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

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Hospital

VIRTUA MOUNT HOLLY HOSPITAL

Mount Holly, NJ · CCN 310057 · Rates published

5,926 distinct procedures filed
40 distinct payers
428,411 rate rows
2026-08-01 last MRF observed
Data quality

342,791 of 428,411 rate rows are consumer-grade (80.0%)

85,620 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 67,222
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,424
exceeds 10× this hospital's gross charge — excluded from medians 3,894
per-diem day rate — not a per-procedure price 3,108
template filing: same amount across many unrelated codes — excluded 2,002
placeholder amount (≤ $0.02) — excluded from medians 820
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 150
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.virtua.org/-/media/Project/Virtua-Tenant/Virtua/PDFs/Hospital-Charges-April-2026/210634562_virtua-memorial-hospital-burlington-county-inc_standardcharges.csv
Found on page https://www.virtua.org/Patients-and-Visitors/Hospital-Charges-and-Estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-15
Content fingerprint 73a014d1d202c1cd… · 366,035,729 bytes · first seen 2026-05-09

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 17 $3,853,477.39 $4,415,442.85 $4,054,179.34 nat. median
$3,765,001
1.1× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 17 $3,782,239.10 $4,333,815.64 $3,979,230.72 nat. median
$3,677,100
1.1× median
714
OTHER 		Inj Delandistrogene Mox Rokl 17 $3,488,950.08 $3,997,755.29 $3,670,666.22 nat. median
$3,391,964
1.1× median
748
OTHER 		Inj, Lovotibeglogene Autotem 17 $3,447,555.53 $3,950,324.05 $3,627,115.72 nat. median
$3,351,720
1.1× median
746
OTHER 		Inj, Betibeglogene Autotemce 17 $3,113,921.13 $3,568,034.62 $3,276,104.52 nat. median
$3,001,835
1.1× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 18 $2,506,049.97 $4,568,320.26 $2,649,625.75 nat. median
$2,508,045
1.1× median
824
OTHER 		Inj, Exagamglogene Autotem 18 $2,446,652.31 $4,460,043.28 $2,586,825.10 nat. median
$28,063
outlier · 92.2×
9194
OTHER 		Tisagenlecleucel Car-pos T 21 $555,210.52 $1,735,032.86 $595,694.62 nat. median
$555,653
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 21 $553,039.35 $1,728,247.97 $593,365.14 nat. median
$553,480
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Car 21 $552,477.17 $1,726,491.15 $592,761.96 nat. median
$552,917
1.1× median
9413
OTHER 		Lisocabtagene Mara Car Pos T 21 $542,130.81 $1,694,158.78 $581,661.18 nat. median
$542,562
1.1× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 21 $513,519.96 $1,604,749.88 $550,964.13 nat. median
$513,929
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 21 $483,172.29 $1,509,913.40 $518,403.60 nat. median
$483,557
1.1× median
5834
APR_DRG 		Neonate W Ecmo 4 $251,290.00 $462,650.04 $441,620.49 nat. median
$390,362
1.1× median
5833
APR_DRG 		Neonate W Ecmo 4 $168,049.52 $402,908.63 $384,594.60 nat. median
$268,208
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $304,062.04 $1,264,132.50 $381,219.16 nat. median
$168,055
outlier · 2.3×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $240,423.35 $345,077.27 $329,391.94 nat. median
$286,698
1.1× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $197,038.03 $318,284.74 $303,817.26 nat. median
$202,242
1.5× median
24
APR_DRG 		Heart &/or Lung Transplant 4 $207,248.53 $308,348.50 $294,332.66 nat. median
$225,531
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $234,473.03 $820,655.62 $255,575.61 nat. median
$186,516
1.4× median
5832
APR_DRG 		Neonate W Ecmo 4 $89,636.13 $252,834.87 $241,342.38 nat. median
$201,678
1.2× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $82,116.09 $241,185.96 $230,222.96 nat. median
$155,539
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $75,672.04 $239,521.24 $228,633.91 nat. median
$135,803
1.7× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $107,026.21 $234,548.49 $223,887.20 nat. median
$187,567
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 4 $191,186.49 $228,597.39 $218,206.60 nat. median
$173,018
1.3× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $165,872.48 $226,850.04 $216,538.67 nat. median
$168,439
1.3× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $201,909.31 $224,586.89 $214,378.40 nat. median
$171,497
1.3× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $179,624.33 $221,322.80 $211,262.67 nat. median
$173,134
1.2× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $95,014.66 $220,633.72 $210,604.91 nat. median
$181,762
