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

HILTON HEAD REGIONAL MEDICAL CENTER

Hilton Head Island, SC · CCN 420080 · Rates published

24,519 distinct procedures filed
40 distinct payers
1,965,446 rate rows
2026-03-12 last MRF observed
Data quality

1,009,109 of 1,965,446 rate rows are consumer-grade (51.3%)

956,337 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 848,115
template filing: same amount across many unrelated codes — excluded 79,050
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 22,293
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,813
placeholder amount (≤ $0.02) — excluded from medians 1,577
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 819
per-diem day rate — not a per-procedure price 635
exceeds 10× this hospital's gross charge — excluded from medians 35
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/934604680_HiltonHeadHospital_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint 5d19624f71eb64fa… · 534,451,518 bytes · first seen 2026-05-05

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 		Injection, Atidarsagene Autotemcel, Per Treatment 9 $4,101,171.80 $4,306,230.39 $4,142,183.52 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 15 $2,122,959.52 $4,755,429.32 $3,439,194.42 nat. median
$2,332,000
1.5× median
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 10 $33.10 $4,200,000.00 $3,422,017.76 nat. median
$3,685,267
0.9× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 9 $2,957,255.05 $4,879,470.83 $3,031,186.42 nat. median
$3,248,446
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 9 $2,681,683.87 $4,692,946.77 $2,762,134.39 nat. median
$2,968,000
0.9× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 10 $33.10 $3,911,310.36 $2,279,735.18 nat. median
$2,455,111
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 4 $700,424.30 $735,445.51 $710,930.67 nat. median
$390,362
1.8× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 9 $7,342.70 $1,571,453.23 $701,541.62 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 16 $33.10 $1,206,651.85 $578,771.00 nat. median
$621,313
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 16 $33.10 $1,147,131.48 $537,717.88 nat. median
$579,571
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 16 $33.10 $1,136,486.29 $532,727.95 nat. median
$574,037
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 10 $33.10 $1,153,923.59 $515,144.46 nat. median
$599,737
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 16 $33.10 $1,087,366.38 $509,702.99 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 16 $33.10 $997,793.08 $489,399.00 nat. median
$513,770
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 $442,694.41 $464,829.13 $449,334.82 nat. median
$286,698
1.6× median
5833
APR_DRG 		Neonate With Ecmo, Major 4 $422,898.10 $444,043.01 $429,241.57 nat. median
$268,208
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 $12.90 $2,225,339.23 $385,289.46 nat. median
$168,055
outlier · 2.3×
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 4 $360,250.56 $378,263.09 $365,654.32 nat. median
$225,531
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 $311,304.81 $326,870.05 $315,974.39 nat. median
$198,578
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 $304,600.58 $319,830.61 $309,169.59 nat. median
$171,497
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 4 $299,541.03 $314,518.08 $304,034.15 nat. median
$202,242
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 $288,279.35 $302,693.32 $292,603.54 nat. median
$152,792
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 $286,571.91 $300,900.51 $290,870.49 nat. median
$173,134
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 4 $276,381.07 $290,200.13 $280,526.79 nat. median
$152,383
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 $268,873.72 $282,317.40 $272,906.82 nat. median
$168,439
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 $265,697.09 $278,981.94 $269,682.55 nat. median
$181,762
1.5× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 4 $265,378.14 $278,647.05 $269,358.82 nat. median
$201,678
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 4 $256,256.85 $269,069.70 $260,100.71 nat. median
$173,018
1.5× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 9 $5,254.90 $567,409.18 $253,307.67 nat. median
$286,598
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $30.00 $1,444,155.64 $250,037.36 nat. median
$186,516
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 4 $241,033.36 $253,085.03 $244,648.86 nat. median
$155,539
1.6× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $235,120.72 $246,876.76 $238,647.53 nat. median
$96,548
outlier · 2.5×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $235,120.72 $246,876.76 $238,647.53 nat. median
$77,096
