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

COOK CHILDRENS MEDICAL CENTER

Fort Worth, TX · CCN 453300 · Rates published

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You selected 29806 (HCPCS)

SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $2,518 across 13 payers · range $935-$3,598

Source: https://cookchildrens.pt.panaceainc.com/MRFDownload/cookchildrens/cookchildrens · observed 2026-01-01

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

16,854 distinct procedures filed
31 distinct payers
1,150,246 rate rows
2026-01-01 last MRF observed
Data quality

1,011,418 of 1,150,246 rate rows are consumer-grade (87.9%)

138,828 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 107,589
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 29,667
placeholder amount (≤ $0.02) — excluded from medians 1,333
percent-of-charges filed in the dollar field — excluded from medians 237
per-diem day rate — not a per-procedure price 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cookchildrens.pt.panaceainc.com/MRFDownload/cookchildrens/cookchildrens
Found on page https://www.cookchildrens.org/about/compliance/standard-charges/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-07
Content fingerprint 4e7f81061e8d1757… · 13,339,975 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,486,909.51 $3,552,727.88 $2,605,333.78 nat. median
$2,467,989
1.1× median
5834
APR_DRG 		Neonate With Ecmo 13 $907,463.74 $1,034,508.66 $998,210.11 nat. median
$309,665
outlier · 3.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $882,781.56 $1,006,370.98 $971,059.72 nat. median
$171,358
outlier · 5.7×
5833
APR_DRG 		Neonate With Ecmo 13 $768,406.94 $875,983.91 $845,247.63 nat. median
$244,017
outlier · 3.5×
24
APR_DRG 		Heart And/or Lung Transplant 12 $739,185.72 $842,671.72 $813,104.29 nat. median
$243,231
outlier · 3.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $574,409.65 $654,827.00 $631,850.62 nat. median
$249,123
outlier · 2.5×
1614
APR_DRG 		Implantable Heart Assist Systems 13 $557,791.18 $635,881.95 $613,570.30 nat. median
$202,660
outlier · 3.0×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 13 $522,562.50 $595,721.25 $574,818.75 nat. median
$165,169
outlier · 3.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 $427,399.07 $487,234.94 $470,138.98 nat. median
$154,211
outlier · 3.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 $423,611.56 $482,917.18 $465,972.72 nat. median
$165,846
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo 13 $382,879.63 $436,482.78 $421,167.59 nat. median
$159,829
outlier · 2.6×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $363,569.27 $414,468.97 $399,926.20 nat. median
$122,909
outlier · 3.3×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 13 $337,855.98 $385,155.82 $371,641.58 nat. median
$28,745
outlier · 12.9×
5831
APR_DRG 		Neonate With Ecmo 13 $337,133.13 $384,331.77 $370,846.44 nat. median
$148,245
outlier · 2.5×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $311,499.89 $355,109.87 $342,649.88 nat. median
$89,273
outlier · 3.8×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $308,209.41 $351,358.73 $339,030.35 nat. median
$177,531
1.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $306,800.74 $349,752.84 $337,480.81 nat. median
$145,336
outlier · 2.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 13 $306,007.39 $348,848.42 $336,608.13 nat. median
$122,016
outlier · 2.8×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $304,691.92 $347,348.79 $335,161.11 nat. median
$160,390
outlier · 2.1×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 $301,648.76 $343,879.59 $331,813.64 nat. median
$138,094
outlier · 2.4×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 13 $293,702.15 $334,820.45 $323,072.37 nat. median
$67,082
outlier · 4.8×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 13 $291,071.20 $331,821.17 $320,178.32 nat. median
$165,334
1.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 13 $290,728.29 $331,430.25 $319,801.12 nat. median
$121,888
outlier · 2.6×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $289,191.78 $329,678.63 $318,110.96 nat. median
$122,978
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 25 $171,000.00 $655,500.00 $313,500.00 nat. median
$739,658
outlier · 0.4×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 12 $264,789.18 $301,859.67 $291,268.10 nat. median
$137,215
outlier · 2.1×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 $263,728.20 $300,650.15 $290,101.02 nat. median
$78,187
outlier · 3.7×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 $259,042.19 $295,308.10 $284,946.41 nat. median
$68,030
outlier · 4.2×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 13 $258,897.62 $295,143.29 $284,787.38 nat. median
