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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

GILLETTE CHILDRENS SPECIALTY HOSPITAL

Saint Paul, MN · CCN 243300 · Rates published

21,314 distinct procedures filed
12 distinct payers
279,982 rate rows
2026-07-31 last MRF observed
Data quality

277,645 of 279,982 rate rows are consumer-grade (99.2%)

2,337 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 1,042
per-diem day rate — not a per-procedure price 772
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 295
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 174
percent-of-charges filed in the dollar field — excluded from medians 54
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.gillettechildrens.org/assets/uploads/documents/2026_Gillette-Childrens-Specialty-Healthcare_standardcharges.csv
Found on page https://www.gillettechildrens.org/your-visit/patient-services-and-resources/understand-costs-insurance-and-the-gillette-assistance-program/understand-gillette-costs
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 3f87d76959f57a28… · 79,029,156 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
J3391
HCPCS 		Inj Atidarsagene Autotemcel 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 3 $2,942,421.50 $3,685,266.67 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,200,000.00 $3,316,462.59 $3,227,488.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 3 $2,606,144.76 $3,248,445.72 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 3 $2,353,937.20 $2,945,740.00 $2,800,000.00 nat. median
$2,997,086
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,125,000.00 $2,455,110.61 $2,322,044.36 nat. median
$2,460,273
0.9× median
J3392
HCPCS 		Inj Exagamglogene Autotem 2 $2,200,000.00 $2,332,000.00 $2,266,000.00 nat. median
$2,405,851
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $727,000.00 $770,620.00 $748,810.00 nat. median
$809,151
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $528,018.75 $591,726.20 $565,623.84 nat. median
$691,418
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $525,000.00 $525,000.00 $525,000.00 nat. median
$459,112
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $465,000.00 $565,868.95 $517,071.00 nat. median
$631,793
0.8× median
5834
APR_DRG 		Neonate With Ecmo 2 $328,333.47 $936,885.78 $508,936.08 nat. median
$311,018
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $419,500.00 $557,317.93 $498,408.95 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $410,300.00 $562,538.19 $487,477.43 nat. median
$624,417
0.8× median
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 1 $470,250.00 $470,250.00 $470,250.00 nat. median
$10,345
outlier · 45.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $50,420.66 $533,230.17 $465,145.11 nat. median
$588,565
0.8× median
24
APR_DRG 		Transplant 2 $290,080.81 $827,733.42 $462,225.90 nat. median
$243,231
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $50,269.06 $489,304.61 $457,920.00 nat. median
$577,541
0.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $327,301.30 $933,940.50 $417,465.82 nat. median
$254,667
1.6× median
5833
APR_DRG 		Neonate With Ecmo 2 $275,280.46 $785,501.22 $403,087.07 nat. median
$250,089
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $282,521.84 $806,164.20 $399,146.72 nat. median
$209,486
1.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $315,097.41 $315,097.41 $315,097.41 nat. median
$119,243
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $197,517.17 $563,606.94 $305,787.76 nat. median
$127,938
outlier · 2.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $184,489.63 $526,433.40 $303,028.32 nat. median
$175,480
1.7× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 $169,939.87 $484,916.28 $303,012.19 nat. median
$160,171
1.9× median
5832
APR_DRG 		Neonate With Ecmo 2 $210,972.71 $602,001.78 $297,238.05 nat. median
$169,230
1.8× median
14
APR_DRG 		Transplant 2 $159,121.84 $454,047.48 $295,483.85 nat. median
$137,901
outlier · 2.1×
23
APR_DRG 		Transplant 2 $155,063.83 $442,468.14 $285,833.51 nat. median
$116,111
outlier · 2.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $240,223.58 $685,467.90 $281,480.09 nat. median
$165,646
1.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$302,242
0.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 2 $262,919.12 $789,880.20 $276,815.08 nat. median
