Price Transparencybeta Hospital negotiated rates

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

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Hospital

ST CHRISTOPHER'S HOSPITAL FOR CHILDREN

Philadelphia, PA · CCN 393307 · Rates published

5,606 distinct procedures filed
15 distinct payers
180,254 rate rows
2026-11-02 last MRF observed
Data quality

179,618 of 180,254 rate rows are consumer-grade (99.6%)

636 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
placeholder amount (≤ $0.02) — excluded from medians 272
per-diem day rate — not a per-procedure price 238
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 59
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 41
exceeds 10× this hospital's gross charge — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://towerhealth.org/sites/default/files/pricing/84-3224793_StChristophers-Hospital-For-Children_StandardCharges.csv
Found on page https://towerhealth.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint b7aa8dacdf35e5df… · 26,594,431 bytes · first seen 2026-11-03

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
845
OTHER 		Inj, Atidarsagene Autotemcel 2 $4,756,644.80 $4,756,644.80 $4,756,644.80 nat. median
$21,691
outlier · 219.3×
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 2 $3,891,121.98 $3,891,121.98 $3,891,121.98 nat. median
$3,758,972
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Treat 2 $3,522,155.57 $3,522,155.57 $3,522,155.57 nat. median
$32,134
outlier · 109.6×
714
OTHER 		Inj Delandistrogene Mox Rokl 2 $3,501,716.87 $3,501,716.87 $3,501,716.87 nat. median
$3,325,455
1.1× median
748
OTHER 		Inj, Lovotibeglogene Autotem 2 $3,429,900.64 $3,429,900.64 $3,429,900.64 nat. median
$3,252,508
1.1× median
906
OTHER 		Inj Elivaldogene Autotemecel 2 $3,262,604.31 $3,262,604.31 $3,262,604.31 nat. median
$25,642
outlier · 127.2×
746
OTHER 		Inj, Betibeglogene Autotemce 2 $3,110,286.09 $3,110,286.09 $3,110,286.09 nat. median
$2,939,969
1.1× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 2 $2,592,250.63 $2,592,250.63 $2,592,250.63 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 2 $2,462,263.19 $2,462,263.19 $2,462,263.19 nat. median
$2,308,680
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $617,514.04 $1,009,009.30 $947,603.36 nat. median
$360,195
outlier · 2.6×
2067
OTHER 		Afamitresgene Autoleucel 2 $813,666.06 $2,286,014.18 $813,666.06 nat. median
$786,032
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $718,036.45 $1,104,671.46 $811,933.52 nat. median
$309,665
outlier · 2.6×
9194
OTHER 		Tisagenlecleucel Car-pos T 2 $624,779.43 $1,755,332.69 $624,779.43 nat. median
$577,862
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 2 $597,477.81 $1,678,628.15 $597,477.81 nat. median
$587,650
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 2 $593,961.01 $1,668,747.59 $593,961.01 nat. median
$562,201
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Car 2 $588,449.16 $1,653,261.92 $588,449.16 nat. median
$563,449
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 2 $563,015.88 $1,581,806.52 $563,015.88 nat. median
$533,230
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 2 $516,636.68 $1,451,503.04 $516,636.68 nat. median
$492,768
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $181,650.00 $654,806.45 $507,849.11 nat. median
$247,805
outlier · 2.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $439,783.73 $676,590.36 $497,293.91 nat. median
$249,123
2.0× median
5833
APR_DRG 		Neonate With Ecmo 7 $408,944.87 $629,145.96 $462,422.28 nat. median
$244,017
1.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $388,987.22 $632,499.54 $453,818.42 nat. median
$122,909
outlier · 3.7×
24
APR_DRG 		Heart And/or Lung Transplant 8 $388,729.56 $632,080.58 $453,517.82 nat. median
$243,231
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $171,855.97 $605,057.00 $395,295.39 nat. median
$109,875
outlier · 3.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $303,520.36 $465,765.79 $384,643.07 nat. median
$190,274
outlier · 2.0×
5832
APR_DRG 		Neonate With Ecmo 7 $313,994.75 $483,068.84 $355,055.60 nat. median
$159,829
outlier · 2.2×
6094
APR_DRG 		Neonate Birth Weight1500-2499 Grams With Major Procedure 7 $306,408.97 $471,398.42 $346,477.84 nat. median
$165,846
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 8 $290,088.42 $471,688.48 $338,436.48 nat. median
$202,660
1.7× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $289,489.38 $470,714.44 $337,737.61 nat. median
$67,440
