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Hospital

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET

Somerville, NJ · CCN 310048 · Rates published

21,526 distinct procedures filed
14 distinct payers
587,389 rate rows
2026-03-04 last MRF observed
Data quality

440,810 of 587,389 rate rows are consumer-grade (75.0%)

146,579 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 142,683
per-diem day rate — not a per-procedure price 2,606
template filing: same amount across many unrelated codes — excluded 872
placeholder amount (≤ $0.02) — excluded from medians 227
exceeds 10× this hospital's gross charge — excluded from medians 191
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/221487243_robert-wood-johnson-university-hospital-somerset_standardcharges.json
Found on page https://www.rwjbh.org/rwj-university-hospital-somerset/billing/charges/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 756805f8d9217411… · 361,353,027 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
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,957,001.24 $3,702,914.75 $3,296,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 8 $2,924,540.00 $3,559,357.16 $3,245,622.50 nat. median
$3,286,000
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
$3,006,423
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
$2,448,600
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
$2,469,189
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $312,647.41 $1,079,517.00 $697,461.00 nat. median
$370,174
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $511,072.50 $1,230,136.37 $618,158.98 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $325,500.00 $1,199,024.33 $587,222.58 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $352,380.00 $1,148,990.36 $577,382.09 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $344,652.00 $1,123,269.81 $564,457.19 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $257,664.44 $1,064,617.17 $534,983.50 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $435,565.25 $1,061,429.64 $533,381.73 nat. median
$620,080
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $130,309.47 $844,816.35 $455,724.46 nat. median
$206,368
outlier · 2.2×
5834
APR_DRG 		4 $441,630.65 $483,690.54 $454,248.38 nat. median
$309,665
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $123,844.18 $763,222.14 $411,523.46 nat. median
$202,986
outlier · 2.0×
5833
APR_DRG 		4 $384,603.45 $421,232.20 $395,591.86 nat. median
$244,017
1.6× median
5884
APR_DRG 		4 $329,399.52 $360,770.77 $338,810.72 nat. median
$246,434
1.4× median
1614
APR_DRG 		4 $303,824.24 $332,759.77 $312,504.74 nat. median
$207,730
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $75,426.14 $503,197.56 $261,320.00 nat. median
$133,176
2.0× median
5832
APR_DRG 		4 $241,347.93 $264,333.35 $248,243.43 nat. median
$156,126
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $90,312.83 $387,953.57 $240,376.46 nat. median
$102,358
outlier · 2.3×
1613
APR_DRG 		4 $230,228.26 $252,154.67 $236,806.06 nat. median
$119,796
2.0× median
6304
APR_DRG 		4 $223,892.34 $245,215.33 $230,289.12 nat. median
$150,721
1.5× median
8414
APR_DRG 		4 $218,211.62 $238,993.60 $224,446.10 nat. median
$160,267
1.4× median
5934
APR_DRG 		4 $216,543.66 $237,166.78 $222,730.48 nat. median
$151,838
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 11 $84,196.84 $377,302.02 $221,773.52 nat. median
$99,019
outlier · 2.2×
5914
APR_DRG 		4 $214,383.32 $234,800.70 $220,508.42 nat. median
$164,279
1.3× median
5883
APR_DRG 		4 $211,267.53 $231,388.16 $217,303.61 nat. median
$182,736
1.2× median
6314
APR_DRG 		4 $210,609.76 $230,667.75 $216,627.04 nat. median
$122,924
1.8× median
6094
APR_DRG 		4 $208,201.33 $228,029.94 $214,149.80 nat. median
$162,982
1.3× median
5882
APR_DRG 		4 $205,649.20 $225,234.76 $211,524.75 nat. median
$145,336
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $65,616.05 $343,694.97 $210,711.77 nat. median
$93,672
outlier · 2.2×
94
APR_DRG 		4 $196,114.72 $214,792.24 $201,717.87 nat. median
