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

COOPERMAN BARNABAS MEDICAL CENTER

Livingston, NJ · CCN 310076 · Rates published

21,522 distinct procedures filed
14 distinct payers
589,501 rate rows
2026-03-04 last MRF observed
Data quality

441,029 of 589,501 rate rows are consumer-grade (74.8%)

148,472 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 143,712
per-diem day rate — not a per-procedure price 4,140
template filing: same amount across many unrelated codes — excluded 329
placeholder amount (≤ $0.02) — excluded from medians 210
exceeds 10× this hospital's gross charge — excluded from medians 81
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/221494440_cooperman-barnabas-medical-center_standardcharges.json
Found on page https://www.rwjbh.org/cooperman-barnabas-medical-center/billing/charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 50e1e1fff9753f3d… · 434,070,222 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 $4,245,569.66 $3,598,700.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,279,887.34 $4,245,569.66 $3,587,693.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,957,001.24 $3,801,308.57 $3,222,435.92 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 8 $2,924,540.00 $3,653,936.37 $3,138,595.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 8 $2,623,909.86 $3,396,455.73 $2,870,154.93 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,156,586.79 $2,750,418.21 $2,340,109.24 nat. median
$2,469,189
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 8 $2,075,480.00 $2,668,643.79 $2,262,040.00 nat. median
$2,448,600
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $511,072.50 $1,269,169.40 $634,584.70 nat. median
$754,974
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $190,000.00 $1,022,036.00 $602,519.76 nat. median
$370,174
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $325,500.00 $1,237,070.14 $586,221.85 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $352,380.00 $1,185,448.56 $569,026.51 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $344,652.00 $1,158,911.88 $563,455.81 nat. median
$674,188
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $435,565.25 $1,095,109.50 $547,554.75 nat. median
$620,080
0.9× median
5834
APR_DRG 		3 $529,956.02 $580,428.20 $540,050.46 nat. median
$309,665
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $257,664.44 $1,098,398.16 $536,989.31 nat. median
$634,511
0.8× median
5833
APR_DRG 		3 $461,523.47 $505,478.25 $470,314.43 nat. median
$244,017
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $64,859.00 $580,807.00 $421,923.91 nat. median
$202,986
outlier · 2.1×
5884
APR_DRG 		3 $395,278.86 $432,924.60 $402,808.00 nat. median
$246,434
1.6× median
1614
APR_DRG 		3 $364,588.57 $399,311.41 $371,533.14 nat. median
$207,730
1.8× median
5832
APR_DRG 		3 $289,617.10 $317,199.78 $295,133.64 nat. median
$156,126
1.9× median
1613
APR_DRG 		3 $276,273.51 $302,585.37 $281,535.88 nat. median
$119,796
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $120,913.16 $387,124.50 $276,076.07 nat. median
$133,176
outlier · 2.1×
6304
APR_DRG 		3 $268,670.43 $294,258.18 $273,787.98 nat. median
$150,721
1.8× median
8414
APR_DRG 		3 $261,853.57 $286,792.09 $266,841.28 nat. median
$160,267
1.7× median
5934
APR_DRG 		3 $259,852.02 $284,599.92 $264,801.60 nat. median
$151,838
1.7× median
5914
APR_DRG 		3 $257,259.62 $281,760.62 $262,159.82 nat. median
$164,279
1.6× median
5883
APR_DRG 		3 $253,520.67 $277,665.58 $258,349.65 nat. median
$182,736
1.4× median
6314
APR_DRG 		3 $252,731.35 $276,801.09 $257,545.30 nat. median
$122,924
outlier · 2.1×
6094
APR_DRG 		3 $249,841.24 $273,635.72 $254,600.13 nat. median
$162,982
1.6× median
5882
APR_DRG 		3 $246,778.68 $270,281.50 $251,479.25 nat. median
$145,336
1.7× median
94
APR_DRG 		3 $235,337.33 $257,750.49 $239,819.96 nat. median
$164,834
1.5× median
5831
APR_DRG 		3 $234,535.82 $256,872.65 $239,003.19 nat. median
$145,122
1.6× median
44
APR_DRG 		3 $230,984.67 $252,983.29 $235,384.39 nat. median
$105,658
outlier · 2.2×
1612
