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

CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC

Norfolk, VA · CCN 493301 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE, NONCON, COMPL/DOPP

This hospital’s price: $3,298 across 21 payers · range $60-$4,346

Source: https://www.chkd.org/media/5yhlxvtl/540506321_childrens-hospital-of-the-kings-daughters_standardcharges.csv · observed 2026-07-18

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.

8,932 distinct procedures filed
27 distinct payers
357,136 rate rows
2026-07-18 last MRF observed
Data quality

339,462 of 357,136 rate rows are consumer-grade (95.1%)

17,674 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 12,550
exceeds 10× this hospital's gross charge — excluded from medians 2,276
template filing: same amount across many unrelated codes — excluded 1,012
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 790
placeholder amount (≤ $0.02) — excluded from medians 750
per-diem day rate — not a per-procedure price 157
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 82
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chkd.org/media/5yhlxvtl/540506321_childrens-hospital-of-the-kings-daughters_standardcharges.csv
Found on page https://www.chkd.org/Billing/Price-Transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint a06789f7b02964a7… · 93,452,683 bytes · first seen 2026-05-13

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
Q2042
HCPCS 		Tisagenlecleucel (all) Soln 20 $57,245.42 $1,691,570.00 $1,246,420.00 nat. median
$738,272
1.7× median
5834
APR_DRG 		Neonate With Ecmo 6 $568,011.94 $1,013,083.72 $647,307.06 nat. median
$307,273
outlier · 2.1×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $520,199.00 $927,806.44 $592,819.38 nat. median
$93,998
outlier · 6.3×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $501,794.23 $894,980.42 $571,845.28 nat. median
$89,188
outlier · 6.4×
5833
APR_DRG 		Neonate With Ecmo 6 $498,915.66 $889,846.32 $568,564.85 nat. median
$244,017
outlier · 2.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $401,286.10 $715,718.08 $457,306.10 nat. median
$247,214
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $388,650.70 $693,182.07 $442,906.78 nat. median
$202,993
outlier · 2.2×
0811
RC 		8 $313,024.87 $433,709.16 $424,280.70 nat. median
$60,209
outlier · 7.0×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $351,746.33 $627,360.89 $400,850.51 nat. median
$154,011
outlier · 2.6×
5832
APR_DRG 		Neonate With Ecmo 6 $343,286.52 $612,272.32 $391,209.71 nat. median
$159,249
outlier · 2.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $335,779.62 $598,883.30 $382,654.83 nat. median
$165,000
outlier · 2.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $329,354.08 $587,422.97 $375,332.29 nat. median
$156,153
outlier · 2.4×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $359,030.48 $359,030.48 $359,030.48 nat. median
$39,056
outlier · 9.2×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $312,887.22 $558,053.32 $356,566.64 nat. median
$124,042
outlier · 2.9×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $312,169.87 $556,773.89 $355,749.15 nat. median
$98,624
outlier · 3.6×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $296,727.79 $529,232.00 $338,151.33 nat. median
$162,514
outlier · 2.1×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $280,563.78 $500,402.49 $319,730.80 nat. median
$133,164
outlier · 2.4×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $259,031.13 $461,997.71 $295,192.17 nat. median
$151,838
1.9× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $279,457.22 $279,457.22 $279,457.22 nat. median
$1
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $5,793.00 $279,128.73 $273,655.62 nat. median
$71,201
outlier · 3.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $235,080.30 $419,279.96 $267,897.78 nat. median
$163,587
1.6× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $233,209.69 $415,943.62 $265,766.03 nat. median
$71,350
outlier · 3.7×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $231,727.58 $413,300.18 $264,077.02 nat. median
$107,657
outlier · 2.5×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $225,601.83 $402,374.54 $257,096.11 nat. median
$122,016
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $5,793.00 $254,932.91 $249,934.22 nat. median
$359,358
0.7× median
5831
APR_DRG 		Neonate With Ecmo 6 $214,873.75 $383,240.35 $244,870.36 nat. median
$146,591
1.7× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $238,180.81 $238,180.81 $238,180.81 nat. median
$380,401
0.6× median
7924
