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

COASTAL CAROLINA HOSPITAL

Hardeeville, SC · CCN 420101 · Rates published

24,507 distinct procedures filed
33 distinct payers
1,776,301 rate rows
2026-03-10 last MRF observed
Data quality

969,005 of 1,776,301 rate rows are consumer-grade (54.6%)

807,296 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 702,732
template filing: same amount across many unrelated codes — excluded 79,049
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 18,390
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,105
placeholder amount (≤ $0.02) — excluded from medians 1,568
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 821
per-diem day rate — not a per-procedure price 621
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/934580630_CoastalCarolinaHospital_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint da903583547eba4e… · 382,984,978 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
$3,710,000
1.0× median
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 10 $28.70 $4,200,000.00 $3,422,017.76 nat. median
$3,710,000
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 15 $2,122,959.52 $4,054,852.68 $3,088,906.10 nat. median
$2,405,851
1.3× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 9 $2,957,255.05 $4,879,470.83 $3,045,972.70 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 9 $2,681,683.87 $4,424,778.39 $2,762,134.39 nat. median
$2,997,086
0.9× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 10 $28.70 $4,268,915.88 $2,279,735.18 nat. median
$2,460,273
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 9 $7,342.70 $1,339,944.49 $701,541.62 nat. median
$809,151
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 4 $689,736.12 $724,223.09 $696,633.46 nat. median
$311,018
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 16 $28.70 $1,028,886.17 $578,771.00 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 16 $28.70 $978,134.44 $537,717.88 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 16 $28.70 $969,057.50 $532,727.95 nat. median
$610,161
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 10 $28.70 $983,925.92 $515,144.46 nat. median
$631,793
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 16 $28.70 $927,174.01 $509,702.99 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 16 $28.70 $850,796.78 $489,399.00 nat. median
$577,541
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 $435,939.08 $457,736.14 $440,298.46 nat. median
$254,667
1.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 4 $416,444.85 $437,267.19 $420,609.28 nat. median
$250,089
1.7× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 4 $354,753.29 $372,491.04 $358,300.81 nat. median
$243,231
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $30.00 $1,440,036.13 $353,965.46 nat. median
$261,939
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 $12.90 $2,218,991.36 $350,074.69 nat. median
$370,165
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 $306,554.43 $321,882.23 $309,619.96 nat. median
$168,174
1.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 $299,952.50 $314,950.20 $302,952.02 nat. median
$168,361
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $26.00 $1,097,116.79 $301,661.41 nat. median
$205,166
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 4 $294,970.16 $309,718.73 $297,919.85 nat. median
$209,486
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 $283,880.33 $298,074.42 $286,719.12 nat. median
$165,599
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 $282,198.95 $296,308.96 $285,020.93 nat. median
$180,995
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 4 $272,163.61 $285,771.86 $274,885.24 nat. median
$147,847
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 $264,770.82 $278,009.42 $267,418.52 nat. median
$156,285
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 $261,642.66 $274,724.86 $264,259.08 nat. median
$147,677
1.8× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 4 $261,328.58 $274,395.07 $263,941.86 nat. median
$169,230
1.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 4 $252,346.48 $264,963.87 $254,869.93 nat. median
$165,646
1.5× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 9 $5,254.90 $483,817.65 $253,307.67 nat. median
$302,242
0.8× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 4 $237,355.29 $249,223.11 $239,728.84 nat. median
$127,938
1.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $231,532.88 $243,109.58 $233,848.20 nat. median
$96,420
outlier · 2.4×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $231,532.88 $243,109.58 $233,848.20 nat. median
$89,188
outlier · 2.6×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $231,532.88 $243,109.58 $233,848.20 nat. median
$71,350