outlier · 5.0×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $294,710.27 $453,400.42 $333,249.31 nat. median
$138,094
outlier · 2.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $284,380.05 $462,406.58 $331,776.72 nat. median
$165,169
outlier · 2.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $292,895.88 $450,609.04 $331,197.64 nat. median
$177,531
1.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $288,388.40 $443,674.46 $326,100.73 nat. median
$165,334
2.0× median
5831
APR_DRG 		Neonate With Ecmo 7 $281,848.91 $433,613.70 $318,706.07 nat. median
$148,245
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $147,440.15 $482,474.00 $312,326.50 nat. median
$94,844
outlier · 3.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $258,040.51 $419,578.06 $308,389.87 nat. median
$160,390
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $305,312.15 $305,312.15 $305,312.15 nat. median
$197,664
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $267,272.08 $411,187.82 $302,223.05 nat. median
$154,211
2.0× median
831
OTHER 		Obecbtge Autol Up To 400 Mil 2 $293,792.77 $825,417.79 $293,792.77 nat. median
$42,215
outlier · 7.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $253,549.50 $390,076.16 $286,705.98 nat. median
$152,569
1.9× median
7
MS_DRG 		Lung Transplant 3 $185,187.86 $302,594.37 $284,179.19 nat. median
$117,943
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $250,979.78 $386,122.74 $283,800.21 nat. median
$145,336
2.0× median
897
OTHER 		Revakinagene, Per Implant 2 $271,883.69 $763,863.71 $271,883.69 nat. median
$259,700
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $230,140.64 $374,212.42 $268,497.41 nat. median
$67,645
outlier · 4.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $228,868.81 $372,144.40 $267,013.60 nat. median
$171,358
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 8 $227,145.50 $369,342.28 $265,003.09 nat. median
$121,888
outlier · 2.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $218,548.81 $355,363.92 $254,973.61 nat. median
$122,016
outlier · 2.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $216,375.14 $351,829.50 $252,437.66 nat. median
$137,215
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $198,075.02 $303,955.12 $251,015.07 nat. median
$126,240
2.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 3 $161,858.84 $264,475.08 $248,379.75 nat. median
$92,760
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 5,606 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
             
6904 APR_DRG Acute Leukemia 8 8 — — $72,604.42 $118,055.96 $84,705.15 2026-11-02
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $78,505.57 $128,277.00 $120,470.37 2026-11-02
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $123,830.85 $202,337.88 $190,024.07 2026-11-02
2067 OTHER Afamitresgene Autoleucel 3 2 — — $813,666.06 $2,286,014.18 $813,666.06 2026-11-02
245 MS_DRG Aicd Generator Procedures 3 3 — — $65,242.32 $106,605.04 $100,117.31 2026-11-02
265 MS_DRG Aicd Lead Procedures 3 3 — — $51,740.26 $84,542.86 $79,397.78 2026-11-02
14 MS_DRG Allogeneic Bone Marrow Transplant 6 4 — — $171,855.97 $605,057.00 $395,295.39 2026-11-02
74 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $228,868.81 $372,144.40 $267,013.60 2026-11-02
73 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $145,563.40 $236,688.46 $169,823.97 2026-11-02
72 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $102,506.18 $166,676.72 $119,590.54 2026-11-02
71 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $90,487.11 $147,133.52 $105,568.30 2026-11-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $70,380.31 $115,000.44 $108,001.78 2026-11-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $61,388.47 $100,307.90 $94,203.40 2026-11-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $49,869.82 $81,486.59 $76,527.51 2026-11-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $98,353.97 $160,709.01 $150,928.64 2026-11-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $60,391.76 $98,679.29 $92,673.90 2026-11-02
84 APR_DRG Autologous Bone Marrow Transplant 8 8 — — $101,793.73 $165,518.26 $118,759.35 2026-11-02
83 APR_DRG Autologous Bone Marrow Transplant 8 8 — — $71,647.51 $116,500.02 $83,588.76 2026-11-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 7 5 — — $84,794.71 $605,057.00 $138,553.37 2026-11-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 5 — — $77,681.89 $605,057.00 $131,048.00 2026-11-02
