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

Nationwide Children’s Hospital Toledo, Llc

Toledo, OH · CCN 360373 · Rates published

25,437 distinct procedures filed
18 distinct payers
440,365 rate rows
2026-04-01 last MRF observed
Data quality

277,869 of 440,365 rate rows are consumer-grade (63.1%)

162,496 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
professional (physician) fee — not the facility price 119,957
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 29,463
template filing: same amount across many unrelated codes — excluded 12,762
per-diem day rate — not a per-procedure price 108
percent-of-charges filed in the dollar field — excluded from medians 94
exceeds 10× this hospital's gross charge — excluded from medians 82
placeholder amount (≤ $0.02) — excluded from medians 30

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 9 $12,628.82 $4,730,250.00 $4,279,750.00 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $20,441.36 $4,422,320.00 $3,593,135.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $20,441.36 $3,989,486.28 $3,244,663.23 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $12,628.82 $3,913,626.00 $3,171,195.38 nat. median
$3,286,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 9 $12,628.82 $3,502,611.00 $3,169,029.00 nat. median
$3,335,820
0.9× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 9 $12,628.82 $3,339,000.00 $3,021,000.00 nat. median
$3,180,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $12,628.82 $3,540,824.00 $2,866,469.67 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $16,124.95 $2,942,538.72 $2,524,256.70 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $12,628.82 $2,798,400.00 $2,273,700.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $12,628.82 $2,311,860.00 $770,620.00 nat. median
$824,563
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $474,483.64 $777,333.58 $645,971.51 nat. median
$370,174
1.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $12,628.82 $1,762,948.71 $587,649.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $12,628.82 $1,699,593.90 $566,531.30 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $12,628.82 $1,686,603.72 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $12,628.82 $1,674,245.16 $558,081.72 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $12,628.82 $1,596,576.72 $532,192.24 nat. median
$634,511
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $193,535.23 $523,928.19 $523,928.19 nat. median
$246,434
outlier · 2.1×
5833
APR_DRG 		Neonate With Ecmo 7 $179,788.02 $506,823.02 $506,823.02 nat. median
$244,017
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 7 $315,727.95 $506,823.02 $506,823.02 nat. median
$309,665
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $12,628.82 $1,468,350.60 $489,450.20 nat. median
$620,080
0.8× median
5832
APR_DRG 		Neonate With Ecmo 7 $99,677.25 $482,092.54 $482,092.54 nat. median
$156,126
outlier · 3.1×
5831
APR_DRG 		Neonate With Ecmo 7 $89,473.84 $482,092.54 $482,092.54 nat. median
$145,122
outlier · 3.3×
1614
APR_DRG 		Implantable Heart Assist Systems 7 $146,262.70 $426,525.49 $426,525.49 nat. median
$207,730
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $417,078.70 $504,458.22 $419,209.52 nat. median
$265,286
1.6× median
0024
APR_DRG 		6 $371,550.98 $375,123.59 $375,123.59 nat. median
$372,987
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $134,932.24 $336,035.49 $336,035.49 nat. median
$162,982
outlier · 2.1×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $87,999.61 $330,099.62 $330,099.62 nat. median
$119,796
outlier · 2.8×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $67,358.73 $330,099.62 $330,099.62 nat. median
$76,806
outlier · 4.3×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $77,433.38 $330,099.62 $330,099.62 nat. median
$85,406
outlier · 3.9×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $120,663.74 $326,119.92 $326,119.92 nat. median
$150,721
outlier · 2.2×
0074
APR_DRG 		6 $317,606.48 $320,660.39 $320,660.39 nat. median
$178,275
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $294,628.10 $384,330.35 $319,382.13 nat. median
$206,368
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $293,965.47 $382,074.83 $317,507.77 nat. median
$202,986
1.6× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $25,732.93 $298,481.85 $298,481.85 nat. median
$35,675
outlier · 8.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $119,249.46 $298,481.85 $298,481.85 nat. median
$160,267
1.9× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $37,472.08 $298,481.85 $298,481.85 nat. median
$66,693