APR_DRG 		Extensive O.r. Procedures For Other Complications Of Treatment 6 $193,177.44 $344,543.67 $220,145.23 nat. median
$41,406
outlier · 5.3×
1613
APR_DRG 		Implantable Heart Assist Systems 6 $188,471.09 $336,149.62 $214,781.87 nat. median
$120,517
1.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 6 $184,003.35 $328,181.13 $209,690.43 nat. median
$84,808
outlier · 2.5×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $178,599.54 $318,543.10 $203,532.24 nat. median
$108,798
1.9× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 $177,828.66 $317,168.19 $202,653.74 nat. median
$64,490
outlier · 3.1×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $177,798.07 $317,113.63 $202,618.89 nat. median
$67,766
outlier · 3.0×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 $175,540.49 $313,087.10 $200,046.15 nat. median
$68,108
outlier · 2.9×
1611
APR_DRG 		Implantable Heart Assist Systems 6 $174,761.96 $311,698.55 $199,158.93 nat. median
$76,852
outlier · 2.6×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $174,757.37 $311,690.37 $199,153.71 nat. median
$118,589
1.7× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $174,235.81 $310,760.12 $198,559.32 nat. median
$101,541
2.0× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $164,437.67 $293,284.55 $187,393.35 nat. median
$81,668
outlier · 2.3×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 6 $162,320.81 $289,509.00 $184,980.98 nat. median
$82,002
outlier · 2.3×
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $162,218.33 $289,326.22 $184,864.20 nat. median
$69,447
outlier · 2.7×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $158,076.38 $281,938.80 $180,144.02 nat. median
$88,157
outlier · 2.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $5,793.00 $180,513.35 $176,973.88 nat. median
$52,841
outlier · 3.3×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $147,961.63 $263,898.54 $168,617.24 nat. median
$175,429
1.0× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $145,092.24 $258,780.81 $165,347.29 nat. median
$75,282
outlier · 2.2×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $143,871.68 $256,603.86 $163,956.33 nat. median
$82,224
2.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $141,780.82 $252,874.69 $161,573.58 nat. median
$145,061
1.1× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 6 $141,780.82 $252,874.69 $161,573.58 nat. median
$120,505
1.3× median
0812
RC 		8 $117,528.00 $162,840.00 $159,300.00 nat. median
$76,298
outlier · 2.1×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $137,069.89 $244,472.45 $156,204.99 nat. median
$96,883
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $5,793.00 $156,811.03 $153,736.31 nat. median
$249,124
0.6× median

Other procedures at this hospital

Browse this hospital's 8,932 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
             
Q2042 HCPCS Tisagenlecleucel (all) Soln 45 20 $1,780,600.00 $1,602,540.00 $57,245.42 $1,691,570.00 $1,246,420.00 2026-07-18
5834 APR_DRG Neonate With Ecmo 6 6 — — $568,011.94 $1,013,083.72 $647,307.06 2026-07-18
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $520,199.00 $927,806.44 $592,819.38 2026-07-18
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $501,794.23 $894,980.42 $571,845.28 2026-07-18
5833 APR_DRG Neonate With Ecmo 6 6 — — $498,915.66 $889,846.32 $568,564.85 2026-07-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $401,286.10 $715,718.08 $457,306.10 2026-07-18
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $388,650.70 $693,182.07 $442,906.78 2026-07-18
0811 RC — 9 8 $471,423.00 $424,280.70 $313,024.87 $433,709.16 $424,280.70 2026-07-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $351,746.33 $627,360.89 $400,850.51 2026-07-18
5832 APR_DRG Neonate With Ecmo 6 6 — — $343,286.52 $612,272.32 $391,209.71 2026-07-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $335,779.62 $598,883.30 $382,654.83 2026-07-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $329,354.08 $587,422.97 $375,332.29 2026-07-18
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $359,030.48 $359,030.48 $359,030.48 2026-07-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $312,887.22 $558,053.32 $356,566.64 2026-07-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $312,169.87 $556,773.89 $355,749.15 2026-07-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $296,727.79 $529,232.00 $338,151.33 2026-07-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $280,563.78 $500,402.49 $319,730.80 2026-07-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $259,031.13 $461,997.71 $295,192.17 2026-07-18
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $279,457.22 $279,457.22 $279,457.22 2026-07-18
