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

CHENANGO MEMORIAL HOSPITAL

Norwich, NY · CCN 330033 · Rates published

15,875 distinct procedures filed
14 distinct payers
462,484 rate rows
2026-04-01 last MRF observed
Data quality

390,728 of 462,484 rate rows are consumer-grade (84.5%)

71,756 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 69,534
template filing: same amount across many unrelated codes — excluded 2,120
placeholder amount (≤ $0.02) — excluded from medians 102
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pi=erEagCB9oOz6xamwkXvx4w*-*
Found on page https://www.nyuhs.org/patients-visitors/patients/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint b8d2d6a0bbe03881… · 48,182,517 bytes · first seen 2026-05-13

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $3,155,302.00 $4,955,500.00 $4,527,525.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $2,581,160.78 $4,429,740.00 $3,746,821.75 nat. median
$3,710,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $539,742.25 $4,578,099.30 $797,591.70 nat. median
$824,563
1.0× median
24
APR_DRG 		Heart And/Or Lung Transplant 4 $700,144.45 $797,872.48 $764,270.14 nat. median
$234,729
outlier · 3.3×
5834
APR_DRG 		Neonate With Ecmo 4 $515,389.74 $587,329.22 $562,593.89 nat. median
$309,665
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $506,330.28 $577,005.22 $552,704.68 nat. median
$182,665
outlier · 3.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $506,330.28 $577,005.22 $552,704.68 nat. median
$246,434
outlier · 2.2×
1614
APR_DRG 		Implantable Heart Assist Systems 4 $463,121.79 $527,765.57 $505,538.76 nat. median
$207,730
outlier · 2.4×
34
APR_DRG 		Description Not Available 4 $449,668.05 $512,433.92 $490,852.80 nat. median
$209,067
outlier · 2.3×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $388,753.99 $443,017.32 $424,359.67 nat. median
$164,289
outlier · 2.6×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $387,349.43 $441,416.70 $422,826.46 nat. median
$124,573
outlier · 3.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $387,349.43 $441,416.70 $422,826.46 nat. median
$145,336
outlier · 2.9×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $367,997.02 $990,095.24 $411,996.66 nat. median
$370,174
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $375,990.49 $428,472.25 $410,427.18 nat. median
$160,267
outlier · 2.6×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $362,621.02 $413,236.64 $395,833.21 nat. median
$105,658
outlier · 3.7×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 4 $351,250.05 $400,278.48 $383,420.78 nat. median
$129,535
outlier · 3.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $349,855.52 $398,689.29 $381,898.52 nat. median
$151,838
outlier · 2.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $320,325.50 $365,037.40 $349,663.87 nat. median
$162,982
outlier · 2.1×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 4 $303,418.53 $345,770.51 $331,208.40 nat. median
$118,620
outlier · 2.8×
23
APR_DRG 		Heart And/Or Lung Transplant 4 $302,359.09 $344,563.18 $330,051.93 nat. median
$93,528
outlier · 3.5×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $293,813.30 $334,824.55 $320,723.44 nat. median
$66,693
outlier · 4.8×
5833
APR_DRG 		Neonate With Ecmo 4 $292,800.01 $333,669.82 $319,617.34 nat. median
$244,017
1.3× median
5831
APR_DRG 		Neonate With Ecmo 4 $287,324.20 $327,429.69 $313,640.01 nat. median
$144,745
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 4 $287,324.20 $327,429.69 $313,640.01 nat. median
$156,126
outlier · 2.0×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $279,504.78 $318,518.81 $305,104.41 nat. median
$109,499
outlier · 2.8×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $276,689.63 $315,310.71 $302,031.42 nat. median
$68,217
outlier · 4.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $273,248.44 $311,389.19 $298,275.05 nat. median
$108,996
outlier · 2.7×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $194,886.30 $1,653,027.60 $287,988.75 nat. median
$324,450
0.9× median
22
APR_DRG 		Heart And/Or Lung Transplant 4 $257,754.06 $293,732.06 $281,361.56 nat. median
$77,804
outlier · 3.6×
J3403
HCPCS 		Revakinagene, Per Implant 9 $180,353.00 $1,557,878.39 $271,411.95 nat. median
$265,000
1.0× median
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 4 $247,717.43 $282,294.49 $270,405.68 nat. median
$95,507
outlier · 2.8×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $245,387.85 $279,639.75 $267,862.74 nat. median
