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

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Hospital

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY

Rahway, NJ · CCN 310024 · Rates published

21,515 distinct procedures filed
14 distinct payers
567,277 rate rows
2026-03-04 last MRF observed
Data quality

421,413 of 567,277 rate rows are consumer-grade (74.3%)

145,864 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 141,973
per-diem day rate — not a per-procedure price 2,448
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 167
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 140
exceeds 10× this hospital's gross charge — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/221487305_robert-wood-johnson-university-hospital-rahway_standardcharges.json
Found on page https://www.rwjbh.org/billing/charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 0b892c8d9a5314a3… · 373,469,695 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 $4,135,676.50 $3,747,100.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,279,887.34 $4,135,676.50 $3,710,000.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,957,001.24 $3,702,914.75 $3,296,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 8 $2,924,540.00 $3,559,357.16 $3,245,622.50 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 8 $2,623,909.86 $3,308,541.20 $2,993,277.46 nat. median
$2,968,000
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 9 $2,075,480.00 $4,460,043.28 $2,448,600.00 nat. median
$2,332,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,156,586.79 $4,596,711.00 $2,431,870.46 nat. median
$2,455,111
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $302,950.32 $998,547.70 $646,478.86 nat. median
$168,055
outlier · 3.8×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $511,072.50 $1,891,566.48 $618,158.98 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $325,500.00 $1,843,725.86 $587,222.58 nat. median
$599,737
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $352,380.00 $1,766,789.20 $577,382.09 nat. median
$574,037
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $344,652.00 $1,727,239.00 $564,457.19 nat. median
$579,571
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $257,664.44 $1,637,049.51 $534,983.50 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $435,565.25 $1,632,148.09 $533,381.73 nat. median
$513,770
1.0× median
5834
APR_DRG 		Neonate With Ecmo, Severe 3 $441,630.65 $483,690.54 $454,248.38 nat. median
$390,362
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $122,353.25 $811,821.60 $400,355.00 nat. median
$131,925
outlier · 3.0×
5833
APR_DRG 		Neonate With Ecmo, Major 3 $384,603.45 $421,232.20 $395,591.86 nat. median
$268,208
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $116,282.04 $656,643.92 $390,740.93 nat. median
$145,435
outlier · 2.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 3 $329,399.52 $360,770.77 $338,810.72 nat. median
$286,698
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 3 $303,824.24 $332,759.77 $312,504.74 nat. median
$202,242
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $70,821.70 $452,745.30 $257,618.16 nat. median
$97,418
outlier · 2.6×
5832
APR_DRG 		Neonate With Ecmo, Moderate 3 $241,347.93 $264,333.35 $248,243.43 nat. median
$201,678
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 3 $230,228.26 $252,154.67 $236,806.06 nat. median
$155,539
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 3 $223,892.34 $245,215.33 $230,289.12 nat. median
$187,567
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 3 $218,211.62 $238,993.60 $224,446.10 nat. median
$173,018
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 3 $216,543.66 $237,166.78 $222,730.48 nat. median
$168,439
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 3 $214,383.32 $234,800.70 $220,508.42 nat. median
$171,497
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $57,711.55 $272,922.26 $218,119.26 nat. median
$2,106
outlier · 103.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 3 $211,267.53 $231,388.16 $217,303.61 nat. median
$173,134
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 3 $210,609.76 $230,667.75 $216,627.04 nat. median
$181,762
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 3 $208,201.33 $228,029.94 $214,149.80 nat. median
$198,578
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 3 $205,649.20 $225,234.76 $211,524.75 nat. median
$152,383
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $87,511.68 $331,726.79 $206,687.28 nat. median
$74,509
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 11 $79,055.98 $314,605.63 $203,672.90 nat. median
