Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

OLEAN GENERAL HOSPITAL

Olean, NY · CCN 330103 · Rates published

20,007 distinct procedures filed
31 distinct payers
529,626 rate rows
2026-04-01 last MRF observed
Data quality

465,747 of 529,626 rate rows are consumer-grade (87.9%)

63,879 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 63,769
placeholder amount (≤ $0.02) — excluded from medians 110
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/1225083074_upper-allegheny-health-system_standardcharges.json
Found on page https://www.brmc-ogh.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 3e731b63366a3c1f… · 112,045,269 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $2,969,033.24 $4,798,885.00 $3,654,350.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $2,671,383.02 $4,317,789.29 $3,321,376.38 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,080,794.28 $4,658,826.73 $2,597,176.90 nat. median
$2,469,189
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $493,985.62 $1,977,293.69 $616,576.11 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $473,326.37 $1,894,600.18 $590,789.94 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $452,226.39 $1,810,142.54 $564,453.65 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $450,231.92 $1,802,159.21 $561,964.23 nat. median
$625,184
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant 6 $354,761.20 $974,609.65 $561,574.38 nat. median
$234,738
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $427,766.25 $1,712,235.05 $533,923.33 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $393,536.43 $1,575,222.16 $508,862.23 nat. median
$620,080
0.8× median
5834
APR_DRG 		Neonate With Ecmo 6 $261,146.51 $717,428.83 $413,385.66 nat. median
$309,665
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $256,556.11 $704,817.95 $406,119.21 nat. median
$182,736
outlier · 2.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $256,556.11 $704,817.95 $406,119.21 nat. median
$246,434
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 $146,089.31 $527,326.55 $405,635.81 nat. median
$370,174
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $234,662.49 $644,671.21 $371,462.40 nat. median
$207,730
1.8× median
34
APR_DRG 		Description Not Available 6 $227,845.52 $625,943.43 $360,671.37 nat. median
$209,067
1.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $196,980.54 $541,150.32 $311,813.20 nat. median
$164,279
1.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $196,268.85 $539,195.15 $310,686.62 nat. median
$145,336
outlier · 2.1×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $196,268.85 $539,195.15 $310,686.62 nat. median
$124,573
outlier · 2.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $190,513.31 $523,383.37 $301,575.81 nat. median
$160,267
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $183,739.04 $504,772.91 $290,852.38 nat. median
$105,658
outlier · 2.8×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 6 $177,977.40 $488,944.38 $281,731.91 nat. median
$129,535
outlier · 2.2×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $177,270.80 $487,003.17 $280,613.37 nat. median
$151,838
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $109,116.63 $381,170.26 $263,389.52 nat. median
$265,286
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $162,308.02 $445,897.03 $256,927.83 nat. median
$162,982
1.6× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 6 $153,741.31 $422,362.32 $243,367.03 nat. median
$118,620
outlier · 2.1×
23
APR_DRG 		Heart And/Or Lung Transplant 6 $153,204.49 $420,887.56 $242,517.27 nat. median
$93,528
outlier · 2.6×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $148,874.36 $408,991.72 $235,662.83 nat. median
$66,693
outlier · 3.5×
5833
APR_DRG 		Neonate With Ecmo 6 $148,360.93 $407,581.20 $234,850.09 nat. median
$244,017
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $145,586.36 $399,958.81 $230,458.03 nat. median
$156,126
1.5× median
5831
APR_DRG 		Neonate With Ecmo 6 $145,586.36 $399,958.81 $230,458.03 nat. median
$145,122
1.6× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $141,624.28 $389,074.08 $224,186.20 nat. median
$109,499
outlier · 2.0×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $140,197.85 $385,155.35 $221,928.21 nat. median
$68,217
outlier · 3.3×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $138,454.21 $380,365.18 $219,168.09 nat. median
$108,996
outlier · 2.0×
22
APR_DRG 		Heart And/Or Lung Transplant 6 $130,603.25 $358,796.81 $206,740.31 nat. median
$78,029
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 $91,902.13 $370,762.79 $200,768.46 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $83,020.59 $299,892.41 $199,592.68 nat. median
$202,986
1.0× median
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 6 $125,517.72 $344,825.69 $198,690.09 nat. median
$95,507
outlier · 2.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $124,337.33 $341,582.90 $196,821.57 nat. median