$150,721
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $239,106.16 $642,531.98 $267,694.94 nat. median
$265,286
1.0× median
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 4 $243,569.94 $277,568.09 $265,878.33 nat. median
$93,370
outlier · 2.8×
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 4 $243,569.94 $277,568.09 $265,878.33 nat. median
$89,796
outlier · 3.0×
21
APR_DRG 		Heart And/Or Lung Transplant 4 $242,791.41 $276,680.89 $265,028.49 nat. median
$64,672
outlier · 4.1×
33
APR_DRG 		Description Not Available 4 $237,233.34 $270,347.00 $258,961.36 nat. median
$113,142
outlier · 2.3×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $237,066.80 $270,157.22 $258,779.56 nat. median
$102,919
outlier · 2.5×
904
APR_DRG 		Description Not Available 4 $225,340.67 $256,794.33 $245,979.45 nat. median
$98,750
outlier · 2.5×
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 4 $223,970.22 $255,232.58 $244,483.48 nat. median
$86,492
outlier · 2.8×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $223,568.91 $254,775.26 $244,045.42 nat. median
$86,338
outlier · 2.8×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $221,157.07 $252,026.77 $241,412.68 nat. median
$81,294
outlier · 3.0×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 $218,600.76 $249,113.64 $238,622.23 nat. median
$84,063
outlier · 2.8×
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $216,760.77 $247,016.82 $236,613.73 nat. median
$29,713
outlier · 8.0×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $210,953.89 $240,399.40 $230,275.00 nat. median
$122,924
1.9× median
4404
APR_DRG 		Kidney Transplant 4 $208,359.46 $237,442.83 $227,442.94 nat. median
$79,034
outlier · 2.9×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $202,069.01 $230,274.34 $220,576.35 nat. median
$69,926
outlier · 3.2×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $199,526.74 $227,377.22 $217,801.24 nat. median
$97,957
outlier · 2.2×
1613
APR_DRG 		Implantable Heart Assist Systems 4 $197,433.94 $224,992.29 $215,516.76 nat. median
$119,796
1.8× median
3614
APR_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 $192,636.34 $219,525.03 $210,279.75 nat. median
$50,616
outlier · 4.2×

Other procedures at this hospital

Browse this hospital's 15,875 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 11 — — $239,106.16 $642,531.98 $267,694.94 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 14 4 — — $123,668.09 $140,930.02 $134,994.76 2026-04-01
1104 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 14 4 — — $72,790.67 $82,950.99 $79,457.51 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 14 4 — — $123,668.09 $140,930.02 $134,994.76 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 14 4 — — $122,213.36 $139,272.23 $133,406.79 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 14 4 — — $121,537.17 $138,501.65 $132,668.66 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 14 4 — — $167,875.83 $191,308.39 $183,251.45 2026-04-01
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 4 — — $68,827.79 $78,434.95 $75,131.67 2026-04-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 4 — — $68,827.79 $78,434.95 $75,131.67 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 4 — — $85,867.19 $97,852.76 $93,731.70 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 4 — — $121,852.19 $138,860.64 $133,012.54 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 14 4 — — $351,250.05 $400,278.48 $383,420.78 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 11 — — $103,012.70 $275,546.41 $115,329.44 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 4 — — $68,177.67 $77,694.09 $74,422.01 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 4 — — $95,913.85 $109,301.77 $104,698.53 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 4 — — $199,526.74 $227,377.22 $217,801.24 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 14 4 — — $80,547.89 $91,790.98 $87,925.21 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 14 4 — — $122,951.76 $140,113.70 $134,212.82 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 14 4 — — $197,433.94 $224,992.29 $215,516.76 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 14 4 — — $463,121.79 $527,765.57 $505,538.76 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 4 — — $69,467.87 $79,164.38 $75,830.38 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 4 — — $89,934.41 $102,487.70 $98,171.44 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 4 — — $115,108.26 $131,175.38 $125,650.94 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 4 — — $188,306.26 $214,590.55 $205,553.08 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 4 — — $74,243.39 $84,606.49 $81,043.29 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 4 — — $91,208.55 $103,939.69 $99,562.28 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 4 — — $141,399.75 $161,136.70 $154,350.44 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 4 — — $78,926.62 $89,943.41 $86,155.45 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 4 — — $79,197.50 $90,252.10 $86,451.14 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 4 — — $97,545.16 $111,160.77 $106,479.24 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 4 — — $141,993.68 $161,813.54 $154,998.77 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 4 — — $80,577.99 $91,825.28 $87,958.07 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 4 — — $125,030.52 $142,482.62 $136,481.97 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 4 — — $73,864.16 $84,174.32 $80,629.32 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 4 — — $133,056.62 $151,629.02 $145,243.17 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 14 4 — — $74,550.39 $84,956.34 $81,378.41 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 14 4 — — $144,126.61 $164,244.19 $157,327.06 2026-04-01
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 14 4 — — $72,295.06 $82,386.20 $78,916.51 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 14 4 — — $96,563.97 $110,042.62 $105,408.19 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 14 4 — — $119,665.08 $136,368.25 $130,625.11 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 14 4 — — $76,825.79 $87,549.34 $83,862.21 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 4 — — $98,534.37 $112,288.07 $107,559.06 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 14 4 — — $71,253.67 $81,199.45 $77,779.74 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 14 4 — — $127,105.27 $144,846.96 $138,746.74 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 11 — — $367,997.02 $990,095.24 $411,996.66 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 14 4 — — $96,696.40 $110,193.54 $105,552.75 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 14 4 — — $82,072.85 $93,528.80 $89,589.84 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 14 4 — — $132,761.66 $151,292.89 $144,921.20 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 14 4 — — $125,849.19 $143,415.55 $137,375.62 2026-04-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 14 4 — — $82,614.61 $94,146.18 $90,181.22 2026-04-01
1934 APR_DRG Acute And Subacute Endocarditis 14 4 — — $89,575.24 $102,078.40 $97,779.37 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 11 — — $97,179.03 $259,815.51 $108,798.26 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 11 — — $67,734.35 $180,415.85 $75,833.02 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 14 4 — — $79,047.01 $90,080.61 $86,286.87 2026-04-01
203 APR_DRG Open Craniotomy For Trauma 14 4 — — $71,079.11 $81,000.52 $77,589.19 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 14 4 — — $134,236.46 $152,973.54 $146,531.07 2026-04-01
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 14 4 — — $68,312.11 $77,847.30 $74,568.76 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 32 11 — — $97,068.49 $259,517.45 $108,674.51 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 14 4 — — $242,791.41 $276,680.89 $265,028.49 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 11 — — $93,287.37 $249,321.36 $104,441.29 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 14 4 — — $86,920.61 $99,053.23 $94,881.61 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 14 4 — — $145,300.43 $165,581.85 $158,608.38 2026-04-01
215 MS_DRG Other Heart Assist System Implant 32 11 — — $85,489.58 $228,294.10 $95,711.16 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 11 — — $84,008.42 $224,300.04 $94,052.90 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 14 4 — — $257,754.06 $293,732.06 $281,361.56 2026-04-01
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 4 — — $68,278.00 $77,808.42 $74,531.53 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 4 — — $142,216.40 $162,067.35 $155,241.89 2026-04-01
