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

BOSTON CHILDREN'S HOSPITAL

Boston, MA · CCN 223302 · Rates published

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You selected 93306 (CPT)

HC TTE W/DOPPLER COMPLETE - TTE COMPLETE

This hospital’s price: $2,441 across 16 payers · range $2,321-$2,728

Source: https://www.childrenshospital.org/sites/default/files/cms-hpt/comp-2026/04-2774441_Boston-Childrens-Waltham_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.

4,576 distinct procedures filed
42 distinct payers
3,280,495 rate rows
2026-04-01 last MRF observed
Data quality

3,254,107 of 3,280,495 rate rows are consumer-grade (99.2%)

26,388 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
placeholder amount (≤ $0.02) — excluded from medians 16,025
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,803
percent-of-charges filed in the dollar field — excluded from medians 348
exceeds 10× this hospital's gross charge — excluded from medians 145
per-diem day rate — not a per-procedure price 52
exceeds 3× this hospital's gross charge for a DRG stay — excluded 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.childrenshospital.org/sites/default/files/cms-hpt/comp-2026/04-2774441_Boston-Childrens-Longwood_StandardCharges.json
Found on page https://www.childrenshospital.org/patient-resources/financial-and-billing-matters/hospital-services-and-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint d989bdd477aabac9… · 131,908,978 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
J3393
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 13 $99,999.99 $4,791,933.67 $3,916,095.75 nat. median
$2,968,000
1.3× median
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 14 $99,999.99 $4,962,756.96 $3,848,016.25 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Lovotibeglogene Autotemcel 1.7 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 18 $99,999.99 $4,874,771.25 $3,786,263.51 nat. median
$3,248,446
1.2× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 24 $99,999.99 $3,970,719.61 $3,009,387.50 nat. median
$2,455,111
1.2× median
J3392
HCPCS 		Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 24 $99,999.99 $3,866,523.75 $2,930,418.00 nat. median
$2,332,000
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $2,772,856.44 $2,772,856.44 $2,772,856.44 nat. median
$186,516
outlier · 14.9×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 $620,138.78 $3,439,097.36 $1,603,537.33 nat. median
$135,630
outlier · 11.8×
5834
APR_DRG 		Neonate W Ecmo 3 $932,802.76 $1,674,134.10 $1,506,720.69 nat. median
$390,362
outlier · 3.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 1 $1,372,862.06 $1,372,862.06 $1,372,862.06 nat. median
$145,435
outlier · 9.4×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $1,299,907.15 $1,299,907.15 $1,299,907.15 nat. median
$135,803
outlier · 9.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $1,273,152.62 $1,273,152.62 $1,273,152.62 nat. median
$149,836
outlier · 8.5×
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 2 $861,357.95 $1,076,697.43 $1,076,697.43 nat. median
$85,322
outlier · 12.6×
2614
APR_DRG 		Major Biliary Tract Procedures 2 $839,381.64 $1,049,227.05 $1,049,227.05 nat. median
$41,597
outlier · 25.2×
84
APR_DRG 		Autologous Bone Marrow Transplant 1 $950,584.63 $950,584.63 $950,584.63 nat. median
$65,108
outlier · 14.6×
34
APR_DRG 		Bone Marrow Transplant 1 $864,133.75 $864,133.75 $864,133.75 nat. median
$187,752
outlier · 4.6×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 41 $184,836.17 $1,022,704.97 $775,102.71 nat. median
$621,313
1.2× median
1824
APR_DRG 		Other Peripheral Vascular Procedures 2 $129,978.34 $1,356,010.94 $742,994.64 nat. median
$34,354
outlier · 21.6×
5832
APR_DRG 		Neonate With Ecmo 1 $710,894.53 $710,894.53 $710,894.53 nat. median
$201,678
outlier · 3.5×
2204
APR_DRG 		Major Stomach Esophageal And Duodenal Procedures 2 $219,155.21 $1,152,840.39 $685,997.80 nat. median
$45,648
outlier · 15.0×
6804
APR_DRG 		Major O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 2 $551,207.90 $816,658.61 $683,933.26 nat. median
$52,992
outlier · 12.9×
J3398
HCPCS 		Voretigene Neparvovec-rzyl 1.5x10exp11 Vg/0.3 Ml (final) Dilution 0.8 Ml Subreti… 24 $414,169.44 $802,981.56 $608,575.50 nat. median
$3,269
outlier · 186.2×
3434
APR_DRG 		Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 1 $539,480.39 $539,480.39 $539,480.39 nat. median
$18,396
outlier · 29.3×
6214
APR_DRG 		Neonate Bwt 2000-2499g W Major Anomaly 2 $222,920.37 $825,458.20 $524,189.28 nat. median
$70,730
outlier · 7.4×
5884
APR_DRG 		Neonate Bwt Less Than 1500g W Major Procedure 4 $410,437.75 $991,420.98 $513,047.19 nat. median
$286,698
1.8× median
4234
APR_DRG 		Inborn Errors Of Metabolism 2 $122,288.88 $883,279.92 $502,784.40 nat. median
$24,552
outlier · 20.5×
1214
APR_DRG 		Other Respiratory And Chest Procedures 3 $255,008.86 $558,192.14 $502,372.93 nat. median
$38,040
outlier · 13.2×
14
APR_DRG 		Liver Transplant And-or Intestinal Transplant 2 $458,953.43 $521,261.70 $490,107.57 nat. median
$136,566
outlier · 3.6×
32
APR_DRG 		Bone Marrow Transplant 1 $474,848.93 $474,848.93 $474,848.93 nat. median
$64,587
outlier · 7.4×
1304
APR_DRG 		Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 $164,865.27 $587,334.22 $469,867.38 nat. median
$47,742
outlier · 9.8×
83
APR_DRG 		Autologous Bone Marrow Transplant 1 $461,959.09 $461,959.09 $461,959.09 nat. median
$42,705
outlier · 10.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $365,380.67 $460,840.48 $456,725.84 nat. median
$106,926
