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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

UPMC CHILDREN'S HOSPITAL OF PITTSBURGH

Pittsburgh, PA · CCN 393302 · Rates published

8,416 distinct procedures filed
27 distinct payers
316,686 rate rows
2026-03-06 last MRF observed
Data quality

312,776 of 316,686 rate rows are consumer-grade (98.8%)

3,910 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,579
placeholder amount (≤ $0.02) — excluded from medians 124
exceeds 10× this hospital's gross charge — excluded from medians 119
template filing: same amount across many unrelated codes — excluded 52
per-diem day rate — not a per-procedure price 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/250402510_upmc-childrens_standardcharges.csv?la=en&rev=0723157604764eaca49c0f5858195396&hash=C3E79E5AD85AFD97F122192AA8C49A04
Found on page https://www.chp.edu/for-parents/before-your-childs-visit/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint d8e0595d729ac411… · 189,063,814 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3399
HCPCS 		Zolgensma (4.1-4.5 Kg) Kit Inj 17 $1,754,351.00 $4,054,500.00 $2,477,750.00 nat. median
$2,468,984
1.0× median
J1413
HCPCS 		Elevidys (12.5-13.4 Kg) Kit 17 $1,305,600.00 $4,957,038.69 $1,902,912.00 nat. median
$3,325,455
0.6× median
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 10 $578,659.20 $937,448.37 $775,725.85 nat. median
$309,665
outlier · 2.5×
Q2042
HCPCS 		Kymriah Infusion (ped/aya) 18 $533,750.00 $2,234,214.17 $716,521.05 nat. median
$753,246
1.0× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 $354,417.81 $574,169.39 $475,117.41 nat. median
$246,434
1.9× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $331,321.75 $536,752.96 $444,155.81 nat. median
$117,173
outlier · 3.8×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 10 $329,565.04 $533,907.03 $441,800.84 nat. median
$244,017
1.8× median
24
APR_DRG 		Heart Transplant 9 $287,498.00 $573,215.30 $425,465.33 nat. median
$234,729
1.8× median
22
APR_DRG 		Heart Transplant 9 $145,456.24 $573,215.30 $413,388.73 nat. median
$77,804
outlier · 5.3×
21
APR_DRG 		Heart Transplant 9 $128,612.77 $573,215.30 $413,388.73 nat. median
$64,672
outlier · 6.4×
23
APR_DRG 		Heart Transplant 9 $192,082.56 $573,215.30 $413,388.73 nat. median
$93,528
outlier · 4.4×
14
APR_DRG 		Intestine Transplant 9 $196,321.31 $703,178.20 $365,151.00 nat. median
$129,535
outlier · 2.8×
13
APR_DRG 		Intestine Transplant 9 $101,953.23 $703,178.20 $365,151.00 nat. median
$68,633
outlier · 5.3×
11
APR_DRG 		Intestine Transplant 9 $69,158.64 $703,178.20 $365,151.00 nat. median
$50,490
outlier · 7.2×
12
APR_DRG 		Intestine Transplant 9 $78,751.62 $703,178.20 $365,151.00 nat. median
$52,716
outlier · 6.9×
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 10 $253,045.57 $409,942.78 $339,222.10 nat. median
$156,126
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $256,645.75 $910,993.42 $331,754.88 nat. median
$370,174
0.9× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 10 $247,084.21 $400,285.16 $331,230.56 nat. median
$207,730
1.6× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $246,932.27 $400,039.01 $331,026.87 nat. median
$162,982
outlier · 2.0×
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $246,573.99 $399,458.58 $330,546.58 nat. median
$60,831
outlier · 5.4×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 $242,222.08 $392,408.34 $324,712.59 nat. median
$164,834
2.0× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $237,504.39 $384,765.51 $318,388.26 nat. median
$122,924
outlier · 2.6×
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 $236,042.19 $382,396.69 $316,428.09 nat. median
$182,665
1.7× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $232,409.66 $376,511.86 $311,558.47 nat. median
$164,289
1.9× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 10 $227,139.53 $367,974.08 $304,493.58 nat. median
$144,745
outlier · 2.1×
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 10 $219,787.25 $356,063.12 $294,637.42 nat. median
$160,267
1.8× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 $215,392.20 $348,942.98 $288,745.60 nat. median
$150,721
1.9× median
74
APR_DRG 		Bone Marrow - Allogeneic Transplant 9 $200,201.00 $743,056.70 $288,318.89 nat. median
$187,061
1.5× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $204,333.29 $331,027.16 $273,920.49 nat. median
$151,838
1.8× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 $202,262.38 $327,672.22 $271,144.32 nat. median
$145,336
1.9× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $196,023.40 $317,564.84 $262,780.61 nat. median
$58,674
outlier · 4.5×
