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

New Brunswick, NJ · CCN 310038 · Rates published

Your selected procedure

You selected 93306 (CPT)

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

This hospital’s price: $1,336 across 13 payers · range $97-$4,063

Source: https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/221487243_robert-wood-johnson-university-hospital-new-brunswick_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.

21,518 distinct procedures filed
14 distinct payers
608,981 rate rows
2026-03-04 last MRF observed
Data quality

459,606 of 608,981 rate rows are consumer-grade (75.5%)

149,375 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 143,595
per-diem day rate — not a per-procedure price 3,411
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,516
template filing: same amount across many unrelated codes — excluded 329
placeholder amount (≤ $0.02) — excluded from medians 206
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 173
exceeds 10× this hospital's gross charge — excluded from medians 145
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/221487243_robert-wood-johnson-university-hospital-new-brunswick_standardcharges.json
Found on page https://www.rwjbh.org/billing/charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint a980c36be66154a3… · 373,088,038 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 $220.97 $4,390,882.94 $3,598,700.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $15,644.70 $4,390,882.94 $3,587,693.67 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,957,001.24 $3,931,416.11 $3,222,435.92 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 8 $14.15 $3,778,999.80 $3,138,595.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 8 $2,623,909.86 $3,512,706.36 $2,870,154.93 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $15.88 $2,844,556.89 $2,340,109.24 nat. median
$2,467,386
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 8 $2,075,480.00 $2,759,983.56 $2,262,040.00 nat. median
$2,401,965
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $190,000.00 $1,155,633.00 $765,686.48 nat. median
$359,454
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $86,457.20 $1,378,239.77 $656,304.65 nat. median
$739,258
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 4 $552,037.68 $733,421.34 $617,756.60 nat. median
$307,206
outlier · 2.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $325,500.00 $1,343,381.97 $590,734.31 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $352,380.00 $1,287,324.11 $571,668.07 nat. median
$622,450
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $344,652.00 $1,258,506.90 $568,193.34 nat. median
$640,950
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $435,565.25 $1,189,221.45 $555,964.33 nat. median
$591,721
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $191,498.92 $917,309.12 $547,229.87 nat. median
$198,418
outlier · 2.8×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $257,664.44 $1,192,792.73 $541,513.12 nat. median
$608,239
0.9× median
5833
APR_DRG 		Neonate With Ecmo, Major 4 $480,753.76 $638,715.57 $537,986.48 nat. median
$244,017
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $181,997.40 $741,967.76 $505,572.14 nat. median
$190,559
outlier · 2.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 $411,748.93 $547,037.74 $460,766.77 nat. median
$247,214
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 4 $379,779.87 $504,564.58 $424,991.86 nat. median
$202,993
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo, Moderate 4 $301,684.57 $400,809.41 $337,599.48 nat. median
$159,249
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $110,844.42 $511,574.70 $327,388.71 nat. median
$126,695
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems, Major 4 $287,784.99 $382,342.84 $322,045.19 nat. median
$120,517
outlier · 2.7×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 $279,865.11 $371,820.71 $313,182.46 nat. median
$154,011
outlier · 2.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 4 $272,764.21 $362,386.67 $305,236.22 nat. median
$155,939
2.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 $270,679.26 $359,616.66 $302,903.05 nat. median
$151,838
2.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 $267,978.84 $356,028.96 $299,881.17 nat. median
$162,342
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 $264,084.11 $350,854.53 $295,522.77 nat. median
$175,204
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 $263,261.90 $349,762.16 $294,602.68 nat. median
$133,164
outlier · 2.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 $260,251.36 $345,762.45 $291,233.73 nat. median
$165,000