outlier · 4.3×
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 $439,200.22 $439,200.22 $439,200.22 nat. median
$14,941
outlier · 29.4×
13
APR_DRG 		Liver Transplant And-or Intestinal Transplant 1 $439,192.62 $439,192.62 $439,192.62 nat. median
$69,772
outlier · 6.3×
8904
APR_DRG 		HIV With Multiple Major HIV Related Conditions 1 $433,491.97 $433,491.97 $433,491.97 nat. median
$24,696
outlier · 17.6×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $433,167.38 $433,167.38 $433,167.38 nat. median
$168,439
outlier · 2.6×
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $432,695.94 $432,695.94 $432,695.94 nat. median
$71,851
outlier · 6.0×
53
APR_DRG 		Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 1 $429,574.33 $429,574.33 $429,574.33 nat. median
$52,622
outlier · 8.2×
6904
APR_DRG 		Acute Leukemia 4 $190,000.97 $536,354.08 $429,083.26 nat. median
$48,234
outlier · 8.9×
23
APR_DRG 		Heart And-or Lung Transplant 3 $326,428.51 $408,035.64 $403,614.27 nat. median
$117,894
outlier · 3.4×
54
APR_DRG 		Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 3 $316,916.12 $743,701.03 $396,145.15 nat. median
$91,350
outlier · 4.3×
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 1 $395,994.50 $395,994.50 $395,994.50 nat. median
$15,450
outlier · 25.6×
804
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc-mcc 1 $391,603.84 $391,603.84 $391,603.84 nat. median
$9,103
outlier · 43.0×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $388,880.51 $388,880.51 $388,880.51 nat. median
$33,546
outlier · 11.6×
326
MS_DRG 		Stomach Esophageal And Duodenal Procedures With Mcc 1 $388,220.09 $388,220.09 $388,220.09 nat. median
$35,986
outlier · 10.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $387,388.81 $387,388.81 $387,388.81 nat. median
$152,792
outlier · 2.5×
6304
APR_DRG 		Neonate Birthwt Greater Than 2499g W Major Cardiovascular Procedure 4 $277,524.04 $632,573.87 $386,832.78 nat. median
$187,567
outlier · 2.1×
1611
APR_DRG 		Cardiac Defibrillator And Heart Assist Implant 1 $378,901.71 $378,901.71 $378,901.71 nat. median
$108,954
outlier · 3.5×
2014
APR_DRG 		Cardiac Arrhythmia And Conduction Disorders 1 $377,355.34 $377,355.34 $377,355.34 nat. median
$13,236
outlier · 28.5×
4604
APR_DRG 		Renal Failure 2 $295,994.44 $369,993.05 $369,993.05 nat. median
$20,753
outlier · 17.8×
6954
APR_DRG 		Chemotherapy For Acute Leukemia 1 $355,439.70 $355,439.70 $355,439.70 nat. median
$42,081
outlier · 8.4×

Other procedures at this hospital

Browse this hospital's 4,576 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
             
J3393 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 25 13 — — $99,999.99 $4,791,933.67 $3,916,095.75 2026-04-01
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 29 14 — — $99,999.99 $4,962,756.96 $3,848,016.25 2026-04-01
J3394 HCPCS Lovotibeglogene Autotemcel 1.7 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 35 18 — — $99,999.99 $4,874,771.25 $3,786,263.51 2026-04-01
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 50 24 $4,179,704.85 $4,179,704.85 $99,999.99 $3,970,719.61 $3,009,387.50 2026-04-01
J3392 HCPCS Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 47 24 $4,070,025.00 $4,070,025.00 $99,999.99 $3,866,523.75 $2,930,418.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 $4,265,932.98 $4,265,932.98 $2,772,856.44 $2,772,856.44 $2,772,856.44 2025-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 5 4 $3,148,812.44 $3,148,812.44 $620,138.78 $3,439,097.36 $1,603,537.33 2026-04-01
5834 APR_DRG Neonate W Ecmo 4 3 $3,303,290.10 $3,303,290.10 $932,802.76 $1,674,134.10 $1,506,720.69 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 1 1 $2,112,095.47 $2,112,095.47 $1,372,862.06 $1,372,862.06 $1,372,862.06 2025-01-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 $4,223,527.36 $4,223,527.36 $1,299,907.15 $1,299,907.15 $1,299,907.15 2025-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 $3,919,278.90 $3,919,278.90 $1,273,152.62 $1,273,152.62 $1,273,152.62 2025-01-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 2 $2,209,300.35 $2,209,300.35 $861,357.95 $1,076,697.43 $1,076,697.43 2025-01-01
2614 APR_DRG Major Biliary Tract Procedures 3 2 $2,147,251.45 $2,147,251.45 $839,381.64 $1,049,227.05 $1,049,227.05 2025-01-01
84 APR_DRG Autologous Bone Marrow Transplant 1 1 $3,048,006.31 $3,048,006.31 $950,584.63 $950,584.63 $950,584.63 2025-01-01
34 APR_DRG Bone Marrow Transplant 1 1 — — $864,133.75 $864,133.75 $864,133.75 2026-04-01
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 105 41 $1,076,506.55 $1,076,506.55 $184,836.17 $1,022,704.97 $775,102.71 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 $370,188.24 $370,188.24 $129,978.34 $1,356,010.94 $742,994.64 2026-04-01
5832 APR_DRG Neonate With Ecmo 1 1 $1,413,839.27 $1,413,839.27 $710,894.53 $710,894.53 $710,894.53 2025-01-01
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 2 2 $554,127.04 $554,127.04 $219,155.21 $1,152,840.39 $685,997.80 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 2 2 $2,753,968.76 $2,753,968.76 $551,207.90 $816,658.61 $683,933.26 2026-04-01
J3398 HCPCS Voretigene Neparvovec-rzyl 1.5x10exp11 Vg/0.3 Ml (final) Dilution 0.8 Ml Subreti… 47 24 $845,243.75 $845,243.75 $414,169.44 $802,981.56 $608,575.50 2026-04-01
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 1 1 $1,975,389.36 $1,975,389.36 $539,480.39 $539,480.39 $539,480.39 2025-01-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 2 2 $528,373.87 $528,373.87 $222,920.37 $825,458.20 $524,189.28 2026-04-01
