Price Transparencybeta Hospital negotiated rates

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

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Hospital

ALTRU HOSPITAL

Grand Forks, ND · CCN 350019 · Rates published

19,616 distinct procedures filed
16 distinct payers
294,685 rate rows
2026-03-01 last MRF observed
Data quality

259,133 of 294,685 rate rows are consumer-grade (87.9%)

35,552 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 30,174
placeholder amount (≤ $0.02) — excluded from medians 5,234
template filing: same amount across many unrelated codes — excluded 144
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://altru.org/documents/450310462altru-hospitalstandardcharges.csv
Found on page https://www.altru.org/patients-visitors/billing-insurance/price-estimates-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-05-18
Content fingerprint 9711d038ae408ba6… · 61,922,799 bytes · first seen 2026-05-06

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 2 $4,335,000.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,570,000.00 $4,310,875.31 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,570,000.00 $3,605,000.00 $3,605,000.00 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
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $3,209,940.00 $3,895,570.60 $3,419,215.50 nat. median
$3,335,820
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,060,000.00 $4,984,893.07 $3,339,000.00 nat. median
$3,180,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,264,000.00 $3,878,703.34 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,162,000.00 $3,789,956.39 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,856,000.00 $4,606,041.20 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,388,614.23 $4,656,757.06 $2,677,401.96 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,244,000.00 $4,664,000.00 $2,585,954.80 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,541,240.00 $1,208,005.75 nat. median
$824,563
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $198,182.73 $1,228,361.62 $958,897.46 nat. median
$753,246
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $527,123.43 $1,176,989.62 $665,166.22 nat. median
$674,867
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 3 $172,468.63 $834,481.08 $654,390.54 nat. median
$57,174
outlier · 11.4×
5834
APR_DRG 		Neonate With Ecmo 3 $194,137.32 $1,435,705.19 $646,583.00 nat. median
$309,665
outlier · 2.1×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,726.08 $1,124,521.67 $635,923.65 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $526,587.59 $1,119,562.16 $632,221.65 nat. median
$625,184
1.0× median
C9081
HCPCS 		Idecabtagene Car Pos T 3 $172,468.63 $834,481.08 $631,185.54 nat. median
$30,475
outlier · 20.7×
C9076
HCPCS 		Lisocabtagene Car Pos T 3 $172,468.63 $834,481.08 $626,493.54 nat. median
$30,475
outlier · 20.6×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 3 $172,468.63 $834,481.08 $607,470.54 nat. median
$29,278
outlier · 20.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $177,481.45 $824,744.28 $591,109.87 nat. median
$246,434
outlier · 2.4×
5833
APR_DRG 		Neonate With Ecmo 3 $165,090.04 $866,841.83 $549,839.73 nat. median
$244,017
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $166,435.83 $1,063,698.24 $545,145.34 nat. median
$634,303
0.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $535,500.00 $535,500.00 $535,500.00 nat. median
$459,112
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $165,937.51 $978,581.20 $501,522.86 nat. median
$619,808
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $556,500.00 $490,357.98 nat. median
$324,450
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $160,119.67 $533,285.70 $467,088.73 nat. median
$164,289
outlier · 2.8×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $130,492.41 $525,266.05 $434,610.79 nat. median
$160,267
outlier · 2.7×
24
APR_DRG 		Heart And/Or Lung Transplant 3 $129,445.06 $738,429.50 $431,122.55 nat. median
$234,729
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $124,612.73 $613,988.11 $415,028.24 nat. median
$207,730
2.0× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $262,233.77 $524,467.54 $411,071.48 nat. median
$265,000
1.6× median
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 3 $112,118.40 $417,157.94 $373,415.32 nat. median
$118,620
outlier · 3.1×
