Price Transparency Hospital negotiated rates

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

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Hospital

BROOKS-TLC HOSPITAL SYSTEM, INC

Dunkirk, NY · CCN 330229 · Rates published

20,468 distinct procedures filed
17 distinct payers
264,683 rate rows
2026-04-01 last MRF observed
Data quality

225,016 of 264,683 rate rows are consumer-grade (85.0%)

39,667 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 39,563
placeholder amount (≤ $0.02) — excluded from medians 104
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=fRfSPde23gbbK8KMnO7RBg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=fRfSPde23gbbK8KMnO7RBg*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 1d5e41596ce62b8b… · 62,329,436 bytes · first seen 2026-05-14

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $1,927,675.19 $4,946,543.00 $3,691,450.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,570,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $1,734,422.75 $4,450,644.35 $3,321,376.38 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $1,694,738.16 $4,348,811.06 $3,250,249.46 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $1,534,390.70 $3,937,348.80 $2,942,727.48 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $1,350,976.97 $3,466,696.92 $2,587,087.26 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $1,217,770.40 $3,124,880.00 $2,335,498.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $320,725.22 $823,002.28 $615,102.08 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $307,311.99 $788,583.04 $589,377.55 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $293,612.61 $753,429.52 $563,104.23 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $292,317.68 $750,106.65 $560,620.75 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $277,731.61 $712,677.82 $533,227.92 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $255,507.55 $655,649.41 $502,305.73 nat. median
$620,080
0.8× median
24
APR_DRG 		Heart And/Or Lung Transplant 4 $278,972.73 $522,458.88 $469,793.22 nat. median
$234,738
outlier · 2.0×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $394,808.86 $671,175.06 $394,808.86 nat. median
$370,174
1.1× median
5834
APR_DRG 		Neonate With Ecmo 4 $205,357.17 $384,591.99 $345,823.79 nat. median
$309,665
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $201,747.43 $377,831.68 $339,744.94 nat. median
$182,736
1.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $201,747.43 $377,831.68 $339,744.94 nat. median
$246,434
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $184,531.00 $345,588.82 $310,752.28 nat. median
$207,730
1.5× median
34
APR_DRG 		Description Not Available 4 $179,170.35 $335,549.42 $301,724.89 nat. median
$209,067
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $154,899.13 $290,094.39 $260,851.88 nat. median
$164,279
1.6× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $154,339.48 $289,046.28 $259,909.42 nat. median
$124,573
outlier · 2.1×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $154,339.48 $289,046.28 $259,909.42 nat. median
$145,336
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $256,418.68 $435,911.76 $256,418.68 nat. median
$265,286
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $149,813.51 $280,570.06 $252,287.63 nat. median
$160,267
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $144,486.44 $270,593.55 $243,316.79 nat. median
$105,658
outlier · 2.3×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 4 $139,955.67 $262,108.35 $235,686.93 nat. median
$129,535
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $139,400.02 $261,067.73 $234,751.21 nat. median
$151,838
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $127,633.78 $239,031.97 $214,936.72 nat. median
$162,982
1.3× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 4 $120,897.19 $226,415.72 $203,592.23 nat. median
$118,620
1.7× median
23
APR_DRG 		Heart And/Or Lung Transplant 4 $120,475.06 $225,625.14 $202,881.35 nat. median
$93,528
outlier · 2.2×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $117,069.99 $219,248.14 $197,147.17 nat. median
$66,693
outlier · 3.0×
5833
APR_DRG 		Neonate With Ecmo 4 $116,666.24 $218,492.01 $196,467.26 nat. median
$244,017
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $195,495.20 $332,341.84 $195,495.20 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $194,351.30 $330,397.21 $194,351.30 nat. median
$202,986
1.0× median
5832
APR_DRG 		Neonate With Ecmo 4 $114,484.40 $214,405.87 $192,793.02 nat. median
$156,126
1.2× median
5831
APR_DRG 		Neonate With Ecmo 4 $114,484.40 $214,405.87 $192,793.02 nat. median
$145,122
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $111,368.75 $208,570.90 $187,546.23 nat. median
$109,499