$73,023
outlier · 2.8×
Q0480
HCPCS 		Dme Pos 14 $99,999.91 $305,999.72 $202,999.82 nat. median
$108,243
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 3 $196,114.72 $214,792.24 $201,717.87 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate With Ecmo, Minor 3 $195,446.80 $214,060.70 $201,030.86 nat. median
$173,909
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 3 $192,487.50 $210,819.57 $197,987.02 nat. median
$135,630
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $61,609.67 $298,913.53 $192,115.00 nat. median
$69,822
outlier · 2.8×
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 3 $184,629.89 $202,213.62 $189,904.91 nat. median
$109,992
1.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 14 $93,216.70 $285,243.10 $189,229.90 nat. median
$95,583
2.0× median
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 3 $175,609.49 $192,334.13 $180,626.78 nat. median
$108,954
1.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 3 $162,438.89 $177,909.19 $167,079.89 nat. median
$115,963
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $84,149.83 $263,739.15 $165,783.08 nat. median
$2,736
outlier · 60.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $55,713.11 $259,617.09 $163,047.23 nat. median
$59,651
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $50,377.72 $249,940.04 $161,001.11 nat. median
$60,505
outlier · 2.7×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $156,254.39 $171,135.70 $160,718.70 nat. median
$124,731
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $64,755.54 $260,325.47 $160,464.00 nat. median
$56,428
outlier · 2.8×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $42,037.50 $204,268.21 $159,712.76 nat. median
$2,106
outlier · 75.9×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $51,193.70 $199,791.61 $159,690.75 nat. median
$2,024
outlier · 78.9×

Other procedures at this hospital

Browse this hospital's 21,515 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 18 8 — — $3,301,900.00 $4,135,676.50 $3,747,100.00 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 19 8 — — $3,279,887.34 $4,135,676.50 $3,710,000.00 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 19 8 — — $2,957,001.24 $3,702,914.75 $3,296,000.00 2026-03-04
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 18 8 — — $2,924,540.00 $3,559,357.16 $3,245,622.50 2026-03-04
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 18 8 — — $2,623,909.86 $3,308,541.20 $2,993,277.46 2026-03-04
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 19 9 — — $2,075,480.00 $4,460,043.28 $2,448,600.00 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 9 — — $2,156,586.79 $4,596,711.00 $2,431,870.46 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 10 — $2,774.00 $302,950.32 $998,547.70 $646,478.86 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 33 14 — — $511,072.50 $1,891,566.48 $618,158.98 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 33 14 — — $325,500.00 $1,843,725.86 $587,222.58 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 33 14 — — $352,380.00 $1,766,789.20 $577,382.09 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 33 14 — — $344,652.00 $1,727,239.00 $564,457.19 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 33 14 — — $257,664.44 $1,637,049.51 $534,983.50 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 33 14 — — $435,565.25 $1,632,148.09 $533,381.73 2026-03-04
5834 APR_DRG Neonate With Ecmo, Severe 3 3 — — $441,630.65 $483,690.54 $454,248.38 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 11 — $2,774.00 $122,353.25 $811,821.60 $400,355.00 2026-03-04
5833 APR_DRG Neonate With Ecmo, Major 3 3 — — $384,603.45 $421,232.20 $395,591.86 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 11 — $2,774.00 $116,282.04 $656,643.92 $390,740.93 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 3 3 — — $329,399.52 $360,770.77 $338,810.72 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems, Severe 3 3 — — $303,824.24 $332,759.77 $312,504.74 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 11 — $2,774.00 $70,821.70 $452,745.30 $257,618.16 2026-03-04
