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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

UNITY SPECIALTY HOSPITAL

Rochester, NY · CCN 330411 · Rates published

8,931 distinct procedures filed
15 distinct payers
75,155 rate rows
2026-04-01 last MRF observed
Data quality

61,702 of 75,155 rate rows are consumer-grade (82.1%)

13,453 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 13,363
placeholder amount (≤ $0.02) — excluded from medians 49
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/237221763_the-unity-hospital-of-rochester_standardcharges.csv
Found on page https://www.rochesterregional.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-11-02
Content fingerprint 8fb7b87a6e2ca39c… · 16,046,253 bytes · first seen 2026-11-02

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 		Inj, Atidarsagene Autotemcel 1 $4,249,830.00 $11,915,248.37 $6,804,969.46 nat. median
$4,505,000
1.5× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,710,000.00 $9,812,557.48 $5,744,185.83 nat. median
$3,705,478
1.6× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,499,860.00 $9,812,557.48 $5,604,092.49 nat. median
$3,710,000
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,392,000.00 $8,971,481.13 $5,251,827.04 nat. median
$3,324,572
1.6× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,286,000.00 $8,691,122.34 $5,087,707.45 nat. median
$3,286,000
1.5× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,146,874.12 $8,822,890.97 $5,038,879.74 nat. median
$3,335,820
1.5× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $2,999,880.00 $8,410,763.56 $4,803,507.85 nat. median
$3,180,000
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,968,000.00 $7,850,045.99 $4,595,348.66 nat. median
$2,994,107
1.5× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,295,000.00 $7,040,624.86 $3,587,794.53 nat. median
$2,467,989
1.5× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,199,912.00 $6,167,893.27 $3,522,572.42 nat. median
$2,401,965
1.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $726,970.92 $2,038,208.37 $1,164,050.07 nat. median
$813,967
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $524,979.00 $1,471,883.62 $840,613.87 nat. median
$319,951
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $523,130.87 $1,466,702.02 $837,654.59 nat. median
$739,658
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $532,192.24 $1,411,830.78 $825,405.09 nat. median
$608,239
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $502,200.00 $1,556,861.61 $788,880.11 nat. median
$646,415
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $453,060.00 $1,481,170.32 $730,619.11 nat. median
$623,527
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $443,124.00 $1,489,687.54 $725,127.15 nat. median
$640,950
1.1× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 2 $502,200.00 $1,171,800.00 $697,500.00 nat. median
$32,174
outlier · 21.7×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $457,920.00 $1,295,257.59 $688,308.28 nat. median
$592,235
1.2× median
C9081
HCPCS 		Idecabtagene Car Pos T 2 $453,060.00 $1,057,140.00 $629,250.00 nat. median
$27,427
outlier · 22.9×
C9076
HCPCS 		Lisocabtagene Car Pos T 2 $443,124.00 $1,033,956.00 $615,450.00 nat. median
$27,935
outlier · 22.0×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 2 $402,840.00 $939,960.00 $559,500.00 nat. median
$27,071
outlier · 20.7×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $409,718.41 $609,827.50 $519,776.97 nat. median
$359,244
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $249,990.00 $700,896.96 $400,292.32 nat. median
$265,000
1.5× median
24
APR_DRG 		Heart And/Or Lung Transplant 7 $183,278.28 $615,189.48 $352,649.45 nat. median
$241,734
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $265,890.76 $395,753.52 $337,314.34 nat. median
$248,541
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $193,992.24 $543,896.04 $310,626.84 nat. median
$209,753
1.5× median
5834
APR_DRG 		Neonate With Ecmo 7 $134,914.65 $452,852.76 $259,592.01 nat. median
$307,273
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $202,573.54 $301,511.76 $256,988.85 nat. median
$198,115
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $201,384.70 $299,742.27 $255,480.66 nat. median
$190,359
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $132,543.14 $444,892.57 $255,028.94 nat. median
$175,429
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $132,543.14 $444,892.57 $255,028.94 nat. median
$247,815
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $121,232.36 $406,926.97 $233,265.64 nat. median
$202,649
1.2× median
34
APR_DRG 		Description Not Available 7 $117,710.55 $395,105.69 $226,489.25 nat. median
$241,408
0.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $101,764.95 $341,582.90 $195,808.00 nat. median
$163,528
