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

THE MIRIAM HOSPITAL

Providence, RI · CCN 410012 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $7,052 across 10 payers · range $4,523-$15,900

Source: https://www.brownhealth.org/sites/default/files/2026-03/05-0258905_the-miriam-hospital_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

17,232 distinct procedures filed
32 distinct payers
352,436 rate rows
2026-04-01 last MRF observed
Data quality

284,285 of 352,436 rate rows are consumer-grade (80.7%)

68,151 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 63,360
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,565
template filing: same amount across many unrelated codes — excluded 886
placeholder amount (≤ $0.02) — excluded from medians 286
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 32
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.brownhealth.org/sites/default/files/2026-03/05-0258905_the-miriam-hospital_standardcharges.csv
Found on page https://www.brownhealth.org/locations/miriam-hospital/patients-visitors/billing-procedures-and-insurance-information/cost-care
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-03
Content fingerprint 1f0fc6de97efca2a… · 33,621,126 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 3 $4,335,000.00 $4,760,000.00 $4,555,681.25 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 4 $3,570,000.00 $4,831,533.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,570,000.00 $4,799,322.78 $3,768,185.17 nat. median
$3,710,000
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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,264,000.00 $4,329,589.99 $3,413,216.00 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $3,335,820.00 $3,524,640.00 $3,410,875.95 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,162,000.00 $4,247,262.62 $3,372,773.87 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,090,000.00 $3,360,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,856,000.00 $3,842,679.25 $3,052,337.58 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,146,250.00 $4,727,924.09 $2,737,307.16 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,244,000.00 $4,496,329.20 $2,424,235.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $4,327,956.04 $814,240.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $497,971.46 $3,323,252.69 $625,220.14 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $525,503.94 $3,178,033.17 $597,899.26 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $477,192.03 $3,159,326.95 $594,379.97 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $487,891.92 $3,130,008.98 $588,864.23 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $492,912.56 $2,994,727.29 $563,413.01 nat. median
$588,565
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 2 $492,900.00 $525,503.94 $520,800.00 nat. median
$30,221
outlier · 17.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $464,049.77 $2,748,032.54 $517,001.10 nat. median
$577,541
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $412,973.73 $599,281.35 $483,869.42 nat. median
$254,667
1.9× median
34
APR_DRG 		Description Not Available 2 $464,678.37 $482,019.72 $473,349.04 nat. median
$241,408
2.0× median
24
APR_DRG 		Heart And/Or Lung Transplant 3 $461,223.60 $516,590.54 $471,683.80 nat. median
$243,231
1.9× median
C9081
HCPCS 		Idecabtagene Car Pos T 2 $444,670.00 $474,083.66 $469,840.00 nat. median
$27,427
outlier · 17.1×
C9076
HCPCS 		Lisocabtagene Car Pos T 2 $434,918.00 $463,686.59 $459,536.00 nat. median
$27,935
outlier · 16.5×
1614
APR_DRG 		Implantable Heart Assist Systems 3 $415,627.31 $491,138.39 $436,581.38 nat. median
$209,486
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 3 $292,657.53 $626,368.96 $433,655.70 nat. median
$311,018
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $274,999.76 $1,018,423.16 $417,860.78 nat. median
$370,165
1.1× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $395,380.00 $417,760.00 $417,760.00 nat. median
$27,071
outlier · 15.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $359,435.95 $476,553.50 $400,873.99 nat. median
$165,646
outlier · 2.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $339,013.36 $447,732.79 $377,312.30 nat. median
$180,995
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $356,363.63 $395,959.50 $376,161.57 nat. median
$175,480
outlier · 2.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $263,631.66 $505,454.76 $364,189.76 nat. median
$168,361
outlier · 2.2×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 3 $333,103.71 $386,556.83 $346,718.02 nat. median
$137,901
outlier · 2.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 1 $310,969.35 $345,521.43 $328,245.39 nat. median
$165,599
2.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $314,720.97 $352,073.03 $321,665.92 nat. median
$127,600
outlier · 2.5×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $250,589.72 $418,477.59 $318,285.70 nat. median
$156,285
outlier · 2.0×
5833
APR_DRG 		Neonate With Ecmo 3 $242,899.80 $418,882.79 $314,479.59 nat. median