9035 OTHER Axicabtagene Ciloleucel Car+ 3 2 — — $563,015.88 $1,581,806.52 $563,015.88 2026-11-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $50,327.42 $82,234.30 $77,229.71 2026-11-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $78,978.90 $129,050.42 $121,196.71 2026-11-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $50,988.08 $83,313.81 $78,243.53 2026-11-02
9391 OTHER Brexucabtagene Car Pos T 3 2 — — $516,636.68 $1,451,503.04 $516,636.68 2026-11-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $144,465.55 $234,903.34 $172,653.95 2026-11-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $101,964.72 $166,608.93 $156,469.50 2026-11-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $85,894.38 $140,350.22 $131,808.83 2026-11-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $66,044.55 $107,915.87 $101,348.36 2026-11-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $94,500.00 $228,584.90 $177,283.90 2026-11-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $94,026.79 $153,638.46 $119,394.19 2026-11-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $94,026.79 $153,638.46 $119,394.19 2026-11-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $68,250.00 $179,411.16 $139,146.15 2026-11-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $68,250.00 $124,606.20 $96,641.00 2026-11-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $68,250.00 $117,769.31 $91,338.51 2026-11-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $111,912.21 $181,971.08 $130,564.25 2026-11-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $81,863.99 $133,112.18 $95,507.99 2026-11-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 8 — — $97,927.59 $159,231.86 $114,248.86 2026-11-02
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 8 — — $70,399.91 $114,471.40 $82,133.23 2026-11-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $55,351.01 $90,442.78 $84,938.64 2026-11-02
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $69,050.41 $112,827.40 $105,960.99 2026-11-02
6954 APR_DRG Chemotherapy For Acute Leukemia 8 8 — — $66,823.37 $108,655.88 $77,960.60 2026-11-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $68,701.49 $112,257.27 $105,425.56 2026-11-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $617,514.04 $1,009,009.30 $947,603.36 2026-11-02
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $388,987.22 $632,499.54 $453,818.42 2026-11-02
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $289,489.38 $470,714.44 $337,737.61 2026-11-02
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $230,140.64 $374,212.42 $268,497.41 2026-11-02
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $113,344.81 $184,300.50 $132,235.61 2026-11-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $50,945.18 $83,243.71 $78,177.69 2026-11-02
9498 OTHER Ciltacabtagene Car-pos T 3 2 — — $597,477.81 $1,678,628.15 $597,477.81 2026-11-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $128,837.28 $210,518.31 $197,706.66 2026-11-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $82,469.53 $134,754.06 $126,553.24 2026-11-02
209 MS_DRG Complex Aortic Arch Procedures 3 3 — — $161,858.84 $264,475.08 $248,379.75 2026-11-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $155,499.63 $254,084.22 $238,621.25 2026-11-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $95,616.95 $156,236.76 $146,728.56 2026-11-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $87,977.58 $143,052.98 $102,640.51 2026-11-02
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $65,377.56 $106,304.98 $76,273.83 2026-11-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $109,326.36 $178,637.74 $167,766.27 2026-11-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $78,116.61 $127,641.45 $119,873.49 2026-11-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $68,250.00 $196,973.04 $152,766.65 2026-11-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $68,250.00 $141,658.71 $109,866.43 2026-11-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 8 — — $78,431.71 $127,531.24 $91,503.67 2026-11-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $57,750.00 $137,125.71 $106,350.77 2026-11-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $61,881.82 $101,114.03 $94,960.47 2026-11-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $65,017.81 $99,772.78 $82,395.29 2026-11-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $96,254.73 $147,707.26 $121,980.99 2026-11-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $83,563.08 $135,874.92 $97,490.26 2026-11-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $81,943.29 $133,894.19 $125,745.70 2026-11-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $55,940.17 $91,405.46 $85,842.73 2026-11-02
