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

Ohio State University Hospitals

Columbus, OH · CCN 369803 · Rates published

15,683 distinct procedures filed
26 distinct payers
876,665 rate rows
2026-04-01 last MRF observed
Data quality

872,565 of 876,665 rate rows are consumer-grade (99.5%)

4,100 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
template filing: same amount across many unrelated codes — excluded 3,070
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 92
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 · 2026-05-19
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
$3,710,000
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
$1,435,389
1.1× median
7377600111
CDM 		Amtagvi 72000000000 Cells IV Susp [177327] 15 $638,600.00 $2,004,380.00 $1,114,048.00 nat. median
$1,016,816
1.1× median
7128722001
NDC 		Brexucabtagene Autoleucel 100000000 Cells Susp 15 $515,592.00 $1,618,293.60 $899,458.56 nat. median
$637,006
1.4× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 100000000 Cells Susp 19 $518,940.00 $2,031,840.01 $857,412.43 nat. median
$675,122
1.3× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells Susp 20 $487,705.56 $1,904,918.97 $800,535.83 nat. median
$754,974
1.1× median
Q2041
HCPCS 		Yescarta 200000000 Cells IV Susp [167025] 19 $502,840.72 $1,959,933.36 $788,452.58 nat. median
$634,511
1.2× median
002 - 4
APR_DRG 		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
$620,080
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel Cd8 70000000 Cells/ml Susp 19 $516,442.28 $1,647,112.04 $692,193.33 nat. median
$674,188
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $234,231.56 $1,674,824.60 $684,214.94 nat. median
$370,174
1.8× median
004 - 4
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 19 $81,528.72 $1,175,079.89 $551,136.45 —
841 - 4
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 19 $161,418.37 $1,086,413.67 $509,550.18 —
181 - 4
APR_DRG 		Lower Extremity Arterial Procedures 19 $33,575.42 $1,079,312.77 $506,219.71 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $147,340.65 $733,260.29 $422,989.59 nat. median
$206,368
outlier · 2.0×
161 - 4
APR_DRG 		Implantable Heart Assist Systems 19 $230,664.41 $900,729.99 $422,460.74 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 21 $133,110.17 $888,191.05 $408,036.23 nat. median
$202,986
outlier · 2.0×
842 - 4
APR_DRG 		Burns W Skin Graft Except Extensive 3rd Degree Burns 19 $67,397.45 $857,194.32 $402,041.62 —
261 - 4
APR_DRG 		Major Biliary Tract Procedures 19 $25,768.22 $822,477.29 $385,758.63 —
001 - 4
APR_DRG 		Liver Transplant &/or Intestinal Transplant 19 $71,555.56 $796,885.49 $373,755.55 —
910 - 4
APR_DRG 		Craniotomy For Multiple Significant Trauma 19 $43,854.26 $788,923.49 $370,021.21 —
005 - 4
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 $57,556.19 $783,384.06 $367,423.11 —
167 - 4
APR_DRG 		Other Cardiothoracic & Thoracic Vascular Procedures 19 $42,075.06 $761,946.43 $357,368.42 —
911 - 4
APR_DRG 		Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 19 $37,680.64 $715,590.70 $335,626.64 —
588 - 4
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $251,656.26 $353,166.32 $330,140.51 —
009 - 4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 19 $89,776.25 $692,441.71 $324,769.29 —
002 - 3
APR_DRG 		Heart &/or Lung Transplant 19 $89,921.20 $692,224.71 $324,667.51 —
583 - 4
APR_DRG 		Neonate W Ecmo 9 $243,441.01 $341,637.30 $319,363.17 —
583 - 3
APR_DRG 		Neonate W Ecmo 9 $243,441.01 $341,637.30 $319,363.17 —
246 - 4
APR_DRG 		Gastrointestinal Vascular Insufficiency 19 $13,710.17 $665,053.30 $311,923.57 —
583 - 2
APR_DRG 		Neonate W Ecmo 9 $231,561.56 $324,966.07 $303,778.87 —
583 - 1
APR_DRG 		Neonate W Ecmo 9 $231,561.56 $324,966.07 $303,778.87 —
220 - 4
APR_DRG 		Major Stomach Esophageal & Duodenal Procedures 19 $39,162.39 $622,192.44 $291,820.94 —
304 - 4
APR_DRG 		Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 19 $44,124.24 $602,894.91 $282,770.02 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $114,755.00 $1,111,654.44 $270,529.34 nat. median
$265,286
1.0× median
007 - 3
APR_DRG 		Allogeneic Bone Marrow Transplant 19 $84,635.11 $576,758.18 $270,511.35 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 21 $87,760.44 $532,106.91 $269,021.07 nat. median
$133,176
outlier · 2.0×
27803724
CDM 		Hc Syncardia Tah-t 50cc 14 $158,841.00 $464,121.00 $263,637.90 nat. median
$249,996