1.2× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $139,424.50 $218,110.66 $208,196.54 nat. median
$198,578
1.0× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $87,968.96 $215,437.06 $205,644.46 nat. median
$152,383
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $75,672.04 $205,448.79 $196,110.21 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate W Ecmo 4 $80,672.48 $204,749.08 $195,442.30 nat. median
$173,909
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $171,306.44 $625,423.84 $194,774.85 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $154,691.32 $621,758.22 $193,633.28 nat. median
$145,435
1.3× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $141,247.15 $201,648.93 $192,483.07 nat. median
$135,630
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $75,672.04 $199,625.72 $190,551.83 nat. median
$149,836
1.3× median
23
APR_DRG 		Heart &/or Lung Transplant 4 $131,449.65 $195,155.37 $186,284.67 nat. median
$117,894
1.6× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 4 $155,080.93 $193,529.33 $184,732.54 nat. median
$136,566
1.4× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $51,058.90 $193,417.34 $184,625.65 nat. median
$109,992
1.7× median
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $39,549.97 $183,967.61 $175,605.45 nat. median
$108,954
1.6× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 $131,378.77 $170,170.16 $162,435.15 nat. median
$115,963
1.4× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 $127,743.10 $163,691.31 $156,250.79 nat. median
$124,731
1.3× median
64
APR_DRG 		Pancreas Transplant 4 $140,179.61 $154,197.57 $148,247.47 nat. median
$92,994
1.6× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $116,144.43 $152,798.07 $145,852.70 nat. median
$114,205
1.3× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $133,670.53 $147,037.58 $145,031.57 nat. median
$120,079
1.2× median
A9543
HCPCS 		Hc Yttrium Y-90 Zevalin Per Tx Dose Up To 40mci 37 $95.27 $214,674.14 $141,684.93 nat. median
$65,477
outlier · 2.2×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $114,923.77 $145,128.99 $138,532.21 nat. median
$106,926
1.3× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $79,172.04 $143,289.68 $136,776.51 nat. median
$130,862
1.0× median
22
APR_DRG 		Heart &/or Lung Transplant 4 $109,387.86 $140,458.77 $134,074.28 nat. median
$95,481
1.4× median

Other procedures at this hospital

Browse this hospital's 5,926 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 23 — — $234,473.03 $820,655.62 $255,575.61 2026-08-01
10 MS_DRG Pancreas Transplant 68 23 — — $29,467.84 $210,737.03 $64,425.32 2026-08-01
11 APR_DRG Liver Transplant &/or Intestinal Transplant 8 4 — — $70,234.21 $81,886.31 $78,164.21 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 23 — — $40,860.91 $160,371.25 $49,944.19 2026-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 4 — — $39,375.01 $91,931.85 $87,753.13 2026-08-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 4 — — $75,672.04 $128,701.87 $122,851.79 2026-08-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 4 — — $75,672.04 $239,521.24 $228,633.91 2026-08-01
1142 OTHER Supprelin La Implant 48 21 — — $47,579.85 $148,687.03 $51,049.21 2026-08-01
12 APR_DRG Liver Transplant &/or Intestinal Transplant 8 4 — — $74,366.81 $91,873.20 $87,697.14 2026-08-01
1204 APR_DRG Major Respiratory & Chest Procedures 8 4 — — $53,088.33 $73,690.71 $70,341.14 2026-08-01
1214 APR_DRG Other Respiratory & Chest Procedures 8 4 — — $45,981.03 $59,064.29 $56,379.55 2026-08-01
13 APR_DRG Liver Transplant &/or Intestinal Transplant 8 4 — — $87,410.43 $110,116.96 $105,111.65 2026-08-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 8 4 — — $36,582.48 $52,576.11 $50,186.29 2026-08-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 8 4 — — $50,242.26 $68,731.30 $65,607.15 2026-08-01
14 APR_DRG Liver Transplant &/or Intestinal Transplant 8 4 — — $155,080.93 $193,529.33 $184,732.54 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 68 23 — — $100,684.76 $352,396.67 $109,746.40 2026-08-01
1580 OTHER Implt/rpl Crtd Sns Dev Total 48 21 — — $47,212.94 $147,540.44 $50,655.55 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 68 23 — — $49,795.73 $174,285.05 $54,781.66 2026-08-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 4 — — $51,604.00 $68,550.01 $65,434.10 2026-08-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 4 — — $114,923.77 $145,128.99 $138,532.21 2026-08-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 8 4 — — $39,549.97 $183,967.61 $175,605.45 2026-08-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 8 4 — — $51,058.90 $193,417.34 $184,625.65 2026-08-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 8 4 — — $82,116.09 $241,185.96 $230,222.96 2026-08-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 8 4 — — $197,038.03 $318,284.74 $303,817.26 2026-08-01
