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

NATIONWIDE CHILDREN'S HOSPITAL

Columbus, OH · CCN 363305 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

ECHO COMPLETE W/ DOPPLER W/O CONTRAST

This hospital’s price: $3,766 across 23 payers · range $530-$3,969

Source: https://nationwidechildrens.pt.panaceainc.com/MRFDownload/nationwidechildrens/nationwidechildrens · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

33,582 distinct procedures filed
23 distinct payers
521,517 rate rows
2026-04-01 last MRF observed
Data quality

321,546 of 521,517 rate rows are consumer-grade (61.7%)

199,971 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 171,327
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 15,395
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,749
percent-of-charges filed in the dollar field — excluded from medians 221
exceeds 10× this hospital's gross charge — excluded from medians 190
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 79
placeholder amount (≤ $0.02) — excluded from medians 7
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nationwidechildrens.pt.panaceainc.com/MRFDownload/nationwidechildrens/nationwidechildrens
Found on page https://www.nationwidechildrens.org/your-visit/billing-and-insurance/pay-my-bill/price-information-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-19
Content fingerprint e6d64cc160853656… · 203,946,990 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
5884
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $523,928.19 $523,928.19 $523,928.19 nat. median
$247,214
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 $520,927.09 $520,927.09 $520,927.09 nat. median
$359,358
1.4× median
5833
APR_DRG 		Neonate With Ecmo 7 $506,823.02 $506,823.02 $506,823.02 nat. median
$244,017
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 7 $506,823.02 $506,823.02 $506,823.02 nat. median
$307,273
1.6× median
5832
APR_DRG 		Neonate With Ecmo 7 $482,092.54 $482,092.54 $482,092.54 nat. median
$159,249
outlier · 3.0×
5831
APR_DRG 		Neonate With Ecmo 7 $482,092.54 $482,092.54 $482,092.54 nat. median
$146,591
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $457,903.24 $457,903.24 $457,903.24 nat. median
$249,124
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $426,525.49 $426,525.49 $426,525.49 nat. median
$202,993
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 7 $375,123.59 $375,123.59 $375,123.59 nat. median
$241,915
1.6× median
913508
CDM 		Implantable Vad Set Up 17 $251,394.00 $379,024.80 $363,554.40 nat. median
$4
outlier · 81789.5×
J1303
HCPCS 		Ultomiris 100 Mg/ml IV Solution 23 $213.56 $359,824.86 $341,466.44 nat. median
$5,631
outlier · 60.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $336,035.49 $336,035.49 $336,035.49 nat. median
$165,000
outlier · 2.0×
913506
CDM 		Paracorporeal Bi-vad Set Up 17 $230,444.50 $347,439.40 $333,258.20 nat. median
$440
outlier · 757.8×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $330,099.62 $330,099.62 $330,099.62 nat. median
$120,517
outlier · 2.7×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $330,099.62 $330,099.62 $330,099.62 nat. median
$76,852
outlier · 4.3×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $330,099.62 $330,099.62 $330,099.62 nat. median
$84,808
outlier · 3.9×
6304
APR_DRG 		Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 $326,119.92 $326,119.92 $326,119.92 nat. median
$154,011
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $323,466.91 $323,466.91 $323,466.91 nat. median
$198,433
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $322,739.43 $322,739.43 $322,739.43 nat. median
$190,557
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $320,660.39 $320,660.39 $320,660.39 nat. median
$170,172
1.9× median
8412
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $298,481.85 $298,481.85 $298,481.85 nat. median
$32,555
outlier · 9.2×
8414
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $298,481.85 $298,481.85 $298,481.85 nat. median
$156,153
1.9× median
8411
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $298,481.85 $298,481.85 $298,481.85 nat. median
$31,407
outlier · 9.5×
8413
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $298,481.85 $298,481.85 $298,481.85 nat. median
$61,012
outlier · 4.9×
6314
APR_DRG 		Neonate Birth Weight > 2499g With Other Major Procedure 7 $287,860.02 $287,860.02 $287,860.02 nat. median
$133,164
outlier · 2.2×
5883
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $264,664.01 $264,664.01 $264,664.01 nat. median
