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

HENRICO DOCTORS' HOSPITAL

Richmond, VA · CCN 490118 · Rates published

29,247 distinct procedures filed
39 distinct payers
594,983 rate rows
2026-03-01 last MRF observed
Data quality

574,956 of 594,983 rate rows are consumer-grade (96.6%)

20,027 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 13,122
per-diem day rate — not a per-procedure price 6,147
template filing: same amount across many unrelated codes — excluded 623
placeholder amount (≤ $0.02) — excluded from medians 119
exceeds 10× this hospital's gross charge — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1113733_RETREAT-DOCTORS-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcavirginia.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-08

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 Autotem 19 $5,093.15 $4,820,350.00 $4,530,678.50 nat. median
$9,966
outlier · 454.6×
00845
OTHER 		Inj, Atidarsagene Autotem 4 $3,829,250.00 $4,505,000.00 $4,212,175.00 nat. median
$4,505,000
0.9× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 15 $3,685,267.00 $3,943,235.69 $3,758,972.34 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 4 $3,132,476.95 $3,685,267.00 $3,445,724.65 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 19 $9,221.88 $3,569,327.40 $3,354,834.17 nat. median
$22,747
outlier · 147.5×
714
OTHER 		Inj Delandistrogene Mox R 19 $5,990.23 $3,560,810.20 $3,346,828.80 nat. median
$13,041
outlier · 256.6×
748
OTHER 		Inj, Lovotibeglogene Auto 19 $11,402.35 $3,480,183.56 $3,271,047.29 nat. median
$17,963
outlier · 182.1×
906
OTHER 		Inj Elivaldogene Autoteme 19 $8,148.61 $3,402,600.00 $3,198,126.00 nat. median
$20,756
outlier · 154.1×
00908
OTHER 		Topi Adm Prad Zami Per Tr 4 $2,835,447.00 $3,335,820.00 $3,118,991.70 nat. median
$12,675
outlier · 246.1×
00714
OTHER 		Inj Delandistrogene Mox R 4 $2,828,681.00 $3,327,860.00 $3,111,549.10 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 4 $2,764,631.80 $3,252,508.00 $3,041,094.98 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 4 $2,703,000.00 $3,180,000.00 $2,973,300.00 nat. median
$21
outlier · 143707.1×
746
OTHER 		Inj, Betibeglogene Autote 19 $10,547.29 $3,145,766.83 $2,956,726.83 nat. median
$21,896
outlier · 135.0×
00746
OTHER 		Inj, Betibeglogene Autote 4 $2,498,973.65 $2,939,969.00 $2,748,871.02 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 15 $2,588,981.00 $2,770,209.67 $2,640,760.62 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 4 $2,200,633.85 $2,588,981.00 $2,420,697.23 nat. median
$2,457,321
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 19 $12,350.61 $2,495,240.00 $2,345,292.40 nat. median
$25,250
outlier · 92.9×
00824
OTHER 		Inj, Exagamglogene Autote 4 $1,982,200.00 $2,332,000.00 $2,180,420.00 nat. median
$2,332,000
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $2,042,143.00 $2,042,143.00 $2,042,143.00 nat. median
$824,563
outlier · 2.5×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $470,193.65 $1,557,271.36 $1,055,220.18 nat. median
$675,122
1.6× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 $491,955.35 $1,501,307.95 $1,040,039.47 nat. median
$754,974
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $448,478.70 $1,478,916.58 $1,003,269.29 nat. median
$625,184
1.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $438,975.70 $1,489,833.29 $1,003,137.65 nat. median
$674,188
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $427,414.85 $1,410,309.44 $956,575.22 nat. median
$634,511
1.5× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $415,989.15 $1,297,043.03 $893,221.02 nat. median
$620,080
1.4× median
2067
OTHER 		Afamitresgene Autoleucel 15 $770,620.00 $824,563.40 $786,032.40 nat. median
$786,032
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $737,362.50 $737,362.50 $737,362.50 nat. median
$324,450
outlier · 2.3×
9498
OTHER 		Ciltacabtagene Car-pos T 14 $587,649.60 $628,785.07 $599,402.59 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 15 $566,531.30 $606,188.49 $577,861.93 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 15 $562,201.20 $601,555.28 $573,445.22 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 14 $558,081.80 $597,147.53 $569,243.44 nat. median
$558,082
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 4 $499,502.16 $587,649.60 $549,452.38 nat. median
$554,552