outlier · 3.3×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 $227,909.01 $239,304.51 $230,188.09 nat. median
$108,751
outlier · 2.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 $222,326.26 $233,442.62 $224,549.52 nat. median
$160,171
1.4× median
5831
APR_DRG 		Neonate With Ecmo, Minor 4 $220,496.03 $231,520.89 $222,700.98 nat. median
$154,685
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 4 $218,535.89 $229,462.73 $220,721.24 nat. median
$175,480
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 4 $216,869.64 $227,713.17 $219,038.33 nat. median
$127,600
1.7× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 4 $201,127.94 $211,184.39 $203,139.21 nat. median
$137,901
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $193,385.75 $203,055.08 $195,319.60 nat. median
$123,690
1.6× median
23
APR_DRG 		Heart And/Or Lung Transplant, Major 4 $191,838.07 $201,430.02 $193,756.45 nat. median
$116,111
1.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 $189,147.60 $198,605.03 $191,039.07 nat. median
$112,711
1.7× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 4 $185,059.55 $194,312.57 $186,910.14 nat. median
$84,000
outlier · 2.2×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 4 $181,019.44 $190,070.45 $182,829.62 nat. median
$120,928
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $26.70 $1,090,678.13 $163,874.89 nat. median
$199,832
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $85,092.15 $566,335.38 $163,858.33 nat. median
$96,835
1.7× median
Q0480
HCPCS 		Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 16 $28.70 $212,969.99 $162,236.30 nat. median
$111,503
1.5× median

Other procedures at this hospital

Browse this hospital's 24,507 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 2026-03-10
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 3 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-10
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 23 10 — — $28.70 $4,200,000.00 $3,422,017.76 2026-03-10
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 43 15 — — $2,122,959.52 $4,054,852.68 $3,088,906.10 2026-03-10
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 19 9 — — $2,957,255.05 $4,879,470.83 $3,045,972.70 2026-03-10
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 19 9 — — $2,681,683.87 $4,424,778.39 $2,762,134.39 2026-03-10
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 30 10 — — $28.70 $4,268,915.88 $2,279,735.18 2026-03-10
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 21 9 — — $7,342.70 $1,339,944.49 $701,541.62 2026-03-10
5834 APR_DRG Neonate With Ecmo, Severe 4 4 — — $689,736.12 $724,223.09 $696,633.46 2026-03-10
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 49 16 — — $28.70 $1,028,886.17 $578,771.00 2026-03-10
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 49 16 — — $28.70 $978,134.44 $537,717.88 2026-03-10
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 49 16 — — $28.70 $969,057.50 $532,727.95 2026-03-10
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 30 10 — — $28.70 $983,925.92 $515,144.46 2026-03-10
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 49 16 — — $28.70 $927,174.01 $509,702.99 2026-03-10
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 49 16 — — $28.70 $850,796.78 $489,399.00 2026-03-10
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 4 4 — — $435,939.08 $457,736.14 $440,298.46 2026-03-10
5833 APR_DRG Neonate With Ecmo, Major 4 4 — — $416,444.85 $437,267.19 $420,609.28 2026-03-10
24 APR_DRG Heart And/Or Lung Transplant, Severe 4 4 — — $354,753.29 $372,491.04 $358,300.81 2026-03-10
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 48 16 — — $30.00 $1,440,036.13 $353,965.46 2026-03-10
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 44 15 — — $12.90 $2,218,991.36 $350,074.69 2026-03-10
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 4 4 — — $306,554.43 $321,882.23 $309,619.96 2026-03-10
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 4 4 — — $299,952.50 $314,950.20 $302,952.02 2026-03-10
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 17 — — $26.00 $1,097,116.79 $301,661.41 2026-03-10
1614 APR_DRG Implantable Heart Assist Systems, Severe 4 4 — — $294,970.16 $309,718.73 $297,919.85 2026-03-10
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 4 4 — — $283,880.33 $298,074.42 $286,719.12 2026-03-10
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 4 4 — — $282,198.95 $296,308.96 $285,020.93 2026-03-10
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 4 4 — — $272,163.61 $285,771.86 $274,885.24 2026-03-10
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 4 4 — — $264,770.82 $278,009.42 $267,418.52 2026-03-10
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 4 4 — — $261,642.66 $274,724.86 $264,259.08 2026-03-10
