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

MCLEOD HEALTH CLARENDON

Manning, SC · CCN 420109 · Rates published

12,221 distinct procedures filed
20 distinct payers
187,677 rate rows
2026-11-03 last MRF observed
Data quality

187,447 of 187,677 rate rows are consumer-grade (99.9%)

230 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
placeholder amount (≤ $0.02) — excluded from medians 151
per-diem day rate — not a per-procedure price 50
exceeds 10× this hospital's gross charge — excluded from medians 21
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mcleodhealth.org/wp-content/uploads/price-transparency/81-2772554_mcleod-health-clarendon_standardcharges.csv
Found on page https://www.mcleodhealth.org/about-us/price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 7faffa633a10666c… · 135,122,457 bytes · first seen 2026-11-03

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
845
OTHER 		Inj, Atidarsagene Autotemcel 12 $4,505,000.00 $4,820,350.00 $4,685,200.00 nat. median
$21,691
outlier · 216.0×
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 12 $3,685,266.67 $3,943,235.33 $3,832,677.33 nat. median
$3,758,972
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 12 $3,316,462.59 $3,548,614.97 $3,449,121.09 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 12 $3,248,445.72 $3,475,836.92 $3,378,383.54 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autotemce 12 $2,945,740.00 $3,151,941.80 $3,063,569.60 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 13 $2,455,110.61 $4,419,199.09 $2,553,315.03 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 13 $2,332,000.00 $4,197,600.00 $2,425,280.00 nat. median
$2,308,680
1.1× median
5834
APR_DRG 		Neonate With Ecmo 5 $1,015,191.99 $1,086,255.43 $1,045,647.75 nat. median
$309,665
outlier · 3.4×
2067
OTHER 		Afamitresgene Autoleucel 13 $719,250.47 $1,294,650.85 $748,020.49 nat. median
$786,032
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $641,639.39 $686,554.15 $660,888.57 nat. median
$249,123
outlier · 2.7×
5833
APR_DRG 		Neonate With Ecmo 5 $612,946.71 $655,852.97 $631,335.11 nat. median
$244,017
outlier · 2.6×
9194
OTHER 		Tisagenlecleucel Car-pos T 13 $591,726.20 $1,065,107.16 $615,395.25 nat. median
$577,862
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $574,956.51 $615,203.47 $592,205.21 nat. median
$122,909
outlier · 4.8×
9498
OTHER 		Ciltacabtagene Car-pos T 13 $565,868.95 $1,018,564.10 $588,503.70 nat. median
$587,650
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 13 $562,538.19 $1,012,568.73 $585,039.71 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 13 $557,317.93 $1,003,172.28 $579,610.65 nat. median
$563,449
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 13 $533,230.17 $959,814.31 $554,559.38 nat. median
$533,230
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $522,145.63 $558,695.82 $537,810.00 nat. median
$243,231
outlier · 2.2×
9391
OTHER 		Brexucabtagene Car Pos T 13 $489,304.61 $880,748.29 $508,876.79 nat. median
$492,768
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $451,203.87 $482,788.14 $464,739.98 nat. median
$165,846
outlier · 2.8×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $448,753.25 $480,165.97 $462,215.84 nat. median
$67,440
outlier · 6.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $441,486.78 $472,390.86 $454,731.39 nat. median
$165,334
outlier · 2.8×
1614
APR_DRG 		Implantable Heart Assist Systems 5 $434,153.49 $464,544.23 $447,178.09 nat. median
$202,660
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $315,482.64 $1,228,982.49 $435,834.52 nat. median
$360,195
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $417,830.87 $447,079.03 $430,365.79 nat. median
$165,169
outlier · 2.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $415,356.11 $444,431.04 $427,816.79 nat. median
$177,531
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $400,585.55 $428,626.54 $412,603.12 nat. median
$145,336
outlier · 2.8×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $389,704.42 $416,983.73 $401,395.55 nat. median
$152,569
outlier · 2.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $385,100.23 $412,057.24 $396,653.23 nat. median
$138,094
outlier · 2.9×
5832
APR_DRG 		Neonate With Ecmo 5 $384,637.95 $411,562.61 $396,177.09 nat. median
$159,829
outlier · 2.5×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $379,213.17 $405,758.09 $390,589.56 nat. median
$67,645
outlier · 5.8×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $371,417.59 $397,416.82 $382,560.12 nat. median
$160,390
outlier · 2.4×
1613
