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

BLYTHEDALE CHILDREN'S HOSPITAL

Valhalla, NY · CCN 333301 · Rates published

16,588 distinct procedures filed
67 distinct payers
791,687 rate rows
2026-04-01 last MRF observed
Data quality

697,118 of 791,687 rate rows are consumer-grade (88.1%)

94,569 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 94,114
per-diem day rate — not a per-procedure price 260
placeholder amount (≤ $0.02) — excluded from medians 195
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.blythedale.org/documents/13-1739922blythedale-childrens-hospitalstandardchargescsv
Found on page https://www.blythedale.org/price-transparency-shoppable-services
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-15

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 13 $2,147,685.61 $4,983,457.50 $3,756,375.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $1,932,376.78 $4,835,591.87 $3,500,068.52 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 13 $1,888,162.89 $4,724,950.76 $3,405,364.56 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $1,709,514.58 $4,764,192.05 $3,108,301.81 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $1,505,167.37 $4,745,235.45 $2,742,312.49 nat. median
$2,469,189
1.1× median
24
APR_DRG 		Heart And/Or Lung Transplant 8 $254,198.42 $1,122,625.36 $685,829.78 nat. median
$234,738
outlier · 2.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $357,330.39 $2,291,877.10 $666,201.92 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $342,386.28 $2,196,027.23 $638,340.32 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $327,123.35 $2,098,132.54 $609,884.33 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $325,680.63 $2,088,879.08 $607,194.54 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $309,429.82 $1,984,648.17 $576,896.74 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $284,669.27 $1,825,836.81 $530,733.51 nat. median
$620,080
0.9× median
5834
APR_DRG 		Neonate With Ecmo 8 $187,120.32 $826,386.03 $504,852.43 nat. median
$309,665
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $183,831.15 $811,859.92 $495,978.20 nat. median
$246,434
outlier · 2.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $183,831.15 $811,859.92 $495,978.20 nat. median
$182,736
outlier · 2.7×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 $466,040.65 $814,276.35 $490,569.11 nat. median
$370,174
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $168,143.63 $742,578.58 $453,653.12 nat. median
$207,730
outlier · 2.2×
34
APR_DRG 		Description Not Available 8 $163,259.04 $721,006.58 $440,474.45 nat. median
$209,067
outlier · 2.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $141,143.23 $623,335.79 $380,805.80 nat. median
$164,279
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $140,633.28 $621,083.68 $379,429.95 nat. median
$145,336
outlier · 2.6×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $140,633.28 $621,083.68 $379,429.95 nat. median
$124,573
outlier · 3.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $136,509.24 $602,870.54 $368,303.25 nat. median
$160,267
outlier · 2.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $131,655.25 $581,433.67 $355,207.12 nat. median
$105,658
outlier · 3.4×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 8 $127,526.84 $563,201.23 $344,068.64 nat. median
$129,535
outlier · 2.7×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $127,020.53 $560,965.21 $342,702.61 nat. median
$151,838
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $300,944.45 $608,197.08 $318,549.62 nat. median
$265,286
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $116,299.20 $513,616.21 $313,776.35 nat. median
$162,982
1.9× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 8 $110,160.86 $486,507.24 $297,215.05 nat. median
$118,620
outlier · 2.5×
23
APR_DRG 		Heart And/Or Lung Transplant 8 $109,776.21 $484,808.50 $296,177.27 nat. median
$93,528
outlier · 3.2×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $106,673.53 $471,106.02 $287,806.20 nat. median
$66,693
outlier · 4.3×
5833
APR_DRG 		Neonate With Ecmo 8 $106,305.63 $469,481.29 $286,813.62 nat. median
$244,017
1.2× median
5832
APR_DRG 		Neonate With Ecmo 8 $104,317.56 $460,701.27 $281,449.78 nat. median
$156,126
1.8× median
5831
APR_DRG 		Neonate With Ecmo 8 $104,317.56 $460,701.27 $281,449.78 nat. median
$145,122
1.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $101,478.59 $448,163.46 $273,790.22 nat. median
$109,499
outlier · 2.5×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 $100,456.51 $443,649.58 $271,032.62 nat. median
$68,217
outlier · 4.0×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $99,207.13 $438,131.91 $267,661.79 nat. median
$108,996
outlier · 2.5×
22
APR_DRG 		Heart And/Or Lung Transplant 8 $93,581.65 $413,287.92 $252,484.20 nat. median
$78,029
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $230,680.43 $512,246.42 $242,821.51 nat. median
$206,368
1.2× median
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 8 $89,937.70 $397,194.99 $242,652.77 nat. median