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 15 $532,192.20 $569,445.65 $542,836.04 nat. median
$532,192
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $534,422.90 $534,422.90 $534,422.90 nat. median
$209,753
outlier · 2.5×
09194
OTHER 		Tisagenlecleucel Car-pos 4 $481,551.61 $566,531.30 $529,706.77 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 4 $477,871.02 $562,201.20 $525,658.12 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 4 $474,369.53 $558,081.80 $521,806.48 nat. median
$530,178
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 15 $489,450.20 $523,711.71 $499,239.20 nat. median
$489,450
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 4 $452,363.37 $532,192.20 $497,599.70 nat. median
$505,583
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $488,670.66 $513,104.19 $490,063.37 nat. median
$309,665
1.6× median
09391
OTHER 		Brexucabtagene Car Pos T 4 $416,032.67 $489,450.20 $457,635.93 nat. median
$464,978
1.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 $447,536.35 $469,913.17 $448,811.83 nat. median
$93,260
outlier · 4.8×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 $431,702.40 $453,287.52 $432,932.75 nat. median
$89,790
outlier · 4.8×
5833
APR_DRG 		Neonate With Ecmo 6 $429,225.92 $450,687.22 $430,449.21 nat. median
$244,017
1.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $345,233.49 $362,495.16 $346,217.41 nat. median
$246,434
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $334,363.03 $351,081.18 $335,315.97 nat. median
$207,730
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $5,284.00 $917,850.41 $323,314.18 nat. median
$370,174
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $302,613.55 $317,744.23 $303,476.00 nat. median
$150,721
outlier · 2.0×
5832
APR_DRG 		Neonate With Ecmo 6 $295,335.43 $310,102.20 $296,177.14 nat. median
$156,126
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $288,877.11 $303,320.97 $289,700.41 nat. median
$162,982
1.8× median

Other procedures at this hospital

Browse this hospital's 29,247 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
             
845 OTHER Inj, Atidarsagene Autotem 20 19 — — $5,093.15 $4,820,350.00 $4,530,678.50 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 4 4 — — $3,829,250.00 $4,505,000.00 $4,212,175.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 16 15 — — $3,685,267.00 $3,943,235.69 $3,758,972.34 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 4 4 — — $3,132,476.95 $3,685,267.00 $3,445,724.65 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 20 19 — — $9,221.88 $3,569,327.40 $3,354,834.17 2026-03-01
714 OTHER Inj Delandistrogene Mox R 20 19 — — $5,990.23 $3,560,810.20 $3,346,828.80 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 20 19 — — $11,402.35 $3,480,183.56 $3,271,047.29 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 20 19 — — $8,148.61 $3,402,600.00 $3,198,126.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 4 4 — — $2,835,447.00 $3,335,820.00 $3,118,991.70 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 4 4 — — $2,828,681.00 $3,327,860.00 $3,111,549.10 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 4 4 — — $2,764,631.80 $3,252,508.00 $3,041,094.98 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 4 4 — — $2,703,000.00 $3,180,000.00 $2,973,300.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 20 19 — — $10,547.29 $3,145,766.83 $2,956,726.83 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 4 4 — — $2,498,973.65 $2,939,969.00 $2,748,871.02 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 16 15 — — $2,588,981.00 $2,770,209.67 $2,640,760.62 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 4 4 — — $2,200,633.85 $2,588,981.00 $2,420,697.23 2026-03-01
824 OTHER Inj, Exagamglogene Autote 20 19 — — $12,350.61 $2,495,240.00 $2,345,292.40 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 4 4 — — $1,982,200.00 $2,332,000.00 $2,180,420.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 4 1 — — $2,042,143.00 $2,042,143.00 $2,042,143.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 8 5 — — $470,193.65 $1,557,271.36 $1,055,220.18 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 8 5 — — $491,955.35 $1,501,307.95 $1,040,039.47 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 8 5 — — $448,478.70 $1,478,916.58 $1,003,269.29 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 8 5 — — $438,975.70 $1,489,833.29 $1,003,137.65 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 8 5 — — $427,414.85 $1,410,309.44 $956,575.22 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 8 5 — — $415,989.15 $1,297,043.03 $893,221.02 2026-03-01