$168,361
1.6× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 2 $244,596.70 $697,946.40 $272,266.51 nat. median
$156,285
1.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $226,041.04 $644,998.62 $268,947.14 nat. median
$180,995
1.5× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $116,849.63 $333,425.52 $263,351.41 nat. median
$147,847
1.8× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 2 $169,475.88 $483,592.32 $261,241.42 nat. median
$168,174
1.6× median
64
APR_DRG 		Pancreas Transplant 2 $175,717.34 $501,402.06 $260,946.03 nat. median
$92,994
outlier · 2.8×
J3403
HCPCS 		Revakinagene Per Implant 1 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
5831
APR_DRG 		Neonate With Ecmo 2 $93,732.29 $267,461.16 $256,867.07 nat. median
$154,685
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 2 $160,219.77 $457,180.38 $250,803.02 nat. median
$147,677
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $208,347.60 $594,511.14 $250,125.42 nat. median
$127,600
2.0× median
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 2 $81,563.65 $707,723.88 $248,023.23 nat. median
$96,420
outlier · 2.6×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $126,996.50 $362,379.18 $245,521.21 nat. median
$93,192
outlier · 2.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 2 $233,083.93 $665,095.20 $244,879.63 nat. median
$165,599
1.5× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 2 $67,709.82 $674,023.08 $236,212.72 nat. median
$89,188
outlier · 2.6×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $101,237.92 $288,878.16 $233,243.86 nat. median
$82,164
outlier · 2.8×
5893
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 2 $53,857.70 $641,929.44 $224,965.44 nat. median
$71,350
outlier · 3.2×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 $173,937.08 $496,322.16 $218,856.53 nat. median
$109,499
2.0× median
22
APR_DRG 		Transplant 2 $127,682.55 $364,336.80 $212,120.03 nat. median
$94,014
outlier · 2.3×
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 $149,901.31 $590,160.48 $206,822.91 nat. median
$99,613
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 21,314 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 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-07-15
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-07-15
J1411 HCPCS Inj Hemgenix Per Tx Dose 3 3 — — $2,942,421.50 $3,685,266.67 $3,500,000.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,200,000.00 $3,316,462.59 $3,227,488.00 2026-07-15
J3394 HCPCS Inj Lovotibeglogene Autotem 3 3 — — $2,606,144.76 $3,248,445.72 $3,100,000.00 2026-07-15
J3393 HCPCS Inj Betibeglogene Autotemce 3 3 — — $2,353,937.20 $2,945,740.00 $2,800,000.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 4 — — $2,125,000.00 $2,455,110.61 $2,322,044.36 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 2 2 — — $2,200,000.00 $2,332,000.00 $2,266,000.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $727,000.00 $770,620.00 $748,810.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $528,018.75 $591,726.20 $565,623.84 2026-07-15
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $525,000.00 $525,000.00 $525,000.00 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $465,000.00 $565,868.95 $517,071.00 2026-07-15
5834 APR_DRG Neonate With Ecmo 3 2 — — $328,333.47 $936,885.78 $508,936.08 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $419,500.00 $557,317.93 $498,408.95 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 4 — — $410,300.00 $562,538.19 $487,477.43 2026-07-15
Q2040 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $470,250.00 $470,250.00 $470,250.00 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 5 — — $50,420.66 $533,230.17 $465,145.11 2026-07-15
24 APR_DRG Transplant 3 2 — — $290,080.81 $827,733.42 $462,225.90 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 7 5 — — $50,269.06 $489,304.61 $457,920.00 2026-07-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $327,301.30 $933,940.50 $417,465.82 2026-07-15
