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

NEWARK BETH ISRAEL MEDICAL CENTER

Newark, NJ · CCN 310002 · Rates published

21,517 distinct procedures filed
14 distinct payers
621,538 rate rows
2026-03-04 last MRF observed
Data quality

464,785 of 621,538 rate rows are consumer-grade (74.8%)

156,753 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 151,127
per-diem day rate — not a per-procedure price 4,083
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 759
template filing: same amount across many unrelated codes — excluded 329
placeholder amount (≤ $0.02) — excluded from medians 214
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 150
exceeds 10× this hospital's gross charge — excluded from medians 91
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/223452311_newark-beth-israel-medical-center_standardcharges.json
Found on page https://www.rwjbh.org/billing/charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 8683efcca8300b55… · 448,689,347 bytes · first seen 2026-05-17

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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 8 $3,301,900.00 $4,245,569.66 $3,598,700.00 nat. median
$3,508,750
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,279,887.34 $4,245,569.66 $3,587,693.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,957,001.24 $3,801,308.57 $3,222,435.92 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 8 $2,924,540.00 $3,653,936.37 $3,138,595.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 8 $2,623,909.86 $3,396,455.73 $2,870,154.93 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,156,586.79 $2,750,418.21 $2,340,109.24 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 8 $2,075,480.00 $2,668,643.79 $2,262,040.00 nat. median
$2,332,000
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $392,747.51 $1,223,743.00 $743,374.56 nat. median
$168,055
outlier · 4.4×
5834
APR_DRG 		Neonate With Ecmo, Severe 3 $640,363.68 $731,844.12 $701,350.64 nat. median
$390,362
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $511,072.50 $1,262,823.55 $624,320.14 nat. median
$621,313
1.0× median
5833
APR_DRG 		Neonate With Ecmo, Major 3 $557,674.34 $637,342.02 $610,786.12 nat. median
$268,208
outlier · 2.3×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $325,500.00 $1,230,884.79 $585,221.12 nat. median
$599,737
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $352,380.00 $1,179,521.32 $559,704.14 nat. median
$574,037
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $344,652.00 $1,153,117.32 $547,455.69 nat. median
$579,571
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $435,565.25 $1,089,633.95 $532,744.53 nat. median
$513,770
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $257,664.44 $1,092,906.17 $524,779.54 nat. median
$562,501
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 3 $477,628.74 $545,861.34 $523,117.14 nat. median
$286,698
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 3 $440,544.63 $503,479.51 $482,501.22 nat. median
$202,242
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $23,161.00 $762,109.09 $427,828.06 nat. median
$131,925
outlier · 3.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $64,859.00 $695,424.00 $410,393.95 nat. median
$145,435
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo, Moderate 3 $349,954.08 $399,947.48 $383,283.01 nat. median
$201,678
1.9× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 3 $333,830.58 $381,520.61 $365,623.93 nat. median
$155,539
outlier · 2.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 3 $324,643.51 $371,021.11 $355,561.91 nat. median
$187,567
1.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 3 $316,406.48 $361,607.36 $346,540.40 nat. median
$173,018
outlier · 2.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 3 $313,987.93 $358,843.30 $343,891.51 nat. median
$168,439
outlier · 2.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 3 $310,855.45 $355,263.32 $340,460.70 nat. median
$171,497
2.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 3 $306,337.55 $350,100.02 $335,512.53 nat. median
$173,134
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 3 $305,383.79 $349,010.00 $334,467.93 nat. median
$181,762
1.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 3 $301,891.57 $345,018.89 $330,643.12 nat. median
$198,578
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 3 $298,190.98 $340,789.65 $326,590.10 nat. median
$152,383
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 3 $284,366.01 $324,989.68 $311,448.46 nat. median
$152,792
outlier · 2.0×
5831
APR_DRG 		Neonate With Ecmo, Minor 3 $283,397.52 $323,882.84 $310,387.73 nat. median
$173,909