2214 APR_DRG Description Not Available 14 4 — — $132,597.13 $151,105.39 $144,741.59 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 14 4 — — $111,041.04 $126,540.44 $121,211.20 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 14 4 — — $111,933.94 $127,557.98 $122,185.89 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 14 4 — — $108,101.48 $123,190.58 $118,002.41 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 14 4 — — $111,735.30 $127,331.61 $121,969.05 2026-04-01
2254 APR_DRG Description Not Available 14 4 — — $81,509.02 $92,886.27 $88,974.37 2026-04-01
2264 APR_DRG Anal Procedures 14 4 — — $72,814.75 $82,978.43 $79,483.80 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 14 4 — — $105,818.06 $120,588.42 $115,509.85 2026-04-01
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 14 4 — — $89,406.70 $101,886.32 $97,595.39 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 14 4 — — $116,113.53 $132,320.97 $126,748.28 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 14 4 — — $302,359.09 $344,563.18 $330,051.93 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 11 — — $72,505.18 $193,280.75 $81,174.28 2026-04-01
233 APR_DRG Spinal Procedures 14 4 — — $86,208.30 $98,241.48 $94,104.05 2026-04-01
234 APR_DRG Spinal Procedures 14 4 — — $162,169.28 $184,805.30 $177,022.24 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 14 4 — — $700,144.45 $797,872.48 $764,270.14 2026-04-01
243 APR_DRG Open Extracranial Vascular Procedures 14 4 — — $74,046.76 $84,382.40 $80,828.64 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 14 4 — — $136,315.21 $155,342.46 $148,800.22 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 14 4 — — $149,014.50 $169,814.35 $162,662.63 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 14 4 — — $123,212.61 $140,410.96 $134,497.56 2026-04-01
2624 APR_DRG Description Not Available 14 4 — — $121,466.94 $138,421.62 $132,592.00 2026-04-01
2634 APR_DRG Cholecystectomy 14 4 — — $73,633.41 $83,911.36 $80,377.44 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 14 4 — — $125,927.44 $143,504.73 $137,461.04 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 14 4 — — $123,493.53 $140,731.08 $134,804.20 2026-04-01
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 14 4 — — $74,341.71 $84,718.53 $81,150.62 2026-04-01
2804 APR_DRG Alcoholic Liver Disease 14 4 — — $68,468.62 $78,025.65 $74,739.61 2026-04-01
2824 APR_DRG Disorders Of Pancreas Except Malignancy 14 4 — — $69,361.52 $79,043.19 $75,714.29 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 11 — — $181,299.17 $486,651.39 $202,976.25 2026-04-01
3014 APR_DRG Hip Joint Replacement 14 4 — — $121,468.94 $138,423.90 $132,594.19 2026-04-01
3024 APR_DRG Knee Joint Replacement 14 4 — — $109,211.09 $124,455.06 $119,213.65 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 4 — — $88,684.35 $101,063.15 $96,806.88 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 4 — — $106,113.02 $120,924.55 $115,831.83 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 4 — — $140,215.90 $159,787.61 $153,058.16 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 4 — — $218,600.76 $249,113.64 $238,622.23 2026-04-01
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 4 — — $74,939.66 $85,399.94 $81,803.32 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 4 — — $106,899.57 $121,820.90 $116,690.42 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 4 — — $184,243.05 $209,960.19 $201,117.73 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 14 4 — — $126,447.13 $144,096.96 $138,028.33 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 14 4 — — $115,752.36 $131,909.38 $126,354.03 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 14 4 — — $115,276.81 $131,367.46 $125,834.93 2026-04-01
31 APR_DRG Description Not Available 14 4 — — $132,944.25 $151,500.97 $145,120.52 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 14 4 — — $137,290.39 $156,453.75 $149,864.71 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 14 4 — — $90,849.39 $103,530.39 $99,170.21 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 14 4 — — $180,633.31 $205,846.59 $197,177.38 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 14 4 — — $129,848.19 $147,972.75 $141,740.88 2026-04-01
3144 APR_DRG Foot And Toe Procedures 14 4 — — $77,150.85 $87,919.77 $84,217.04 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 14 4 — — $103,002.90 $117,380.32 $112,436.86 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 14 4 — — $126,772.19 $144,467.39 $138,383.15 2026-04-01