1.1× median
001 - 3
APR_DRG 		Liver Transplant &/or Intestinal Transplant 19 $30,235.46 $559,382.59 $262,361.84 —
007 - 4
APR_DRG 		Allogeneic Bone Marrow Transplant 19 $173,413.22 $557,740.96 $261,591.89 —
006 - 3
APR_DRG 		Pancreas Transplant 19 $21,362.80 $556,639.11 $261,075.10 —
178 - 4
APR_DRG 		External Heart Assist Systems 19 $61,666.90 $543,067.18 $254,709.59 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $81,374.36 $554,272.47 $249,445.17 nat. median
$117,303
outlier · 2.1×
7
MS_DRG 		Lung Transplant 20 $81,169.40 $714,046.67 $248,816.88 nat. median
$122,708
outlier · 2.0×
27803725
CDM 		Hc Syncardia Tah-t 70cc 14 $149,845.01 $437,835.40 $248,706.71 nat. median
$235,837
1.1× median
162 - 4
APR_DRG 		Cardiac Valve Procedures W Ami Or Complex Pdx 19 $52,728.30 $516,343.75 $242,175.76 —
680 - 4
APR_DRG 		Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 19 $36,088.97 $506,614.75 $237,612.65 —
440 - 4
APR_DRG 		Kidney Transplant 19 $26,255.27 $505,397.35 $237,041.67 —
161 - 2
APR_DRG 		Implantable Heart Assist Systems 9 $178,517.27 $250,525.41 $234,191.60 —
161 - 3
APR_DRG 		Implantable Heart Assist Systems 9 $178,517.27 $250,525.41 $234,191.60 —

Other procedures at this hospital

Browse this hospital's 15,683 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
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
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
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
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
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
588 - 4 APR_DRG Neonate Bwt <1500g W Major Procedure 10 9 — — $251,656.26 $353,166.32 $330,140.51 2026-04-01
583 - 3 APR_DRG Neonate W Ecmo 10 9 — — $243,441.01 $341,637.30 $319,363.17 2026-04-01
583 - 4 APR_DRG Neonate W Ecmo 10 9 — — $243,441.01 $341,637.30 $319,363.17 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 46 21 $1,789,151.38 — $234,231.56 $1,674,824.60 $684,214.94 2026-04-01
583 - 1 APR_DRG Neonate W Ecmo 10 9 — — $231,561.56 $324,966.07 $303,778.87 2026-04-01
583 - 2 APR_DRG Neonate W Ecmo 10 9 — — $231,561.56 $324,966.07 $303,778.87 2026-04-01
161 - 4 APR_DRG Implantable Heart Assist Systems 28 19 $962,215.56 — $230,664.41 $900,729.99 $422,460.74 2026-04-01
002 - 4 APR_DRG Heart &/or Lung Transplant 28 19 $1,769,179.50 — $202,866.93 $1,656,128.93 $776,758.26 2026-04-01
161 - 3 APR_DRG Implantable Heart Assist Systems 10 9 — — $178,517.27 $250,525.41 $234,191.60 2026-04-01
161 - 2 APR_DRG Implantable Heart Assist Systems 10 9 — — $178,517.27 $250,525.41 $234,191.60 2026-04-01
161 - 1 APR_DRG Implantable Heart Assist Systems 10 9 — — $178,517.27 $250,525.41 $234,191.60 2026-04-01
007 - 4 APR_DRG Allogeneic Bone Marrow Transplant 28 19 $595,813.44 — $173,413.22 $557,740.96 $261,591.89 2026-04-01
841 - 4 APR_DRG 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
841 - 2 APR_DRG Extensive 3rd Degree Burns W Skin Graft 10 9 — — $161,418.37 $226,529.37 $211,760.05 2026-04-01
841 - 1 APR_DRG Extensive 3rd Degree Burns W Skin Graft 10 9 — — $161,418.37 $226,529.37 $211,760.05 2026-04-01
609 - 4 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 9 — — $161,406.69 $226,512.98 $211,744.74 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
630 - 4 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 9 — — $156,643.38 $219,828.29 $205,495.88 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 47 21 $783,314.06 — $147,340.65 $733,260.29 $422,989.59 2026-04-01
631 - 4 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 9 — — $138,266.06 $194,038.16 $181,387.22 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 47 21 $948,820.69 — $133,110.17 $888,191.05 $408,036.23 2026-04-01
588 - 3 APR_DRG Neonate Bwt <1500g W Major Procedure 10 9 — — $127,125.09 $178,403.28 $166,771.70 2026-04-01
588 - 1 APR_DRG Neonate Bwt <1500g W Major Procedure 10 9 — — $120,921.92 $169,697.95 $158,633.95 2026-04-01
588 - 2 APR_DRG Neonate Bwt <1500g W Major Procedure 10 9 — — $120,921.92 $169,697.95 $158,633.95 2026-04-01
593 - 4 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 9 — — $117,186.97 $164,456.44 $153,734.17 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 48 22 $1,187,538.13 — $114,755.00 $1,111,654.44 $270,529.34 2026-04-01
591 - 4 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 9 — — $108,789.68 $152,671.95 $142,718.02 2026-04-01