5832
APR_DRG 		Neonate With Ecmo 3 $109,823.31 $543,961.87 $365,771.44 nat. median
$156,126
outlier · 2.3×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $109,268.16 $558,330.98 $363,922.47 nat. median
$151,838
outlier · 2.4×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $109,203.38 $494,060.90 $363,706.72 nat. median
$119,796
outlier · 3.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $102,907.18 $408,777.20 $342,736.94 nat. median
$162,982
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $215,223.08 $681,437.14 $340,718.57 nat. median
$370,174
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $99,061.65 $575,152.10 $329,929.24 nat. median
$187,061
1.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $202,713.58 $405,427.17 $317,769.04 nat. median
$209,753
1.5× median
5831
APR_DRG 		Neonate With Ecmo 3 $89,855.88 $458,967.89 $299,269.01 nat. median
$144,745
outlier · 2.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $89,351.58 $587,405.79 $297,589.41 nat. median
$182,665
1.6× median
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 3 $88,821.24 $316,746.73 $295,823.11 nat. median
$95,507
outlier · 3.1×
1612
APR_DRG 		Implantable Heart Assist Systems 3 $87,680.66 $333,923.62 $292,024.35 nat. median
$85,444
outlier · 3.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $86,975.37 $566,515.73 $289,675.33 nat. median
$145,336
2.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $85,608.97 $375,682.45 $285,124.49 nat. median
$105,658
outlier · 2.7×
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 3 $84,697.84 $345,440.21 $282,089.92 nat. median
$86,492
outlier · 3.3×
23
APR_DRG 		Heart And/Or Lung Transplant 3 $84,428.43 $399,316.38 $281,192.65 nat. median
$93,528
outlier · 3.0×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $84,367.89 $390,047.30 $280,991.02 nat. median
$108,996
outlier · 2.6×
1611
APR_DRG 		Implantable Heart Assist Systems 3 $83,296.93 $333,923.62 $277,424.14 nat. median
$76,806
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 19,616 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 2 — — $4,335,000.00 $4,730,250.00 $4,505,000.00 2026-03-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 4 — — $3,570,000.00 $4,310,875.31 $3,672,900.00 2026-03-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 3 — — $3,570,000.00 $3,605,000.00 $3,605,000.00 2026-03-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 4 2 — — $3,209,940.00 $3,895,570.60 $3,419,215.50 2026-03-01
J3387 HCPCS Inj Elivaldogene Autotemecel 5 2 — — $3,060,000.00 $4,984,893.07 $3,339,000.00 2026-03-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $3,264,000.00 $3,878,703.34 $3,325,454.76 2026-03-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 4 — — $3,162,000.00 $3,789,956.39 $3,286,000.00 2026-03-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 4 — — $2,856,000.00 $4,606,041.20 $2,968,000.00 2026-03-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 5 — — $2,388,614.23 $4,656,757.06 $2,677,401.96 2026-03-01
J3392 HCPCS Inj, Exagamglogene Autotem 12 7 — — $2,244,000.00 $4,664,000.00 $2,585,954.80 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel 9 5 — — $770,620.00 $1,541,240.00 $1,208,005.75 2026-03-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 7 — — $198,182.73 $1,228,361.62 $958,897.46 2026-03-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 7 — — $527,123.43 $1,176,989.62 $665,166.22 2026-03-01
C9098 HCPCS Ciltacabtagene Car Pos T 4 3 — — $172,468.63 $834,481.08 $654,390.54 2026-03-01
5834 APR_DRG Neonate With Ecmo 5 3 — — $194,137.32 $1,435,705.19 $646,583.00 2026-03-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 7 — — $516,726.08 $1,124,521.67 $635,923.65 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 — — $526,587.59 $1,119,562.16 $632,221.65 2026-03-01
C9081 HCPCS Idecabtagene Car Pos T 4 3 — — $172,468.63 $834,481.08 $631,185.54 2026-03-01
C9076 HCPCS Lisocabtagene Car Pos T 4 3 — — $172,468.63 $834,481.08 $626,493.54 2026-03-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 4 3 — — $172,468.63 $834,481.08 $607,470.54 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $177,481.45 $824,744.28 $591,109.87 2026-03-01
5833 APR_DRG Neonate With Ecmo 5 3 — — $165,090.04 $866,841.83 $549,839.73 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 8 — — $166,435.83 $1,063,698.24 $545,145.34 2026-03-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $535,500.00 $535,500.00 $535,500.00 2026-03-01
