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

CHILDREN'S NEBRASKA

Omaha, NE · CCN 283301 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $19,245 across 6 payers · range $15,757-$26,234

Source: https://childrensnebraska.pt.panaceainc.com/MRFDownload/childrensnebraska/childrensnebraska · observed 2026-03-31

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.

20,724 distinct procedures filed
19 distinct payers
331,680 rate rows
2026-03-31 last MRF observed
Data quality

236,817 of 331,680 rate rows are consumer-grade (71.4%)

94,863 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
professional (physician) fee — not the facility price 48,191
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 34,101
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,724
template filing: same amount across many unrelated codes — excluded 1,324
placeholder amount (≤ $0.02) — excluded from medians 315
percent-of-charges filed in the dollar field — excluded from medians 148
exceeds 10× this hospital's gross charge — excluded from medians 39
per-diem day rate — not a per-procedure price 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://childrensnebraska.pt.panaceainc.com/MRFDownload/childrensnebraska/childrensnebraska
Found on page https://www.childrensnebraska.org/hospital-experience/billing-insurance-medical-records/how-much-will-my-childs-care-cost/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-19
Content fingerprint 6a5e5ac1026fddd4… · 140,389,960 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
5834
APR_DRG 		Neonate With Ecmo 2 $567,534.57 $607,261.99 $567,534.57 nat. median
$311,018
1.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $347,604.58 $371,936.90 $347,604.58 nat. median
$254,667
1.4× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $324,952.04 $347,698.68 $324,952.04 nat. median
$119,243
outlier · 2.7×
24
APR_DRG 		Heart And/or Lung Transplant 3 $225,095.09 $347,469.02 $324,737.40 nat. median
$243,231
1.3× median
5833
APR_DRG 		Neonate With Ecmo 2 $323,229.76 $345,855.84 $323,229.76 nat. median
$250,089
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $306,983.76 $317,728.33 $311,588.55 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $305,350.96 $316,038.38 $309,931.26 nat. median
$261,939
1.2× median
5832
APR_DRG 		Neonate With Ecmo 2 $248,180.71 $265,553.36 $248,180.71 nat. median
$169,230
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $242,334.00 $259,297.38 $242,334.00 nat. median
$209,486
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $242,185.08 $259,138.04 $242,185.08 nat. median
$168,174
1.4× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $241,833.85 $258,762.22 $241,833.85 nat. median
$67,603
outlier · 3.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $237,565.64 $254,195.23 $237,565.64 nat. median
$165,599
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $232,937.97 $249,243.63 $232,937.97 nat. median
$147,677
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $231,504.28 $247,709.58 $231,504.28 nat. median
$180,995
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $227,941.62 $243,897.53 $227,941.62 nat. median
$168,361
1.4× median
5831
APR_DRG 		Neonate With Ecmo 2 $222,772.73 $238,366.82 $222,772.73 nat. median
$154,685
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $215,562.16 $230,651.51 $215,562.16 nat. median
$165,646
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $211,250.81 $226,038.37 $211,250.81 nat. median
$160,171
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $200,404.67 $214,433.00 $200,404.67 nat. median
$156,285
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $198,374.29 $212,260.49 $198,374.29 nat. median
$147,847
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $193,117.94 $199,877.16 $196,014.73 nat. median
$205,166
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $192,254.40 $205,712.21 $192,254.40 nat. median
$63,564
outlier · 3.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $191,192.48 $204,575.95 $191,192.48 nat. median
$175,480
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $189,752.62 $203,035.30 $189,752.62 nat. median
$127,938
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $182,571.84 $195,351.87 $182,571.84 nat. median
$127,600
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $180,756.10 $193,409.03 $180,756.10 nat. median
$137,901
1.3× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $112,741.08 $189,271.71 $176,889.45 nat. median
