178.52 $165,469.19 $162,193.95 2025-04-16
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 6 1 — — $144,621.50 $164,834.31 $161,571.66 2025-04-16
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 6 1 — — $144,273.36 $164,437.52 $161,182.70 2025-04-16
4404 APR_DRG Kidney Transplant, Severe 6 1 — — $142,227.64 $162,105.88 $158,897.22 2025-04-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 6 1 — — $139,863.61 $159,411.45 $156,256.13 2025-04-16
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 6 1 — — $136,211.48 $155,248.88 $152,175.94 2025-04-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 6 1 — — $134,963.16 $153,826.08 $150,781.31 2025-04-16
1613 APR_DRG Implantable Heart Assist Systems, Major 6 1 — — $133,462.84 $152,116.09 $149,105.16 2025-04-16
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 6 1 — — $126,080.66 $143,702.14 $140,857.77 2025-04-16
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 6 1 — — $125,734.18 $143,307.23 $140,470.67 2025-04-16
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 6 1 — — $125,638.03 $143,197.66 $140,363.25 2025-04-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 6 1 — — $125,346.26 $142,865.09 $140,037.28 2025-04-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 6 1 — — $124,308.48 $141,682.27 $138,877.88 2025-04-16
62 APR_DRG Pancreas Transplant, Moderate 6 1 — — $124,114.51 $141,461.20 $138,661.17 2025-04-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 6 1 — — $121,470.32 $138,447.44 $135,707.06 2025-04-16
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $120,200.45 $137,000.09 $134,288.36 2025-04-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 6 1 — — $119,320.16 $135,996.77 $133,304.91 2025-04-16
12 APR_DRG Liver Transplant And/or Intestinal Transplant, Moderate 6 1 — — $119,205.77 $135,866.39 $133,177.09 2025-04-16
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 6 1 — — $118,161.35 $134,676.00 $132,010.28 2025-04-16
11 APR_DRG Liver Transplant And/or Intestinal Transplant, Minor 6 1 — — $117,160.04 $133,534.73 $130,891.61 2025-04-16
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $116,316.22 $132,572.98 $129,948.89 2025-04-16
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 6 1 — — $115,125.92 $131,216.33 $128,619.08 2025-04-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 6 1 — — $114,626.92 $130,647.59 $128,061.60 2025-04-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 6 1 — — $110,142.57 $125,536.49 $123,051.67 2025-04-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 6 1 — — $109,681.71 $125,011.21 $122,536.79 2025-04-16
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 6 1 — — $108,746.71 $123,945.53 $121,492.20 2025-04-16
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 6 1 — — $108,557.72 $123,730.13 $121,281.06 2025-04-16
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $108,294.13 $123,429.70 $120,986.58 2025-04-16
0100T CPT Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 12 4 — — $2,890.00 $243,801.45 $120,052.85 2025-04-16
5832 APR_DRG Neonate With Ecmo, Moderate 6 1 — — $107,132.01 $122,105.16 $119,688.26 2025-04-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 6 1 — — $106,376.05 $121,243.55 $118,843.70 2025-04-16
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 6 1 — — $105,446.03 $120,183.54 $117,804.67 2025-04-16
234 APR_DRG Spinal Procedures, Severe 6 1 — — $104,487.82 $119,091.41 $116,734.16 2025-04-16
214 APR_DRG Open Craniotomy Except Trauma, Severe 6 1 — — $104,414.88 $119,008.27 $116,652.67 2025-04-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 6 1 — — $103,912.56 $118,435.75 $116,091.48 2025-04-16
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 6 1 — — $103,324.04 $117,764.98 $115,433.98 2025-04-16
204 APR_DRG Open Craniotomy For Trauma, Severe 6 1 — — $102,956.01 $117,345.51 $115,022.82 2025-04-16
6904 APR_DRG Acute Leukemia, Severe 6 1 — — $102,922.86 $117,307.72 $114,985.78 2025-04-16
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 6 1 — — $102,692.42 $117,045.08 $114,728.33 2025-04-16
