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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

FROEDTERT COMMUNITY HOSPITAL

New Berlin, WI · CCN 520213 · Rates published

16,253 distinct procedures filed
26 distinct payers
308,748 rate rows
2025-12-31 last MRF observed
Data quality

308,449 of 308,748 rate rows are consumer-grade (99.9%)

299 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
per-diem day rate — not a per-procedure price 128
placeholder amount (≤ $0.02) — excluded from medians 115
percent-of-charges filed in the dollar field — excluded from medians 37
exceeds 10× this hospital's gross charge — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8215/843381796_froedtert-community-hospital-new-berlin_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/FroedtertCommunityHospitalNewBerlin/8215
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 106143f40b11c391… · 260,517,240 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 10 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $3,539,340.00 $3,932,600.00 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 10 $3,539,340.00 $3,932,600.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $3,168,979.56 $3,521,088.40 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $3,046,122.00 $3,384,580.00 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,831,472.00 $3,146,080.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,224,728.00 $2,471,920.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $306,021.79 $980,422.29 $600,240.92 nat. median
$370,174
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $539,605.14 $599,561.27 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $525,957.70 $584,397.44 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $492,727.62 $562,538.19 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $504,010.06 $560,011.18 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $466,999.36 $533,230.17 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $465,601.14 $517,334.60 $489,304.61 nat. median
$620,080
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $198,595.83 $636,254.63 $389,532.21 nat. median
$265,286
1.5× median
5834
APR_DRG 		Neonate With Ecmo 10 $378,938.34 $390,306.49 $378,938.34 nat. median
$309,665
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $151,303.72 $484,741.75 $296,771.95 nat. median
$206,368
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 17 $150,415.76 $481,896.94 $295,030.28 nat. median
$202,986
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $278,250.00 $278,250.00 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 10 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $247,213.99 $254,630.41 $247,213.99 nat. median
$246,434
1.0× median
5833
APR_DRG 		Neonate With Ecmo 10 $245,488.00 $252,852.64 $245,488.00 nat. median
$244,017
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $218,930.57 $225,498.49 $218,930.57 nat. median
$234,738
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 17 $98,160.16 $314,482.19 $192,534.46 nat. median
$133,176
1.4× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $192,506.09 $198,281.27 $192,506.09 nat. median
$117,173
1.6× median
5832
APR_DRG 		Neonate With Ecmo 10 $188,489.85 $194,144.55 $188,489.85 nat. median
$156,126
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $187,622.16 $193,250.82 $187,622.16 nat. median
$207,730
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $180,333.85 $185,743.87 $180,333.85 nat. median
$150,721
1.2× median
7
MS_DRG 		Lung Transplant 17 $91,773.66 $294,021.34 $180,007.78 nat. median
$122,708
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $177,863.71 $183,199.62 $177,863.71 nat. median
$160,267
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $85,166.76 $272,854.40 $167,048.81 nat. median
$117,303
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $162,544.37 $167,420.70 $162,544.37 nat. median
$162,982
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $160,781.53 $165,604.98 $160,781.53 nat. median
$182,736
0.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $159,577.89 $164,365.23 $159,577.89 nat. median
$122,924
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $80,304.60 $257,277.19 $157,512.02 nat. median
$108,660
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $80,212.48 $256,982.04 $157,331.32 nat. median
$98,017
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $157,046.34 $161,757.73 $157,046.34 nat. median
$164,279
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $78,103.49 $250,225.32 $153,194.68 nat. median
$98,905
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $77,061.04 $246,885.57 $151,149.99 nat. median
$102,358
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $149,068.06 $153,540.10 $149,068.06 nat. median
$187,294
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $148,321.02 $152,770.65 $148,321.02 nat. median
$164,834
