Price Transparencybeta 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

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON

Hamilton, NJ · CCN 310110 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC Echo 2d W/Spec/Color W/Contrast

This hospital’s price: $2,396 across 13 payers · range $548-$4,217

Source: https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/210634572_robert-wood-johnson-university-hospital-hamilton_standardcharges.json · observed 2026-03-05

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

21,501 distinct procedures filed
14 distinct payers
587,451 rate rows
2026-03-05 last MRF observed
Data quality

435,368 of 587,451 rate rows are consumer-grade (74.1%)

152,083 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 148,718
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,516
per-diem day rate — not a per-procedure price 1,153
template filing: same amount across many unrelated codes — excluded 329
placeholder amount (≤ $0.02) — excluded from medians 161
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 107
exceeds 10× this hospital's gross charge — excluded from medians 99
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/210634572_robert-wood-johnson-university-hospital-hamilton_standardcharges.json
Found on page https://www.rwjbh.org/billing/charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint e03bed88ca7be242… · 310,562,536 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 7 $3,301,900.00 $4,135,676.50 $4,054,584.80 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,279,887.34 $4,135,676.50 $3,975,042.40 nat. median
$3,703,693
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $2,957,001.24 $3,702,914.75 $3,559,089.58 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $2,924,540.00 $3,559,357.16 $3,489,565.84 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,623,909.86 $3,308,541.20 $3,243,667.84 nat. median
$2,994,107
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,156,586.79 $4,596,711.00 $2,626,692.00 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 8 $2,075,480.00 $4,460,043.28 $2,548,596.16 nat. median
$2,401,960
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $511,072.50 $2,734,858.96 $624,340.57 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $325,500.00 $2,665,690.18 $602,524.79 nat. median
$646,415
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $300,444.68 $958,964.00 $597,884.91 nat. median
$359,358
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $352,380.00 $2,554,453.84 $577,382.09 nat. median
$622,245
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $344,652.00 $2,497,271.50 $564,457.19 nat. median
$640,950
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $435,565.25 $2,359,787.45 $538,715.54 nat. median
$591,650
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $257,664.44 $2,366,874.00 $534,983.50 nat. median
$608,101
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 3 $441,630.65 $483,690.54 $454,248.38 nat. median
$307,273
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $128,074.83 $597,268.94 $397,858.22 nat. median
$198,433
outlier · 2.0×
5833
APR_DRG 		Neonate With Ecmo, Major 3 $384,603.45 $421,232.20 $395,591.86 nat. median
$244,017
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $121,718.93 $544,964.00 $359,540.64 nat. median
$190,557
1.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 3 $329,399.52 $360,770.77 $338,810.72 nat. median
$247,214
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 3 $303,824.24 $332,759.77 $312,504.74 nat. median
$202,993
1.5× median
Q0480
HCPCS 		Dme Pos 14 $48,424.51 $442,419.60 $271,209.76 nat. median
$111,503
outlier · 2.4×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 14 $93,216.70 $412,409.32 $252,813.01 nat. median
$97,020
outlier · 2.6×
5832
APR_DRG 		Neonate With Ecmo, Moderate 3 $241,347.93 $264,333.35 $248,243.43 nat. median
$159,249
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 3 $230,228.26 $252,154.67 $236,806.06 nat. median
$120,517
2.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 3 $223,892.34 $245,215.33 $230,289.12 nat. median
$154,011
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $74,132.33 $359,299.00 $224,572.10 nat. median
$126,722
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 3 $218,211.62 $238,993.60 $224,446.10 nat. median
$156,153
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 3 $216,543.66 $237,166.78 $222,730.48 nat. median
$151,838
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 3 $214,383.32 $234,800.70 $220,508.42 nat. median
$162,514
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 3 $211,267.53 $231,388.16 $217,303.61 nat. median
$175,429
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 3 $210,609.76 $230,667.75 $216,627.04 nat. median
$133,164
