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

TRINITAS REGIONAL MEDICAL CENTER

Elizabeth, NJ · CCN 310027 · Rates published

21,489 distinct procedures filed
14 distinct payers
544,415 rate rows
2026-03-04 last MRF observed
Data quality

407,360 of 544,415 rate rows are consumer-grade (74.8%)

137,055 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 133,402
per-diem day rate — not a per-procedure price 3,131
template filing: same amount across many unrelated codes — excluded 329
placeholder amount (≤ $0.02) — excluded from medians 112
exceeds 10× this hospital's gross charge — excluded from medians 81
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.rwjbh.org/sub/59777/documents/content/223601678_TRINITAS-REGIONAL-MEDICAL-CENTER_standardcharges.1).csv
Found on page https://www.rwjbh.org/trinitas-regional-medical-center/patients-visitors/pricing-information/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-15

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 7 $3,301,900.00 $4,135,676.50 $4,054,584.80 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,279,887.34 $4,135,676.50 $3,975,042.40 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $2,957,001.24 $3,702,914.75 $3,559,089.58 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $2,924,540.00 $3,559,357.16 $3,489,565.84 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,623,909.86 $3,308,541.20 $3,243,667.84 nat. median
$3,004,655
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,156,586.79 $2,679,225.84 $2,575,161.84 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 7 $2,075,480.00 $2,599,568.08 $2,548,596.16 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $511,072.50 $2,586,748.07 $630,522.16 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $333,250.00 $2,521,325.24 $602,524.79 nat. median
$674,867
0.9× median
5834
APR_DRG 		3 $476,947.85 $652,982.05 $596,201.00 nat. median
$309,665
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $360,770.00 $2,416,113.09 $577,382.09 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $352,858.00 $2,362,027.56 $564,457.19 nat. median
$673,137
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $358,127.91 $751,578.00 $546,671.98 nat. median
$370,174
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $435,565.25 $2,231,989.19 $544,049.36 nat. median
$619,808
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $263,799.30 $2,238,691.95 $534,983.50 nat. median
$634,303
0.8× median
5833
APR_DRG 		3 $415,360.18 $568,663.31 $519,214.32 nat. median
$244,017
outlier · 2.1×
5884
APR_DRG 		3 $355,741.59 $487,040.41 $444,689.07 nat. median
$246,434
1.8× median
1614
APR_DRG 		3 $328,121.06 $449,225.56 $410,162.47 nat. median
$207,730
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $146,663.00 $633,137.81 $385,495.99 nat. median
$206,474
1.9× median
5832
APR_DRG 		3 $260,648.52 $356,849.93 $325,819.50 nat. median
$156,126
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $145,969.00 $571,987.97 $320,891.84 nat. median
$202,976
1.6× median
1613
APR_DRG 		3 $248,639.61 $340,408.71 $310,807.95 nat. median
$119,796
outlier · 2.6×
6304
APR_DRG 		3 $241,797.01 $331,040.61 $302,254.47 nat. median
$150,721
outlier · 2.0×
8414
APR_DRG 		3 $235,662.00 $322,641.26 $294,585.50 nat. median
$160,267
1.8× median
5934
APR_DRG 		3 $233,860.65 $320,175.06 $292,333.75 nat. median
$151,838
1.9× median
5914
APR_DRG 		3 $231,527.55 $316,980.85 $289,417.30 nat. median
$164,289
1.8× median
5883
APR_DRG 		3 $228,162.59 $312,373.93 $285,210.98 nat. median
$182,665
1.6× median
6314
APR_DRG 		3 $227,452.22 $311,401.38 $284,323.00 nat. median
$122,924
outlier · 2.3×
6094
APR_DRG 		3 $224,851.19 $307,840.34 $281,071.61 nat. median
$162,982
1.7× median
5882
APR_DRG 		3 $222,094.96 $304,066.84 $277,626.24 nat. median