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $145,621.86 $149,990.52 $145,621.86 nat. median
$151,838
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $73,067.00 $234,089.59 $143,315.95 nat. median
$100,136
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $141,082.56 $145,315.04 $141,082.56 nat. median
$145,336
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 17 $70,561.87 $226,063.73 $138,402.30 nat. median
$99,019
1.4× median
5831
APR_DRG 		Neonate With Ecmo 10 $137,007.08 $141,117.29 $137,007.08 nat. median
$145,122
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $69,327.37 $222,108.69 $135,980.92 nat. median
$93,672
1.5× median

Other procedures at this hospital

Browse this hospital's 16,253 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
             
38240 CPT Hc Hematopoietic Progenitor Cell (hpc) Allogeneic Transplantation Per Donor 69 26 $66,110.50 $36,360.78 45% off $7,392.57 $58,177.24 $48,921.77 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 17 — — $306,021.79 $980,422.29 $600,240.92 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 17 — — $198,595.83 $636,254.63 $389,532.21 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 25 17 — — $151,303.72 $484,741.75 $296,771.95 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 25 17 — — $150,415.76 $481,896.94 $295,030.28 2025-12-31
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 25 17 — — $98,160.16 $314,482.19 $192,534.46 2025-12-31
7 MS_DRG Lung Transplant 25 17 — — $91,773.66 $294,021.34 $180,007.78 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 25 17 — — $85,166.76 $272,854.40 $167,048.81 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 17 — — $80,304.60 $257,277.19 $157,512.02 2025-12-31
209 MS_DRG Complex Aortic Arch Procedures 25 17 — — $80,212.48 $256,982.04 $157,331.32 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $78,103.49 $250,225.32 $153,194.68 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 17 — — $77,061.04 $246,885.57 $151,149.99 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 17 — — $73,067.00 $234,089.59 $143,315.95 2025-12-31
215 MS_DRG Other Heart Assist System Implant 25 17 — — $70,561.87 $226,063.73 $138,402.30 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $69,327.37 $222,108.69 $135,980.92 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 17 — — $63,847.97 $204,553.96 $125,233.44 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 25 17 — — $61,366.93 $196,605.29 $120,367.05 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 17 — — $59,739.83 $191,392.45 $117,175.61 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $59,552.03 $190,790.79 $116,807.26 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 17 — — $55,763.50 $178,653.24 $109,376.32 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 17 — — $54,413.50 $174,328.12 $106,728.37 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 17 — — $54,178.93 $173,576.62 $106,268.28 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 17 — — $53,999.63 $173,002.21 $105,916.61 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $51,155.76 $163,891.09 $100,338.54 2025-12-31
10 MS_DRG Pancreas Transplant 25 17 — — $50,851.74 $162,917.09 $99,742.23 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 17 — — $50,830.48 $162,848.98 $99,700.53 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 17 — — $50,560.48 $161,983.96 $99,170.94 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 17 — — $50,530.72 $161,888.60 $99,112.56 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 25 17 — — $48,981.57 $156,925.51 $96,074.02 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 17 — — $48,741.33 $156,155.84 $95,602.81 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 17 — — $47,701.02 $152,822.89 $93,562.29 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 17 — — $47,384.94 $151,810.30 $92,942.35 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 17 — — $47,350.22 $151,699.05 $92,874.24 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $46,596.91 $149,285.61 $91,396.67 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $46,596.91 $149,285.61 $91,396.67 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 17 — — $46,427.54 $148,742.99 $91,064.46 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 25 17 — — $45,600.52 $146,093.43 $89,442.33 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 17 — — $43,429.88 $139,139.19 $85,184.76 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 17 — — $43,379.57 $138,978.00 $85,086.07 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 17 — — $42,963.58 $137,645.27 $84,270.14 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 25 17 — — $42,578.78 $136,412.44 $83,515.37 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 17 — — $42,566.73 $136,373.85 $83,491.74 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $42,258.46 $135,386.22 $82,887.09 