2067 OTHER Afamitresgene Autoleucel 16 15 — — $770,620.00 $824,563.40 $786,032.40 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 4 1 — — $737,362.50 $737,362.50 $737,362.50 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 15 14 — — $587,649.60 $628,785.07 $599,402.59 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 16 15 — — $566,531.30 $606,188.49 $577,861.93 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 16 15 — — $562,201.20 $601,555.28 $573,445.22 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 15 14 — — $558,081.80 $597,147.53 $569,243.44 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 4 4 — — $499,502.16 $587,649.60 $549,452.38 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 16 15 — — $532,192.20 $569,445.65 $542,836.04 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 4 1 — — $534,422.90 $534,422.90 $534,422.90 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 4 4 — — $481,551.61 $566,531.30 $529,706.77 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 4 4 — — $477,871.02 $562,201.20 $525,658.12 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 4 4 — — $474,369.53 $558,081.80 $521,806.48 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 16 15 — — $489,450.20 $523,711.71 $499,239.20 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 4 4 — — $452,363.37 $532,192.20 $497,599.70 2026-03-01
5834 APR_DRG Neonate With Ecmo 6 6 — — $488,670.66 $513,104.19 $490,063.37 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 4 4 — — $416,032.67 $489,450.20 $457,635.93 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 6 — — $447,536.35 $469,913.17 $448,811.83 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 6 — — $431,702.40 $453,287.52 $432,932.75 2026-03-01
5833 APR_DRG Neonate With Ecmo 6 6 — — $429,225.92 $450,687.22 $430,449.21 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $345,233.49 $362,495.16 $346,217.41 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $334,363.03 $351,081.18 $335,315.97 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 21 — — $5,284.00 $917,850.41 $323,314.18 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $302,613.55 $317,744.23 $303,476.00 2026-03-01
5832 APR_DRG Neonate With Ecmo 6 6 — — $295,335.43 $310,102.20 $296,177.14 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $288,877.11 $303,320.97 $289,700.41 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $283,349.11 $297,516.57 $284,156.66 2026-03-01
831 OTHER Obecbtge Autol Up To 400 20 19 — — $3,487.57 $297,727.50 $279,836.03 2026-03-01
897 OTHER Revakinagene, Per Implant 16 15 — — $265,000.00 $283,550.00 $270,300.00 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $269,182.38 $282,641.50 $269,949.55 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $268,565.23 $281,993.49 $269,330.64 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 4 4 — — $236,512.50 $278,250.00 $260,163.75 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $255,280.14 $268,044.15 $256,007.69 2026-03-01
00897 OTHER Revakinagene, Per Implant 4 4 — — $225,250.00 $265,000.00 $247,775.00 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $241,373.95 $253,442.65 $242,061.86 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $205,634.46 $241,922.90 $234,665.21 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 21 — — $28,998.00 $595,647.99 $225,227.97 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $222,849.03 $233,991.48 $223,484.15 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 7 2 — — $70,495.36 $221,874.56 $221,874.56 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $180,755.98 $212,654.10 $206,274.48 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $202,243.72 $212,355.91 $202,820.11 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 20 19 — — $7,631.38 $215,785.83 $202,818.52 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 6 — — $200,634.40 $210,666.12 $201,206.21 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $199,359.31 $209,327.28 $199,927.48 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $194,089.23 $203,793.69 $194,642.39 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 4 4 — — $171,418.65 $201,669.00 $188,560.52 2026-03-01
