Hospital

Inspira Medical Center Woodbury

Woodbury, NJ · CCN 310081 · Rates published

16,846 distinct procedures filed

29 distinct payers

590,265 rate rows

2026-03-24 last MRF observed

Data quality

516,243 of 590,265 rate rows are consumer-grade (87.5%)

74,022 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	71,780
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	733
exceeds 10× this hospital's gross charge — excluded from medians	700
placeholder amount (≤ $0.02) — excluded from medians	631
per-diem day rate — not a per-procedure price	94
template filing: same amount across many unrelated codes — excluded	83
percent-of-charges filed in the dollar field — excluded from medians	1

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.inspirahealthnetwork.org/sites/default/files/price_transparency/210634484_inspira-health-center-woodbury_standardcharges.csv
Found on page	https://www.inspirahealthnetwork.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-12
Content fingerprint	9b81a1f59e8f7d93… · 540,155,436 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	19	$3,486,000.00	$4,402,622.25	$4,114,600.23	nat. median $3,703,693 1.1× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	19	$3,187,200.00	$3,962,028.61	$3,702,830.48	nat. median $3,324,572 1.1× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	19	$3,087,600.00	$3,880,771.91	$3,626,889.64	nat. median $3,286,000 1.1× median
C9172 HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose (Code Deleted Eff…	1	$3,570,000.00	$3,570,000.00	$3,570,000.00	nat. median $3,605,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	19	$2,788,800.00	$3,519,143.02	$3,288,918.71	nat. median $2,994,107 1.1× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	19	$2,382,138.87	$2,933,010.16	$2,741,130.99	nat. median $2,466,282 1.1× median
J3392 HCPCS	Inj, Exagamglogene Autotem	13	$2,603,678.00	$2,785,935.46	$2,603,678.00	nat. median $2,401,960 1.1× median
Q2057 HCPCS	Afamitresgene Autoleucel	14	$860,397.23	$1,763,814.32	$860,397.23	nat. median $809,217 1.1× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	14	$660,662.30	$1,354,357.72	$660,662.30	nat. median $738,272 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	15	$566,416.65	$1,295,174.99	$631,792.68	nat. median $646,415 1.0× median
5834 APR_DRG	Neonate W Ecmo	4	$567,810.81	$644,044.67	$630,900.90	nat. median $307,273 outlier · 2.1×
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	15	$541,977.41	$1,287,551.45	$628,073.88	nat. median $640,950 1.0× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	15	$538,878.68	$1,275,603.21	$622,245.47	nat. median $622,245 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	15	$513,651.60	$1,220,470.55	$595,351.49	nat. median $608,101 1.0× median
5833 APR_DRG	Neonate W Ecmo	4	$494,490.12	$560,879.99	$549,433.46	nat. median $244,017 outlier · 2.3×
Q2053 HCPCS	Brexucabtagene Car Pos T	15	$471,240.00	$1,119,932.61	$546,308.59	nat. median $591,650 0.9× median
C9098 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	$474,300.00	$474,300.00	$474,300.00	nat. median $31,873 outlier · 14.9×
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	4	$423,513.64	$480,374.27	$470,570.71	nat. median $247,214 1.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	$438,031.35	$1,245,665.23	$468,693.54	nat. median $359,358 1.3× median
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	$390,631.15	$443,077.00	$434,034.61	nat. median $202,993 outlier · 2.1×
C9081 HCPCS	Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab…	1	$427,890.00	$427,890.00	$427,890.00	nat. median $27,427 outlier · 15.6×
24 APR_DRG	Heart &/Or Lung Transplant	4	$378,436.38	$429,244.97	$420,484.87	nat. median $241,915 1.7× median
C9076 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	1	$418,506.00	$418,506.00	$418,506.00	nat. median $27,935 outlier · 15.0×
C9073 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	1	$380,460.00	$380,460.00	$380,460.00	nat. median $27,071 outlier · 14.1×
5832 APR_DRG	Neonate W Ecmo	4	$310,304.47	$351,965.71	$344,782.74	nat. median $159,249 outlier · 2.2×
1613 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	$296,007.74	$335,749.52	$328,897.49	nat. median $120,517 outlier · 2.7×
6304 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	$287,861.57	$326,509.65	$319,846.19	nat. median $154,011 outlier · 2.1×
8414 APR_DRG	Extensive 3Rd Degree Burns W Skin Graft	4	$280,557.79	$318,225.27	$311,730.88	nat. median $156,153 2.0× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	14	$310,666.12	$636,865.55	$310,666.12	nat. median $319,951 1.0× median
5934 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	$278,413.25	$315,792.81	$309,348.06	nat. median $151,838 outlier · 2.0×
5914 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	$275,635.69	$312,642.33	$306,261.88	nat. median $162,514 1.9× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	$169,343.00	$961,710.86	$303,893.32	nat. median $249,124 1.2× median