$145,336
1.9× median
94
APR_DRG 		3 $211,798.01 $289,969.44 $264,754.71 nat. median
$164,834
1.6× median
5831
APR_DRG 		3 $211,076.67 $288,981.87 $263,853.01 nat. median
$144,745
1.8× median
44
APR_DRG 		3 $207,880.72 $284,606.34 $259,857.96 nat. median
$105,658
outlier · 2.5×
Q0480
HCPCS 		Dme Pos 14 $99,999.91 $418,459.62 $259,229.77 nat. median
$111,989
outlier · 2.3×
1612
APR_DRG 		3 $199,394.74 $272,988.31 $249,250.20 nat. median
$85,444
outlier · 2.9×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 14 $93,216.70 $390,074.60 $241,645.65 nat. median
$96,983
outlier · 2.5×
1611
APR_DRG 		3 $189,652.97 $259,651.00 $237,072.65 nat. median
$76,806
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $91,097.00 $377,115.57 $221,249.70 nat. median
$133,161
1.7× median
6034
APR_DRG 		3 $175,429.12 $240,177.34 $219,292.36 nat. median
$109,499
outlier · 2.0×
6024
APR_DRG 		3 $168,750.05 $231,033.13 $210,943.29 nat. median
$118,620
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $99,476.39 $279,577.95 $197,958.02 nat. median
$98,894
outlier · 2.0×
5933
APR_DRG 		3 $157,520.16 $215,658.46 $196,905.55 nat. median
$108,996
1.8× median
5913
APR_DRG 		3 $151,581.66 $207,528.14 $189,482.22 nat. median
$102,919
1.8× median
1604
APR_DRG 		3 $149,614.07 $204,834.35 $187,022.67 nat. median
$97,957
1.9× median
5881
APR_DRG 		3 $147,717.92 $202,238.37 $184,652.42 nat. median
$124,573
1.5× median
54
APR_DRG 		3 $142,733.02 $195,413.60 $178,421.11 nat. median
$68,217
outlier · 2.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $87,477.95 $245,856.40 $174,081.12 nat. median
$83,470
outlier · 2.1×
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 11 $67,452.66 $282,262.40 $172,041.38 nat. median
$70,825
outlier · 2.4×
43
APR_DRG 		3 $137,396.34 $188,107.24 $171,750.09 nat. median
$69,926
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $103,450.54 $290,747.30 $164,910.19 nat. median
$102,358
1.6× median

Other procedures at this hospital

Browse this hospital's 21,489 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 13 7 — — $3,301,900.00 $4,135,676.50 $4,054,584.80 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 7 — — $3,279,887.34 $4,135,676.50 $3,975,042.40 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 7 — — $2,957,001.24 $3,702,914.75 $3,559,089.58 2026-03-04
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 13 7 — — $2,924,540.00 $3,559,357.16 $3,489,565.84 2026-03-04
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 13 7 — — $2,623,909.86 $3,308,541.20 $3,243,667.84 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 7 — — $2,156,586.79 $2,679,225.84 $2,575,161.84 2026-03-04
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 13 7 — — $2,075,480.00 $2,599,568.08 $2,548,596.16 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 29 13 — — $511,072.50 $2,586,748.07 $630,522.16 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 29 13 — — $333,250.00 $2,521,325.24 $602,524.79 2026-03-04
5834 APR_DRG — 3 3 — — $476,947.85 $652,982.05 $596,201.00 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 29 13 — — $360,770.00 $2,416,113.09 $577,382.09 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 29 13 — — $352,858.00 $2,362,027.56 $564,457.19 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — $2,726.00 $358,127.91 $751,578.00 $546,671.98 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 29 13 — — $435,565.25 $2,231,989.19 $544,049.36 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 29 13 — — $263,799.30 $2,238,691.95 $534,983.50 2026-03-04
5833 APR_DRG — 3 3 — — $415,360.18 $568,663.31 $519,214.32 2026-03-04
5884 APR_DRG — 3 3 — — $355,741.59 $487,040.41 $444,689.07 2026-03-04