$175,429
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $252,033.97 $252,033.97 $252,033.97 nat. median
$126,722
2.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $251,749.39 $251,749.39 $251,749.39 nat. median
$145,061
1.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $251,749.39 $251,749.39 $251,749.39 nat. median
$120,505
outlier · 2.1×
5934
APR_DRG 		Neonate Birth Weight 750-999g Without Major Procedure 7 $243,974.19 $243,974.19 $243,974.19 nat. median
$151,838
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749g Without Major Procedure 7 $226,491.75 $226,491.75 $226,491.75 nat. median
$162,514
1.4× median
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 1 $225,874.47 $225,874.47 $225,874.47 nat. median
$33,635
outlier · 6.7×
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 23 $1,221.84 $243,594.89 $224,952.42 nat. median
$2,487
outlier · 90.4×
913523
CDM 		Living Donor Liver 17 $151,807.50 $228,879.00 $219,537.00 nat. median
$219,537
1.0× median
913505
CDM 		Paracorporeal Mono-vad Set Up 17 $139,665.50 $210,572.60 $201,977.80 nat. median
$8
outlier · 25310.5×
7
MS_DRG 		Lung Transplant 1 $193,705.35 $193,705.35 $193,705.35 nat. median
$117,894
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $185,047.34 $185,047.34 $185,047.34 nat. median
$98,624
1.9× median
J9042
HCPCS 		Adcetris 50 Mg IV Solr 23 $255.03 $186,706.93 $177,181.07 nat. median
$962
outlier · 184.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $171,680.09 $171,680.09 $171,680.09 nat. median
$103,967
1.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 $166,986.94 $166,986.94 $166,986.94 nat. median
$118,589
1.4× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $166,274.33 $166,274.33 $166,274.33 nat. median
$92,229
1.8× median
21
APR_DRG 		Heart And/or Lung Transplant 7 $166,274.33 $166,274.33 $166,274.33 nat. median
$73,922
outlier · 2.2×
23
APR_DRG 		Heart And/or Lung Transplant 7 $166,274.33 $166,274.33 $166,274.33 nat. median
$111,046
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $166,007.57 $166,007.57 $166,007.57 nat. median
$163,587
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $165,345.64 $165,345.64 $165,345.64 nat. median
$110,192
1.5× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 $165,147.61 $165,147.61 $165,147.61 nat. median
$96,883
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $163,604.04 $163,604.04 $163,604.04 nat. median
$94,964
1.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $156,499.76 $156,499.76 $156,499.76 nat. median
$89,273
1.8× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $153,325.05 $153,325.05 $153,325.05 nat. median
$38,579
outlier · 4.0×
5933
APR_DRG 		Neonate Birth Weight 750-999g Without Major Procedure 7 $152,659.79 $152,659.79 $152,659.79 nat. median
$108,798
1.4× median

Other procedures at this hospital

Browse this hospital's 33,582 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
             
5884 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $523,928.19 $523,928.19 $523,928.19 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 1 — — $520,927.09 $520,927.09 $520,927.09 2026-04-01
5833 APR_DRG Neonate With Ecmo 7 7 — — $506,823.02 $506,823.02 $506,823.02 2026-04-01
5834 APR_DRG Neonate With Ecmo 7 7 — — $506,823.02 $506,823.02 $506,823.02 2026-04-01
5832 APR_DRG Neonate With Ecmo 7 7 — — $482,092.54 $482,092.54 $482,092.54 2026-04-01
5831 APR_DRG Neonate With Ecmo 7 7 — — $482,092.54 $482,092.54 $482,092.54 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $457,903.24 $457,903.24 $457,903.24 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $426,525.49 $426,525.49 $426,525.49 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $375,123.59 $375,123.59 $375,123.59 2026-04-01
913508 CDM Implantable Vad Set Up 25 17 $386,760.00 $348,084.00 $251,394.00 $379,024.80 $363,554.40 2026-04-01
J1303 HCPCS Ultomiris 100 Mg/ml IV Solution 34 23 $367,168.22 $330,451.40 $213.56 $359,824.86 $341,466.44 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $336,035.49 $336,035.49 $336,035.49 2026-04-01
913506 CDM Paracorporeal Bi-vad Set Up 25 17 $354,530.00 $319,077.00 $230,444.50 $347,439.40 $333,258.20 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $330,099.62 $330,099.62 $330,099.62 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $330,099.62 $330,099.62 $330,099.62 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $330,099.62 $330,099.62 $330,099.62 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $326,119.92 $326,119.92 $326,119.92 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $323,466.91 $323,466.91 $323,466.91 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $322,739.43 $322,739.43 $322,739.43 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $320,660.39 $320,660.39 $320,660.39 2026-04-01