APR_DRG 		3 $221,555.55 $242,656.16 $225,775.67 nat. median
$85,406
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $208,893.25 $585,614.45 $222,898.01 nat. median
$206,368
1.1× median
1611
APR_DRG 		3 $210,731.08 $230,800.78 $214,745.02 nat. median
$76,806
outlier · 2.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $102,358.43 $295,230.00 $214,468.21 nat. median
$102,358
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $98,531.56 $255,999.75 $212,343.20 nat. median
$87,411
outlier · 2.4×
6034
APR_DRG 		3 $194,926.38 $213,490.87 $198,639.28 nat. median
$109,499
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $98,426.23 $283,889.00 $195,868.20 nat. median
$98,905
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $58,702.00 $310,696.52 $195,658.87 nat. median
$99,019
2.0× median
6024
APR_DRG 		3 $187,505.00 $205,362.68 $191,076.53 nat. median
$118,620
1.6× median
5933
APR_DRG 		3 $175,027.01 $191,696.31 $178,360.87 nat. median
$108,996
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $79,576.10 $239,417.79 $177,984.57 nat. median
$81,118
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $58,158.00 $290,430.62 $176,007.00 nat. median
$93,672
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $86,554.46 $249,647.00 $172,243.38 nat. median
$83,442
outlier · 2.1×
5913
APR_DRG 		3 $168,428.50 $184,469.37 $171,636.68 nat. median
$102,636
1.7× median
1604
APR_DRG 		3 $166,242.24 $182,074.89 $169,408.77 nat. median
$97,957
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $75,741.61 $287,367.62 $169,407.94 nat. median
$77,576
outlier · 2.2×
5881
APR_DRG 		3 $164,135.35 $179,767.35 $167,261.75 nat. median
$124,573
1.3× median

Other procedures at this hospital

Browse this hospital's 21,522 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
             
4034 APR_DRG — 3 3 — — $62,594.31 $68,555.69 $63,786.59 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 9 — $3,319.00 $62,754.54 $181,724.85 $64,009.63 2026-03-04
51 APR_DRG — 3 3 — — $62,878.26 $68,866.68 $64,075.94 2026-03-04
252 MS_DRG Other Vascular Procedures With Mcc 27 13 — $3,319.00 $32,231.83 $92,966.00 $64,141.34 2026-03-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 12 — $3,319.00 $30,625.13 $88,331.00 $64,167.81 2026-03-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 11 — $3,319.00 $28,738.42 $85,151.32 $64,277.83 2026-03-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 12 — $3,319.00 $30,712.51 $88,583.00 $64,350.90 2026-03-04
1632 APR_DRG — 3 3 — — $63,186.66 $69,204.45 $64,390.22 2026-03-04
1754 APR_DRG — 3 3 — — $63,188.16 $69,206.10 $64,391.75 2026-03-04
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $30,481.80 $77,933.79 $64,643.46 2026-03-04
1824 APR_DRG — 3 3 — — $63,450.82 $69,493.78 $64,659.41 2026-03-04
6514 APR_DRG — 3 3 — — $63,722.50 $69,791.33 $64,936.26 2026-03-04
5124 APR_DRG — 3 3 — — $63,898.10 $69,983.66 $65,115.22 2026-03-04
7104 APR_DRG — 3 3 — — $63,927.15 $70,015.47 $65,144.81 2026-03-04
4044 APR_DRG — 3 3 — — $64,018.71 $70,115.75 $65,238.12 2026-03-04
4054 APR_DRG — 3 3 — — $64,255.33 $70,374.91 $65,479.25 2026-03-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 11 — $3,319.00 $33,171.43 $135,317.65 $65,506.07 2026-03-04
6133 APR_DRG — 3 3 — — $64,620.24 $70,774.57 $65,851.10 2026-03-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 12 — $3,319.00 $31,539.35 $91,750.69 $66,083.35 2026-03-04
2644 APR_DRG — 3 3 — — $64,945.41 $71,130.71 $66,182.47 2026-03-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 13 — $3,319.00 $19,976.00 $99,257.82 $66,373.00 2026-03-04
1621 APR_DRG — 3 3 — — $65,328.68 $71,550.48 $66,573.04 2026-03-04
3254 APR_DRG — 3 3 — — $65,371.41 $71,597.29 $66,616.59 2026-03-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 12 — $3,319.00 $31,024.45 $89,483.00 $66,729.48 2026-03-04
1704 APR_DRG — 3 3 — — $65,553.12 $71,796.29 $66,801.75 2026-03-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 11 — $3,319.00 $4,463.00 $99,803.59 $67,057.86 2026-03-04
