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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

RHODE ISLAND HOSPITAL

Providence, RI · CCN 410007 · Rates published

17,445 distinct procedures filed
35 distinct payers
184,069 rate rows
2026-04-01 last MRF observed
Data quality

139,005 of 184,069 rate rows are consumer-grade (75.5%)

45,064 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 42,611
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,806
template filing: same amount across many unrelated codes — excluded 443
placeholder amount (≤ $0.02) — excluded from medians 164
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 24
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.brownhealth.org/sites/default/files/2026-03/05-0258954_rhode-island-hospital_standardcharges.csv
Found on page https://www.brownhealth.org/locations/rhode-island-hospital/patients-visitors/insurance-and-billing/cost-care-and-price
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint 4fd4f8a93d3ad6c7… · 37,251,439 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $2,998,800.00 $4,760,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,756,410.00 $3,756,410.00 $3,756,410.00 nat. median
$3,675,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $2,469,600.00 $3,920,000.00 $3,710,000.00 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $2,469,600.00 $3,920,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $2,257,920.00 $3,584,000.00 $3,391,541.50 nat. median
$3,325,455
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 3 $2,220,523.20 $3,524,640.00 $3,373,347.98 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $2,187,360.00 $3,472,000.00 $3,303,767.87 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 3 $2,116,800.00 $3,360,000.00 $3,169,762.50 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $1,975,680.00 $3,136,000.00 $2,990,009.58 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $1,771,966.91 $4,727,924.09 $2,510,350.59 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $1,552,320.00 $4,496,329.20 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $512,971.20 $3,239,301.17 $787,958.95 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $393,888.69 $2,487,321.09 $615,130.09 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $376,676.53 $2,378,630.11 $578,601.00 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $374,459.38 $2,364,629.26 $575,195.29 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $370,984.46 $2,342,685.94 $569,857.59 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $354,950.20 $2,241,433.02 $545,227.85 nat. median
$562,501
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 2 $328,104.00 $525,503.94 $520,800.00 nat. median
$2,313,353
outlier · 0.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $325,710.69 $2,056,791.92 $500,313.96 nat. median
$513,770
1.0× median
C9081
HCPCS 		Idecabtagene Car Pos T 2 $295,999.20 $474,083.66 $469,840.00 nat. median
$422,856
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $331,512.50 $1,018,423.16 $460,874.17 nat. median
$168,055
outlier · 2.7×
C9076
HCPCS 		Lisocabtagene Car Pos T 2 $289,507.68 $463,686.59 $459,536.00 nat. median
$1,000,529
outlier · 0.5×
24
APR_DRG 		Heart And/Or Lung Transplant 3 $362,360.00 $517,657.16 $452,674.96 nat. median
$225,531
outlier · 2.0×
34
APR_DRG 		Description Not Available 2 $439,681.32 $456,065.70 $447,873.51 nat. median
$187,752
outlier · 2.4×
5834
APR_DRG 		Neonate With Ecmo 3 $276,914.22 $627,662.25 $439,364.00 nat. median
$390,362
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $390,758.10 $600,518.71 $420,363.00 nat. median
$286,698
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $344,507.00 $492,152.46 $407,923.78 nat. median
$202,242
outlier · 2.0×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $263,188.80 $417,760.00 $406,570.00 nat. median
$1,000,529
outlier · 0.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $277,744.00 $396,777.05 $396,777.05 nat. median
$149,836
outlier · 2.6×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $249,449.77 $506,498.40 $354,549.00 nat. median
$171,497
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $334,276.00 $477,537.46 $352,773.91 nat. median
$173,018
outlier · 2.0×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $242,364.00 $346,234.84 $346,234.84 nat. median
$152,792
outlier · 2.3×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $314,060.00 $448,657.24 $332,729.85 nat. median
$173,134
1.9× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 3 $271,149.00 $387,354.97 $326,929.73 nat. median
$136,566
outlier · 2.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $246,960.00 $352,799.97 $308,887.72 nat. median
$135,630
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $11,987.27 $660,915.66 $299,480.79 nat. median
$186,516
1.6× median
5833
APR_DRG 		Neonate With Ecmo 3 $229,833.18 $419,747.67 $293,823.00 nat. median
