Price Transparencybeta Hospital negotiated rates

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

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Hospital

Beth Israel Deaconess Med Ctr - Transplant Center

Boston, MA · CCN 229803 · Rates published

Your selected procedure

You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $1,867 across 4 payers · range $1,083-$6,865

Source: https://bidmc.org/042103881_beth-israel-deaconess-medical-center_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.

14,922 distinct procedures filed
17 distinct payers
85,526 rate rows
2026-04-01 last MRF observed
Data quality

49,801 of 85,526 rate rows are consumer-grade (58.2%)

35,725 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 35,623
placeholder amount (≤ $0.02) — excluded from medians 73
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 29

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,335,000.00 $4,335,000.00 $4,335,000.00 nat. median
$4,505,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,856,000.00 $4,897,200.00 $3,876,600.00 nat. median
$2,968,000
1.3× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,508,750
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,264,000.00 $3,264,000.00 $3,264,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,162,000.00 $3,162,000.00 $3,162,000.00 nat. median
$3,248,446
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,146,250.00 $3,884,946.48 $3,015,598.24 nat. median
$2,455,111
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,244,000.00 $2,244,000.00 $2,244,000.00 nat. median
$2,332,000
1.0× median
5834
APR_DRG 		Neonate With Ecmo 2 $581,549.93 $988,926.78 $895,353.59 nat. median
$390,362
outlier · 2.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $770,620.00 $770,620.00 nat. median
$813,967
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant 2 $677,648.32 $790,021.47 $748,469.18 nat. median
$225,531
outlier · 3.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $571,327.52 $811,188.55 $734,433.13 nat. median
$286,698
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $863,696.72 $715,114.01 nat. median
$621,313
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $587,649.57 $837,683.55 $712,666.56 nat. median
$599,737
1.2× median
5833
APR_DRG 		Neonate With Ecmo 2 $330,386.53 $783,248.83 $709,137.09 nat. median
$268,208
outlier · 2.6×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $430,014.32 $854,155.78 $705,314.89 nat. median
$168,055
outlier · 4.2×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $522,572.39 $775,592.24 $702,204.97 nat. median
$202,242
outlier · 3.5×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $558,081.73 $830,699.97 $694,390.85 nat. median
$574,037
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $819,043.85 $690,622.54 nat. median
$579,571
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $532,192.24 $807,075.90 $669,634.07 nat. median
$562,501
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,450.20 $741,576.00 $615,513.10 nat. median
$513,770
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $222,778.38 $594,184.06 $537,961.80 nat. median
$155,539
outlier · 3.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $276,888.11 $588,790.78 $533,078.84 nat. median
$187,567
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo 2 $324,207.80 $577,570.89 $522,920.59 nat. median
$201,678
outlier · 2.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $473,149.38 $571,327.52 $522,598.11 nat. median
$173,134
outlier · 3.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $424,256.11 $546,951.20 $495,198.16 nat. median
$173,018
outlier · 2.9×
114
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $461,949.95 $510,228.23 $486,089.09 nat. median
$135,803
outlier · 3.6×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $394,766.21 $529,048.04 $478,989.02 nat. median
$168,439
outlier · 2.8×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $444,256.01 $490,685.09 $467,470.55 nat. median
$149,836
outlier · 3.1×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $437,073.18 $511,724.88 $463,304.99 nat. median
$152,383
outlier · 3.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $438,658.05 $510,884.89 $462,544.48 nat. median
$171,497
outlier · 2.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $361,445.45 $507,624.92 $459,592.97 nat. median
$198,578
outlier · 2.3×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 1 $433,195.40 $478,468.55 $455,831.97 nat. median
$136,566
outlier · 3.3×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $430,808.24 $475,831.91 $453,320.07 nat. median
$152,792
outlier · 3.0×
5831
APR_DRG 		Neonate With Ecmo 2 $324,207.80 $499,125.01 $451,897.33 nat. median
$173,909
outlier · 2.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $238,033.89 $487,341.79 $441,229.05 nat. median
$181,762
outlier · 2.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $409,170.42 $486,025.14 $440,036.98 nat. median
$135,630
outlier · 3.2×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $138,734.99 $477,078.56 $431,936.94 nat. median
$109,992
outlier · 3.9×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $341,172.70 $462,842.04 $419,047.49 nat. median
$117,894
outlier · 3.6×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $90,887.77 $453,222.13 $410,337.83 nat. median
$108,954
outlier · 3.8×
64
APR_DRG 		Pancreas Transplant 1 $382,561.08 $422,542.44 $402,551.76 nat. median
$92,994
outlier · 4.3×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $315,384.60 $425,265.75 $385,026.70 nat. median