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 6 1 — — $102,384.07 $116,693.63 $114,383.84 2025-04-16
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 6 1 — — $102,059.14 $116,323.29 $114,020.83 2025-04-16
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 6 1 — — $101,825.39 $116,056.87 $113,759.69 2025-04-16
4014 APR_DRG Adrenal Procedures, Severe 6 1 — — $101,712.66 $115,928.38 $113,633.74 2025-04-16
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 6 1 — — $99,681.86 $113,613.75 $111,364.92 2025-04-16
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 6 1 — — $98,368.88 $112,117.26 $109,898.06 2025-04-16
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 6 1 — — $96,432.57 $109,910.33 $107,734.80 2025-04-16
4414 APR_DRG Major Bladder Procedures, Severe 6 1 — — $96,236.95 $109,687.36 $107,516.26 2025-04-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 6 1 — — $95,147.77 $108,445.96 $106,299.43 2025-04-16
4403 APR_DRG Kidney Transplant, Major 6 1 — — $95,066.54 $108,353.38 $106,208.67 2025-04-16
8634 APR_DRG Neonatal Aftercare, Severe 6 1 — — $95,038.36 $108,321.26 $106,177.19 2025-04-16
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 6 1 — — $94,920.65 $108,187.10 $106,045.69 2025-04-16
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 6 1 — — $94,010.52 $107,149.77 $105,028.89 2025-04-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 6 1 — — $93,854.69 $106,972.15 $104,854.79 2025-04-16
61 APR_DRG Pancreas Transplant, Minor 6 1 — — $93,231.36 $106,261.70 $104,158.40 2025-04-16
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 6 1 — — $92,415.72 $105,332.07 $103,247.17 2025-04-16
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 6 1 — — $91,263.55 $104,018.86 $101,959.96 2025-04-16
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 6 1 — — $88,733.75 $101,135.49 $99,133.65 2025-04-16
244 APR_DRG Open Extracranial Vascular Procedures, Severe 6 1 — — $88,559.68 $100,937.09 $98,939.18 2025-04-16
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 6 1 — — $87,225.15 $99,416.04 $97,448.24 2025-04-16
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 6 1 — — $86,820.64 $98,955.00 $96,996.33 2025-04-16
914 APR_DRG Other Major Head And Neck Procedures, Severe 6 1 — — $86,477.48 $98,563.88 $96,612.94 2025-04-16
4034 APR_DRG Procedures For Obesity, Severe 6 1 — — $86,301.75 $98,363.59 $96,416.62 2025-04-16
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 1 — — $85,767.94 $97,755.17 $95,820.25 2025-04-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 6 1 — — $85,746.39 $97,730.61 $95,796.17 2025-04-16
1612 APR_DRG Implantable Heart Assist Systems, Moderate 6 1 — — $85,413.17 $97,350.82 $95,423.90 2025-04-16
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 6 1 — — $85,088.24 $96,980.48 $95,060.88 2025-04-16
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 6 1 — — $84,489.78 $96,298.37 $94,392.28 2025-04-16
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $83,708.95 $95,408.41 $93,519.94 2025-04-16
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 6 1 — — $82,556.78 $94,095.21 $92,232.73 2025-04-16
224 APR_DRG Ventricular Shunt Procedures, Severe 6 1 — — $82,115.81 $93,592.60 $91,740.07 2025-04-16
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $81,683.12 $93,099.44 $91,256.67 2025-04-16
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 6 1 — — $81,676.49 $93,091.89 $91,249.26 2025-04-16
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 6 1 — — $81,368.14 $92,740.44 $90,904.77 2025-04-16
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 6 1 — — $81,068.08 $92,398.44 $90,569.54 2025-04-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 6 1 — — $80,996.79 $92,317.19 $90,489.90 2025-04-16
4402 APR_DRG Kidney Transplant, Moderate 6 1 — — $80,817.75 $92,113.13 $90,289.88 2025-04-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 6 1 — — $80,784.59 $92,075.34 $90,252.83 2025-04-16
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 6 1 — — $80,172.87 $91,378.11 $89,569.41 2025-04-16
