Price Transparency 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

MONMOUTH MEDICAL CENTER

Long Branch, NJ · CCN 310075 · Rates published

68,687 distinct procedures filed
32 distinct payers
3,181,426 rate rows
2026-03-04 last MRF observed
Data quality

2,406,035 of 3,181,426 rate rows are consumer-grade (75.6%)

775,391 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 730,382
template filing: same amount across many unrelated codes — excluded 30,226
placeholder amount (≤ $0.02) — excluded from medians 7,592
per-diem day rate — not a per-procedure price 4,467
exceeds 10× this hospital's gross charge — excluded from medians 1,797
percent-of-charges filed in the dollar field — excluded from medians 927
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/223452412_monmouth-medical-center_standardcharges.json
Found on page https://www.rwjbh.org/monmouth-medical-center/billing/charges/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint c2989ce7550a0965… · 445,153,911 bytes · first seen 2026-05-18

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $3,279,887.34 $4,106,450.60 $3,672,900.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,605,000.00 $3,965,500.00 $3,605,000.00 nat. median
$3,570,000
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 8 $3,301,900.00 $4,106,450.60 $3,598,700.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $2,957,001.24 $3,676,747.08 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 13 $2,924,540.00 $3,614,600.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 13 $2,623,909.86 $3,285,160.48 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $2,156,586.79 $4,655,511.61 $2,388,614.23 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 9 $2,075,480.00 $4,517,095.66 $2,262,040.00 nat. median
$2,448,600
0.9× median
5834
APR_DRG 		3 $596,201.00 $652,982.05 $607,557.08 nat. median
$309,665
2.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $468,441.50 $1,245,872.14 $603,394.91 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 18 $325,500.00 $1,214,362.12 $579,835.77 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 20 $352,380.00 $1,163,688.12 $559,704.14 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 20 $344,652.00 $1,137,638.54 $547,455.69 nat. median
$674,188
0.8× median
5833
APR_DRG 		3 $519,214.32 $568,663.31 $529,104.01 nat. median
$244,017
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 19 $257,664.44 $1,078,235.63 $524,779.54 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 19 $435,565.25 $1,075,007.33 $517,934.30 nat. median
$620,080
0.8× median
5884
APR_DRG 		3 $444,689.07 $487,040.41 $453,159.24 nat. median
$246,434
1.8× median
1614
APR_DRG 		3 $410,162.47 $449,225.56 $417,975.00 nat. median
$207,730
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $169,406.00 $922,080.04 $391,386.94 nat. median
$206,368
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $300,688.83 $1,198,235.13 $377,542.46 nat. median
$370,174
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $64,859.00 $745,826.73 $359,439.04 nat. median
$202,986
1.8× median
5832
APR_DRG 		3 $325,819.50 $356,849.93 $332,025.52 nat. median
$156,126
outlier · 2.1×
1613
APR_DRG 		3 $310,807.95 $340,408.71 $316,728.04 nat. median
$119,796
outlier · 2.6×
6304
APR_DRG 		3 $302,254.47 $331,040.61 $308,011.63 nat. median
$150,721
outlier · 2.0×
8414
APR_DRG 		3 $294,585.50 $322,641.26 $300,196.59 nat. median
$160,267
1.9× median
5934
APR_DRG 		3 $292,333.75 $320,175.06 $297,901.95 nat. median
$151,838
2.0× median
5914
APR_DRG 		3 $289,417.30 $316,980.85 $294,929.95 nat. median
$164,279
1.8× median
5883
APR_DRG 		3 $285,210.98 $312,373.93 $290,643.51 nat. median
$182,736
1.6× median
6314
APR_DRG 		3 $284,323.00 $311,401.38 $289,738.61 nat. median
$122,924
outlier · 2.4×
6094
APR_DRG 		3 $281,071.61 $307,840.34 $286,425.30 nat. median
$162,982
1.8× median
5882
APR_DRG 		3 $277,626.24 $304,066.84 $282,914.30 nat. median
$145,336
1.9× median
94
APR_DRG 		3 $264,754.71 $289,969.44 $269,797.60 nat. median
$164,834
1.6× median
5831
APR_DRG 		3 $263,853.01 $288,981.87 $268,878.72 nat. median