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $101,397.27 $340,348.76 $195,100.54 nat. median
$120,763
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $101,397.27 $340,348.76 $195,100.54 nat. median
$145,061
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $98,423.82 $330,368.11 $189,379.27 nat. median
$158,104
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $94,924.07 $318,620.88 $182,645.32 nat. median
$122,016
1.5× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 7 $91,947.46 $308,629.65 $176,917.97 nat. median
$137,051
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $91,582.41 $307,404.33 $176,215.57 nat. median
$151,838
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $131,422.08 $195,609.47 $166,724.68 nat. median
$126,461
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $83,852.28 $281,457.47 $161,341.87 nat. median
$165,000
1.0× median
7
MS_DRG 		Lung Transplant 3 $122,871.50 $182,882.72 $155,877.24 nat. median
$117,977
1.3× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 7 $79,426.51 $266,601.97 $152,826.15 nat. median
$118,883
1.3× median
23
APR_DRG 		Heart And/Or Lung Transplant 7 $79,149.17 $265,671.08 $152,292.52 nat. median
$110,771
1.4× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $76,912.13 $258,162.23 $147,988.18 nat. median
$61,016
outlier · 2.4×
5833
APR_DRG 		Neonate With Ecmo 7 $76,646.87 $257,271.89 $147,477.80 nat. median
$244,017
0.6× median
5831
APR_DRG 		Neonate With Ecmo 7 $75,213.46 $252,460.52 $144,719.74 nat. median
$147,206
1.0× median
5832
APR_DRG 		Neonate With Ecmo 7 $75,213.46 $252,460.52 $144,719.74 nat. median
$159,249
0.9× median

Other procedures at this hospital

Browse this hospital's 8,931 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $265,890.76 $395,753.52 $337,314.34 2026-04-01
10 MS_DRG Pancreas Transplant 3 3 — — $68,083.04 $101,335.24 $86,371.51 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $51,748.50 $77,022.80 $65,649.18 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 10 7 — — $32,372.86 $108,662.31 $62,289.27 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 10 7 — — $32,372.86 $108,662.31 $62,289.27 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 10 7 — — $31,992.05 $107,384.09 $61,556.55 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 10 7 — — $31,815.04 $106,789.94 $61,215.96 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 10 7 — — $43,945.21 $147,505.91 $84,555.86 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 7 — — $31,897.50 $107,066.74 $61,374.63 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 10 7 — — $91,947.46 $308,629.65 $176,917.97 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $114,025.84 $169,716.78 $144,655.46 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $40,469.17 $60,234.57 $51,340.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 3 — — $56,260.99 $83,739.22 $71,373.82 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 7 — — $52,230.53 $175,316.33 $100,497.82 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 10 7 — — $32,185.34 $108,032.90 $61,928.47 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 10 7 — — $51,682.70 $173,477.46 $99,443.72 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 10 7 — — $121,232.36 $406,926.97 $233,265.64 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $30,132.13 $101,141.12 $57,977.85 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $49,293.32 $165,457.33 $94,846.28 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $42,523.32 $63,291.98 $53,945.93 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 7 — — $37,014.51 $124,242.42 $71,220.37 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $37,169.98 $124,764.28 $71,519.51 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 7 — — $32,729.50 $109,859.42 $62,975.50 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 7 — — $34,830.51 $116,911.64 $67,018.09 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 10 7 — — $37,728.33 $126,638.41 $72,593.84 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 3 3 — — $51,541.66 $76,714.94 $65,386.78 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 10 7 — — $31,324.98 $105,145.01 $60,273.03 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 10 7 — — $33,272.61 $111,682.42 $64,020.51 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $409,718.41 $609,827.50 $519,776.97 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 10 7 — — $34,753.30 $116,652.47 $66,869.53 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 10 7 — — $32,943.81 $110,578.75 $63,387.84 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $67,693.08 $100,754.82 $85,876.80 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $107,516.12 $160,027.68 $136,397.10 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $74,659.17 $111,123.19 $94,714.12 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 10 7 — — $35,139.36 $117,948.31 $67,612.35 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $61,052.43 $90,870.83 $77,452.34 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 3 3 — — $107,392.77 $159,844.09 $136,240.62 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 10 7 — — $63,556.02 $213,331.30 $122,289.42 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $50,227.57 $74,759.04 $63,719.70 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $103,173.46 $153,564.04 $130,887.92 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 3 3 — — $54,147.07 $80,592.84 $68,692.05 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 10 7 — — $38,035.60 $127,669.79 $73,185.06 2026-04-01
215 MS_DRG Other Heart Assist System Implant 3 3 — — $94,472.02 $140,612.75 $119,849.09 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $92,819.21 $138,152.70 $117,752.30 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $62,386.45 $92,856.39 $79,144.70 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $62,386.45 $92,856.39 $79,144.70 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $72,851.71 $108,432.95 $92,421.14 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 10 7 — — $67,472.82 $226,478.39 $129,825.82 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $50,597.61 $75,309.80 $64,189.14 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 7 — — $37,228.29 $124,959.98 $71,631.70 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $47,821.42 $71,177.70 $60,667.21 2026-04-01
2214 APR_DRG Description Not Available 10 7 — — $34,710.23 $116,507.90 $66,786.65 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 10 7 — — $29,067.45 $97,567.41 $55,929.26 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 10 7 — — $29,301.18 $98,351.97 $56,379.00 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 10 7 — — $28,297.95 $94,984.53 $54,448.66 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 10 7 — — $29,249.18 $98,177.43 $56,278.94 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 10 7 — — $27,700.21 $92,978.18 $53,298.54 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $46,940.93 $69,867.18 $59,550.20 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 10 7 — — $30,395.28 $102,024.41 $58,484.18 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 10 7 — — $79,149.17 $265,671.08 $152,292.52 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $54,369.09 $80,923.30 $68,973.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $79,982.89 $119,047.05 $101,467.90 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $57,521.95 $85,616.04 $72,973.50 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $72,537.66 $107,965.51 $92,022.72 2026-04-01
234 APR_DRG Spinal Procedures 10 7 — — $42,451.39 $142,491.79 $81,681.58 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $51,830.10 $77,144.25 $65,752.70 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $55,681.28 $82,876.37 $70,638.38 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $46,697.09 $69,504.25 $59,240.86 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 10 7 — — $183,278.28 $615,189.48 $352,649.45 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 10 7 — — $35,683.52 $119,774.84 $68,659.38 2026-04-01
245 MS_DRG Aicd Generator Procedures 3 3 — — $43,288.05 $64,430.21 $54,916.09 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $43,139.09 $64,208.50 $54,727.11 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 7 — — $39,007.84 $130,933.21 $75,055.77 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 10 7 — — $32,253.62 $108,262.09 $62,059.85 2026-04-01
2624 APR_DRG Description Not Available 10 7 — — $31,796.66 $106,728.24 $61,180.59 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 10 7 — — $32,964.29 $110,647.51 $63,427.26 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 10 7 — — $32,327.16 $108,508.92 $62,201.34 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $58,146.26 $86,545.26 $73,765.51 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $45,170.47 $67,232.02 $57,304.16 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $65,257.52 $97,129.70 $82,786.99 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $50,061.53 $74,511.91 $63,509.06 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $67,653.24 $100,695.51 $85,826.25 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $56,990.62 $84,825.21 $72,299.44 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $43,820.33 $65,222.46 $55,591.35 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $52,812.11 $78,605.88 $66,998.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $57,006.75 $84,849.21 $72,319.90 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $201,384.70 $299,742.27 $255,480.66 2026-04-01
