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

ERIE COUNTY MEDICAL CENTER

Buffalo, NY · CCN 330219 · Rates published

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You selected 507 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

This hospital’s price: $20,157 across 8 payers · range $19,762-$375,731

Source: https://www.ecmc.edu/wp-content/uploads/2023/03/830382654_erie-county-medical-center_standardcharges.json · observed 2026-08-25

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

21,387 distinct procedures filed
10 distinct payers
566,638 rate rows
2026-08-25 last MRF observed
Data quality

532,981 of 566,638 rate rows are consumer-grade (94.1%)

33,657 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 25,549
per-diem day rate — not a per-procedure price 4,639
placeholder amount (≤ $0.02) — excluded from medians 1,581
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 759
professional (physician) fee — not the facility price 554
exceeds 10× this hospital's gross charge — excluded from medians 314
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 261
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ecmc.edu/wp-content/uploads/2023/03/830382654_erie-county-medical-center_standardcharges.json
Found on page https://www.ecmc.edu/patients-and-visitors/billing-and-insurance/patient-price-information/
Discovered viaCMS hospital list
Last fetch success · 2026-11-03
Content fingerprint 91861eb398a2f91c… · 174,117,486 bytes · first seen 2026-11-03

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 		Injection, Atidarsagene Autotemcel, Per Treatment 2 $4,249,830.00 $4,845,000.00 $4,249,830.00 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,499,860.00 $4,953,005.77 $3,710,000.00 nat. median
$3,691,450
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 6 $3,499,860.00 $3,990,000.00 $3,657,465.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,199,872.00 $4,457,332.35 $3,392,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,099,876.00 $4,365,917.55 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,799,888.00 $3,959,080.46 $2,968,000.00 nat. median
$2,983,626
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,511,190.52 $4,199,584.55 $2,661,968.43 nat. median
$2,467,989
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 7 $2,199,912.00 $3,988,997.94 $2,376,000.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 8 $726,970.92 $2,353,897.33 $941,558.93 nat. median
$813,967
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $523,130.87 $1,807,457.28 $722,982.91 nat. median
$739,658
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $555,288.23 $1,728,475.00 $691,390.00 nat. median
$646,415
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $531,329.15 $1,718,301.03 $687,320.41 nat. median
$637,620
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $528,291.30 $1,702,355.48 $680,942.19 nat. median
$621,967
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $503,559.86 $1,628,778.23 $651,511.29 nat. median
$607,251
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $461,981.52 $1,494,605.40 $597,842.16 nat. median
$589,091
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 8 $267,750.00 $849,928.55 $524,979.00 nat. median
$319,951
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $472,420.26 $661,388.36 $477,146.41 nat. median
$360,195
1.3× median
5834
APR_DRG 		Neonate With Ecmo, Severe 7 $182,342.30 $717,658.46 $320,981.35 nat. median
$309,665
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 7 $179,159.33 $705,043.55 $315,339.18 nat. median
$249,123
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 7 $179,159.33 $705,043.55 $315,339.18 nat. median
$177,531
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 7 $163,978.38 $644,877.55 $288,429.22 nat. median
$202,660
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 7 $137,849.86 $541,323.53 $242,113.44 nat. median
$165,334
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 7 $137,356.37 $539,367.73 $241,238.68 nat. median
$122,978
2.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 7 $137,356.37 $539,367.73 $241,238.68 nat. median
$145,336
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $233,574.68 $4,440,904.00 $238,246.17 nat. median
$197,664
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $232,203.90 $4,414,841.60 $236,847.98 nat. median
$190,274
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 7 $128,668.25 $504,934.47 $225,837.99 nat. median
$122,016
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 7 $124,183.19 $487,159.05 $217,887.73 nat. median
$152,569
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 7 $113,808.06 $446,039.75 $199,496.62 nat. median
$165,846
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $107,867.93 $422,497.50 $188,967.08 nat. median
$119,800
1.6× median
5833
APR_DRG 		Neonate With Ecmo, Major 7 $104,137.20 $407,711.66 $182,353.92 nat. median
$244,017
0.7× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 7 $102,213.32 $400,086.83 $178,943.63 nat. median