160 - 4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 9 — — $100,072.96 $140,439.18 $131,282.80 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
81200006 CDM Hc Lung Procurement Bilateral 33 15 $301,130.00 — $93,350.30 $292,999.49 $162,851.10 2026-04-01
002 - 3 APR_DRG Heart &/or Lung Transplant 28 19 $739,477.31 — $89,921.20 $692,224.71 $324,667.51 2026-04-01
002 - 1 APR_DRG Heart &/or Lung Transplant 10 9 — — $89,921.20 $126,192.53 $117,965.00 2026-04-01
002 - 2 APR_DRG Heart &/or Lung Transplant 10 9 — — $89,921.20 $126,192.53 $117,965.00 2026-04-01
009 - 4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 28 19 $739,709.13 — $89,776.25 $692,441.71 $324,769.29 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 47 21 $568,429.56 — $87,760.44 $532,106.91 $269,021.07 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
007 - 3 APR_DRG Allogeneic Bone Marrow Transplant 28 19 $616,128.81 — $84,635.11 $576,758.18 $270,511.35 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
004 - 4 APR_DRG 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
14 MS_DRG Allogeneic Bone Marrow Transplant 44 20 $592,108.19 — $81,374.36 $554,272.47 $249,445.17 2026-04-01
7 MS_DRG Lung Transplant 46 20 $762,788.88 — $81,169.40 $714,046.67 $248,816.88 2026-04-01
602 - 4 APR_DRG 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
81200001 CDM Hc Heart Procurement 33 15 $258,411.00 — $80,107.41 $251,433.90 $139,748.67 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
607 - 4 APR_DRG 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
850 - 4 APR_DRG 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
841 - 3 APR_DRG Extensive 3rd Degree Burns W Skin Graft 28 19 $199,802.84 — $76,644.37 $226,529.37 $160,241.89 2026-04-01
303 - 4 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 9 — — $74,481.29 $104,524.65 $97,709.83 2026-04-01
593 - 3 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 9 — — $73,326.52 $102,904.09 $96,194.93 2026-04-01
001 - 4 APR_DRG Liver Transplant &/or Intestinal Transplant 28 19 $851,282.44 — $71,555.56 $796,885.49 $373,755.55 2026-04-01
630 - 3 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 9 — — $69,191.08 $97,100.54 $90,769.76 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
008 - 4 APR_DRG Autologous Bone Marrow Transplant 28 19 $291,122.59 — $67,919.53 $272,519.86 $127,817.38 2026-04-01
007 - 2 APR_DRG Allogeneic Bone Marrow Transplant 28 19 $510,261.81 — $67,751.23 $477,656.08 $224,030.45 2026-04-01
007 - 1 APR_DRG Allogeneic Bone Marrow Transplant 10 9 — — $67,751.23 $95,079.90 $88,880.86 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 21 $539,102.81 — $67,661.25 $504,654.14 $199,742.05 2026-04-01
633 - 4 APR_DRG Neonate Birthwt >2499g W Major Anomaly 10 9 — — $67,461.34 $94,673.08 $88,500.56 2026-04-01
842 - 4 APR_DRG 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 48 22 $661,557.63 — $66,142.68 $619,284.09 $175,000.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 46 21 $147,534.92 — $65,803.56 $210,737.25 $98,693.98 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
609 - 3 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 9 — — $65,599.01 $92,059.55 $86,057.43 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 21 $440,695.16 — $65,061.98 $412,534.74 $176,630.62 2026-04-01
602 - 3 APR_DRG 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
81900007 CDM Hc Pancreas Procurement 33 15 $200,270.00 — $62,083.70 $194,862.71 $108,306.02 2026-04-01
178 - 4 APR_DRG External Heart Assist Systems 28 19 $580,138.00 — $61,666.90 $543,067.18 $254,709.59 2026-04-01
690 - 4 APR_DRG Acute Leukemia 28 19 $402,985.97 — $61,425.78 $377,235.17 $176,930.99 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 21 $429,360.09 — $59,942.31 $401,923.98 $170,735.10 2026-04-01
005 - 4 APR_DRG 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
850 MS_DRG Acute Leukemia With Other Procedures 46 21 $571,856.00 — $57,214.47 $535,314.40 $168,902.22 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
303 - 3 APR_DRG 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
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
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
681 - 4 APR_DRG 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
163 - 4 APR_DRG 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
162 - 4 APR_DRG 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 21 $423,840.34 — $52,630.80 $396,756.95 $155,370.82 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 46 21 $467,152.06 — $52,601.61 $437,301.05 $155,284.65 2026-04-01