$145,122
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $233,317.58 $892,044.00 $264,824.93 nat. median
$265,286
1.0× median
44
APR_DRG 		3 $259,857.96 $284,606.34 $264,807.58 nat. median
$105,658
outlier · 2.5×
'583-4
APR_DRG 		Neonate W Ecmo 1 $263,700.81 $263,700.81 $263,700.81 —
1612
APR_DRG 		3 $249,250.20 $272,988.31 $253,997.76 nat. median
$85,406
outlier · 3.0×
'588-4
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $252,297.48 $252,297.48 $252,297.48 —
1611
APR_DRG 		3 $237,072.65 $259,651.00 $241,588.27 nat. median
$76,806
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $95,549.60 $514,235.40 $240,945.00 nat. median
$133,176
1.8× median
6034
APR_DRG 		3 $219,292.36 $240,177.34 $223,469.31 nat. median
$109,499
outlier · 2.0×
'002-4
APR_DRG 		Heart &/or Lung Transplant 1 $217,484.20 $217,484.20 $217,484.20 —
6024
APR_DRG 		3 $210,943.29 $231,033.13 $214,961.21 nat. median
$118,620
1.8× median
'591-4
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $211,881.29 $211,881.29 $211,881.29 —
'161-4
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 1 $206,769.43 $206,769.43 $206,769.43 —
5933
APR_DRG 		3 $196,905.55 $215,658.46 $200,656.09 nat. median
$108,996
1.8× median
'841-4
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 1 $200,628.89 $200,628.89 $200,628.89 —
'003-4
APR_DRG 		Bone Marrow Transplant 1 $193,574.88 $193,574.88 $193,574.88 —
5913
APR_DRG 		3 $189,482.22 $207,528.14 $193,091.36 nat. median
$102,636
1.9× median
1604
APR_DRG 		3 $187,022.67 $204,834.35 $190,584.97 nat. median
$97,957
1.9× median

Other procedures at this hospital

Browse this hospital's 68,687 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
             
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 24 — $37,009.81 $34,567.66 $149,677.48 $75,468.90 2026-03-04
304 APR_DRG — 3 3 — — $74,193.89 $81,259.98 $75,607.09 2026-03-04
'090-4 APR_DRG Major Larynx & Trachea Procedures 1 1 — — $75,795.15 $75,795.15 $75,795.15 2024-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 20 — $3,629.00 $39,640.30 $167,297.91 $75,905.00 2026-03-04
6113 APR_DRG — 3 3 — — $74,616.33 $81,722.65 $76,037.58 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 24 — $37,218.27 $32,806.81 $150,520.54 $76,134.08 2026-03-04
245 MS_DRG Aicd Generator Procedures 61 25 — $39,195.61 $19,080.00 $169,289.00 $76,146.00 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 59 26 — $42,548.27 $40,410.83 $172,076.45 $76,238.00 2026-03-04
1652 APR_DRG — 3 3 — — $74,827.60 $81,954.04 $76,252.88 2026-03-04
1663 APR_DRG — 3 3 — — $75,028.54 $82,174.12 $76,457.64 2026-03-04
'607-3 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $76,571.53 $76,571.53 $76,571.53 2024-12-31
6123 APR_DRG — 3 3 — — $75,181.41 $82,341.54 $76,613.42 2026-03-04
B0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 3 — — $77,036.90 $84,740.59 $77,036.90 2024-12-31
1673 APR_DRG — 3 3 — — $75,686.39 $82,894.62 $77,128.02 2026-03-04
2324 APR_DRG — 3 3 — — $75,708.74 $82,919.09 $77,150.79 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 56 24 — $37,434.52 $34,332.45 $151,395.09 $77,434.46 2026-03-04
'841-3 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $77,546.57 $77,546.57 $77,546.57 2024-12-31
1214 APR_DRG — 3 3 — — $76,114.09 $83,363.05 $77,563.87 2026-03-04
'001-2 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $78,039.67 $78,039.67 $78,039.67 2024-12-31
'165-4 APR_DRG Coronary Bypass W Ami Or Complex Pdx 1 1 — — $78,201.62 $78,201.62 $78,201.62 2024-12-31
3043 APR_DRG — 3 3 — — $76,773.62 $84,085.40 $78,235.96 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 57 24 — $39,069.33 $10,611.00 $168,633.00 $78,301.00 2026-03-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 40 18 — $57,367.94 $42,400.00 $232,011.11 $78,512.39 2026-03-04
5892 APR_DRG — 3 3 — — $77,057.01 $84,395.77 $78,524.74 2026-03-04
'690-4 APR_DRG Acute Leukemia 1 1 — — $78,823.04 $78,823.04 $78,823.04 2024-12-31
924 APR_DRG — 3 3 — — $77,422.83 $84,796.43 $78,897.54 2026-03-04
'609-3 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $78,903.37 $78,903.37 $78,903.37 2024-12-31