APR_DRG 		Implantable Heart Assist Systems 5 $349,352.72 $373,807.41 $359,833.30 nat. median
$121,888
outlier · 3.0×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $340,782.97 $364,637.78 $351,006.46 nat. median
$95,269
outlier · 3.7×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $340,782.97 $364,637.78 $351,006.46 nat. median
$71,594
outlier · 4.9×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $340,782.97 $364,637.78 $351,006.46 nat. median
$90,073
outlier · 3.9×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $335,449.16 $358,930.60 $345,512.64 nat. median
$103,993
outlier · 3.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $327,232.15 $350,138.40 $337,049.12 nat. median
$154,211
outlier · 2.2×
5831
APR_DRG 		Neonate With Ecmo 5 $324,538.33 $347,256.01 $334,274.48 nat. median
$148,245
outlier · 2.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $321,653.28 $344,169.01 $331,302.88 nat. median
$171,358
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $319,200.80 $341,544.86 $328,776.82 nat. median
$122,016
outlier · 2.7×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $296,031.29 $316,753.48 $304,912.23 nat. median
$137,215
outlier · 2.2×
633
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $295,570.85 $295,570.85 $295,570.85 nat. median
$8,005
outlier · 36.9×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $284,635.91 $304,560.42 $293,174.98 nat. median
$119,800
outlier · 2.4×
23
APR_DRG 		Heart And/or Lung Transplant 5 $282,357.94 $302,123.00 $290,828.68 nat. median
$111,079
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $268,730.71 $797,560.19 $287,541.85 nat. median
$247,805
1.2× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $278,397.96 $297,885.82 $286,749.90 nat. median
$109,393
outlier · 2.6×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $272,380.95 $291,447.61 $280,552.37 nat. median
$83,372
outlier · 3.4×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $266,434.48 $285,084.89 $274,427.51 nat. median
$122,978
outlier · 2.2×
612
MS_DRG 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $270,849.83 $270,849.83 $270,849.83 nat. median
$53,038
outlier · 5.1×

Other procedures at this hospital

Browse this hospital's 12,221 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
             
6904 APR_DRG Acute Leukemia 5 5 — — $96,769.82 $103,543.71 $99,672.92 2026-11-03
850 MS_DRG Acute Leukemia With Other Procedures 19 15 — — $83,038.89 $246,449.37 $86,360.45 2026-11-03
4014 APR_DRG Adrenal Procedures 5 5 — — $97,233.95 $104,040.33 $100,150.97 2026-11-03
2067 OTHER Afamitresgene Autoleucel 13 13 — — $719,250.47 $1,294,650.85 $748,020.49 2026-11-03
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $321,653.28 $344,169.01 $331,302.88 2026-11-03
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $191,642.27 $205,057.23 $197,391.54 2026-11-03
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $142,639.13 $152,623.87 $146,918.31 2026-11-03
14 MS_DRG Allogeneic Bone Marrow Transplant 19 16 — — $102,015.24 $342,029.43 $122,734.57 2026-11-03
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $118,732.58 $127,043.86 $122,294.56 2026-11-03
3054 APR_DRG Amputation Of Lower Limb Except Toes 5 5 — — $67,018.91 $71,710.24 $69,029.48 2026-11-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 16 — — $13,105.74 $195,745.03 $70,406.46 2026-11-03
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $139,767.08 $149,550.78 $143,960.09 2026-11-03
83 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $91,675.50 $98,092.79 $94,425.77 2026-11-03
82 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $74,194.40 $79,388.01 $76,420.24 2026-11-03
9035 OTHER Axicabtagene Ciloleucel Car+ 13 13 — — $533,230.17 $959,814.31 $554,559.38 2026-11-03
9391 OTHER Brexucabtagene Car Pos T 13 13 — — $489,304.61 $880,748.29 $508,876.79 2026-11-03
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $198,622.83 $212,526.42 $204,581.51 2026-11-03
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $69,274.60 $74,123.82 $71,352.84 2026-11-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 15 — — $56,560.77 $208,663.34 $72,820.26 2026-11-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 16 — — $93,810.60 $278,418.49 $100,142.81 2026-11-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 16 — — $66,070.66 $218,524.42 $78,599.85 2026-11-03
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $173,390.71 $185,528.06 $178,592.43 2026-11-03
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $124,194.50 $132,888.11 $127,920.33 2026-11-03