$150,721
1.3× median
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 6 $123,416.20 $339,052.34 $195,363.46 nat. median
$93,260
outlier · 2.1×
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 6 $123,416.20 $339,052.34 $195,363.46 nat. median
$89,790
outlier · 2.2×
21
APR_DRG 		Heart And/Or Lung Transplant 6 $123,021.72 $337,968.62 $194,739.01 nat. median
$65,130
outlier · 3.0×
33
APR_DRG 		Description Not Available 6 $120,205.46 $330,231.72 $190,280.97 nat. median
$113,142
1.7× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $120,121.07 $329,999.89 $190,147.39 nat. median
$102,636
1.9× median
904
APR_DRG 		Description Not Available 6 $114,179.48 $313,676.98 $180,742.06 nat. median
$98,750
1.8× median
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 6 $113,485.07 $311,769.28 $179,642.84 nat. median
$86,492
outlier · 2.1×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $113,281.73 $311,210.66 $179,320.96 nat. median
$86,258
outlier · 2.1×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $112,059.66 $307,853.35 $177,386.46 nat. median
$81,294
outlier · 2.2×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 $110,764.38 $304,294.93 $175,336.08 nat. median
$84,162
outlier · 2.1×
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $109,832.07 $301,733.66 $173,860.26 nat. median
$29,713
outlier · 5.9×

Other procedures at this hospital

Browse this hospital's 20,007 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 23 13 — — $2,969,033.24 $4,798,885.00 $3,654,350.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 23 13 — — $2,671,383.02 $4,317,789.29 $3,321,376.38 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 27 13 — — $2,080,794.28 $4,658,826.73 $2,597,176.90 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 33 15 — — $493,985.62 $1,977,293.69 $616,576.11 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 33 15 — — $473,326.37 $1,894,600.18 $590,789.94 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 33 15 — — $452,226.39 $1,810,142.54 $564,453.65 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 33 15 — — $450,231.92 $1,802,159.21 $561,964.23 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 9 6 — — $354,761.20 $974,609.65 $561,574.38 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 33 15 — — $427,766.25 $1,712,235.05 $533,923.33 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 33 15 — — $393,536.43 $1,575,222.16 $508,862.23 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 6 — — $261,146.51 $717,428.83 $413,385.66 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 — — $256,556.11 $704,817.95 $406,119.21 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 — — $256,556.11 $704,817.95 $406,119.21 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 34 25 — — $146,089.31 $527,326.55 $405,635.81 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 9 6 — — $234,662.49 $644,671.21 $371,462.40 2026-04-01
34 APR_DRG Description Not Available 9 6 — — $227,845.52 $625,943.43 $360,671.37 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 — — $196,980.54 $541,150.32 $311,813.20 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 — — $196,268.85 $539,195.15 $310,686.62 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 — — $196,268.85 $539,195.15 $310,686.62 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 — — $190,513.31 $523,383.37 $301,575.81 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 — — $183,739.04 $504,772.91 $290,852.38 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 9 6 — — $177,977.40 $488,944.38 $281,731.91 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 — — $177,270.80 $487,003.17 $280,613.37 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 25 — — $109,116.63 $381,170.26 $263,389.52 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 6 — — $162,308.02 $445,897.03 $256,927.83 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $153,741.31 $422,362.32 $243,367.03 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 9 6 — — $153,204.49 $420,887.56 $242,517.27 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 — — $148,874.36 $408,991.72 $235,662.83 2026-04-01
5833 APR_DRG Neonate With Ecmo 9 6 — — $148,360.93 $407,581.20 $234,850.09 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 6 — — $145,586.36 $399,958.81 $230,458.03 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 6 — — $145,586.36 $399,958.81 $230,458.03 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 — — $141,624.28 $389,074.08 $224,186.20 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $140,197.85 $385,155.35 $221,928.21 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 — — $138,454.21 $380,365.18 $219,168.09 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 9 6 — — $130,603.25 $358,796.81 $206,740.31 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 25 — — $91,902.13 $370,762.79 $200,768.46 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 25 — — $83,020.59 $299,892.41 $199,592.68 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $125,517.72 $344,825.69 $198,690.09 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 — — $124,337.33 $341,582.90 $196,821.57 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 9 6 — — $123,416.20 $339,052.34 $195,363.46 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 9 6 — — $123,416.20 $339,052.34 $195,363.46 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 9 6 — — $123,021.72 $337,968.62 $194,739.01 2026-04-01