5883 APR_DRG	Neonate Bwt <1500g W Major Procedure	4	$271,629.67	$308,098.46	$301,810.74	nat. median $175,429 1.7× median
6314 APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	4	$270,783.96	$307,139.22	$300,871.07	nat. median $133,164 outlier · 2.3×
6094 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	$267,687.41	$303,626.92	$297,430.45	nat. median $165,000 1.8× median
5882 APR_DRG	Neonate Bwt <1500g W Major Procedure	4	$264,406.10	$299,905.06	$293,784.55	nat. median $145,061 outlier · 2.0×
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	7	$53,814.00	$305,611.26	$292,986.94	nat. median $71,201 outlier · 4.1×
J3403 HCPCS	Revakinagene, Per Implant	14	$287,498.75	$589,372.44	$287,498.75	nat. median $265,000 1.1× median
5831 APR_DRG	Neonate W Ecmo	4	$251,288.73	$285,026.57	$279,209.70	nat. median $146,591 1.9× median
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	$247,483.91	$280,710.92	$274,982.12	nat. median $122,016 outlier · 2.3×
23 APR_DRG	Heart &/Or Lung Transplant	4	$239,514.35	$271,671.37	$266,127.06	nat. median $111,046 outlier · 2.4×
14 APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	$237,518.72	$269,407.81	$263,909.69	nat. median $136,728 1.9× median
1612 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	$237,381.28	$269,251.91	$263,756.98	nat. median $84,808 outlier · 3.1×
222 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	7	$46,568.00	$264,466.16	$253,541.49	nat. median $47,579 outlier · 5.3×
1611 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	$225,783.61	$256,097.15	$250,870.68	nat. median $76,852 outlier · 3.3×
224 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	7	$44,039.00	$250,100.30	$239,769.06	nat. median $39,629 outlier · 6.1×
6034 APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	$208,849.98	$236,890.02	$232,055.53	nat. median $107,657 outlier · 2.2×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	$123,530.00	$701,538.82	$231,343.32	nat. median $198,433 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	25	$111,900.00	$635,487.14	$229,981.12	nat. median $190,557 1.2× median
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	14	$229,597.06	$470,673.97	$229,597.06	nat. median $209,753 1.1× median

Other procedures at this hospital

Browse this hospital's 16,846 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	25	25	—	—	$169,343.00	$961,710.86	$303,893.32	2026-03-24
10	MS_DRG	Pancreas Transplant	25	25	—	—	$21,202.00	$147,986.51	$76,240.97	2026-03-24
11	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$100,499.14	$113,992.08	$111,665.71	2026-03-24
12	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$112,756.06	$127,894.61	$125,284.51	2026-03-24
1204	APR_DRG	Major Respiratory & Chest Procedures	4	4	—	—	$90,440.68	$102,583.18	$100,489.64	2026-03-24
1214	APR_DRG	Other Respiratory & Chest Procedures	4	4	—	—	$72,489.65	$82,222.06	$80,544.06	2026-03-24
13	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$135,146.64	$153,291.33	$150,162.94	2026-03-24
1302	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	4	4	—	—	$54,361.92	$61,660.51	$60,402.13	2026-03-24
1303	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	4	4	—	—	$64,526.71	$73,190.01	$71,696.34	2026-03-24
1304	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	4	4	—	—	$84,353.98	$95,679.29	$93,726.65	2026-03-24
14	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$237,518.72	$269,407.81	$263,909.69	2026-03-24
14	MS_DRG	Allogeneic Bone Marrow Transplant	25	25	—	—	$62,534.00	$355,138.37	$129,883.81	2026-03-24
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	25	25	—	—	$39,454.00	$224,062.81	$63,695.85	2026-03-24
1602	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$54,468.24	$61,781.11	$60,520.27	2026-03-24
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$84,131.49	$95,426.92	$93,479.44	2026-03-24
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$178,116.94	$202,030.79	$197,907.71	2026-03-24
1611	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$225,783.61	$256,097.15	$250,870.68	2026-03-24
1612	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$237,381.28	$269,251.91	$263,756.98	2026-03-24
1613	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$296,007.74	$335,749.52	$328,897.49	2026-03-24
1614	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$390,631.15	$443,077.00	$434,034.61	2026-03-24
1621	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$69,995.11	$79,392.61	$77,772.35	2026-03-24
1622	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$80,606.40	$91,428.56	$89,562.67	2026-03-24
1623	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$103,168.68	$117,020.04	$114,631.87	2026-03-24
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$152,322.35	$172,773.03	$169,247.05	2026-03-24
