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

GARNET HEALTH MEDICAL CENTER

Middletown, NY · CCN 330126 · Rates published

20,960 distinct procedures filed
37 distinct payers
298,375 rate rows
2026-04-01 last MRF observed
Data quality

235,826 of 298,375 rate rows are consumer-grade (79.0%)

62,549 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 61,791
placeholder amount (≤ $0.02) — excluded from medians 526
template filing: same amount across many unrelated codes — excluded 232
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.garnethealth.org/sites/default/files/cms-hpt/141364536_garnet-health-medical-center_standardcharges.csv
Found on page https://www.garnethealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 164956082d636d62… · 60,910,968 bytes · first seen 2026-05-18

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,691,450.00 $3,776,353.35 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,321,376.38 $3,397,768.04 $3,321,781.51 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,193,000.00 $3,320,025.16 $3,245,381.39 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,938,320.00 $3,005,901.36 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,403,458.75 $4,527,402.70 $2,612,958.13 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,780,600.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
24
APR_DRG 		Heart And/Or Lung Transplant 2 $1,218,163.49 $1,448,285.46 $1,448,285.46 nat. median
$234,729
outlier · 6.2×
5834
APR_DRG 		Neonate With Ecmo 2 $896,713.47 $1,066,110.66 $1,066,110.66 nat. median
$309,665
outlier · 3.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $880,951.16 $1,047,370.71 $1,047,370.71 nat. median
$182,665
outlier · 5.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $880,951.16 $1,047,370.71 $1,047,370.71 nat. median
$246,434
outlier · 4.3×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $805,773.81 $957,991.68 $957,991.68 nat. median
$207,730
outlier · 4.6×
34
APR_DRG 		Description Not Available 2 $782,365.98 $930,161.91 $930,161.91 nat. median
$209,067
outlier · 4.4×
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,926,550.00 $853,692.84 nat. median
$824,563
1.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $676,383.17 $804,158.00 $804,158.00 nat. median
$164,289
outlier · 4.9×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $673,939.40 $801,252.58 $801,252.58 nat. median
$124,573
outlier · 6.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $673,939.40 $801,252.58 $801,252.58 nat. median
$145,336
outlier · 5.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $654,176.28 $777,756.03 $777,756.03 nat. median
$160,267
outlier · 4.9×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $630,915.08 $750,100.58 $750,100.58 nat. median
$105,658
outlier · 7.1×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $611,131.02 $726,579.13 $726,579.13 nat. median
$129,535
outlier · 5.6×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $608,704.70 $723,694.47 $723,694.47 nat. median
$151,838
outlier · 4.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $557,326.19 $662,610.09 $662,610.09 nat. median
$162,982
outlier · 4.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $565,623.84 $1,535,452.02 $628,306.97 nat. median
$753,246
0.8× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $527,910.18 $627,637.13 $627,637.13 nat. median
$118,620
outlier · 5.3×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $526,066.88 $625,445.61 $625,445.61 nat. median
$93,528
outlier · 6.7×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $511,198.28 $607,768.21 $607,768.21 nat. median
$66,693
outlier · 9.1×
5833
APR_DRG 		Neonate With Ecmo 2 $509,435.28 $605,672.15 $605,672.15 nat. median
$244,017
outlier · 2.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $551,318.34 $1,471,237.02 $602,030.19 nat. median
$674,867
0.9× median
5831
APR_DRG 		Neonate With Ecmo 2 $499,908.06 $594,345.17 $594,345.17 nat. median
$144,745
outlier · 4.1×
5832
APR_DRG 		Neonate With Ecmo 2 $499,908.06 $594,345.17 $594,345.17 nat. median
$156,126
outlier · 3.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $486,303.25 $578,170.28 $578,170.28 nat. median
$109,499
outlier · 5.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $516,485.97 $1,405,652.09 $575,192.84 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $528,312.43 $1,399,452.70 $572,656.05 nat. median
$625,184
0.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $481,405.23 $572,346.99 $572,346.99 nat. median
$68,217
outlier · 8.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $475,418.00 $565,228.71 $565,228.71 nat. median
$108,996
outlier · 5.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $489,517.15 $1,329,622.80 $544,081.65 nat. median
$634,303
0.9× median
22
APR_DRG 		Heart And/Or Lung Transplant 2 $448,459.72 $533,177.77 $533,177.77 nat. median
$77,804