$99,544
outlier · 2.9×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 13 $256,733.84 $292,676.58 $282,407.22 nat. median
$79,816
outlier · 3.5×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 13 $251,058.54 $286,206.74 $276,164.39 nat. median
$20,493
outlier · 13.5×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 $249,763.38 $284,730.25 $274,739.72 nat. median
$107,562
outlier · 2.6×
64
APR_DRG 		Pancreas Transplant 12 $242,387.88 $276,322.18 $266,626.67 nat. median
$92,076
outlier · 2.9×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 13 $242,368.76 $276,300.39 $266,605.64 nat. median
$95,269
outlier · 2.8×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 13 $241,643.52 $275,473.61 $265,807.87 nat. median
$152,569
1.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 13 $234,904.84 $267,791.52 $258,395.32 nat. median
$90,073
outlier · 2.9×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 $225,844.68 $257,462.94 $248,429.15 nat. median
$80,771
outlier · 3.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 $222,138.41 $253,237.79 $244,352.25 nat. median
$119,800
outlier · 2.0×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 13 $220,335.45 $251,182.41 $242,369.00 nat. median
$71,594
outlier · 3.4×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 $210,945.52 $240,477.89 $232,040.07 nat. median
$68,185
outlier · 3.4×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $209,293.11 $238,594.15 $230,222.42 nat. median
$66,446
outlier · 3.5×
1612
APR_DRG 		Implantable Heart Assist Systems 13 $208,988.44 $238,246.82 $229,887.28 nat. median
$85,665
outlier · 2.7×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $206,598.84 $235,522.68 $227,258.72 nat. median
$67,440
outlier · 3.4×
8634
APR_DRG 		Neonatal Aftercare 13 $203,394.38 $231,869.59 $223,733.82 nat. median
$71,420
outlier · 3.1×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 $201,440.89 $229,642.61 $221,584.98 nat. median
$76,612
outlier · 2.9×
1611
APR_DRG 		Implantable Heart Assist Systems 13 $198,206.56 $225,955.48 $218,027.22 nat. median
$77,137
outlier · 2.8×
ALUIP
OTHER 		Tandem Hsc Autologous/ Allogeneic - Unrelated Bmt Ip 1 $218,000.00 $218,000.00 $218,000.00 nat. median
$218,000
1.0× median
4404
APR_DRG 		Kidney Transplant 12 $197,716.69 $225,397.03 $217,488.36 nat. median
$78,303
outlier · 2.8×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 $196,813.43 $224,367.31 $216,494.77 nat. median
$82,146
outlier · 2.6×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 13 $196,746.52 $224,291.03 $216,421.17 nat. median
$75,127
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 16,854 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 4 — — $2,486,909.51 $3,552,727.88 $2,605,333.78 2026-01-01
5834 APR_DRG Neonate With Ecmo 35 13 — — $907,463.74 $1,034,508.66 $998,210.11 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 32 12 — — $882,781.56 $1,006,370.98 $971,059.72 2026-01-01
5833 APR_DRG Neonate With Ecmo 35 13 — — $768,406.94 $875,983.91 $845,247.63 2026-01-01
24 APR_DRG Heart And/or Lung Transplant 32 12 — — $739,185.72 $842,671.72 $813,104.29 2026-01-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 35 13 — — $574,409.65 $654,827.00 $631,850.62 2026-01-01
1614 APR_DRG Implantable Heart Assist Systems 35 13 — — $557,791.18 $635,881.95 $613,570.30 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 35 13 — — $522,562.50 $595,721.25 $574,818.75 2026-01-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 35 13 — — $427,399.07 $487,234.94 $470,138.98 2026-01-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 35 13 — — $423,611.56 $482,917.18 $465,972.72 2026-01-01
5832 APR_DRG Neonate With Ecmo 35 13 — — $382,879.63 $436,482.78 $421,167.59 2026-01-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 13 — — $363,569.27 $414,468.97 $399,926.20 2026-01-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 35 13 — — $337,855.98 $385,155.82 $371,641.58 2026-01-01
5831 APR_DRG Neonate With Ecmo 35 13 — — $337,133.13 $384,331.77 $370,846.44 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 32 12 — — $311,499.89 $355,109.87 $342,649.88 2026-01-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 35 13 — — $308,209.41 $351,358.73 $339,030.35 2026-01-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 35 13 — — $306,800.74 $349,752.84 $337,480.81 2026-01-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 35 13 — — $306,007.39 $348,848.42 $336,608.13 2026-01-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 35 13 — — $304,691.92 $347,348.79 $335,161.11 2026-01-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 35 13 — — $301,648.76 $343,879.59 $331,813.64 2026-01-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 35 13 — — $293,702.15 $334,820.45 $323,072.37 2026-01-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 35 13 — — $291,071.20 $331,821.17 $320,178.32 2026-01-01