1614 APR_DRG — 3 3 — — $328,121.06 $449,225.56 $410,162.47 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 11 — $2,726.00 $146,663.00 $633,137.81 $385,495.99 2026-03-04
5832 APR_DRG — 3 3 — — $260,648.52 $356,849.93 $325,819.50 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 11 — $2,726.00 $145,969.00 $571,987.97 $320,891.84 2026-03-04
1613 APR_DRG — 3 3 — — $248,639.61 $340,408.71 $310,807.95 2026-03-04
6304 APR_DRG — 3 3 — — $241,797.01 $331,040.61 $302,254.47 2026-03-04
8414 APR_DRG — 3 3 — — $235,662.00 $322,641.26 $294,585.50 2026-03-04
5934 APR_DRG — 3 3 — — $233,860.65 $320,175.06 $292,333.75 2026-03-04
5914 APR_DRG — 3 3 — — $231,527.55 $316,980.85 $289,417.30 2026-03-04
5883 APR_DRG — 3 3 — — $228,162.59 $312,373.93 $285,210.98 2026-03-04
6314 APR_DRG — 3 3 — — $227,452.22 $311,401.38 $284,323.00 2026-03-04
6094 APR_DRG — 3 3 — — $224,851.19 $307,840.34 $281,071.61 2026-03-04
5882 APR_DRG — 3 3 — — $222,094.96 $304,066.84 $277,626.24 2026-03-04
94 APR_DRG — 3 3 — — $211,798.01 $289,969.44 $264,754.71 2026-03-04
5831 APR_DRG — 3 3 — — $211,076.67 $288,981.87 $263,853.01 2026-03-04
44 APR_DRG — 3 3 — — $207,880.72 $284,606.34 $259,857.96 2026-03-04
Q0480 HCPCS Dme Pos 31 14 — — $99,999.91 $418,459.62 $259,229.77 2026-03-04
1612 APR_DRG — 3 3 — — $199,394.74 $272,988.31 $249,250.20 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 31 14 — — $93,216.70 $390,074.60 $241,645.65 2026-03-04
1611 APR_DRG — 3 3 — — $189,652.97 $259,651.00 $237,072.65 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 11 — $2,726.00 $91,097.00 $377,115.57 $221,249.70 2026-03-04
6034 APR_DRG — 3 3 — — $175,429.12 $240,177.34 $219,292.36 2026-03-04
6024 APR_DRG — 3 3 — — $168,750.05 $231,033.13 $210,943.29 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $2,726.00 $99,476.39 $279,577.95 $197,958.02 2026-03-04
5933 APR_DRG — 3 3 — — $157,520.16 $215,658.46 $196,905.55 2026-03-04
5913 APR_DRG — 3 3 — — $151,581.66 $207,528.14 $189,482.22 2026-03-04
1604 APR_DRG — 3 3 — — $149,614.07 $204,834.35 $187,022.67 2026-03-04
5881 APR_DRG — 3 3 — — $147,717.92 $202,238.37 $184,652.42 2026-03-04
54 APR_DRG — 3 3 — — $142,733.02 $195,413.60 $178,421.11 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 17 10 — $2,726.00 $87,477.95 $245,856.40 $174,081.12 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 20 11 — — $67,452.66 $282,262.40 $172,041.38 2026-03-04
43 APR_DRG — 3 3 — — $137,396.34 $188,107.24 $171,750.09 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 10 — $2,726.00 $103,450.54 $290,747.30 $164,910.19 2026-03-04
6074 APR_DRG — 3 3 — — $131,178.93 $179,595.08 $163,978.11 2026-03-04
6303 APR_DRG — 3 3 — — $130,981.00 $179,324.09 $163,730.69 2026-03-04
3034 APR_DRG — 3 3 — — $129,961.53 $177,928.35 $162,456.32 2026-03-04
8424 APR_DRG — 3 3 — — $128,632.80 $176,109.22 $160,795.37 2026-03-04
1624 APR_DRG — 3 3 — — $127,947.22 $175,170.60 $159,938.37 2026-03-04
6023 APR_DRG — 3 3 — — $127,478.65 $174,529.08 $159,352.64 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 10 — $2,726.00 $79,203.92 $222,602.27 $157,615.80 2026-03-04
215 MS_DRG Other Heart Assist System Implant 23 11 — $2,726.00 $100,610.23 $282,764.62 $156,398.80 2026-03-04
5932 APR_DRG — 3 3 — — $122,475.86 $167,679.84 $153,098.98 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — $2,726.00 $78,347.00 $257,578.21 $146,074.47 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 29 13 — — $56,279.69 $386,752.44 $137,888.73 2026-03-04
1634 APR_DRG — 3 3 — — $108,253.44 $148,208.13 $135,320.47 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $2,726.00 $67,448.59 $189,563.96 $134,222.69 2026-03-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $75,762.00 $148,504.57 $131,485.45 2026-03-04
8634 APR_DRG — 3 3 — — $104,491.34 $143,057.50 $130,617.72 2026-03-04
