Price Transparency 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

SANFORD USD MEDICAL CENTER

Sioux Falls, SD · CCN 430027 · Rates published

20,438 distinct procedures filed
15 distinct payers
618,261 rate rows
2026-03-04 last MRF observed
Data quality

611,539 of 618,261 rate rows are consumer-grade (98.9%)

6,722 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
template filing: same amount across many unrelated codes — excluded 6,351
placeholder amount (≤ $0.02) — excluded from medians 123
percent-of-charges filed in the dollar field — excluded from medians 112
per-diem day rate — not a per-procedure price 105
exceeds 10× this hospital's gross charge — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8368/460227855_sanford-usd-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordUSDMedicalCenter/8368
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2c94d6436b2e6081… · 1,007,368,312 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,279,750.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 1 $4,026,665.83 $4,737,297.78 $4,591,517.56 nat. median
$3,316,463
1.4× median
0748
OTHER 		Inj, Lovotibeglogene Autotem 1 $3,950,098.58 $4,647,217.83 $4,504,209.63 nat. median
$3,248,446
1.4× median
0773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $4,493,489.89 $4,493,489.89 $4,493,489.89 nat. median
$3,635,800
1.2× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $4,463,533.29 $4,463,533.29 $4,463,533.29 nat. median
$3,746,358
1.2× median
0746
OTHER 		Inj, Betibeglogene Autotemce 1 $3,573,822.29 $4,794,216.42 $4,139,842.95 nat. median
$2,945,740
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,501,003.33 $3,869,530.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Pharmacy 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,570,000
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 1 $2,969,961.36 $3,984,148.16 $3,440,342.74 nat. median
$2,588,981
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,150,639.46 $3,482,285.72 $3,392,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,086,023.43 $3,410,868.00 $3,329,656.86 nat. median
$3,286,000
1.0× median
0824
OTHER 		Inj, Exagamglogene Autotem 1 $2,824,479.36 $3,788,986.76 $3,271,819.35 nat. median
$17,829
outlier · 183.5×
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,798,453.00 $3,093,027.00 $3,019,383.50 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,215,400.00 $2,448,600.00 $2,390,300.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml Susp Kit 15 $783,062.50 $2,577,866.14 $1,694,687.50 nat. median
$2,469,189
0.7× median
2067
OTHER 		Afamitresgene Autoleucel 1 $933,362.04 $1,252,087.90 $1,081,187.58 nat. median
$786,032
1.4× median
9194
OTHER 		Tisagenlecleucel Car-pos T 1 $700,457.05 $939,650.16 $811,395.18 nat. median
$566,531
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $732,089.00 $843,320.00 $793,738.60 nat. median
$824,563
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 1 $670,243.17 $899,118.81 $776,396.04 nat. median
$587,650
1.3× median
9413
OTHER 		Lisocabtagene Car Pos T 1 $656,020.04 $880,038.74 $759,920.25 nat. median
$562,201
1.4× median
9422
OTHER 		Idecabtagene Vicleucel Car 1 $655,565.59 $879,429.10 $759,393.83 nat. median
$558,082
1.4× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 1 $645,653.30 $866,131.95 $747,911.64 nat. median
$532,192
1.4× median
9391
OTHER 		Brexucabtagene Car Pos T 1 $593,140.67 $795,687.22 $687,082.06 nat. median
$489,450
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $225,210.14 $647,549.43 $609,477.99 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $230,973.10 $655,427.41 $582,845.01 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $220,021.60 $624,350.59 $579,414.33 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $224,666.50 $637,531.32 $574,037.47 nat. median
$625,184
0.9× median
5834
APR_DRG 		Neonate With Ecmo 4 $182,097.58 $922,176.00 $573,261.18 nat. median
$309,665
1.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $208,814.35 $592,548.01 $549,227.08 nat. median
$634,511
0.9× median
C9301
HCPCS 		Pharmacy 1 $535,500.00 $535,500.00 $535,500.00 nat. median
$459,112
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $208,859.96 $592,677.44 $503,983.75 nat. median
$620,080
0.8× median
C9098