5884 APR_DRG Neonate Bwt Less Than 1500g W Major Procedure 5 4 $837,368.04 $837,368.04 $410,437.75 $991,420.98 $513,047.19 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 2 2 $317,942.23 $317,942.23 $122,288.88 $883,279.92 $502,784.40 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 4 3 $1,016,587.90 $1,016,587.90 $255,008.86 $558,192.14 $502,372.93 2025-01-01
14 APR_DRG Liver Transplant And-or Intestinal Transplant 2 2 $1,240,506.34 $1,240,506.34 $458,953.43 $521,261.70 $490,107.57 2026-04-01
32 APR_DRG Bone Marrow Transplant 1 1 — — $474,848.93 $474,848.93 $474,848.93 2026-04-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 5 4 $1,135,842.11 $1,135,842.11 $164,865.27 $587,334.22 $469,867.38 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant 1 1 $1,522,745.82 $1,522,745.82 $461,959.09 $461,959.09 $461,959.09 2025-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 $893,425.08 $893,425.08 $365,380.67 $460,840.48 $456,725.84 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $439,200.22 $439,200.22 $439,200.22 2026-04-01
13 APR_DRG Liver Transplant And-or Intestinal Transplant 1 1 — — $439,192.62 $439,192.62 $439,192.62 2026-04-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 1 1 $1,583,998.50 $1,583,998.50 $433,491.97 $433,491.97 $433,491.97 2025-01-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 $1,346,186.45 $1,346,186.45 $433,167.38 $433,167.38 $433,167.38 2025-01-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $1,426,569.32 $1,426,569.32 $432,695.94 $432,695.94 $432,695.94 2025-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 1 1 $1,434,494.85 $1,434,494.85 $429,574.33 $429,574.33 $429,574.33 2026-04-01
6904 APR_DRG Acute Leukemia 5 4 $1,063,876.53 $1,063,876.53 $190,000.97 $536,354.08 $429,083.26 2026-04-01
23 APR_DRG Heart And-or Lung Transplant 4 3 $802,697.21 $802,697.21 $326,428.51 $408,035.64 $403,614.27 2025-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 4 3 $843,278.10 $843,278.10 $316,916.12 $743,701.03 $396,145.15 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 $609,222.31 $609,222.31 $395,994.50 $395,994.50 $395,994.50 2025-01-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc-mcc 1 1 $602,467.44 $602,467.44 $391,603.84 $391,603.84 $391,603.84 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $388,880.51 $388,880.51 $388,880.51 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 1 1 $597,261.68 $597,261.68 $388,220.09 $388,220.09 $388,220.09 2025-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 $671,188.99 $671,188.99 $387,388.81 $387,388.81 $387,388.81 2025-01-01
6304 APR_DRG Neonate Birthwt Greater Than 2499g W Major Cardiovascular Procedure 6 4 $761,898.60 $761,898.60 $277,524.04 $632,573.87 $386,832.78 2026-04-01
1611 APR_DRG Cardiac Defibrillator And Heart Assist Implant 1 1 — — $378,901.71 $378,901.71 $378,901.71 2026-04-01
2014 APR_DRG Cardiac Arrhythmia And Conduction Disorders 1 1 $1,408,341.30 $1,408,341.30 $377,355.34 $377,355.34 $377,355.34 2025-01-01
4604 APR_DRG Renal Failure 3 2 $744,212.42 $744,212.42 $295,994.44 $369,993.05 $369,993.05 2025-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $355,439.70 $355,439.70 $355,439.70 2026-04-01
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 1 1 $1,146,948.34 $1,146,948.34 $348,437.28 $348,437.28 $348,437.28 2025-01-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 3 $719,331.38 $719,331.38 $276,163.30 $434,389.98 $345,204.13 2026-04-01
5914 APR_DRG Neonate Birthwt 500-749g W-o Major Procedure 3 2 $664,831.17 $664,831.17 $269,751.91 $337,189.89 $337,189.89 2025-01-01
224 APR_DRG Ventricular Shunt Procedures 2 2 $1,048,761.39 $1,048,761.39 $321,916.82 $337,223.85 $329,570.33 2026-04-01
6314 APR_DRG Neonate Birthwt Greater Than 2499g W Other Major Procedure 5 4 $752,455.29 $752,455.29 $228,840.17 $349,457.82 $328,316.12 2026-04-01
3843 APR_DRG Contusion Open Wound And Other Trauma To Skin And Subcutaneous Tissue 1 1 — — $323,307.95 $323,307.95 $323,307.95 2026-04-01
33 APR_DRG Bone Marrow Transplant 3 2 $604,538.22 $604,538.22 $256,472.46 $320,590.58 $320,590.58 2026-04-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 $1,108,210.83 $1,108,210.83 $317,137.27 $317,137.27 $317,137.27 2025-01-01
1204 APR_DRG Major Respiratory And Chest Procedures 4 3 $733,096.10 $733,096.10 $208,693.76 $352,283.32 $317,054.99 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 $682,829.39 $682,829.39 $315,416.82 $315,416.82 $315,416.82 2025-01-01
6814 APR_DRG Other O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 2 2 $601,754.66 $601,754.66 $190,399.57 $407,166.88 $298,783.22 2026-04-01
2544 APR_DRG Other Digestive System Diagnoses 5 4 $748,261.05 $748,261.05 $40,352.82 $360,082.66 $288,066.13 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 $685,083.85 $685,083.85 $263,406.30 $263,406.30 $263,406.30 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 1 1 — — $260,886.63 $260,886.63 $260,886.63 2026-04-01
2214 APR_DRG Major Small And Large Bowel Procedures 4 3 $580,518.92 $580,518.92 $149,962.15 $288,190.64 $259,371.58 2026-04-01
1734 APR_DRG Other Vascular Procedures 3 2 $442,630.67 $442,630.67 $204,027.05 $255,033.81 $255,033.81 2025-01-01
3034 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 5 4 $642,295.69 $642,295.69 $236,812.57 $296,015.71 $254,420.03 2026-04-01
904 APR_DRG Major Larynx And Trachea Procedures 1 1 — — $247,866.35 $247,866.35 $247,866.35 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 1 1 $795,827.54 $795,827.54 $243,511.16 $243,511.16 $243,511.16 2025-01-01