$116,111
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $171,457.63 $177,458.72 $174,029.51 nat. median
$99,646
1.7× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $171,907.47 $183,940.99 $171,907.47 nat. median
$108,751
1.6× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $170,035.25 $181,937.72 $170,035.25 nat. median
$120,928
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $74,173.00 $259,209.00 $166,691.00 nat. median
$81,364
outlier · 2.0×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $162,031.84 $173,374.07 $162,031.84 nat. median
$71,350
outlier · 2.3×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $162,031.84 $173,374.07 $162,031.84 nat. median
$96,420
1.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $162,031.84 $173,374.07 $162,031.84 nat. median
$89,188
1.8× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $159,659.47 $170,835.63 $159,659.47 nat. median
$80,413
2.0× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $150,972.08 $161,540.13 $150,972.08 nat. median
$123,690
1.2× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $147,447.41 $157,768.73 $147,447.41 nat. median
$84,000
1.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $146,602.19 $156,864.34 $146,602.19 nat. median
$112,711
1.3× median
S2055
HCPCS 		Tc Heart Acquisition 13 $9,888.32 $160,403.76 $144,363.38 nat. median
$3,144
outlier · 45.9×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $139,620.65 $149,394.10 $139,620.65 nat. median
$82,164
1.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $139,620.65 $149,394.10 $139,620.65 nat. median
$93,192
1.5× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $139,112.28 $148,850.14 $139,112.28 nat. median
$101,315
1.4× median
22
APR_DRG 		Heart And/or Lung Transplant 3 $95,717.69 $143,323.83 $133,947.50 nat. median
$94,014
1.4× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 3 $128,261.53 $132,750.74 $130,185.47 nat. median
$44,915
outlier · 2.9×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $127,186.76 $136,089.83 $127,186.76 nat. median
$88,000
1.4× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $125,896.84 $134,709.62 $125,896.84 nat. median
$78,024
1.6× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 3 $121,500.77 $125,753.35 $123,323.30 nat. median
$53,073
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $120,346.58 $124,558.76 $122,151.79 nat. median
$199,832
0.6× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $121,600.90 $130,112.96 $121,600.90 nat. median
$89,814
1.4× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $120,683.79 $129,131.66 $120,683.79 nat. median
$83,517
1.4× median

Other procedures at this hospital

Browse this hospital's 20,724 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 5 2 — — $567,534.57 $607,261.99 $567,534.57 2026-03-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 2 — — $347,604.58 $371,936.90 $347,604.58 2026-03-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 2 — — $324,952.04 $347,698.68 $324,952.04 2026-03-31
24 APR_DRG Heart And/or Lung Transplant 8 3 — — $225,095.09 $347,469.02 $324,737.40 2026-03-31
5833 APR_DRG Neonate With Ecmo 5 2 — — $323,229.76 $345,855.84 $323,229.76 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 3 — — $306,983.76 $317,728.33 $311,588.55 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $305,350.96 $316,038.38 $309,931.26 2026-03-31
5832 APR_DRG Neonate With Ecmo 5 2 — — $248,180.71 $265,553.36 $248,180.71 2026-03-31
1614 APR_DRG Implantable Heart Assist Systems 5 2 — — $242,334.00 $259,297.38 $242,334.00 2026-03-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 2 — — $242,185.08 $259,138.04 $242,185.08 2026-03-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 2 — — $241,833.85 $258,762.22 $241,833.85 2026-03-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 2 — — $237,565.64 $254,195.23 $237,565.64 2026-03-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 2 — — $232,937.97 $249,243.63 $232,937.97 2026-03-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 2 — — $231,504.28 $247,709.58 $231,504.28 2026-03-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 2 — — $227,941.62 $243,897.53 $227,941.62 2026-03-31