outlier · 3.1×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $235,120.72 $246,876.76 $238,647.53 nat. median
$99,483
outlier · 2.4×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 $231,440.70 $243,012.73 $234,912.31 nat. median
$120,079
2.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 $225,771.43 $237,060.01 $229,158.01 nat. median
$187,567
1.2× median
5831
APR_DRG 		Neonate With Ecmo, Minor 4 $223,912.85 $235,108.49 $227,271.54 nat. median
$173,909
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 4 $221,922.33 $233,018.45 $225,251.16 nat. median
$149,836
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 4 $220,230.26 $231,241.77 $223,533.72 nat. median
$135,630
1.6× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 4 $204,244.63 $214,456.86 $207,308.30 nat. median
$136,566
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $196,382.46 $206,201.59 $199,328.20 nat. median
$124,731
1.6× median
23
APR_DRG 		Heart And/Or Lung Transplant, Major 4 $194,810.80 $204,551.34 $197,732.96 nat. median
$117,894
1.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 $192,078.64 $201,682.57 $194,959.82 nat. median
$114,205
1.7× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 4 $187,927.24 $197,323.61 $190,746.15 nat. median
$85,835
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $26.00 $1,100,255.32 $190,495.35 nat. median
$131,925
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $26.70 $1,093,798.23 $189,377.39 nat. median
$145,435
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 4 $183,824.52 $193,015.75 $186,581.89 nat. median
$130,862
1.4× median
Q0480
HCPCS 		Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 16 $33.10 $249,765.85 $180,634.23 nat. median
$108,243
1.7× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Major 4 $163,085.47 $171,239.74 $165,531.75 nat. median
$73,618
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 24,519 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 Injection, Atidarsagene Autotemcel, Per Treatment 14 9 — — $4,101,171.80 $4,306,230.39 $4,142,183.52 2026-03-12
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 3 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-12
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 43 15 — — $2,122,959.52 $4,755,429.32 $3,439,194.42 2026-03-12
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 23 10 — — $33.10 $4,200,000.00 $3,422,017.76 2026-03-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 18 9 — — $2,957,255.05 $4,879,470.83 $3,031,186.42 2026-03-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 19 9 — — $2,681,683.87 $4,692,946.77 $2,762,134.39 2026-03-12
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 29 10 — — $33.10 $3,911,310.36 $2,279,735.18 2026-03-12
5834 APR_DRG Neonate With Ecmo, Severe 4 4 — — $700,424.30 $735,445.51 $710,930.67 2026-03-12
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 21 9 — — $7,342.70 $1,571,453.23 $701,541.62 2026-03-12
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 49 16 — — $33.10 $1,206,651.85 $578,771.00 2026-03-12
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 49 16 — — $33.10 $1,147,131.48 $537,717.88 2026-03-12
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 49 16 — — $33.10 $1,136,486.29 $532,727.95 2026-03-12
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 30 10 — — $33.10 $1,153,923.59 $515,144.46 2026-03-12
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 49 16 — — $33.10 $1,087,366.38 $509,702.99 2026-03-12
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 49 16 — — $33.10 $997,793.08 $489,399.00 2026-03-12
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 4 — — $442,694.41 $464,829.13 $449,334.82 2026-03-12
5833 APR_DRG Neonate With Ecmo, Major 4 4 — — $422,898.10 $444,043.01 $429,241.57 2026-03-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 32 12 — — $12.90 $2,225,339.23 $385,289.46 2026-03-12
24 APR_DRG Heart And/Or Lung Transplant, Severe 4 4 — — $360,250.56 $378,263.09 $365,654.32 2026-03-12
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 4 — — $311,304.81 $326,870.05 $315,974.39 2026-03-12
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 4 — — $304,600.58 $319,830.61 $309,169.59 2026-03-12
1614 APR_DRG Implantable Heart Assist Systems, Severe 4 4 — — $299,541.03 $314,518.08 $304,034.15 2026-03-12
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 4 — — $288,279.35 $302,693.32 $292,603.54 2026-03-12
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 4 — — $286,571.91 $300,900.51 $290,870.49 2026-03-12
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 4 4 — — $276,381.07 $290,200.13 $280,526.79 2026-03-12
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 4 — — $268,873.72 $282,317.40 $272,906.82 2026-03-12
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 4 — — $265,697.09 $278,981.94 $269,682.55 2026-03-12