$164,834
1.2× median
5831
APR_DRG 		4 $195,446.80 $214,060.70 $201,030.86 nat. median
$145,122
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $61,465.40 $253,958.86 $199,218.69 nat. median
$87,411
outlier · 2.3×
44
APR_DRG 		4 $192,487.50 $210,819.57 $197,987.02 nat. median
$105,658
1.9× median
1612
APR_DRG 		4 $184,629.89 $202,213.62 $189,904.91 nat. median
$85,406
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $86,843.37 $373,049.94 $183,275.15 nat. median
$98,905
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $59,335.74 $301,605.15 $183,010.70 nat. median
$81,118
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $66,828.29 $287,071.89 $182,704.83 nat. median
$77,576
outlier · 2.4×
1611
APR_DRG 		4 $175,609.49 $192,334.13 $180,626.78 nat. median
$76,806
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $53,653.17 $301,772.53 $176,189.11 nat. median
$79,312
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $50,761.59 $278,357.64 $168,862.20 nat. median
$73,807
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $51,226.37 $275,547.85 $167,417.86 nat. median
$74,915
outlier · 2.2×
6034
APR_DRG 		4 $162,438.89 $177,909.19 $167,079.89 nat. median
$109,499
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $76,368.68 $328,054.18 $161,169.34 nat. median
$83,442
1.9× median
6024
APR_DRG 		4 $156,254.39 $171,135.70 $160,718.70 nat. median
$118,620
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $49,225.04 $265,815.09 $157,024.81 nat. median
$72,138
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 21,526 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 — $2,486.00 $312,647.41 $1,079,517.00 $697,461.00 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 33 14 — — $511,072.50 $1,230,136.37 $618,158.98 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 33 14 — — $325,500.00 $1,199,024.33 $587,222.58 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 33 14 — — $352,380.00 $1,148,990.36 $577,382.09 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 33 14 — — $344,652.00 $1,123,269.81 $564,457.19 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 33 14 — — $257,664.44 $1,064,617.17 $534,983.50 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 33 14 — — $435,565.25 $1,061,429.64 $533,381.73 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 11 — $2,486.00 $130,309.47 $844,816.35 $455,724.46 2026-03-04
5834 APR_DRG — 4 4 — — $441,630.65 $483,690.54 $454,248.38 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 11 — $2,486.00 $123,844.18 $763,222.14 $411,523.46 2026-03-04
5833 APR_DRG — 4 4 — — $384,603.45 $421,232.20 $395,591.86 2026-03-04
5884 APR_DRG — 4 4 — — $329,399.52 $360,770.77 $338,810.72 2026-03-04
1614 APR_DRG — 4 4 — — $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 — $2,486.00 $75,426.14 $503,197.56 $261,320.00 2026-03-04
5832 APR_DRG — 4 4 — — $241,347.93 $264,333.35 $248,243.43 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 10 — $2,486.00 $90,312.83 $387,953.57 $240,376.46 2026-03-04
1613 APR_DRG — 4 4 — — $230,228.26 $252,154.67 $236,806.06 2026-03-04
6304 APR_DRG — 4 4 — — $223,892.34 $245,215.33 $230,289.12 2026-03-04
8414 APR_DRG — 4 4 — — $218,211.62 $238,993.60 $224,446.10 2026-03-04
5934 APR_DRG — 4 4 — — $216,543.66 $237,166.78 $222,730.48 2026-03-04
215 MS_DRG Other Heart Assist System Implant 25 11 — $2,486.00 $84,196.84 $377,302.02 $221,773.52 2026-03-04
5914 APR_DRG — 4 4 — — $214,383.32 $234,800.70 $220,508.42 2026-03-04
5883 APR_DRG — 4 4 — — $211,267.53 $231,388.16 $217,303.61 2026-03-04
6314 APR_DRG — 4 4 — — $210,609.76 $230,667.75 $216,627.04 2026-03-04
6094 APR_DRG — 4 4 — — $208,201.33 $228,029.94 $214,149.80 2026-03-04
5882 APR_DRG — 4 4 — — $205,649.20 $225,234.76 $211,524.75 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — $2,486.00 $65,616.05 $343,694.97 $210,711.77 2026-03-04
94 APR_DRG — 4 4 — — $196,114.72 $214,792.24 $201,717.87 2026-03-04
5831 APR_DRG — 4 4 — — $195,446.80 $214,060.70 $201,030.86 2026-03-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 2 — — $61,465.40 $253,958.86 $199,218.69 2026-03-04