1631	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$60,597.50	$68,733.28	$67,330.56	2026-03-24
1632	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$67,700.08	$76,789.44	$75,222.31	2026-03-24
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$84,897.07	$96,295.29	$94,330.08	2026-03-24
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$128,876.71	$146,179.61	$143,196.35	2026-03-24
1651	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$61,372.92	$69,612.81	$68,192.14	2026-03-24
1652	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$71,264.43	$80,832.34	$79,182.70	2026-03-24
1653	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$85,675.70	$97,178.45	$95,195.22	2026-03-24
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$119,372.78	$135,399.68	$132,636.42	2026-03-24
1661	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	4	4	—	—	$54,209.80	$61,487.97	$60,233.11	2026-03-24
1662	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	4	4	—	—	$60,458.45	$68,575.56	$67,176.06	2026-03-24
1663	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	4	4	—	—	$71,455.80	$81,049.41	$79,395.34	2026-03-24
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	4	4	—	—	$105,080.98	$119,189.07	$116,756.64	2026-03-24
1673	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	4	4	—	—	$72,082.32	$81,760.04	$80,091.47	2026-03-24
1674	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	4	4	—	—	$119,151.98	$135,149.24	$132,391.09	2026-03-24
1693	APR_DRG	Major Abdominal Vascular Procedures	4	4	—	—	$59,993.88	$68,048.62	$66,659.87	2026-03-24
1694	APR_DRG	Major Abdominal Vascular Procedures	4	4	—	—	$94,188.26	$106,833.90	$104,653.62	2026-03-24
1704	APR_DRG	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	4	4	—	—	$70,235.58	$79,665.35	$78,039.53	2026-03-24
1714	APR_DRG	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	4	4	—	—	$58,932.31	$66,844.51	$65,480.34	2026-03-24
1744	APR_DRG	Percutaneous Coronary Intervention W Ami	4	4	—	—	$60,837.98	$69,006.04	$67,597.75	2026-03-24
1754	APR_DRG	Percutaneous Coronary Intervention Without Ami	4	4	—	—	$67,701.69	$76,791.27	$75,224.10	2026-03-24
1764	APR_DRG	Cardiac Pacemaker & Defibrillator Device Replacement	4	4	—	—	$78,646.72	$89,205.77	$87,385.25	2026-03-24
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	24	—	—	$438,031.35	$1,245,665.23	$468,693.54	2026-03-24
1804	APR_DRG	Other Circulatory System Procedures	4	4	—	—	$56,342.89	$63,907.44	$62,603.21	2026-03-24
1814	APR_DRG	Lower Extremity Arterial Procedures	4	4	—	—	$79,474.46	$90,144.64	$88,304.95	2026-03-24
1824	APR_DRG	Other Peripheral Vascular Procedures	4	4	—	—	$67,983.12	$77,110.48	$75,536.80	2026-03-24
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	24	24	—	—	$71,770.97	$222,180.18	$76,794.94	2026-03-24
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	25	—	—	$87,679.00	$497,935.47	$122,424.85	2026-03-24
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	25	25	—	—	$60,543.00	$343,829.29	$84,776.80	2026-03-24
203	APR_DRG	Craniotomy For Trauma	4	4	—	—	$54,394.64	$61,697.63	$60,438.49	2026-03-24
204	APR_DRG	Craniotomy For Trauma	4	4	—	—	$86,608.06	$98,236.00	$96,231.18	2026-03-24
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	25	25	—	—	$33,596.00	$200,952.92	$69,185.98	2026-03-24
21	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$141,717.58	$160,744.48	$157,463.98	2026-03-24
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	18	18	—	—	$109,765.40	$300,788.48	$113,058.36	2026-03-24
213	APR_DRG	Craniotomy Except For Trauma	4	4	—	—	$58,752.38	$66,640.43	$65,280.42	2026-03-24
214	APR_DRG	Craniotomy Except For Trauma	4	4	—	—	$92,204.07	$104,583.32	$102,448.97	2026-03-24
215	MS_DRG	Other Heart Assist System Implant	25	25	—	—	$61,840.00	$351,193.50	$107,478.72	2026-03-24
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	25	—	—	$58,800.00	$333,927.20	$105,584.88	2026-03-24
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	25	—	—	$37,973.00	$215,654.18	$70,714.52	2026-03-24
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	25	—	—	$35,782.00	$203,207.54	$70,714.52	2026-03-24
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	25	—	—	$47,193.00	$268,011.89	$82,705.79	2026-03-24
22	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$172,385.17	$195,529.48	$191,539.08	2026-03-24
2204	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	4	4	—	—	$88,813.13	$100,737.12	$98,681.26	2026-03-24
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	7	7	—	—	$46,568.00	$264,466.16	$253,541.49	2026-03-24
2224	APR_DRG	Other Stomach, Esophageal & Duodenal Procedures	4	4	—	—	$59,189.14	$67,135.83	$65,765.71	2026-03-24
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	7	7	—	—	$33,962.00	$192,873.03	$184,905.76	2026-03-24
2234	APR_DRG	Other Small & Large Bowel Procedures	4	4	—	—	$58,441.53	$66,287.85	$64,935.04	2026-03-24