5831 APR_DRG Neonate With Ecmo 6 6 — — $184,859.66 $194,102.64 $185,386.51 2026-03-01
77145 CDM Tavr/tavi Perc Fem Aprch 17 12 $375,803.00 $375,803.00 $53,739.83 $375,803.00 $169,111.35 2026-03-01
118585 CDM Ttvr - Initial Device 17 12 $375,803.00 $375,803.00 $53,739.83 $375,803.00 $169,111.35 2026-03-01
83096 CDM Tmvr Perc Initial Device 17 12 $375,803.00 $375,803.00 $53,739.83 $375,803.00 $169,111.35 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $166,193.95 $174,503.65 $166,667.61 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $162,145.00 $170,252.25 $162,607.11 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $158,301.32 $166,216.39 $158,752.48 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 21 — — $8,777.00 $329,881.00 $158,315.93 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 18 — — $7,312.00 $453,804.88 $157,685.95 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $153,652.33 $161,334.95 $154,090.24 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $152,989.12 $160,638.58 $153,425.14 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $152,962.81 $160,610.95 $153,398.76 2026-03-01
1907 OTHER New Technology - Level 52 16 15 — — $149,755.50 $160,238.39 $152,750.61 2026-03-01
1908 OTHER New Technology - Level 52 16 15 — — $149,755.50 $160,238.39 $152,750.61 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $151,020.57 $158,571.60 $151,450.98 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $150,350.79 $157,868.33 $150,779.29 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $150,346.84 $157,864.18 $150,775.33 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 7 2 — — $71,547.78 $150,585.06 $150,585.06 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $149,898.13 $157,393.04 $150,325.34 2026-03-01
66661 CDM Ins Icd Lead/generator 14 11 $240,066.00 $240,066.00 $36,009.90 $240,066.00 $150,041.25 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $127,400.46 $149,882.90 $145,386.41 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $141,468.62 $148,542.05 $141,871.80 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $139,647.45 $146,629.82 $140,045.45 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $139,559.28 $146,537.24 $139,957.02 2026-03-01
1905 OTHER New Technology - Level 51 16 15 — — $135,025.50 $144,477.29 $137,726.01 2026-03-01
1906 OTHER New Technology - Level 51 16 15 — — $135,025.50 $144,477.29 $137,726.01 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $135,995.89 $142,795.68 $136,383.48 2026-03-01
01907 OTHER New Technology - Level 52 4 4 — — $123,768.93 $145,610.50 $136,145.82 2026-03-01
01908 OTHER New Technology - Level 52 4 4 — — $123,768.93 $145,610.50 $136,145.82 2026-03-01
J9999 HCPCS Carmustine 7.7mg Implant 20 13 $392,397.00 $392,397.00 $56,112.77 $392,397.00 $133,414.98 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $127,293.99 $133,658.69 $127,656.78 2026-03-01
76842 CDM Rem/replace Icd Gen Sgl 14 11 $203,987.00 $203,987.00 $30,598.05 $203,987.00 $127,491.88 2026-03-01
76844 CDM Rem/replace Icd Gen Mult 14 11 $203,987.00 $203,987.00 $30,598.05 $203,987.00 $127,491.88 2026-03-01
76843 CDM Rem/replace Icd Gen Dual 14 11 $203,987.00 $203,987.00 $30,598.05 $203,987.00 $127,491.88 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $124,825.41 $131,066.68 $125,181.16 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $123,775.34 $129,964.11 $124,128.10 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 4 1 — — $123,742.09 $123,742.09 $123,742.09 2026-03-01
01905 OTHER New Technology - Level 51 4 4 — — $111,594.97 $131,288.20 $122,754.46 2026-03-01
01906 OTHER New Technology - Level 51 4 4 — — $111,594.97 $131,288.20 $122,754.46 2026-03-01
1903 OTHER New Technology - Level 50 16 15 — — $120,295.50 $128,716.19 $122,701.41 2026-03-01
1904 OTHER New Technology - Level 50 16 15 — — $120,295.50 $128,716.19 $122,701.41 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $121,976.53 $128,075.36 $122,324.17 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $121,976.53 $128,075.36 $122,324.17 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $117,923.63 $123,819.81 $118,259.71 2026-03-01
33263 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 7 — — $1,995.00 $162,048.00 $117,809.00 2026-03-01
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 7 — — $1,995.00 $162,048.00 $117,809.00 2026-03-01