Q2053 HCPCS Brexucabtagene Car Pos T 16 8 — — $165,937.51 $978,581.20 $501,522.86 2026-03-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 5 — — $278,250.00 $556,500.00 $490,357.98 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $160,119.67 $533,285.70 $467,088.73 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $130,492.41 $525,266.05 $434,610.79 2026-03-01
24 APR_DRG Heart And/Or Lung Transplant 5 3 — — $129,445.06 $738,429.50 $431,122.55 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 5 3 — — $124,612.73 $613,988.11 $415,028.24 2026-03-01
J3403 HCPCS Revakinagene, Per Implant 9 5 — — $262,233.77 $524,467.54 $411,071.48 2026-03-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $112,118.40 $417,157.94 $373,415.32 2026-03-01
5832 APR_DRG Neonate With Ecmo 5 3 — — $109,823.31 $543,961.87 $365,771.44 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $109,268.16 $558,330.98 $363,922.47 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 5 3 — — $109,203.38 $494,060.90 $363,706.72 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $102,907.18 $408,777.20 $342,736.94 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 12 — — $215,223.08 $681,437.14 $340,718.57 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $99,061.65 $575,152.10 $329,929.24 2026-03-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 5 — — $202,713.58 $405,427.17 $317,769.04 2026-03-01
5831 APR_DRG Neonate With Ecmo 5 3 — — $89,855.88 $458,967.89 $299,269.01 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $89,351.58 $587,405.79 $297,589.41 2026-03-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $88,821.24 $316,746.73 $295,823.11 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 5 3 — — $87,680.66 $333,923.62 $292,024.35 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $86,975.37 $566,515.73 $289,675.33 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $85,608.97 $375,682.45 $285,124.49 2026-03-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $84,697.84 $345,440.21 $282,089.92 2026-03-01
23 APR_DRG Heart And/Or Lung Transplant 5 3 — — $84,428.43 $399,316.38 $281,192.65 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $84,367.89 $390,047.30 $280,991.02 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 5 3 — — $83,296.93 $333,923.62 $277,424.14 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $80,885.00 $304,612.34 $269,391.10 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $77,393.64 $291,137.97 $257,762.96 2026-03-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $76,025.42 $418,653.43 $253,206.06 2026-03-01
64 APR_DRG Pancreas Transplant 5 3 — — $75,413.36 $282,322.65 $251,167.56 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $73,612.89 $462,779.06 $245,171.01 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 3 — — $72,448.70 $410,824.45 $241,293.61 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 3 — — $68,410.65 $402,667.40 $227,844.73 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $72,629.71 $241,896.49 $227,108.62 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $67,633.31 $344,208.88 $225,255.76 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 3 — — $68,607.41 $228,500.03 $221,963.86 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 — — $139,671.12 $442,225.28 $221,112.64 2026-03-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $66,345.62 $256,777.80 $220,967.04 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 3 — — $63,948.22 $324,616.19 $212,982.39 2026-03-01
1784 APR_DRG External Heart Assist Systems 5 3 — — $62,916.61 $211,001.16 $209,546.58 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 — — $62,596.35 $254,860.50 $208,479.94 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $62,546.71 $271,023.35 $208,314.60 2026-03-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $61,214.21 $231,201.00 $203,876.67 2026-03-01
22 APR_DRG Heart And/Or Lung Transplant 5 3 — — $60,765.61 $308,216.87 $202,382.57 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 3 — — $60,639.08 $208,082.60 $201,961.16 2026-03-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $59,981.61 $204,514.29 $199,771.43 2026-03-01