$115,963
outlier · 3.3×
0100T
OTHER 		Prosth Retina Receive&Gen 1 $365,527.79 $382,269.52 $373,898.66 nat. median
$66,159
outlier · 5.7×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $342,368.15 $379,222.87 $343,340.45 nat. median
$124,731
outlier · 2.8×
7594
APR_DRG 		Eating Disorders 2 $47,899.30 $376,036.24 $340,455.33 nat. median
$28,483
outlier · 12.0×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $304,964.83 $437,073.18 $336,836.63 nat. median
$130,862
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $1,750.00 $1,670,935.52 $330,597.68 nat. median
$145,435
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $212,608.28 $422,312.89 $317,460.59 nat. median
$131,925
outlier · 2.4×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $289,993.03 $320,300.13 $312,208.07 nat. median
$91,350
outlier · 3.4×
22
APR_DRG 		Heart And/Or Lung Transplant 2 $290,841.76 $343,479.90 $310,979.51 nat. median
$95,481
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 14,922 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,335,000.00 $4,335,000.00 $4,335,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $2,856,000.00 $4,897,200.00 $3,876,600.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,264,000.00 $3,264,000.00 $3,264,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,162,000.00 $3,162,000.00 $3,162,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,146,250.00 $3,884,946.48 $3,015,598.24 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,244,000.00 $2,244,000.00 $2,244,000.00 2026-04-01
5834 APR_DRG Neonate With Ecmo 3 2 — — $581,549.93 $988,926.78 $895,353.59 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $770,620.00 $770,620.00 $770,620.00 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 3 2 — — $677,648.32 $790,021.47 $748,469.18 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $571,327.52 $811,188.55 $734,433.13 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $566,531.30 $863,696.72 $715,114.01 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $587,649.57 $837,683.55 $712,666.56 2026-04-01
5833 APR_DRG Neonate With Ecmo 3 2 — — $330,386.53 $783,248.83 $709,137.09 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 5 — — $430,014.32 $854,155.78 $705,314.89 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $522,572.39 $775,592.24 $702,204.97 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $558,081.73 $830,699.97 $694,390.85 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,201.24 $819,043.85 $690,622.54 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $532,192.24 $807,075.90 $669,634.07 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,450.20 $741,576.00 $615,513.10 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $222,778.38 $594,184.06 $537,961.80 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $276,888.11 $588,790.78 $533,078.84 2026-04-01
5832 APR_DRG Neonate With Ecmo 3 2 — — $324,207.80 $577,570.89 $522,920.59 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $473,149.38 $571,327.52 $522,598.11 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $424,256.11 $546,951.20 $495,198.16 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $461,949.95 $510,228.23 $486,089.09 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $394,766.21 $529,048.04 $478,989.02 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $444,256.01 $490,685.09 $467,470.55 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $437,073.18 $511,724.88 $463,304.99 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $438,658.05 $510,884.89 $462,544.48 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $361,445.45 $507,624.92 $459,592.97 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $433,195.40 $478,468.55 $455,831.97 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $430,808.24 $475,831.91 $453,320.07 2026-04-01
5831 APR_DRG Neonate With Ecmo 3 2 — — $324,207.80 $499,125.01 $451,897.33 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $238,033.89 $487,341.79 $441,229.05 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $409,170.42 $486,025.14 $440,036.98 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $138,734.99 $477,078.56 $431,936.94 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 3 2 — — $341,172.70 $462,842.04 $419,047.49 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $90,887.77 $453,222.13 $410,337.83 2026-04-01
64 APR_DRG Pancreas Transplant 2 1 — — $382,561.08 $422,542.44 $402,551.76 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $315,384.60 $425,265.75 $385,026.70 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $365,527.79 $382,269.52 $373,898.66 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $342,368.15 $379,222.87 $343,340.45 2026-04-01
7594 APR_DRG Eating Disorders 3 2 — — $47,899.30 $376,036.24 $340,455.33 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $304,964.83 $437,073.18 $336,836.63 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 6 — — $1,750.00 $1,670,935.52 $330,597.68 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $212,608.28 $422,312.89 $317,460.59 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $289,993.03 $320,300.13 $312,208.07 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 3 2 — — $290,841.76 $343,479.90 $310,979.51 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $308,021.96 $340,213.26 $308,325.14 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $228,008.45 $332,600.01 $301,129.08 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $225,139.84 $328,186.72 $297,133.38 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 5 — — $253,831.12 $554,312.74 $289,927.31 2026-04-01