1613 APR_DRG Implantable Heart Assist Systems 35 13 — — $290,728.29 $331,430.25 $319,801.12 2026-01-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 35 13 — — $289,191.78 $329,678.63 $318,110.96 2026-01-01
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 67 25 $712,500.00 $534,375.00 25% off $171,000.00 $655,500.00 $313,500.00 2026-01-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 32 12 — — $264,789.18 $301,859.67 $291,268.10 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 12 — — $263,728.20 $300,650.15 $290,101.02 2026-01-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 35 13 — — $259,042.19 $295,308.10 $284,946.41 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 35 13 — — $258,897.62 $295,143.29 $284,787.38 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 35 13 — — $256,733.84 $292,676.58 $282,407.22 2026-01-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 35 13 — — $251,058.54 $286,206.74 $276,164.39 2026-01-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 35 13 — — $249,763.38 $284,730.25 $274,739.72 2026-01-01
64 APR_DRG Pancreas Transplant 32 12 — — $242,387.88 $276,322.18 $266,626.67 2026-01-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 35 13 — — $242,368.76 $276,300.39 $266,605.64 2026-01-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 35 13 — — $241,643.52 $275,473.61 $265,807.87 2026-01-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 35 13 — — $234,904.84 $267,791.52 $258,395.32 2026-01-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 35 13 — — $225,844.68 $257,462.94 $248,429.15 2026-01-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $222,138.41 $253,237.79 $244,352.25 2026-01-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 35 13 — — $220,335.45 $251,182.41 $242,369.00 2026-01-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 35 13 — — $210,945.52 $240,477.89 $232,040.07 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 32 12 — — $209,293.11 $238,594.15 $230,222.42 2026-01-01
1612 APR_DRG Implantable Heart Assist Systems 35 13 — — $208,988.44 $238,246.82 $229,887.28 2026-01-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 13 — — $206,598.84 $235,522.68 $227,258.72 2026-01-01
8634 APR_DRG Neonatal Aftercare 35 13 — — $203,394.38 $231,869.59 $223,733.82 2026-01-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 35 13 — — $201,440.89 $229,642.61 $221,584.98 2026-01-01
1611 APR_DRG Implantable Heart Assist Systems 35 13 — — $198,206.56 $225,955.48 $218,027.22 2026-01-01
ALUIP OTHER Tandem Hsc Autologous/ Allogeneic - Unrelated Bmt Ip 1 1 — — $218,000.00 $218,000.00 $218,000.00 2026-01-01
4404 APR_DRG Kidney Transplant 32 12 — — $197,716.69 $225,397.03 $217,488.36 2026-01-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 35 13 — — $196,813.43 $224,367.31 $216,494.77 2026-01-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 35 13 — — $196,746.52 $224,291.03 $216,421.17 2026-01-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 35 13 — — $191,669.81 $218,503.58 $210,836.79 2026-01-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 35 13 — — $191,669.81 $218,503.58 $210,836.79 2026-01-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 35 13 — — $191,126.18 $217,883.85 $210,238.80 2026-01-01
4414 APR_DRG Major Bladder Procedures 35 13 — — $187,111.65 $213,307.28 $205,822.82 2026-01-01
ALUOP OTHER Tandem Hsc Autologous/ Allogeneic - Unrelated Bmt Op 1 1 — — $205,500.00 $205,500.00 $205,500.00 2026-01-01
23 APR_DRG Heart And/or Lung Transplant 32 12 — — $182,061.23 $207,549.80 $200,267.35 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 12 — — $178,260.57 $203,217.05 $196,086.63 2026-01-01
1784 APR_DRG External Heart Assist Systems 35 13 — — $175,250.87 $199,785.99 $192,775.96 2026-01-01
ALRIP OTHER Tandem Hsc Autologous/ Allogeneic - Related Bmt Ip 1 1 — — $192,000.00 $192,000.00 $192,000.00 2026-01-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 35 13 — — $172,586.47 $196,748.58 $189,845.12 2026-01-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 35 13 — — $172,388.13 $196,522.47 $189,626.94 2026-01-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 35 13 — — $171,625.85 $195,653.47 $188,788.44 2026-01-01
6904 APR_DRG Acute Leukemia 35 13 — — $170,084.55 $193,896.39 $187,093.01 2026-01-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 35 13 — — $169,042.69 $192,708.67 $185,946.96 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 35 13 — — $168,852.72 $192,492.10 $185,737.99 2026-01-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 35 13 — — $163,753.31 $186,678.77 $180,128.64 2026-01-01