32 APR_DRG Description Not Available 14 4 — — $155,718.30 $177,453.88 $169,980.42 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 14 4 — — $100,398.43 $114,412.32 $109,593.85 2026-04-01
3213 APR_DRG Decompression 14 4 — — $74,293.56 $84,663.65 $81,098.05 2026-04-01
3214 APR_DRG Decompression 14 4 — — $141,744.87 $161,530.00 $154,727.17 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 14 4 — — $68,591.02 $78,165.13 $74,873.22 2026-04-01
33 APR_DRG Description Not Available 14 4 — — $237,233.34 $270,347.00 $258,961.36 2026-04-01
34 APR_DRG Description Not Available 14 4 — — $449,668.05 $512,433.92 $490,852.80 2026-04-01
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 14 4 — — $77,287.29 $88,075.26 $84,365.98 2026-04-01
3444 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 14 4 — — $68,879.96 $78,494.40 $75,188.62 2026-04-01
3464 APR_DRG Connective Tissue Disorders 14 4 — — $97,808.01 $111,460.32 $106,766.17 2026-04-01
3494 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 14 4 — — $71,661.00 $81,663.63 $78,224.37 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 4 — — $192,636.34 $219,525.03 $210,279.75 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 14 4 — — $106,532.38 $121,402.45 $116,289.60 2026-04-01
3814 APR_DRG Major Skin Disorders 14 4 — — $118,441.10 $134,973.42 $129,289.03 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 32 9 — — $41,423.28 $466,462.43 $81,266.60 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 11 — — $118,602.32 $317,584.90 $132,783.03 2026-04-01
4014 APR_DRG Adrenal Procedures 14 4 — — $140,209.88 $159,780.75 $153,051.59 2026-04-01
4034 APR_DRG Procedures For Obesity 14 4 — — $131,963.06 $150,382.82 $144,049.46 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 14 4 — — $168,309.24 $191,802.29 $183,724.55 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 4 — — $144,240.98 $164,374.53 $157,451.91 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 4 — — $144,240.98 $164,374.53 $157,451.91 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 14 4 — — $109,120.79 $124,352.17 $119,115.08 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 11 — — $94,538.11 $252,694.07 $108,666.67 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 11 — — $77,434.17 $206,572.11 $86,692.61 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 4 — — $202,069.01 $230,274.34 $220,576.35 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 14 4 — — $118,740.07 $135,314.13 $129,615.38 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 4 — — $362,621.02 $413,236.64 $395,833.21 2026-04-01
4401 APR_DRG Kidney Transplant 14 4 — — $74,361.78 $84,741.40 $81,172.52 2026-04-01
4402 APR_DRG Kidney Transplant 14 4 — — $93,211.07 $106,221.72 $101,748.20 2026-04-01
4403 APR_DRG Kidney Transplant 14 4 — — $113,818.07 $129,705.10 $124,242.58 2026-04-01
4404 APR_DRG Kidney Transplant 14 4 — — $208,359.46 $237,442.83 $227,442.94 2026-04-01
4414 APR_DRG Major Bladder Procedures 14 4 — — $135,707.24 $154,649.62 $148,136.56 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 14 4 — — $127,933.96 $145,791.33 $139,651.34 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 14 4 — — $101,686.62 $115,880.31 $111,000.02 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 14 4 — — $124,121.57 $141,446.79 $135,489.77 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 14 4 — — $153,109.82 $174,481.30 $167,133.03 2026-04-01
454 APR_DRG Cva And Precerebral Occlusion With Infarction 14 4 — — $68,627.13 $78,206.29 $74,912.64 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 11 — — $72,279.86 $192,673.16 $80,922.02 2026-04-01
4624 APR_DRG Nephritis And Nephrosis 14 4 — — $80,624.14 $91,877.87 $88,008.44 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 14 4 — — $85,839.10 $97,820.75 $93,701.03 2026-04-01