$159,829
1.1× median
5831
APR_DRG 		Neonate With Ecmo, Minor 7 $102,213.32 $400,086.83 $178,943.63 nat. median
$148,245
1.2× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 7 $99,466.03 $389,198.61 $174,073.74 nat. median
$107,562
1.6× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 7 $98,476.95 $385,278.63 $172,320.48 nat. median
$82,146
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 7 $97,267.91 $380,486.92 $170,177.34 nat. median
$109,393
1.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 7 $20,056.24 $523,550.90 $159,220.18 nat. median
$160,390
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $151,534.45 $2,881,091.20 $154,565.14 nat. median
$126,240
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $88,297.80 $344,936.06 $154,276.79 nat. median
$96,980
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 7 $87,479.32 $341,692.23 $152,825.95 nat. median
$154,211
1.0× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $86,840.61 $339,160.87 $151,693.76 nat. median
$90,073
1.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $86,840.61 $339,160.87 $151,693.76 nat. median
$95,269
1.6× median
Q0480
HCPCS 		Dme Pos 6 $108,243.35 $270,608.38 $151,540.69 nat. median
$111,503
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 7 $84,555.78 $330,105.51 $147,643.65 nat. median
$103,993
1.4× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $79,954.41 $311,869.07 $139,487.18 nat. median
$89,743
1.6× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 7 $79,813.41 $311,310.27 $139,237.25 nat. median
$86,338
1.6× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 7 $78,966.03 $307,951.89 $137,735.17 nat. median
$83,372
1.7× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 7 $78,067.89 $304,392.33 $136,143.12 nat. median
$82,615
1.6× median
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Minor 7 $77,421.43 $301,830.23 $134,997.19 nat. median
$32,930
outlier · 4.1×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 6 $95,081.03 $237,702.58 $133,113.44 nat. median
$97,404
1.4× median

Other procedures at this hospital

Browse this hospital's 21,387 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
             
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 10 2 — — $4,249,830.00 $4,845,000.00 $4,249,830.00 2026-08-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 7 — — $3,499,860.00 $4,953,005.77 $3,710,000.00 2026-08-25
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 16 6 — — $3,499,860.00 $3,990,000.00 $3,657,465.00 2026-08-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 7 — — $3,199,872.00 $4,457,332.35 $3,392,000.00 2026-08-25
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 15 7 — — $3,099,876.00 $4,365,917.55 $3,286,000.00 2026-08-25
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 15 7 — — $2,799,888.00 $3,959,080.46 $2,968,000.00 2026-08-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 7 — — $2,511,190.52 $4,199,584.55 $2,661,968.43 2026-08-25
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 16 7 — — $2,199,912.00 $3,988,997.94 $2,376,000.00 2026-08-25
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 21 8 — — $726,970.92 $2,353,897.33 $941,558.93 2026-08-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 21 8 — — $523,130.87 $1,807,457.28 $722,982.91 2026-08-25
Q2056 HCPCS Ciltacabtagene Car-pos T 21 8 — — $555,288.23 $1,728,475.00 $691,390.00 2026-08-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 21 8 — — $531,329.15 $1,718,301.03 $687,320.41 2026-08-25
Q2055 HCPCS Idecabtagene Vicleucel Car 21 8 — — $528,291.30 $1,702,355.48 $680,942.19 2026-08-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 21 8 — — $503,559.86 $1,628,778.23 $651,511.29 2026-08-25
Q2053 HCPCS Brexucabtagene Car Pos T 21 8 — — $461,981.52 $1,494,605.40 $597,842.16 2026-08-25
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 21 8 — — $267,750.00 $849,928.55 $524,979.00 2026-08-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 — — $472,420.26 $661,388.36 $477,146.41 2026-08-25
5834 APR_DRG Neonate With Ecmo, Severe 30 7 — — $182,342.30 $717,658.46 $320,981.35 2026-08-25
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 30 7 — — $179,159.33 $705,043.55 $315,339.18 2026-08-25
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 30 7 — — $179,159.33 $705,043.55 $315,339.18 2026-08-25
1614 APR_DRG Implantable Heart Assist Systems, Severe 30 7 — $467,410.36 $163,978.38 $644,877.55 $288,429.22 2026-08-25
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 30 7 — — $137,849.86 $541,323.53 $242,113.44 2026-08-25
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 30 7 — — $137,356.37 $539,367.73 $241,238.68 2026-08-25
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 30 7 — — $137,356.37 $539,367.73 $241,238.68 2026-08-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 8 — — $233,574.68 $4,440,904.00 $238,246.17 2026-08-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 8 — — $232,203.90 $4,414,841.60 $236,847.98 2026-08-25