304 APR_DRG — 3 3 — — $65,950.07 $72,231.05 $67,206.27 2026-03-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 12 — $3,319.00 $32,182.97 $99,580.83 $67,431.91 2026-03-04
6113 APR_DRG — 3 3 — — $66,325.58 $72,642.32 $67,588.93 2026-03-04
665 MS_DRG Prostatectomy With Mcc 25 12 — $3,319.00 $31,092.85 $93,052.00 $67,597.28 2026-03-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 12 — $3,319.00 $32,312.64 $93,474.32 $67,703.59 2026-03-04
1652 APR_DRG — 3 3 — — $66,513.37 $72,848.00 $67,780.30 2026-03-04
1663 APR_DRG — 3 3 — — $66,691.99 $73,043.63 $67,962.31 2026-03-04
6123 APR_DRG — 3 3 — — $66,827.87 $73,192.45 $68,100.78 2026-03-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 12 — $3,319.00 $32,555.99 $93,901.00 $68,213.49 2026-03-04
332 MS_DRG Rectal Resection With Mcc 25 12 — $3,319.00 $32,591.70 $115,828.64 $68,288.30 2026-03-04
1673 APR_DRG — 3 3 — — $67,276.74 $73,684.07 $68,558.20 2026-03-04
2324 APR_DRG — 3 3 — — $67,296.60 $73,705.82 $68,578.44 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 15 11 — — $54,673.54 $134,905.32 $68,801.71 2026-03-04
264 MS_DRG Other Circulatory System O.r. Procedures 25 12 — $3,319.00 $32,839.75 $94,719.00 $68,808.03 2026-03-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 12 — $3,319.00 $32,898.00 $104,406.44 $68,930.09 2026-03-04
1214 APR_DRG — 3 3 — — $67,656.92 $74,100.45 $68,945.62 2026-03-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 12 — $3,319.00 $32,911.16 $94,925.00 $68,957.65 2026-03-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 12 — $3,319.00 $32,921.49 $100,953.61 $68,979.31 2026-03-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 12 — $3,319.00 $33,079.35 $101,195.86 $69,310.05 2026-03-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 12 — $3,319.00 $33,162.97 $97,851.63 $69,485.27 2026-03-04
3043 APR_DRG — 3 3 — — $68,243.17 $74,742.54 $69,543.04 2026-03-04
37 MS_DRG Extracranial Procedures With Mcc 24 11 — $3,319.00 $31,202.98 $91,185.43 $69,790.28 2026-03-04
5892 APR_DRG — 3 3 — — $68,495.06 $75,018.43 $69,799.74 2026-03-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 12 — $3,319.00 $33,366.86 $96,573.52 $69,912.47 2026-03-04
924 APR_DRG — 3 3 — — $68,820.24 $75,374.57 $70,131.11 2026-03-04
265 MS_DRG Aicd Lead Procedures 25 12 — $3,319.00 $32,692.69 $96,673.00 $70,227.47 2026-03-04
1833 APR_DRG — 3 3 — — $69,015.71 $75,588.66 $70,330.30 2026-03-04
5114 APR_DRG — 3 3 — — $69,035.58 $75,610.42 $70,350.54 2026-03-04
1793 APR_DRG — 3 3 — — $69,105.77 $75,687.30 $70,422.08 2026-03-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 12 — $3,319.00 $33,675.05 $99,806.37 $70,558.21 2026-03-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 12 — $3,319.00 $33,018.92 $103,270.35 $70,573.96 2026-03-04
3214 APR_DRG — 3 3 — — $69,302.75 $75,903.03 $70,622.80 2026-03-04
2304 APR_DRG — 3 3 — — $69,747.03 $76,389.62 $71,075.55 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 34 14 — — $56,279.69 $142,264.04 $71,132.02 2026-03-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 12 — $3,319.00 $34,045.25 $108,329.86 $71,333.88 2026-03-04
A9543 HCPCS Y90 Ibritumomab, Rx 34 14 — — $50,573.85 $127,505.20 $71,547.78 2026-03-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 12 — $3,319.00 $29,186.61 $165,931.00 $71,684.08 2026-03-04
7924 APR_DRG — 3 3 — — $70,417.24 $77,123.67 $71,758.53 2026-03-04
6954 APR_DRG — 3 3 — — $70,776.06 $77,516.66 $72,124.18 2026-03-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 13 — $3,319.00 $16,823.00 $106,848.48 $72,213.24 2026-03-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 11 — $3,319.00 $36,758.80 $106,023.00 $72,248.51 2026-03-04
6302 APR_DRG — 3 3 — — $71,006.58 $77,769.14 $72,359.10 2026-03-04
3032 APR_DRG — 3 3 — — $71,643.17 $78,466.35 $73,007.80 2026-03-04
1781 APR_DRG — 3 3 — — $71,858.50 $78,702.19 $73,227.24 2026-03-04
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $32,434.13 $88,378.61 $73,307.09 2026-03-04
41 APR_DRG — 3 3 — — $71,940.88 $78,792.42 $73,311.19 2026-03-04