5832 APR_DRG Neonate With Ecmo, Moderate 3 3 — — $241,347.93 $264,333.35 $248,243.43 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems, Major 3 3 — — $230,228.26 $252,154.67 $236,806.06 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 3 3 — — $223,892.34 $245,215.33 $230,289.12 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 3 3 — — $218,211.62 $238,993.60 $224,446.10 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 3 3 — — $216,543.66 $237,166.78 $222,730.48 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 3 3 — — $214,383.32 $234,800.70 $220,508.42 2026-03-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 2 — — $57,711.55 $272,922.26 $218,119.26 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 3 3 — — $211,267.53 $231,388.16 $217,303.61 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 3 3 — — $210,609.76 $230,667.75 $216,627.04 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 3 3 — — $208,201.33 $228,029.94 $214,149.80 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 3 3 — — $205,649.20 $225,234.76 $211,524.75 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 10 — $2,774.00 $87,511.68 $331,726.79 $206,687.28 2026-03-04
215 MS_DRG Other Heart Assist System Implant 25 11 — $2,774.00 $79,055.98 $314,605.63 $203,672.90 2026-03-04
Q0480 HCPCS Dme Pos 32 14 — — $99,999.91 $305,999.72 $202,999.82 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 3 3 — — $196,114.72 $214,792.24 $201,717.87 2026-03-04
5831 APR_DRG Neonate With Ecmo, Minor 3 3 — — $195,446.80 $214,060.70 $201,030.86 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 3 3 — — $192,487.50 $210,819.57 $197,987.02 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — $2,774.00 $61,609.67 $298,913.53 $192,115.00 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems, Moderate 3 3 — — $184,629.89 $202,213.62 $189,904.91 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 32 14 — — $93,216.70 $285,243.10 $189,229.90 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems, Minor 3 3 — — $175,609.49 $192,334.13 $180,626.78 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 3 3 — — $162,438.89 $177,909.19 $167,079.89 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,774.00 $84,149.83 $263,739.15 $165,783.08 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,774.00 $55,713.11 $259,617.09 $163,047.23 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 11 — $2,774.00 $50,377.72 $249,940.04 $161,001.11 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $156,254.39 $171,135.70 $160,718.70 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 11 — $2,774.00 $64,755.54 $260,325.47 $160,464.00 2026-03-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 2 — — $42,037.50 $204,268.21 $159,712.76 2026-03-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $51,193.70 $199,791.61 $159,690.75 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — $2,774.00 $48,098.69 $237,497.25 $152,750.23 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 3 3 — — $145,856.06 $159,747.05 $150,023.28 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 11 — $2,774.00 $47,662.06 $240,219.88 $147,774.29 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — $2,774.00 $74,000.02 $231,928.01 $145,787.02 2026-03-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 2 — — $37,576.79 $188,375.92 $144,678.15 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 3 3 — — $140,357.29 $153,724.59 $144,367.40 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 3 3 — — $138,535.40 $151,729.19 $142,493.46 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 11 — $2,774.00 $46,219.06 $222,753.77 $140,721.89 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 3 3 — — $136,779.66 $149,806.24 $140,687.56 2026-03-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $45,375.88 $174,669.08 $139,610.65 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 3 3 — — $132,163.87 $144,750.86 $135,939.90 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — $2,774.00 $56,769.85 $216,695.60 $134,566.18 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — $2,774.00 $67,000.79 $209,991.29 $131,997.79 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 11 — $2,774.00 $41,610.90 $211,117.91 $131,881.26 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 3 3 — — $127,222.37 $139,338.73 $130,857.21 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 11 — — $63,566.23 $206,405.14 $126,136.48 2026-03-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 2 — — $41,029.69 $156,865.75 $125,380.69 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $121,465.35 $133,033.43 $124,935.71 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 3 3 — — $121,282.07 $132,832.70 $124,747.20 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 3 3 — — $120,338.09 $131,798.81 $123,776.24 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 11 — $2,774.00 $38,006.25 $213,119.84 $123,757.44 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — $2,774.00 $40,807.80 $196,044.87 $123,124.07 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 3 3 — — $119,107.76 $130,451.31 $122,510.76 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 11 — $2,774.00 $38,799.33 $188,769.68 $122,213.10 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 3 3 — — $118,472.94 $129,756.03 $121,857.81 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 11 — $2,774.00 $37,303.36 $187,572.07 $121,432.50 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $118,039.07 $129,280.84 $121,411.53 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 11 — $2,774.00 $43,689.51 $192,373.63 $119,253.00 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — $2,774.00 $49,760.17 $191,267.95 $118,121.15 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 11 — $2,774.00 $35,187.53 $187,227.52 $117,909.99 2026-03-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $36,828.09 $147,382.82 $117,801.11 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 3 3 — — $113,406.73 $124,207.32 $116,646.85 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 11 — $2,774.00 $35,599.81 $211,669.21 $115,304.64 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 11 — $2,774.00 $32,998.69 $210,002.98 $115,224.01 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 11 — $2,774.00 $36,102.29 $181,116.60 $114,351.71 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,774.00 $39,958.89 $187,113.16 $114,248.00 2026-03-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 2 — — $29,530.04 $141,847.87 $113,667.05 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,774.00 $57,056.63 $178,824.68 $112,406.85 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 11 — $2,774.00 $32,609.30 $191,511.26 $112,276.30 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 11 — $2,774.00 $36,727.88 $183,210.93 $111,850.47 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 25 11 — $2,774.00 $34,297.10 $185,597.85 $110,841.44 2026-03-04
A9543 HCPCS Y90 Ibritumomab, Rx 33 14 — — $50,573.85 $190,033.37 $108,679.22 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — $2,774.00 $33,137.55 $175,452.66 $108,467.64 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 11 — $2,774.00 $33,296.45 $169,554.65 $108,064.00 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 11 — $2,774.00 $35,071.57 $186,232.31 $107,849.24 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 11 — $2,774.00 $34,460.30 $174,593.37 $107,375.16 2026-03-04
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $34,654.99 $133,496.51 $106,701.96 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 11 — $2,774.00 $44,401.30 $189,148.98 $106,316.00 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — $2,774.00 $53,859.46 $168,804.23 $106,108.17 2026-03-04
653 MS_DRG Major Bladder Procedures With Mcc 25 11 — $2,774.00 $33,966.41 $166,733.47 $103,334.11 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 3 3 — — $100,237.45 $109,783.83 $103,101.31 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — $2,774.00 $32,552.04 $161,528.44 $102,399.22 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — $2,774.00 $32,072.47 $174,436.30 $101,744.99 2026-03-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 11 — $2,774.00 $31,283.69 $159,742.09 $101,358.14 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 11 — $2,774.00 $32,334.45 $156,428.12 $101,103.00 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 11 — $2,774.00 $31,940.77 $160,090.12 $100,834.76 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 25 11 — $2,774.00 $35,843.18 $151,749.70 $100,773.73 2026-03-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $32,081.06 $124,601.96 $99,592.67 2026-03-04
8634 APR_DRG Neonatal Aftercare, Severe 3 3 — — $96,753.93 $105,968.55 $99,518.26 2026-03-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 11 — $2,774.00 $38,565.99 $155,186.92 $99,198.00 2026-03-04
1784 APR_DRG External Heart Assist Systems, Severe 3 3 — — $96,312.47 $105,485.05 $99,064.19 2026-03-04
266T OTHER Implt/rpl Crtd Sns Dev Total 32 14 — — $8,129.00 $150,491.26 $98,852.10 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 11 — $2,774.00 $30,330.27 $158,808.88 $98,378.05 2026-03-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 11 — $2,774.00 $29,750.50 $175,033.80 $98,367.11 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 11 — $2,774.00 $31,350.97 $155,747.46 $98,259.56 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — $2,774.00 $49,695.91 $155,754.99 $97,905.43 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 3 3 — — $93,588.54 $102,501.70 $96,262.44 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 3 3 — — $92,845.50 $101,687.89 $95,498.17 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 3 3 — — $92,673.77 $101,499.81 $95,321.53 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 25 11 — $2,774.00 $30,640.92 $151,500.28 $95,134.43 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 3 3 — — $92,124.09 $100,897.78 $94,756.15 2026-03-04