ALROP OTHER Tandem Hsc Autologous/ Allogeneic - Related Bmt Op 1 1 — — $179,500.00 $179,500.00 $179,500.00 2026-01-01
BMTCB OTHER Cord Blood 1 1 — — $178,000.00 $178,000.00 $178,000.00 2026-01-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 35 13 — — $160,311.09 $182,754.64 $176,342.20 2026-01-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 35 13 — — $159,333.74 $181,640.46 $175,267.11 2026-01-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 35 13 — — $158,253.64 $180,409.15 $174,079.00 2026-01-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $156,705.18 $178,643.91 $172,375.70 2026-01-01
63 APR_DRG Pancreas Transplant 32 12 — — $156,640.66 $178,570.35 $172,304.73 2026-01-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 35 13 — — $149,326.10 $170,231.75 $164,258.71 2026-01-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 35 13 — — $148,512.44 $169,304.18 $163,363.68 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 35 13 — — $148,164.75 $168,907.82 $162,981.23 2026-01-01
22 APR_DRG Heart And/or Lung Transplant 32 12 — — $146,255.46 $166,731.22 $160,881.01 2026-01-01
234 APR_DRG Spinal Procedures 35 13 — — $145,969.91 $166,405.70 $160,566.90 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 35 13 — — $145,441.80 $165,803.65 $159,985.98 2026-01-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 13 — — $143,573.14 $163,673.38 $157,930.45 2026-01-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $143,567.16 $163,666.56 $157,923.88 2026-01-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 35 13 — — $141,777.35 $161,626.18 $155,955.09 2026-01-01
62 APR_DRG Pancreas Transplant 32 12 — — $141,679.38 $161,514.49 $155,847.32 2026-01-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 35 13 — — $141,123.80 $160,881.13 $155,236.18 2026-01-01
014-U OTHER Allo Bmt-unrelated 4 4 — — $120,000.00 $200,000.00 $154,000.00 2026-01-01
61 APR_DRG Pancreas Transplant 32 12 — — $139,850.14 $159,429.16 $153,835.15 2026-01-01
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 68 25 $345,537.25 $259,152.94 25% off $82,928.94 $317,894.27 $152,036.39 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 32 12 — — $137,429.48 $156,669.61 $151,172.43 2026-01-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 32 12 — — $136,425.84 $155,525.46 $150,068.42 2026-01-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 35 13 — — $136,264.55 $155,341.59 $149,891.01 2026-01-01
264 APR_DRG Other Nervous System And Related Procedures 35 13 — — $136,182.10 $155,247.59 $149,800.31 2026-01-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 35 13 — — $135,594.26 $154,577.46 $149,153.69 2026-01-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 35 13 — — $134,790.16 $153,660.78 $148,269.18 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 35 13 — — $134,681.44 $153,536.84 $148,149.58 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 35 13 — — $134,601.38 $153,445.57 $148,061.52 2026-01-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 35 13 — — $132,398.17 $150,933.91 $145,637.99 2026-01-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 35 13 — — $132,365.91 $150,897.14 $145,602.50 2026-01-01
2054 APR_DRG Cardiomyopathy 35 13 — — $131,991.94 $150,470.81 $145,191.13 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 35 13 — — $131,822.28 $150,277.40 $145,004.51 2026-01-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 35 13 — — $131,687.27 $150,123.49 $144,856.00 2026-01-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 35 13 — — $129,474.50 $147,600.93 $142,421.95 2026-01-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 35 13 — — $129,040.78 $147,106.49 $141,944.86 2026-01-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 35 13 — — $128,638.14 $146,647.48 $141,501.95 2026-01-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 35 13 — — $127,286.82 $145,106.97 $140,015.50 2026-01-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 35 13 — — $127,070.56 $144,860.44 $139,777.62 2026-01-01
214 APR_DRG Open Craniotomy Except Trauma 35 13 — — $126,769.47 $144,517.20 $139,446.42 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 35 13 — — $126,311.86 $143,995.52 $138,943.05 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 35 13 — — $125,813.63 $143,427.54 $138,394.99 2026-01-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 35 13 — — $125,124.23 $142,641.62 $137,636.65 2026-01-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 35 13 — — $124,355.97 $141,765.81 $136,791.57 2026-01-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 35 13 — — $123,219.72 $140,470.48 $135,541.69 2026-01-01