5104 APR_DRG — 3 3 — — $72,003.48 $78,860.98 $73,374.98 2026-03-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 11 — $3,319.00 $33,680.69 $104,492.76 $73,406.99 2026-03-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 12 — $3,319.00 $35,159.61 $101,410.00 $73,668.75 2026-03-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 11 — $3,319.00 $34,282.97 $101,165.23 $73,889.12 2026-03-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 11 — $3,319.00 $36,922.29 $106,295.68 $74,400.56 2026-03-04
4014 APR_DRG — 3 3 — — $73,159.21 $80,126.78 $74,552.72 2026-03-04
1764 APR_DRG — 3 3 — — $73,403.51 $80,394.34 $74,801.68 2026-03-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 12 — $3,319.00 $35,915.04 $107,171.49 $75,251.59 2026-03-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 11 — $3,319.00 $38,368.32 $110,665.00 $75,411.98 2026-03-04
1814 APR_DRG — 3 3 — — $74,176.05 $81,240.46 $75,588.94 2026-03-04
266T CPT Implt/rpl Crtd Sns Dev Total 33 14 — — $9,656.00 $100,973.92 $75,730.44 2026-03-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 12 — $3,319.00 $36,177.19 $106,862.16 $75,800.86 2026-03-04
52 APR_DRG — 3 3 — — $74,498.14 $81,593.23 $75,917.16 2026-03-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 12 — $3,319.00 $36,278.66 $104,638.00 $76,013.48 2026-03-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 12 — $3,319.00 $36,315.31 $111,069.85 $76,090.26 2026-03-04
J7330 HCPCS Cultured Chondrocytes Implnt 21 9 $129,076.53 $27,351.31 79% off $20,832.95 $109,715.05 $76,274.10 2026-03-04
2614 APR_DRG — 3 3 — — $74,849.36 $81,977.90 $76,275.07 2026-03-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 12 — $3,319.00 $9,453.00 $107,884.00 $76,403.27 2026-03-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 12 — $3,319.00 $36,537.99 $110,674.45 $76,556.84 2026-03-04
1622 APR_DRG — 3 3 — — $75,232.54 $82,397.57 $76,665.55 2026-03-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 13 — $3,319.00 $19,976.00 $120,141.89 $76,837.72 2026-03-04
6144 APR_DRG — 3 3 — — $75,427.93 $82,611.57 $76,864.66 2026-03-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 12 — $3,319.00 $36,997.45 $118,571.41 $77,519.53 2026-03-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 12 — $3,319.00 $37,073.56 $106,931.00 $77,679.00 2026-03-04
274 APR_DRG — 3 3 — — $76,295.13 $83,561.35 $77,748.37 2026-03-04
7404 APR_DRG — 2 2 — — $75,437.96 $81,078.21 $78,258.09 2026-03-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 12 — $3,319.00 $37,430.61 $110,187.15 $78,427.10 2026-03-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 11 — $3,319.00 $35,442.43 $110,206.64 $79,272.67 2026-03-04
6083 APR_DRG — 3 3 — — $77,827.95 $85,240.16 $79,310.39 2026-03-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — $3,319.00 $35,720.55 $109,502.15 $79,894.54 2026-03-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 12 — $3,319.00 $37,441.71 $113,540.00 $79,986.70 2026-03-04
1603 APR_DRG — 3 3 — — $78,522.62 $86,000.99 $80,018.29 2026-03-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 12 — $3,319.00 $38,217.05 $116,366.05 $80,074.90 2026-03-04
1782 APR_DRG — 3 3 — — $78,601.99 $86,087.92 $80,099.18 2026-03-04
1304 APR_DRG — 3 3 — — $78,730.28 $86,228.43 $80,229.91 2026-03-04
1633 APR_DRG — 3 3 — — $79,237.16 $86,783.58 $80,746.44 2026-03-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 12 — $3,319.00 $38,558.12 $111,212.00 $80,789.54 2026-03-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 12 — $3,319.00 $38,615.43 $117,101.17 $80,909.63 2026-03-04
6084 APR_DRG — 3 3 — — $79,603.56 $87,184.88 $81,119.83 2026-03-04
4414 APR_DRG — 3 3 — — $79,605.07 $87,186.53 $81,121.36 2026-03-04
6072 APR_DRG — 3 3 — — $79,798.95 $87,398.88 $81,318.94 2026-03-04
3614 APR_DRG — 3 3 — — $79,837.18 $87,440.75 $81,357.89 2026-03-04
1653 APR_DRG — 3 3 — — $79,963.88 $87,579.51 $81,487.01 2026-03-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 11 — $3,319.00 $40,021.07 $115,432.00 $81,748.37 2026-03-04
204 APR_DRG — 3 3 — — $80,834.08 $88,532.59 $82,373.78 2026-03-04
9504 APR_DRG — 3 3 — — $80,846.35 $88,546.02 $82,386.28 2026-03-04