63 APR_DRG Pancreas Transplant 5 3 — — $59,621.40 $240,276.22 $198,571.72 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $57,848.17 $376,796.61 $192,665.90 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $55,087.53 $252,623.65 $183,471.46 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 3 — — $53,716.89 $255,757.37 $178,906.50 2026-03-01
6124 APR_DRG Respiratory Condition 5 3 — — $53,644.24 $183,884.13 $178,664.54 2026-03-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 5 3 — — $93,292.55 $581,643.22 $174,639.08 2026-03-01
2994 APR_DRG Description Not Available 2 1 — — $142,980.43 $195,479.54 $169,229.98 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $106,410.89 $336,917.10 $168,458.55 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $105,786.40 $376,997.32 $167,469.91 2026-03-01
21 APR_DRG Heart And/Or Lung Transplant 5 3 — — $49,955.52 $236,269.06 $166,379.07 2026-03-01
8634 APR_DRG Neonatal Aftercare 5 3 — — $49,601.36 $240,906.80 $165,199.52 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $49,267.17 $205,440.99 $164,086.51 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $49,189.08 $224,797.21 $163,826.41 2026-03-01
62 APR_DRG Pancreas Transplant 5 3 — — $48,974.76 $203,180.70 $163,112.63 2026-03-01
4404 APR_DRG Kidney Transplant 5 3 — — $48,551.58 $363,149.69 $161,703.22 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $59,582.05 $198,440.66 $158,839.91 2026-03-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 — — $46,249.84 $165,431.16 $154,037.15 2026-03-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $73,531.76 $244,900.82 $151,750.15 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $44,929.45 $195,954.60 $149,639.54 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $44,612.83 $216,001.06 $148,585.01 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 3 — — $44,037.69 $280,895.32 $146,669.50 2026-03-01
6123 APR_DRG Respiratory Condition 5 3 — — $43,837.91 $178,159.92 $146,004.11 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $43,626.62 $222,617.88 $145,300.41 2026-03-01
2993 APR_DRG Description Not Available 2 1 — — $119,599.64 $163,513.86 $141,556.75 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $41,843.71 $251,334.79 $139,362.34 2026-03-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $41,809.20 $186,544.91 $139,247.40 2026-03-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $41,200.16 $168,475.41 $137,218.98 2026-03-01
6904 APR_DRG Acute Leukemia 5 3 — — $40,766.69 $190,057.84 $135,775.29 2026-03-01
61 APR_DRG Pancreas Transplant 5 3 — — $40,683.75 $163,956.97 $135,499.06 2026-03-01
3004 APR_DRG Description Not Available 2 1 — — $112,484.90 $153,786.75 $133,135.83 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 3 — — $39,519.56 $147,966.68 $131,621.66 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 3 — — $38,943.22 $201,785.33 $129,702.12 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 3 — — $38,928.69 $202,243.35 $129,653.73 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $38,856.64 $167,913.00 $129,413.79 2026-03-01
4403 APR_DRG Kidney Transplant 5 3 — — $38,822.14 $241,741.89 $129,298.86 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 3 — — $38,700.45 $160,880.77 $128,893.58 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $55,200.74 $183,848.51 $128,035.26 2026-03-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 5 3 — — $77,458.12 $423,603.67 $127,187.51 2026-03-01
234 APR_DRG Spinal Procedures 5 3 — — $37,957.01 $141,856.88 $126,417.53 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 3 — — $39,652.15 $132,063.24 $125,917.71 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 3 — — $37,410.94 $197,661.00 $124,598.80 2026-03-01
1204 APR_DRG Major Respiratory And Chest Procedures 5 3 — — $37,345.56 $136,213.62 $124,381.04 2026-03-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $37,264.43 $153,283.99 $124,110.85 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $37,222.05 $146,728.95 $123,969.71 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $37,015.01 $125,014.45 $123,280.13 2026-03-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 3 — — $38,415.91 $127,945.90 $121,991.50 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 3 — — $36,483.46 $143,974.43 $121,509.79 2026-03-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $36,392.05 $146,728.95 $121,205.33 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $37,370.98 $124,465.73 $120,943.38 2026-03-01