outlier · 6.9×
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $430,997.24 $512,416.47 $512,416.47 nat. median
$95,507
outlier · 5.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $426,944.07 $507,597.63 $507,597.63 nat. median
$150,721
outlier · 3.4×
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $423,781.14 $503,837.18 $503,837.18 nat. median
$89,796
outlier · 5.6×
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $423,781.14 $503,837.18 $503,837.18 nat. median
$93,370
outlier · 5.4×
21
APR_DRG 		Heart And/Or Lung Transplant 2 $422,426.59 $502,226.75 $502,226.75 nat. median
$64,672
outlier · 7.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $488,051.51 $1,223,226.50 $500,544.28 nat. median
$619,808
0.8× median
33
APR_DRG 		Description Not Available 2 $412,756.24 $490,729.59 $490,729.59 nat. median
$113,142
outlier · 4.3×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $412,466.48 $490,385.09 $490,385.09 nat. median
$102,919
outlier · 4.8×
904
APR_DRG 		Description Not Available 2 $392,064.49 $466,128.98 $466,128.98 nat. median
$98,750
outlier · 4.7×
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $389,680.07 $463,294.12 $463,294.12 nat. median
$86,492
outlier · 5.4×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $388,981.85 $462,464.00 $462,464.00 nat. median
$86,338
outlier · 5.4×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $384,785.55 $457,474.98 $457,474.98 nat. median
$81,294
outlier · 5.6×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $455,468.48 $1,670,742.53 $455,468.48 nat. median
$370,174
1.2× median

Other procedures at this hospital

Browse this hospital's 20,960 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 5 4 — — $3,691,450.00 $3,776,353.35 $3,710,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 4 — — $3,321,376.38 $3,397,768.04 $3,321,781.51 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $3,193,000.00 $3,320,025.16 $3,245,381.39 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 4 — — $2,938,320.00 $3,005,901.36 $2,968,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 5 — — $2,403,458.75 $4,527,402.70 $2,612,958.13 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 6 — — $2,332,000.00 $4,780,600.00 $2,378,640.00 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 3 2 — — $1,218,163.49 $1,448,285.46 $1,448,285.46 2026-04-01
5834 APR_DRG Neonate With Ecmo 3 2 — — $896,713.47 $1,066,110.66 $1,066,110.66 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $880,951.16 $1,047,370.71 $1,047,370.71 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $880,951.16 $1,047,370.71 $1,047,370.71 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $805,773.81 $957,991.68 $957,991.68 2026-04-01
34 APR_DRG Description Not Available 3 2 — — $782,365.98 $930,161.91 $930,161.91 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,926,550.00 $853,692.84 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $676,383.17 $804,158.00 $804,158.00 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $673,939.40 $801,252.58 $801,252.58 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $673,939.40 $801,252.58 $801,252.58 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $654,176.28 $777,756.03 $777,756.03 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $630,915.08 $750,100.58 $750,100.58 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $611,131.02 $726,579.13 $726,579.13 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $608,704.70 $723,694.47 $723,694.47 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $557,326.19 $662,610.09 $662,610.09 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 8 — — $565,623.84 $1,535,452.02 $628,306.97 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $527,910.18 $627,637.13 $627,637.13 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 3 2 — — $526,066.88 $625,445.61 $625,445.61 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $511,198.28 $607,768.21 $607,768.21 2026-04-01
5833 APR_DRG Neonate With Ecmo 3 2 — — $509,435.28 $605,672.15 $605,672.15 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 8 — — $551,318.34 $1,471,237.02 $602,030.19 2026-04-01
5831 APR_DRG Neonate With Ecmo 3 2 — — $499,908.06 $594,345.17 $594,345.17 2026-04-01