$268,208
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $237,109.42 $419,341.63 $293,539.00 nat. median
$168,439
1.7× median
23
APR_DRG 		Heart And/Or Lung Transplant 3 $229,831.00 $328,329.94 $287,563.48 nat. median
$117,894
outlier · 2.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $185,220.00 $1,169,623.88 $284,510.62 nat. median
$286,598
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$377,029
0.7× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $176,400.00 $1,082,401.25 $265,000.00 nat. median
$264,195
1.0× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 $182,944.00 $261,347.99 $261,347.99 nat. median
$65,108
outlier · 4.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $243,774.00 $348,247.92 $258,276.66 nat. median
$198,578
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $173,397.18 $357,241.95 $250,069.00 nat. median
$120,079
outlier · 2.1×
104
APR_DRG 		Description Not Available 1 $174,225.00 $248,892.83 $248,892.83 nat. median
$104,064
outlier · 2.4×
64
APR_DRG 		Pancreas Transplant 3 $142,177.11 $355,424.55 $248,797.00 nat. median
$92,994
outlier · 2.7×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $171,650.00 $245,214.01 $245,214.01 nat. median
$73,618
outlier · 3.3×
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 3 $149,451.83 $347,220.59 $243,054.00 nat. median
$99,483
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $163,269.62 $503,530.19 $228,430.61 nat. median
$131,925
1.7× median

Other procedures at this hospital

Browse this hospital's 17,445 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 4 — — $2,998,800.00 $4,760,000.00 $4,505,000.00 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,756,410.00 $3,756,410.00 $3,756,410.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 3 — — $2,469,600.00 $3,920,000.00 $3,710,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 4 — — $2,469,600.00 $3,920,000.00 $3,710,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 5 — — $2,257,920.00 $3,584,000.00 $3,391,541.50 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 6 3 — — $2,220,523.20 $3,524,640.00 $3,373,347.98 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 5 — — $2,187,360.00 $3,472,000.00 $3,303,767.87 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 6 3 — — $2,116,800.00 $3,360,000.00 $3,169,762.50 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 5 — — $1,975,680.00 $3,136,000.00 $2,990,009.58 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 6 — — $1,771,966.91 $4,727,924.09 $2,510,350.59 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 6 — — $1,552,320.00 $4,496,329.20 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 11 6 — — $512,971.20 $3,239,301.17 $787,958.95 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 6 — — $393,888.69 $2,487,321.09 $615,130.09 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 6 — — $376,676.53 $2,378,630.11 $578,601.00 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 6 — — $374,459.38 $2,364,629.26 $575,195.29 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 6 — — $370,984.46 $2,342,685.94 $569,857.59 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 6 — — $354,950.20 $2,241,433.02 $545,227.85 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 5 2 — — $328,104.00 $525,503.94 $520,800.00 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 6 — — $325,710.69 $2,056,791.92 $500,313.96 2026-04-01
C9081 HCPCS Idecabtagene Car Pos T 5 2 — — $295,999.20 $474,083.66 $469,840.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 9 — — $331,512.50 $1,018,423.16 $460,874.17 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 5 2 — — $289,507.68 $463,686.59 $459,536.00 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 5 3 — — $362,360.00 $517,657.16 $452,674.96 2026-04-01
34 APR_DRG Description Not Available 2 2 — — $439,681.32 $456,065.70 $447,873.51 2026-04-01
5834 APR_DRG Neonate With Ecmo 5 3 — — $276,914.22 $627,662.25 $439,364.00 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $390,758.10 $600,518.71 $420,363.00 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 5 3 — — $344,507.00 $492,152.46 $407,923.78 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 4 1 — — $263,188.80 $417,760.00 $406,570.00 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $277,744.00 $396,777.05 $396,777.05 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $249,449.77 $506,498.40 $354,549.00 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $334,276.00 $477,537.46 $352,773.91 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 1 — — $242,364.00 $346,234.84 $346,234.84 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $314,060.00 $448,657.24 $332,729.85 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $271,149.00 $387,354.97 $326,929.73 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $246,960.00 $352,799.97 $308,887.72 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 9 — — $11,987.27 $660,915.66 $299,480.79 2026-04-01