8412 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $298,481.85 $298,481.85 $298,481.85 2026-04-01
8414 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $298,481.85 $298,481.85 $298,481.85 2026-04-01
8411 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $298,481.85 $298,481.85 $298,481.85 2026-04-01
8413 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $298,481.85 $298,481.85 $298,481.85 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $287,860.02 $287,860.02 $287,860.02 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $264,664.01 $264,664.01 $264,664.01 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $252,033.97 $252,033.97 $252,033.97 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $251,749.39 $251,749.39 $251,749.39 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $251,749.39 $251,749.39 $251,749.39 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $243,974.19 $243,974.19 $243,974.19 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $226,491.75 $226,491.75 $226,491.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $225,874.47 $225,874.47 $225,874.47 2026-04-01
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 36 23 $248,566.21 $223,709.59 $1,221.84 $243,594.89 $224,952.42 2026-04-01
913523 CDM Living Donor Liver 25 17 $233,550.00 $210,195.00 $151,807.50 $228,879.00 $219,537.00 2026-04-01
913505 CDM Paracorporeal Mono-vad Set Up 25 17 $214,870.00 $193,383.00 $139,665.50 $210,572.60 $201,977.80 2026-04-01
7 MS_DRG Lung Transplant 1 1 — — $193,705.35 $193,705.35 $193,705.35 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $185,047.34 $185,047.34 $185,047.34 2026-04-01
J9042 HCPCS Adcetris 50 Mg IV Solr 34 23 $190,517.28 $171,465.55 $255.03 $186,706.93 $177,181.07 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $171,680.09 $171,680.09 $171,680.09 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $166,986.94 $166,986.94 $166,986.94 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $166,274.33 $166,274.33 $166,274.33 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $166,274.33 $166,274.33 $166,274.33 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $166,274.33 $166,274.33 $166,274.33 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $166,007.57 $166,007.57 $166,007.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $165,345.64 $165,345.64 $165,345.64 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $165,147.61 $165,147.61 $165,147.61 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $163,604.04 $163,604.04 $163,604.04 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $156,499.76 $156,499.76 $156,499.76 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $153,325.05 $153,325.05 $153,325.05 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $152,659.79 $152,659.79 $152,659.79 2026-04-01
44 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $150,755.69 $150,755.69 $150,755.69 2026-04-01
J2350 HCPCS Ocrevus 30 Mg/ml IV Solution 34 23 $161,988.61 $145,789.75 $56.35 $158,748.84 $150,649.41 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $149,201.71 $149,201.71 $149,201.71 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $148,089.32 $148,089.32 $148,089.32 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $144,050.05 $144,050.05 $144,050.05 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $142,295.35 $142,295.35 $142,295.35 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 7 7 — — $142,031.62 $142,031.62 $142,031.62 2026-04-01
Q0480NU OTHER Driver Pneumatic Vad, Rep 1 1 — — $141,900.52 $141,900.52 $141,900.52 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499g With Major Anomaly 7 7 — — $140,448.89 $140,448.89 $140,448.89 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $137,725.48 $137,725.48 $137,725.48 2026-04-01
8514 APR_DRG Gender Related Procedures 7 7 — — $137,452.37 $137,452.37 $137,452.37 2026-04-01
