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 363309 · Rates published

35,679 distinct procedures filed
26 distinct payers
961,882 rate rows
2026-04-01 last MRF observed
Data quality

584,895 of 961,882 rate rows are consumer-grade (60.8%)

376,987 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 291,284
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 57,317
template filing: same amount across many unrelated codes — excluded 27,654
percent-of-charges filed in the dollar field — excluded from medians 315
exceeds 10× this hospital's gross charge — excluded from medians 272
per-diem day rate — not a per-procedure price 108
placeholder amount (≤ $0.02) — excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nationwidechildrens.pt.panaceainc.com/MRFDownload/nationwidechildrens/toledo
Found on page https://www.nationwidechildrens.org/locations/toledo/patient-resources/pay-my-bill/price-information-list
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint eee5deee12b4562b… · 156,678,713 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $474,483.64 $777,333.58 $583,449.30 nat. median
$370,174
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $193,535.23 $523,928.19 $523,928.19 nat. median
$246,434
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 8 $315,727.95 $506,823.02 $506,823.02 nat. median
$309,665
1.6× median
5833
APR_DRG 		Neonate With Ecmo 8 $179,788.02 $506,823.02 $506,823.02 nat. median
$244,017
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo 8 $99,677.25 $482,092.54 $482,092.54 nat. median
$156,126
outlier · 3.1×
5831
APR_DRG 		Neonate With Ecmo 8 $89,473.84 $482,092.54 $482,092.54 nat. median
$145,122
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $417,078.70 $504,458.22 $438,556.38 nat. median
$265,286
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $146,262.70 $426,525.49 $426,525.49 nat. median
$207,730
outlier · 2.1×
0024
APR_DRG 		7 $371,550.98 $375,123.59 $375,123.59 nat. median
$372,987
1.0× median
913508
CDM 		Implantable Vad Set Up 17 $251,394.00 $379,024.80 $363,554.40 nat. median
$15,000
outlier · 24.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $134,932.24 $336,035.49 $336,035.49 nat. median
$162,982
outlier · 2.1×
913506
CDM 		Paracorporeal Bi-vad Set Up 17 $230,444.50 $347,439.40 $333,258.20 nat. median
$15,000
outlier · 22.2×
1611
APR_DRG 		Implantable Heart Assist Systems 8 $67,358.73 $330,099.62 $330,099.62 nat. median
$76,806
outlier · 4.3×
1613
APR_DRG 		Implantable Heart Assist Systems 8 $87,999.61 $330,099.62 $330,099.62 nat. median
$119,796
outlier · 2.8×
1612
APR_DRG 		Implantable Heart Assist Systems 8 $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 8 $120,663.74 $326,119.92 $326,119.92 nat. median
$150,721
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $294,628.10 $384,330.35 $321,424.52 nat. median
$206,368
1.6× median
0074
APR_DRG 		7 $317,606.48 $320,660.39 $320,660.39 nat. median
$178,275
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $293,965.47 $382,074.83 $320,123.60 nat. median
$202,986
1.6× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $25,388.87 $298,481.85 $298,481.85 nat. median
$34,396
outlier · 8.7×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $37,472.08 $298,481.85 $298,481.85 nat. median
$66,693
outlier · 4.5×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $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 8 $119,249.46 $298,481.85 $298,481.85 nat. median
$160,267
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $163,675.16 $287,860.02 $287,860.02 nat. median
$122,924
outlier · 2.3×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $127,845.69 $264,664.01 $264,664.01 nat. median
$182,736
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $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 8 $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 8 $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 $252,033.97 $239,451.41 nat. median
$133,176
1.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $115,947.54 $226,491.75 $226,491.75 nat. median
$164,279
1.4× median
913523
CDM 		Living Donor Liver 17 $151,807.50 $228,879.00 $219,537.00 nat. median
$212,530
1.0× median
913505
CDM 		Paracorporeal Mono-vad Set Up 17 $139,665.50 $210,572.60 $201,977.80 nat. median
$15,000
outlier · 13.5×
7
MS_DRG 		Lung Transplant 3 $176,435.48 $233,116.55 $193,713.70 nat. median
$122,708
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 8 $79,595.73 $185,047.34 $185,047.34 nat. median
$97,957
1.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $176,852.58 $176,852.58 $176,852.58 nat. median