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 17 — — $42,021.76 $134,627.91 $82,422.83 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 17 — — $41,588.77 $133,240.69 $81,573.54 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 17 — — $41,561.84 $133,154.42 $81,520.72 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 17 — — $40,869.47 $130,936.24 $80,162.69 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 17 — — $40,608.68 $130,100.73 $79,651.17 2025-12-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 25 17 — — $40,442.86 $129,569.46 $79,325.91 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 17 — — $40,390.41 $129,401.45 $79,223.05 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $39,841.20 $127,641.89 $78,145.80 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 17 — — $39,717.89 $127,246.84 $77,903.94 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 17 — — $39,445.76 $126,375.00 $77,370.18 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 17 — — $39,139.62 $125,394.19 $76,769.70 2025-12-31
834 MS_DRG Acute Leukemia With Mcc 25 17 — — $38,905.05 $124,642.69 $76,309.61 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 17 — — $38,767.57 $124,202.23 $76,039.95 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 17 — — $38,712.30 $124,025.14 $75,931.53 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 17 — — $38,651.35 $123,829.89 $75,811.99 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 17 — — $38,496.86 $123,334.94 $75,508.97 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 17 — — $37,791.73 $121,075.89 $74,125.92 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 17 — — $37,769.06 $121,003.24 $74,081.44 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 17 — — $37,515.36 $120,190.44 $73,583.82 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 17 — — $37,391.34 $119,793.12 $73,340.57 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 17 — — $36,888.90 $118,183.40 $72,355.06 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 25 17 — — $36,825.12 $117,979.07 $72,229.96 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 17 — — $35,718.18 $114,432.70 $70,058.78 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 17 — — $35,344.01 $113,233.93 $69,324.86 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 17 — — $35,060.53 $112,325.77 $68,768.86 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 17 — — $34,998.17 $112,125.97 $68,646.54 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 17 — — $34,878.41 $111,742.28 $68,411.63 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 17 — — $34,733.14 $111,276.84 $68,126.68 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 25 17 — — $34,219.35 $109,630.80 $67,118.93 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 17 — — $34,046.44 $109,076.83 $66,779.77 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 17 — — $33,738.17 $108,089.20 $66,175.12 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 17 — — $33,317.22 $106,740.59 $65,349.46 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 17 — — $33,249.19 $106,522.63 $65,216.02 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 17 — — $33,149.97 $106,204.77 $65,021.42 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 25 17 — — $32,860.83 $105,278.45 $64,454.30 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 17 — — $32,729.74 $104,858.42 $64,197.15 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 17 — — $32,573.83 $104,358.94 $63,891.35 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 17 — — $32,490.91 $104,093.30 $63,728.72 2025-12-31
245 MS_DRG Aicd Generator Procedures 25 17 — — $32,332.17 $103,584.73 $63,417.36 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 17 — — $32,235.09 $103,273.68 $63,226.93 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 17 — — $32,220.92 $103,228.28 $63,199.13 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 25 17 — — $32,094.77 $102,824.15 $62,951.71 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 25 17 — — $31,760.99 $101,754.79 $62,297.02 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 17 — — $31,751.78 $101,725.27 $62,278.95 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 17 — — $31,627.05 $101,325.68 $62,034.31 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 17 — — $31,130.27 $99,734.13 $61,059.92 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 17 — — $30,666.81 $98,249.29 $60,150.86 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 17 — — $30,422.32 $97,466.00 $59,671.31 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 25 17 — — $30,226.73 $96,839.37 $59,287.67 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 17 — — $30,053.11 $96,283.12 $58,947.12 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 17 — — $29,928.38 $95,883.53 $58,702.48 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 17 — — $29,877.35 $95,720.06 $58,602.40 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 17 — — $29,862.48 $95,672.39 $58,573.21 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 17 — — $29,775.30 $95,393.13 $58,402.24 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 25 17 — — $29,739.88 $95,279.61 $58,332.74 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 17 — — $29,684.60 $95,102.52 $58,224.32 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $29,569.79 $94,734.71 $57,999.14 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 17 — — $29,430.89 $94,289.71 $57,726.70 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 17 — — $29,236.02 $93,665.35 $57,344.45 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 17 — — $28,491.92 $91,281.43 $55,884.95 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 17 — — $28,233.96 $90,455.01 $55,378.99 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 17 — — $27,722.30 $88,815.78 $54,375.41 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 25 17 — — $27,596.87 $88,413.92 $54,129.38 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 17 — — $27,430.33 $87,880.37 $53,802.73 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 17 — — $27,389.23 $87,748.69 $53,722.11 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 17 — — $27,363.00 $87,664.68 $53,670.68 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 17 — — $27,207.82 $87,167.47 $53,366.27 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 17 — — $26,667.10 $85,435.15 $52,305.70 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 17 — — $26,550.88 $85,062.81 $52,077.74 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 17 — — $26,487.81 $84,860.74 $51,954.03 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 17 — — $26,484.97 $84,851.66 $51,948.47 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 17 — — $26,410.56 $84,613.27 $51,802.52 2025-12-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 17 — — $26,261.74 $84,136.48 $51,510.62 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 17 — — $26,030.01 $83,394.06 $51,056.09 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 17 — — $26,019.38 $83,360.01 $51,035.24 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 17 — — $25,713.95 $82,381.46 $50,436.15 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 17 — — $25,694.10 $82,317.89 $50,397.23 2025-12-31
332 MS_DRG Rectal Resection With Mcc 25 17 — — $25,658.67 $82,204.37 $50,327.73 2025-12-31
265 MS_DRG Aicd Lead Procedures 25 17 — — $25,640.95 $82,147.61 $50,292.98 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 17 — — $25,595.60 $82,002.31 $50,204.02 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 17 — — $25,557.33 $81,879.71 $50,128.96 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 17 — — $25,390.08 $81,343.89 $49,800.92 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 17 — — $25,331.26 $81,155.45 $49,685.55 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 17 — — $25,305.75 $81,073.71 $49,635.51 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 17 — — $25,268.19 $80,953.38 $49,561.84 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 17 — — $25,246.93 $80,885.27 $49,520.14 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 17 — — $25,222.84 $80,808.08 $49,472.88 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 17 — — $25,202.28 $80,742.24 $49,432.57 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 17 — — $24,991.82 $80,067.93 $49,019.74 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 17 — — $24,940.79 $79,904.46 $48,919.66 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 25 17 — — $24,720.39 $79,198.36 $48,487.37 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 17 — — $24,714.01 $79,177.93 $48,474.86 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 17 — — $24,600.63 $78,814.67 $48,252.46 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 17 — — $24,481.57 $78,433.24 $48,018.94 2025-12-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 25 17 — — $24,368.19 $78,069.97 $47,796.54 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 17 — — $24,295.91 $77,838.39 $47,654.76 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 17 — — $24,176.84 $77,456.97 $47,421.24 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 17 — — $24,144.95 $77,354.80 $47,358.69 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 25 17 — — $23,673.69 $75,844.98 $46,434.34 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 17 — — $23,409.36 $74,998.12 $45,915.87 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 25 17 — — $23,329.99 $74,743.84 $45,760.19 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 17 — — $23,327.16 $74,734.76 $45,754.63 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 17 — — $23,051.49 $73,851.57 $45,213.92 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 17 — — $22,950.15 $73,526.90 $45,015.15 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 17 — — $22,924.64 $73,445.17 $44,965.11 2025-12-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 25 17 — — $22,892.75 $73,343.00 $44,902.56 2025-12-31