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 3 $208,201.33 $228,029.94 $214,149.80 nat. median
$165,000
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 3 $205,649.20 $225,234.76 $211,524.75 nat. median
$145,061
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 3 $196,114.72 $214,792.24 $201,717.87 nat. median
$163,587
1.2× median
5831
APR_DRG 		Neonate With Ecmo, Minor 3 $195,446.80 $214,060.70 $201,030.86 nat. median
$146,591
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 3 $192,487.50 $210,819.57 $197,987.02 nat. median
$122,016
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $86,787.89 $277,011.00 $192,335.41 nat. median
$97,414
2.0× median
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 3 $184,629.89 $202,213.62 $189,904.91 nat. median
$84,808
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 12 $82,753.11 $269,406.00 $186,712.00 nat. median
$93,917
2.0× median
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 3 $175,609.49 $192,334.13 $180,626.78 nat. median
$76,852
outlier · 2.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $83,453.85 $266,369.00 $175,340.58 nat. median
$93,270
1.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 12 $52,038.67 $298,424.06 $175,231.36 nat. median
$70,178
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $64,490.51 $247,551.96 $171,018.35 nat. median
$90,581
1.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 3 $162,438.89 $177,909.19 $167,079.89 nat. median
$107,657
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $60,410.97 $218,204.40 $164,591.64 nat. median
$71,201
outlier · 2.3×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $156,254.39 $171,135.70 $160,718.70 nat. median
$118,589
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $73,387.98 $234,241.00 $154,191.54 nat. median
$78,262
2.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $53,587.61 $199,869.59 $153,620.08 nat. median
$47,579
outlier · 3.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $58,318.36 $215,356.00 $150,801.97 nat. median
$77,696
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 3 $145,856.06 $159,747.05 $150,023.28 nat. median
$108,798
1.4× median

Other procedures at this hospital

Browse this hospital's 21,501 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 13 7 — — $3,301,900.00 $4,135,676.50 $4,054,584.80 2026-03-05
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 7 — — $3,279,887.34 $4,135,676.50 $3,975,042.40 2026-03-05
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 7 — — $2,957,001.24 $3,702,914.75 $3,559,089.58 2026-03-05
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 13 7 — — $2,924,540.00 $3,559,357.16 $3,489,565.84 2026-03-05
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 13 7 — — $2,623,909.86 $3,308,541.20 $3,243,667.84 2026-03-05
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 8 — — $2,156,586.79 $4,596,711.00 $2,626,692.00 2026-03-05
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 14 8 — — $2,075,480.00 $4,460,043.28 $2,548,596.16 2026-03-05
Q2042 HCPCS Tisagenlecleucel Car-pos T 32 13 — — $511,072.50 $2,734,858.96 $624,340.57 2026-03-05
Q2056 HCPCS Ciltacabtagene Car-pos T 32 13 — — $325,500.00 $2,665,690.18 $602,524.79 2026-03-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 10 — $3,233.00 $300,444.68 $958,964.00 $597,884.91 2026-03-05
Q2055 HCPCS Idecabtagene Vicleucel Car 32 13 — — $352,380.00 $2,554,453.84 $577,382.09 2026-03-05
Q2054 HCPCS Lisocabtagene Mara Car Pos T 32 13 — — $344,652.00 $2,497,271.50 $564,457.19 2026-03-05
Q2053 HCPCS Brexucabtagene Car Pos T 32 13 — — $435,565.25 $2,359,787.45 $538,715.54 2026-03-05
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 32 13 — — $257,664.44 $2,366,874.00 $534,983.50 2026-03-05
5834 APR_DRG Neonate With Ecmo, Severe 3 3 — — $441,630.65 $483,690.54 $454,248.38 2026-03-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 12 — $3,233.00 $128,074.83 $597,268.94 $397,858.22 2026-03-05
5833 APR_DRG Neonate With Ecmo, Major 3 3 — — $384,603.45 $421,232.20 $395,591.86 2026-03-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 12 — $3,233.00 $121,718.93 $544,964.00 $359,540.64 2026-03-05
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 3 3 — — $329,399.52 $360,770.77 $338,810.72 2026-03-05
1614 APR_DRG Implantable Heart Assist Systems, Severe 3 3 — — $303,824.24 $332,759.77 $312,504.74 2026-03-05
Q0480 HCPCS Dme Pos 33 14 — — $48,424.51 $442,419.60 $271,209.76 2026-03-05
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 33 14 — — $93,216.70 $412,409.32 $252,813.01 2026-03-05
5832 APR_DRG Neonate With Ecmo, Moderate 3 3 — — $241,347.93 $264,333.35 $248,243.43 2026-03-05
1613 APR_DRG Implantable Heart Assist Systems, Major 3 3 — — $230,228.26 $252,154.67 $236,806.06 2026-03-05
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 3 3 — — $223,892.34 $245,215.33 $230,289.12 2026-03-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 12 — $3,233.00 $74,132.33 $359,299.00 $224,572.10 2026-03-05