44 APR_DRG — 4 4 — — $192,487.50 $210,819.57 $197,987.02 2026-03-04
1612 APR_DRG — 4 4 — — $184,629.89 $202,213.62 $189,904.91 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,486.00 $86,843.37 $373,049.94 $183,275.15 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,486.00 $59,335.74 $301,605.15 $183,010.70 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 11 — $2,486.00 $66,828.29 $287,071.89 $182,704.83 2026-03-04
1611 APR_DRG — 4 4 — — $175,609.49 $192,334.13 $180,626.78 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 11 — $2,486.00 $53,653.17 $301,772.53 $176,189.11 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 11 — $2,486.00 $50,761.59 $278,357.64 $168,862.20 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — $2,486.00 $51,226.37 $275,547.85 $167,417.86 2026-03-04
6034 APR_DRG — 4 4 — — $162,438.89 $177,909.19 $167,079.89 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — $2,486.00 $76,368.68 $328,054.18 $161,169.34 2026-03-04
6024 APR_DRG — 4 4 — — $156,254.39 $171,135.70 $160,718.70 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 11 — $2,486.00 $49,225.04 $265,815.09 $157,024.81 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — $2,486.00 $58,586.98 $251,670.00 $156,463.90 2026-03-04
5933 APR_DRG — 4 4 — — $145,856.06 $159,747.05 $150,023.28 2026-03-04
Q0480 HCPCS Dme Pos 33 14 — — $48,424.51 $198,999.82 $149,499.86 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — $2,486.00 $69,145.41 $297,025.45 $145,925.18 2026-03-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 2 — — $44,770.32 $190,075.09 $145,873.26 2026-03-04
5913 APR_DRG — 4 4 — — $140,357.29 $153,724.59 $144,367.40 2026-03-04
1604 APR_DRG — 4 4 — — $138,535.40 $151,729.19 $142,493.46 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 11 — $2,486.00 $40,477.47 $237,848.99 $141,418.06 2026-03-04
5881 APR_DRG — 4 4 — — $136,779.66 $149,806.24 $140,687.56 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 33 14 — — $93,216.70 $185,501.23 $139,358.96 2026-03-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 3 — — $54,523.76 $182,479.17 $139,214.11 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — $2,486.00 $43,461.54 $229,978.73 $138,197.03 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 12 — $2,486.00 $44,317.11 $237,446.57 $137,613.20 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — $2,486.00 $51,352.94 $220,594.97 $137,612.86 2026-03-04
54 APR_DRG — 4 4 — — $132,163.87 $144,750.86 $135,939.90 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 11 — $2,486.00 $46,531.17 $213,344.37 $135,609.08 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 11 — $2,486.00 $41,322.63 $247,734.88 $133,071.38 2026-03-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 2 — — $40,020.78 $175,287.04 $132,790.99 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 11 — $2,486.00 $39,729.43 $243,169.42 $132,224.33 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 11 — $2,486.00 $35,145.22 $218,540.16 $131,666.88 2026-03-04
43 APR_DRG — 4 4 — — $127,222.37 $139,338.73 $130,857.21 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,486.00 $42,557.42 $204,391.51 $130,083.50 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 11 — $2,486.00 $39,115.50 $217,543.02 $127,811.91 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 11 — $2,486.00 $38,449.55 $209,548.13 $127,673.71 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 25 11 — $2,486.00 $36,526.84 $216,503.15 $126,115.21 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 11 — $2,486.00 $45,822.53 $196,838.21 $125,506.00 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 11 — $2,486.00 $37,914.24 $225,220.97 $125,408.79 2026-03-04
6074 APR_DRG — 4 4 — — $121,465.35 $133,033.43 $124,935.71 2026-03-04
6303 APR_DRG — 4 4 — — $121,282.07 $132,832.70 $124,747.20 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,486.00 $58,882.95 $252,941.35 $124,267.04 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 11 — $2,486.00 $37,476.06 $230,309.93 $124,086.96 2026-03-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 3 — — $48,326.70 $159,533.57 $124,021.96 2026-03-04