4403 APR_DRG Kidney Transplant 32 12 — — $121,011.73 $137,953.37 $133,112.90 2026-01-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 35 13 — — $121,003.37 $137,943.84 $133,103.71 2026-01-01
1694 APR_DRG Major Abdominal Vascular Procedures 35 13 — — $120,592.35 $137,475.28 $132,651.59 2026-01-01
1204 APR_DRG Major Respiratory And Chest Procedures 35 13 — — $120,102.49 $136,916.84 $132,112.74 2026-01-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 35 13 — — $119,646.07 $136,396.52 $131,610.68 2026-01-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 35 13 — — $118,362.86 $134,933.66 $130,199.15 2026-01-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 35 13 — — $118,206.34 $134,755.23 $130,026.97 2026-01-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 35 13 — — $118,176.47 $134,721.18 $129,994.12 2026-01-01
014-R OTHER Allo Bmt-related 4 4 — — $95,000.00 $170,000.00 $128,500.00 2026-01-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 35 13 — — $116,416.53 $132,714.84 $128,058.18 2026-01-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 35 13 — — $114,102.20 $130,076.51 $125,512.42 2026-01-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 35 13 — — $113,479.71 $129,366.87 $124,827.68 2026-01-01
21 APR_DRG Heart And/or Lung Transplant 32 12 — — $113,284.96 $129,144.85 $124,613.46 2026-01-01
652-L OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
651-L OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
651-C OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
650-C OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
650-L OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
652-C OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
1783 APR_DRG External Heart Assist Systems 35 13 — — $112,151.09 $127,852.24 $123,366.20 2026-01-01
1214 APR_DRG Other Respiratory And Chest Procedures 35 13 — — $112,086.57 $127,778.69 $123,295.23 2026-01-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 35 13 — — $111,676.76 $127,311.51 $122,844.44 2026-01-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 35 13 — — $110,774.68 $126,283.14 $121,852.15 2026-01-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $110,455.67 $125,919.46 $121,501.24 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 35 13 — — $109,407.83 $124,724.93 $120,348.61 2026-01-01
2244 APR_DRG Peritoneal Adhesiolysis 35 13 — — $109,233.39 $124,526.06 $120,156.73 2026-01-01
TAUIP OTHER Tandem Hsc Autologous/ Autologous Bmt - Ip 1 1 — — $120,000.00 $120,000.00 $120,000.00 2026-01-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $108,472.30 $123,658.42 $119,319.53 2026-01-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 35 13 — — $108,168.82 $123,312.45 $118,985.70 2026-01-01
914 APR_DRG Other Major Head And Neck Procedures 35 13 — — $107,586.96 $122,649.13 $118,345.66 2026-01-01
204 APR_DRG Open Craniotomy For Trauma 35 13 — — $106,488.93 $121,397.38 $117,137.82 2026-01-01
54288122048 NDC Propylene Glycol (bulk) 99.5 % (not Less Than Usp) Liquid 69 25 $265,104.00 $198,828.00 25% off $63,624.96 $243,895.68 $116,645.76 2026-01-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 35 13 — — $105,764.89 $120,571.97 $116,341.38 2026-01-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 35 13 — — $105,561.77 $120,340.42 $116,117.95 2026-01-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 32 12 — — $104,787.54 $119,457.80 $115,266.29 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 35 13 — — $104,744.53 $119,408.76 $115,218.98 2026-01-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 35 13 — — $104,424.32 $119,043.72 $114,866.75 2026-01-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 35 13 — — $104,081.41 $118,652.81 $114,489.55 2026-01-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 35 13 — — $104,059.91 $118,628.30 $114,465.90 2026-01-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 35 13 — — $103,942.82 $118,494.81 $114,337.10 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 35 13 — — $101,292.75 $115,473.74 $111,422.03 2026-01-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 32 12 — — $100,853.06 $114,972.49 $110,938.37 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 35 13 — — $99,685.74 $113,641.74 $109,654.31 2026-01-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $99,329.69 $113,235.85 $109,262.66 2026-01-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 35 13 — — $98,805.18 $112,637.91 $108,685.70 2026-01-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 35 13 — — $98,418.06 $112,196.59 $108,259.87 2026-01-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 35 13 — — $97,796.76 $111,488.31 $107,576.44 2026-01-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 35 13 — — $96,808.67 $110,361.88 $106,489.54 2026-01-01