652 MS_DRG Kidney Transplant 25 17 — — $22,886.37 $73,322.57 $44,890.05 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 17 — — $22,869.36 $73,268.08 $44,856.69 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 17 — — $22,824.71 $73,125.04 $44,769.12 2025-12-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 17 — — $22,751.01 $72,888.92 $44,624.56 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 17 — — $22,626.28 $72,489.33 $44,379.92 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 17 — — $22,584.47 $72,355.38 $44,297.91 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 17 — — $22,562.50 $72,285.00 $44,254.82 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 17 — — $22,517.16 $72,139.69 $44,165.86 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 25 17 — — $22,427.86 $71,853.62 $43,990.72 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 10 — — $3,539,340.00 $3,932,600.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 10 — — $3,168,979.56 $3,521,088.40 $3,316,462.59 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 10 — — $3,046,122.00 $3,384,580.00 $3,248,445.72 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 15 10 — — $2,831,472.00 $3,146,080.00 $2,945,740.00 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 15 10 — — $2,224,728.00 $2,471,920.00 $2,332,000.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 10 — — $539,605.14 $599,561.27 $591,726.20 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 15 10 — — $525,957.70 $584,397.44 $565,868.95 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 10 — — $492,727.62 $562,538.19 $562,538.19 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 15 10 — — $504,010.06 $560,011.18 $557,317.93 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 10 — — $466,999.36 $533,230.17 $533,230.17 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 15 10 — — $465,601.14 $517,334.60 $489,304.61 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 10 — — $60,485.54 $67,206.16 $63,342.28 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 10 — — $52,981.82 $58,868.69 $55,272.32 2025-12-31
J9226 HCPCS Supprelin La Implant 15 10 — — $43,179.76 $47,977.51 $45,020.65 2025-12-31
J3391 HCPCS Inj, Atidarsagene Autotemcel 10 10 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 10 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 10 10 — — $770,620.00 $770,620.00 $770,620.00 2025-12-31
5834 APR_DRG Neonate With Ecmo 10 10 — — $378,938.34 $390,306.49 $378,938.34 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 10 — — $278,250.00 $278,250.00 $278,250.00 2025-12-31
J3403 HCPCS Revakinagene, Per Implant 10 10 — — $257,500.00 $257,500.00 $257,500.00 2025-12-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $247,213.99 $254,630.41 $247,213.99 2025-12-31
5833 APR_DRG Neonate With Ecmo 10 10 — — $245,488.00 $252,852.64 $245,488.00 2025-12-31
24 APR_DRG Heart And/or Lung Transplant 10 10 — — $218,930.57 $225,498.49 $218,930.57 2025-12-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 10 — — $205,640.00 $205,640.00 $205,640.00 2025-12-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $192,506.09 $198,281.27 $192,506.09 2025-12-31
5832 APR_DRG Neonate With Ecmo 10 10 — — $188,489.85 $194,144.55 $188,489.85 2025-12-31
1614 APR_DRG Implantable Heart Assist Systems 10 10 — — $187,622.16 $193,250.82 $187,622.16 2025-12-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $180,333.85 $185,743.87 $180,333.85 2025-12-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 10 — — $177,863.71 $183,199.62 $177,863.71 2025-12-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $162,544.37 $167,420.70 $162,544.37 2025-12-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $160,781.53 $165,604.98 $160,781.53 2025-12-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $159,577.89 $164,365.23 $159,577.89 2025-12-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $157,046.34 $161,757.73 $157,046.34 2025-12-31
74 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $149,068.06 $153,540.10 $149,068.06 2025-12-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $148,321.02 $152,770.65 $148,321.02 2025-12-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $145,621.86 $149,990.52 $145,621.86 2025-12-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $141,082.56 $145,315.04 $141,082.56 2025-12-31
5831 APR_DRG Neonate With Ecmo 10 10 — — $137,007.08 $141,117.29 $137,007.08 2025-12-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 10 — — $134,695.16 $138,736.01 $134,695.16 2025-12-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 10 — — $132,569.64 $136,546.73 $132,569.64 2025-12-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $131,660.77 $135,610.59 $131,660.77 2025-12-31