73
APR_DRG 		Bone Marrow - Allogeneic Transplant 9 $132,070.70 $743,056.70 $259,574.05 nat. median
$89,273
outlier · 2.9×
71
APR_DRG 		Bone Marrow - Allogeneic Transplant 9 $82,098.00 $743,056.70 $259,574.05 nat. median
$50,717
outlier · 5.1×
72
APR_DRG 		Bone Marrow - Allogeneic Transplant 9 $93,029.53 $743,056.70 $259,574.05 nat. median
$66,666
outlier · 3.9×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 10 $193,472.28 $313,431.94 $259,360.70 nat. median
$119,796
outlier · 2.2×
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $186,150.01 $301,569.60 $249,544.77 nat. median
$105,658
outlier · 2.4×
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $175,277.75 $283,956.15 $234,969.88 nat. median
$102,919
outlier · 2.3×
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 $173,368.16 $280,862.55 $232,409.97 nat. median
$124,573
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $19,725.00 $586,979.91 $231,321.15 nat. median
$202,976
1.1× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 $165,207.40 $267,641.82 $221,469.99 nat. median
$89,796
outlier · 2.5×
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 $165,207.40 $267,641.82 $221,469.99 nat. median
$93,370
outlier · 2.4×
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 $165,207.40 $267,641.82 $221,469.99 nat. median
$69,788
outlier · 3.2×
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 $162,788.52 $263,723.17 $218,227.35 nat. median
$78,990
outlier · 2.8×
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 $153,930.89 $249,373.49 $206,353.19 nat. median
$118,620
1.7× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $150,337.75 $243,552.48 $201,536.39 nat. median
$81,294
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $141,591.30 $853,045.50 $201,363.94 nat. median
$206,474
1.0× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $149,475.81 $242,156.11 $200,380.90 nat. median
$108,996
1.8× median
5
MS_DRG 		Intestine Transplant 10 $47,580.39 $639,887.83 $197,500.00 nat. median
$100,136
2.0× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 10 $142,358.01 $230,625.01 $190,839.08 nat. median
$85,444
outlier · 2.2×
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 10 $142,358.01 $230,625.01 $190,839.08 nat. median
$76,806
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 8,416 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 10 — — $65,600.00 $365,825.46 $150,373.00 2026-03-06
11 APR_DRG Intestine Transplant 50 9 — — $69,158.64 $703,178.20 $365,151.00 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 4 — — $36,849.94 $164,271.02 $59,590.19 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $96,541.99 $156,401.44 $129,420.08 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $196,023.40 $317,564.84 $262,780.61 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $246,573.99 $399,458.58 $330,546.58 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $331,321.75 $536,752.96 $444,155.81 2026-03-06
12 APR_DRG Intestine Transplant 50 9 — — $78,751.62 $703,178.20 $365,151.00 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 10 10 — — $57,974.15 $93,920.18 $77,717.68 2026-03-06
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 10 10 — — $48,595.04 $78,725.69 $65,144.45 2026-03-06
13 APR_DRG Intestine Transplant 50 9 — — $101,953.23 $703,178.20 $365,151.00 2026-03-06
1303 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 10 — — $43,221.75 $70,020.77 $57,941.24 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 10 — — $57,292.29 $92,815.54 $76,803.61 2026-03-06
14 APR_DRG Intestine Transplant 50 9 — — $196,321.31 $703,178.20 $365,151.00 2026-03-06
14 MS_DRG Allo-related Transplant 29 9 — — $13,400.00 $267,610.19 $130,647.55 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 9 — — $26,968.00 $218,276.48 $91,000.00 2026-03-06
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $49,254.40 $79,793.86 $66,028.34 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $65,742.87 $106,505.78 $88,132.09 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $141,839.34 $229,784.75 $190,143.78 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 10 10 — — $142,358.01 $230,625.01 $190,839.08 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 10 10 — — $142,358.01 $230,625.01 $190,839.08 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 10 10 — — $193,472.28 $313,431.94 $259,360.70 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 10 10 — — $247,084.21 $400,285.16 $331,230.56 2026-03-06
1621 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $43,925.19 $71,160.36 $58,884.23 2026-03-06