484 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 14 4 — — $69,913.32 $79,672.00 $76,316.62 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 14 4 — — $119,739.32 $136,452.86 $130,706.15 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 11 — — $88,495.27 $236,399.14 $99,076.23 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 14 4 — — $107,278.81 $122,253.07 $117,104.39 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 4 — — $114,293.61 $130,247.02 $124,761.68 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 14 4 — — $128,604.14 $146,555.05 $140,382.90 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 14 4 — — $124,934.21 $142,372.86 $136,376.84 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 14 4 — — $150,557.52 $171,572.74 $164,346.97 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 14 4 — — $96,345.26 $109,793.39 $105,169.44 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 14 4 — — $119,948.00 $136,690.66 $130,933.94 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 14 4 — — $121,370.62 $138,311.86 $132,486.87 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 4 — — $117,253.24 $133,619.76 $127,992.37 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 4 — — $185,256.34 $211,114.92 $202,223.83 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 4 — — $276,689.63 $315,310.71 $302,031.42 2026-04-01
5464 APR_DRG Description Not Available 14 4 — — $86,435.03 $98,499.87 $94,351.55 2026-04-01
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 14 4 — — $67,884.72 $77,360.25 $74,102.23 2026-04-01
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 14 4 — — $76,328.17 $86,982.26 $83,319.01 2026-04-01
5831 APR_DRG Neonate With Ecmo 14 4 — — $287,324.20 $327,429.69 $313,640.01 2026-04-01
5832 APR_DRG Neonate With Ecmo 14 4 — — $287,324.20 $327,429.69 $313,640.01 2026-04-01
5833 APR_DRG Neonate With Ecmo 14 4 — — $292,800.01 $333,669.82 $319,617.34 2026-04-01
5834 APR_DRG Neonate With Ecmo 14 4 — — $515,389.74 $587,329.22 $562,593.89 2026-04-01
584 APR_DRG Other Disorders Of Nervous System 14 4 — — $67,987.05 $77,476.87 $74,213.93 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 4 — — $387,349.43 $441,416.70 $422,826.46 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 4 — — $387,349.43 $441,416.70 $422,826.46 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 4 — — $506,330.28 $577,005.22 $552,704.68 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 4 — — $506,330.28 $577,005.22 $552,704.68 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 14 4 — — $243,569.94 $277,568.09 $265,878.33 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 14 4 — — $243,569.94 $277,568.09 $265,878.33 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 14 4 — — $88,285.05 $100,608.11 $96,371.01 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 4 — — $178,367.94 $203,265.02 $194,704.53 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 4 — — $221,157.07 $252,026.77 $241,412.68 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 4 — — $237,066.80 $270,157.22 $258,779.56 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 4 — — $388,753.99 $443,017.32 $424,359.67 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 4 — — $216,760.77 $247,016.82 $236,613.73 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 4 — — $223,568.91 $254,775.26 $244,045.42 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 4 — — $273,248.44 $311,389.19 $298,275.05 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 4 — — $349,855.52 $398,689.29 $381,898.52 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $130,277.58 $148,462.08 $142,209.61 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $190,298.74 $216,861.14 $207,728.05 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $223,970.22 $255,232.58 $244,483.48 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $303,418.53 $345,770.51 $331,208.40 2026-04-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 4 — — $103,821.56 $118,313.26 $113,330.50 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 4 — — $138,420.06 $157,741.10 $151,097.85 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 4 — — $180,155.76 $205,302.38 $196,656.09 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 4 — — $279,504.78 $318,518.81 $305,104.41 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $121,218.13 $138,138.08 $132,320.40 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $150,055.89 $171,001.09 $163,799.40 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $183,578.89 $209,203.32 $200,392.74 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 14 4 — — $247,717.43 $282,294.49 $270,405.68 2026-04-01
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 4 — — $85,164.90 $97,052.45 $92,965.09 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 4 — — $114,090.95 $130,016.08 $124,540.46 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 4 — — $136,917.17 $156,028.44 $149,457.31 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 4 — — $144,116.58 $164,232.76 $157,316.11 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 4 — — $71,586.76 $81,579.03 $78,143.33 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 4 — — $72,136.54 $82,205.56 $78,743.48 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 4 — — $146,137.15 $166,535.36 $159,521.74 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 4 — — $320,325.50 $365,037.40 $349,663.87 2026-04-01