$117,173
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $150,604.19 $216,334.22 $172,560.71 nat. median
$117,303
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $156,373.90 $203,983.73 $170,596.24 nat. median
$108,660
1.6× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $53,634.99 $166,986.94 $166,986.94 nat. median
$118,620
1.4× median
0022
APR_DRG 		7 $164,690.76 $166,274.33 $166,274.33 nat. median
$140,623
1.2× median
0023
APR_DRG 		7 $164,690.76 $166,274.33 $166,274.33 nat. median
$167,082
1.0× median
0021
APR_DRG 		7 $164,690.76 $166,274.33 $166,274.33 nat. median
$128,074
1.3× median
0094
APR_DRG 		7 $164,426.55 $166,007.57 $166,007.57 nat. median
$166,008
1.0× median
J1303
HCPCS 		Ultomiris 100 Mg/ml IV Solution 25 $213.56 $359,824.86 $165,225.70 nat. median
$4,664
outlier · 35.4×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 $40,199.00 $165,147.61 $165,147.61 nat. median
$95,507
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $149,017.86 $185,599.31 $158,919.40 nat. median
$100,136
1.6× median
0073
APR_DRG 		7 $155,009.29 $156,499.76 $156,499.76 nat. median
$98,566
1.6× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $80,682.12 $152,659.79 $152,659.79 nat. median
$108,996
1.4× median
0044
APR_DRG 		7 $149,319.92 $150,755.69 $150,755.69 nat. median
$195,681
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $129,608.96 $176,100.18 $144,318.13 nat. median
$93,672
1.5× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $66,769.66 $144,050.05 $144,050.05 nat. median
$72,936
2.0× median

Other procedures at this hospital

Browse this hospital's 35,679 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 3 — — $474,483.64 $777,333.58 $583,449.30 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $417,078.70 $504,458.22 $438,556.38 2026-04-01
0024 APR_DRG — 13 7 — — $371,550.98 $375,123.59 $375,123.59 2026-04-01
0074 APR_DRG — 13 7 — — $317,606.48 $320,660.39 $320,660.39 2026-04-01
5834 APR_DRG Neonate With Ecmo 14 8 — — $315,727.95 $506,823.02 $506,823.02 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $294,628.10 $384,330.35 $321,424.52 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $293,965.47 $382,074.83 $320,123.60 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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $207,203.09 $252,033.97 $239,451.41 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 8 — — $193,535.23 $523,928.19 $523,928.19 2026-04-01
5833 APR_DRG Neonate With Ecmo 14 8 — — $179,788.02 $506,823.02 $506,823.02 2026-04-01
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
7 MS_DRG Lung Transplant 4 3 — — $176,435.48 $233,116.55 $193,713.70 2026-04-01
0023 APR_DRG — 13 7 — — $164,690.76 $166,274.33 $166,274.33 2026-04-01
0021 APR_DRG — 13 7 — — $164,690.76 $166,274.33 $166,274.33 2026-04-01
0022 APR_DRG — 13 7 — — $164,690.76 $166,274.33 $166,274.33 2026-04-01
0094 APR_DRG — 13 7 — — $164,426.55 $166,007.57 $166,007.57 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 8 — — $163,675.16 $287,860.02 $287,860.02 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $156,373.90 $203,983.73 $170,596.24 2026-04-01
0073 APR_DRG — 13 7 — — $155,009.29 $156,499.76 $156,499.76 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
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $150,604.19 $216,334.22 $172,560.71 2026-04-01
0044 APR_DRG — 13 7 — — $149,319.92 $150,755.69 $150,755.69 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $149,017.86 $185,599.31 $158,919.40 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 14 8 — — $146,262.70 $426,525.49 $426,525.49 2026-04-01
Q0480NU HCPCS Driver Pneumatic Vad, Rep 1 1 — — $141,900.52 $141,900.52 $141,900.52 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
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 8 — — $134,932.24 $336,035.49 $336,035.49 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
0014 APR_DRG — 13 7 — — $131,054.08 $132,314.22 $132,314.22 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $129,608.96 $176,100.18 $144,318.13 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 8 — — $127,845.69 $264,664.01 $264,664.01 2026-04-01
0084 APR_DRG — 13 7 — — $124,395.94 $125,592.05 $125,592.05 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 3 — — $124,329.07 $162,181.81 $135,636.64 2026-04-01
0072 APR_DRG — 13 7 — — $124,086.44 $125,279.57 $125,279.57 2026-04-01