912477 CDM Cadaver Donor Heart 25 17 $146,000.00 $131,400.00 $94,900.00 $143,080.00 $137,240.00 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $136,573.36 $136,573.36 $136,573.36 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $136,498.66 $136,498.66 $136,498.66 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $135,000.79 $135,000.79 $135,000.79 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $134,926.31 $134,926.31 $134,926.31 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $132,314.22 $132,314.22 $132,314.22 2026-04-01
J7180 HCPCS Corifact 1000-1600 Unit IV Solr 34 23 $141,941.65 $127,747.49 $10.22 $139,102.82 $132,005.73 2026-04-01
913502 CDM Blood Pump Exchange 25 17 $139,730.00 $125,757.00 $90,824.50 $136,935.40 $131,346.20 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $129,908.36 $129,908.36 $129,908.36 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $129,908.36 $129,908.36 $129,908.36 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $129,465.05 $129,465.05 $129,465.05 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $127,715.59 $127,715.59 $127,715.59 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $127,303.39 $127,303.39 $127,303.39 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499g With Major Anomaly 7 7 — — $127,126.52 $127,126.52 $127,126.52 2026-04-01
J9039 HCPCS Blincyto 35 Mcg IV Kit 34 23 $135,730.28 $122,157.25 $155.50 $133,015.67 $126,229.16 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $125,592.05 $125,592.05 $125,592.05 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $125,463.77 $125,463.77 $125,463.77 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $125,279.57 $125,279.57 $125,279.57 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $125,279.57 $125,279.57 $125,279.57 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 7 7 — — $124,626.67 $124,626.67 $124,626.67 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $123,516.29 $123,516.29 $123,516.29 2026-04-01
J0567 HCPCS Brineura 300 Mg/10 Ml (150mg/5ml X2) Intraventric Kit 33 22 $131,187.83 $118,069.05 $181.79 $128,564.07 $122,004.68 2026-04-01
912655 CDM Catheter Vad Set Up 25 17 $128,920.00 $116,028.00 $83,798.00 $126,341.60 $121,184.80 2026-04-01
6124 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $121,022.97 $121,022.97 $121,022.97 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $119,654.54 $119,654.54 $119,654.54 2026-04-01
6073 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $116,053.76 $116,053.76 $116,053.76 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $115,685.44 $115,685.44 $115,685.44 2026-04-01
912479 CDM Cadaver Donor Liver 25 17 $123,000.00 $110,700.00 $79,950.00 $120,540.00 $115,620.00 2026-04-01
J1299 HCPCS Soliris 300 Mg/30 Ml IV Solution 34 23 $123,997.02 $111,597.32 $42.78 $121,517.08 $115,317.23 2026-04-01
5894 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $114,463.41 $114,463.41 $114,463.41 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $114,463.41 $114,463.41 $114,463.41 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $114,454.52 $114,454.52 $114,454.52 2026-04-01
43 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $114,233.49 $114,233.49 $114,233.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 1 1 — — $114,169.05 $114,169.05 $114,169.05 2026-04-01
8634 APR_DRG Neonatal Aftercare 7 7 — — $114,067.09 $114,067.09 $114,067.09 2026-04-01
1784 APR_DRG External Heart Assist Devices 7 7 — — $114,028.98 $114,028.98 $114,028.98 2026-04-01
6904 APR_DRG Acute Leukemia 7 7 — — $113,583.12 $113,583.12 $113,583.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $111,022.98 $111,022.98 $111,022.98 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $109,247.76 $109,247.76 $109,247.76 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $108,879.39 $108,879.39 $108,879.39 2026-04-01
5891 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $108,879.39 $108,879.39 $108,879.39 2026-04-01
10 MS_DRG Pancreas Transplant 1 1 — — $108,713.58 $108,713.58 $108,713.58 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $108,091.19 $108,091.19 $108,091.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $107,998.37 $107,998.37 $107,998.37 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $107,923.30 $107,923.30 $107,923.30 2026-04-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $106,427.81 $106,427.81 $106,427.81 2026-04-01
Q0480UE OTHER Driver Pneumatic Vad, Rep 1 1 — — $106,425.40 $106,425.40 $106,425.40 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $105,605.72 $105,605.72 $105,605.72 2026-04-01
912476 CDM Cadaver Donor Lung 25 17 $112,000.00 $100,800.00 $72,800.00 $109,760.00 $105,280.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $104,977.86 $104,977.86 $104,977.86 2026-04-01