33 APR_DRG Description Not Available 9 6 — — $120,205.46 $330,231.72 $190,280.97 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 — — $120,121.07 $329,999.89 $190,147.39 2026-04-01
904 APR_DRG Description Not Available 9 6 — — $114,179.48 $313,676.98 $180,742.06 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $113,485.07 $311,769.28 $179,642.84 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 — — $113,281.73 $311,210.66 $179,320.96 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 — — $112,059.66 $307,853.35 $177,386.46 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 6 — — $110,764.38 $304,294.93 $175,336.08 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 — — $109,832.07 $301,733.66 $173,860.26 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 — — $106,889.74 $293,650.41 $169,202.66 2026-04-01
4404 APR_DRG Kidney Transplant 9 6 — — $105,575.14 $290,038.92 $167,121.71 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 — — $102,387.79 $281,282.53 $162,076.24 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 — — $101,099.63 $277,743.67 $160,037.13 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 6 — — $100,039.21 $274,830.46 $158,358.52 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 6 — — $97,608.28 $268,152.14 $154,510.45 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $96,423.83 $264,898.17 $152,635.50 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 — — $95,414.24 $262,124.62 $151,037.36 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $93,868.86 $257,879.10 $148,591.07 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 6 — — $93,355.43 $256,468.58 $147,778.33 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $93,018.90 $255,544.06 $147,245.62 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 6 — — $91,526.38 $251,443.78 $144,883.02 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 — — $91,284.41 $250,779.02 $144,499.98 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 6 — — $91,210.19 $250,575.13 $144,382.49 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 6 — — $90,957.03 $249,879.64 $143,981.75 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 — — $90,378.53 $248,290.36 $143,066.00 2026-04-01
6904 APR_DRG Acute Leukemia 9 6 — — $88,992.77 $244,483.36 $140,872.39 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 6 — — $87,819.50 $241,260.12 $139,015.14 2026-04-01
6124 APR_DRG Respiratory Condition 9 6 — — $86,151.09 $236,676.63 $136,374.12 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 9 6 — — $85,281.81 $234,288.52 $134,998.08 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 9 6 — — $85,062.21 $233,685.21 $134,650.45 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 6 — — $83,508.69 $229,417.35 $132,191.29 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 6 — — $82,498.09 $226,641.00 $130,591.54 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 25 — — $54,736.13 $206,770.94 $130,399.29 2026-04-01
234 APR_DRG Spinal Procedures 9 6 — — $82,170.71 $225,741.62 $130,073.32 2026-04-01
32 APR_DRG Description Not Available 9 6 — — $78,902.02 $216,761.78 $124,899.10 2026-04-01
64 APR_DRG Pancreas Transplant 9 6 — — $77,664.70 $213,362.57 $122,940.46 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 9 6 — — $77,580.31 $213,130.75 $122,806.88 2026-04-01
8504 APR_DRG Services 9 6 — — $77,540.66 $213,021.82 $122,744.11 2026-04-01
7 MS_DRG Lung Transplant 34 25 — — $50,625.04 $172,539.80 $121,942.72 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 6 — — $77,031.29 $211,622.47 $121,937.80 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 9 6 — — $76,287.07 $209,577.92 $120,759.72 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $76,032.89 $208,879.64 $120,357.37 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 9 6 — — $75,505.23 $207,430.02 $119,522.09 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $56,520.14 $124,644.90 $119,442.54 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 9 6 — — $75,101.60 $206,321.15 $118,883.16 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 9 6 — — $74,762.02 $205,388.26 $118,345.62 2026-04-01