5144 APR_DRG Female Reproductive System Reconstructive Procedures, Severe 6 1 — — $79,208.03 $90,278.42 $88,491.49 2025-04-16
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 6 1 — — $78,380.78 $89,335.56 $87,567.29 2025-04-16
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $78,291.26 $89,233.53 $87,467.27 2025-04-16
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 6 1 — — $77,991.20 $88,891.53 $87,132.04 2025-04-16
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 6 1 — — $77,905.00 $88,793.27 $87,035.74 2025-04-16
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 6 1 — — $77,898.36 $88,785.72 $87,028.33 2025-04-16
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 6 1 — — $77,402.68 $88,220.76 $86,474.55 2025-04-16
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 6 1 — — $77,314.82 $88,120.61 $86,376.39 2025-04-16
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 6 1 — — $77,311.50 $88,116.83 $86,372.68 2025-04-16
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 6 1 — — $77,261.77 $88,060.15 $86,317.12 2025-04-16
6504 APR_DRG Splenectomy, Severe 6 1 — — $76,737.90 $87,463.07 $85,731.86 2025-04-16
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 6 1 — — $76,525.71 $87,221.21 $85,494.79 2025-04-16
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 6 1 — — $76,464.37 $87,151.30 $85,426.26 2025-04-16
4804 APR_DRG Major Male Pelvic Procedures, Severe 6 1 — — $76,414.63 $87,094.61 $85,370.70 2025-04-16
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 6 1 — — $75,643.76 $86,216.00 $84,509.47 2025-04-16
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 1 — — $75,481.29 $86,030.82 $84,327.97 2025-04-16
2614 APR_DRG Major Biliary Tract Procedures, Severe 6 1 — — $75,390.11 $85,926.90 $84,226.10 2025-04-16
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 6 1 — — $75,043.63 $85,532.00 $83,839.01 2025-04-16
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 6 1 — — $74,869.56 $85,333.60 $83,644.54 2025-04-16
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 6 1 — — $74,740.26 $85,186.22 $83,500.08 2025-04-16
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 6 1 — — $74,533.03 $84,950.03 $83,268.56 2025-04-16
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 6 1 — — $74,496.56 $84,908.46 $83,227.82 2025-04-16
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 24 7 — — $63,005.77 $103,434.56 $83,220.16 2025-04-16
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 6 1 — — $73,414.02 $83,674.62 $82,018.40 2025-04-16
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 6 1 — — $73,216.74 $83,449.77 $81,798.00 2025-04-16
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 6 1 — — $72,842.07 $83,022.74 $81,379.42 2025-04-16
3054 APR_DRG Amputation Of Lower Limb Except Toes, Severe 6 1 — — $72,749.24 $82,916.93 $81,275.70 2025-04-16
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 6 1 — — $72,649.77 $82,803.56 $81,164.58 2025-04-16
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 6 1 — — $72,155.75 $82,240.49 $80,612.65 2025-04-16
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 6 1 — — $72,082.80 $82,157.35 $80,531.16 2025-04-16
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 6 1 — — $72,046.33 $82,115.78 $80,490.41 2025-04-16
264 APR_DRG Other Nervous System And Related Procedures, Severe 6 1 — — $71,751.24 $81,779.45 $80,160.74 2025-04-16
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Moderate 6 1 — — $71,137.86 $81,080.33 $79,475.46 2025-04-16
4401 APR_DRG Kidney Transplant, Minor 6 1 — — $71,086.46 $81,021.76 $79,418.05 2025-04-16
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 6 1 — — $70,938.92 $80,853.59 $79,253.21 2025-04-16
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 6 1 — — $70,814.58 $80,711.88 $79,114.30 2025-04-16
2244 APR_DRG Peritoneal Adhesiolysis, Severe 6 1 — — $70,726.72 $80,611.74 $79,016.14 2025-04-16
9103 APR_DRG Craniotomy For Multiple Significant Trauma, Major 6 1 — — $70,413.40 $80,254.62 $78,666.10 2025-04-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 1 — — $70,030.45 $79,818.15 $78,238.26 2025-04-16