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 3 3 — — $218,211.62 $238,993.60 $224,446.10 2026-03-05
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 3 3 — — $216,543.66 $237,166.78 $222,730.48 2026-03-05
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 3 3 — — $214,383.32 $234,800.70 $220,508.42 2026-03-05
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 3 3 — — $211,267.53 $231,388.16 $217,303.61 2026-03-05
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 3 3 — — $210,609.76 $230,667.75 $216,627.04 2026-03-05
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 3 3 — — $208,201.33 $228,029.94 $214,149.80 2026-03-05
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 3 3 — — $205,649.20 $225,234.76 $211,524.75 2026-03-05
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 3 3 — — $196,114.72 $214,792.24 $201,717.87 2026-03-05
5831 APR_DRG Neonate With Ecmo, Minor 3 3 — — $195,446.80 $214,060.70 $201,030.86 2026-03-05
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 3 3 — — $192,487.50 $210,819.57 $197,987.02 2026-03-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 10 — $3,233.00 $86,787.89 $277,011.00 $192,335.41 2026-03-05
1612 APR_DRG Implantable Heart Assist Systems, Moderate 3 3 — — $184,629.89 $202,213.62 $189,904.91 2026-03-05
215 MS_DRG Other Heart Assist System Implant 27 12 — $3,233.00 $82,753.11 $269,406.00 $186,712.00 2026-03-05
1611 APR_DRG Implantable Heart Assist Systems, Minor 3 3 — — $175,609.49 $192,334.13 $180,626.78 2026-03-05
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,233.00 $83,453.85 $266,369.00 $175,340.58 2026-03-05
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 21 12 — — $52,038.67 $298,424.06 $175,231.36 2026-03-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — $3,233.00 $64,490.51 $247,551.96 $171,018.35 2026-03-05
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 3 3 — — $162,438.89 $177,909.19 $167,079.89 2026-03-05
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 3 — — $60,410.97 $218,204.40 $164,591.64 2026-03-05
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $156,254.39 $171,135.70 $160,718.70 2026-03-05
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — $3,233.00 $73,387.98 $234,241.00 $154,191.54 2026-03-05
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $53,587.61 $199,869.59 $153,620.08 2026-03-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 — $3,233.00 $58,318.36 $215,356.00 $150,801.97 2026-03-05
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 3 3 — — $145,856.06 $159,747.05 $150,023.28 2026-03-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 12 — $3,233.00 $64,219.96 $244,941.18 $146,969.98 2026-03-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 12 — $3,233.00 $52,733.11 $215,475.00 $145,180.93 2026-03-05
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 3 3 — — $140,357.29 $153,724.59 $144,367.40 2026-03-05
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 3 3 — — $138,535.40 $151,729.19 $142,493.46 2026-03-05
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 3 3 — — $136,779.66 $149,806.24 $140,687.56 2026-03-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — $3,233.00 $66,446.64 $212,085.00 $139,607.40 2026-03-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — $3,233.00 $50,347.64 $196,750.00 $137,953.37 2026-03-05
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $47,497.02 $174,737.25 $137,903.42 2026-03-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 12 — $3,233.00 $49,890.53 $198,756.00 $137,748.00 2026-03-05
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 3 3 — — $132,163.87 $144,750.86 $135,939.90 2026-03-05
266T OTHER Implt/rpl Crtd Sns Dev Total 33 14 — — $8,129.00 $217,582.82 $133,381.48 2026-03-05
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 3 3 — — $127,222.37 $139,338.73 $130,857.21 2026-03-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 12 — $3,233.00 $48,380.23 $189,800.00 $129,389.43 2026-03-05
L7181 HCPCS Dme Pos 20 12 — — $47,211.27 $208,872.10 $128,041.68 2026-03-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — $3,233.00 $56,300.32 $179,700.00 $125,206.23 2026-03-05
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $121,465.35 $133,033.43 $124,935.71 2026-03-05
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 3 3 — — $121,282.07 $132,832.70 $124,747.20 2026-03-05
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 3 3 — — $120,338.09 $131,798.81 $123,776.24 2026-03-05
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 3 3 — — $119,107.76 $130,451.31 $122,510.76 2026-03-05
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 3 3 — — $118,472.94 $129,756.03 $121,857.81 2026-03-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 11 — $3,233.00 $43,556.45 $169,544.00 $121,563.68 2026-03-05