3124 APR_DRG — 3 3 — — $80,899.76 $88,604.53 $82,440.72 2026-03-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 12 — $3,319.00 $39,374.63 $121,575.93 $82,500.34 2026-03-04
894 APR_DRG — 3 3 — — $81,150.16 $88,878.77 $82,695.88 2026-03-04
6334 APR_DRG — 3 3 — — $81,253.98 $88,992.49 $82,801.69 2026-03-04
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $59,166.81 $156,680.67 $82,861.00 2026-03-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 3 — — $70,048.55 $184,108.41 $82,861.00 2026-03-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $62,876.54 $172,978.60 $82,861.00 2026-03-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $77,470.03 $205,003.62 $82,861.00 2026-03-04
2604 APR_DRG — 3 3 — — $82,270.75 $90,106.08 $83,837.81 2026-03-04
6904 APR_DRG — 3 3 — — $82,286.02 $90,122.81 $83,853.38 2026-03-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 12 — $3,319.00 $40,080.26 $119,495.88 $83,978.84 2026-03-04
6313 APR_DRG — 3 3 — — $82,882.96 $90,776.60 $84,461.68 2026-03-04
2204 APR_DRG — 3 3 — — $82,892.14 $90,786.65 $84,471.04 2026-03-04
6814 APR_DRG — 3 3 — — $82,918.09 $90,815.08 $84,497.49 2026-03-04
1204 APR_DRG — 3 3 — — $84,411.18 $92,450.37 $86,019.02 2026-03-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 12 — $3,319.00 $41,274.49 $120,175.31 $86,481.05 2026-03-04
140 MS_DRG Major Head And Neck Procedures With Mcc 24 12 — $3,319.00 $39,737.31 $114,614.00 $86,629.19 2026-03-04
234 APR_DRG — 3 3 — — $85,591.37 $93,742.96 $87,221.69 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 25 12 — $3,319.00 $41,628.71 $120,069.00 $87,223.25 2026-03-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $82,861.00 $234,489.15 $87,404.39 2026-03-04
214 APR_DRG — 3 3 — — $86,057.02 $94,252.95 $87,696.20 2026-03-04
8413 APR_DRG — 3 3 — — $86,076.88 $94,274.71 $87,716.45 2026-03-04
6214 APR_DRG — 3 3 — — $86,345.55 $94,568.97 $87,990.23 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 12 — $3,319.00 $10,611.00 $135,058.69 $88,129.87 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 12 — $3,319.00 $40,586.85 $121,538.00 $88,290.29 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 12 — $3,319.00 $42,390.72 $126,576.97 $88,819.87 2026-03-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 11 — $3,319.00 $43,708.97 $126,069.00 $89,281.40 2026-03-04
1694 APR_DRG — 3 3 — — $87,908.92 $96,281.23 $89,583.38 2026-03-04
9114 APR_DRG — 3 3 — — $88,104.39 $96,495.32 $89,782.58 2026-03-04
9124 APR_DRG — 3 3 — — $88,209.72 $96,610.68 $89,889.92 2026-03-04
1783 APR_DRG — 3 3 — — $88,559.36 $96,993.61 $90,246.21 2026-03-04
245 MS_DRG Aicd Generator Procedures 28 12 — $3,319.00 $26,530.00 $150,755.16 $90,247.00 2026-03-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — $3,319.00 $40,571.67 $139,711.66 $90,744.74 2026-03-04
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 2 — — $41,481.71 $109,507.72 $90,832.98 2026-03-04
6134 APR_DRG — 3 3 — — $90,066.22 $98,643.98 $91,781.77 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 12 — $3,319.00 $43,968.30 $126,817.00 $92,125.32 2026-03-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 12 — $3,319.00 $44,205.08 $155,959.47 $92,621.43 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 12 — $3,319.00 $44,667.36 $128,833.00 $93,590.03 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 11 — $3,319.00 $42,021.46 $125,073.32 $93,987.58 2026-03-04
8504 APR_DRG — 3 3 — — $92,344.12 $101,138.83 $94,103.07 2026-03-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 12 — $3,319.00 $38,637.04 $138,276.00 $94,253.63 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 12 — $3,319.00 $43,151.79 $154,871.00 $94,734.00 2026-03-04
5891 APR_DRG — 3 3 — — $94,049.46 $103,006.59 $95,840.89 2026-03-04
6033 APR_DRG — 3 3 — — $94,124.25 $103,088.49 $95,917.10 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 12 — $3,319.00 $31,049.00 $144,283.88 $95,976.43 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 11 — $3,319.00 $47,010.71 $135,592.00 $96,025.64 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 10 — $3,319.00 $48,390.03 $139,570.00 $96,296.16 2026-03-04