5832 APR_DRG Neonate With Ecmo, Moderate 4 4 — — $261,328.58 $274,395.07 $263,941.86 2026-03-10
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 4 4 — — $252,346.48 $264,963.87 $254,869.93 2026-03-10
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 21 9 — — $5,254.90 $483,817.65 $253,307.67 2026-03-10
1613 APR_DRG Implantable Heart Assist Systems, Major 4 4 — — $237,355.29 $249,223.11 $239,728.84 2026-03-10
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $231,532.88 $243,109.58 $233,848.20 2026-03-10
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $231,532.88 $243,109.58 $233,848.20 2026-03-10
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $231,532.88 $243,109.58 $233,848.20 2026-03-10
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 4 4 — — $227,909.01 $239,304.51 $230,188.09 2026-03-10
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 4 4 — — $222,326.26 $233,442.62 $224,549.52 2026-03-10
5831 APR_DRG Neonate With Ecmo, Minor 4 4 — — $220,496.03 $231,520.89 $222,700.98 2026-03-10
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 4 4 — — $218,535.89 $229,462.73 $220,721.24 2026-03-10
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 4 4 — — $216,869.64 $227,713.17 $219,038.33 2026-03-10
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 4 4 — — $201,127.94 $211,184.39 $203,139.21 2026-03-10
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $193,385.75 $203,055.08 $195,319.60 2026-03-10
23 APR_DRG Heart And/Or Lung Transplant, Major 4 4 — — $191,838.07 $201,430.02 $193,756.45 2026-03-10
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 4 4 — — $189,147.60 $198,605.03 $191,039.07 2026-03-10
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 4 4 — — $185,059.55 $194,312.57 $186,910.14 2026-03-10
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 4 4 — — $181,019.44 $190,070.45 $182,829.62 2026-03-10
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 12 — $12,007.70 $26.70 $1,090,678.13 $163,874.89 2026-03-10
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $165,190.65 $85,092.15 $566,335.38 $163,858.33 2026-03-10
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 46 16 — — $28.70 $212,969.99 $162,236.30 2026-03-10
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 4 4 — — $160,596.85 $168,626.73 $162,202.82 2026-03-10
1612 APR_DRG Implantable Heart Assist Systems, Moderate 4 4 — — $160,422.79 $168,443.96 $162,027.01 2026-03-10
1611 APR_DRG Implantable Heart Assist Systems, Minor 4 4 — — $160,422.79 $168,443.96 $162,027.01 2026-03-10
7 MS_DRG Lung Transplant 48 16 — — $18.50 $665,458.98 $161,912.99 2026-03-10
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 4 4 — — $155,951.29 $163,748.89 $157,510.79 2026-03-10
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 4 4 — — $154,269.90 $161,983.43 $155,812.60 2026-03-10
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 14 — $106,088.68 $69,561.05 $462,967.31 $153,643.47 2026-03-10
14 MS_DRG Allogeneic Bone Marrow Transplant 48 16 — — $25.60 $617,551.81 $150,758.97 2026-03-10
22 APR_DRG Heart And/Or Lung Transplant, Moderate 4 4 — — $148,072.87 $155,476.55 $149,553.60 2026-03-10
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 48 16 — — $9.60 $582,295.87 $148,733.38 2026-03-10
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 4 4 — — $147,065.05 $154,418.33 $148,535.70 2026-03-10
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $143,948.24 $151,145.69 $145,387.72 2026-03-10
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 4 4 — — $143,759.04 $150,947.02 $145,196.62 2026-03-10
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 4 4 — — $139,867.76 $146,861.18 $141,266.43 2026-03-10
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 40 14 — — $28.70 $181,604.77 $138,342.90 2026-03-10
64 APR_DRG Pancreas Transplant, Severe 4 4 — — $135,632.13 $142,413.77 $136,988.45 2026-03-10
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 4 4 — — $134,947.22 $141,694.61 $136,296.68 2026-03-10
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $134,802.16 $141,542.30 $136,150.18 2026-03-10
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 48 16 — — $14.80 $529,815.35 $132,690.38 2026-03-10
215 MS_DRG Other Heart Assist System Implant 48 16 — $131,076.14 $5.00 $511,650.40 $131,678.90 2026-03-10
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 4 4 — — $130,204.53 $136,714.79 $131,506.57 2026-03-10
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 17 — $149,522.20 $11.00 $502,698.96 $130,961.11 2026-03-10
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 52 17 — $179,496.63 $12.60 $558,776.50 $122,987.64 2026-03-10
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 4 4 — — $121,304.41 $127,369.66 $122,517.45 2026-03-10
850 MS_DRG Acute Leukemia With Other Procedures 38 14 — $107,823.03 $66,858.01 $444,977.07 $122,350.16 2026-03-10