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $118,039.07 $129,280.84 $121,411.53 2026-03-05
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 3 — — $42,947.73 $156,926.97 $121,008.20 2026-03-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,233.00 $56,584.73 $180,608.00 $118,887.30 2026-03-05
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 3 — — $44,002.07 $159,775.10 $118,651.85 2026-03-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 12 — $3,233.00 $39,782.41 $169,832.00 $117,702.00 2026-03-05
L7180 HCPCS Dme Pos 20 12 — — $43,145.97 $190,886.40 $117,016.18 2026-03-05
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 3 3 — — $113,406.73 $124,207.32 $116,646.85 2026-03-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — $3,233.00 $42,715.73 $164,212.00 $113,875.22 2026-03-05
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 3 — — $39,334.49 $144,734.62 $113,604.16 2026-03-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — $3,233.00 $53,414.00 $170,488.00 $112,225.43 2026-03-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 12 — $3,233.00 $40,613.94 $176,891.00 $110,285.80 2026-03-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — $3,233.00 $49,348.62 $157,512.00 $110,132.24 2026-03-05
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $38,550.05 $147,440.34 $109,709.38 2026-03-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 12 — $3,233.00 $37,263.71 $160,815.00 $109,567.40 2026-03-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 11 — $3,233.00 $45,732.89 $168,447.64 $109,224.27 2026-03-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 12 — $3,233.00 $39,048.51 $173,631.00 $108,953.68 2026-03-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 12 — $3,233.00 $36,833.01 $164,449.00 $108,412.55 2026-03-05
28 MS_DRG Spinal Procedures With Mcc 27 12 — $3,233.00 $35,900.42 $154,590.00 $107,139.00 2026-03-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 12 — $3,233.00 $38,444.39 $155,333.00 $106,420.45 2026-03-05
L2006 HCPCS Dme Pos 20 12 — — $39,235.19 $173,584.33 $106,409.76 2026-03-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 12 — $3,233.00 $34,541.72 $152,335.00 $105,576.00 2026-03-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 12 — $3,233.00 $34,133.99 $156,591.00 $104,832.50 2026-03-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 — $3,233.00 $41,827.92 $154,320.94 $104,640.74 2026-03-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 12 — $3,233.00 $37,789.73 $149,624.00 $104,227.95 2026-03-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — $3,233.00 $49,284.88 $157,308.00 $103,549.96 2026-03-05
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $36,275.98 $133,548.61 $103,493.14 2026-03-05
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 3 3 — — $100,237.45 $109,783.83 $103,101.31 2026-03-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 12 — $3,233.00 $36,712.42 $148,050.00 $102,815.82 2026-03-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 12 — $3,233.00 $44,034.06 $178,757.86 $100,773.73 2026-03-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 12 — $3,233.00 $36,072.69 $145,070.00 $100,541.00 2026-03-05
8634 APR_DRG Neonatal Aftercare, Severe 3 3 — — $96,753.93 $105,968.55 $99,518.26 2026-03-05
1784 APR_DRG External Heart Assist Systems, Severe 3 3 — — $96,312.47 $105,485.05 $99,064.19 2026-03-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 12 — $3,233.00 $34,852.97 $138,041.00 $98,488.03 2026-03-05
653 MS_DRG Major Bladder Procedures With Mcc 27 12 — $3,233.00 $35,554.71 $141,751.00 $98,241.00 2026-03-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 12 — $3,233.00 $33,572.37 $137,337.00 $97,812.29 2026-03-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — $3,233.00 $34,687.58 $151,279.00 $97,371.37 2026-03-05
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 3 3 — — $93,588.54 $102,501.70 $96,262.44 2026-03-05
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 3 3 — — $92,845.50 $101,687.89 $95,498.17 2026-03-05
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 3 3 — — $92,673.77 $101,499.81 $95,321.53 2026-03-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 12 — $3,233.00 $31,140.95 $137,192.00 $95,081.00 2026-03-05
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 3 3 — — $92,124.09 $100,897.78 $94,756.15 2026-03-05
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $91,573.23 $100,294.45 $94,189.54 2026-03-05
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $91,404.00 $100,109.11 $94,015.49 2026-03-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — $3,233.00 $34,074.27 $134,685.00 $93,825.89 2026-03-05
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 3 3 — — $90,811.13 $99,459.77 $93,405.67 2026-03-05