1784 APR_DRG — 3 3 — — $104,014.58 $142,404.77 $130,021.75 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 11 — $2,726.00 $76,549.74 $215,142.70 $127,217.07 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 11 — $2,726.00 $72,797.00 $226,034.48 $126,870.90 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 10 — $2,726.00 $63,669.11 $178,941.74 $126,701.53 2026-03-04
53 APR_DRG — 3 3 — — $101,072.82 $138,377.26 $126,344.45 2026-03-04
1654 APR_DRG — 3 3 — — $100,270.35 $137,278.62 $125,341.35 2026-03-04
1674 APR_DRG — 3 3 — — $100,084.89 $137,024.71 $125,109.51 2026-03-04
6114 APR_DRG — 3 3 — — $99,491.25 $136,211.96 $124,367.44 2026-03-04
6022 APR_DRG — 3 3 — — $98,896.34 $135,397.47 $123,623.78 2026-03-04
A9543 HCPCS Y90 Ibritumomab, Rx 31 13 — — $50,573.85 $474,767.03 $123,583.80 2026-03-04
6073 APR_DRG — 3 3 — — $98,713.58 $135,147.26 $123,395.32 2026-03-04
266T CPT Implt/rpl Crtd Sns Dev Total 31 14 — — $8,991.00 $205,799.26 $123,383.16 2026-03-04
6093 APR_DRG — 3 3 — — $98,073.29 $134,270.65 $122,594.94 2026-03-04
L7181 HCPCS Dme Pos 19 11 — — $47,211.27 $197,560.28 $122,385.77 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 11 — $2,726.00 $67,003.00 $226,159.92 $122,141.88 2026-03-04
93 APR_DRG — 3 3 — — $95,911.98 $131,311.64 $119,893.24 2026-03-04
6124 APR_DRG — 3 3 — — $95,630.30 $130,925.99 $119,541.12 2026-03-04
3044 APR_DRG — 3 3 — — $94,396.45 $129,236.74 $117,998.77 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 11 — $2,726.00 $60,930.00 $208,611.90 $117,391.78 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 10 — $2,726.00 $58,747.23 $165,108.83 $116,906.99 2026-03-04
1834 APR_DRG — 3 3 — — $92,989.45 $127,310.45 $116,239.97 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — $2,726.00 $61,360.00 $206,506.14 $116,061.27 2026-03-04
J7330 HCPCS Cultured Chondrocytes Implnt 19 8 $180,707.14 $33,918.73 81% off $26,365.17 $444,067.80 $115,236.94 2026-03-04
5912 APR_DRG — 3 3 — — $89,601.13 $122,671.55 $112,004.46 2026-03-04
42 APR_DRG — 3 3 — — $89,452.70 $122,468.33 $111,818.91 2026-03-04
1794 APR_DRG — 3 3 — — $89,109.20 $121,998.05 $111,389.52 2026-03-04
9104 APR_DRG — 3 3 — — $88,975.94 $121,815.61 $111,222.95 2026-03-04
3033 APR_DRG — 3 3 — — $88,853.65 $121,648.19 $111,070.08 2026-03-04
1664 APR_DRG — 3 3 — — $88,265.57 $120,843.05 $110,334.96 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 11 — $2,726.00 $60,618.00 $199,212.03 $108,856.36 2026-03-04
6804 APR_DRG — 3 3 — — $87,082.50 $119,223.32 $108,856.08 2026-03-04
1623 APR_DRG — 3 3 — — $86,659.30 $118,643.92 $108,327.06 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 10 — $2,726.00 $67,109.57 $188,611.16 $107,725.13 2026-03-04
914 APR_DRG — 3 3 — — $86,082.26 $117,853.91 $107,605.74 2026-03-04
6033 APR_DRG — 3 3 — — $84,709.59 $115,974.61 $105,889.86 2026-03-04
5891 APR_DRG — 3 3 — — $84,642.29 $115,882.47 $105,805.73 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 11 — $2,726.00 $50,221.00 $185,662.03 $104,828.71 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 11 — $2,726.00 $46,872.00 $178,253.16 $104,148.40 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $2,726.00 $52,267.98 $146,898.92 $104,013.28 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 11 — $2,726.00 $44,646.00 $172,603.10 $103,972.31 2026-03-04
8504 APR_DRG — 3 3 — — $83,107.52 $113,781.24 $103,887.22 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 11 — $2,726.00 $44,663.00 $168,789.24 $103,439.50 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 10 — $2,726.00 $51,948.91 $146,002.17 $103,378.33 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 11 — $2,726.00 $53,479.00 $177,951.58 $103,170.09 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 11 — $2,726.00 $35,760.00 $163,782.39 $102,625.24 2026-03-04