33979 HCPCS Pr Insj Ventr Assist Dev Impltable Icorp 1 Vntrc 8 8 — — $5,842.64 $104,765.21 $104,765.21 2026-04-01
33981 HCPCS Pr Rplcmt Xtrcorp Vad 1/biventr Pump 1/ea Pump 8 8 — — $2,479.08 $104,765.21 $104,765.21 2026-04-01
33975 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Single Ventricle 8 8 — — $3,919.32 $104,765.21 $104,765.21 2026-04-01
33983 HCPCS Pr Rplcmt Vad Pmp Impltbl Icorp 1 Vntr W/bypass 8 8 — — $6,860.68 $104,765.21 $104,765.21 2026-04-01
33976 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Biventricular 8 8 — — $4,735.11 $104,765.21 $104,765.21 2026-04-01
33991 HCPCS Pr Insj Perq Vad W/rs&i L Hrt Arterial&ven Access 8 8 — — $1,360.78 $104,765.21 $104,765.21 2026-04-01
33982 HCPCS Pr Plcmt Vad Pmp Impltbl Icorp 1 Ventr Without Bypass 8 8 — — $5,829.81 $104,765.21 $104,765.21 2026-04-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 1 1 — — $103,808.16 $103,808.16 $103,808.16 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $103,299.19 $103,299.19 $103,299.19 2026-04-01
J9118 HCPCS Asparlas 750 Units/ml IV Solution 33 22 $108,036.17 $97,232.55 $123.11 $105,875.45 $100,473.64 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 7 — — $99,997.81 $99,997.81 $99,997.81 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $99,617.94 $99,617.94 $99,617.94 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $99,427.47 $99,427.47 $99,427.47 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $99,256.24 $99,256.24 $99,256.24 2026-04-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $99,048.94 $99,048.94 $99,048.94 2026-04-01
6022 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $98,773.29 $98,773.29 $98,773.29 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 7 — — $98,613.24 $98,613.24 $98,613.24 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $97,500.50 $97,500.50 $97,500.50 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $97,196.91 $97,196.91 $97,196.91 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $97,196.91 $97,196.91 $97,196.91 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $96,577.03 $96,577.03 $96,577.03 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $96,577.03 $96,577.03 $96,577.03 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $94,820.27 $94,820.27 $94,820.27 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $94,651.34 $94,651.34 $94,651.34 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $94,651.34 $94,651.34 $94,651.34 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $94,447.74 $94,447.74 $94,447.74 2026-04-01
6301 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $94,387.13 $94,387.13 $94,387.13 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $94,387.13 $94,387.13 $94,387.13 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $94,337.59 $94,337.59 $94,337.59 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $93,535.98 $93,535.98 $93,535.98 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $93,442.05 $93,442.05 $93,442.05 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $93,442.05 $93,442.05 $93,442.05 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $93,442.05 $93,442.05 $93,442.05 2026-04-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $93,442.05 $93,442.05 $93,442.05 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $93,340.81 $93,340.81 $93,340.81 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $92,738.89 $92,738.89 $92,738.89 2026-04-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $92,573.74 $92,573.74 $92,573.74 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $91,995.02 $91,995.02 $91,995.02 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $91,992.30 $91,992.30 $91,992.30 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $91,850.34 $91,850.34 $91,850.34 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $91,772.95 $91,772.95 $91,772.95 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $89,498.64 $89,498.64 $89,498.64 2026-04-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 7 7 — — $89,185.45 $89,185.45 $89,185.45 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 1 1 — — $86,828.91 $86,828.91 $86,828.91 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $86,461.75 $86,461.75 $86,461.75 2026-04-01