$250,089
1.3× median
23
APR_DRG 		Heart And/Or Lung Transplant 3 $292,994.03 $327,653.42 $299,408.21 nat. median
$116,111
outlier · 2.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $267,750.00 $1,562,707.65 $294,000.00 nat. median
$302,242
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $263,154.14 $347,530.36 $292,876.09 nat. median
$168,174
1.7× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $255,000.00 $1,446,171.50 $280,000.00 nat. median
$265,000
1.1× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $197,344.16 $342,896.90 $274,915.97 nat. median
$147,847
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $194,564.78 $660,915.66 $271,363.32 nat. median
$261,939
1.0× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $177,611.72 $342,896.90 $263,953.51 nat. median
$120,928
outlier · 2.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $216,873.62 $324,455.73 $258,488.67 nat. median
$109,499
outlier · 2.4×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $183,255.27 $356,505.86 $255,474.76 nat. median
$108,751
outlier · 2.3×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 3 $203,467.94 $316,903.32 $248,137.11 nat. median
$123,690
outlier · 2.0×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 $234,728.59 $260,809.48 $247,769.04 nat. median
$79,228
outlier · 3.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $208,702.99 $294,067.90 $240,576.38 nat. median
$112,711
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 17,232 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 12 3 — — $4,335,000.00 $4,760,000.00 $4,555,681.25 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 4 — — $3,570,000.00 $4,831,533.00 $3,815,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 4 — — $3,570,000.00 $4,799,322.78 $3,768,185.17 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,756,410.00 $3,756,410.00 $3,756,410.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 5 — — $3,264,000.00 $4,329,589.99 $3,413,216.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 10 2 — — $3,335,820.00 $3,524,640.00 $3,410,875.95 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 5 — — $3,162,000.00 $4,247,262.62 $3,372,773.87 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 10 2 — — $3,090,000.00 $3,360,000.00 $3,180,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 16 5 — — $2,856,000.00 $3,842,679.25 $3,052,337.58 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 6 — — $2,146,250.00 $4,727,924.09 $2,737,307.16 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 20 6 — — $2,244,000.00 $4,496,329.20 $2,424,235.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 24 7 — — $770,620.00 $4,327,956.04 $814,240.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 22 7 — — $497,971.46 $3,323,252.69 $625,220.14 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 24 7 — — $525,503.94 $3,178,033.17 $597,899.26 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 24 7 — — $477,192.03 $3,159,326.95 $594,379.97 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 24 7 — — $487,891.92 $3,130,008.98 $588,864.23 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 7 — — $492,912.56 $2,994,727.29 $563,413.01 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 8 2 — — $492,900.00 $525,503.94 $520,800.00 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 24 7 — — $464,049.77 $2,748,032.54 $517,001.10 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $412,973.73 $599,281.35 $483,869.42 2026-04-01
34 APR_DRG Description Not Available 4 2 — — $464,678.37 $482,019.72 $473,349.04 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 8 3 — — $461,223.60 $516,590.54 $471,683.80 2026-04-01
C9081 HCPCS Idecabtagene Car Pos T 8 2 — — $444,670.00 $474,083.66 $469,840.00 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 8 2 — — $434,918.00 $463,686.59 $459,536.00 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 8 3 — — $415,627.31 $491,138.39 $436,581.38 2026-04-01
5834 APR_DRG Neonate With Ecmo 8 3 — — $292,657.53 $626,368.96 $433,655.70 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 34 10 — — $274,999.76 $1,018,423.16 $417,860.78 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 6 1 — — $395,380.00 $417,760.00 $417,760.00 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 3 — — $359,435.95 $476,553.50 $400,873.99 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $339,013.36 $447,732.79 $377,312.30 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $356,363.63 $395,959.50 $376,161.57 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 3 — — $263,631.66 $505,454.76 $364,189.76 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 8 3 — — $333,103.71 $386,556.83 $346,718.02 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 4 1 — — $310,969.35 $345,521.43 $328,245.39 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 3 — — $314,720.97 $352,073.03 $321,665.92 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 3 — — $250,589.72 $418,477.59 $318,285.70 2026-04-01