63 APR_DRG Pancreas Transplant 2 1 — — $268,997.50 $297,110.36 $283,053.93 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $212,478.99 $309,310.24 $280,043.01 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $263,716.17 $291,277.09 $279,516.73 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $261,811.88 $289,173.77 $275,492.83 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 3 2 — — $266,592.23 $294,453.72 $273,958.36 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $267,498.89 $299,300.34 $270,980.26 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $252,721.11 $299,027.01 $270,732.79 2026-04-01
4404 APR_DRG Kidney Transplant 2 1 — — $254,523.65 $281,123.86 $267,823.76 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $267,750.00 $267,750.00 $267,750.00 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $246,662.37 $295,710.38 $267,729.98 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $250,443.45 $276,617.23 $263,530.34 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $134,159.25 $284,490.49 $257,571.73 2026-04-01
904 APR_DRG Description Not Available 1 1 — — $254,267.49 $254,267.49 $254,267.49 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $244,136.04 $269,650.64 $252,268.29 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $195,566.17 $276,413.90 $250,259.36 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 1 — — $236,708.99 $261,447.39 $249,078.19 2026-04-01
62 APR_DRG Pancreas Transplant 2 1 — — $233,516.05 $257,920.75 $245,718.40 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $227,383.68 $251,147.49 $239,265.58 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 3 2 — — $21,468.20 $263,524.03 $238,589.14 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $159,551.13 $263,204.03 $238,299.42 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $224,730.94 $248,217.52 $236,474.23 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 5 — — $102,671.96 $458,387.02 $231,019.08 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $164,896.67 $252,900.80 $228,971.09 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $112,842.06 $359,286.93 $224,143.00 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $209,900.98 $231,837.68 $220,869.33 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $160,221.30 $240,694.26 $217,919.54 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $204,791.68 $226,194.40 $215,493.04 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $206,578.27 $228,167.72 $214,727.24 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $150,137.00 $236,754.30 $214,352.38 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $209,037.56 $235,864.31 $213,546.60 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $201,994.08 $223,104.44 $212,549.26 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $198,556.69 $219,307.81 $208,932.25 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $205,494.85 $226,971.06 $207,894.19 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $205,156.84 $226,597.73 $207,144.77 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $162,757.09 $228,664.38 $207,027.94 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $187,366.32 $206,947.93 $203,282.22 2026-04-01
1794 APR_DRG Defibrillator Implants 2 1 — — $192,852.86 $213,007.87 $202,930.36 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $158,215.31 $223,901.09 $202,715.36 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $192,053.12 $212,124.55 $202,553.18 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $201,669.02 $201,669.02 $201,669.02 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $182,534.66 $203,821.07 $201,611.32 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $181,731.90 $331,529.90 $200,724.66 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $34,288.05 $620,836.84 $200,573.12 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $185,966.38 $221,347.79 $200,403.65 2026-04-01
8634 APR_DRG Neonatal Aftercare 3 2 — — $119,974.66 $217,001.16 $196,468.31 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $141,080.60 $216,964.50 $196,435.11 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 1 — — $186,364.38 $205,841.27 $196,102.83 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $162,618.98 $214,337.86 $194,057.01 2026-04-01
61 APR_DRG Pancreas Transplant 2 1 — — $183,554.71 $202,737.97 $193,146.34 2026-04-01
7 MS_DRG Lung Transplant 2 2 — — $128,958.09 $256,154.96 $192,556.52 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $182,350.57 $201,407.99 $191,879.28 2026-04-01
6124 APR_DRG Respiratory Condition 3 2 — — $191,636.65 $211,664.55 $191,850.78 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $129,884.62 $211,851.21 $191,805.65 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $117,237.36 $207,667.92 $188,018.19 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 1 — — $175,116.67 $193,418.07 $184,267.37 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $162,628.04 $203,071.30 $183,856.50 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $146,946.88 $202,494.64 $183,334.41 2026-04-01
234 APR_DRG Spinal Procedures 3 2 — — $173,957.79 $192,138.08 $182,986.83 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $93,794.87 $200,554.66 $181,577.99 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $163,766.34 $203,116.94 $180,881.52 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $171,541.80 $196,741.37 $178,125.51 2026-04-01