outlier · 4.5×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $25,388.87 $298,481.85 $298,481.85 nat. median
$34,396
outlier · 8.7×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $163,675.16 $287,860.02 $287,860.02 nat. median
$122,924
outlier · 2.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $12,628.82 $834,750.00 $278,250.00 nat. median
$324,450
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $127,845.69 $264,664.01 $264,664.01 nat. median
$182,736
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 10 $12,628.82 $795,000.00 $258,375.00 nat. median
$265,000
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $107,464.95 $251,749.39 $251,749.39 nat. median
$145,336
1.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $92,111.62 $251,749.39 $251,749.39 nat. median
$124,573
outlier · 2.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $111,026.99 $243,974.19 $243,974.19 nat. median
$151,838
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $207,203.09 $249,339.05 $229,563.78 nat. median
$133,176
1.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $115,947.54 $226,491.75 $226,491.75 nat. median
$164,279
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $12,628.82 $605,007.06 $196,627.29 nat. median
$209,753
0.9× median
7
MS_DRG 		Lung Transplant 3 $176,435.48 $233,116.55 $193,722.04 nat. median
$122,708
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $79,595.73 $185,047.34 $185,047.34 nat. median
$97,957
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $150,604.19 $216,334.22 $179,775.77 nat. median
$117,303
1.5× median

Other procedures at this hospital

Browse this hospital's 25,437 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
             
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $176,852.58 $176,852.58 $176,852.58 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $131,616.26 $131,616.26 $131,616.26 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $110,211.16 $110,211.16 $110,211.16 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $108,970.98 $108,970.98 $108,970.98 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $104,633.77 $104,633.77 $104,633.77 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $93,655.19 $93,655.19 $93,655.19 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $78,394.65 $78,394.65 $78,394.65 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $63,758.11 $63,758.11 $63,758.11 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $61,257.96 $61,257.96 $61,257.96 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 2 — — $92,352.00 $171,600.00 $131,976.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 3 — — $474,483.64 $777,333.58 $645,971.51 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $417,078.70 $504,458.22 $419,209.52 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $294,628.10 $384,330.35 $319,382.13 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $293,965.47 $382,074.83 $317,507.77 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 — — $207,203.09 $249,339.05 $229,563.78 2026-04-01
7 MS_DRG Lung Transplant 3 3 — — $176,435.48 $233,116.55 $193,722.04 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $150,604.19 $216,334.22 $179,775.77 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $156,373.90 $203,983.73 $169,512.40 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 3 3 — — $9,641.04 $203,749.72 $169,317.93 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $23,317.52 $198,392.62 $164,866.13 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $9,321.53 $195,744.67 $162,665.66 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $149,017.86 $185,599.31 $154,234.77 2026-04-01
215 MS_DRG Other Heart Assist System Implant 3 3 — — $84,320.29 $179,235.96 $148,946.76 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $129,608.96 $176,100.18 $146,340.91 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $124,329.07 $162,181.81 $134,774.61 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $108,986.70 $155,879.66 $129,537.46 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $116,329.06 $151,746.63 $126,102.87 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $83,790.69 $151,269.60 $125,706.46 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $117,709.38 $141,646.27 $122,896.91 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $106,663.65 $128,354.33 $115,953.61 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $85,196.75 $138,217.08 $114,859.69 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 3 3 — — $103,990.26 $137,621.25 $114,364.55 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $105,371.46 $137,165.82 $113,986.08 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $19,157.77 $129,942.02 $107,983.04 2026-04-01