63 APR_DRG Pancreas Transplant 9 6 — — $74,363.47 $204,293.36 $117,714.73 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 6 — — $74,047.28 $203,424.70 $117,214.21 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 9 6 — — $73,623.31 $202,259.98 $116,543.09 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 — — $73,086.50 $200,785.22 $115,693.33 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 — — $73,086.50 $200,785.22 $115,693.33 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 9 6 — — $73,028.54 $200,626.01 $115,601.59 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 6 — — $73,024.48 $200,614.84 $115,595.16 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 6 — — $73,023.46 $200,612.05 $115,593.55 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 9 6 — — $72,060.65 $197,966.97 $114,069.44 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 — — $72,001.68 $197,804.97 $113,976.10 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 6 — — $71,947.79 $197,656.94 $113,890.80 2026-04-01
3214 APR_DRG Decompression 9 6 — — $71,821.72 $197,310.59 $113,691.23 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 6 — — $71,646.85 $196,830.18 $113,414.42 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 34 25 — — $50,752.89 $161,209.59 $113,194.31 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 6 — — $71,047.00 $195,182.25 $112,464.87 2026-04-01
4014 APR_DRG Adrenal Procedures 9 6 — — $71,043.95 $195,173.87 $112,460.04 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 — — $70,137.05 $192,682.42 $111,024.46 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 9 6 — — $69,564.65 $191,109.90 $110,118.37 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 6 — — $69,375.54 $190,590.38 $109,819.02 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 9 6 — — $69,324.71 $190,450.73 $109,738.55 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 9 6 — — $69,070.53 $189,752.45 $109,336.20 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 6 — — $69,055.28 $189,710.55 $109,312.06 2026-04-01
4414 APR_DRG Major Bladder Procedures 9 6 — — $68,762.47 $188,906.14 $108,848.55 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 31 13 — — $60,762.30 $348,478.64 $108,665.50 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 9 6 — — $68,017.23 $186,858.79 $107,668.86 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 25 — — $42,690.32 $172,226.12 $106,756.17 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 6 — — $67,419.41 $185,216.45 $106,722.53 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 21 20 — — $103,435.15 $138,624.43 $106,634.18 2026-04-01
31 APR_DRG Description Not Available 9 6 — — $67,362.48 $185,060.03 $106,632.41 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 9 6 — — $67,269.96 $184,805.86 $106,485.95 2026-04-01
7914 APR_DRG Description Not Available 9 6 — — $67,210.99 $184,643.86 $106,392.61 2026-04-01
2214 APR_DRG Description Not Available 9 6 — — $67,186.59 $184,576.82 $106,353.98 2026-04-01
4034 APR_DRG Procedures For Obesity 9 6 — — $66,865.31 $183,694.20 $105,845.41 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $66,011.28 $181,347.99 $104,493.51 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 6 — — $65,986.88 $181,280.96 $104,454.89 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 9 6 — — $65,793.71 $180,750.27 $104,149.10 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 24 — — $8,318.22 $134,994.08 $103,841.60 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 9 6 — — $65,163.35 $179,018.54 $103,151.27 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 9 6 — — $64,823.78 $178,085.65 $102,613.73 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 25 — — $42,199.87 $151,501.20 $102,461.26 2026-04-01
6123 APR_DRG Respiratory Condition 9 6 — — $64,489.28 $177,166.71 $102,084.24 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 9 6 — — $64,403.88 $176,932.09 $101,949.05 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 9 6 — — $64,385.58 $176,881.82 $101,920.08 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 9 6 — — $64,259.51 $176,535.47 $101,720.52 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 9 6 — — $64,235.11 $176,468.44 $101,681.89 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 9 6 — — $64,070.40 $176,015.95 $101,421.17 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 9 6 — — $63,807.08 $175,292.54 $101,004.33 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 6 — — $63,798.94 $175,270.19 $100,991.46 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 9 6 — — $63,767.42 $175,183.61 $100,941.57 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 6 — — $63,704.39 $175,010.44 $100,841.79 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 6 — — $63,352.61 $174,044.02 $100,284.93 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 9 6 — — $63,303.81 $173,909.95 $100,207.68 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 9 6 — — $62,892.05 $172,778.74 $99,555.87 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 9 6 — — $62,662.27 $172,147.50 $99,192.15 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 9 6 — — $62,662.27 $172,147.50 $99,192.15 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 9 6 — — $62,573.82 $171,904.50 $99,052.13 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 9 6 — — $62,431.48 $171,513.47 $98,826.82 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 6 — — $62,299.31 $171,150.36 $98,617.59 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 9 6 — — $61,925.16 $170,122.50 $98,025.34 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 6 — — $61,742.16 $169,619.74 $97,735.64 2026-04-01