4404 APR_DRG Kidney Transplant 3 2 $250,314.63 $250,314.63 $186,074.92 $232,593.66 $232,593.66 2025-01-01
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $231,115.50 $231,115.50 $231,115.50 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 1 $304,057.09 $304,057.09 $197,637.11 $262,510.82 $230,073.96 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 $351,022.64 $351,022.64 $228,164.71 $228,164.71 $228,164.71 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 1 $199,728.70 $199,728.70 $129,823.65 $320,152.38 $224,988.02 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 2 1 $326,375.38 $326,375.38 $212,144.00 $232,824.76 $222,484.38 2026-04-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 2 $208,243.85 $208,243.85 $94,038.61 $336,608.11 $215,323.36 2026-04-01
J0224 HCPCS Lumasiran 94.5 Mg/0.5 Ml Subcutaneous Solution 466 40 $281,850.67 $281,850.67 $9.68 $267,758.14 $211,388.00 2026-04-01
1103 APR_DRG Ear Nose Mouth Throat Cranial-facial Malignancies 1 1 — — $210,457.57 $210,457.57 $210,457.57 2026-04-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 5 4 $317,448.19 $317,448.19 $161,772.60 $273,931.73 $202,215.75 2026-04-01
1634 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 5 4 $459,582.05 $459,582.05 $155,447.23 $250,704.41 $200,563.53 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 $672,399.60 $672,399.60 $199,258.36 $199,258.36 $199,258.36 2025-01-01
2234 APR_DRG Other Small And Large Bowel Procedures 4 3 $473,288.80 $473,288.80 $104,782.54 $218,664.43 $196,797.98 2025-01-01
6334 APR_DRG Neonate Birthwt Greater Than 2499g W Major Anomaly 2 2 $374,190.43 $374,190.43 $176,800.87 $215,076.60 $195,938.73 2026-04-01
214 APR_DRG Craniotomy Except For Trauma 5 4 $261,132.90 $261,132.90 $155,235.57 $228,215.80 $194,044.47 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 1 1 $219,698.37 $219,698.37 $192,236.63 $192,236.63 $192,236.63 2025-01-01
7114 APR_DRG Post-op Post-trauma Other Device Infections W O.r. Procedure 5 4 $569,570.67 $569,570.67 $103,840.19 $236,402.66 $189,122.13 2026-04-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 4 3 $297,270.19 $297,270.19 $150,964.53 $192,486.41 $188,705.66 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 1 1 $287,813.78 $287,813.78 $187,078.96 $187,078.96 $187,078.96 2025-01-01
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 100 40 $262,011.54 $262,011.54 $9.68 $256,402.03 $186,630.82 2026-04-01
6344 APR_DRG Neonate Birthwt Greater Than 2499g W Resp Dist Synd-oth Maj Resp Cond 5 4 $407,462.29 $407,462.29 $127,059.95 $185,328.20 $184,809.86 2026-04-01
4264 APR_DRG Non-hypovolemic Sodium Disorders 1 1 $694,048.11 $694,048.11 $182,842.97 $182,842.97 $182,842.97 2025-01-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 483 41 $242,402.23 $242,402.23 $9.68 $230,282.11 $181,801.67 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 1 1 — — $181,486.16 $181,486.16 $181,486.16 2026-04-01
90287 CPT Botulism Immune Globulin, Human 100 Mg/2 Ml Injection 408 23 $241,831.00 $241,831.00 $3.98 $229,739.45 $181,373.25 2026-04-01
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 2 2 $716,341.22 $716,341.22 $143,710.23 $206,008.35 $174,859.29 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 $396,437.64 $396,437.64 $173,847.78 $173,847.78 $173,847.78 2025-01-01
534 APR_DRG Seizure 5 4 $395,784.58 $395,784.58 $32,433.68 $215,891.78 $172,713.43 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 1 1 $517,438.79 $517,438.79 $171,838.55 $171,838.55 $171,838.55 2025-01-01
31 APR_DRG Bone Marrow Transplant 3 2 $368,707.12 $368,707.12 $137,251.92 $171,564.90 $171,564.90 2025-01-01
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 3 2 $141,823.47 $141,823.47 $136,537.69 $170,672.11 $170,672.11 2025-01-01
2463 APR_DRG Gastrointestinal Vascular Insufficiency 3 2 $392,490.57 $392,490.57 $135,090.82 $168,863.52 $168,863.52 2025-01-01
0811 RC — 204 41 $212,496.00 $212,496.00 $32,786.80 $294,828.70 $168,148.60 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $161,840.45 $161,840.45 $166,028.66 $166,028.66 $166,028.66 2025-01-01
6634 APR_DRG Other Anemia And Disorders Of Blood And Blood-forming Organs 2 2 $35,412.62 $35,412.62 $21,046.62 $310,354.94 $165,700.78 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 $248,030.98 $248,030.98 $161,220.14 $161,220.14 $161,220.14 2025-01-01
J0802 HCPCS Corticotropin 80 Unit/ml Injection Gel 408 23 $212,467.72 $212,467.72 $9.68 $201,844.33 $159,350.79 2026-04-01
6903 APR_DRG Acute Leukemia 2 2 $462,832.42 $462,832.42 $143,876.56 $169,262.20 $156,569.38 2026-04-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 466 40 $208,840.39 $208,840.39 $9.68 $198,398.37 $154,395.70 2026-04-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 5 4 $183,366.07 $183,366.07 $123,435.65 $169,400.99 $154,294.56 2026-04-01
244 APR_DRG Extracranial Vascular Procedures 5 4 $354,672.70 $354,672.70 $81,006.45 $157,660.17 $154,167.16 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 $255,192.98 $255,192.98 $153,569.15 $153,569.15 $153,569.15 2025-01-01
234 APR_DRG Spinal Procedures 4 3 $108,776.71 $108,776.71 $93,979.96 $168,839.96 $151,955.96 2025-01-01
6303 APR_DRG Neonate Birthwt Greater Than 2499g W Major Cardiovascular Procedure 4 3 $322,233.50 $322,233.50 $119,560.06 $212,542.55 $149,450.07 2025-01-01
6802 APR_DRG Major O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 3 2 $337,682.84 $337,682.84 $119,137.83 $148,922.28 $148,922.28 2025-01-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 $465,710.55 $465,710.55 $147,443.49 $147,443.49 $147,443.49 2025-01-01
