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.

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
             
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
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
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
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
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
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
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
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
J9029 HCPCS Instill Adstiladrin, Tx Dose 27 12 — — $20,441.36 $209,567.82 $61,061.05 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
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
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
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
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
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
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
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
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
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
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
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
33975 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Single Ventricle 15 9 — — $3,919.32 $104,765.21 $77,845.39 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
33976 HCPCS Pr Insj Ventric Assist Dev Xtrcorp Biventricular 15 9 — — $4,735.11 $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
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
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
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
5834 APR_DRG Neonate With Ecmo 14 8 — — $315,727.95 $506,823.02 $506,823.02 2026-04-01
5833 APR_DRG Neonate With Ecmo 14 8 — — $179,788.02 $506,823.02 $506,823.02 2026-04-01
5832 APR_DRG Neonate With Ecmo 14 8 — — $99,677.25 $482,092.54 $482,092.54 2026-04-01
5831 APR_DRG Neonate With Ecmo 14 8 — — $89,473.84 $482,092.54 $482,092.54 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 14 8 — — $146,262.70 $426,525.49 $426,525.49 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
1612 APR_DRG Implantable Heart Assist Systems 14 8 — — $77,433.38 $330,099.62 $330,099.62 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 14 8 — — $67,358.73 $330,099.62 $330,099.62 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 14 8 — — $87,999.61 $330,099.62 $330,099.62 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
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 14 8 — — $25,732.93 $298,481.85 $298,481.85 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
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 8 — — $37,472.08 $298,481.85 $298,481.85 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
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
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
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
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
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
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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 8 — — $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… 14 8 — — $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… 14 8 — — $40,199.00 $165,147.61 $165,147.61 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
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
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
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
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
8514 APR_DRG Gender Related Procedures 14 8 — — $48,940.68 $137,452.37 $137,452.37 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
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
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
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
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
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
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
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
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
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
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
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
1834 APR_DRG Percutaneous Structural Cardiac Procedures 14 8 — — $31,578.26 $114,454.52 $114,454.52 2026-04-01
8634 APR_DRG Neonatal Aftercare 14 8 — — $46,541.66 $114,067.09 $114,067.09 2026-04-01
1784 APR_DRG External Heart Assist Devices 14 8 — — $35,086.09 $114,028.98 $114,028.98 2026-04-01
6904 APR_DRG Acute Leukemia 14 8 — — $34,213.44 $113,583.12 $113,583.12 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
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
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
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
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
6954 APR_DRG Chemotherapy For Acute Leukemia 14 8 — — $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 14 8 — — $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… 14 8 — — $29,647.89 $98,773.29 $98,773.29 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
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
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
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
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
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
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
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
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
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
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
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
8633 APR_DRG Neonatal Aftercare 14 8 — — $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 14 8 — — $35,226.84 $85,837.07 $85,837.07 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
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
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
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
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
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
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 8 — — $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… 14 8 — — $27,567.90 $80,573.16 $80,573.16 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 14 8 — — $22,946.06 $80,495.68 $80,495.68 2026-04-01
1794 APR_DRG Defibrillator Implants 14 8 — — $29,166.21 $78,315.93 $78,315.93 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
1204 APR_DRG Major Respiratory And Chest Procedures 14 8 — — $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… 14 8 — — $15,134.38 $76,997.41 $76,997.41 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
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
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
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 8 — — $25,839.79 $72,415.62 $72,415.62 2026-04-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 14 8 — — $18,394.07 $72,275.90 $72,275.90 2026-04-01
6903 APR_DRG Acute Leukemia 14 8 — — $26,165.61 $71,967.22 $71,967.22 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
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
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
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
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
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
1782 APR_DRG External Heart Assist Devices 14 8 — — $23,051.36 $67,643.30 $67,643.30 2026-04-01
1783 APR_DRG External Heart Assist Devices 14 8 — — $28,310.23 $67,643.30 $67,643.30 2026-04-01
1781 APR_DRG External Heart Assist Devices 14 8 — — $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 14 8 — — $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 14 8 — — $37,048.26 $66,733.80 $66,733.80 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