6903 APR_DRG Acute Leukemia 9 6 — — $61,641.50 $169,343.22 $97,576.31 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 9 6 — — $61,582.54 $169,181.22 $97,482.97 2026-04-01
3014 APR_DRG Hip Joint Replacement 9 6 — — $61,547.97 $169,086.26 $97,428.25 2026-04-01
2624 APR_DRG Description Not Available 9 6 — — $61,546.95 $169,083.46 $97,426.64 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 9 6 — — $61,498.15 $168,949.40 $97,349.39 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 9 6 — — $61,420.88 $168,737.12 $97,227.07 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 25 — — $41,252.68 $145,583.62 $97,172.62 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 9 6 — — $61,367.00 $168,589.09 $97,141.77 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 9 6 — — $60,777.31 $166,969.08 $96,208.32 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 9 6 — — $60,671.57 $166,678.60 $96,040.95 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 9 6 — — $60,633.95 $166,575.26 $95,981.40 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 9 6 — — $60,306.58 $165,675.88 $95,463.17 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 — — $60,244.56 $165,505.50 $95,365.00 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 9 6 — — $60,165.26 $165,287.63 $95,239.46 2026-04-01
3814 APR_DRG Major Skin Disorders 9 6 — — $60,013.77 $164,871.46 $94,999.66 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $59,411.88 $163,217.94 $94,046.90 2026-04-01
215 MS_DRG Other Heart Assist System Implant 34 25 — — $41,041.93 $143,681.89 $93,855.49 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 9 6 — — $58,834.40 $161,631.46 $93,132.76 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 9 6 — — $58,651.39 $161,128.70 $92,843.07 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 9 6 — — $58,410.43 $160,466.73 $92,461.64 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 — — $58,325.03 $160,232.11 $92,326.45 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 25 — — $37,385.65 $136,515.24 $92,220.85 2026-04-01
6504 APR_DRG Splenectomy 9 6 — — $57,982.40 $159,290.84 $91,784.08 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $57,912.25 $159,098.11 $91,673.03 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 6 — — $57,809.56 $158,816.01 $91,510.48 2026-04-01
4403 APR_DRG Kidney Transplant 9 6 — — $57,671.29 $158,436.14 $91,291.61 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $91,031.93 $91,031.93 $91,031.93 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 9 6 — — $56,716.61 $155,813.42 $89,780.38 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 9 6 — — $56,615.96 $155,536.90 $89,621.05 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $42,302.40 $93,290.26 $89,396.57 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 9 6 — — $56,264.18 $154,570.49 $89,064.20 2026-04-01
3024 APR_DRG Knee Joint Replacement 9 6 — — $55,336.95 $152,023.17 $87,596.42 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 9 6 — — $55,291.20 $151,897.48 $87,524.00 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 9 6 — — $54,774.71 $150,478.59 $86,706.43 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 — — $54,564.26 $149,900.41 $86,373.28 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 6 — — $54,433.10 $149,540.10 $86,165.67 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 9 6 — — $54,357.87 $149,333.41 $86,046.57 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 6 — — $54,165.71 $148,805.52 $85,742.39 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 9 6 — — $53,979.65 $148,294.38 $85,447.87 2026-04-01
8634 APR_DRG Neonatal Aftercare 9 6 — — $53,874.93 $148,006.69 $85,282.11 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 6 — — $53,767.16 $147,710.62 $85,111.51 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 24 — — $32,309.16 $110,455.01 $84,965.39 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 9 6 — — $53,617.71 $147,300.03 $84,874.93 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 6 — — $52,645.74 $144,629.82 $83,336.34 2026-04-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 — — $52,606.09 $144,520.89 $83,273.57 2026-04-01
6224 APR_DRG Respiratory Condition 9 6 — — $52,553.22 $144,375.65 $83,189.89 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 9 6 — — $52,191.28 $143,381.30 $82,616.94 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $39,011.23 $86,032.18 $82,441.42 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 9 6 — — $51,645.31 $141,881.41 $81,752.69 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 24 — — $35,684.58 $112,488.40 $81,680.16 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 9 6 — — $51,524.32 $141,549.03 $81,561.17 2026-04-01
