Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Ohio State University Hospitals

Columbus, OH · CCN 369803 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

HC ECHO STRESS

This hospital’s price: $806 across 21 payers · range $525-$2,140

Source: https://wexnermedical.osu.edu/Files/31-1340739_OHIO-STATE-UNIVERSITY-HOSPITALS_standardcharges.csv.zip · observed 2026-04-01

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

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 — reasonRows
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 viaDiscovered 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
$3,703,693
1.0× median
8320500102
CDM 		Tecelra 10000000000 Cells IV Susp [179707] 15 $901,480.00 $2,829,484.00 $1,572,646.40 nat. median
$1,572,646
1.0× median
7377600111
CDM 		Amtagvi 72000000000 Cells IV Susp [177327] 15 $638,600.00 $2,004,380.00 $1,114,048.00 nat. median
$1,114,048
1.0× median
7128722001
NDC 		Brexucabtagene Autoleucel 100000000 Cells Susp 15 $515,592.00 $1,618,293.60 $899,458.56 nat. median
$617,866
1.5× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 100000000 Cells Susp 19 $518,940.00 $2,031,840.01 $857,412.43 nat. median
$646,415
1.3× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells Susp 20 $487,705.56 $1,904,918.97 $800,535.83 nat. median
$738,272
1.1× median
Q2041
HCPCS 		Yescarta 200000000 Cells IV Susp [167025] 19 $502,840.72 $1,959,933.36 $788,452.58 nat. median
$608,101
1.3× median
002 - 4
OTHER 		Heart &/or Lung Transplant 19 $202,866.93 $1,656,128.93 $776,758.26 nat. median
$950,509
0.8× median
Q2053
HCPCS 		Tecartus 200000000 Cells IV Susp [160149] 19 $489,399.16 $1,798,104.00 $758,568.69 nat. median
$591,650
1.3× median
Q2054
HCPCS 		Lisocabtagene Maraleucel Cd8 70000000 Cells/ml Susp 19 $516,442.28 $1,647,112.04 $692,193.33 nat. median
$640,950
1.1× median
004 - 4
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 19 $81,528.72 $1,175,079.89 $551,136.45 nat. median
$537,605
1.0× median
841 - 4
OTHER 		Extensive 3rd Degree Burns W Skin Graft 19 $161,418.37 $1,086,413.67 $509,550.18 nat. median
$253,670
outlier · 2.0×
181 - 4
OTHER 		Lower Extremity Arterial Procedures 19 $33,575.42 $1,079,312.77 $506,219.71 nat. median
$173,236
outlier · 2.9×
161 - 4
OTHER 		Implantable Heart Assist Systems 19 $230,664.41 $900,729.99 $422,460.74 nat. median
$467,324
0.9× median
842 - 4
OTHER 		Burns W Skin Graft Except Extensive 3rd Degree Burns 19 $67,397.45 $857,194.32 $402,041.62 nat. median
$217,828
1.8× median
261 - 4
OTHER 		Major Biliary Tract Procedures 19 $25,768.22 $822,477.29 $385,758.63 nat. median
$128,632
outlier · 3.0×
001 - 4
OTHER 		Liver Transplant &/or Intestinal Transplant 19 $71,555.56 $796,885.49 $373,755.55 nat. median
$166,822
outlier · 2.2×
910 - 4
OTHER 		Craniotomy For Multiple Significant Trauma 19 $43,854.26 $788,923.49 $370,021.21 nat. median
$149,746
outlier · 2.5×
005 - 4
OTHER 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 $57,556.19 $783,384.06 $367,423.11 nat. median
$369,576
1.0× median
167 - 4
OTHER 		Other Cardiothoracic & Thoracic Vascular Procedures 19 $42,075.06 $761,946.43 $357,368.42 nat. median
$241,717
1.5× median
911 - 4
OTHER 		Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 19 $37,680.64 $715,590.70 $335,626.64 nat. median
$201,863
1.7× median
588 - 4
OTHER 		Neonate Bwt <1500g W Major Procedure 9 $251,656.26 $353,166.32 $330,140.51 nat. median
$135,396
outlier · 2.4×
009 - 4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 19 $89,776.25 $692,441.71 $324,769.29 nat. median