L7180 HCPCS Dme Pos 20 11 — — $24,545.58 $180,548.63 $102,547.10 2026-03-04
L2006 HCPCS Dme Pos 19 11 — — $39,235.19 $164,183.58 $101,709.38 2026-03-04
6134 APR_DRG — 3 3 — — $81,057.46 $110,974.54 $101,324.58 2026-03-04
1783 APR_DRG — 3 3 — — $79,701.32 $109,117.86 $99,629.35 2026-03-04
9124 APR_DRG — 3 3 — — $79,386.66 $108,687.07 $99,236.02 2026-03-04
9114 APR_DRG — 3 3 — — $79,291.86 $108,557.28 $99,117.52 2026-03-04
1694 APR_DRG — 3 3 — — $79,115.94 $108,316.43 $98,897.61 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 10 — $2,726.00 $48,906.33 $137,451.02 $97,323.60 2026-03-04
6214 APR_DRG — 3 3 — — $77,708.95 $106,390.14 $97,138.82 2026-03-04
8413 APR_DRG — 3 3 — — $77,467.15 $106,059.10 $96,836.57 2026-03-04
214 APR_DRG — 3 3 — — $77,449.27 $106,034.62 $96,814.22 2026-03-04
234 APR_DRG — 3 3 — — $77,030.20 $105,460.88 $96,290.37 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — $2,726.00 $50,759.00 $172,354.89 $95,804.13 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 11 — $2,726.00 $56,889.78 $159,888.46 $95,634.04 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 10 — $2,726.00 $58,823.20 $165,322.34 $95,084.37 2026-03-04
1204 APR_DRG — 3 3 — — $75,968.06 $104,006.72 $94,962.66 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 11 — $2,726.00 $41,894.00 $164,356.20 $93,588.62 2026-03-04
6814 APR_DRG — 3 3 — — $74,624.32 $102,167.02 $93,282.93 2026-03-04
2204 APR_DRG — 3 3 — — $74,600.96 $102,135.04 $93,253.73 2026-03-04
6313 APR_DRG — 3 3 — — $74,592.69 $102,123.72 $93,243.40 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 11 — $2,726.00 $52,488.29 $147,518.11 $92,956.96 2026-03-04
6904 APR_DRG — 3 3 — — $74,055.47 $101,388.21 $92,571.85 2026-03-04
2604 APR_DRG — 3 3 — — $74,041.72 $101,369.39 $92,554.66 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 11 — $2,726.00 $52,210.00 $153,178.85 $91,907.22 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 11 — $2,726.00 $48,639.00 $182,240.50 $91,663.60 2026-03-04
6334 APR_DRG — 3 3 — — $73,126.66 $100,116.60 $91,410.81 2026-03-04
894 APR_DRG — 3 3 — — $73,033.21 $99,988.66 $91,294.00 2026-03-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $50,935.00 $101,547.15 $91,018.50 2026-03-04
3124 APR_DRG — 3 3 — — $72,807.87 $99,680.14 $91,012.31 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 11 — $2,726.00 $43,427.00 $155,391.36 $91,008.88 2026-03-04
9504 APR_DRG — 3 3 — — $72,759.79 $99,614.33 $90,952.21 2026-03-04
204 APR_DRG — 3 3 — — $72,748.75 $99,599.21 $90,938.41 2026-03-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $50,552.00 $104,843.42 $90,753.66 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 23 11 — $2,726.00 $42,878.00 $162,255.78 $90,698.83 2026-03-04
1653 APR_DRG — 3 3 — — $71,965.59 $98,527.00 $89,959.44 2026-03-04
3614 APR_DRG — 3 3 — — $71,851.57 $98,370.89 $89,816.90 2026-03-04
6072 APR_DRG — 3 3 — — $71,817.16 $98,323.79 $89,773.89 2026-03-04
4414 APR_DRG — 3 3 — — $71,642.67 $98,084.89 $89,555.77 2026-03-04
6084 APR_DRG — 3 3 — — $71,641.32 $98,083.04 $89,554.08 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 11 — $2,726.00 $49,145.00 $163,035.09 $89,532.38 2026-03-04
1633 APR_DRG — 3 3 — — $71,311.56 $97,631.57 $89,141.87 2026-03-04
1304 APR_DRG — 3 3 — — $70,855.38 $97,007.03 $88,571.63 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 11 — $2,726.00 $46,349.00 $157,043.41 $88,508.91 2026-03-04
1782 APR_DRG — 3 3 — — $70,739.93 $96,848.96 $88,427.31 2026-03-04
1603 APR_DRG — 3 3 — — $70,668.49 $96,751.16 $88,338.02 2026-03-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $64,915.00 $110,676.85 $87,795.93 2026-03-04
6083 APR_DRG — 3 3 — — $70,043.31 $95,895.22 $87,556.51 2026-03-04
L8701 HCPCS Ewh S/d Uprt Micro Sensor 20 11 — — $34,284.44 $143,466.67 $87,444.18 2026-03-04