1783 APR_DRG External Heart Assist Systems 5 3 — — $36,219.51 $163,043.06 $120,630.68 2026-03-01
7614 APR_DRG Description Not Available 2 1 — — $101,597.76 $138,902.10 $120,249.93 2026-03-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $39,578.29 $131,817.25 $119,562.92 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $35,760.00 $161,157.71 $119,100.29 2026-03-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $35,399.18 $137,975.41 $117,898.56 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 3 — — $35,384.05 $168,015.26 $117,848.15 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 5 3 — — $35,268.42 $161,843.68 $117,463.03 2026-03-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 3 — — $34,533.45 $115,854.01 $115,015.21 2026-03-01
1694 APR_DRG Major Abdominal Vascular Procedures 5 3 — — $34,474.13 $164,086.92 $114,817.61 2026-03-01
8504 APR_DRG Services 5 3 — — $34,296.74 $139,319.65 $114,226.83 2026-03-01
4402 APR_DRG Kidney Transplant 5 3 — — $34,132.68 $208,659.92 $113,680.40 2026-03-01
5204 APR_DRG Description Not Available 2 1 — — $95,438.19 $130,480.89 $112,959.54 2026-03-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 8 — — $33,999.98 $224,683.94 $112,341.97 2026-03-01
1814 APR_DRG Lower Extremity Arterial Procedures 5 3 — — $34,194.43 $113,886.07 $111,427.17 2026-03-01
8514 APR_DRG Gender Related Procedures 5 3 — — $33,148.29 $211,314.32 $110,401.86 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 3 — — $32,992.10 $165,233.04 $109,881.65 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 12 — — $69,035.38 $218,579.12 $109,289.56 2026-03-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 3 — — $32,752.96 $172,985.33 $109,085.20 2026-03-01
4854 APR_DRG Description Not Available 2 1 — — $92,089.62 $125,902.80 $108,996.21 2026-03-01
1782 APR_DRG External Heart Assist Systems 5 3 — — $32,402.43 $119,761.04 $107,917.75 2026-03-01
1794 APR_DRG Defibrillator Implants 5 3 — — $32,126.37 $145,406.02 $106,998.30 2026-03-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 5 3 — — $52,209.05 $355,726.11 $106,807.19 2026-03-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 3 — — $31,889.66 $197,848.47 $106,209.92 2026-03-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 3 — — $31,816.40 $133,680.65 $105,965.94 2026-03-01
8633 APR_DRG Neonatal Aftercare 5 3 — — $31,424.10 $131,137.03 $104,659.37 2026-03-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $31,410.78 $142,979.56 $104,615.01 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 3 — — $31,299.39 $110,585.69 $104,244.00 2026-03-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 3 — — $31,273.35 $181,438.50 $104,157.30 2026-03-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 3 — — $32,645.20 $108,726.29 $103,879.40 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $30,862.29 $174,536.22 $102,788.22 2026-03-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $30,799.93 $118,840.74 $102,580.53 2026-03-01
7 MS_DRG Lung Transplant 18 12 — — $64,543.80 $204,357.92 $102,178.96 2026-03-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 3 — — $30,628.60 $200,392.09 $102,009.91 2026-03-01
4401 APR_DRG Kidney Transplant 5 3 — — $30,604.99 $190,630.90 $101,931.28 2026-03-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 3 — — $30,504.49 $218,069.61 $101,596.57 2026-03-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 3 — — $30,496.62 $105,677.40 $101,570.36 2026-03-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 3 — — $30,460.30 $110,732.68 $101,449.38 2026-03-01
1781 APR_DRG External Heart Assist Systems 5 3 — — $30,227.22 $117,735.09 $100,673.09 2026-03-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 3 — — $30,028.64 $145,080.07 $100,011.74 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 5 3 — — $29,968.10 $128,953.44 $99,810.10 2026-03-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 3 — — $29,897.88 $131,987.04 $99,576.21 2026-03-01
224 APR_DRG Ventricular Shunt Procedures 5 3 — — $29,883.35 $108,670.52 $99,527.82 2026-03-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 3 — — $29,789.51 $103,481.02 $99,215.29 2026-03-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 3 — — $29,771.95 $116,955.39 $99,156.81 2026-03-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 3 — — $29,265.83 $103,012.35 $97,471.17 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 3 — — $29,142.94 $159,129.63 $97,061.85 2026-03-01