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 4 $257,061.20 $341,524.10 $287,663.80 nat. median
$145,061
2.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $111,912.60 $374,831.13 $276,591.58 nat. median
$97,323
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 $245,143.12 $325,690.08 $274,326.90 nat. median
$163,587
1.7× median
5831
APR_DRG 		Neonate With Ecmo, Minor 4 $244,308.22 $324,580.85 $273,392.59 nat. median
$146,500
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 4 $240,609.10 $319,666.31 $269,253.11 nat. median
$122,016
outlier · 2.2×
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 4 $230,787.10 $306,617.08 $258,261.82 nat. median
$84,880
outlier · 3.0×
215
MS_DRG 		Other Heart Assist System Implant 11 $108,839.96 $355,485.25 $258,247.96 nat. median
$93,901
outlier · 2.8×
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 4 $219,511.60 $291,636.78 $245,644.00 nat. median
$76,852
outlier · 3.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $90,327.14 $308,385.58 $244,747.70 nat. median
$70,732
outlier · 3.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $96,428.64 $337,754.15 $231,539.54 nat. median
$90,551
outlier · 2.6×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 4 $203,048.37 $269,764.21 $227,220.85 nat. median
$107,681
outlier · 2.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $195,317.76 $259,493.54 $218,569.92 nat. median
$118,620
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $82,811.36 $294,151.97 $214,264.00 nat. median
$74,370
outlier · 2.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $107,613.37 $320,998.00 $214,150.61 nat. median
$93,276
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $87,003.75 $293,351.55 $209,583.06 nat. median
$77,632
outlier · 2.7×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 $182,319.86 $242,224.91 $204,024.65 nat. median
$108,695
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $78,847.26 $290,771.00 $203,297.33 nat. median
$77,028
outlier · 2.6×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 $175,446.41 $233,093.03 $196,332.93 nat. median
$101,406
1.9× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 4 $173,169.05 $230,067.40 $193,784.46 nat. median
$98,624
2.0× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 4 $170,974.38 $227,151.62 $191,328.52 nat. median
$120,208
1.6× median

Other procedures at this hospital

Browse this hospital's 21,518 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 21 8 — — $220.97 $4,390,882.94 $3,598,700.00 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 8 — — $15,644.70 $4,390,882.94 $3,587,693.67 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 21 8 — — $2,957,001.24 $3,931,416.11 $3,222,435.92 2026-03-04
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 21 8 — — $14.15 $3,778,999.80 $3,138,595.00 2026-03-04
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 20 8 — — $2,623,909.86 $3,512,706.36 $2,870,154.93 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 22 8 — — $15.88 $2,844,556.89 $2,340,109.24 2026-03-04
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 20 8 — — $2,075,480.00 $2,759,983.56 $2,262,040.00 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 10 — $4,122.00 $190,000.00 $1,155,633.00 $765,686.48 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 35 14 — — $86,457.20 $1,378,239.77 $656,304.65 2026-03-04
5834 APR_DRG Neonate With Ecmo, Severe 4 4 — — $552,037.68 $733,421.34 $617,756.60 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 35 14 — — $325,500.00 $1,343,381.97 $590,734.31 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 34 14 — — $352,380.00 $1,287,324.11 $571,668.07 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 34 14 — — $344,652.00 $1,258,506.90 $568,193.34 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 34 14 — — $435,565.25 $1,189,221.45 $555,964.33 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 11 — $4,122.00 $191,498.92 $917,309.12 $547,229.87 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 34 14 — — $257,664.44 $1,192,792.73 $541,513.12 2026-03-04
5833 APR_DRG Neonate With Ecmo, Major 4 4 — — $480,753.76 $638,715.57 $537,986.48 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 11 — $4,122.00 $181,997.40 $741,967.76 $505,572.14 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 4 — — $411,748.93 $547,037.74 $460,766.77 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems, Severe 4 4 — — $379,779.87 $504,564.58 $424,991.86 2026-03-04