799 MS_DRG Splenic Procedures With Mcc 25 11 — $2,774.00 $30,333.14 $152,596.73 $94,649.00 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $91,573.23 $100,294.45 $94,189.54 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $91,404.00 $100,109.11 $94,015.49 2026-03-04
L7181 HCPCS Dme Pos 17 11 — — $47,211.27 $144,466.49 $93,950.43 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 11 — $2,774.00 $31,279.39 $153,973.44 $93,765.29 2026-03-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 11 — $2,774.00 $34,819.62 $150,305.28 $93,652.00 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 3 3 — — $90,811.13 $99,459.77 $93,405.67 2026-03-04
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 2 — — $24,297.72 $112,659.66 $93,303.78 2026-03-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 11 — $2,774.00 $30,766.90 $142,528.53 $92,271.71 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 11 — $2,774.00 $28,648.20 $148,044.63 $91,832.76 2026-03-04
163 MS_DRG Major Chest Procedures With Mcc 25 11 — $2,774.00 $29,900.81 $145,174.17 $91,751.00 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 3 3 — — $88,809.86 $97,267.91 $91,347.23 2026-03-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 11 — $2,774.00 $36,753.64 $135,211.83 $91,291.27 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $88,549.04 $96,982.24 $91,078.95 2026-03-04
245 MS_DRG Aicd Generator Procedures 25 11 — $2,774.00 $31,949.36 $139,562.59 $90,351.58 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — $2,774.00 $40,191.96 $137,375.86 $90,078.04 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 11 — $2,774.00 $30,105.52 $139,112.92 $90,060.48 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 3 3 — — $87,406.55 $95,730.95 $89,903.82 2026-03-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — $2,774.00 $37,369.13 $147,293.14 $88,707.22 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 3 3 — — $86,103.74 $94,304.06 $88,563.79 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 11 — $2,774.00 $27,550.20 $145,999.58 $87,378.49 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,774.00 $44,214.93 $138,576.73 $87,107.36 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — $2,774.00 $43,945.02 $137,730.78 $86,575.79 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — $2,774.00 $28,197.26 $143,172.23 $86,326.04 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 11 — $2,774.00 $27,152.23 $136,390.29 $86,200.88 2026-03-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,774.00 $28,797.08 $139,550.27 $85,954.00 2026-03-04
L7180 HCPCS Dme Pos 17 11 — — $43,145.97 $132,026.67 $85,860.48 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 3 3 — — $82,966.32 $90,867.84 $85,336.73 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 11 — $2,774.00 $25,952.59 $138,654.02 $85,316.64 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 3 3 — — $82,828.88 $90,717.31 $85,195.36 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 11 — $2,774.00 $26,960.40 $136,008.38 $85,176.87 2026-03-04
1794 APR_DRG Defibrillator Implants, Severe 3 3 — — $82,510.81 $90,368.95 $84,868.21 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 3 3 — — $82,387.42 $90,233.81 $84,741.29 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 3 3 — — $82,274.19 $90,109.79 $84,624.83 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 3 3 — — $81,729.65 $89,513.40 $84,064.73 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 3 3 — — $80,634.18 $88,313.60 $82,937.96 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 3 3 — — $80,242.32 $87,884.41 $82,534.90 2026-03-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 11 — $2,774.00 $26,837.29 $126,787.16 $82,080.89 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures, Severe 3 3 — — $79,708.01 $87,299.22 $81,985.33 2026-03-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 11 — $2,774.00 $25,158.08 $134,342.16 $81,841.25 2026-03-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 11 — $2,774.00 $26,174.48 $128,080.72 $81,818.49 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 11 — $2,774.00 $23,772.34 $132,521.94 $81,765.05 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — $2,774.00 $41,371.22 $129,664.07 $81,504.86 2026-03-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 11 — $2,774.00 $25,013.49 $131,779.68 $81,378.55 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 25 11 — $2,774.00 $26,548.12 $133,291.91 $80,824.82 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 3 3 — — $78,436.99 $85,907.14 $80,677.99 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $78,374.67 $85,838.89 $80,613.89 2026-03-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 10 — $2,774.00 $34,216.14 $127,507.86 $80,102.42 2026-03-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 11 — $2,774.00 $25,710.66 $124,575.80 $79,747.72 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $76,953.55 $84,282.43 $79,152.17 2026-03-04