D0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 3 — — $79,109.25 $87,020.18 $79,109.25 2024-12-31
1833 APR_DRG — 3 3 — — $77,642.74 $85,037.28 $79,121.63 2026-03-04
5114 APR_DRG — 3 3 — — $77,665.09 $85,061.76 $79,144.40 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 24 — $38,304.69 $36,616.07 $154,914.28 $79,180.71 2026-03-04
'603-3 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $79,182.43 $79,182.43 $79,182.43 2024-12-31
1793 APR_DRG — 3 3 — — $77,744.05 $85,148.25 $79,224.88 2026-03-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 59 25 — $44,862.95 $18,020.00 $181,437.64 $79,384.00 2026-03-04
'167-4 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $79,431.83 $79,431.83 $79,431.83 2024-12-31
3214 APR_DRG — 3 3 — — $77,965.65 $85,390.95 $79,450.69 2026-03-04
2304 APR_DRG — 3 3 — — $78,465.47 $85,938.37 $79,960.03 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 20 — $3,629.00 $38,581.48 $156,033.71 $79,989.42 2026-03-04
Sx00000066257 CDM Controller Impella Packaged 35 16 $161,200.00 — $82.15 $177,320.00 $80,600.00 2024-12-31
7924 APR_DRG — 3 3 — — $79,219.46 $86,764.17 $80,728.39 2026-03-04
6954 APR_DRG — 3 3 — — $79,623.13 $87,206.28 $81,139.74 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 55 23 — $3,629.00 $36,181.09 $154,480.51 $81,201.41 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 24 — $38,940.44 $36,224.59 $157,485.46 $81,287.97 2026-03-04
6302 APR_DRG — 3 3 — — $79,882.47 $87,490.33 $81,404.02 2026-03-04
C0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 3 — — $81,451.32 $89,596.45 $81,451.32 2024-12-31
163 MS_DRG Major Chest Procedures With Mcc 56 24 — $40,771.60 $39,276.45 $166,154.00 $81,545.93 2026-03-04
'303-3 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $81,846.38 $81,846.38 $81,846.38 2024-12-31
3032 APR_DRG — 3 3 — — $80,598.63 $88,274.68 $82,133.82 2026-03-04
1781 APR_DRG — 3 3 — — $80,840.88 $88,540.01 $82,380.69 2026-03-04
41 APR_DRG — 3 3 — — $80,933.56 $88,641.51 $82,475.13 2026-03-04
5104 APR_DRG — 3 3 — — $81,003.98 $88,718.64 $82,546.90 2026-03-04
B1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 3 — — $82,779.11 $91,057.02 $82,779.11 2024-12-31
'612-4 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $82,929.75 $82,929.75 $82,929.75 2024-12-31
'588-1 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $83,082.22 $83,082.22 $83,082.22 2024-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 24 — $40,028.59 $39,509.71 $167,120.00 $83,263.07 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 24 — $41,003.42 $37,116.29 $165,828.67 $83,407.79 2026-03-04
4014 APR_DRG — 3 3 — — $82,304.18 $90,142.67 $83,871.86 2026-03-04
799 MS_DRG Splenic Procedures With Mcc 56 24 — $42,856.20 $40,517.14 $173,321.81 $84,121.99 2026-03-04
1764 APR_DRG — 3 3 — — $82,579.01 $90,443.68 $84,151.93 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 24 — $40,209.37 $36,669.23 $162,617.32 $84,191.54 2026-03-04
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 1 1 — — $84,333.89 $84,333.89 $84,333.89 2024-12-31
'006-2 APR_DRG Pancreas Transplant 1 1 — — $84,402.89 $84,402.89 $84,402.89 2024-12-31
'583-1 APR_DRG Neonate W Ecmo 1 1 — — $84,656.77 $84,656.77 $84,656.77 2024-12-31
'304-4 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $84,775.16 $84,775.16 $84,775.16 2024-12-31
1814 APR_DRG — 3 3 — — $83,448.13 $91,395.57 $85,037.60 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 24 — $43,741.07 $31,049.00 $176,900.47 $85,248.50 2026-03-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 23 — $41,899.53 $41,899.53 $181,516.00 $85,383.00 2026-03-04
52 APR_DRG — 3 3 — — $83,810.48 $91,792.43 $85,406.85 2026-03-04
2614 APR_DRG — 3 3 — — $84,205.60 $92,225.18 $85,809.49 2026-03-04
'161-3 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $86,171.67 $86,171.67 $86,171.67 2024-12-31
Sx00000069838 CDM Jts Implant Set 35 16 $172,360.00 — $82.15 $189,596.00 $86,180.00 2024-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 55 23 — $42,212.66 $40,090.23 $197,525.00 $86,246.56 2026-03-04