5833 APR_DRG Neonate With Ecmo 3 2 — — $275,280.46 $785,501.22 $403,087.07 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $282,521.84 $806,164.20 $399,146.72 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $315,097.41 $315,097.41 $315,097.41 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $197,517.17 $563,606.94 $305,787.76 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $184,489.63 $526,433.40 $303,028.32 2026-07-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 2 — — $169,939.87 $484,916.28 $303,012.19 2026-07-15
5832 APR_DRG Neonate With Ecmo 3 2 — — $210,972.71 $602,001.78 $297,238.05 2026-07-15
14 APR_DRG Transplant 3 2 — — $159,121.84 $454,047.48 $295,483.85 2026-07-15
23 APR_DRG Transplant 3 2 — — $155,063.83 $442,468.14 $285,833.51 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $240,223.58 $685,467.90 $281,480.09 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-07-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $262,919.12 $789,880.20 $276,815.08 2026-07-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $244,596.70 $697,946.40 $272,266.51 2026-07-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $226,041.04 $644,998.62 $268,947.14 2026-07-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $116,849.63 $333,425.52 $263,351.41 2026-07-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $169,475.88 $483,592.32 $261,241.42 2026-07-15
64 APR_DRG Pancreas Transplant 3 2 — — $175,717.34 $501,402.06 $260,946.03 2026-07-15
J3403 HCPCS Revakinagene Per Implant 1 1 — — $257,500.00 $257,500.00 $257,500.00 2026-07-15
5831 APR_DRG Neonate With Ecmo 3 2 — — $93,732.29 $267,461.16 $256,867.07 2026-07-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 2 — — $160,219.77 $457,180.38 $250,803.02 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $208,347.60 $594,511.14 $250,125.42 2026-07-15
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 2 — — $81,563.65 $707,723.88 $248,023.23 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $126,996.50 $362,379.18 $245,521.21 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 3 2 — — $233,083.93 $665,095.20 $244,879.63 2026-07-15
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 2 — — $67,709.82 $674,023.08 $236,212.72 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $101,237.92 $288,878.16 $233,243.86 2026-07-15
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 2 — — $53,857.70 $641,929.44 $224,965.44 2026-07-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $173,937.08 $496,322.16 $218,856.53 2026-07-15
22 APR_DRG Transplant 3 2 — — $127,682.55 $364,336.80 $212,120.03 2026-07-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $149,901.31 $590,160.48 $206,822.91 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $205,640.00 $205,640.00 $205,640.00 2026-07-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $170,135.88 $485,475.60 $195,161.27 2026-07-15
63 APR_DRG Pancreas Transplant 3 2 — — $120,018.13 $342,466.68 $183,483.98 2026-07-15
21 APR_DRG Transplant 3 2 — — $95,273.12 $271,857.84 $181,843.34 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $111,802.87 $319,024.80 $178,582.65 2026-07-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $175,085.57 $503,232.24 $176,358.73 2026-07-15
4404 APR_DRG Kidney Transplant 3 2 — — $140,667.91 $401,389.98 $173,611.32 2026-07-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $80,769.26 $230,471.70 $173,347.83 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $97,727.02 $278,859.96 $171,167.52 2026-07-15
13 APR_DRG Transplant 3 2 — — $119,972.22 $342,335.70 $170,828.21 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $65,775.37 $187,687.26 $169,192.72 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $100,035.78 $285,447.90 $168,896.29 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $164,837.58 $472,692.66 $165,656.08 2026-07-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $154,030.35 $468,041.10 $164,025.93 2026-07-15
62 APR_DRG Pancreas Transplant 3 2 — — $105,651.98 $301,473.48 $159,281.98 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $108,873.82 $310,666.86 $159,181.80 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $155,099.07 $155,099.07 $155,099.07 2026-07-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $143,864.94 $410,512.56 $153,889.69 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $126,327.82 $360,471.12 $153,289.63 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $106,547.69 $304,029.36 $152,182.83 2026-07-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 2 — — $79,124.23 $225,777.66 $146,408.69 2026-07-15