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	7	7	—	—	$44,039.00	$250,100.30	$239,769.06	2026-03-24
224	APR_DRG	Ventricular Shunt Procedures	4	4	—	—	$64,886.56	$73,598.18	$72,096.18	2026-03-24
2244	APR_DRG	Peritoneal Adhesiolysis	4	4	—	—	$62,120.43	$70,460.68	$69,022.70	2026-03-24
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	7	7	—	—	$32,903.00	$186,859.26	$179,140.41	2026-03-24
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	7	7	—	—	$38,451.00	$218,365.03	$209,344.72	2026-03-24
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	7	7	—	—	$30,527.00	$173,364.87	$166,203.44	2026-03-24
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral & Umbilical	4	4	—	—	$58,646.05	$66,519.83	$65,162.28	2026-03-24
2294	APR_DRG	Other Digestive System & Abdominal Procedures	4	4	—	—	$63,391.44	$71,902.33	$70,434.94	2026-03-24
23	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$239,514.35	$271,671.37	$266,127.06	2026-03-24
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	25	25	—	—	$33,220.00	$188,658.74	$61,528.08	2026-03-24
231	MS_DRG	Coronary Bypass With Ptca With Mcc	25	25	—	—	$51,048.00	$289,908.27	$90,876.81	2026-03-24
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	25	25	—	—	$34,871.00	$198,035.30	$65,140.68	2026-03-24
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	25	25	—	—	$46,400.00	$263,511.54	$82,345.95	2026-03-24
233	APR_DRG	Spinal Procedures	4	4	—	—	$58,047.34	$65,840.74	$64,497.05	2026-03-24
234	APR_DRG	Spinal Procedures	4	4	—	—	$91,705.17	$104,017.43	$101,894.63	2026-03-24
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	25	25	—	—	$35,751.00	$203,034.57	$63,031.60	2026-03-24
24	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$378,436.38	$429,244.97	$420,484.87	2026-03-24
244	APR_DRG	Extracranial Vascular Procedures	4	4	—	—	$64,150.40	$72,763.19	$71,278.22	2026-03-24
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	7	7	—	—	$18,299.00	$103,920.47	$99,627.68	2026-03-24
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	7	7	—	—	$11,557.00	$65,632.58	$62,921.40	2026-03-24
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	7	7	—	—	$18,521.00	$105,181.10	$100,836.23	2026-03-24
249	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc	7	7	—	—	$10,974.00	$62,323.01	$59,748.55	2026-03-24
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	4	4	—	—	$88,147.35	$99,981.95	$97,941.50	2026-03-24
2614	APR_DRG	Major Biliary Tract Procedures	4	4	—	—	$80,195.85	$90,962.89	$89,106.50	2026-03-24
264	APR_DRG	Other Nervous System & Related Procedures	4	4	—	—	$66,888.72	$75,869.15	$74,320.80	2026-03-24
2644	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	4	4	—	—	$69,584.46	$78,926.82	$77,316.07	2026-03-24
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	25	25	—	—	$41,279.00	$234,427.25	$65,856.02	2026-03-24
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	25	25	—	—	$40,784.00	$231,613.28	$74,004.23	2026-03-24
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	18	18	—	—	$71,728.30	$197,234.00	$73,880.15	2026-03-24
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	18	18	—	—	$60,310.17	$166,148.56	$62,119.48	2026-03-24
28	MS_DRG	Spinal Procedures With Mcc	25	25	—	—	$34,106.00	$193,687.95	$64,550.37	2026-03-24
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	25	25	—	—	$111,900.00	$635,487.14	$229,981.12	2026-03-24
3031	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$64,493.98	$73,152.90	$71,659.98	2026-03-24
3032	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$76,760.64	$87,066.47	$85,289.60	2026-03-24
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$105,781.10	$119,983.19	$117,534.55	2026-03-24
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$154,720.39	$175,493.03	$171,911.54	2026-03-24
3043	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	4	4	—	—	$73,117.78	$82,934.52	$81,241.98	2026-03-24
3044	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	4	4	—	—	$112,379.84	$127,467.88	$124,866.49	2026-03-24
3054	APR_DRG	Amputation Of Lower Limb Except Toes	4	4	—	—	$59,501.60	$67,490.24	$66,112.88	2026-03-24
3094	APR_DRG	Other Significant Hip & Femur Surgery	4	4	—	—	$64,124.29	$72,733.57	$71,249.21	2026-03-24
3104	APR_DRG	Intervertebral Disc Excision & Decompression	4	4	—	—	$61,376.14	$69,616.46	$68,195.71	2026-03-24
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	4	4	—	—	$86,678.43	$98,315.82	$96,309.37	2026-03-24
3134	APR_DRG	Knee & Lower Leg Procedures Except Foot	4	4	—	—	$63,618.77	$72,160.18	$70,687.52	2026-03-24
3154	APR_DRG	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	4	4	—	—	$59,786.14	$67,812.99	$66,429.05	2026-03-24
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	17	17	—	—	$67,218.14	$184,955.28	$69,234.68	2026-03-24
3174	APR_DRG	Tendon, Muscle & Other Soft Tissue Procedures	4	4	—	—	$54,065.83	$61,324.66	$60,073.14	2026-03-24