3034 APR_DRG — 4 4 — — $120,338.09 $131,798.81 $123,776.24 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 11 — $2,486.00 $37,352.35 $207,343.75 $123,239.70 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 11 — $2,486.00 $36,701.42 $203,170.02 $122,697.96 2026-03-04
8424 APR_DRG — 4 4 — — $119,107.76 $130,451.31 $122,510.76 2026-03-04
1624 APR_DRG — 4 4 — — $118,472.94 $129,756.03 $121,857.81 2026-03-04
6023 APR_DRG — 4 4 — — $118,039.07 $129,280.84 $121,411.53 2026-03-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 3 — — $39,223.03 $134,611.73 $120,117.39 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 11 — $2,486.00 $34,730.15 $219,305.82 $119,989.30 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 11 — $2,486.00 $35,460.85 $193,326.86 $119,523.40 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — $2,486.00 $55,583.44 $238,767.78 $117,304.02 2026-03-04
5932 APR_DRG — 4 4 — — $113,406.73 $124,207.32 $116,646.85 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — $2,486.00 $34,157.85 $192,340.41 $116,264.35 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — $2,486.00 $34,668.88 $188,626.08 $113,865.51 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 11 — $2,486.00 $34,017.95 $189,462.96 $112,851.61 2026-03-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 11 — $2,486.00 $33,317.32 $181,428.90 $112,606.27 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — $2,486.00 $35,292.05 $211,866.47 $111,449.44 2026-03-04
653 MS_DRG Major Bladder Procedures With Mcc 26 12 — $2,486.00 $36,175.37 $198,522.66 $110,315.83 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 11 — $2,486.00 $34,437.64 $180,873.35 $110,270.17 2026-03-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 11 — $2,486.00 $31,684.81 $192,137.42 $109,648.72 2026-03-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 3 — — $43,697.40 $143,272.95 $109,484.78 2026-03-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 11 — $2,486.00 $41,074.05 $177,465.28 $109,395.22 2026-03-04
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 3 — — $36,909.53 $121,928.70 $109,019.49 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 11 — $2,486.00 $32,302.20 $192,158.79 $108,701.78 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — $2,486.00 $51,286.62 $220,310.08 $108,235.68 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 11 — $2,486.00 $33,313.85 $178,106.30 $107,145.92 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 25 11 — $2,486.00 $38,174.38 $196,838.21 $106,974.49 2026-03-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 11 — $2,486.00 $37,084.11 $167,543.78 $105,954.02 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — $2,486.00 $41,478.46 $178,177.52 $105,119.76 2026-03-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — $2,486.00 $38,565.27 $165,663.46 $104,633.00 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 11 — $2,486.00 $30,511.29 $179,374.08 $104,201.07 2026-03-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 2 — — $31,450.10 $131,991.89 $103,817.52 2026-03-04
1634 APR_DRG — 4 4 — — $100,237.45 $109,783.83 $103,101.31 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 12 — $2,486.00 $33,390.15 $182,796.40 $102,541.68 2026-03-04
8634 APR_DRG — 4 4 — — $96,753.93 $105,968.55 $99,518.26 2026-03-04
1784 APR_DRG — 4 4 — — $96,312.47 $105,485.05 $99,064.19 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 26 12 — $2,486.00 $32,632.86 $172,978.17 $98,843.25 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — $2,486.00 $30,031.48 $163,551.67 $98,645.06 2026-03-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 11 — $2,486.00 $39,143.25 $178,316.41 $98,537.04 2026-03-04
799 MS_DRG Splenic Procedures With Mcc 26 12 — $2,486.00 $32,305.67 $169,327.94 $98,317.15 2026-03-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 3 — — $34,167.10 $113,804.89 $97,728.49 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,486.00 $45,630.20 $196,012.01 $96,298.55 2026-03-04
