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

21,519 distinct procedures filed
14 distinct payers
621,538 rate rows
2026-03-04 last MRF observed
Data quality

465,568 of 621,538 rate rows are consumer-grade (74.9%)

155,970 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 151,253
per-diem day rate — not a per-procedure price 4,083
template filing: same amount across many unrelated codes — excluded 329
placeholder amount (≤ $0.02) — excluded from medians 214
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/newark-beth-israel-medical-center/billing/charges/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
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
$3,710,000
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
$3,710,000
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
$3,286,000
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
$3,004,655
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
$2,468,984
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 8 $2,075,480.00 $2,668,643.79 $2,262,040.00 nat. median
$2,448,600
0.9× 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
$370,174
outlier · 2.0×
5834
APR_DRG 		3 $640,363.68 $731,844.12 $701,350.64 nat. median
$309,665
outlier · 2.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $511,072.50 $1,262,823.55 $624,320.14 nat. median
$753,246
0.8× median
5833
APR_DRG 		3 $557,674.34 $637,342.02 $610,786.12 nat. median
$244,017
outlier · 2.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $325,500.00 $1,230,884.79 $585,221.12 nat. median
$674,867
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $352,380.00 $1,179,521.32 $559,704.14 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $344,652.00 $1,153,117.32 $547,455.69 nat. median
$673,137
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $435,565.25 $1,089,633.95 $532,744.53 nat. median
$619,808
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $257,664.44 $1,092,906.17 $524,779.54 nat. median
$634,303
0.8× median
5884
APR_DRG 		3 $477,628.74 $545,861.34 $523,117.14 nat. median
$246,434
outlier · 2.1×
1614
APR_DRG 		3 $440,544.63 $503,479.51 $482,501.22 nat. median
$207,730
outlier · 2.3×
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
$206,474
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $64,859.00 $695,424.00 $398,864.00 nat. median
$202,976
2.0× median
5832
APR_DRG 		3 $349,954.08 $399,947.48 $383,283.01 nat. median
$156,126
outlier · 2.5×
1613
APR_DRG 		3 $333,830.58 $381,520.61 $365,623.93 nat. median
$119,796
outlier · 3.1×
6304
APR_DRG 		3 $324,643.51 $371,021.11 $355,561.91 nat. median
$150,721
outlier · 2.4×
8414
APR_DRG 		3 $316,406.48 $361,607.36 $346,540.40 nat. median
$160,267
outlier · 2.2×
5934
APR_DRG 		3 $313,987.93 $358,843.30 $343,891.51 nat. median
$151,838
outlier · 2.3×
5914
APR_DRG 		3 $310,855.45 $355,263.32 $340,460.70 nat. median
$164,289
outlier · 2.1×
5883
APR_DRG 		3 $306,337.55 $350,100.02 $335,512.53 nat. median
$182,665
1.8× median
6314
APR_DRG 		3 $305,383.79 $349,010.00 $334,467.93 nat. median
$122,924
outlier · 2.7×
6094
APR_DRG 		3 $301,891.57 $345,018.89 $330,643.12 nat. median
$162,982
outlier · 2.0×
5882
APR_DRG 		3 $298,190.98 $340,789.65 $326,590.10 nat. median
$145,336
outlier · 2.2×
94
APR_DRG 		3 $284,366.01 $324,989.68 $311,448.46 nat. median
$164,834
1.9× median
5831
APR_DRG 		3 $283,397.52 $323,882.84 $310,387.73 nat. median
$144,745
outlier · 2.1×
44
APR_DRG 		3 $279,106.54 $318,978.87 $305,688.09 nat. median
$105,658
outlier · 2.9×
1612
APR_DRG 		3 $267,713.02 $305,957.70 $293,209.48 nat. median
$85,444
outlier · 3.4×
1611
APR_DRG 		3 $254,633.45 $291,009.62 $278,884.23 nat. median
$76,806
outlier · 3.6×
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
$133,161
outlier · 2.1×
6034
APR_DRG 		3 $235,536.10 $269,184.09 $257,968.09 nat. median