1.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $110,247.05 $206,470.18 $185,657.27 nat. median
$68,217
outlier · 2.7×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $108,875.91 $203,902.31 $183,348.26 nat. median
$108,996
1.7× median
22
APR_DRG 		Heart And/Or Lung Transplant 4 $102,702.17 $192,340.16 $172,951.61 nat. median
$78,029
outlier · 2.2×
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 4 $98,703.07 $184,850.67 $166,217.09 nat. median
$95,507
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $97,774.85 $183,112.30 $164,653.95 nat. median
$150,721
1.1× median
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 4 $97,050.51 $181,755.75 $163,434.15 nat. median
$93,260
1.8× median
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 4 $97,050.51 $181,755.75 $163,434.15 nat. median
$89,790
1.8× median
21
APR_DRG 		Heart And/Or Lung Transplant 4 $96,740.30 $181,174.80 $162,911.76 nat. median
$65,130
outlier · 2.5×
33
APR_DRG 		Description Not Available 4 $94,525.68 $177,027.28 $159,182.32 nat. median
$113,142
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $94,459.33 $176,903.00 $159,070.57 nat. median
$102,636
1.5× median
904
APR_DRG 		Description Not Available 4 $89,787.05 $168,152.78 $151,202.40 nat. median
$98,750
1.5× median

Other procedures at this hospital

Browse this hospital's 20,468 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 6 — — $1,927,675.19 $4,946,543.00 $3,691,450.00 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 6 — — $1,734,422.75 $4,450,644.35 $3,321,376.38 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 5 — — $1,694,738.16 $4,348,811.06 $3,250,249.46 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 5 — — $1,534,390.70 $3,937,348.80 $2,942,727.48 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 6 — — $1,350,976.97 $3,466,696.92 $2,587,087.26 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 5 — — $1,217,770.40 $3,124,880.00 $2,335,498.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 8 — — $320,725.22 $823,002.28 $615,102.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 16 8 — — $307,311.99 $788,583.04 $589,377.55 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 8 — — $293,612.61 $753,429.52 $563,104.23 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 16 8 — — $292,317.68 $750,106.65 $560,620.75 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 8 — — $277,731.61 $712,677.82 $533,227.92 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 16 8 — — $255,507.55 $655,649.41 $502,305.73 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 6 4 — — $278,972.73 $522,458.88 $469,793.22 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 13 — — $394,808.86 $671,175.06 $394,808.86 2026-04-01
5834 APR_DRG Neonate With Ecmo 6 4 — — $205,357.17 $384,591.99 $345,823.79 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $201,747.43 $377,831.68 $339,744.94 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $201,747.43 $377,831.68 $339,744.94 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 6 4 — — $184,531.00 $345,588.82 $310,752.28 2026-04-01
34 APR_DRG Description Not Available 6 4 — — $179,170.35 $335,549.42 $301,724.89 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $154,899.13 $290,094.39 $260,851.88 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $154,339.48 $289,046.28 $259,909.42 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $154,339.48 $289,046.28 $259,909.42 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 13 — — $256,418.68 $435,911.76 $256,418.68 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $149,813.51 $280,570.06 $252,287.63 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $144,486.44 $270,593.55 $243,316.79 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 6 4 — — $139,955.67 $262,108.35 $235,686.93 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $139,400.02 $261,067.73 $234,751.21 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $127,633.78 $239,031.97 $214,936.72 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $120,897.19 $226,415.72 $203,592.23 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 6 4 — — $120,475.06 $225,625.14 $202,881.35 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $117,069.99 $219,248.14 $197,147.17 2026-04-01
5833 APR_DRG Neonate With Ecmo 6 4 — — $116,666.24 $218,492.01 $196,467.26 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 13 — — $195,495.20 $332,341.84 $195,495.20 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 13 — — $194,351.30 $330,397.21 $194,351.30 2026-04-01
5832 APR_DRG Neonate With Ecmo 6 4 — — $114,484.40 $214,405.87 $192,793.02 2026-04-01