3014 APR_DRG Hip Joint Replacement 10 7 — — $31,797.18 $106,730.00 $61,181.60 2026-04-01
3024 APR_DRG Knee Joint Replacement 10 7 — — $28,588.42 $95,959.50 $55,007.55 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $27,777.43 $93,237.35 $53,447.11 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $36,704.61 $123,202.21 $70,624.08 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $57,223.58 $192,075.92 $110,105.05 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 7 — — $27,983.33 $93,928.46 $53,843.28 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 7 — — $48,229.69 $161,887.14 $92,799.72 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 10 7 — — $33,100.33 $111,104.14 $63,689.02 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 10 7 — — $30,300.74 $101,707.06 $58,302.26 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 10 7 — — $30,176.25 $101,289.22 $58,062.74 2026-04-01
31 APR_DRG Description Not Available 10 7 — — $34,801.10 $116,812.91 $66,961.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $42,510.98 $63,273.62 $53,930.28 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 10 7 — — $35,938.79 $120,631.68 $69,150.56 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 7 — — $47,284.76 $158,715.41 $90,981.56 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 10 7 — — $33,990.63 $114,092.51 $65,402.07 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 10 7 — — $26,963.29 $90,504.61 $51,880.61 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $63,441.51 $94,426.75 $80,483.17 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 10 7 — — $33,185.42 $111,389.75 $63,852.74 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $42,344.00 $63,025.07 $53,718.44 2026-04-01
32 APR_DRG Description Not Available 10 7 — — $40,762.71 $136,823.57 $78,432.35 2026-04-01
3214 APR_DRG Decompression 10 7 — — $37,104.85 $124,545.66 $71,394.20 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $41,058.37 $61,111.54 $52,087.47 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $47,320.45 $70,432.06 $60,031.67 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $43,611.59 $64,911.77 $55,326.54 2026-04-01
33 APR_DRG Description Not Available 10 7 — — $62,101.07 $208,447.64 $119,489.93 2026-04-01
34 APR_DRG Description Not Available 10 7 — — $117,710.55 $395,105.69 $226,489.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $41,678.89 $62,035.12 $52,874.67 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 7 — — $50,426.82 $169,262.00 $97,027.26 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 10 7 — — $27,887.20 $93,605.83 $53,658.33 2026-04-01
3814 APR_DRG Major Skin Disorders 10 7 — — $31,004.58 $104,069.55 $59,656.53 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 — — $131,422.08 $195,609.47 $166,724.68 2026-04-01
4014 APR_DRG Adrenal Procedures 10 7 — — $36,703.03 $123,196.92 $70,621.05 2026-04-01
4034 APR_DRG Procedures For Obesity 10 7 — — $34,544.25 $115,950.77 $66,467.29 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $51,904.10 $77,254.40 $65,846.58 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 10 7 — — $44,058.66 $147,886.73 $84,774.17 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $37,758.27 $126,738.90 $72,651.44 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $37,758.27 $126,738.90 $72,651.44 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 10 7 — — $28,564.78 $95,880.17 $54,962.07 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $104,569.15 $155,641.39 $132,658.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $68,490.08 $101,941.07 $86,887.88 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $53,341.54 $79,393.88 $67,670.14 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $85,483.08 $127,233.57 $108,445.55 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $52,896.03 $177,550.12 $101,778.32 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $54,718.24 $81,442.99 $69,416.66 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 10 7 — — $31,082.84 $104,332.25 $59,807.12 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $94,924.07 $318,620.88 $182,645.32 2026-04-01
4403 APR_DRG Kidney Transplant 10 7 — — $29,794.39 $100,007.48 $57,328.00 2026-04-01
4404 APR_DRG Kidney Transplant 10 7 — — $54,542.69 $183,077.29 $104,946.70 2026-04-01