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $52,714.35 $85,399.11 $70,666.61 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $69,728.06 $112,961.92 $93,474.46 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $95,321.77 $154,424.64 $127,784.30 2026-03-06
1632 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 10 — — $44,255.33 $71,695.20 $59,326.81 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 10 — — $59,963.46 $97,142.93 $80,384.46 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 10 — — $83,410.30 $135,127.64 $111,816.29 2026-03-06
1652 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $44,900.61 $72,740.58 $60,191.85 2026-03-06
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $55,685.65 $90,212.73 $74,649.81 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $74,935.34 $121,397.90 $100,455.12 2026-03-06
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 10 — — $49,011.48 $79,400.33 $65,702.70 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 10 — — $66,804.59 $108,225.79 $89,555.38 2026-03-06
1673 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 10 10 — — $46,604.80 $75,501.42 $62,476.40 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 10 10 — — $73,422.49 $118,947.03 $98,427.05 2026-03-06
1693 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 10 10 — — $41,633.87 $67,448.34 $55,812.59 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 10 10 — — $59,561.10 $96,491.09 $79,845.07 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 9 — — $26,968.00 $218,276.48 $91,000.00 2026-03-06
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 10 10 — — $49,126.84 $79,587.22 $65,857.35 2026-03-06
1754 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami 10 10 — — $45,218.57 $73,255.68 $60,618.08 2026-03-06
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 10 10 — — $47,303.54 $76,633.41 $63,413.11 2026-03-06
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 10 10 — — $46,898.36 $75,977.01 $62,869.95 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 10 10 — — $52,109.40 $84,419.07 $69,855.64 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 10 10 — — $63,999.29 $103,681.12 $85,794.73 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 10 10 — — $79,316.32 $128,495.24 $106,328.08 2026-03-06
1792 APR_DRG Apr-DRG 42.00: Defibrillator Implants 10 10 — — $41,513.82 $67,253.85 $55,651.65 2026-03-06
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 10 10 — — $50,211.07 $81,343.70 $67,310.82 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 10 10 — — $65,933.27 $106,814.23 $88,387.33 2026-03-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 3 — — $256,645.75 $910,993.42 $331,754.88 2026-03-06
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 10 10 — — $49,018.04 $79,410.96 $65,711.50 2026-03-06
1824 APR_DRG Apr-DRG 42.00: Other Peripheral Vascular And Related Procedures 10 10 — — $42,408.58 $68,703.41 $56,851.14 2026-03-06
1832 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 10 10 — — $41,580.41 $67,361.73 $55,740.92 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 10 10 — — $51,873.04 $84,036.17 $69,538.79 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 10 10 — — $71,385.34 $115,646.78 $95,696.15 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 10 — — $49,238.55 $365,825.46 $144,000.00 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 5 — — $20,550.00 $302,041.64 $85,757.49 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 10 10 — — $56,305.61 $91,217.08 $75,480.90 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 5 — — $5,825.00 $222,383.17 $70,128.07 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 5 2 — — $86,957.47 $238,783.78 $123,047.58 2026-03-06
21 APR_DRG Heart Transplant 26 9 — — $128,612.77 $573,215.30 $413,388.73 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 5 — — $5,000.00 $228,398.84 $57,694.06 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 5 — — $9,725.00 $424,714.12 $118,510.51 2026-03-06
213 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 10 10 — — $45,356.44 $73,479.03 $60,802.90 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 10 10 — — $64,450.43 $104,411.98 $86,399.50 2026-03-06
215 MS_DRG Other Heart Assist System Implant 11 4 — — $52,369.89 $210,351.83 $108,787.79 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 5 — — $13,875.00 $269,643.53 $106,617.06 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 5 — — $13,950.00 $176,892.13 $71,660.38 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 4 — — $24,594.48 $160,653.76 $71,840.15 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 4 — — $41,327.11 $186,328.48 $83,891.26 2026-03-06