1.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 3 $279,106.54 $318,978.87 $305,688.09 nat. median
$135,630
outlier · 2.3×
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 3 $267,713.02 $305,957.70 $293,209.48 nat. median
$109,992
outlier · 2.7×
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 3 $254,633.45 $291,009.62 $278,884.23 nat. median
$108,954
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $125,640.75 $458,498.00 $278,319.00 nat. median
$97,418
outlier · 2.9×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 3 $235,536.10 $269,184.09 $257,968.09 nat. median
$115,963
outlier · 2.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $226,568.59 $258,935.50 $248,146.53 nat. median
$124,731
2.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 3 $211,491.03 $241,704.00 $231,633.01 nat. median
$114,205
outlier · 2.0×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $102,384.49 $256,209.66 $229,138.08 nat. median
$2,106
outlier · 108.8×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 3 $203,517.82 $232,591.77 $222,900.45 nat. median
$120,079
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $113,450.93 $353,496.00 $220,172.17 nat. median
$74,509
outlier · 3.0×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 3 $200,876.09 $229,572.65 $220,007.13 nat. median
$106,926
outlier · 2.1×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 3 $198,330.27 $226,663.14 $217,218.85 nat. median
$130,862
1.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 3 $191,637.39 $219,014.13 $209,888.55 nat. median
$91,350
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 11 $58,702.00 $343,786.00 $208,632.91 nat. median
$73,023
outlier · 2.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $109,092.60 $339,916.00 $206,281.60 nat. median
$2,736
outlier · 75.4×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 3 $184,472.21 $210,825.36 $202,040.98 nat. median
$85,032
outlier · 2.4×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $176,124.54 $201,285.17 $192,898.29 nat. median
$100,752
1.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 3 $175,858.80 $200,981.46 $192,607.24 nat. median
$95,499
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 21,517 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 21 8 — — $3,301,900.00 $4,245,569.66 $3,598,700.00 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 21 8 — — $3,279,887.34 $4,245,569.66 $3,587,693.67 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 21 8 — — $2,957,001.24 $3,801,308.57 $3,222,435.92 2026-03-04
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 21 8 — — $2,924,540.00 $3,653,936.37 $3,138,595.00 2026-03-04
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 21 8 — — $2,623,909.86 $3,396,455.73 $2,870,154.93 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 21 8 — — $2,156,586.79 $2,750,418.21 $2,340,109.24 2026-03-04
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 21 8 — — $2,075,480.00 $2,668,643.79 $2,262,040.00 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 10 — $3,470.00 $392,747.51 $1,223,743.00 $743,374.56 2026-03-04
5834 APR_DRG Neonate With Ecmo, Severe 3 3 — — $640,363.68 $731,844.12 $701,350.64 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 34 13 — — $511,072.50 $1,262,823.55 $624,320.14 2026-03-04
5833 APR_DRG Neonate With Ecmo, Major 3 3 — — $557,674.34 $637,342.02 $610,786.12 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 34 13 — — $325,500.00 $1,230,884.79 $585,221.12 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 34 13 — — $352,380.00 $1,179,521.32 $559,704.14 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 34 13 — — $344,652.00 $1,153,117.32 $547,455.69 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 34 13 — — $435,565.25 $1,089,633.95 $532,744.53 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 34 13 — — $257,664.44 $1,092,906.17 $524,779.54 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 3 3 — — $477,628.74 $545,861.34 $523,117.14 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems, Severe 3 3 — — $440,544.63 $503,479.51 $482,501.22 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 11 — $3,470.00 $23,161.00 $762,109.09 $427,828.06 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 11 — $3,470.00 $64,859.00 $695,424.00 $410,393.95 2026-03-04