$95,507
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $11,791.23 $462,742.31 $241,399.64 nat. median
$202,986
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $89,091.91 $393,459.70 $240,370.83 nat. median
$150,721
1.6× median
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 8 $88,431.89 $390,544.83 $238,590.08 nat. median
$93,260
outlier · 2.6×
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 8 $88,431.89 $390,544.83 $238,590.08 nat. median
$89,790
outlier · 2.7×
21
APR_DRG 		Heart And/Or Lung Transplant 8 $88,149.23 $389,296.52 $237,827.47 nat. median
$65,130
outlier · 3.7×
33
APR_DRG 		Description Not Available 8 $86,131.28 $380,384.60 $232,383.03 nat. median
$113,142
outlier · 2.1×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $86,070.82 $380,117.56 $232,219.90 nat. median
$102,636
outlier · 2.3×
904
APR_DRG 		Description Not Available 8 $81,813.46 $361,315.66 $220,733.52 nat. median
$98,750
outlier · 2.2×
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 8 $81,315.90 $359,118.24 $219,391.08 nat. median
$86,492
outlier · 2.5×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $81,170.20 $358,474.78 $218,997.98 nat. median
$86,258
outlier · 2.5×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $80,294.54 $354,607.59 $216,635.45 nat. median
$81,294
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 16,588 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 34 13 — — $2,147,685.61 $4,983,457.50 $3,756,375.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 40 13 — — $1,932,376.78 $4,835,591.87 $3,500,068.52 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 40 13 — — $1,888,162.89 $4,724,950.76 $3,405,364.56 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 42 13 — — $1,709,514.58 $4,764,192.05 $3,108,301.81 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 43 13 — — $1,505,167.37 $4,745,235.45 $2,742,312.49 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 28 8 — — $254,198.42 $1,122,625.36 $685,829.78 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 49 13 — — $357,330.39 $2,291,877.10 $666,201.92 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 49 13 — — $342,386.28 $2,196,027.23 $638,340.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 49 13 — — $327,123.35 $2,098,132.54 $609,884.33 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 49 13 — — $325,680.63 $2,088,879.08 $607,194.54 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 49 13 — — $309,429.82 $1,984,648.17 $576,896.74 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 49 13 — — $284,669.27 $1,825,836.81 $530,733.51 2026-04-01
5834 APR_DRG Neonate With Ecmo 28 8 — — $187,120.32 $826,386.03 $504,852.43 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $183,831.15 $811,859.92 $495,978.20 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $183,831.15 $811,859.92 $495,978.20 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 22 — — $466,040.65 $814,276.35 $490,569.11 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 28 8 — — $168,143.63 $742,578.58 $453,653.12 2026-04-01
34 APR_DRG Description Not Available 28 8 — — $163,259.04 $721,006.58 $440,474.45 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 8 — — $141,143.23 $623,335.79 $380,805.80 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $140,633.28 $621,083.68 $379,429.95 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $140,633.28 $621,083.68 $379,429.95 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 28 8 — — $136,509.24 $602,870.54 $368,303.25 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $131,655.25 $581,433.67 $355,207.12 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 28 8 — — $127,526.84 $563,201.23 $344,068.64 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 8 — — $127,020.53 $560,965.21 $342,702.61 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 22 — — $300,944.45 $608,197.08 $318,549.62 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 8 — — $116,299.20 $513,616.21 $313,776.35 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $110,160.86 $486,507.24 $297,215.05 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 28 8 — — $109,776.21 $484,808.50 $296,177.27 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 28 8 — — $106,673.53 $471,106.02 $287,806.20 2026-04-01
5833 APR_DRG Neonate With Ecmo 28 8 — — $106,305.63 $469,481.29 $286,813.62 2026-04-01
5831 APR_DRG Neonate With Ecmo 28 8 — — $104,317.56 $460,701.27 $281,449.78 2026-04-01