33262 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 7 — — $1,995.00 $162,048.00 $117,809.00 2026-03-01
33271 CPT Insertion Of Subcutaneous Implantable Defibrillator Electrode 15 7 — — $1,995.00 $162,048.00 $117,809.00 2026-03-01
33272 CPT Removal Of Subcutaneous Implantable Defibrillator Electrode 15 7 — — $1,995.00 $162,048.00 $117,809.00 2026-03-01
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 15 7 — — $1,995.00 $162,048.00 $117,809.00 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $99,489.69 $117,046.70 $113,535.30 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $111,728.48 $117,314.90 $112,046.90 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $110,296.81 $115,811.65 $110,611.15 2026-03-01
66659 CDM Ins Icd Gen Only Sgl Ld 14 11 $176,155.00 $176,155.00 $26,423.25 $176,155.00 $110,096.88 2026-03-01
01903 OTHER New Technology - Level 50 4 4 — — $99,421.01 $116,965.90 $109,363.11 2026-03-01
01904 OTHER New Technology - Level 50 4 4 — — $99,421.01 $116,965.90 $109,363.11 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 20 19 — — $92,006.55 $115,820.01 $108,859.99 2026-03-01
1902 OTHER New Technology - Level 49 16 15 — — $105,565.50 $112,955.09 $107,676.81 2026-03-01
1901 OTHER New Technology - Level 49 16 15 — — $105,565.50 $112,955.09 $107,676.81 2026-03-01
4404 APR_DRG Kidney Transplant 6 6 — — $106,970.27 $112,318.78 $107,275.14 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $106,300.49 $111,615.51 $106,603.45 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 20 — — $8,777.00 $294,411.51 $106,046.50 2026-03-01
4403 APR_DRG Kidney Transplant 6 6 — — $104,500.37 $109,725.39 $104,798.20 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $104,127.98 $109,334.38 $104,424.74 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $103,670.05 $108,853.55 $103,965.51 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $103,641.10 $108,823.16 $103,936.48 2026-03-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $103,427.93 $108,599.33 $103,722.70 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $102,638.41 $107,770.33 $102,930.93 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $102,184.43 $107,293.65 $102,475.65 2026-03-01
84398 CDM Ins/repl Sq Icd With Elec 14 11 $163,106.00 $163,106.00 $24,465.90 $163,106.00 $101,941.25 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 20 — — $79,724.73 $234,255.61 $101,189.00 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 20 — — $65,271.72 $191,499.05 $101,189.00 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $99,568.46 $104,546.88 $99,852.23 2026-03-01
33151 CDM Kidney Acq-cadav Donor 21 14 $299,736.00 $299,736.00 $42,862.25 $299,736.00 $98,912.88 2026-03-01
33157 CDM Kidney Acq-living Donor 21 14 $299,736.00 $299,736.00 $42,862.25 $299,736.00 $98,912.88 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $97,939.41 $102,836.38 $98,218.54 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $89,163.30 $104,898.00 $98,079.63 2026-03-01
6904 APR_DRG Acute Leukemia 6 6 — — $96,761.70 $101,599.79 $97,037.47 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $96,640.64 $101,472.67 $96,916.07 2026-03-01
7 MS_DRG Lung Transplant 34 21 — — $7,312.00 $275,256.50 $96,877.73 2026-03-01
01902 OTHER New Technology - Level 49 4 4 — — $87,247.06 $102,643.60 $95,971.76 2026-03-01
01901 OTHER New Technology - Level 49 4 4 — — $87,247.06 $102,643.60 $95,971.76 2026-03-01
8634 APR_DRG Neonatal Aftercare 6 6 — — $95,620.83 $100,401.87 $95,893.35 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 20 19 — — $80,818.85 $101,736.67 $95,622.96 2026-03-01
1599 OTHER New Technology - Level 48 16 15 — — $93,290.49 $99,820.82 $95,156.30 2026-03-01
1585 OTHER New Technology - Level 48 16 15 — — $93,290.49 $99,820.82 $95,156.30 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $94,678.67 $99,412.60 $94,948.51 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $94,656.30 $99,389.12 $94,926.07 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $94,345.75 $99,063.04 $94,614.64 2026-03-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $93,104.88 $97,760.12 $93,370.23 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 11 6 — — $53,750.26 $170,328.19 $92,400.00 2026-03-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $91,746.89 $96,334.23 $92,008.37 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 21 — — $28,998.00 $375,797.00 $91,432.01 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 34 21 — — $5,284.00 $255,440.46 $90,384.18 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $89,777.02 $94,265.87 $90,032.89 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $89,358.58 $93,826.51 $89,613.25 2026-03-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $89,334.89 $93,801.63 $89,589.49 2026-03-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $89,241.46 $93,703.53 $89,495.80 2026-03-01