5832 APR_DRG Neonate With Ecmo, Moderate 3 3 — — $349,954.08 $399,947.48 $383,283.01 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems, Major 3 3 — — $333,830.58 $381,520.61 $365,623.93 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 3 3 — — $324,643.51 $371,021.11 $355,561.91 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 3 3 — — $316,406.48 $361,607.36 $346,540.40 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 3 3 — — $313,987.93 $358,843.30 $343,891.51 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 3 3 — — $310,855.45 $355,263.32 $340,460.70 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 3 3 — — $306,337.55 $350,100.02 $335,512.53 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 3 3 — — $305,383.79 $349,010.00 $334,467.93 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 3 3 — — $301,891.57 $345,018.89 $330,643.12 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 3 3 — — $298,190.98 $340,789.65 $326,590.10 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 3 3 — — $284,366.01 $324,989.68 $311,448.46 2026-03-04
5831 APR_DRG Neonate With Ecmo, Minor 3 3 — — $283,397.52 $323,882.84 $310,387.73 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 3 3 — — $279,106.54 $318,978.87 $305,688.09 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems, Moderate 3 3 — — $267,713.02 $305,957.70 $293,209.48 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems, Minor 3 3 — — $254,633.45 $291,009.62 $278,884.23 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 11 — $3,470.00 $125,640.75 $458,498.00 $278,319.00 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 3 3 — — $235,536.10 $269,184.09 $257,968.09 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $226,568.59 $258,935.50 $248,146.53 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 3 3 — — $211,491.03 $241,704.00 $231,633.01 2026-03-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 2 — — $102,384.49 $256,209.66 $229,138.08 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 3 3 — — $203,517.82 $232,591.77 $222,900.45 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 10 — $3,470.00 $113,450.93 $353,496.00 $220,172.17 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 3 3 — — $200,876.09 $229,572.65 $220,007.13 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 3 3 — — $198,330.27 $226,663.14 $217,218.85 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 3 3 — — $191,637.39 $219,014.13 $209,888.55 2026-03-04
215 MS_DRG Other Heart Assist System Implant 28 11 — $3,470.00 $58,702.00 $343,786.00 $208,632.91 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,470.00 $109,092.60 $339,916.00 $206,281.60 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 3 3 — — $184,472.21 $210,825.36 $202,040.98 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $176,124.54 $201,285.17 $192,898.29 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 3 3 — — $175,858.80 $200,981.46 $192,607.24 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 3 3 — — $174,490.03 $199,417.15 $191,108.11 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 3 3 — — $172,706.04 $197,378.31 $189,154.22 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 3 3 — — $171,785.56 $196,326.33 $188,146.08 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $171,156.44 $195,607.34 $187,457.04 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 12 — $3,470.00 $58,158.00 $313,169.00 $184,809.10 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — $3,470.00 $95,934.29 $298,917.00 $181,400.84 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 3 3 — — $164,439.56 $187,930.90 $180,100.45 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $3,470.00 $88,199.69 $274,817.00 $171,223.68 2026-03-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 2 — — $74,576.35 $191,759.69 $168,047.27 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 11 — $3,470.00 $83,949.67 $261,571.00 $167,059.84 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — $3,470.00 $86,860.43 $270,644.00 $164,243.20 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 12 — $3,470.00 $49,843.00 $274,970.00 $162,266.84 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 3 3 — — $145,344.13 $166,107.55 $159,186.41 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 12 — $3,470.00 $49,843.00 $276,562.00 $154,572.42 2026-03-04
8634 APR_DRG Neonatal Aftercare, Severe 3 3 — — $140,293.03 $160,334.87 $153,654.25 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 12 — $3,470.00 $49,843.00 $251,074.00 $153,638.50 2026-03-04
1784 APR_DRG External Heart Assist Systems, Severe 3 3 — — $139,652.91 $159,603.31 $152,953.18 2026-03-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 2 — — $66,663.43 $176,840.58 $152,228.09 2026-03-04