022 - 4 APR_DRG Ventricular Shunt Procedures 28 19 $205,717.89 — $51,278.14 $192,572.52 $90,320.44 2026-04-01
008 - 3 APR_DRG Autologous Bone Marrow Transplant 28 19 $292,451.59 — $51,017.10 $273,763.94 $128,400.88 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 21 $340,013.44 — $50,066.93 $318,286.58 $136,277.39 2026-04-01
792 - 4 APR_DRG 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
10 MS_DRG Pancreas Transplant 48 22 $377,322.22 — $49,519.74 $353,211.33 $112,826.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 21 $588,645.19 — $49,235.91 $551,030.76 $145,348.79 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 21 $387,698.66 — $48,547.11 $362,924.71 $143,315.42 2026-04-01
950 - 4 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 28 19 $531,445.69 — $48,230.83 $497,486.31 $233,331.23 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 21 $391,316.16 — $48,057.07 $366,311.05 $141,868.77 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 21 $364,252.09 — $46,359.62 $340,976.38 $142,110.90 2026-04-01
091 - 4 APR_DRG Other Major Head & Neck Procedures 28 19 $353,514.28 — $45,550.35 $330,924.72 $155,210.45 2026-04-01
304 - 4 APR_DRG 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 21 $311,005.81 — $44,114.37 $291,132.54 $122,720.70 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 21 $267,864.63 — $43,892.64 $250,748.08 $112,616.01 2026-04-01
910 - 4 APR_DRG Craniotomy For Multiple Significant Trauma 28 19 $842,776.94 — $43,854.26 $788,923.49 $370,021.21 2026-04-01
183 - 3 APR_DRG Percutaneous Structural Cardiac Procedures 28 19 $334,003.94 — $43,531.40 $312,661.09 $146,644.42 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 21 $302,511.00 — $43,206.33 $283,180.55 $119,786.06 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 21 $515,775.63 — $42,410.09 $482,817.56 $130,004.00 2026-04-01
179 - 4 APR_DRG Defibrillator Implants 28 19 $308,761.44 — $42,353.28 $289,031.58 $135,561.71 2026-04-01
167 - 4 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 28 19 $813,958.38 — $42,075.06 $761,946.43 $357,368.42 2026-04-01
021 - 4 APR_DRG Open Craniotomy Except Trauma 28 19 $453,229.50 — $41,999.50 $424,268.13 $198,990.41 2026-04-01
005 - 3 APR_DRG 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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 46 21 $556,582.25 — $41,642.42 $521,016.64 $122,932.15 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 47 21 $184,171.03 — $41,482.18 $172,402.50 $99,452.36 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 21 $410,051.72 — $41,412.00 $383,849.41 $122,251.91 2026-04-01
160 - 3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 28 19 $230,096.42 — $41,025.40 $215,393.26 $101,023.84 2026-04-01
312 - 4 APR_DRG 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 21 $351,196.53 — $40,167.33 $328,755.07 $118,577.54 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 21 $198,293.58 — $40,109.56 $185,622.62 $89,242.02 2026-04-01
220 - 4 APR_DRG Major Stomach Esophageal & Duodenal Procedures 28 19 $664,664.50 — $39,162.39 $622,192.44 $291,820.94 2026-04-01
183 - 2 APR_DRG Percutaneous Structural Cardiac Procedures 28 19 $237,285.47 — $39,086.82 $222,122.93 $104,180.18 2026-04-01
690 - 3 APR_DRG Acute Leukemia 28 19 $224,108.17 — $38,919.90 $209,787.66 $98,394.69 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 21 $247,355.19 — $38,472.98 $231,549.19 $101,294.12 2026-04-01
303 - 2 APR_DRG 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 46 21 $260,598.41 — $38,248.15 $243,946.17 $104,447.84 2026-04-01
165 - 4 APR_DRG Coronary Bypass W Ami Or Complex Pdx 28 19 $446,531.56 — $38,154.63 $417,998.20 $196,049.68 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 21 $454,695.50 — $37,940.71 $425,640.46 $112,004.36 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 46 21 $339,249.00 — $37,759.35 $317,570.99 $111,468.97 2026-04-01
911 - 4 APR_DRG 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 44 20 $259,549.53 — $37,488.55 $242,964.32 $114,917.50 2026-04-01
026 - 4 APR_DRG Other Nervous System & Related Procedures 28 19 $206,410.36 — $37,424.40 $193,220.74 $90,624.46 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 46 21 $252,126.73 — $37,208.44 $236,015.84 $102,615.58 2026-04-01
023 - 4 APR_DRG Spinal Procedures 28 19 $528,764.13 — $36,655.71 $494,976.10 $232,153.89 2026-04-01