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 3 — — $33,581.56 $124,650.59 $93,218.39 2026-03-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 12 — $3,233.00 $33,434.55 $135,283.00 $92,990.43 2026-03-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 12 — $3,233.00 $31,748.52 $137,207.00 $92,246.21 2026-03-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $3,233.00 $43,849.24 $139,959.00 $92,129.49 2026-03-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — $3,233.00 $43,581.56 $139,104.00 $91,567.15 2026-03-05
834 MS_DRG Acute Leukemia With Mcc 27 12 — $3,233.00 $37,519.83 $143,595.37 $91,521.25 2026-03-05
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 3 3 — — $88,809.86 $97,267.91 $91,347.23 2026-03-05
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $88,549.04 $96,982.24 $91,078.95 2026-03-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 12 — $3,233.00 $33,846.86 $129,149.00 $90,863.31 2026-03-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 11 — $3,233.00 $32,816.64 $130,522.00 $90,467.94 2026-03-05
268T OTHER Implt/rpl Crtd Sns Dev Gen 33 14 — — $8,129.00 $147,343.47 $90,323.73 2026-03-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 12 — $3,233.00 $39,700.21 $147,516.29 $90,142.34 2026-03-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 12 — $3,233.00 $32,745.43 $129,546.00 $89,970.13 2026-03-05
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 3 3 — — $87,406.55 $95,730.95 $89,903.82 2026-03-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 12 — $3,233.00 $32,741.99 $127,174.00 $89,437.48 2026-03-05
L8701 HCPCS Ewh S/d Uprt Micro Sensor 21 12 — — $26,449.91 $151,681.22 $89,065.57 2026-03-05
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 3 3 — — $86,103.74 $94,304.06 $88,563.79 2026-03-05
799 MS_DRG Splenic Procedures With Mcc 27 12 — $3,233.00 $31,751.96 $122,087.28 $86,689.51 2026-03-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — $3,233.00 $41,029.04 $130,957.00 $86,203.89 2026-03-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 12 — $3,233.00 $29,987.84 $128,079.00 $85,993.65 2026-03-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 11 — $3,233.00 $36,448.26 $132,933.89 $85,776.09 2026-03-05
471 MS_DRG Cervical Spinal Fusion With Mcc 27 12 — $3,233.00 $32,073.55 $123,512.00 $85,600.00 2026-03-05
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 9 3 — — $30,910.10 $113,711.41 $85,544.41 2026-03-05
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 3 3 — — $82,966.32 $90,867.84 $85,336.73 2026-03-05
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 3 3 — — $82,828.88 $90,717.31 $85,195.36 2026-03-05
1794 APR_DRG Defibrillator Implants, Severe 3 3 — — $82,510.81 $90,368.95 $84,868.21 2026-03-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 12 — $3,233.00 $28,838.17 $120,883.00 $84,805.76 2026-03-05
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 3 3 — — $82,387.42 $90,233.81 $84,741.29 2026-03-05
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 3 3 — — $82,274.19 $90,109.79 $84,624.83 2026-03-05
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 3 3 — — $81,729.65 $89,513.40 $84,064.73 2026-03-05
163 MS_DRG Major Chest Procedures With Mcc 27 12 — $3,233.00 $31,298.30 $117,748.63 $84,034.93 2026-03-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — $3,233.00 $37,060.06 $118,289.00 $83,396.72 2026-03-05
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 3 3 — — $80,634.18 $88,313.60 $82,937.96 2026-03-05
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 3 3 — — $80,242.32 $87,884.41 $82,534.90 2026-03-05
914 APR_DRG Other Major Head And Neck Procedures, Severe 3 3 — — $79,708.01 $87,299.22 $81,985.33 2026-03-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 12 — $3,233.00 $27,165.93 $118,991.00 $81,560.25 2026-03-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 12 — $3,233.00 $32,205.63 $121,432.00 $81,517.57 2026-03-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — $3,233.00 $39,859.54 $127,224.00 $81,322.01 2026-03-05
245 MS_DRG Aicd Generator Procedures 27 12 — $3,233.00 $33,443.73 $128,497.93 $81,066.75 2026-03-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — $3,233.00 $29,515.80 $116,781.00 $80,935.00 2026-03-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 12 — $3,233.00 $31,513.07 $116,763.00 $80,923.00 2026-03-05
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 3 3 — — $78,436.99 $85,907.14 $80,677.99 2026-03-05
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $78,374.67 $85,838.89 $80,613.89 2026-03-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 12 — $3,233.00 $28,421.26 $114,721.00 $79,508.00 2026-03-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 12 — $3,233.00 $38,471.95 $135,264.61 $79,382.31 2026-03-05