1794 APR_DRG Defibrillator Implants 8 8 — — $77,408.73 $125,867.86 $90,310.19 2026-11-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 8 — — $78,544.02 $127,713.86 $91,634.70 2026-11-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $111,371.54 $181,091.94 $129,933.47 2026-11-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $77,290.91 $125,676.28 $90,172.74 2026-11-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $303,520.36 $465,765.79 $384,643.07 2026-11-02
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 3 3 — — $81,608.67 $133,347.43 $125,232.21 2026-11-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $87,636.12 $143,196.19 $134,481.61 2026-11-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $68,079.44 $111,240.85 $104,471.00 2026-11-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 8 — — $79,481.10 $129,237.56 $92,727.95 2026-11-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $305,312.15 $305,312.15 $305,312.15 2026-11-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 8 — — $65,636.33 $106,725.74 $76,575.72 2026-11-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $67,092.74 $109,628.60 $102,956.86 2026-11-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $258,040.51 $419,578.06 $308,389.87 2026-11-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $83,917.65 $136,451.46 $100,291.82 2026-11-02
1784 APR_DRG External Heart Assist Systems 8 8 — — $93,121.06 $151,416.36 $108,641.24 2026-11-02
1783 APR_DRG External Heart Assist Systems 8 8 — — $75,138.17 $122,175.88 $87,661.20 2026-11-02
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $284,380.05 $462,406.58 $331,776.72 2026-11-02
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $191,121.34 $310,766.40 $222,974.89 2026-11-02
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $95,923.49 $155,973.16 $111,910.74 2026-11-02
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $70,242.45 $114,215.36 $81,949.52 2026-11-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $84,992.05 $138,875.82 $111,933.93 2026-11-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $102,569.61 $102,569.61 $102,569.61 2026-11-02
8513 APR_DRG Gender Related Procedures 8 8 — — $133,306.48 $216,758.50 $155,524.23 2026-11-02
8514 APR_DRG Gender Related Procedures 8 8 — — $133,306.48 $216,758.50 $155,524.23 2026-11-02
4284 APR_DRG Genetic Disorders 8 8 — — $65,911.62 $107,173.36 $76,896.89 2026-11-02
24 APR_DRG Heart And/or Lung Transplant 8 8 — — $388,729.56 $632,080.58 $453,517.82 2026-11-02
23 APR_DRG Heart And/or Lung Transplant 8 8 — — $211,748.10 $344,305.86 $247,039.46 2026-11-02
22 APR_DRG Heart And/or Lung Transplant 8 8 — — $160,343.06 $260,720.42 $187,066.90 2026-11-02
21 APR_DRG Heart And/or Lung Transplant 8 8 — — $141,718.18 $230,436.06 $165,337.87 2026-11-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $181,650.00 $654,806.45 $507,849.11 2026-11-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $162,044.74 $264,778.84 $215,157.51 2026-11-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $87,534.59 $143,030.30 $134,325.81 2026-11-02
9422 OTHER Idecabtagene Vicleucel Car 3 2 — — $588,449.16 $1,653,261.92 $588,449.16 2026-11-02
1614 APR_DRG Implantable Heart Assist Systems 8 8 — — $290,088.42 $471,688.48 $338,436.48 2026-11-02
1613 APR_DRG Implantable Heart Assist Systems 8 8 — — $227,145.50 $369,342.28 $265,003.09 2026-11-02
1612 APR_DRG Implantable Heart Assist Systems 8 8 — — $167,134.96 $271,764.16 $194,990.79 2026-11-02
1611 APR_DRG Implantable Heart Assist Systems 8 8 — — $167,134.96 $271,764.16 $194,990.79 2026-11-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $70,621.98 $115,395.33 $108,372.64 2026-11-02
714 OTHER Inj Delandistrogene Mox Rokl 2 2 — — $3,501,716.87 $3,501,716.87 $3,501,716.87 2026-11-02
906 OTHER Inj Elivaldogene Autotemecel 2 2 — — $3,262,604.31 $3,262,604.31 $3,262,604.31 2026-11-02
9141 OTHER Inj Onase Abepar-xioi Treat 2 2 — — $2,592,250.63 $2,592,250.63 $2,592,250.63 2026-11-02
845 OTHER Inj, Atidarsagene Autotemcel 2 2 — — $4,756,644.80 $4,756,644.80 $4,756,644.80 2026-11-02
746 OTHER Inj, Betibeglogene Autotemce 2 2 — — $3,110,286.09 $3,110,286.09 $3,110,286.09 2026-11-02
824 OTHER Inj, Exagamglogene Autotem 2 2 — — $2,462,263.19 $2,462,263.19 $2,462,263.19 2026-11-02
9138 OTHER Inj, Hemgenix, Per Tx Dose 2 2 — — $3,891,121.98 $3,891,121.98 $3,891,121.98 2026-11-02
748 OTHER Inj, Lovotibeglogene Autotem 2 2 — — $3,429,900.64 $3,429,900.64 $3,429,900.64 2026-11-02