5832 APR_DRG Neonate With Ecmo 28 8 — — $104,317.56 $460,701.27 $281,449.78 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 8 — — $101,478.59 $448,163.46 $273,790.22 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 8 — — $100,456.51 $443,649.58 $271,032.62 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 8 — — $99,207.13 $438,131.91 $267,661.79 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 28 8 — — $93,581.65 $413,287.92 $252,484.20 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 22 — — $230,680.43 $512,246.42 $242,821.51 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $89,937.70 $397,194.99 $242,652.77 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 23 — — $11,791.23 $462,742.31 $241,399.64 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 8 — — $89,091.91 $393,459.70 $240,370.83 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 28 8 — — $88,431.89 $390,544.83 $238,590.08 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 28 8 — — $88,431.89 $390,544.83 $238,590.08 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 28 8 — — $88,149.23 $389,296.52 $237,827.47 2026-04-01
33 APR_DRG Description Not Available 28 8 — — $86,131.28 $380,384.60 $232,383.03 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 8 — — $86,070.82 $380,117.56 $232,219.90 2026-04-01
904 APR_DRG Description Not Available 28 8 — — $81,813.46 $361,315.66 $220,733.52 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $81,315.90 $359,118.24 $219,391.08 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 8 — — $81,170.20 $358,474.78 $218,997.98 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 8 — — $80,294.54 $354,607.59 $216,635.45 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 8 — — $79,366.43 $350,508.75 $214,131.40 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 8 — — $78,698.40 $347,558.48 $212,329.03 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 28 8 — — $76,590.12 $338,247.62 $206,640.88 2026-04-01
4404 APR_DRG Kidney Transplant 28 8 — — $75,648.17 $334,087.65 $204,099.48 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $73,364.32 $324,001.41 $197,937.65 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 28 8 — — $72,441.31 $319,925.09 $195,447.35 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 28 8 — — $71,681.49 $316,569.45 $193,397.33 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $191,344.21 $191,344.21 $191,344.21 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 28 8 — — $69,939.64 $308,876.89 $188,697.83 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $69,090.94 $305,128.73 $186,408.02 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 8 — — $68,367.54 $301,933.95 $184,456.28 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 8 — — $67,260.22 $297,043.66 $181,468.72 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 28 8 — — $66,892.33 $295,418.92 $180,476.14 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $66,651.19 $294,353.99 $179,825.56 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 28 8 — — $65,581.76 $289,631.00 $176,940.21 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 8 — — $65,408.37 $288,865.28 $176,472.41 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 28 8 — — $65,355.19 $288,630.42 $176,328.93 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 28 8 — — $65,173.80 $287,829.31 $175,839.53 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 8 — — $64,759.28 $285,998.67 $174,721.15 2026-04-01
6904 APR_DRG Acute Leukemia 28 8 — — $63,766.33 $281,613.49 $172,042.18 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 28 8 — — $62,925.64 $277,900.72 $169,773.99 2026-04-01
6124 APR_DRG Respiratory Condition 28 8 — — $61,730.18 $272,621.13 $166,548.61 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $165,328.96 $165,328.96 $165,328.96 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 28 8 — — $61,107.31 $269,870.34 $164,868.11 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 28 8 — — $60,949.95 $269,175.40 $164,443.56 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 28 8 — — $59,836.80 $264,259.37 $161,440.27 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 28 8 — — $59,112.68 $261,061.37 $159,486.57 2026-04-01
234 APR_DRG Spinal Procedures 28 8 — — $58,878.10 $260,025.40 $158,853.67 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 23 — — $131,885.07 $305,089.66 $157,723.56 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $153,077.10 $153,077.10 $153,077.10 2026-04-01
32 APR_DRG Description Not Available 28 8 — — $56,535.97 $249,681.78 $152,534.60 2026-04-01
64 APR_DRG Pancreas Transplant 28 8 — — $55,649.39 $245,766.33 $150,142.58 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 28 8 — — $55,588.92 $245,499.29 $149,979.45 2026-04-01
8504 APR_DRG Services 28 8 — — $55,560.51 $245,373.82 $149,902.79 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 28 8 — — $55,195.53 $243,761.95 $148,918.08 2026-04-01
7 MS_DRG Lung Transplant 27 22 — — $140,122.11 $282,175.16 $147,496.96 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 28 8 — — $54,662.27 $241,406.89 $147,479.33 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $54,480.14 $240,602.56 $146,987.95 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 28 8 — — $54,102.05 $238,932.78 $145,967.86 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 28 8 — — $53,812.84 $237,655.52 $145,187.55 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 28 8 — — $53,569.52 $236,580.94 $144,531.08 2026-04-01