5831 APR_DRG Neonate With Ecmo 6 4 — — $114,484.40 $214,405.87 $192,793.02 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $111,368.75 $208,570.90 $187,546.23 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $110,247.05 $206,470.18 $185,657.27 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $108,875.91 $203,902.31 $183,348.26 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 6 4 — — $102,702.17 $192,340.16 $172,951.61 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $98,703.07 $184,850.67 $166,217.09 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $97,774.85 $183,112.30 $164,653.95 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 6 4 — — $97,050.51 $181,755.75 $163,434.15 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 6 4 — — $97,050.51 $181,755.75 $163,434.15 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 6 4 — — $96,740.30 $181,174.80 $162,911.76 2026-04-01
33 APR_DRG Description Not Available 6 4 — — $94,525.68 $177,027.28 $159,182.32 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $94,459.33 $176,903.00 $159,070.57 2026-04-01
904 APR_DRG Description Not Available 6 4 — — $89,787.05 $168,152.78 $151,202.40 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $89,240.99 $167,130.12 $150,282.83 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $89,081.09 $166,830.66 $150,013.55 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $88,120.09 $165,030.91 $148,395.23 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $87,101.53 $163,123.35 $146,679.96 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $86,368.39 $161,750.32 $145,445.33 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $84,054.63 $157,417.14 $141,548.95 2026-04-01
4404 APR_DRG Kidney Transplant 6 4 — — $83,020.88 $155,481.13 $139,808.10 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $80,514.45 $150,787.09 $135,587.23 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $79,501.48 $148,890.01 $133,881.39 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 6 4 — — $78,667.60 $147,328.33 $132,477.12 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 4 — — $76,756.00 $143,748.29 $129,257.96 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $75,824.58 $142,003.93 $127,689.45 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 13 — — $127,033.65 $215,957.20 $127,033.65 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $75,030.68 $140,517.11 $126,352.51 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $73,815.44 $138,241.22 $124,306.03 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 4 — — $73,411.69 $137,485.08 $123,626.11 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $73,147.05 $136,989.47 $123,180.46 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 4 — — $71,973.39 $134,791.44 $121,203.99 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $71,783.11 $134,435.08 $120,883.56 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $71,724.74 $134,325.78 $120,785.27 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $71,525.67 $133,952.95 $120,450.03 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $71,070.75 $133,100.99 $119,683.95 2026-04-01
7 MS_DRG Lung Transplant 15 13 — — $118,806.32 $201,970.74 $118,806.32 2026-04-01
6904 APR_DRG Acute Leukemia 6 4 — — $69,981.03 $131,060.17 $117,848.85 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $69,058.41 $129,332.28 $116,295.14 2026-04-01
6124 APR_DRG Respiratory Condition 6 4 — — $67,746.43 $126,875.21 $114,085.76 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 4 — — $67,062.86 $125,595.02 $112,934.61 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 6 4 — — $66,890.17 $125,271.60 $112,643.80 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $65,668.53 $122,983.73 $110,586.55 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 13 — — $110,295.08 $187,501.64 $110,295.08 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $64,873.83 $121,495.41 $109,248.26 2026-04-01
234 APR_DRG Spinal Procedures 6 4 — — $64,616.39 $121,013.28 $108,814.73 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 5 — — $56,524.68 $145,046.09 $108,568.08 2026-04-01
32 APR_DRG Description Not Available 6 4 — — $62,046.00 $116,199.46 $104,486.15 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 13 — — $104,031.46 $176,853.48 $104,031.46 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 11 — — $103,912.78 $176,651.73 $103,912.78 2026-04-01
64 APR_DRG Pancreas Transplant 6 4 — — $61,073.01 $114,377.25 $102,847.63 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 4 — — $61,006.65 $114,252.97 $102,735.88 2026-04-01