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 6 1 — — $69,881.24 $79,648.09 $78,071.57 2025-04-16
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 6 1 — — $69,365.67 $79,060.46 $77,495.57 2025-04-16
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 6 1 — — $69,330.85 $79,020.78 $77,456.67 2025-04-16
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 6 1 — — $68,911.43 $78,542.74 $76,988.09 2025-04-16
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 6 1 — — $68,725.76 $78,331.11 $76,780.66 2025-04-16
1744 APR_DRG Percutaneous Cardiac Intervention With Ami, Severe 6 1 — — $68,332.86 $77,883.30 $76,341.71 2025-04-16
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 6 1 — — $68,157.13 $77,683.01 $76,145.39 2025-04-16
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 6 1 — — $67,986.38 $77,488.40 $75,954.62 2025-04-16
5831 APR_DRG Neonate With Ecmo, Minor 6 1 — — $67,845.47 $77,327.79 $75,797.19 2025-04-16
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 6 1 — — $67,727.76 $77,193.63 $75,665.69 2025-04-16
3634 APR_DRG Breast Procedures Except Mastectomy, Severe 6 1 — — $67,616.69 $77,067.04 $75,541.60 2025-04-16
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 6 1 — — $67,477.43 $76,908.32 $75,386.03 2025-04-16
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 6 1 — — $67,314.97 $76,723.15 $75,204.52 2025-04-16
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 6 1 — — $67,261.92 $76,662.68 $75,145.25 2025-04-16
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Minor 6 1 — — $67,056.35 $76,428.39 $74,915.59 2025-04-16
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 6 1 — — $65,978.78 $75,200.21 $73,711.73 2025-04-16
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement, Severe 6 1 — — $65,846.16 $75,049.05 $73,563.56 2025-04-16
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 6 1 — — $65,713.53 $74,897.89 $73,415.39 2025-04-16
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 6 1 — — $65,647.22 $74,822.31 $73,341.31 2025-04-16
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 6 1 — — $65,615.72 $74,786.41 $73,306.12 2025-04-16
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure, Severe 6 1 — — $65,401.87 $74,542.66 $73,067.20 2025-04-16
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 6 1 — — $64,937.68 $74,013.60 $72,548.61 2025-04-16
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 6 1 — — $64,868.06 $73,934.25 $72,470.82 2025-04-16
1611 APR_DRG Implantable Heart Assist Systems, Minor 6 1 — — $64,816.66 $73,875.67 $72,413.41 2025-04-16
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 6 1 — — $64,518.26 $73,535.56 $72,080.03 2025-04-16
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 6 1 — — $63,417.48 $72,280.93 $70,850.23 2025-04-16
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 6 1 — — $63,273.25 $72,116.55 $70,689.10 2025-04-16
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 6 1 — — $62,963.24 $71,763.21 $70,342.76 2025-04-16
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Moderate 6 1 — — $62,641.63 $71,396.65 $69,983.45 2025-04-16
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 6 1 — — $62,311.73 $71,020.64 $69,614.88 2025-04-16
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 6 1 — — $62,086.27 $70,763.66 $69,363.00 2025-04-16
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 6 1 — — $61,287.21 $69,852.93 $68,470.28 2025-04-16
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Minor 6 1 — — $61,111.48 $69,652.64 $68,273.96 2025-04-16
213 APR_DRG Open Craniotomy Except Trauma, Major 6 1 — — $61,051.80 $69,584.62 $68,207.29 2025-04-16
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Moderate 6 1 — — $60,463.28 $68,913.84 $67,549.79 2025-04-16
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 6 1 — — $59,992.47 $68,377.23 $67,023.79 2025-04-16
1804 APR_DRG Other Circulatory System Procedures, Severe 6 1 — — $59,853.21 $68,218.51 $66,868.22 2025-04-16
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures, Severe 6 1 — — $59,788.56 $68,144.82 $66,795.99 2025-04-16