22 APR_DRG Heart Transplant 26 9 — — $145,456.24 $573,215.30 $413,388.73 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 5 — — $5,025.00 $146,381.29 $58,119.10 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 10 10 — — $57,103.77 $92,510.13 $76,550.88 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 4 — — $24,191.44 $116,342.26 $55,068.02 2026-03-06
2224 APR_DRG Apr-DRG 42.00: Other Stomach, Esophageal And Duodenal Procedures 10 10 — — $42,352.31 $68,612.24 $56,775.70 2026-03-06
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 10 10 — — $50,363.01 $81,589.85 $67,514.50 2026-03-06
2294 APR_DRG Apr-DRG 42.00: Other Digestive System And Abdominal Procedures 10 10 — — $42,047.49 $68,118.42 $56,367.07 2026-03-06
23 APR_DRG Heart Transplant 26 9 — — $192,082.56 $573,215.30 $413,388.73 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 4 — — $24,456.41 $168,281.47 $62,607.88 2026-03-06
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 10 10 — — $48,303.35 $78,253.14 $64,753.42 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 5 — — $9,375.00 $278,450.78 $91,872.59 2026-03-06
2314 APR_DRG Apr-DRG 42.00: Major Large Bowel Procedures 10 10 — — $42,640.25 $69,078.71 $57,161.70 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 4 — — $41,571.97 $187,547.34 $66,238.51 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 5 — — $20,300.00 $192,265.51 $83,320.60 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 10 10 — — $58,765.75 $95,202.60 $78,778.86 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 5 — — $9,850.00 $149,998.55 $59,534.80 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 5 — — $4,250.00 $146,931.74 $63,958.47 2026-03-06
24 APR_DRG Heart Transplant 26 9 — — $287,498.00 $573,215.30 $425,465.33 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 10 10 — — $60,134.16 $97,419.47 $80,613.29 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 10 10 — — $55,914.50 $90,583.47 $74,956.60 2026-03-06
264 APR_DRG Apr-DRG 42.00: Other Nervous System And Related Procedures 10 10 — — $45,710.97 $74,053.39 $61,278.18 2026-03-06
2644 APR_DRG Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 10 10 — — $47,668.39 $77,224.48 $63,902.21 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 5 — — $6,800.00 $174,926.23 $66,789.88 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 4 — — $26,863.89 $216,524.78 $75,146.28 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 5 — — $5,175.00 $139,933.12 $57,503.33 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 10 10 — — $54,243.14 $87,875.81 $72,716.04 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 4 — — $30,283.43 $243,457.68 $77,905.04 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 4 — — $28,876.83 $209,801.38 $65,626.67 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 4 — — $34,048.36 $180,705.99 $60,814.97 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 11 4 — — $25,469.80 $160,614.44 $65,645.24 2026-03-06
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 10 10 — — $45,996.09 $74,515.30 $61,660.40 2026-03-06
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 10 10 — — $47,002.47 $76,145.67 $63,009.51 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 10 10 — — $63,907.38 $103,532.22 $85,671.51 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 10 10 — — $81,727.69 $132,401.75 $109,560.65 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 5 — — $19,725.00 $586,979.91 $231,321.15 2026-03-06
3003 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 10 10 — — $43,594.10 $70,623.99 $58,440.40 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 10 10 — — $62,348.57 $101,006.89 $83,581.84 2026-03-06
3031 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $41,504.44 $67,238.66 $55,639.07 2026-03-06
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $47,880.36 $77,567.87 $64,186.36 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $65,832.91 $106,651.64 $88,252.79 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $94,861.26 $153,678.59 $127,166.96 2026-03-06
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 10 10 — — $49,164.36 $79,648.00 $65,907.64 2026-03-06
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 10 — — $49,318.17 $79,897.19 $66,113.84 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 10 — — $66,900.25 $108,380.78 $89,683.62 2026-03-06
3094 APR_DRG Apr-DRG 42.00: Other Significant Hip And Femur Surgery 10 10 — — $41,412.52 $67,089.75 $55,515.86 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 10 10 — — $57,771.57 $93,591.98 $77,446.10 2026-03-06