1782 APR_DRG External Heart Assist Systems 35 13 — — $96,255.47 $109,731.24 $105,881.02 2026-01-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 35 13 — — $96,091.79 $109,544.64 $105,700.97 2026-01-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 35 13 — — $95,248.26 $108,583.02 $104,773.09 2026-01-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 35 13 — — $94,885.04 $108,168.95 $104,373.54 2026-01-01
2234 APR_DRG Other Small And Large Bowel Procedures 35 13 — — $93,790.60 $106,921.28 $103,169.66 2026-01-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 35 13 — — $93,213.51 $106,263.40 $102,534.86 2026-01-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 12 — — $92,794.14 $105,785.32 $102,073.55 2026-01-01
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 35 13 — — $92,269.62 $105,187.37 $101,496.58 2026-01-01
7234 APR_DRG Viral Illness 35 13 — — $92,144.17 $105,044.35 $101,358.59 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 35 13 — — $91,153.68 $103,915.20 $100,269.05 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 35 13 — — $90,146.46 $102,766.96 $99,161.11 2026-01-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 35 13 — — $89,968.44 $102,564.02 $98,965.28 2026-01-01
6614 APR_DRG Coagulation And Platelet Disorders 35 13 — — $89,151.19 $101,632.36 $98,066.31 2026-01-01
1781 APR_DRG External Heart Assist Systems 35 13 — — $88,235.98 $100,589.02 $97,059.58 2026-01-01
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 35 13 — — $87,920.55 $100,229.43 $96,712.61 2026-01-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 35 13 — — $87,402.00 $99,638.28 $96,142.20 2026-01-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 35 13 — — $86,163.00 $98,225.82 $94,779.30 2026-01-01
1794 APR_DRG Defibrillator Implants 35 13 — — $86,110.43 $98,165.89 $94,721.47 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 35 13 — — $85,993.34 $98,032.41 $94,592.67 2026-01-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 35 13 — — $85,575.16 $97,555.68 $94,132.68 2026-01-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 35 13 — — $85,122.33 $97,039.46 $93,634.56 2026-01-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 35 13 — — $84,909.65 $96,797.00 $93,400.62 2026-01-01
38230 HCPCS Hc Marrow Procurement Domest 391 25 $230,864.19 $173,148.14 25% off $177.41 $244,188.15 $92,969.12 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 35 13 — — $84,462.80 $96,287.59 $92,909.08 2026-01-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 35 13 — — $84,190.38 $95,977.03 $92,609.42 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 35 13 — — $83,284.72 $94,944.58 $91,613.19 2026-01-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 35 13 — — $83,202.28 $94,850.60 $91,522.51 2026-01-01
4013 APR_DRG Adrenal Procedures 35 13 — — $82,890.44 $94,495.10 $91,179.48 2026-01-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 35 13 — — $82,882.08 $94,485.57 $91,170.29 2026-01-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 35 13 — — $82,003.90 $93,484.45 $90,204.29 2026-01-01
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 35 13 — — $81,947.74 $93,420.42 $90,142.51 2026-01-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 35 13 — — $81,829.46 $93,285.58 $90,012.41 2026-01-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 13 — — $81,649.04 $93,079.91 $89,813.94 2026-01-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 35 13 — — $81,528.37 $92,942.34 $89,681.21 2026-01-01
4804 APR_DRG Major Male Pelvic Procedures 35 13 — — $81,183.07 $92,548.70 $89,301.38 2026-01-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 35 13 — — $80,697.98 $91,995.70 $88,767.78 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 35 13 — — $80,487.70 $91,755.98 $88,536.47 2026-01-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 35 13 — — $80,242.76 $91,476.75 $88,267.04 2026-01-01
3464 APR_DRG Connective Tissue Disorders 35 13 — — $80,222.45 $91,453.59 $88,244.70 2026-01-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 35 13 — — $79,971.54 $91,167.56 $87,968.69 2026-01-01
50300 HCPCS Hc Kidney Acquisit-cadaveric 67 25 $198,965.16 $149,223.87 25% off $47,751.64 $198,965.16 $87,544.67 2026-01-01
50320 HCPCS Hc Kidney Acquisit-living 67 25 $198,965.16 $149,223.87 25% off $47,751.64 $198,965.16 $87,544.67 2026-01-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 35 13 — — $79,366.97 $90,478.35 $87,303.67 2026-01-01
1804 APR_DRG Other Circulatory System Procedures 35 13 — — $79,327.55 $90,433.41 $87,260.31 2026-01-01
294 APR_DRG Other Percutaneous Intracranial Procedures 35 13 — — $79,267.81 $90,365.30 $87,194.59 2026-01-01
734 APR_DRG Orbit And Eye Procedures 35 13 — — $79,108.90 $90,184.15 $87,019.79 2026-01-01