$307,953
1.1× median
002 - 3
OTHER 		Heart &/or Lung Transplant 19 $89,921.20 $692,224.71 $324,667.51 nat. median
$555,445
0.6× median
583 - 3
OTHER 		Neonate W Ecmo 9 $243,441.01 $341,637.30 $319,363.17 nat. median
$269,285
1.2× median
583 - 4
OTHER 		Neonate W Ecmo 9 $243,441.01 $341,637.30 $319,363.17 nat. median
$341,637
0.9× median
246 - 4
OTHER 		Gastrointestinal Vascular Insufficiency 19 $13,710.17 $665,053.30 $311,923.57 nat. median
$27,723
outlier · 11.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $234,231.56 $750,131.35 $304,489.46 nat. median
$359,358
0.8× median
583 - 2
OTHER 		Neonate W Ecmo 9 $231,561.56 $324,966.07 $303,778.87 nat. median
$206,761
1.5× median
583 - 1
OTHER 		Neonate W Ecmo 9 $231,561.56 $324,966.07 $303,778.87 nat. median
$182,898
1.7× median
220 - 4
OTHER 		Major Stomach Esophageal & Duodenal Procedures 19 $39,162.39 $622,192.44 $291,820.94 nat. median
$156,519
1.9× median
304 - 4
OTHER 		Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 19 $44,124.24 $602,894.91 $282,770.02 nat. median
$209,776
1.3× median
007 - 3
OTHER 		Allogeneic Bone Marrow Transplant 19 $84,635.11 $576,758.18 $270,511.35 nat. median
$264,935
1.0× median
27803724
CDM 		Hc Syncardia Tah-t 50cc 14 $158,841.00 $464,121.00 $263,637.90 nat. median
$263,638
1.0× median
001 - 3
OTHER 		Liver Transplant &/or Intestinal Transplant 19 $30,235.46 $559,382.59 $262,361.84 nat. median
$81,313
outlier · 3.2×
007 - 4
OTHER 		Allogeneic Bone Marrow Transplant 19 $173,413.22 $557,740.96 $261,591.89 nat. median
$232,782
1.1× median
006 - 3
OTHER 		Pancreas Transplant 19 $21,362.80 $556,639.11 $261,075.10 nat. median
$91,405
outlier · 2.9×
178 - 4
OTHER 		External Heart Assist Systems 19 $61,666.90 $543,067.18 $254,709.59 nat. median
$249,459
1.0× median
27803725
CDM 		Hc Syncardia Tah-t 70cc 14 $149,845.01 $437,835.40 $248,706.71 nat. median
$248,707
1.0× median
162 - 4
OTHER 		Cardiac Valve Procedures W Ami Or Complex Pdx 19 $52,728.30 $516,343.75 $242,175.76 nat. median
$268,491
0.9× median
680 - 4
OTHER 		Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 19 $36,088.97 $506,614.75 $237,612.65 nat. median
$260,294
0.9× median
440 - 4
OTHER 		Kidney Transplant 19 $26,255.27 $505,397.35 $237,041.67 nat. median
$182,490
1.3× median
161 - 2
OTHER 		Implantable Heart Assist Systems 9 $178,517.27 $250,525.41 $234,191.60 nat. median
$116,319
outlier · 2.0×
161 - 1
OTHER 		Implantable Heart Assist Systems 9 $178,517.27 $250,525.41 $234,191.60 nat. median
$116,319
outlier · 2.0×
161 - 3
OTHER 		Implantable Heart Assist Systems 9 $178,517.27 $250,525.41 $234,191.60 nat. median
$568,895
outlier · 0.4×
163 - 4
OTHER 		Cardiac Valve Procedures Without Ami Or Complex Pdx 19 $53,329.38 $499,292.57 $234,178.40 nat. median
$240,555
1.0× median
950 - 4
OTHER 		Extensive Procedure Unrelated To Principal Diagnosis 19 $48,230.83 $497,486.31 $233,331.23 nat. median
$224,527
1.0× median
023 - 4
OTHER 		Spinal Procedures 19 $36,655.71 $494,976.10 $232,153.89 nat. median
$229,234
1.0× median
511 - 4
OTHER 		Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 19 $14,917.14 $477,917.69 $224,153.15 nat. median
$155,385
1.4× median
007 - 2
OTHER 		Allogeneic Bone Marrow Transplant 19 $67,751.23 $477,656.08 $224,030.45 nat. median
$228,648
1.0× median

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.

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
             
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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