4402 APR_DRG Kidney Transplant 1 1 $236,391.52 $236,391.52 $146,285.25 $146,285.25 $146,285.25 2025-01-01
204 APR_DRG Craniotomy For Trauma 4 3 $242,535.76 $242,535.76 $116,166.10 $187,794.09 $145,207.63 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 $136,811.79 $136,811.79 $111,017.35 $177,889.07 $144,453.21 2026-04-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd-oth Maj Resp Cond 1 1 — — $143,941.70 $143,941.70 $143,941.70 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV W O.r. Procedure 4 3 $57,433.31 $57,433.31 $114,755.10 $157,166.03 $143,443.87 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 4 $340,954.17 $340,954.17 $114,406.17 $2,026,021.75 $143,007.71 2026-04-01
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 58 28 $200,127.20 $200,127.20 $34,361.84 $190,120.84 $142,550.60 2025-01-01
6934 APR_DRG Chemotherapy 3 2 $181,149.89 $181,149.89 $113,438.19 $141,797.74 $141,797.74 2025-01-01
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections 2 2 $231,390.82 $231,390.82 $49,047.61 $234,162.84 $141,605.22 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 — — $138,927.59 $138,927.59 $138,927.59 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 5 4 $229,919.10 $229,919.10 $111,060.68 $179,425.76 $138,825.86 2026-04-01
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 5 4 $75,677.97 $75,677.97 $95,470.91 $143,374.37 $137,129.37 2026-04-01
9513 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 5 4 $358,762.44 $358,762.44 $27,327.65 $169,109.95 $135,287.96 2026-04-01
903 APR_DRG Major Larynx And Trachea Procedures 1 1 — — $133,852.51 $133,852.51 $133,852.51 2026-04-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 2 2 $292,429.98 $292,429.98 $103,665.53 $162,212.13 $132,938.83 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 4 3 $123,150.31 $123,150.31 $104,897.15 $521,494.20 $131,121.44 2026-04-01
0812 RC — 873 41 $180,731.00 $180,731.00 $4,640.00 $798,299.25 $128,573.55 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 1 1 $387,858.74 $387,858.74 $128,300.22 $128,300.22 $128,300.22 2025-01-01
223 APR_DRG Ventricular Shunt Procedures 5 4 $258,079.73 $258,079.73 $28,365.95 $159,625.33 $127,700.26 2026-04-01
6604 APR_DRG Major Hematologic-immunologic Diag Exc Sickle Cell Crisis And Coagul 5 4 $153,611.33 $153,611.33 $100,433.20 $207,713.21 $125,541.50 2026-04-01
6964 APR_DRG Other Chemotherapy 2 2 $325,050.43 $325,050.43 $78,602.56 $171,384.68 $124,993.62 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $124,109.59 $124,109.59 $124,109.59 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 1 1 $173,040.58 $173,040.58 $123,307.68 $123,307.68 $123,307.68 2025-01-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $334,646.08 $334,646.08 $123,134.53 $123,134.53 $123,134.53 2025-01-01
4224 APR_DRG Hypovolemia And Related Electrolyte Disorders 2 2 $77,672.22 $77,672.22 $14,181.11 $230,414.73 $122,297.92 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc-mcc 2 1 $59,065.13 $59,065.13 $60,905.33 $182,740.43 $121,822.88 2026-04-01
3162 APR_DRG Hand And Wrist Procedures 2 2 $37,070.55 $37,070.55 $13,737.70 $225,537.11 $119,637.40 2026-04-01
274 APR_DRG Other Open Craniotomy 1 1 $241,819.73 $241,819.73 $118,731.63 $118,731.63 $118,731.63 2025-01-01
264 APR_DRG Other Nervous System And Related Procedures 1 1 $154,799.68 $154,799.68 $117,400.62 $117,400.62 $117,400.62 2025-01-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 $353,697.66 $353,697.66 $116,500.03 $116,500.03 $116,500.03 2025-01-01
3043 APR_DRG Dorsal And Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $115,716.63 $115,716.63 $115,716.63 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 $164,066.02 $164,066.02 $114,454.59 $114,454.59 $114,454.59 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 $132,928.48 $132,928.48 $103,873.98 $124,659.85 $114,266.92 2026-04-01
4403 APR_DRG Kidney Transplant 4 3 $209,525.33 $209,525.33 $91,017.99 $156,287.72 $113,772.49 2025-01-01
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 2 2 $431,696.17 $431,696.17 $90,279.56 $134,365.22 $112,322.39 2026-04-01
2404 APR_DRG Digestive Malignancy 1 1 $448,570.68 $448,570.68 $112,086.03 $112,086.03 $112,086.03 2025-01-01
2244 APR_DRG Peritoneal Adhesiolysis 1 1 $392,386.73 $392,386.73 $112,066.36 $112,066.36 $112,066.36 2025-01-01
6313 APR_DRG Neonate Birthwt Greater Than 2499g W Other Major Procedure 4 3 $210,169.27 $210,169.27 $93,529.16 $124,364.90 $111,928.41 2025-01-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 $257,795.45 $257,795.45 $110,615.39 $110,615.39 $110,615.39 2025-01-01
6913 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 2 2 $313,718.00 $313,718.00 $72,440.29 $147,211.77 $109,826.03 2026-04-01
1374 APR_DRG Major Respiratory Infections And Inflammations 5 4 $220,097.72 $220,097.72 $23,660.33 $136,732.70 $109,386.16 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 2 $95,852.50 $95,852.50 $87,092.53 $131,319.85 $109,206.19 2026-04-01
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 1 1 $120,988.51 $120,988.51 $109,110.93 $109,110.93 $109,110.93 2025-01-01
6302 APR_DRG Neonate Birthwt Greater Than 2499g W Major Cardiovascular Procedure 2 2 $140,011.53 $140,011.53 $78,674.16 $135,542.88 $107,108.52 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 $188,809.77 $188,809.77 $106,702.53 $106,702.53 $106,702.53 2025-01-01
414 APR_DRG Nervous System Malignancy 1 1 $434,162.89 $434,162.89 $105,550.87 $105,550.87 $105,550.87 2025-01-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $138,340.07 $138,340.07 $104,469.28 $104,469.28 $104,469.28 2025-01-01