5833 APR_DRG Neonate With Ecmo 8 3 — — $242,899.80 $418,882.79 $314,479.59 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 8 3 — — $292,994.03 $327,653.42 $299,408.21 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 20 6 — — $267,750.00 $1,562,707.65 $294,000.00 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 3 — — $263,154.14 $347,530.36 $292,876.09 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 18 5 — — $255,000.00 $1,446,171.50 $280,000.00 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $278,250.00 $278,250.00 $278,250.00 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $197,344.16 $342,896.90 $274,915.97 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 10 — — $194,564.78 $660,915.66 $271,363.32 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $177,611.72 $342,896.90 $263,953.51 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 3 — — $216,873.62 $324,455.73 $258,488.67 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 3 — — $183,255.27 $356,505.86 $255,474.76 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $203,467.94 $316,903.32 $248,137.11 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 1 — — $234,728.59 $260,809.48 $247,769.04 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 3 — — $208,702.99 $294,067.90 $240,576.38 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 8 3 — — $157,948.57 $346,505.14 $237,848.88 2026-04-01
64 APR_DRG Pancreas Transplant 8 3 — — $150,260.25 $354,692.21 $237,545.44 2026-04-01
104 APR_DRG Description Not Available 4 1 — — $223,542.04 $248,379.99 $235,961.02 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 4 1 — — $220,237.92 $244,708.75 $232,473.34 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 3 — — $225,541.00 $255,573.57 $231,987.12 2026-04-01
33 APR_DRG Description Not Available 4 2 — — $227,165.84 $235,643.45 $231,404.65 2026-04-01
5832 APR_DRG Neonate With Ecmo 8 3 — — $201,085.46 $248,276.17 $231,386.16 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 3 — — $206,442.00 $262,488.88 $225,193.13 2026-04-01
5831 APR_DRG Neonate With Ecmo 8 3 — — $180,977.35 $248,276.17 $220,214.99 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 8 3 — — $184,540.40 $272,660.47 $218,410.86 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 18 5 — — $205,640.00 $1,154,915.37 $217,280.00 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 3 — — $189,381.25 $264,090.17 $217,064.98 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 10 — — $135,437.14 $503,530.19 $206,870.77 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 3 — — $180,287.53 $221,381.77 $206,868.34 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 10 — — $59,942.40 $500,575.12 $205,659.85 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 3 — — $182,122.37 $242,167.68 $203,434.98 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 3 — — $179,806.91 $244,708.75 $203,377.52 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 3 — — $174,786.59 $249,742.06 $203,038.67 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $170,711.68 $253,442.59 $202,590.43 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $189,327.72 $210,364.09 $199,845.90 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $176,416.23 $233,304.46 $196,486.99 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 3 — — $171,302.97 $237,690.91 $195,808.85 2026-04-01
4404 APR_DRG Kidney Transplant 8 3 — — $181,853.17 $221,968.53 $194,205.73 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 3 — — $180,673.80 $217,513.73 $191,589.39 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 8 3 — — $157,948.57 $243,056.20 $191,296.84 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 8 3 — — $169,543.53 $220,762.68 $187,278.60 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 8 3 — — $171,508.08 $211,518.67 $184,137.72 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 3 — — $156,299.70 $226,613.72 $183,042.52 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 3 — — $156,214.04 $197,938.10 $182,194.06 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 8 3 — — $175,167.96 $202,972.78 $182,190.30 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 3 — — $166,196.12 $201,366.62 $176,814.20 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 3 — — $154,831.90 $211,687.10 $175,564.26 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 3 — — $127,310.68 $239,287.32 $173,710.22 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 3 — — $152,719.94 $208,338.07 $172,961.80 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 8 3 — — $166,831.60 $185,368.40 $172,707.13 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 8 3 — — $157,560.74 $175,870.73 $172,305.48 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 3 — — $125,637.77 $237,227.13 $171,915.45 2026-04-01
4014 APR_DRG Adrenal Procedures 8 3 — — $155,667.02 $172,963.32 $166,377.08 2026-04-01
6904 APR_DRG Acute Leukemia 8 3 — — $155,275.76 $185,890.77 $164,186.11 2026-04-01