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $95,046.96 $101,700.25 $97,898.37 2026-11-03
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $81,666.94 $87,383.63 $84,116.95 2026-11-03
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $152,428.62 $163,098.62 $157,001.48 2026-11-03
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $104,195.95 $111,489.66 $107,321.82 2026-11-03
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $79,194.04 $84,737.63 $81,569.86 2026-11-03
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $68,559.83 $73,359.02 $70,616.63 2026-11-03
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $83,775.96 $89,640.28 $86,289.24 2026-11-03
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $574,956.51 $615,203.47 $592,205.21 2026-11-03
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $448,753.25 $480,165.97 $462,215.84 2026-11-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 15 — — $315,482.64 $1,228,982.49 $435,834.52 2026-11-03
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $379,213.17 $405,758.09 $390,589.56 2026-11-03
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $160,200.06 $171,414.06 $165,006.06 2026-11-03
9498 OTHER Ciltacabtagene Car-pos T 13 13 — — $565,868.95 $1,018,564.10 $588,503.70 2026-11-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 15 — — $80,412.36 $256,413.22 $92,011.87 2026-11-03
209 MS_DRG Complex Aortic Arch Procedures 19 15 — — $4,620.75 $322,133.05 $115,594.91 2026-11-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 15 — — $104,275.44 $309,476.89 $111,053.35 2026-11-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 15 — — $62,160.39 $190,297.79 $68,286.86 2026-11-03
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $136,657.39 $146,223.41 $140,757.11 2026-11-03
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $100,748.37 $107,800.75 $103,770.82 2026-11-03
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $82,790.14 $88,585.45 $85,273.85 2026-11-03
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $75,583.09 $80,873.91 $77,850.58 2026-11-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 16 — — $68,160.42 $217,582.39 $78,261.01 2026-11-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 16 — — $51,456.23 $239,914.95 $86,293.68 2026-11-03
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $118,168.20 $126,439.97 $121,713.24 2026-11-03
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $85,784.73 $91,789.66 $88,358.27 2026-11-03
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $70,977.04 $75,945.43 $73,106.35 2026-11-03
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $122,337.97 $130,901.62 $126,008.11 2026-11-03
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $72,445.55 $77,516.74 $74,618.92 2026-11-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 16 — — $64,546.81 $191,567.11 $69,065.08 2026-11-03
1794 APR_DRG Defibrillator Implants 5 5 — — $118,053.09 $126,316.81 $121,594.69 2026-11-03
1793 APR_DRG Defibrillator Implants 5 5 — — $87,151.13 $93,251.71 $89,765.67 2026-11-03
1792 APR_DRG Defibrillator Implants 5 5 — — $71,641.67 $76,656.59 $73,790.93 2026-11-03
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $116,837.07 $125,015.66 $120,342.18 2026-11-03
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $83,456.64 $89,298.60 $85,960.34 2026-11-03
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $158,954.33 $170,081.13 $163,722.96 2026-11-03
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $106,117.46 $113,545.68 $109,300.98 2026-11-03
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $79,316.57 $84,868.73 $81,696.07 2026-11-03
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $69,981.94 $74,880.67 $72,081.39 2026-11-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 16 — — $203,535.66 $604,069.19 $217,783.16 2026-11-03
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $117,464.57 $125,687.09 $120,988.51 2026-11-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 16 — — $204,737.20 $607,635.23 $219,068.81 2026-11-03
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $96,053.20 $102,776.92 $98,934.80 2026-11-03
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $83,180.01 $89,002.62 $85,675.42 2026-11-03
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $371,417.59 $397,416.82 $382,560.12 2026-11-03
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $112,316.41 $120,178.56 $115,685.90 2026-11-03
1784 APR_DRG External Heart Assist Devices 5 5 — — $142,173.14 $152,125.26 $146,438.34 2026-11-03
1783 APR_DRG External Heart Assist Devices 5 5 — — $115,288.72 $123,358.93 $118,747.38 2026-11-03