63 APR_DRG Pancreas Transplant 28 8 — — $53,283.95 $235,319.76 $143,760.60 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $143,211.25 $143,211.25 $143,211.25 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 8 — — $53,057.38 $234,319.18 $143,149.33 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 28 8 — — $52,753.60 $232,977.56 $142,329.71 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $52,368.95 $231,278.83 $141,291.93 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $52,368.95 $231,278.83 $141,291.93 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 28 8 — — $52,327.43 $231,095.44 $141,179.90 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $52,324.51 $231,082.57 $141,172.04 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 8 — — $52,323.78 $231,079.36 $141,170.08 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 28 8 — — $51,633.89 $228,032.57 $139,308.74 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 28 8 — — $51,591.64 $227,845.97 $139,194.74 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 8 — — $51,553.03 $227,675.45 $139,090.58 2026-04-01
3214 APR_DRG Decompression 28 8 — — $51,462.70 $227,276.51 $138,846.85 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 8 — — $51,337.40 $226,723.13 $138,508.79 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $138,214.63 $138,214.63 $138,214.63 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 8 — — $50,907.58 $224,824.92 $137,349.14 2026-04-01
4014 APR_DRG Adrenal Procedures 28 8 — — $50,905.39 $224,815.27 $137,343.24 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 22 — — $130,071.58 $282,887.73 $136,917.45 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 8 — — $50,255.57 $221,945.44 $135,590.02 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 28 8 — — $49,845.43 $220,134.10 $134,483.45 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 8 — — $49,709.93 $219,535.68 $134,117.86 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 28 8 — — $49,673.50 $219,374.82 $134,019.58 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 28 8 — — $49,491.38 $218,570.49 $133,528.21 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 28 8 — — $49,480.45 $218,522.23 $133,498.72 2026-04-01
4414 APR_DRG Major Bladder Procedures 28 8 — — $49,270.64 $217,595.65 $132,932.67 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $132,069.27 $132,069.27 $132,069.27 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 28 8 — — $48,736.65 $215,237.37 $131,491.95 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 28 8 — — $48,308.29 $213,345.60 $130,336.24 2026-04-01
31 APR_DRG Description Not Available 28 8 — — $48,267.50 $213,165.43 $130,226.17 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 28 8 — — $48,201.20 $212,872.65 $130,047.31 2026-04-01
7914 APR_DRG Description Not Available 28 8 — — $48,158.95 $212,686.05 $129,933.31 2026-04-01
2214 APR_DRG Description Not Available 28 8 — — $48,141.47 $212,608.84 $129,886.14 2026-04-01
4034 APR_DRG Procedures For Obesity 28 8 — — $47,911.26 $211,592.17 $129,265.04 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 22 — — $122,675.16 $237,948.38 $129,131.75 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 21 17 — — $122,535.02 $139,302.97 $128,984.23 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $47,299.32 $208,889.64 $127,614.02 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 28 8 — — $47,281.84 $208,812.42 $127,566.85 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 28 8 — — $47,143.42 $208,201.13 $127,193.40 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 28 8 — — $46,691.75 $206,206.41 $125,974.79 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 22 — — $66,475.59 $226,329.19 $125,607.14 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 28 8 — — $46,448.43 $205,131.83 $125,318.32 2026-04-01
6123 APR_DRG Respiratory Condition 28 8 — — $46,208.76 $204,073.34 $124,671.67 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 28 8 — — $46,147.56 $203,803.09 $124,506.56 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 28 8 — — $46,134.45 $203,745.17 $124,471.18 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 28 8 — — $46,044.11 $203,346.23 $124,227.46 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 28 8 — — $46,026.63 $203,269.01 $124,180.29 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 22 — — $107,498.77 $235,214.71 $123,937.89 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 28 8 — — $45,908.61 $202,747.81 $123,861.88 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 28 8 — — $45,719.93 $201,914.53 $123,352.82 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 28 8 — — $45,714.10 $201,888.79 $123,337.09 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 28 8 — — $45,691.52 $201,789.06 $123,276.16 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 28 8 — — $45,646.35 $201,589.58 $123,154.30 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 28 8 — — $45,394.29 $200,476.40 $122,474.24 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 28 8 — — $45,359.32 $200,321.97 $122,379.89 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 28 8 — — $45,064.28 $199,018.96 $121,583.86 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 28 8 — — $44,899.64 $198,291.85 $121,139.67 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 28 8 — — $44,899.64 $198,291.85 $121,139.67 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 28 8 — — $44,836.26 $198,011.95 $120,968.66 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 28 8 — — $44,734.27 $197,561.52 $120,693.49 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 28 8 — — $44,639.57 $197,143.27 $120,437.98 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 28 8 — — $44,371.48 $195,959.31 $119,714.68 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 28 8 — — $44,240.35 $195,380.19 $119,360.88 2026-04-01
6903 APR_DRG Acute Leukemia 28 8 — — $44,168.23 $195,061.68 $119,166.30 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 28 8 — — $44,125.97 $194,875.08 $119,052.30 2026-04-01
3014 APR_DRG Hip Joint Replacement 28 8 — — $44,101.20 $194,765.69 $118,985.47 2026-04-01
2624 APR_DRG Description Not Available 28 8 — — $44,100.48 $194,762.47 $118,983.51 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 28 8 — — $44,065.51 $194,608.04 $118,889.17 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 28 8 — — $44,010.14 $194,363.53 $118,739.79 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 28 8 — — $43,971.53 $194,193.01 $118,635.61 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 22 — — $111,665.18 $229,935.22 $117,542.29 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 28 8 — — $43,549.00 $192,326.98 $117,495.62 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 45 13 — — $62,585.17 $403,920.88 $117,444.03 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 28 8 — — $43,473.24 $191,992.38 $117,291.21 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 28 8 — — $43,446.28 $191,873.34 $117,218.49 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 28 8 — — $43,211.71 $190,837.37 $116,585.60 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 8 — — $43,167.27 $190,641.11 $116,465.70 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 28 8 — — $43,110.44 $190,390.16 $116,312.39 2026-04-01
3814 APR_DRG Major Skin Disorders 28 8 — — $43,001.90 $189,910.78 $116,019.53 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 8 — — $42,570.63 $188,006.14 $114,855.96 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 28 8 — — $42,156.84 $186,178.72 $113,739.55 2026-04-01
215 MS_DRG Other Heart Assist System Implant 29 22 — — $102,405.62 $228,760.56 $113,530.86 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 28 8 — — $42,025.71 $185,599.60 $113,385.76 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 28 8 — — $41,853.05 $184,837.10 $112,919.94 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 8 — — $41,791.86 $184,566.85 $112,754.83 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $112,687.39 $112,687.39 $112,687.39 2026-04-01
6504 APR_DRG Splenectomy 28 8 — — $41,546.36 $183,482.62 $112,092.46 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 8 — — $41,496.09 $183,260.63 $111,956.85 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 8 — — $41,422.51 $182,935.68 $111,758.33 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 22 — — $101,763.67 $208,381.09 $111,554.08 2026-04-01
4403 APR_DRG Kidney Transplant 28 8 — — $41,323.43 $182,498.13 $111,491.02 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 28 8 — — $40,639.37 $179,477.08 $109,645.41 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 28 8 — — $40,567.25 $179,158.57 $109,450.83 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $109,210.92 $109,210.92 $109,210.92 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 28 8 — — $40,315.19 $178,045.38 $108,770.77 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $108,411.98 $108,411.98 $108,411.98 2026-04-01
3024 APR_DRG Knee Joint Replacement 28 8 — — $39,650.80 $175,111.20 $106,978.23 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 28 8 — — $39,618.02 $174,966.43 $106,889.79 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 28 8 — — $39,247.94 $173,332.04 $105,891.32 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 28 8 — — $39,097.14 $172,666.06 $105,484.46 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 28 8 — — $39,003.16 $172,251.02 $105,230.90 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 28 8 — — $38,949.25 $172,012.94 $105,085.46 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 28 8 — — $38,811.57 $171,404.87 $104,713.98 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 28 8 — — $38,678.25 $170,816.11 $104,354.29 2026-04-01