53 APR_DRG — 4 4 — — $93,588.54 $102,501.70 $96,262.44 2026-03-04
245 MS_DRG Aicd Generator Procedures 26 12 — $2,486.00 $34,027.20 $174,028.72 $95,994.45 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — $2,486.00 $45,351.65 $194,815.45 $95,710.39 2026-03-04
1654 APR_DRG — 4 4 — — $92,845.50 $101,687.89 $95,498.17 2026-03-04
1674 APR_DRG — 4 4 — — $92,673.77 $101,499.81 $95,321.53 2026-03-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 12 — $2,486.00 $32,768.14 $170,065.11 $94,952.77 2026-03-04
6114 APR_DRG — 4 4 — — $92,124.09 $100,897.78 $94,756.15 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 — $2,486.00 $29,342.41 $169,295.89 $94,448.33 2026-03-04
6022 APR_DRG — 4 4 — — $91,573.23 $100,294.45 $94,189.54 2026-03-04
6073 APR_DRG — 4 4 — — $91,404.00 $100,109.11 $94,015.49 2026-03-04
6093 APR_DRG — 4 4 — — $90,811.13 $99,459.77 $93,405.67 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 12 — $2,486.00 $27,639.37 $166,646.35 $92,586.55 2026-03-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 12 — $2,486.00 $30,669.69 $153,772.62 $92,308.98 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 12 — $2,486.00 $32,062.87 $163,526.74 $92,114.30 2026-03-04
93 APR_DRG — 4 4 — — $88,809.86 $97,267.91 $91,347.23 2026-03-04
6124 APR_DRG — 4 4 — — $88,549.04 $96,982.24 $91,078.95 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 12 — $2,486.00 $28,916.94 $160,667.10 $90,439.77 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — $2,486.00 $42,695.46 $183,405.36 $90,104.99 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 12 — $2,486.00 $28,713.45 $159,267.55 $89,955.28 2026-03-04
3044 APR_DRG — 4 4 — — $87,406.55 $95,730.95 $89,903.82 2026-03-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 11 — $2,486.00 $35,311.36 $151,685.75 $89,883.54 2026-03-04
1834 APR_DRG — 4 4 — — $86,103.74 $94,304.06 $88,563.79 2026-03-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 12 — $2,486.00 $26,794.21 $156,436.39 $88,069.74 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 26 12 — $2,486.00 $28,274.11 $157,778.97 $87,824.65 2026-03-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 12 — $2,486.00 $26,640.44 $151,910.11 $86,625.46 2026-03-04
163 MS_DRG Major Chest Procedures With Mcc 27 13 — $2,486.00 $31,844.36 $164,142.83 $86,472.41 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 12 — $2,486.00 $25,318.94 $159,709.14 $86,255.11 2026-03-04
5912 APR_DRG — 4 4 — — $82,966.32 $90,867.84 $85,336.73 2026-03-04
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 2 — — $25,877.37 $104,831.76 $85,218.78 2026-03-04
42 APR_DRG — 4 4 — — $82,828.88 $90,717.31 $85,195.36 2026-03-04
1794 APR_DRG — 4 4 — — $82,510.81 $90,368.95 $84,868.21 2026-03-04
9104 APR_DRG — 4 4 — — $82,387.42 $90,233.81 $84,741.29 2026-03-04
3033 APR_DRG — 4 4 — — $82,274.19 $90,109.79 $84,624.83 2026-03-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 12 — $2,486.00 $28,582.81 $149,235.65 $84,197.16 2026-03-04
1664 APR_DRG — 4 4 — — $81,729.65 $89,513.40 $84,064.73 2026-03-04
6804 APR_DRG — 4 4 — — $80,634.18 $88,313.60 $82,937.96 2026-03-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 12 — $2,486.00 $27,382.70 $146,358.20 $82,698.38 2026-03-04
1623 APR_DRG — 4 4 — — $80,242.32 $87,884.41 $82,534.90 2026-03-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 12 — $2,486.00 $26,325.96 $146,440.11 $82,429.52 2026-03-04
140 MS_DRG Major Head And Neck Procedures With Mcc 25 12 — $2,486.00 $35,061.00 $150,610.27 $82,026.33 2026-03-04
914 APR_DRG — 4 4 — — $79,708.01 $87,299.22 $81,985.33 2026-03-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 12 — $2,486.00 $27,692.56 $144,848.25 $80,867.34 2026-03-04
6033 APR_DRG — 4 4 — — $78,436.99 $85,907.14 $80,677.99 2026-03-04