5832 APR_DRG Neonate With Ecmo, Moderate 4 4 — — $265,378.14 $278,647.05 $269,358.82 2026-03-12
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 4 4 — — $256,256.85 $269,069.70 $260,100.71 2026-03-12
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 21 9 — — $5,254.90 $567,409.18 $253,307.67 2026-03-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 12 — — $30.00 $1,444,155.64 $250,037.36 2026-03-12
1613 APR_DRG Implantable Heart Assist Systems, Major 4 4 — — $241,033.36 $253,085.03 $244,648.86 2026-03-12
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $235,120.72 $246,876.76 $238,647.53 2026-03-12
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $235,120.72 $246,876.76 $238,647.53 2026-03-12
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $235,120.72 $246,876.76 $238,647.53 2026-03-12
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 4 — — $231,440.70 $243,012.73 $234,912.31 2026-03-12
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 4 — — $225,771.43 $237,060.01 $229,158.01 2026-03-12
5831 APR_DRG Neonate With Ecmo, Minor 4 4 — — $223,912.85 $235,108.49 $227,271.54 2026-03-12
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 4 4 — — $221,922.33 $233,018.45 $225,251.16 2026-03-12
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 4 4 — — $220,230.26 $231,241.77 $223,533.72 2026-03-12
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 4 4 — — $204,244.63 $214,456.86 $207,308.30 2026-03-12
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $196,382.46 $206,201.59 $199,328.20 2026-03-12
23 APR_DRG Heart And/Or Lung Transplant, Major 4 4 — — $194,810.80 $204,551.34 $197,732.96 2026-03-12
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 4 — — $192,078.64 $201,682.57 $194,959.82 2026-03-12
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 4 4 — — $187,927.24 $197,323.61 $190,746.15 2026-03-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 12 — — $26.00 $1,100,255.32 $190,495.35 2026-03-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 13 — $611,630.70 $26.70 $1,093,798.23 $189,377.39 2026-03-12
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 4 4 — — $183,824.52 $193,015.75 $186,581.89 2026-03-12
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 46 16 — — $33.10 $249,765.85 $180,634.23 2026-03-12
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 4 4 — — $163,085.47 $171,239.74 $165,531.75 2026-03-12
1611 APR_DRG Implantable Heart Assist Systems, Minor 4 4 — — $162,908.70 $171,054.14 $165,352.34 2026-03-12
1612 APR_DRG Implantable Heart Assist Systems, Moderate 4 4 — — $162,908.70 $171,054.14 $165,352.34 2026-03-12
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 4 4 — — $158,367.91 $166,286.31 $160,743.43 2026-03-12
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 4 4 — — $156,660.47 $164,493.50 $159,010.38 2026-03-12
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 40 14 — — $33.10 $212,981.51 $154,031.27 2026-03-12
22 APR_DRG Heart And/Or Lung Transplant, Moderate 4 4 — — $150,367.41 $157,885.78 $152,622.92 2026-03-12
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 4 4 — — $149,343.97 $156,811.17 $151,584.13 2026-03-12
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $146,178.87 $153,487.81 $148,371.55 2026-03-12
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 4 4 — — $145,986.73 $153,286.07 $148,176.54 2026-03-12
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 4 4 — — $142,035.16 $149,136.92 $144,165.68 2026-03-12
64 APR_DRG Pancreas Transplant, Severe 4 4 — — $137,733.90 $144,620.59 $139,799.90 2026-03-12
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 4 4 — — $137,038.37 $143,890.29 $139,093.95 2026-03-12
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $136,891.06 $143,735.62 $138,944.43 2026-03-12
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 4 4 — — $132,222.18 $138,833.29 $134,205.52 2026-03-12
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 4 4 — — $123,184.15 $129,343.36 $125,031.91 2026-03-12
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 4 4 — — $122,616.71 $128,747.55 $124,455.96 2026-03-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 13 — $823,404.90 $26.00 $713,804.20 $123,586.21 2026-03-12
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $119,629.66 $125,611.14 $121,424.11 2026-03-12
8634 APR_DRG Neonatal Aftercare, Severe 4 4 — — $117,528.98 $123,405.43 $119,291.92 2026-03-12
63 APR_DRG Pancreas Transplant, Major 4 4 — — $117,221.56 $123,082.64 $118,979.89 2026-03-12
21 APR_DRG Heart And/Or Lung Transplant, Minor 4 4 — — $115,266.91 $121,030.26 $116,995.92 2026-03-12
4404 APR_DRG Kidney Transplant, Severe 4 4 — — $113,891.22 $119,585.78 $115,599.59 2026-03-12
7 MS_DRG Lung Transplant 32 12 — — $18.50 $667,362.66 $115,545.44 2026-03-12