163 MS_DRG Major Chest Procedures With Mcc 24 11 — $3,319.00 $43,307.77 $138,143.96 $96,864.66 2026-03-04
914 APR_DRG — 3 3 — — $95,649.47 $104,758.98 $97,471.37 2026-03-04
1623 APR_DRG — 3 3 — — $96,290.64 $105,461.21 $98,124.76 2026-03-04
6804 APR_DRG — 3 3 — — $96,760.88 $105,976.24 $98,603.95 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 12 — $3,319.00 $47,326.41 $136,503.00 $99,161.45 2026-03-04
799 MS_DRG Splenic Procedures With Mcc 24 11 — $3,319.00 $44,675.82 $143,234.11 $99,924.38 2026-03-04
1664 APR_DRG — 3 3 — — $98,075.44 $107,415.99 $99,943.55 2026-03-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 11 — $3,319.00 $47,047.35 $158,693.89 $100,063.18 2026-03-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 11 — $3,319.00 $44,870.31 $140,251.86 $100,359.64 2026-03-04
3033 APR_DRG — 3 3 — — $98,728.88 $108,131.67 $100,609.44 2026-03-04
9104 APR_DRG — 3 3 — — $98,864.76 $108,280.49 $100,747.91 2026-03-04
1794 APR_DRG — 3 3 — — $99,012.83 $108,442.66 $100,898.79 2026-03-04
42 APR_DRG — 3 3 — — $99,394.51 $108,860.69 $101,287.75 2026-03-04
5912 APR_DRG — 3 3 — — $99,559.44 $109,041.32 $101,455.81 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 24 11 — $3,319.00 $45,638.90 $139,694.95 $102,078.83 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 10 — $3,319.00 $51,400.49 $148,253.00 $102,286.98 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $3,319.00 $51,716.19 $149,164.00 $102,915.22 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 12 — $3,319.00 $49,767.48 $154,871.00 $104,276.13 2026-03-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 12 — $3,319.00 $46,822.79 $173,067.70 $104,726.61 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 12 — $3,319.00 $49,843.00 $276,562.00 $104,738.78 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 11 — $3,319.00 $46,991.91 $137,684.51 $105,104.79 2026-03-04
1834 APR_DRG — 3 3 — — $103,324.34 $113,164.79 $105,292.43 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 11 — $3,319.00 $47,721.98 $149,744.37 $106,737.64 2026-03-04
3044 APR_DRG — 3 3 — — $104,887.71 $114,877.05 $106,885.58 2026-03-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 11 — $3,319.00 $47,868.56 $148,833.82 $107,065.70 2026-03-04
6124 APR_DRG — 3 3 — — $106,258.69 $116,378.60 $108,282.67 2026-03-04
93 APR_DRG — 3 3 — — $106,571.68 $116,721.40 $108,601.63 2026-03-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 2 — — $50,415.16 $133,407.46 $110,657.01 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 11 — $3,319.00 $50,699.55 $146,232.00 $111,046.06 2026-03-04
6093 APR_DRG — 3 3 — — $108,973.20 $119,351.63 $111,048.88 2026-03-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 11 — $3,319.00 $50,693.92 $149,664.44 $111,544.82 2026-03-04
6073 APR_DRG — 3 3 — — $109,684.65 $120,130.84 $111,773.88 2026-03-04
6022 APR_DRG — 3 3 — — $109,887.71 $120,353.25 $111,980.82 2026-03-04
6114 APR_DRG — 3 3 — — $110,548.75 $121,077.24 $112,654.45 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 24 11 — $3,319.00 $51,934.18 $168,467.64 $113,096.70 2026-03-04
1674 APR_DRG — 3 3 — — $111,208.37 $121,799.68 $113,326.63 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 11 — $3,319.00 $50,747.47 $149,401.87 $113,504.74 2026-03-04
1654 APR_DRG — 3 3 — — $111,414.44 $122,025.38 $113,536.63 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 11 — $3,319.00 $51,934.18 $209,720.64 $114,076.48 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 11 — $3,319.00 $51,007.74 $159,568.24 $114,086.91 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 11 — $3,319.00 $58,127.04 $167,655.00 $114,246.90 2026-03-04
53 APR_DRG — 3 3 — — $112,306.09 $123,001.95 $114,445.26 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 12 — $3,319.00 $55,899.27 $171,469.00 $117,123.87 2026-03-04
653 MS_DRG Major Bladder Procedures With Mcc 24 11 — $3,319.00 $52,378.61 $151,735.32 $117,153.07 2026-03-04
1784 APR_DRG — 3 3 — — $115,574.80 $126,581.96 $117,776.23 2026-03-04