5891 APR_DRG — 4 4 — — $78,374.67 $85,838.89 $80,613.89 2026-03-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 12 — $2,486.00 $24,658.77 $146,140.96 $80,252.99 2026-03-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 12 — $2,486.00 $26,140.98 $137,640.38 $79,573.40 2026-03-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 12 — $2,486.00 $28,232.49 $140,225.81 $79,454.45 2026-03-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 12 — $2,486.00 $24,526.96 $138,484.38 $79,173.24 2026-03-04
8504 APR_DRG — 4 4 — — $76,953.55 $84,282.43 $79,152.17 2026-03-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 13 — $2,486.00 $27,876.39 $148,170.85 $78,574.00 2026-03-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 12 — $2,486.00 $24,242.55 $139,253.60 $78,338.33 2026-03-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 12 — $2,486.00 $23,355.77 $149,200.04 $78,241.51 2026-03-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 12 — $2,486.00 $26,068.14 $141,867.52 $78,044.41 2026-03-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 12 — $2,486.00 $25,634.57 $136,123.31 $77,931.69 2026-03-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 12 — $2,486.00 $25,746.72 $134,332.03 $77,582.61 2026-03-04
6134 APR_DRG — 4 4 — — $75,055.29 $82,203.38 $77,199.68 2026-03-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 12 — $2,486.00 $26,243.88 $135,386.14 $77,176.36 2026-03-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 12 — $2,486.00 $24,466.84 $141,767.81 $76,899.20 2026-03-04
1783 APR_DRG — 4 4 — — $73,799.57 $80,828.07 $75,908.08 2026-03-04
9124 APR_DRG — 4 4 — — $73,508.21 $80,508.96 $75,608.40 2026-03-04
A9543 HCPCS Y90 Ibritumomab, Rx 34 14 — — $50,573.85 $123,583.80 $75,606.92 2026-03-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 11 — $2,486.00 $33,853.11 $145,421.60 $75,520.00 2026-03-04
9114 APR_DRG — 4 4 — — $73,420.43 $80,412.83 $75,518.11 2026-03-04
1694 APR_DRG — 4 4 — — $73,257.54 $80,234.42 $75,350.56 2026-03-04
332 MS_DRG Rectal Resection With Mcc 26 12 — $2,486.00 $22,815.84 $123,527.34 $75,269.51 2026-03-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 12 — $2,486.00 $24,669.17 $133,260.10 $74,658.91 2026-03-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 13 — $2,486.00 $24,106.12 $140,514.27 $74,658.13 2026-03-04
J7330 HCPCS Cultured Chondrocytes Implnt 21 9 $180,707.14 $30,539.50 83% off $26,853.08 $165,310.89 $74,253.96 2026-03-04
6214 APR_DRG — 4 4 — — $71,954.73 $78,807.53 $74,010.53 2026-03-04
8413 APR_DRG — 4 4 — — $71,730.84 $78,562.32 $73,780.24 2026-03-04
214 APR_DRG — 4 4 — — $71,714.28 $78,544.19 $73,763.21 2026-03-04
266T CPT Implt/rpl Crtd Sns Dev Total 33 14 — — $20,526.00 $97,868.50 $73,524.32 2026-03-04
234 APR_DRG — 4 4 — — $71,326.24 $78,119.19 $73,364.09 2026-03-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 12 — $2,486.00 $26,430.02 $129,036.52 $73,268.04 2026-03-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 12 — $2,486.00 $23,284.08 $124,688.30 $73,051.05 2026-03-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 13 — $2,486.00 $24,376.66 $137,116.88 $72,959.44 2026-03-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 12 — $2,486.00 $22,271.28 $127,633.41 $72,943.45 2026-03-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 12 — $2,486.00 $22,428.52 $125,375.61 $72,420.12 2026-03-04
1204 APR_DRG — 4 4 — — $70,342.76 $77,042.04 $72,352.50 2026-03-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 11 — $2,486.00 $32,433.00 $139,321.27 $72,352.00 2026-03-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 12 — $2,486.00 $23,112.97 $137,501.49 $72,279.37 2026-03-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 12 — $2,486.00 $22,322.15 $124,777.33 $71,662.64 2026-03-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 12 — $2,486.00 $22,511.76 $126,465.33 $71,393.53 2026-03-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 12 — $2,486.00 $20,597.15 $127,661.90 $71,359.02 2026-03-04
6814 APR_DRG — 4 4 — — $69,098.51 $75,679.29 $71,072.71 2026-03-04
2204 APR_DRG — 4 4 — — $69,076.88 $75,655.60 $71,050.46 2026-03-04