4403 APR_DRG Kidney Transplant 2 1 — — $167,771.10 $185,304.81 $176,537.96 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $159,824.97 $183,715.87 $176,528.23 2026-04-01
8504 APR_DRG Services 3 2 — — $172,676.11 $192,631.41 $174,404.44 2026-04-01
6904 APR_DRG Acute Leukemia 3 2 — — $156,758.78 $198,178.94 $173,141.60 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 1 — — $163,153.71 $180,204.86 $171,679.28 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $163,952.54 $189,504.77 $171,573.65 2026-04-01
4414 APR_DRG Major Bladder Procedures 3 2 — — $153,127.88 $189,471.44 $171,543.47 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $154,582.87 $217,364.92 $170,738.29 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $110,397.52 $187,151.46 $169,443.01 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $168,143.39 $187,094.80 $169,391.71 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $158,859.24 $175,461.58 $169,318.45 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $112,712.61 $223,885.86 $168,299.23 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $68,511.67 $184,698.15 $167,221.84 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $162,616.72 $184,424.82 $166,974.37 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $109,749.11 $217,999.34 $163,874.23 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $81,206.47 $180,498.20 $163,419.29 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $147,533.06 $167,244.54 $162,951.70 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $160,472.62 $179,498.21 $162,513.92 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $154,379.92 $178,284.88 $161,415.40 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $110,066.96 $177,768.22 $160,947.62 2026-04-01
7504 APR_DRG Schizophrenia 3 2 — — $65,769.84 $176,464.90 $159,767.63 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $108,226.24 $176,171.57 $159,502.05 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $144,195.26 $249,546.84 $159,265.07 2026-04-01
274 APR_DRG Other Open Craniotomy 2 1 — — $151,233.00 $167,038.33 $159,135.66 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $154,493.13 $175,641.58 $159,022.20 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $143,646.00 $166,488.33 $158,658.41 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $102,916.93 $175,221.58 $158,641.95 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $143,492.09 $274,836.83 $158,488.42 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $151,468.29 $174,831.59 $158,288.86 2026-04-01
4014 APR_DRG Adrenal Procedures 3 2 — — $142,653.12 $158,208.52 $157,561.76 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $137,901.80 $174,024.93 $157,558.52 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $153,779.94 $173,651.60 $157,220.52 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $132,304.95 $172,648.27 $156,312.13 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $78,357.51 $189,965.95 $155,644.86 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $145,658.94 $160,881.72 $153,270.33 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 1 — — $145,520.12 $160,728.39 $153,124.26 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $138,250.00 $162,757.09 $152,698.47 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $144,819.97 $159,955.07 $152,387.52 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $101,479.23 $167,901.65 $152,014.64 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $149,804.18 $167,901.65 $152,014.64 2026-04-01
4402 APR_DRG Kidney Transplant 2 1 — — $143,890.45 $158,928.41 $151,409.43 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $114,022.34 $166,885.00 $151,094.18 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $142,948.87 $157,888.42 $150,418.65 2026-04-01
7914 APR_DRG Description Not Available 1 1 — — $149,672.86 $149,672.86 $149,672.86 2026-04-01
2214 APR_DRG Description Not Available 1 1 — — $149,618.52 $149,618.52 $149,618.52 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $137,494.26 $165,148.35 $149,521.86 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $80,400.46 $164,945.02 $149,337.76 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $141,892.60 $156,721.77 $149,307.18 2026-04-01
3214 APR_DRG Decompression 3 2 — — $134,851.84 $159,940.55 $148,945.18 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $141,509.33 $156,298.44 $148,903.89 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $139,029.32 $164,451.69 $148,891.11 2026-04-01
1793 APR_DRG Defibrillator Implants 2 1 — — $140,619.05 $155,315.11 $147,967.08 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $119,734.66 $162,675.04 $147,282.57 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $145,112.96 $160,821.73 $145,604.62 2026-04-01
652 MS_DRG Kidney Transplant 6 5 — — $32,159.36 $204,121.00 $145,053.82 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $130,819.93 $189,914.97 $144,491.89 2026-04-01