12 APR_DRG Transplant 3 2 — — $83,976.21 $239,622.60 $143,174.07 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $87,951.10 $250,964.76 $142,252.20 2026-07-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $138,771.59 $401,641.32 $140,755.99 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $94,149.13 $268,650.60 $139,689.00 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $84,074.22 $239,902.26 $135,453.94 2026-07-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $106,502.60 $385,959.12 $135,260.14 2026-07-15
1784 APR_DRG External Heart Assist Systems 3 2 — — $123,148.16 $351,398.10 $134,549.91 2026-07-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $79,567.12 $227,041.44 $130,151.54 2026-07-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $81,963.34 $365,912.10 $128,234.62 2026-07-15
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $2,569.72 $365,129.76 $127,960.45 2026-07-15
11 APR_DRG Transplant 3 2 — — $82,925.43 $236,624.22 $127,119.69 2026-07-15
61 APR_DRG Pancreas Transplant 3 2 — — $72,423.75 $206,658.12 $125,203.21 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $60,691.39 $173,180.34 $124,381.86 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $82,447.79 $235,261.32 $123,869.63 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $80,684.90 $230,230.98 $121,841.99 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $118,879.25 $339,216.96 $121,383.97 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $68,308.68 $194,915.94 $117,678.64 2026-07-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $104,282.35 $297,565.32 $117,423.04 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $71,287.36 $203,415.48 $116,807.20 2026-07-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $101,982.28 $291,002.16 $116,615.07 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $52,533.21 $149,901.30 $115,227.28 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $82,839.82 $236,379.96 $114,817.29 2026-07-15
4403 APR_DRG Kidney Transplant 3 2 — — $96,992.59 $276,764.28 $114,437.15 2026-07-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 2 — — $113,032.31 $322,532.94 $113,913.26 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 3 2 — — $77,620.62 $221,487.18 $112,863.42 2026-07-15
8634 APR_DRG Neonatal Aftercare 3 2 — — $111,676.34 $320,508.06 $112,322.68 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $63,864.85 $182,235.66 $111,657.47 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $62,630.45 $178,713.36 $110,305.71 2026-07-15
1794 APR_DRG Defibrillator Implants 3 2 — — $69,218.04 $197,510.76 $109,621.25 2026-07-15
6804 APR_DRG Or Procedures 3 2 — — $91,035.23 $259,765.20 $109,166.66 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $55,097.53 $157,218.48 $109,026.00 2026-07-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $93,161.62 $265,832.76 $108,929.93 2026-07-15
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 2 — — $77,794.30 $221,982.78 $106,873.13 2026-07-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 3 2 — — $89,367.15 $300,825.66 $105,424.95 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $64,595.56 $184,320.72 $104,507.55 2026-07-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 3 2 — — $63,341.31 $180,741.78 $104,210.78 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 3 2 — — $78,258.29 $223,306.74 $103,756.19 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $80,438.02 $229,526.52 $103,299.88 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $62,136.69 $177,304.44 $103,212.40 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $61,450.64 $175,346.82 $101,249.94 2026-07-15
1783 APR_DRG External Heart Assist Systems 3 2 — — $75,197.73 $214,573.56 $99,539.66 2026-07-15
8504 APR_DRG Rehab 3 2 — — $53,772.57 $153,437.76 $99,134.82 2026-07-15
234 APR_DRG Spinal Procedures 3 2 — — $77,102.05 $220,007.46 $98,880.93 2026-07-15
4402 APR_DRG Kidney Transplant 3 2 — — $89,655.68 $255,828.72 $98,148.10 2026-07-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 3 2 — — $81,225.71 $278,516.58 $97,606.69 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $73,778.48 $210,523.80 $97,525.74 2026-07-15
