Hospital

Ohio State University Hospitals

Columbus, OH · CCN 369803 · Rates published

15,676 distinct procedures filed

26 distinct payers

876,665 rate rows

2026-04-01 last MRF observed

Data quality

858,397 of 876,665 rate rows are consumer-grade (97.9%)

18,268 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 — reason	Rows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	13,211
template filing: same amount across many unrelated codes — excluded	3,070
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	977
placeholder amount (≤ $0.02) — excluded from medians	567
exceeds 10× this hospital's gross charge — excluded from medians	187
per-diem day rate — not a per-procedure price	184
exceeds 3× this hospital's gross charge for a DRG stay — excluded	72

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://wexnermedical.osu.edu/Files/31-1340739_OHIO-STATE-UNIVERSITY-HOSPITALS_standardcharges.csv.zip
Found on page	https://wexnermedical.osu.edu/patient-and-visitor-guide/patient-pricing-lists
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-01
Content fingerprint	d7032cf17727a45d… · 98,164,174 bytes · first seen 2026-05-16

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
J1411 HCPCS	Etranacogene Dezaparvovec-drlb 19 X 10 Ml Supk 1 Each Box	13	$3,527,832.07	$4,919,040.00	$3,633,667.04	nat. median $3,685,267 1.0× median
8320500102 CDM	Tecelra 10000000000 Cells IV Susp [179707]	15	$901,480.00	$2,829,484.00	$1,572,646.40	—
7377600111 CDM	Amtagvi 72000000000 Cells IV Susp [177327]	15	$638,600.00	$2,004,380.00	$1,114,048.00	—
7128722001 NDC	Brexucabtagene Autoleucel 100000000 Cells Susp	15	$515,592.00	$1,618,293.60	$899,458.56	—
Q2056 HCPCS	Ciltacabtagene Autoleucel 100000000 Cells Susp	19	$518,940.00	$2,031,840.01	$857,412.43	nat. median $599,737 1.4× median
Q2042 HCPCS	Tisagenlecleucel 250000000 Cells Susp	20	$487,705.56	$1,904,918.97	$800,535.83	nat. median $621,313 1.3× median
Q2041 HCPCS	Yescarta 200000000 Cells IV Susp [167025]	19	$502,840.72	$1,959,933.36	$788,452.58	nat. median $562,501 1.4× median
002 - 4 OTHER	Heart &/or Lung Transplant	19	$202,866.93	$1,656,128.93	$776,758.26	—
Q2053 HCPCS	Tecartus 200000000 Cells IV Susp [160149]	19	$489,399.16	$1,798,104.00	$758,568.69	nat. median $513,770 1.5× median
Q2054 HCPCS	Lisocabtagene Maraleucel Cd8 70000000 Cells/ml Susp	19	$516,442.28	$1,647,112.04	$692,193.33	nat. median $579,571 1.2× median
004 - 4 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	19	$81,528.72	$1,175,079.89	$551,136.45	—
841 - 4 OTHER	Extensive 3rd Degree Burns W Skin Graft	19	$161,418.37	$1,086,413.67	$509,550.18	—
181 - 4 OTHER	Lower Extremity Arterial Procedures	19	$33,575.42	$1,079,312.77	$506,219.71	—
161 - 4 OTHER	Implantable Heart Assist Systems	19	$230,664.41	$900,729.99	$422,460.74	—
842 - 4 OTHER	Burns W Skin Graft Except Extensive 3rd Degree Burns	19	$67,397.45	$857,194.32	$402,041.62	—
261 - 4 OTHER	Major Biliary Tract Procedures	19	$25,768.22	$822,477.29	$385,758.63	—
001 - 4 OTHER	Liver Transplant &/or Intestinal Transplant	19	$71,555.56	$796,885.49	$373,755.55	—
910 - 4 OTHER	Craniotomy For Multiple Significant Trauma	19	$43,854.26	$788,923.49	$370,021.21	—
005 - 4 OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	19	$57,556.19	$783,384.06	$367,423.11	—
167 - 4 OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	19	$42,075.06	$761,946.43	$357,368.42	—
911 - 4 OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	19	$37,680.64	$715,590.70	$335,626.64	—
588 - 4 OTHER	Neonate Bwt <1500g W Major Procedure	9	$251,656.26	$353,166.32	$330,140.51	—
009 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	19	$89,776.25	$692,441.71	$324,769.29	—
002 - 3 OTHER	Heart &/or Lung Transplant	19	$89,921.20	$692,224.71	$324,667.51	—
583 - 3 OTHER	Neonate W Ecmo	9	$243,441.01	$341,637.30	$319,363.17	—
583 - 4 OTHER	Neonate W Ecmo	9	$243,441.01	$341,637.30	$319,363.17	—
246 - 4 OTHER	Gastrointestinal Vascular Insufficiency	19	$13,710.17	$665,053.30	$311,923.57	—
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$234,231.56	$750,131.35	$304,489.46	nat. median $168,055 1.8× median
583 - 2 OTHER	Neonate W Ecmo	9	$231,561.56	$324,966.07	$303,778.87	—
583 - 1 OTHER	Neonate W Ecmo	9	$231,561.56	$324,966.07	$303,778.87	—
220 - 4 OTHER	Major Stomach Esophageal & Duodenal Procedures	19	$39,162.39	$622,192.44	$291,820.94	—
304 - 4 OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	19	$44,124.24	$602,894.91	$282,770.02	—
007 - 3 OTHER	Allogeneic Bone Marrow Transplant	19	$84,635.11	$576,758.18	$270,511.35	—
27803724 CDM	Hc Syncardia Tah-t 50cc	14	$158,841.00	$464,121.00	$263,637.90	—
001 - 3 OTHER	Liver Transplant &/or Intestinal Transplant	19	$30,235.46	$559,382.59	$262,361.84	—
007 - 4 OTHER	Allogeneic Bone Marrow Transplant	19	$173,413.22	$557,740.96	$261,591.89	—
006 - 3 OTHER	Pancreas Transplant	19	$21,362.80	$556,639.11	$261,075.10	—
178 - 4 OTHER	External Heart Assist Systems	19	$61,666.90	$543,067.18	$254,709.59	—
27803725 CDM	Hc Syncardia Tah-t 70cc	14	$149,845.01	$437,835.40	$248,706.71	—
162 - 4 OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	19	$52,728.30	$516,343.75	$242,175.76	—