6123 APR_DRG Respiratory Condition 3 2 — — $134,773.38 $148,858.51 $143,611.86 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $131,827.91 $145,605.21 $143,100.18 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $121,217.65 $157,831.76 $142,897.57 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $131,903.36 $145,688.54 $142,092.65 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 3 2 — — $129,151.03 $142,648.57 $142,004.35 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $130,530.21 $144,171.89 $141,863.98 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $85,399.59 $156,565.10 $141,750.76 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $131,441.62 $145,178.55 $140,971.92 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $133,868.01 $147,858.52 $140,863.27 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $60,376.75 $154,838.45 $140,187.49 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $126,688.42 $172,764.41 $139,928.60 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $132,253.43 $146,075.21 $139,346.30 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 7 — — $2,695.00 $229,027.92 $139,223.59 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $120,622.19 $153,388.47 $138,874.70 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $131,384.28 $145,115.22 $138,249.75 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $128,825.10 $142,288.58 $137,138.80 2026-04-01
3014 APR_DRG Hip Joint Replacement 1 1 — — $137,061.82 $137,061.82 $137,061.82 2026-04-01
2624 APR_DRG Description Not Available 1 1 — — $137,059.56 $137,059.56 $137,059.56 2026-04-01
7574 APR_DRG Organic Mental Health Disturbances 3 2 — — $21,819.13 $151,058.49 $136,765.19 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $124,355.59 $137,351.96 $136,658.81 2026-04-01
4401 APR_DRG Kidney Transplant 2 1 — — $128,484.07 $141,911.91 $135,197.99 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $128,161.16 $141,555.25 $134,858.21 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $89,717.60 $178,209.89 $133,963.74 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $89,364.03 $147,851.85 $133,861.97 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $90,921.73 $147,795.19 $133,810.67 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $120,975.54 $144,356.75 $133,618.66 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $83,346.05 $147,461.86 $133,508.88 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $119,119.53 $274,836.83 $131,568.68 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 1 1 — — $131,401.46 $131,401.46 $131,401.46 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $118,790.58 $142,074.54 $131,205.35 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $121,978.39 $144,815.22 $131,112.67 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $119,318.71 $131,788.68 $131,018.94 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $121,636.46 $134,348.66 $130,074.81 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $128,965.40 $143,368.57 $129,802.90 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $78,385.41 $143,281.90 $129,724.43 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $108,959.81 $143,191.90 $129,642.95 2026-04-01
6504 APR_DRG Splenectomy 3 2 — — $128,641.01 $142,085.25 $129,121.62 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $122,608.22 $135,421.98 $129,015.10 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $116,717.28 $169,884.48 $128,915.38 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $86,231.30 $171,284.91 $128,758.11 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $117,393.29 $129,662.04 $128,736.73 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $121,862.80 $134,598.65 $128,230.73 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $116,020.15 $142,679.05 $128,145.39 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $115,525.21 $146,516.70 $127,598.72 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 6 — — $63,922.33 $204,067.84 $127,274.38 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 1 — — $120,444.39 $133,032.00 $126,738.20 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $114,728.49 $153,813.90 $126,718.73 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $114,734.52 $126,725.40 $126,302.82 2026-04-01
8633 APR_DRG Neonatal Aftercare 3 2 — — $93,994.11 $139,235.27 $126,060.70 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 1 — — $119,659.74 $132,165.35 $125,912.55 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 5 — — $4,316.00 $356,535.00 $125,755.68 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $83,773.96 $138,671.95 $125,550.68 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $119,376.05 $131,852.01 $125,295.29 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 1 — — $118,850.94 $131,272.02 $125,061.48 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 3 2 — — $88,736.87 $137,815.29 $124,775.08 2026-04-01
4034 APR_DRG Procedures For Obesity 3 2 — — $112,938.87 $148,903.06 $124,742.09 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $118,467.66 $130,848.69 $124,658.18 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $118,398.25 $130,772.03 $124,585.14 2026-04-01
6224 APR_DRG Respiratory Condition 3 2 — — $117,031.33 $137,061.96 $124,093.03 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 4 — — $99,151.81 $196,949.46 $123,480.54 2026-04-01
3024 APR_DRG Knee Joint Replacement 1 1 — — $123,230.43 $123,230.43 $123,230.43 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $111,426.90 $126,078.67 $123,072.10 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $100,068.69 $135,438.65 $122,623.31 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $114,284.98 $135,418.65 $122,605.21 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $111,183.16 $133,968.66 $121,292.42 2026-04-01
1792 APR_DRG Defibrillator Implants 2 1 — — $114,571.56 $126,545.40 $120,558.48 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $112,308.13 $124,045.43 $119,401.84 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $107,503.63 $135,345.63 $118,738.81 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $107,301.43 $121,050.11 $118,515.48 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $112,558.62 $124,322.09 $118,440.35 2026-04-01