$109,499
outlier · 2.4×
6024
APR_DRG 		3 $226,568.59 $258,935.50 $248,146.53 nat. median
$118,620
outlier · 2.1×
5933
APR_DRG 		3 $211,491.03 $241,704.00 $231,633.01 nat. median
$108,996
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $102,384.49 $256,209.66 $229,138.08 nat. median
$87,428
outlier · 2.6×
5913
APR_DRG 		3 $203,517.82 $232,591.77 $222,900.45 nat. median
$102,919
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $113,450.93 $353,496.00 $220,172.17 nat. median
$102,358
outlier · 2.2×
1604
APR_DRG 		3 $200,876.09 $229,572.65 $220,007.13 nat. median
$97,957
outlier · 2.2×
5881
APR_DRG 		3 $198,330.27 $226,663.14 $217,218.85 nat. median
$124,573
1.7× median
54
APR_DRG 		3 $191,637.39 $219,014.13 $209,888.55 nat. median
$68,217
outlier · 3.1×
215
MS_DRG 		Other Heart Assist System Implant 12 $58,702.00 $343,786.00 $208,579.83 nat. median
$99,019
outlier · 2.1×
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
$98,894
outlier · 2.1×
43
APR_DRG 		3 $184,472.21 $210,825.36 $202,040.98 nat. median
$69,926
outlier · 2.9×
6074
APR_DRG 		3 $176,124.54 $201,285.17 $192,898.29 nat. median
$95,507
outlier · 2.0×
6303
APR_DRG 		3 $175,858.80 $200,981.46 $192,607.24 nat. median
$72,936
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 21,519 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 — 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 — 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 — 3 3 — — $477,628.74 $545,861.34 $523,117.14 2026-03-04
1614 APR_DRG — 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… 29 12 — $3,470.00 $64,859.00 $695,424.00 $398,864.00 2026-03-04
5832 APR_DRG — 3 3 — — $349,954.08 $399,947.48 $383,283.01 2026-03-04
1613 APR_DRG — 3 3 — — $333,830.58 $381,520.61 $365,623.93 2026-03-04
6304 APR_DRG — 3 3 — — $324,643.51 $371,021.11 $355,561.91 2026-03-04
8414 APR_DRG — 3 3 — — $316,406.48 $361,607.36 $346,540.40 2026-03-04
5934 APR_DRG — 3 3 — — $313,987.93 $358,843.30 $343,891.51 2026-03-04
5914 APR_DRG — 3 3 — — $310,855.45 $355,263.32 $340,460.70 2026-03-04
5883 APR_DRG — 3 3 — — $306,337.55 $350,100.02 $335,512.53 2026-03-04
6314 APR_DRG — 3 3 — — $305,383.79 $349,010.00 $334,467.93 2026-03-04
6094 APR_DRG — 3 3 — — $301,891.57 $345,018.89 $330,643.12 2026-03-04
5882 APR_DRG — 3 3 — — $298,190.98 $340,789.65 $326,590.10 2026-03-04
94 APR_DRG — 3 3 — — $284,366.01 $324,989.68 $311,448.46 2026-03-04
5831 APR_DRG — 3 3 — — $283,397.52 $323,882.84 $310,387.73 2026-03-04
44 APR_DRG — 3 3 — — $279,106.54 $318,978.87 $305,688.09 2026-03-04
1612 APR_DRG — 3 3 — — $267,713.02 $305,957.70 $293,209.48 2026-03-04
1611 APR_DRG — 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 — 3 3 — — $235,536.10 $269,184.09 $257,968.09 2026-03-04
6024 APR_DRG — 3 3 — — $226,568.59 $258,935.50 $248,146.53 2026-03-04
5933 APR_DRG — 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 — 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 — 3 3 — — $200,876.09 $229,572.65 $220,007.13 2026-03-04
5881 APR_DRG — 3 3 — — $198,330.27 $226,663.14 $217,218.85 2026-03-04
54 APR_DRG — 3 3 — — $191,637.39 $219,014.13 $209,888.55 2026-03-04
215 MS_DRG Other Heart Assist System Implant 29 12 — $3,470.00 $58,702.00 $343,786.00 $208,579.83 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 — 3 3 — — $184,472.21 $210,825.36 $202,040.98 2026-03-04
6074 APR_DRG — 3 3 — — $176,124.54 $201,285.17 $192,898.29 2026-03-04
6303 APR_DRG — 3 3 — — $175,858.80 $200,981.46 $192,607.24 2026-03-04
3034 APR_DRG — 3 3 — — $174,490.03 $199,417.15 $191,108.11 2026-03-04
8424 APR_DRG — 3 3 — — $172,706.04 $197,378.31 $189,154.22 2026-03-04
1624 APR_DRG — 3 3 — — $171,785.56 $196,326.33 $188,146.08 2026-03-04