5833 APR_DRG Neonate With Ecmo 5 3 — — $229,833.18 $419,747.67 $293,823.00 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $237,109.42 $419,341.63 $293,539.00 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 5 3 — — $229,831.00 $328,329.94 $287,563.48 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 5 — — $185,220.00 $1,169,623.88 $284,510.62 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 9 4 — — $176,400.00 $1,082,401.25 $265,000.00 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 1 — — $182,944.00 $261,347.99 $261,347.99 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $243,774.00 $348,247.92 $258,276.66 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $173,397.18 $357,241.95 $250,069.00 2026-04-01
104 APR_DRG Description Not Available 3 1 — — $174,225.00 $248,892.83 $248,892.83 2026-04-01
64 APR_DRG Pancreas Transplant 5 3 — — $142,177.11 $355,424.55 $248,797.00 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 1 — — $171,650.00 $245,214.01 $245,214.01 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 5 3 — — $149,451.83 $347,220.59 $243,054.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 10 — — $163,269.62 $503,530.19 $228,430.61 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $205,207.06 $325,125.64 $227,588.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 14 — — $20,423.69 $500,575.12 $227,096.57 2026-04-01
5832 APR_DRG Neonate With Ecmo 5 3 — — $156,723.00 $234,907.91 $223,889.56 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $192,522.53 $317,557.64 $222,290.00 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $179,271.00 $256,101.26 $221,360.67 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $153,807.00 $324,433.86 $219,723.98 2026-04-01
33 APR_DRG Description Not Available 2 2 — — $214,945.61 $222,955.39 $218,950.50 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $147,559.00 $210,798.43 $210,798.43 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 4 — — $136,886.40 $864,407.74 $210,266.90 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $197,475.95 $294,675.08 $206,273.00 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $184,122.00 $263,030.85 $202,615.66 2026-04-01
5831 APR_DRG Neonate With Ecmo 5 3 — — $141,051.00 $234,907.91 $201,501.09 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $31,908.43 $287,689.23 $201,382.00 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 3 — — $140,513.00 $209,461.62 $200,733.04 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $138,428.00 $324,433.86 $197,753.78 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 5 3 — — $174,613.17 $273,223.44 $191,256.00 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $179,193.61 $264,635.44 $185,871.12 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $169,867.00 $242,667.69 $178,746.79 2026-04-01
4404 APR_DRG Kidney Transplant 5 3 — — $155,699.00 $222,426.84 $178,482.58 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $161,528.37 $253,965.88 $177,776.00 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $152,574.00 $217,962.84 $177,325.07 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $170,134.32 $245,214.01 $176,474.24 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 3 — — $165,384.06 $250,257.71 $175,180.00 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 3 — — $121,751.00 $187,280.26 $173,929.50 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $163,650.00 $233,786.18 $173,146.41 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 5 3 — — $142,374.00 $203,391.87 $171,921.27 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 5 3 — — $149,451.83 $243,558.05 $170,491.00 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 1 — — $118,326.00 $169,037.45 $169,037.45 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 5 3 — — $148,369.00 $211,955.40 $168,329.23 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 3 — — $162,087.84 $238,181.68 $168,127.92 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 3 — — $120,462.09 $239,781.38 $167,847.00 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $118,879.18 $237,716.94 $166,402.00 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $122,800.00 $175,428.91 $166,401.10 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $154,853.00 $221,218.50 $166,401.10 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $130,026.00 $185,751.14 $166,401.10 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 1 — — $115,028.00 $164,326.41 $164,326.41 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 3 — — $141,248.00 $201,782.39 $163,115.73 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $112,833.00 $161,190.60 $161,190.60 2026-04-01
4014 APR_DRG Adrenal Procedures 5 3 — — $121,324.00 $173,320.44 $160,302.17 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 3 — — $147,891.66 $227,081.62 $158,957.00 2026-04-01