5832 APR_DRG Neonate With Ecmo, Moderate 4 4 — — $301,684.57 $400,809.41 $337,599.48 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 11 — $4,122.00 $110,844.42 $511,574.70 $327,388.71 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems, Major 4 4 — — $287,784.99 $382,342.84 $322,045.19 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 4 — — $279,865.11 $371,820.71 $313,182.46 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 4 4 — — $272,764.21 $362,386.67 $305,236.22 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 4 — — $270,679.26 $359,616.66 $302,903.05 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 4 — — $267,978.84 $356,028.96 $299,881.17 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 4 — — $264,084.11 $350,854.53 $295,522.77 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 4 — — $263,261.90 $349,762.16 $294,602.68 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 4 — — $260,251.36 $345,762.45 $291,233.73 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 4 4 — — $257,061.20 $341,524.10 $287,663.80 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 10 — $4,122.00 $111,912.60 $374,831.13 $276,591.58 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 4 — — $245,143.12 $325,690.08 $274,326.90 2026-03-04
5831 APR_DRG Neonate With Ecmo, Minor 4 4 — — $244,308.22 $324,580.85 $273,392.59 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 4 4 — — $240,609.10 $319,666.31 $269,253.11 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems, Moderate 4 4 — — $230,787.10 $306,617.08 $258,261.82 2026-03-04
215 MS_DRG Other Heart Assist System Implant 24 11 — $4,122.00 $108,839.96 $355,485.25 $258,247.96 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems, Minor 4 4 — — $219,511.60 $291,636.78 $245,644.00 2026-03-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 2 — — $90,327.14 $308,385.58 $244,747.70 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — $4,122.00 $96,428.64 $337,754.15 $231,539.54 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 4 4 — — $203,048.37 $269,764.21 $227,220.85 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $195,317.76 $259,493.54 $218,569.92 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 11 — $4,122.00 $82,811.36 $294,151.97 $214,264.00 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $4,122.00 $107,613.37 $320,998.00 $214,150.61 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — $4,122.00 $87,003.75 $293,351.55 $209,583.06 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 4 — — $182,319.86 $242,224.91 $204,024.65 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 12 — $4,122.00 $78,847.26 $290,771.00 $203,297.33 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 4 — — $175,446.41 $233,093.03 $196,332.93 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 4 4 — — $173,169.05 $230,067.40 $193,784.46 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 4 4 — — $170,974.38 $227,151.62 $191,328.52 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 17 10 — $4,122.00 $94,633.48 $282,280.00 $188,320.63 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 12 — $4,122.00 $74,597.53 $271,433.88 $187,523.25 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — $4,122.00 $75,280.82 $268,357.47 $185,630.36 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 4 4 — — $165,204.65 $219,486.13 $184,871.91 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 11 — $4,122.00 $72,339.06 $251,698.23 $182,402.11 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 10 — $4,122.00 $72,599.01 $244,852.88 $180,222.63 2026-03-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 2 — — $65,793.36 $230,810.67 $179,210.82 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 4 4 — — $159,027.78 $211,279.72 $177,959.70 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 10 — $4,122.00 $85,682.65 $255,581.00 $170,508.47 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $151,831.51 $201,718.96 $169,906.73 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 4 4 — — $151,602.42 $201,414.60 $169,650.36 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 4 4 — — $150,422.44 $199,846.92 $168,329.92 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 4 4 — — $148,884.53 $197,803.69 $166,608.92 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $148,091.01 $196,749.44 $165,720.93 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 11 — $4,122.00 $59,484.41 $240,812.48 $165,279.40 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $147,548.66 $196,028.90 $165,114.02 2026-03-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 2 — — $58,812.85 $212,853.36 $162,340.75 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 11 — $4,122.00 $58,385.06 $211,945.05 $160,107.04 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 12 — $4,122.00 $65,127.66 $260,278.00 $159,962.39 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 12 — $4,122.00 $61,543.25 $356,335.00 $159,235.00 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — $4,122.00 $63,868.91 $317,655.00 $158,829.00 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 4 4 — — $141,758.25 $188,335.92 $158,634.27 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 10 — $4,122.00 $63,634.82 $216,121.17 $157,969.59 2026-03-04