0071 APR_DRG — 13 7 — — $124,086.44 $125,279.57 $125,279.57 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 8 — — $120,663.74 $326,119.92 $326,119.92 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 8 — — $119,249.46 $298,481.85 $298,481.85 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $117,709.38 $141,646.27 $128,911.61 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $116,329.06 $151,746.63 $126,909.23 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 8 — — $115,947.54 $226,491.75 $226,491.75 2026-04-01
0043 APR_DRG — 13 7 — — $113,145.55 $114,233.49 $114,233.49 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 8 — — $111,026.99 $243,974.19 $243,974.19 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $110,211.16 $110,211.16 $110,211.16 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $108,986.70 $155,879.66 $124,596.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $108,970.98 $108,970.98 $108,970.98 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 8 — — $107,464.95 $251,749.39 $251,749.39 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $106,663.65 $128,354.33 $121,628.50 2026-04-01
Q0480UE HCPCS Driver Pneumatic Vad, Rep 1 1 — — $106,425.40 $106,425.40 $106,425.40 2026-04-01
0054 APR_DRG — 13 7 — — $105,414.21 $106,427.81 $106,427.81 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $105,371.46 $137,165.82 $114,835.76 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 3 — — $103,990.26 $137,621.25 $114,266.80 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $99,950.05 $222,191.00 $111,022.98 2026-04-01
5832 APR_DRG Neonate With Ecmo 14 8 — — $99,677.25 $482,092.54 $482,092.54 2026-04-01
10 MS_DRG Pancreas Transplant 4 3 — — $99,021.18 $129,169.78 $108,027.44 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $98,454.28 $128,429.93 $107,408.83 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $98,359.91 $118,361.98 $103,184.05 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $98,301.36 $124,419.31 $105,658.46 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
0224 APR_DRG — 13 7 — — $93,917.22 $94,820.27 $94,820.27 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
0083 APR_DRG — 13 7 — — $93,439.13 $94,337.59 $94,337.59 2026-04-01
0111 APR_DRG — 13 7 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
0112 APR_DRG — 13 7 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
0113 APR_DRG — 13 7 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
0114 APR_DRG — 13 7 — — $92,552.13 $93,442.05 $93,442.05 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 2 — — $92,352.00 $171,600.00 $131,976.00 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 8 — — $92,111.62 $251,749.39 $251,749.39 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 8 — — $91,536.63 $114,463.41 $114,463.41 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 8 — — $91,536.10 $108,879.39 $108,879.39 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $90,736.47 $118,361.98 $98,988.93 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 8 — — $90,579.52 $125,463.77 $125,463.77 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $90,407.02 $117,931.75 $98,629.32 2026-04-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 8 — — $90,288.11 $108,879.39 $108,879.39 2026-04-01
5831 APR_DRG Neonate With Ecmo 14 8 — — $89,473.84 $482,092.54 $482,092.54 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 14 8 — — $87,999.61 $330,099.62 $330,099.62 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $85,196.75 $305,802.00 $126,538.38 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $85,018.97 $103,151.13 $89,530.18 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $84,470.72 $110,189.52 $92,153.71 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 3 — — $84,320.29 $179,235.96 $120,760.25 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 8 — — $83,849.01 $124,626.67 $124,626.67 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $83,793.18 $121,166.53 $96,342.77 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $83,790.69 $151,269.60 $108,849.38 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $83,661.39 $109,132.86 $91,270.38 2026-04-01