8504 APR_DRG Services 6 4 — — $60,975.47 $114,194.58 $102,683.37 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 4 — — $60,574.92 $113,444.43 $102,008.84 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 13 — — $101,195.90 $172,033.03 $101,195.90 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 4 — — $59,989.68 $112,348.41 $101,023.30 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $59,789.81 $111,974.08 $100,686.71 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 4 — — $59,374.87 $111,196.98 $99,987.95 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 13 — — $99,852.98 $169,750.07 $99,852.98 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 6 4 — — $59,057.47 $110,602.56 $99,453.44 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 4 — — $58,790.43 $110,102.46 $99,003.75 2026-04-01
63 APR_DRG Pancreas Transplant 6 4 — — $58,477.03 $109,515.52 $98,475.98 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $58,228.38 $109,049.86 $98,057.26 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 6 4 — — $57,894.99 $108,425.48 $97,495.82 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $57,472.86 $107,634.91 $96,784.93 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $57,472.86 $107,634.91 $96,784.93 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 6 4 — — $57,427.29 $107,549.56 $96,708.20 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 4 — — $57,424.09 $107,543.57 $96,702.81 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $57,423.29 $107,542.08 $96,701.46 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 4 — — $56,666.16 $106,124.13 $95,426.46 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $56,619.79 $106,037.29 $95,348.36 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $56,577.42 $105,957.93 $95,277.01 2026-04-01
3214 APR_DRG Decompression 6 4 — — $56,478.28 $105,772.27 $95,110.05 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $56,340.77 $105,514.73 $94,878.49 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 13 — — $94,707.71 $161,003.11 $94,707.71 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $55,869.06 $104,631.32 $94,084.12 2026-04-01
4014 APR_DRG Adrenal Procedures 6 4 — — $55,866.66 $104,626.83 $94,080.08 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $55,153.51 $103,291.24 $92,879.12 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 6 4 — — $54,703.39 $102,448.26 $92,121.12 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $54,554.68 $102,169.76 $91,870.70 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 4 — — $54,514.71 $102,094.90 $91,803.38 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 13 — — $91,480.50 $155,516.85 $91,480.50 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 6 4 — — $54,314.83 $101,720.57 $91,466.79 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 4 — — $54,302.84 $101,698.11 $91,446.59 2026-04-01
4414 APR_DRG Major Bladder Procedures 6 4 — — $54,072.58 $101,266.89 $91,058.84 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $91,031.93 $91,031.93 $91,031.93 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 6 4 — — $53,486.55 $100,169.37 $90,071.95 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 13 — — $89,890.17 $152,813.29 $89,890.17 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 4 — — $53,016.44 $99,288.96 $89,280.29 2026-04-01
31 APR_DRG Description Not Available 6 4 — — $52,971.67 $99,205.11 $89,204.89 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 6 4 — — $52,898.92 $99,068.85 $89,082.37 2026-04-01
7914 APR_DRG Description Not Available 6 4 — — $52,852.55 $98,982.01 $89,004.28 2026-04-01
2214 APR_DRG Description Not Available 6 4 — — $52,833.36 $98,946.08 $88,971.98 2026-04-01
4034 APR_DRG Procedures For Obesity 6 4 — — $52,580.72 $98,472.93 $88,546.52 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $51,909.14 $97,215.20 $87,415.57 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 4 — — $51,889.95 $97,179.26 $87,383.26 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 4 — — $51,738.04 $96,894.77 $87,127.45 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 4 — — $51,242.35 $95,966.45 $86,292.70 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 4 — — $50,975.32 $95,466.35 $85,843.01 2026-04-01
6123 APR_DRG Respiratory Condition 6 4 — — $50,712.29 $94,973.74 $85,400.05 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 4 — — $50,645.13 $94,847.97 $85,286.96 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 6 4 — — $50,630.74 $94,821.01 $85,262.73 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 4 — — $50,531.60 $94,635.35 $85,095.78 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 6 4 — — $50,512.41 $94,599.41 $85,063.47 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 4 — — $50,382.89 $94,356.85 $84,845.36 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 6 4 — — $50,175.82 $93,969.05 $84,496.65 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $50,169.42 $93,957.07 $84,485.88 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 6 4 — — $50,144.64 $93,910.66 $84,444.14 