4414 APR_DRG Major Bladder Procedures 10 7 — — $35,524.37 $119,240.63 $68,353.15 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 10 7 — — $33,489.54 $112,410.56 $64,437.91 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 10 7 — — $26,618.72 $89,348.05 $51,217.62 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 10 7 — — $32,491.56 $109,060.76 $62,517.68 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $63,395.02 $94,357.56 $80,424.19 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 10 7 — — $40,079.88 $134,531.60 $77,118.51 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $40,236.71 $59,888.58 $51,045.10 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $50,567.24 $75,264.61 $64,150.62 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $79,731.46 $118,672.81 $101,148.92 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $56,577.89 $84,210.90 $71,775.85 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $52,402.22 $77,995.81 $66,478.51 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $54,076.86 $80,488.34 $68,602.98 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $49,388.84 $73,510.66 $62,655.67 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $45,814.71 $68,190.90 $58,121.45 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $40,731.04 $60,624.33 $51,672.21 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 10 7 — — $31,344.41 $105,210.25 $60,310.42 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $97,826.02 $145,604.88 $124,104.05 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 10 7 — — $28,082.60 $94,261.68 $54,034.29 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $29,918.88 $100,425.32 $57,567.52 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 10 7 — — $33,664.98 $112,999.42 $64,775.46 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 7 — — $32,704.29 $109,774.79 $62,926.99 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 7 — — $39,411.76 $132,288.99 $75,832.96 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 10 7 — — $31,399.04 $105,393.61 $60,415.53 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 10 7 — — $31,771.44 $106,643.61 $61,132.08 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $30,693.63 $103,025.82 $59,058.23 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $48,494.94 $162,777.49 $93,310.10 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $72,429.62 $243,116.33 $139,363.31 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $62,159.68 $92,518.87 $78,857.02 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $46,502.59 $69,214.75 $58,994.11 2026-04-01
5831 APR_DRG Neonate With Ecmo 10 7 — — $75,213.46 $252,460.52 $144,719.74 2026-04-01
5832 APR_DRG Neonate With Ecmo 10 7 — — $75,213.46 $252,460.52 $144,719.74 2026-04-01
5833 APR_DRG Neonate With Ecmo 10 7 — — $76,646.87 $257,271.89 $147,477.80 2026-04-01
5834 APR_DRG Neonate With Ecmo 10 7 — — $134,914.65 $452,852.76 $259,592.01 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $101,397.27 $340,348.76 $195,100.54 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $101,397.27 $340,348.76 $195,100.54 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $132,543.14 $444,892.57 $255,028.94 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $132,543.14 $444,892.57 $255,028.94 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 10 7 — — $63,759.82 $214,015.36 $122,681.55 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 10 7 — — $63,759.82 $214,015.36 $122,681.55 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $46,691.75 $156,724.92 $89,840.54 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $57,892.75 $194,322.05 $111,392.61 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $62,057.47 $208,301.30 $119,406.04 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $101,764.95 $341,582.90 $195,808.00 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $56,741.92 $190,459.20 $109,178.28 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $58,524.10 $196,441.24 $112,607.41 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $71,528.82 $240,092.69 $137,630.05 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $91,582.41 $307,404.33 $176,215.57 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $43,995.86 $65,483.71 $55,814.02 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $34,103.04 $114,469.81 $65,618.34 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $49,814.90 $167,208.04 $95,849.86 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $58,629.15 $196,793.85 $112,809.54 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $79,426.51 $266,601.97 $152,826.15 2026-04-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $27,177.59 $91,223.94 $52,292.95 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $36,234.51 $121,624.28 $69,719.55 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $47,159.75 $158,295.80 $90,741.03 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $73,166.55 $245,589.90 $140,781.24 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $31,731.52 $106,509.62 $61,055.27 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $39,280.45 $131,848.23 $75,580.30 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $48,055.83 $161,303.57 $92,465.19 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 10 7 — — $64,845.51 $217,659.59 $124,770.56 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $29,865.83 $100,247.25 $57,465.45 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $35,841.10 $120,303.75 $68,962.57 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $37,725.70 $126,629.59 $72,588.78 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $38,254.63 $128,404.99 $73,606.51 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $83,852.28 $281,457.47 $161,341.87 2026-04-01