8633 APR_DRG Neonatal Aftercare 7 7 — — $86,178.77 $86,178.77 $86,178.77 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $85,859.84 $85,859.84 $85,859.84 2026-04-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $85,837.07 $85,837.07 $85,837.07 2026-04-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 1 1 — — $84,911.24 $84,911.24 $84,911.24 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $84,429.43 $84,429.43 $84,429.43 2026-04-01
0074357501 NDC Lupron Depot-ped 45 Mg IM Sykt 25 17 $89,729.41 $80,756.47 $58,324.12 $87,934.82 $84,345.65 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $84,227.67 $84,227.67 $84,227.67 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 1 1 — — $83,674.64 $83,674.64 $83,674.64 2026-04-01
913593 CDM Stent Minima Sys 8mmx16mmx63cm 25 17 $88,920.00 $80,028.00 $57,798.00 $87,141.60 $83,584.80 2026-04-01
913592 CDM Stent Minima Sys 6mmx16mmx63cm 25 17 $88,920.00 $80,028.00 $57,798.00 $87,141.60 $83,584.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $83,217.41 $83,217.41 $83,217.41 2026-04-01
912478 CDM Cadaver Donor Kidney 25 17 $88,000.00 $79,200.00 $57,200.00 $86,240.00 $82,720.00 2026-04-01
J9999 HCPCS Unituxin 3.5 Mg/ml IV Solution 32 22 $88,581.65 $79,723.49 $189.46 $86,810.02 $82,380.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $82,301.57 $82,301.57 $82,301.57 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $82,173.67 $82,173.67 $82,173.67 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $81,782.44 $81,782.44 $81,782.44 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $81,782.44 $81,782.44 $81,782.44 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $81,591.90 $81,591.90 $81,591.90 2026-04-01
6344 APR_DRG Neonate Birth Weight > 2499g With Respiratory Distress Syndrome Or Other Major R… 7 7 — — $81,539.82 $81,539.82 $81,539.82 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $81,236.95 $81,236.95 $81,236.95 2026-04-01
6072 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $81,100.32 $81,100.32 $81,100.32 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $81,092.70 $81,092.70 $81,092.70 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $80,768.80 $80,768.80 $80,768.80 2026-04-01
913321 CDM Valve Pulmonary Harmony Sys Tpv 25 25 17 $85,800.00 $77,220.00 $55,770.00 $84,084.00 $80,652.00 2026-04-01
913320 CDM Valve Pulmonary Harmony Sys Tpv 22 25 17 $85,800.00 $77,220.00 $55,770.00 $84,084.00 $80,652.00 2026-04-01
6224 APR_DRG Neonate Birth Weight 2000-2499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $80,573.16 $80,573.16 $80,573.16 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $80,495.68 $80,495.68 $80,495.68 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $78,649.12 $78,649.12 $78,649.12 2026-04-01
1794 APR_DRG Defibrillator Implants 7 7 — — $78,315.93 $78,315.93 $78,315.93 2026-04-01
90396 HCPCS Varizig 125 Unit/1.2 Ml IM Solution 34 23 $84,181.71 $75,763.54 $1,114.87 $82,498.08 $78,288.99 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $78,018.54 $78,018.54 $78,018.54 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $77,802.75 $77,802.75 $77,802.75 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $77,663.02 $77,663.02 $77,663.02 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $77,222.25 $77,222.25 $77,222.25 2026-04-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $77,024.08 $77,024.08 $77,024.08 2026-04-01
6604 APR_DRG Major Hematologic/immunologic Diagnoses Except Sickle Cell Crisis And Coagulatio… 7 7 — — $76,997.41 $76,997.41 $76,997.41 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $75,861.81 $75,861.81 $75,861.81 2026-04-01
L7181NU OTHER Electronic Elbo Simultaneous 1 1 — — $75,638.97 $75,638.97 $75,638.97 2026-04-01
6123 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $75,389.28 $75,389.28 $75,389.28 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $74,518.96 $74,518.96 $74,518.96 2026-04-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $74,371.80 $74,371.80 $74,371.80 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $74,254.17 $74,254.17 $74,254.17 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $73,944.34 $73,944.34 $73,944.34 2026-04-01
L7180NU OTHER Electronic Elbow Sequential 1 1 — — $73,464.84 $73,464.84 $73,464.84 2026-04-01
906673 CDM Living Donor Kidney 25 17 $78,000.00 $70,200.00 $50,700.00 $76,440.00 $73,320.00 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $72,415.62 $72,415.62 $72,415.62 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $72,309.20 $72,309.20 $72,309.20 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $72,275.90 $72,275.90 $72,275.90 2026-04-01