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $42,374.98 $57,031.75 $54,439.40 2026-08-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $47,031.12 $65,677.79 $62,692.43 2026-08-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $62,242.45 $84,061.45 $80,240.48 2026-08-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $97,897.97 $124,111.66 $118,470.22 2026-08-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 8 4 — — $34,965.74 $49,374.61 $47,130.31 2026-08-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 8 4 — — $40,175.78 $55,161.76 $52,654.41 2026-08-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 8 4 — — $51,522.26 $69,173.80 $66,029.54 2026-08-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 8 4 — — $83,015.69 $105,008.25 $100,235.14 2026-08-01
1643 OTHER Y90 Ibritumomab, Rx 48 21 — — $68,695.73 $214,674.14 $73,704.79 2026-08-01
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx 8 4 — — $36,612.09 $50,006.42 $47,733.40 2026-08-01
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 8 4 — — $39,375.01 $58,065.98 $55,426.62 2026-08-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 8 4 — — $50,059.85 $69,808.23 $66,635.13 2026-08-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 8 4 — — $74,521.14 $97,264.48 $92,843.36 2026-08-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 8 4 — — $34,303.79 $49,261.31 $47,022.16 2026-08-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 8 4 — — $42,848.04 $58,221.91 $55,575.46 2026-08-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 8 4 — — $65,206.04 $85,619.57 $81,727.77 2026-08-01
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 8 4 — — $43,186.06 $58,732.39 $56,062.74 2026-08-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 8 4 — — $75,693.45 $97,084.58 $92,671.65 2026-08-01
1693 APR_DRG Major Abdominal Vascular Procedures 8 4 — — $34,879.60 $48,882.78 $46,660.83 2026-08-01
1694 APR_DRG Major Abdominal Vascular Procedures 8 4 — — $63,392.35 $76,744.23 $73,255.85 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 68 23 — — $39,344.22 $159,733.52 $49,745.58 2026-08-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 8 4 — — $46,683.82 $57,227.68 $54,626.42 2026-08-01
1744 APR_DRG Percutaneous Coronary Intervention W Ami 8 4 — — $40,838.33 $49,570.55 $47,317.34 2026-08-01
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 8 4 — — $48,131.46 $55,163.08 $52,655.67 2026-08-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 8 4 — — $45,769.75 $64,081.05 $61,168.28 2026-08-01
1781 APR_DRG External Heart Assist Systems 8 4 — — $39,375.01 $62,732.26 $59,880.79 2026-08-01
1782 APR_DRG External Heart Assist Systems 8 4 — — $39,375.01 $68,619.31 $65,500.25 2026-08-01
1783 APR_DRG External Heart Assist Systems 8 4 — — $39,375.01 $77,312.06 $73,797.88 2026-08-01
1784 APR_DRG External Heart Assist Systems 8 4 — — $75,672.04 $100,896.46 $96,310.26 2026-08-01
1792 APR_DRG Defibrillator Implants 8 4 — — $45,144.08 $49,658.49 $48,720.81 2026-08-01
1793 APR_DRG Defibrillator Implants 8 4 — — $39,375.01 $60,329.13 $57,586.90 2026-08-01
1794 APR_DRG Defibrillator Implants 8 4 — — $39,375.01 $86,437.91 $82,508.92 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 58 23 — — $304,062.04 $1,264,132.50 $381,219.16 2026-08-01
1814 APR_DRG Lower Extremity Arterial Procedures 8 4 — — $57,369.46 $64,755.48 $61,812.04 2026-08-01
1824 APR_DRG Other Peripheral Vascular Procedures 8 4 — — $50,356.71 $55,392.38 $53,868.75 2026-08-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 8 4 — — $46,194.65 $50,814.11 $49,298.62 2026-08-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 8 4 — — $47,199.11 $51,919.02 $49,851.07 2026-08-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 4 — — $39,375.01 $60,250.51 $57,511.85 2026-08-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 4 — — $39,375.01 $90,201.84 $86,101.76 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 23 — — $54,264.27 $209,534.62 $63,357.84 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 23 — — $94,949.89 $353,983.44 $117,105.13 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 23 — — $66,003.95 $274,936.01 $78,333.17 2026-08-01
204 APR_DRG Craniotomy For Trauma 8 4 — — $63,924.45 $70,567.91 $67,360.28 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 68 23 — — $46,644.18 $189,058.95 $58,878.36 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 56 23 — — $94,841.24 $331,944.33 $100,392.24 2026-08-01