680 - 4 OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	19	$36,088.97	$506,614.75	$237,612.65	—
440 - 4 OTHER	Kidney Transplant	19	$26,255.27	$505,397.35	$237,041.67	—
161 - 2 OTHER	Implantable Heart Assist Systems	9	$178,517.27	$250,525.41	$234,191.60	—
161 - 1 OTHER	Implantable Heart Assist Systems	9	$178,517.27	$250,525.41	$234,191.60	—
161 - 3 OTHER	Implantable Heart Assist Systems	9	$178,517.27	$250,525.41	$234,191.60	—
163 - 4 OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	19	$53,329.38	$499,292.57	$234,178.40	—
950 - 4 OTHER	Extensive Procedure Unrelated To Principal Diagnosis	19	$48,230.83	$497,486.31	$233,331.23	—
023 - 4 OTHER	Spinal Procedures	19	$36,655.71	$494,976.10	$232,153.89	—
511 - 4 OTHER	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	19	$14,917.14	$477,917.69	$224,153.15	—
007 - 2 OTHER	Allogeneic Bone Marrow Transplant	19	$67,751.23	$477,656.08	$224,030.45	—

Other procedures at this hospital

Browse this hospital's 15,676 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J1411	HCPCS	Etranacogene Dezaparvovec-drlb 19 X 10 Ml Supk 1 Each Box	23	13	—	—	$3,527,832.07	$4,919,040.00	$3,633,667.04	2026-04-01
8320500102	CDM	Tecelra 10000000000 Cells IV Susp [179707]	33	15	$2,908,000.00	—	$901,480.00	$2,829,484.00	$1,572,646.40	2026-04-01
7377600111	CDM	Amtagvi 72000000000 Cells IV Susp [177327]	33	15	$2,060,000.00	—	$638,600.00	$2,004,380.00	$1,114,048.00	2026-04-01
7128722001	NDC	Brexucabtagene Autoleucel 100000000 Cells Susp	33	15	$1,663,200.00	—	$515,592.00	$1,618,293.60	$899,458.56	2026-04-01
Q2056	HCPCS	Ciltacabtagene Autoleucel 100000000 Cells Susp	140	19	$1,825,933.38	—	$518,940.00	$2,031,840.01	$857,412.43	2026-04-01
Q2042	HCPCS	Tisagenlecleucel 250000000 Cells Susp	82	20	$1,957,779.00	—	$487,705.56	$1,904,918.97	$800,535.83	2026-04-01
Q2041	HCPCS	Yescarta 200000000 Cells IV Susp [167025]	80	19	$2,014,320.00	—	$502,840.72	$1,959,933.36	$788,452.58	2026-04-01
002 - 4	OTHER	Heart &/or Lung Transplant	28	19	$1,769,179.50	—	$202,866.93	$1,656,128.93	$776,758.26	2026-04-01
Q2053	HCPCS	Tecartus 200000000 Cells IV Susp [160149]	80	19	$1,848,000.00	—	$489,399.16	$1,798,104.00	$758,568.69	2026-04-01
Q2054	HCPCS	Lisocabtagene Maraleucel Cd8 70000000 Cells/ml Susp	50	19	$1,692,818.13	—	$516,442.28	$1,647,112.04	$692,193.33	2026-04-01
004 - 4	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	28	19	$1,255,293.13	—	$81,528.72	$1,175,079.89	$551,136.45	2026-04-01
841 - 4	OTHER	Extensive 3rd Degree Burns W Skin Graft	28	19	$1,160,574.38	—	$161,418.37	$1,086,413.67	$509,550.18	2026-04-01
181 - 4	OTHER	Lower Extremity Arterial Procedures	28	19	$1,152,988.75	—	$33,575.42	$1,079,312.77	$506,219.71	2026-04-01
161 - 4	OTHER	Implantable Heart Assist Systems	28	19	$962,215.56	—	$230,664.41	$900,729.99	$422,460.74	2026-04-01
842 - 4	OTHER	Burns W Skin Graft Except Extensive 3rd Degree Burns	28	19	$915,708.06	—	$67,397.45	$857,194.32	$402,041.62	2026-04-01
261 - 4	OTHER	Major Biliary Tract Procedures	28	19	$878,621.19	—	$25,768.22	$822,477.29	$385,758.63	2026-04-01
001 - 4	OTHER	Liver Transplant &/or Intestinal Transplant	28	19	$851,282.44	—	$71,555.56	$796,885.49	$373,755.55	2026-04-01
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	28	19	$842,776.94	—	$43,854.26	$788,923.49	$370,021.21	2026-04-01
005 - 4	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	28	19	$836,859.38	—	$57,556.19	$783,384.06	$367,423.11	2026-04-01
167 - 4	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	28	19	$813,958.38	—	$42,075.06	$761,946.43	$357,368.42	2026-04-01
911 - 4	OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	28	19	$764,438.31	—	$37,680.64	$715,590.70	$335,626.64	2026-04-01
588 - 4	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$251,656.26	$353,166.32	$330,140.51	2026-04-01
009 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	28	19	$739,709.13	—	$89,776.25	$692,441.71	$324,769.29	2026-04-01
002 - 3	OTHER	Heart &/or Lung Transplant	28	19	$739,477.31	—	$89,921.20	$692,224.71	$324,667.51	2026-04-01
583 - 4	OTHER	Neonate W Ecmo	10	9	—	—	$243,441.01	$341,637.30	$319,363.17	2026-04-01
583 - 3	OTHER	Neonate W Ecmo	10	9	—	—	$243,441.01	$341,637.30	$319,363.17	2026-04-01
246 - 4	OTHER	Gastrointestinal Vascular Insufficiency	28	19	$710,451.13	—	$13,710.17	$665,053.30	$311,923.57	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	14	$1,789,151.38	—	$234,231.56	$750,131.35	$304,489.46	2026-04-01
583 - 2	OTHER	Neonate W Ecmo	10	9	—	—	$231,561.56	$324,966.07	$303,778.87	2026-04-01
583 - 1	OTHER	Neonate W Ecmo	10	9	—	—	$231,561.56	$324,966.07	$303,778.87	2026-04-01
220 - 4	OTHER	Major Stomach Esophageal & Duodenal Procedures	28	19	$664,664.50	—	$39,162.39	$622,192.44	$291,820.94	2026-04-01
304 - 4	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	28	19	$644,049.69	—	$44,124.24	$602,894.91	$282,770.02	2026-04-01
007 - 3	OTHER	Allogeneic Bone Marrow Transplant	28	19	$616,128.81	—	$84,635.11	$576,758.18	$270,511.35	2026-04-01
27803724	CDM	Hc Syncardia Tah-t 50cc	29	14	$477,000.00	—	$158,841.00	$464,121.00	$263,637.90	2026-04-01
001 - 3	OTHER	Liver Transplant &/or Intestinal Transplant	28	19	$597,567.13	—	$30,235.46	$559,382.59	$262,361.84	2026-04-01