62 APR_DRG Pancreas Transplant 9 6 — — $51,398.25 $141,202.68 $81,361.61 2026-04-01
61 APR_DRG Pancreas Transplant 9 6 — — $51,398.25 $141,202.68 $81,361.61 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 6 — — $51,319.97 $140,987.61 $81,237.68 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 6 — — $51,202.03 $140,663.61 $81,050.99 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 6 — — $51,202.03 $140,663.61 $81,050.99 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 9 6 — — $50,871.60 $139,755.85 $80,527.94 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 9 6 — — $50,611.33 $139,040.82 $80,115.93 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 25 — — $16,030.36 $114,148.81 $79,525.67 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 25 — — $32,807.36 $118,568.36 $79,277.00 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 9 6 — — $49,927.09 $137,161.06 $79,032.81 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 — — $49,574.29 $136,191.85 $78,474.34 2026-04-01
3464 APR_DRG Connective Tissue Disorders 9 6 — — $49,559.04 $136,149.95 $78,450.20 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 6 — — $49,425.85 $135,784.06 $78,239.37 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 9 6 — — $48,995.79 $134,602.57 $77,558.60 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 9 6 — — $48,928.69 $134,418.23 $77,452.38 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 9 6 — — $48,817.87 $134,113.78 $77,276.95 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 — — $48,599.28 $133,513.26 $76,930.93 2026-04-01
4402 APR_DRG Kidney Transplant 9 6 — — $47,229.78 $129,750.95 $74,763.07 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 25 — — $31,226.38 $118,891.88 $74,260.48 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 37 15 — — $72.24 $252,782.31 $73,603.20 2026-04-01
6614 APR_DRG Coagulation And Platelet Disorders 9 6 — — $46,423.54 $127,536.01 $73,486.81 2026-04-01
6122 APR_DRG Respiratory Condition 9 6 — — $46,260.87 $127,089.12 $73,229.31 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 6 — — $46,215.12 $126,963.43 $73,156.89 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 6 — — $46,033.13 $126,463.46 $72,868.80 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 25 — — $29,973.14 $108,466.12 $72,472.89 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 25 — — $30,278.41 $109,709.56 $72,162.29 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 — — $45,569.51 $125,189.80 $72,134.92 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 25 — — $28,914.37 $101,732.71 $71,924.88 2026-04-01
1934 APR_DRG Acute And Subacute Endocarditis 9 6 — — $45,387.52 $124,689.84 $71,846.83 2026-04-01
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 9 6 — — $45,302.12 $124,455.22 $71,711.65 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 6 — — $44,936.11 $123,449.70 $71,132.26 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 9 6 — — $44,733.78 $122,893.87 $70,811.99 2026-04-01
6964 APR_DRG Other Chemotherapy 9 6 — — $44,677.86 $122,740.25 $70,723.47 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 6 — — $44,363.70 $121,877.18 $70,226.17 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 9 6 — — $44,042.43 $120,994.56 $69,717.60 2026-04-01
5464 APR_DRG Description Not Available 9 6 — — $43,796.39 $120,318.63 $69,328.12 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 30 13 — — $52,697.39 $221,500.23 $69,328.04 2026-04-01
233 APR_DRG Spinal Procedures 9 6 — — $43,681.50 $120,003.01 $69,146.26 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 6 — — $43,508.66 $119,528.18 $68,872.66 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 9 6 — — $43,494.43 $119,489.07 $68,850.13 2026-04-01
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 6 — — $43,152.81 $118,550.59 $68,309.37 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 24 — — $27,500.36 $88,606.97 $68,159.21 2026-04-01
10 MS_DRG Pancreas Transplant 34 25 — — $30,702.30 $97,361.39 $67,756.65 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 34 25 — — $25,872.51 $97,332.85 $67,728.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 25 — — $30,708.04 $112,436.97 $67,370.98 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 25 — — $27,375.62 $98,965.91 $67,331.57 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 9 6 — — $42,309.97 $116,235.11 $66,975.18 2026-04-01
8633 APR_DRG Neonatal Aftercare 9 6 — — $42,208.30 $115,955.80 $66,814.24 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 9 6 — — $42,118.83 $115,710.00 $66,672.61 2026-04-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 9 6 — — $41,860.59 $115,000.55 $66,263.83 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 9 6 — — $41,586.08 $114,246.41 $65,829.29 2026-04-01