21 APR_DRG Heart &/or Lung Transplant 8 4 — — $84,858.07 $115,470.93 $110,222.26 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 68 23 — — $44,480.47 $208,486.48 $55,138.44 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 23 — — $91,124.15 $318,934.52 $96,461.57 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 56 23 — — $47,933.43 $167,767.01 $50,789.15 2026-08-01
214 APR_DRG Craniotomy Except For Trauma 8 4 — — $68,297.75 $75,127.52 $73,274.93 2026-08-01
215 MS_DRG Other Heart Assist System Implant 72 24 — — $83,458.45 $339,832.23 $118,928.29 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 24 — — $82,002.37 $287,008.30 $116,853.38 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 24 — — $52,886.87 $193,172.25 $78,202.82 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 23 — — $41,893.75 $193,172.25 $60,159.36 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 24 — — $64,411.63 $225,440.69 $91,786.57 2026-08-01
22 APR_DRG Heart &/or Lung Transplant 8 4 — — $109,387.86 $140,458.77 $134,074.28 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 24 — — $43,984.69 $156,822.57 $63,849.18 2026-08-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 8 4 — — $61,448.52 $72,364.59 $69,075.29 2026-08-01
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 8 4 — — $43,842.80 $49,383.25 $48,227.08 2026-08-01
2234 APR_DRG Other Small & Large Bowel Procedures 8 4 — — $43,289.03 $48,054.17 $47,617.94 2026-08-01
224 APR_DRG Ventricular Shunt Procedures 8 4 — — $48,063.02 $62,550.62 $52,869.32 2026-08-01
2244 APR_DRG Peritoneal Adhesiolysis 8 4 — — $42,365.64 $50,615.49 $48,314.79 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 72 24 — — $41,585.03 $173,427.55 $61,700.15 2026-08-01
2294 APR_DRG Other Digestive System & Abdominal Procedures 8 4 — — $46,955.55 $51,651.10 $50,416.63 2026-08-01
23 APR_DRG Heart &/or Lung Transplant 8 4 — — $131,449.65 $195,155.37 $186,284.67 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 23 — — $46,122.06 $168,451.59 $52,460.64 2026-08-01
2304 APR_DRG Major Small Bowel Procedures 8 4 — — $39,375.01 $60,888.95 $58,121.27 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 72 24 — — $69,156.62 $247,428.90 $97,949.99 2026-08-01
2314 APR_DRG Major Large Bowel Procedures 8 4 — — $47,783.12 $54,179.48 $51,716.78 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 72 24 — — $48,044.39 $178,173.04 $71,658.66 2026-08-01
2324 APR_DRG Gastric Fundoplication 8 4 — — $39,375.01 $58,749.73 $56,079.29 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 72 24 — — $63,475.17 $224,472.38 $91,392.33 2026-08-01
234 APR_DRG Spinal Procedures 8 4 — — $67,928.19 $74,721.01 $71,531.95 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 72 24 — — $43,312.69 $160,622.85 $65,396.45 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 72 24 — — $49,118.78 $172,497.52 $70,022.90 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 72 24 — — $33,240.01 $123,354.66 $50,222.97 2026-08-01
24 APR_DRG Heart &/or Lung Transplant 8 4 — — $207,248.53 $308,348.50 $294,332.66 2026-08-01
244 APR_DRG Extracranial Vascular Procedures 8 4 — — $47,517.73 $60,669.60 $52,269.50 2026-08-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 8 4 — — $64,422.73 $71,822.12 $68,557.48 2026-08-01
2614 APR_DRG Major Biliary Tract Procedures 8 4 — — $49,299.80 $65,343.27 $62,373.12 2026-08-01
264 APR_DRG Other Nervous System & Related Procedures 8 4 — — $49,546.06 $54,500.67 $52,509.62 2026-08-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 8 4 — — $51,542.87 $56,697.15 $54,373.40 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 72 24 — — $51,456.59 $189,654.24 $73,929.51 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 72 24 — — $40,025.32 $154,226.09 $57,833.12 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 72 24 — — $56,648.45 $202,024.85 $80,535.74 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 72 24 — — $35,144.42 $124,360.99 $50,231.85 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 72 24 — — $42,206.54 $155,169.67 $61,653.47 2026-08-01
274 APR_DRG Other Open Craniotomy 8 4 — — $39,375.01 $66,605.42 $63,577.90 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 23 — — $59,831.93 $209,411.77 $63,371.33 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 23 — — $50,438.51 $176,534.78 $53,438.16 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 23 — — $46,757.36 $163,650.77 $49,545.51 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 68 23 — — $47,406.60 $176,584.54 $54,993.47 2026-08-01