1622 APR_DRG — 3 3 — — $84,636.68 $92,697.31 $86,248.79 2026-03-04
'611-4 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $86,306.97 $86,306.97 $86,306.97 2024-12-31
6144 APR_DRG — 3 3 — — $84,856.49 $92,938.06 $86,472.79 2026-03-04
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $87,115.71 $87,115.71 $87,115.71 2024-12-31
'591-1 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $87,118.91 $87,118.91 $87,118.91 2024-12-31
274 APR_DRG — 3 3 — — $85,832.09 $94,006.57 $87,466.96 2026-03-04
7404 APR_DRG — 2 2 — — $84,867.75 $91,213.03 $88,040.39 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 55 23 — $41,577.76 $38,734.56 $168,151.47 $88,387.44 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 24 — $43,242.85 $39,829.25 $174,885.51 $88,482.92 2026-03-04
'002-1 APR_DRG Heart &/or Lung Transplant 1 1 — — $89,049.08 $89,049.08 $89,049.08 2024-12-31
6083 APR_DRG — 3 3 — — $87,556.51 $95,895.22 $89,224.23 2026-03-04
1603 APR_DRG — 3 3 — — $88,338.02 $96,751.16 $90,020.63 2026-03-04
1782 APR_DRG — 3 3 — — $88,427.31 $96,848.96 $90,111.62 2026-03-04
1304 APR_DRG — 3 3 — — $88,571.63 $97,007.03 $90,258.69 2026-03-04
1633 APR_DRG — 3 3 — — $89,141.87 $97,631.57 $90,839.79 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — $3,629.00 $43,885.62 $137,451.02 $91,115.82 2026-03-04
6084 APR_DRG — 3 3 — — $89,554.08 $98,083.04 $91,259.85 2026-03-04
4414 APR_DRG — 3 3 — — $89,555.77 $98,084.89 $91,261.58 2026-03-04
6072 APR_DRG — 3 3 — — $89,773.89 $98,323.79 $91,483.85 2026-03-04
'593-2 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $91,513.46 $91,513.46 $91,513.46 2024-12-31
3614 APR_DRG — 3 3 — — $89,816.90 $98,370.89 $91,527.68 2026-03-04
1653 APR_DRG — 3 3 — — $89,959.44 $98,527.00 $91,672.93 2026-03-04
'001-3 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $91,727.50 $91,727.50 $91,727.50 2024-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 24 — $43,583.65 $42,464.26 $222,118.00 $92,002.74 2026-03-04
'588-2 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $92,313.61 $92,313.61 $92,313.61 2024-12-31
204 APR_DRG — 3 3 — — $90,938.41 $99,599.21 $92,670.55 2026-03-04
9504 APR_DRG — 3 3 — — $90,952.21 $99,614.33 $92,684.61 2026-03-04
3124 APR_DRG — 3 3 — — $91,012.31 $99,680.14 $92,745.85 2026-03-04
894 APR_DRG — 3 3 — — $91,294.00 $99,988.66 $93,032.91 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 55 23 — $43,932.23 $43,279.75 $177,673.57 $93,108.23 2026-03-04
6334 APR_DRG — 3 3 — — $91,410.81 $100,116.60 $93,151.94 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 59 25 — $58,978.52 $18,020.00 $238,524.76 $93,349.00 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 55 23 — $3,629.00 $40,407.60 $180,377.68 $93,355.66 2026-03-04
'440-4 APR_DRG Kidney Transplant 1 1 — — $93,448.69 $93,448.69 $93,448.69 2024-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 25 — $52,550.01 $42,400.00 $221,050.00 $93,649.50 2026-03-04
'583-2 APR_DRG Neonate W Ecmo 1 1 — — $94,063.12 $94,063.12 $94,063.12 2024-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 55 23 — $49,157.56 $40,685.50 $198,806.20 $94,168.92 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 55 23 — $48,430.12 $47,099.87 $195,864.21 $94,252.00 2026-03-04
2604 APR_DRG — 3 3 — — $92,554.66 $101,369.39 $94,317.59 2026-03-04
6904 APR_DRG — 3 3 — — $92,571.85 $101,388.21 $94,335.10 2026-03-04
'006-3 APR_DRG Pancreas Transplant 1 1 — — $94,371.46 $94,371.46 $94,371.46 2024-12-31
6313 APR_DRG — 3 3 — — $93,243.40 $102,123.72 $95,019.44 2026-03-04
2204 APR_DRG — 3 3 — — $93,253.73 $102,135.04 $95,029.97 2026-03-04
6814 APR_DRG — 3 3 — — $93,282.93 $102,167.02 $95,059.73 2026-03-04
C1842 HCPCS Retinal Prosth, Add-on 1 1 — — $95,473.91 $95,473.91 $95,473.91 2024-12-31
C1841 HCPCS Retinal Prosth Int/ext Comp 1 1 — — $95,473.91 $95,473.91 $95,473.91 2024-12-31
'863-4 APR_DRG Neonatal Aftercare 1 1 — — $95,498.84 $95,498.84 $95,498.84 2024-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 59 24 — $44,960.69 $42,832.19 $276,562.00 $95,578.99 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 24 — $45,364.64 $43,496.73 $183,466.59 $96,437.70 2026-03-04