63 APR_DRG Pancreas Transplant 5 3 — — $103,650.46 $224,623.37 $157,236.00 2026-04-01
8634 APR_DRG Neonatal Aftercare 5 3 — — $80,522.35 $224,554.88 $157,188.00 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 1 — — $109,289.00 $156,127.33 $156,127.33 2026-04-01
32 APR_DRG Description Not Available 2 2 — — $151,526.00 $157,172.49 $154,349.24 2026-04-01
3214 APR_DRG Decompression 5 3 — — $114,047.00 $162,924.83 $153,025.28 2026-04-01
6904 APR_DRG Acute Leukemia 5 3 — — $130,392.00 $186,274.59 $152,397.78 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $120,312.00 $171,874.84 $152,224.78 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $146,502.83 $212,124.18 $151,962.14 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 3 — — $144,504.47 $208,768.23 $149,889.32 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 13 — — $52,021.00 $404,709.83 $148,589.39 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $24,265.26 $207,361.77 $145,153.00 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $107,363.00 $153,375.55 $144,804.78 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 1 — — $101,324.00 $144,748.42 $144,748.42 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 — — $123,162.44 $206,764.94 $144,735.00 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 3 — — $114,166.00 $163,093.61 $143,708.61 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 3 — — $115,195.00 $164,563.67 $143,007.18 2026-04-01
62 APR_DRG Pancreas Transplant 5 3 — — $83,328.84 $200,896.93 $140,628.00 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $121,532.00 $173,616.41 $140,608.82 2026-04-01
7 MS_DRG Lung Transplant 13 9 — — $94,589.72 $305,417.52 $138,994.51 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 1 1 — — $138,662.70 $138,662.70 $138,662.70 2025-01-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 1 — — $96,757.00 $138,224.87 $138,224.87 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $96,304.00 $137,576.68 $137,576.68 2026-04-01
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 1 — — $96,304.00 $137,576.68 $137,576.68 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 3 — — $96,300.00 $160,619.85 $137,571.78 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $118,326.00 $169,037.45 $136,673.92 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $104,884.65 $194,811.22 $136,368.00 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 3 — — $83,657.85 $194,436.97 $136,106.00 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 5 3 — — $124,583.00 $177,975.23 $136,082.59 2026-04-01
31 APR_DRG Description Not Available 2 2 — — $132,158.06 $137,082.82 $134,620.44 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $128,825.45 $185,553.01 $133,626.03 2026-04-01
4414 APR_DRG Major Bladder Procedures 5 3 — — $104,004.00 $148,576.45 $133,239.14 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $124,931.85 $188,270.54 $131,789.00 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 3 — — $112,404.00 $160,576.65 $131,524.90 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $114,145.60 $187,805.80 $131,464.00 2026-04-01
234 APR_DRG Spinal Procedures 5 3 — — $119,492.00 $170,703.19 $131,446.27 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 3 1 — — $91,996.00 $131,422.48 $131,422.48 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 4 — — $105,317.93 $455,000.92 $131,251.20 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 1 — — $91,765.00 $131,092.26 $131,092.26 2026-04-01
6124 APR_DRG Respiratory Condition 5 3 — — $109,478.74 $186,377.32 $130,464.00 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $115,596.60 $184,577.05 $129,204.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $106,128.58 $283,430.15 $129,068.53 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 3 — — $90,174.00 $135,420.48 $128,819.91 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 3 1 — — $89,429.00 $127,755.89 $127,755.89 2026-04-01
4034 APR_DRG Procedures For Obesity 5 3 — — $102,762.00 $146,803.08 $127,352.53 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 3 — — $90,540.00 $129,343.36 $126,534.72 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 3 — — $106,880.00 $152,685.77 $125,263.98 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 3 1 — — $87,364.00 $124,805.98 $124,805.98 2026-04-01
2324 APR_DRG Gastric Fundoplication 3 1 — — $87,138.00 $124,483.10 $124,483.10 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $86,972.00 $136,673.92 $124,245.84 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 1 — — $86,972.00 $124,245.84 $124,245.84 2026-04-01