294 APR_DRG Other Percutaneous Intracranial Procedures 8 4 — — $47,157.91 $51,873.70 $49,828.41 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 68 23 — — $154,691.32 $621,758.22 $193,633.28 2026-08-01
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 8 4 — — $44,239.39 $52,549.44 $50,160.83 2026-08-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 8 4 — — $53,234.78 $62,544.27 $59,701.35 2026-08-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 8 4 — — $77,994.36 $86,190.02 $82,272.30 2026-08-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 8 4 — — $105,949.31 $126,065.58 $120,335.33 2026-08-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 4 — — $39,375.01 $57,574.22 $54,957.21 2026-08-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 8 4 — — $48,505.07 $59,576.08 $56,868.08 2026-08-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 8 4 — — $80,785.30 $91,566.66 $87,404.54 2026-08-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 8 4 — — $44,074.24 $48,481.67 $48,132.40 2026-08-01
3094 APR_DRG Other Significant Hip & Femur Surgery 8 4 — — $47,498.39 $52,248.22 $51,150.68 2026-08-01
3104 APR_DRG Intervertebral Disc Excision & Decompression 8 4 — — $37,957.95 $50,009.04 $47,735.90 2026-08-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 8 4 — — $64,204.78 $80,364.80 $70,625.25 2026-08-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 8 4 — — $46,007.35 $51,836.32 $49,480.12 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 23 — — $56,121.54 $196,425.39 $59,447.74 2026-08-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 8 4 — — $55,000.99 $65,228.20 $60,501.09 2026-08-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 8 4 — — $39,375.01 $57,069.05 $54,475.01 2026-08-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 8 4 — — $55,077.95 $69,697.62 $66,529.54 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 23 — — $96,621.50 $406,036.08 $126,451.24 2026-08-01
4014 APR_DRG Pituitary & Adrenal Procedures 8 4 — — $58,061.61 $69,390.40 $63,867.77 2026-08-01
4034 APR_DRG Procedures For Obesity 8 4 — — $49,676.95 $58,774.30 $54,644.65 2026-08-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 8 4 — — $48,248.18 $55,888.15 $53,347.78 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 68 23 — — $45,957.43 $160,851.02 $50,093.60 2026-08-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 8 4 — — $50,995.20 $56,094.71 $53,834.27 2026-08-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $49,742.70 $62,804.18 $59,949.44 2026-08-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $67,676.05 $86,771.11 $82,826.97 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 23 — — $92,353.71 $323,237.97 $97,761.77 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 23 — — $60,569.16 $211,992.04 $64,150.92 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 23 — — $47,223.77 $165,283.18 $50,038.71 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 56 23 — — $75,539.48 $264,388.18 $79,981.42 2026-08-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $98,173.18 $133,277.51 $127,219.44 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 56 23 — — $48,436.61 $169,528.13 $51,321.24 2026-08-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $141,247.15 $201,648.93 $192,483.07 2026-08-01
4401 APR_DRG Kidney Transplant 8 4 — — $47,540.33 $57,630.18 $55,010.62 2026-08-01
4402 APR_DRG Kidney Transplant 8 4 — — $49,744.23 $64,272.97 $61,351.47 2026-08-01
4403 APR_DRG Kidney Transplant 8 4 — — $56,249.35 $73,102.99 $69,780.13 2026-08-01
4404 APR_DRG Kidney Transplant 8 4 — — $89,050.62 $116,987.67 $111,670.05 2026-08-01
4414 APR_DRG Major Bladder Procedures 8 4 — — $59,484.35 $69,494.99 $66,336.12 2026-08-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 8 4 — — $45,984.33 $53,245.15 $50,824.92 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 23 — — $56,080.59 $196,282.06 $59,404.43 2026-08-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 8 4 — — $47,983.84 $53,466.44 $51,036.15 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 56 23 — — $44,779.71 $156,729.00 $47,454.22 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 23 — — $70,035.51 $246,653.66 $76,814.99 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 23 — — $28,026.09 $175,262.19 $54,080.90 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 23 — — $46,396.27 $162,386.95 $50,571.93 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 23 — — $43,703.68 $167,550.45 $52,179.99 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 68 23 — — $43,537.51 $153,095.47 $47,678.31 2026-08-01