1613 APR_DRG Implantable Heart Assist Systems 10 10 — — $126,950.24 $130,758.75 $126,950.24 2025-12-31
23 APR_DRG Heart And/or Lung Transplant 10 10 — — $122,928.23 $126,616.08 $122,928.23 2025-12-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $120,927.70 $124,555.53 $120,927.70 2025-12-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $116,565.40 $120,062.36 $116,565.40 2025-12-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $112,269.57 $115,637.66 $112,269.57 2025-12-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $109,464.93 $112,748.88 $109,464.93 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 10 — — $108,727.22 $108,727.22 $108,727.22 2025-12-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $108,135.57 $111,379.64 $108,135.57 2025-12-31
1612 APR_DRG Implantable Heart Assist Systems 10 10 — — $101,904.96 $104,962.11 $101,904.96 2025-12-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $100,993.92 $104,023.74 $100,993.92 2025-12-31
1611 APR_DRG Implantable Heart Assist Systems 10 10 — — $97,091.11 $100,003.84 $97,091.11 2025-12-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $96,571.65 $99,468.80 $96,571.65 2025-12-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $96,398.26 $99,290.21 $96,398.26 2025-12-31
64 APR_DRG Pancreas Transplant 10 10 — — $95,366.57 $98,227.57 $95,366.57 2025-12-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $93,722.94 $96,534.63 $93,722.94 2025-12-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 10 — — $93,216.70 $93,216.70 $93,216.70 2025-12-31
8514 APR_DRG Gender Related Procedures 10 10 — — $92,469.45 $95,243.53 $92,469.45 2025-12-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $91,726.02 $94,477.80 $91,726.02 2025-12-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 10 — — $91,090.24 $93,822.95 $91,090.24 2025-12-31
22 APR_DRG Heart And/or Lung Transplant 10 10 — — $89,461.07 $92,144.90 $89,461.07 2025-12-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $88,393.97 $91,045.79 $88,393.97 2025-12-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $86,109.51 $88,692.80 $86,109.51 2025-12-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $85,879.04 $88,455.41 $85,879.04 2025-12-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $82,872.83 $85,359.01 $82,872.83 2025-12-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $82,718.94 $85,200.51 $82,718.94 2025-12-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $82,559.99 $85,036.79 $82,559.99 2025-12-31
21 APR_DRG Heart And/or Lung Transplant 10 10 — — $82,272.45 $84,740.62 $82,272.45 2025-12-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $78,620.34 $80,978.95 $78,620.34 2025-12-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $76,704.34 $79,005.47 $76,704.34 2025-12-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $74,729.82 $76,971.71 $74,729.82 2025-12-31
84 APR_DRG Autologous Bone Marrow Transplant 10 10 — — $73,884.53 $76,101.07 $73,884.53 2025-12-31
73 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $72,855.00 $75,040.65 $72,855.00 2025-12-31
4404 APR_DRG Kidney Transplant 10 10 — — $69,836.50 $71,931.60 $69,836.50 2025-12-31
8634 APR_DRG Neonatal Aftercare 10 10 — — $69,020.83 $71,091.45 $69,020.83 2025-12-31
63 APR_DRG Pancreas Transplant 10 10 — — $67,750.00 $69,782.50 $67,750.00 2025-12-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 10 — — $67,482.68 $69,507.16 $67,482.68 2025-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 10 — — $67,452.66 $67,452.66 $67,452.66 2025-12-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 10 — — $67,166.96 $69,181.97 $67,166.96 2025-12-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $63,921.61 $65,839.26 $63,921.61 2025-12-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 10 — — $62,672.45 $64,552.62 $62,672.45 2025-12-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 10 — — $62,249.08 $64,116.55 $62,249.08 2025-12-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 10 — — $62,016.45 $63,876.94 $62,016.45 2025-12-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $61,340.93 $63,181.16 $61,340.93 2025-12-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $60,690.71 $62,511.43 $60,690.71 2025-12-31
1784 APR_DRG External Heart Assist Systems 10 10 — — $59,653.96 $61,443.58 $59,653.96 2025-12-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 10 — — $59,496.46 $61,281.35 $59,496.46 2025-12-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $59,322.34 $61,102.01 $59,322.34 2025-12-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $59,195.91 $60,971.79 $59,195.91 2025-12-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 10 — — $58,654.77 $60,414.41 $58,654.77 2025-12-31