3204	APR_DRG	Other Musculoskeletal System & Connective Tissue Procedures	4	4	—	—	$59,107.31	$67,043.01	$65,674.79	2026-03-24
3214	APR_DRG	Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp	4	4	—	—	$74,253.05	$84,222.20	$82,503.38	2026-03-24
3224	APR_DRG	Shoulder & Elbow Joint Replacement	4	4	—	—	$58,773.66	$66,664.57	$65,304.07	2026-03-24
338	MS_DRG	Appendectomy With Complicated Principal Diagnosis With Mcc	7	7	—	—	$16,384.00	$93,043.79	$89,200.30	2026-03-24
341	MS_DRG	Appendectomy Without Complicated Principal Diagnosis With Mcc	7	7	—	—	$13,602.00	$77,247.67	$74,056.69	2026-03-24
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	4	4	—	—	$85,539.95	$97,024.48	$95,044.39	2026-03-24
3624	APR_DRG	Mastectomy Procedures	4	4	—	—	$56,825.43	$64,454.77	$63,139.37	2026-03-24
3634	APR_DRG	Breast Procedures Except Mastectomy	4	4	—	—	$56,897.41	$64,536.42	$63,219.35	2026-03-24
38240	CPT	Transplt Allo Hct/donor	16	16	—	—	$314.43	$135,366.44	$66,032.41	2026-03-24
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	25	25	—	—	$69,829.00	$418,241.72	$149,816.76	2026-03-24
4014	APR_DRG	Pituitary & Adrenal Procedures	4	4	—	—	$78,384.97	$88,908.88	$87,094.42	2026-03-24
4034	APR_DRG	Procedures For Obesity	4	4	—	—	$67,065.43	$76,069.58	$74,517.14	2026-03-24
4044	APR_DRG	Thyroid, Parathyroid & Thyroglossal Procedures	4	4	—	—	$68,591.57	$77,800.62	$76,212.85	2026-03-24
4054	APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	4	4	—	—	$68,845.10	$78,088.19	$76,494.55	2026-03-24
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$77,079.62	$87,428.27	$85,644.02	2026-03-24
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$106,494.26	$120,792.11	$118,326.96	2026-03-24
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	17	—	—	$111,259.98	$304,857.41	$114,597.78	2026-03-24
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	17	—	—	$72,624.41	$199,673.70	$74,803.14	2026-03-24
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	17	17	—	—	$90,821.53	$249,214.55	$93,546.18	2026-03-24
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$163,571.61	$185,532.61	$181,746.23	2026-03-24
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	17	17	—	—	$57,876.76	$159,523.75	$59,613.06	2026-03-24
44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$247,483.91	$280,710.92	$274,982.12	2026-03-24
4401	APR_DRG	Kidney Transplant	4	4	—	—	$70,729.57	$80,225.67	$78,588.41	2026-03-24
4402	APR_DRG	Kidney Transplant	4	4	—	—	$78,882.27	$89,472.95	$87,646.97	2026-03-24
4403	APR_DRG	Kidney Transplant	4	4	—	—	$89,719.37	$101,765.03	$99,688.19	2026-03-24
4404	APR_DRG	Kidney Transplant	4	4	—	—	$143,579.07	$162,855.89	$159,532.30	2026-03-24
4414	APR_DRG	Major Bladder Procedures	4	4	—	—	$85,291.26	$96,742.40	$94,768.07	2026-03-24
4424	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	4	4	—	—	$65,347.82	$74,121.37	$72,608.69	2026-03-24
4444	APR_DRG	Renal Dialysis Access Device Procedure Only	4	4	—	—	$54,306.30	$61,597.42	$60,340.33	2026-03-24
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	17	17	—	—	$67,168.36	$184,819.74	$69,183.41	2026-03-24
4474	APR_DRG	Other Kidney, Urinary Tract & Related Procedures	4	4	—	—	$65,619.41	$74,429.42	$72,910.45	2026-03-24
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	7	7	—	—	$53,814.00	$305,611.26	$292,986.94	2026-03-24
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	7	7	—	—	$35,687.00	$202,668.69	$194,296.77	2026-03-24
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	7	7	—	—	$28,004.00	$159,035.60	$152,466.09	2026-03-24
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	25	—	—	$50,370.00	$286,053.20	$90,588.74	2026-03-24
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	25	—	—	$38,046.00	$216,066.63	$64,058.97	2026-03-24
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	7	7	—	—	$39,438.00	$223,969.68	$214,717.85	2026-03-24
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	7	7	—	—	$23,022.00	$130,742.94	$125,342.16	2026-03-24
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	25	25	—	—	$35,620.00	$202,289.51	$59,274.40	2026-03-24
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	25	25	—	—	$31,453.00	$178,626.92	$61,193.23	2026-03-24
4804	APR_DRG	Major Male Pelvic Procedures	4	4	—	—	$63,008.70	$71,468.20	$70,009.67	2026-03-24
4844	APR_DRG	Other Male Reproductive System & Related Procedures	4	4	—	—	$60,060.95	$68,124.69	$66,734.39	2026-03-24
494	APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	4	4	—	—	$54,005.29	$61,256.00	$60,005.88	2026-03-24
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	25	25	—	—	$59,946.00	$347,749.76	$111,321.78	2026-03-24
504	APR_DRG	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	4	4	—	—	$56,797.61	$64,423.22	$63,108.46	2026-03-24
51	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$67,369.65	$76,414.65	$74,855.17	2026-03-24
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	4	4	—	—	$77,146.69	$87,504.35	$85,718.54	2026-03-24