L2006 HCPCS Dme Pos 17 11 — — $39,235.19 $120,059.68 $78,078.03 2026-03-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 11 — $2,774.00 $26,001.26 $120,451.81 $77,979.44 2026-03-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 11 — $2,774.00 $26,509.46 $119,721.87 $77,506.88 2026-03-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 11 — $2,774.00 $24,718.59 $124,464.92 $77,384.90 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 3 3 — — $75,055.29 $82,203.38 $77,199.68 2026-03-04
140 MS_DRG Major Head And Neck Procedures With Mcc 24 11 — $2,774.00 $33,973.54 $116,361.70 $76,295.78 2026-03-04
1783 APR_DRG External Heart Assist Systems, Major 3 3 — — $73,799.57 $80,828.07 $75,908.08 2026-03-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 11 — $2,774.00 $24,545.38 $121,893.20 $75,640.29 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 3 3 — — $73,508.21 $80,508.96 $75,608.40 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 3 3 — — $73,420.43 $80,412.83 $75,518.11 2026-03-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 11 — $2,774.00 $23,029.36 $120,159.22 $75,371.02 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 3 3 — — $73,257.54 $80,234.42 $75,350.56 2026-03-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 11 — $2,774.00 $24,174.60 $118,591.55 $75,052.43 2026-03-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 11 — $2,774.00 $23,153.91 $123,346.92 $74,818.66 2026-03-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 11 — $2,774.00 $24,641.29 $116,691.25 $74,572.67 2026-03-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 11 — $2,774.00 $24,476.66 $114,556.88 $74,163.11 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 3 3 — — $71,954.73 $78,807.53 $74,010.53 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 3 3 — — $71,730.84 $78,562.32 $73,780.24 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma, Severe 3 3 — — $71,714.28 $78,544.19 $73,763.21 2026-03-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 11 — $2,774.00 $21,929.93 $113,894.70 $73,734.42 2026-03-04
J7330 HCPCS Cultured Chondrocytes Implnt 20 8 $180,707.14 $23,311.22 87% off $20,582.54 $117,893.33 $73,456.84 2026-03-04
234 APR_DRG Spinal Procedures, Severe 3 3 — — $71,326.24 $78,119.19 $73,364.09 2026-03-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 11 — $2,774.00 $24,070.10 $119,444.68 $72,985.45 2026-03-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 11 — $2,774.00 $22,763.10 $120,023.70 $72,765.48 2026-03-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 11 — $2,774.00 $22,972.10 $111,378.42 $72,471.55 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 3 3 — — $70,342.76 $77,042.04 $72,352.50 2026-03-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 11 — $2,774.00 $22,634.26 $123,642.59 $71,938.00 2026-03-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 11 — $2,774.00 $22,887.64 $124,976.18 $71,895.07 2026-03-04
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 32 14 — — $7,690.00 $117,049.00 $71,530.02 2026-03-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 11 — $2,774.00 $24,817.37 $110,106.43 $71,281.93 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 3 3 — — $69,098.51 $75,679.29 $71,072.71 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 3 3 — — $69,076.88 $75,655.60 $71,050.46 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 3 3 — — $69,069.23 $75,647.22 $71,042.59 2026-03-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 9 — — $34,189.74 $162,620.71 $70,920.60 2026-03-04
6904 APR_DRG Acute Leukemia, Severe 3 3 — — $68,571.78 $75,102.40 $70,530.93 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 3 3 — — $68,559.05 $75,088.46 $70,517.84 2026-03-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 11 — $2,774.00 $21,702.32 $100,287.70 $70,395.58 2026-03-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 11 — $2,774.00 $21,862.65 $114,640.04 $69,697.00 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 3 3 — — $67,711.75 $74,160.46 $69,646.33 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 3 3 — — $67,625.23 $74,065.70 $69,557.33 2026-03-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 3 3 — — $67,416.57 $73,837.16 $69,342.71 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 3 3 — — $67,372.05 $73,788.41 $69,296.92 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 33 14 — — $56,279.69 $212,029.91 $69,290.82 2026-03-04