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 4 4 — — $112,793.49 $118,433.17 $114,485.40 2026-03-12
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 4 4 — — $110,525.02 $116,051.27 $112,182.90 2026-03-12
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 4 4 — — $109,669.38 $115,152.85 $111,314.42 2026-03-12
14 MS_DRG Allogeneic Bone Marrow Transplant 32 12 — — $25.60 $619,318.44 $107,227.19 2026-03-12
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $105,167.01 $110,425.36 $106,744.51 2026-03-12
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $102,657.73 $107,790.62 $104,197.60 2026-03-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 10 — $150,584.00 $98,334.34 $567,955.50 $103,251.06 2026-03-12
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $100,074.16 $105,077.86 $101,575.27 2026-03-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 12 — — $9.60 $583,961.65 $101,105.61 2026-03-12
62 APR_DRG Pancreas Transplant, Moderate 4 4 — — $99,123.73 $104,079.91 $100,610.58 2026-03-12
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 40 14 — $163,625.00 $12.60 $560,375.00 $100,417.64 2026-03-12
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 4 4 — — $98,412.83 $103,333.47 $99,889.02 2026-03-12
1784 APR_DRG External Heart Assist Systems, Severe 4 4 — — $98,091.32 $102,995.89 $99,562.69 2026-03-12
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 4 4 — — $96,431.28 $101,252.84 $97,877.74 2026-03-12
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 4 4 — — $95,598.69 $100,378.63 $97,032.67 2026-03-12
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $94,285.77 $99,000.06 $95,700.05 2026-03-12
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 4 4 — — $91,041.25 $95,593.31 $92,406.87 2026-03-12
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 4 4 — — $91,007.95 $95,558.34 $92,373.07 2026-03-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 12 — — $14.80 $531,331.00 $91,993.27 2026-03-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 13 — $332,752.50 $18,805.00 $504,137.03 $91,649.23 2026-03-12
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $90,273.99 $94,787.69 $91,628.10 2026-03-12
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 4 4 — — $89,493.92 $93,968.62 $90,836.33 2026-03-12
215 MS_DRG Other Heart Assist System Implant 32 13 — $70,297.50 $5.00 $513,114.08 $89,727.63 2026-03-12
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 4 4 — — $88,370.57 $92,789.10 $89,696.13 2026-03-12
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 4 4 — — $87,042.28 $91,394.39 $88,347.92 2026-03-12
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 4 4 — — $85,687.09 $89,971.44 $86,972.39 2026-03-12
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 4 4 — — $84,406.19 $88,626.50 $85,672.28 2026-03-12
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 4 4 — — $84,339.58 $88,556.56 $85,604.68 2026-03-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 10 — $96,708.00 $80,386.26 $464,291.72 $84,405.57 2026-03-12
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 49 15 — $84,429.31 $33.10 $115,876.99 $83,803.90 2026-03-12
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 4 4 — — $81,918.68 $86,014.61 $83,147.46 2026-03-12
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $81,529.29 $85,605.75 $82,752.23 2026-03-12
1794 APR_DRG Defibrillator Implants, Severe 4 4 — — $81,449.87 $85,522.36 $82,671.62 2026-03-12
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 4 4 — — $81,043.82 $85,096.02 $82,259.48 2026-03-12
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 4 4 — — $80,610.88 $84,641.42 $81,820.05 2026-03-12
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 4 4 — — $80,022.95 $84,024.09 $81,223.29 2026-03-12
61 APR_DRG Pancreas Transplant, Minor 4 4 — — $79,988.36 $83,987.78 $81,188.18 2026-03-12
850 MS_DRG Acute Leukemia With Other Procedures 25 10 — $98,289.00 $77,262.57 $446,250.01 $81,125.70 2026-03-12
914 APR_DRG Other Major Head And Neck Procedures, Severe 4 4 — — $79,751.40 $83,738.97 $80,947.67 2026-03-12
1783 APR_DRG External Heart Assist Systems, Major 4 4 — — $79,542.61 $83,519.74 $80,735.75 2026-03-12
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 43 16 — — $33.10 $111,116.21 $80,360.83 2026-03-12
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 4 4 — — $78,622.92 $82,554.07 $79,802.26 2026-03-12
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $78,487.15 $82,411.50 $79,664.45 2026-03-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 13 — $114,033.00 $18,805.00 $434,418.04 $78,974.71 2026-03-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 13 — $105,033.00 $18,805.00 $433,052.41 $78,726.45 2026-03-12
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 4 4 — — $77,491.89 $81,366.48 $78,654.26 2026-03-12