1782 APR_DRG External Heart Assist Devices 5 5 — — $92,937.94 $99,443.60 $95,726.08 2026-11-03
1781 APR_DRG External Heart Assist Devices 5 5 — — $85,268.61 $91,237.42 $87,826.67 2026-11-03
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $417,830.87 $447,079.03 $430,365.79 2026-11-03
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $236,375.38 $252,921.66 $243,466.64 2026-11-03
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $129,712.11 $138,791.96 $133,603.47 2026-11-03
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $104,947.84 $112,294.19 $108,096.28 2026-11-03
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $84,111.99 $89,999.83 $86,635.35 2026-11-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 16 — — $29,882.01 $204,135.04 $73,252.25 2026-11-03
8514 APR_DRG Gender Related Procedures 5 5 — — $149,421.04 $159,880.51 $153,903.67 2026-11-03
4284 APR_DRG Genetic Disorders 5 5 — — $78,258.35 $83,736.44 $80,606.10 2026-11-03
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $522,145.63 $558,695.82 $537,810.00 2026-11-03
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $282,357.94 $302,123.00 $290,828.68 2026-11-03
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $217,941.89 $233,197.82 $224,480.14 2026-11-03
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $167,067.37 $178,762.08 $172,079.39 2026-11-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 16 — — $268,730.71 $797,560.19 $287,541.85 2026-11-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 16 — — $106,241.66 $444,362.24 $115,727.67 2026-11-03
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 5 5 — — $68,082.70 $72,848.49 $70,125.19 2026-11-03
9422 OTHER Idecabtagene Vicleucel Car 13 13 — — $557,317.93 $1,003,172.28 $579,610.65 2026-11-03
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $434,153.49 $464,544.23 $447,178.09 2026-11-03
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $349,352.72 $373,807.41 $359,833.30 2026-11-03
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $236,119.18 $252,647.52 $243,202.76 2026-11-03
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $236,119.18 $252,647.52 $243,202.76 2026-11-03
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $79,216.32 $84,761.46 $81,592.81 2026-11-03
714 OTHER Inj Delandistrogene Mox Rokl 12 12 — — $3,316,462.59 $3,548,614.97 $3,449,121.09 2026-11-03
9141 OTHER Inj Onase Abepar-xioi Treat 13 13 — — $2,455,110.61 $4,419,199.09 $2,553,315.03 2026-11-03
845 OTHER Inj, Atidarsagene Autotemcel 12 12 — — $4,505,000.00 $4,820,350.00 $4,685,200.00 2026-11-03
746 OTHER Inj, Betibeglogene Autotemce 12 12 — — $2,945,740.00 $3,151,941.80 $3,063,569.60 2026-11-03
824 OTHER Inj, Exagamglogene Autotem 13 13 — — $2,332,000.00 $4,197,600.00 $2,425,280.00 2026-11-03
9138 OTHER Inj, Hemgenix, Per Tx Dose 12 12 — — $3,685,266.67 $3,943,235.33 $3,832,677.33 2026-11-03
748 OTHER Inj, Lovotibeglogene Autotem 12 12 — — $3,248,445.72 $3,475,836.92 $3,378,383.54 2026-11-03
886 OTHER Inj. Remestemcel-l-rknd/ Td 13 13 — — $205,640.00 $370,152.00 $213,865.60 2026-11-03
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $72,840.99 $77,939.86 $75,026.22 2026-11-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 16 — — $75,456.60 $223,946.05 $80,738.56 2026-11-03
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $74,565.71 $79,785.31 $76,802.68 2026-11-03
4404 APR_DRG Kidney Transplant 5 5 — — $165,073.45 $176,628.60 $170,025.66 2026-11-03
4403 APR_DRG Kidney Transplant 5 5 — — $109,886.21 $117,578.25 $113,182.80 2026-11-03
4402 APR_DRG Kidney Transplant 5 5 — — $94,848.31 $101,487.69 $97,693.76 2026-11-03
4401 APR_DRG Kidney Transplant 5 5 — — $86,653.58 $92,719.34 $89,253.19 2026-11-03
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 5 5 — — $70,273.41 $75,192.55 $72,381.61 2026-11-03
9413 OTHER Lisocabtagene Car Pos T 13 13 — — $562,538.19 $1,012,568.73 $585,039.71 2026-11-03
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $296,031.29 $316,753.48 $304,912.23 2026-11-03
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $163,482.41 $174,926.18 $168,386.88 2026-11-03
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $131,906.53 $141,139.98 $135,863.72 2026-11-03
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $108,387.99 $115,975.15 $111,639.63 2026-11-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 16 — — $98,870.89 $293,436.83 $105,791.85 2026-11-03
1814 APR_DRG Lower Extremity Vascular Procedures 5 5 — — $83,642.29 $89,497.25 $86,151.56 2026-11-03
7 MS_DRG Lung Transplant 19 16 — — $103,153.05 $368,562.69 $132,255.82 2026-11-03