9009 OTHER Inj, Vutrisiran, 1 Mg 3 2 — — $121,407.38 $142,646.40 $123,570.68 2025-01-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 3 — — $119,023.22 $174,651.08 $123,458.52 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 3 — — $108,837.38 $175,614.81 $122,930.00 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 5 3 — — $109,986.00 $157,122.86 $122,903.36 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 3 — — $104,460.12 $175,115.82 $122,581.00 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $89,101.01 $174,802.73 $122,362.00 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 5 3 — — $51,089.88 $174,225.47 $121,958.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $119,204.72 $267,249.17 $121,763.77 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 9 — — $100,520.34 $266,942.58 $121,625.37 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 5 3 — — $110,359.00 $157,656.10 $121,083.75 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 5 3 — — $88,328.00 $126,183.09 $120,821.10 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $113,508.00 $162,154.34 $120,610.36 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 3 — — $51,673.61 $171,505.49 $120,054.00 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $83,962.00 $119,945.73 $119,904.22 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 3 — — $109,329.00 $156,183.59 $119,179.21 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 3 — — $103,318.42 $169,235.58 $118,465.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $93,030.25 $259,923.98 $118,456.89 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $82,536.00 $119,904.22 $117,908.19 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 1 — — $82,308.00 $117,582.87 $117,582.87 2026-04-01
8504 APR_DRG Services 5 3 — — $82,080.00 $162,003.83 $117,257.55 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 9 — — $43,709.00 $256,454.77 $116,890.75 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $89,808.00 $128,296.46 $115,956.74 2026-04-01
1734 APR_DRG Description Not Available 2 2 — — $112,826.51 $117,030.90 $114,928.70 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 3 — — $80,443.00 $130,966.59 $114,919.15 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 5 3 — — $110,596.18 $158,837.53 $114,717.46 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 5 3 — — $80,440.00 $114,914.25 $114,259.80 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 5 3 — — $84,878.00 $121,254.35 $113,704.64 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 3 — — $90,083.00 $128,690.27 $113,324.04 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 5 3 — — $86,196.00 $123,137.79 $112,342.68 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 3 — — $91,109.00 $130,155.44 $111,903.90 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 3 — — $81,344.00 $116,205.76 $111,812.68 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $95,371.00 $136,243.59 $111,715.17 2026-04-01
7914 APR_DRG Description Not Available 2 2 — — $109,292.24 $113,364.93 $111,328.58 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $91,068.47 $243,162.83 $110,890.22 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 5 3 — — $105,351.00 $150,501.47 $110,832.89 2026-04-01
2214 APR_DRG Description Not Available 2 2 — — $107,515.26 $111,521.73 $109,518.49 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 3 — — $90,282.00 $128,974.01 $109,208.29 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 3 — — $105,013.53 $155,640.57 $108,948.00 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 5 3 — — $92,614.00 $132,305.49 $108,914.19 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $82,149.00 $117,355.39 $108,642.12 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $87,828.92 $154,750.22 $108,325.00 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 5 3 — — $78,063.00 $111,519.17 $107,665.47 2026-04-01
6934 APR_DRG Description Not Available 2 2 — — $105,180.31 $109,099.77 $107,140.04 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 10 — — $1,580.00 $476,848.00 $107,126.59 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 5 3 — — $74,826.00 $107,991.02 $106,893.74 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 5 3 — — $84,984.00 $121,406.00 $106,707.70 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 13 — — $39,679.28 $230,717.56 $105,271.92 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 5 3 — — $83,673.00 $119,532.35 $105,028.05 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 5 3 — — $86,724.00 $123,891.17 $104,820.46 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 5 3 — — $87,515.00 $125,021.23 $103,589.03 2026-04-01
6504 APR_DRG Splenectomy 5 3 — — $84,166.00 $120,236.80 $102,434.67 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $92,821.00 $132,601.46 $101,830.75 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 5 3 — — $70,917.00 $115,090.19 $101,309.46 2026-04-01
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 3 1 — — $70,413.00 $100,590.33 $100,590.33 2026-04-01