Q0480 HCPCS Dme Pos 34 14 — — $49,635.12 $199,999.82 $149,999.86 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 3 3 — — $135,703.22 $155,089.38 $148,627.33 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 11 — $3,470.00 $77,733.45 $242,206.00 $147,778.78 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 3 3 — — $134,625.82 $153,858.06 $147,447.31 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 3 3 — — $134,376.81 $153,573.48 $147,174.59 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 3 3 — — $133,579.77 $152,662.58 $146,301.64 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $132,781.02 $151,749.72 $145,426.82 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $132,535.65 $151,469.29 $145,158.08 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 3 3 — — $131,675.98 $150,486.81 $144,216.54 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — $3,470.00 $73,596.94 $229,317.00 $142,828.46 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 3 3 — — $128,774.15 $147,170.43 $141,038.34 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $128,395.95 $146,738.21 $140,624.12 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,470.00 $73,968.73 $230,476.00 $139,866.42 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 34 14 — — $93,216.70 $186,433.40 $139,825.05 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 3 3 — — $126,739.34 $144,844.95 $138,809.75 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 11 — $3,470.00 $68,832.65 $225,728.00 $137,022.00 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 3 3 — — $124,850.27 $142,686.01 $136,740.77 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 11 — $3,470.00 $66,178.86 $221,572.00 $134,497.00 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — $3,470.00 $69,823.89 $217,561.00 $132,028.71 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 3 3 — — $120,301.02 $137,486.86 $131,758.24 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 3 3 — — $120,101.73 $137,259.10 $131,539.98 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 11 — $3,470.00 $23,161.00 $216,724.00 $131,487.50 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 12 — $3,470.00 $31,049.00 $216,357.00 $131,298.52 2026-03-04
1794 APR_DRG Defibrillator Implants, Severe 3 3 — — $119,640.53 $136,732.02 $131,034.86 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 3 3 — — $119,461.62 $136,527.55 $130,838.90 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 3 3 — — $119,297.43 $136,339.90 $130,659.08 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 3 3 — — $118,507.86 $135,437.53 $129,794.31 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 12 — $3,470.00 $58,158.00 $209,552.00 $128,249.73 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 3 3 — — $116,919.43 $133,622.19 $128,054.60 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 3 3 — — $116,351.22 $132,972.81 $127,432.28 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 11 — $3,470.00 $62,424.99 $209,851.00 $127,384.00 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures, Severe 3 3 — — $115,576.47 $132,087.38 $126,583.75 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — $3,470.00 $64,509.53 $201,002.00 $125,192.48 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 11 — $3,470.00 $63,155.97 $205,217.00 $124,570.00 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 3 3 — — $113,733.49 $129,981.12 $124,565.24 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $113,643.13 $129,877.85 $124,466.27 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 11 — $3,470.00 $62,389.21 $194,395.00 $124,154.53 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $111,582.51 $127,522.85 $122,209.40 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — $3,470.00 $64,426.22 $200,742.00 $121,822.83 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 11 — $3,470.00 $57,850.44 $199,827.00 $121,298.00 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 11 — $3,470.00 $58,542.24 $197,143.29 $121,002.24 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 12 — $3,470.00 $49,843.00 $198,221.00 $120,292.49 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 25 11 — $3,470.00 $60,845.50 $197,274.00 $119,748.00 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 3 3 — — $108,830.04 $124,377.17 $119,194.80 2026-03-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 2 — — $52,387.17 $133,161.71 $119,091.60 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $3,470.00 $59,771.09 $186,238.00 $118,944.47 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 12 — $3,470.00 $49,843.00 $204,650.00 $117,993.60 2026-03-04