1204 APR_DRG — 3 3 — — $94,962.66 $104,006.72 $96,771.45 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — $3,629.00 $46,615.86 $146,002.17 $96,784.11 2026-03-04
'602-3 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $96,830.97 $96,830.97 $96,830.97 2024-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,629.00 $46,902.17 $146,898.92 $97,378.58 2026-03-04
B1904 OTHER Guillain-barr? M <38.50 5 3 — — $97,868.83 $107,655.71 $97,868.83 2024-12-31
234 APR_DRG — 3 3 — — $96,290.37 $105,460.88 $98,124.45 2026-03-04
214 APR_DRG — 3 3 — — $96,814.22 $106,034.62 $98,658.28 2026-03-04
8413 APR_DRG — 3 3 — — $96,836.57 $106,059.10 $98,681.05 2026-03-04
6214 APR_DRG — 3 3 — — $97,138.82 $106,390.14 $98,989.07 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 55 23 — $48,989.76 $43,218.83 $198,127.55 $99,011.13 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 55 23 — $47,618.77 $46,159.75 $192,582.90 $99,518.93 2026-03-04
653 MS_DRG Major Bladder Procedures With Mcc 55 23 — $46,826.45 $43,893.85 $189,378.55 $99,545.28 2026-03-04
'005-4 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $99,581.27 $99,581.27 $99,581.27 2024-12-31
'631-4 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $99,707.29 $99,707.29 $99,707.29 2024-12-31
'608-4 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $99,872.51 $99,872.51 $99,872.51 2024-12-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 40 18 — $76,649.16 $42,400.00 $320,767.00 $100,111.96 2026-03-04
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $100,740.12 $100,740.12 $100,740.12 2024-12-31
1694 APR_DRG — 3 3 — — $98,897.61 $108,316.43 $100,781.36 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 11 — — $67,452.66 $134,230.79 $100,841.73 2026-03-04
9114 APR_DRG — 3 3 — — $99,117.52 $108,557.28 $101,005.45 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 20 — $3,629.00 $52,784.43 $217,245.21 $101,074.00 2026-03-04
9124 APR_DRG — 3 3 — — $99,236.02 $108,687.07 $101,126.21 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 55 23 — $3,629.00 $47,099.87 $267,020.00 $101,326.46 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 59 24 — $49,275.20 $41,428.99 $199,457.00 $101,447.00 2026-03-04
1783 APR_DRG — 3 3 — — $99,629.35 $109,117.86 $101,527.04 2026-03-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 14 — $89,525.22 $82,349.70 $346,356.00 $101,567.60 2024-12-31
'589-2 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $102,326.58 $102,326.58 $102,326.58 2024-12-31
'162-4 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $102,733.00 $102,733.00 $102,733.00 2024-12-31
'004-3 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $103,021.79 $103,021.79 $103,021.79 2024-12-31
6134 APR_DRG — 3 3 — — $101,324.58 $110,974.54 $103,254.55 2026-03-04
B0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 3 — — $103,385.13 $113,723.64 $103,385.13 2024-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 23 — $3,629.00 $45,610.39 $198,305.96 $104,237.89 2026-03-04
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 17 7 — — $45,324.44 $193,178.00 $104,715.25 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 55 23 — $53,785.20 $44,603.51 $217,521.57 $105,010.00 2026-03-04
'842-4 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 1 1 — — $105,141.01 $105,141.01 $105,141.01 2024-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 55 23 — $52,302.62 $45,811.77 $211,525.65 $105,841.16 2026-03-04
8504 APR_DRG — 3 3 — — $103,887.22 $113,781.24 $105,866.00 2026-03-04
'607-4 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $107,049.45 $107,049.45 $107,049.45 2024-12-31
5891 APR_DRG — 3 3 — — $105,805.73 $115,882.47 $107,821.06 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 55 23 — $59,446.48 $46,618.09 $240,417.29 $107,842.00 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 59 24 — $50,865.90 $48,573.86 $205,715.14 $107,869.15 2026-03-04