10 MS_DRG Pancreas Transplant 3 3 — — $99,021.18 $129,169.78 $107,341.30 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $50,301.26 $129,115.77 $107,296.42 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $98,454.28 $128,429.93 $106,726.48 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $98,301.36 $124,419.31 $103,393.62 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $22,235.94 $123,809.08 $102,886.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $99,950.05 $120,275.48 $101,124.68 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $83,793.18 $121,166.53 $100,690.52 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $73,567.83 $120,363.69 $100,023.35 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $98,359.91 $118,361.98 $98,369.73 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $90,736.47 $118,361.98 $98,359.91 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $90,407.02 $117,931.75 $98,002.39 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $81,519.35 $115,831.03 $96,256.68 2026-04-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 3 3 — — $81,587.88 $98,179.25 $94,553.10 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 3 3 — — $50,666.76 $110,317.33 $91,674.74 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $84,470.72 $110,189.52 $91,568.53 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $83,661.39 $109,132.86 $90,690.43 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $56,517.29 $108,155.41 $89,878.16 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $45,916.48 $108,124.81 $89,852.73 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $67,351.80 $107,341.76 $89,202.01 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $9,315.32 $106,988.94 $88,908.82 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $75,798.13 $106,740.53 $88,702.38 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $78,204.97 $105,640.67 $87,788.39 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $48,318.35 $105,572.26 $87,731.54 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $76,902.10 $103,813.57 $86,270.05 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 3 3 — — $82,123.41 $98,823.69 $86,027.21 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $85,018.97 $103,151.13 $85,719.56 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 3 3 — — $78,753.22 $102,729.91 $85,369.52 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $61,363.29 $102,596.70 $85,258.82 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $14,683.48 $101,201.62 $84,099.50 2026-04-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 3 3 — — $77,340.94 $100,888.40 $83,839.21 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $45,780.97 $100,197.17 $83,264.79 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 3 3 — — $76,214.60 $99,419.52 $82,618.56 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $65,862.45 $98,474.47 $81,833.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 3 3 — — $79,087.65 $98,334.06 $81,716.53 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $74,963.94 $97,786.83 $81,261.78 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $64,044.88 $95,995.73 $79,773.36 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $59,151.63 $95,938.13 $79,725.49 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $73,994.24 $95,293.69 $79,189.95 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $5,575.77 $94,978.68 $78,928.17 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $59,303.30 $93,702.41 $77,867.58 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $50,589.69 $93,540.40 $77,732.95 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $64,217.49 $134,886.37 $77,276.49 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $62,957.08 $90,728.64 $75,396.35 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $62,124.73 $139,655.29 $74,758.15 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $53,440.35 $89,778.19 $74,606.52 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $71,062.77 $89,058.15 $74,008.16 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $53,726.29 $88,899.74 $73,876.52 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $61,794.68 $88,595.52 $73,623.71 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $67,634.01 $88,226.50 $73,317.05 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $44,536.53 $86,921.43 $72,232.52 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $39,780.03 $86,482.20 $71,867.52 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $59,598.15 $135,899.57 $71,717.78 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $69,088.14 $83,137.62 $71,637.13 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 3 3 — — $4,729.15 $85,699.16 $71,216.81 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $27,657.55 $84,629.90 $70,328.24 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $60,836.18 $84,457.09 $70,184.64 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $61,275.02 $84,205.08 $69,975.21 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $67,875.19 $83,470.64 $69,364.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $44,581.28 $82,741.60 $68,759.04 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $65,143.87 $82,530.98 $68,584.02 2026-04-01