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 68 25 $197,350.00 $148,012.50 25% off $47,364.00 $181,562.00 $86,834.00 2026-01-01
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 35 13 — — $78,709.83 $89,729.21 $86,580.81 2026-01-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 35 13 — — $78,488.80 $89,477.23 $86,337.68 2026-01-01
4402 APR_DRG Kidney Transplant 32 12 — — $77,832.85 $88,729.45 $85,616.14 2026-01-01
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 35 13 — — $77,789.84 $88,680.42 $85,568.82 2026-01-01
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 12 — — $77,720.54 $88,601.42 $85,492.59 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $80,000.00 $92,000.00 $85,000.00 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $80,000.00 $92,000.00 $85,000.00 2026-01-01
913 APR_DRG Other Major Head And Neck Procedures 35 13 — — $77,192.44 $87,999.38 $84,911.68 2026-01-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 35 13 — — $77,069.37 $87,859.08 $84,776.31 2026-01-01
6924 APR_DRG Radiotherapy 35 13 — — $77,015.61 $87,797.80 $84,717.17 2026-01-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 35 13 — — $76,915.25 $87,683.39 $84,606.78 2026-01-01
2314 APR_DRG Major Large Bowel Procedures 35 13 — — $76,622.52 $87,349.67 $84,284.77 2026-01-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 35 13 — — $76,541.27 $87,257.05 $84,195.40 2026-01-01
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 35 13 — — $76,511.40 $87,223.00 $84,162.54 2026-01-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 35 13 — — $76,295.14 $86,976.46 $83,924.65 2026-01-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 35 13 — — $76,019.15 $86,661.83 $83,621.07 2026-01-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 35 13 — — $75,808.86 $86,422.10 $83,389.75 2026-01-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 35 13 — — $75,747.93 $86,352.64 $83,322.72 2026-01-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 35 13 — — $75,604.55 $86,189.19 $83,165.01 2026-01-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 35 13 — — $75,155.30 $85,677.04 $82,670.83 2026-01-01
TAUOP OTHER Tandem Hsc Autologous/ Autologous Bmt - Op 1 1 — — $82,500.00 $82,500.00 $82,500.00 2026-01-01
6903 APR_DRG Acute Leukemia 35 13 — — $74,861.38 $85,341.97 $82,347.52 2026-01-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 35 13 — — $74,550.74 $84,987.84 $82,005.81 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 35 13 — — $74,391.83 $84,806.69 $81,831.01 2026-01-01
4014 APR_DRG Adrenal Procedures 35 13 — — $74,124.19 $84,501.58 $81,536.61 2026-01-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 35 13 — — $73,968.87 $84,324.51 $81,365.76 2026-01-01
6613 APR_DRG Coagulation And Platelet Disorders 35 13 — — $73,094.27 $83,327.47 $80,403.70 2026-01-01
274 APR_DRG Other Open Craniotomy 35 13 — — $73,007.05 $83,228.04 $80,307.76 2026-01-01
4401 APR_DRG Kidney Transplant 32 12 — — $72,959.26 $83,173.56 $80,255.19 2026-01-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 35 13 — — $72,713.13 $82,892.97 $79,984.44 2026-01-01
213 APR_DRG Open Craniotomy Except Trauma 35 13 — — $72,553.03 $82,710.45 $79,808.33 2026-01-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 35 13 — — $72,091.84 $82,184.70 $79,301.02 2026-01-01
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 35 13 — — $72,067.94 $82,157.45 $79,274.73 2026-01-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 35 13 — — $72,044.05 $82,130.22 $79,248.46 2026-01-01
244 APR_DRG Open Extracranial Vascular Procedures 35 13 — — $71,920.98 $81,989.92 $79,113.08 2026-01-01
1801 APR_DRG Other Circulatory System Procedures 35 13 — — $71,868.41 $81,929.99 $79,055.25 2026-01-01
3084 APR_DRG Hip And Femur Fracture Repair 35 13 — — $71,627.06 $81,654.85 $78,789.77 2026-01-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $71,463.37 $81,468.24 $78,609.71 2026-01-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 35 13 — — $71,079.84 $81,031.02 $78,187.82 2026-01-01
233 APR_DRG Spinal Procedures 35 13 — — $71,063.11 $81,011.95 $78,169.42 2026-01-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 35 13 — — $71,017.71 $80,960.19 $78,119.48 2026-01-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 35 13 — — $70,934.08 $80,864.85 $78,027.49 2026-01-01
4012 APR_DRG Adrenal Procedures 35 13 — — $70,635.38 $80,524.33 $77,698.92 2026-01-01
433 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 35 13 — — $70,351.01 $80,200.15 $77,386.11 2026-01-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 35 13 — — $70,152.68 $79,974.06 $77,167.95 2026-01-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 35 13 — — $70,115.64 $79,931.83 $77,127.20 2026-01-01