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 5 — — $5,793.00 $279,128.73 $273,655.62 2026-07-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $235,080.30 $419,279.96 $267,897.78 2026-07-18
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $233,209.69 $415,943.62 $265,766.03 2026-07-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $231,727.58 $413,300.18 $264,077.02 2026-07-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $225,601.83 $402,374.54 $257,096.11 2026-07-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $5,793.00 $254,932.91 $249,934.22 2026-07-18
5831 APR_DRG Neonate With Ecmo 6 6 — — $214,873.75 $383,240.35 $244,870.36 2026-07-18
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $238,180.81 $238,180.81 $238,180.81 2026-07-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $193,177.44 $344,543.67 $220,145.23 2026-07-18
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $188,471.09 $336,149.62 $214,781.87 2026-07-18
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $184,003.35 $328,181.13 $209,690.43 2026-07-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $178,599.54 $318,543.10 $203,532.24 2026-07-18
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $177,828.66 $317,168.19 $202,653.74 2026-07-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $177,798.07 $317,113.63 $202,618.89 2026-07-18
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $175,540.49 $313,087.10 $200,046.15 2026-07-18
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $174,761.96 $311,698.55 $199,158.93 2026-07-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $174,757.37 $311,690.37 $199,153.71 2026-07-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $174,235.81 $310,760.12 $198,559.32 2026-07-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $164,437.67 $293,284.55 $187,393.35 2026-07-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $162,320.81 $289,509.00 $184,980.98 2026-07-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $162,218.33 $289,326.22 $184,864.20 2026-07-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $158,076.38 $281,938.80 $180,144.02 2026-07-18
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 5 — — $5,793.00 $180,513.35 $176,973.88 2026-07-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $147,961.63 $263,898.54 $168,617.24 2026-07-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $145,092.24 $258,780.81 $165,347.29 2026-07-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $143,871.68 $256,603.86 $163,956.33 2026-07-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $141,780.82 $252,874.69 $161,573.58 2026-07-18
5881 APR_DRG Female Reproductive System Reconstructive Procedures 6 6 — — $141,780.82 $252,874.69 $161,573.58 2026-07-18
0812 RC — 9 8 $177,000.00 $159,300.00 $117,528.00 $162,840.00 $159,300.00 2026-07-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $137,069.89 $244,472.45 $156,204.99 2026-07-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 5 — — $5,793.00 $156,811.03 $153,736.31 2026-07-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $129,868.88 $231,629.02 $147,998.73 2026-07-18
J2326 HCPCS Nusinersen 0.1 Mg Inj 13 7 $513,071.10 $461,763.99 $2,572.30 $160,285.14 $147,535.18 2026-07-18
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 5 — — $5,793.00 $149,081.52 $146,158.35 2026-07-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $128,204.76 $228,660.96 $146,102.29 2026-07-18
4404 APR_DRG Kidney Transplant 6 6 — — $124,338.12 $221,764.58 $141,695.86 2026-07-18
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $123,559.59 $220,376.02 $140,808.65 2026-07-18
4403 APR_DRG Kidney Transplant 6 6 — — $121,467.20 $216,644.12 $138,424.17 2026-07-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $121,034.35 $215,872.10 $137,930.88 2026-07-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $120,502.07 $214,922.75 $137,324.30 2026-07-18
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $120,468.42 $214,862.74 $137,285.96 2026-07-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $120,220.64 $214,420.80 $137,003.58 2026-07-18
509 MS_DRG Arthroscopy 6 5 — — $5,793.00 $138,977.74 $136,252.68 2026-07-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $119,302.93 $212,784.00 $135,957.75 2026-07-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $118,775.24 $211,842.84 $135,356.40 2026-07-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 5 — — $5,793.00 $137,937.80 $135,233.14 2026-07-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $115,734.55 $206,419.58 $131,891.23 2026-07-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $113,840.99 $203,042.31 $129,733.33 2026-07-18