6023 APR_DRG — 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 — 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 — 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 — 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 — 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 — 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 — 3 3 — — $134,625.82 $153,858.06 $147,447.31 2026-03-04
1674 APR_DRG — 3 3 — — $134,376.81 $153,573.48 $147,174.59 2026-03-04
6114 APR_DRG — 3 3 — — $133,579.77 $152,662.58 $146,301.64 2026-03-04
6022 APR_DRG — 3 3 — — $132,781.02 $151,749.72 $145,426.82 2026-03-04
6073 APR_DRG — 3 3 — — $132,535.65 $151,469.29 $145,158.08 2026-03-04
6093 APR_DRG — 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 — 3 3 — — $128,774.15 $147,170.43 $141,038.34 2026-03-04
6124 APR_DRG — 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 — 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 — 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 — 3 3 — — $120,301.02 $137,486.86 $131,758.24 2026-03-04
42 APR_DRG — 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 — 3 3 — — $119,640.53 $136,732.02 $131,034.86 2026-03-04
9104 APR_DRG — 3 3 — — $119,461.62 $136,527.55 $130,838.90 2026-03-04
3033 APR_DRG — 3 3 — — $119,297.43 $136,339.90 $130,659.08 2026-03-04
1664 APR_DRG — 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 — 3 3 — — $116,919.43 $133,622.19 $128,054.60 2026-03-04
1623 APR_DRG — 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 — 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 — 3 3 — — $113,733.49 $129,981.12 $124,565.24 2026-03-04
5891 APR_DRG — 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 — 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 13 — $3,470.00 $49,843.00 $204,650.00 $120,086.19 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 — 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
1783 APR_DRG — 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 — 3 3 — — $106,586.78 $121,813.44 $116,737.89 2026-03-04
9114 APR_DRG — 3 3 — — $106,459.50 $121,667.99 $116,598.49 2026-03-04
1694 APR_DRG — 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 — 3 3 — — $104,334.23 $119,239.11 $114,270.82 2026-03-04
8413 APR_DRG — 3 3 — — $104,009.59 $118,868.09 $113,915.25 2026-03-04
214 APR_DRG — 3 3 — — $103,985.59 $118,840.66 $113,888.97 2026-03-04
234 APR_DRG — 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 — 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 — 3 3 — — $100,192.72 $114,505.95 $109,734.88 2026-03-04
2204 APR_DRG — 3 3 — — $100,161.36 $114,470.11 $109,700.52 2026-03-04
6313 APR_DRG — 3 3 — — $100,150.26 $114,457.43 $109,688.37 2026-03-04
6904 APR_DRG — 3 3 — — $99,428.96 $113,633.09 $108,898.38 2026-03-04
2604 APR_DRG — 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 — 3 3 — — $98,181.92 $112,207.90 $107,532.57 2026-03-04
894 APR_DRG — 3 3 — — $98,056.46 $112,064.51 $107,395.16 2026-03-04
3124 APR_DRG — 3 3 — — $97,753.90 $111,718.73 $107,063.79 2026-03-04
9504 APR_DRG — 3 3 — — $97,689.36 $111,644.97 $106,993.10 2026-03-04
204 APR_DRG — 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 — 3 3 — — $96,623.04 $110,426.32 $105,825.23 2026-03-04
3614 APR_DRG — 3 3 — — $96,469.95 $110,251.36 $105,657.55 2026-03-04
6072 APR_DRG — 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 — 3 3 — — $96,189.48 $109,930.82 $105,350.37 2026-03-04
6084 APR_DRG — 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 — 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 — 3 3 — — $95,132.44 $108,722.78 $104,192.67 2026-03-04
1782 APR_DRG — 3 3 — — $94,977.43 $108,545.62 $104,022.89 2026-03-04
1603 APR_DRG — 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 — 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
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 — 3 3 — — $92,189.97 $105,359.95 $100,969.95 2026-03-04
