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.

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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
             
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 21 9 — — $15,300.00 $86,138.28 $64,282.30 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 8 — — $29,383.77 $75,400.72 $57,765.96 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 17 6 — — $29,673.78 $76,144.90 $66,156.06 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
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
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
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
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
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
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
7 MS_DRG Lung Transplant 15 13 — — $118,806.32 $201,970.74 $118,806.32 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 13 — — $110,295.08 $187,501.64 $110,295.08 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 13 — — $99,852.98 $169,750.07 $99,852.98 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
215 MS_DRG Other Heart Assist System Implant 15 13 — — $91,480.50 $155,516.85 $91,480.50 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
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
850 MS_DRG Acute Leukemia With Other Procedures 15 13 — — $79,635.23 $135,379.89 $79,635.23 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
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
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
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
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
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
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
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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 13 — — $55,927.35 $95,076.50 $55,927.35 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
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
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
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
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
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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 13 — — $51,746.13 $87,968.42 $51,746.13 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 11 — — $103,912.78 $176,651.73 $103,912.78 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 6 — — $1,927,675.19 $4,946,543.00 $3,691,450.00 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 6 — — $1,350,976.97 $3,466,696.92 $2,587,087.26 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
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
J3392 HCPCS Inj, Exagamglogene Autotem 10 5 — — $1,217,770.40 $3,124,880.00 $2,335,498.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 5 — — $56,524.68 $145,046.09 $108,568.08 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
24 APR_DRG Heart And/Or Lung Transplant 6 4 — — $278,972.73 $522,458.88 $469,793.22 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
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
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
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
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
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
32 APR_DRG Description Not Available 6 4 — — $62,046.00 $116,199.46 $104,486.15 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
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
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
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
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
204 APR_DRG Open Craniotomy For Trauma 6 4 — — $53,486.55 $100,169.37 $90,071.95 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
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
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
3094 APR_DRG Other Significant Hip And Femur Surgery 6 4 — — $45,932.07 $86,021.38 $77,350.13 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
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
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
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
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 4 — — $39,261.05 $73,527.91 $66,116.04 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
4402 APR_DRG Kidney Transplant 6 4 — — $37,139.97 $69,555.57 $62,544.13 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
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
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
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
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
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 6 4 — — $33,271.19 $62,310.14 $56,029.07 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
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
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
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
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
7754 APR_DRG Alcohol Abuse And Dependence 6 4 — — $31,334.80 $58,683.68 $52,768.16 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
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
J7330 HCPCS Cultured Chondrocytes Implnt 5 2 — — $53,297.04 $61,878.30 $57,294.42 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
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $91,031.93 $91,031.93 $91,031.93 2026-04-01
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