5114	APR_DRG	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	4	4	—	—	$73,966.79	$83,897.52	$82,185.32	2026-03-24
5124	APR_DRG	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	4	4	—	—	$68,462.34	$77,654.05	$76,069.27	2026-03-24
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	4	4	—	—	$65,584.98	$74,390.37	$72,872.20	2026-03-24
5184	APR_DRG	Other Female Reproductive System & Related Procedures	4	4	—	—	$60,038.05	$68,098.72	$66,708.95	2026-03-24
5194	APR_DRG	Uterine & Adnexa Procedures For Leiomyoma	4	4	—	—	$60,384.85	$68,492.08	$67,094.28	2026-03-24
52	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$79,819.55	$90,536.06	$88,688.39	2026-03-24
53	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$120,328.11	$136,483.28	$133,697.90	2026-03-24
54	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$169,924.96	$192,738.96	$188,805.52	2026-03-24
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	25	25	—	—	$32,442.00	$184,241.54	$70,454.65	2026-03-24
5831	APR_DRG	Neonate W Ecmo	4	4	—	—	$251,288.73	$285,026.57	$279,209.70	2026-03-24
5832	APR_DRG	Neonate W Ecmo	4	4	—	—	$310,304.47	$351,965.71	$344,782.74	2026-03-24
5833	APR_DRG	Neonate W Ecmo	4	4	—	—	$494,490.12	$560,879.99	$549,433.46	2026-03-24
5834	APR_DRG	Neonate W Ecmo	4	4	—	—	$567,810.81	$644,044.67	$630,900.90	2026-03-24
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$175,859.55	$199,470.33	$195,399.50	2026-03-24
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$264,406.10	$299,905.06	$293,784.55	2026-03-24
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$271,629.67	$308,098.46	$301,810.74	2026-03-24
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$423,513.64	$480,374.27	$470,570.71	2026-03-24
5891	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	4	4	—	—	$100,767.42	$114,296.38	$111,963.80	2026-03-24
5892	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	4	4	—	—	$73,387.66	$83,240.64	$81,541.85	2026-03-24
5893	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	4	4	—	—	$61,628.05	$69,902.19	$68,475.61	2026-03-24
5912	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$106,670.97	$120,992.54	$118,523.30	2026-03-24
5913	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$180,459.36	$204,687.70	$200,510.40	2026-03-24
5914	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$275,635.69	$312,642.33	$306,261.88	2026-03-24
5932	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$145,808.64	$165,384.80	$162,009.60	2026-03-24
5933	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$187,529.20	$212,706.73	$208,365.78	2026-03-24
5934	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$278,413.25	$315,792.81	$309,348.06	2026-03-24
6022	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$117,737.00	$133,544.28	$130,818.89	2026-03-24
6023	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$151,764.51	$172,140.30	$168,627.23	2026-03-24
6024	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$200,898.49	$227,870.97	$223,220.54	2026-03-24
6033	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	4	—	—	$100,847.55	$114,387.27	$112,052.83	2026-03-24
6034	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	4	—	—	$208,849.98	$236,890.02	$232,055.53	2026-03-24
6072	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$85,499.00	$96,978.03	$94,998.89	2026-03-24
6073	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$117,519.42	$133,297.49	$130,577.14	2026-03-24
6074	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$156,169.72	$177,136.95	$173,521.91	2026-03-24
6082	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$59,964.46	$68,015.25	$66,627.18	2026-03-24
6083	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$83,387.20	$94,582.70	$92,652.44	2026-03-24
6084	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$85,289.65	$96,740.58	$94,766.28	2026-03-24
6091	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$60,178.72	$68,258.27	$66,865.25	2026-03-24
6092	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$66,340.72	$75,247.57	$73,711.91	2026-03-24
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$116,757.16	$132,432.89	$129,730.18	2026-03-24
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$267,687.41	$303,626.92	$297,430.45	2026-03-24
61	APR_DRG	Pancreas Transplant	4	4	—	—	$102,234.72	$115,960.68	$113,594.14	2026-03-24
6113	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	4	4	—	—	$71,063.22	$80,604.12	$78,959.14	2026-03-24
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	4	4	—	—	$118,445.25	$134,347.62	$131,605.84	2026-03-24
6122	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$56,107.34	$63,640.27	$62,341.49	2026-03-24
6123	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$71,601.39	$81,214.54	$79,557.10	2026-03-24
6124	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$113,848.75	$129,134.00	$126,498.61	2026-03-24