7404 APR_DRG — 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 — 3 3 — — $91,142.11 $104,162.40 $99,822.30 2026-03-04
1622 APR_DRG — 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 26 12 — $3,470.00 $50,825.21 $163,442.00 $99,186.73 2026-03-04
2614 APR_DRG — 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 — 3 3 — — $90,018.61 $102,878.40 $98,591.80 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 — $3,470.00 $52,105.22 $162,352.00 $98,550.00 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 — 3 3 — — $89,629.42 $102,433.61 $98,165.55 2026-03-04
1764 APR_DRG — 3 3 — — $88,695.93 $101,366.76 $97,143.15 2026-03-04
4014 APR_DRG — 3 3 — — $88,400.73 $101,029.40 $96,819.84 2026-03-04
245 MS_DRG Aicd Generator Procedures 29 12 — $3,470.00 $26,530.00 $158,572.00 $96,206.43 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 — 3 3 — — $87,004.23 $99,433.39 $95,290.34 2026-03-04
41 APR_DRG — 3 3 — — $86,928.59 $99,346.94 $95,207.49 2026-03-04
1781 APR_DRG — 3 3 — — $86,829.05 $99,233.18 $95,098.47 2026-03-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 12 — $3,470.00 $48,995.55 $152,663.00 $95,084.57 2026-03-04
3032 APR_DRG — 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
6302 APR_DRG — 3 3 — — $85,799.64 $98,056.72 $93,971.03 2026-03-04
6954 APR_DRG — 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 — 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 — 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 — 3 3 — — $83,740.84 $95,703.80 $91,716.15 2026-03-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 11 — $3,470.00 $48,445.68 $150,950.00 $91,628.00 2026-03-04
1793 APR_DRG — 3 3 — — $83,502.83 $95,431.79 $91,455.47 2026-03-04
5114 APR_DRG — 3 3 — — $83,418.01 $95,334.86 $91,362.57 2026-03-04
1833 APR_DRG — 3 3 — — $83,394.01 $95,307.42 $91,336.28 2026-03-04
924 APR_DRG — 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 — 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 — 3 3 — — $82,460.51 $94,240.58 $90,313.89 2026-03-04
1214 APR_DRG — 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 — 3 3 — — $81,316.75 $92,933.41 $89,061.19 2026-03-04
1673 APR_DRG — 3 3 — — $81,292.74 $92,905.98 $89,034.90 2026-03-04
6123 APR_DRG — 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 — 3 3 — — $80,586.17 $92,098.47 $88,261.03 2026-03-04
1652 APR_DRG — 3 3 — — $80,370.34 $91,851.81 $88,024.66 2026-03-04
6113 APR_DRG — 3 3 — — $80,143.43 $91,592.48 $87,776.13 2026-03-04
304 APR_DRG — 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 — 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 — 3 3 — — $78,990.48 $90,274.82 $86,513.37 2026-03-04
1621 APR_DRG — 3 3 — — $78,938.84 $90,215.81 $86,456.82 2026-03-04
2644 APR_DRG — 3 3 — — $78,475.73 $89,686.53 $85,949.60 2026-03-04
6133 APR_DRG — 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 — 3 3 — — $77,641.88 $88,733.56 $85,036.34 2026-03-04
4044 APR_DRG — 3 3 — — $77,355.96 $88,406.80 $84,723.19 2026-03-04
7104 APR_DRG — 3 3 — — $77,245.33 $88,280.36 $84,602.02 2026-03-04
5124 APR_DRG — 3 3 — — $77,210.23 $88,240.25 $84,563.58 2026-03-04
6514 APR_DRG — 3 3 — — $76,998.04 $87,997.74 $84,331.17 2026-03-04
1824 APR_DRG — 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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 11 — $3,470.00 $44,358.12 $138,213.00 $83,897.00 2026-03-04
1754 APR_DRG — 3 3 — — $76,352.38 $87,259.85 $83,624.02 2026-03-04
1632 APR_DRG — 3 3 — — $76,350.56 $87,257.77 $83,622.04 2026-03-04
51 APR_DRG — 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
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
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
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 — 3 3 — — $75,634.81 $86,439.77 $82,838.12 2026-03-04
264 APR_DRG — 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