3134 APR_DRG Apr-DRG 42.00: Knee And Lower Leg Procedures Except Foot 10 10 — — $41,518.51 $67,261.45 $55,657.94 2026-03-06
3154 APR_DRG Apr-DRG 42.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme… 10 10 — — $40,781.31 $66,067.16 $54,669.68 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 4 — — $42,100.11 $243,221.77 $73,055.09 2026-03-06
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 10 10 — — $50,395.83 $81,643.03 $67,558.51 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 10 — — $56,209.01 $91,060.58 $75,351.40 2026-03-06
38230 CPT Usnmdp Bone Marrow Harvest 57 16 $142,429.00 $85,457.40 40% off $199.06 $128,186.10 $56,971.60 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 5 — — $15,125.00 $390,507.37 $150,958.38 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 10 10 — — $53,203.00 $86,190.74 $71,321.67 2026-03-06
4034 APR_DRG Apr-DRG 42.00: Procedures For Obesity 10 10 — — $47,058.75 $76,236.83 $63,084.95 2026-03-06
4044 APR_DRG Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures 10 10 — — $47,190.99 $76,451.08 $63,262.23 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 5 — — $24,014.50 $170,365.33 $59,619.81 2026-03-06
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 10 10 — — $47,762.18 $77,376.42 $64,027.94 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $56,752.99 $91,941.86 $76,080.64 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $82,029.70 $132,891.01 $109,965.51 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 4 — — $56,204.08 $232,505.55 $120,414.99 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 4 — — $31,816.48 $158,294.67 $78,868.69 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 4 — — $25,409.93 $139,225.39 $61,424.62 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 10 10 — — $56,140.54 $90,949.66 $75,259.61 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 5 — — $10,000.00 $327,912.95 $98,190.40 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $128,364.38 $207,954.83 $172,079.81 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 4 — — $37,227.95 $147,718.10 $63,009.95 2026-03-06
434 APR_DRG Apr-DRG 42.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 10 10 — — $43,162.66 $69,925.04 $57,862.02 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $186,150.01 $301,569.60 $249,544.77 2026-03-06
4401 APR_DRG Kidney Deceased Donor Transplant 18 9 — — $53,876.81 $154,677.60 $126,462.86 2026-03-06
4402 APR_DRG Kidney Deceased Donor Transplant 18 9 — — $57,557.84 $154,677.60 $126,462.86 2026-03-06
4403 APR_DRG Kidney Deceased Donor Transplant 18 9 — — $67,597.00 $154,677.60 $126,462.86 2026-03-06
4404 APR_DRG Kidney Deceased Donor Transplant 18 9 — — $99,387.66 $154,677.60 $129,446.98 2026-03-06
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 10 10 — — $52,471.43 $85,005.57 $70,340.96 2026-03-06
4424 APR_DRG Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy 10 10 — — $44,647.38 $72,330.33 $59,852.37 2026-03-06
4444 APR_DRG Apr-DRG 42.00: Renal Dialysis Access Device Procedures 10 10 — — $41,942.44 $67,948.24 $56,226.25 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 4 — — $45,626.88 $165,922.38 $73,001.56 2026-03-06
4474 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur… 10 10 — — $44,788.06 $72,558.25 $60,040.97 2026-03-06
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 10 10 — — $44,411.96 $71,948.95 $59,536.78 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 4 — — $35,047.90 $139,579.26 $58,229.93 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 4 — — $35,853.97 $267,992.17 $91,813.53 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 4 — — $30,554.20 $194,899.82 $65,151.40 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 5 — — $4,475.00 $251,164.02 $58,422.07 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 5 — — $5,300.00 $143,471.75 $62,115.54 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 5 — — $5,725.00 $126,722.24 $56,730.63 2026-03-06
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 4 — — $15,720.13 $253,235.00 $62,184.46 2026-03-06
4834 APR_DRG Apr-DRG 42.00: Penis, Testes And Scrotal Procedures 10 10 — — $41,751.11 $67,638.27 $55,969.75 2026-03-06
4844 APR_DRG Apr-DRG 42.00: Other Male Reproductive System And Related Procedures 10 10 — — $45,992.34 $74,509.22 $61,655.37 2026-03-06
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 10 10 — — $45,884.48 $74,334.48 $61,510.78 2026-03-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 4 — — $23,958.20 $140,601.53 $58,051.03 2026-03-06
5 MS_DRG Intestine Transplant 46 10 — — $47,580.39 $639,887.83 $197,500.00 2026-03-06