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 4 4 — — $77,370.20 $81,238.71 $78,530.76 2026-03-12
4403 APR_DRG Kidney Transplant, Major 4 4 — — $75,815.19 $79,605.95 $76,952.42 2026-03-12
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 4 4 — — $74,781.50 $78,520.58 $75,903.23 2026-03-12
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Minor 4 4 — — $74,033.46 $77,735.13 $75,143.96 2026-03-12
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 4 4 — — $74,014.24 $77,714.96 $75,124.46 2026-03-12
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 4 4 — — $73,613.32 $77,293.99 $74,717.52 2026-03-12
214 APR_DRG Open Craniotomy Except Trauma, Severe 4 4 — — $73,523.66 $77,199.84 $74,626.51 2026-03-12
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 4 4 — — $73,480.11 $77,154.11 $74,582.31 2026-03-12
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 4 4 — — $73,214.96 $76,875.71 $74,313.18 2026-03-12
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 4 4 — — $72,408.00 $76,028.40 $73,494.12 2026-03-12
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $71,889.23 $75,483.69 $72,967.57 2026-03-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 14 — $113,648.00 $10.00 $405,502.87 $72,664.99 2026-03-12
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 4 4 — — $71,583.10 $75,162.25 $72,656.85 2026-03-12
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 4 4 — — $71,583.10 $75,162.25 $72,656.85 2026-03-12
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 4 4 — — $71,001.57 $74,551.65 $72,066.59 2026-03-12
234 APR_DRG Spinal Procedures, Severe 4 4 — — $70,940.08 $74,487.09 $72,004.18 2026-03-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 13 — $100,828.00 $18,805.00 $395,685.83 $71,933.42 2026-03-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 13 — $419,102.68 $18,805.00 $393,980.09 $71,623.32 2026-03-12
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $69,923.05 $73,419.20 $70,971.90 2026-03-12
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $69,848.76 $73,341.20 $70,896.49 2026-03-12
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 4 4 — — $69,609.23 $73,089.69 $70,653.37 2026-03-12
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 4 4 — — $69,554.15 $73,031.86 $70,597.46 2026-03-12
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 4 4 — — $69,510.60 $72,986.13 $70,553.26 2026-03-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 14 — $107,599.00 $10.00 $392,676.31 $70,366.51 2026-03-12
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $67,888.98 $71,283.43 $68,907.32 2026-03-12
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 4 4 — — $67,608.46 $70,988.89 $68,622.59 2026-03-12
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 4 4 — — $67,440.67 $70,812.70 $68,452.28 2026-03-12
4014 APR_DRG Adrenal Procedures, Severe 4 4 — — $67,085.86 $70,440.15 $68,092.14 2026-03-12
6904 APR_DRG Acute Leukemia, Severe 4 4 — — $66,765.63 $70,103.91 $67,767.12 2026-03-12
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 4 4 — — $66,637.54 $69,969.42 $67,637.10 2026-03-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 10 — $85,546.00 $64,406.44 $371,996.11 $67,473.14 2026-03-12
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 4 4 — — $66,271.20 $69,584.76 $67,265.27 2026-03-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 13 — $201,308.25 $18,805.00 $367,450.90 $66,800.48 2026-03-12
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $65,576.96 $68,855.80 $66,560.62 2026-03-12
4402 APR_DRG Kidney Transplant, Moderate 4 4 — — $65,439.90 $68,711.90 $66,421.50 2026-03-12
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 43 15 — — $9,603.00 $91,765.32 $66,365.99 2026-03-12
204 APR_DRG Open Craniotomy For Trauma, Severe 4 4 — — $65,144.01 $68,401.21 $66,121.17 2026-03-12
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 4 4 — — $64,502.28 $67,727.40 $65,469.82 2026-03-12
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 4 4 — — $64,390.84 $67,610.39 $65,356.71 2026-03-12
4414 APR_DRG Major Bladder Procedures, Severe 4 4 — — $64,360.10 $67,578.11 $65,325.50 2026-03-12
1782 APR_DRG External Heart Assist Systems, Moderate 4 4 — — $64,121.85 $67,327.95 $65,083.68 2026-03-12
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 43 16 — — $33.10 $89,583.40 $64,788.00 2026-03-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 13 — $94,461.00 $18,805.00 $354,438.82 $64,434.95 2026-03-12
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $63,444.26 $66,616.47 $64,395.93 2026-03-12
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 4 4 — — $63,250.84 $66,413.38 $64,199.60 2026-03-12