Q0480 HCPCS Dme Pos 34 14 — — $50,442.20 $209,999.81 $154,999.86 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 11 — $4,122.00 $55,074.12 $211,039.40 $153,800.07 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 11 — $4,122.00 $55,717.56 $239,173.35 $152,897.86 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 11 — $4,122.00 $51,648.32 $237,290.62 $151,861.85 2026-03-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $80,125.92 $232,546.00 $151,153.62 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 24 11 — $4,122.00 $53,679.42 $209,714.31 $150,301.77 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 11 — $4,122.00 $51,037.70 $216,396.10 $147,576.39 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 12 — $4,122.00 $57,482.61 $290,771.00 $146,553.82 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — $4,122.00 $51,865.15 $317,655.00 $146,291.26 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $4,122.00 $72,965.75 $217,648.00 $145,201.84 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — $4,122.00 $58,960.63 $211,426.52 $145,003.14 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 33 14 — — $93,216.70 $195,755.07 $144,485.89 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 11 — $4,122.00 $54,892.46 $210,431.21 $144,081.54 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 12 — $4,122.00 $37,737.00 $213,168.00 $142,213.06 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 11 — $4,122.00 $56,781.73 $213,726.86 $141,459.10 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — $4,122.00 $53,936.09 $197,279.91 $141,181.26 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 12 — $4,122.00 $56,503.98 $204,650.76 $141,167.84 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $125,296.67 $166,465.54 $140,212.97 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 10 — $4,122.00 $68,877.11 $205,452.00 $137,065.45 2026-03-04
8634 APR_DRG Neonatal Aftercare, Severe 4 4 — — $120,942.27 $160,680.41 $135,340.20 2026-03-04
1784 APR_DRG External Heart Assist Systems, Severe 4 4 — — $120,390.45 $159,947.28 $134,722.67 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 11 — $4,122.00 $52,112.44 $191,586.47 $134,341.33 2026-03-04
653 MS_DRG Major Bladder Procedures With Mcc 23 11 — $4,122.00 $53,162.56 $188,398.69 $133,740.23 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 11 — $4,122.00 $50,197.37 $197,102.42 $133,655.85 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 24 11 — $4,122.00 $56,100.80 $171,049.45 $133,131.16 2026-03-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 11 — $4,122.00 $46,562.95 $197,777.56 $132,073.12 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 4 4 — — $116,985.54 $155,423.62 $130,912.42 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $116,056.74 $154,189.64 $129,873.05 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 4 4 — — $115,842.08 $153,904.45 $129,632.84 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 11 — $4,122.00 $48,346.76 $179,444.40 $129,453.04 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 4 4 — — $115,154.98 $152,991.59 $128,863.94 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $114,466.40 $152,076.76 $128,093.39 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $114,254.87 $151,795.73 $127,856.67 2026-03-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $71,019.37 $195,993.03 $127,830.68 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 12 — $4,122.00 $49,991.09 $209,291.00 $127,636.92 2026-03-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 2 — — $46,217.21 $160,279.49 $127,543.75 2026-03-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 12 — $4,122.00 $51,193.24 $246,764.00 $127,084.12 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — $4,122.00 $50,947.46 $219,152.00 $127,073.13 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 4 4 — — $113,513.78 $150,811.13 $127,027.36 2026-03-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $57,640.83 $232,546.00 $126,753.37 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 10 — $4,122.00 $63,552.64 $189,570.00 $126,469.75 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 11 — $4,122.00 $50,607.57 $176,754.28 $125,687.48 2026-03-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 12 — $4,122.00 $48,331.19 $271,749.00 $125,051.00 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 4 4 — — $111,012.20 $147,487.61 $124,227.96 