4414 APR_DRG Major Bladder Procedures 3 2 — — $60,294.40 $172,047.54 $97,508.59 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $82,836.10 $236,369.34 $96,523.93 2026-07-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 2 — — $47,564.60 $135,723.60 $96,314.65 2026-07-15
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 3 2 — — $92,284.51 $263,329.98 $96,285.48 2026-07-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $96,013.20 $96,013.20 $96,013.20 2026-07-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $93,500.30 $266,799.18 $94,911.42 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 3 2 — — $68,518.34 $195,514.20 $93,087.92 2026-07-15
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 2 — — $50,648.74 $144,524.04 $92,890.64 2026-07-15
1782 APR_DRG External Heart Assist Systems 3 2 — — $61,578.42 $175,711.44 $92,739.68 2026-07-15
2204 APR_DRG Stomach Esophageal And Duodenal Procedures 3 2 — — $73,158.18 $208,753.80 $92,376.01 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $84,991.08 $262,391.88 $91,955.75 2026-07-15
894 APR_DRG Major Cranial/facial Bone Procedures 3 2 — — $65,580.60 $187,131.48 $91,751.60 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $51,520.88 $147,012.66 $91,485.70 2026-07-15
9504 APR_DRG Or 3 2 — — $70,987.13 $202,558.80 $90,847.56 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $46,177.61 $131,765.88 $90,664.01 2026-07-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $68,718.07 $196,084.14 $90,391.26 2026-07-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $80,852.38 $230,708.88 $90,298.63 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $45,062.31 $128,583.42 $90,175.11 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $70,636.04 $201,556.98 $89,974.41 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $69,390.48 $198,002.82 $89,559.27 2026-07-15
6904 APR_DRG Acute Leukemia 3 2 — — $70,088.94 $199,995.84 $89,104.68 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $67,030.86 $191,269.74 $88,850.80 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $54,041.78 $154,205.94 $87,867.86 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 3 2 — — $24,040.06 $250,143.48 $87,663.28 2026-07-15
4401 APR_DRG Kidney Transplant 3 2 — — $85,340.87 $243,516.60 $87,639.36 2026-07-15
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $52,547.11 $247,605.30 $86,773.77 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $85,587.75 $244,221.06 $86,408.03 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $46,800.39 $133,542.96 $86,408.03 2026-07-15
274 APR_DRG Other Open Craniotomy 3 2 — — $60,870.04 $173,690.10 $85,963.73 2026-07-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 3 2 — — $83,684.67 $238,790.70 $85,884.82 2026-07-15
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $2,226.63 $243,622.80 $85,378.09 2026-07-15
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 2 — — $1,142.48 $242,341.32 $84,928.99 2026-07-15
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $47,838.78 $136,505.94 $84,886.44 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $54,267.57 $154,850.22 $84,632.55 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 9 6 — — $8,568.49 $121,601.25 $84,069.14 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $55,931.21 $159,597.36 $83,860.61 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $43,635.62 $124,512.42 $83,718.23 2026-07-15
7524 APR_DRG Psych 3 2 — — $29,286.84 $110,950.85 $83,568.78 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 3 2 — — $55,854.29 $159,377.88 $82,795.33 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 3 2 — — $51,451.40 $146,814.42 $82,764.45 2026-07-15
1781 APR_DRG External Heart Assist Systems 3 2 — — $52,450.09 $149,664.12 $82,716.42 2026-07-15
7594 APR_DRG Eating Disorders 3 2 — — $28,853.87 $158,322.37 $82,333.32 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 3 2 — — $54,199.33 $154,655.52 $82,318.44 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $82,155.47 $82,155.47 $82,155.47 2026-07-15
7403 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $39,054.09 $111,439.20 $81,987.46 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 3 2 — — $49,204.68 $140,403.48 $81,651.13 2026-07-15
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 3 2 — — $56,060.23 $159,965.52 $81,254.87 2026-07-15
T2025 HCPCS Waiver Service, Nos 2 2 — — $74,138.94 $88,188.00 $81,163.47 2026-07-15