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $474,300.00 nat. median
$57,174
outlier · 8.3×
C9081
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $427,890.00 nat. median
$30,475
outlier · 14.0×
C9076
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $418,506.00 nat. median
$30,475
outlier · 13.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $390,412.00 $390,412.00 $390,412.00 nat. median
$164,834
outlier · 2.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $115,092.49 $623,404.00 $389,988.43 nat. median
$246,434
1.6× median
C9073
HCPCS 		Pharmacy 2 $208,814.35 $592,548.01 $380,460.00 nat. median
$29,278
outlier · 13.0×
0831
OTHER 		Obecbtge Autol Up To 400 Mil 1 $327,473.67 $439,299.87 $379,338.83 nat. median
$1,043
outlier · 363.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $289,350.36 $751,553.45 $360,601.34 nat. median
$370,174
1.0× median
5833
APR_DRG 		Neonate With Ecmo 4 $109,945.81 $675,764.00 $352,419.74 nat. median
$244,017
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $79,190.61 $560,212.00 $345,585.93 nat. median
$164,279
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $334,815.00 $334,815.00 $334,815.00 nat. median
$187,294
1.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $324,591.00 $324,591.00 $324,591.00 nat. median
$129,535
outlier · 2.5×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $61,127.11 $528,890.00 $320,904.95 nat. median
$89,790
outlier · 3.6×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $313,304.00 $313,304.00 $313,304.00 nat. median
$105,658
outlier · 3.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $69,902.28 $551,456.00 $306,857.17 nat. median
$151,838
outlier · 2.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $80,933.59 $479,208.00 $305,320.47 nat. median
$162,982
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $302,786.00 $302,786.00 $302,786.00 nat. median
$234,738
1.3× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $61,127.11 $613,612.00 $294,963.76 nat. median
$93,260
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 20,438 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x8.3 Ml Susp Kit 62 15 $2,337,500.00 $1,870,000.00 20% off $783,062.50 $2,577,866.14 $1,694,687.50 2026-03-04
J1823 HCPCS Inebilizumab-cdon IV Soln 100 Mg/10ml (10 Mg/ml) 50 15 $163,900.01 $131,120.01 $470.77 $147,510.01 $118,827.51 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 10 — — $289,350.36 $751,553.45 $360,601.34 2026-03-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 10 — — $212,224.83 $511,001.00 $234,564.29 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 17 10 — — $154,310.94 $430,355.00 $179,078.99 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 10 — — $161,081.29 $388,791.00 $178,037.21 2026-03-04
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 17 10 — — $105,611.53 $256,332.00 $116,728.53 2026-03-04
7 MS_DRG Lung Transplant 17 10 — — $98,832.20 $237,081.00 $109,235.58 2026-03-04
14 MS_DRG Allogeneic Bone Marrow Transplant 17 10 — — $91,818.93 $237,680.00 $101,484.08 2026-03-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 10 — — $72,155.36 $199,908.00 $95,779.58 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — — $80,425.32 $191,812.96 $93,197.12 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 10 — — $83,214.65 $197,626.00 $91,974.09 2026-03-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 10 — — $78,974.93 $193,191.00 $87,288.09 2026-03-04
215 MS_DRG Other Heart Assist System Implant 17 10 — — $76,315.72 $192,200.00 $84,348.96 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $74,047.52 $175,081.00 $82,900.57 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 10 — — $63,992.82 $156,803.08 $76,471.90 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 17 10 — — $66,555.22 $167,113.00 $73,561.04 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 10 — — $64,828.04 $153,725.00 $71,652.04 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 10 — — $64,628.68 $153,640.00 $71,431.70 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 10 — — $60,607.14 $146,236.00 $66,986.84 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 10 — — $59,174.09 $140,366.00 $65,402.95 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 10 — — $58,925.09 $141,797.00 $65,127.73 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 10 — — $57,268.97 $135,408.00 $64,917.38 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 9 — — $3,501,003.33 $3,869,530.00 $3,710,000.00 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 9 — — $3,150,639.46 $3,482,285.72 $3,392,000.00 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 9 — — $225,210.14 $647,549.43 $609,477.99 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $230,973.10 $655,427.41 $582,845.01 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $220,021.60 $624,350.59 $579,414.33 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $224,666.50 $637,531.32 $574,037.47 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 9 — — $208,814.35 $592,548.01 $549,227.08 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $208,859.96 $592,677.44 $503,983.75 2026-03-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 9 — — $94,999.95 $125,739.91 $113,443.37 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 9 — — $60,175.17 $69,317.97 $65,242.55 2026-03-04
209 MS_DRG Complex Aortic Arch Procedures 14 10 — — $86,559.92 $196,992.40 $94,760.34 2026-03-04
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 9 — — $4,279,750.00 $4,730,250.00 $4,617,625.00 2026-03-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 9 — — $3,086,023.43 $3,410,868.00 $3,329,656.86 2026-03-04
J3393 HCPCS Inj, Betibeglogene Autotemce 12 9 — — $2,798,453.00 $3,093,027.00 $3,019,383.50 2026-03-04
J3392 HCPCS Inj, Exagamglogene Autotem 12 9 — — $2,215,400.00 $2,448,600.00 $2,390,300.00 2026-03-04
Q2057 HCPCS Afamitresgene Autoleucel 12 9 — — $732,089.00 $843,320.00 $793,738.60 2026-03-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 9 — — $264,337.50 $535,500.00 $286,597.50 2026-03-04
J3403 HCPCS Revakinagene, Per Implant 12 9 — — $244,625.00 $270,375.00 $263,937.50 2026-03-04
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 12 9 — — $195,358.00 $225,040.00 $211,809.20 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 9 — — $88,555.87 $117,210.68 $96,013.20 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 9 — — $64,080.03 $84,814.97 $69,476.24 2026-03-04
C9098 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $474,300.00 2026-03-04
C9081 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $427,890.00 2026-03-04
C9076 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $418,506.00 2026-03-04
C9073 HCPCS Pharmacy 7 2 — — $208,814.35 $592,548.01 $380,460.00 2026-03-04
5834 APR_DRG Neonate With Ecmo 6 4 — — $182,097.58 $922,176.00 $573,261.18 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $115,092.49 $623,404.00 $389,988.43 2026-03-04
5833 APR_DRG Neonate With Ecmo 6 4 — — $109,945.81 $675,764.00 $352,419.74 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $79,190.61 $560,212.00 $345,585.93 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $61,127.11 $528,890.00 $320,904.95 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $69,902.28 $551,456.00 $306,857.17 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $80,933.59 $479,208.00 $305,320.47 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $61,127.11 $613,612.00 $294,963.76 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems 6 4 — — $77,875.22 $620,723.00 $289,696.40 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $66,622.12 $588,897.00 $288,977.25 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $61,127.11 $581,779.00 $272,436.13 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $74,503.48 $412,003.00 $258,991.85 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $51,055.87 $418,049.00 $244,684.18 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $49,936.95 $428,720.00 $241,423.11 2026-03-04
5832 APR_DRG Neonate With Ecmo 6 4 — — $68,993.49 $424,058.00 $227,503.85 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems 6 4 — — $62,664.29 $456,671.00 $226,219.27 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $38,003.85 $363,299.00 $219,148.10 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $71,854.05 $343,056.00 $218,313.87 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $36,926.56 $326,365.00 $208,277.86 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $60,170.37 $291,885.00 $190,811.46 2026-03-04