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 6 1 — — $59,750.43 $68,101.36 $66,753.39 2025-04-16
8444 APR_DRG Partial Thickness Burns Without Skin Graft, Severe 6 1 — — $59,531.60 $67,851.95 $66,508.91 2025-04-16
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 6 1 — — $59,516.68 $67,834.94 $66,492.24 2025-04-16
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 6 1 — — $59,017.68 $67,266.20 $65,934.76 2025-04-16
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 6 1 — — $58,498.79 $66,674.79 $65,355.05 2025-04-16
1693 APR_DRG Major Abdominal Vascular Procedures, Major 6 1 — — $58,459.00 $66,629.44 $65,310.60 2025-04-16
5424 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c, Severe 6 1 — — $58,402.64 $66,565.20 $65,247.63 2025-04-16
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Major 6 1 — — $57,961.66 $66,062.59 $64,754.97 2025-04-16
233 APR_DRG Spinal Procedures, Major 6 1 — — $57,615.18 $65,667.68 $64,367.88 2025-04-16
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $57,467.64 $65,499.52 $64,203.05 2025-04-16
3084 APR_DRG Hip And Femur Fracture Repair, Severe 6 1 — — $56,378.46 $64,258.12 $62,986.22 2025-04-16
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Minor 6 1 — — $56,297.23 $64,165.53 $62,895.46 2025-04-16
913 APR_DRG Other Major Head And Neck Procedures, Major 6 1 — — $55,957.38 $63,778.18 $62,515.78 2025-04-16
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection, Severe 6 1 — — $55,725.29 $63,513.65 $62,256.49 2025-04-16
3624 APR_DRG Mastectomy Procedures, Severe 6 1 — — $55,673.90 $63,455.08 $62,199.07 2025-04-16
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 6 1 — — $55,337.36 $63,071.51 $61,823.10 2025-04-16
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 6 1 — — $55,300.89 $63,029.94 $61,782.35 2025-04-16
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 6 1 — — $55,257.79 $62,980.81 $61,734.20 2025-04-16
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Moderate 6 1 — — $55,159.98 $62,869.33 $61,624.92 2025-04-16
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Maj… 6 1 — — $55,133.45 $62,839.10 $61,595.29 2025-04-16
2634 APR_DRG Cholecystectomy, Severe 6 1 — — $54,914.63 $62,589.69 $61,350.81 2025-04-16
J9029 HCPCS Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 24 7 — — $61,200.00 $61,200.00 $61,200.00 2025-04-16
6924 APR_DRG Radiotherapy, Severe 6 1 — — $54,397.39 $62,000.16 $60,772.96 2025-04-16
974 APR_DRG Tonsil And Adenoid Procedures, Severe 6 1 — — $53,941.50 $61,480.55 $60,263.63 2025-04-16
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Major 6 1 — — $53,895.08 $61,427.65 $60,211.77 2025-04-16
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 6 1 — — $53,755.82 $61,268.93 $60,056.19 2025-04-16
9102 APR_DRG Craniotomy For Multiple Significant Trauma, Moderate 6 1 — — $53,354.64 $60,811.67 $59,607.99 2025-04-16
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 6 1 — — $52,953.45 $60,354.41 $59,159.78 2025-04-16
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Moderate 6 1 — — $52,926.92 $60,324.18 $59,130.14 2025-04-16
3164 APR_DRG Hand And Wrist Procedures, Severe 6 1 — — $52,819.17 $60,201.36 $59,009.76 2025-04-16
3144 APR_DRG Foot And Toe Procedures, Severe 6 1 — — $52,444.50 $59,774.33 $58,591.18 2025-04-16
1203 APR_DRG Major Respiratory And Chest Procedures, Major 6 1 — — $52,237.28 $59,538.15 $58,359.67 2025-04-16
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Ma… 6 1 — — $52,235.62 $59,536.26 $58,357.82 2025-04-16
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $51,973.69 $59,237.71 $58,065.19 2025-04-16
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Major 6 1 — — $51,933.90 $59,192.37 $58,020.74 2025-04-16
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures, Severe 6 1 — — $51,877.54 $59,128.12 $57,957.77 2025-04-16
203 APR_DRG Open Craniotomy For Trauma, Major 6 1 — — $51,749.88 $58,982.63 $57,815.15 2025-04-16
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 6 1 — — $51,648.76 $58,867.37 $57,702.18 2025-04-16