204 APR_DRG Open Craniotomy For Trauma, Severe 3 3 — — $67,361.83 $73,777.21 $69,286.41 2026-03-04
332 MS_DRG Rectal Resection With Mcc 25 11 — $2,774.00 $21,423.16 $112,548.79 $69,048.00 2026-03-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 11 — $2,774.00 $21,059.55 $110,297.38 $68,915.95 2026-03-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 11 — $2,774.00 $20,959.34 $108,572.63 $68,750.97 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 3 3 — — $66,636.66 $72,982.98 $68,540.52 2026-03-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 11 — $2,774.00 $23,162.50 $117,824.65 $68,510.14 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 3 3 — — $66,531.08 $72,867.35 $68,431.92 2026-03-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 11 — $2,774.00 $19,340.26 $105,665.21 $68,406.72 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $66,499.22 $72,832.46 $68,399.16 2026-03-04
4414 APR_DRG Major Bladder Procedures, Severe 3 3 — — $66,337.65 $72,655.50 $68,232.97 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 3 3 — — $66,336.40 $72,654.12 $68,231.68 2026-03-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 11 — $2,774.00 $20,912.10 $112,471.79 $67,969.69 2026-03-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 3 3 — — $66,031.06 $72,319.70 $67,917.62 2026-03-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 11 — $2,774.00 $21,546.28 $107,374.55 $67,816.09 2026-03-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 11 — $2,774.00 $19,265.82 $108,938.36 $67,785.00 2026-03-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 11 — $2,774.00 $21,766.74 $106,447.50 $67,596.12 2026-03-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 11 — $2,774.00 $22,767.39 $106,413.62 $67,521.00 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 3 3 — — $65,608.66 $71,857.08 $67,483.15 2026-03-04
1782 APR_DRG External Heart Assist Systems, Moderate 3 3 — — $65,501.76 $71,739.99 $67,373.19 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 3 3 — — $65,435.61 $71,667.55 $67,305.16 2026-03-04
268T OTHER Implt/rpl Crtd Sns Dev Gen 32 14 — — $8,129.00 $101,910.18 $66,941.00 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 3 3 — — $64,856.71 $71,033.52 $66,709.72 2026-03-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 11 — $2,774.00 $21,992.92 $98,186.04 $66,523.10 2026-03-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 11 — $2,774.00 $22,697.24 $102,104.84 $66,101.77 2026-03-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 11 — $2,774.00 $21,136.85 $106,629.22 $65,768.07 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 2 2 — — $63,452.54 $67,565.22 $65,508.88 2026-03-04
274 APR_DRG Other Open Craniotomy, Severe 3 3 — — $63,579.36 $69,634.52 $65,395.87 2026-03-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 11 — $2,774.00 $21,938.52 $98,570.90 $65,354.43 2026-03-04
265 MS_DRG Aicd Lead Procedures 25 11 — $2,774.00 $19,149.86 $108,846.75 $65,037.19 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 3 — — $62,856.70 $68,843.03 $64,652.57 2026-03-04
38240 CPT Transplt Allo Hct/donor 16 9 — $4,627.00 $272.13 $197,785.00 $64,635.47 2026-03-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 10 — $2,774.00 $32,803.12 $102,810.28 $64,625.10 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 3 3 — — $62,693.88 $68,664.70 $64,485.09 2026-03-04
408T OTHER Insj/rplc Cardiac Modulj Sys 32 14 — — $13,431.00 $107,221.00 $64,453.50 2026-03-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 11 — $2,774.00 $21,072.43 $98,581.44 $64,349.84 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures, Severe 3 3 — — $62,374.56 $68,314.96 $64,156.64 2026-03-04
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 11 — — $32,309.07 $104,910.39 $64,111.90 2026-03-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 11 — $2,774.00 $20,116.16 $101,451.91 $64,083.00 2026-03-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 11 — $2,774.00 $20,452.57 $103,998.98 $63,861.23 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 3 3 — — $62,081.87 $67,994.41 $63,855.60 2026-03-04
264 MS_DRG Other Circulatory System O.r. Procedures 25 11 — $2,774.00 $19,865.64 $100,589.53 $63,722.66 2026-03-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 11 — $2,774.00 $19,971.57 $103,761.83 $63,657.47 2026-03-04