245 MS_DRG Aicd Generator Procedures 3 3 — — $62,959.56 $82,127.76 $68,248.94 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $41,769.16 $81,881.15 $68,044.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $52,588.76 $81,845.15 $68,014.09 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $62,497.09 $81,524.73 $67,747.82 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $56,290.72 $96,190.40 $67,737.76 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $53,835.69 $80,676.88 $67,043.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $39,693.01 $80,653.48 $67,023.80 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $61,585.83 $80,336.66 $66,760.52 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $55,435.06 $205,736.55 $66,708.11 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $41,316.63 $79,074.79 $65,711.90 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $64,733.58 $77,897.53 $65,346.52 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $6,122.78 $76,779.67 $63,804.62 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $58,005.40 $76,338.64 $63,438.13 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $6,035.75 $76,021.82 $63,174.85 2026-04-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 3 3 — — $53,270.04 $75,892.22 $63,067.14 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $54,535.62 $75,854.41 $63,035.73 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $49,610.04 $75,633.00 $62,851.73 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $53,242.07 $64,069.16 $62,850.16 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $57,910.91 $75,543.00 $62,776.94 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $58,281.38 $75,402.59 $62,660.26 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $54,576.64 $75,110.97 $62,417.92 2026-04-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 3 3 — — $42,759.99 $74,263.13 $61,713.35 2026-04-01
791 MS_DRG Prematurity With Major Problems 3 3 — — $3,827.82 $73,066.06 $60,718.58 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $15,200.65 $72,373.02 $60,142.66 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $57,539.20 $116,562.00 $68,715.01 2026-04-01
0024 APR_DRG — 6 6 — — $371,550.98 $375,123.59 $375,123.59 2026-04-01
0074 APR_DRG — 6 6 — — $317,606.48 $320,660.39 $320,660.39 2026-04-01
0023 APR_DRG — 6 6 — — $164,690.76 $166,274.33 $166,274.33 2026-04-01
0021 APR_DRG — 6 6 — — $164,690.76 $166,274.33 $166,274.33 2026-04-01
0022 APR_DRG — 6 6 — — $164,690.76 $166,274.33 $166,274.33 2026-04-01
0094 APR_DRG — 6 6 — — $164,426.55 $166,007.57 $166,007.57 2026-04-01
0073 APR_DRG — 6 6 — — $155,009.29 $156,499.76 $156,499.76 2026-04-01
0044 APR_DRG — 6 6 — — $149,319.92 $150,755.69 $150,755.69 2026-04-01
0014 APR_DRG — 6 6 — — $131,054.08 $132,314.22 $132,314.22 2026-04-01
0084 APR_DRG — 6 6 — — $124,395.94 $125,592.05 $125,592.05 2026-04-01
0071 APR_DRG — 6 6 — — $124,086.44 $125,279.57 $125,279.57 2026-04-01
0072 APR_DRG — 6 6 — — $124,086.44 $125,279.57 $125,279.57 2026-04-01
0043 APR_DRG — 6 6 — — $113,145.55 $114,233.49 $114,233.49 2026-04-01
0054 APR_DRG — 6 6 — — $105,414.21 $106,427.81 $106,427.81 2026-04-01
0224 APR_DRG — 6 6 — — $93,917.22 $94,820.27 $94,820.27 2026-04-01
0083 APR_DRG — 6 6 — — $93,439.13 $94,337.59 $94,337.59 2026-04-01
0114 APR_DRG — 6 6 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
0112 APR_DRG — 6 6 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
0111 APR_DRG — 6 6 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
0113 APR_DRG — 6 6 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
0914 APR_DRG — 6 6 — — $83,425.50 $84,227.67 $84,227.67 2026-04-01
33995 HCPCS Pr Insj Perq Vad W/rs&i R Heart Venous Access Only 6 6 — — $77,104.01 $77,845.39 $77,845.39 2026-04-01
0214 APR_DRG — 6 6 — — $76,923.37 $77,663.02 $77,663.02 2026-04-01
0053 APR_DRG — 6 6 — — $76,290.52 $77,024.08 $77,024.08 2026-04-01
0264 APR_DRG — 6 6 — — $68,542.82 $69,201.89 $69,201.89 2026-04-01