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $76,953.55 $84,282.43 $79,152.17 2026-03-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 12 — $3,233.00 $28,221.42 $113,722.00 $79,002.24 2026-03-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 — $3,233.00 $30,144.04 $119,084.88 $78,725.78 2026-03-05
901 MS_DRG Wound Debridements For Injuries With Mcc 27 12 — $3,233.00 $27,788.42 $112,659.00 $78,079.00 2026-03-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 11 — $3,233.00 $26,334.40 $111,700.00 $78,034.39 2026-03-05
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 3 3 — — $75,055.29 $82,203.38 $77,199.68 2026-03-05
L5856 HCPCS Dme Pos 20 12 — — $28,413.71 $125,707.94 $77,060.82 2026-03-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 12 — $3,233.00 $24,883.82 $114,037.00 $76,977.09 2026-03-05
J7330 HCPCS Cultured Chondrocytes Implnt 21 8 $180,707.14 $29,617.90 84% off $22,606.46 $153,601.06 $76,437.90 2026-03-05
L6880 HCPCS Dme Pos 20 12 — — $28,151.96 $124,549.90 $76,350.93 2026-03-05
1783 APR_DRG External Heart Assist Systems, Major 3 3 — — $73,799.57 $80,828.07 $75,908.08 2026-03-05
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 3 3 — — $73,508.21 $80,508.96 $75,608.40 2026-03-05
A9543 HCPCS Y90 Ibritumomab, Rx 32 13 — — $50,573.85 $274,753.48 $75,606.92 2026-03-05
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 3 3 — — $73,420.43 $80,412.83 $75,518.11 2026-03-05
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 3 3 — — $73,257.54 $80,234.42 $75,350.56 2026-03-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 12 — $3,233.00 $26,182.79 $108,469.00 $75,174.00 2026-03-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 10 — $3,233.00 $33,933.15 $108,308.00 $74,563.80 2026-03-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 11 — $3,233.00 $27,397.93 $105,799.00 $74,397.35 2026-03-05
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 3 3 — — $71,954.73 $78,807.53 $74,010.53 2026-03-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 12 — $3,233.00 $28,092.78 $106,559.00 $73,851.00 2026-03-05
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 3 3 — — $71,730.84 $78,562.32 $73,780.24 2026-03-05
214 APR_DRG Open Craniotomy Except Trauma, Severe 3 3 — — $71,714.28 $78,544.19 $73,763.21 2026-03-05
J9029 HCPCS Instill Adstiladrin, Tx Dose 32 13 — — $56,279.69 $306,556.45 $73,379.54 2026-03-05
234 APR_DRG Spinal Procedures, Severe 3 3 — — $71,326.24 $78,119.19 $73,364.09 2026-03-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 12 — $3,233.00 $26,913.25 $104,504.00 $72,361.47 2026-03-05
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 3 3 — — $70,342.76 $77,042.04 $72,352.50 2026-03-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 12 — $3,233.00 $25,873.84 $104,563.00 $72,297.07 2026-03-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 12 — $3,233.00 $27,217.61 $103,426.00 $71,680.00 2026-03-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 12 — $3,233.00 $24,236.05 $104,349.00 $71,647.66 2026-03-05
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 3 3 — — $69,098.51 $75,679.29 $71,072.71 2026-03-05
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 3 3 — — $69,076.88 $75,655.60 $71,050.46 2026-03-05
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 3 3 — — $69,069.23 $75,647.22 $71,042.59 2026-03-05
140 MS_DRG Major Head And Neck Procedures With Mcc 24 11 — $3,233.00 $33,692.56 $107,540.00 $70,911.16 2026-03-05
6904 APR_DRG Acute Leukemia, Severe 3 3 — — $68,571.78 $75,102.40 $70,530.93 2026-03-05
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 3 3 — — $68,559.05 $75,088.46 $70,517.84 2026-03-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 12 — $3,233.00 $25,692.38 $98,280.00 $70,466.68 2026-03-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 11 — $3,233.00 $23,827.18 $99,431.00 $69,717.33 2026-03-05
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 3 3 — — $67,711.75 $74,160.46 $69,646.33 2026-03-05
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 3 3 — — $67,625.23 $74,065.70 $69,557.33 2026-03-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 10 — — $35,789.01 $140,202.00 $69,543.05 2026-03-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 12 — $3,233.00 $27,748.23 $101,065.74 $69,542.01 2026-03-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 12 — $3,233.00 $23,691.66 $100,332.00 $69,535.00 2026-03-05
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 3 3 — — $67,416.57 $73,837.16 $69,342.71 2026-03-05
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 3 3 — — $67,372.05 $73,788.41 $69,296.92 2026-03-05
204 APR_DRG Open Craniotomy For Trauma, Severe 3 3 — — $67,361.83 $73,777.21 $69,286.41 2026-03-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 12 — $3,233.00 $25,621.17 $101,298.00 $69,085.99 2026-03-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 12 — $3,233.00 $25,304.18 $95,917.00 $68,772.93 2026-03-05