5832 APR_DRG Neonate With Ecmo 3 2 — — $499,908.06 $594,345.17 $594,345.17 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $486,303.25 $578,170.28 $578,170.28 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 8 — — $516,485.97 $1,405,652.09 $575,192.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 8 — — $528,312.43 $1,399,452.70 $572,656.05 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $481,405.23 $572,346.99 $572,346.99 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $475,418.00 $565,228.71 $565,228.71 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 8 — — $489,517.15 $1,329,622.80 $544,081.65 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 3 2 — — $448,459.72 $533,177.77 $533,177.77 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $430,997.24 $512,416.47 $512,416.47 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $426,944.07 $507,597.63 $507,597.63 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $423,781.14 $503,837.18 $503,837.18 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $423,781.14 $503,837.18 $503,837.18 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 3 2 — — $422,426.59 $502,226.75 $502,226.75 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 8 — — $488,051.51 $1,223,226.50 $500,544.28 2026-04-01
33 APR_DRG Description Not Available 3 2 — — $412,756.24 $490,729.59 $490,729.59 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $412,466.48 $490,385.09 $490,385.09 2026-04-01
904 APR_DRG Description Not Available 3 2 — — $392,064.49 $466,128.98 $466,128.98 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $389,680.07 $463,294.12 $463,294.12 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $388,981.85 $462,464.00 $462,464.00 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $384,785.55 $457,474.98 $457,474.98 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 17 — — $455,468.48 $1,670,742.53 $455,468.48 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $380,337.89 $452,187.12 $452,187.12 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $377,136.55 $448,381.02 $448,381.02 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $367,033.31 $436,369.18 $436,369.18 2026-04-01
4404 APR_DRG Kidney Transplant 3 2 — — $362,519.32 $431,002.45 $431,002.45 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $351,574.72 $417,990.32 $417,990.32 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $347,151.49 $412,731.51 $412,731.51 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $343,510.28 $408,402.44 $408,402.44 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $335,163.06 $398,478.35 $398,478.35 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $331,095.92 $393,642.90 $393,642.90 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $327,629.26 $389,521.36 $389,521.36 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $322,322.79 $383,212.45 $383,212.45 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $320,559.78 $381,116.39 $381,116.39 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $319,404.23 $379,742.54 $379,742.54 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $314,279.30 $373,649.46 $373,649.46 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $313,448.41 $372,661.62 $372,661.62 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $313,193.56 $372,358.63 $372,358.63 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $312,324.28 $371,325.13 $371,325.13 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $310,337.84 $368,963.44 $368,963.44 2026-04-01
6904 APR_DRG Acute Leukemia 3 2 — — $305,579.47 $363,306.17 $363,306.17 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $301,550.74 $358,516.38 $358,516.38 2026-04-01
6124 APR_DRG Respiratory Condition 3 2 — — $295,821.85 $351,705.24 $351,705.24 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $292,836.96 $348,156.48 $348,156.48 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $292,082.88 $347,259.95 $347,259.95 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $286,748.48 $340,917.83 $340,917.83 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $283,278.33 $336,792.14 $336,792.14 2026-04-01
234 APR_DRG Spinal Procedures 3 2 — — $282,154.19 $335,455.64 $335,455.64 2026-04-01
32 APR_DRG Description Not Available 3 2 — — $270,930.31 $322,111.46 $322,111.46 2026-04-01
64 APR_DRG Pancreas Transplant 3 2 — — $266,681.64 $317,060.18 $317,060.18 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $266,391.88 $316,715.68 $316,715.68 2026-04-01
8504 APR_DRG Services 3 2 — — $266,255.72 $316,553.81 $316,553.81 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $264,506.68 $314,474.36 $314,474.36 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $261,951.20 $311,436.12 $311,436.12 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $261,078.42 $310,398.47 $310,398.47 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $259,266.54 $308,244.31 $308,244.31 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $257,880.57 $306,596.52 $306,596.52 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $256,714.55 $305,210.22 $305,210.22 2026-04-01