8614 APR_DRG Signs Symptoms And Other Factors Influencing Health Status 1 1 $385,386.50 $385,386.50 $103,473.54 $103,473.54 $103,473.54 2025-01-01
1633 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 5 4 $223,625.21 $223,625.21 $86,094.31 $107,617.89 $103,153.30 2026-04-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml IV (wet Solr Vial) 408 23 $136,818.96 $136,818.96 $9.68 $129,978.01 $102,614.22 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Nonmalignancy 4 3 $182,479.61 $182,479.61 $64,703.09 $113,991.46 $102,592.32 2025-01-01
655 MS_DRG Major Bladder Procedures Without Cc-mcc 1 1 $155,486.97 $155,486.97 $101,066.53 $101,066.53 $101,066.53 2025-01-01
7112 APR_DRG Post-op Post-trauma Other Device Infections W O.r. Procedure 1 1 — — $100,771.69 $100,771.69 $100,771.69 2026-04-01
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 1 1 $153,623.94 $153,623.94 $99,855.56 $99,855.56 $99,855.56 2025-01-01
9523 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 4 3 $172,461.12 $172,461.12 $25,771.91 $110,871.15 $99,784.04 2025-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 $227,477.47 $227,477.47 $79,774.48 $138,955.09 $99,718.09 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 5 4 $136,256.45 $136,256.45 $79,448.62 $127,596.81 $99,310.78 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 $151,326.57 $151,326.57 $98,362.27 $98,362.27 $98,362.27 2025-01-01
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 466 40 $130,789.14 $130,789.14 $9.68 $124,249.68 $98,091.85 2026-04-01
213 APR_DRG Craniotomy Except For Trauma 5 4 $133,614.10 $133,614.10 $78,132.28 $98,303.81 $98,048.01 2026-04-01
734 APR_DRG Orbit And Eye Procedures 1 1 $308,484.76 $308,484.76 $97,866.00 $97,866.00 $97,866.00 2025-01-01
934 APR_DRG Sinus And Mastoid Procedures 1 1 — — $97,474.10 $97,474.10 $97,474.10 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $121,414.35 $121,414.35 $96,647.66 $96,647.66 $96,647.66 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 $157,243.98 $157,243.98 $94,435.53 $98,769.59 $96,602.56 2026-04-01
1914 APR_DRG Cardiac Catheterization For Coronary Artery Disease 3 2 $266,636.34 $266,636.34 $76,600.20 $95,750.25 $95,750.25 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 2 1 $109,354.40 $109,354.40 $92,785.18 $98,312.38 $95,548.78 2026-04-01
3133 APR_DRG Knee And Lower Leg Procedures Except Foot 5 4 $233,292.67 $233,292.67 $29,650.03 $98,286.48 $95,234.42 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 — — $94,846.61 $94,846.61 $94,846.61 2026-04-01
6394 APR_DRG Neonate Birthwt Greater Than 2499g W Other Significant Condition 4 3 $234,711.06 $234,711.06 $75,872.46 $94,840.57 $93,633.04 2026-04-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 483 41 $123,374.70 $123,374.70 $9.68 $117,205.97 $92,531.03 2026-04-01
1213 APR_DRG Other Respiratory And Chest Procedures 4 3 $272,082.07 $272,082.07 $49,513.05 $101,812.48 $91,631.23 2025-01-01
1632 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 5 4 $235,799.45 $235,799.45 $45,554.07 $102,931.26 $91,173.74 2026-04-01
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 2 2 $131,876.71 $131,876.71 $85,468.73 $94,436.92 $89,952.82 2026-04-01
6902 APR_DRG Acute Leukemia 1 1 $363,450.20 $363,450.20 $89,849.88 $89,849.88 $89,849.88 2025-01-01
3464 APR_DRG Connective Tissue Disorders 2 2 $170,282.05 $170,282.05 $38,789.85 $139,323.49 $89,056.67 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 4 $94,868.92 $94,868.92 $32,055.47 $89,308.30 $88,280.16 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 $146,666.06 $146,666.06 $87,347.70 $87,347.70 $87,347.70 2025-01-01
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 1 1 $211,111.71 $211,111.71 $86,752.23 $86,752.23 $86,752.23 2025-01-01
3031 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 5 4 $132,274.93 $132,274.93 $69,004.34 $100,298.52 $86,255.43 2026-04-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg/3.6ml IV (wet Vial) 466 40 $115,539.04 $115,539.04 $9.68 $109,762.09 $85,995.76 2026-04-01
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 1 1 — — $84,364.25 $84,364.25 $84,364.25 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 4 $192,466.97 $192,466.97 $67,365.69 $91,322.84 $84,207.11 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 $53,614.54 $53,614.54 $84,175.55 $84,175.55 $84,175.55 2025-01-01
1693 APR_DRG Major Abdominal Vascular Procedures 3 2 $80,908.14 $80,908.14 $66,861.25 $83,576.56 $83,576.56 2025-01-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $82,938.01 $82,938.01 $82,938.01 2026-04-01
9503 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 5 4 $196,827.92 $196,827.92 $45,963.00 $90,644.92 $81,797.86 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 $192,482.83 $192,482.83 $81,453.52 $81,453.52 $81,453.52 2025-01-01
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 5 4 $99,533.71 $99,533.71 $64,791.85 $95,001.20 $80,989.81 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $129,488.57 $129,488.57 $80,664.06 $80,664.06 $80,664.06 2025-01-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 $127,783.06 $127,783.06 $68,254.48 $92,650.98 $80,452.73 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 1 1 $332,203.96 $332,203.96 $80,121.01 $80,121.01 $80,121.01 2025-01-01
913 APR_DRG Other Major Head And Neck Procedures 4 3 $121,430.92 $121,430.92 $63,782.03 $119,883.32 $79,727.54 2025-01-01