130 - 4 APR_DRG 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
178 - 3 APR_DRG External Heart Assist Systems 28 19 $459,430.88 — $36,580.83 $430,073.24 $201,713.13 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 21 $339,322.66 — $36,546.35 $317,639.94 $107,888.10 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 21 $445,935.22 — $36,161.90 $417,439.96 $106,753.15 2026-04-01
680 - 4 APR_DRG 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 46 21 $350,189.41 — $35,647.01 $327,812.30 $105,233.17 2026-04-01
230 - 4 APR_DRG Major Small Bowel Procedures 28 19 $354,364.38 — $35,534.60 $331,720.49 $155,583.68 2026-04-01
020 - 4 APR_DRG Open Craniotomy For Trauma 28 19 $459,292.34 — $35,436.37 $429,943.56 $201,652.30 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 21 $241,464.27 — $35,433.98 $226,034.70 $96,778.88 2026-04-01
842 - 3 APR_DRG 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
089 - 4 APR_DRG Major Cranial/facial Bone Procedures 28 19 $439,967.69 — $35,186.32 $411,853.75 $193,167.82 2026-04-01
166 - 4 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 28 19 $413,446.31 — $35,162.27 $387,027.09 $181,523.60 2026-04-01
260 - 4 APR_DRG Major Pancreas Liver & Shunt Procedures 28 19 $410,070.56 — $35,023.51 $383,867.05 $180,041.48 2026-04-01
030 - 4 APR_DRG Percutaneous Intra & Extracranial Vascular Procedures 28 19 $387,244.81 — $34,705.45 $362,499.87 $170,019.83 2026-04-01
027 - 4 APR_DRG Other Open Craniotomy 28 19 $266,957.16 — $34,666.98 $249,898.59 $117,207.54 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 46 21 $249,572.39 — $34,623.45 $233,624.71 $97,387.33 2026-04-01
169 - 4 APR_DRG Major Abdominal Vascular Procedures 28 19 $313,638.78 — $34,608.59 $293,597.26 $137,703.11 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 46 21 $271,581.97 — $34,329.67 $254,227.88 $101,344.26 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 21 $218,959.64 — $34,329.67 $204,968.12 $90,024.14 2026-04-01
912 - 4 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 28 19 $377,816.53 — $33,993.08 $353,674.05 $165,880.35 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 21 $272,251.75 — $33,976.89 $254,854.86 $100,302.82 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 48 22 $915,860.31 — $33,794.29 $857,336.84 $148,177.50 2026-04-01
050 - 4 APR_DRG 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
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 46 21 $322,136.94 — $33,717.28 $301,552.39 $99,536.41 2026-04-01
181 - 4 APR_DRG Lower Extremity Arterial Procedures 28 19 $1,152,988.75 — $33,575.42 $1,079,312.77 $506,219.71 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 21 $374,816.47 — $33,545.23 $350,865.70 $101,599.40 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 47 21 $264,130.41 — $33,513.56 $247,252.47 $102,732.54 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 21 $254,921.05 — $33,509.83 $238,631.59 $97,686.25 2026-04-01
321 - 4 APR_DRG 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
405 - 4 APR_DRG Other Procedures For Endocrine Nutritional & Metabolic Disorders 28 19 $260,868.11 — $33,115.85 $244,198.64 $114,534.14 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 21 $306,605.19 — $33,043.39 $287,013.12 $97,547.04 2026-04-01
182 - 4 APR_DRG Other Peripheral Vascular And Related Procedures 28 19 $292,067.19 — $32,967.47 $273,404.09 $128,232.10 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 21 $322,923.97 — $32,897.43 $302,289.13 $97,116.16 2026-04-01
304 - 3 APR_DRG 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 46 21 $213,697.47 — $31,986.91 $200,042.20 $85,870.89 2026-04-01
229 - 4 APR_DRG Other Digestive System & Abdominal Procedures 28 19 $271,256.84 — $31,974.82 $253,923.53 $119,095.32 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 21 $278,892.44 — $31,880.70 $261,071.21 $94,114.68 2026-04-01
951 - 4 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diag 28 19 $278,126.78 — $31,737.14 $260,354.48 $122,111.57 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 46 21 $225,648.11 — $31,642.20 $211,229.20 $92,691.92 2026-04-01
163 - 3 APR_DRG 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
710 - 4 APR_DRG 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
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 46 21 $236,302.92 — $31,545.31 $221,203.17 $91,254.83 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 21 $228,340.31 — $31,283.83 $213,749.37 $88,548.27 2026-04-01