0914 APR_DRG — 13 7 — — $83,425.50 $84,227.67 $84,227.67 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 3 — — $82,123.41 $98,823.69 $90,237.48 2026-04-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 4 3 — — $81,587.88 $103,808.16 $96,366.18 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $81,519.35 $115,831.03 $92,877.66 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 8 — — $80,682.12 $152,659.79 $152,659.79 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 8 — — $79,595.73 $185,047.34 $185,047.34 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 3 — — $79,087.65 $98,334.06 $84,272.72 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 3 — — $78,753.22 $102,729.91 $85,915.64 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $78,394.65 $78,394.65 $78,394.65 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $78,204.97 $105,640.67 $86,824.11 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 14 8 — — $77,433.38 $330,099.62 $330,099.62 2026-04-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 3 — — $77,340.94 $100,888.40 $84,375.23 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 8 — — $77,251.44 $94,651.34 $94,651.34 2026-04-01
0214 APR_DRG — 13 7 — — $76,923.37 $77,663.02 $77,663.02 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $76,902.10 $103,813.57 $85,349.74 2026-04-01
0053 APR_DRG — 13 7 — — $76,290.52 $77,024.08 $77,024.08 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 3 — — $76,214.60 $99,419.52 $83,146.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $75,798.13 $106,740.53 $85,959.90 2026-04-01
L7181NU HCPCS Electronic Elbo Simultaneous 1 1 — — $75,638.97 $75,638.97 $75,638.97 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $74,963.94 $97,786.83 $81,781.68 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $73,994.24 $95,293.69 $80,213.45 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 3 — — $73,567.83 $120,363.69 $90,396.08 2026-04-01
L7180NU HCPCS Electronic Elbow Sequential 1 1 — — $73,464.84 $73,464.84 $73,464.84 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $71,062.77 $655,255.00 $78,018.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $69,088.14 $83,137.62 $75,143.12 2026-04-01
0264 APR_DRG — 13 7 — — $68,542.82 $69,201.89 $69,201.89 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $67,875.19 $83,470.64 $71,941.92 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $67,634.01 $88,226.50 $73,785.61 2026-04-01
0091 APR_DRG — 13 7 — — $67,425.59 $68,073.92 $68,073.92 2026-04-01
0093 APR_DRG — 13 7 — — $67,425.59 $68,073.92 $68,073.92 2026-04-01
0092 APR_DRG — 13 7 — — $67,425.59 $68,073.92 $68,073.92 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 14 8 — — $67,358.73 $330,099.62 $330,099.62 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $67,351.80 $107,341.76 $81,573.17 2026-04-01
0234 APR_DRG — 13 7 — — $67,134.95 $67,780.48 $67,780.48 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 8 — — $66,769.66 $144,050.05 $144,050.05 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $65,862.45 $98,474.47 $77,071.21 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $65,143.87 $82,530.98 $70,052.15 2026-04-01
0204 APR_DRG — 13 7 — — $64,901.74 $65,525.80 $65,525.80 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $64,733.58 $77,897.53 $68,544.65 2026-04-01
0894 APR_DRG — 13 7 — — $64,445.02 $65,064.69 $65,064.69 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $64,217.49 $148,089.32 $106,081.43 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $64,044.88 $159,694.00 $79,773.36 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
0304 APR_DRG — 13 7 — — $63,564.32 $64,175.52 $64,175.52 2026-04-01
0274 APR_DRG — 13 7 — — $63,492.60 $64,103.11 $64,103.11 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 3 — — $62,959.56 $82,127.76 $68,685.55 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $62,957.08 $90,728.64 $72,257.90 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $62,497.09 $81,524.73 $68,181.13 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $62,124.73 $153,325.05 $107,206.72 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $61,794.68 $88,595.52 $70,733.49 2026-04-01
0294 APR_DRG — 13 7 — — $61,784.04 $62,378.12 $62,378.12 2026-04-01
0504 APR_DRG — 13 7 — — $61,765.16 $62,359.06 $62,359.06 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $61,585.83 $80,336.66 $67,187.24 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $61,363.29 $102,596.70 $76,314.24 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $61,275.02 $84,205.08 $68,623.98 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
E0194NU HCPCS Air Fluidized Bed 1 1 — — $60,944.68 $60,944.68 $60,944.68 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $60,836.18 $232,933.00 $77,320.86 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 8 — — $60,293.55 $97,196.91 $97,196.91 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $59,598.15 $149,201.71 $103,808.68 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 — — $59,303.30 $93,702.41 $71,487.80 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $59,151.63 $95,938.13 $72,333.50 2026-04-01