1783 APR_DRG External Heart Assist Systems, Major 3 3 — — $107,009.25 $122,296.27 $117,200.59 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 12 — $3,470.00 $58,158.00 $193,049.00 $117,153.43 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 3 3 — — $106,586.78 $121,813.44 $116,737.89 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 3 3 — — $106,459.50 $121,667.99 $116,598.49 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 3 3 — — $106,223.30 $121,398.05 $116,339.80 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 11 — $3,470.00 $60,634.42 $188,926.00 $114,682.00 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 25 11 — $3,470.00 $57,562.24 $179,353.00 $114,548.86 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 11 — $3,470.00 $57,562.24 $188,012.84 $114,548.86 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 3 3 — — $104,334.23 $119,239.11 $114,270.82 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 3 3 — — $104,009.59 $118,868.09 $113,915.25 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma, Severe 3 3 — — $103,985.59 $118,840.66 $113,888.97 2026-03-04
234 APR_DRG Spinal Procedures, Severe 3 3 — — $103,422.93 $118,197.62 $113,272.72 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 11 — $3,470.00 $59,413.88 $185,125.00 $112,759.78 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 11 — $3,470.00 $56,535.40 $176,156.00 $112,505.45 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 3 3 — — $101,996.87 $116,567.84 $111,710.85 2026-03-04
653 MS_DRG Major Bladder Procedures With Mcc 25 11 — $3,470.00 $58,054.83 $180,890.00 $109,803.00 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 3 3 — — $100,192.72 $114,505.95 $109,734.88 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 3 3 — — $100,161.36 $114,470.11 $109,700.52 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 3 3 — — $100,150.26 $114,457.43 $109,688.37 2026-03-04
6904 APR_DRG Acute Leukemia, Severe 3 3 — — $99,428.96 $113,633.09 $108,898.38 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 3 3 — — $99,410.51 $113,612.00 $108,878.17 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,470.00 $57,320.63 $178,603.00 $108,386.61 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — $3,470.00 $56,970.72 $177,512.00 $107,724.86 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 3 3 — — $98,181.92 $112,207.90 $107,532.57 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 3 3 — — $98,056.46 $112,064.51 $107,395.16 2026-03-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 3 3 — — $97,753.90 $111,718.73 $107,063.79 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 3 3 — — $97,689.36 $111,644.97 $106,993.10 2026-03-04
204 APR_DRG Open Craniotomy For Trauma, Severe 3 3 — — $97,674.53 $111,628.02 $106,976.86 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — $3,470.00 $56,246.93 $175,257.00 $106,847.27 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 11 — $3,470.00 $53,806.86 $175,092.00 $106,283.00 2026-03-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 11 — $3,470.00 $52,778.95 $175,072.00 $106,271.00 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 12 — $3,470.00 $49,843.00 $171,873.00 $105,931.65 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 3 3 — — $96,623.04 $110,426.32 $105,825.23 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 3 3 — — $96,469.95 $110,251.36 $105,657.55 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $96,423.76 $110,198.57 $105,606.96 2026-03-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 11 — $3,470.00 $53,056.03 $165,315.00 $105,581.50 2026-03-04
4414 APR_DRG Major Bladder Procedures, Severe 3 3 — — $96,189.48 $109,930.82 $105,350.37 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 3 3 — — $96,187.66 $109,928.74 $105,348.38 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 12 — $3,470.00 $49,843.00 $276,562.00 $105,341.70 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 11 — $3,470.00 $52,893.57 $164,808.00 $105,258.20 2026-03-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 3 3 — — $95,744.92 $109,422.75 $104,863.47 2026-03-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $56,913.26 $131,104.23 $104,587.02 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 3 3 — — $95,132.44 $108,722.78 $104,192.67 2026-03-04
1782 APR_DRG External Heart Assist Systems, Moderate 3 3 — — $94,977.43 $108,545.62 $104,022.89 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 3 3 — — $94,881.52 $108,436.01 $103,917.85 2026-03-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 11 — $3,470.00 $52,145.83 $162,477.00 $103,770.20 2026-03-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 12 — $3,470.00 $51,896.93 $165,931.00 $103,274.89 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 3 3 — — $94,042.12 $107,476.70 $102,998.51 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — $3,470.00 $53,634.02 $167,116.00 $101,416.01 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — $3,470.00 $52,105.22 $162,352.00 $101,119.70 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 12 — $3,470.00 $31,049.00 $166,561.00 $101,079.18 2026-03-04