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 3 3 — — $61,813.47 $67,700.44 $63,579.53 2026-03-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 11 — $2,774.00 $22,419.52 $99,028.02 $63,182.00 2026-03-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 11 — $2,774.00 $19,152.72 $104,895.23 $63,172.06 2026-03-04
252 MS_DRG Other Vascular Procedures With Mcc 25 11 — $2,774.00 $20,124.75 $103,293.69 $62,971.00 2026-03-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 11 — $2,774.00 $26,524.46 $102,425.15 $62,964.12 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 3 3 — — $61,169.68 $66,995.34 $62,917.34 2026-03-04
571T OTHER Insj/rplcmt Icds Ss Eltrd 32 14 — — $13,431.00 $107,221.00 $62,886.28 2026-03-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 — $2,774.00 $22,330.77 $114,926.47 $62,817.99 2026-03-04
4014 APR_DRG Adrenal Procedures, Severe 3 3 — — $60,966.10 $66,772.37 $62,707.94 2026-03-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 11 — $2,774.00 $19,675.24 $105,585.13 $62,483.65 2026-03-04
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 32 14 — — $2,211.00 $101,910.00 $62,278.44 2026-03-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 11 — $2,774.00 $20,004.50 $96,634.94 $62,231.43 2026-03-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 11 — $2,774.00 $19,386.07 $99,813.40 $62,127.00 2026-03-04
37 MS_DRG Extracranial Procedures With Mcc 25 11 — $2,774.00 $19,897.13 $103,965.10 $62,098.69 2026-03-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 10 — $2,774.00 $31,427.05 $98,497.46 $61,914.42 2026-03-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 11 — $2,774.00 $24,953.19 $97,928.50 $61,834.00 2026-03-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $60,002.99 $65,717.53 $61,717.32 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 3 3 — — $59,950.82 $65,660.40 $61,663.66 2026-03-04
665 MS_DRG Prostatectomy With Mcc 25 11 — $2,774.00 $18,212.19 $95,141.19 $61,593.56 2026-03-04
1781 APR_DRG External Heart Assist Systems, Minor 3 3 — — $59,882.17 $65,585.21 $61,593.05 2026-03-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 3 3 — — $59,702.72 $65,388.67 $61,408.48 2026-03-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — $2,774.00 $25,741.23 $98,575.28 $61,104.81 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 3 3 — — $59,172.24 $64,807.67 $60,862.83 2026-03-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 11 — $2,774.00 $19,262.95 $97,133.89 $60,790.23 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 33 14 — — $50,745.22 $185,725.87 $60,694.73 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 3 3 — — $58,980.13 $64,597.26 $60,665.24 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 3 3 — — $58,681.12 $64,269.78 $60,357.69 2026-03-04
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $18,996.68 $75,301.16 $60,187.21 2026-03-04
500 MS_DRG Soft Tissue Procedures With Mcc 25 11 — $2,774.00 $18,498.50 $99,875.00 $59,807.94 2026-03-04
2304 APR_DRG Major Small Bowel Procedures, Severe 3 3 — — $58,122.60 $63,658.07 $59,783.21 2026-03-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 11 — $2,774.00 $19,262.95 $102,554.51 $59,594.94 2026-03-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 11 — $2,774.00 $19,350.28 $97,371.04 $59,487.46 2026-03-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 11 — $2,774.00 $18,319.56 $102,936.42 $59,425.38 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 3 3 — — $57,752.37 $63,252.57 $59,402.40 2026-03-04
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $19,464.80 $74,157.61 $59,273.18 2026-03-04
1793 APR_DRG Defibrillator Implants, Major 3 3 — — $57,588.22 $63,072.79 $59,233.56 2026-03-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 3 3 — — $57,529.73 $63,008.73 $59,173.40 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 3 3 — — $57,513.18 $62,990.60 $59,156.37 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 3 3 — — $57,350.28 $62,812.19 $58,988.82 2026-03-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 10 — $2,774.00 $25,666.53 $91,429.91 $58,721.99 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $57,079.30 $62,515.40 $58,710.10 2026-03-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 10 — $2,774.00 $24,650.34 $94,706.93 $58,515.36 2026-03-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 3 3 — — $56,869.39 $62,285.50 $58,494.19 2026-03-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 11 — $2,774.00 $19,602.23 $84,702.30 $58,141.85 2026-03-04
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