6903 APR_DRG Acute Leukemia 7 7 — — $71,967.22 $71,967.22 $71,967.22 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $71,742.77 $71,742.77 $71,742.77 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $71,520.29 $71,520.29 $71,520.29 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $71,086.94 $71,086.94 $71,086.94 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $70,676.66 $70,676.66 $70,676.66 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Pdx 7 7 — — $70,553.44 $70,553.44 $70,553.44 2026-04-01
913465 CDM Pancreatic Islet Cell Isolation 25 17 $75,000.00 $67,500.00 $48,750.00 $73,500.00 $70,500.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $70,313.73 $70,313.73 $70,313.73 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $70,244.77 $70,244.77 $70,244.77 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $70,014.82 $70,014.82 $70,014.82 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $69,976.75 $69,976.75 $69,976.75 2026-04-01
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Multiple Significant Trauma 7 7 — — $69,676.97 $69,676.97 $69,676.97 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $69,201.89 $69,201.89 $69,201.89 2026-04-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $69,122.17 $69,122.17 $69,122.17 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $69,119.45 $69,119.45 $69,119.45 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $69,002.06 $69,002.06 $69,002.06 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $68,614.44 $68,614.44 $68,614.44 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $68,073.92 $68,073.92 $68,073.92 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $68,073.92 $68,073.92 $68,073.92 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $68,073.92 $68,073.92 $68,073.92 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $67,843.27 $67,843.27 $67,843.27 2026-04-01
234 APR_DRG Spinal Procedures 7 7 — — $67,780.48 $67,780.48 $67,780.48 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $67,725.86 $67,725.86 $67,725.86 2026-04-01
1782 APR_DRG External Heart Assist Devices 7 7 — — $67,643.30 $67,643.30 $67,643.30 2026-04-01
1781 APR_DRG External Heart Assist Devices 7 7 — — $67,643.30 $67,643.30 $67,643.30 2026-04-01
1783 APR_DRG External Heart Assist Devices 7 7 — — $67,643.30 $67,643.30 $67,643.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $67,613.97 $67,613.97 $67,613.97 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $67,369.66 $67,369.66 $67,369.66 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $67,272.75 $67,272.75 $67,272.75 2026-04-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $67,121.23 $67,121.23 $67,121.23 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $66,827.80 $66,827.80 $66,827.80 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $66,790.94 $66,790.94 $66,790.94 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 7 — — $66,733.80 $66,733.80 $66,733.80 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499g With Major Anomaly 7 7 — — $66,671.56 $66,671.56 $66,671.56 2026-04-01
0484T OTHER Tmvi W/prosthetic Valve, Transthoracic Exposure 32 22 $71,490.00 $64,341.00 $21,953.75 $70,060.20 $66,485.70 2026-04-01
0483T OTHER Tmvi W/prosthetic Valve, Percutaneous Approach & Transseptal Pun 32 22 $71,490.00 $64,341.00 $21,953.75 $70,060.20 $66,485.70 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $65,707.44 $65,707.44 $65,707.44 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $65,525.80 $65,525.80 $65,525.80 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 7 7 — — $65,488.95 $65,488.95 $65,488.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $65,108.03 $65,108.03 $65,108.03 2026-04-01
894 APR_DRG Major Cranial/facial Bone Procedures 7 7 — — $65,064.69 $65,064.69 $65,064.69 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 7 7 — — $65,018.96 $65,018.96 $65,018.96 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $64,941.51 $64,941.51 $64,941.51 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $64,763.64 $64,763.64 $64,763.64 2026-04-01
304 APR_DRG Percutaneous Intra And Extracranial Vascular Procedures 7 7 — — $64,175.52 $64,175.52 $64,175.52 2026-04-01