5831 APR_DRG Neonate With Ecmo 6 4 — — $58,213.27 $343,409.00 $186,139.52 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems 6 4 — — $42,353.30 $324,403.00 $181,634.04 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $38,826.72 $340,500.00 $172,827.77 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems 6 4 — — $42,353.30 $308,552.00 $172,552.41 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $35,589.19 $329,644.00 $166,656.68 2026-03-04
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $19,247.35 $309,547.00 $157,116.83 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $32,025.64 $330,598.00 $154,020.29 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $69,076.41 $302,590.00 $147,326.58 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $47,791.03 $240,328.00 $143,702.60 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $23,469.60 $207,389.00 $135,574.20 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $41,172.78 $239,399.00 $132,471.09 2026-03-04
1784 APR_DRG External Heart Assist Systems 6 4 — — $25,501.96 $199,372.00 $130,333.78 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $58,696.47 $233,268.00 $130,138.24 2026-03-04
4404 APR_DRG Kidney Transplant 6 4 — — $29,609.65 $273,801.00 $124,703.89 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 4 — — $21,926.76 $320,261.00 $121,910.95 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $26,689.14 $254,228.00 $120,142.86 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $48,857.66 $224,413.00 $117,975.70 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $26,017.46 $190,073.00 $116,098.21 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $24,853.92 $186,321.00 $115,329.32 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $28,512.04 $211,048.00 $112,048.04 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $31,878.12 $172,873.00 $109,677.44 2026-03-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $13,922.18 $244,263.00 $108,169.33 2026-03-04
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $1,274.43 $204,013.00 $107,250.54 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $31,101.53 $176,249.00 $105,725.61 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $35,627.48 $267,986.00 $104,795.93 2026-03-04
8634 APR_DRG Neonatal Aftercare 6 4 — — $30,555.40 $169,955.00 $102,751.27 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 4 — — $17,576.97 $155,236.00 $101,480.82 2026-03-04
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $221.12 $639,958.00 $101,195.01 2026-03-04
4403 APR_DRG Kidney Transplant 6 4 — — $19,710.57 $171,093.00 $100,948.45 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $15,113.02 $158,818.00 $100,817.46 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $20,146.48 $188,807.00 $99,716.86 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 4 — — $22,974.74 $170,221.00 $98,780.10 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures 6 4 — — $19,138.12 $168,537.00 $97,594.26 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $20,440.53 $149,672.00 $96,009.01 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 4 — — $20,804.51 $159,806.00 $94,001.01 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 4 — — $21,944.07 $160,856.00 $93,664.93 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $18,459.12 $155,317.00 $93,240.74 2026-03-04
6904 APR_DRG Acute Leukemia 6 4 — — $17,357.85 $162,027.00 $93,043.05 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $18,610.30 $167,117.00 $91,854.51 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $27,341.51 $141,714.00 $91,755.33 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 4 — — $21,069.92 $180,878.00 $91,240.24 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $17,229.31 $150,176.00 $91,086.34 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $18,610.30 $153,893.00 $87,898.02 2026-03-04
1794 APR_DRG Defibrillator Implants 6 4 — — $21,175.48 $133,870.00 $87,447.14 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 4 — — $18,159.41 $150,401.00 $87,377.05 2026-03-04
4402 APR_DRG Kidney Transplant 6 4 — — $17,013.18 $151,459.00 $86,579.29 2026-03-04
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $13,707.05 $132,311.00 $86,494.49 2026-03-04