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $106,694.84 $114,163.48 $109,895.68 2026-11-03
1693 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $72,516.10 $77,592.23 $74,691.58 2026-11-03
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $89,297.28 $95,548.09 $91,976.20 2026-11-03
4414 APR_DRG Major Bladder Procedures 5 5 — — $93,283.26 $99,813.08 $96,081.75 2026-11-03
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $229,537.78 $245,605.42 $236,423.91 2026-11-03
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $100,891.32 $107,953.71 $103,918.06 2026-11-03
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $78,763.33 $84,276.76 $81,126.23 2026-11-03
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $98,398.00 $105,285.86 $101,349.94 2026-11-03
893 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $68,626.67 $73,430.54 $70,685.47 2026-11-03
2314 APR_DRG Major Large Bowel Procedures 5 5 — — $73,338.54 $78,472.24 $75,538.70 2026-11-03
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $113,758.94 $121,722.06 $117,171.71 2026-11-03
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $100,811.49 $107,868.29 $103,835.83 2026-11-03
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $96,584.17 $103,345.06 $99,481.69 2026-11-03
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $83,809.38 $89,676.04 $86,323.66 2026-11-03
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $97,991.42 $104,850.82 $100,931.16 2026-11-03
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $97,748.21 $104,590.59 $100,680.66 2026-11-03
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $73,024.79 $78,136.53 $75,215.53 2026-11-03
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $143,812.46 $153,879.33 $148,126.83 2026-11-03
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $112,748.98 $120,641.41 $116,131.45 2026-11-03
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $84,474.02 $90,387.20 $87,008.24 2026-11-03
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $71,886.74 $76,918.81 $74,043.34 2026-11-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $17,637.89 $313,663.35 $112,555.63 2026-11-03
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $83,969.12 $83,969.12 $83,969.12 2026-11-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $13,222.12 $205,441.36 $73,721.01 2026-11-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 15 — — $64,072.13 $190,158.34 $68,557.18 2026-11-03
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 5 5 — — $70,163.88 $75,075.35 $72,268.79 2026-11-03
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $112,140.04 $119,989.84 $115,504.24 2026-11-03
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $66,578.91 $71,239.44 $68,576.28 2026-11-03
8634 APR_DRG Neonatal Aftercare 5 5 — — $170,346.00 $182,270.22 $175,456.38 2026-11-03
8633 APR_DRG Neonatal Aftercare 5 5 — — $78,856.15 $84,376.09 $81,221.84 2026-11-03
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $205,865.15 $220,275.71 $212,041.11 2026-11-03
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $84,254.95 $90,152.79 $86,782.59 2026-11-03
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $72,488.25 $77,562.43 $74,662.90 2026-11-03
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $284,635.91 $304,560.42 $293,174.98 2026-11-03
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $198,409.32 $212,297.98 $204,361.60 2026-11-03
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $145,047.05 $155,200.35 $149,398.47 2026-11-03
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $85,053.25 $91,006.98 $87,604.85 2026-11-03
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $103,752.23 $111,014.89 $106,864.80 2026-11-03
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $103,752.23 $111,014.89 $106,864.80 2026-11-03
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $211,871.03 $226,702.00 $218,227.16 2026-11-03
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $148,791.68 $159,207.09 $153,255.43 2026-11-03
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $101,346.17 $108,440.40 $104,386.56 2026-11-03
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $113,955.73 $121,932.63 $117,374.40 2026-11-03
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $84,032.16 $89,914.41 $86,553.13 2026-11-03
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $178,542.59 $191,040.57 $183,898.86 2026-11-03
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $77,615.99 $83,049.11 $79,944.47 2026-11-03
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $86,260.00 $92,298.20 $88,847.80 2026-11-03