4804 APR_DRG Major Male Pelvic Procedures 8 4 — — $46,672.04 $51,339.25 $49,716.98 2026-08-01
4844 APR_DRG Other Male Reproductive System & Related Procedures 8 4 — — $41,030.02 $48,937.43 $46,713.00 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 68 23 — — $83,273.53 $397,994.00 $94,190.41 2026-08-01
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $47,779.03 $54,892.53 $52,397.42 2026-08-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 8 4 — — $57,144.39 $62,858.83 $62,585.50 2026-08-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 8 4 — — $49,145.29 $60,267.85 $57,528.40 2026-08-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 8 4 — — $41,066.29 $55,782.86 $53,247.28 2026-08-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 8 4 — — $47,718.71 $53,438.38 $51,009.36 2026-08-01
5184 APR_DRG Other Female Reproductive System & Related Procedures 8 4 — — $44,471.62 $48,918.78 $46,907.80 2026-08-01
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 8 4 — — $44,728.49 $49,201.34 $47,958.54 2026-08-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $53,087.84 $65,036.66 $62,080.45 2026-08-01
5244 OTHER Transplt Allo Hct/donor 48 21 — — $62,050.05 $193,906.41 $66,574.53 2026-08-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $64,970.27 $98,042.88 $93,586.39 2026-08-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $94,894.58 $138,454.21 $132,160.83 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 68 23 — — $45,103.88 $192,473.00 $59,941.60 2026-08-01
5831 APR_DRG Neonate W Ecmo 8 4 — — $80,672.48 $204,749.08 $195,442.30 2026-08-01
5832 APR_DRG Neonate W Ecmo 8 4 — — $89,636.13 $252,834.87 $241,342.38 2026-08-01
5833 APR_DRG Neonate W Ecmo 8 4 — — $168,049.52 $402,908.63 $384,594.60 2026-08-01
5834 APR_DRG Neonate W Ecmo 8 4 — — $251,290.00 $462,650.04 $441,620.49 2026-08-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 8 4 — — $79,172.04 $143,289.68 $136,776.51 2026-08-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 8 4 — — $87,968.96 $215,437.06 $205,644.46 2026-08-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 8 4 — — $179,624.33 $221,322.80 $211,262.67 2026-08-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 8 4 — — $240,423.35 $345,077.27 $329,391.94 2026-08-01
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 8 4 — — $74,640.82 $139,012.91 $82,104.90 2026-08-01
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 8 4 — — $54,359.99 $97,510.68 $59,795.99 2026-08-01
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 8 4 — — $45,649.36 $69,752.72 $50,214.30 2026-08-01
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 8 4 — — $79,013.72 $115,179.01 $86,915.09 2026-08-01
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 8 4 — — $133,670.53 $147,037.58 $145,031.57 2026-08-01
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 8 4 — — $201,909.31 $224,586.89 $214,378.40 2026-08-01
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 8 4 — — $87,206.47 $118,804.31 $113,404.11 2026-08-01
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 8 4 — — $116,144.43 $152,798.07 $145,852.70 2026-08-01
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 8 4 — — $165,872.48 $226,850.04 $216,538.67 2026-08-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 4 — — $69,508.53 $95,931.65 $91,571.12 2026-08-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 4 — — $92,273.72 $123,657.13 $118,036.35 2026-08-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 4 — — $127,743.10 $163,691.31 $156,250.79 2026-08-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 8 4 — — $74,700.17 $82,170.19 $78,812.99 2026-08-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 8 4 — — $131,378.77 $170,170.16 $162,435.15 2026-08-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 4 — — $53,878.23 $69,664.25 $66,497.70 2026-08-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 4 — — $72,967.77 $95,754.37 $91,401.90 2026-08-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 4 — — $102,011.28 $127,246.48 $121,462.55 2026-08-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 8 4 — — $61,766.88 $67,943.57 $66,431.71 2026-08-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 8 4 — — $63,176.07 $95,172.11 $69,493.68 2026-08-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 8 4 — — $36,289.02 $49,033.39 $46,804.60 2026-08-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 8 4 — — $47,130.76 $54,054.16 $51,597.15 2026-08-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 8 4 — — $75,189.86 $95,133.28 $90,809.04 2026-08-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 8 4 — — $139,424.50 $218,110.66 $208,196.54 2026-08-01