176 - 4 APR_DRG 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
179 - 3 APR_DRG Defibrillator Implants 28 19 $226,466.02 — $31,134.68 $211,994.84 $99,429.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 21 $361,890.00 — $31,075.15 $338,765.23 $91,736.61 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 21 $294,033.44 — $31,062.72 $275,244.70 $91,699.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 21 $226,294.61 — $30,950.93 $211,834.38 $89,239.18 2026-04-01
711 - 4 APR_DRG 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
121 - 4 APR_DRG Other Respiratory & Chest Procedures 28 19 $369,714.97 — $30,420.94 $346,090.18 $162,323.36 2026-04-01
001 - 3 APR_DRG Liver Transplant &/or Intestinal Transplant 28 19 $597,567.13 — $30,235.46 $559,382.59 $262,361.84 2026-04-01
850 - 3 APR_DRG 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
471 MS_DRG Cervical Spinal Fusion With Mcc 46 21 $245,135.77 — $30,168.35 $229,471.59 $89,059.67 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 48 22 $529,528.63 — $30,118.04 $495,691.75 $175,000.00 2026-04-01
325 - 4 APR_DRG Non-elective Or Complex Knee Joint Replacement 28 19 $269,538.88 — $29,694.83 $252,315.34 $118,341.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 46 21 $320,257.75 — $29,660.30 $299,793.28 $87,559.85 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 21 $227,435.08 — $29,526.14 $212,901.98 $86,613.95 2026-04-01
441 - 4 APR_DRG Major Bladder Procedures 28 19 $332,099.56 — $29,251.75 $310,878.40 $145,808.31 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 46 21 $263,421.03 — $29,064.05 $246,588.43 $85,799.67 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 21 $392,533.06 — $28,615.62 $367,450.20 $84,475.86 2026-04-01
750 - 4 APR_DRG Schizophrenia 28 19 $205,897.66 — $28,599.83 $192,740.80 $90,399.37 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 21 $231,534.22 — $28,519.97 $216,739.18 $84,193.50 2026-04-01
224 - 4 APR_DRG Peritoneal Adhesiolysis 28 19 $246,804.83 — $28,279.02 $231,034.00 $108,359.66 2026-04-01
130 - 3 APR_DRG 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
165 - 3 APR_DRG Coronary Bypass W Ami Or Complex Pdx 28 19 $407,762.78 — $27,337.22 $381,706.74 $179,028.25 2026-04-01
171 - 4 APR_DRG 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
167 - 3 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 28 19 $380,675.94 — $26,810.32 $356,350.75 $167,135.77 2026-04-01
021 - 3 APR_DRG Open Craniotomy Except Trauma 28 19 $266,851.72 — $26,495.70 $249,799.89 $117,161.25 2026-04-01
440 - 4 APR_DRG Kidney Transplant 28 19 $539,896.75 — $26,255.27 $505,397.35 $237,041.67 2026-04-01
440 - 3 APR_DRG Kidney Transplant 28 19 $334,744.44 — $26,255.27 $313,354.27 $146,969.54 2026-04-01
223 - 4 APR_DRG Other Small & Large Bowel Procedures 28 19 $215,235.88 — $26,143.98 $201,482.30 $94,499.32 2026-04-01
261 - 4 APR_DRG Major Biliary Tract Procedures 28 19 $878,621.19 — $25,768.22 $822,477.29 $385,758.63 2026-04-01
309 - 4 APR_DRG Other Significant Hip & Femur Surgery 28 19 $244,539.16 — $25,454.28 $228,913.10 $107,364.92 2026-04-01
024 - 4 APR_DRG Open Extracranial Vascular Procedures 28 19 $356,726.38 — $25,316.21 $333,931.56 $156,620.71 2026-04-01
691 - 4 APR_DRG Lymphoma Myeloma & Non-acute Leukemia 28 19 $374,385.88 — $24,978.23 $350,462.62 $164,374.12 2026-04-01
361 - 3 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 28 19 $342,658.97 — $24,963.80 $320,763.06 $150,444.42 2026-04-01
361 - 4 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 28 19 $238,764.56 — $24,963.80 $223,507.51 $104,829.58 2026-04-01
661 - 4 APR_DRG Coagulation & Platelet Disorders 28 19 $226,922.39 — $24,934.26 $212,422.05 $99,630.27 2026-04-01
089 - 3 APR_DRG Major Cranial/facial Bone Procedures 28 19 $341,681.56 — $24,890.98 $319,848.11 $150,015.29 2026-04-01
098 - 4 APR_DRG 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 APR_DRG Percutaneous Cardiac Intervention Without Ami 28 19 $280,459.38 — $24,495.99 $262,538.02 $123,135.69 2026-04-01
023 - 3 APR_DRG Spinal Procedures 28 19 $285,693.19 — $24,483.62 $267,437.39 $125,433.60 2026-04-01
163 - 2 APR_DRG 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
176 - 3 APR_DRG 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
091 - 3 APR_DRG Other Major Head & Neck Procedures 28 19 $332,059.38 — $24,063.89 $310,840.78 $145,790.67 2026-04-01