404 APR_DRG Spinal Disorders And Injuries 35 13 — — $70,114.44 $79,930.46 $77,125.88 2026-01-01
293 APR_DRG Other Percutaneous Intracranial Procedures 35 13 — — $69,856.37 $79,636.26 $76,842.01 2026-01-01
7923 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 35 13 — — $69,036.73 $78,701.87 $75,940.40 2026-01-01
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 35 13 — — $68,772.68 $78,400.86 $75,649.95 2026-01-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 35 13 — — $68,297.15 $77,858.75 $75,126.87 2026-01-01
2454 APR_DRG Inflammatory Bowel Disease 35 13 — — $68,199.18 $77,747.07 $75,019.10 2026-01-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 35 13 — — $67,516.95 $76,969.32 $74,268.65 2026-01-01
203 APR_DRG Open Craniotomy For Trauma 35 13 — — $66,949.42 $76,322.34 $73,644.36 2026-01-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 35 13 — — $66,783.34 $76,133.01 $73,461.67 2026-01-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 35 13 — — $66,736.74 $76,079.88 $73,410.41 2026-01-01
2824 APR_DRG Disorders Of Pancreas Except Malignancy 35 13 — — $66,392.64 $75,687.61 $73,031.90 2026-01-01
4624 APR_DRG Nephritis And Nephrosis 35 13 — — $66,242.10 $75,515.99 $72,866.31 2026-01-01
273 APR_DRG Other Open Craniotomy 35 13 — — $66,205.06 $75,473.77 $72,825.57 2026-01-01
7594 APR_DRG Eating Disorders 35 13 — — $66,184.75 $75,450.62 $72,803.23 2026-01-01
594 APR_DRG Anoxic And Other Severe Brain Damage 35 13 — — $66,135.76 $75,394.77 $72,749.34 2026-01-01
6504 APR_DRG Splenectomy 35 13 — — $66,030.62 $75,274.91 $72,633.68 2026-01-01
1793 APR_DRG Defibrillator Implants 35 13 — — $66,028.23 $75,272.18 $72,631.05 2026-01-01
2634 APR_DRG Cholecystectomy 35 13 — — $65,994.77 $75,234.04 $72,594.25 2026-01-01
2613 APR_DRG Major Biliary Tract Procedures 35 13 — — $65,892.02 $75,116.90 $72,481.22 2026-01-01
2264 APR_DRG Anal Procedures 35 13 — — $65,802.41 $75,014.75 $72,382.65 2026-01-01
2074 APR_DRG Other Circulatory System Diagnoses 35 13 — — $65,232.49 $74,365.04 $71,755.74 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 35 13 — — $65,188.28 $74,314.64 $71,707.11 2026-01-01
1934 APR_DRG Acute And Subacute Endocarditis 35 13 — — $64,669.74 $73,723.50 $71,136.71 2026-01-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 35 13 — — $64,556.23 $73,594.10 $71,011.85 2026-01-01
4454 APR_DRG Other Bladder Procedures 35 13 — — $64,509.64 $73,540.99 $70,960.60 2026-01-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 35 13 — — $64,145.22 $73,125.55 $70,559.74 2026-01-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 35 13 — — $63,973.17 $72,929.41 $70,370.49 2026-01-01
6902 APR_DRG Acute Leukemia 35 13 — — $63,967.20 $72,922.61 $70,363.92 2026-01-01
3814 APR_DRG Major Skin Disorders 35 13 — — $63,793.95 $72,725.10 $70,173.35 2026-01-01
3164 APR_DRG Hand And Wrist Procedures 35 13 — — $63,699.56 $72,617.50 $70,069.52 2026-01-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 35 13 — — $63,127.25 $71,965.07 $69,439.98 2026-01-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 35 13 — — $63,069.90 $71,899.69 $69,376.89 2026-01-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 35 13 — — $62,991.05 $71,809.80 $69,290.16 2026-01-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 35 13 — — $62,884.71 $71,688.57 $69,173.18 2026-01-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 35 13 — — $62,839.31 $71,636.81 $69,123.24 2026-01-01
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 35 13 — — $62,496.40 $71,245.90 $68,746.04 2026-01-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 35 13 — — $62,345.85 $71,074.27 $68,580.44 2026-01-01
1693 APR_DRG Major Abdominal Vascular Procedures 35 13 — — $62,123.62 $70,820.93 $68,335.98 2026-01-01
4614 APR_DRG Kidney And Urinary Tract Malignancy 35 13 — — $62,030.43 $70,714.69 $68,233.47 2026-01-01
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 35 13 — — $61,926.48 $70,596.19 $68,119.13 2026-01-01
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 35 13 — — $61,910.95 $70,578.48 $68,102.05 2026-01-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 35 13 — — $61,863.15 $70,523.99 $68,049.47 2026-01-01
1802 APR_DRG Other Circulatory System Procedures 35 13 — — $61,605.08 $70,229.79 $67,765.59 2026-01-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 35 13 — — $61,019.63 $69,562.38 $67,121.59 2026-01-01
4043 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 35 13 — — $60,789.03 $69,299.49 $66,867.93 2026-01-01
5174 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 35 13 — — $60,698.22 $69,195.97 $66,768.04 2026-01-01
1213 APR_DRG Other Respiratory And Chest Procedures 35 13 — — $60,619.37 $69,106.08 $66,681.31 2026-01-01
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