32 APR_DRG Description Not Available 4 2 — — $160,140.65 $166,116.94 $163,128.79 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 3 — — $130,164.55 $206,338.90 $160,363.61 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 4 1 — — $151,820.27 $168,689.15 $160,254.71 2026-04-01
3214 APR_DRG Decompression 8 3 — — $146,330.25 $162,589.13 $158,824.42 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 3 — — $154,368.66 $171,520.69 $157,993.58 2026-04-01
63 APR_DRG Pancreas Transplant 8 3 — — $109,543.27 $224,160.53 $157,687.92 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 1 — — $147,589.07 $163,987.81 $155,788.44 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 5 — — $96,562.42 $607,916.30 $154,273.83 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 3 — — $136,149.52 $185,170.68 $153,942.07 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $132,034.56 $187,882.62 $153,028.17 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $144,772.66 $160,858.47 $152,815.57 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $143,264.17 $173,258.67 $152,271.74 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 8 3 — — $138,652.47 $177,608.51 $151,837.27 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 3 — — $123,559.52 $169,760.49 $150,470.71 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 3 — — $137,753.60 $153,059.52 $150,292.39 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 3 — — $145,707.83 $164,224.59 $149,473.84 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 3 — — $146,422.50 $162,757.56 $149,184.34 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 3 — — $139,254.97 $168,689.15 $148,136.05 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 4 1 — — $140,225.10 $155,805.63 $148,015.36 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 3 — — $120,635.08 $187,418.83 $146,907.02 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 3 — — $33,722.51 $287,096.45 $146,683.93 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 3 — — $122,168.58 $184,196.73 $146,252.44 2026-04-01
234 APR_DRG Spinal Procedures 8 3 — — $133,928.59 $170,351.46 $146,121.52 2026-04-01
8634 APR_DRG Neonatal Aftercare 8 3 — — $85,100.26 $224,092.19 $144,979.57 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 3 — — $110,847.62 $194,409.81 $144,976.61 2026-04-01
6124 APR_DRG Respiratory Condition 8 3 — — $115,702.89 $185,993.29 $143,707.40 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 3 — — $125,790.00 $174,291.21 $143,673.24 2026-04-01
31 APR_DRG Description Not Available 4 2 — — $139,671.59 $144,884.00 $142,277.79 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 3 — — $134,008.71 $160,245.78 $141,615.52 2026-04-01
8504 APR_DRG Services 8 3 — — $105,314.37 $171,223.22 $141,039.58 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 3 — — $115,025.08 $175,252.96 $138,522.70 2026-04-01
4414 APR_DRG Major Bladder Procedures 8 3 — — $133,443.31 $148,270.31 $138,288.45 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 4 1 — — $130,005.18 $144,450.17 $137,227.67 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 3 — — $122,888.06 $161,820.22 $136,556.17 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 3 — — $110,398.95 $174,755.00 $135,899.23 2026-04-01
62 APR_DRG Pancreas Transplant 8 3 — — $88,066.30 $200,482.98 $135,893.79 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 8 3 — — $125,224.36 $156,799.11 $135,508.42 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 8 3 — — $123,370.38 $157,331.25 $134,786.29 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 3 — — $127,629.56 $152,371.17 $134,763.33 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 10 — — $73,715.00 $326,671.42 $134,398.55 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 3 — — $115,699.05 $143,127.06 $133,266.17 2026-04-01
4034 APR_DRG Procedures For Obesity 8 3 — — $129,757.54 $146,500.60 $133,225.27 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 3 — — $88,414.02 $194,036.34 $133,173.14 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 3 — — $121,429.87 $155,861.77 $133,118.58 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 3 — — $109,192.34 $168,886.87 $132,632.76 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 8 3 — — $116,883.86 $158,510.24 $131,952.55 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 3 — — $111,590.88 $144,451.83 $131,622.40 2026-04-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 1 — — $124,146.08 $137,940.06 $131,043.07 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $123,563.91 $137,293.20 $130,428.56 2026-04-01
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 1 — — $123,563.91 $137,293.20 $130,428.56 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 8 3 — — $116,169.19 $133,735.63 $129,000.58 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 8 3 — — $110,983.83 $155,319.88 $127,456.78 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 3 — — $94,166.64 $174,442.55 $127,339.59 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 8 3 — — $112,925.94 $150,191.37 $126,156.24 2026-04-01
