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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

17,446 distinct procedures filed
25 distinct payers
184,069 rate rows
2026-04-01 last MRF observed
Data quality

139,004 of 184,069 rate rows are consumer-grade (75.5%)

45,065 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 25
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 · 2026-08-03
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
$3,605,000
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
$3,710,000
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
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $2,257,920.00 $3,584,000.00 $3,391,541.50 nat. median
$3,324,572
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
$3,286,000
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
$2,997,086
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
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $1,552,320.00 $4,496,329.20 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $512,971.20 $3,239,301.17 $787,958.95 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $393,888.69 $2,487,321.09 $615,130.09 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $376,676.53 $2,378,630.11 $578,601.00 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $374,459.38 $2,364,629.26 $575,195.29 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $370,984.46 $2,342,685.94 $569,857.59 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $354,950.20 $2,241,433.02 $545,227.85 nat. median
$588,565
0.9× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 2 $328,104.00 $525,503.94 $520,800.00 nat. median
$30,221
outlier · 17.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $325,710.69 $2,056,791.92 $500,313.96 nat. median
$577,541
0.9× median
C9081
HCPCS 		Idecabtagene Car Pos T 2 $295,999.20 $474,083.66 $469,840.00 nat. median
$27,427
outlier · 17.1×
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
$370,165
1.2× median
C9076
HCPCS 		Lisocabtagene Car Pos T 2 $289,507.68 $463,686.59 $459,536.00 nat. median
$27,935
outlier · 16.5×
24
APR_DRG 		Heart And/Or Lung Transplant 3 $362,360.00 $517,657.16 $452,674.96 nat. median
$243,231
1.9× median
34
APR_DRG 		Description Not Available 2 $439,681.32 $456,065.70 $447,873.51 nat. median
$241,408
1.9× median
5834
APR_DRG 		Neonate With Ecmo 3 $276,914.22 $627,662.25 $439,364.00 nat. median
$311,018
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $390,758.10 $600,518.71 $420,363.00 nat. median
$254,667
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $344,507.00 $492,152.46 $407,923.78 nat. median
$209,486
1.9× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $263,188.80 $417,760.00 $406,570.00 nat. median
$27,071
outlier · 15.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $277,744.00 $396,777.05 $396,777.05 nat. median
$175,480
outlier · 2.3×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $249,449.77 $506,498.40 $354,549.00 nat. median
$168,361
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
$165,646
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $242,364.00 $346,234.84 $346,234.84 nat. median
$165,599
outlier · 2.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $314,060.00 $448,657.24 $332,729.85 nat. median
$180,995
1.8× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 3 $271,149.00 $387,354.97 $326,929.73 nat. median
$137,901
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
$127,600
outlier · 2.4×
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
$261,939
1.1× median
5833
APR_DRG 		Neonate With Ecmo 3 $229,833.18 $419,747.67 $293,823.00 nat. median
$250,089
1.2× 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
$156,285
1.9× median
23
APR_DRG 		Heart And/Or Lung Transplant 3 $229,831.00 $328,329.94 $287,563.48 nat. median
$116,111
outlier · 2.5×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $185,220.00 $1,169,623.88 $284,510.62 nat. median
$302,242
0.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $176,400.00 $1,082,401.25 $265,000.00 nat. median
$265,000
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
$79,228
outlier · 3.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $243,774.00 $348,247.92 $258,276.66 nat. median
$168,174
1.5× 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
$108,751
outlier · 2.3×
104
APR_DRG 		Description Not Available 1 $174,225.00 $248,892.83 $248,892.83 nat. median
$42,757
outlier · 5.8×
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
$80,413
outlier · 3.0×
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
$96,420
outlier · 2.5×
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
$205,166
1.1× median

Other procedures at this hospital

Browse this hospital's 17,446 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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… 39 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
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 3 — — $154,853.00 $221,218.50 $166,401.10 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
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
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 1 — — $86,972.00 $124,245.84 $124,245.84 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
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 26 12 — — $5,862.00 $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 32 15 — — $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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