6133	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/Perinatal Infection	4	4	—	—	$69,236.07	$78,531.65	$76,928.96	2026-03-24
6134	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/Perinatal Infection	4	4	—	—	$96,499.65	$109,455.62	$107,221.84	2026-03-24
6143	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	4	4	—	—	$62,668.44	$71,082.25	$69,631.60	2026-03-24
6144	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	4	4	—	—	$80,815.75	$91,666.02	$89,795.28	2026-03-24
62	APR_DRG	Pancreas Transplant	4	4	—	—	$123,069.65	$139,592.89	$136,744.06	2026-03-24
6214	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	4	4	—	—	$92,513.22	$104,933.98	$102,792.47	2026-03-24
6224	APR_DRG	Neonate Bwt 2000-2499g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$63,761.14	$72,321.66	$70,845.71	2026-03-24
6234	APR_DRG	Neonate Bwt 2000-2499g W Congenital/Perinatal Infection	4	4	—	—	$61,022.82	$69,215.70	$67,803.13	2026-03-24
6254	APR_DRG	Neonate Bwt 2000-2499g W Other Significant Condition	4	4	—	—	$61,291.09	$69,519.99	$68,101.21	2026-03-24
63	APR_DRG	Pancreas Transplant	4	4	—	—	$149,824.50	$169,939.83	$166,471.67	2026-03-24
6302	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	4	—	—	$76,078.59	$86,292.85	$84,531.77	2026-03-24
6303	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	4	—	—	$155,934.08	$176,869.68	$173,260.09	2026-03-24
6304	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	4	—	—	$287,861.57	$326,509.65	$319,846.19	2026-03-24
6313	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	4	4	—	—	$88,803.29	$100,725.96	$98,670.32	2026-03-24
6314	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	4	4	—	—	$270,783.96	$307,139.22	$300,871.07	2026-03-24
6334	APR_DRG	Neonate Birthwt >2499g W Major Anomaly	4	4	—	—	$87,057.96	$98,746.29	$96,731.06	2026-03-24
6344	APR_DRG	Neonate, Birthwt >2499g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$56,468.79	$64,050.25	$62,743.10	2026-03-24
64	APR_DRG	Pancreas Transplant	4	4	—	—	$189,246.81	$214,654.95	$210,274.24	2026-03-24
6504	APR_DRG	Splenectomy	4	4	—	—	$65,851.65	$74,692.84	$73,168.50	2026-03-24
6514	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	4	4	—	—	$68,274.20	$77,440.64	$75,860.22	2026-03-24
6804	APR_DRG	Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	4	4	—	—	$103,672.52	$117,591.51	$115,191.68	2026-03-24
6814	APR_DRG	Other O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	4	4	—	—	$88,840.94	$100,768.66	$98,712.16	2026-03-24
6904	APR_DRG	Acute Leukemia	4	4	—	—	$88,163.72	$100,000.51	$97,959.68	2026-03-24
6954	APR_DRG	Chemotherapy For Acute Leukemia	4	4	—	—	$75,831.60	$86,012.69	$84,257.33	2026-03-24
7	MS_DRG	Lung Transplant	25	25	—	—	$67,823.00	$385,173.96	$140,019.34	2026-03-24
7104	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	4	4	—	—	$68,493.47	$77,689.35	$76,103.86	2026-03-24
7114	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	4	4	—	—	$62,460.70	$70,846.63	$69,400.78	2026-03-24
7404	APR_DRG	Mental Illness Diagnosis W O.r. Procedure	4	4	—	—	$79,315.72	$89,964.59	$88,128.58	2026-03-24
7524	APR_DRG	Disorders Of Personality & Impulse Control	4	4	—	—	$57,872.34	$65,642.24	$64,302.60	2026-03-24
7594	APR_DRG	Eating Disorders	4	4	—	—	$57,546.83	$65,273.02	$63,940.92	2026-03-24
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	23	23	—	—	$4,795.00	$188,665.39	$61,459.11	2026-03-24
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	25	25	—	—	$31,822.00	$180,722.42	$60,161.53	2026-03-24
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	25	25	—	—	$33,336.00	$189,317.33	$62,990.29	2026-03-24
8413	APR_DRG	Extensive 3Rd Degree Burns W Skin Graft	4	4	—	—	$92,225.36	$104,607.47	$102,472.62	2026-03-24
8414	APR_DRG	Extensive 3Rd Degree Burns W Skin Graft	4	4	—	—	$280,557.79	$318,225.27	$311,730.88	2026-03-24
8423	APR_DRG	Burns With Skin Graft Except Extensive 3Rd Degree Burns	4	4	—	—	$54,653.09	$61,990.77	$60,725.65	2026-03-24
8424	APR_DRG	Burns With Skin Graft Except Extensive 3Rd Degree Burns	4	4	—	—	$153,138.54	$173,698.80	$170,153.93	2026-03-24
850	MS_DRG	Acute Leukemia With Other Procedures	17	17	—	—	$87,264.41	$239,530.43	$89,882.34	2026-03-24
8504	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	4	4	—	—	$98,940.27	$112,223.92	$109,933.63	2026-03-24
8633	APR_DRG	Neonatal Aftercare	4	4	—	—	$66,250.75	$75,145.53	$73,611.95	2026-03-24
8634	APR_DRG	Neonatal Aftercare	4	4	—	—	$124,397.90	$141,099.47	$138,219.89	2026-03-24
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	25	25	—	—	$37,713.00	$214,174.02	$74,372.76	2026-03-24
893	APR_DRG	Major Cranial/Facial Bone Procedures	4	4	—	—	$61,263.28	$69,488.44	$68,070.31	2026-03-24
894	APR_DRG	Major Cranial/Facial Bone Procedures	4	4	—	—	$86,946.72	$98,620.12	$96,607.46	2026-03-24
90288	CPT	Botulism Ig IV	2	2	—	—	$48,705.00	$118,840.20	$83,772.60	2026-03-24
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	4	4	—	—	$66,046.33	$74,913.66	$73,384.81	2026-03-24