886 OTHER Inj. Remestemcel-l-rknd/ Td 3 2 — — $217,126.84 $610,023.04 $217,126.84 2026-11-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $75,701.34 $123,694.93 $116,167.15 2026-11-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $112,523.84 $183,862.38 $172,672.95 2026-11-02
4404 APR_DRG Kidney Transplant 8 8 — — $109,583.28 $178,184.20 $127,847.17 2026-11-02
652 MS_DRG Kidney Transplant 10 7 — — $46,181.85 $190,268.00 $107,138.00 2026-11-02
4403 APR_DRG Kidney Transplant 8 8 — — $74,503.90 $121,144.56 $86,921.22 2026-11-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $67,230.02 $109,852.91 $103,167.52 2026-11-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $52,992.94 $86,589.72 $81,320.08 2026-11-02
9413 OTHER Lisocabtagene Car Pos T 3 2 — — $593,961.01 $1,668,747.59 $593,961.01 2026-11-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $216,375.14 $351,829.50 $252,437.66 2026-11-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $112,337.25 $182,662.20 $131,060.13 2026-11-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $86,814.78 $141,162.24 $101,283.91 2026-11-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $76,269.04 $124,014.70 $88,980.54 2026-11-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 7 — — $147,440.15 $482,474.00 $312,326.50 2026-11-02
6 MS_DRG Liver Transplant Without Mcc 8 6 — — $66,309.10 $482,474.00 $215,049.00 2026-11-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $51,847.51 $84,718.11 $79,562.36 2026-11-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $52,503.88 $85,790.61 $80,569.59 2026-11-02
7 MS_DRG Lung Transplant 3 3 — — $185,187.86 $302,594.37 $284,179.19 2026-11-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $83,866.64 $137,036.92 $128,697.17 2026-11-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $65,562.64 $107,128.44 $100,608.85 2026-11-02
1694 APR_DRG Major Abdominal Vascular Procedures 8 8 — — $69,927.52 $113,703.28 $81,582.11 2026-11-02
2614 APR_DRG Major Biliary Tract Procedures 8 8 — — $65,646.24 $106,741.86 $76,587.29 2026-11-02
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $74,308.52 $121,419.08 $114,029.80 2026-11-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $166,526.02 $270,774.02 $194,280.35 2026-11-02
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $77,185.21 $125,504.40 $90,049.40 2026-11-02
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $64,089.74 $104,721.74 $98,348.62 2026-11-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 8 — — $66,065.77 $107,424.02 $77,076.73 2026-11-02
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $60,993.79 $99,663.00 $93,597.74 2026-11-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 8 — — $81,224.23 $132,071.92 $94,761.60 2026-11-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 8 — — $70,600.31 $114,797.26 $82,367.04 2026-11-02
1204 APR_DRG Major Respiratory And Chest Procedures 8 8 — — $68,064.36 $110,673.76 $79,408.42 2026-11-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $65,729.95 $107,401.82 $100,865.60 2026-11-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 8 — — $67,042.50 $109,012.20 $78,216.26 2026-11-02
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 8 — — $68,805.44 $111,878.76 $80,273.01 2026-11-02
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 8 — — $95,952.13 $156,019.72 $111,944.15 2026-11-02
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 8 — — $75,030.25 $122,000.40 $87,535.29 2026-11-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $157,603.16 $257,521.36 $241,849.21 2026-11-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $103,225.98 $168,669.81 $158,404.96 2026-11-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $80,394.60 $131,363.65 $123,369.17 2026-11-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $95,546.88 $156,122.27 $146,621.03 2026-11-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $60,643.44 $99,090.53 $93,060.12 2026-11-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 8 — — $73,900.47 $120,163.36 $86,217.21 2026-11-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $66,892.54 $109,301.47 $102,649.64 2026-11-02
8634 APR_DRG Neonatal Aftercare 7 7 — — $120,104.91 $184,776.78 $135,810.93 2026-11-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $139,704.77 $214,930.42 $157,973.86 2026-11-02
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $79,108.24 $121,704.98 $89,453.16 2026-11-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $191,007.05 $293,857.00 $215,984.90 2026-11-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $132,619.45 $204,029.92 $149,961.99 2026-11-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $105,970.33 $163,031.28 $119,827.99 2026-11-02