0091 APR_DRG — 6 6 — — $67,425.59 $68,073.92 $68,073.92 2026-04-01
0093 APR_DRG — 6 6 — — $67,425.59 $68,073.92 $68,073.92 2026-04-01
0092 APR_DRG — 6 6 — — $67,425.59 $68,073.92 $68,073.92 2026-04-01
0234 APR_DRG — 6 6 — — $67,134.95 $67,780.48 $67,780.48 2026-04-01
0204 APR_DRG — 6 6 — — $64,901.74 $65,525.80 $65,525.80 2026-04-01
0894 APR_DRG — 6 6 — — $64,445.02 $65,064.69 $65,064.69 2026-04-01
0304 APR_DRG — 6 6 — — $63,564.32 $64,175.52 $64,175.52 2026-04-01
0274 APR_DRG — 6 6 — — $63,492.60 $64,103.11 $64,103.11 2026-04-01
0294 APR_DRG — 6 6 — — $61,784.04 $62,378.12 $62,378.12 2026-04-01
0504 APR_DRG — 6 6 — — $61,765.16 $62,359.06 $62,359.06 2026-04-01
0041 APR_DRG — 6 6 — — $59,077.75 $59,645.81 $59,645.81 2026-04-01
0042 APR_DRG — 6 6 — — $59,077.75 $59,645.81 $59,645.81 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $193,535.23 $523,928.19 $523,928.19 2026-04-01
5834 APR_DRG Neonate With Ecmo 7 7 — — $315,727.95 $506,823.02 $506,823.02 2026-04-01
5833 APR_DRG Neonate With Ecmo 7 7 — — $179,788.02 $506,823.02 $506,823.02 2026-04-01
5832 APR_DRG Neonate With Ecmo 7 7 — — $99,677.25 $482,092.54 $482,092.54 2026-04-01
5831 APR_DRG Neonate With Ecmo 7 7 — — $89,473.84 $482,092.54 $482,092.54 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $146,262.70 $426,525.49 $426,525.49 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $134,932.24 $336,035.49 $336,035.49 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $77,433.38 $330,099.62 $330,099.62 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $87,999.61 $330,099.62 $330,099.62 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $67,358.73 $330,099.62 $330,099.62 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $120,663.74 $326,119.92 $326,119.92 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $37,472.08 $298,481.85 $298,481.85 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $25,732.93 $298,481.85 $298,481.85 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $119,249.46 $298,481.85 $298,481.85 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $25,388.87 $298,481.85 $298,481.85 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $163,675.16 $287,860.02 $287,860.02 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $127,845.69 $264,664.01 $264,664.01 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $107,464.95 $251,749.39 $251,749.39 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $92,111.62 $251,749.39 $251,749.39 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $111,026.99 $243,974.19 $243,974.19 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $115,947.54 $226,491.75 $226,491.75 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $79,595.73 $185,047.34 $185,047.34 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $53,634.99 $166,986.94 $166,986.94 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $40,199.00 $165,147.61 $165,147.61 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $80,682.12 $152,659.79 $152,659.79 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $66,769.66 $144,050.05 $144,050.05 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $43,961.75 $142,031.62 $142,031.62 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $22,183.40 $140,448.89 $140,448.89 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $51,810.44 $137,725.48 $137,725.48 2026-04-01
8514 APR_DRG Gender Related Procedures 7 7 — — $48,940.68 $137,452.37 $137,452.37 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $46,155.90 $136,573.36 $136,573.36 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $37,006.56 $135,000.79 $135,000.79 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $24,284.23 $129,908.36 $129,908.36 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $29,313.74 $129,908.36 $129,908.36 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $31,312.40 $129,465.05 $129,465.05 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $16,964.66 $127,126.52 $127,126.52 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $90,579.52 $125,463.77 $125,463.77 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $83,849.01 $124,626.67 $124,626.67 2026-04-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $42,122.60 $121,022.97 $121,022.97 2026-04-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $27,198.82 $116,053.76 $116,053.76 2026-04-01
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $1,475.80 $114,463.41 $114,463.41 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $91,536.63 $114,463.41 $114,463.41 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $31,578.26 $114,454.52 $114,454.52 2026-04-01
8634 APR_DRG Neonatal Aftercare 7 7 — — $46,541.66 $114,067.09 $114,067.09 2026-04-01