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 30 7 — $365,978.94 $128,668.25 $504,934.47 $225,837.99 2026-08-25
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 30 7 — — $124,183.19 $487,159.05 $217,887.73 2026-08-25
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 30 7 — — $113,808.06 $446,039.75 $199,496.62 2026-08-25
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $107,867.93 $422,497.50 $188,967.08 2026-08-25
5833 APR_DRG Neonate With Ecmo, Major 30 7 — — $104,137.20 $407,711.66 $182,353.92 2026-08-25
5832 APR_DRG Neonate With Ecmo, Moderate 30 7 — — $102,213.32 $400,086.83 $178,943.63 2026-08-25
5831 APR_DRG Neonate With Ecmo, Minor 30 7 — — $102,213.32 $400,086.83 $178,943.63 2026-08-25
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 30 7 — — $99,466.03 $389,198.61 $174,073.74 2026-08-25
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 30 7 — $279,251.81 $98,476.95 $385,278.63 $172,320.48 2026-08-25
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 30 7 — — $97,267.91 $380,486.92 $170,177.34 2026-08-25
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 30 7 — $379,472.21 $20,056.24 $523,550.90 $159,220.18 2026-08-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 8 — — $151,534.45 $2,881,091.20 $154,565.14 2026-08-25
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $88,297.80 $344,936.06 $154,276.79 2026-08-25
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 30 7 — — $87,479.32 $341,692.23 $152,825.95 2026-08-25
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 7 — — $86,840.61 $339,160.87 $151,693.76 2026-08-25
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 7 — — $86,840.61 $339,160.87 $151,693.76 2026-08-25
Q0480 HCPCS Dme Pos 11 6 — — $108,243.35 $270,608.38 $151,540.69 2026-08-25
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 30 7 — — $84,555.78 $330,105.51 $147,643.65 2026-08-25
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $79,954.41 $311,869.07 $139,487.18 2026-08-25
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 30 7 — — $79,813.41 $311,310.27 $139,237.25 2026-08-25
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 30 7 — — $78,966.03 $307,951.89 $137,735.17 2026-08-25
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 30 7 — $220,625.03 $78,067.89 $304,392.33 $136,143.12 2026-08-25
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Minor 30 7 — — $77,421.43 $301,830.23 $134,997.19 2026-08-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 11 6 — — $95,081.03 $237,702.58 $133,113.44 2026-08-25
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 30 7 — — $75,381.23 $293,744.40 $131,380.71 2026-08-25
4404 APR_DRG Kidney Transplant, Severe 30 7 — $177,052.00 $74,469.69 $290,131.75 $129,764.90 2026-08-25
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 30 7 — $203,940.19 $72,259.59 $281,372.56 $125,847.26 2026-08-25
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 30 7 — $296,534.05 $20,056.24 $409,122.63 $124,420.72 2026-08-25
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 30 7 — $201,374.38 $71,366.39 $277,832.57 $124,263.95 2026-08-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $120,572.04 $2,292,409.60 $122,983.48 2026-08-25
1613 APR_DRG Implantable Heart Assist Systems, Major 30 7 — $199,262.20 $70,631.10 $274,918.42 $122,960.56 2026-08-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 8 — — $118,962.76 $2,261,812.80 $121,342.02 2026-08-25
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 30 7 — $194,420.17 $68,945.50 $268,237.97 $119,972.65 2026-08-25
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $68,124.20 $264,982.96 $118,516.80 2026-08-25
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 30 7 — $190,050.00 $67,424.16 $262,208.52 $117,275.90 2026-08-25
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 30 7 — $186,971.84 $66,352.60 $257,961.64 $115,376.43 2026-08-25
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 30 7 — $185,949.16 $65,996.59 $256,550.67 $114,745.36 2026-08-25
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $65,763.24 $255,625.85 $114,331.73 2026-08-25
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 30 7 — $182,306.00 $64,728.33 $251,524.26 $112,497.24 2026-08-25
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 30 7 — — $64,560.55 $250,859.29 $112,199.82 2026-08-25
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 30 7 — $181,676.19 $64,509.09 $250,655.33 $112,108.61 2026-08-25
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 30 7 — $181,171.94 $64,333.55 $249,959.62 $111,797.43 2026-08-25
215 MS_DRG Other Heart Assist System Implant 11 8 — — $108,929.68 $2,071,056.00 $111,108.27 2026-08-25
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 30 7 — — $63,932.42 $248,369.84 $111,086.39 2026-08-25
6904 APR_DRG Acute Leukemia, Severe 30 7 — $177,259.44 $62,971.53 $244,561.61 $109,383.11 2026-08-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $107,023.93 $2,034,822.40 $109,164.41 2026-08-25