2026-03-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $64,215.83 $203,477.00 $123,901.88 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $110,686.17 $147,054.45 $123,863.12 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 11 — $4,122.00 $48,957.38 $173,980.64 $123,764.67 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 12 — $4,122.00 $49,068.72 $196,219.00 $123,145.80 2026-03-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 11 — $4,122.00 $51,438.77 $153,436.00 $123,015.21 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 4 4 — — $109,258.06 $145,157.11 $122,265.00 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 11 — $4,122.00 $44,838.92 $167,281.45 $122,139.45 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 24 11 — $4,122.00 $47,956.48 $171,186.12 $121,425.70 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 4 4 — — $107,629.55 $142,993.52 $120,442.62 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 10 — $4,122.00 $51,398.70 $155,226.38 $120,034.17 2026-03-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 10 — $4,122.00 $47,788.78 $166,432.30 $118,632.75 2026-03-04
245 MS_DRG Aicd Generator Procedures 24 11 — $4,122.00 $50,006.33 $157,697.25 $118,421.79 2026-03-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 12 — $4,122.00 $40,696.00 $180,498.87 $118,080.03 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 11 — $4,122.00 $43,119.57 $164,970.66 $117,642.39 2026-03-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 11 — $4,122.00 $48,154.55 $161,048.59 $116,704.18 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 4 4 — — $103,707.78 $137,783.16 $116,053.97 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 4 4 — — $103,535.98 $137,554.91 $115,861.72 2026-03-04
1794 APR_DRG Defibrillator Implants, Severe 4 4 — — $103,138.39 $137,026.69 $115,416.80 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 4 4 — — $102,984.16 $136,821.78 $115,244.21 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 4 4 — — $102,842.62 $136,633.73 $115,085.81 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $102,161.95 $135,729.42 $114,324.11 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 11 — $4,122.00 $40,618.50 $156,670.62 $113,937.33 2026-03-04
799 MS_DRG Splenic Procedures With Mcc 24 11 — $4,122.00 $47,475.95 $172,425.03 $113,854.90 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $100,792.61 $133,910.16 $112,791.76 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $4,122.00 $56,543.40 $168,662.00 $112,521.37 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 4 4 — — $100,302.78 $133,259.38 $112,243.62 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 10 — $4,122.00 $56,198.23 $167,633.00 $111,834.48 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures, Severe 4 4 — — $99,634.90 $132,372.05 $111,496.23 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 11 — $4,122.00 $42,496.06 $154,112.75 $110,979.55 2026-03-04
163 MS_DRG Major Chest Procedures With Mcc 27 12 — $4,122.00 $46,797.36 $164,037.99 $110,579.32 2026-03-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — $4,122.00 $44,358.64 $157,683.33 $110,480.22 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — $4,122.00 $44,133.37 $219,152.00 $110,181.07 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 4 4 — — $98,046.12 $130,261.25 $109,718.30 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $97,968.22 $130,157.75 $109,631.13 2026-03-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $50,211.43 $203,477.00 $108,880.64 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 24 11 — $4,122.00 $41,550.25 $150,611.77 $108,715.01 2026-03-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 11 — $4,122.00 $39,374.99 $151,798.48 $108,700.62 2026-03-04
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $54,240.82 $186,036.00 $108,661.74 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 11 — $4,122.00 $37,206.76 $149,741.74 $108,008.30 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $96,191.82 $127,797.68 $107,643.26 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 12 — $4,122.00 $42,196.03 $153,681.22 $107,294.95 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 12 — $4,122.00 $31,860.00 $157,189.16 $107,151.28 2026-03-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 10 — $4,122.00 $43,756.65 $144,076.14 $106,315.20 2026-03-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 11 — $4,122.00 $39,149.96 $148,903.04 $105,561.15 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 10 — $4,122.00 $52,906.77 $157,815.00 $105,284.47 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 4 4 — — $93,819.00 $124,645.22 $104,987.96 2026-03-04