6033 APR_DRG — 3 3 — — $105,889.86 $115,974.61 $107,906.79 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 55 23 — $3,629.00 $46,880.68 $210,805.03 $108,310.72 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 55 23 — $59,752.68 $46,126.72 $241,655.65 $108,794.09 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 58 24 — $59,291.65 $31,049.00 $239,791.11 $108,795.50 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 59 24 — $51,454.08 $47,511.40 $208,093.92 $109,382.86 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — $3,629.00 $52,716.26 $165,108.83 $109,449.54 2026-03-04
914 APR_DRG — 3 3 — — $107,605.74 $117,853.91 $109,655.35 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 55 23 — $54,027.39 $51,049.49 $242,900.00 $109,823.35 2026-03-04
1623 APR_DRG — 3 3 — — $108,327.06 $118,643.92 $110,390.41 2026-03-04
6804 APR_DRG — 3 3 — — $108,856.08 $119,223.32 $110,929.50 2026-03-04
'303-4 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $111,181.99 $111,181.99 $111,181.99 2024-12-31
'630-4 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $112,312.06 $112,312.06 $112,312.06 2024-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 28 14 — $99,134.26 $99,134.26 $403,633.00 $112,396.12 2024-12-31
1664 APR_DRG — 3 3 — — $110,334.96 $120,843.05 $112,436.56 2026-03-04
3033 APR_DRG — 3 3 — — $111,070.08 $121,648.19 $113,185.68 2026-03-04
9104 APR_DRG — 3 3 — — $111,222.95 $121,815.61 $113,341.46 2026-03-04
1794 APR_DRG — 3 3 — — $111,389.52 $121,998.05 $113,511.20 2026-03-04
42 APR_DRG — 3 3 — — $111,818.91 $122,468.33 $113,948.77 2026-03-04
5912 APR_DRG — 3 3 — — $112,004.46 $122,671.55 $114,137.85 2026-03-04
'002-2 APR_DRG Heart &/or Lung Transplant 1 1 — — $114,790.35 $114,790.35 $114,790.35 2024-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 20 — $3,629.00 $60,220.13 $246,126.35 $115,312.00 2026-03-04
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 17 7 — — $50,039.09 $214,687.00 $115,607.74 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 55 23 — $52,678.89 $50,650.47 $213,047.37 $116,436.00 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 59 24 — $55,058.44 $52,300.15 $222,670.92 $117,045.14 2026-03-04
'003-3 APR_DRG Bone Marrow Transplant 1 1 — — $117,474.67 $117,474.67 $117,474.67 2024-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 15 6 — — $42,304.58 $179,577.00 $118,414.00 2026-03-04
1834 APR_DRG — 3 3 — — $116,239.97 $127,310.45 $118,454.04 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — $3,629.00 $57,132.86 $178,941.74 $118,619.78 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 55 23 — $60,244.85 $51,752.41 $243,646.13 $118,622.00 2026-03-04
3044 APR_DRG — 3 3 — — $117,998.77 $129,236.74 $120,246.34 2026-03-04
7 MS_DRG Lung Transplant 28 14 — $106,101.66 $93,232.14 $398,940.12 $120,247.75 2024-12-31
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $120,599.67 $120,599.67 $120,599.67 2024-12-31
'591-2 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $120,867.52 $120,867.52 $120,867.52 2024-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 55 23 — $59,853.88 $52,512.00 $242,064.94 $121,453.17 2026-03-04
6124 APR_DRG — 3 3 — — $119,541.12 $130,925.99 $121,818.07 2026-03-04
'593-3 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $121,880.62 $121,880.62 $121,880.62 2024-12-31
93 APR_DRG — 3 3 — — $119,893.24 $131,311.64 $122,176.89 2026-03-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 17 7 — — $53,258.71 $230,292.00 $123,046.19 2026-03-04
6093 APR_DRG — 3 3 — — $122,594.94 $134,270.65 $124,930.06 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,629.00 $60,524.34 $189,563.96 $125,660.85 2026-03-04
6073 APR_DRG — 3 3 — — $123,395.32 $135,147.26 $125,745.69 2026-03-04
6022 APR_DRG — 3 3 — — $123,623.78 $135,397.47 $125,978.49 2026-03-04
6114 APR_DRG — 3 3 — — $124,367.44 $136,211.96 $126,736.32 2026-03-04
1674 APR_DRG — 3 3 — — $125,109.51 $137,024.71 $127,492.53 2026-03-04
1654 APR_DRG — 3 3 — — $125,341.35 $137,278.62 $127,728.77 2026-03-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 14 — $105,908.77 $105,908.77 $453,365.00 $128,325.80 2024-12-31
53 APR_DRG — 3 3 — — $126,344.45 $138,377.26 $128,750.99 2026-03-04