007 - 4	OTHER	Allogeneic Bone Marrow Transplant	28	19	$595,813.44	—	$173,413.22	$557,740.96	$261,591.89	2026-04-01
006 - 3	OTHER	Pancreas Transplant	28	19	$594,636.38	—	$21,362.80	$556,639.11	$261,075.10	2026-04-01
178 - 4	OTHER	External Heart Assist Systems	28	19	$580,138.00	—	$61,666.90	$543,067.18	$254,709.59	2026-04-01
27803725	CDM	Hc Syncardia Tah-t 70cc	29	14	$449,985.00	—	$149,845.01	$437,835.40	$248,706.71	2026-04-01
162 - 4	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	28	19	$551,590.38	—	$52,728.30	$516,343.75	$242,175.76	2026-04-01
680 - 4	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	28	19	$541,197.25	—	$36,088.97	$506,614.75	$237,612.65	2026-04-01
440 - 4	OTHER	Kidney Transplant	28	19	$539,896.75	—	$26,255.27	$505,397.35	$237,041.67	2026-04-01
161 - 2	OTHER	Implantable Heart Assist Systems	10	9	—	—	$178,517.27	$250,525.41	$234,191.60	2026-04-01
161 - 1	OTHER	Implantable Heart Assist Systems	10	9	—	—	$178,517.27	$250,525.41	$234,191.60	2026-04-01
161 - 3	OTHER	Implantable Heart Assist Systems	10	9	—	—	$178,517.27	$250,525.41	$234,191.60	2026-04-01
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$533,375.25	—	$53,329.38	$499,292.57	$234,178.40	2026-04-01
950 - 4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	28	19	$531,445.69	—	$48,230.83	$497,486.31	$233,331.23	2026-04-01
023 - 4	OTHER	Spinal Procedures	28	19	$528,764.13	—	$36,655.71	$494,976.10	$232,153.89	2026-04-01
511 - 4	OTHER	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	28	19	$510,541.28	—	$14,917.14	$477,917.69	$224,153.15	2026-04-01
007 - 2	OTHER	Allogeneic Bone Marrow Transplant	28	19	$510,261.81	—	$67,751.23	$477,656.08	$224,030.45	2026-04-01
303 - 3	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	28	19	$504,699.47	—	$55,864.23	$472,449.17	$221,588.30	2026-04-01
930 - 4	OTHER	Multiple Significant Trauma Without O.r. Procedure	28	19	$503,131.75	—	$21,542.10	$470,981.63	$220,899.99	2026-04-01
841 - 1	OTHER	Extensive 3rd Degree Burns W Skin Graft	10	9	—	—	$161,418.37	$226,529.37	$211,760.05	2026-04-01
841 - 2	OTHER	Extensive 3rd Degree Burns W Skin Graft	10	9	—	—	$161,418.37	$226,529.37	$211,760.05	2026-04-01
609 - 4	OTHER	Neonate Bwt 1500-2499g W Major Procedure	10	9	—	—	$161,406.69	$226,512.98	$211,744.74	2026-04-01
308 - 4	OTHER	Hip & Femur Fracture Repair	28	19	$481,480.91	—	$22,297.74	$450,714.28	$211,394.19	2026-04-01
314 - 4	OTHER	Foot & Toe Procedures	28	19	$473,477.03	—	$15,224.21	$443,221.85	$207,880.09	2026-04-01
792 - 4	OTHER	Extensive Or Procedures For Other Complications Of Treatment	28	19	$470,044.31	—	$49,630.84	$440,008.48	$206,372.95	2026-04-01
630 - 4	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	10	9	—	—	$156,643.38	$219,828.29	$205,495.88	2026-04-01
178 - 3	OTHER	External Heart Assist Systems	28	19	$459,430.88	—	$36,580.83	$430,073.24	$201,713.13	2026-04-01
020 - 4	OTHER	Open Craniotomy For Trauma	28	19	$459,292.34	—	$35,436.37	$429,943.56	$201,652.30	2026-04-01
021 - 4	OTHER	Open Craniotomy Except Trauma	28	19	$453,229.50	—	$41,999.50	$424,268.13	$198,990.41	2026-04-01
165 - 4	OTHER	Coronary Bypass W Ami Or Complex Pdx	28	19	$446,531.56	—	$38,154.63	$417,998.20	$196,049.68	2026-04-01
089 - 4	OTHER	Major Cranial/facial Bone Procedures	28	19	$439,967.69	—	$35,186.32	$411,853.75	$193,167.82	2026-04-01
740 - 4	OTHER	Mental Illness Diagnosis W O.r. Procedure	28	19	$433,901.41	—	$16,699.09	$406,175.11	$190,504.41	2026-04-01
710 - 4	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	28	19	$432,224.56	—	$31,606.62	$404,605.41	$189,768.20	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	17	$1,187,538.13	—	$114,755.00	$557,883.89	$187,034.45	2026-04-01
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Pdx	28	19	$413,446.31	—	$35,162.27	$387,027.09	$181,523.60	2026-04-01
631 - 4	OTHER	Neonate Birthwt >2499g W Other Major Procedure	10	9	—	—	$138,266.06	$194,038.16	$181,387.22	2026-04-01
260 - 4	OTHER	Major Pancreas Liver & Shunt Procedures	28	19	$410,070.56	—	$35,023.51	$383,867.05	$180,041.48	2026-04-01
165 - 3	OTHER	Coronary Bypass W Ami Or Complex Pdx	28	19	$407,762.78	—	$27,337.22	$381,706.74	$179,028.25	2026-04-01
690 - 4	OTHER	Acute Leukemia	28	19	$402,985.97	—	$61,425.78	$377,235.17	$176,930.99	2026-04-01
912 - 3	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	28	19	$400,603.28	—	$18,676.14	$375,004.73	$175,884.87	2026-04-01
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc	28	19	$394,610.31	—	$33,343.91	$369,394.71	$173,253.65	2026-04-01
443 - 4	OTHER	Kidney & Urinary Tract Procedures For Nonmalignancy	28	19	$391,018.00	—	$15,935.20	$366,031.95	$171,676.46	2026-04-01
030 - 4	OTHER	Percutaneous Intra & Extracranial Vascular Procedures	28	19	$387,244.81	—	$34,705.45	$362,499.87	$170,019.83	2026-04-01
362 - 2	OTHER	Mastectomy Procedures	28	19	$385,095.84	—	$12,097.89	$360,488.22	$169,076.33	2026-04-01
171 - 4	OTHER	Perm Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	28	19	$384,149.13	—	$27,113.27	$359,602.00	$168,660.67	2026-04-01
313 - 4	OTHER	Knee & Lower Leg Procedures Except Foot	28	19	$383,860.41	—	$22,482.53	$359,331.73	$168,533.91	2026-04-01