274 APR_DRG — 3 3 — — $68,663.80 $94,006.57 $85,832.09 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — $2,726.00 $47,110.00 $158,780.87 $85,741.03 2026-03-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 11 — $2,726.00 $38,936.00 $143,995.16 $85,536.34 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 11 — $2,726.00 $43,558.00 $152,263.41 $85,321.11 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 11 — $2,726.00 $40,940.00 $144,147.29 $85,244.35 2026-03-04
6144 APR_DRG — 3 3 — — $67,883.35 $92,938.06 $84,856.49 2026-03-04
1622 APR_DRG — 3 3 — — $67,707.50 $92,697.31 $84,636.68 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 23 11 — $2,726.00 $43,939.00 $147,518.11 $84,270.55 2026-03-04
2614 APR_DRG — 3 3 — — $67,362.65 $92,225.18 $84,205.60 2026-03-04
52 APR_DRG — 3 3 — — $67,046.56 $91,792.43 $83,810.48 2026-03-04
268T CPT Implt/rpl Crtd Sns Dev Gen 31 14 — — $8,991.00 $139,363.83 $83,553.03 2026-03-04
1814 APR_DRG — 3 3 — — $66,756.69 $91,395.57 $83,448.13 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 11 — $2,726.00 $42,912.00 $144,886.57 $82,858.77 2026-03-04
1764 APR_DRG — 3 3 — — $66,061.42 $90,443.68 $82,579.01 2026-03-04
4014 APR_DRG — 3 3 — — $65,841.55 $90,142.67 $82,304.18 2026-03-04
653 MS_DRG Major Bladder Procedures With Mcc 23 11 — $2,726.00 $43,788.00 $148,780.50 $81,480.09 2026-03-04
5104 APR_DRG — 3 3 — — $64,801.42 $88,718.64 $81,003.98 2026-03-04
41 APR_DRG — 3 3 — — $64,745.09 $88,641.51 $80,933.56 2026-03-04
1781 APR_DRG — 3 3 — — $64,670.95 $88,540.01 $80,840.88 2026-03-04
3032 APR_DRG — 3 3 — — $64,477.15 $88,274.68 $80,598.63 2026-03-04
6302 APR_DRG — 3 3 — — $63,904.24 $87,490.33 $79,882.47 2026-03-04
6954 APR_DRG — 3 3 — — $63,696.77 $87,206.28 $79,623.13 2026-03-04
7924 APR_DRG — 3 3 — — $63,373.85 $86,764.17 $79,219.46 2026-03-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $59,231.00 $98,921.62 $79,076.31 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — $2,726.00 $41,525.00 $141,363.63 $78,936.47 2026-03-04
7404 APR_DRG — 2 2 — — $66,623.36 $91,213.03 $78,918.20 2026-03-04
2304 APR_DRG — 3 3 — — $62,770.67 $85,938.37 $78,465.47 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 11 — $2,726.00 $41,062.00 $141,990.82 $78,233.59 2026-03-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 11 — $2,726.00 $40,790.00 $135,969.78 $78,063.52 2026-03-04
3214 APR_DRG — 3 3 — — $62,370.83 $85,390.95 $77,965.65 2026-03-04
1793 APR_DRG — 3 3 — — $62,193.55 $85,148.25 $77,744.05 2026-03-04
5114 APR_DRG — 3 3 — — $62,130.38 $85,061.76 $77,665.09 2026-03-04
1833 APR_DRG — 3 3 — — $62,112.50 $85,037.28 $77,642.74 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 11 — $2,726.00 $39,189.00 $144,011.18 $77,607.47 2026-03-04
924 APR_DRG — 3 3 — — $61,936.58 $84,796.43 $77,422.83 2026-03-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 10 — $2,726.00 $38,777.69 $108,984.53 $77,167.60 2026-03-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 11 — $2,726.00 $47,322.36 $132,999.29 $77,147.54 2026-03-04
5892 APR_DRG — 3 3 — — $61,643.93 $84,395.77 $77,057.01 2026-03-04
3043 APR_DRG — 3 3 — — $61,417.23 $84,085.40 $76,773.62 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 11 — $2,726.00 $41,929.00 $135,553.43 $76,444.03 2026-03-04
1214 APR_DRG — 3 3 — — $60,889.62 $83,363.05 $76,114.09 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 11 — $2,726.00 $40,380.00 $136,994.64 $76,111.40 2026-03-04
2324 APR_DRG — 3 3 — — $60,565.34 $82,919.09 $75,708.74 2026-03-04
1673 APR_DRG — 3 3 — — $60,547.47 $82,894.62 $75,686.39 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 11 — $2,726.00 $40,343.00 $133,479.70 $75,244.46 2026-03-04
6123 APR_DRG — 3 3 — — $60,143.49 $82,341.54 $75,181.41 2026-03-04
1663 APR_DRG — 3 3 — — $60,021.20 $82,174.12 $75,028.54 2026-03-04