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 4 4 — — $120,745.63 $126,782.94 $121,953.08 2026-03-10
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $117,804.16 $123,694.39 $118,982.20 2026-03-10
8634 APR_DRG Neonatal Aftercare, Severe 4 4 — — $115,735.54 $121,522.34 $116,892.89 2026-03-10
63 APR_DRG Pancreas Transplant, Major 4 4 — — $115,432.81 $121,204.48 $116,587.14 2026-03-10
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 17 — $125,094.20 $10.00 $433,178.84 $115,666.24 2026-03-10
21 APR_DRG Heart And/Or Lung Transplant, Minor 4 4 — — $113,507.99 $119,183.41 $114,643.07 2026-03-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 17 — $115,221.20 $10.60 $431,817.11 $114,381.23 2026-03-10
4404 APR_DRG Kidney Transplant, Severe 4 4 — — $112,153.29 $117,760.98 $113,274.82 2026-03-10
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 52 17 — $124,671.86 $10.00 $404,346.16 $112,748.60 2026-03-10
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 4 4 — — $111,072.31 $116,625.95 $112,183.03 2026-03-10
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 4 4 — — $108,838.45 $114,280.40 $109,926.83 2026-03-10
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 4 4 — — $107,995.87 $113,395.69 $109,075.82 2026-03-10
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 14 — $116,539.80 $51,587.10 $343,340.70 $107,535.58 2026-03-10
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 12 — $265,901.68 $26.00 $711,768.04 $106,943.47 2026-03-10
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $103,562.21 $108,740.34 $104,597.83 2026-03-10
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $93,843.96 $55,733.15 $370,934.98 $102,964.93 2026-03-10
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $101,091.22 $106,145.80 $102,102.12 2026-03-10
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 17 — $115,020.45 $8.00 $366,402.73 $100,745.49 2026-03-10
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $98,547.07 $103,474.44 $99,532.54 2026-03-10
62 APR_DRG Pancreas Transplant, Moderate 4 4 — — $97,611.14 $102,491.72 $98,587.25 2026-03-10
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 4 4 — — $96,911.09 $101,756.67 $97,880.20 2026-03-10
1784 APR_DRG External Heart Assist Systems, Severe 4 4 — — $96,594.49 $101,424.24 $97,560.43 2026-03-10
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 14 — $67,473.18 $44,526.45 $296,348.20 $97,039.23 2026-03-10
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 17 — $99,915.86 $5.20 $337,878.37 $96,963.79 2026-03-10
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 14 — $104,201.84 $50,682.60 $343,592.49 $96,705.63 2026-03-10
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 4 4 — — $94,959.77 $99,707.79 $95,909.37 2026-03-10
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 17 — $114,627.72 $11.00 $392,856.25 $95,860.81 2026-03-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 17 — $110,608.32 $8.70 $394,557.12 $95,306.79 2026-03-10
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 4 4 — — $94,139.89 $98,846.91 $95,081.29 2026-03-10
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 4 4 — — $92,847.01 $97,489.38 $93,775.48 2026-03-10
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 48 16 — — $11.60 $366,618.56 $93,643.84 2026-03-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 17 — $77,102.65 $13.50 $355,169.75 $91,791.60 2026-03-10
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 4 4 — — $89,652.00 $94,134.62 $90,548.51 2026-03-10
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 4 4 — — $89,619.20 $94,100.18 $90,515.39 2026-03-10
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $88,896.45 $93,341.29 $89,785.41 2026-03-10
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 52 17 — $118,036.10 $10.00 $391,556.18 $89,757.52 2026-03-10
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 4 4 — — $88,128.28 $92,534.72 $89,009.56 2026-03-10
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 17 — $120,847.71 $2.20 $337,878.37 $88,489.33 2026-03-10
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 4 4 — — $87,022.07 $91,373.20 $87,892.29 2026-03-10
955 MS_DRG Craniotomy For Multiple Significant Trauma 52 17 — $125,613.08 $8.00 $345,884.30 $86,657.38 2026-03-10
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 17 — $86,587.31 $5.30 $306,419.86 $86,587.31 2026-03-10
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 4 4 — — $85,714.05 $89,999.77 $86,571.19 2026-03-10
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 17 — $98,789.24 $7.50 $311,532.76 $85,658.54 2026-03-10
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 4 4 — — $84,379.54 $88,598.53 $85,223.33 2026-03-10