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $50,095.07 $93,817.82 $84,360.67 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 4 — — $49,818.44 $93,299.76 $83,894.82 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 4 — — $49,780.07 $93,227.89 $83,830.20 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 6 4 — — $49,456.27 $92,621.48 $83,284.92 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 6 4 — — $49,275.58 $92,283.09 $82,980.63 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 6 4 — — $49,275.58 $92,283.09 $82,980.63 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 4 — — $49,206.03 $92,152.83 $82,863.51 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 13 — — $82,831.40 $140,813.38 $82,831.40 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 6 4 — — $49,094.10 $91,943.20 $82,675.01 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 6 4 — — $48,990.16 $91,748.55 $82,499.99 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 6 4 — — $48,695.95 $91,197.55 $82,004.52 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $48,552.04 $90,928.03 $81,762.18 2026-04-01
6903 APR_DRG Acute Leukemia 6 4 — — $48,472.89 $90,779.80 $81,628.89 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 6 4 — — $48,426.51 $90,692.96 $81,550.80 2026-04-01
3014 APR_DRG Hip Joint Replacement 6 4 — — $48,399.33 $90,642.05 $81,505.02 2026-04-01
2624 APR_DRG Description Not Available 6 4 — — $48,398.53 $90,640.55 $81,503.67 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 6 4 — — $48,360.16 $90,568.68 $81,439.04 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 6 4 — — $48,299.39 $90,454.89 $81,336.73 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 4 — — $48,257.02 $90,375.53 $81,265.36 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 6 4 — — $47,793.31 $89,507.10 $80,484.48 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 6 4 — — $47,710.16 $89,351.38 $80,344.45 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 6 4 — — $47,680.58 $89,295.98 $80,294.64 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $47,423.14 $88,813.85 $79,861.11 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $47,374.37 $88,722.51 $79,778.98 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 4 — — $47,312.01 $88,605.72 $79,673.96 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 13 — — $79,635.23 $135,379.89 $79,635.23 2026-04-01
3814 APR_DRG Major Skin Disorders 6 4 — — $47,192.89 $88,382.62 $79,473.35 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $46,719.58 $87,496.22 $78,676.30 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 4 — — $46,265.47 $86,645.76 $77,911.57 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 6 4 — — $46,121.56 $86,376.24 $77,669.22 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 13 — — $77,539.14 $131,816.54 $77,539.14 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 6 4 — — $45,932.07 $86,021.38 $77,350.13 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $77,297.22 $131,405.27 $77,297.22 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $45,864.92 $85,895.61 $77,237.04 2026-04-01
6504 APR_DRG Splenectomy 6 4 — — $45,595.49 $85,391.02 $76,783.31 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $45,540.32 $85,287.71 $76,690.41 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $45,459.57 $85,136.48 $76,554.43 2026-04-01
4403 APR_DRG Kidney Transplant 6 4 — — $45,350.84 $84,932.85 $76,371.32 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 6 4 — — $44,600.11 $83,526.88 $75,107.08 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 6 4 — — $44,520.96 $83,378.65 $74,973.79 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 4 — — $44,244.33 $82,860.58 $74,507.95 2026-04-01
3024 APR_DRG Knee Joint Replacement 6 4 — — $43,515.19 $81,495.04 $73,280.06 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 6 4 — — $43,479.21 $81,427.67 $73,219.48 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 6 4 — — $43,073.06 $80,667.04 $72,535.52 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 13 — — $72,416.69 $123,108.37 $72,416.69 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $42,907.57 $80,357.10 $72,256.82 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 4 — — $42,804.43 $80,163.94 $72,083.14 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 4 — — $42,745.27 $80,053.14 $71,983.51 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 4 — — $42,594.16 $79,770.15 $71,729.04 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 6 4 — — $42,447.85 $79,496.15 $71,482.67 2026-04-01