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $89,086.19 $93,540.50 $89,340.08 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 20 — — $52,403.70 $153,431.34 $89,308.00 2026-03-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 6 6 — — $89,000.66 $93,450.69 $89,254.31 2026-03-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $87,820.32 $92,211.34 $88,070.61 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 11 6 — — $48,464.53 $144,170.89 $87,806.33 2026-03-01
007 OTHER Lung Transplant 5 4 — — $76,464.65 $89,958.41 $87,259.66 2026-03-01
88556 CDM Ins/repl Ccm System 17 12 $192,476.00 $192,476.00 $27,524.07 $192,476.00 $86,614.20 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $85,828.08 $90,119.48 $86,072.69 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $85,058.29 $89,311.20 $85,300.70 2026-03-01
1584 OTHER New Technology - Level 47 16 15 — — $83,470.49 $89,313.42 $85,139.90 2026-03-01
1598 OTHER New Technology - Level 47 16 15 — — $83,470.49 $89,313.42 $85,139.90 2026-03-01
4402 APR_DRG Kidney Transplant 6 6 — — $84,593.78 $88,823.47 $84,834.87 2026-03-01
01599 OTHER New Technology - Level 48 4 4 — — $77,102.12 $90,708.38 $84,812.33 2026-03-01
01585 OTHER New Technology - Level 48 4 4 — — $77,102.12 $90,708.38 $84,812.33 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 33 20 — — $27,878.00 $240,581.09 $84,802.02 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $84,527.99 $88,754.39 $84,768.90 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $71,444.06 $97,031.73 $84,237.89 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 20 — — $7,312.00 $231,129.00 $82,976.21 2026-03-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $82,337.06 $86,453.91 $82,571.72 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 20 — — $51,770.00 $186,850.00 $82,413.16 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $81,389.62 $85,459.10 $81,621.58 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $81,204.09 $85,264.29 $81,435.52 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $81,127.76 $85,184.15 $81,358.98 2026-03-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 — — $79,927.68 $83,924.06 $80,155.48 2026-03-01
74727 CDM Revsc Fem/pop W Stnt/ath 17 12 $178,089.00 $178,089.00 $25,466.73 $178,089.00 $80,140.05 2026-03-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 4 2 — — $47,517.00 $80,065.00 $80,065.00 2026-03-01
74731 CDM Revsc Tib/per St/ath Ini 17 12 $177,487.00 $177,487.00 $25,380.64 $177,487.00 $79,869.15 2026-03-01
126092 CDM Revsc Low Ext Ivl St/ath 17 12 $177,435.00 $177,435.00 $25,373.21 $177,435.00 $79,845.75 2026-03-01
116048 CDM Revsc Tib/per Ivl/ath 17 12 $177,435.00 $177,435.00 $25,373.21 $177,435.00 $79,845.75 2026-03-01
116049 CDM Revsc Tib/per Ivl St/ath 17 12 $177,435.00 $177,435.00 $25,373.21 $177,435.00 $79,845.75 2026-03-01
116047 CDM Revsc Tib/per Ivl/stnt 17 12 $177,435.00 $177,435.00 $25,373.21 $177,435.00 $79,845.75 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 20 — — $40,932.40 $136,108.00 $79,744.00 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 37 20 — — $41,974.92 $136,108.00 $79,744.00 2026-03-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $79,396.07 $83,365.87 $79,622.35 2026-03-01
4414 APR_DRG Major Bladder Procedures 6 6 — — $77,943.34 $81,840.51 $78,165.48 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 21 — — $7,312.00 $219,149.68 $77,622.88 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $67,770.24 $79,729.70 $77,337.81 2026-03-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $76,948.54 $80,795.97 $77,167.85 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $76,657.73 $80,490.62 $76,876.20 2026-03-01
215 MS_DRG Other Heart Assist System Implant 35 21 — — $56,789.00 $211,636.04 $76,757.15 2026-03-01
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $75,674.77 $79,458.51 $75,890.45 2026-03-01