1923 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 1 1 $319,403.78 $319,403.78 $79,592.50 $79,592.50 $79,592.50 2025-01-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 $191,371.64 $191,371.64 $79,582.99 $79,582.99 $79,582.99 2025-01-01
2434 APR_DRG Other Esophageal Disorders 2 2 $437,464.25 $437,464.25 $52,164.40 $106,868.20 $79,516.30 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 $116,827.30 $116,827.30 $79,108.50 $79,108.50 $79,108.50 2025-01-01
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 3 2 $124,747.30 $124,747.30 $63,191.82 $78,989.78 $78,989.78 2025-01-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc-mcc 1 1 — — $78,750.36 $78,750.36 $78,750.36 2026-04-01
243 APR_DRG Extracranial Vascular Procedures 4 3 $177,701.69 $177,701.69 $62,945.88 $83,743.98 $78,682.35 2026-04-01
2213 APR_DRG Major Small And Large Bowel Procedures 4 3 $149,817.73 $149,817.73 $69,478.81 $86,848.51 $78,614.29 2026-04-01
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 2 2 $339,259.17 $339,259.17 $76,734.11 $79,851.88 $78,292.99 2026-04-01
1792 APR_DRG Defibrillator Implants 1 1 $173,399.17 $173,399.17 $78,227.01 $78,227.01 $78,227.01 2025-01-01
3444 APR_DRG Osteomyelitis Septic Arthritis And Other Musculoskeletal Infections 3 2 $66,587.25 $66,587.25 $62,460.20 $78,075.25 $78,075.25 2025-01-01
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 1 1 $107,362.41 $107,362.41 $77,301.24 $77,301.24 $77,301.24 2025-01-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 $135,025.80 $135,025.80 $77,185.25 $77,185.25 $77,185.25 2025-01-01
233 APR_DRG Spinal Procedures 5 4 $69,529.86 $69,529.86 $61,129.22 $97,498.21 $76,411.53 2026-04-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 466 40 $103,311.41 $103,311.41 $9.68 $98,145.84 $76,378.13 2026-04-01
6813 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 1 1 $317,149.24 $317,149.24 $75,956.55 $75,956.55 $75,956.55 2025-01-01
J0567 HCPCS Cerliponase Alfa 300 Mg/10 Ml(150 Mg/5ml X2) Intraventricular Kit 920 40 $151,323.90 $151,323.90 $9.68 $161,405.88 $75,237.32 2026-04-01
2203 APR_DRG Major Stomach Esophageal And Duodenal Procedures 5 4 $79,013.60 $79,013.60 $59,896.23 $100,477.82 $74,870.28 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 466 40 $99,720.84 $99,720.84 $9.68 $94,734.80 $74,790.63 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $73,755.07 $73,755.07 $73,755.07 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $73,738.26 $73,738.26 $73,738.26 2026-04-01
6312 APR_DRG Neonate Birthwt Greater Than 2499g W Other Major Procedure 4 3 $135,904.61 $135,904.61 $58,951.37 $81,413.45 $73,689.21 2025-01-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc-mcc 1 1 — — $73,543.29 $73,543.29 $73,543.29 2026-04-01
1753 APR_DRG Percutaneous Coronary Intervention W-o Ami 5 4 $226,083.05 $226,083.05 $33,390.11 $91,526.51 $73,221.21 2026-04-01
212 APR_DRG Craniotomy Except For Trauma 5 4 $186,392.40 $186,392.40 $28,659.27 $90,905.18 $72,724.15 2026-04-01
7204 APR_DRG Septicemia And Disseminated Infections 5 4 $165,035.74 $165,035.74 $58,903.76 $90,691.25 $72,624.41 2026-04-01
912 APR_DRG Other Major Head And Neck Procedures 2 2 $26,174.90 $26,174.90 $26,121.70 $118,778.93 $72,450.32 2026-04-01
7103 APR_DRG Infectious And Parasitic Diseases Including HIV W O.r. Procedure 2 2 $330,735.30 $330,735.30 $67,824.30 $76,610.02 $72,217.16 2026-04-01
2634 APR_DRG Cholecystectomy 4 3 $49,049.21 $49,049.21 $35,358.88 $79,976.37 $71,978.74 2025-01-01
4013 APR_DRG Adrenal Procedures 1 1 $221,602.61 $221,602.61 $71,763.45 $71,763.45 $71,763.45 2025-01-01
2824 APR_DRG Disorders Of Pancreas Except Malignancy 4 3 $145,580.87 $145,580.87 $60,224.25 $75,280.31 $71,226.76 2025-01-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 1 1 $135,628.80 $135,628.80 $70,955.42 $70,955.42 $70,955.42 2025-01-01
6614 APR_DRG Coagulation And Platelet Disorders 1 1 $167,466.26 $167,466.26 $70,161.89 $70,161.89 $70,161.89 2025-01-01
3042 APR_DRG Dorsal And Lumbar Fusion Proc Except For Curvature Of Back 4 3 $125,040.03 $125,040.03 $60,843.75 $76,054.69 $70,125.83 2025-01-01
1791 APR_DRG Defibrillator Implants 1 1 $234,425.88 $234,425.88 $69,348.84 $69,348.84 $69,348.84 2025-01-01
2264 APR_DRG Anal And Perineal Procedures 1 1 $72,386.11 $72,386.11 $69,289.79 $69,289.79 $69,289.79 2025-01-01
7402 APR_DRG Mental Illness Diagnosis W O.r. Procedure 1 1 — — $68,669.02 $68,669.02 $68,669.02 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 1 1 $200,197.04 $200,197.04 $68,235.38 $68,235.38 $68,235.38 2025-01-01
1733 APR_DRG Other Vascular Procedures 3 2 $111,657.48 $111,657.48 $54,555.43 $68,194.29 $68,194.29 2025-01-01
J9999 HCPCS Dinutuximab 3.5 Mg/ml Intravenous Solution 472 41 $92,023.32 $92,023.32 $9.68 $87,422.15 $68,032.84 2026-04-01
1203 APR_DRG Major Respiratory And Chest Procedures 4 3 $94,624.57 $94,624.57 $37,193.84 $74,565.65 $67,109.08 2025-01-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 $188,740.68 $188,740.68 $66,748.66 $66,748.66 $66,748.66 2025-01-01
2223 APR_DRG Other Stomach Esophageal And Duodenal Procedures 2 2 $156,450.98 $156,450.98 $41,707.85 $90,899.88 $66,303.87 2026-04-01
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 4 3 $43,579.77 $43,579.77 $52,734.44 $111,571.23 $65,918.05 2025-01-01
4413 APR_DRG Major Bladder Procedures 5 4 $157,085.68 $157,085.68 $30,847.26 $71,430.76 $65,816.52 2026-04-01
3041 APR_DRG Dorsal And Lumbar Fusion Proc Except For Curvature Of Back 5 4 $161,694.19 $161,694.19 $31,103.34 $69,579.01 $65,764.36 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 1 $21,718.99 $21,718.99 $64,642.16 $66,264.69 $65,453.43 2026-04-01