6313 APR_DRG — 4 4 — — $69,069.23 $75,647.22 $71,042.59 2026-03-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 — $2,486.00 $23,783.55 $139,940.92 $70,670.02 2026-03-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 12 — $2,486.00 $22,947.64 $121,978.22 $70,540.58 2026-03-04
6904 APR_DRG — 4 4 — — $68,571.78 $75,102.40 $70,530.93 2026-03-04
2604 APR_DRG — 4 4 — — $68,559.05 $75,088.46 $70,517.84 2026-03-04
6334 APR_DRG — 4 4 — — $67,711.75 $74,160.46 $69,646.33 2026-03-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 11 — $2,486.00 $20,517.37 $154,089.56 $69,560.14 2026-03-04
894 APR_DRG — 4 4 — — $67,625.23 $74,065.70 $69,557.33 2026-03-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 — $2,486.00 $26,565.18 $114,115.09 $69,488.23 2026-03-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 11 — $2,486.00 $23,365.02 $127,654.78 $69,486.61 2026-03-04
3124 APR_DRG — 4 4 — — $67,416.57 $73,837.16 $69,342.71 2026-03-04
9504 APR_DRG — 4 4 — — $67,372.05 $73,788.41 $69,296.92 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 33 14 — — $56,279.69 $137,888.73 $69,290.82 2026-03-04
204 APR_DRG — 4 4 — — $67,361.83 $73,777.21 $69,286.41 2026-03-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 11 — $2,486.00 $23,422.82 $129,937.50 $69,215.31 2026-03-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 12 — $2,486.00 $21,270.04 $122,469.67 $69,188.72 2026-03-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 12 — $2,486.00 $25,751.91 $110,621.56 $68,992.27 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 15 11 — — $49,733.16 $134,230.79 $68,801.71 2026-03-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 — $2,486.00 $21,782.22 $124,738.15 $68,728.72 2026-03-04
1653 APR_DRG — 4 4 — — $66,636.66 $72,982.98 $68,540.52 2026-03-04
252 MS_DRG Other Vascular Procedures With Mcc 26 12 — $2,486.00 $21,434.21 $122,163.40 $68,469.69 2026-03-04
3614 APR_DRG — 4 4 — — $66,531.08 $72,867.35 $68,431.92 2026-03-04
6072 APR_DRG — 4 4 — — $66,499.22 $72,832.46 $68,399.16 2026-03-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 12 — $2,486.00 $22,442.39 $125,692.55 $68,369.92 2026-03-04
264 MS_DRG Other Circulatory System O.r. Procedures 26 12 — $2,486.00 $21,156.73 $124,467.50 $68,255.87 2026-03-04
4414 APR_DRG — 4 4 — — $66,337.65 $72,655.50 $68,232.97 2026-03-04
6084 APR_DRG — 4 4 — — $66,336.40 $72,654.12 $68,231.68 2026-03-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 12 — $2,486.00 $20,397.13 $123,392.02 $68,223.17 2026-03-04
1633 APR_DRG — 4 4 — — $66,031.06 $72,319.70 $67,917.62 2026-03-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 12 — $2,486.00 $29,267.79 $125,724.60 $67,811.65 2026-03-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 12 — $2,486.00 $20,954.40 $119,538.80 $67,785.34 2026-03-04
1304 APR_DRG — 4 4 — — $65,608.66 $71,857.08 $67,483.15 2026-03-04
265 MS_DRG Aicd Lead Procedures 27 13 — $2,486.00 $20,394.82 $127,035.13 $67,418.07 2026-03-04
1782 APR_DRG — 4 4 — — $65,501.76 $71,739.99 $67,373.19 2026-03-04
1603 APR_DRG — 4 4 — — $65,435.61 $71,667.55 $67,305.16 2026-03-04
37 MS_DRG Extracranial Procedures With Mcc 26 12 — $2,486.00 $21,191.42 $118,263.89 $67,246.67 2026-03-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 11 — $2,486.00 $25,439.37 $109,278.98 $66,761.33 2026-03-04
6083 APR_DRG — 4 4 — — $64,856.71 $71,033.52 $66,709.72 2026-03-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 12 — $2,486.00 $21,424.96 $114,645.71 $66,619.94 2026-03-04
665 MS_DRG Prostatectomy With Mcc 26 12 — $2,486.00 $19,395.89 $122,277.36 $65,671.39 2026-03-04
274 APR_DRG — 4 4 — — $63,579.36 $69,634.52 $65,395.87 2026-03-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 12 — $2,486.00 $23,877.20 $113,032.49 $65,362.31 2026-03-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 13 — $2,486.00 $23,182.34 $122,661.97 $65,231.49 2026-03-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 12 — $2,486.00 $24,163.50 $103,798.30 $65,007.08 2026-03-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 12 — $2,486.00 $20,645.71 $111,145.05 $64,917.02 2026-03-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 12 — $2,486.00 $20,516.22 $116,404.94 $64,720.10 2026-03-04