8634 APR_DRG Neonatal Aftercare 28 8 — — $38,603.22 $170,484.73 $104,151.85 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 8 — — $38,525.99 $170,143.69 $103,943.50 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 28 8 — — $38,418.90 $169,670.75 $103,654.57 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 22 — — $36,837.79 $180,085.62 $102,780.00 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 28 8 — — $37,722.46 $166,595.01 $101,775.55 2026-04-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 8 — — $37,694.05 $166,469.54 $101,698.90 2026-04-01
6224 APR_DRG Respiratory Condition 28 8 — — $37,656.17 $166,302.24 $101,596.70 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 28 8 — — $37,396.82 $165,156.88 $100,896.98 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 28 8 — — $37,005.61 $163,429.19 $99,841.51 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 28 8 — — $36,918.92 $163,046.33 $99,607.60 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $99,448.72 $99,448.72 $99,448.72 2026-04-01
61 APR_DRG Pancreas Transplant 28 8 — — $36,828.59 $162,647.38 $99,363.89 2026-04-01
62 APR_DRG Pancreas Transplant 28 8 — — $36,828.59 $162,647.38 $99,363.89 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 28 8 — — $36,772.49 $162,399.65 $99,212.54 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 28 8 — — $36,687.99 $162,026.45 $98,984.54 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 28 8 — — $36,687.99 $162,026.45 $98,984.54 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 29 23 — — $65,109.15 $198,899.60 $98,807.15 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 28 8 — — $36,451.23 $160,980.82 $98,345.76 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 28 8 — — $36,264.73 $160,157.19 $97,842.59 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 28 8 — — $35,774.45 $157,991.95 $96,519.81 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 22 — — $91,391.62 $182,966.13 $96,201.70 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 22 — — $37,656.07 $205,564.57 $95,900.99 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 28 8 — — $35,521.66 $156,875.55 $95,837.78 2026-04-01
3464 APR_DRG Connective Tissue Disorders 28 8 — — $35,510.73 $156,827.29 $95,808.30 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 8 — — $35,415.30 $156,405.82 $95,550.82 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 28 8 — — $35,107.14 $155,044.90 $94,719.41 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 28 8 — — $35,059.06 $154,832.56 $94,589.69 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 28 8 — — $34,979.66 $154,481.88 $94,375.45 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 28 8 — — $34,823.03 $153,790.16 $93,952.86 2026-04-01
4402 APR_DRG Kidney Transplant 28 8 — — $33,841.74 $149,456.45 $91,305.34 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 22 — — $45,932.72 $174,050.38 $89,834.48 2026-04-01
6614 APR_DRG Coagulation And Platelet Disorders 28 8 — — $33,264.04 $146,905.14 $89,746.70 2026-04-01
6122 APR_DRG Respiratory Condition 28 8 — — $33,147.48 $146,390.37 $89,432.21 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 8 — — $33,114.70 $146,245.59 $89,343.77 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 28 8 — — $32,984.29 $145,669.69 $88,991.95 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 8 — — $32,652.10 $144,202.60 $88,095.68 2026-04-01
1934 APR_DRG Acute And Subacute Endocarditis 28 8 — — $32,521.70 $143,626.71 $87,743.85 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 23 — — $37,401.78 $167,065.04 $87,672.73 2026-04-01
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 28 8 — — $32,460.50 $143,356.45 $87,578.75 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 23 — — $70,565.97 $338,441.92 $87,297.12 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 22 — — $82,659.52 $161,163.67 $87,010.02 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 8 — — $32,198.24 $142,198.23 $86,871.17 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 28 8 — — $32,053.27 $141,557.98 $86,480.04 2026-04-01
6964 APR_DRG Other Chemotherapy 28 8 — — $32,013.20 $141,381.03 $86,371.93 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 28 8 — — $31,788.10 $140,386.89 $85,764.59 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 28 8 — — $31,557.89 $139,370.22 $85,143.49 2026-04-01
5464 APR_DRG Description Not Available 28 8 — — $31,381.59 $138,591.63 $84,667.85 2026-04-01
233 APR_DRG Spinal Procedures 28 8 — — $31,299.27 $138,228.08 $84,445.74 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 28 8 — — $31,175.43 $137,681.14 $84,111.60 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 28 8 — — $31,165.23 $137,636.09 $84,084.09 2026-04-01
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 8 — — $30,920.45 $136,555.08 $83,423.68 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 24 — — $10,808.05 $153,282.23 $82,456.17 2026-04-01
10 MS_DRG Pancreas Transplant 27 22 — — $77,870.88 $172,152.35 $81,969.35 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 22 — — $77,838.54 $144,208.85 $81,935.30 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 28 8 — — $30,316.53 $133,887.94 $81,794.29 2026-04-01