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 4 4 — — $83,118.18 $87,274.11 $83,949.36 2026-03-10
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 4 4 — — $83,052.59 $87,205.24 $83,883.11 2026-03-10
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 17 — $103,623.72 $6.00 $353,427.77 $83,203.68 2026-03-10
276 MS_DRG Cardiac Defibrillator Implant With Mcc 52 17 — $84,973.62 $6.00 $308,655.15 $83,065.45 2026-03-10
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 51 17 — $67,149.56 $2.70 $314,913.96 $82,802.95 2026-03-10
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 14 — $66,359.72 $31,041.36 $206,597.41 $82,712.57 2026-03-10
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 4 4 — — $80,668.63 $84,702.08 $81,475.32 2026-03-10
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 4 4 — — $80,285.18 $84,299.46 $81,088.03 2026-03-10
1794 APR_DRG Defibrillator Implants, Severe 4 4 — — $80,206.98 $84,217.35 $81,009.04 2026-03-10
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $78,955.48 $43,406.17 $288,892.09 $80,930.63 2026-03-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 17 — $73,353.10 $14.80 $330,653.49 $80,746.48 2026-03-10
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 4 4 — — $79,807.13 $83,797.50 $80,605.20 2026-03-10
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 17 — $98,653.21 $11.00 $292,874.51 $80,528.29 2026-03-10
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 52 17 — $134,070.95 $13.00 $262,119.29 $80,343.95 2026-03-10
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 4 4 — — $79,380.79 $83,349.85 $80,174.60 2026-03-10
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 14 — $75,318.92 $41,148.62 $273,866.83 $80,028.43 2026-03-10
28 MS_DRG Spinal Procedures With Mcc 52 17 — $74,073.83 $10.00 $308,742.50 $79,609.11 2026-03-10
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 4 4 — — $78,801.83 $82,741.94 $79,589.85 2026-03-10
61 APR_DRG Pancreas Transplant, Minor 4 4 — — $78,767.77 $82,706.18 $79,555.45 2026-03-10
914 APR_DRG Other Major Head And Neck Procedures, Severe 4 4 — — $78,534.42 $82,461.16 $79,319.76 2026-03-10
1783 APR_DRG External Heart Assist Systems, Major 4 4 — — $78,328.82 $82,245.28 $79,112.11 2026-03-10
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 17 — $101,759.91 $8.00 $301,563.88 $78,546.29 2026-03-10
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 4 4 — — $77,423.17 $81,294.35 $78,197.40 2026-03-10
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $77,289.47 $81,153.96 $78,062.36 2026-03-10
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 48 16 — — $16.60 $304,703.56 $77,766.10 2026-03-10
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 17 — $78,058.13 $7.50 $294,457.20 $77,741.11 2026-03-10
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 4 4 — — $76,309.39 $80,124.88 $77,072.49 2026-03-10
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 17 — $97,323.65 $11.50 $280,264.38 $77,061.02 2026-03-10
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 17 — $84,961.55 $8.00 $280,706.30 $77,023.15 2026-03-10
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 4 4 — — $76,189.57 $79,999.06 $76,951.46 2026-03-10
10 MS_DRG Pancreas Transplant 48 16 — — $9.50 $368,730.52 $76,874.65 2026-03-10
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 52 17 — $77,415.29 $9.90 $286,232.03 $75,795.62 2026-03-10
4403 APR_DRG Kidney Transplant, Major 4 4 — — $74,658.28 $78,391.21 $75,404.86 2026-03-10
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 49 15 — $84,429.31 $28.70 $98,805.83 $75,268.32 2026-03-10
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 4 4 — — $73,640.37 $77,322.41 $74,376.77 2026-03-10
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 17 — $84,564.44 $5.70 $274,031.26 $74,354.67 2026-03-10
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Minor 4 4 — — $72,903.74 $76,548.94 $73,632.77 2026-03-10
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 4 4 — — $72,884.82 $76,529.08 $73,613.67 2026-03-10
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 4 4 — — $72,490.01 $76,114.53 $73,214.91 2026-03-10
214 APR_DRG Open Craniotomy Except Trauma, Severe 4 4 — — $72,401.72 $76,021.82 $73,125.74 2026-03-10
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 4 4 — — $72,358.83 $75,976.79 $73,082.42 2026-03-10
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 4 4 — — $72,097.73 $75,702.64 $72,818.70 2026-03-10
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 17 — $62,737.43 $9.00 $281,107.11 $72,603.08 2026-03-10
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 43 16 — — $28.70 $94,746.41 $72,175.93 2026-03-10
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 4 4 — — $71,303.08 $74,868.25 $72,016.11 2026-03-10
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $70,792.23 $74,331.86 $71,500.15 2026-03-10