274 APR_DRG Other Open Craniotomy 7 7 — — $64,103.11 $64,103.11 $64,103.11 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $63,995.14 $63,995.14 $63,995.14 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $63,986.09 $63,986.09 $63,986.09 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $63,683.09 $63,683.09 $63,683.09 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $63,657.15 $63,657.15 $63,657.15 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $63,579.35 $63,579.35 $63,579.35 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $63,171.25 $63,171.25 $63,171.25 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $62,857.00 $62,857.00 $62,857.00 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $62,378.12 $62,378.12 $62,378.12 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $62,359.06 $62,359.06 $62,359.06 2026-04-01
913323 CDM Valve Pulmonary Melody 18mm 25 17 $66,300.00 $59,670.00 $43,095.00 $64,974.00 $62,322.00 2026-04-01
913322 CDM Valve Pulmonary Melody 16mm 25 17 $66,300.00 $59,670.00 $43,095.00 $64,974.00 $62,322.00 2026-04-01
1814 APR_DRG Lower Vascular Procedures 7 7 — — $62,084.68 $62,084.68 $62,084.68 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $62,049.31 $62,049.31 $62,049.31 2026-04-01
6840311006 NDC Babybig 100 Mg IV Solr 25 17 $65,895.00 $59,305.50 $42,831.75 $64,577.10 $61,941.30 2026-04-01
6122 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $61,809.05 $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 — — $61,656.61 $61,656.61 $61,656.61 2026-04-01
38230 HCPCS Bone Marrow Procur - US 34 23 $66,210.00 $59,589.00 $1,511.60 $64,885.80 $61,575.30 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $61,236.16 $61,236.16 $61,236.16 2026-04-01
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 7 7 — — $61,087.54 $61,087.54 $61,087.54 2026-04-01
0646T OTHER Transcatheter Tricuspid Valve Implantation 32 22 $65,670.00 $59,103.00 $21,953.75 $64,356.60 $61,073.10 2026-04-01
1824 APR_DRG Other Upper Vascular Procedures 7 7 — — $60,960.52 $60,960.52 $60,960.52 2026-04-01
E0194NU OTHER Air Fluidized Bed 1 1 — — $60,944.68 $60,944.68 $60,944.68 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 7 7 — — $60,909.70 $60,909.70 $60,909.70 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 7 7 — — $60,909.70 $60,909.70 $60,909.70 2026-04-01
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $60,472.74 $60,472.74 $60,472.74 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $60,375.96 $60,375.96 $60,375.96 2026-04-01
6071 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $60,274.58 $60,274.58 $60,274.58 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $59,918.72 $59,918.72 $59,918.72 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $59,873.68 $59,873.68 $59,873.68 2026-04-01
J0139 HCPCS Humira(cf) Pen 80 Mg/0.8 Ml Subcutaneous Pnkt 32 22 $64,190.18 $57,771.16 $308.25 $62,906.38 $59,696.87 2026-04-01
41 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $59,645.81 $59,645.81 $59,645.81 2026-04-01
42 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $59,645.81 $59,645.81 $59,645.81 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $59,616.60 $59,616.60 $59,616.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $59,483.31 $59,483.31 $59,483.31 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $59,161.84 $59,161.84 $59,161.84 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $59,125.01 $59,125.01 $59,125.01 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $59,105.24 $59,105.24 $59,105.24 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 7 7 — — $59,032.28 $59,032.28 $59,032.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $59,030.17 $59,030.17 $59,030.17 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $58,998.78 $58,998.78 $58,998.78 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $58,985.13 $58,985.13 $58,985.13 2026-04-01
4284 APR_DRG Genetic Disorders 7 7 — — $58,963.68 $58,963.68 $58,963.68 2026-04-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 7 7 — — $58,685.50 $58,685.50 $58,685.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $58,671.21 $58,671.21 $58,671.21 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $58,642.54 $58,642.54 $58,642.54 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $58,578.39 $58,578.39 $58,578.39 2026-04-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 1 1 — — $58,484.21 $58,484.21 $58,484.21 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 7 — — $58,449.24 $58,449.24 $58,449.24 2026-04-01
7104 APR_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $58,444.16 $58,444.16 $58,444.16 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $58,441.91 $58,441.91 $58,441.91 2026-04-01
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