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $61,001.13 $236,752.38 $105,890.35 2026-08-25
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 30 7 — $169,867.80 $60,398.37 $234,363.51 $104,821.90 2026-08-25
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 30 7 — — $59,168.89 $229,490.78 $102,642.51 2026-08-25
234 APR_DRG Spinal Procedures, Severe 30 7 — $163,670.98 $58,241.15 $225,813.87 $100,997.96 2026-08-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 8 — — $98,565.11 $1,873,996.80 $100,536.41 2026-08-25
850 MS_DRG Acute Leukemia With Other Procedures 11 8 — — $94,735.02 $1,801,176.00 $96,629.72 2026-08-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 6 — — $68,801.71 $172,004.28 $96,322.39 2026-08-25
64 APR_DRG Pancreas Transplant, Severe 30 7 — $177,052.00 $55,116.69 $213,430.87 $95,459.51 2026-08-25
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 30 7 — $154,527.64 $55,058.18 $213,198.96 $95,355.80 2026-08-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 8 — — $92,223.19 $1,753,419.20 $94,067.65 2026-08-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 8 — — $91,933.28 $1,747,907.20 $93,771.95 2026-08-25
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 30 7 — $151,951.70 $54,161.45 $209,645.00 $93,766.24 2026-08-25
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $53,985.21 $208,946.50 $93,453.83 2026-08-25
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 30 7 — $150,394.40 $53,619.32 $207,496.41 $92,805.26 2026-08-25
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 30 7 — $149,590.43 $53,339.45 $206,387.19 $92,309.14 2026-08-25
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 30 7 — $148,914.05 $53,103.99 $205,454.00 $91,891.76 2026-08-25
63 APR_DRG Pancreas Transplant, Major 30 7 — $177,052.00 $52,827.63 $204,358.75 $91,401.90 2026-08-25
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 30 7 — — $52,608.39 $203,489.81 $91,013.26 2026-08-25
214 APR_DRG Open Craniotomy Except Trauma, Severe 30 7 — $146,645.93 $52,314.41 $202,324.72 $90,492.15 2026-08-25
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 30 7 — $145,576.67 $51,942.18 $200,849.48 $89,832.34 2026-08-25
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 30 7 — $145,576.67 $51,942.18 $200,849.48 $89,832.34 2026-08-25
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 30 7 — $145,461.24 $51,902.00 $200,690.23 $89,761.11 2026-08-25
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 30 7 — — $51,898.48 $200,676.26 $89,754.86 2026-08-25
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 30 7 — $143,533.34 $51,230.86 $198,030.34 $88,571.45 2026-08-25
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 30 7 — $143,308.56 $51,152.61 $197,720.20 $88,432.73 2026-08-25
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 30 7 — $143,057.44 $51,065.19 $197,373.75 $88,277.77 2026-08-25
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 30 7 — $142,709.13 $50,943.94 $196,893.18 $88,062.84 2026-08-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 8 — — $86,084.75 $1,636,710.40 $87,806.45 2026-08-25
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 30 7 — $141,514.31 $50,528.00 $195,244.72 $87,325.54 2026-08-25
4014 APR_DRG Adrenal Procedures, Severe 30 7 — $141,508.24 $50,525.89 $195,236.34 $87,321.79 2026-08-25
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 30 7 — — $49,897.05 $192,744.09 $86,207.11 2026-08-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $84,000.68 $1,597,086.40 $85,680.69 2026-08-25
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 30 7 — $138,561.71 $49,500.15 $191,171.07 $85,503.55 2026-08-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 8 — — $83,638.56 $1,590,201.60 $85,311.33 2026-08-25
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 30 7 — — $49,369.02 $190,651.38 $85,271.12 2026-08-25
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 30 7 — $138,083.79 $49,333.77 $190,511.68 $85,208.64 2026-08-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 8 — — $83,361.78 $1,584,939.20 $85,029.02 2026-08-25
244 APR_DRG Open Extracranial Vascular Procedures, Severe 30 7 — $137,577.51 $49,157.53 $189,813.18 $84,896.23 2026-08-25
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 30 7 — — $49,146.95 $189,771.27 $84,877.48 2026-08-25
4414 APR_DRG Major Bladder Procedures, Severe 30 7 — $136,963.90 $48,943.92 $188,966.60 $84,517.58 2026-08-25
204 APR_DRG Open Craniotomy For Trauma, Severe 30 7 — $135,479.50 $48,427.17 $186,918.60 $83,601.58 2026-08-25
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 30 7 — $134,288.74 $48,012.65 $185,275.73 $82,866.79 2026-08-25
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 30 7 — $133,991.05 $47,909.02 $184,865.01 $82,683.09 2026-08-25
4034 APR_DRG Procedures For Obesity, Severe 30 7 — $133,185.06 $47,628.44 $183,753.00 $82,185.73 2026-08-25
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $47,036.26 $181,406.04 $81,136.02 2026-08-25