61 APR_DRG Pancreas Transplant 8 4 — — $57,204.26 $83,300.46 $79,514.08 2026-08-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 8 4 — — $52,350.26 $57,902.03 $55,270.12 2026-08-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 8 4 — — $82,245.02 $96,508.73 $92,121.97 2026-08-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $51,518.60 $58,340.53 $55,688.68 2026-08-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $79,026.74 $92,763.52 $88,547.00 2026-08-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 8 4 — — $51,284.80 $56,413.28 $54,549.22 2026-08-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 8 4 — — $70,243.00 $78,627.54 $75,053.56 2026-08-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 8 4 — — $43,989.82 $51,062.00 $48,741.00 2026-08-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 8 4 — — $47,054.02 $65,848.36 $62,855.26 2026-08-01
62 APR_DRG Pancreas Transplant 8 4 — — $80,430.55 $100,276.68 $95,718.64 2026-08-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 8 4 — — $67,755.41 $75,379.41 $71,953.08 2026-08-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $47,229.38 $52,540.79 $51,952.32 2026-08-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 8 4 — — $45,201.05 $51,835.99 $49,721.15 2026-08-01
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 8 4 — — $41,327.33 $49,939.75 $47,669.76 2026-08-01
63 APR_DRG Pancreas Transplant 8 4 — — $89,929.96 $122,076.42 $116,527.49 2026-08-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 8 4 — — $29,659.42 $61,988.54 $59,170.88 2026-08-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 8 4 — — $46,670.15 $127,054.49 $121,279.29 2026-08-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 8 4 — — $107,026.21 $234,548.49 $223,887.20 2026-08-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 8 4 — — $34,102.09 $72,356.58 $69,067.64 2026-08-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 8 4 — — $95,014.66 $220,633.72 $210,604.91 2026-08-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 8 4 — — $48,565.75 $70,934.49 $67,710.20 2026-08-01
64 APR_DRG Pancreas Transplant 8 4 — — $140,179.61 $154,197.57 $148,247.47 2026-08-01
6504 APR_DRG Splenectomy 8 4 — — $48,138.30 $53,655.67 $51,216.77 2026-08-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 8 4 — — $50,572.32 $55,629.55 $53,869.46 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 68 23 — — $43,666.33 $152,832.16 $47,596.30 2026-08-01
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 8 4 — — $69,634.72 $84,471.96 $80,632.33 2026-08-01
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 8 4 — — $65,806.59 $72,387.25 $69,104.24 2026-08-01
6904 APR_DRG Acute Leukemia 8 4 — — $65,304.96 $75,113.31 $71,835.45 2026-08-01
6954 APR_DRG Chemotherapy For Acute Leukemia 8 4 — — $56,170.26 $62,358.93 $61,787.29 2026-08-01
7 MS_DRG Lung Transplant 68 23 — — $94,278.05 $379,671.26 $118,240.48 2026-08-01
71 APR_DRG Allogeneic Bone Marrow Transplant 8 4 — — $39,375.01 $71,089.03 $67,857.71 2026-08-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 8 4 — — $50,734.74 $55,808.21 $53,680.74 2026-08-01
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 8 4 — — $46,266.12 $51,636.30 $50,892.74 2026-08-01
714 OTHER Inj Delandistrogene Mox Rokl 34 17 — — $3,488,950.08 $3,997,755.29 $3,670,666.22 2026-08-01
717 OTHER Instill Adstiladrin, Tx Dose 48 21 — — $66,469.60 $207,717.49 $71,316.34 2026-08-01
72 APR_DRG Allogeneic Bone Marrow Transplant 8 4 — — $39,375.01 $90,136.48 $86,039.37 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 8 4 — — $75,672.04 $114,431.31 $109,229.89 2026-08-01
74 APR_DRG Allogeneic Bone Marrow Transplant 8 4 — — $75,672.04 $199,625.72 $190,551.83 2026-08-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 8 4 — — $51,815.53 $64,626.14 $61,688.59 2026-08-01
746 OTHER Inj, Betibeglogene Autotemce 34 17 — — $3,113,921.13 $3,568,034.62 $3,276,104.52 2026-08-01
748 OTHER Inj, Lovotibeglogene Autotem 34 17 — — $3,447,555.53 $3,950,324.05 $3,627,115.72 2026-08-01
773 OTHER Inj, Beqvez, Per Tx Dose 34 17 — — $3,782,239.10 $4,333,815.64 $3,979,230.72 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 72 24 — — $6,458.00 $174,688.78 $53,404.86 2026-08-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 4 — — $39,375.01 $61,474.05 $58,679.78 2026-08-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 8 4 — — $44,071.79 $48,478.97 $48,131.04 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 68 23 — — $44,203.81 $164,816.00 $51,315.38 2026-08-01