10 MS_DRG Pancreas Transplant 32 12 — — $9.50 $369,785.35 $64,023.68 2026-03-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 13 — $4,715.00 $12.60 $369,630.75 $63,996.91 2026-03-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 14 — $181,288.43 $13.50 $356,185.79 $63,827.49 2026-03-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 12 — — $11.60 $367,667.34 $63,656.97 2026-03-12
J9029 HCPCS Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 45 15 — $88,088.18 $33.10 $129,167.99 $63,402.04 2026-03-12
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $62,463.09 $65,586.24 $63,400.04 2026-03-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 10 — $94,988.00 $59,658.89 $344,575.40 $62,641.83 2026-03-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 10 — $106,235.00 $59,615.17 $344,322.89 $62,595.93 2026-03-12
2614 APR_DRG Major Biliary Tract Procedures, Severe 4 4 — — $61,610.01 $64,690.51 $62,534.16 2026-03-12
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 4 4 — — $61,330.77 $64,397.31 $62,250.74 2026-03-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 14 — $114,506.00 $8.00 $346,873.78 $62,158.82 2026-03-12
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Moderate 4 4 — — $61,215.49 $64,276.27 $62,133.72 2026-03-12
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 4 4 — — $60,631.40 $63,662.97 $61,540.87 2026-03-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 14 — $231,504.72 $12,218.26 $338,844.93 $61,306.74 2026-03-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 14 — $110,162.00 $12,218.26 $338,844.93 $61,306.74 2026-03-12
1793 APR_DRG Defibrillator Implants, Major 4 4 — — $60,129.29 $63,135.75 $61,031.23 2026-03-12
4401 APR_DRG Kidney Transplant, Minor 4 4 — — $59,786.01 $62,775.31 $60,682.80 2026-03-12
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 4 4 — — $59,514.46 $62,490.18 $60,407.18 2026-03-12
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 4 4 — — $59,349.22 $62,316.68 $60,239.46 2026-03-12
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $59,186.55 $62,145.87 $60,074.35 2026-03-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 14 — $109,761.00 $12,218.26 $337,613.30 $59,914.82 2026-03-12
1781 APR_DRG External Heart Assist Systems, Minor 4 4 — — $58,830.46 $61,771.98 $59,712.92 2026-03-12
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $58,681.87 $61,615.97 $59,562.10 2026-03-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 14 — $121,153.50 $14.80 $331,599.40 $59,421.69 2026-03-12
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 4 4 — — $58,131.08 $61,037.64 $59,003.05 2026-03-12
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $58,032.46 $60,934.08 $58,902.94 2026-03-12
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 4 4 — — $57,977.38 $60,876.25 $58,847.04 2026-03-12
2304 APR_DRG Major Small Bowel Procedures, Severe 4 4 — — $57,823.67 $60,714.85 $58,691.02 2026-03-12
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 4 4 — — $57,800.61 $60,690.64 $58,667.62 2026-03-12
274 APR_DRG Other Open Craniotomy, Severe 4 4 — — $57,758.34 $60,646.26 $58,624.71 2026-03-12
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 4 4 — — $57,708.39 $60,593.81 $58,574.01 2026-03-12
38240 CPT Transplantation Of Donor Stem Cells, Per Donor 44 14 — $6,553.27 $33.10 $131,046.59 $58,502.94 2026-03-12
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 4 4 — — $57,580.30 $60,459.31 $58,444.01 2026-03-12
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 4 4 — — $57,389.44 $60,258.92 $58,250.29 2026-03-12
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $57,120.45 $59,976.48 $57,977.26 2026-03-12
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 4 4 — — $57,057.69 $59,910.58 $57,913.56 2026-03-12
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 4 4 — — $56,779.74 $59,618.72 $57,631.43 2026-03-12
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 4 4 — — $56,501.78 $59,326.87 $57,349.31 2026-03-12
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 4 4 — — $56,345.51 $59,162.79 $57,190.69 2026-03-12
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 4 4 — — $56,340.39 $59,157.41 $57,185.49 2026-03-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 14 — $61,212.00 $12,218.26 $315,814.84 $57,139.93 2026-03-12
L8701 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand With S… 43 16 — — $33.10 $78,333.09 $56,651.61 2026-03-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 14 — $122,216.00 $13.00 $316,278.48 $56,527.57 2026-03-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 14 — $90,054.00 $12,218.26 $312,423.97 $56,526.43 2026-03-12
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 4 4 — — $55,492.43 $58,267.05 $56,324.82 2026-03-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc 36 14 — $224,044.50 $12,218.26 $309,538.12 $56,004.30 2026-03-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 14 — $333,244.05 $12,218.26 $307,296.43 $55,598.71 2026-03-12