5831 APR_DRG Neonate With Ecmo 5 2 — — $222,772.73 $238,366.82 $222,772.73 2026-03-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 2 — — $215,562.16 $230,651.51 $215,562.16 2026-03-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 2 — — $211,250.81 $226,038.37 $211,250.81 2026-03-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 2 — — $200,404.67 $214,433.00 $200,404.67 2026-03-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 2 — — $198,374.29 $212,260.49 $198,374.29 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $193,117.94 $199,877.16 $196,014.73 2026-03-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 2 — — $192,254.40 $205,712.21 $192,254.40 2026-03-31
74 APR_DRG Allogeneic Bone Marrow Transplant 5 2 — — $191,192.48 $204,575.95 $191,192.48 2026-03-31
1613 APR_DRG Implantable Heart Assist Systems 5 2 — — $189,752.62 $203,035.30 $189,752.62 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 2 — — $182,571.84 $195,351.87 $182,571.84 2026-03-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 2 — — $180,756.10 $193,409.03 $180,756.10 2026-03-31
23 APR_DRG Heart And/or Lung Transplant 8 3 — — $112,741.08 $189,271.71 $176,889.45 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $171,457.63 $177,458.72 $174,029.51 2026-03-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 2 — — $171,907.47 $183,940.99 $171,907.47 2026-03-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 2 — — $170,035.25 $181,937.72 $170,035.25 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $74,173.00 $259,209.00 $166,691.00 2026-03-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 2 — — $162,031.84 $173,374.07 $162,031.84 2026-03-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 2 — — $162,031.84 $173,374.07 $162,031.84 2026-03-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 2 — — $162,031.84 $173,374.07 $162,031.84 2026-03-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 2 — — $159,659.47 $170,835.63 $159,659.47 2026-03-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $150,972.08 $161,540.13 $150,972.08 2026-03-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 2 — — $147,447.41 $157,768.73 $147,447.41 2026-03-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 2 — — $146,602.19 $156,864.34 $146,602.19 2026-03-31
S2055 HCPCS Tc Heart Acquisition 19 13 $182,277.00 — $9,888.32 $160,403.76 $144,363.38 2026-03-31
1612 APR_DRG Implantable Heart Assist Systems 5 2 — — $139,620.65 $149,394.10 $139,620.65 2026-03-31
1611 APR_DRG Implantable Heart Assist Systems 5 2 — — $139,620.65 $149,394.10 $139,620.65 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 2 — — $139,112.28 $148,850.14 $139,112.28 2026-03-31
22 APR_DRG Heart And/or Lung Transplant 8 3 — — $95,717.69 $143,323.83 $133,947.50 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $128,261.53 $132,750.74 $130,185.47 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 2 — — $127,186.76 $136,089.83 $127,186.76 2026-03-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 2 — — $125,896.84 $134,709.62 $125,896.84 2026-03-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 3 — — $121,500.77 $125,753.35 $123,323.30 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $120,346.58 $124,558.76 $122,151.79 2026-03-31
73 APR_DRG Allogeneic Bone Marrow Transplant 5 2 — — $121,600.90 $130,112.96 $121,600.90 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 2 — — $120,683.79 $129,131.66 $120,683.79 2026-03-31
7 MS_DRG Lung Transplant 4 3 — — $117,946.20 $122,074.37 $119,715.41 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $116,838.40 $120,927.80 $118,590.99 2026-03-31
21 APR_DRG Heart And/or Lung Transplant 8 3 — — $78,045.29 $126,675.64 $118,388.45 2026-03-31
64 APR_DRG Pancreas Transplant 5 2 — — $118,069.05 $126,333.88 $118,069.05 2026-03-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 2 — — $117,916.03 $126,170.15 $117,916.03 2026-03-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $116,702.11 $124,871.26 $116,702.11 2026-03-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 2 — — $116,446.39 $124,597.64 $116,446.39 2026-03-31
8513 APR_DRG Gender Related Procedures 5 2 — — $111,361.71 $119,157.03 $111,361.71 2026-03-31
8514 APR_DRG Gender Related Procedures 5 2 — — $111,361.71 $119,157.03 $111,361.71 2026-03-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 2 — — $110,422.01 $118,151.55 $110,422.01 2026-03-31