14 MS_DRG Allogeneic Bone Marrow Transplant 6 5 — — $5,793.00 $130,963.00 $128,395.10 2026-07-18
7 MS_DRG Lung Transplant 6 5 — — $5,793.00 $130,819.29 $128,254.21 2026-07-18
6904 APR_DRG Acute Leukemia 6 6 — — $112,472.07 $200,600.75 $128,173.30 2026-07-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $112,331.35 $200,349.78 $128,012.93 2026-07-18
8634 APR_DRG Neonatal Aftercare 6 6 — — $111,145.97 $198,235.58 $126,662.07 2026-07-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $110,050.83 $196,282.33 $125,414.05 2026-07-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $110,024.83 $196,235.95 $125,384.42 2026-07-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $109,663.86 $195,592.14 $124,973.06 2026-07-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $108,221.52 $193,019.64 $123,329.37 2026-07-18
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $106,643.05 $190,204.34 $121,530.54 2026-07-18
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $119,200.18 $119,200.18 $119,200.18 2026-07-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $104,353.35 $186,120.53 $118,921.20 2026-07-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 5 — — $5,793.00 $121,059.21 $118,685.50 2026-07-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $103,866.96 $185,253.02 $118,366.91 2026-07-18
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $103,839.43 $185,203.92 $118,335.54 2026-07-18
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $103,730.84 $185,010.23 $118,211.78 2026-07-18
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $103,550.35 $184,688.33 $118,006.10 2026-07-18
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 6 6 — — $103,450.93 $184,511.01 $117,892.80 2026-07-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $102,078.95 $182,063.99 $116,329.29 2026-07-18
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $114,312.71 $114,312.71 $114,312.71 2026-07-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $99,763.25 $177,933.80 $113,690.31 2026-07-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $98,868.48 $176,337.92 $112,670.63 2026-07-18
4402 APR_DRG Kidney Transplant 6 6 — — $98,328.55 $175,374.94 $112,055.33 2026-07-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $98,252.08 $175,238.54 $111,968.18 2026-07-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 5 — — $5,793.00 $111,758.76 $109,567.41 2026-07-18
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $95,705.42 $170,696.42 $109,066.01 2026-07-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $94,604.16 $168,732.26 $107,811.01 2026-07-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $94,388.50 $168,347.61 $107,565.24 2026-07-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $94,299.79 $168,189.38 $107,464.15 2026-07-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 5 — — $5,793.00 $108,379.82 $106,254.72 2026-07-18
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 — — $92,904.86 $165,701.45 $105,874.49 2026-07-18
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $92,286.93 $164,599.34 $105,170.29 2026-07-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 5 — — $5,793.00 $106,858.27 $104,763.01 2026-07-18
4414 APR_DRG Major Bladder Procedures 6 6 — — $90,598.34 $161,587.62 $103,245.97 2026-07-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $89,442.02 $159,525.26 $101,928.22 2026-07-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $89,103.99 $158,922.37 $101,543.01 2026-07-18
J9210 HCPCS Emapalumab 100 Mg/20 Ml Vial 27 21 $144,774.00 $130,296.60 $768.26 $137,535.30 $101,341.80 2026-07-18
C9293 HCPCS Glucarpidase 10 Units Inj 27 21 $143,225.60 $128,903.04 $897.38 $136,064.32 $100,257.92 2026-07-18
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $87,961.44 $156,884.55 $100,240.95 2026-07-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $87,063.61 $155,283.22 $99,217.79 2026-07-18
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $86,364.61 $154,036.52 $98,421.21 2026-07-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $86,006.70 $153,398.17 $98,013.34 2026-07-18
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $85,203.70 $151,965.97 $97,098.24 2026-07-18
234 APR_DRG Spinal Procedures 6 6 — — $84,273.75 $150,307.34 $96,038.46 2026-07-18
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $83,912.78 $149,663.54 $95,627.10 2026-07-18
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $83,840.90 $149,535.32 $95,545.18 2026-07-18
1784 APR_DRG External Heart Assist Systems 6 6 — — $83,553.35 $149,022.46 $95,217.49 2026-07-18