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 4 4 — — $54,723.89 $57,460.09 $55,544.75 2026-03-12
28 MS_DRG Spinal Procedures With Mcc 40 14 — $67,524.00 $10.00 $309,625.72 $55,484.07 2026-03-12
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 4 4 — — $54,654.72 $57,387.46 $55,474.54 2026-03-12
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $54,639.35 $57,371.32 $55,458.94 2026-03-12
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 31 15 — — $33.10 $55,272.26 $55,272.26 2026-03-12
8633 APR_DRG Neonatal Aftercare, Major 4 4 — — $54,406.23 $57,126.54 $55,222.32 2026-03-12
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 4 4 — — $54,402.38 $57,122.50 $55,218.42 2026-03-12
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 4 4 — — $54,342.18 $57,059.29 $55,157.32 2026-03-12
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 4 4 — — $54,021.96 $56,723.06 $54,832.29 2026-03-12
4034 APR_DRG Procedures For Obesity, Severe 4 4 — — $53,983.53 $56,682.71 $54,793.29 2026-03-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 14 — $291,867.75 $12,218.26 $302,426.56 $54,717.61 2026-03-12
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 4 4 — — $53,550.59 $56,228.12 $54,353.85 2026-03-12
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 4 4 — — $53,404.56 $56,074.79 $54,205.63 2026-03-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 10 — $61,507.00 $51,455.74 $297,195.96 $54,028.53 2026-03-12
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 4 4 — — $53,220.11 $55,881.12 $54,018.42 2026-03-12
C1820 HCPCS Imp Gen Nstm Restoresnsr 32 15 $154,043.00 $115,532.25 25% off $33.10 $161,707.50 $53,902.50 2026-03-12
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 4 4 — — $53,097.15 $55,752.01 $53,893.60 2026-03-12
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 4 4 — — $53,056.16 $55,708.97 $53,852.00 2026-03-12
224 APR_DRG Ventricular Shunt Procedures, Severe 4 4 — — $53,016.45 $55,667.27 $53,811.69 2026-03-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 14 — $47,233.00 $11.90 $302,230.74 $53,635.63 2026-03-12
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 4 4 — — $52,838.41 $55,480.33 $53,630.99 2026-03-12
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $52,723.12 $55,359.28 $53,513.97 2026-03-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 13 — $2,690.20 $17.90 $123,002.05 $53,029.63 2026-03-12
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Minor 4 4 — — $52,148.00 $54,755.40 $52,930.22 2026-03-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 14 — $71,156.00 $7.50 $295,299.55 $52,916.86 2026-03-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 12 — — $16.60 $305,575.23 $52,906.50 2026-03-12
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 4 4 — — $52,107.01 $54,712.36 $52,888.62 2026-03-12
6504 APR_DRG Splenectomy, Severe 4 4 — — $51,911.03 $54,506.59 $52,689.70 2026-03-12
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 57 18 — $58,002.43 $33.10 $112,711.67 $52,665.14 2026-03-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 14 — $89,930.00 $11.00 $293,712.33 $52,655.35 2026-03-12
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 4 4 — — $51,579.28 $54,158.25 $52,352.97 2026-03-12
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 4 4 — — $51,446.07 $54,018.37 $52,217.76 2026-03-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 10 — $71,974.00 $50,161.11 $289,718.53 $52,167.55 2026-03-12
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Moderate 4 4 — — $51,189.89 $53,749.38 $51,957.74 2026-03-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 14 — $93,255.00 $6.00 $286,842.98 $51,649.78 2026-03-12
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 4 4 — — $50,678.81 $53,212.75 $51,438.99 2026-03-12
913 APR_DRG Other Major Head And Neck Procedures, Major 4 4 — — $50,655.75 $53,188.54 $51,415.58 2026-03-12
2314 APR_DRG Major Large Bowel Procedures, Severe 4 4 — — $50,599.39 $53,129.36 $51,358.38 2026-03-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 36 14 — $57,190.00 $12,218.26 $281,911.28 $51,249.86 2026-03-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 14 — $89,811.00 $7.00 $284,616.76 $51,248.92 2026-03-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 14 — $363,870.00 $12,218.26 $281,509.32 $51,176.78 2026-03-12
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 4 4 — — $50,382.92 $52,902.07 $51,138.67 2026-03-12
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 4 4 — — $50,256.11 $52,768.92 $51,009.95 2026-03-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 40 14 — $70,570.00 $9.90 $345,375.56 $50,941.78 2026-03-12
1832 APR_DRG Percutaneous Structural Cardiac Procedures, Moderate 4 4 — — $50,165.17 $52,673.43 $50,917.65 2026-03-12