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $78,940.64 $121,447.14 $89,263.65 2026-11-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $84,213.91 $129,559.86 $95,226.50 2026-11-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $72,694.43 $111,837.58 $82,200.62 2026-11-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $147,649.00 $227,152.30 $166,956.94 2026-11-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $101,231.26 $155,740.40 $114,469.19 2026-11-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $75,608.64 $116,320.98 $85,495.92 2026-11-02
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $69,355.44 $106,700.68 $78,425.00 2026-11-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $288,388.40 $443,674.46 $326,100.73 2026-11-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $217,495.56 $334,608.56 $245,937.29 2026-11-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $186,548.47 $286,997.64 $210,943.27 2026-11-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $253,549.50 $390,076.16 $286,705.98 2026-11-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $185,478.92 $285,352.18 $209,733.85 2026-11-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $149,186.40 $229,517.54 $168,695.39 2026-11-02
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $113,536.32 $174,671.26 $128,383.38 2026-11-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $439,783.73 $676,590.36 $497,293.91 2026-11-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $292,895.88 $450,609.04 $331,197.64 2026-11-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $250,979.78 $386,122.74 $283,800.21 2026-11-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $215,126.03 $330,963.12 $243,257.89 2026-11-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $204,999.65 $315,384.08 $231,807.30 2026-11-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $204,999.65 $315,384.08 $231,807.30 2026-11-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $204,999.65 $315,384.08 $231,807.30 2026-11-02
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $96,481.72 $148,433.42 $109,098.56 2026-11-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $267,272.08 $411,187.82 $302,223.05 2026-11-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $147,326.62 $226,656.34 $166,592.41 2026-11-02
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $67,143.01 $103,296.94 $75,923.25 2026-11-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $294,710.27 $453,400.42 $333,249.31 2026-11-02
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $86,619.52 $133,260.80 $97,946.69 2026-11-02
6134 APR_DRG Neonate Birth Weight1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $121,672.56 $187,188.56 $137,583.59 2026-11-02
6114 APR_DRG Neonate Birth Weight1500-1999 Grams With Major Anomaly 7 7 — — $122,801.47 $188,925.34 $138,860.12 2026-11-02
6144 APR_DRG Neonate Birth Weight1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $81,184.49 $124,899.22 $91,800.93 2026-11-02
6124 APR_DRG Neonate Birth Weight1500-1999 Grams With Respiratory Distress Syndrome Or Other … 7 7 — — $96,735.43 $148,823.74 $109,385.45 2026-11-02
6094 APR_DRG Neonate Birth Weight1500-2499 Grams With Major Procedure 7 7 — — $306,408.97 $471,398.42 $346,477.84 2026-11-02
6093 APR_DRG Neonate Birth Weight1500-2499 Grams With Major Procedure 7 7 — — $106,290.38 $163,523.66 $120,189.89 2026-11-02
6234 APR_DRG Neonate Birth Weight2000-2499 Grams With Congenital Or Perinatal Infection 7 7 — — $67,767.99 $104,258.44 $76,629.95 2026-11-02
6214 APR_DRG Neonate Birth Weight2000-2499 Grams With Major Anomaly 7 7 — — $94,866.34 $145,948.22 $107,271.94 2026-11-02
6254 APR_DRG Neonate Birth Weight2000-2499 Grams With Other Significant Condition 7 7 — — $84,091.71 $129,371.86 $95,088.32 2026-11-02
5834 APR_DRG Neonate With Ecmo 7 7 — — $718,036.45 $1,104,671.46 $811,933.52 2026-11-02
5833 APR_DRG Neonate With Ecmo 7 7 — — $408,944.87 $629,145.96 $462,422.28 2026-11-02
5832 APR_DRG Neonate With Ecmo 7 7 — — $313,994.75 $483,068.84 $355,055.60 2026-11-02
5831 APR_DRG Neonate With Ecmo 7 7 — — $281,848.91 $433,613.70 $318,706.07 2026-11-02
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 3 2 — — $79,189.95 $222,486.05 $79,189.95 2026-11-02
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 3 2 — — $79,189.95 $222,486.05 $79,189.95 2026-11-02
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 3 2 — — $89,748.54 $252,150.66 $89,748.54 2026-11-02