652 MS_DRG Kidney Transplant 4 3 — — $107,599.95 $111,365.99 $109,213.96 2026-03-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $104,821.78 $112,159.30 $104,821.78 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $98,157.18 $101,592.73 $99,629.55 2026-03-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 2 — — $97,061.77 $103,856.09 $97,061.77 2026-03-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 2 — — $96,170.33 $102,902.25 $96,170.33 2026-03-31
8634 APR_DRG Neonatal Aftercare 5 2 — — $94,930.74 $101,575.89 $94,930.74 2026-03-31
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 2 — — $94,686.31 $101,314.35 $94,686.31 2026-03-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 2 — — $93,844.17 $100,413.26 $93,844.17 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $90,961.76 $1,116,163.44 $93,690.61 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $90,961.76 $1,175,299.14 $93,690.61 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $90,961.76 $1,541,240.00 $93,690.61 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 5 3 — — $90,961.76 $978,900.40 $93,690.61 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 5 3 — — $90,961.76 $4,664,000.00 $93,690.61 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 3 — — $90,961.76 $1,133,062.60 $93,690.61 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 5 3 — — $90,961.76 $530,000.00 $93,690.61 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 3 — — $90,961.76 $1,064,384.48 $93,690.61 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 3 — — $90,961.76 $556,500.00 $93,690.61 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $90,961.76 $1,124,402.48 $93,690.61 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 3 — — $90,961.76 $403,338.04 $93,690.61 2026-03-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 2 — — $93,488.83 $100,033.05 $93,488.83 2026-03-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 2 — — $93,036.95 $99,549.54 $93,036.95 2026-03-31
J3387 HCPCS Inj Elivaldogene Autotemecel 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3389 HCPCS Topi Adm Prad Zami Per Treat 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 2 — — $92,302.65 $98,763.84 $92,302.65 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 3 — — $90,900.76 $94,082.29 $92,264.27 2026-03-31
4404 APR_DRG Kidney Transplant 5 2 — — $91,543.69 $97,951.75 $91,543.69 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $89,696.06 $92,835.46 $91,041.51 2026-03-31
63 APR_DRG Pancreas Transplant 5 2 — — $90,991.17 $97,360.55 $90,991.17 2026-03-31
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 2 — — $89,738.23 $96,019.91 $89,738.23 2026-03-31
72 APR_DRG Allogeneic Bone Marrow Transplant 5 2 — — $85,632.28 $91,626.54 $85,632.28 2026-03-31
84 APR_DRG Autologous Bone Marrow Transplant 5 2 — — $85,036.62 $90,989.18 $85,036.62 2026-03-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 2 — — $84,011.68 $89,892.50 $84,011.68 2026-03-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $83,759.03 $89,622.16 $83,759.03 2026-03-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 2 — — $81,806.71 $87,533.18 $81,806.71 2026-03-31
215 MS_DRG Other Heart Assist System Implant 4 3 — — $79,664.80 $82,453.11 $80,859.79 2026-03-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 2 — — $80,453.12 $86,084.84 $80,453.12 2026-03-31
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 2 — — $80,156.32 $85,767.26 $80,156.32 2026-03-31
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 2 — — $80,132.70 $85,741.99 $80,132.70 2026-03-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $80,012.54 $85,613.42 $80,012.54 2026-03-31
62 APR_DRG Pancreas Transplant 5 2 — — $78,444.31 $83,935.41 $78,444.31 2026-03-31
1784 APR_DRG External Heart Assist Devices 5 2 — — $77,791.14 $83,236.52 $77,791.14 2026-03-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $76,459.12 $81,811.26 $76,459.12 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $75,150.58 $77,780.88 $76,277.85 2026-03-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 2 — — $76,258.85 $81,596.97 $76,258.85 2026-03-31
71 APR_DRG Allogeneic Bone Marrow Transplant 5 2 — — $75,591.30 $80,882.69 $75,591.30 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $72,980.81 $113,649.08 $75,170.23 2026-03-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 2 — — $74,982.29 $80,231.05 $74,982.29 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $73,587.77 $76,163.38 $74,691.60 2026-03-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 2 — — $73,495.20 $78,639.86 $73,495.20 2026-03-31