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 30 7 — $131,050.60 $46,885.39 $180,808.12 $80,868.60 2026-08-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $78,971.56 $1,501,468.80 $80,550.99 2026-08-25
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 30 7 — $129,795.03 $46,448.31 $179,075.84 $80,093.82 2026-08-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 8 — — $78,469.41 $1,491,921.60 $80,038.80 2026-08-25
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 30 7 — $129,118.65 $46,212.84 $178,142.65 $79,676.43 2026-08-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 8 — — $78,052.60 $1,483,996.80 $79,613.65 2026-08-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 8 — — $78,006.65 $1,483,123.20 $79,566.78 2026-08-25
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $45,980.91 $177,223.42 $79,265.30 2026-08-25
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement, Severe 30 7 — $128,282.28 $45,921.69 $176,988.72 $79,160.33 2026-08-25
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 30 7 — $128,245.83 $45,909.00 $176,938.43 $79,137.84 2026-08-25
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 30 7 — $127,994.71 $45,821.58 $176,591.98 $78,982.88 2026-08-25
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 30 7 — $127,946.11 $45,804.66 $176,524.92 $78,952.89 2026-08-25
3054 APR_DRG Amputation Of Lower Limb Except Toes, Severe 30 7 — $127,618.05 $45,690.46 $176,072.29 $78,750.44 2026-08-25
10 MS_DRG Pancreas Transplant 11 8 — — $78,502.23 $175,985.00 $78,502.88 2026-08-25
264 APR_DRG Other Nervous System And Related Procedures, Severe 30 7 — $127,093.54 $45,507.87 $175,348.65 $78,426.79 2026-08-25
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 30 7 — $127,014.56 $45,480.37 $175,239.68 $78,378.04 2026-08-25
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 30 7 — — $45,436.67 $175,066.45 $78,300.57 2026-08-25
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 30 7 — $126,188.32 $45,192.74 $174,099.73 $77,868.20 2026-08-25
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 30 7 — $126,091.12 $45,158.91 $173,965.62 $77,808.21 2026-08-25
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 30 7 — $125,270.95 $44,873.39 $172,834.05 $77,302.10 2026-08-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 8 — — $75,615.16 $1,437,654.40 $77,127.46 2026-08-25
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 30 7 — $124,637.09 $44,652.73 $171,959.52 $76,910.96 2026-08-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 8 — — $75,244.29 $1,430,603.20 $76,749.18 2026-08-25
2614 APR_DRG Major Biliary Tract Procedures, Severe 30 7 — $124,353.58 $44,554.04 $171,568.36 $76,736.01 2026-08-25
1612 APR_DRG Implantable Heart Assist Systems, Moderate 30 7 — $124,090.31 $44,462.39 $171,205.14 $76,573.56 2026-08-25
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 30 7 — $123,345.07 $44,202.96 $170,176.95 $76,113.68 2026-08-25
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 30 7 — $122,980.56 $44,076.06 $169,674.03 $75,888.74 2026-08-25
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 7 — $164,323.07 $58,468.15 $226,713.54 $75,840.30 2026-08-25
6903 APR_DRG Acute Leukemia, Major 30 7 — $122,780.07 $44,006.27 $169,397.43 $75,765.03 2026-08-25
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 30 7 — $122,662.61 $43,965.38 $169,235.37 $75,692.55 2026-08-25
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 30 7 — $122,494.53 $43,906.87 $169,003.47 $75,588.82 2026-08-25
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $43,853.29 $168,791.13 $75,493.86 2026-08-25
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 30 7 — $122,233.29 $43,815.93 $168,643.05 $75,427.62 2026-08-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 8 — — $73,638.30 $1,400,068.80 $75,111.07 2026-08-25
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 30 7 — $121,058.73 $43,407.04 $167,022.53 $74,702.83 2026-08-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 8 — — $73,150.38 $1,390,792.00 $74,613.39 2026-08-25
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 30 7 — $120,848.12 $43,333.72 $166,731.95 $74,572.87 2026-08-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 8 — — $73,096.77 $1,389,772.80 $74,558.71 2026-08-25
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 30 7 — $120,773.19 $43,307.64 $166,628.57 $74,526.62 2026-08-25
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 30 7 — — $43,037.63 $165,558.47 $74,048.01 2026-08-25
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 30 7 — $119,839.62 $42,982.64 $165,340.54 $73,950.54 2026-08-25
3814 APR_DRG Major Skin Disorders, Severe 30 7 — $119,537.88 $42,877.60 $164,924.23 $73,764.34 2026-08-25
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 30 7 — $174,922.46 $20,056.24 $241,337.34 $73,394.54 2026-08-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $71,933.85 $1,367,662.40 $73,372.53 2026-08-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $71,933.85 $1,367,662.40 $73,372.53 2026-08-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $71,672.38 $1,362,691.20 $73,105.83 2026-08-25