8634 APR_DRG — 3 3 — — $116,104.54 $127,162.16 $118,316.07 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 11 — $3,319.00 $58,202.21 $167,871.00 $118,885.77 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — $3,319.00 $53,604.78 $157,669.18 $119,895.65 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 12 — $3,319.00 $49,843.00 $165,549.00 $120,261.98 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — $3,319.00 $53,927.06 $181,050.99 $120,616.29 2026-03-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $54,772.30 $146,241.41 $121,302.35 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 13 — $3,319.00 $49,843.00 $204,650.00 $121,544.38 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 11 — $3,319.00 $54,705.98 $159,239.84 $122,358.31 2026-03-04
1634 APR_DRG — 3 3 — — $120,284.77 $131,740.50 $122,575.91 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 11 — $3,319.00 $55,673.22 $166,890.00 $124,565.33 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 12 — $3,319.00 $31,049.00 $193,653.83 $124,670.26 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 10 — $3,319.00 $62,996.96 $181,701.00 $125,363.95 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 11 — $3,319.00 $56,289.20 $197,624.59 $125,899.44 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 24 11 — $3,319.00 $57,122.62 $164,758.00 $127,055.40 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 12 — $3,319.00 $58,158.00 $180,794.81 $127,136.68 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 11 — $3,319.00 $56,338.81 $179,565.20 $127,335.61 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 11 — $3,319.00 $59,422.74 $180,989.92 $129,088.60 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 11 — $3,319.00 $60,075.81 $175,264.00 $129,790.79 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $3,319.00 $66,736.54 $192,487.00 $132,805.71 2026-03-04
5932 APR_DRG — 3 3 — — $136,087.88 $149,048.67 $138,680.04 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 10 — $3,319.00 $66,401.11 $191,519.00 $139,128.03 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 11 — $3,319.00 $63,688.58 $185,050.00 $139,751.70 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 33 14 — — $93,216.70 $186,433.40 $139,825.05 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 11 — $3,319.00 $65,362.86 $188,525.00 $141,482.39 2026-03-04
6023 APR_DRG — 3 3 — — $141,646.68 $155,136.88 $144,344.72 2026-03-04
1624 APR_DRG — 3 3 — — $142,167.33 $155,707.12 $144,875.28 2026-03-04
8424 APR_DRG — 3 3 — — $142,929.10 $156,541.45 $145,651.57 2026-03-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 2 — — $64,154.19 $169,804.22 $145,696.38 2026-03-04
3034 APR_DRG — 3 3 — — $144,405.50 $158,158.46 $147,156.09 2026-03-04
6303 APR_DRG — 3 3 — — $145,538.28 $159,399.12 $148,310.45 2026-03-04
6074 APR_DRG — 3 3 — — $145,758.21 $159,639.99 $148,534.56 2026-03-04
Q0480 HCPCS Dme Pos 33 14 — — $49,635.12 $199,999.82 $149,999.86 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 12 — $3,319.00 $49,843.00 $224,297.72 $152,328.16 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 12 — $3,319.00 $49,843.00 $276,562.00 $153,881.47 2026-03-04
43 APR_DRG — 3 3 — — $152,666.62 $167,206.35 $155,574.57 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 10 — $3,319.00 $78,367.78 $226,035.00 $155,951.88 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 12 — $3,319.00 $49,843.00 $236,413.27 $156,790.00 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 11 — $3,319.00 $70,133.18 $206,635.37 $156,863.85 2026-03-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 2 — — $71,770.60 $187,449.87 $157,988.02 2026-03-04
54 APR_DRG — 3 3 — — $158,596.42 $173,700.89 $161,617.31 2026-03-04
5881 APR_DRG — 3 3 — — $164,135.35 $179,767.35 $167,261.75 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 11 — $3,319.00 $75,741.61 $287,367.62 $169,407.94 2026-03-04
1604 APR_DRG — 3 3 — — $166,242.24 $182,074.89 $169,408.77 2026-03-04