6122 APR_DRG Respiratory Condition 5 3 — — $28,921.36 $115,476.94 $96,323.88 2026-03-01
4014 APR_DRG Adrenal Procedures 5 3 — — $28,822.07 $137,510.99 $95,993.20 2026-03-01
4284 APR_DRG Description Not Available 2 1 — — $80,951.61 $110,675.16 $95,813.39 2026-03-01
274 APR_DRG Other Open Craniotomy 5 3 — — $28,766.98 $115,031.70 $95,809.72 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $59,897.21 $189,645.96 $94,822.98 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 5 3 — — $28,288.11 $153,454.42 $94,214.80 2026-03-01
7524 APR_DRG Disorders Of Personality And Impulse Control 5 3 — — $28,075.61 $101,135.52 $93,507.07 2026-03-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 3 — — $31,693.68 $93,216.70 $93,216.70 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $27,870.98 $155,331.25 $92,825.55 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 3 — — $27,806.81 $107,070.64 $92,611.82 2026-03-01
1824 APR_DRG Other Peripheral Vascular Procedures 5 3 — — $34,851.90 $116,075.80 $91,353.03 2026-03-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 5 3 — — $28,128.28 $93,682.49 $91,316.81 2026-03-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 3 — — $27,358.21 $152,240.13 $91,117.73 2026-03-01
3003 APR_DRG Description Not Available 2 1 — — $76,845.75 $105,061.73 $90,953.74 2026-03-01
3214 APR_DRG Decompression 5 3 — — $27,300.69 $118,565.92 $90,926.18 2026-03-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 3 — — $27,300.09 $117,349.50 $90,924.16 2026-03-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 3 — — $27,295.24 $124,279.48 $90,908.03 2026-03-01
4034 APR_DRG Procedures For Obesity 5 3 — — $27,261.95 $110,653.86 $90,797.13 2026-03-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 5 3 — — $27,041.58 $96,887.64 $90,063.19 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $56,477.69 $178,819.10 $89,409.55 2026-03-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $26,839.98 $89,391.75 $89,391.75 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 18 12 — — $56,412.90 $178,613.96 $89,306.98 2026-03-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 3 — — $26,760.67 $148,541.87 $89,127.61 2026-03-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $26,609.93 $88,625.55 $87,916.80 2026-03-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $26,169.80 $90,307.03 $87,159.68 2026-03-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $26,121.37 $99,000.93 $86,998.37 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $54,929.66 $173,917.74 $86,958.87 2026-03-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 3 — — $25,988.78 $116,139.47 $86,556.80 2026-03-01
204 APR_DRG Open Craniotomy For Trauma 5 3 — — $25,937.32 $120,238.24 $86,385.41 2026-03-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 3 — — $25,853.17 $122,592.26 $86,105.14 2026-03-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 5 3 — — $27,980.56 $93,190.51 $86,091.10 2026-03-01
6224 APR_DRG Respiratory Condition 5 3 — — $25,843.49 $112,445.47 $86,072.88 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 — — $54,196.51 $171,596.46 $85,798.23 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $25,756.31 $171,053.12 $85,782.53 2026-03-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $25,528.68 $125,476.73 $85,024.39 2026-03-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 3 — — $25,517.78 $98,165.84 $84,988.10 2026-03-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 — — $25,880.42 $86,195.88 $84,665.90 2026-03-01
2324 APR_DRG Gastric Fundoplication 5 3 — — $25,722.41 $85,669.62 $84,380.44 2026-03-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 5 3 — — $25,102.47 $106,797.95 $83,604.90 2026-03-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 5 3 — — $25,034.67 $88,967.05 $83,379.07 2026-03-01
2614 APR_DRG Major Biliary Tract Procedures 5 3 — — $24,998.95 $126,286.26 $83,260.11 2026-03-01
4484 APR_DRG Description Not Available 2 1 — — $70,313.78 $96,131.37 $83,222.57 2026-03-01
294 APR_DRG Other Percutaneous Intracranial Procedures 5 3 — — $24,679.29 $109,652.60 $82,195.49 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 3 — — $24,658.10 $126,852.93 $82,124.92 2026-03-01
1804 APR_DRG Other Circulatory System Procedures 5 3 — — $24,597.56 $87,343.74 $81,923.28 2026-03-01