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 30 7 — $118,339.02 $42,460.26 $163,270.18 $73,024.55 2026-08-25
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 30 7 — $117,188.76 $42,059.83 $161,683.19 $72,314.74 2026-08-25
3084 APR_DRG Hip And Femur Fracture Repair, Severe 30 7 — $116,824.24 $41,932.94 $161,180.27 $72,089.80 2026-08-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 8 — — $70,395.68 $1,338,417.60 $71,803.59 2026-08-25
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 30 7 — $116,344.29 $41,765.86 $160,518.09 $71,793.64 2026-08-25
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 30 7 — $116,174.18 $41,706.64 $160,283.40 $71,688.67 2026-08-25
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 30 7 — $2,569.00 $55,030.68 $213,090.00 $71,282.95 2026-08-25
6504 APR_DRG Splenectomy, Severe 30 7 — $115,491.72 $41,469.06 $159,341.82 $71,267.54 2026-08-25
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 30 7 — $115,351.99 $41,420.42 $159,149.03 $71,181.32 2026-08-25
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 30 7 — — $41,349.22 $158,866.84 $71,055.10 2026-08-25
4403 APR_DRG Kidney Transplant, Major 30 7 — $177,052.00 $41,253.34 $186,481.53 $70,885.15 2026-08-25
A9543 HCPCS Y90 Ibritumomab, Rx 29 9 — — $69,162.84 $173,573.43 $70,817.96 2026-08-25
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 30 7 — $153,434.08 $54,677.49 $211,690.20 $70,814.69 2026-08-25
J7330 HCPCS Cultured Chondrocytes Implnt 33 7 — — $1,494.38 $79,539.70 $69,772.00 2026-08-25
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 30 7 — $112,970.46 $40,591.37 $155,863.29 $69,711.73 2026-08-25
2244 APR_DRG Peritoneal Adhesiolysis, Severe 30 7 — $112,769.98 $40,521.57 $155,586.68 $69,588.01 2026-08-25
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 30 7 — $112,069.29 $40,277.65 $154,619.96 $69,155.63 2026-08-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 8 — — $67,044.76 $1,274,707.20 $68,385.66 2026-08-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 8 — — $66,967.08 $1,273,230.40 $68,306.42 2026-08-25
4234 APR_DRG Inborn Errors Of Metabolism, Severe 30 7 — $110,131.27 $39,602.99 $151,946.10 $67,959.72 2026-08-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 8 — — $66,324.90 $1,261,020.80 $67,651.40 2026-08-25
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 21 8 — — $54,404.11 $168,832.08 $67,532.83 2026-08-25
L7181 HCPCS Dme Pos 11 6 — — $48,155.50 $120,388.75 $67,417.70 2026-08-25
224 APR_DRG Ventricular Shunt Procedures, Severe 30 7 — $109,102.51 $39,244.86 $150,526.75 $67,324.89 2026-08-25
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 30 7 — $145,453.14 $51,899.18 $200,679.05 $67,131.24 2026-08-25
28 MS_DRG Spinal Procedures With Mcc 11 8 — — $65,730.86 $1,249,726.40 $67,045.48 2026-08-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 8 — — $65,712.26 $1,249,372.80 $67,026.51 2026-08-25
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 30 7 — — $39,007.99 $149,587.97 $66,905.01 2026-08-25
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 30 7 — $108,272.22 $38,955.82 $149,381.21 $66,812.54 2026-08-25
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 30 7 — $107,889.48 $38,822.58 $148,853.14 $66,576.35 2026-08-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 8 — — $65,236.37 $1,240,324.80 $66,541.10 2026-08-25
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures, Severe 30 7 — $107,518.88 $38,693.57 $148,341.84 $66,347.67 2026-08-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 8 — — $65,021.95 $1,236,248.00 $66,322.39 2026-08-25
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 30 7 — $107,095.63 $38,546.23 $147,757.90 $66,086.49 2026-08-25
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 30 7 — $106,797.94 $38,442.60 $147,347.18 $65,902.79 2026-08-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 8 — — $64,202.54 $1,220,668.80 $65,486.59 2026-08-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 8 — — $64,160.97 $1,219,878.40 $65,444.19 2026-08-25
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 30 7 — — $37,768.64 $144,676.11 $64,708.13 2026-08-25
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mino… 30 7 — — $37,741.15 $144,567.15 $64,659.39 2026-08-25
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $37,704.49 $144,421.86 $64,594.40 2026-08-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 8 — — $63,092.13 $1,199,556.80 $64,353.97 2026-08-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 29 9 — — $60,897.56 $193,482.15 $64,274.80 2026-08-25
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 30 7 — $103,956.72 $37,453.52 $143,427.20 $64,149.54 2026-08-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 8 — — $62,689.54 $1,191,902.40 $63,943.33 2026-08-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 8 — — $62,352.59 $1,185,496.00 $63,599.64 2026-08-25