4014 APR_DRG Adrenal Procedures 6 6 — — $83,498.28 $148,924.25 $95,154.74 2026-07-18
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $83,337.68 $148,637.81 $94,971.72 2026-07-18
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $83,209.20 $148,408.66 $94,825.30 2026-07-18
274 APR_DRG Other Open Craniotomy 6 6 — — $82,468.91 $147,088.30 $93,981.67 2026-07-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $81,996.29 $146,245.35 $93,443.07 2026-07-18
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $81,563.43 $145,473.33 $92,949.79 2026-07-18
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $80,367.35 $143,340.03 $91,586.72 2026-07-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $79,672.94 $142,101.52 $90,795.38 2026-07-18
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $79,472.57 $141,744.15 $90,567.04 2026-07-18
1783 APR_DRG External Heart Assist Systems 6 6 — — $79,255.38 $141,356.78 $90,319.52 2026-07-18
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $5,793.00 $91,388.54 $89,596.60 2026-07-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $77,858.93 $138,866.11 $88,728.12 2026-07-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $77,689.15 $138,563.30 $88,534.64 2026-07-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $77,178.29 $137,652.15 $87,952.46 2026-07-18
1782 APR_DRG External Heart Assist Systems 6 6 — — $77,084.99 $137,485.74 $87,846.14 2026-07-18
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $76,546.59 $136,525.49 $87,232.58 2026-07-18
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 6 — — $76,471.65 $136,391.82 $87,147.18 2026-07-18
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 6 — — $76,275.87 $136,042.63 $86,924.07 2026-07-18
1214 APR_DRG Other Respiratory And Chest Procedures 6 6 — — $75,642.64 $134,913.24 $86,202.45 2026-07-18
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $75,619.70 $134,872.32 $86,176.30 2026-07-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $75,069.07 $133,890.24 $85,548.80 2026-07-18
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $75,043.07 $133,843.86 $85,519.17 2026-07-18
1794 APR_DRG Defibrillator Implants 6 6 — — $74,818.23 $133,442.85 $85,262.95 2026-07-18
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $84,536.84 $84,536.84 $84,536.84 2026-07-18
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $74,012.17 $132,005.19 $84,344.36 2026-07-18
2614 APR_DRG Major Biliary Tract Procedures 6 6 — — $73,580.84 $131,235.90 $83,852.82 2026-07-18
215 OTHER Other Heart Assist System Implant 1 1 — — $83,776.80 $83,776.80 $83,776.80 2026-07-18
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $83,443.81 $83,443.81 $83,443.81 2026-07-18
2324 APR_DRG Gastric Fundoplication 6 6 — — $73,010.33 $130,218.35 $83,202.65 2026-07-18
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 6 — — $72,799.26 $129,841.89 $82,962.12 2026-07-18
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $72,415.35 $129,157.16 $82,524.61 2026-07-18
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 6 — — $71,994.73 $128,406.96 $82,045.27 2026-07-18
8411 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $71,514.46 $127,550.37 $81,497.96 2026-07-18
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $71,514.46 $127,550.37 $81,497.96 2026-07-18
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $81,494.52 $81,494.52 $81,494.52 2026-07-18
J0567 HCPCS Cerliponase Alfa1 1mg 27 21 $115,801.80 $104,221.62 $242.40 $110,011.71 $81,061.26 2026-07-18
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $70,538.62 $125,809.90 $80,385.90 2026-07-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $70,538.62 $125,809.90 $80,385.90 2026-07-18
1814 APR_DRG Lower Extremity Arterial Procedures 6 6 — — $70,384.14 $125,534.38 $80,209.85 2026-07-18
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $70,266.36 $125,324.32 $80,075.63 2026-07-18
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 5 — — $5,793.00 $81,323.46 $79,728.89 2026-07-18
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $69,798.33 $124,489.55 $79,542.26 2026-07-18
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $69,501.60 $123,960.32 $79,204.10 2026-07-18
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $68,460.00 $122,102.55 $78,017.09 2026-07-18
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 6 — — $68,386.58 $121,971.61 $77,933.43 2026-07-18
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $67,872.66 $121,055.00 $77,347.76 2026-07-18
2634 APR_DRG Cholecystectomy 6 6 — — $67,817.60 $120,956.79 $77,285.01 2026-07-18