1784 APR_DRG External Heart Assist Devices 7 7 — — $35,086.09 $114,028.98 $114,028.98 2026-04-01
6904 APR_DRG Acute Leukemia 7 7 — — $34,213.44 $113,583.12 $113,583.12 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $41,253.07 $109,247.76 $109,247.76 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $91,536.10 $108,879.39 $108,879.39 2026-04-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $90,288.11 $108,879.39 $108,879.39 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $35,918.61 $103,299.19 $103,299.19 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $27,822.30 $99,997.81 $99,997.81 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $30,743.14 $99,427.47 $99,427.47 2026-04-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $26,874.05 $99,048.94 $99,048.94 2026-04-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $29,647.89 $98,773.29 $98,773.29 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $44,521.62 $98,613.24 $98,613.24 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $46,668.33 $97,500.50 $97,500.50 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $60,293.55 $97,196.91 $97,196.91 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $34,534.03 $97,196.91 $97,196.91 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $30,429.32 $96,577.03 $96,577.03 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $51,953.80 $96,577.03 $96,577.03 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $77,251.44 $94,651.34 $94,651.34 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $15,184.42 $94,651.34 $94,651.34 2026-04-01
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $15,153.14 $94,387.13 $94,387.13 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $29,473.78 $94,387.13 $94,387.13 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $27,122.19 $91,772.95 $91,772.95 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $26,496.11 $89,185.45 $89,185.45 2026-04-01
8633 APR_DRG Neonatal Aftercare 7 7 — — $21,744.46 $86,178.77 $86,178.77 2026-04-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $35,226.84 $85,837.07 $85,837.07 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $19,167.67 $82,173.67 $82,173.67 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $25,101.63 $81,782.44 $81,782.44 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $21,667.83 $81,782.44 $81,782.44 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $28,755.42 $81,591.90 $81,591.90 2026-04-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $14,425.93 $81,539.82 $81,539.82 2026-04-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $20,549.64 $81,100.32 $81,100.32 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $30,678.50 $81,092.70 $81,092.70 2026-04-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $27,567.90 $80,573.16 $80,573.16 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $22,946.06 $80,495.68 $80,495.68 2026-04-01
1794 APR_DRG Defibrillator Implants 7 7 — — $29,166.21 $78,315.93 $78,315.93 2026-04-01
33975 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Single Ventricle 7 7 — — $4,986.73 $77,845.39 $77,845.39 2026-04-01
33983 HCPCS Replace Vad Intra W/bp 7 7 — — $8,834.53 $77,845.39 $77,845.39 2026-04-01
33976 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Biventricular 7 7 — — $6,069.99 $77,845.39 $77,845.39 2026-04-01
33981 HCPCS Replace Vad Pump Ext 7 7 — — $3,181.37 $77,845.39 $77,845.39 2026-04-01
33982 HCPCS Replace Vad Intra Without Bp 7 7 — — $7,474.93 $77,845.39 $77,845.39 2026-04-01
33979 HCPCS Pr Insj Ventr Assist Dev Impltable Icorp 1 Vntrc 7 7 — — $7,443.76 $77,845.39 $77,845.39 2026-04-01
33991 HCPCS Pr Insj Perq Vad W/rs&i L Hrt Arterial&ven Access 7 7 — — $2,374.79 $77,845.39 $77,845.39 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $39,928.45 $77,802.75 $77,802.75 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $27,910.40 $77,222.25 $77,222.25 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $15,134.38 $76,997.41 $76,997.41 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $47,408.58 $75,861.81 $75,861.81 2026-04-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $29,343.97 $75,389.28 $75,389.28 2026-04-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $30,267.19 $74,371.80 $74,371.80 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $25,839.79 $72,415.62 $72,415.62 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $18,394.07 $72,275.90 $72,275.90 2026-04-01