952T OTHER Totally Implantable Active Middle Ear Hearing Implant; Revision Or Replacement, … 19 8 — — $38,981.23 $87,707.76 $63,344.50 2026-08-25
951T OTHER Totally Implantable Active Middle Ear Hearing Implant; Initial Placement, Includ… 19 8 — — $38,981.23 $87,707.76 $63,344.50 2026-08-25
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 30 7 — $102,628.25 $36,991.05 $141,594.33 $63,329.76 2026-08-25
62 APR_DRG Pancreas Transplant, Moderate 30 7 — $177,052.00 $36,903.64 $186,481.53 $63,174.81 2026-08-25
61 APR_DRG Pancreas Transplant, Minor 30 7 — $177,052.00 $36,903.64 $186,481.53 $63,174.81 2026-08-25
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 30 7 — — $36,849.35 $141,032.74 $63,078.59 2026-08-25
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 30 7 — — $36,767.58 $140,708.63 $62,933.62 2026-08-25
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 30 7 — — $36,767.58 $140,708.63 $62,933.62 2026-08-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $61,504.74 $1,169,376.00 $62,734.83 2026-08-25
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures, Severe 30 7 — $101,328.14 $36,538.46 $139,800.58 $62,527.49 2026-08-25
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 30 7 — $100,809.71 $36,357.99 $139,085.32 $62,207.58 2026-08-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 8 — — $60,894.28 $1,157,769.60 $62,112.17 2026-08-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 8 — — $60,421.68 $1,148,784.00 $61,630.11 2026-08-25
L7180 HCPCS Dme Pos 11 6 — — $44,008.89 $110,022.23 $61,612.45 2026-08-25
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 30 7 — $99,446.81 $35,883.54 $137,204.96 $61,366.57 2026-08-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 8 — — $61,314.38 $215,495.00 $61,314.88 2026-08-25
834 MS_DRG Acute Leukemia With Mcc 11 8 — — $60,059.56 $1,141,899.20 $61,260.75 2026-08-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 8 — — $59,847.32 $1,137,864.00 $61,044.27 2026-08-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 8 — — $59,761.99 $1,136,241.60 $60,957.23 2026-08-25
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 30 7 — — $35,638.91 $136,235.44 $60,932.93 2026-08-25
3464 APR_DRG Connective Tissue Disorders, Severe 30 7 — $98,713.73 $35,628.34 $136,193.53 $60,914.19 2026-08-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 8 — — $59,667.91 $1,134,452.80 $60,861.27 2026-08-25
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 30 7 — $98,448.44 $35,535.98 $135,827.52 $60,750.49 2026-08-25
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 30 7 — $131,435.37 $47,019.34 $181,338.98 $60,661.59 2026-08-25
1804 APR_DRG Other Circulatory System Procedures, Severe 30 7 — $97,591.82 $35,237.78 $134,645.65 $60,221.88 2026-08-25
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 30 7 — $143,415.89 $20,056.24 $197,868.29 $60,174.90 2026-08-25
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 30 7 — $97,458.16 $35,191.25 $134,461.25 $60,139.40 2026-08-25
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 30 7 — $97,237.43 $35,114.41 $134,156.70 $60,003.19 2026-08-25
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 30 7 — $96,802.03 $34,962.84 $133,555.99 $59,734.52 2026-08-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $58,340.89 $1,109,222.40 $59,507.71 2026-08-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 8 — — $58,305.88 $1,108,556.80 $59,472.00 2026-08-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 8 — — $57,914.22 $1,101,110.40 $59,072.50 2026-08-25
90288 CPT Botulism Ig IV 24 7 — — $48,705.00 $76,230.00 $58,905.00 2026-08-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 8 — — $57,722.77 $1,097,470.40 $58,877.23 2026-08-25
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 7 — $127,077.34 $45,502.23 $175,326.29 $58,650.22 2026-08-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 8 — — $56,947.13 $1,082,723.20 $58,086.07 2026-08-25
4402 APR_DRG Kidney Transplant, Moderate 30 7 — $177,052.00 $34,013.24 $186,481.53 $58,051.24 2026-08-25
653 MS_DRG Major Bladder Procedures With Mcc 11 8 — — $56,848.67 $1,080,851.20 $57,985.64 2026-08-25
6614 APR_DRG Coagulation And Platelet Disorders, Severe 30 7 — $92,468.30 $33,454.19 $127,576.83 $57,060.27 2026-08-25
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 7 — — $33,341.39 $127,129.79 $56,860.32 2026-08-25
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 30 7 — $92,053.16 $33,309.67 $127,004.06 $56,804.09 2026-08-25
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Ma… 30 7 — $91,690.66 $33,183.48 $126,503.94 $56,580.40 2026-08-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $55,139.84 $1,048,361.60 $56,242.64 2026-08-25
L2006 HCPCS Dme Pos 11 6 — — $40,019.89 $100,049.73 $56,027.85 2026-08-25
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 30 7 — $90,767.22 $32,862.01 $125,229.87 $56,010.56 2026-08-25
1934 APR_DRG Acute And Subacute Endocarditis, Severe 30 7 — $90,404.72 $32,735.82 $124,729.75 $55,786.88 2026-08-25