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 6 5 — — $5,793.00 $78,705.57 $77,162.33 2026-07-18
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 6 — — $67,644.76 $120,648.53 $77,088.04 2026-07-18
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $67,318.97 $120,067.46 $76,716.77 2026-07-18
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $66,945.77 $119,401.83 $76,291.47 2026-07-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $66,849.41 $119,229.97 $76,181.66 2026-07-18
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $66,439.49 $118,498.86 $75,714.52 2026-07-18
1773 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 — — $66,439.49 $118,498.86 $75,714.52 2026-07-18
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 6 — — $66,428.79 $118,479.77 $75,702.33 2026-07-18
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 6 — — $66,413.49 $118,452.49 $75,684.90 2026-07-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 5 — — $5,793.00 $77,149.58 $75,636.84 2026-07-18
6 MS_DRG Liver Transplant Without Mcc 6 5 — — $5,793.00 $76,929.44 $75,421.03 2026-07-18
8633 APR_DRG Neonatal Aftercare 6 6 — — $65,697.67 $117,175.78 $74,869.15 2026-07-18
294 APR_DRG Other Percutaneous Intracranial Procedures 6 6 — — $65,691.56 $117,164.87 $74,862.18 2026-07-18
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $74,359.59 $74,359.59 $74,359.59 2026-07-18
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $65,105.75 $116,120.05 $74,194.58 2026-07-18
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $65,105.75 $116,120.05 $74,194.58 2026-07-18
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $64,975.74 $115,888.17 $74,046.43 2026-07-18
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 6 — — $64,420.52 $114,897.90 $73,413.70 2026-07-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $63,484.45 $113,228.37 $72,346.95 2026-07-18
2314 APR_DRG Major Large Bowel Procedures 6 6 — — $63,481.39 $113,222.91 $72,343.47 2026-07-18
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 6 6 — — $62,779.34 $111,970.76 $71,543.41 2026-07-18
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 6 — — $62,560.62 $111,580.66 $71,294.15 2026-07-18
2244 APR_DRG Peritoneal Adhesiolysis 6 6 — — $62,412.26 $111,316.04 $71,125.08 2026-07-18
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $61,987.05 $110,557.66 $70,640.51 2026-07-18
1781 APR_DRG External Heart Assist Systems 6 6 — — $61,866.22 $110,342.14 $70,502.81 2026-07-18
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 6 6 — — $61,694.91 $110,036.61 $70,307.59 2026-07-18
33249 CPT Ins/rplcmt Def W/lead 27 21 $87,772.13 $78,994.92 $20,187.59 $107,847.67 $70,217.70 2026-07-18
5184 APR_DRG Other Female Reproductive System And Related Procedures 6 6 — — $61,584.78 $109,840.19 $70,182.09 2026-07-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 5 — — $5,793.00 $71,450.90 $70,049.90 2026-07-18
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $61,312.53 $109,354.61 $69,871.82 2026-07-18
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $60,868.97 $108,563.49 $69,366.34 2026-07-18
1804 APR_DRG Other Circulatory System Procedures 6 6 — — $60,544.71 $107,985.15 $68,996.82 2026-07-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 6 — — $60,474.35 $107,859.66 $68,916.64 2026-07-18
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 6 — — $60,319.87 $107,584.14 $68,740.59 2026-07-18
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 6 — — $60,307.63 $107,562.31 $68,726.64 2026-07-18
4401 APR_DRG Kidney Transplant 6 6 — — $59,565.81 $106,239.23 $67,881.26 2026-07-18
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $59,481.69 $106,089.19 $67,785.39 2026-07-18
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $59,385.33 $105,917.33 $67,675.58 2026-07-18
734 APR_DRG Orbit And Eye Procedures 6 6 — — $59,223.20 $105,628.16 $67,490.82 2026-07-18
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $59,181.90 $105,554.50 $67,443.76 2026-07-18
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 6 — — $59,067.19 $105,349.90 $67,313.03 2026-07-18
5144 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $58,926.47 $105,098.93 $67,152.68 2026-07-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 5 — — $5,793.00 $68,447.10 $67,105.00 2026-07-18
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 6 — — $58,562.44 $104,449.66 $66,737.82 2026-07-18
1793 APR_DRG Defibrillator Implants 6 6 — — $58,547.15 $104,422.38 $66,720.39 2026-07-18
6903 APR_DRG Acute Leukemia 6 6 — — $58,467.61 $104,280.53 $66,629.76 2026-07-18
2234 APR_DRG Other Small And Large Bowel Procedures 6 6 — — $58,444.67 $104,239.61 $66,603.61 2026-07-18