61 APR_DRG Pancreas Transplant 14 4 — — $101,437.81 $115,596.78 $110,728.43 2026-04-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 4 — — $80,961.24 $92,262.02 $88,376.41 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 4 — — $125,724.78 $143,273.78 $137,239.82 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 4 — — $164,809.86 $187,814.46 $179,904.67 2026-04-01
6121 APR_DRG Respiratory Condition 14 4 — — $70,593.53 $80,447.16 $77,059.13 2026-04-01
6122 APR_DRG Respiratory Condition 14 4 — — $91,298.85 $104,042.59 $99,660.84 2026-04-01
6123 APR_DRG Respiratory Condition 14 4 — — $127,273.82 $145,039.04 $138,930.73 2026-04-01
6124 APR_DRG Respiratory Condition 14 4 — — $170,024.82 $193,757.34 $185,597.26 2026-04-01
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 4 — — $80,814.76 $92,095.10 $88,216.52 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 4 — — $101,283.31 $115,420.71 $110,559.77 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 4 — — $103,899.82 $118,402.43 $113,415.92 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 4 — — $101,050.56 $115,155.46 $110,305.70 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 4 — — $101,050.56 $115,155.46 $110,305.70 2026-04-01
62 APR_DRG Pancreas Transplant 14 4 — — $101,437.81 $115,596.78 $110,728.43 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 4 — — $79,825.54 $90,967.81 $87,136.70 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 4 — — $136,285.12 $155,308.16 $148,767.37 2026-04-01
6223 APR_DRG Respiratory Condition 14 4 — — $72,351.24 $82,450.22 $78,977.84 2026-04-01
6224 APR_DRG Respiratory Condition 14 4 — — $103,717.23 $118,194.35 $113,216.61 2026-04-01
63 APR_DRG Pancreas Transplant 14 4 — — $146,761.18 $167,246.50 $160,202.92 2026-04-01
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 4 — — $69,201.00 $78,860.26 $75,539.07 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 4 — — $71,968.00 $82,013.48 $78,559.49 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 4 — — $118,896.58 $135,492.48 $129,786.23 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 4 — — $245,387.85 $279,639.75 $267,862.74 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 4 — — $97,838.11 $111,494.62 $106,799.03 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 4 — — $210,953.89 $240,399.40 $230,275.00 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 4 — — $107,427.29 $122,422.28 $117,266.47 2026-04-01
6344 APR_DRG Respiratory Condition 14 4 — — $80,933.15 $92,230.01 $88,345.75 2026-04-01
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 14 4 — — $76,936.15 $87,675.10 $83,982.67 2026-04-01
64 APR_DRG Pancreas Transplant 14 4 — — $153,276.36 $174,671.09 $167,314.83 2026-04-01
6504 APR_DRG Splenectomy 14 4 — — $114,432.06 $130,404.80 $124,912.81 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 14 4 — — $75,684.08 $86,248.27 $82,615.93 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 14 4 — — $99,884.76 $113,826.95 $109,033.13 2026-04-01
6614 APR_DRG Coagulation And Platelet Disorders 14 4 — — $91,619.89 $104,408.44 $100,011.29 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 4 — — $77,626.39 $88,461.69 $84,736.14 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 4 — — $179,509.66 $204,566.10 $195,950.81 2026-04-01
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 4 — — $76,635.17 $87,332.11 $83,654.13 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 4 — — $180,009.28 $205,135.46 $196,496.19 2026-04-01
6903 APR_DRG Acute Leukemia 14 4 — — $121,653.54 $138,634.27 $132,795.70 2026-04-01
6904 APR_DRG Acute Leukemia 14 4 — — $175,633.05 $200,148.38 $191,719.15 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 14 4 — — $127,069.15 $144,805.80 $138,707.32 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 14 4 — — $148,217.91 $168,906.57 $161,793.08 2026-04-01
6964 APR_DRG Other Chemotherapy 14 4 — — $88,174.69 $100,482.35 $96,250.54 2026-04-01
7 MS_DRG Lung Transplant 32 11 — — $110,939.73 $296,922.19 $124,204.26 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 4 — — $126,820.34 $144,522.27 $138,435.72 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 14 4 — — $121,111.78 $138,016.89 $132,204.32 2026-04-01