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures, Severe 30 7 — $90,234.61 $32,676.60 $124,495.05 $55,681.90 2026-08-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 8 — — $54,562.21 $1,037,379.20 $55,653.45 2026-08-25
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 7 — $120,121.11 $43,080.64 $165,728.90 $55,439.70 2026-08-25
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 30 7 — $89,505.58 $32,422.81 $123,489.21 $55,232.03 2026-08-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 8 — — $54,124.61 $1,029,059.20 $55,207.10 2026-08-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 8 — — $54,028.33 $1,027,228.80 $55,108.90 2026-08-25
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 7 — — $32,282.52 $122,933.21 $54,983.35 2026-08-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 8 — — $53,843.45 $1,023,713.60 $54,920.32 2026-08-25
6964 APR_DRG Other Chemotherapy, Severe 30 7 — $88,991.20 $32,243.75 $122,779.54 $54,914.62 2026-08-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $53,619.18 $1,019,449.60 $54,691.56 2026-08-25
213 APR_DRG Open Craniotomy Except Trauma, Major 30 7 — $87,725.51 $31,803.14 $121,033.29 $54,133.59 2026-08-25
471 MS_DRG Cervical Spinal Fusion With Mcc 11 8 — — $52,826.03 $1,004,369.60 $53,882.55 2026-08-25
233 APR_DRG Spinal Procedures, Major 30 7 — $87,006.60 $31,552.87 $120,041.42 $53,689.96 2026-08-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 8 — — $52,559.09 $999,294.40 $53,610.27 2026-08-25
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 30 7 — $86,662.33 $31,433.02 $119,566.44 $53,477.52 2026-08-25
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 30 7 — $86,633.98 $31,423.15 $119,527.32 $53,460.03 2026-08-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 8 — — $52,083.20 $990,246.40 $53,124.86 2026-08-25
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mino… 30 7 — — $31,186.28 $118,588.54 $53,040.15 2026-08-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 8 — — $51,328.34 $975,894.40 $52,354.91 2026-08-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 8 — — $51,175.18 $972,982.40 $52,198.68 2026-08-25
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 30 7 — $84,274.73 $30,601.86 $116,272.31 $52,004.18 2026-08-25
914 APR_DRG Other Major Head And Neck Procedures, Severe 30 7 — $83,894.01 $30,469.32 $115,747.04 $51,769.25 2026-08-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 8 — — $50,526.44 $960,648.00 $51,536.97 2026-08-25
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions, Severe 30 7 — $83,379.63 $30,290.26 $115,037.36 $51,451.84 2026-08-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 8 — — $51,433.36 $150,725.00 $51,433.79 2026-08-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 8 — — $50,285.76 $956,072.00 $51,291.48 2026-08-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 8 — — $50,157.76 $953,638.40 $51,160.92 2026-08-25
1813 APR_DRG Lower Extremity Arterial Procedures, Major 30 7 — $82,832.86 $30,099.91 $114,282.98 $51,114.43 2026-08-25
245 MS_DRG Aicd Generator Procedures 11 8 — — $49,912.70 $948,979.20 $50,910.95 2026-08-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 8 — — $49,762.82 $946,129.60 $50,758.08 2026-08-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 8 — — $49,740.94 $945,713.60 $50,735.76 2026-08-25
799 MS_DRG Splenic Procedures With Mcc 11 8 — — $49,546.21 $942,011.20 $50,537.13 2026-08-25
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Moderate 30 7 — — $29,709.36 $112,735.11 $50,422.13 2026-08-25
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 30 7 — — $29,699.49 $112,695.99 $50,404.63 2026-08-25
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Mod… 30 7 — — $29,657.89 $112,531.14 $50,330.90 2026-08-25
4624 APR_DRG Nephritis And Nephrosis, Severe 30 7 — $81,370.73 $29,590.92 $112,265.71 $50,212.19 2026-08-25
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 30 7 — $81,324.15 $29,574.71 $112,201.45 $50,183.44 2026-08-25
1611 APR_DRG Implantable Heart Assist Systems, Minor 30 7 — $81,293.78 $29,564.13 $112,159.54 $50,164.70 2026-08-25
163 MS_DRG Major Chest Procedures With Mcc 11 8 — — $49,030.94 $932,214.40 $50,011.56 2026-08-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 8 — — $49,016.71 $931,944.00 $49,997.04 2026-08-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 8 — — $48,824.17 $928,283.20 $49,800.65 2026-08-25
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 30 7 — — $29,310.34 $111,153.70 $49,714.83 2026-08-25
974 APR_DRG Tonsil And Adenoid Procedures, Severe 30 7 — $80,481.71 $29,281.44 $111,039.15 $49,663.59 2026-08-25
8634 APR_DRG Neonatal Aftercare, Severe 30 7 — — $38,620.96 $148,054.06 $49,527.10 2026-08-25
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 30 7 — $79,930.88 $29,089.68 $110,279.18 $49,323.68 2026-08-25
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 30 7 — $79,779.00 $29,036.81 $110,069.63 $49,229.96 2026-08-25
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