1784 APR_DRG — 3 3 — — $130,021.75 $142,404.77 $132,498.33 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 55 23 — $62,559.53 $59,775.29 $256,647.00 $132,991.21 2026-03-04
8634 APR_DRG — 3 3 — — $130,617.72 $143,057.50 $133,105.65 2026-03-04
'602-4 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $134,052.13 $134,052.13 $134,052.13 2024-12-31
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 17 7 — — $54,906.00 $250,777.00 $137,011.20 2026-03-04
'603-4 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $137,867.36 $137,867.36 $137,867.36 2024-12-31
1634 APR_DRG — 3 3 — — $135,320.47 $148,208.13 $137,897.97 2026-03-04
'002-3 APR_DRG Heart &/or Lung Transplant 1 1 — — $137,941.74 $137,941.74 $137,941.74 2024-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 25 — $72,912.46 $42,400.00 $308,213.00 $138,192.00 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 24 — $66,700.18 $49,843.00 $269,753.19 $141,793.55 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 59 24 — $67,464.82 $49,843.00 $276,562.00 $143,290.24 2026-03-04
'589-1 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $145,878.54 $145,878.54 $145,878.54 2024-12-31
'609-4 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $146,310.46 $146,310.46 $146,310.46 2024-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — $3,629.00 $71,072.88 $222,602.27 $147,561.94 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 55 23 — $3,629.00 $68,691.17 $352,125.00 $147,776.09 2026-03-04
'004-4 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $148,223.13 $148,223.13 $148,223.13 2024-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 59 24 — $70,194.69 $49,843.00 $283,885.92 $149,222.30 2026-03-04
'006-4 APR_DRG Pancreas Transplant 1 1 — — $149,325.21 $149,325.21 $149,325.21 2024-12-31
Q0480 HCPCS Dme Pos 35 16 — — $49,635.12 $270,421.41 $149,499.86 2026-03-04
'591-3 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $150,089.36 $150,089.36 $150,089.36 2024-12-31
5932 APR_DRG — 3 3 — — $153,098.98 $167,679.84 $156,015.12 2026-03-04
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 17 7 — — $54,906.00 $274,842.00 $156,717.43 2026-03-04
6023 APR_DRG — 3 3 — — $159,352.64 $174,529.08 $162,387.89 2026-03-04
'001-4 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $162,740.13 $162,740.13 $162,740.13 2024-12-31
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — $3,629.00 $78,497.50 $245,856.40 $162,976.77 2026-03-04
1624 APR_DRG — 3 3 — — $159,938.37 $175,170.60 $162,984.78 2026-03-04
8424 APR_DRG — 3 3 — — $160,795.37 $176,109.22 $163,858.11 2026-03-04
3034 APR_DRG — 3 3 — — $162,456.32 $177,928.35 $165,550.69 2026-03-04
6303 APR_DRG — 3 3 — — $163,730.69 $179,324.09 $166,849.34 2026-03-04
6074 APR_DRG — 3 3 — — $163,978.11 $179,595.08 $167,101.47 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 59 24 — $83,948.71 $54,906.00 $339,510.80 $171,469.00 2026-03-04
'593-4 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $174,064.66 $174,064.66 $174,064.66 2024-12-31
43 APR_DRG — 3 3 — — $171,750.09 $188,107.24 $175,021.48 2026-03-04
'583-3 APR_DRG Neonate W Ecmo 1 1 — — $176,349.22 $176,349.22 $176,349.22 2024-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 20 — $3,629.00 $92,830.35 $376,780.62 $177,756.00 2026-03-04
215 MS_DRG Other Heart Assist System Implant 57 23 — $88,355.77 $54,906.00 $435,241.00 $180,663.00 2026-03-04
54 APR_DRG — 3 3 — — $178,421.11 $195,413.60 $181,819.57 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,629.00 $89,264.18 $279,577.95 $185,331.02 2026-03-04
5881 APR_DRG — 3 3 — — $184,652.42 $202,238.37 $188,169.57 2026-03-04
'588-3 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $188,495.69 $188,495.69 $188,495.69 2024-12-31
1604 APR_DRG — 3 3 — — $187,022.67 $204,834.35 $190,584.97 2026-03-04
5913 APR_DRG — 3 3 — — $189,482.22 $207,528.14 $193,091.36 2026-03-04
'003-4 APR_DRG Bone Marrow Transplant 1 1 — — $193,574.88 $193,574.88 $193,574.88 2024-12-31
'841-4 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $200,628.89 $200,628.89 $200,628.89 2024-12-31
5933 APR_DRG — 3 3 — — $196,905.55 $215,658.46 $200,656.09 2026-03-04