6144 APR_DRG — 4 4 — — $62,856.70 $68,843.03 $64,652.57 2026-03-04
500 MS_DRG Soft Tissue Procedures With Mcc 26 12 — $2,486.00 $19,701.12 $112,843.74 $64,582.81 2026-03-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 13 — $2,486.00 $24,173.18 $121,301.59 $64,551.29 2026-03-04
1622 APR_DRG — 4 4 — — $62,693.88 $68,664.70 $64,485.09 2026-03-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 11 — $2,486.00 $26,488.08 $113,783.90 $64,451.27 2026-03-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 13 — $2,486.00 $24,248.33 $120,795.90 $64,361.76 2026-03-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 12 — $2,486.00 $27,373.48 $117,587.26 $64,223.41 2026-03-04
2614 APR_DRG — 4 4 — — $62,374.56 $68,314.96 $64,156.64 2026-03-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 12 — $2,486.00 $20,516.22 $109,820.29 $63,891.65 2026-03-04
52 APR_DRG — 4 4 — — $62,081.87 $67,994.41 $63,855.60 2026-03-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 12 — $2,486.00 $20,607.55 $110,126.55 $63,720.40 2026-03-04
1814 APR_DRG — 4 4 — — $61,813.47 $67,700.44 $63,579.53 2026-03-04
7404 APR_DRG — 3 3 — — $63,452.54 $67,565.22 $63,452.54 2026-03-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 26 12 — $2,486.00 $19,220.15 $113,260.40 $63,115.95 2026-03-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 12 — $2,486.00 $19,511.50 $116,073.75 $62,940.60 2026-03-04
1764 APR_DRG — 4 4 — — $61,169.68 $66,995.34 $62,917.34 2026-03-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 12 — $2,486.00 $22,685.36 $97,448.68 $62,891.26 2026-03-04
4014 APR_DRG — 4 4 — — $60,966.10 $66,772.37 $62,707.94 2026-03-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 13 — $2,486.00 $21,304.72 $116,023.90 $62,412.95 2026-03-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 11 — $2,486.00 $23,600.60 $101,380.24 $62,412.61 2026-03-04
662 MS_DRG Minor Bladder Procedures With Mcc 26 12 — $2,486.00 $20,678.08 $111,095.20 $61,717.63 2026-03-04
5104 APR_DRG — 4 4 — — $60,002.99 $65,717.53 $61,717.32 2026-03-04
41 APR_DRG — 4 4 — — $59,950.82 $65,660.40 $61,663.66 2026-03-04
1781 APR_DRG — 4 4 — — $59,882.17 $65,585.21 $61,593.05 2026-03-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 12 — $2,486.00 $19,901.13 $108,922.86 $61,488.59 2026-03-04
3032 APR_DRG — 4 4 — — $59,702.72 $65,388.67 $61,408.48 2026-03-04
38240 CPT Transplt Allo Hct/donor 27 12 — $6,311.00 $128.56 $128,624.59 $61,084.54 2026-03-04
6302 APR_DRG — 4 4 — — $59,172.24 $64,807.67 $60,862.83 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 34 14 — — $50,745.22 $120,782.51 $60,694.73 2026-03-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 12 — $2,486.00 $19,292.99 $105,005.54 $60,679.52 2026-03-04
6954 APR_DRG — 4 4 — — $58,980.13 $64,597.26 $60,665.24 2026-03-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 12 — $2,486.00 $19,723.08 $104,734.89 $60,396.01 2026-03-04
7924 APR_DRG — 4 4 — — $58,681.12 $64,269.78 $60,357.69 2026-03-04
472 MS_DRG Cervical Spinal Fusion With Cc 26 12 — $2,486.00 $19,873.39 $103,175.09 $60,076.62 2026-03-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 12 — $2,486.00 $19,385.48 $104,450.00 $60,057.74 2026-03-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 12 — $2,486.00 $20,876.94 $113,566.67 $59,840.95 2026-03-04
2304 APR_DRG — 4 4 — — $58,122.60 $63,658.07 $59,783.21 2026-03-04
570 MS_DRG Skin Debridement With Mcc 26 12 — $2,486.00 $18,773.87 $107,199.24 $59,730.60 2026-03-04
654 MS_DRG Major Bladder Procedures With Cc 27 13 — $2,486.00 $18,374.99 $100,500.63 $59,433.86 2026-03-04
3214 APR_DRG — 4 4 — — $57,752.37 $63,252.57 $59,402.40 2026-03-04
L7181 HCPCS Dme Pos 14 11 — — $47,211.27 $93,950.43 $59,368.18 2026-03-04
1793 APR_DRG — 4 4 — — $57,588.22 $63,072.79 $59,233.56 2026-03-04
5114 APR_DRG — 4 4 — — $57,529.73 $63,008.73 $59,173.40 2026-03-04
1833 APR_DRG — 4 4 — — $57,513.18 $62,990.60 $59,156.37 2026-03-04
924 APR_DRG — 4 4 — — $57,350.28 $62,812.19 $58,988.82 2026-03-04
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