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 48 16 — — $16.60 $279,144.17 $71,300.62 2026-03-10
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 4 4 — — $70,490.77 $74,015.32 $71,195.68 2026-03-10
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 4 4 — — $70,490.77 $74,015.32 $71,195.68 2026-03-10
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 4 4 — — $69,918.11 $73,414.04 $70,617.29 2026-03-10
234 APR_DRG Spinal Procedures, Severe 4 4 — — $69,857.57 $73,350.46 $70,556.15 2026-03-10
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 17 — $87,245.51 $6.00 $272,027.21 $70,005.60 2026-03-10
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 48 16 — — $8.70 $287,997.98 $69,768.77 2026-03-10
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $68,856.05 $72,298.87 $69,544.61 2026-03-10
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $68,782.89 $72,222.06 $69,470.72 2026-03-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 52 17 — $64,511.28 $6.50 $271,127.95 $69,253.07 2026-03-10
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 4 4 — — $68,547.02 $71,974.39 $69,232.49 2026-03-10
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 4 4 — — $68,492.78 $71,917.44 $69,177.71 2026-03-10
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 4 4 — — $68,449.90 $71,872.41 $69,134.39 2026-03-10
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 52 17 — $98,522.67 $7.00 $283,804.88 $68,831.34 2026-03-10
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 17 — $71,990.63 $3.30 $258,995.72 $68,656.18 2026-03-10
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $66,853.02 $70,195.69 $67,521.55 2026-03-10
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 4 4 — — $66,576.79 $69,905.64 $67,242.55 2026-03-10
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 4 4 — — $66,411.55 $69,732.14 $67,075.67 2026-03-10
4014 APR_DRG Adrenal Procedures, Severe 4 4 — — $66,062.15 $69,365.28 $66,722.77 2026-03-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 17 — $191,392.13 $9.00 $256,282.54 $66,579.77 2026-03-10
6904 APR_DRG Acute Leukemia, Severe 4 4 — — $65,746.82 $69,034.17 $66,404.29 2026-03-10
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 14 — $70,146.57 $32,742.24 $217,917.75 $66,342.12 2026-03-10
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 4 4 — — $65,620.68 $68,901.73 $66,276.88 2026-03-10
653 MS_DRG Major Bladder Procedures With Mcc 49 16 — $201,143.63 $10.00 $267,022.21 $66,198.35 2026-03-10
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 17 — $63,679.75 $6.50 $254,227.10 $66,048.61 2026-03-10
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 4 4 — — $65,259.93 $68,522.95 $65,912.53 2026-03-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 17 — $81,510.38 $9.90 $253,774.90 $65,734.03 2026-03-10
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $64,576.28 $67,805.11 $65,222.04 2026-03-10
4402 APR_DRG Kidney Transplant, Moderate 4 4 — — $64,441.31 $67,663.40 $65,085.72 2026-03-10
204 APR_DRG Open Craniotomy For Trauma, Severe 4 4 — — $64,149.94 $67,357.45 $64,791.44 2026-03-10
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 17 — $112,423.50 $11.00 $252,906.48 $64,598.82 2026-03-10
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 4 4 — — $63,518.00 $66,693.92 $64,153.18 2026-03-10
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 52 17 — $63,859.66 $1.00 $244,638.47 $64,092.24 2026-03-10
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 4 4 — — $63,408.27 $66,578.69 $64,042.35 2026-03-10
4414 APR_DRG Major Bladder Procedures, Severe 4 4 — — $63,377.99 $66,546.91 $64,011.77 2026-03-10
1782 APR_DRG External Heart Assist Systems, Moderate 4 4 — — $63,143.38 $66,300.57 $63,774.81 2026-03-10
J9029 HCPCS Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 45 15 — $88,088.18 $28.70 $110,138.77 $63,402.04 2026-03-10
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 17 — $51,814.60 $11.90 $240,579.96 $63,263.93 2026-03-10
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 17 — $53,892.32 $10.90 $246,873.76 $63,255.28 2026-03-10
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 52 17 — $63,113.70 $8.70 $240,373.43 $63,158.54 2026-03-10
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 4 4 — — $62,476.12 $65,599.95 $63,100.88 2026-03-10
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 52 17 — $82,023.79 $7.80 $249,882.15 $63,056.35 2026-03-10
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 4 4 — — $62,285.66 $65,399.96 $62,908.51 2026-03-10
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 17 — $122,586.46 $9.00 $241,092.83 $62,390.36 2026-03-10
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $61,509.93 $64,585.44 $62,125.03 2026-03-10