61 APR_DRG Pancreas Transplant 5 3 — — $83,328.84 $142,882.10 $100,017.00 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $83,539.00 $119,341.56 $99,946.66 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 5 3 — — $72,858.00 $104,083.26 $99,932.50 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $69,722.00 $106,257.90 $99,602.14 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 5 3 — — $70,559.00 $100,798.24 $99,440.25 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 3 — — $87,315.00 $124,735.04 $98,598.85 2026-04-01
4403 APR_DRG Kidney Transplant 5 3 — — $86,653.86 $140,497.23 $98,348.00 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 3 — — $85,928.00 $122,753.76 $97,854.97 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 5 3 — — $73,264.00 $104,662.96 $97,386.30 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $81,599.00 $116,570.21 $97,203.87 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 9 — — $74,071.45 $212,482.41 $97,039.84 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $77,180.00 $110,257.02 $96,257.10 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 5 3 — — $84,666.00 $120,951.04 $95,439.30 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 5 3 — — $66,571.00 $101,500.49 $95,101.45 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 5 3 — — $66,367.00 $98,572.12 $94,810.38 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $66,187.00 $116,148.61 $94,553.54 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 3 1 — — $66,170.00 $94,529.08 $94,529.08 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 5 3 — — $87,623.00 $125,175.33 $94,041.17 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 8 — — $71,344.24 $215,372.45 $93,889.88 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 5 3 — — $71,802.00 $102,574.06 $93,380.64 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 13 9 — — $81,809.32 $204,225.65 $93,312.40 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $93,216.70 $93,216.70 $93,216.70 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $75,394.56 $132,870.52 $93,009.00 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 5 3 — — $69,202.40 $131,967.94 $92,378.00 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 5 3 — — $70,341.00 $100,487.60 $91,927.46 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 5 3 — — $66,040.00 $94,343.18 $91,892.86 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 5 3 — — $87,286.12 $131,182.77 $91,828.00 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $83,911.06 $131,109.39 $91,777.00 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 — — $88,364.14 $130,370.69 $91,656.96 2026-04-01
6903 APR_DRG Acute Leukemia 5 3 — — $68,650.00 $98,070.93 $91,634.94 2026-04-01
6123 APR_DRG Respiratory Condition 5 3 — — $88,113.96 $128,323.36 $91,397.46 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 9 — — $74,589.20 $198,810.76 $90,867.90 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 3 — — $67,097.91 $129,473.00 $90,631.00 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 3 — — $29,127.72 $129,421.63 $90,595.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 13 — — $21,441.00 $198,185.79 $90,585.76 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 3 — — $71,281.11 $128,898.18 $90,229.00 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 5 3 — — $70,593.00 $100,847.16 $90,055.95 2026-04-01
6224 APR_DRG Respiratory Condition 5 3 — — $73,603.93 $127,095.46 $88,967.00 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 3 — — $65,471.03 $126,956.04 $88,869.00 2026-04-01
6344 APR_DRG Respiratory Condition 5 3 — — $62,296.11 $126,797.04 $88,758.00 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 5 3 — — $76,630.00 $109,471.85 $88,591.76 2026-04-01
3014 APR_DRG Hip Joint Replacement 5 3 — — $64,963.00 $92,804.63 $87,792.83 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $73,820.75 $125,170.44 $87,619.00 2026-04-01
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 3 1 — — $61,159.00 $87,369.57 $87,369.57 2026-04-01
4402 APR_DRG Kidney Transplant 5 3 — — $72,224.19 $124,744.83 $87,321.00 2026-04-01
6964 APR_DRG Other Chemotherapy 3 1 — — $60,989.00 $87,127.41 $87,127.41 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 3 — — $78,067.62 $124,380.37 $87,066.00 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 3 — — $83,274.25 $119,742.71 $86,377.40 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 3 — — $35,015.12 $123,277.21 $86,294.00 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 5 3 — — $60,337.00 $92,716.96 $86,195.47 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 3 — — $63,170.96 $122,924.99 $86,048.00 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 5 3 — — $53,574.93 $122,805.13 $85,964.00 2026-04-01