6903 APR_DRG Acute Leukemia 5 3 — — $24,587.88 $155,037.26 $81,891.02 2026-03-01
244 APR_DRG Open Extracranial Vascular Procedures 5 3 — — $24,428.66 $90,283.60 $81,360.73 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $51,387.53 $162,702.68 $81,351.34 2026-03-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 5 3 — — $24,384.46 $93,660.18 $81,213.54 2026-03-01
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 3 — — $25,422.12 $84,669.52 $80,795.09 2026-03-01
6223 APR_DRG Respiratory Condition 5 3 — — $24,057.54 $110,391.83 $80,124.72 2026-03-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $23,913.46 $84,761.77 $79,644.84 2026-03-01
6504 APR_DRG Splenectomy 5 3 — — $23,889.24 $130,478.76 $79,564.18 2026-03-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 5 3 — — $23,801.46 $99,105.31 $79,271.82 2026-03-01
1793 APR_DRG Defibrillator Implants 5 3 — — $23,711.86 $97,030.37 $78,973.40 2026-03-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 3 — — $23,709.44 $99,703.94 $78,965.34 2026-03-01
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 3 — — $26,920.50 $89,659.92 $78,647.71 2026-03-01
215 MS_DRG Other Heart Assist System Implant 18 12 — — $49,625.69 $157,124.36 $78,562.18 2026-03-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 5 3 — — $23,515.10 $93,332.11 $78,318.10 2026-03-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 3 — — $23,452.14 $111,216.27 $78,108.40 2026-03-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 3 — — $23,426.71 $99,269.35 $78,023.71 2026-03-01
2304 APR_DRG Major Small Bowel Procedures 5 3 — — $23,424.90 $127,890.40 $78,017.66 2026-03-01
1214 APR_DRG Other Respiratory And Chest Procedures 5 3 — — $23,304.42 $106,391.06 $77,616.41 2026-03-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 5 3 — — $28,725.21 $95,670.59 $77,390.81 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $48,757.48 $170,884.71 $77,187.71 2026-03-01
4414 APR_DRG Major Bladder Procedures 5 3 — — $23,079.82 $124,055.80 $76,868.36 2026-03-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $23,044.70 $89,621.06 $76,751.41 2026-03-01
2314 APR_DRG Major Large Bowel Procedures 5 3 — — $22,996.88 $89,642.37 $76,592.12 2026-03-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $26,511.25 $88,296.89 $76,432.16 2026-03-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 5 3 — — $22,876.40 $85,647.99 $76,190.87 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 5 3 — — $22,845.53 $91,823.83 $76,088.04 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 3 — — $22,736.55 $183,441.02 $75,725.10 2026-03-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 5 3 — — $22,506.50 $115,815.66 $74,958.90 2026-03-01
3264 APR_DRG Elective Knee Joint Replacement 5 3 — — $22,334.56 $78,715.88 $74,386.26 2026-03-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 5 3 — — $22,249.20 $105,293.94 $74,101.96 2026-03-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 5 3 — — $22,214.09 $85,971.80 $73,985.01 2026-03-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 5 3 — — $22,186.85 $93,057.29 $73,894.28 2026-03-01
4454 APR_DRG Other Bladder Procedures 5 3 — — $22,050.63 $73,440.61 $73,115.23 2026-03-01
6344 APR_DRG Respiratory Condition 5 3 — — $21,938.63 $133,825.51 $73,067.59 2026-03-01
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $21,913.20 $72,982.90 $72,982.90 2026-03-01
7594 APR_DRG Eating Disorders 5 3 — — $26,710.42 $88,960.26 $72,714.72 2026-03-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 3 — — $21,793.33 $90,321.94 $72,583.67 2026-03-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 3 — — $21,732.79 $112,526.43 $72,382.03 2026-03-01
2992 APR_DRG Description Not Available 2 1 — — $61,111.05 $83,549.61 $72,330.33 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 3 — — $21,599.60 $148,418.31 $71,938.44 2026-03-01
3094 APR_DRG Other Significant Hip And Femur Surgery 5 3 — — $21,510.61 $96,110.06 $71,642.04 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $44,903.85 $142,174.10 $71,087.05 2026-03-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 5 3 — — $21,194.59 $104,616.49 $70,589.52 2026-03-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 9 5 — — $8,500.00 $90,001.00 $70,541.72 2026-03-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 5 3 — — $21,179.45 $90,946.13 $70,539.11 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 3 — — $21,163.71 $118,904.65 $70,486.69 2026-03-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 3 — — $21,106.81 $93,570.70 $70,297.15 2026-03-01