0042 APR_DRG — 13 7 — — $59,077.75 $59,645.81 $59,645.81 2026-04-01
0041 APR_DRG — 13 7 — — $59,077.75 $59,645.81 $59,645.81 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $58,281.38 $75,402.59 $63,323.18 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $58,005.40 $76,338.64 $63,560.61 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $57,910.91 $75,543.00 $63,178.15 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
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
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $56,517.29 $108,155.41 $75,963.74 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $56,290.72 $105,605.72 $81,964.08 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $55,435.06 $225,874.47 $136,222.33 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $54,576.64 $217,677.00 $78,644.99 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $54,535.62 $75,854.41 $61,454.71 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $53,835.69 $80,676.88 $63,074.24 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $53,726.29 $88,899.74 $66,430.82 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $53,634.99 $166,986.94 $166,986.94 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $53,440.35 $89,778.19 $66,638.87 2026-04-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 4 3 — — $53,270.04 $75,892.22 $60,775.68 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $53,242.07 $69,002.06 $63,459.66 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 2 — — $52,915.20 $123,516.29 $88,215.74 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 8 — — $51,953.80 $96,577.03 $96,577.03 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 8 — — $51,810.44 $137,725.48 $137,725.48 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
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 3 — — $50,666.76 $110,317.33 $73,650.43 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $50,589.69 $93,540.40 $66,637.23 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 3 — — $50,301.26 $129,115.77 $81,260.63 2026-04-01
8514 APR_DRG Gender Related Procedures 14 8 — — $48,940.68 $137,452.37 $137,452.37 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $48,318.35 $105,572.26 $70,389.69 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 8 — — $47,408.58 $75,861.81 $75,861.81 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 8 — — $46,668.33 $97,500.50 $97,500.50 2026-04-01
8634 APR_DRG Neonatal Aftercare 14 8 — — $46,541.66 $114,067.09 $114,067.09 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 8 — — $46,155.90 $136,573.36 $136,573.36 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $45,916.48 $108,124.81 $70,131.81 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $45,780.97 $100,197.17 $66,763.45 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $44,536.53 $86,921.43 $60,564.19 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 8 — — $44,521.62 $98,613.24 $98,613.24 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 8 — — $43,961.75 $142,031.62 $142,031.62 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
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $42,122.60 $121,022.97 $121,022.97 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 8 — — $41,253.07 $109,247.76 $109,247.76 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $40,199.00 $165,147.61 $165,147.61 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 14 8 — — $39,928.45 $77,802.75 $77,802.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $39,780.03 $152,614.00 $71,867.52 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 8 — — $37,472.08 $298,481.85 $298,481.85 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 8 — — $37,048.26 $66,733.80 $66,733.80 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $37,006.56 $135,000.79 $135,000.79 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 8 5 — — $36,842.00 $116,562.00 $59,956.12 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 8 — — $36,482.13 $70,676.66 $70,676.66 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 4 3 — — $36,115.51 $104,977.86 $69,539.17 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 8 — — $35,918.61 $103,299.19 $103,299.19 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 14 8 — — $35,391.57 $69,676.97 $69,676.97 2026-04-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $35,226.84 $85,837.07 $85,837.07 2026-04-01