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 10 — — $50,775.69 $82,258.41 $68,067.72 2026-03-06
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 10 10 — — $48,575.35 $78,693.78 $65,118.04 2026-03-06
5134 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 10 10 — — $40,965.14 $66,364.97 $54,916.12 2026-03-06
5144 APR_DRG Apr-DRG 42.00: Female Reproductive System Reconstructive Procedures 10 10 — — $42,943.19 $69,569.49 $57,567.82 2026-03-06
5184 APR_DRG Apr-DRG 42.00: Other Female Reproductive System And Related Procedures 10 10 — — $41,979.96 $68,009.02 $56,276.54 2026-03-06
5194 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Leiomyoma 10 10 — — $41,113.33 $66,605.05 $55,114.77 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $62,752.81 $101,661.77 $84,123.74 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 10 10 — — $53,006.98 $85,873.18 $71,058.90 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $94,111.87 $152,464.55 $126,162.35 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $129,679.33 $210,085.10 $173,842.58 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 4 — — $41,908.42 $230,246.79 $71,579.02 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 10 — — $227,139.53 $367,974.08 $304,493.58 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 10 — — $253,045.57 $409,942.78 $339,222.10 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 10 — — $329,565.04 $533,907.03 $441,800.84 2026-03-06
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 10 — — $578,659.20 $937,448.37 $775,725.85 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $173,368.16 $280,862.55 $232,409.97 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $202,262.38 $327,672.22 $271,144.32 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $236,042.19 $382,396.69 $316,428.09 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $354,417.81 $574,169.39 $475,117.41 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 10 — — $165,207.40 $267,641.82 $221,469.99 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 10 — — $165,207.40 $267,641.82 $221,469.99 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 10 — — $165,207.40 $267,641.82 $221,469.99 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $150,337.75 $243,552.48 $201,536.39 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $175,277.75 $283,956.15 $234,969.88 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $232,409.66 $376,511.86 $311,558.47 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $91,497.91 $148,229.85 $122,658.20 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $120,228.00 $194,773.61 $161,172.52 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $149,475.81 $242,156.11 $200,380.90 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $204,333.29 $331,027.16 $273,920.49 2026-03-06
6 MS_DRG Liver Transplant Without Mcc 23 10 — — $21,666.00 $306,762.98 $135,000.00 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 10 — — $63,617.57 $103,062.71 $85,282.99 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 10 — — $85,400.55 $138,351.91 $114,484.33 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 10 — — $106,876.83 $173,144.25 $143,274.52 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 10 — — $153,930.89 $249,373.49 $206,353.19 2026-03-06
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 10 — — $52,017.48 $84,270.16 $69,732.42 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 10 — — $63,752.62 $103,281.51 $85,464.05 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 10 — — $112,586.84 $182,394.66 $150,929.11 2026-03-06
6071 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 10 — — $43,559.40 $70,567.77 $58,393.88 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 10 — — $60,932.33 $98,712.52 $81,683.28 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 10 — — $81,581.37 $132,164.71 $109,364.51 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 10 — — $118,989.02 $192,766.42 $159,511.60 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 10 — — $58,583.80 $94,907.82 $78,534.94 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 10 — — $67,867.24 $109,947.33 $90,979.93 2026-03-06
6091 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $44,896.86 $72,734.50 $60,186.82 2026-03-06
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $55,892.93 $90,548.52 $74,927.68 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $85,658.47 $138,769.76 $114,830.10 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $246,932.27 $400,039.01 $331,026.87 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $55,554.34 $90,000.00 $73,000.30 2026-03-06