63 APR_DRG Pancreas Transplant 3 2 — — $255,346.04 $303,583.19 $303,583.19 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $254,260.30 $302,292.35 $302,292.35 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $252,804.52 $300,561.55 $300,561.55 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $250,961.21 $298,370.03 $298,370.03 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $250,961.21 $298,370.03 $298,370.03 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $250,762.22 $298,133.45 $298,133.45 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $250,748.26 $298,116.85 $298,116.85 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $250,744.77 $298,112.69 $298,112.69 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 17 — — $295,720.95 $1,084,244.69 $295,720.95 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $247,438.69 $294,182.08 $294,182.08 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $247,236.21 $293,941.34 $293,941.34 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $247,051.18 $293,721.36 $293,721.36 2026-04-01
3214 APR_DRG Decompression 3 2 — — $246,618.29 $293,206.69 $293,206.69 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $246,017.82 $292,492.78 $292,492.78 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $243,958.07 $290,043.93 $290,043.93 2026-04-01
4014 APR_DRG Adrenal Procedures 3 2 — — $243,947.59 $290,031.48 $290,031.48 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $240,833.53 $286,329.14 $286,329.14 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 3 2 — — $238,868.04 $283,992.35 $283,992.35 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $238,218.70 $283,220.34 $283,220.34 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $238,044.14 $283,012.81 $283,012.81 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $237,171.37 $281,975.16 $281,975.16 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $237,119.00 $281,912.90 $281,912.90 2026-04-01
4414 APR_DRG Major Bladder Procedures 3 2 — — $236,113.57 $280,717.53 $280,717.53 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $233,554.59 $277,675.14 $277,675.14 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $231,501.82 $275,234.59 $275,234.59 2026-04-01
31 APR_DRG Description Not Available 3 2 — — $231,306.32 $275,002.15 $275,002.15 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $230,988.63 $274,624.45 $274,624.45 2026-04-01
7914 APR_DRG Description Not Available 3 2 — — $230,786.15 $274,383.71 $274,383.71 2026-04-01
2214 APR_DRG Description Not Available 3 2 — — $230,702.36 $274,284.10 $274,284.10 2026-04-01
4034 APR_DRG Procedures For Obesity 3 2 — — $229,599.17 $272,972.51 $272,972.51 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 5 — — $265,842.00 $324,655.11 $271,517.72 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $226,666.65 $269,486.01 $269,486.01 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $226,582.86 $269,386.39 $269,386.39 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $225,919.55 $268,597.78 $268,597.78 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $223,755.07 $266,024.41 $266,024.41 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $222,589.04 $264,638.11 $264,638.11 2026-04-01
6123 APR_DRG Respiratory Condition 3 2 — — $221,440.47 $263,272.56 $263,272.56 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 3 2 — — $221,147.22 $262,923.91 $262,923.91 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 3 2 — — $221,084.38 $262,849.20 $262,849.20 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $220,651.48 $262,334.52 $262,334.52 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 3 2 — — $220,567.70 $262,234.91 $262,234.91 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $220,002.14 $261,562.51 $261,562.51 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $219,097.94 $260,487.51 $260,487.51 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $219,070.02 $260,454.30 $260,454.30 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 3 2 — — $218,961.79 $260,325.63 $260,325.63 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $218,745.34 $260,068.29 $260,068.29 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $217,537.42 $258,632.19 $258,632.19 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $217,369.85 $258,432.96 $258,432.96 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 3 2 — — $215,955.95 $256,751.97 $256,751.97 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $215,166.97 $255,813.93 $255,813.93 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 2 — — $215,166.97 $255,813.93 $255,813.93 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $214,863.24 $255,452.83 $255,452.83 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $214,374.49 $254,871.74 $254,871.74 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $213,920.64 $254,332.17 $254,332.17 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $212,635.92 $252,804.74 $252,804.74 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $212,007.52 $252,057.64 $252,057.64 2026-04-01
6903 APR_DRG Acute Leukemia 3 2 — — $211,661.90 $251,646.73 $251,646.73 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $211,459.42 $251,405.99 $251,405.99 2026-04-01