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 3 3 — — $66,636.66 $72,982.98 $68,540.52 2026-03-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 12 — $3,233.00 $24,106.27 $98,882.00 $68,531.00 2026-03-05
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 3 3 — — $66,531.08 $72,867.35 $68,431.92 2026-03-05
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $66,499.22 $72,832.46 $68,399.16 2026-03-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 10 — $3,233.00 $32,531.82 $103,836.00 $68,351.16 2026-03-05
4414 APR_DRG Major Bladder Procedures, Severe 3 3 — — $66,337.65 $72,655.50 $68,232.97 2026-03-05
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 3 3 — — $66,336.40 $72,654.12 $68,231.68 2026-03-05
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 3 — — $25,432.81 $93,340.20 $67,941.83 2026-03-05
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 3 3 — — $66,031.06 $72,319.70 $67,917.62 2026-03-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 12 — $3,233.00 $23,958.11 $97,906.00 $67,854.00 2026-03-05
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 3 3 — — $65,608.66 $71,857.08 $67,483.15 2026-03-05
1782 APR_DRG External Heart Assist Systems, Moderate 3 3 — — $65,501.76 $71,739.99 $67,373.19 2026-03-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 12 — $3,233.00 $25,195.07 $97,196.00 $67,362.00 2026-03-05
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 3 3 — — $65,435.61 $71,667.55 $67,305.16 2026-03-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 12 — $3,233.00 $25,793.45 $96,670.00 $66,997.00 2026-03-05
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 3 3 — — $64,856.71 $71,033.52 $66,709.72 2026-03-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 12 — $3,233.00 $22,955.46 $106,534.00 $66,157.22 2026-03-05
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 12 — $3,233.00 $24,245.24 $95,152.00 $65,945.00 2026-03-05
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 2 2 — — $63,452.54 $67,565.22 $65,508.88 2026-03-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 10 — $3,233.00 $31,167.13 $99,480.00 $65,483.79 2026-03-05
274 APR_DRG Other Open Craniotomy, Severe 3 3 — — $63,579.36 $69,634.52 $65,395.87 2026-03-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 11 — $3,233.00 $21,889.63 $91,134.00 $65,330.70 2026-03-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 12 — $3,233.00 $24,046.55 $101,227.00 $64,695.61 2026-03-05
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 3 — — $62,856.70 $68,843.03 $64,652.57 2026-03-05
38240 CPT Transplt Allo Hct/donor 20 9 — $5,110.00 $222.78 $285,960.25 $64,635.47 2026-03-05
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 3 3 — — $62,693.88 $68,664.70 $64,485.09 2026-03-05
2614 APR_DRG Major Biliary Tract Procedures, Severe 3 3 — — $62,374.56 $68,314.96 $64,156.64 2026-03-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 12 — $3,233.00 $25,977.21 $92,336.23 $63,956.75 2026-03-05
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 3 3 — — $62,081.87 $67,994.41 $63,855.60 2026-03-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 12 — $3,233.00 $22,885.40 $89,031.00 $63,835.70 2026-03-05
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 3 3 — — $61,813.47 $67,700.44 $63,579.53 2026-03-05
332 MS_DRG Rectal Resection With Mcc 27 12 — $3,233.00 $22,424.84 $98,727.90 $63,241.34 2026-03-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 12 — $3,233.00 $21,940.16 $89,095.00 $63,065.83 2026-03-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 12 — $3,233.00 $20,243.80 $91,155.00 $62,971.43 2026-03-05
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 3 3 — — $61,169.68 $66,995.34 $62,917.34 2026-03-05
265 MS_DRG Aicd Lead Procedures 27 12 — $3,233.00 $20,045.11 $90,707.00 $62,865.00 2026-03-05
4014 APR_DRG Adrenal Procedures, Severe 3 3 — — $60,966.10 $66,772.37 $62,707.94 2026-03-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 12 — $3,233.00 $22,043.53 $89,522.00 $62,044.00 2026-03-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 12 — $3,233.00 $22,125.08 $90,300.00 $61,936.97 2026-03-05
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 12 — $3,233.00 $28,125.46 $115,339.59 $61,847.00 2026-03-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 11 — $3,233.00 $22,784.33 $87,584.00 $61,831.42 2026-03-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 12 — $3,233.00 $23,831.78 $88,351.23 $61,811.74 2026-03-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 12 — $3,233.00 $23,375.81 $98,935.54 $61,743.13 2026-03-05
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $60,002.99 $65,717.53 $61,717.32 2026-03-05
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 3 3 — — $59,950.82 $65,660.40 $61,663.66 2026-03-05
1781 APR_DRG External Heart Assist Systems, Minor 3 3 — — $59,882.17 $65,585.21 $61,593.05 2026-03-05