1783 APR_DRG External Heart Assist Systems 6 4 — — $20,679.63 $132,054.00 $85,660.61 2026-03-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 4 — — $16,740.45 $129,534.00 $84,679.11 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $16,494.35 $128,259.00 $83,845.23 2026-03-04
1782 APR_DRG External Heart Assist Systems 6 4 — — $16,670.52 $128,746.00 $83,411.65 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $24,512.58 $136,832.00 $81,630.24 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures 6 4 — — $16,017.48 $132,030.00 $81,572.93 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $15,472.68 $128,996.00 $81,138.34 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 4 — — $20,114.85 $123,195.00 $80,534.82 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 4 — — $17,533.35 $129,580.00 $80,230.12 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $20,405.23 $122,635.00 $80,168.93 2026-03-04
4414 APR_DRG Major Bladder Procedures 6 4 — — $16,732.46 $138,427.00 $79,685.24 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures 6 4 — — $17,324.55 $127,583.00 $79,565.54 2026-03-04
1781 APR_DRG External Heart Assist Systems 6 4 — — $15,294.85 $123,586.00 $78,979.91 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $16,239.27 $143,265.00 $78,854.78 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $18,178.72 $147,642.00 $78,058.67 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 4 — — $15,763.06 $119,068.00 $77,836.88 2026-03-04
1814 APR_DRG Lower Extremity Arterial Procedures 6 4 — — $15,003.13 $116,608.00 $76,228.79 2026-03-04
1824 APR_DRG Other Peripheral Vascular And Related Procedures 6 4 — — $12,103.61 $132,338.00 $75,393.33 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 4 — — $18,082.81 $130,655.00 $74,923.79 2026-03-04
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 4 — — $14,209.23 $114,746.00 $74,819.76 2026-03-04
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 4 — — $13,409.67 $130,505.00 $73,090.95 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 4 — — $21,196.13 $116,344.00 $72,249.39 2026-03-04
3094 APR_DRG Other Significant Hip And Femur Surgery 6 4 — — $12,190.19 $113,050.00 $71,913.32 2026-03-04
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $13,804.29 $109,396.00 $71,514.45 2026-03-04
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 4 — — $12,288.76 $142,819.00 $71,443.51 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 4 — — $13,065.67 $108,642.00 $71,021.34 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 4 — — $20,957.36 $135,667.00 $70,598.90 2026-03-04
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $11,226.12 $112,449.00 $70,555.35 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 4 — — $22,629.41 $164,329.00 $70,281.68 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures 6 4 — — $14,647.48 $108,696.00 $70,236.14 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 4 — — $14,833.96 $115,207.00 $69,798.43 2026-03-04
4401 APR_DRG Kidney Transplant 6 4 — — $15,543.27 $106,124.00 $69,375.56 2026-03-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 4 — — $13,546.88 $104,664.00 $67,896.58 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 4 — — $14,143.63 $103,684.00 $67,677.65 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 4 — — $15,429.72 $104,238.00 $67,464.15 2026-03-04
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $13,098.64 $117,706.00 $66,021.19 2026-03-04
1793 APR_DRG Defibrillator Implants 6 4 — — $15,632.52 $100,724.00 $65,566.03 2026-03-04
4014 APR_DRG Adrenal Procedures 6 4 — — $17,441.10 $107,121.00 $65,469.98 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $19,034.56 $143,221.00 $64,409.96 2026-03-04
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $12,824.91 $98,958.00 $64,016.29 2026-03-04
8633 APR_DRG Neonatal Aftercare 6 4 — — $14,144.63 $99,578.00 $63,988.31 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 4 — — $13,836.26 $97,782.00 $63,871.31 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $15,073.06 $97,601.00 $63,803.78 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $12,556.83 $97,005.00 $63,414.32 2026-03-04
6504 APR_DRG Splenic Procedures 6 4 — — $13,495.92 $104,760.00 $63,294.88 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 4 — — $14,044.73 $96,525.00 $63,100.25 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $22,277.08 $109,229.00 $62,996.60 2026-03-04