'161-4 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $206,769.43 $206,769.43 $206,769.43 2024-12-31
'591-4 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $211,881.29 $211,881.29 $211,881.29 2024-12-31
6024 APR_DRG — 3 3 — — $210,943.29 $231,033.13 $214,961.21 2026-03-04
'002-4 APR_DRG Heart &/or Lung Transplant 1 1 — — $217,484.20 $217,484.20 $217,484.20 2024-12-31
6034 APR_DRG — 3 3 — — $219,292.36 $240,177.34 $223,469.31 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 23 — $3,629.00 $95,549.60 $514,235.40 $240,945.00 2026-03-04
1611 APR_DRG — 3 3 — — $237,072.65 $259,651.00 $241,588.27 2026-03-04
'588-4 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $252,297.48 $252,297.48 $252,297.48 2024-12-31
1612 APR_DRG — 3 3 — — $249,250.20 $272,988.31 $253,997.76 2026-03-04
'583-4 APR_DRG Neonate W Ecmo 1 1 — — $263,700.81 $263,700.81 $263,700.81 2024-12-31
44 APR_DRG — 3 3 — — $259,857.96 $284,606.34 $264,807.58 2026-03-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 14 — $234,396.93 $233,317.58 $892,044.00 $264,824.93 2024-12-31
5831 APR_DRG — 3 3 — — $263,853.01 $288,981.87 $268,878.72 2026-03-04
94 APR_DRG — 3 3 — — $264,754.71 $289,969.44 $269,797.60 2026-03-04
5882 APR_DRG — 3 3 — — $277,626.24 $304,066.84 $282,914.30 2026-03-04
6094 APR_DRG — 3 3 — — $281,071.61 $307,840.34 $286,425.30 2026-03-04
6314 APR_DRG — 3 3 — — $284,323.00 $311,401.38 $289,738.61 2026-03-04
5883 APR_DRG — 3 3 — — $285,210.98 $312,373.93 $290,643.51 2026-03-04
5914 APR_DRG — 3 3 — — $289,417.30 $316,980.85 $294,929.95 2026-03-04
5934 APR_DRG — 3 3 — — $292,333.75 $320,175.06 $297,901.95 2026-03-04
8414 APR_DRG — 3 3 — — $294,585.50 $322,641.26 $300,196.59 2026-03-04
6304 APR_DRG — 3 3 — — $302,254.47 $331,040.61 $308,011.63 2026-03-04
1613 APR_DRG — 3 3 — — $310,807.95 $340,408.71 $316,728.04 2026-03-04
5832 APR_DRG — 3 3 — — $325,819.50 $356,849.93 $332,025.52 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 23 — $3,629.00 $64,859.00 $745,826.73 $359,439.04 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 19 — $3,629.00 $300,688.83 $1,198,235.13 $377,542.46 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 23 — $227,996.96 $169,406.00 $922,080.04 $391,386.94 2026-03-04
1614 APR_DRG — 3 3 — — $410,162.47 $449,225.56 $417,975.00 2026-03-04
5884 APR_DRG — 3 3 — — $444,689.07 $487,040.41 $453,159.24 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 43 19 — $448,752.40 $435,565.25 $1,075,007.33 $517,934.30 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 43 19 — $449,245.86 $257,664.44 $1,078,235.63 $524,779.54 2026-03-04
5833 APR_DRG — 3 3 — — $519,214.32 $568,663.31 $529,104.01 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 47 20 — $434,918.00 $344,652.00 $1,137,638.54 $547,455.69 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 47 20 — $444,670.00 $352,380.00 $1,163,688.12 $559,704.14 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 41 18 — $492,900.00 $325,500.00 $1,214,362.12 $579,835.77 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 47 20 — $468,441.50 $468,441.50 $1,245,872.14 $603,394.91 2026-03-04
5834 APR_DRG — 3 3 — — $596,201.00 $652,982.05 $607,557.08 2026-03-04
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 20 9 — — $2,075,480.00 $4,517,095.66 $2,262,040.00 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 28 14 — — $2,156,586.79 $4,655,511.61 $2,388,614.23 2026-03-04
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 26 13 — — $2,623,909.86 $3,285,160.48 $2,968,000.00 2026-03-04
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 26 13 — — $2,924,540.00 $3,614,600.00 $3,286,000.00 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 27 13 — — $2,957,001.24 $3,676,747.08 $3,325,454.76 2026-03-04
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 19 8 — — $3,301,900.00 $4,106,450.60 $3,598,700.00 2026-03-04
C9172 HCPCS Inj, Beqvez, Per Tx Dose 7 6 — — $3,605,000.00 $3,965,500.00 $3,605,000.00 2024-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 27 13 — — $3,279,887.34 $4,106,450.60 $3,672,900.00 2026-03-04
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