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 4 3 — — $72,128.34 $74,652.86 $73,210.27 2026-03-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 2 — — $72,523.65 $77,600.31 $72,523.65 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 9 6 — — $9,000.38 $128,527.04 $72,428.11 2026-03-31
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 5 2 — — $72,011.18 $77,051.96 $72,011.18 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $70,609.49 $73,080.85 $71,668.64 2026-03-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 2 — — $70,104.04 $75,011.32 $70,104.04 2026-03-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 2 — — $70,013.67 $74,914.63 $70,013.67 2026-03-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 2 — — $69,807.24 $74,693.75 $69,807.24 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $68,650.28 $71,053.08 $69,680.04 2026-03-31
33270 HCPCS Ins/Rep Subq Defibrillator 23 16 $95,612.00 — $29,639.72 $84,138.56 $68,840.64 2026-03-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 2 — — $68,463.92 $73,256.39 $68,463.92 2026-03-31
33231 HCPCS Insrt Pulse Gen W/Mult Leads 23 16 $95,070.00 — $29,471.70 $83,661.60 $68,450.40 2026-03-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 2 — — $68,386.90 $73,173.98 $68,386.90 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 2 — — $67,852.86 $72,602.56 $67,852.86 2026-03-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 2 — — $66,562.95 $71,222.36 $66,562.95 2026-03-31
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 2 — — $66,465.38 $71,117.96 $66,465.38 2026-03-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 2 — — $66,396.57 $71,044.33 $66,396.57 2026-03-31
10 MS_DRG Pancreas Transplant 4 3 — — $64,893.85 $67,165.17 $65,867.26 2026-03-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 2 — — $65,614.00 $70,206.98 $65,614.00 2026-03-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 2 — — $65,520.54 $70,106.98 $65,520.54 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $64,520.25 $66,778.48 $65,488.06 2026-03-31
1794 APR_DRG Defibrillator Implants 5 2 — — $64,666.08 $69,192.71 $64,666.08 2026-03-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 2 — — $64,567.49 $69,087.21 $64,567.49 2026-03-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 2 — — $64,478.14 $68,991.61 $64,478.14 2026-03-31
914 APR_DRG Other Major Head And Neck Procedures 5 2 — — $64,289.17 $68,789.41 $64,289.17 2026-03-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 2 — — $64,167.98 $68,659.74 $64,167.98 2026-03-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 2 — — $63,714.05 $68,174.03 $63,714.05 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 23 16 $83,682.00 — $25,941.42 $73,640.16 $63,598.32 2026-03-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 2 — — $63,301.19 $67,732.27 $63,301.19 2026-03-31
214 APR_DRG Open Craniotomy Except Trauma 5 2 — — $63,211.85 $67,636.68 $63,211.85 2026-03-31
28587 CDM Blood Pump Valves 30ml Berlin 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
32613 CDM Blood Pump Pu Valves 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
28586 CDM Blood Pump Valves 25ml Berlin 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
28585 CDM Blood Pump Valves 15ml Berlin 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
32623 CDM P10p-001 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
1783 APR_DRG External Heart Assist Devices 5 2 — — $62,769.21 $67,163.05 $62,769.21 2026-03-31
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 2 — — $62,678.83 $67,066.35 $62,678.83 2026-03-31
33249 HCPCS Insj/Rplcmt Defib W/Lead(S) 23 16 $82,461.00 — $25,562.91 $72,565.68 $62,670.36 2026-03-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 2 — — $62,527.86 $66,904.81 $62,527.86 2026-03-31
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $62,394.35 $66,761.95 $62,394.35 2026-03-31
4403 APR_DRG Kidney Transplant 5 2 — — $62,239.28 $66,596.03 $62,239.28 2026-03-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 2 — — $61,735.02 $66,056.47 $61,735.02 2026-03-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 2 — — $61,546.05 $65,854.27 $61,546.05 2026-03-31
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 2 — — $61,150.66 $65,431.21 $61,150.66 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 6 — — $47,914.09 $128,549.58 $60,768.00 2026-03-31
6904 APR_DRG Acute Leukemia 5 2 — — $60,651.53 $64,897.14 $60,651.53 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $59,688.57 $61,777.70 $60,583.90 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 23 16 $83,302.00 — $25,823.62 $73,305.76 $59,977.44 2026-03-31