8633 APR_DRG Neonatal Aftercare 28 8 — — $30,243.68 $133,566.21 $81,597.74 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 22 — — $77,427.81 $171,161.23 $81,502.96 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 22 — — $76,010.72 $152,586.93 $81,455.29 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 28 8 — — $30,179.57 $133,283.09 $81,424.77 2026-04-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 28 8 — — $29,994.53 $132,465.89 $80,925.53 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 28 8 — — $29,797.84 $131,597.22 $80,394.85 2026-04-01
903 APR_DRG Description Not Available 28 8 — — $29,770.88 $131,478.18 $80,322.12 2026-04-01
2254 APR_DRG Description Not Available 28 8 — — $29,593.13 $130,693.16 $79,842.54 2026-04-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 28 8 — — $29,394.25 $129,814.84 $79,305.96 2026-04-01
6344 APR_DRG Respiratory Condition 28 8 — — $29,384.05 $129,769.80 $79,278.44 2026-04-01
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 28 8 — — $29,341.07 $129,579.97 $79,162.48 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $78,985.03 $78,985.03 $78,985.03 2026-04-01
4624 APR_DRG Nephritis And Nephrosis 28 8 — — $29,271.86 $129,274.33 $78,975.76 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 25 — — $23,234.18 $161,514.58 $78,974.68 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 28 8 — — $29,255.10 $129,200.33 $78,930.55 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 28 8 — — $29,244.18 $129,152.07 $78,901.07 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 22 — — $35,700.78 $143,964.85 $78,589.99 2026-04-01
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 28 8 — — $29,099.20 $128,511.83 $78,509.93 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 28 8 — — $28,981.92 $127,993.85 $78,193.49 2026-04-01
974 APR_DRG Tonsil And Adenoid Procedures 28 8 — — $28,952.05 $127,861.94 $78,112.90 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 8 — — $28,753.90 $126,986.83 $77,578.29 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 28 8 — — $28,699.26 $126,745.53 $77,430.88 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 28 8 — — $28,670.12 $126,616.84 $77,352.25 2026-04-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 8 — — $28,655.55 $126,552.50 $77,312.94 2026-04-01
7754 APR_DRG Alcohol Abuse And Dependence 28 8 — — $28,552.10 $126,095.64 $77,033.84 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 63 17 — — $212.43 $292,999.46 $76,948.08 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 23 — — $38,365.27 $147,434.84 $76,924.14 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 22 — — $39,852.27 $133,574.30 $76,418.03 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 22 — — $72,544.30 $144,763.79 $76,362.42 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $28,244.67 $124,737.94 $76,204.40 2026-04-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 28 8 — — $28,183.48 $124,467.69 $76,039.30 2026-04-01
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 28 8 — — $28,060.36 $123,923.96 $75,707.13 2026-04-01
3144 APR_DRG Foot And Toe Procedures 28 8 — — $28,010.83 $123,705.19 $75,573.48 2026-04-01
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 28 8 — — $27,932.88 $123,360.93 $75,363.17 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 28 8 — — $27,892.81 $123,183.98 $75,255.07 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 22 — — $71,398.35 $128,458.92 $75,156.16 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 22 — — $63,730.07 $139,434.64 $75,156.16 2026-04-01
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 28 8 — — $27,823.60 $122,878.34 $75,068.34 2026-04-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 28 8 — — $27,755.85 $122,579.13 $74,885.55 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 22 — — $71,140.69 $132,965.38 $74,884.94 2026-04-01
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 28 8 — — $27,712.14 $122,386.09 $74,767.62 2026-04-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 28 8 — — $27,584.65 $121,823.06 $74,423.66 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 28 8 — — $27,478.29 $121,353.34 $74,136.70 2026-04-01
9101 APR_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $27,387.23 $120,951.18 $73,891.01 2026-04-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $27,387.23 $120,951.18 $73,891.01 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 24 — — $41,070.24 $252,411.94 $73,560.66 2026-04-01
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 28 8 — — $27,208.02 $120,159.72 $73,407.49 2026-04-01
1693 APR_DRG Major Abdominal Vascular Procedures 28 8 — — $27,066.69 $119,535.56 $73,026.19 2026-04-01
4401 APR_DRG Kidney Transplant 28 8 — — $26,998.21 $119,233.14 $72,841.43 2026-04-01
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 28 8 — — $26,990.93 $119,200.97 $72,821.77 2026-04-01
3213 APR_DRG Decompression 28 8 — — $26,973.44 $119,123.75 $72,774.60 2026-04-01
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