213 APR_DRG Open Craniotomy Except Trauma, Major 4 4 — — $50,096.00 $52,600.80 $50,847.44 2026-03-12
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $50,057.57 $52,560.45 $50,808.43 2026-03-12
1693 APR_DRG Major Abdominal Vascular Procedures, Major 4 4 — — $50,031.95 $52,533.55 $50,782.43 2026-03-12
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 4 4 — — $50,012.74 $52,513.38 $50,762.93 2026-03-12
9103 APR_DRG Craniotomy For Multiple Significant Trauma, Major 4 4 — — $49,983.28 $52,482.44 $50,733.03 2026-03-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 14 — $88,718.00 $11.50 $281,066.14 $50,609.58 2026-03-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 12 — — $8.70 $288,821.85 $50,505.93 2026-03-12
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 4 4 — — $49,666.90 $52,150.24 $50,411.90 2026-03-12
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 4 4 — — $49,551.62 $52,029.20 $50,294.89 2026-03-12
1792 APR_DRG Defibrillator Implants, Moderate 4 4 — — $49,428.65 $51,900.08 $50,170.08 2026-03-12
7524 APR_DRG Disorders Of Personality And Impulse Control, Severe 4 4 — — $49,340.27 $51,807.28 $50,080.38 2026-03-12
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 4 4 — — $49,330.02 $51,796.52 $50,069.97 2026-03-12
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Minor 4 4 — — $49,273.66 $51,737.34 $50,012.76 2026-03-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 14 — $77,087.00 $12,218.26 $274,815.18 $49,959.83 2026-03-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 10 — $68,659.00 $47,552.24 $274,650.28 $49,929.85 2026-03-12
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $48,970.09 $51,418.59 $49,704.64 2026-03-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 14 — $191,235.38 $12,218.26 $271,903.57 $49,430.51 2026-03-12
264 APR_DRG Other Nervous System And Related Procedures, Severe 4 4 — — $48,564.04 $50,992.24 $49,292.50 2026-03-12
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 4 4 — — $48,484.63 $50,908.86 $49,211.90 2026-03-12
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 4 4 — — $48,409.05 $50,829.51 $49,135.19 2026-03-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 14 — $79,531.00 $6.00 $272,805.40 $49,122.13 2026-03-12
C1882 HCPCS Dfb Amplia MRI Dtmb1d1 697 13 $135,005.00 $86,808.75 36% off $33.10 $217,385.10 $49,040.96 2026-03-12
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 4 4 — — $48,298.90 $50,713.84 $49,023.38 2026-03-12
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 4 4 — — $48,283.53 $50,697.70 $49,007.78 2026-03-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 12 — — $16.60 $279,942.72 $48,953.24 2026-03-12
1744 APR_DRG Percutaneous Cardiac Intervention With Ami, Severe 4 4 — — $48,191.30 $50,600.87 $48,914.17 2026-03-12
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 4 4 — — $48,140.06 $50,547.07 $48,862.16 2026-03-12
0333 RC Radiology Therapeutic And/of Chemotherapy Administration Radiation Therapy 3 1 — — $23,491.00 $61,561.00 $48,858.00 2024-12-08
90288 CPT Botulinum Human Antitoxin For Infusion Into Vein 31 15 — — $33.10 $48,705.00 $48,705.00 2026-03-12
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 4 4 — — $47,922.31 $50,318.43 $48,641.15 2026-03-12
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Major 4 4 — — $47,795.50 $50,185.28 $48,512.43 2026-03-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 14 — $53,826.00 $7.00 $268,249.88 $48,301.85 2026-03-12
2244 APR_DRG Peritoneal Adhesiolysis, Severe 4 4 — — $47,463.75 $49,836.94 $48,175.71 2026-03-12
L5856 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 43 16 — — $33.10 $66,572.71 $48,146.33 2026-03-12
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 4 4 — — $47,348.47 $49,715.89 $48,058.69 2026-03-12
1831 APR_DRG Percutaneous Structural Cardiac Procedures, Minor 4 4 — — $47,336.94 $49,703.79 $48,047.00 2026-03-12
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Minor 4 4 — — $47,302.36 $49,667.47 $48,011.90 2026-03-12
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 4 4 — — $47,267.77 $49,631.16 $47,976.79 2026-03-12
L6880 HCPCS Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 43 16 — — $33.10 $66,258.46 $47,919.07 2026-03-12
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 37 13 — — $29,510.19 $66,102.83 $47,806.51 2026-03-12
653 MS_DRG Major Bladder Procedures With Mcc 29 13 — $57,981.00 $12,218.26 $267,786.08 $47,754.70 2026-03-12
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 4 4 — — $46,973.16 $49,321.82 $47,677.76 2026-03-12
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 4 4 — — $46,948.83 $49,296.27 $47,653.06 2026-03-12
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 4 4 — — $46,888.63 $49,233.06 $47,591.96 2026-03-12
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