4014 APR_DRG Adrenal Procedures 3 2 — — $47,817.69 $136,445.76 $81,086.76 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $35,634.99 $101,682.96 $80,759.79 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $47,156.45 $134,558.94 $80,654.47 2026-07-15
6514 APR_DRG Procedures Of Blood And Bloodforming Organs 3 2 — — $37,925.14 $108,217.80 $80,573.84 2026-07-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 2 — — $74,195.86 $229,438.02 $80,407.01 2026-07-15
1793 APR_DRG Defibrillator Implants 3 2 — — $49,148.85 $140,244.18 $79,930.55 2026-07-15
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 3 2 — — $53,384.26 $152,329.74 $79,685.25 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $44,097.13 $125,829.30 $78,939.03 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $49,012.38 $139,854.78 $78,583.94 2026-07-15
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 3 2 — — $64,950.37 $185,333.16 $76,652.36 2026-07-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $69,894.16 $199,440.06 $76,607.76 2026-07-15
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $70,536.85 $218,414.46 $76,543.78 2026-07-15
304 APR_DRG Vascular Procedures 3 2 — — $56,058.99 $159,961.98 $76,093.13 2026-07-15
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $41,350.44 $117,991.74 $76,089.70 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $39,813.34 $113,605.68 $76,060.54 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $38,348.19 $109,424.94 $75,889.00 2026-07-15
8633 APR_DRG Neonatal Aftercare 3 2 — — $71,655.31 $216,538.26 $75,886.26 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 3 2 — — $57,890.12 $165,187.02 $75,175.38 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $68,527.02 $195,538.98 $74,976.39 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $57,097.37 $162,924.96 $74,933.50 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $54,756.36 $156,244.98 $74,713.93 2026-07-15
3254 APR_DRG Nonelective Or Complex Knee Joint Replacement 3 2 — — $42,979.35 $122,639.76 $74,681.33 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $66,898.11 $190,890.96 $74,526.94 2026-07-15
4054 APR_DRG Other Procedures For Metabolic Disorders 3 2 — — $48,718.36 $139,015.80 $74,360.55 2026-07-15
7504 APR_DRG Schizophrenia 3 2 — — $33,465.19 $95,491.50 $74,297.01 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $55,783.58 $159,176.10 $73,782.45 2026-07-15
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $38,242.74 $109,124.04 $73,737.84 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 3 2 — — $49,576.86 $141,465.48 $73,691.53 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 3 2 — — $72,012.12 $210,162.72 $73,651.94 2026-07-15
1824 APR_DRG Other Peripheral Vascular Procedures 3 2 — — $58,232.52 $166,164.06 $73,411.91 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $55,609.90 $158,680.50 $73,226.65 2026-07-15
6504 APR_DRG Splenectomy 3 2 — — $61,610.68 $175,803.48 $73,122.00 2026-07-15
2314 APR_DRG Major Large Bowel Procedures 3 2 — — $46,806.60 $133,560.66 $72,849.25 2026-07-15
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $36,881.80 $105,240.66 $71,365.40 2026-07-15
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 3 2 — — $55,139.71 $157,338.84 $70,686.09 2026-07-15
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $69,140.49 $199,291.38 $69,842.06 2026-07-15
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $33,107.89 $94,471.98 $69,701.43 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $33,312.59 $95,056.08 $69,692.86 2026-07-15
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 2 — — $52,224.30 $149,019.84 $69,691.14 2026-07-15
1832 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $39,823.26 $113,634.00 $69,269.14 2026-07-15
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 3 2 — — $57,653.16 $164,510.88 $68,944.93 2026-07-15
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $23,089.71 $196,346.10 $68,809.88 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $48,210.96 $137,567.94 $68,764.81 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 2 — — $67,452.66 $69,476.24 $68,464.45 2026-07-15
2324 APR_DRG Gastric Fundoplication 3 2 — — $49,251.82 $140,538.00 $68,016.88 2026-07-15
2224 APR_DRG Stomach Esophageal And Duodenal Procedures 3 2 — — $61,183.91 $174,585.72 $67,855.63 2026-07-15