1813 APR_DRG Lower Extremity Arterial Procedures, Major 6 1 — — $51,605.66 $58,818.25 $57,654.02 2025-04-16
734 APR_DRG Orbit And Eye Procedures, Severe 6 1 — — $51,134.84 $58,281.63 $57,128.02 2025-04-16
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 6 1 — — $50,750.23 $57,843.26 $56,698.34 2025-04-16
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 6 1 — — $50,324.18 $57,357.66 $56,222.35 2025-04-16
5174 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses, Severe 6 1 — — $50,291.02 $57,319.87 $56,185.31 2025-04-16
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 6 1 — — $50,233.00 $57,253.74 $56,120.48 2025-04-16
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Major 6 1 — — $50,196.53 $57,212.17 $56,079.74 2025-04-16
404 APR_DRG Spinal Disorders And Injuries, Severe 6 1 — — $50,150.11 $57,159.26 $56,027.88 2025-04-16
2603 APR_DRG Major Pancreas, Liver And Shunt Procedures, Major 6 1 — — $49,951.17 $56,932.52 $55,805.63 2025-04-16
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 6 1 — — $49,714.11 $56,662.33 $55,540.77 2025-04-16
4413 APR_DRG Major Bladder Procedures, Major 6 1 — — $49,700.84 $56,647.21 $55,525.96 2025-04-16
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Major 6 1 — — $49,616.30 $56,550.85 $55,431.50 2025-04-16
8633 APR_DRG Neonatal Aftercare, Major 6 1 — — $49,314.58 $56,206.96 $55,094.42 2025-04-16
5414 APR_DRG Vaginal Delivery With Sterilization And/or D&c, Severe 6 1 — — $49,200.19 $56,076.58 $54,966.62 2025-04-16
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 6 1 — — $48,596.75 $55,388.80 $54,292.46 2025-04-16
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Minor 6 1 — — $48,169.04 $54,901.31 $53,814.62 2025-04-16
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures, Severe 6 1 — — $48,142.51 $54,871.08 $53,784.98 2025-04-16
4013 APR_DRG Adrenal Procedures, Major 6 1 — — $48,087.80 $54,808.73 $53,723.86 2025-04-16
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 24 7 — — $53,017.58 $53,426.66 $53,222.12 2025-04-16
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 24 7 — — $51,938.39 $54,389.41 $53,163.90 2025-04-16
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions, Severe 6 1 — — $47,374.95 $53,996.24 $52,927.46 2025-04-16
4824 APR_DRG Transurethral Prostatectomy, Severe 6 1 — — $47,326.87 $53,941.45 $52,873.75 2025-04-16
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 6 1 — — $47,250.62 $53,854.53 $52,788.55 2025-04-16
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Minor 6 1 — — $47,059.97 $53,637.24 $52,575.56 2025-04-16
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Minor 6 1 — — $46,821.25 $53,365.15 $52,308.86 2025-04-16
1823 APR_DRG Other Peripheral Vascular And Related Procedures, Major 6 1 — — $46,741.67 $53,274.45 $52,219.96 2025-04-16
4454 APR_DRG Other Bladder Procedures, Severe 6 1 — — $46,658.78 $53,179.98 $52,127.35 2025-04-16
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Moderate 6 1 — — $46,421.72 $52,909.78 $51,862.50 2025-04-16
3464 APR_DRG Connective Tissue Disorders, Severe 6 1 — — $46,360.38 $52,839.87 $51,793.98 2025-04-16
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $46,300.70 $52,771.85 $51,727.30 2025-04-16
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Maj… 6 1 — — $46,141.55 $52,590.45 $51,549.50 2025-04-16
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $45,990.69 $52,418.51 $51,380.96 2025-04-16
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Minor 6 1 — — $45,851.43 $52,259.79 $51,225.38 2025-04-16
1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Maj… 6 1 — — $45,770.20 $52,167.21 $51,134.63 2025-04-16
6903 APR_DRG Acute Leukemia, Major 6 1 — — $45,717.15 $52,106.74 $51,075.36 2025-04-16
9101 APR_DRG Craniotomy For Multiple Significant Trauma, Minor 6 1 — — $45,627.63 $52,004.71 $50,975.35 2025-04-16
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 24 7 — — $49,701.46 $52,046.93 $50,874.19 2025-04-16
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Majo… 6 1 — — $45,473.45 $51,828.99 $50,803.10 2025-04-16