7573 APR_DRG Organic Mental Health Disturbances 5 4 $206,761.61 $206,761.61 $21,869.24 $81,589.50 $65,271.60 2026-04-01
1974 APR_DRG Peripheral And Other Vascular Disorders 1 1 — — $64,990.48 $64,990.48 $64,990.48 2026-04-01
3123 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 1 1 $79,066.87 $79,066.87 $64,694.66 $64,694.66 $64,694.66 2025-01-01
7214 APR_DRG Post-operative Post-traumatic Other Device Infections 2 2 $223,339.99 $223,339.99 $55,634.58 $72,496.13 $64,065.36 2026-04-01
3213 APR_DRG Cervical Spinal Fusion And Other Back-neck Proc Exc Disc Excis-decomp 4 3 $88,939.60 $88,939.60 $30,886.14 $71,123.73 $64,011.35 2025-01-01
6333 APR_DRG Neonate Birthwt Greater Than 2499g W Major Anomaly 2 2 $202,366.49 $202,366.49 $45,726.22 $81,960.82 $63,843.52 2026-04-01
2454 APR_DRG Inflammatory Bowel Disease 5 4 $112,335.62 $112,335.62 $25,143.05 $94,904.01 $63,694.55 2026-04-01
1803 APR_DRG Other Circulatory System Procedures 1 1 $280,626.70 $280,626.70 $63,174.94 $63,174.94 $63,174.94 2025-01-01
7113 APR_DRG Post-op Post-trauma Other Device Infections W O.r. Procedure 5 4 $38,887.01 $38,887.01 $27,970.40 $65,240.11 $62,699.09 2026-04-01
4244 APR_DRG Other Endocrine Disorders 2 2 $276,317.05 $276,317.05 $61,843.48 $63,156.89 $62,500.18 2026-04-01
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 1,042 40 $104,083.05 $104,083.05 $9.68 $98,878.91 $62,252.07 2026-04-01
554 APR_DRG Head Trauma With Coma 1 Hour Or Hemorrhage 1 1 $218,715.29 $218,715.29 $61,588.46 $61,588.46 $61,588.46 2025-01-01
6933 APR_DRG Chemotherapy 3 2 $89,477.09 $89,477.09 $48,722.08 $60,902.60 $60,902.60 2025-01-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 762 41 $98,460.94 $98,460.94 $4,230.50 $93,537.89 $60,622.40 2026-04-01
1631 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 5 4 $144,617.34 $144,617.34 $38,026.97 $156,614.42 $60,380.32 2026-04-01
1144 APR_DRG Dental Diseases And Disorders 4 3 $48,334.46 $48,334.46 $28,137.11 $66,881.55 $60,193.40 2025-01-01
2474 APR_DRG Intestinal Obstruction 4 3 $34,007.03 $34,007.03 $48,069.83 $173,989.50 $60,087.29 2026-04-01
3093 APR_DRG Other Significant Hip And Femur Surgery 5 4 $105,610.81 $105,610.81 $34,288.83 $69,003.40 $59,770.45 2026-04-01
1134 APR_DRG Infections Of Upper Respiratory Tract 5 4 $140,997.96 $140,997.96 $16,043.48 $74,157.20 $59,325.76 2026-04-01
463 APR_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction 1 1 $287,075.94 $287,075.94 $58,596.86 $58,596.86 $58,596.86 2025-01-01
2623 APR_DRG Cholecystectomy Except Laparoscopic 1 1 — — $58,587.33 $58,587.33 $58,587.33 2026-04-01
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 1,374 40 $70,425.82 $70,425.82 $9.68 $128,769.21 $58,453.43 2026-04-01
3514 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 4 3 $85,512.30 $85,512.30 $17,512.12 $64,118.46 $57,706.61 2025-01-01
6601 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 1 1 $264,179.94 $264,179.94 $57,378.04 $57,378.04 $57,378.04 2025-01-01
2074 APR_DRG Other Circulatory System Diagnoses 5 4 $80,979.43 $80,979.43 $30,557.04 $57,488.47 $57,345.21 2026-04-01
584 APR_DRG Other Disorders Of Nervous System 4 3 $51,666.20 $51,666.20 $28,876.62 $63,223.27 $56,900.94 2025-01-01
4423 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 4 $129,691.16 $129,691.16 $42,234.05 $166,414.51 $56,657.31 2026-04-01
100 MS_DRG Seizures With Mcc 2 1 $81,677.15 $81,677.15 $53,466.13 $59,322.76 $56,394.44 2026-04-01
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 4 $156,532.16 $156,532.16 $44,886.84 $71,201.21 $56,341.28 2026-04-01
6624 APR_DRG Sickle Cell Anemia Crisis 2 2 $168,197.27 $168,197.27 $37,491.10 $75,166.02 $56,328.56 2026-04-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 1 1 $222,578.14 $222,578.14 $56,079.68 $56,079.68 $56,079.68 2025-01-01
2844 APR_DRG Disorders Of Gallbladder And Biliary Tract 4 3 $44,487.38 $44,487.38 $25,514.31 $62,310.42 $56,079.38 2025-01-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 408 23 $74,513.16 $74,513.16 $9.68 $70,787.51 $55,884.87 2026-04-01
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 1 1 $224,003.04 $224,003.04 $55,818.67 $55,818.67 $55,818.67 2025-01-01
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 4 $147,978.69 $147,978.69 $44,635.22 $82,904.49 $55,794.03 2026-04-01
1994 APR_DRG Hypertension 1 1 — — $55,740.82 $55,740.82 $55,740.82 2026-04-01
293 APR_DRG Other Percutaneous Intracranial Procedures 1 1 $249,570.37 $249,570.37 $55,481.85 $55,481.85 $55,481.85 2025-01-01
263 APR_DRG Other Nervous System And Related Procedures 4 3 $85,623.91 $85,623.91 $45,778.14 $57,222.67 $55,033.90 2025-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $54,876.05 $54,876.05 $54,876.05 2026-04-01
3083 APR_DRG Hip And Femur Fracture Repair 5 4 $76,641.45 $76,641.45 $19,581.81 $62,308.17 $54,635.62 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 1 1 $69,108.32 $69,108.32 $54,619.12 $54,619.12 $54,619.12 2025-01-01
2233 APR_DRG Other Small And Large Bowel Procedures 5 4 $141,579.83 $141,579.83 $21,358.53 $92,569.70 $54,594.95 2026-04-01
1324 APR_DRG Bpd And Oth Chronic Respiratory Diseases Arising In Perinatal Period 5 4 $121,104.30 $121,104.30 $30,598.46 $64,224.81 $54,481.35 2026-04-01
1921 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 2 2 $65,029.88 $65,029.88 $7,721.85 $101,101.27 $54,411.56 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $54,298.02 $54,298.02 $54,298.02 2026-04-01
2243 APR_DRG Peritoneal Adhesiolysis 4 3 $62,955.55 $62,955.55 $20,503.63 $60,201.26 $54,181.14 2025-01-01
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