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	4	4	—	—	$105,926.68	$120,148.32	$117,696.31	2026-03-24
9114	APR_DRG	Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma	4	4	—	—	$94,397.69	$107,071.46	$104,886.32	2026-03-24
9123	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	4	4	—	—	$53,213.60	$60,358.02	$59,126.22	2026-03-24
9124	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	4	4	—	—	$94,510.55	$107,199.47	$105,011.72	2026-03-24
913	APR_DRG	Other Major Head & Neck Procedures	4	4	—	—	$63,918.17	$72,499.78	$71,020.19	2026-03-24
914	APR_DRG	Other Major Head & Neck Procedures	4	4	—	—	$102,481.72	$116,240.84	$113,868.58	2026-03-24
924	APR_DRG	Facial Bone Procedures Except Major Cranial/Facial Bone Procedures	4	4	—	—	$73,736.07	$83,635.82	$81,928.97	2026-03-24
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	25	—	—	$123,530.00	$701,538.82	$231,343.32	2026-03-24
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	25	—	—	$38,255.00	$217,254.08	$77,209.15	2026-03-24
9504	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	4	4	—	—	$86,621.21	$98,250.90	$96,245.78	2026-03-24
9514	APR_DRG	Moderately Extensive Procedure Unrelated To Principal Diagnosis	4	4	—	—	$63,370.17	$71,878.20	$70,411.30	2026-03-24
9524	APR_DRG	Nonextensive Procedure Unrelated To Principal Diagnosis	4	4	—	—	$59,027.18	$66,952.13	$65,585.76	2026-03-24
955	MS_DRG	Craniotomy For Multiple Significant Trauma	25	25	—	—	$36,836.00	$209,194.70	$72,408.27	2026-03-24
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	25	—	—	$43,464.00	$246,833.98	$82,070.88	2026-03-24
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	25	25	—	—	$34,274.00	$221,624.14	$65,778.84	2026-03-24
984	APR_DRG	Other Ear, Nose, Mouth & Throat Procedures	4	4	—	—	$59,051.69	$66,979.93	$65,612.99	2026-03-24
A9543	HCPCS	Y90 Ibritumomab, Rx	16	16	—	—	$63,005.77	$130,061.45	$63,444.61	2026-03-24
C9073	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	1	1	—	—	$380,460.00	$380,460.00	$380,460.00	2026-03-24
C9076	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	1	1	—	—	$418,506.00	$418,506.00	$418,506.00	2026-03-24
C9081	HCPCS	Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab…	1	1	—	—	$427,890.00	$427,890.00	$427,890.00	2026-03-24
C9098	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	1	—	—	$474,300.00	$474,300.00	$474,300.00	2026-03-24
C9172	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose (Code Deleted Eff…	1	1	—	—	$3,570,000.00	$3,570,000.00	$3,570,000.00	2026-03-24
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	19	19	—	—	$3,486,000.00	$4,402,622.25	$4,114,600.23	2026-03-24
J1413	HCPCS	Inj Delandistrogene Mox Rokl	19	19	—	—	$3,187,200.00	$3,962,028.61	$3,702,830.48	2026-03-24
J3392	HCPCS	Inj, Exagamglogene Autotem	13	13	—	—	$2,603,678.00	$2,785,935.46	$2,603,678.00	2026-03-24
J3393	HCPCS	Inj, Betibeglogene Autotemce	19	19	—	—	$2,788,800.00	$3,519,143.02	$3,288,918.71	2026-03-24
J3394	HCPCS	Inj, Lovotibeglogene Autotem	19	19	—	—	$3,087,600.00	$3,880,771.91	$3,626,889.64	2026-03-24
J3399	HCPCS	Inj Onase Abepar-xioi Treat	19	19	—	—	$2,382,138.87	$2,933,010.16	$2,741,130.99	2026-03-24
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	14	14	—	—	$229,597.06	$470,673.97	$229,597.06	2026-03-24
J3403	HCPCS	Revakinagene, Per Implant	14	14	—	—	$287,498.75	$589,372.44	$287,498.75	2026-03-24
J7330	HCPCS	Membrane Collagon Maci X1	45	29	$308,587.58	$308,587.58	$42,276.50	$216,011.31	$98,748.02	2026-03-24
J9029	HCPCS	Instill Adstiladrin, Tx Dose	21	21	—	—	$62,118.00	$144,979.40	$70,721.66	2026-03-24
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	14	14	—	—	$93,216.70	$191,094.24	$93,216.70	2026-03-24
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	14	14	—	—	$67,452.66	$138,277.95	$67,452.66	2026-03-24
Q0480	HCPCS	Driver Pneumatic Vad, Rep	14	14	—	—	$99,999.91	$204,999.82	$99,999.91	2026-03-24
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	15	15	—	—	$513,651.60	$1,220,470.55	$595,351.49	2026-03-24
Q2042	HCPCS	Tisagenlecleucel Car-pos T	14	14	—	—	$660,662.30	$1,354,357.72	$660,662.30	2026-03-24
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	21	21	—	—	$55,945.97	$126,508.68	$61,711.55	2026-03-24
Q2053	HCPCS	Brexucabtagene Car Pos T	15	15	—	—	$471,240.00	$1,119,932.61	$546,308.59	2026-03-24
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	15	15	—	—	$541,977.41	$1,287,551.45	$628,073.88	2026-03-24
Q2055	HCPCS	Idecabtagene Vicleucel Car	15	15	—	—	$538,878.68	$1,275,603.21	$622,245.47	2026-03-24
Q2056	HCPCS	Ciltacabtagene Car-pos T	15	15	—	—	$566,416.65	$1,295,174.99	$631,792.68	2026-03-24
Q2057	HCPCS	Afamitresgene Autoleucel	14	14	—	—	$860,397.23	$1,763,814.32	$860,397.23	2026-03-24
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	14	14	—	—	$310,666.12	$636,865.55	$310,666.12	2026-03-24

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