167 - 3	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	28	19	$380,675.94	—	$26,810.32	$356,350.75	$167,135.77	2026-04-01
711 - 4	OTHER	Post-op Post-trauma Other Device Infections W O.r. Procedure	28	19	$380,369.91	—	$30,832.42	$356,064.27	$167,001.40	2026-04-01
588 - 3	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$127,125.09	$178,403.28	$166,771.70	2026-04-01
912 - 4	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	28	19	$377,816.53	—	$33,993.08	$353,674.05	$165,880.35	2026-04-01
691 - 4	OTHER	Lymphoma Myeloma & Non-acute Leukemia	28	19	$374,385.88	—	$24,978.23	$350,462.62	$164,374.12	2026-04-01
81200006	CDM	Hc Lung Procurement Bilateral	33	15	$301,130.00	—	$93,350.30	$292,999.49	$162,851.10	2026-04-01
303 - 2	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	28	19	$370,704.31	—	$38,443.15	$347,016.31	$162,757.73	2026-04-01
121 - 4	OTHER	Other Respiratory & Chest Procedures	28	19	$369,714.97	—	$30,420.94	$346,090.18	$162,323.36	2026-04-01
442 - 4	OTHER	Kidney & Urinary Tract Procedures For Malignancy	28	19	$365,312.47	—	$23,204.52	$341,969.00	$160,390.44	2026-04-01
841 - 3	OTHER	Extensive 3rd Degree Burns W Skin Graft	28	19	$199,802.84	—	$76,644.37	$226,529.37	$160,241.89	2026-04-01
588 - 1	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$120,921.92	$169,697.95	$158,633.95	2026-04-01
588 - 2	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$120,921.92	$169,697.95	$158,633.95	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	23	13	$783,314.06	—	$147,340.65	$471,861.44	$156,975.67	2026-04-01
024 - 4	OTHER	Open Extracranial Vascular Procedures	28	19	$356,726.38	—	$25,316.21	$333,931.56	$156,620.71	2026-04-01
27804433	CDM	Hc Heartmate Iii Implant Lvad	29	14	$282,000.00	—	$93,906.00	$274,386.00	$155,861.40	2026-04-01
230 - 4	OTHER	Major Small Bowel Procedures	28	19	$354,364.38	—	$35,534.60	$331,720.49	$155,583.68	2026-04-01
091 - 4	OTHER	Other Major Head & Neck Procedures	28	19	$353,514.28	—	$45,550.35	$330,924.72	$155,210.45	2026-04-01
593 - 4	OTHER	Neonate Birthwt 750-999g Without Major Procedure	10	9	—	—	$117,186.97	$164,456.44	$153,734.17	2026-04-01
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Pdx	28	19	$348,061.56	—	$23,957.42	$325,820.43	$152,816.43	2026-04-01
304 - 3	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	28	19	$347,785.00	—	$31,994.74	$325,561.54	$152,695.01	2026-04-01
361 - 3	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	28	19	$342,658.97	—	$24,963.80	$320,763.06	$150,444.42	2026-04-01
089 - 3	OTHER	Major Cranial/facial Bone Procedures	28	19	$341,681.56	—	$24,890.98	$319,848.11	$150,015.29	2026-04-01
81200005	CDM	Hc Lung Procurement	33	15	$273,755.00	—	$84,864.05	$266,363.61	$148,046.70	2026-04-01
363 - 3	OTHER	Breast Procedures Except Mastectomy	28	19	$335,619.81	—	$17,210.87	$314,173.71	$147,353.88	2026-04-01
440 - 3	OTHER	Kidney Transplant	28	19	$334,744.44	—	$26,255.27	$313,354.27	$146,969.54	2026-04-01
183 - 3	OTHER	Percutaneous Structural Cardiac Procedures	28	19	$334,003.94	—	$43,531.40	$312,661.09	$146,644.42	2026-04-01
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$333,286.53	—	$31,608.68	$311,989.52	$146,329.45	2026-04-01
441 - 4	OTHER	Major Bladder Procedures	28	19	$332,099.56	—	$29,251.75	$310,878.40	$145,808.31	2026-04-01
091 - 3	OTHER	Other Major Head & Neck Procedures	28	19	$332,059.38	—	$24,063.89	$310,840.78	$145,790.67	2026-04-01
591 - 4	OTHER	Neonate Birthwt 500-749g Without Major Procedure	10	9	—	—	$108,789.68	$152,671.95	$142,718.02	2026-04-01
440 - 2	OTHER	Kidney Transplant	28	19	$324,888.53	—	$14,406.05	$304,128.15	$142,642.31	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …	25	13	$948,820.69	—	$133,110.17	$408,036.23	$141,814.61	2026-04-01
890 - 4	OTHER	HIV W Multiple Major HIV Related Conditions	28	19	$322,216.88	—	$15,540.89	$301,627.22	$141,469.32	2026-04-01
81200001	CDM	Hc Heart Procurement	33	15	$258,411.00	—	$80,107.41	$251,433.90	$139,748.67	2026-04-01
27803104	CDM	Hc Implant Set Hvad Sterile	29	14	$252,600.00	—	$84,115.80	$245,779.80	$139,612.02	2026-04-01
680 - 3	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	28	19	$314,344.56	—	$21,181.45	$294,257.94	$138,012.98	2026-04-01
130 - 4	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	28	19	$313,709.78	—	$36,626.17	$293,663.73	$137,734.28	2026-04-01
169 - 4	OTHER	Major Abdominal Vascular Procedures	28	19	$313,638.78	—	$34,608.59	$293,597.26	$137,703.11	2026-04-01
179 - 4	OTHER	Defibrillator Implants	28	19	$308,761.44	—	$42,353.28	$289,031.58	$135,561.71	2026-04-01
305 - 4	OTHER	Amputation Of Lower Limb Except Toes	28	19	$308,022.25	—	$21,106.57	$288,339.63	$135,237.17	2026-04-01
27803002	CDM	Hc Hm Heartmate Ii Implant Kit With Pc	29	14	$240,000.00	—	$79,920.00	$233,520.00	$132,648.00	2026-04-01
192 - 4	OTHER	Cardiac Catheterization For Other Non-coronary Conditions	28	19	$301,641.69	—	$17,415.58	$282,366.78	$132,435.79	2026-04-01
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	10	9	—	—	$100,072.96	$140,439.18	$131,282.80	2026-04-01
169 - 3	OTHER	Major Abdominal Vascular Procedures	28	19	$298,749.44	—	$22,896.76	$279,659.35	$131,165.94	2026-04-01
519 - 4	OTHER	Uterine & Adnexa Procedures For Leiomyoma	28	19	$292,646.44	—	$15,053.84	$273,946.33	$128,486.42	2026-04-01