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 5 3 — — $51,393.12 $122,494.49 $85,746.00 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 5 3 — — $60,522.16 $121,339.96 $84,938.00 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 3 — — $59,440.00 $90,768.38 $84,913.76 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 14 — — $388.43 $244,905.57 $84,894.00 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 3 — — $77,288.00 $110,411.12 $84,622.27 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 5 5 — — $524.66 $122,239.60 $84,437.17 2025-01-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 5 3 — — $36,960.41 $120,513.21 $84,359.00 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 5 3 — — $39,497.01 $120,129.18 $84,090.00 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 5 3 — — $58,756.00 $84,048.23 $83,937.79 2026-04-01
4454 APR_DRG Other Bladder Procedures 5 3 — — $36,825.47 $119,791.63 $83,854.00 2026-04-01
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 3 1 — — $58,585.00 $83,693.19 $83,693.19 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $64,719.00 $119,199.69 $83,440.00 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 5 3 — — $74,023.92 $119,189.91 $83,433.00 2026-04-01
4401 APR_DRG Kidney Transplant 5 3 — — $62,127.81 $118,744.73 $83,121.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 14 — — $24,997.50 $288,019.08 $82,865.79 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 12 — — $28,450.00 $180,304.40 $82,513.38 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 5 3 — — $57,719.00 $99,180.75 $82,455.50 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $67,363.25 $117,722.29 $82,406.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $790.00 $182,728.07 $82,244.01 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 5 3 — — $66,655.18 $116,685.18 $81,680.00 2026-04-01
3024 APR_DRG Knee Joint Replacement 5 3 — — $65,833.00 $94,047.22 $81,563.37 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 5 3 — — $78,596.78 $113,886.92 $81,525.62 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 3 — — $65,189.02 $116,076.12 $81,253.00 2026-04-01
904 APR_DRG Description Not Available 2 2 — — $79,605.05 $82,571.47 $81,088.26 2026-04-01
974 APR_DRG Tonsil And Adenoid Procedures 5 3 — — $30,518.07 $115,498.85 $80,849.00 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 3 1 — — $56,436.00 $80,623.43 $80,623.43 2026-04-01
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 5 3 — — $57,110.71 $114,510.66 $80,157.00 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 3 — — $70,708.00 $101,011.05 $79,952.92 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $79,630.25 $79,630.25 $79,630.25 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 5 3 — — $74,901.00 $107,001.36 $79,627.37 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 5 3 — — $37,679.09 $112,140.46 $78,498.00 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 5 3 — — $58,311.00 $83,301.83 $78,130.16 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $63,077.87 $170,243.46 $77,971.46 2026-04-01
2624 APR_DRG Description Not Available 2 2 — — $76,132.95 $78,969.99 $77,551.47 2026-04-01
10 MS_DRG Pancreas Transplant 13 9 — — $40,087.18 $169,231.71 $77,514.72 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 12 — — $1,000.00 $169,160.96 $77,482.78 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $65,286.06 $110,499.18 $77,349.00 2026-04-01
3814 APR_DRG Major Skin Disorders 5 3 — — $67,754.00 $96,791.66 $77,225.86 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $59,163.20 $168,262.41 $77,077.13 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 13 — — $51,673.62 $168,163.35 $77,032.42 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 3 — — $67,994.00 $97,134.10 $76,186.31 2026-04-01
9025 OTHER Inj Glucagon Hcl, Fresenius 2 2 — — $3,608.08 $146,908.07 $75,258.08 2025-01-01
213 APR_DRG Open Craniotomy Except Trauma 5 3 — — $70,942.00 $101,346.15 $75,181.35 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 3 — — $64,788.74 $107,165.25 $75,016.00 2026-04-01
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 5 3 — — $52,349.00 $81,648.29 $74,784.77 2026-04-01
5464 APR_DRG Description Not Available 5 3 — — $29,426.41 $106,296.91 $74,408.00 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 5 3 — — $67,785.00 $96,835.68 $74,379.27 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 3 — — $71,676.84 $105,215.77 $74,347.82 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 11 — — $23,827.00 $162,208.39 $74,344.11 2026-04-01
1823 APR_DRG Other Peripheral Vascular Procedures 3 1 — — $52,029.00 $74,327.36 $74,327.36 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $55,871.97 $105,841.95 $74,089.00 2026-04-01
1934 APR_DRG Acute And Subacute Endocarditis 5 3 — — $51,365.00 $74,847.94 $73,378.30 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 13 — — $2,397.00 $249,493.71 $72,781.16 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 3 — — $47,839.14 $103,872.90 $72,711.00 2026-04-01
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