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 12 — $3,470.00 $42,800.16 $133,359.00 $82,348.94 2026-03-04
92 APR_DRG — 3 3 — — $75,184.60 $85,925.25 $82,345.04 2026-03-04
2314 APR_DRG — 3 3 — — $74,990.97 $85,703.95 $82,132.96 2026-03-04
6092 APR_DRG — 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 — 3 3 — — $74,716.04 $85,389.75 $81,831.85 2026-03-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 12 — $3,470.00 $42,358.60 $131,983.00 $81,668.57 2026-03-04
9103 APR_DRG — 3 3 — — $74,485.49 $85,126.27 $81,579.34 2026-03-04
6504 APR_DRG — 3 3 — — $74,265.94 $84,875.35 $81,338.88 2026-03-04
4474 APR_DRG — 3 3 — — $74,004.02 $84,576.02 $81,052.02 2026-03-04
5144 APR_DRG — 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 26 12 — $3,470.00 $41,076.07 $133,161.00 $80,810.27 2026-03-04
4424 APR_DRG — 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 19 11 — $3,470.00 $42,526.26 $132,505.00 $80,391.86 2026-03-04
224 APR_DRG — 3 3 — — $73,177.54 $83,631.46 $80,146.82 2026-03-04
1303 APR_DRG — 3 3 — — $72,771.71 $83,167.65 $79,702.34 2026-03-04
3031 APR_DRG — 3 3 — — $72,734.79 $83,125.47 $79,661.91 2026-03-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 12 — $3,470.00 $41,006.84 $127,771.00 $79,581.30 2026-03-04
244 APR_DRG — 3 3 — — $72,347.32 $82,682.64 $79,237.53 2026-03-04
3094 APR_DRG — 3 3 — — $72,317.87 $82,648.98 $79,205.28 2026-03-04
913 APR_DRG — 3 3 — — $72,085.40 $82,383.31 $78,950.67 2026-03-04
6224 APR_DRG — 3 3 — — $71,908.31 $82,180.91 $78,756.71 2026-03-04
1832 APR_DRG — 3 3 — — $71,862.22 $82,128.24 $78,706.23 2026-03-04
294 APR_DRG — 3 3 — — $71,799.49 $82,056.55 $78,637.53 2026-03-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 12 — $3,470.00 $41,486.93 $129,267.00 $78,634.60 2026-03-04
3134 APR_DRG — 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… 27 12 — $3,470.00 $9,453.00 $129,176.00 $78,371.98 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 — 3 3 — — $71,491.38 $81,704.43 $78,300.08 2026-03-04
9514 APR_DRG — 3 3 — — $71,467.38 $81,677.00 $78,273.79 2026-03-04
91 APR_DRG — 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 12 — $3,470.00 $40,497.58 $126,184.00 $77,873.35 2026-03-04
4804 APR_DRG — 3 3 — — $71,059.73 $81,211.11 $77,827.32 2026-03-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 12 — $3,470.00 $40,250.77 $125,415.00 $77,781.24 2026-03-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 12 — $3,470.00 $40,154.36 $128,034.00 $77,698.50 2026-03-04
6143 APR_DRG — 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 — 3 3 — — $70,441.71 $80,504.80 $77,150.44 2026-03-04
1831 APR_DRG — 3 3 — — $70,332.89 $80,380.43 $77,031.25 2026-03-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 11 — $3,470.00 $40,742.32 $126,947.00 $77,019.48 2026-03-04
2244 APR_DRG — 3 3 — — $70,057.96 $80,066.24 $76,730.15 2026-03-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 29 13 — $3,470.00 $16,823.00 $126,885.00 $76,414.50 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 — 3 3 — — $69,502.67 $79,431.61 $76,121.97 2026-03-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 12 — $3,470.00 $38,500.63 $125,289.00 $76,032.74 2026-03-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 12 — $3,470.00 $39,807.12 $124,033.00 $75,967.75 2026-03-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 12 — $3,470.00 $40,097.68 $124,938.00 $75,819.93 2026-03-04
3104 APR_DRG — 3 3 — — $69,218.57 $79,106.93 $75,810.81 2026-03-04
1651 APR_DRG — 3 3 — — $69,214.94 $79,102.78 $75,806.83 2026-03-04
266T CPT Implt/rpl Crtd Sns Dev Total 34 14 — — $9,656.00 $100,973.92 $75,730.44 2026-03-04
6254 APR_DRG — 3 3 — — $69,122.66 $78,997.31 $75,705.76 2026-03-04
893 APR_DRG — 3 3 — — $69,091.29 $78,961.47 $75,671.41 2026-03-04
6234 APR_DRG — 3 3 — — $68,820.10 $78,651.53 $75,374.39 2026-03-04
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