008 - 3	OTHER	Autologous Bone Marrow Transplant	28	19	$292,451.59	—	$51,017.10	$273,763.94	$128,400.88	2026-04-01
182 - 4	OTHER	Other Peripheral Vascular And Related Procedures	28	19	$292,067.19	—	$32,967.47	$273,404.09	$128,232.10	2026-04-01
008 - 4	OTHER	Autologous Bone Marrow Transplant	28	19	$291,122.59	—	$67,919.53	$272,519.86	$127,817.38	2026-04-01
346 - 4	OTHER	Connective Tissue Disorders	28	19	$287,647.19	—	$23,387.25	$269,266.53	$126,291.49	2026-04-01
312 - 4	OTHER	Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses	28	19	$287,631.38	—	$40,219.61	$269,251.73	$126,284.55	2026-04-01
027 - 3	OTHER	Other Open Craniotomy	28	19	$286,351.50	—	$19,308.82	$268,053.64	$125,722.63	2026-04-01
023 - 3	OTHER	Spinal Procedures	28	19	$285,693.19	—	$24,483.62	$267,437.39	$125,433.60	2026-04-01
005 - 3	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	28	19	$285,040.19	—	$41,653.96	$266,826.12	$125,146.89	2026-04-01
320 - 4	OTHER	Other Musculoskeletal System & Connective Tissue Procedures	28	19	$283,783.63	—	$22,159.67	$265,649.85	$124,595.20	2026-04-01
098 - 4	OTHER	Other Ear Nose Mouth & Throat Procedures	28	19	$283,462.97	—	$24,606.58	$265,349.69	$124,454.42	2026-04-01
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	28	19	$280,459.38	—	$24,495.99	$262,538.02	$123,135.69	2026-04-01
309 - 3	OTHER	Other Significant Hip & Femur Surgery	28	19	$279,098.94	—	$16,418.13	$261,264.52	$122,538.38	2026-04-01
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$278,182.19	—	$24,281.66	$260,406.35	$122,135.89	2026-04-01
951 - 4	OTHER	Moderately Extensive Procedure Unrelated To Principal Diag	28	19	$278,126.78	—	$31,737.14	$260,354.48	$122,111.57	2026-04-01
317 - 4	OTHER	Tendon Muscle & Other Soft Tissue Procedures	28	19	$275,145.72	—	$22,626.11	$257,563.91	$120,802.73	2026-04-01
163 - 1	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$273,125.88	—	$22,027.08	$255,673.13	$119,915.92	2026-04-01
229 - 4	OTHER	Other Digestive System & Abdominal Procedures	28	19	$271,256.84	—	$31,974.82	$253,923.53	$119,095.32	2026-04-01
363 - 2	OTHER	Breast Procedures Except Mastectomy	28	19	$270,841.22	—	$10,748.04	$253,534.46	$118,912.83	2026-04-01
723 - 4	OTHER	Viral Illness	28	19	$270,149.84	—	$10,866.19	$252,887.27	$118,609.29	2026-04-01
325 - 4	OTHER	Non-elective Or Complex Knee Joint Replacement	28	19	$269,538.88	—	$29,694.83	$252,315.34	$118,341.04	2026-04-01
002 - 2	OTHER	Heart &/or Lung Transplant	10	9	—	—	$89,921.20	$126,192.53	$117,965.00	2026-04-01
002 - 1	OTHER	Heart &/or Lung Transplant	10	9	—	—	$89,921.20	$126,192.53	$117,965.00	2026-04-01
308 - 3	OTHER	Hip & Femur Fracture Repair	28	19	$267,376.59	—	$14,074.25	$250,291.23	$117,391.70	2026-04-01
027 - 4	OTHER	Other Open Craniotomy	28	19	$266,957.16	—	$34,666.98	$249,898.59	$117,207.54	2026-04-01
021 - 3	OTHER	Open Craniotomy Except Trauma	28	19	$266,851.72	—	$26,495.70	$249,799.89	$117,161.25	2026-04-01
361 - 2	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	28	19	$264,502.97	—	$11,628.71	$247,601.23	$116,130.03	2026-04-01
166 - 2	OTHER	Coronary Bypass Without Ami Or Complex Pdx	28	19	$263,197.09	—	$19,749.15	$246,378.80	$115,556.68	2026-04-01
J7330	HCPCS	Maci Ix Shee	63	15	$235,361.67	—	$48.55	$229,006.91	$114,555.23	2026-04-01
81200004	CDM	Hc Liver Procurement From Cadaver Donor	33	15	$211,801.00	—	$65,658.31	$206,082.37	$114,541.98	2026-04-01
405 - 4	OTHER	Other Procedures For Endocrine Nutritional & Metabolic Disorders	28	19	$260,868.11	—	$33,115.85	$244,198.64	$114,534.14	2026-04-01
091 - 1	OTHER	Other Major Head & Neck Procedures	28	19	$260,728.08	—	$8,146.55	$244,067.55	$114,472.66	2026-04-01
131 - 4	OTHER	Cystic Fibrosis - Pulmonary Disease	28	19	$259,745.56	—	$23,449.07	$243,147.82	$114,041.29	2026-04-01
165 - 2	OTHER	Coronary Bypass W Ami Or Complex Pdx	28	19	$257,204.55	—	$23,100.10	$240,769.18	$112,925.66	2026-04-01
057 - 3	OTHER	Concussion Closed Skull Fx Nosuncomplicated Intracranial Injury Coma < 1	28	19	$256,741.94	—	$5,444.09	$240,336.13	$112,722.54	2026-04-01
325 - 3	OTHER	Non-elective Or Complex Knee Joint Replacement	28	19	$256,435.08	—	$22,142.49	$240,048.88	$112,587.82	2026-04-01
663 - 4	OTHER	Other Anemia & Disorders Of Blood & Blood-forming Organs	28	19	$255,850.98	—	$11,719.38	$239,502.11	$112,331.38	2026-04-01
310 - 4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	28	19	$255,571.00	—	$23,325.42	$239,240.01	$112,208.45	2026-04-01
167 - 2	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	28	19	$254,015.55	—	$17,515.19	$237,783.95	$111,525.53	2026-04-01
441 - 3	OTHER	Major Bladder Procedures	28	19	$251,195.77	—	$18,986.64	$235,144.36	$110,287.50	2026-04-01
441 - 2	OTHER	Major Bladder Procedures	28	19	$251,143.92	—	$14,133.33	$235,095.83	$110,264.74	2026-04-01
312 - 1	OTHER	Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses	28	19	$248,876.23	—	$9,073.25	$232,973.04	$109,269.11	2026-04-01
220 - 3	OTHER	Major Stomach Esophageal & Duodenal Procedures	28	19	$248,652.08	—	$19,504.60	$232,763.21	$109,170.70	2026-04-01
263 - 4	OTHER	Cholecystectomy	28	19	$248,077.72	—	$17,311.17	$232,225.55	$108,918.52	2026-04-01