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $53,172.12 $151,724.40 $67,823.04 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 3 2 — — $42,110.93 $120,161.76 $67,557.14 2026-07-15
9514 APR_DRG Or 3 2 — — $65,535.94 $187,004.04 $67,522.83 2026-07-15
1831 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $39,207.92 $111,878.16 $67,339.28 2026-07-15
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $65,613.56 $191,007.78 $66,939.05 2026-07-15
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $61,693.80 $176,040.66 $66,728.59 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $44,382.47 $126,643.50 $66,344.33 2026-07-15
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $52,842.12 $150,782.76 $65,948.07 2026-07-15
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 3 2 — — $51,656.10 $147,398.52 $65,886.31 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $36,240.41 $103,410.48 $65,877.74 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $40,722.70 $116,200.50 $65,725.06 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $43,934.61 $125,365.56 $65,666.74 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $49,271.67 $140,594.64 $65,217.29 2026-07-15
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $47,462.87 $135,433.32 $65,213.86 2026-07-15
1792 APR_DRG Defibrillator Implants 3 2 — — $42,968.18 $122,607.90 $65,124.66 2026-07-15
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 3 2 — — $44,004.08 $125,563.80 $64,735.26 2026-07-15
3624 APR_DRG Mastectomy Procedures 3 2 — — $38,016.95 $108,479.76 $64,532.84 2026-07-15
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $33,506.12 $95,608.32 $64,493.38 2026-07-15
1693 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $36,405.41 $103,881.30 $64,239.50 2026-07-15
4034 APR_DRG Procedures For Obesity 3 2 — — $60,856.39 $173,651.16 $64,196.61 2026-07-15
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $33,045.86 $94,294.98 $64,049.08 2026-07-15
7934 APR_DRG Moderately Extensive Or Procedures For Other Complications Of Treatment 3 2 — — $55,599.97 $158,652.18 $63,980.47 2026-07-15
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 3 2 — — $39,709.12 $113,308.32 $63,838.09 2026-07-15
893 APR_DRG Major Cranial/facial Bone Procedures 3 2 — — $41,535.29 $118,519.20 $63,719.72 2026-07-15
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $30,769.36 $87,799.08 $63,687.13 2026-07-15
7574 APR_DRG Organic Mental Health Disturbances 3 2 — — $24,369.11 $69,536.22 $63,597.65 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 6 5 — — $53,383.37 $65,304.10 $63,372.16 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $33,534.66 $95,689.74 $63,337.18 2026-07-15
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 3 2 — — $41,871.49 $119,478.54 $62,508.63 2026-07-15
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $34,810.00 $99,328.86 $62,508.63 2026-07-15
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $36,304.92 $103,594.56 $62,484.61 2026-07-15
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $46,532.42 $132,778.32 $62,453.73 2026-07-15
1744 APR_DRG Percutaneous Coronary Intervention W Ami 3 2 — — $42,932.20 $122,505.24 $62,395.41 2026-07-15
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $49,085.58 $140,063.64 $62,253.03 2026-07-15
1804 APR_DRG Other Circulatory System Procedures 3 2 — — $50,254.22 $143,398.32 $62,182.69 2026-07-15
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $47,230.88 $134,771.34 $61,820.74 2026-07-15
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $46,378.59 $132,339.36 $61,575.43 2026-07-15
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $34,604.06 $98,741.22 $61,107.12 2026-07-15
3204 APR_DRG Tissue Procedures 3 2 — — $48,442.95 $138,229.92 $61,017.92 2026-07-15
504 APR_DRG Nonbacterial Infections Of Nervous System 3 2 — — $44,558.63 $127,146.18 $60,992.18 2026-07-15
233 APR_DRG Spinal Procedures 3 2 — — $37,801.08 $107,863.80 $60,760.60 2026-07-15
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $27,144.33 $77,455.20 $60,687.18 2026-07-15
3104 APR_DRG Intervertebral Disc Excision And Decompression 3 2 — — $49,224.53 $140,460.12 $60,369.48 2026-07-15
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $39,503.19 $112,720.68 $59,714.19 2026-07-15