6903 APR_DRG Acute Leukemia 7 7 — — $26,165.61 $71,967.22 $71,967.22 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $24,011.59 $71,086.94 $71,086.94 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $36,482.13 $70,676.66 $70,676.66 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $32,085.49 $70,553.44 $70,553.44 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $16,936.51 $70,244.77 $70,244.77 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $16,527.29 $69,976.75 $69,976.75 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $35,391.57 $69,676.97 $69,676.97 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $25,514.50 $67,725.86 $67,725.86 2026-04-01
1783 APR_DRG External Heart Assist Devices 7 7 — — $28,310.23 $67,643.30 $67,643.30 2026-04-01
1782 APR_DRG External Heart Assist Devices 7 7 — — $23,051.36 $67,643.30 $67,643.30 2026-04-01
1781 APR_DRG External Heart Assist Devices 7 7 — — $20,746.17 $67,643.30 $67,643.30 2026-04-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $27,546.01 $67,121.23 $67,121.23 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $37,048.26 $66,733.80 $66,733.80 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $8,522.73 $66,671.56 $66,671.56 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $26,091.06 $65,707.44 $65,707.44 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $22,636.40 $65,488.95 $65,488.95 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $32,858.06 $65,018.96 $65,018.96 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $21,217.95 $64,763.64 $64,763.64 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $30,113.93 $63,995.14 $63,995.14 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $30,602.91 $62,857.00 $62,857.00 2026-04-01
1814 APR_DRG Lower Extremity Vascular Procedures 7 7 — — $26,476.82 $62,084.68 $62,084.68 2026-04-01
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $15,361.66 $61,809.05 $61,809.05 2026-04-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $23,034.16 $61,656.61 $61,656.61 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $25,259.59 $61,236.16 $61,236.16 2026-04-01
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 7 7 — — $11,192.31 $61,087.54 $61,087.54 2026-04-01
1824 APR_DRG Other Peripheral Vascular And Related Procedures 7 7 — — $22,906.44 $60,960.52 $60,960.52 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $26,277.69 $60,909.70 $60,909.70 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $19,430.93 $60,909.70 $60,909.70 2026-04-01
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $18,790.25 $60,472.74 $60,472.74 2026-04-01
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $14,532.80 $60,274.58 $60,274.58 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 13 9 — — $12,628.82 $4,730,250.00 $4,279,750.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 13 9 — — $12,628.82 $3,502,611.00 $3,169,029.00 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 13 9 — — $12,628.82 $3,339,000.00 $3,021,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 9 — — $20,441.36 $4,422,320.00 $3,593,135.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 9 — — $20,441.36 $3,989,486.28 $3,244,663.23 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 9 — — $12,628.82 $3,913,626.00 $3,171,195.38 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 9 — — $12,628.82 $3,540,824.00 $2,866,469.67 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 9 — — $16,124.95 $2,942,538.72 $2,524,256.70 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 9 — — $12,628.82 $2,798,400.00 $2,273,700.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 14 9 — — $12,628.82 $2,311,860.00 $770,620.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 14 10 — — $12,628.82 $795,000.00 $258,375.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 14 10 — — $12,628.82 $605,007.06 $196,627.29 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 10 — — $12,628.82 $1,762,948.71 $587,649.57 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 10 — — $12,628.82 $1,699,593.90 $566,531.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 10 — — $12,628.82 $1,686,603.72 $562,201.24 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 10 — — $12,628.82 $1,674,245.16 $558,081.72 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 10 — — $12,628.82 $1,596,576.72 $532,192.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 10 — — $12,628.82 $1,468,350.60 $489,450.20 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 10 — — $12,628.82 $834,750.00 $278,250.00 2026-04-01
38240 HCPCS Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 16 11 — — $733.48 $192,790.56 $60,224.36 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 18 12 — — $20,441.36 $209,567.82 $64,274.79 2026-04-01
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