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $71,498.72 $76,503.63 $73,643.68 2026-11-03
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $130,842.74 $140,001.73 $134,768.02 2026-11-03
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $90,533.73 $96,871.10 $93,249.75 2026-11-03
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $451,203.87 $482,788.14 $464,739.98 2026-11-03
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $138,560.33 $148,259.56 $142,717.14 2026-11-03
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $88,725.47 $94,936.26 $91,387.24 2026-11-03
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $71,417.03 $76,416.23 $73,559.55 2026-11-03
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $73,453.65 $78,595.40 $75,657.26 2026-11-03
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $122,241.43 $130,798.33 $125,908.67 2026-11-03
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $69,774.00 $74,658.18 $71,867.22 2026-11-03
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $76,416.67 $81,765.84 $78,709.17 2026-11-03
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $441,486.78 $472,390.86 $454,731.39 2026-11-03
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $335,449.16 $358,930.60 $345,512.64 2026-11-03
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $272,380.95 $291,447.61 $280,552.37 2026-11-03
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $389,704.42 $416,983.73 $401,395.55 2026-11-03
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $278,397.96 $297,885.82 $286,749.90 2026-11-03
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $216,458.52 $231,610.62 $222,952.27 2026-11-03
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $107,303.78 $114,815.04 $110,522.89 2026-11-03
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $641,639.39 $686,554.15 $660,888.57 2026-11-03
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $415,356.11 $444,431.04 $427,816.79 2026-11-03
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $400,585.55 $428,626.54 $412,603.12 2026-11-03
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $266,434.48 $285,084.89 $274,427.51 2026-11-03
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $340,782.97 $364,637.78 $351,006.46 2026-11-03
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $340,782.97 $364,637.78 $351,006.46 2026-11-03
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $340,782.97 $364,637.78 $351,006.46 2026-11-03
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $128,083.93 $137,049.81 $131,926.45 2026-11-03
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $327,232.15 $350,138.40 $337,049.12 2026-11-03
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $177,720.14 $190,160.55 $183,051.75 2026-11-03
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $70,004.21 $74,904.51 $72,104.34 2026-11-03
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $385,100.23 $412,057.24 $396,653.23 2026-11-03
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $106,501.76 $113,956.88 $109,696.81 2026-11-03
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 — — $72,553.23 $77,631.96 $74,729.83 2026-11-03
5834 APR_DRG Neonate With Ecmo 5 5 — — $1,015,191.99 $1,086,255.43 $1,045,647.75 2026-11-03
5833 APR_DRG Neonate With Ecmo 5 5 — — $612,946.71 $655,852.97 $631,335.11 2026-11-03
5832 APR_DRG Neonate With Ecmo 5 5 — — $384,637.95 $411,562.61 $396,177.09 2026-11-03
5831 APR_DRG Neonate With Ecmo 5 5 — — $324,538.33 $347,256.01 $334,274.48 2026-11-03
633 MS_DRG Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $295,570.85 $295,570.85 $295,570.85 2026-11-03
634 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $105,942.01 $105,942.01 $105,942.01 2026-11-03
636 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $173,672.49 $173,672.49 $173,672.49 2026-11-03
632 MS_DRG Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $96,386.95 $96,386.95 $96,386.95 2026-11-03
631 MS_DRG Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $196,395.81 $196,395.81 $196,395.81 2026-11-03
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $270,849.83 $270,849.83 $270,849.83 2026-11-03
681 MS_DRG Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $118,292.96 $118,292.96 $118,292.96 2026-11-03
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 14 14 — — $65,551.86 $126,001.74 $72,801.01 2026-11-03
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 14 14 — — $65,551.86 $126,001.74 $72,801.01 2026-11-03
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 14 14 — — $74,292.05 $142,801.86 $82,507.74 2026-11-03