903 APR_DRG Description Not Available 9 6 — — $41,548.46 $114,143.07 $65,769.74 2026-04-01
2254 APR_DRG Description Not Available 9 6 — — $41,300.39 $113,461.55 $65,377.05 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 25 — — $7,650.00 $97,968.63 $65,280.30 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 25 — — $25,828.73 $96,418.55 $64,962.19 2026-04-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 6 — — $41,022.83 $112,699.03 $64,937.68 2026-04-01
6344 APR_DRG Respiratory Condition 9 6 — — $41,008.59 $112,659.93 $64,915.15 2026-04-01
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 6 — — $40,948.61 $112,495.14 $64,820.19 2026-04-01
4624 APR_DRG Nephritis And Nephrosis 9 6 — — $40,852.02 $112,229.79 $64,667.30 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 6 — — $40,828.64 $112,165.55 $64,630.29 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 9 6 — — $40,813.39 $112,123.65 $64,606.14 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 39 17 — — $51,702.25 $206,950.43 $64,533.00 2026-04-01
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 6 — — $40,611.06 $111,567.83 $64,285.87 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 6 — — $40,447.38 $111,118.14 $64,026.76 2026-04-01
974 APR_DRG Tonsil And Adenoid Procedures 9 6 — — $40,405.69 $111,003.62 $63,960.77 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 25 — — $26,451.28 $85,665.06 $63,584.67 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 6 — — $40,129.15 $110,243.89 $63,523.02 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 9 6 — — $40,052.90 $110,034.41 $63,402.31 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 6 — — $40,012.23 $109,922.69 $63,337.94 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 6 — — $39,991.89 $109,866.82 $63,305.75 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 24 — — $23,964.56 $82,116.01 $63,166.16 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 24 — — $25,972.07 $82,056.23 $63,120.18 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 9 6 — — $39,847.52 $109,470.20 $63,077.21 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 9 6 — — $39,418.48 $108,291.51 $62,398.05 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 6 — — $39,333.07 $108,056.89 $62,262.86 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 25 — — $25,015.97 $89,534.63 $62,122.69 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 25 — — $23,046.81 $80,759.50 $62,122.69 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 3 — — $29,375.62 $64,782.60 $62,078.74 2026-04-01
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 9 6 — — $39,161.25 $107,584.86 $61,990.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 25 — — $23,855.32 $87,464.11 $61,898.42 2026-04-01
3144 APR_DRG Foot And Toe Procedures 9 6 — — $39,092.12 $107,394.93 $61,881.43 2026-04-01
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 9 6 — — $38,983.33 $107,096.06 $61,709.22 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 9 6 — — $38,927.41 $106,942.44 $61,620.71 2026-04-01
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 6 — — $38,830.82 $106,677.10 $61,467.81 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 9 6 — — $38,736.27 $106,417.34 $61,318.14 2026-04-01
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 9 6 — — $38,675.27 $106,249.75 $61,221.58 2026-04-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 9 6 — — $38,497.35 $105,760.96 $60,939.93 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 25 — — $25,055.87 $97,168.27 $60,803.34 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 9 6 — — $38,348.91 $105,353.17 $60,704.96 2026-04-01
9101 APR_DRG Craniotomy For Multiple Significant Trauma 9 6 — — $38,221.82 $105,004.03 $60,503.78 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 9 6 — — $38,221.82 $105,004.03 $60,503.78 2026-04-01
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 6 — — $37,971.71 $104,316.92 $60,107.87 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 34 14 — — $45,703.98 $182,940.95 $59,949.90 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 9 6 — — $37,774.47 $103,775.06 $59,795.65 2026-04-01
4401 APR_DRG Kidney Transplant 9 6 — — $37,678.90 $103,512.51 $59,644.36 2026-04-01
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 9 6 — — $37,668.74 $103,484.58 $59,628.27 2026-04-01
3213 APR_DRG Decompression 9 6 — — $37,644.33 $103,417.54 $59,589.64 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 6 — — $37,618.92 $103,347.72 $59,549.41 2026-04-01
243 APR_DRG Open Extracranial Vascular Procedures 9 6 — — $37,519.28 $103,073.99 $59,391.69 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 9 6 — — $37,461.33 $102,914.78 $59,299.95 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 6 — — $37,426.76 $102,819.82 $59,245.23 2026-04-01
2634 APR_DRG Cholecystectomy 9 6 — — $37,309.84 $102,498.61 $59,060.15 2026-04-01
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