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 6 6 — — $58,401.84 $104,163.22 $66,554.80 2026-07-18
10 MS_DRG Pancreas Transplant 6 5 — — $5,793.00 $67,674.75 $66,347.79 2026-07-18
4034 APR_DRG Procedures For Obesity 6 6 — — $58,193.83 $103,792.22 $66,317.75 2026-07-18
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 6 6 — — $58,034.76 $103,508.50 $66,136.48 2026-07-18
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $57,906.28 $103,279.35 $65,990.06 2026-07-18
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $57,881.80 $103,235.70 $65,962.17 2026-07-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $65,825.40 $67,141.91 $65,825.40 2026-07-18
652 MS_DRG Kidney Transplant 6 5 — — $5,793.00 $67,118.23 $65,802.19 2026-07-18
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $65,724.81 $65,724.81 $65,724.81 2026-07-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $57,530.01 $102,608.26 $65,561.27 2026-07-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $57,494.83 $102,545.52 $65,521.18 2026-07-18
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $57,332.70 $102,256.35 $65,336.41 2026-07-18
J9118 HCPCS Calasprgse Pgl-mknl/10u 27 21 $92,902.80 $83,612.52 $164.16 $88,257.66 $65,031.96 2026-07-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $57,009.97 $101,680.74 $64,968.63 2026-07-18
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 6 — — $56,814.20 $101,331.56 $64,745.52 2026-07-18
8614 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 6 6 — — $56,558.76 $100,875.98 $64,454.43 2026-07-18
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $55,908.72 $99,716.58 $63,713.64 2026-07-18
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 6 — — $55,849.07 $99,610.19 $63,645.65 2026-07-18
244 APR_DRG Open Extracranial Vascular Procedures 6 6 — — $55,849.07 $99,610.19 $63,645.65 2026-07-18
213 APR_DRG Open Craniotomy Except Trauma 6 6 — — $55,608.93 $99,181.90 $63,372.00 2026-07-18
213 OTHER Splenic Procedures Age 0-17 1 1 — — $63,329.06 $63,329.06 $63,329.06 2026-07-18
C1767 HCPCS Generator Aspire Model 16 133 14 $78,393.30 $70,553.97 $9,795.93 $114,350.55 $63,289.89 2026-07-18
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $55,368.79 $98,753.60 $63,098.35 2026-07-18
J3357 HCPCS Ustekinumab 1 Mg 27 21 $90,069.90 $81,062.91 $11,375.58 $85,566.40 $63,048.93 2026-07-18
3634 APR_DRG Breast Procedures Except Mastectomy 6 6 — — $54,906.88 $97,929.74 $62,571.94 2026-07-18
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 6 — — $54,876.29 $97,875.18 $62,537.08 2026-07-18
3094 APR_DRG Other Significant Hip And Femur Surgery 6 6 — — $54,801.34 $97,741.51 $62,451.67 2026-07-18
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $54,396.02 $97,018.59 $61,989.76 2026-07-18
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 6 6 — — $54,036.58 $96,377.51 $61,580.15 2026-07-18
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $54,030.46 $96,366.60 $61,573.18 2026-07-18
4834 APR_DRG Penis, Testes And Scrotal Procedures 6 6 — — $53,897.39 $96,129.26 $61,421.53 2026-07-18
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $53,879.04 $96,096.53 $61,400.61 2026-07-18
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 6 6 — — $53,761.26 $95,886.47 $61,266.39 2026-07-18
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $53,680.20 $95,741.89 $61,174.01 2026-07-18
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $53,204.52 $94,893.48 $60,631.93 2026-07-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $60,575.64 $61,787.16 $60,575.64 2026-07-18
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $52,849.67 $94,260.58 $60,227.54 2026-07-18
3084 APR_DRG Hip And Femur Fracture Repair 6 6 — — $52,828.25 $94,222.39 $60,203.14 2026-07-18
1792 APR_DRG Defibrillator Implants 6 6 — — $52,653.89 $93,911.40 $60,004.43 2026-07-18
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 6 6 — — $52,594.24 $93,805.01 $59,936.46 2026-07-18
4844 APR_DRG Other Male Reproductive System And Related Procedures 6 6 — — $52,370.93 $93,406.72 $59,681.96 2026-07-18
1824 APR_DRG Other Peripheral Vascular And Related Procedures 6 6 — — $51,919.72 $92,601.96 $59,167.76 2026-07-18
4214 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 6 6 — — $51,866.18 $92,506.48 $59,106.76 2026-07-18
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $51,861.59 $92,498.30 $59,101.53 2026-07-18
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 6 6 — — $51,754.53 $92,307.34 $58,979.52 2026-07-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $51,482.27 $91,821.75 $58,669.26 2026-07-18
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 6 — — $51,462.39 $91,786.29 $58,646.60 2026-07-18