5913 APR_DRG — 3 3 — — $168,428.50 $184,469.37 $171,636.68 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 17 10 — $3,319.00 $86,554.46 $249,647.00 $172,243.38 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 12 — $3,319.00 $58,158.00 $290,430.62 $176,007.00 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — $3,319.00 $79,576.10 $239,417.79 $177,984.57 2026-03-04
5933 APR_DRG — 3 3 — — $175,027.01 $191,696.31 $178,360.87 2026-03-04
6024 APR_DRG — 3 3 — — $187,505.00 $205,362.68 $191,076.53 2026-03-04
215 MS_DRG Other Heart Assist System Implant 28 12 — $3,319.00 $58,702.00 $310,696.52 $195,658.87 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — $3,319.00 $98,426.23 $283,889.00 $195,868.20 2026-03-04
6034 APR_DRG — 3 3 — — $194,926.38 $213,490.87 $198,639.28 2026-03-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 2 — — $98,531.56 $255,999.75 $212,343.20 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 10 — $3,319.00 $102,358.43 $295,230.00 $214,468.21 2026-03-04
1611 APR_DRG — 3 3 — — $210,731.08 $230,800.78 $214,745.02 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 9 — $3,319.00 $208,893.25 $585,614.45 $222,898.01 2026-03-04
1612 APR_DRG — 3 3 — — $221,555.55 $242,656.16 $225,775.67 2026-03-04
44 APR_DRG — 3 3 — — $230,984.67 $252,983.29 $235,384.39 2026-03-04
5831 APR_DRG — 3 3 — — $234,535.82 $256,872.65 $239,003.19 2026-03-04
94 APR_DRG — 3 3 — — $235,337.33 $257,750.49 $239,819.96 2026-03-04
5882 APR_DRG — 3 3 — — $246,778.68 $270,281.50 $251,479.25 2026-03-04
6094 APR_DRG — 3 3 — — $249,841.24 $273,635.72 $254,600.13 2026-03-04
6314 APR_DRG — 3 3 — — $252,731.35 $276,801.09 $257,545.30 2026-03-04
5883 APR_DRG — 3 3 — — $253,520.67 $277,665.58 $258,349.65 2026-03-04
5914 APR_DRG — 3 3 — — $257,259.62 $281,760.62 $262,159.82 2026-03-04
5934 APR_DRG — 3 3 — — $259,852.02 $284,599.92 $264,801.60 2026-03-04
8414 APR_DRG — 3 3 — — $261,853.57 $286,792.09 $266,841.28 2026-03-04
6304 APR_DRG — 3 3 — — $268,670.43 $294,258.18 $273,787.98 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 11 — $3,319.00 $120,913.16 $387,124.50 $276,076.07 2026-03-04
1613 APR_DRG — 3 3 — — $276,273.51 $302,585.37 $281,535.88 2026-03-04
5832 APR_DRG — 3 3 — — $289,617.10 $317,199.78 $295,133.64 2026-03-04
1614 APR_DRG — 3 3 — — $364,588.57 $399,311.41 $371,533.14 2026-03-04
5884 APR_DRG — 3 3 — — $395,278.86 $432,924.60 $402,808.00 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 11 — $3,319.00 $64,859.00 $580,807.00 $421,923.91 2026-03-04
5833 APR_DRG — 3 3 — — $461,523.47 $505,478.25 $470,314.43 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 34 14 — — $257,664.44 $1,098,398.16 $536,989.31 2026-03-04
5834 APR_DRG — 3 3 — — $529,956.02 $580,428.20 $540,050.46 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 34 14 — — $435,565.25 $1,095,109.50 $547,554.75 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 34 14 — — $344,652.00 $1,158,911.88 $563,455.81 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 34 14 — — $352,380.00 $1,185,448.56 $569,026.51 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 34 14 — — $325,500.00 $1,237,070.14 $586,221.85 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 10 — $3,319.00 $190,000.00 $1,022,036.00 $602,519.76 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 34 14 — — $511,072.50 $1,269,169.40 $634,584.70 2026-03-04
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 20 8 — — $2,075,480.00 $2,668,643.79 $2,262,040.00 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 21 8 — — $2,156,586.79 $2,750,418.21 $2,340,109.24 2026-03-04
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 20 8 — — $2,623,909.86 $3,396,455.73 $2,870,154.93 2026-03-04
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 20 8 — — $2,924,540.00 $3,653,936.37 $3,138,595.00 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 21 8 — — $2,957,001.24 $3,801,308.57 $3,222,435.92 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 21 8 — — $3,279,887.34 $4,245,569.66 $3,587,693.67 2026-03-04
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 20 8 — — $3,301,900.00 $4,245,569.66 $3,598,700.00 2026-03-04
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