224 - 4	OTHER	Peritoneal Adhesiolysis	28	19	$246,804.83	—	$28,279.02	$231,034.00	$108,359.66	2026-04-01
81900007	CDM	Hc Pancreas Procurement	33	15	$200,270.00	—	$62,083.70	$194,862.71	$108,306.02	2026-04-01
309 - 4	OTHER	Other Significant Hip & Femur Surgery	28	19	$244,539.16	—	$25,454.28	$228,913.10	$107,364.92	2026-04-01
050 - 3	OTHER	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	28	19	$242,720.81	—	$15,369.84	$227,210.95	$106,566.57	2026-04-01
602 - 4	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	10	9	—	—	$80,207.71	$112,560.93	$105,222.16	2026-04-01
044 - 4	OTHER	Intracranial Hemorrhage	28	19	$239,634.39	—	$15,775.83	$224,321.75	$105,211.48	2026-04-01
518 - 4	OTHER	Other Female Reproductive System & Related Procedures	28	19	$239,073.28	—	$11,898.68	$223,796.50	$104,965.12	2026-04-01
361 - 4	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	28	19	$238,764.56	—	$24,963.80	$223,507.51	$104,829.58	2026-04-01
183 - 2	OTHER	Percutaneous Structural Cardiac Procedures	28	19	$237,285.47	—	$39,086.82	$222,122.93	$104,180.18	2026-04-01
607 - 4	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	10	9	—	—	$79,324.98	$111,322.13	$104,064.13	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	17	—	—	$68,442.59	$392,101.00	$104,025.97	2026-04-01
091 - 2	OTHER	Other Major Head & Neck Procedures	28	19	$236,555.30	—	$16,715.58	$221,439.41	$103,859.60	2026-04-01
850 - 3	OTHER	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	28	19	$236,406.03	—	$30,178.44	$221,299.69	$103,794.07	2026-04-01
177 - 4	OTHER	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	28	19	$236,057.41	—	$21,181.45	$220,973.34	$103,641.00	2026-04-01
710 - 3	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	28	19	$234,463.59	—	$13,322.04	$219,481.37	$102,941.24	2026-04-01
401 - 3	OTHER	Adrenal Procedures	28	19	$234,050.16	—	$9,579.53	$219,094.35	$102,759.73	2026-04-01
304 - 2	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	28	19	$233,180.64	—	$22,428.95	$218,280.40	$102,377.96	2026-04-01
441 - 1	OTHER	Major Bladder Procedures	28	19	$232,960.44	—	$14,133.33	$218,074.27	$102,281.28	2026-04-01
047 - 4	OTHER	Transient Ischemia	28	19	$230,817.98	—	$6,685.41	$216,068.72	$101,340.63	2026-04-01
160 - 3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	28	19	$230,096.42	—	$41,025.40	$215,393.26	$101,023.84	2026-04-01
850 - 4	OTHER	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	10	9	—	—	$76,810.74	$107,793.73	$100,765.77	2026-04-01
842 - 3	OTHER	Burns W Skin Graft Except Extensive 3rd Degree Burns	28	19	$229,051.72	—	$35,416.45	$214,415.31	$100,565.16	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	30	17	$661,557.63	—	$66,142.68	$258,876.00	$100,530.34	2026-04-01
050 - 4	OTHER	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	28	19	$228,637.88	—	$33,723.11	$214,027.91	$100,383.46	2026-04-01
850 - 2	OTHER	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	28	19	$228,566.75	—	$15,267.49	$213,961.33	$100,352.23	2026-04-01
661 - 4	OTHER	Coagulation & Platelet Disorders	28	19	$226,922.39	—	$24,934.26	$212,422.05	$99,630.27	2026-04-01
179 - 3	OTHER	Defibrillator Implants	28	19	$226,466.02	—	$31,134.68	$211,994.84	$99,429.90	2026-04-01
843 - 4	OTHER	Extensive 3rd Degree Burns Without Skin Graft	28	19	$226,220.91	—	$12,265.51	$211,765.39	$99,322.29	2026-04-01
6815210303	CDM	Zevalin Y-90 3.2 Mg/2ml IV Kit [42684]	33	15	$183,635.17	—	$56,926.90	$178,677.02	$99,309.90	2026-04-01
321 - 3	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc	28	19	$225,318.83	—	$20,957.50	$210,920.96	$98,926.24	2026-04-01
690 - 3	OTHER	Acute Leukemia	28	19	$224,108.17	—	$38,919.90	$209,787.66	$98,394.69	2026-04-01
681 - 4	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	28	19	$222,845.67	—	$54,078.16	$208,605.83	$97,840.39	2026-04-01
303 - 4	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	10	9	—	—	$74,481.29	$104,524.65	$97,709.83	2026-04-01
62400315	CDM	Hc Tambe Ide G150071	33	15	$180,000.00	—	$55,800.00	$175,140.00	$97,344.00	2026-04-01
569311	LOCAL	Queen Bra	32	14	$178,720.50	—	$55,403.36	$173,895.05	$97,063.11	2026-04-01
023 - 2	OTHER	Spinal Procedures	28	19	$220,465.42	—	$16,502.62	$206,377.68	$96,795.35	2026-04-01
81100002	CDM	Hc Liver Procurement From Living Donor	33	15	$178,656.00	—	$55,383.36	$173,832.29	$96,617.16	2026-04-01
120 - 3	OTHER	Major Respiratory & Chest Procedures	28	19	$219,358.59	—	$20,491.06	$205,341.58	$96,309.39	2026-04-01
593 - 3	OTHER	Neonate Birthwt 750-999g Without Major Procedure	10	9	—	—	$73,326.52	$102,904.09	$96,194.93	2026-04-01
362 - 1	OTHER	Mastectomy Procedures	28	19	$217,778.05	—	$8,760.00	$203,862.03	$95,615.45	2026-04-01
223 - 4	OTHER	Other Small & Large Bowel Procedures	28	19	$215,235.88	—	$26,143.98	$201,482.30	$94,499.32	2026-04-01
793 - 4	OTHER	Moderately Extensive Or Procedures For Other Complications Of Treatment	28	19	$214,622.16	—	$23,785.68	$200,907.80	$94,229.86	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	25	13	$568,429.56	—	$87,760.44	$269,021.07	$93,499.34	2026-04-01
092 - 4	OTHER	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	28	19	$210,909.88	—	$23,027.97	$197,432.73	$92,599.98	2026-04-01
