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

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY

Rahway, NJ · CCN 310024 · Rates published

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You selected 93306 (CPT)

HC Echo 2d W/Spec/Color W/Contrast

This hospital’s price: $1,096 across 13 payers · range $310-$3,102

Source: https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/221487305_robert-wood-johnson-university-hospital-rahway_standardcharges.json · observed 2026-03-04

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,279,887.34 $4,135,676.50 $3,710,000.00 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,957,001.24 $3,702,914.75 $3,296,000.00 nat. median
$3,324,572
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
$3,286,000
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
$2,994,107
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
$2,401,960
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,156,586.79 $4,596,711.00 $2,431,870.46 nat. median
$2,466,282
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
$359,358
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $511,072.50 $1,891,566.48 $618,158.98 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $325,500.00 $1,843,725.86 $587,222.58 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $352,380.00 $1,766,789.20 $577,382.09 nat. median
$622,245
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $344,652.00 $1,727,239.00 $564,457.19 nat. median
$640,950
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $257,664.44 $1,637,049.51 $534,983.50 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $435,565.25 $1,632,148.09 $533,381.73 nat. median
$591,650
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 3 $441,630.65 $483,690.54 $454,248.38 nat. median
$307,273
1.5× 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
$198,433
outlier · 2.0×
5833
APR_DRG 		Neonate With Ecmo, Major 3 $384,603.45 $421,232.20 $395,591.86 nat. median
$244,017
1.6× 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
$190,557
outlier · 2.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 3 $329,399.52 $360,770.77 $338,810.72 nat. median
$247,214
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 3 $303,824.24 $332,759.77 $312,504.74 nat. median
$202,993
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
$126,722
outlier · 2.0×
5832
APR_DRG 		Neonate With Ecmo, Moderate 3 $241,347.93 $264,333.35 $248,243.43 nat. median
$159,249
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 3 $230,228.26 $252,154.67 $236,806.06 nat. median
$120,517
2.0× 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
$154,011
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 3 $218,211.62 $238,993.60 $224,446.10 nat. median
$156,153
1.4× 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
$151,838
1.5× 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
$162,514
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $57,711.55 $272,922.26 $218,119.26 nat. median
$71,201
outlier · 3.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 3 $211,267.53 $231,388.16 $217,303.61 nat. median
$175,429
1.2× 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
$133,164
1.6× 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
$165,000
1.3× 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
$145,061
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $87,511.68 $331,726.79 $206,687.28 nat. median
$97,414
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 11 $79,055.98 $314,605.63 $203,672.90 nat. median
$93,917
outlier · 2.2×
Q0480
HCPCS 		Dme Pos 14 $99,999.91 $305,999.72 $202,999.82 nat. median
$111,503
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 3 $196,114.72 $214,792.24 $201,717.87 nat. median
$163,587
1.2× median
5831
APR_DRG 		Neonate With Ecmo, Minor 3 $195,446.80 $214,060.70 $201,030.86 nat. median
$146,591
1.4× 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
$122,016
1.6× 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
$90,581
outlier · 2.1×
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 3 $184,629.89 $202,213.62 $189,904.91 nat. median
$84,808
outlier · 2.2×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 14 $93,216.70 $285,243.10 $189,229.90 nat. median
$97,020
2.0× median
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 3 $175,609.49 $192,334.13 $180,626.78 nat. median
$76,852
outlier · 2.4×
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
$107,657
1.6× 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
$93,270
1.8× median
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
$77,696
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $50,377.72 $249,940.04 $161,001.11 nat. median
$77,043
outlier · 2.1×
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
$118,589
1.4× 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
$74,460
outlier · 2.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $42,037.50 $204,268.21 $159,712.76 nat. median
$52,841
outlier · 3.0×
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
$47,579
outlier · 3.4×

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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