82 APR_DRG Autologous Bone Marrow Transplant 8 4 — — $44,097.23 $48,506.95 $48,145.04 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 23 — — $46,325.70 $172,386.41 $53,686.05 2026-08-01
824 OTHER Inj, Exagamglogene Autotem 36 18 — — $2,446,652.31 $4,460,043.28 $2,586,825.10 2026-08-01
83 APR_DRG Autologous Bone Marrow Transplant 8 4 — — $39,375.01 $58,069.98 $55,430.44 2026-08-01
834 MS_DRG Acute Leukemia With Mcc 68 23 — — $46,119.60 $161,418.61 $50,270.36 2026-08-01
84 APR_DRG Autologous Bone Marrow Transplant 8 4 — — $75,672.04 $96,899.28 $92,494.77 2026-08-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 8 4 — — $68,313.51 $75,144.86 $74,520.89 2026-08-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 8 4 — — $191,186.49 $228,597.39 $218,206.60 2026-08-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 8 4 — — $100,192.65 $124,776.69 $119,105.02 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 56 23 — — $72,613.12 $254,145.93 $76,886.92 2026-08-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 8 4 — — $46,945.23 $80,616.15 $76,951.78 2026-08-01
8514 APR_DRG Gender Related Procedures 8 4 — — $75,672.04 $109,849.04 $104,855.90 2026-08-01
8633 APR_DRG Neonatal Aftercare 8 4 — — $38,091.41 $53,980.86 $51,527.18 2026-08-01
8634 APR_DRG Neonatal Aftercare 8 4 — — $91,004.28 $101,358.92 $96,751.70 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 23 — — $52,332.98 $256,562.54 $63,805.21 2026-08-01
893 APR_DRG Major Cranial/facial Bone Procedures 8 4 — — $35,034.35 $49,917.09 $47,648.13 2026-08-01
894 APR_DRG Major Cranial/facial Bone Procedures 8 4 — — $62,529.38 $70,843.85 $67,623.68 2026-08-01
9035 OTHER Axicabtagene Ciloleucel Car+ 48 21 — — $513,519.96 $1,604,749.88 $550,964.13 2026-08-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 4 — — $46,911.90 $51,603.09 $49,693.10 2026-08-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 8 4 — — $46,472.29 $53,814.29 $51,368.18 2026-08-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 4 — — $78,462.41 $95,998.88 $86,308.65 2026-08-01
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 8 4 — — $69,922.61 $76,914.87 $73,612.08 2026-08-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 8 4 — — $69,921.77 $77,006.83 $73,506.52 2026-08-01
913 APR_DRG Other Major Head & Neck Procedures 8 4 — — $35,483.97 $52,080.27 $49,712.99 2026-08-01
9138 OTHER Inj, Hemgenix, Per Tx Dose 34 17 — — $3,853,477.39 $4,415,442.85 $4,054,179.34 2026-08-01
914 APR_DRG Other Major Head & Neck Procedures 8 4 — — $56,014.80 $83,501.71 $79,706.18 2026-08-01
9141 OTHER Inj Onase Abepar-xioi Treat 36 18 — — $2,506,049.97 $4,568,320.26 $2,649,625.75 2026-08-01
9194 OTHER Tisagenlecleucel Car-pos T 48 21 — — $555,210.52 $1,735,032.86 $595,694.62 2026-08-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 4 — — $47,783.12 $54,319.38 $51,850.32 2026-08-01
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 8 4 — — $49,355.54 $60,079.87 $57,348.96 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 68 23 — — $171,306.44 $625,423.84 $194,774.85 2026-08-01
9273 OTHER Sipuleucel-t Auto Cd54+ 48 21 — — $57,720.04 $180,375.12 $61,928.79 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 68 23 — — $53,158.93 $210,649.28 $65,602.21 2026-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 4 — — $39,375.01 $93,036.76 $88,807.82 2026-08-01
9391 OTHER Brexucabtagene Car Pos T 48 21 — — $483,172.29 $1,509,913.40 $518,403.60 2026-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 4 — — $75,672.04 $205,448.79 $196,110.21 2026-08-01
9413 OTHER Lisocabtagene Mara Car Pos T 48 21 — — $542,130.81 $1,694,158.78 $581,661.18 2026-08-01
9422 OTHER Idecabtagene Vicleucel Car 48 21 — — $552,477.17 $1,726,491.15 $592,761.96 2026-08-01
9498 OTHER Ciltacabtagene Car-pos T 48 21 — — $553,039.35 $1,728,247.97 $593,365.14 2026-08-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 8 4 — — $62,592.13 $70,578.62 $67,370.50 2026-08-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 8 4 — — $45,832.08 $51,633.76 $49,286.77 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 68 23 — — $51,218.68 $197,730.17 $61,578.82 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 23 — — $60,445.86 $223,732.21 $69,676.60 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 23 — — $47,141.06 $179,890.33 $56,022.99 2026-08-01
A9543 HCPCS Hc Yttrium Y-90 Zevalin Per Tx Dose Up To 40mci 108 37 $94,628.00 $9,462.80 90% off $95.27 $214,674.14 $141,684.93 2026-08-01
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