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 14 14 — — $74,292.05 $142,801.86 $82,507.74 2026-11-03
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 14 14 — — $83,032.24 $159,601.98 $92,214.48 2026-11-03
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 14 14 — — $83,032.24 $159,601.98 $92,214.48 2026-11-03
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 14 14 — — $93,957.48 $180,602.13 $104,347.90 2026-11-03
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 14 14 — — $93,957.48 $180,602.13 $104,347.90 2026-11-03
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 14 14 — — $107,067.76 $205,802.31 $118,908.00 2026-11-03
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 14 14 — — $107,067.76 $205,802.31 $118,908.00 2026-11-03
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 14 14 — — $120,178.05 $231,002.49 $133,468.11 2026-11-03
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 14 14 — — $120,178.05 $231,002.49 $133,468.11 2026-11-03
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 14 14 — — $133,288.33 $256,202.67 $148,028.21 2026-11-03
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 14 14 — — $133,288.33 $256,202.67 $148,028.21 2026-11-03
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 5 — — $71,819.90 $76,847.29 $73,974.50 2026-11-03
831 OTHER Obecbtge Autol Up To 400 Mil 13 13 — — $259,701.86 $467,463.34 $270,089.93 2026-11-03
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $106,564.88 $114,024.42 $109,761.83 2026-11-03
213 APR_DRG Open Craniotomy Except Trauma 5 5 — — $72,608.93 $77,691.55 $74,787.20 2026-11-03
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $94,419.45 $101,028.82 $97,252.04 2026-11-03
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $91,955.84 $98,392.75 $94,714.51 2026-11-03
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 5 5 — — $115,984.92 $124,103.86 $119,464.47 2026-11-03
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 5 5 — — $71,986.99 $77,026.08 $74,146.60 2026-11-03
1804 APR_DRG Other Circulatory System Procedures 5 5 — — $67,386.51 $72,103.56 $69,408.10 2026-11-03
2294 APR_DRG Other Digestive System And Abdominal Procedures 5 5 — — $69,458.39 $74,320.48 $71,542.15 2026-11-03
5184 APR_DRG Other Female Reproductive System And Related Procedures 5 5 — — $66,228.03 $70,863.99 $68,214.87 2026-11-03
5204 APR_DRG Other GYN Procedures For Malignancy 5 5 — — $92,264.02 $98,722.50 $95,031.94 2026-11-03
215 MS_DRG Other Heart Assist System Implant 20 16 — — $92,124.92 $327,714.25 $101,926.03 2026-11-03
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 5 — — $77,137.01 $82,536.60 $79,451.12 2026-11-03
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 5 5 — — $74,758.79 $79,991.91 $77,001.55 2026-11-03
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 5 5 — — $72,590.36 $77,671.69 $74,768.07 2026-11-03
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $115,591.33 $123,682.73 $119,059.07 2026-11-03
913 APR_DRG Other Major Head And Neck Procedures 5 5 — — $73,420.23 $78,559.65 $75,622.84 2026-11-03
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $70,388.52 $75,315.71 $72,500.17 2026-11-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 16 — — $57,928.76 $216,862.35 $78,002.02 2026-11-03
274 APR_DRG Other Open Craniotomy 5 5 — — $83,714.70 $89,574.72 $86,226.14 2026-11-03
294 APR_DRG Other Percutaneous Intracranial Procedures 5 5 — — $76,899.37 $82,282.33 $79,206.35 2026-11-03
1824 APR_DRG Other Peripheral Vascular And Related Procedures 5 5 — — $67,477.48 $72,200.90 $69,501.80 2026-11-03
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 5 — — $78,850.58 $84,370.13 $81,216.10 2026-11-03
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $82,699.17 $88,488.12 $85,180.15 2026-11-03
1214 APR_DRG Other Respiratory And Chest Procedures 5 5 — — $81,659.52 $87,375.68 $84,109.30 2026-11-03
3094 APR_DRG Other Significant Hip And Femur Surgery 5 5 — — $67,960.17 $72,717.39 $69,998.98 2026-11-03
2234 APR_DRG Other Small And Large Bowel Procedures 5 5 — — $66,163.05 $70,794.47 $68,147.94 2026-11-03
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 5 5 — — $68,509.71 $73,305.39 $70,565.00 2026-11-03
64 APR_DRG Pancreas Transplant 5 5 — — $199,630.92 $213,605.09 $205,619.85 2026-11-03
63 APR_DRG Pancreas Transplant 5 5 — — $169,900.43 $181,793.46 $174,997.45 2026-11-03
62 APR_DRG Pancreas Transplant 5 5 — — $143,669.51 $153,726.37 $147,979.59 2026-11-03
61 APR_DRG Pancreas Transplant 5 5 — — $115,934.79 $124,050.23 $119,412.84 2026-11-03