1652 APR_DRG — 3 3 — — $59,860.46 $81,954.04 $74,827.60 2026-03-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 11 — $2,726.00 $44,676.73 $125,563.74 $74,720.74 2026-03-04
6113 APR_DRG — 3 3 — — $59,691.45 $81,722.65 $74,616.33 2026-03-04
799 MS_DRG Splenic Procedures With Mcc 23 11 — $2,726.00 $37,508.00 $126,900.86 $74,571.68 2026-03-04
304 APR_DRG — 3 3 — — $59,353.50 $81,259.98 $74,193.89 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 23 11 — $2,726.00 $39,973.00 $129,636.48 $74,035.87 2026-03-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 10 — $2,726.00 $37,150.99 $104,412.71 $73,930.47 2026-03-04
1704 APR_DRG — 3 3 — — $58,996.25 $80,770.87 $73,747.32 2026-03-04
L5856 HCPCS Dme Pos 19 11 — — $28,413.71 $118,900.01 $73,656.86 2026-03-04
3254 APR_DRG — 3 3 — — $58,832.72 $80,546.99 $73,542.90 2026-03-04
1621 APR_DRG — 3 3 — — $58,794.26 $80,494.33 $73,494.83 2026-03-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 10 — $2,726.00 $44,175.33 $124,154.56 $73,223.33 2026-03-04
2644 APR_DRG — 3 3 — — $58,449.33 $80,022.09 $73,063.65 2026-03-04
L6880 HCPCS Dme Pos 20 11 — — $28,151.96 $117,804.69 $72,978.32 2026-03-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 11 — $2,726.00 $42,872.00 $133,637.16 $72,828.30 2026-03-04
6133 APR_DRG — 3 3 — — $58,156.68 $79,621.43 $72,697.82 2026-03-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $54,392.00 $90,602.81 $72,497.40 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 11 — $2,726.00 $37,568.00 $134,429.82 $72,347.15 2026-03-04
4054 APR_DRG — 3 3 — — $57,828.27 $79,171.81 $72,287.31 2026-03-04
4044 APR_DRG — 3 3 — — $57,615.32 $78,880.26 $72,021.11 2026-03-04
7104 APR_DRG — 3 3 — — $57,532.92 $78,767.44 $71,918.10 2026-03-04
5124 APR_DRG — 3 3 — — $57,506.78 $78,731.66 $71,885.43 2026-03-04
6514 APR_DRG — 3 3 — — $57,348.73 $78,515.28 $71,687.87 2026-03-04
1824 APR_DRG — 3 3 — — $57,104.23 $78,180.54 $71,382.23 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 11 — $2,726.00 $34,865.00 $126,876.84 $71,347.76 2026-03-04
1754 APR_DRG — 3 3 — — $56,867.84 $77,856.90 $71,086.74 2026-03-04
1632 APR_DRG — 3 3 — — $56,866.49 $77,855.05 $71,085.04 2026-03-04
163 MS_DRG Major Chest Procedures With Mcc 23 11 — $2,726.00 $39,244.00 $123,014.94 $70,944.39 2026-03-04
51 APR_DRG — 3 3 — — $56,588.94 $77,475.06 $70,738.09 2026-03-04
4034 APR_DRG — 3 3 — — $56,333.39 $77,125.19 $70,418.66 2026-03-04
264 APR_DRG — 3 3 — — $56,184.97 $76,921.98 $70,233.11 2026-03-04
92 APR_DRG — 3 3 — — $55,998.08 $76,666.12 $69,999.50 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — $2,726.00 $36,756.00 $122,571.90 $69,966.08 2026-03-04
2314 APR_DRG — 3 3 — — $55,853.86 $76,468.66 $69,819.22 2026-03-04
6092 APR_DRG — 3 3 — — $55,724.66 $76,291.78 $69,657.71 2026-03-04
8633 APR_DRG — 3 3 — — $55,649.09 $76,188.32 $69,563.25 2026-03-04
9103 APR_DRG — 3 3 — — $55,477.38 $75,953.23 $69,348.60 2026-03-04
6504 APR_DRG — 3 3 — — $55,313.85 $75,729.35 $69,144.19 2026-03-04
4474 APR_DRG — 3 3 — — $55,118.77 $75,462.27 $68,900.34 2026-03-04
5144 APR_DRG — 3 3 — — $55,089.85 $75,422.68 $68,864.19 2026-03-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 11 — $2,726.00 $40,855.00 $115,243.10 $68,839.79 2026-03-04
4424 APR_DRG — 3 3 — — $54,890.65 $75,149.95 $68,615.17 2026-03-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 2 — — $39,888.00 $80,465.09 $68,337.89 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 10 — $2,726.00 $47,512.29 $133,533.07 $68,293.18 2026-03-04
245 MS_DRG Aicd Generator Procedures 23 11 — $2,726.00 $39,984.00 $130,423.81 $68,202.10 2026-03-04
224 APR_DRG — 3 3 — — $54,503.20 $74,619.50 $68,130.85 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 11 — $2,726.00 $39,829.00 $122,553.22 $67,982.36 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 11 — $2,726.00 $36,095.00 $124,891.18 $67,758.10 2026-03-04