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $12,425.96 $95,943.00 $62,720.21 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 4 — — $14,920.21 $110,674.00 $62,569.17 2026-03-04
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 4 — — $13,175.57 $103,448.00 $62,480.85 2026-03-04
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 4 — — $13,737.02 $111,895.00 $62,382.57 2026-03-04
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $10,691.31 $114,544.00 $62,249.21 2026-03-04
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 4 — — $12,605.12 $96,424.00 $62,243.09 2026-03-04
0024 APR_DRG — 5 3 — — $93,658.59 $683,652.00 $274,712.80 2026-03-04
0054 APR_DRG — 5 3 — — $40,728.87 $335,931.00 $134,987.55 2026-03-04
0023 APR_DRG — 5 3 — — $50,647.26 $326,117.00 $131,044.30 2026-03-04
0074 APR_DRG — 5 3 — — $57,695.77 $313,912.00 $126,139.61 2026-03-04
0044 APR_DRG — 5 3 — — $57,255.86 $305,155.00 $122,621.09 2026-03-04
0014 APR_DRG — 5 3 — — $53,099.89 $302,662.00 $121,619.11 2026-03-04
0094 APR_DRG — 5 3 — — $74,947.39 $292,815.00 $117,662.35 2026-03-04
0064 APR_DRG — 5 3 — — $35,808.31 $284,650.00 $114,381.29 2026-03-04
0114 APR_DRG — 5 3 — — $103,131.42 $271,159.00 $108,960.17 2026-03-04
0013 APR_DRG — 5 3 — — $29,324.26 $252,068.00 $101,288.93 2026-03-04
0022 APR_DRG — 5 3 — — $39,092.79 $242,015.00 $97,249.15 2026-03-04
0043 APR_DRG — 5 3 — — $37,953.90 $235,620.00 $94,679.52 2026-03-04
0073 APR_DRG — 5 3 — — $34,375.36 $218,069.00 $87,627.04 2026-03-04
0053 APR_DRG — 5 3 — — $28,734.49 $207,545.00 $83,398.06 2026-03-04
0021 APR_DRG — 5 3 — — $29,967.30 $207,473.00 $83,369.10 2026-03-04
0063 APR_DRG — 5 3 — — $30,475.47 $201,112.00 $80,812.99 2026-03-04
0113 APR_DRG — 5 3 — — $67,613.47 $168,263.00 $80,494.01 2026-03-04
0084 APR_DRG — 5 3 — — $25,070.38 $186,326.00 $74,871.56 2026-03-04
0062 APR_DRG — 5 3 — — $25,770.37 $174,586.00 $70,154.14 2026-03-04
0072 APR_DRG — 5 3 — — $25,585.55 $170,577.00 $68,543.06 2026-03-04
0112 APR_DRG — 5 3 — — $35,814.56 $89,128.00 $68,020.43 2026-03-04
0042 APR_DRG — 5 3 — — $23,669.07 $162,995.00 $65,496.57 2026-03-04
0012 APR_DRG — 5 3 — — $23,660.41 $157,095.00 $63,125.79 2026-03-04
0093 APR_DRG — 5 3 — — $42,399.26 $154,520.00 $62,090.99 2026-03-04
0746 OTHER Inj, Betibeglogene Autotemce 4 1 — — $3,573,822.29 $4,794,216.42 $4,139,842.95 2026-03-04
C9172 HCPCS Pharmacy 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-04
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-04
9141 OTHER Inj Onase Abepar-xioi Treat 4 1 — — $2,969,961.36 $3,984,148.16 $3,440,342.74 2026-03-04
0824 OTHER Inj, Exagamglogene Autotem 4 1 — — $2,824,479.36 $3,788,986.76 $3,271,819.35 2026-03-04
2067 OTHER Afamitresgene Autoleucel 4 1 — — $933,362.04 $1,252,087.90 $1,081,187.58 2026-03-04
9194 OTHER Tisagenlecleucel Car-pos T 4 1 — — $700,457.05 $939,650.16 $811,395.18 2026-03-04
9498 OTHER Ciltacabtagene Car-pos T 4 1 — — $670,243.17 $899,118.81 $776,396.04 2026-03-04
9413 OTHER Lisocabtagene Car Pos T 4 1 — — $656,020.04 $880,038.74 $759,920.25 2026-03-04
9422 OTHER Idecabtagene Vicleucel Car 4 1 — — $655,565.59 $879,429.10 $759,393.83 2026-03-04
9035 OTHER Axicabtagene Ciloleucel Car+ 4 1 — — $645,653.30 $866,131.95 $747,911.64 2026-03-04
9391 OTHER Brexucabtagene Car Pos T 4 1 — — $593,140.67 $795,687.22 $687,082.06 2026-03-04
C9301 HCPCS Pharmacy 4 1 — — $535,500.00 $535,500.00 $535,500.00 2026-03-04
0831 OTHER Obecbtge Autol Up To 400 Mil 4 1 — — $327,473.67 $439,299.87 $379,338.83 2026-03-04
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 4 1 — — $184,706.05 $247,779.75 $213,959.73 2026-03-04
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 4 1 — — $184,706.05 $247,779.75 $213,959.73 2026-03-04
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 4 1 — — $166,538.30 $223,408.05 $192,914.58 2026-03-04
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 4 1 — — $166,538.30 $223,408.05 $192,914.58 2026-03-04
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 4 1 — — $148,370.55 $199,036.35 $171,869.42 2026-03-04
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 4 1 — — $148,370.55 $199,036.35 $171,869.42 2026-03-04