3014 APR_DRG Hip Joint Replacement 3 2 — — $211,340.72 $251,264.87 $251,264.87 2026-04-01
2624 APR_DRG Description Not Available 3 2 — — $211,337.23 $251,260.72 $251,260.72 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $211,169.66 $251,061.49 $251,061.49 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 3 2 — — $210,904.33 $250,746.05 $250,746.05 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $210,719.30 $250,526.07 $250,526.07 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $208,694.47 $248,118.72 $248,118.72 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $208,331.39 $247,687.06 $247,687.06 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $208,202.22 $247,533.48 $247,533.48 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $207,078.09 $246,196.99 $246,196.99 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $206,865.13 $245,943.80 $245,943.80 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 2 — — $206,592.82 $245,620.06 $245,620.06 2026-04-01
3814 APR_DRG Major Skin Disorders 3 2 — — $206,072.65 $245,001.62 $245,001.62 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $204,005.92 $242,544.46 $242,544.46 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $202,022.97 $240,186.92 $240,186.92 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 43 19 — — $104,939.16 $535,910.67 $239,970.88 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 3 2 — — $201,394.58 $239,439.81 $239,439.81 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $200,567.19 $238,456.12 $238,456.12 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $200,273.93 $238,107.47 $238,107.47 2026-04-01
6504 APR_DRG Splenectomy 3 2 — — $199,097.43 $236,708.72 $236,708.72 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $198,856.55 $236,422.33 $236,422.33 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $198,503.95 $236,003.12 $236,003.12 2026-04-01
4403 APR_DRG Kidney Transplant 3 2 — — $198,029.16 $235,438.63 $235,438.63 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $194,751.01 $231,541.22 $231,541.22 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $194,405.39 $231,130.31 $231,130.31 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 6 — — $159,816.81 $280,514.85 $230,498.11 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $193,197.47 $229,694.20 $229,694.20 2026-04-01
3024 APR_DRG Knee Joint Replacement 3 2 — — $190,013.59 $225,908.86 $225,908.86 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 3 2 — — $189,856.49 $225,722.08 $225,722.08 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 17 — — $225,395.31 $826,050.85 $225,395.31 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 47 19 — — $165,825.01 $821,202.99 $224,074.88 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $188,083.01 $223,613.58 $223,613.58 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $187,360.35 $222,754.40 $222,754.40 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $186,910.00 $222,218.97 $222,218.97 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $186,651.66 $221,911.83 $221,911.83 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 8 — — $108,243.35 $434,277.53 $221,898.87 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $185,991.84 $221,127.37 $221,127.37 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 3 2 — — $185,352.97 $220,367.81 $220,367.81 2026-04-01
8634 APR_DRG Neonatal Aftercare 3 2 — — $184,993.39 $219,940.29 $219,940.29 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $184,623.33 $219,500.33 $219,500.33 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $184,110.14 $218,890.19 $218,890.19 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $180,772.65 $214,922.22 $214,922.22 2026-04-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $180,636.50 $214,760.35 $214,760.35 2026-04-01
6224 APR_DRG Respiratory Condition 3 2 — — $180,454.96 $214,544.51 $214,544.51 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $179,212.13 $213,066.90 $213,066.90 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 7 — — $142,956.53 $259,727.02 $212,676.00 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 3 2 — — $177,337.41 $210,838.03 $210,838.03 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 2 — — $176,921.97 $210,344.11 $210,344.11 2026-04-01
62 APR_DRG Pancreas Transplant 3 2 — — $176,489.07 $209,829.43 $209,829.43 2026-04-01
61 APR_DRG Pancreas Transplant 3 2 — — $176,489.07 $209,829.43 $209,829.43 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $176,220.25 $209,509.84 $209,509.84 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $175,815.29 $209,028.37 $209,028.37 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $175,815.29 $209,028.37 $209,028.37 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $174,680.68 $207,679.42 $207,679.42 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 3 2 — — $173,786.96 $206,616.87 $206,616.87 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $171,437.45 $203,823.51 $203,823.51 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 5 — — $198,969.00 $242,987.58 $203,216.99 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $170,226.04 $202,383.26 $202,383.26 2026-04-01