1303 APR_DRG — 3 3 — — $54,200.93 $74,205.67 $67,753.01 2026-03-04
3031 APR_DRG — 3 3 — — $54,173.44 $74,168.03 $67,718.64 2026-03-04
244 APR_DRG — 3 3 — — $53,884.84 $73,772.92 $67,357.89 2026-03-04
3094 APR_DRG — 3 3 — — $53,862.91 $73,742.89 $67,330.47 2026-03-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 11 — $2,726.00 $39,472.00 $127,453.32 $67,196.92 2026-03-04
913 APR_DRG — 3 3 — — $53,689.77 $73,505.85 $67,114.03 2026-03-04
6224 APR_DRG — 3 3 — — $53,557.87 $73,325.26 $66,949.15 2026-03-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $50,707.00 $83,183.03 $66,945.01 2026-03-04
1832 APR_DRG — 3 3 — — $53,523.54 $73,278.26 $66,906.24 2026-03-04
294 APR_DRG — 3 3 — — $53,476.82 $73,214.30 $66,847.84 2026-03-04
3134 APR_DRG — 3 3 — — $53,438.28 $73,161.54 $66,799.67 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 11 — $2,726.00 $35,805.00 $120,410.09 $66,651.85 2026-03-04
2294 APR_DRG — 3 3 — — $53,247.34 $72,900.12 $66,560.98 2026-03-04
9514 APR_DRG — 3 3 — — $53,229.46 $72,875.64 $66,538.63 2026-03-04
91 APR_DRG — 3 3 — — $53,197.84 $72,832.35 $66,499.10 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 11 — $2,726.00 $34,124.00 $119,361.21 $66,465.22 2026-03-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 10 — $2,726.00 $33,114.00 $117,239.44 $66,218.01 2026-03-04
4804 APR_DRG — 3 3 — — $52,925.84 $72,459.97 $66,159.10 2026-03-04
6143 APR_DRG — 3 3 — — $52,640.03 $72,068.66 $65,801.82 2026-03-04
7114 APR_DRG — 3 3 — — $52,465.53 $71,829.76 $65,583.70 2026-03-04
1831 APR_DRG — 3 3 — — $52,384.48 $71,718.80 $65,482.38 2026-03-04
2244 APR_DRG — 3 3 — — $52,179.72 $71,438.46 $65,226.42 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 23 11 — $2,726.00 $35,619.00 $118,245.61 $65,137.72 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 11 — $2,726.00 $30,275.00 $119,692.16 $64,761.44 2026-03-04
5893 APR_DRG — 3 3 — — $51,766.13 $70,872.22 $64,709.42 2026-03-04
38240 CPT Transplt Allo Hct/donor 25 11 — $5,855.00 $121.42 $270,473.59 $64,635.47 2026-03-04
3104 APR_DRG — 3 3 — — $51,554.53 $70,582.52 $64,444.91 2026-03-04
1651 APR_DRG — 3 3 — — $51,551.82 $70,578.82 $64,441.53 2026-03-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 11 — $2,726.00 $31,717.00 $113,847.27 $64,398.71 2026-03-04
6254 APR_DRG — 3 3 — — $51,483.09 $70,484.72 $64,355.61 2026-03-04
893 APR_DRG — 3 3 — — $51,459.73 $70,452.74 $64,326.41 2026-03-04
6234 APR_DRG — 3 3 — — $51,257.74 $70,176.20 $64,073.92 2026-03-04
1792 APR_DRG — 3 3 — — $51,193.15 $70,087.76 $63,993.17 2026-03-04
1744 APR_DRG — 3 3 — — $51,102.48 $69,963.63 $63,879.84 2026-03-04
1631 APR_DRG — 3 3 — — $50,900.49 $69,687.09 $63,627.35 2026-03-04
1662 APR_DRG — 3 3 — — $50,783.69 $69,527.18 $63,481.34 2026-03-04
5194 APR_DRG — 3 3 — — $50,721.87 $69,442.54 $63,404.06 2026-03-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 10 — $2,726.00 $40,448.07 $113,679.13 $63,387.54 2026-03-04
6091 APR_DRG — 3 3 — — $50,548.73 $69,205.49 $63,187.62 2026-03-04
4844 APR_DRG — 3 3 — — $50,449.80 $69,070.05 $63,063.96 2026-03-04
5184 APR_DRG — 3 3 — — $50,430.57 $69,043.73 $63,039.92 2026-03-04
1693 APR_DRG — 3 3 — — $50,393.46 $68,992.92 $62,993.54 2026-03-04
6082 APR_DRG — 3 3 — — $50,368.75 $68,959.09 $62,962.65 2026-03-04
3154 APR_DRG — 3 3 — — $50,218.97 $68,754.03 $62,775.42 2026-03-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 9 — — $43,767.00 $113,070.00 $62,765.27 2026-03-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 11 — $2,726.00 $33,114.00 $111,044.92 $62,591.09 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 13 — — $50,745.22 $338,772.65 $62,562.32 2026-03-04
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