1784 APR_DRG External Heart Assist Devices 14 8 — — $35,086.09 $114,028.98 $114,028.98 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 8 — — $34,534.03 $97,196.91 $97,196.91 2026-04-01
6904 APR_DRG Acute Leukemia 14 8 — — $34,213.44 $113,583.12 $113,583.12 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 8 — — $32,858.06 $65,018.96 $65,018.96 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 8 — — $32,085.49 $70,553.44 $70,553.44 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 14 8 — — $31,578.26 $114,454.52 $114,454.52 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 8 — — $31,312.40 $129,465.05 $129,465.05 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 14 8 — — $30,743.14 $99,427.47 $99,427.47 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 8 — — $30,678.50 $81,092.70 $81,092.70 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 8 — — $30,602.91 $62,857.00 $62,857.00 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 8 — — $30,429.32 $96,577.03 $96,577.03 2026-04-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 14 8 — — $30,267.19 $74,371.80 $74,371.80 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 14 8 — — $30,113.93 $63,995.14 $63,995.14 2026-04-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $29,647.89 $98,773.29 $98,773.29 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 8 — — $29,473.78 $94,387.13 $94,387.13 2026-04-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $29,343.97 $75,389.28 $75,389.28 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 8 — — $29,313.74 $129,908.36 $129,908.36 2026-04-01
1794 APR_DRG Defibrillator Implants 14 8 — — $29,166.21 $78,315.93 $78,315.93 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 8 — — $28,755.42 $81,591.90 $81,591.90 2026-04-01
1783 APR_DRG External Heart Assist Devices 14 8 — — $28,310.23 $67,643.30 $67,643.30 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 14 8 — — $27,910.40 $77,222.25 $77,222.25 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 8 — — $27,822.30 $99,997.81 $99,997.81 2026-04-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $27,567.90 $80,573.16 $80,573.16 2026-04-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $27,546.01 $67,121.23 $67,121.23 2026-04-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $27,198.82 $116,053.76 $116,053.76 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 8 — — $27,122.19 $91,772.95 $91,772.95 2026-04-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $26,874.05 $99,048.94 $99,048.94 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 8 — — $26,496.11 $89,185.45 $89,185.45 2026-04-01
1814 APR_DRG Lower Extremity Vascular Procedures 14 8 — — $26,476.82 $62,084.68 $62,084.68 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 8 — — $26,277.69 $60,909.70 $60,909.70 2026-04-01
6903 APR_DRG Acute Leukemia 14 8 — — $26,165.61 $71,967.22 $71,967.22 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 14 8 — — $26,091.06 $65,707.44 $65,707.44 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 8 — — $25,839.79 $72,415.62 $72,415.62 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 14 8 — — $25,732.93 $298,481.85 $298,481.85 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 8 — — $25,514.50 $67,725.86 $67,725.86 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 14 8 — — $25,388.87 $298,481.85 $298,481.85 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 14 8 — — $25,259.59 $61,236.16 $61,236.16 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 8 — — $25,101.63 $81,782.44 $81,782.44 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 8 — — $24,284.23 $129,908.36 $129,908.36 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 8 — — $24,011.59 $71,086.94 $71,086.94 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $23,317.52 $198,392.62 $95,233.01 2026-04-01
1782 APR_DRG External Heart Assist Devices 14 8 — — $23,051.36 $67,643.30 $67,643.30 2026-04-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 14 8 — — $23,034.16 $61,656.61 $61,656.61 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 14 8 — — $22,946.06 $80,495.68 $80,495.68 2026-04-01
1824 APR_DRG Other Peripheral Vascular And Related Procedures 14 8 — — $22,906.44 $60,960.52 $60,960.52 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 8 — — $22,636.40 $65,488.95 $65,488.95 2026-04-01
0074357501 NDC Lupron Depot-ped 45 Mg IM Sykt 42 20 $89,729.41 $80,756.47 $22,432.35 $87,934.82 $81,205.11 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $22,235.94 $123,809.08 $63,649.47 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 8 — — $22,183.40 $140,448.89 $140,448.89 2026-04-01