3634 APR_DRG Breast Procedures Except Mastectomy 5 3 — — $20,987.54 $82,439.70 $69,899.94 2026-03-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 3 — — $20,750.83 $116,384.46 $69,111.56 2026-03-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 3 — — $20,735.09 $106,936.43 $69,059.13 2026-03-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 15 8 — — $22,933.90 $137,603.42 $68,801.71 2026-03-01
6614 APR_DRG Coagulation And Platelet Disorders 5 3 — — $21,262.39 $70,815.35 $68,765.08 2026-03-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $20,608.56 $132,214.98 $68,637.72 2026-03-01
3244 APR_DRG Elective Hip Joint Replacement 5 3 — — $20,608.56 $88,264.04 $68,637.72 2026-03-01
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 5 3 — — $20,959.69 $69,807.19 $68,564.83 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $43,158.95 $136,649.42 $68,324.71 2026-03-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $20,483.84 $116,919.18 $68,222.36 2026-03-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 3 — — $20,312.52 $128,561.46 $67,651.74 2026-03-01
6222 APR_DRG Respiratory Condition 5 3 — — $20,259.24 $79,546.71 $67,474.30 2026-03-01
6924 APR_DRG Radiotherapy 5 3 — — $20,162.37 $72,697.68 $67,151.69 2026-03-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 5 3 — — $20,058.85 $79,137.68 $66,806.90 2026-03-01
913 APR_DRG Other Major Head And Neck Procedures 5 3 — — $20,011.02 $100,270.61 $66,647.61 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $42,014.62 $133,026.28 $66,513.14 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $41,882.55 $132,608.10 $66,304.05 2026-03-01
3624 APR_DRG Mastectomy Procedures 5 3 — — $19,867.54 $80,703.48 $66,169.74 2026-03-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 5 3 — — $19,825.77 $123,090.76 $66,030.61 2026-03-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 8 — — $21,556.69 $128,564.60 $65,889.36 2026-03-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 5 3 — — $19,405.62 $94,770.08 $64,631.28 2026-03-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 5 3 — — $19,380.19 $93,295.89 $64,546.60 2026-03-01
4824 APR_DRG Transurethral Prostatectomy 5 3 — — $23,271.12 $77,505.52 $64,348.90 2026-03-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 3 — — $19,247.61 $133,985.29 $64,105.02 2026-03-01
1792 APR_DRG Defibrillator Implants 5 3 — — $19,217.94 $72,348.31 $64,006.22 2026-03-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $19,177.99 $109,884.81 $63,873.14 2026-03-01
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $19,135.61 $65,288.38 $63,732.00 2026-03-01
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 3 — — $19,111.39 $72,160.84 $63,651.35 2026-03-01
6252 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 3 — — $19,098.07 $73,449.69 $63,606.99 2026-03-01
734 APR_DRG Orbit And Eye Procedures 5 3 — — $19,039.35 $84,518.91 $63,411.40 2026-03-01
2244 APR_DRG Peritoneal Adhesiolysis 5 3 — — $19,016.95 $95,850.16 $63,336.80 2026-03-01
1791 APR_DRG Defibrillator Implants 5 3 — — $18,983.05 $66,639.01 $63,223.89 2026-03-01
203 APR_DRG Open Craniotomy For Trauma 5 3 — — $18,953.38 $80,959.12 $63,125.09 2026-03-01
A9543 HCPCS Y90 Ibritumomab, Rx 16 8 — — $14,774.74 $113,649.10 $63,012.75 2026-03-01
2234 APR_DRG Other Small And Large Bowel Procedures 5 3 — — $18,915.24 $94,910.68 $62,998.06 2026-03-01
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 3 — — $18,788.11 $80,057.99 $62,574.63 2026-03-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $18,742.70 $102,513.85 $62,423.41 2026-03-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $18,654.92 $83,609.26 $62,131.04 2026-03-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 3 — — $18,650.68 $142,683.45 $62,116.92 2026-03-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 3 — — $18,646.44 $100,871.36 $62,102.81 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $39,218.10 $124,171.96 $62,085.98 2026-03-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 5 3 — — $18,533.23 $85,933.45 $61,725.76 2026-03-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 5 3 — — $18,532.02 $64,500.15 $61,721.72 2026-03-01
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