72 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $58,421.42 $60,174.06 $58,421.42 2025-12-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $58,134.59 $59,878.63 $58,134.59 2025-12-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $57,368.05 $59,089.09 $57,368.05 2025-12-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 10 — — $56,920.11 $58,627.71 $56,920.11 2025-12-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 10 — — $56,858.70 $58,564.46 $56,858.70 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 10 10 — — $56,824.55 $56,824.55 $56,824.55 2025-12-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 10 — — $56,810.30 $58,514.61 $56,810.30 2025-12-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 10 — — $56,285.78 $57,974.35 $56,285.78 2025-12-31
71 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $55,500.45 $57,165.46 $55,500.45 2025-12-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 10 — — $55,123.32 $56,777.02 $55,123.32 2025-12-31
62 APR_DRG Pancreas Transplant 10 10 — — $54,246.96 $55,874.37 $54,246.96 2025-12-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $53,577.23 $55,184.55 $53,577.23 2025-12-31
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $53,135.80 $54,729.87 $53,135.80 2025-12-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 10 — — $52,624.28 $54,203.01 $52,624.28 2025-12-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 10 — — $52,359.86 $53,930.66 $52,359.86 2025-12-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 10 — — $51,987.06 $53,546.67 $51,987.06 2025-12-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 10 — — $51,765.26 $53,318.22 $51,765.26 2025-12-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 10 — — $51,622.21 $53,170.88 $51,622.21 2025-12-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 10 — — $51,553.58 $53,100.19 $51,553.58 2025-12-31
6904 APR_DRG Acute Leukemia 10 10 — — $51,279.04 $52,817.41 $51,279.04 2025-12-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $50,945.25 $52,473.61 $50,945.25 2025-12-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 10 — — $50,909.13 $52,436.40 $50,909.13 2025-12-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 10 — — $50,016.15 $51,516.63 $50,016.15 2025-12-31
914 APR_DRG Other Major Head And Neck Procedures 10 10 — — $49,866.60 $51,362.60 $49,866.60 2025-12-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 10 — — $49,819.64 $51,314.23 $49,819.64 2025-12-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 10 — — $49,352.92 $50,833.51 $49,352.92 2025-12-31
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $49,276.34 $50,754.63 $49,276.34 2025-12-31
214 APR_DRG Open Craniotomy Except Trauma 10 10 — — $49,052.37 $50,523.94 $49,052.37 2025-12-31
7594 APR_DRG Eating Disorders 10 10 — — $48,410.09 $49,862.39 $48,410.09 2025-12-31
L7181 HCPCS Electronic Elbo Simultaneous 10 10 — — $48,370.76 $48,370.76 $48,370.76 2025-12-31
1794 APR_DRG Defibrillator Implants 10 10 — — $48,345.07 $49,795.42 $48,345.07 2025-12-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 10 — — $48,329.18 $49,779.06 $48,329.18 2025-12-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $47,917.37 $49,354.89 $47,917.37 2025-12-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $47,740.36 $49,172.57 $47,740.36 2025-12-31
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 10 — — $47,281.59 $48,700.04 $47,281.59 2025-12-31
1204 APR_DRG Major Respiratory And Chest Procedures 10 10 — — $47,056.90 $48,468.61 $47,056.90 2025-12-31
L7180 HCPCS Electronic Elbow Sequential 10 10 — — $46,980.38 $46,980.38 $46,980.38 2025-12-31
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 10 — — $46,679.05 $48,079.42 $46,679.05 2025-12-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 10 — — $46,153.08 $47,537.67 $46,153.08 2025-12-31
274 APR_DRG Other Open Craniotomy 10 10 — — $45,979.69 $47,359.08 $45,979.69 2025-12-31
2324 APR_DRG Gastric Fundoplication 10 10 — — $45,667.58 $47,037.61 $45,667.58 2025-12-31
6954 APR_DRG Chemotherapy For Acute Leukemia 10 10 — — $45,442.89 $46,806.18 $45,442.89 2025-12-31
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $45,209.53 $46,565.82 $45,209.53 2025-12-31
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 10 — — $45,159.68 $46,514.47 $45,159.68 2025-12-31
234 APR_DRG Spinal Procedures 10 10 — — $45,035.42 $46,386.48 $45,035.42 2025-12-31
1694 APR_DRG Major Abdominal Vascular Procedures 10 10 — — $44,864.91 $46,210.86 $44,864.91 2025-12-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $44,334.62 $45,664.66 $44,334.62 2025-12-31
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $43,957.49 $45,276.21 $43,957.49 2025-12-31
204 APR_DRG Open Craniotomy For Trauma 10 10 — — $43,946.65 $45,265.05 $43,946.65 2025-12-31
1783 APR_DRG External Heart Assist Systems 10 10 — — $43,940.87 $45,259.10 $43,940.87 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 2 — — $3,539,340.00 $3,932,600.00 $3,932,600.00 2025-12-31
J7330 HCPCS Cultured Chondrocytes Implnt 5 2 — — $69,449.29 $77,165.88 $77,165.88 2025-12-31
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