8633 APR_DRG Neonatal Aftercare 14 8 — — $21,744.46 $86,178.77 $86,178.77 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 8 — — $21,667.83 $81,782.44 $81,782.44 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 14 8 — — $21,217.95 $64,763.64 $64,763.64 2026-04-01
1781 APR_DRG External Heart Assist Devices 14 8 — — $20,746.17 $67,643.30 $67,643.30 2026-04-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $20,549.64 $81,100.32 $81,100.32 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 27 12 — — $20,441.36 $209,567.82 $61,061.05 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 8 — — $19,430.93 $60,909.70 $60,909.70 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 14 8 — — $19,167.67 $82,173.67 $82,173.67 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $19,157.77 $129,942.02 $64,508.00 2026-04-01
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $18,790.25 $60,472.74 $60,472.74 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 14 8 — — $18,394.07 $72,275.90 $72,275.90 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 8 — — $16,964.66 $127,126.52 $127,126.52 2026-04-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 14 8 — — $16,936.51 $70,244.77 $70,244.77 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 8 — — $16,527.29 $69,976.75 $69,976.75 2026-04-01
0484T HCPCS Pr Tmvi W/prosthetic Valve Transthoracic Exposure 38 22 $71,490.00 $64,341.00 $16,157.29 $70,060.20 $65,055.90 2026-04-01
0646T HCPCS Transcatheter Tricuspid Valve Implantation 38 22 $65,670.00 $59,103.00 $16,157.29 $64,356.60 $59,759.70 2026-04-01
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $15,361.66 $61,809.05 $61,809.05 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 8 — — $15,184.42 $94,651.34 $94,651.34 2026-04-01
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 8 — — $15,153.14 $94,387.13 $94,387.13 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 14 8 — — $15,134.38 $76,997.41 $76,997.41 2026-04-01
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 8 — — $14,532.80 $60,274.58 $60,274.58 2026-04-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 14 8 — — $14,425.93 $81,539.82 $81,539.82 2026-04-01
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 14 8 — — $11,192.31 $61,087.54 $61,087.54 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 3 — — $9,641.04 $203,749.72 $89,951.33 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $9,321.53 $195,744.67 $86,449.80 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 6 — — $9,315.32 $513,981.00 $101,970.00 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 8 — — $8,522.73 $66,671.56 $66,671.56 2026-04-01
33983 HCPCS Pr Rplcmt Vad Pmp Impltbl Icorp 1 Vntr W/bypass 15 9 — — $6,860.68 $104,765.21 $77,845.39 2026-04-01
33979 HCPCS Pr Insj Ventr Assist Dev Impltable Icorp 1 Vntrc 15 9 — — $5,842.64 $104,765.21 $77,845.39 2026-04-01
33982 HCPCS Pr Plcmt Vad Pmp Impltbl Icorp 1 Ventr Without Bypass 15 9 — — $5,829.81 $104,765.21 $77,845.39 2026-04-01
33976 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Biventricular 15 9 — — $4,735.11 $104,765.21 $77,845.39 2026-04-01
33975 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Single Ventricle 15 9 — — $3,919.32 $104,765.21 $77,845.39 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 4 — — $3,827.82 $102,337.00 $60,718.58 2026-04-01
33981 HCPCS Pr Rplcmt Xtrcorp Vad 1/biventr Pump 1/ea Pump 15 9 — — $2,479.08 $104,765.21 $77,845.39 2026-04-01
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 8 — — $1,475.80 $114,463.41 $114,463.41 2026-04-01
33991 HCPCS Pr Insj Perq Vad W/rs&i L Hrt Arterial&ven Access 15 9 — — $1,360.78 $104,765.21 $77,845.39 2026-04-01
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 71 25 $248,566.21 $223,709.59 $1,221.84 $243,594.89 $111,854.79 2026-04-01
J9042 HCPCS Adcetris 50 Mg IV Solr 66 25 $190,517.28 $171,465.55 $255.03 $186,706.93 $85,732.78 2026-04-01
J1303 HCPCS Ultomiris 100 Mg/ml IV Solution 66 25 $367,168.22 $330,451.40 $213.56 $359,824.86 $165,225.70 2026-04-01
J9039 HCPCS Blincyto 35 Mcg IV Kit 53 23 $135,730.28 $122,157.25 $155.50 $133,015.67 $69,222.44 2026-04-01
J0567 HCPCS Brineura 300 Mg/10 Ml (150mg/5ml X2) Intraventric Kit 63 24 $131,187.83 $118,069.05 $121.19 $128,564.07 $62,970.16 2026-04-01
J2350 HCPCS Ocrevus 30 Mg/ml IV Solution 66 25 $161,988.61 $145,789.75 $56.35 $158,748.84 $72,894.87 2026-04-01
J7180 HCPCS Corifact 1000-1600 Unit IV Solr 66 25 $141,941.65 $127,747.49 $10.22 $139,102.82 $63,873.74 2026-04-01
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