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 3 2 — — $89,748.54 $252,150.66 $89,748.54 2026-11-02
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 3 2 — — $100,307.13 $281,815.27 $100,307.13 2026-11-02
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 3 2 — — $100,307.13 $281,815.27 $100,307.13 2026-11-02
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 3 2 — — $113,505.37 $318,896.03 $113,505.37 2026-11-02
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 3 2 — — $113,505.37 $318,896.03 $113,505.37 2026-11-02
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 3 2 — — $129,343.25 $363,392.95 $129,343.25 2026-11-02
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 3 2 — — $129,343.25 $363,392.95 $129,343.25 2026-11-02
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 3 2 — — $145,181.14 $407,889.86 $145,181.14 2026-11-02
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 3 2 — — $145,181.14 $407,889.86 $145,181.14 2026-11-02
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 3 2 — — $161,019.02 $452,386.78 $161,019.02 2026-11-02
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 3 2 — — $161,019.02 $452,386.78 $161,019.02 2026-11-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $51,648.74 $84,393.32 $79,257.34 2026-11-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $51,887.55 $84,783.53 $79,623.80 2026-11-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $55,268.07 $90,307.25 $84,811.37 2026-11-02
831 OTHER Obecbtge Autol Up To 400 Mil 3 2 — — $293,792.77 $825,417.79 $293,792.77 2026-11-02
214 APR_DRG Open Craniotomy Except Trauma 8 8 — — $75,667.82 $123,037.10 $88,279.12 2026-11-02
204 APR_DRG Open Craniotomy For Trauma 8 8 — — $66,105.42 $107,488.48 $77,122.99 2026-11-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 8 — — $67,954.25 $110,494.72 $79,279.96 2026-11-02
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 8 — — $86,201.43 $140,164.92 $100,568.33 2026-11-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $65,525.00 $115,600.95 $89,656.79 2026-11-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $62,817.04 $102,642.16 $96,395.60 2026-11-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $53,576.38 $87,543.06 $82,215.39 2026-11-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $53,293.24 $87,080.41 $81,780.90 2026-11-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $63,819.47 $104,280.12 $97,933.88 2026-11-02
215 MS_DRG Other Heart Assist System Implant 3 3 — — $142,385.10 $232,655.26 $218,496.41 2026-11-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $59,387.90 $97,039.00 $91,133.43 2026-11-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $60,082.88 $98,174.59 $92,199.91 2026-11-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $50,855.09 $83,096.51 $78,039.45 2026-11-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $75,451.09 $123,286.03 $115,783.13 2026-11-02
914 APR_DRG Other Major Head And Neck Procedures 8 8 — — $76,957.26 $125,133.76 $89,783.47 2026-11-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $54,901.99 $89,709.08 $84,249.60 2026-11-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $60,258.77 $92,469.82 $76,364.29 2026-11-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $108,964.57 $167,211.09 $138,087.83 2026-11-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $56,972.63 $93,092.48 $87,427.09 2026-11-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $53,449.11 $87,335.10 $82,020.09 2026-11-02
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $49,882.69 $81,507.62 $76,547.26 2026-11-02
64 APR_DRG Pancreas Transplant 8 8 — — $141,336.08 $229,814.76 $164,892.09 2026-11-02
10 MS_DRG Pancreas Transplant 3 3 — — $102,612.51 $167,667.41 $157,463.56 2026-11-02
63 APR_DRG Pancreas Transplant 8 8 — — $108,921.48 $177,108.10 $127,075.06 2026-11-02
62 APR_DRG Pancreas Transplant 8 8 — — $93,902.89 $152,687.62 $109,553.36 2026-11-02
61 APR_DRG Pancreas Transplant 8 8 — — $65,223.39 $106,054.30 $76,093.96 2026-11-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $78,228.15 $127,823.70 $120,044.65 2026-11-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $58,994.65 $96,396.43 $90,529.97 2026-11-02
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $83,809.73 $136,275.98 $97,778.02 2026-11-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $55,215.16 $90,220.80 $84,730.17 2026-11-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $51,063.87 $83,437.65 $78,359.83 2026-11-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $65,046.41 $106,284.92 $99,816.67 2026-11-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 8 — — $75,774.63 $123,210.78 $88,403.74 2026-11-02