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 3 3 — — $59,702.72 $65,388.67 $61,408.48 2026-03-05
408T OTHER Insj/rplc Cardiac Modulj Sys 33 14 — — $9,184.00 $155,021.58 $61,319.06 2026-03-05
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 32 13 — — $50,745.22 $268,525.62 $61,301.68 2026-03-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 12 — $3,233.00 $20,047.40 $88,106.00 $60,929.76 2026-03-05
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 3 3 — — $59,172.24 $64,807.67 $60,862.83 2026-03-05
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 3 3 — — $58,980.13 $64,597.26 $60,665.24 2026-03-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 27 12 — $3,233.00 $22,716.56 $98,180.00 $60,480.66 2026-03-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 12 — $3,233.00 $21,408.40 $89,067.00 $60,409.16 2026-03-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 12 — $3,233.00 $22,554.62 $87,096.00 $60,362.00 2026-03-05
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 3 3 — — $58,681.12 $64,269.78 $60,357.69 2026-03-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 12 — $3,233.00 $20,905.35 $87,447.00 $60,271.41 2026-03-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 12 — $3,233.00 $23,758.27 $86,613.00 $60,027.00 2026-03-05
252 MS_DRG Other Vascular Procedures With Mcc 27 12 — $3,233.00 $21,066.14 $87,229.00 $59,999.48 2026-03-05
Q0483 HCPCS Dme Pos 33 14 — — $10,080.92 $97,739.78 $59,915.93 2026-03-05
2304 APR_DRG Major Small Bowel Procedures, Severe 3 3 — — $58,122.60 $63,658.07 $59,783.21 2026-03-05
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 12 — $3,233.00 $22,057.31 $89,748.00 $59,451.66 2026-03-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 12 — $3,233.00 $22,963.49 $91,150.00 $59,448.77 2026-03-05
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 3 3 — — $57,752.37 $63,252.57 $59,402.40 2026-03-05
L5858 HCPCS Dme Pos 20 12 — — $21,898.50 $96,883.34 $59,390.92 2026-03-05
1793 APR_DRG Defibrillator Implants, Major 3 3 — — $57,588.22 $63,072.79 $59,233.56 2026-03-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 12 — $3,233.00 $23,020.92 $92,779.00 $59,216.65 2026-03-05
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 3 3 — — $57,529.73 $63,008.73 $59,173.40 2026-03-05
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 3 3 — — $57,513.18 $62,990.60 $59,156.37 2026-03-05
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 12 — $3,233.00 $20,595.25 $85,354.00 $59,155.00 2026-03-05
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 3 3 — — $57,350.28 $62,812.19 $58,988.82 2026-03-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 11 — $3,233.00 $26,305.08 $83,961.00 $58,841.99 2026-03-05
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $57,079.30 $62,515.40 $58,710.10 2026-03-05
37 MS_DRG Extracranial Procedures With Mcc 27 12 — $3,233.00 $20,828.40 $84,444.00 $58,524.00 2026-03-05
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 3 3 — — $56,869.39 $62,285.50 $58,494.19 2026-03-05
264 MS_DRG Other Circulatory System O.r. Procedures 27 12 — $3,233.00 $20,793.94 $88,874.00 $58,428.74 2026-03-05
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 12 — $3,233.00 $20,164.55 $83,117.00 $58,394.05 2026-03-05
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 3 3 — — $56,380.84 $61,750.43 $57,991.69 2026-03-05
2324 APR_DRG Gastric Fundoplication, Severe 3 3 — — $56,080.58 $61,421.57 $57,682.85 2026-03-05
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 3 3 — — $56,064.03 $61,403.44 $57,665.82 2026-03-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 12 — $3,233.00 $20,938.66 $82,845.00 $57,416.00 2026-03-05
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $55,689.97 $60,993.75 $57,281.07 2026-03-05
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 3 3 — — $55,576.73 $60,869.73 $57,164.60 2026-03-05
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 3 3 — — $55,427.89 $60,706.71 $57,011.51 2026-03-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 11 — $3,233.00 $20,292.04 $79,361.00 $56,902.07 2026-03-05
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — $3,233.00 $25,528.33 $81,482.00 $56,864.87 2026-03-05
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 3 3 — — $55,271.39 $60,535.31 $56,850.54 2026-03-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 12 — $3,233.00 $21,056.95 $81,861.00 $56,734.00 2026-03-05
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 3 — — $20,374.73 $74,186.55 $56,711.48 2026-03-05
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 12 — $3,233.00 $24,746.80 $94,652.71 $56,634.06 2026-03-05
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 3 3 — — $54,958.47 $60,192.59 $56,528.68 2026-03-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 12 — $3,233.00 $20,254.14 $78,634.00 $56,380.64 2026-03-05
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