274 APR_DRG Other Open Craniotomy, Severe 3 3 — — $92,189.97 $105,359.95 $100,969.95 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 2 2 — — $97,969.48 $102,229.02 $100,099.25 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 25 11 — $3,470.00 $50,584.75 $157,615.00 $99,905.21 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 3 — — $91,142.11 $104,162.40 $99,822.30 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 3 3 — — $90,906.01 $103,892.57 $99,563.72 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 11 — $3,470.00 $50,825.21 $163,442.00 $99,212.00 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures, Severe 3 3 — — $90,443.00 $103,363.41 $99,056.61 2026-03-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 11 — $3,470.00 $49,732.87 $154,960.00 $98,968.41 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 3 3 — — $90,018.61 $102,878.40 $98,591.80 2026-03-04
799 MS_DRG Splenic Procedures With Mcc 25 11 — $3,470.00 $49,517.30 $154,289.00 $98,539.43 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 11 — $3,470.00 $52,084.39 $162,285.00 $98,511.00 2026-03-04
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 3 3 — — $89,629.42 $102,433.61 $98,165.55 2026-03-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 11 — $3,470.00 $48,995.55 $152,663.00 $97,501.14 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 3 3 — — $88,695.93 $101,366.76 $97,143.15 2026-03-04
4014 APR_DRG Adrenal Procedures, Severe 3 3 — — $88,400.73 $101,029.40 $96,819.84 2026-03-04
245 MS_DRG Aicd Generator Procedures 28 11 — $3,470.00 $26,530.00 $158,572.00 $96,230.71 2026-03-04
163 MS_DRG Major Chest Procedures With Mcc 25 11 — $3,470.00 $48,000.99 $149,564.00 $95,521.97 2026-03-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $87,004.23 $99,433.39 $95,290.34 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 3 3 — — $86,928.59 $99,346.94 $95,207.49 2026-03-04
1781 APR_DRG External Heart Assist Systems, Minor 3 3 — — $86,829.05 $99,233.18 $95,098.47 2026-03-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 3 3 — — $86,568.85 $98,935.81 $94,813.49 2026-03-04
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 2 — — $43,104.05 $105,760.86 $94,585.98 2026-03-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — $3,470.00 $48,445.68 $150,950.00 $94,017.45 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 3 3 — — $85,799.64 $98,056.72 $93,971.03 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 3 3 — — $85,521.09 $97,738.37 $93,665.95 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 11 — $3,470.00 $48,875.59 $154,259.00 $93,638.00 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 12 — $3,470.00 $47,828.12 $154,871.00 $93,325.00 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 3 3 — — $85,087.52 $97,242.87 $93,191.09 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 11 — $3,470.00 $10,611.00 $149,003.00 $92,805.23 2026-03-04
2304 APR_DRG Major Small Bowel Procedures, Severe 3 3 — — $84,277.68 $96,317.33 $92,304.11 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 11 — $3,470.00 $46,041.37 $151,845.00 $92,172.00 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 3 3 — — $83,740.84 $95,703.80 $91,716.15 2026-03-04
1793 APR_DRG Defibrillator Implants, Major 3 3 — — $83,502.83 $95,431.79 $91,455.47 2026-03-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 3 3 — — $83,418.01 $95,334.86 $91,362.57 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 3 3 — — $83,394.01 $95,307.42 $91,336.28 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 3 3 — — $83,157.81 $95,037.48 $91,077.59 2026-03-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $82,861.00 $210,217.60 $90,821.82 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $82,764.89 $94,588.43 $90,647.25 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 11 — $3,470.00 $46,984.57 $146,397.00 $90,523.66 2026-03-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 3 3 — — $82,460.51 $94,240.58 $90,313.89 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 3 3 — — $81,752.13 $93,430.99 $89,538.04 2026-03-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $3,470.00 $44,968.39 $140,115.00 $89,487.10 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 11 — $3,470.00 $46,575.29 $145,122.00 $89,448.30 2026-03-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 12 — $3,470.00 $42,824.11 $138,276.00 $89,272.49 2026-03-04
2324 APR_DRG Gastric Fundoplication, Severe 3 3 — — $81,316.75 $92,933.41 $89,061.19 2026-03-04