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 2 — — $38,028.35 $127,298.58 $104,694.49 2026-03-04
1783 APR_DRG External Heart Assist Systems, Major 4 4 — — $92,249.36 $122,559.83 $103,231.45 2026-03-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 11 — $4,122.00 $42,003.82 $143,261.80 $103,125.48 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 4 4 — — $91,885.16 $122,075.97 $102,823.89 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 4 4 — — $91,775.43 $121,930.20 $102,701.11 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 4 4 — — $91,571.82 $121,659.67 $102,473.25 2026-03-04
140 MS_DRG Major Head And Neck Procedures With Mcc 23 11 — $4,122.00 $43,446.40 $131,481.66 $101,462.74 2026-03-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 11 — $4,122.00 $40,241.11 $140,763.08 $101,234.34 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 4 4 — — $89,943.31 $119,496.08 $100,650.87 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 4 4 — — $89,663.44 $119,124.26 $100,337.68 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma, Severe 4 4 — — $89,642.75 $119,096.77 $100,314.53 2026-03-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 11 — $4,122.00 $36,238.68 $139,374.52 $100,231.45 2026-03-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 12 — $4,122.00 $40,966.58 $161,790.00 $99,819.35 2026-03-04
234 APR_DRG Spinal Procedures, Severe 4 4 — — $89,157.70 $118,452.35 $99,771.74 2026-03-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 11 — $4,122.00 $40,695.85 $136,103.23 $99,006.45 2026-03-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 12 — $4,122.00 $38,688.19 $166,386.00 $98,653.39 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 4 4 — — $87,928.34 $116,819.06 $98,396.02 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $86,373.04 $114,752.73 $96,655.57 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 4 4 — — $86,346.00 $114,716.80 $96,625.31 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 4 4 — — $86,336.44 $114,704.10 $96,614.61 2026-03-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 11 — $4,122.00 $35,425.30 $139,708.61 $96,555.18 2026-03-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 11 — $4,122.00 $36,042.95 $135,772.62 $96,231.71 2026-03-04
6904 APR_DRG Acute Leukemia, Severe 4 4 — — $85,714.63 $113,877.98 $95,918.77 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 4 4 — — $85,698.72 $113,856.84 $95,900.97 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 19 12 — — $49,733.16 $141,650.59 $95,691.88 2026-03-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 11 — $4,122.00 $38,416.28 $137,731.92 $95,645.23 2026-03-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 11 — $4,122.00 $38,308.46 $129,442.32 $95,544.85 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 4 4 — — $84,639.59 $112,449.72 $94,715.76 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $84,531.44 $112,306.03 $94,594.73 2026-03-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 11 — $4,122.00 $37,672.05 $134,965.24 $94,591.02 2026-03-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 4 4 — — $84,270.61 $111,959.50 $94,302.85 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 4 4 — — $84,214.97 $111,885.58 $94,240.58 2026-03-04
204 APR_DRG Open Craniotomy For Trauma, Severe 4 4 — — $84,202.19 $111,868.60 $94,226.28 2026-03-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 11 — $4,122.00 $35,955.05 $125,850.86 $94,186.18 2026-03-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — $4,122.00 $38,566.30 $131,854.03 $94,078.76 2026-03-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 12 — $4,122.00 $40,450.81 $135,278.45 $94,070.79 2026-03-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 12 — $4,122.00 $35,626.89 $147,112.00 $93,812.01 2026-03-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 11 — $4,122.00 $34,323.61 $128,694.10 $93,578.83 2026-03-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 11 — $4,122.00 $37,836.13 $134,001.25 $93,346.27 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 4 4 — — $83,295.73 $110,664.30 $93,211.91 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 4 4 — — $83,163.75 $110,488.96 $93,064.23 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $83,123.93 $110,436.06 $93,019.67 2026-03-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 11 — $4,122.00 $36,252.74 $133,134.71 $92,976.29 2026-03-04
4414 APR_DRG Major Bladder Procedures, Severe 4 4 — — $82,921.97 $110,167.73 $92,793.65 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 4 4 — — $82,920.40 $110,165.65 $92,791.90 2026-03-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 12 — $4,122.00 $35,822.61 $141,215.50 $92,372.55 2026-03-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $82,538.73 $109,658.57 $92,364.79 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 4 4 — — $82,010.73 $108,957.09 $91,773.93 2026-03-04