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft, Severe 6 1 — — $45,078.90 $51,379.28 $50,362.30 2025-04-16
8904 APR_DRG HIV With Multiple Major HIV Related Conditions, Severe 6 1 — — $45,055.69 $51,352.83 $50,336.37 2025-04-16
3814 APR_DRG Major Skin Disorders, Severe 6 1 — — $44,984.40 $51,271.58 $50,256.73 2025-04-16
6614 APR_DRG Coagulation And Platelet Disorders, Severe 6 1 — — $44,802.05 $51,063.74 $50,053.00 2025-04-16
1743 APR_DRG Percutaneous Cardiac Intervention With Ami, Major 6 1 — — $44,763.92 $51,020.28 $50,010.40 2025-04-16
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage, Severe 6 1 — — $44,634.61 $50,872.90 $49,865.94 2025-04-16
4464 APR_DRG Urethral And Transurethral Procedures, Severe 6 1 — — $44,614.71 $50,850.22 $49,843.72 2025-04-16
6964 APR_DRG Other Chemotherapy, Severe 6 1 — — $44,510.27 $50,731.19 $49,727.03 2025-04-16
2264 APR_DRG Anal And Perineal Procedures, Severe 6 1 — — $44,356.10 $50,555.46 $49,554.79 2025-04-16
243 APR_DRG Open Extracranial Vascular Procedures, Major 6 1 — — $44,354.44 $50,553.57 $49,552.94 2025-04-16
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition, Severe 6 1 — — $44,354.44 $50,553.57 $49,552.94 2025-04-16
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Mod… 6 1 — — $44,077.59 $50,238.03 $49,243.63 2025-04-16
2824 APR_DRG Disorders Of Pancreas Except Malignancy, Severe 6 1 — — $43,593.51 $49,686.29 $48,702.82 2025-04-16
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Major 6 1 — — $43,389.60 $49,453.88 $48,475.01 2025-04-16
1934 APR_DRG Acute And Subacute Endocarditis, Severe 6 1 — — $43,200.61 $49,238.48 $48,263.87 2025-04-16
1753 APR_DRG Percutaneous Cardiac Intervention Without Ami, Major 6 1 — — $43,182.37 $49,217.70 $48,243.50 2025-04-16
464 APR_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction, Severe 6 1 — — $42,898.89 $48,894.59 $47,926.79 2025-04-16
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 6 1 — — $42,603.80 $48,558.26 $47,597.12 2025-04-16
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 6 1 — — $42,557.38 $48,505.35 $47,545.26 2025-04-16
444 APR_DRG Intracranial Hemorrhage, Severe 6 1 — — $42,555.73 $48,503.47 $47,543.41 2025-04-16
2613 APR_DRG Major Biliary Tract Procedures, Major 6 1 — — $42,413.16 $48,340.97 $47,384.13 2025-04-16
5404 APR_DRG Cesarean Section Without Sterilization, Severe 6 1 — — $42,282.19 $48,191.70 $47,237.81 2025-04-16
5103 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 1 — — $42,043.47 $47,919.61 $46,971.11 2025-04-16
514 APR_DRG Viral Meningitis, Severe 6 1 — — $41,743.40 $47,577.61 $46,635.88 2025-04-16
6264 APR_DRG Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 6 1 — — $41,622.38 $47,439.68 $46,500.67 2025-04-16
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 6 1 — — $41,552.76 $47,360.32 $46,422.89 2025-04-16
3093 APR_DRG Other Significant Hip And Femur Surgery, Major 6 1 — — $41,436.71 $47,228.05 $46,293.24 2025-04-16
1914 APR_DRG Cardiac Catheterization For Coronary Artery Disease, Severe 6 1 — — $41,144.94 $46,895.50 $45,967.27 2025-04-16
212 APR_DRG Open Craniotomy Except Trauma, Moderate 6 1 — — $41,113.44 $46,859.60 $45,932.08 2025-04-16
1762 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Mod… 6 1 — — $41,067.02 $46,806.69 $45,880.22 2025-04-16
1702 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Moderate 6 1 — — $40,924.45 $46,644.20 $45,720.94 2025-04-16
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease, Severe 6 1 — — $40,811.72 $46,515.71 $45,595.00 2025-04-16
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 6 1 — — $40,743.75 $46,438.24 $45,519.06 2025-04-16
7103 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Major 6 1 — — $40,718.88 $46,409.90 $45,491.28 2025-04-16
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis, Severe 6 1 — — $40,715.57 $46,406.12 $45,487.58 2025-04-16
954 APR_DRG Cleft Lip And Palate Repair, Severe 6 1 — — $40,450.32 $46,103.80 $45,191.24 2025-04-16
2243 APR_DRG Peritoneal Adhesiolysis, Major 6 1 — — $40,226.52 $45,848.72 $44,941.21 2025-04-16
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