01598 OTHER New Technology - Level 47 4 4 — — $68,986.15 $81,160.18 $75,884.76 2026-03-01
01584 OTHER New Technology - Level 47 4 4 — — $68,986.15 $81,160.18 $75,884.76 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 — — $63,456.00 $207,933.41 $75,424.32 2026-03-01
1583 OTHER New Technology - Level 46 16 15 — — $73,650.49 $78,806.02 $75,123.50 2026-03-01
1597 OTHER New Technology - Level 46 16 15 — — $73,650.49 $78,806.02 $75,123.50 2026-03-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $74,902.35 $78,647.47 $75,115.82 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $74,300.99 $78,016.04 $74,512.75 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 5 4 — — $65,269.72 $76,787.91 $74,484.27 2026-03-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 6 6 — — $73,993.08 $77,692.73 $74,203.96 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $64,582.24 $75,979.10 $73,699.73 2026-03-01
116046 CDM Revsc Tib/per Ivl Angio 17 12 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $73,521.90 2026-03-01
113647 CDM Revsc Low Extr Ivl/ather 17 12 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $73,521.90 2026-03-01
126094 CDM Revsc Low Extr Ivl/stnt 17 12 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $73,521.90 2026-03-01
74713 CDM Revsc Iliac W Stnt Init 17 12 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $73,521.90 2026-03-01
74672 CDM Revsc Iliac W Stnt Init 17 12 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $73,521.90 2026-03-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $73,302.24 $76,967.35 $73,511.15 2026-03-01
74725 CDM Revsc Fem/pop W Stnt 17 12 $163,192.00 $163,192.00 $23,336.46 $163,192.00 $73,436.40 2026-03-01
74730 CDM Revsc Tib/per Stnt Init 17 12 $162,553.00 $162,553.00 $23,245.08 $162,553.00 $73,148.85 2026-03-01
74681 CDM Revsc Tib/per Stnt Init 17 12 $162,553.00 $162,553.00 $23,245.08 $162,553.00 $73,148.85 2026-03-01
234 APR_DRG Spinal Procedures 6 6 — — $72,502.19 $76,127.30 $72,708.82 2026-03-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $72,191.64 $75,801.22 $72,397.39 2026-03-01
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $72,129.80 $75,736.29 $72,335.37 2026-03-01
1784 APR_DRG External Heart Assist Devices 6 6 — — $71,882.41 $75,476.53 $72,087.27 2026-03-01
4014 APR_DRG Adrenal Procedures 6 6 — — $71,835.04 $75,426.79 $72,039.77 2026-03-01
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $71,696.87 $75,281.71 $71,901.20 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $71,586.34 $75,165.66 $71,790.36 2026-03-01
274 APR_DRG Other Open Craniotomy 6 6 — — $70,949.46 $74,496.93 $71,151.67 2026-03-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $70,542.85 $74,069.99 $70,743.90 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $59,752.11 $81,152.30 $70,452.21 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $70,170.46 $73,678.98 $70,370.45 2026-03-01
123099 CDM Imp Wrls P-art Pres Snsr 17 12 $154,741.00 $154,741.00 $22,127.96 $154,741.00 $69,633.45 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 11 6 — — $38,430.20 $114,441.15 $69,626.54 2026-03-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $69,141.44 $72,598.51 $69,338.49 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 20 19 — — $58,481.44 $73,617.82 $69,193.87 2026-03-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $68,544.03 $71,971.23 $68,739.38 2026-03-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $68,371.65 $71,790.23 $68,566.51 2026-03-01
1783 APR_DRG External Heart Assist Devices 6 6 — — $68,184.80 $71,594.04 $68,379.12 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 21 — — $53,165.00 $178,614.27 $67,959.34 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 21 — — $43,383.14 $141,828.00 $67,460.00 2026-03-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $66,983.40 $70,332.57 $67,174.30 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 21 — — $55,468.74 $162,498.73 $67,164.00 2026-03-01
33240 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Singl… 17 8 — — $4,250.00 $162,048.00 $67,036.00 2026-03-01
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 17 8 — — $4,250.00 $162,048.00 $67,036.00 2026-03-01
33230 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Dual … 17 8 — — $1,995.00 $162,048.00 $67,036.00 2026-03-01