176 - 4	OTHER	Insertion Revision & Replacements Of Pacemaker & Other Cardiac Devices	28	19	$210,379.84	—	$31,195.82	$196,936.57	$92,367.27	2026-04-01
513 - 3	OTHER	Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma	28	19	$207,079.09	—	$10,075.51	$193,846.74	$90,918.07	2026-04-01
630 - 3	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	10	9	—	—	$69,191.08	$97,100.54	$90,769.76	2026-04-01
026 - 4	OTHER	Other Nervous System & Related Procedures	28	19	$206,410.36	—	$37,424.40	$193,220.74	$90,624.46	2026-04-01
442 - 3	OTHER	Kidney & Urinary Tract Procedures For Malignancy	28	19	$206,181.41	—	$15,123.91	$193,006.41	$90,523.95	2026-04-01
750 - 4	OTHER	Schizophrenia	28	19	$205,897.66	—	$28,599.83	$192,740.80	$90,399.37	2026-04-01
547 - 4	OTHER	Antepartum W O.r. Procedure	28	19	$205,876.38	—	$14,537.94	$192,720.87	$90,390.02	2026-04-01
022 - 4	OTHER	Ventricular Shunt Procedures	28	19	$205,717.89	—	$51,278.14	$192,572.52	$90,320.44	2026-04-01
181 - 2	OTHER	Lower Extremity Arterial Procedures	28	19	$205,445.03	—	$13,154.42	$192,317.09	$90,200.64	2026-04-01
040 - 4	OTHER	Spinal Disorders & Injuries	28	19	$205,437.88	—	$22,047.01	$192,310.39	$90,197.50	2026-04-01
181 - 3	OTHER	Lower Extremity Arterial Procedures	28	19	$203,120.47	—	$20,301.46	$190,141.07	$89,180.04	2026-04-01
007 - 1	OTHER	Allogeneic Bone Marrow Transplant	10	9	—	—	$67,751.23	$95,079.90	$88,880.86	2026-04-01
480 - 2	OTHER	Major Male Pelvic Procedures	28	19	$202,003.64	—	$9,894.84	$189,095.61	$88,689.70	2026-04-01
633 - 4	OTHER	Neonate Birthwt >2499g W Major Anomaly	10	9	—	—	$67,461.34	$94,673.08	$88,500.56	2026-04-01
724 - 4	OTHER	Other Infectious & Parasitic Diseases	28	19	$201,138.89	—	$14,540.69	$188,286.12	$88,310.03	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	28	14	$539,102.81	—	$67,661.25	$216,686.53	$87,956.29	2026-04-01
Q2043	HCPCS	Sipuleucel-t In Lactated Ringers 50000000 Cells Susp	53	19	$227,857.95	—	$48.55	$221,705.79	$87,406.31	2026-04-01
283 - 4	OTHER	Other Disorders Of The Liver	28	19	$198,679.42	—	$14,434.90	$185,983.81	$87,230.20	2026-04-01
7	MS_DRG	Lung Transplant	26	13	$762,788.88	—	$81,169.40	$396,849.00	$87,070.12	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	24	13	$592,108.19	—	$81,374.36	$259,486.13	$86,695.66	2026-04-01
446 - 2	OTHER	Urethral & Transurethral Procedures	28	19	$196,686.22	—	$5,472.94	$184,117.97	$86,355.08	2026-04-01
609 - 3	OTHER	Neonate Bwt 1500-2499g W Major Procedure	10	9	—	—	$65,599.01	$92,059.55	$86,057.43	2026-04-01
180 - 4	OTHER	Other Circulatory System Procedures	28	19	$195,587.47	—	$23,607.07	$183,089.43	$85,872.68	2026-04-01
115 - 4	OTHER	Other Ear Nose Mouththroat & Cranial/facial Diagnoses	28	19	$195,434.63	—	$19,962.11	$182,946.35	$85,805.57	2026-04-01
130 - 3	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	28	19	$194,261.19	—	$27,923.18	$181,847.90	$85,290.38	2026-04-01
540 - 4	OTHER	Cesarean Section Without Sterilization	28	19	$193,824.69	—	$10,662.17	$181,439.29	$85,098.73	2026-04-01
316 - 4	OTHER	Hand & Wrist Procedures	28	19	$193,813.70	—	$15,232.45	$181,429.01	$85,093.90	2026-04-01
602 - 3	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	10	9	—	—	$64,844.74	$91,001.03	$85,067.93	2026-04-01
089 - 2	OTHER	Major Cranial/facial Bone Procedures	28	19	$192,874.09	—	$14,744.03	$180,549.44	$84,681.37	2026-04-01
280 - 4	OTHER	Alcoholic Liver Disease	28	19	$192,764.63	—	$15,174.75	$180,446.97	$84,633.31	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	28	14	$440,695.16	—	$65,061.98	$208,362.31	$84,577.35	2026-04-01
176 - 3	OTHER	Insertion Revision & Replacements Of Pacemaker & Other Cardiac Devices	28	19	$192,289.50	—	$24,077.63	$180,002.20	$84,424.71	2026-04-01
092 - 3	OTHER	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	28	19	$191,518.77	—	$16,039.62	$179,280.72	$84,086.32	2026-04-01
264 - 4	OTHER	Other Hepatobiliary Pancreas & Abdominal Procedures	28	19	$191,170.20	—	$32,239.98	$178,954.43	$83,933.28	2026-04-01
792 - 2	OTHER	Extensive Or Procedures For Other Complications Of Treatment	28	19	$190,174.58	—	$11,140.97	$178,022.42	$83,496.15	2026-04-01
174 - 4	OTHER	Percutaneous Cardiac Intervention W Ami	28	19	$189,620.98	—	$17,361.31	$177,504.20	$83,253.09	2026-04-01
720 - 4	OTHER	Septicemia & Disseminated Infections	28	19	$189,331.47	—	$14,020.67	$177,233.19	$83,125.98	2026-04-01
850 - 1	OTHER	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	28	19	$188,317.09	—	$12,119.88	$176,283.63	$82,680.62	2026-04-01
304 - 1	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	28	19	$187,928.83	—	$18,820.40	$175,920.18	$82,510.15	2026-04-01
027 - 2	OTHER	Other Open Craniotomy	28	19	$186,688.55	—	$13,899.77	$174,759.15	$81,965.61	2026-04-01
609 - 1	OTHER	Neonate Bwt 1500-2499g W Major Procedure	10	9	—	—	$62,397.82	$87,567.10	$81,857.88	2026-04-01
609 - 2	OTHER	Neonate Bwt 1500-2499g W Major Procedure	10	9	—	—	$62,397.82	$87,567.10	$81,857.88	2026-04-01
231 - 4	OTHER	Major Large Bowel Procedures	28	19	$186,143.06	—	$25,040.74	$174,248.52	$81,726.12	2026-04-01
569264	LOCAL	Custom Pelvic Implant Kit	32	14	$150,255.00	—	$46,579.05	$146,198.11	$81,603.49	2026-04-01
611 - 4	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	10	9	—	—	$62,184.87	$87,268.25	$81,578.51	2026-04-01