83 APR_DRG Autologous Bone Marrow Transplant 5 2 — — $59,852.53 $64,042.21 $59,852.53 2026-03-31
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $59,761.13 $63,944.41 $59,761.13 2026-03-31
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 2 — — $58,978.55 $63,107.05 $58,978.55 2026-03-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 2 — — $58,811.15 $62,927.93 $58,811.15 2026-03-31
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 2 — — $58,679.69 $62,787.27 $58,679.69 2026-03-31
1694 APR_DRG Major Abdominal Vascular Procedures 5 2 — — $58,415.76 $62,504.86 $58,415.76 2026-03-31
234 APR_DRG Spinal Procedures 5 2 — — $57,635.24 $61,669.71 $57,635.24 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $56,727.38 $58,712.87 $57,578.30 2026-03-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 2 — — $57,479.13 $61,502.67 $57,479.13 2026-03-31
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 2 — — $57,457.56 $61,479.59 $57,457.56 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 23 16 $74,901.00 — $23,219.31 $65,912.88 $56,924.76 2026-03-31
1204 APR_DRG Major Respiratory And Chest Procedures 5 2 — — $56,859.85 $60,840.04 $56,859.85 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 2 — — $56,767.42 $60,741.14 $56,767.42 2026-03-31
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 5 2 — — $56,660.61 $60,626.85 $56,660.61 2026-03-31
9998 CDM Valve Pulmonary Melody 16mm 15 12 $70,588.00 — $21,882.28 $62,117.44 $56,470.40 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 3 — — $55,386.79 $57,325.35 $56,217.60 2026-03-31
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 2 — — $56,191.27 $60,124.66 $56,191.27 2026-03-31
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 2 — — $56,005.39 $59,925.77 $56,005.39 2026-03-31
6954 APR_DRG Chemotherapy For Acute Leukemia 5 2 — — $55,822.58 $59,730.16 $55,822.58 2026-03-31
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 2 — — $55,661.34 $59,557.63 $55,661.34 2026-03-31
204 APR_DRG Open Craniotomy For Trauma 5 2 — — $55,222.81 $59,088.41 $55,222.81 2026-03-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 2 — — $55,189.95 $59,053.25 $55,189.95 2026-03-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 2 — — $55,128.33 $58,987.31 $55,128.33 2026-03-31
4284 APR_DRG Genetic Disorders 5 2 — — $55,061.57 $58,915.88 $55,061.57 2026-03-31
2614 APR_DRG Major Biliary Tract Procedures 5 2 — — $54,839.74 $58,678.52 $54,839.74 2026-03-31
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 2 — — $54,831.53 $58,669.74 $54,831.53 2026-03-31
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 2 — — $54,818.17 $58,655.44 $54,818.17 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 3 — — $53,984.34 $55,873.81 $54,794.11 2026-03-31
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 2 — — $54,615.86 $58,438.97 $54,615.86 2026-03-31
61 APR_DRG Pancreas Transplant 5 2 — — $54,486.45 $58,300.50 $54,486.45 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $53,601.77 $55,477.86 $54,405.80 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $52,428.04 $89,869.00 $54,000.89 2026-03-31
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 2 — — $53,563.18 $57,312.60 $53,563.18 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 23 16 $74,251.00 — $23,017.81 $65,340.88 $53,460.72 2026-03-31
274 APR_DRG Other Open Craniotomy 5 2 — — $53,200.65 $56,924.70 $53,200.65 2026-03-31
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 2 — — $53,070.22 $56,785.14 $53,070.22 2026-03-31
4402 APR_DRG Kidney Transplant 5 2 — — $53,040.44 $56,753.27 $53,040.44 2026-03-31
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $52,948.01 $56,654.37 $52,948.01 2026-03-31
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 2 — — $52,610.12 $56,292.83 $52,610.12 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $51,480.59 $53,282.44 $52,252.80 2026-03-31
4014 APR_DRG Adrenal Procedures 5 2 — — $52,179.81 $55,832.40 $52,179.81 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 23 16 $68,441.00 — $21,216.71 $60,228.08 $52,015.16 2026-03-31
12803 CDM Generator Model 1000 Vns 15 12 $64,999.00 — $20,149.69 $57,199.12 $51,999.20 2026-03-31
5204 APR_DRG Other GYN Procedures For Malignancy 5 2 — — $51,987.76 $55,626.90 $51,987.76 2026-03-31