33231 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Multi… 17 8 — — $1,995.00 $162,048.00 $67,036.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 21 — — $61,106.68 $179,177.52 $67,032.00 2026-03-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $66,837.34 $70,179.21 $67,027.82 2026-03-01
01597 OTHER New Technology - Level 46 4 4 — — $60,870.18 $71,611.98 $66,957.20 2026-03-01
01583 OTHER New Technology - Level 46 4 4 — — $60,870.18 $71,611.98 $66,957.20 2026-03-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $66,397.84 $69,717.73 $66,587.07 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $60,524.63 $71,205.45 $66,577.10 2026-03-01
1782 APR_DRG External Heart Assist Devices 6 6 — — $66,317.57 $69,633.45 $66,506.58 2026-03-01
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $65,854.38 $69,147.10 $66,042.07 2026-03-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 6 — — $65,789.90 $69,079.40 $65,977.40 2026-03-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 6 — — $65,621.47 $68,902.54 $65,808.49 2026-03-01
1214 APR_DRG Other Respiratory And Chest Procedures 6 6 — — $65,076.70 $68,330.54 $65,262.17 2026-03-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $65,056.96 $68,309.81 $65,242.37 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $55,324.12 $75,138.43 $65,231.27 2026-03-01
1582 OTHER New Technology - Level 45 16 15 — — $63,830.49 $68,298.62 $65,107.10 2026-03-01
1596 OTHER New Technology - Level 45 16 15 — — $63,830.49 $68,298.62 $65,107.10 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 33 20 — — $7,312.00 $184,057.67 $64,920.33 2026-03-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $64,583.24 $67,812.40 $64,767.30 2026-03-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $64,560.87 $67,788.91 $64,744.87 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 20 19 — — $11,306.44 $68,774.03 $64,641.15 2026-03-01
1794 APR_DRG Defibrillator Implants 6 6 — — $64,367.44 $67,585.81 $64,550.89 2026-03-01
5244 OTHER Level 4 Blood Product Exc 16 15 — — $63,106.78 $67,524.25 $64,368.92 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $58,457.85 $68,773.94 $64,303.64 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 7 2 — — $24,978.93 $64,205.31 $64,205.31 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $63,673.97 $66,857.67 $63,855.44 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 22 — — $27,878.00 $238,258.00 $63,674.24 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 21 — — $55,706.56 $163,202.27 $63,611.00 2026-03-01
2614 APR_DRG Major Biliary Tract Procedures 6 6 — — $63,302.89 $66,468.03 $63,483.31 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 — — $47,781.70 $139,758.00 $63,456.00 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 6 2 — — $51,140.25 $75,005.70 $63,072.97 2026-03-01
2324 APR_DRG Gastric Fundoplication 6 6 — — $62,812.07 $65,952.67 $62,991.08 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 — — $46,345.61 $139,758.00 $62,944.28 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 6 6 — — $62,630.48 $65,762.00 $62,808.98 2026-03-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $62,300.20 $65,415.21 $62,477.75 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 37 20 — — $29,425.90 $136,108.00 $62,124.77 2026-03-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 6 — — $61,938.33 $65,035.25 $62,114.85 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 21 — — $44,098.04 $136,211.00 $62,086.82 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 21 — — $39,787.86 $116,109.69 $61,953.00 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $56,170.69 $66,083.17 $61,787.76 2026-03-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $61,525.15 $64,601.41 $61,700.49 2026-03-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $61,525.15 $64,601.41 $61,700.49 2026-03-01
74722 CDM Revsc Iliac W Stnt Addl 17 12 $136,398.00 $136,398.00 $19,504.91 $136,398.00 $61,379.10 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $51,740.52 $70,271.37 $61,005.94 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $60,685.62 $63,719.90 $60,858.57 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $60,685.62 $63,719.90 $60,858.57 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $53,261.78 $62,660.92 $60,781.09 2026-03-01
1814 APR_DRG Lower Vascular Procedures 6 6 — — $60,552.71 $63,580.35 $60,725.29 2026-03-01
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