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 3 3 — — $81,292.74 $92,905.98 $89,034.90 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $80,750.36 $92,286.11 $88,440.86 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 11 — $3,470.00 $42,174.09 $145,524.00 $88,335.00 2026-03-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 3 3 — — $80,586.17 $92,098.47 $88,261.03 2026-03-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 3 3 — — $80,370.34 $91,851.81 $88,024.66 2026-03-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 3 3 — — $80,143.43 $91,592.48 $87,776.13 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 3 3 — — $79,689.69 $91,073.92 $87,279.18 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 25 11 — $3,470.00 $46,139.98 $143,765.00 $87,268.00 2026-03-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 11 — $3,470.00 $43,641.62 $135,981.00 $86,846.82 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 3 3 — — $79,210.04 $90,525.74 $86,753.84 2026-03-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 11 — $3,470.00 $44,631.99 $142,542.00 $86,525.00 2026-03-04
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 3 3 — — $78,990.48 $90,274.82 $86,513.37 2026-03-04
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 3 3 — — $78,938.84 $90,215.81 $86,456.82 2026-03-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 10 — $3,470.00 $44,358.12 $138,213.00 $86,084.83 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 3 3 — — $78,475.73 $89,686.53 $85,949.60 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 3 3 — — $78,082.81 $89,237.48 $85,519.26 2026-03-04
140 MS_DRG Major Head And Neck Procedures With Mcc 24 11 — $3,470.00 $44,043.61 $137,233.00 $85,474.89 2026-03-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 11 — $3,470.00 $44,376.30 $138,418.00 $85,459.50 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 3 3 — — $77,641.88 $88,733.56 $85,036.34 2026-03-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 3 3 — — $77,355.96 $88,406.80 $84,723.19 2026-03-04
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 3 3 — — $77,245.33 $88,280.36 $84,602.02 2026-03-04
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 3 3 — — $77,210.23 $88,240.25 $84,563.58 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 3 3 — — $76,998.04 $87,997.74 $84,331.17 2026-03-04
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 3 3 — — $76,669.76 $87,622.57 $83,971.63 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 10 — — $67,452.66 $134,230.79 $83,969.34 2026-03-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 11 — $3,470.00 $42,800.16 $133,359.00 $83,746.88 2026-03-04
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 3 3 — — $76,352.38 $87,259.85 $83,624.02 2026-03-04
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Moderate 3 3 — — $76,350.56 $87,257.77 $83,622.04 2026-03-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 11 — $3,470.00 $42,358.60 $131,983.00 $83,221.15 2026-03-04
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 3 3 — — $75,977.91 $86,831.89 $83,213.90 2026-03-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $80,499.45 $183,784.07 $82,861.00 2026-03-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $65,335.50 $155,073.89 $82,861.00 2026-03-04
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $61,480.59 $140,462.93 $82,861.00 2026-03-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 3 — — $72,788.60 $165,051.69 $82,861.00 2026-03-04
4034 APR_DRG Procedures For Obesity, Severe 3 3 — — $75,634.81 $86,439.77 $82,838.12 2026-03-04
264 APR_DRG Other Nervous System And Related Procedures, Severe 3 3 — — $75,435.53 $86,212.02 $82,619.85 2026-03-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 11 — $3,470.00 $38,905.82 $135,948.00 $82,523.00 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 3 3 — — $75,184.60 $85,925.25 $82,345.04 2026-03-04
2314 APR_DRG Major Large Bowel Procedures, Severe 3 3 — — $74,990.97 $85,703.95 $82,132.96 2026-03-04
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Moderate 3 3 — — $74,817.50 $85,505.71 $81,942.97 2026-03-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 12 — $3,470.00 $19,976.00 $135,011.00 $81,932.35 2026-03-04
8633 APR_DRG Neonatal Aftercare, Major 3 3 — — $74,716.04 $85,389.75 $81,831.85 2026-03-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 11 — $3,470.00 $41,006.84 $127,771.00 $81,603.61 2026-03-04
9103 APR_DRG Craniotomy For Multiple Significant Trauma, Major 3 3 — — $74,485.49 $85,126.27 $81,579.34 2026-03-04
6504 APR_DRG Splenectomy, Severe 3 3 — — $74,265.94 $84,875.35 $81,338.88 2026-03-04
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 3 3 — — $74,004.02 $84,576.02 $81,052.02 2026-03-04