7 MS_DRG Lung Transplant 34 10 — — $78,465.06 $305,417.52 $125,689.24 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 4 1 — — $118,036.54 $131,151.68 $124,594.11 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 8 3 — — $113,330.81 $127,696.85 $124,512.93 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 1 — — $117,739.96 $130,822.15 $124,281.05 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 8 3 — — $103,214.15 $138,419.71 $124,061.11 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 3 — — $57,782.52 $186,538.73 $122,015.26 2026-04-01
1734 APR_DRG Description Not Available 4 2 — — $119,240.99 $123,690.95 $121,465.97 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 4 1 — — $114,743.41 $127,492.65 $121,118.03 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 8 3 — — $107,728.75 $126,727.79 $120,933.58 2026-04-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 3 — — $115,228.92 $128,032.10 $120,351.11 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $113,824.88 $135,962.86 $120,219.66 2026-04-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 8 3 — — $105,898.74 $126,727.79 $119,916.91 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 4 1 — — $112,093.96 $124,548.82 $118,321.39 2026-04-01
2324 APR_DRG Gastric Fundoplication 4 1 — — $111,803.97 $124,226.61 $118,015.29 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 8 3 — — $108,904.08 $121,004.51 $118,013.66 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 4 1 — — $111,590.88 $123,989.83 $117,790.36 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 3 — — $115,464.14 $128,425.10 $117,677.88 2026-04-01
7914 APR_DRG Description Not Available 4 2 — — $115,505.80 $119,816.36 $117,661.08 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 3 — — $92,822.22 $154,431.36 $117,637.26 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 3 — — $114,017.17 $129,887.25 $117,585.36 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 8 3 — — $110,971.01 $132,032.88 $116,970.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 34 10 — — $88,036.90 $283,430.15 $116,679.38 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 8 3 — — $110,595.69 $122,884.07 $116,600.08 2026-04-01
2214 APR_DRG Description Not Available 4 2 — — $113,627.79 $117,868.26 $115,748.02 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 3 — — $111,270.66 $128,708.26 $115,630.32 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 8 3 — — $103,209.75 $120,762.15 $115,547.52 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 8 3 — — $104,369.71 $118,175.77 $114,945.27 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 3 — — $103,753.80 $132,328.24 $113,360.61 2026-04-01
6934 APR_DRG Description Not Available 4 2 — — $111,160.09 $115,308.48 $113,234.29 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 3 — — $105,402.24 $117,113.58 $112,759.29 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 1 — — $105,606.55 $117,340.59 $111,473.57 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 8 3 — — $106,799.96 $123,635.89 $111,028.98 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 8 3 — — $108,722.84 $121,155.85 $110,910.28 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 8 3 — — $105,545.28 $124,763.63 $110,885.71 2026-04-01
4403 APR_DRG Kidney Transplant 8 3 — — $91,580.36 $140,207.74 $110,592.52 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 8 3 — — $100,160.47 $113,792.55 $110,494.04 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 10 — — $98,883.96 $267,249.17 $110,048.83 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 10 — — $32,867.00 $266,942.58 $109,923.19 2026-04-01
61 APR_DRG Pancreas Transplant 8 3 — — $88,066.30 $142,587.70 $109,840.90 2026-04-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 8 3 — — $90,990.67 $121,639.80 $109,182.18 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 8 3 — — $107,011.48 $119,286.05 $109,181.26 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 8 3 — — $96,006.16 $114,136.63 $108,351.95 2026-04-01
6504 APR_DRG Splenectomy 8 3 — — $104,369.12 $119,989.06 $108,127.12 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 3 — — $100,460.87 $124,478.03 $108,120.11 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 10 — — $77,171.43 $259,923.98 $107,047.15 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 3 — — $93,387.87 $130,102.06 $106,982.45 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 3 — — $99,702.93 $122,500.83 $106,837.26 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 8 3 — — $92,248.57 $130,912.47 $106,756.22 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 3 — — $25,644.81 $206,934.50 $106,421.48 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 3 — — $101,834.12 $119,095.66 $106,410.29 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $84,922.86 $122,758.46 $106,350.39 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 8 3 — — $53,994.47 $173,866.48 $106,244.68 2026-04-01