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $58,527.83 $58,527.83 $58,527.83 2026-07-18
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 6 6 — — $51,127.42 $91,188.86 $58,264.86 2026-07-18
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $50,983.65 $90,932.42 $58,101.02 2026-07-18
L8614 HCPCS Cochlear Impl/20elt Ci624 247 14 $70,591.50 $63,532.35 $108.50 $108,086.25 $57,630.00 2026-07-18
8903 APR_DRG HIV With Multiple Major HIV Related Conditions 6 6 — — $50,460.55 $89,999.45 $57,504.90 2026-07-18
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $50,263.24 $89,647.54 $57,280.04 2026-07-18
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 6 — — $50,231.12 $89,590.25 $57,243.45 2026-07-18
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 6 5 — — $5,793.00 $58,189.15 $57,048.19 2026-07-18
J9266 HCPCS Pegasparginase 3750 Units 27 21 $80,152.90 $72,137.61 $18,435.17 $76,145.25 $56,848.12 2026-07-18
4234 APR_DRG Inborn Errors Of Metabolism 6 6 — — $49,756.97 $88,744.57 $56,703.10 2026-07-18
6924 APR_DRG Radiotherapy 6 6 — — $49,630.02 $88,518.14 $56,558.43 2026-07-18
273 APR_DRG Other Open Craniotomy 6 6 — — $49,464.83 $88,223.52 $56,370.18 2026-07-18
4464 APR_DRG Urethral And Transurethral Procedures 6 6 — — $49,366.94 $88,048.93 $56,258.62 2026-07-18
4804 APR_DRG Major Male Pelvic Procedures 6 6 — — $49,232.34 $87,808.87 $56,105.23 2026-07-18
2524 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 6 6 — — $49,068.68 $87,516.97 $55,918.73 2026-07-18
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $49,015.15 $87,421.49 $55,857.72 2026-07-18
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $55,372.15 $55,372.15 $55,372.15 2026-07-18
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 6 6 — — $48,438.52 $86,393.03 $55,200.59 2026-07-18
3244 APR_DRG Elective Hip Joint Replacement 6 6 — — $48,115.79 $85,817.42 $54,832.81 2026-07-18
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 6 — — $48,077.55 $85,749.22 $54,789.23 2026-07-18
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 6 6 — — $48,019.43 $85,645.56 $54,722.99 2026-07-18
1832 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $47,540.69 $84,791.70 $54,177.43 2026-07-18
2464 APR_DRG Gastrointestinal Vascular Insufficiency 6 6 — — $47,355.61 $84,461.61 $53,966.51 2026-07-18
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 6 6 — — $47,071.12 $83,954.20 $53,642.31 2026-07-18
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 6 — — $47,051.24 $83,918.74 $53,619.64 2026-07-18
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 6 6 — — $46,921.23 $83,686.86 $53,471.49 2026-07-18
7234 APR_DRG Viral Illness 6 6 — — $46,684.15 $83,264.02 $53,201.32 2026-07-18
3854 APR_DRG Other Skin, Subcutaneous Tissue And Breast Disorders 6 6 — — $46,474.61 $82,890.28 $52,962.51 2026-07-18
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $46,421.07 $82,794.80 $52,901.51 2026-07-18
2643 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 6 — — $46,346.13 $82,661.13 $52,816.10 2026-07-18
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $46,125.88 $82,268.30 $52,565.10 2026-07-18
1772 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 — — $46,063.17 $82,156.45 $52,493.64 2026-07-18
J9229 HCPCS Inotuzmb Ozogamicn0.1mg 27 21 $74,762.20 $67,285.98 $5,633.54 $71,024.09 $52,333.54 2026-07-18
6964 APR_DRG Other Chemotherapy 6 6 — — $45,907.15 $81,878.19 $52,315.85 2026-07-18
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $45,859.74 $81,793.62 $52,261.81 2026-07-18
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $52,156.13 $52,156.13 $52,156.13 2026-07-18
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $51,988.43 $51,988.43 $51,988.43 2026-07-18
6614 APR_DRG Coagulation And Platelet Disorders 6 6 — — $45,587.48 $81,308.04 $51,951.54 2026-07-18
1104 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 6 6 — — $45,492.65 $81,138.90 $51,843.48 2026-07-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 5 — — $5,793.00 $52,858.08 $51,821.64 2026-07-18
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 6 6 — — $45,443.71 $81,051.61 $51,787.70 2026-07-18
1831 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $45,397.82 $80,969.77 $51,735.41 2026-07-18
233 APR_DRG Spinal Procedures 6 6 — — $45,249.46 $80,705.15 $51,566.33 2026-07-18
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 6 6 — — $45,012.38 $80,282.31 $51,296.16 2026-07-18
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 6 6 — — $45,006.26 $80,271.40 $51,289.19 2026-07-18
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