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 10 — — $52,778.13 $85,502.43 $70,752.11 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 10 — — $98,964.62 $160,326.18 $132,667.75 2026-03-06
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 10 — — $53,985.22 $87,457.96 $72,370.29 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 10 — — $77,958.22 $126,295.08 $104,507.47 2026-03-06
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 10 — — $52,986.34 $85,839.75 $71,031.24 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 10 — — $98,054.84 $158,852.32 $131,448.14 2026-03-06
6143 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 10 10 — — $44,187.80 $71,585.80 $59,236.29 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 10 10 — — $65,425.86 $105,992.20 $87,707.12 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $79,982.24 $129,574.05 $105,099.38 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 10 — — $76,451.94 $123,854.85 $102,488.21 2026-03-06
6224 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 10 10 — — $50,554.34 $81,899.82 $67,770.99 2026-03-06
6233 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 10 10 — — $41,074.87 $66,542.75 $55,063.22 2026-03-06
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 10 10 — — $54,613.62 $88,476.00 $73,212.69 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 10 10 — — $67,768.76 $109,787.79 $90,847.91 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $92,774.40 $150,297.82 $121,908.73 2026-03-06
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 10 — — $54,109.96 $87,660.05 $72,537.51 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 10 — — $118,729.22 $192,345.53 $159,163.33 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 10 — — $215,392.20 $348,942.98 $288,745.60 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $69,805.90 $113,088.03 $93,578.82 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $237,504.39 $384,765.51 $318,388.26 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 10 10 — — $77,753.76 $125,963.84 $104,233.38 2026-03-06
6344 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 10 10 — — $47,162.85 $76,405.49 $63,224.51 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $120,383.69 $195,025.84 $158,188.27 2026-03-06
650 MS_DRG Kidney (cad) Transplant 27 9 — — $20,585.14 $182,389.68 $60,000.00 2026-03-06
6504 APR_DRG Apr-DRG 42.00: Splenic Procedures 10 10 — — $44,234.70 $71,661.77 $59,299.15 2026-03-06
651 MS_DRG Kidney (cad) Transplant 27 9 — — $15,514.59 $182,389.68 $60,000.00 2026-03-06
6514 APR_DRG Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs 10 10 — — $49,694.28 $80,506.49 $66,618.02 2026-03-06
652 MS_DRG Kidney (cad) Transplant 27 9 — — $13,722.83 $182,389.68 $60,000.00 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 11 4 — — $37,936.61 $215,384.55 $56,774.62 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 10 — — $69,183.13 $112,079.12 $92,743.96 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 10 10 — — $57,880.36 $93,768.24 $77,591.95 2026-03-06
6903 APR_DRG Apr-DRG 42.00: Acute Leukemia 10 10 — — $41,773.62 $67,674.74 $55,999.93 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 10 10 — — $61,841.16 $100,184.87 $82,901.62 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 10 10 — — $56,917.13 $92,207.76 $76,300.68 2026-03-06
7 MS_DRG Heart-lung Transplant 27 10 — — $24,075.00 $392,130.63 $155,000.00 2026-03-06
71 APR_DRG Bone Marrow - Allogeneic Transplant 18 9 — — $82,098.00 $743,056.70 $259,574.05 2026-03-06
7104 APR_DRG Apr-DRG 42.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 10 10 — — $47,496.75 $76,946.42 $63,672.12 2026-03-06
7114 APR_DRG Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 10 10 — — $46,306.54 $75,018.24 $62,076.57 2026-03-06
72 APR_DRG Bone Marrow - Allogeneic Transplant 18 9 — — $93,029.53 $743,056.70 $259,574.05 2026-03-06
73 APR_DRG Bone Marrow - Allogeneic Transplant 18 9 — — $132,070.70 $743,056.70 $259,574.05 2026-03-06
74 APR_DRG Bone Marrow - Allogeneic Transplant 18 9 — — $200,201.00 $743,056.70 $288,318.89 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 10 10 — — $58,605.37 $94,942.77 $78,563.86 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 4 — — $8,504.38 $178,702.79 $64,937.25 2026-03-06
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 10 10 — — $50,212.94 $81,346.74 $67,313.33 2026-03-06
81 APR_DRG Bone Marrow - Autologous Transplant 10 9 — — $43,056.83 $121,316.30 $104,987.61 2026-03-06
812.0nannannan CDM Acquisition Multi Viscer Organ 175 14 $230,388.00 $138,232.80 40% off $24,744.50 $556,709.54 $118,684.52 2026-03-06