6123 APR_DRG Respiratory Condition 8 3 — — $93,123.48 $128,058.96 $105,925.92 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 8 3 — — $95,817.11 $124,917.41 $105,909.30 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 10 — — $79,346.89 $256,454.77 $105,625.56 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 3 — — $54,611.39 $171,152.10 $105,343.18 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 3 — — $88,681.62 $130,839.24 $104,873.24 2026-04-01
2234 APR_DRG Other Small And Large Bowel Procedures 8 3 — — $97,241.64 $120,701.83 $104,751.14 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 8 3 — — $89,457.24 $112,304.88 $103,830.73 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 3 — — $99,039.54 $116,330.02 $103,716.32 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 8 3 — — $93,481.94 $105,619.51 $102,844.24 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 8 3 — — $94,002.60 $104,447.31 $101,076.92 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 3 — — $79,680.94 $132,596.75 $100,995.83 2026-04-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 8 3 — — $90,531.52 $105,099.24 $100,954.35 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 3 — — $98,074.89 $110,029.84 $100,380.92 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 10 — — $75,544.08 $243,162.83 $100,178.86 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 3 — — $88,008.62 $119,495.98 $99,419.71 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 8 3 — — $85,414.97 $107,276.73 $99,161.39 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 3 — — $82,505.97 $124,124.09 $98,648.36 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 8 3 — — $85,153.54 $104,181.71 $97,524.32 2026-04-01
6224 APR_DRG Respiratory Condition 8 3 — — $77,788.51 $126,833.58 $97,420.88 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 8 3 — — $73,136.74 $131,696.02 $97,196.29 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 3 — — $75,333.63 $128,632.59 $96,957.18 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 8 3 — — $92,126.46 $102,362.71 $96,919.45 2026-04-01
215 MS_DRG Other Heart Assist System Implant 37 12 — — $56,107.57 $234,825.89 $96,762.59 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 3 — — $78,017.65 $124,912.53 $96,675.24 2026-04-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 8 3 — — $90,264.79 $109,246.28 $95,977.54 2026-04-01
4402 APR_DRG Kidney Transplant 8 3 — — $76,330.32 $124,487.79 $95,608.97 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 8 3 — — $90,252.51 $100,280.55 $95,411.20 2026-04-01
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 4 1 — — $90,344.78 $100,383.07 $95,363.93 2026-04-01
6903 APR_DRG Acute Leukemia 8 3 — — $88,081.99 $97,868.85 $95,107.60 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 12 — — $32,030.00 $230,717.56 $95,079.10 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 3 — — $70,912.61 $129,206.22 $94,922.31 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 3 — — $86,220.34 $110,183.62 $94,301.64 2026-04-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 8 3 — — $83,065.21 $113,652.26 $94,226.09 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 8 3 — — $78,232.37 $118,944.32 $94,100.92 2026-04-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 8 3 — — $84,733.93 $97,122.35 $93,888.51 2026-04-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 8 3 — — $90,575.45 $100,639.37 $93,468.76 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $93,216.70 $93,216.70 $93,216.70 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 8 3 — — $69,193.23 $126,694.44 $92,900.24 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 8 3 — — $74,057.06 $104,824.98 $91,669.68 2026-04-01
6344 APR_DRG Respiratory Condition 8 3 — — $65,837.81 $126,535.78 $91,088.52 2026-04-01
3014 APR_DRG Hip Joint Replacement 8 3 — — $83,352.09 $92,788.99 $91,032.10 2026-04-01
6071 APR_DRG Respiratory Condition Or Major Anomaly 8 3 — — $77,416.10 $97,993.34 $90,242.88 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 8 3 — — $81,131.11 $106,780.89 $90,130.84 2026-04-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 3 — — $66,762.39 $122,671.70 $89,829.23 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 3 — — $71,193.03 $117,479.73 $89,790.83 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 4 1 — — $84,900.90 $94,334.31 $89,617.60 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 3 — — $68,398.44 $118,954.08 $89,004.85 2026-04-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 8 3 — — $70,444.71 $116,444.75 $88,936.97 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 3 — — $76,264.93 $95,933.87 $88,610.65 2026-04-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 8 3 — — $68,895.19 $115,836.94 $87,859.78 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 8 3 — — $63,963.00 $121,089.94 $87,665.51 2026-04-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 8 3 — — $81,462.81 $100,802.92 $87,612.79 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 10 — — $61,444.53 $212,482.41 $87,606.80 2026-04-01