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 4 1 — — $130,202.80 $174,664.65 $150,824.27 2026-03-04
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 4 1 — — $130,202.80 $174,664.65 $150,824.27 2026-03-04
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 4 1 — — $115,063.02 $154,354.91 $133,286.65 2026-03-04
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 4 1 — — $115,063.02 $154,354.91 $133,286.65 2026-03-04
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 4 1 — — $102,951.18 $138,107.11 $119,256.55 2026-03-04
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 4 1 — — $102,951.18 $138,107.11 $119,256.55 2026-03-04
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 4 1 — — $90,839.35 $121,859.31 $105,226.45 2026-03-04
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 4 1 — — $90,839.35 $121,859.31 $105,226.45 2026-03-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 2 — — $43,612.25 $108,534.00 $101,858.04 2026-03-04
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 4 1 — — $78,727.52 $105,611.51 $91,196.36 2026-03-04
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 4 1 — — $78,727.52 $105,611.51 $91,196.36 2026-03-04
0717 OTHER Instill Adstiladrin, Tx Dose 4 1 — — $76,826.63 $103,061.50 $88,994.40 2026-03-04
5244 OTHER Level 4 Blood Product Exchange And Related Services 4 1 — — $71,632.20 $96,093.27 $82,977.28 2026-03-04
4804 APR_DRG Major Male Pelvic Procedures 4 2 — — $35,438.09 $88,191.00 $82,199.48 2026-03-04
1643 OTHER Y90 Ibritumomab, Rx 4 1 — — $68,824.94 $92,327.39 $79,725.41 2026-03-04
9273 OTHER Sipuleucel-t Auto Cd54+ 4 1 — — $67,760.82 $90,899.89 $78,492.76 2026-03-04
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 4 1 — — $66,615.69 $89,363.71 $77,166.26 2026-03-04
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 4 1 — — $66,615.69 $89,363.71 $77,166.26 2026-03-04
1142 OTHER Supprelin La Implant 4 1 — — $55,181.98 $74,025.61 $63,921.68 2026-03-04
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 4 1 — — $54,503.85 $73,115.91 $63,136.15 2026-03-04
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 4 1 — — $54,503.85 $73,115.91 $63,136.15 2026-03-04
0714 OTHER Inj Delandistrogene Mox Rokl 3 1 — — $4,026,665.83 $4,737,297.78 $4,591,517.56 2026-03-04
0748 OTHER Inj, Lovotibeglogene Autotem 3 1 — — $3,950,098.58 $4,647,217.83 $4,504,209.63 2026-03-04
0773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $4,493,489.89 $4,493,489.89 $4,493,489.89 2026-03-04
9138 OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $4,463,533.29 $4,463,533.29 $4,463,533.29 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $390,412.00 $390,412.00 $390,412.00 2026-03-04
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $334,815.00 $334,815.00 $334,815.00 2026-03-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $324,591.00 $324,591.00 $324,591.00 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $313,304.00 $313,304.00 $313,304.00 2026-03-04
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $302,786.00 $302,786.00 $302,786.00 2026-03-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $253,215.00 $253,215.00 $253,215.00 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $230,861.00 $230,861.00 $230,861.00 2026-03-04
64 APR_DRG Pancreas Transplant 1 1 — — $224,604.00 $224,604.00 $224,604.00 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $209,400.00 $209,400.00 $209,400.00 2026-03-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $205,721.00 $205,721.00 $205,721.00 2026-03-04
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $191,635.00 $191,635.00 $191,635.00 2026-03-04
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $180,982.00 $180,982.00 $180,982.00 2026-03-04
63 APR_DRG Pancreas Transplant 1 1 — — $177,816.00 $177,816.00 $177,816.00 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $163,478.00 $163,478.00 $163,478.00 2026-03-04
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $162,521.00 $162,521.00 $162,521.00 2026-03-04
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $161,272.00 $161,272.00 $161,272.00 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $156,043.00 $156,043.00 $156,043.00 2026-03-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $154,090.00 $154,090.00 $154,090.00 2026-03-04
234 APR_DRG Spinal Procedures 1 1 — — $153,498.00 $153,498.00 $153,498.00 2026-03-04