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 2 — — $51,968.25 $55,606.03 $51,968.25 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $51,031.28 $52,817.40 $51,796.76 2026-03-31
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 2 — — $51,763.88 $55,387.35 $51,763.88 2026-03-31
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 2 — — $51,701.23 $55,320.32 $51,701.23 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $50,834.31 $52,613.53 $51,596.83 2026-03-31
4414 APR_DRG Major Bladder Procedures 5 2 — — $51,462.97 $55,065.38 $51,462.97 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 23 16 $67,257.00 — $20,849.67 $59,186.16 $51,115.32 2026-03-31
1782 APR_DRG External Heart Assist Devices 5 2 — — $51,107.62 $54,685.15 $51,107.62 2026-03-31
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 2 — — $51,018.27 $54,589.55 $51,018.27 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $50,127.79 $51,882.28 $50,879.71 2026-03-31
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 2 — — $50,875.52 $54,436.81 $50,875.52 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 3 — — $49,950.34 $51,698.63 $50,699.60 2026-03-31
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 4 3 — — $49,784.30 $51,526.77 $50,531.07 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $45,702.00 $51,587.43 $49,842.90 2026-03-31
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 2 — — $49,799.23 $53,285.18 $49,799.23 2026-03-31
4401 APR_DRG Kidney Transplant 5 2 — — $49,636.96 $53,111.55 $49,636.96 2026-03-31
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 2 — — $49,582.53 $53,053.31 $49,582.53 2026-03-31
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 2 — — $49,427.45 $52,887.37 $49,427.45 2026-03-31
224 APR_DRG Ventricular Shunt Procedures 5 2 — — $49,395.61 $52,853.30 $49,395.61 2026-03-31
J9226 HCPCS Supprelin La Implant 9 6 — — $47,914.09 $86,370.66 $49,351.51 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $47,914.09 $108,808.20 $49,351.51 2026-03-31
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 2 — — $49,247.73 $52,695.07 $49,247.73 2026-03-31
1793 APR_DRG Defibrillator Implants 5 2 — — $49,245.67 $52,692.87 $49,245.67 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 4 3 — — $48,341.14 $50,033.11 $49,066.26 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $47,576.02 $177,011.00 $49,003.31 2026-03-31
S2235 HCPCS Implant Auditory Brain Imp 4 2 — — $48,255.80 $51,633.71 $48,979.64 2026-03-31
0951T OTHER Tot Impl Amei 1st Plmt 4 2 — — $48,255.80 $51,633.71 $48,979.64 2026-03-31
0952T OTHER Tot Impl Amei Rev/rplc Mstdc 4 2 — — $48,255.80 $51,633.71 $48,979.64 2026-03-31
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 2 — — $48,747.58 $52,159.91 $48,747.58 2026-03-31
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 2 — — $48,739.36 $52,151.12 $48,739.36 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 2 — — $47,914.09 $51,268.08 $48,632.80 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 2 — — $47,914.09 $51,268.08 $48,632.80 2026-03-31
8633 APR_DRG Neonatal Aftercare 5 2 — — $48,562.72 $51,962.11 $48,562.72 2026-03-31
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 2 — — $48,370.67 $51,756.62 $48,370.67 2026-03-31
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 2 — — $48,306.99 $51,688.48 $48,306.99 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $47,576.02 $49,241.20 $48,289.66 2026-03-31
69930 HCPCS Implant Cochlear Device 9 6 — — $38,953.16 $67,372.56 $48,255.80 2026-03-31
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 2 — — $48,219.70 $51,595.08 $48,219.70 2026-03-31
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 2 — — $48,182.73 $51,555.52 $48,182.73 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $47,393.69 $49,052.49 $48,104.60 2026-03-31
1814 APR_DRG Lower Extremity Vascular Procedures 5 2 — — $48,075.92 $51,441.23 $48,075.92 2026-03-31
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 2 — — $48,068.73 $51,433.54 $48,068.73 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $47,340.79 $48,997.73 $48,050.90 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $47,340.79 $48,997.73 $48,050.90 2026-03-31
J7172 HCPCS Inj Marstacim-hncq, 0.5 Mg 5 3 — — $100.94 $51,268.08 $47,914.09 2026-03-31
J2351 HCPCS Inj Ocrelizumab 1mg Hya-ocsq 5 3 — — $94.08 $51,268.08 $47,914.09 2026-03-31
J7174 HCPCS Injection Fitusiran 0.04 Mg 5 3 — — $265.24 $51,268.08 $47,914.09 2026-03-31