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 3 2 — — $52,910.35 $150,977.46 $59,636.99 2026-07-15
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $56,119.78 $160,135.44 $59,324.78 2026-07-15
6312 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 2 — — $29,793.01 $85,013.10 $59,069.19 2026-07-15
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 3 2 — — $54,886.63 $156,616.68 $58,849.61 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $58,664.34 $167,799.54 $58,805.68 2026-07-15
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $33,205.90 $94,751.64 $58,760.41 2026-07-15
3244 APR_DRG Elective Hip Joint Replacement 3 2 — — $39,585.06 $112,954.32 $58,628.32 2026-07-15
3234 APR_DRG Nonelective Or Complex Hip Joint Replacement 3 2 — — $37,715.48 $107,619.54 $58,573.43 2026-07-15
9102 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $30,693.68 $87,583.14 $58,379.58 2026-07-15
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 3 2 — — $49,601.72 $166,227.78 $58,254.85 2026-07-15
3224 APR_DRG Shoulder And Elbow Joint Replacement 3 2 — — $40,874.05 $116,632.38 $58,096.54 2026-07-15
9524 APR_DRG Or 3 2 — — $38,921.34 $111,060.42 $58,053.65 2026-07-15
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 3 2 — — $52,457.91 $165,636.60 $58,047.67 2026-07-15
734 APR_DRG Orbit And Eye Procedures 3 2 — — $44,175.28 $126,052.32 $58,043.36 2026-07-15
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 3 2 — — $55,420.46 $165,289.68 $57,926.10 2026-07-15
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 3 2 — — $39,916.31 $113,899.50 $57,907.84 2026-07-15
3174 APR_DRG Tissue Procedures 3 2 — — $45,613.14 $130,155.18 $57,868.38 2026-07-15
494 APR_DRG Nervous System Infections 3 2 — — $31,760.60 $90,627.54 $57,676.25 2026-07-15
303 APR_DRG Vascular Procedures 3 2 — — $38,556.61 $110,019.66 $57,635.08 2026-07-15
203 APR_DRG Open Craniotomy For Trauma 3 2 — — $34,551.95 $98,592.54 $57,552.74 2026-07-15
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $27,966.85 $79,802.22 $57,521.87 2026-07-15
1791 APR_DRG Defibrillator Implants 3 2 — — $38,203.04 $109,010.76 $57,466.97 2026-07-15
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $34,868.30 $99,495.24 $57,024.39 2026-07-15
6803 APR_DRG Or Procedures 3 2 — — $32,400.75 $92,454.18 $56,983.22 2026-07-15
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $37,375.83 $160,864.68 $56,375.35 2026-07-15
4834 APR_DRG Penis, Testes & Scrotal Procedures 3 2 — — $42,701.45 $121,846.80 $56,188.98 2026-07-15
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $30,926.92 $88,248.66 $55,964.25 2026-07-15
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 2 — — $47,493.89 $135,521.82 $55,880.20 2026-07-15
6924 APR_DRG Radiotherapy 3 2 — — $48,005.02 $136,980.30 $55,604.01 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 5 — — $46,669.14 $62,602.52 $55,445.01 2026-07-15
1813 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $40,050.29 $114,281.82 $55,422.18 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $55,367.97 $55,367.97 $55,367.97 2026-07-15
6903 APR_DRG Acute Leukemia 3 2 — — $51,176.48 $157,968.96 $55,360.53 2026-07-15
7514 APR_DRG Psych 3 2 — — $30,706.09 $87,618.54 $54,583.81 2026-07-15
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 3 2 — — $52,986.03 $151,193.40 $54,452.96 2026-07-15
90288 CPT Botulism Ig IV 2 2 — — $48,705.00 $59,019.00 $53,862.00 2026-07-15
7534 APR_DRG Psych 3 2 — — $27,435.87 $78,287.10 $53,753.27 2026-07-15
3253 APR_DRG Nonelective Or Complex Knee Joint Replacement 3 2 — — $28,737.26 $82,000.56 $53,648.42 2026-07-15
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $33,444.09 $95,431.32 $53,602.10 2026-07-15
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $30,730.90 $87,689.34 $53,590.10 2026-07-15
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 3 2 — — $51,274.00 $146,308.20 $53,470.02 2026-07-15
4454 APR_DRG Other Bladder Procedures 3 2 — — $44,976.71 $128,339.16 $53,468.30 2026-07-15
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 3 2 — — $52,361.85 $152,425.32 $53,417.75 2026-07-15
7402 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $18,718.17 $60,731.71 $53,411.52 2026-07-15
6233 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 3 2 — — $36,627.47 $104,514.96 $53,382.53 2026-07-15
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