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $151,179.00 $151,179.00 $151,179.00 2026-03-04
62 APR_DRG Pancreas Transplant 1 1 — — $146,063.00 $146,063.00 $146,063.00 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $144,219.00 $144,219.00 $144,219.00 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $141,845.00 $141,845.00 $141,845.00 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $140,050.00 $140,050.00 $140,050.00 2026-03-04
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $137,924.00 $137,924.00 $137,924.00 2026-03-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $137,341.00 $137,341.00 $137,341.00 2026-03-04
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $125,443.00 $125,443.00 $125,443.00 2026-03-04
61 APR_DRG Pancreas Transplant 1 1 — — $121,336.00 $121,336.00 $121,336.00 2026-03-04
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $119,231.00 $119,231.00 $119,231.00 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $118,938.00 $118,938.00 $118,938.00 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $116,356.00 $116,356.00 $116,356.00 2026-03-04
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $113,389.00 $113,389.00 $113,389.00 2026-03-04
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $110,141.00 $110,141.00 $110,141.00 2026-03-04
274 APR_DRG Other Open Craniotomy 1 1 — — $109,773.00 $109,773.00 $109,773.00 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $109,080.00 $109,080.00 $109,080.00 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $108,207.00 $108,207.00 $108,207.00 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $105,336.00 $105,336.00 $105,336.00 2026-03-04
293 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $101,003.00 $101,003.00 $101,003.00 2026-03-04
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $96,802.00 $96,802.00 $96,802.00 2026-03-04
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $92,066.00 $92,066.00 $92,066.00 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $91,105.00 $91,105.00 $91,105.00 2026-03-04
264 APR_DRG Other Nervous System And Related Procedures 1 1 — — $90,609.00 $90,609.00 $90,609.00 2026-03-04
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $90,352.00 $90,352.00 $90,352.00 2026-03-04
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $88,411.00 $88,411.00 $88,411.00 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $86,550.00 $86,550.00 $86,550.00 2026-03-04
233 APR_DRG Spinal Procedures 1 1 — — $84,459.00 $84,459.00 $84,459.00 2026-03-04
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 1 1 — — $83,826.00 $83,826.00 $83,826.00 2026-03-04
444 APR_DRG Intracranial Hemorrhage 1 1 — — $83,088.00 $83,088.00 $83,088.00 2026-03-04
984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 1 1 — — $83,025.00 $83,025.00 $83,025.00 2026-03-04
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $81,698.00 $81,698.00 $81,698.00 2026-03-04
244 APR_DRG Open Extracranial Vascular Procedures 1 1 — — $81,605.00 $81,605.00 $81,605.00 2026-03-04
213 APR_DRG Open Craniotomy Except Trauma 1 1 — — $81,514.00 $81,514.00 $81,514.00 2026-03-04
913 APR_DRG Other Major Head And Neck Procedures 1 1 — — $79,914.00 $79,914.00 $79,914.00 2026-03-04
250 EAPG Cochlear Device Implantation 1 1 — — $79,459.66 $79,459.66 $79,459.66 2026-03-04
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $79,425.00 $79,425.00 $79,425.00 2026-03-04
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $78,140.00 $78,140.00 $78,140.00 2026-03-04
3060 EAPG Ventricular Assist Device Procedures 1 1 — — $76,770.07 $76,770.07 $76,770.07 2026-03-04
273 APR_DRG Other Open Craniotomy 1 1 — — $71,381.00 $71,381.00 $71,381.00 2026-03-04
734 APR_DRG Orbit And Eye Procedures 1 1 — — $70,843.00 $70,843.00 $70,843.00 2026-03-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $69,229.00 $69,229.00 $69,229.00 2026-03-04
893 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $68,519.00 $68,519.00 $68,519.00 2026-03-04
224 EAPG Level Ii Neurostimulator And Related Device Implantation 1 1 — — $65,826.14 $65,826.14 $65,826.14 2026-03-04
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 1 1 — — $64,684.00 $64,684.00 $64,684.00 2026-03-04
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