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.

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
             
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
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
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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 48 22 $529,528.63 — $30,118.04 $495,691.75 $175,000.00 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
10 MS_DRG Pancreas Transplant 48 22 $377,322.22 — $49,519.74 $353,211.33 $112,826.50 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
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
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
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
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
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
7 MS_DRG Lung Transplant 46 20 $762,788.88 — $81,169.40 $714,046.67 $248,816.88 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 46 21 $271,581.97 — $34,329.67 $254,227.88 $101,344.26 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
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
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
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
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
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
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
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
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
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
652 MS_DRG Kidney Transplant 46 22 $323,749.38 — $19,076.25 $303,061.79 $94,000.00 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
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
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
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
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
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
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
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
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
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
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 44 20 $592,108.19 — $81,374.36 $554,272.47 $249,445.17 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
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
81200006 CDM Hc Lung Procurement Bilateral 33 15 $301,130.00 — $93,350.30 $292,999.49 $162,851.10 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
81200001 CDM Hc Heart Procurement 33 15 $258,411.00 — $80,107.41 $251,433.90 $139,748.67 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
81900007 CDM Hc Pancreas Procurement 33 15 $200,270.00 — $62,083.70 $194,862.71 $108,306.02 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
62400315 CDM Hc Tambe Ide G150071 33 15 $180,000.00 — $55,800.00 $175,140.00 $97,344.00 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
569311 LOCAL Queen Bra 32 14 $178,720.50 — $55,403.36 $173,895.05 $97,063.11 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
27803724 CDM Hc Syncardia Tah-t 50cc 29 14 $477,000.00 — $158,841.00 $464,121.00 $263,637.90 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
27804433 CDM Hc Heartmate Iii Implant Lvad 29 14 $282,000.00 — $93,906.00 $274,386.00 $155,861.40 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
246 - 4 APR_DRG Gastrointestinal Vascular Insufficiency 28 19 $710,451.13 — $13,710.17 $665,053.30 $311,923.57 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
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
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
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
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
006 - 3 APR_DRG Pancreas Transplant 28 19 $594,636.38 — $21,362.80 $556,639.11 $261,075.10 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
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
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
440 - 4 APR_DRG Kidney Transplant 28 19 $539,896.75 — $26,255.27 $505,397.35 $237,041.67 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
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
023 - 4 APR_DRG Spinal Procedures 28 19 $528,764.13 — $36,655.71 $494,976.10 $232,153.89 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
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
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
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
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
314 - 4 APR_DRG Foot & Toe Procedures 28 19 $473,477.03 — $15,224.21 $443,221.85 $207,880.09 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
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
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
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
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
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
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
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
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
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
690 - 4 APR_DRG Acute Leukemia 28 19 $402,985.97 — $61,425.78 $377,235.17 $176,930.99 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
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
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
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
362 - 2 APR_DRG Mastectomy Procedures 28 19 $385,095.84 — $12,097.89 $360,488.22 $169,076.33 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
440 - 3 APR_DRG Kidney Transplant 28 19 $334,744.44 — $26,255.27 $313,354.27 $146,969.54 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
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
441 - 4 APR_DRG Major Bladder Procedures 28 19 $332,099.56 — $29,251.75 $310,878.40 $145,808.31 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
440 - 2 APR_DRG Kidney Transplant 28 19 $324,888.53 — $14,406.05 $304,128.15 $142,642.31 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
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
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
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
179 - 4 APR_DRG Defibrillator Implants 28 19 $308,761.44 — $42,353.28 $289,031.58 $135,561.71 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
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
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
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
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
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
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
346 - 4 APR_DRG Connective Tissue Disorders 28 19 $287,647.19 — $23,387.25 $269,266.53 $126,291.49 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
027 - 3 APR_DRG Other Open Craniotomy 28 19 $286,351.50 — $19,308.82 $268,053.64 $125,722.63 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
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
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
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
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
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
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
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
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
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
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
723 - 4 APR_DRG Viral Illness 28 19 $270,149.84 — $10,866.19 $252,887.27 $118,609.29 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
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
027 - 4 APR_DRG Other Open Craniotomy 28 19 $266,957.16 — $34,666.98 $249,898.59 $117,207.54 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
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
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
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
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
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
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
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
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
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
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
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
441 - 3 APR_DRG Major Bladder Procedures 28 19 $251,195.77 — $18,986.64 $235,144.36 $110,287.50 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
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
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
263 - 4 APR_DRG Cholecystectomy 28 19 $248,077.72 — $17,311.17 $232,225.55 $108,918.52 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
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
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
044 - 4 APR_DRG Intracranial Hemorrhage 28 19 $239,634.39 — $15,775.83 $224,321.75 $105,211.48 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
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
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
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
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
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
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
401 - 3 APR_DRG Adrenal Procedures 28 19 $234,050.16 — $9,579.53 $219,094.35 $102,759.73 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
441 - 1 APR_DRG Major Bladder Procedures 28 19 $232,960.44 — $14,133.33 $218,074.27 $102,281.28 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
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
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
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
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
661 - 4 APR_DRG Coagulation & Platelet Disorders 28 19 $226,922.39 — $24,934.26 $212,422.05 $99,630.27 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
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
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
690 - 3 APR_DRG Acute Leukemia 28 19 $224,108.17 — $38,919.90 $209,787.66 $98,394.69 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
023 - 2 APR_DRG Spinal Procedures 28 19 $220,465.42 — $16,502.62 $206,377.68 $96,795.35 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
362 - 1 APR_DRG Mastectomy Procedures 28 19 $217,778.05 — $8,760.00 $203,862.03 $95,615.45 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
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
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
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
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
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
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
750 - 4 APR_DRG Schizophrenia 28 19 $205,897.66 — $28,599.83 $192,740.80 $90,399.37 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
022 - 4 APR_DRG Ventricular Shunt Procedures 28 19 $205,717.89 — $51,278.14 $192,572.52 $90,320.44 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
040 - 4 APR_DRG Spinal Disorders & Injuries 28 19 $205,437.88 — $22,047.01 $192,310.39 $90,197.50 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
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
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
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
446 - 2 APR_DRG Urethral & Transurethral Procedures 28 19 $196,686.22 — $5,472.94 $184,117.97 $86,355.08 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
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
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
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
316 - 4 APR_DRG Hand & Wrist Procedures 28 19 $193,813.70 — $15,232.45 $181,429.01 $85,093.90 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
280 - 4 APR_DRG Alcoholic Liver Disease 28 19 $192,764.63 — $15,174.75 $180,446.97 $84,633.31 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
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
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
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 - 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
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
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
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
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
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
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
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
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
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
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
007 - 1 APR_DRG Allogeneic Bone Marrow Transplant 10 9 — — $67,751.23 $95,079.90 $88,880.86 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
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
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
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