61 APR_DRG Pancreas Transplant 10 7 — — $26,553.59 $89,129.43 $51,092.30 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 7 — — $32,911.24 $110,469.44 $63,325.18 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 7 — — $43,142.62 $144,811.97 $83,011.59 2026-04-01
6123 APR_DRG Respiratory Condition 10 7 — — $33,316.73 $111,830.52 $64,105.40 2026-04-01
6124 APR_DRG Respiratory Condition 10 7 — — $44,507.75 $149,394.14 $85,638.27 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 7 — — $26,513.15 $88,993.68 $51,014.48 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 7 — — $27,198.07 $91,292.70 $52,332.37 2026-04-01
62 APR_DRG Pancreas Transplant 10 7 — — $26,553.59 $89,129.43 $51,092.30 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 7 — — $35,675.64 $119,748.39 $68,644.22 2026-04-01
6224 APR_DRG Respiratory Condition 10 7 — — $27,150.28 $91,132.26 $52,240.40 2026-04-01
63 APR_DRG Pancreas Transplant 10 7 — — $38,417.98 $128,953.30 $73,920.82 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $31,123.81 $104,469.76 $59,885.95 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $64,235.69 $215,612.69 $123,597.20 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 7 — — $55,221.84 $185,356.92 $106,253.47 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 7 — — $28,121.47 $94,392.15 $54,109.08 2026-04-01
64 APR_DRG Pancreas Transplant 10 7 — — $40,123.48 $134,677.93 $77,202.39 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $44,606.88 $66,393.17 $56,589.18 2026-04-01
6504 APR_DRG Splenectomy 10 7 — — $29,955.12 $100,546.97 $57,637.26 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $49,303.44 $73,383.56 $62,547.33 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 7 — — $46,990.62 $157,728.10 $90,415.60 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 7 — — $47,121.41 $158,167.10 $90,667.26 2026-04-01
6903 APR_DRG Acute Leukemia 10 7 — — $31,845.50 $106,892.20 $61,274.58 2026-04-01
6904 APR_DRG Acute Leukemia 10 7 — — $45,975.83 $154,321.88 $88,463.03 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 10 7 — — $33,263.16 $111,650.68 $64,002.32 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 10 7 — — $38,799.31 $130,233.27 $74,654.55 2026-04-01
7 MS_DRG Lung Transplant 3 3 — — $122,871.50 $182,882.72 $155,877.24 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 7 — — $33,198.03 $111,432.06 $63,877.00 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 10 7 — — $31,703.69 $106,416.18 $61,001.71 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $56,391.93 $83,934.11 $71,539.93 2026-04-01
7914 APR_DRG Description Not Available 10 7 — — $34,722.83 $116,550.21 $66,810.91 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $42,970.20 $63,957.13 $54,512.86 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $53,176.44 $79,148.16 $67,460.70 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $55,645.22 $82,822.71 $70,592.64 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $43,500.58 $64,746.55 $55,185.71 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $44,382.97 $66,059.89 $56,305.12 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $52,088.17 $77,528.37 $66,080.10 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $45,583.20 $67,846.32 $57,827.76 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $28,189.22 $94,619.58 $54,239.46 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $37,197.82 $124,857.72 $71,573.08 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $76,912.13 $258,162.23 $147,988.18 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $98,423.82 $330,368.11 $189,379.27 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 7 — — $45,369.69 $152,287.32 $87,296.74 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 10 7 — — $26,681.23 $89,557.85 $51,337.89 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $82,161.34 $122,289.46 $104,231.52 2026-04-01
8504 APR_DRG Services 10 7 — — $40,059.39 $134,462.84 $77,079.09 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $46,857.44 $69,742.91 $59,444.28 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $43,158.07 $64,236.74 $54,751.19 2026-04-01
8634 APR_DRG Neonatal Aftercare 10 7 — — $27,833.10 $93,424.23 $53,554.24 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $65,579.16 $97,608.44 $83,195.03 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 7 — — $35,814.83 $120,215.60 $68,912.05 2026-04-01