813.0nannannan CDM Acquisition Liver Decd Donor 87 14 $158,472.00 $95,083.20 40% off $26,039.50 $315,468.45 $87,159.60 2026-03-06
819.0nannannan CDM Ocs Lung Trans Perf Sys 29 14 $276,300.00 $165,780.00 40% off $69,075.00 $474,186.06 $151,965.00 2026-03-06
82 APR_DRG Bone Marrow - Autologous Transplant 10 9 — — $50,976.61 $121,316.30 $104,987.61 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 4 — — $28,554.22 $187,154.16 $64,077.40 2026-03-06
83 APR_DRG Bone Marrow - Autologous Transplant 10 9 — — $65,031.43 $121,316.30 $104,987.61 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 11 4 — — $33,312.89 $267,716.94 $59,981.33 2026-03-06
84 APR_DRG Bone Marrow - Autologous Transplant 10 9 — — $92,360.25 $140,462.42 $108,054.65 2026-03-06
8411 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 10 10 — — $46,834.59 $75,873.69 $62,784.45 2026-03-06
8412 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 10 10 — — $46,834.59 $75,873.69 $62,784.45 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 10 10 — — $71,477.26 $115,795.69 $95,819.36 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 10 10 — — $219,787.25 $356,063.12 $294,637.42 2026-03-06
8423 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 10 — — $49,702.72 $80,520.16 $66,629.34 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 10 — — $123,049.23 $199,344.11 $164,954.55 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 11 4 — — $57,143.75 $362,159.02 $94,611.62 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 10 10 — — $64,541.41 $104,559.36 $86,521.46 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 10 10 — — $113,544.44 $183,946.02 $152,212.84 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 10 10 — — $113,544.44 $183,946.02 $152,212.84 2026-03-06
8633 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 10 10 — — $49,514.20 $80,214.75 $66,376.62 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 10 10 — — $96,791.48 $156,805.62 $129,754.53 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 4 — — $27,373.27 $204,454.12 $75,516.67 2026-03-06
893 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 10 10 — — $41,960.26 $67,977.11 $56,250.13 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 10 10 — — $56,271.85 $91,162.38 $75,435.63 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $59,829.34 $96,925.65 $80,204.66 2026-03-06
9103 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 10 10 — — $45,945.45 $74,433.25 $61,592.50 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 10 10 — — $71,175.25 $115,306.43 $95,414.51 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 10 — — $67,698.42 $109,673.83 $90,753.61 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 10 10 — — $62,945.08 $101,973.26 $84,381.49 2026-03-06
913 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 10 10 — — $43,798.57 $70,955.23 $58,714.49 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 10 10 — — $65,548.72 $106,191.25 $87,871.82 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $81,703.30 $132,362.24 $109,527.96 2026-03-06
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 10 10 — — $53,641.01 $86,900.33 $71,908.85 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 4 — — $141,591.30 $853,045.50 $201,363.94 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 4 — — $30,408.99 $151,316.79 $68,401.05 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $162,788.52 $263,723.17 $218,227.35 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $242,222.08 $392,408.34 $324,712.59 2026-03-06
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 10 — — $55,906.06 $90,569.80 $74,945.29 2026-03-06
9514 APR_DRG Apr-DRG 42.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 10 10 — — $43,836.08 $71,016.01 $58,764.79 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 4 — — $25,673.56 $235,200.87 $73,542.38 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 4 — — $27,798.20 $225,567.94 $83,253.20 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 4 — — $43,038.89 $259,774.69 $66,879.85 2026-03-06
J1413 HCPCS Elevidys (12.5-13.4 Kg) Kit 60 17 $3,264,000.00 $1,958,400.00 40% off $1,305,600.00 $4,957,038.69 $1,902,912.00 2026-03-06
J3399 HCPCS Zolgensma (4.1-4.5 Kg) Kit Inj 32 17 $4,505,000.00 $2,703,000.00 40% off $1,754,351.00 $4,054,500.00 $2,477,750.00 2026-03-06
J7330 HCPCS Maci Auto Cult Chon 1 Membrane 64 17 $64,305.00 $38,583.00 40% off $16,076.25 $287,552.10 $54,659.25 2026-03-06
Q2042 HCPCS Kymriah Infusion (ped/aya) 44 18 $1,525,000.00 $915,000.00 40% off $533,750.00 $2,234,214.17 $716,521.05 2026-03-06
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