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 5 3 — — $183.46 $51,268.08 $47,914.09 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 9 6 — — $22,590.50 $51,268.08 $47,914.09 2026-03-31
J1299 HCPCS Inj, Eculizumab, 2 Mg 5 3 — — $90.04 $51,268.08 $47,914.09 2026-03-31
1214 APR_DRG Other Respiratory And Chest Procedures 5 2 — — $47,661.01 $50,997.28 $47,661.01 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $21,978.00 $49,318.71 $47,650.90 2026-03-31
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 5 2 — — $47,641.50 $50,976.41 $47,641.50 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 23 16 $62,650.00 — $19,421.50 $55,132.00 $47,614.00 2026-03-31
2304 APR_DRG Major Small Bowel Procedures 5 2 — — $47,375.51 $50,691.80 $47,375.51 2026-03-31
82 APR_DRG Autologous Bone Marrow Transplant 5 2 — — $46,978.06 $50,266.52 $46,978.06 2026-03-31
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 2 — — $46,959.57 $50,246.74 $46,959.57 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 2 — — $46,843.52 $50,122.57 $46,843.52 2026-03-31
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 2 — — $46,752.12 $50,024.77 $46,752.12 2026-03-31
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 2 — — $46,583.69 $49,844.55 $46,583.69 2026-03-31
33240 HCPCS Insrt Pulse Gen W/Singl Lead 23 16 $61,123.00 — $18,948.13 $53,788.24 $46,453.48 2026-03-31
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 2 — — $46,393.69 $49,641.25 $46,393.69 2026-03-31
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 5 2 — — $46,283.80 $49,523.67 $46,283.80 2026-03-31
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 2 — — $46,256.08 $49,494.01 $46,256.08 2026-03-31
4034 APR_DRG Procedures For Obesity 5 2 — — $46,154.40 $49,385.21 $46,154.40 2026-03-31
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 2 — — $46,098.94 $49,325.87 $46,098.94 2026-03-31
93590 HCPCS Perq Transcath Cls Mitral 23 16 $63,900.00 — $19,809.00 $56,232.00 $46,008.00 2026-03-31
1781 APR_DRG External Heart Assist Devices 5 2 — — $45,996.24 $49,215.98 $45,996.24 2026-03-31
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 5 2 — — $45,933.60 $49,148.95 $45,933.60 2026-03-31
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 5 2 — — $45,933.60 $49,148.95 $45,933.60 2026-03-31
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 5 2 — — $45,708.68 $48,908.29 $45,708.68 2026-03-31
G0448 HCPCS Place Perm Pacing Cardiovert 4 2 — — $44,959.18 $48,106.32 $45,633.57 2026-03-31
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 2 — — $45,417.02 $48,596.21 $45,417.02 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $44,714.13 $46,279.15 $45,384.85 2026-03-31
294 APR_DRG Other Percutaneous Intracranial Procedures 5 2 — — $45,112.00 $48,269.84 $45,112.00 2026-03-31
4844 APR_DRG Other Male Reproductive System And Related Procedures 5 2 — — $45,107.89 $48,265.44 $45,107.89 2026-03-31
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 2 — — $45,061.67 $48,215.99 $45,061.67 2026-03-31
4854 APR_DRG Prostatectomy Procedures 5 2 — — $45,003.14 $48,153.36 $45,003.14 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 6 — — $39,263.92 $64,137.46 $44,959.18 2026-03-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
33230 HCPCS Insrt Pulse Gen W/Dual Leads 23 16 $55,352.00 — $17,159.12 $48,709.76 $44,959.18 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 6 — — $39,263.92 $64,137.46 $44,959.18 2026-03-31
264 APR_DRG Other Nervous System And Related Procedures 5 2 — — $44,831.63 $47,969.84 $44,831.63 2026-03-31
213 APR_DRG Open Craniotomy Except Trauma 5 2 — — $44,484.50 $47,598.42 $44,484.50 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $43,777.26 $45,309.49 $44,433.93 2026-03-31
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 5 2 — — $44,348.94 $47,453.37 $44,348.94 2026-03-31
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 2 — — $44,036.73 $47,119.30 $44,036.73 2026-03-31
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 2 — — $44,033.65 $47,116.01 $44,033.65 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $43,375.98 $44,894.16 $44,026.62 2026-03-31
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 5 2 — — $43,926.84 $47,001.72 $43,926.84 2026-03-31
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 2 — — $43,789.22 $46,854.47 $43,789.22 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $43,084.58 $44,592.56 $43,730.85 2026-03-31
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