3464 APR_DRG Connective Tissue Disorders 3 2 — — $170,173.67 $202,321.00 $202,321.00 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $169,716.34 $201,777.27 $201,777.27 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 3 2 — — $168,239.60 $200,021.56 $200,021.56 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $168,009.19 $199,747.63 $199,747.63 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 3 2 — — $167,628.66 $199,295.21 $199,295.21 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $166,878.07 $198,402.83 $198,402.83 2026-04-01
4402 APR_DRG Kidney Transplant 3 2 — — $162,175.56 $192,811.97 $192,811.97 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 7 — — $53,267.43 $234,509.77 $192,027.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 6 — — $183,489.00 $224,082.88 $190,045.67 2026-04-01
6614 APR_DRG Coagulation And Platelet Disorders 3 2 — — $159,407.12 $189,520.55 $189,520.55 2026-04-01
6122 APR_DRG Respiratory Condition 3 2 — — $158,848.54 $188,856.45 $188,856.45 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $158,691.44 $188,669.67 $188,669.67 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $158,066.53 $187,926.72 $187,926.72 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $156,474.59 $186,034.04 $186,034.04 2026-04-01
1934 APR_DRG Acute And Subacute Endocarditis 3 2 — — $155,849.69 $185,291.09 $185,291.09 2026-04-01
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 3 2 — — $155,556.43 $184,942.43 $184,942.43 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $154,299.64 $183,448.22 $183,448.22 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 2 — — $153,604.91 $182,622.25 $182,622.25 2026-04-01
6964 APR_DRG Other Chemotherapy 3 2 — — $153,412.90 $182,393.97 $182,393.97 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $152,334.15 $181,111.43 $181,111.43 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $151,230.96 $179,799.84 $179,799.84 2026-04-01
5464 APR_DRG Description Not Available 3 2 — — $150,386.11 $178,795.40 $178,795.40 2026-04-01
233 APR_DRG Spinal Procedures 3 2 — — $149,991.62 $178,326.38 $178,326.38 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $149,398.13 $177,620.78 $177,620.78 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 3 2 — — $149,349.26 $177,562.67 $177,562.67 2026-04-01
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $148,176.25 $176,168.07 $176,168.07 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 3 2 — — $145,282.13 $172,727.22 $172,727.22 2026-04-01
8633 APR_DRG Neonatal Aftercare 3 2 — — $144,933.02 $172,312.16 $172,312.16 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $144,625.80 $171,946.91 $171,946.91 2026-04-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 3 2 — — $143,739.06 $170,892.65 $170,892.65 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $142,796.46 $169,771.99 $169,771.99 2026-04-01
903 APR_DRG Description Not Available 3 2 — — $142,667.29 $169,618.42 $169,618.42 2026-04-01
2254 APR_DRG Description Not Available 3 2 — — $141,815.46 $168,605.67 $168,605.67 2026-04-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $140,862.39 $167,472.56 $167,472.56 2026-04-01
6344 APR_DRG Respiratory Condition 3 2 — — $140,813.52 $167,414.45 $167,414.45 2026-04-01
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $140,607.54 $167,169.57 $167,169.57 2026-04-01
4624 APR_DRG Nephritis And Nephrosis 3 2 — — $140,275.89 $166,775.26 $166,775.26 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $140,195.59 $166,679.79 $166,679.79 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $140,143.23 $166,617.54 $166,617.54 2026-04-01
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $139,448.50 $165,791.57 $165,791.57 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $138,886.43 $165,123.32 $165,123.32 2026-04-01
974 APR_DRG Tonsil And Adenoid Procedures 3 2 — — $138,743.30 $164,953.15 $164,953.15 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $137,793.72 $163,824.18 $163,824.18 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 3 2 — — $137,531.88 $163,512.89 $163,512.89 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $137,392.24 $163,346.86 $163,346.86 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $137,322.42 $163,263.85 $163,263.85 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 3 2 — — $136,826.68 $162,674.47 $162,674.47 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $135,353.44 $160,922.91 $160,922.91 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $135,060.19 $160,574.26 $160,574.26 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 5 — — $156,561.00 $191,197.51 $159,903.58 2026-04-01