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 51 17 — $77,671.99 $3.30 $237,326.24 $61,593.02 2026-03-10
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 17 — $72,224.29 $3.00 $214,413.22 $61,531.95 2026-03-10
2614 APR_DRG Major Biliary Tract Procedures, Severe 4 4 — — $60,669.87 $63,703.37 $61,276.57 2026-03-10
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 4 4 — — $60,394.89 $63,414.65 $60,998.83 2026-03-10
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Moderate 4 4 — — $60,281.37 $63,295.45 $60,884.18 2026-03-10
6 MS_DRG Liver Transplant Without Mcc 48 16 — — $7.80 $238,276.88 $60,854.93 2026-03-10
163 MS_DRG Major Chest Procedures With Mcc 52 17 — $56,533.90 $7.50 $230,301.77 $60,798.14 2026-03-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 52 17 — $203,645.69 $9.80 $236,195.75 $60,330.49 2026-03-10
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 4 4 — — $59,706.19 $62,691.52 $60,303.25 2026-03-10
1793 APR_DRG Defibrillator Implants, Major 4 4 — — $59,211.74 $62,172.34 $59,803.85 2026-03-10
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 52 17 — $56,317.79 $6.60 $233,636.73 $59,676.85 2026-03-10
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 43 15 — — $9,761.00 $78,246.32 $59,606.49 2026-03-10
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 52 17 — $64,662.67 $6.70 $216,535.47 $59,538.22 2026-03-10
4401 APR_DRG Kidney Transplant, Minor 4 4 — — $58,873.70 $61,817.40 $59,462.43 2026-03-10
799 MS_DRG Splenectomy With Mcc 52 17 — $83,235.97 $7.70 $185,780.01 $59,443.22 2026-03-10
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 4 4 — — $58,606.29 $61,536.62 $59,192.35 2026-03-10
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 16 — — $6.00 $241,586.14 $59,067.52 2026-03-10
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 4 4 — — $58,443.58 $61,365.77 $59,028.01 2026-03-10
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 4 4 — — $58,283.38 $61,197.57 $58,866.21 2026-03-10
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 17 — $120,407.82 $12.00 $336,650.24 $58,608.44 2026-03-10
1781 APR_DRG External Heart Assist Systems, Minor 4 4 — — $57,932.73 $60,829.38 $58,512.06 2026-03-10
38240 CPT Transplantation Of Donor Stem Cells, Per Donor 44 14 — $6,553.27 $28.70 $111,740.62 $58,502.94 2026-03-10
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $57,786.41 $60,675.75 $58,364.28 2026-03-10
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 43 16 — — $28.70 $76,385.85 $58,189.22 2026-03-10
245 MS_DRG Aicd Generator Procedures 51 17 — $83,852.49 $4.10 $234,443.49 $58,121.65 2026-03-10
901 MS_DRG Wound Debridements For Injuries With Mcc 52 17 — $77,128.97 $9.00 $215,646.49 $57,904.97 2026-03-10
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 17 — $78,238.50 $7.00 $267,484.68 $57,855.98 2026-03-10
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 4 4 — — $57,244.03 $60,106.24 $57,816.47 2026-03-10
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 4 4 — — $57,146.90 $60,004.26 $57,718.37 2026-03-10
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 4 4 — — $57,092.67 $59,947.31 $57,663.60 2026-03-10
2304 APR_DRG Major Small Bowel Procedures, Severe 4 4 — — $56,941.30 $59,788.38 $57,510.71 2026-03-10
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 4 4 — — $56,918.60 $59,764.54 $57,487.79 2026-03-10
274 APR_DRG Other Open Craniotomy, Severe 4 4 — — $56,876.97 $59,720.84 $57,445.74 2026-03-10
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 4 4 — — $56,827.78 $59,669.18 $57,396.06 2026-03-10
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 4 4 — — $56,701.65 $59,536.74 $57,268.67 2026-03-10
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 17 — $59,334.54 $10.50 $235,594.53 $57,222.16 2026-03-10
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 17 — $90,079.06 $9.00 $251,853.06 $57,092.86 2026-03-10
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 4 4 — — $56,513.70 $59,339.40 $57,078.84 2026-03-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 17 — $115,557.75 $9.00 $233,739.50 $57,002.39 2026-03-10
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $56,248.82 $59,061.27 $56,811.31 2026-03-10
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 4 4 — — $56,187.01 $58,996.38 $56,748.88 2026-03-10
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 52 17 — $48,748.49 $8.00 $225,728.42 $56,656.26 2026-03-10
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 14 — $53,263.74 $24,941.18 $165,997.33 $56,614.21 2026-03-10
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 4 4 — — $55,913.30 $58,708.98 $56,472.43 2026-03-10
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 4 4 — — $55,639.59 $58,421.58 $56,195.98 2026-03-10
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 4 4 — — $55,485.70 $58,260.00 $56,040.56 2026-03-10