8634 APR_DRG Neonatal Aftercare 6 4 — — $42,365.51 $79,341.93 $71,343.99 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $42,280.76 $79,183.21 $71,201.27 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 6 4 — — $42,163.23 $78,963.11 $71,003.36 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 13 — — $70,677.56 $120,151.85 $70,677.56 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 13 — — $70,375.38 $119,638.15 $70,375.38 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 13 — — $70,144.41 $119,245.50 $70,144.41 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $41,398.91 $77,531.69 $69,716.23 2026-04-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $41,367.73 $77,473.30 $69,663.72 2026-04-01
6224 APR_DRG Respiratory Condition 6 4 — — $41,326.16 $77,395.44 $69,593.71 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 6 4 — — $41,041.53 $76,862.40 $69,114.40 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 9 5 — — $35,928.25 $92,194.29 $69,008.12 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 6 4 — — $40,612.20 $76,058.35 $68,391.40 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 6 4 — — $40,517.06 $75,880.17 $68,231.18 2026-04-01
61 APR_DRG Pancreas Transplant 6 4 — — $40,417.92 $75,694.50 $68,064.24 2026-04-01
62 APR_DRG Pancreas Transplant 6 4 — — $40,417.92 $75,694.50 $68,064.24 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $40,356.36 $75,579.21 $67,960.57 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $40,263.62 $75,405.53 $67,804.39 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $40,263.62 $75,405.53 $67,804.39 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 6 4 — — $40,003.78 $74,918.90 $67,366.82 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 6 4 — — $39,799.11 $74,535.59 $67,022.15 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $66,480.82 $113,017.39 $66,480.82 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 17 6 — — $29,673.78 $76,144.90 $66,156.06 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 4 — — $39,261.05 $73,527.91 $66,116.04 2026-04-01
10 MS_DRG Pancreas Transplant 15 13 — — $66,089.17 $112,351.59 $66,089.17 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 13 — — $66,061.78 $112,305.03 $66,061.78 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 13 — — $65,713.96 $111,713.73 $65,713.96 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 13 — — $65,675.61 $111,648.54 $65,675.61 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $38,983.62 $73,008.35 $65,648.86 2026-04-01
3464 APR_DRG Connective Tissue Disorders 6 4 — — $38,971.63 $72,985.89 $65,628.66 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $38,866.89 $72,789.74 $65,452.28 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 6 4 — — $38,528.70 $72,156.38 $64,882.78 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 4 — — $38,475.94 $72,057.56 $64,793.92 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 6 4 — — $38,388.79 $71,894.36 $64,647.16 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $38,216.90 $71,572.44 $64,357.69 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 21 9 — — $15,300.00 $86,138.28 $64,282.30 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 13 — — $63,679.95 $108,255.92 $63,679.95 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 13 — — $63,370.47 $107,729.80 $63,370.47 2026-04-01
4402 APR_DRG Kidney Transplant 6 4 — — $37,139.97 $69,555.57 $62,544.13 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 13 — — $62,030.28 $105,451.48 $62,030.28 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 13 — — $61,623.12 $104,759.30 $61,623.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 13 — — $61,578.38 $104,683.25 $61,578.38 2026-04-01
6614 APR_DRG Coagulation And Platelet Disorders 6 4 — — $36,505.97 $68,368.22 $61,476.46 2026-04-01
6122 APR_DRG Respiratory Condition 6 4 — — $36,378.05 $68,128.65 $61,261.04 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $36,342.07 $68,061.27 $61,200.46 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 4 — — $36,198.96 $67,793.25 $60,959.46 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 13 — — $60,607.94 $103,033.50 $60,607.94 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 13 — — $60,607.94 $103,033.50 $60,607.94 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 13 — — $60,389.75 $102,662.58 $60,389.75 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $35,834.39 $67,110.48 $60,345.51 2026-04-01
1934 APR_DRG Acute And Subacute Endocarditis 6 4 — — $35,691.28 $66,842.47 $60,104.51 2026-04-01
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 6 4 — — $35,624.12 $66,716.69 $59,991.42 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $35,336.30 $66,177.67 $59,506.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 13 — — $59,324.36 $100,851.41 $59,324.36 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 6 4 — — $35,177.20 $65,879.70 $59,238.80 2026-04-01