5144 APR_DRG Female Reproductive System Reconstructive Procedures, Severe 3 3 — — $73,965.20 $84,531.64 $81,009.49 2026-03-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 11 — $3,470.00 $41,076.07 $133,161.00 $80,831.00 2026-03-04
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 3 3 — — $73,697.73 $84,225.97 $80,716.56 2026-03-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 10 — $3,470.00 $42,526.26 $132,505.00 $80,412.43 2026-03-04
224 APR_DRG Ventricular Shunt Procedures, Severe 3 3 — — $73,177.54 $83,631.46 $80,146.82 2026-03-04
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 3 3 — — $72,771.71 $83,167.65 $79,702.34 2026-03-04
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 3 3 — — $72,734.79 $83,125.47 $79,661.91 2026-03-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 11 — $3,470.00 $40,250.77 $125,415.00 $79,433.48 2026-03-04
244 APR_DRG Open Extracranial Vascular Procedures, Severe 3 3 — — $72,347.32 $82,682.64 $79,237.53 2026-03-04
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 3 3 — — $72,317.87 $82,648.98 $79,205.28 2026-03-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 11 — $3,470.00 $40,497.58 $126,184.00 $79,150.70 2026-03-04
913 APR_DRG Other Major Head And Neck Procedures, Major 3 3 — — $72,085.40 $82,383.31 $78,950.67 2026-03-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 11 — $3,470.00 $41,486.93 $129,267.00 $78,802.20 2026-03-04
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $71,908.31 $82,180.91 $78,756.71 2026-03-04
1832 APR_DRG Percutaneous Structural Cardiac Procedures, Moderate 3 3 — — $71,862.22 $82,128.24 $78,706.23 2026-03-04
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 3 3 — — $71,799.49 $82,056.55 $78,637.53 2026-03-04
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 3 3 — — $71,747.75 $81,997.42 $78,580.86 2026-03-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 11 — $3,470.00 $9,453.00 $129,176.00 $78,391.99 2026-03-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 11 — $3,470.00 $39,591.55 $123,361.00 $78,312.32 2026-03-04
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 3 3 — — $71,491.38 $81,704.43 $78,300.08 2026-03-04
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 3 3 — — $71,467.38 $81,677.00 $78,273.79 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 3 3 — — $71,424.92 $81,628.47 $78,227.29 2026-03-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 11 — $3,470.00 $39,283.29 $122,399.00 $78,173.75 2026-03-04
4804 APR_DRG Major Male Pelvic Procedures, Severe 3 3 — — $71,059.73 $81,211.11 $77,827.32 2026-03-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 11 — $3,470.00 $40,154.36 $128,034.00 $77,718.00 2026-03-04
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 3 — — $70,675.99 $80,772.55 $77,407.03 2026-03-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 — $3,470.00 $39,617.21 $107,888.86 $77,362.04 2026-03-04
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 3 3 — — $70,441.71 $80,504.80 $77,150.44 2026-03-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 10 — $3,470.00 $40,742.32 $126,947.00 $77,039.24 2026-03-04
1831 APR_DRG Percutaneous Structural Cardiac Procedures, Minor 3 3 — — $70,332.89 $80,380.43 $77,031.25 2026-03-04
2244 APR_DRG Peritoneal Adhesiolysis, Severe 3 3 — — $70,057.96 $80,066.24 $76,730.15 2026-03-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 12 — $3,470.00 $16,823.00 $126,885.00 $76,698.29 2026-03-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 11 — $3,470.00 $39,807.12 $124,033.00 $76,645.50 2026-03-04
J7330 HCPCS Cultured Chondrocytes Implnt 22 9 $129,076.53 $26,886.64 79% off $33,508.26 $120,467.12 $76,192.21 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $69,502.67 $79,431.61 $76,121.97 2026-03-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 11 — $3,470.00 $38,500.63 $125,289.00 $76,052.00 2026-03-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 11 — $3,470.00 $40,097.68 $124,938.00 $75,839.00 2026-03-04
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 3 3 — — $69,218.57 $79,106.93 $75,810.81 2026-03-04
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Minor 3 3 — — $69,214.94 $79,102.78 $75,806.83 2026-03-04
266T OTHER Implt/rpl Crtd Sns Dev Total 34 14 — — $9,656.00 $100,973.92 $75,730.44 2026-03-04
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 3 3 — — $69,122.66 $78,997.31 $75,705.76 2026-03-04
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 3 3 — — $69,091.29 $78,961.47 $75,671.41 2026-03-04
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 3 3 — — $68,820.10 $78,651.53 $75,374.39 2026-03-04
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