2304 APR_DRG Major Small Bowel Procedures 14 8 — — $26,091.06 $65,707.44 $65,707.44 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
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
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 14 8 — — $21,217.95 $64,763.64 $64,763.64 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 14 8 — — $30,113.93 $63,995.14 $63,995.14 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
1814 APR_DRG Lower Extremity Vascular Procedures 14 8 — — $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… 14 8 — — $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 14 8 — — $23,034.16 $61,656.61 $61,656.61 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
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 14 8 — — $11,192.31 $61,087.54 $61,087.54 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
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
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
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
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
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
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
0073 APR_DRG — 13 7 — — $155,009.29 $156,499.76 $156,499.76 2026-04-01
0044 APR_DRG — 13 7 — — $149,319.92 $150,755.69 $150,755.69 2026-04-01
0014 APR_DRG — 13 7 — — $131,054.08 $132,314.22 $132,314.22 2026-04-01
0084 APR_DRG — 13 7 — — $124,395.94 $125,592.05 $125,592.05 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
0043 APR_DRG — 13 7 — — $113,145.55 $114,233.49 $114,233.49 2026-04-01
0054 APR_DRG — 13 7 — — $105,414.21 $106,427.81 $106,427.81 2026-04-01
0224 APR_DRG — 13 7 — — $93,917.22 $94,820.27 $94,820.27 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
0914 APR_DRG — 13 7 — — $83,425.50 $84,227.67 $84,227.67 2026-04-01
0214 APR_DRG — 13 7 — — $76,923.37 $77,663.02 $77,663.02 2026-04-01
0053 APR_DRG — 13 7 — — $76,290.52 $77,024.08 $77,024.08 2026-04-01
0264 APR_DRG — 13 7 — — $68,542.82 $69,201.89 $69,201.89 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
0234 APR_DRG — 13 7 — — $67,134.95 $67,780.48 $67,780.48 2026-04-01
0204 APR_DRG — 13 7 — — $64,901.74 $65,525.80 $65,525.80 2026-04-01
0894 APR_DRG — 13 7 — — $64,445.02 $65,064.69 $65,064.69 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
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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 6 — — $9,315.32 $513,981.00 $101,970.00 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
793 MS_DRG Full Term Neonate With Major Problems 8 5 — — $36,842.00 $116,562.00 $59,956.12 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 4 — — $3,827.82 $102,337.00 $60,718.58 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
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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $71,062.77 $655,255.00 $78,018.54 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
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
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
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
7 MS_DRG Lung Transplant 4 3 — — $176,435.48 $233,116.55 $193,713.70 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $150,604.19 $216,334.22 $172,560.71 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $149,017.86 $185,599.31 $158,919.40 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $55,435.06 $225,874.47 $136,222.33 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
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
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $108,986.70 $155,879.66 $124,596.00 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
215 MS_DRG Other Heart Assist System Implant 4 3 — — $84,320.29 $179,235.96 $120,760.25 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 3 — — $103,990.26 $137,621.25 $114,266.80 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
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
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
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
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
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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $83,793.18 $121,166.53 $96,342.77 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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $83,661.39 $109,132.86 $91,270.38 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
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
209 MS_DRG Complex Aortic Arch Procedures 4 3 — — $9,641.04 $203,749.72 $89,951.33 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $78,204.97 $105,640.67 $86,824.11 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $75,798.13 $106,740.53 $85,959.90 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
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
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 3 — — $77,340.94 $100,888.40 $84,375.23 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
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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $74,963.94 $97,786.83 $81,781.68 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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $65,862.45 $98,474.47 $77,071.21 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
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $56,517.29 $108,155.41 $75,963.74 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
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
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 3 — — $50,666.76 $110,317.33 $73,650.43 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
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
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $67,875.19 $83,470.64 $71,941.92 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
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
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
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
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
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
245 MS_DRG Aicd Generator Procedures 4 3 — — $62,959.56 $82,127.76 $68,685.55 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
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
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $62,497.09 $81,524.73 $68,181.13 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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $53,440.35 $89,778.19 $66,638.87 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
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
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
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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $58,281.38 $75,402.59 $63,323.18 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
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $53,835.69 $80,676.88 $63,074.24 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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $44,536.53 $86,921.43 $60,564.19 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 2 — — $92,352.00 $171,600.00 $131,976.00 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 2 — — $52,915.20 $123,516.29 $88,215.74 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
Q0480NU HCPCS Driver Pneumatic Vad, Rep 1 1 — — $141,900.52 $141,900.52 $141,900.52 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
Q0480UE HCPCS Driver Pneumatic Vad, Rep 1 1 — — $106,425.40 $106,425.40 $106,425.40 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
L7181NU HCPCS Electronic Elbo Simultaneous 1 1 — — $75,638.97 $75,638.97 $75,638.97 2026-04-01
L7180NU HCPCS Electronic Elbow Sequential 1 1 — — $73,464.84 $73,464.84 $73,464.84 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
E0194NU HCPCS Air Fluidized Bed 1 1 — — $60,944.68 $60,944.68 $60,944.68 2026-04-01
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