166 - 3 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 28 19 $348,061.56 — $23,957.42 $325,820.43 $152,816.43 2026-04-01
793 - 4 APR_DRG 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
180 - 4 APR_DRG Other Circulatory System Procedures 28 19 $195,587.47 — $23,607.07 $183,089.43 $85,872.68 2026-04-01
131 - 4 APR_DRG Cystic Fibrosis - Pulmonary Disease 28 19 $259,745.56 — $23,449.07 $243,147.82 $114,041.29 2026-04-01
346 - 4 APR_DRG Connective Tissue Disorders 28 19 $287,647.19 — $23,387.25 $269,266.53 $126,291.49 2026-04-01
310 - 4 APR_DRG 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
442 - 4 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 28 19 $365,312.47 — $23,204.52 $341,969.00 $160,390.44 2026-04-01
165 - 2 APR_DRG Coronary Bypass W Ami Or Complex Pdx 28 19 $257,204.55 — $23,100.10 $240,769.18 $112,925.66 2026-04-01
092 - 4 APR_DRG 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
169 - 3 APR_DRG Major Abdominal Vascular Procedures 28 19 $298,749.44 — $22,896.76 $279,659.35 $131,165.94 2026-04-01
317 - 4 APR_DRG Tendon Muscle & Other Soft Tissue Procedures 28 19 $275,145.72 — $22,626.11 $257,563.91 $120,802.73 2026-04-01
313 - 4 APR_DRG Knee & Lower Leg Procedures Except Foot 28 19 $383,860.41 — $22,482.53 $359,331.73 $168,533.91 2026-04-01
304 - 2 APR_DRG 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
308 - 4 APR_DRG Hip & Femur Fracture Repair 28 19 $481,480.91 — $22,297.74 $450,714.28 $211,394.19 2026-04-01
320 - 4 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 28 19 $283,783.63 — $22,159.67 $265,649.85 $124,595.20 2026-04-01
325 - 3 APR_DRG Non-elective Or Complex Knee Joint Replacement 28 19 $256,435.08 — $22,142.49 $240,048.88 $112,587.82 2026-04-01
040 - 4 APR_DRG Spinal Disorders & Injuries 28 19 $205,437.88 — $22,047.01 $192,310.39 $90,197.50 2026-04-01
163 - 1 APR_DRG 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
930 - 4 APR_DRG Multiple Significant Trauma Without O.r. Procedure 28 19 $503,131.75 — $21,542.10 $470,981.63 $220,899.99 2026-04-01
006 - 3 APR_DRG Pancreas Transplant 28 19 $594,636.38 — $21,362.80 $556,639.11 $261,075.10 2026-04-01
680 - 3 APR_DRG 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
177 - 4 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 28 19 $236,057.41 — $21,181.45 $220,973.34 $103,641.00 2026-04-01
305 - 4 APR_DRG Amputation Of Lower Limb Except Toes 28 19 $308,022.25 — $21,106.57 $288,339.63 $135,237.17 2026-04-01
321 - 3 APR_DRG 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
120 - 3 APR_DRG Major Respiratory & Chest Procedures 28 19 $219,358.59 — $20,491.06 $205,341.58 $96,309.39 2026-04-01
181 - 3 APR_DRG Lower Extremity Arterial Procedures 28 19 $203,120.47 — $20,301.46 $190,141.07 $89,180.04 2026-04-01
115 - 4 APR_DRG Other Ear Nose Mouththroat & Cranial/facial Diagnoses 28 19 $195,434.63 — $19,962.11 $182,946.35 $85,805.57 2026-04-01
166 - 2 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 28 19 $263,197.09 — $19,749.15 $246,378.80 $115,556.68 2026-04-01
220 - 3 APR_DRG Major Stomach Esophageal & Duodenal Procedures 28 19 $248,652.08 — $19,504.60 $232,763.21 $109,170.70 2026-04-01
027 - 3 APR_DRG Other Open Craniotomy 28 19 $286,351.50 — $19,308.82 $268,053.64 $125,722.63 2026-04-01
652 MS_DRG Kidney Transplant 46 22 $323,749.38 — $19,076.25 $303,061.79 $94,000.00 2026-04-01
441 - 3 APR_DRG Major Bladder Procedures 28 19 $251,195.77 — $18,986.64 $235,144.36 $110,287.50 2026-04-01
912 - 3 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 28 19 $400,603.28 — $18,676.14 $375,004.73 $175,884.87 2026-04-01
167 - 2 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 28 19 $254,015.55 — $17,515.19 $237,783.95 $111,525.53 2026-04-01
192 - 4 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 28 19 $301,641.69 — $17,415.58 $282,366.78 $132,435.79 2026-04-01
263 - 4 APR_DRG Cholecystectomy 28 19 $248,077.72 — $17,311.17 $232,225.55 $108,918.52 2026-04-01
363 - 3 APR_DRG Breast Procedures Except Mastectomy 28 19 $335,619.81 — $17,210.87 $314,173.71 $147,353.88 2026-04-01
091 - 2 APR_DRG Other Major Head & Neck Procedures 28 19 $236,555.30 — $16,715.58 $221,439.41 $103,859.60 2026-04-01
740 - 4 APR_DRG Mental Illness Diagnosis W O.r. Procedure 28 19 $433,901.41 — $16,699.09 $406,175.11 $190,504.41 2026-04-01
023 - 2 APR_DRG Spinal Procedures 28 19 $220,465.42 — $16,502.62 $206,377.68 $96,795.35 2026-04-01