7514 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 3 2 — — $52,255.43 $129,642.04 $117,375.18 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 3 2 — — $106,205.94 $154,914.25 $117,305.49 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 3 — — $59,047.95 $135,568.36 $117,289.47 2026-04-01
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy 3 2 — — $24,687.75 $129,192.04 $116,967.77 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $62,567.13 $136,044.86 $116,374.34 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $61,627.62 $135,230.50 $116,264.74 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $109,969.26 $121,462.12 $116,225.31 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $105,053.10 $136,950.88 $116,032.17 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $114,022.34 $128,025.39 $115,911.50 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $83,423.03 $128,008.72 $115,896.41 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $87,781.42 $127,712.06 $115,627.82 2026-04-01
7534 APR_DRG Bipolar Disorders 3 2 — — $40,178.72 $127,668.72 $115,588.59 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $96,889.90 $127,495.39 $115,431.66 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $103,532.08 $135,026.40 $114,352.19 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $70,755.39 $125,788.74 $113,886.49 2026-04-01
3624 APR_DRG Mastectomy Procedures 3 2 — — $65,742.67 $125,395.41 $113,530.38 2026-04-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $68,482.23 $125,318.75 $113,460.97 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $107,346.70 $118,565.48 $113,286.51 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $84,120.37 $124,825.42 $113,014.32 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $102,131.77 $134,297.36 $112,805.54 2026-04-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $73,845.89 $124,455.42 $112,679.33 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 3 2 — — $101,875.25 $140,054.96 $112,522.21 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 3 2 — — $101,805.84 $143,045.84 $112,445.54 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $63,842.31 $234,525.48 $112,224.00 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $86,262.21 $123,815.43 $112,099.90 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $101,467.83 $135,110.17 $112,072.21 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $70,755.39 $123,752.10 $112,042.56 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $83,944.94 $166,743.42 $111,794.57 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $65,476.84 $1,115,163.00 $110,336.76 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $98,078.55 $121,462.12 $109,969.26 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $89,058.37 $121,415.45 $109,927.01 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $48,630.60 $121,355.45 $109,872.69 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 3 2 — — $86,687.86 $121,242.12 $109,770.08 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $56,117.99 $118,810.55 $109,685.60 2026-04-01
6344 APR_DRG Respiratory Condition 3 2 — — $91,322.47 $120,965.46 $109,519.59 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 3 2 — — $109,109.24 $120,828.79 $109,395.86 2026-04-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $103,646.76 $114,478.86 $109,062.81 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $81,396.66 $120,125.47 $108,759.08 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 2 — — $98,308.09 $114,740.06 $108,582.25 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 2 1 — — $103,142.77 $113,922.19 $108,532.48 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 1 — — $103,046.20 $113,815.53 $108,430.86 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $58,810.00 $119,648.80 $108,327.52 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $97,640.60 $215,089.70 $108,284.29 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $71,882.82 $142,783.91 $107,333.37 2026-04-01
7734 APR_DRG Opioid Abuse And Dependence 3 2 — — $29,437.83 $118,365.48 $107,165.63 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $107,115.68 $107,115.68 $107,115.68 2026-04-01
233 APR_DRG Spinal Procedures 3 2 — — $97,274.79 $118,065.49 $106,894.02 2026-04-01
7744 APR_DRG Cocaine Abuse And Dependence 3 2 — — $22,865.15 $117,895.49 $106,740.11 2026-04-01
10 MS_DRG Pancreas Transplant 2 2 — — $71,455.62 $141,935.35 $106,695.49 2026-04-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $101,395.40 $111,992.21 $106,693.80 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 2 — — $71,425.75 $141,876.01 $106,650.88 2026-04-01
1791 APR_DRG Defibrillator Implants 2 1 — — $101,099.65 $111,665.55 $106,382.60 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $71,046.35 $141,122.39 $106,084.37 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $1,750.00 $383,837.22 $105,876.12 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $53,104.02 $160,854.75 $105,482.78 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $74,586.25 $115,882.17 $104,917.29 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $52,715.66 $125,214.28 $104,711.36 2026-04-01
6122 APR_DRG Respiratory Condition 3 2 — — $103,018.81 $115,275.51 $104,368.04 2026-04-01
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