7244 APR_DRG Other Infectious And Parasitic Diseases 14 4 — — $72,648.21 $82,788.64 $79,302.00 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 14 4 — — $78,641.70 $89,618.71 $85,844.43 2026-04-01
7914 APR_DRG Description Not Available 14 4 — — $132,645.28 $151,160.27 $144,794.16 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 14 4 — — $107,686.13 $122,717.25 $117,549.02 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 14 4 — — $142,100.02 $161,934.73 $155,114.86 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 4 — — $293,813.30 $334,824.55 $320,723.44 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 4 — — $375,990.49 $428,472.25 $410,427.18 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 4 — — $87,554.67 $99,775.79 $95,573.74 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 4 — — $173,317.52 $197,509.65 $189,191.54 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 14 4 — — $101,925.40 $116,152.42 $111,260.67 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 11 — — $74,457.39 $198,545.02 $83,359.91 2026-04-01
8504 APR_DRG Services 14 4 — — $153,031.57 $174,392.12 $167,047.61 2026-04-01
8633 APR_DRG Neonatal Aftercare 14 4 — — $83,300.84 $94,928.20 $90,930.30 2026-04-01
8634 APR_DRG Neonatal Aftercare 14 4 — — $106,325.71 $121,166.93 $116,064.00 2026-04-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 14 4 — — $75,977.03 $86,582.11 $82,935.71 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 14 4 — — $76,448.56 $87,119.46 $83,450.43 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 14 4 — — $136,816.85 $155,914.11 $149,347.80 2026-04-01
903 APR_DRG Description Not Available 14 4 — — $81,998.61 $93,444.20 $89,508.80 2026-04-01
904 APR_DRG Description Not Available 14 4 — — $225,340.67 $256,794.33 $245,979.45 2026-04-01
9101 APR_DRG Craniotomy For Multiple Significant Trauma 14 4 — — $75,433.26 $85,962.44 $82,342.14 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 14 4 — — $75,433.26 $85,962.44 $82,342.14 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 14 4 — — $77,794.94 $88,653.77 $84,920.12 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 4 — — $144,118.59 $164,235.05 $157,318.30 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 14 4 — — $130,229.43 $148,407.20 $142,157.04 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 4 — — $78,966.75 $89,989.14 $86,199.26 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 4 — — $152,026.30 $173,246.54 $165,950.27 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 14 4 — — $73,932.38 $84,252.06 $80,703.79 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 14 4 — — $83,124.27 $94,726.98 $90,737.56 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 14 4 — — $147,547.74 $168,142.84 $161,061.52 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 11 — — $182,364.55 $489,524.26 $204,169.01 2026-04-01
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 14 4 — — $73,318.39 $83,552.36 $80,033.56 2026-04-01
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 4 — — $80,148.59 $91,335.95 $87,489.34 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 4 — — $162,815.38 $185,541.58 $177,727.51 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 4 — — $125,911.39 $143,486.44 $137,443.52 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 14 4 — — $119,018.98 $135,631.97 $129,919.83 2026-04-01
974 APR_DRG Tonsil And Adenoid Procedures 14 4 — — $79,743.28 $90,874.06 $87,046.90 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 14 4 — — $83,501.50 $95,156.86 $91,149.33 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 24 8 — — $2,581,160.78 $4,429,740.00 $3,746,821.75 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 20 7 — — $3,155,302.00 $4,955,500.00 $4,527,525.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 32 9 — — $144,030.26 $1,204,280.86 $209,808.56 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 32 9 — — $180,353.00 $1,557,878.39 $271,411.95 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 32 9 — — $65,644.05 $643,052.09 $112,031.86 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 32 9 — — $539,742.25 $4,578,099.30 $797,591.70 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 32 9 — — $194,886.30 $1,653,027.60 $287,988.75 2026-04-01
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