332 MS_DRG Rectal Resection With Mcc 3 3 — — $51,776.01 $84,601.28 $79,452.64 2026-11-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 8 — — $67,263.83 $109,372.08 $78,474.47 2026-11-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $92,016.21 $150,353.20 $141,203.06 2026-11-02
897 OTHER Revakinagene, Per Implant 3 2 — — $271,883.69 $763,863.71 $271,883.69 2026-11-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $50,430.38 $82,402.54 $77,387.71 2026-11-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $74,437.22 $121,629.38 $114,227.30 2026-11-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $98,838.74 $161,501.12 $151,672.54 2026-11-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 4 — — $80,145.78 $362,555.00 $130,957.08 2026-11-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $102,024.78 $166,707.06 $156,561.66 2026-11-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $57,493.15 $93,943.00 $88,225.85 2026-11-02
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 8 — — $73,200.14 $119,024.62 $85,400.17 2026-11-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $76,213.28 $124,531.43 $116,952.74 2026-11-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $70,087.16 $114,521.44 $107,551.93 2026-11-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 8 — — $65,992.00 $107,304.06 $76,990.66 2026-11-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $49,641.02 $81,112.73 $76,176.40 2026-11-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $93,685.02 $153,080.01 $143,763.92 2026-11-02
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 8 — — $67,826.52 $110,287.02 $79,130.93 2026-11-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $50,896.56 $83,164.27 $78,103.08 2026-11-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $52,525.33 $85,825.65 $80,602.51 2026-11-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $120,168.62 $196,353.84 $184,404.21 2026-11-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $85,272.33 $139,333.79 $130,854.27 2026-11-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $59,668.18 $97,496.97 $91,563.53 2026-11-02
234 APR_DRG Spinal Procedures 8 8 — — $68,993.74 $112,184.94 $80,492.70 2026-11-02
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $85,918.69 $140,389.94 $131,846.14 2026-11-02
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $64,763.27 $105,822.28 $99,382.18 2026-11-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $71,319.82 $116,535.59 $109,443.51 2026-11-02
9194 OTHER Tisagenlecleucel Car-pos T 3 2 — — $624,779.43 $1,755,332.69 $624,779.43 2026-11-02
908 OTHER Topi Adm Prad Zami Per Treat 2 2 — — $3,522,155.57 $3,522,155.57 $3,522,155.57 2026-11-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $60,288.80 $98,511.06 $92,515.90 2026-11-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $77,993.63 $127,440.50 $119,684.77 2026-11-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $198,075.02 $303,955.12 $251,015.07 2026-11-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $218,548.81 $355,363.92 $254,973.61 2026-11-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $150,705.77 $245,050.04 $175,823.40 2026-11-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $96,306.70 $156,596.26 $112,357.82 2026-11-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $66,630.66 $108,342.54 $77,735.77 2026-11-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $152,249.58 $247,560.30 $177,624.52 2026-11-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $110,491.72 $179,661.34 $128,907.01 2026-11-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $73,674.74 $119,796.32 $85,953.86 2026-11-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $79,596.66 $130,059.83 $122,144.69 2026-11-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $51,571.52 $84,267.14 $79,138.84 2026-11-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $51,234.04 $83,715.70 $78,620.96 2026-11-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $51,115.35 $83,521.77 $78,438.83 2026-11-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $64,071.15 $104,691.36 $98,320.09 2026-11-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $81,502.85 $133,174.52 $125,069.83 2026-11-02
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $60,011.38 $98,057.76 $92,090.19 2026-11-02
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