008 - 1	OTHER	Autologous Bone Marrow Transplant	28	19	$185,004.03	—	$30,982.18	$173,182.27	$81,226.02	2026-04-01
131 - 2	OTHER	Cystic Fibrosis - Pulmonary Disease	28	19	$184,947.72	—	$16,126.86	$173,129.56	$81,201.30	2026-04-01
183 - 4	OTHER	Percutaneous Structural Cardiac Procedures	10	9	—	—	$61,897.03	$86,864.31	$81,200.92	2026-04-01
004 - 3	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	10	9	—	—	$61,777.50	$86,696.57	$81,044.10	2026-04-01
863 - 4	OTHER	Neonatal Aftercare	10	9	—	—	$61,687.51	$86,570.28	$80,926.05	2026-04-01
950 - 3	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	28	19	$183,997.28	—	$20,412.75	$172,239.85	$80,784.01	2026-04-01
313 - 3	OTHER	Knee & Lower Leg Procedures Except Foot	28	19	$183,976.94	—	$14,893.78	$172,220.81	$80,775.08	2026-04-01
230 - 3	OTHER	Major Small Bowel Procedures	28	19	$183,754.17	—	$17,932.17	$172,012.28	$80,677.26	2026-04-01
81200003	CDM	Hc Kidney Procurement From Cadaver Donor	33	15	$148,395.00	—	$46,002.45	$144,388.33	$80,252.02	2026-04-01
621 - 4	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	10	9	—	—	$61,061.70	$85,692.03	$80,105.07	2026-04-01
110 - 4	OTHER	Ear Nose Mouth Throat Cranial/facial Malignancies	28	19	$182,269.81	—	$13,836.57	$170,622.77	$80,025.56	2026-04-01
121 - 3	OTHER	Other Respiratory & Chest Procedures	28	19	$181,438.22	—	$18,135.51	$169,844.32	$79,660.45	2026-04-01
073 - 4	OTHER	Orbit & Eye Procedures	28	19	$181,273.33	—	$27,172.35	$169,689.96	$79,588.05	2026-04-01
591 - 3	OTHER	Neonate Birthwt 500-749g Without Major Procedure	10	9	—	—	$60,263.46	$84,571.81	$79,057.89	2026-04-01
045 - 4	OTHER	Cva & Precerebral Occlusion W Infarct	28	19	$180,061.11	—	$15,220.77	$168,555.20	$79,055.83	2026-04-01
J9029	HCPCS	Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Susp	53	19	$201,011.03	—	$59,124.06	$197,020.66	$78,474.71	2026-04-01
200 - 4	OTHER	Cardiac Structural & Valvular Disorders	28	19	$178,599.86	—	$44,439.55	$167,187.33	$78,414.27	2026-04-01
323 - 3	OTHER	Non-elective Or Complex Hip Joint Replacement	28	19	$177,771.14	—	$16,845.41	$166,411.56	$78,050.42	2026-04-01
021 - 2	OTHER	Open Craniotomy Except Trauma	28	19	$177,667.39	—	$16,713.52	$166,314.44	$78,004.87	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	14	$429,360.09	—	$59,942.31	$191,966.46	$77,922.04	2026-04-01
026 - 3	OTHER	Other Nervous System & Related Procedures	28	19	$176,854.11	—	$15,292.90	$165,553.13	$77,647.80	2026-04-01
711 - 3	OTHER	Post-op Post-trauma Other Device Infections W O.r. Procedure	28	19	$175,836.84	—	$15,679.66	$164,600.87	$77,201.17	2026-04-01
662 - 4	OTHER	Sickle Cell Anemia Crisis	28	19	$175,176.80	—	$13,420.27	$163,983.00	$76,911.37	2026-04-01
612 - 4	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	10	9	—	—	$58,130.48	$81,578.45	$76,259.68	2026-04-01
690 - 2	OTHER	Acute Leukemia	28	19	$173,509.19	—	$19,469.57	$162,421.95	$76,179.21	2026-04-01
030 - 3	OTHER	Percutaneous Intra & Extracranial Vascular Procedures	28	19	$172,632.17	—	$23,320.61	$161,600.98	$75,794.15	2026-04-01
792 - 1	OTHER	Extensive Or Procedures For Other Complications Of Treatment	28	19	$171,699.02	—	$9,954.61	$160,727.45	$75,384.46	2026-04-01
324 - 3	OTHER	Elective Hip Joint Replacement	28	19	$171,470.42	—	$13,612.62	$160,513.46	$75,284.09	2026-04-01
310 - 3	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	28	19	$171,464.94	—	$14,028.91	$160,508.33	$75,281.68	2026-04-01
10	MS_DRG	Pancreas Transplant	29	16	$377,322.22	—	$49,519.74	$157,908.29	$75,265.12	2026-04-01
651 - 1	OTHER	Other Procedures Of Blood & Blood-forming Organs	28	19	$170,742.67	—	$5,771.08	$159,832.22	$74,964.57	2026-04-01
548 - 3	OTHER	Postpartum & Post Abortion Diagnosis W O.r. Procedure	28	19	$170,545.56	—	$9,543.12	$159,647.70	$74,878.03	2026-04-01
223 - 3	OTHER	Other Small & Large Bowel Procedures	28	19	$170,315.78	—	$14,619.00	$159,432.60	$74,777.14	2026-04-01
696 - 4	OTHER	Other Chemotherapy	28	19	$170,214.98	—	$27,656.65	$159,338.25	$74,732.89	2026-04-01
816 - 4	OTHER	Toxic Effects Of Non-medicinal Substances	28	19	$170,079.97	—	$8,108.08	$159,211.86	$74,673.61	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	28	14	$571,856.00	—	$57,214.47	$183,230.49	$74,375.98	2026-04-01
911 - 3	OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	28	19	$168,065.05	—	$13,416.84	$157,325.69	$73,788.96	2026-04-01
320 - 3	OTHER	Other Musculoskeletal System & Connective Tissue Procedures	28	19	$167,502.88	—	$12,665.32	$156,799.44	$73,542.14	2026-04-01
539 - 4	OTHER	Cesarean Section W Sterilization	28	19	$167,428.53	—	$12,301.23	$156,729.85	$73,509.49	2026-04-01
860 - 4	OTHER	Rehabilitation	28	19	$167,128.42	—	$22,010.60	$156,448.92	$73,377.74	2026-04-01
323 - 4	OTHER	Non-elective Or Complex Hip Joint Replacement	28	19	$166,654.05	—	$27,148.99	$156,004.85	$73,169.46	2026-04-01
607 - 3	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	10	9	—	—	$55,743.33	$78,228.40	$73,128.04	2026-04-01
62400287	CDM	Hc Intrepid Tmvr System_g160020	33	15	$135,000.00	—	$41,850.00	$131,355.00	$73,008.00	2026-04-01
260 - 2	OTHER	Major Pancreas Liver & Shunt Procedures	28	19	$165,085.34	—	$13,987.70	$154,536.39	$72,480.72	2026-04-01

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