90288 HCPCS Botulism Ig IV 6 2 — — $58,905.00 $165,151.95 $76,612.82 2026-04-01
904 APR_DRG Description Not Available 10 7 — — $58,987.90 $197,998.02 $113,499.81 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $37,726.22 $126,631.35 $72,589.79 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 7 — — $34,090.43 $114,427.49 $65,594.09 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 7 — — $39,796.24 $133,579.55 $76,572.75 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 7 — — $38,623.88 $129,644.41 $74,316.99 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $202,573.54 $301,511.76 $256,988.85 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 3 — — $68,054.58 $101,292.87 $86,335.40 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $42,620.52 $143,059.49 $82,007.01 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $32,960.09 $110,633.40 $63,419.17 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $31,155.85 $104,577.31 $59,947.60 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $63,864.68 $95,056.59 $81,020.01 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $72,297.61 $107,608.23 $91,718.20 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $58,078.89 $86,445.00 $73,680.05 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $44,515.80 $66,257.60 $56,473.63 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 3 — — $66,711.99 $193,911.85 $101,183.46 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 4 2 — — $402,840.00 $939,960.00 $559,500.00 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 4 2 — — $443,124.00 $1,033,956.00 $615,450.00 2026-04-01
C9081 HCPCS Idecabtagene Car Pos T 4 2 — — $453,060.00 $1,057,140.00 $629,250.00 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 4 2 — — $502,200.00 $1,171,800.00 $697,500.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 1 — — $3,710,000.00 $9,812,557.48 $5,744,185.83 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 1 — — $3,392,000.00 $8,971,481.13 $5,251,827.04 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 1 — — $3,499,860.00 $9,812,557.48 $5,604,092.49 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 3 1 — — $2,999,880.00 $8,410,763.56 $4,803,507.85 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 3 1 — — $3,146,874.12 $8,822,890.97 $5,038,879.74 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 1 — — $4,249,830.00 $11,915,248.37 $6,804,969.46 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 1 — — $2,199,912.00 $6,167,893.27 $3,522,572.42 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 1 — — $2,968,000.00 $7,850,045.99 $4,595,348.66 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 1 — — $3,286,000.00 $8,691,122.34 $5,087,707.45 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 3 — — $2,295,000.00 $7,040,624.86 $3,587,794.53 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 1 — — $193,992.24 $543,896.04 $310,626.84 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 3 1 — — $249,990.00 $700,896.96 $400,292.32 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 4 — — $56,432.16 $199,532.15 $86,608.95 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 2 — — $63,243.97 $170,738.49 $81,503.33 2026-04-01
J9226 HCPCS Supprelin La Implant 10 4 — — $42,492.74 $121,078.74 $60,600.28 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $122,654.53 $122,654.53 $122,654.53 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $51,625.66 $51,625.66 $51,625.66 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $56,771.47 $56,771.47 $56,771.47 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $62,120.60 $62,120.60 $62,120.60 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $88,754.21 $88,754.21 $88,754.21 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $139,633.92 $139,633.92 $139,633.92 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 1 — — $532,192.24 $1,411,830.78 $825,405.09 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 1 — — $523,130.87 $1,466,702.02 $837,654.59 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 3 — — $54,404.11 $163,422.00 $93,331.28 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 3 — — $457,920.00 $1,295,257.59 $688,308.28 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 3 — — $443,124.00 $1,489,687.54 $725,127.15 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 3 — — $453,060.00 $1,481,170.32 $730,619.11 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 3 — — $502,200.00 $1,556,861.61 $788,880.11 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 1 — — $726,970.92 $2,038,208.37 $1,164,050.07 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $524,979.00 $1,471,883.62 $840,613.87 2026-04-01
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