10 MS_DRG Pancreas Transplant 19 16 — — $68,810.23 $204,220.42 $73,626.94 2026-11-03
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 5 5 — — $69,848.27 $74,737.64 $71,943.71 2026-11-03
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 5 5 — — $77,404.35 $82,822.65 $79,726.48 2026-11-03
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $80,430.49 $86,060.63 $82,843.41 2026-11-03
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $126,158.71 $134,989.82 $129,943.47 2026-11-03
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $88,892.56 $95,115.04 $91,559.34 2026-11-03
1832 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $72,709.18 $77,798.82 $74,890.46 2026-11-03
1831 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $68,609.96 $73,412.66 $70,668.26 2026-11-03
2244 APR_DRG Peritoneal Adhesiolysis 5 5 — — $68,793.76 $73,609.32 $70,857.57 2026-11-03
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 5 — — $78,299.19 $83,780.14 $80,648.17 2026-11-03
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 5 5 — — $68,047.43 $72,810.75 $70,088.85 2026-11-03
7524 APR_DRG Personality Disorders 5 5 — — $71,513.57 $76,519.52 $73,658.98 2026-11-03
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 5 — — $76,583.76 $81,944.62 $78,881.27 2026-11-03
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $101,238.49 $108,325.19 $104,275.65 2026-11-03
4034 APR_DRG Procedures For Obesity 5 5 — — $78,243.50 $83,720.54 $80,590.80 2026-11-03
4854 APR_DRG Prostatectomy Procedures 5 5 — — $89,026.23 $95,258.07 $91,697.02 2026-11-03
4444 APR_DRG Renal Dialysis Access Device Procedures 5 5 — — $66,551.07 $71,209.64 $68,547.60 2026-11-03
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $102,909.37 $110,113.03 $105,996.65 2026-11-03
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $76,958.78 $82,345.89 $79,267.54 2026-11-03
897 OTHER Revakinagene, Per Implant 13 13 — — $257,500.00 $463,500.00 $267,800.00 2026-11-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 16 — — $66,154.91 $196,709.83 $70,587.77 2026-11-03
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 5 5 — — $65,968.12 $70,585.88 $67,947.16 2026-11-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 16 — — $68,416.11 $203,050.72 $73,205.23 2026-11-03
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $108,742.59 $116,354.57 $112,004.87 2026-11-03
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $74,289.09 $79,489.32 $76,517.76 2026-11-03
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $93,327.81 $99,860.76 $96,127.65 2026-11-03
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $87,878.89 $94,030.42 $90,515.26 2026-11-03
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 5 — — $86,020.51 $92,041.94 $88,601.12 2026-11-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 16 — — $61,607.12 $239,160.76 $86,022.42 2026-11-03
234 APR_DRG Spinal Procedures 5 5 — — $102,820.26 $110,017.67 $105,904.86 2026-11-03
233 APR_DRG Spinal Procedures 5 5 — — $66,903.81 $71,587.07 $68,910.92 2026-11-03
6504 APR_DRG Splenic Procedures 5 5 — — $75,239.63 $80,506.41 $77,496.82 2026-11-03
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 5 5 — — $75,523.68 $80,810.34 $77,789.39 2026-11-03
9194 OTHER Tisagenlecleucel Car-pos T 13 13 — — $591,726.20 $1,065,107.16 $615,395.25 2026-11-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 16 — — $132,825.78 $394,210.84 $142,123.59 2026-11-03
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $319,200.80 $341,544.86 $328,776.82 2026-11-03
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $211,592.55 $226,404.03 $217,940.33 2026-11-03
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $131,954.80 $141,191.63 $135,913.44 2026-11-03
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $93,489.33 $100,033.58 $96,294.01 2026-11-03
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $227,063.02 $242,957.44 $233,874.91 2026-11-03
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $160,194.49 $171,408.10 $165,000.33 2026-11-03
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $107,275.93 $114,785.25 $110,494.21 2026-11-03
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 5 5 — — $67,254.69 $71,962.52 $69,272.33 2026-11-03
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 5 5 — — $81,893.44 $87,625.98 $84,350.24 2026-11-03
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 5 — — $82,296.31 $88,057.05 $84,765.20 2026-11-03
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $76,841.82 $82,220.75 $79,147.07 2026-11-03
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