1782 APR_DRG External Heart Assist Systems, Moderate 4 4 — — $81,877.10 $108,779.55 $91,624.40 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 4 4 — — $81,794.42 $108,669.70 $91,531.87 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 4 4 — — $81,070.80 $107,708.33 $90,722.11 2026-03-04
332 MS_DRG Rectal Resection With Mcc 24 11 — $4,122.00 $33,528.98 $127,173.29 $90,176.77 2026-03-04
274 APR_DRG Other Open Craniotomy, Severe 4 4 — — $79,474.11 $105,587.01 $88,935.33 2026-03-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 11 — $4,122.00 $32,729.67 $127,086.29 $88,691.46 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 3 3 — — $84,456.48 $102,449.34 $88,128.51 2026-03-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 11 — $4,122.00 $33,966.14 $118,316.00 $88,125.43 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 4 4 — — $78,570.79 $104,386.88 $87,924.48 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $78,367.26 $104,116.47 $87,696.71 2026-03-04
265 MS_DRG Aicd Lead Procedures 24 11 — $4,122.00 $29,970.75 $122,990.21 $87,550.46 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures, Severe 4 4 — — $77,968.10 $103,586.17 $87,250.04 2026-03-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 11 — $4,122.00 $32,960.56 $124,629.34 $87,122.52 2026-03-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 11 — $4,122.00 $30,269.61 $119,395.27 $87,052.94 2026-03-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 12 — $4,122.00 $37,223.04 $125,575.00 $86,928.99 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 4 4 — — $77,602.25 $103,100.11 $86,840.64 2026-03-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 11 — $4,122.00 $32,804.68 $122,680.49 $86,706.79 2026-03-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 11 — $4,122.00 $34,218.13 $129,536.28 $86,644.92 2026-03-04
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 4 4 — — $77,266.74 $102,654.37 $86,465.19 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 4 4 — — $76,462.01 $101,585.22 $85,564.65 2026-03-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 11 — $4,122.00 $32,010.05 $117,512.54 $85,373.47 2026-03-04
4014 APR_DRG Adrenal Procedures, Severe 4 4 — — $76,207.53 $101,247.13 $85,279.88 2026-03-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 11 — $4,122.00 $29,975.44 $118,525.25 $84,776.61 2026-03-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 11 — $4,122.00 $34,422.06 $111,807.00 $84,601.24 2026-03-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 11 — $4,122.00 $31,257.62 $117,244.57 $84,510.49 2026-03-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 11 — $4,122.00 $34,336.50 $111,107.30 $84,449.69 2026-03-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 4 — — $75,003.65 $99,647.68 $83,932.67 2026-03-04
264 MS_DRG Other Circulatory System O.r. Procedures 24 11 — $4,122.00 $31,091.19 $113,660.07 $83,860.91 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 4 4 — — $74,938.44 $99,561.05 $83,859.71 2026-03-04
1781 APR_DRG External Heart Assist Systems, Minor 4 4 — — $74,852.63 $99,447.04 $83,763.68 2026-03-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 11 — $4,122.00 $30,152.41 $132,589.00 $83,760.63 2026-03-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 11 — $4,122.00 $34,951.81 $129,859.93 $83,577.18 2026-03-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 4 4 — — $74,628.32 $99,149.03 $83,512.66 2026-03-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 10 — $4,122.00 $41,949.63 $125,131.00 $83,479.76 2026-03-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 11 — $4,122.00 $32,981.65 $111,391.04 $83,436.38 2026-03-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 11 — $4,122.00 $34,991.76 $115,372.28 $83,426.24 2026-03-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 11 — $4,122.00 $30,793.50 $119,304.79 $83,066.57 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 4 4 — — $73,965.21 $98,268.05 $82,770.62 2026-03-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 12 — $4,122.00 $34,068.11 $130,232.00 $82,634.60 2026-03-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 12 — $4,122.00 $31,910.90 $246,764.00 $82,565.00 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 4 4 — — $73,725.08 $97,949.01 $82,501.89 2026-03-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 12 — $4,122.00 $34,845.88 $133,714.00 $82,236.28 2026-03-04