4401 APR_DRG Kidney Transplant 8 3 — — $65,659.94 $118,500.06 $87,380.20 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 3 — — $75,751.86 $104,998.97 $86,538.96 2026-04-01
904 APR_DRG Description Not Available 4 2 — — $84,130.81 $87,270.49 $85,700.65 2026-04-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 3 — — $68,997.74 $110,271.50 $85,408.52 2026-04-01
3024 APR_DRG Knee Joint Replacement 8 3 — — $83,103.67 $93,853.43 $85,336.57 2026-04-01
213 APR_DRG Open Craniotomy Except Trauma 8 3 — — $76,601.13 $101,137.33 $85,241.71 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 8 3 — — $75,388.37 $88,831.29 $84,700.15 2026-04-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 8 3 — — $56,620.80 $122,552.09 $84,515.38 2026-04-01
3814 APR_DRG Major Skin Disorders 8 3 — — $78,684.25 $96,592.22 $84,276.85 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 34 10 — — $67,863.33 $204,225.65 $84,223.40 2026-04-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 3 — — $77,625.06 $96,933.96 $83,881.26 2026-04-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 3 — — $68,472.15 $106,944.43 $83,638.74 2026-04-01
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 8 3 — — $54,314.95 $122,242.09 $83,179.91 2026-04-01
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 4 1 — — $78,470.61 $87,189.54 $82,830.07 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 8 3 — — $75,783.91 $96,636.16 $82,792.32 2026-04-01
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 8 3 — — $60,357.60 $114,274.71 $82,728.67 2026-04-01
6964 APR_DRG Other Chemotherapy 4 1 — — $78,253.11 $86,947.89 $82,600.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 10 — — $20,981.00 $198,810.76 $82,004.51 2026-04-01
2624 APR_DRG Description Not Available 4 2 — — $80,461.31 $83,464.05 $81,962.68 2026-04-01
6614 APR_DRG Coagulation And Platelet Disorders 8 3 — — $73,697.58 $97,190.26 $81,959.57 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 12 — — $60,132.00 $198,185.79 $81,748.41 2026-04-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 8 3 — — $74,817.18 $83,130.19 $81,091.03 2026-04-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 3 — — $49,592.53 $109,535.66 $80,348.88 2026-04-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 8 3 — — $65,417.98 $102,763.03 $80,173.04 2026-04-01
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 4 1 — — $75,168.69 $83,520.74 $79,344.71 2026-04-01
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 8 3 — — $67,167.62 $86,294.78 $78,910.44 2026-04-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 3 — — $59,048.44 $105,623.86 $78,156.79 2026-04-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 3 — — $71,193.03 $90,455.58 $77,629.96 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 8 3 — — $73,369.09 $87,897.43 $77,607.42 2026-04-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 3 — — $63,669.76 $98,220.35 $77,222.10 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 3 — — $67,980.22 $92,610.97 $76,933.53 2026-04-01
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 8 3 — — $71,966.99 $87,521.52 $76,711.05 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 10 — — $76,581.97 $185,577.78 $76,581.97 2026-04-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 3 — — $69,021.78 $90,589.84 $76,564.24 2026-04-01
1813 APR_DRG Lower Extremity Arterial Procedures 4 1 — — $72,411.59 $80,457.31 $76,434.45 2026-04-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 3 — — $59,144.58 $100,431.89 $75,870.26 2026-04-01
903 APR_DRG Description Not Available 4 2 — — $74,405.84 $77,182.59 $75,794.21 2026-04-01
2634 APR_DRG Cholecystectomy 8 3 — — $64,376.42 $94,046.27 $75,710.27 2026-04-01
6122 APR_DRG Respiratory Condition 8 3 — — $63,637.71 $94,724.86 $75,632.51 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 8 3 — — $41,742.52 $119,881.66 $75,596.91 2026-04-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 8 3 — — $60,828.71 $96,465.29 $74,958.77 2026-04-01
3464 APR_DRG Connective Tissue Disorders 8 3 — — $69,976.81 $85,671.25 $74,846.21 2026-04-01
1934 APR_DRG Acute And Subacute Endocarditis 8 3 — — $65,904.41 $79,107.42 $74,744.26 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 10 — — $32,867.00 $181,085.03 $74,740.96 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 3 — — $37,005.83 $123,023.20 $74,553.88 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 10 — — $36,647.00 $180,304.40 $74,421.08 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 8 3 — — $39,061.70 $120,264.89 $74,378.94 2026-04-01
233 APR_DRG Spinal Procedures 8 3 — — $60,319.14 $95,379.05 $74,205.68 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 10 — — $55,977.54 $179,707.72 $74,176.57 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 3 — — $30,783.71 $129,154.96 $74,086.01 2026-04-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 3 — — $57,518.15 $98,278.94 $74,057.86 2026-04-01
4454 APR_DRG Other Bladder Procedures 8 3 — — $38,919.09 $119,544.80 $73,980.92 2026-04-01
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