309 - 3 APR_DRG Other Significant Hip & Femur Surgery 28 19 $279,098.94 — $16,418.13 $261,264.52 $122,538.38 2026-04-01
443 - 4 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 28 19 $391,018.00 — $15,935.20 $366,031.95 $171,676.46 2026-04-01
044 - 4 APR_DRG Intracranial Hemorrhage 28 19 $239,634.39 — $15,775.83 $224,321.75 $105,211.48 2026-04-01
890 - 4 APR_DRG HIV W Multiple Major HIV Related Conditions 28 19 $322,216.88 — $15,540.89 $301,627.22 $141,469.32 2026-04-01
050 - 3 APR_DRG 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
850 - 2 APR_DRG 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
316 - 4 APR_DRG Hand & Wrist Procedures 28 19 $193,813.70 — $15,232.45 $181,429.01 $85,093.90 2026-04-01
314 - 4 APR_DRG Foot & Toe Procedures 28 19 $473,477.03 — $15,224.21 $443,221.85 $207,880.09 2026-04-01
280 - 4 APR_DRG Alcoholic Liver Disease 28 19 $192,764.63 — $15,174.75 $180,446.97 $84,633.31 2026-04-01
442 - 3 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 28 19 $206,181.41 — $15,123.91 $193,006.41 $90,523.95 2026-04-01
519 - 4 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 28 19 $292,646.44 — $15,053.84 $273,946.33 $128,486.42 2026-04-01
511 - 4 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 28 19 $510,541.28 — $14,917.14 $477,917.69 $224,153.15 2026-04-01
089 - 2 APR_DRG Major Cranial/facial Bone Procedures 28 19 $192,874.09 — $14,744.03 $180,549.44 $84,681.37 2026-04-01
724 - 4 APR_DRG Other Infectious & Parasitic Diseases 28 19 $201,138.89 — $14,540.69 $188,286.12 $88,310.03 2026-04-01
547 - 4 APR_DRG Antepartum W O.r. Procedure 28 19 $205,876.38 — $14,537.94 $192,720.87 $90,390.02 2026-04-01
283 - 4 APR_DRG Other Disorders Of The Liver 28 19 $198,679.42 — $14,434.90 $185,983.81 $87,230.20 2026-04-01
440 - 2 APR_DRG Kidney Transplant 28 19 $324,888.53 — $14,406.05 $304,128.15 $142,642.31 2026-04-01
441 - 2 APR_DRG Major Bladder Procedures 28 19 $251,143.92 — $14,133.33 $235,095.83 $110,264.74 2026-04-01
441 - 1 APR_DRG Major Bladder Procedures 28 19 $232,960.44 — $14,133.33 $218,074.27 $102,281.28 2026-04-01
308 - 3 APR_DRG Hip & Femur Fracture Repair 28 19 $267,376.59 — $14,074.25 $250,291.23 $117,391.70 2026-04-01
246 - 4 APR_DRG Gastrointestinal Vascular Insufficiency 28 19 $710,451.13 — $13,710.17 $665,053.30 $311,923.57 2026-04-01
710 - 3 APR_DRG 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
181 - 2 APR_DRG Lower Extremity Arterial Procedures 28 19 $205,445.03 — $13,154.42 $192,317.09 $90,200.64 2026-04-01
843 - 4 APR_DRG Extensive 3rd Degree Burns Without Skin Graft 28 19 $226,220.91 — $12,265.51 $211,765.39 $99,322.29 2026-04-01
362 - 2 APR_DRG Mastectomy Procedures 28 19 $385,095.84 — $12,097.89 $360,488.22 $169,076.33 2026-04-01
518 - 4 APR_DRG Other Female Reproductive System & Related Procedures 28 19 $239,073.28 — $11,898.68 $223,796.50 $104,965.12 2026-04-01
663 - 4 APR_DRG 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
361 - 2 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 28 19 $264,502.97 — $11,628.71 $247,601.23 $116,130.03 2026-04-01
723 - 4 APR_DRG Viral Illness 28 19 $270,149.84 — $10,866.19 $252,887.27 $118,609.29 2026-04-01
363 - 2 APR_DRG Breast Procedures Except Mastectomy 28 19 $270,841.22 — $10,748.04 $253,534.46 $118,912.83 2026-04-01
540 - 4 APR_DRG Cesarean Section Without Sterilization 28 19 $193,824.69 — $10,662.17 $181,439.29 $85,098.73 2026-04-01
513 - 3 APR_DRG 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
480 - 2 APR_DRG Major Male Pelvic Procedures 28 19 $202,003.64 — $9,894.84 $189,095.61 $88,689.70 2026-04-01
401 - 3 APR_DRG Adrenal Procedures 28 19 $234,050.16 — $9,579.53 $219,094.35 $102,759.73 2026-04-01
312 - 1 APR_DRG 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
362 - 1 APR_DRG Mastectomy Procedures 28 19 $217,778.05 — $8,760.00 $203,862.03 $95,615.45 2026-04-01
091 - 1 APR_DRG Other Major Head & Neck Procedures 28 19 $260,728.08 — $8,146.55 $244,067.55 $114,472.66 2026-04-01
047 - 4 APR_DRG Transient Ischemia 28 19 $230,817.98 — $6,685.41 $216,068.72 $101,340.63 2026-04-01
446 - 2 APR_DRG Urethral & Transurethral Procedures 28 19 $196,686.22 — $5,472.94 $184,117.97 $86,355.08 2026-04-01
057 - 3 APR_DRG 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
J7330 HCPCS Maci Ix Shee 63 15 $235,361.67 — $48.55 $229,006.91 $114,555.23 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
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