37 MS_DRG Extracranial Procedures With Mcc 24 11 — $4,122.00 $31,142.76 $117,474.26 $82,180.65 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 4 4 — — $73,351.32 $97,452.44 $82,083.64 2026-03-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 10 — $4,122.00 $32,918.67 $111,384.08 $81,718.61 2026-03-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 12 — $4,122.00 $33,723.54 $121,326.73 $81,390.00 2026-03-04
2304 APR_DRG Major Small Bowel Procedures, Severe 4 4 — — $72,653.17 $96,524.91 $81,302.38 2026-03-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 11 — $4,122.00 $36,267.66 $136,513.88 $80,979.00 2026-03-04
266T OTHER Implt/rpl Crtd Sns Dev Total 34 14 — — $10,770.00 $109,651.46 $80,933.22 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 4 4 — — $72,190.38 $95,910.06 $80,784.49 2026-03-04
1793 APR_DRG Defibrillator Implants, Major 4 4 — — $71,985.20 $95,637.46 $80,554.89 2026-03-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 4 4 — — $71,912.08 $95,540.31 $80,473.07 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 4 4 — — $71,891.39 $95,512.82 $80,449.90 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $71,687.77 $95,242.30 $80,222.04 2026-03-04
665 MS_DRG Prostatectomy With Mcc 24 11 — $4,122.00 $28,503.39 $107,503.77 $80,084.85 2026-03-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 10 — $4,122.00 $40,189.87 $119,882.00 $79,977.84 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $71,349.04 $94,792.28 $79,843.00 2026-03-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 11 — $4,122.00 $31,484.99 $114,634.49 $79,666.41 2026-03-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 4 4 — — $71,086.65 $94,443.68 $79,549.37 2026-03-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 11 — $4,122.00 $31,308.02 $109,191.62 $79,368.12 2026-03-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 11 — $4,122.00 $33,920.29 $115,734.21 $79,215.88 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 4 4 — — $70,475.97 $93,632.35 $78,865.99 2026-03-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 11 — $4,122.00 $32,606.38 $111,895.66 $78,545.39 2026-03-04
2324 APR_DRG Gastric Fundoplication, Severe 4 4 — — $70,100.65 $93,133.69 $78,445.98 2026-03-04
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 4 4 — — $70,079.95 $93,106.20 $78,422.82 2026-03-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 12 — $4,122.00 $30,150.07 $115,880.37 $78,419.38 2026-03-04
500 MS_DRG Soft Tissue Procedures With Mcc 24 11 — $4,122.00 $28,952.27 $112,852.68 $78,414.24 2026-03-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 10 — $4,122.00 $31,523.61 $107,013.08 $78,255.44 2026-03-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 24 11 — $4,122.00 $28,244.37 $111,902.62 $78,201.25 2026-03-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 11 — $4,122.00 $28,673.33 $116,311.90 $78,069.40 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $69,612.38 $92,485.00 $77,899.59 2026-03-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $69,470.84 $92,296.95 $77,741.20 2026-03-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $69,284.78 $92,049.76 $77,532.99 2026-03-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 4 4 — — $69,089.16 $91,789.87 $77,314.09 2026-03-04
J7330 HCPCS Cultured Chondrocytes Implnt 21 8 $180,707.14 $38,544.83 79% off $28,045.74 $150,348.34 $76,892.89 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 4 4 — — $68,698.01 $91,270.20 $76,876.36 2026-03-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 10 — $4,122.00 $32,823.13 $103,310.25 $76,653.64 2026-03-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 12 — $4,122.00 $33,082.45 $120,484.54 $76,618.36 2026-03-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 11 — $4,122.00 $30,284.85 $110,023.36 $76,526.08 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 4 4 — — $68,284.52 $90,720.84 $76,413.65 2026-03-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 11 — $4,122.00 $30,150.07 $109,755.39 $76,313.26 2026-03-04
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 4 4 — — $68,095.24 $90,469.38 $76,201.84 2026-03-04
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 4 4 — — $68,050.73 $90,410.24 $76,152.02 2026-03-04
662 MS_DRG Minor Bladder Procedures With Mcc 24 11 — $4,122.00 $30,387.98 $104,288.16 $75,898.79 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 4 4 — — $67,651.49 $89,879.82 $75,705.26 2026-03-04
252 MS_DRG Other Vascular Procedures With Mcc 27 12 — $4,122.00 $31,499.05 $116,715.59 $75,578.00 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 4 4 — — $67,312.77 $89,429.80 $75,326.21 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 4 4 — — $66,932.66 $88,924.80 $74,900.85 2026-03-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 12 — $4,122.00 $30,341.10 $112,783.08 $74,875.91 2026-03-04
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