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 3 2 — — $134,470.19 $159,872.81 $159,872.81 2026-04-01
3144 APR_DRG Foot And Toe Procedures 3 2 — — $134,232.80 $159,590.57 $159,590.57 2026-04-01
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 3 2 — — $133,859.25 $159,146.46 $159,146.46 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 3 2 — — $133,667.24 $158,918.17 $158,918.17 2026-04-01
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $133,335.58 $158,523.87 $158,523.87 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $133,010.91 $158,137.86 $158,137.86 2026-04-01
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 3 2 — — $132,801.44 $157,888.82 $157,888.82 2026-04-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 3 2 — — $132,190.50 $157,162.47 $157,162.47 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $131,680.80 $156,556.48 $156,556.48 2026-04-01
9101 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $131,244.41 $156,037.66 $156,037.66 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $131,244.41 $156,037.66 $156,037.66 2026-04-01
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $130,385.60 $155,016.61 $155,016.61 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 5 — — $151,731.00 $185,298.95 $154,970.46 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $129,708.33 $154,211.39 $154,211.39 2026-04-01
4401 APR_DRG Kidney Transplant 3 2 — — $129,380.17 $153,821.24 $153,821.24 2026-04-01
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 3 2 — — $129,345.26 $153,779.73 $153,779.73 2026-04-01
3213 APR_DRG Decompression 3 2 — — $129,261.47 $153,680.12 $153,680.12 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $129,174.19 $153,576.35 $153,576.35 2026-04-01
243 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $128,832.06 $153,169.59 $153,169.59 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $128,633.07 $152,933.01 $152,933.01 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $128,514.37 $152,791.89 $152,791.89 2026-04-01
2634 APR_DRG Cholecystectomy 3 2 — — $128,112.90 $152,314.57 $152,314.57 2026-04-01
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 3 2 — — $127,564.79 $151,662.92 $151,662.92 2026-04-01
2264 APR_DRG Anal Procedures 3 2 — — $126,688.53 $150,621.12 $150,621.12 2026-04-01
1104 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 3 2 — — $126,646.63 $150,571.32 $150,571.32 2026-04-01
7244 APR_DRG Other Infectious And Parasitic Diseases 3 2 — — $126,398.77 $150,276.62 $150,276.62 2026-04-01
6223 APR_DRG Respiratory Condition 3 2 — — $125,882.08 $149,662.33 $149,662.33 2026-04-01
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $125,784.33 $149,546.12 $149,546.12 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $125,508.54 $149,218.22 $149,218.22 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $125,215.28 $148,869.57 $148,869.57 2026-04-01
3494 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 3 2 — — $124,681.15 $148,234.53 $148,234.53 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $124,551.97 $148,080.96 $148,080.96 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $123,972.45 $147,391.96 $147,391.96 2026-04-01
203 APR_DRG Open Craniotomy For Trauma 3 2 — — $123,668.73 $147,030.85 $147,030.85 2026-04-01
6121 APR_DRG Respiratory Condition 3 2 — — $122,823.88 $146,026.41 $146,026.41 2026-04-01
484 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 3 2 — — $121,640.40 $144,619.36 $144,619.36 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $120,865.37 $143,697.92 $143,697.92 2026-04-01
2824 APR_DRG Disorders Of Pancreas Except Malignancy 3 2 — — $120,680.34 $143,477.94 $143,477.94 2026-04-01
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $120,401.06 $143,145.89 $143,145.89 2026-04-01
3444 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 3 2 — — $119,842.48 $142,481.80 $142,481.80 2026-04-01
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $119,751.71 $142,373.88 $142,373.88 2026-04-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $119,751.71 $142,373.88 $142,373.88 2026-04-01
454 APR_DRG Cva And Precerebral Occlusion With Infarction 3 2 — — $119,402.60 $141,958.82 $141,958.82 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 3 2 — — $119,339.76 $141,884.11 $141,884.11 2026-04-01
2804 APR_DRG Alcoholic Liver Disease 3 2 — — $119,126.81 $141,630.92 $141,630.92 2026-04-01
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 3 2 — — $118,854.50 $141,307.18 $141,307.18 2026-04-01
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $118,795.15 $141,236.62 $141,236.62 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 5 — — $138,168.00 $168,735.37 $141,117.89 2026-04-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $118,620.60 $141,029.09 $141,029.09 2026-04-01
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