6964 APR_DRG Other Chemotherapy 6 4 — — $35,133.23 $65,797.35 $59,164.75 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $34,886.18 $65,334.69 $58,748.73 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 6 4 — — $34,633.54 $64,861.54 $58,323.27 2026-04-01
5464 APR_DRG Description Not Available 6 4 — — $34,440.06 $64,499.19 $57,997.45 2026-04-01
233 APR_DRG Spinal Procedures 6 4 — — $34,349.72 $64,330.00 $57,845.31 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 8 — — $29,383.77 $75,400.72 $57,765.96 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $34,213.80 $64,075.46 $57,616.43 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 6 4 — — $34,202.61 $64,054.49 $57,597.58 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 2 — — $53,297.04 $61,878.30 $57,294.42 2026-04-01
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $33,933.98 $63,551.40 $57,145.20 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 13 — — $56,528.05 $96,097.68 $56,528.05 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 13 — — $56,463.24 $95,987.51 $56,463.24 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 6 4 — — $33,271.19 $62,310.14 $56,029.07 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 13 — — $55,927.35 $95,076.50 $55,927.35 2026-04-01
8633 APR_DRG Neonatal Aftercare 6 4 — — $33,191.24 $62,160.41 $55,894.43 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 6 4 — — $33,120.89 $62,028.65 $55,775.95 2026-04-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 6 4 — — $32,917.81 $61,648.33 $55,433.96 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 13 — — $55,431.62 $94,233.75 $55,431.62 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 13 — — $55,416.10 $94,207.37 $55,416.10 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 6 4 — — $32,701.95 $61,244.06 $55,070.45 2026-04-01
903 APR_DRG Description Not Available 6 4 — — $32,672.37 $61,188.66 $55,020.63 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $55,018.98 $93,532.27 $55,018.98 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 11 6 — — $9,280.24 $73,676.56 $54,982.51 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 13 — — $54,840.05 $93,228.08 $54,840.05 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 13 — — $54,714.06 $93,013.90 $54,714.06 2026-04-01
2254 APR_DRG Description Not Available 6 4 — — $32,477.29 $60,823.32 $54,692.12 2026-04-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $32,259.03 $60,414.56 $54,324.57 2026-04-01
6344 APR_DRG Respiratory Condition 6 4 — — $32,247.83 $60,393.60 $54,305.71 2026-04-01
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $32,200.66 $60,305.25 $54,226.27 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 13 — — $54,156.26 $92,065.64 $54,156.26 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 13 — — $54,121.57 $92,006.67 $54,121.57 2026-04-01
4624 APR_DRG Nephritis And Nephrosis 6 4 — — $32,124.71 $60,163.01 $54,098.38 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 4 — — $32,106.32 $60,128.57 $54,067.40 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 6 4 — — $32,094.33 $60,106.11 $54,047.21 2026-04-01
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $31,935.23 $59,808.15 $53,779.29 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 4 — — $31,806.51 $59,567.09 $53,562.52 2026-04-01
974 APR_DRG Tonsil And Adenoid Procedures 6 4 — — $31,773.73 $59,505.70 $53,507.32 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 13 — — $53,229.64 $90,490.39 $53,229.64 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $31,556.27 $59,098.43 $53,141.10 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 4 — — $31,496.30 $58,986.13 $53,040.12 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 4 — — $31,464.32 $58,926.24 $52,986.27 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $31,448.33 $58,896.30 $52,959.35 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 13 — — $52,893.68 $89,919.26 $52,893.68 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 6 4 — — $31,334.80 $58,683.68 $52,768.16 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 11 — — $52,680.05 $89,556.08 $52,680.05 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 13 — — $52,612.50 $89,441.25 $52,612.50 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 4 — — $30,997.41 $58,051.82 $52,200.00 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $30,930.26 $57,926.05 $52,086.90 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $51,904.98 $88,238.47 $51,904.98 2026-04-01
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 6 4 — — $30,795.14 $57,673.00 $51,859.36 2026-04-01
3144 APR_DRG Foot And Toe Procedures 6 4 — — $30,740.78 $57,571.19 $51,767.82 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 13 — — $51,746.13 $87,968.42 $51,746.13 2026-04-01
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