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 4 4 — — $55,480.66 $58,254.70 $56,035.46 2026-03-10
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 52 17 — $114,765.95 $8.50 $216,643.38 $55,730.45 2026-03-10
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 12 — $5,172.36 $12.60 $368,576.36 $55,378.77 2026-03-10
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 31 15 — — $28.70 $55,272.26 $55,272.26 2026-03-10
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 4 4 — — $54,645.64 $57,377.93 $55,192.10 2026-03-10
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 52 17 — $71,173.36 $5.80 $215,245.68 $54,909.60 2026-03-10
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 17 — $102,300.74 $6.00 $286,024.75 $54,755.09 2026-03-10
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 4 4 — — $53,888.83 $56,583.28 $54,427.71 2026-03-10
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 4 4 — — $53,820.71 $56,511.76 $54,358.92 2026-03-10
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Moderate 4 4 — — $53,805.58 $56,495.87 $54,343.64 2026-03-10
8633 APR_DRG Neonatal Aftercare, Major 4 4 — — $53,576.01 $56,254.82 $54,111.77 2026-03-10
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 4 4 — — $53,572.23 $56,250.85 $54,107.95 2026-03-10
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 4 4 — — $53,512.94 $56,188.60 $54,048.07 2026-03-10
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 17 — $54,025.06 $4.00 $201,016.89 $54,025.06 2026-03-10
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 51 17 — $70,656.67 $1.50 $217,013.36 $53,800.49 2026-03-10
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 4 4 — — $53,197.60 $55,857.50 $53,729.57 2026-03-10
4034 APR_DRG Procedures For Obesity, Severe 4 4 — — $53,159.76 $55,817.77 $53,691.36 2026-03-10
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 52 17 — $84,628.88 $6.00 $193,365.52 $53,619.87 2026-03-10
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 51 17 — $76,115.35 $4.60 $222,367.78 $53,613.00 2026-03-10
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 4 4 — — $52,733.43 $55,370.11 $53,260.76 2026-03-10
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 4 4 — — $52,589.63 $55,219.13 $53,115.52 2026-03-10
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 4 4 — — $52,408.00 $55,028.41 $52,932.07 2026-03-10
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 4 4 — — $52,286.91 $54,901.27 $52,809.78 2026-03-10
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 4 4 — — $52,246.54 $54,858.88 $52,769.01 2026-03-10
224 APR_DRG Ventricular Shunt Procedures, Severe 4 4 — — $52,207.44 $54,817.83 $52,729.51 2026-03-10
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 57 18 — $58,002.43 $28.70 $96,106.83 $52,665.14 2026-03-10
332 MS_DRG Rectal Resection With Mcc 52 17 — $66,545.12 $6.70 $186,053.29 $52,570.63 2026-03-10
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 4 4 — — $52,032.11 $54,633.73 $52,552.43 2026-03-10
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 52 17 — $66,636.17 $7.70 $186,310.22 $52,503.35 2026-03-10
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $51,918.59 $54,514.53 $52,437.77 2026-03-10
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 48 16 — $70,146.57 $2.50 $200,107.36 $52,181.94 2026-03-10
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 52 17 — $65,531.49 $8.00 $183,221.92 $52,164.37 2026-03-10
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Minor 4 4 — — $51,352.24 $53,919.87 $51,865.76 2026-03-10
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 4 4 — — $51,311.88 $53,877.49 $51,825.00 2026-03-10
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 52 17 — $65,476.64 $7.60 $183,067.76 $51,761.12 2026-03-10
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 51 17 — $56,517.44 $2.50 $163,273.88 $51,748.00 2026-03-10
471 MS_DRG Cervical Spinal Fusion With Mcc 53 17 — $66,406.90 $7.00 $248,127.58 $51,748.00 2026-03-10
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 51 17 — $57,647.35 $2.60 $161,840.21 $51,748.00 2026-03-10
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 51 17 — $61,385.93 $3.60 $211,992.94 $51,748.00 2026-03-10
6504 APR_DRG Splenectomy, Severe 4 4 — — $51,118.89 $53,674.85 $51,630.08 2026-03-10
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 52 17 — $40,842.41 $10.00 $220,594.96 $51,428.18 2026-03-10
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 4 4 — — $50,792.20 $53,331.83 $51,300.12 2026-03-10
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 17 — $62,124.21 $8.00 $213,406.06 $51,197.08 2026-03-10
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 4 4 — — $50,661.02 $53,194.09 $51,167.63 2026-03-10
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