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

RICHLAND HOSPITAL

Richland Center, WI · CCN 521341 · Rates published

12,944 distinct procedures filed
12 distinct payers
344,995 rate rows
2026-04-24 last MRF observed
Data quality

124,703 of 344,995 rate rows are consumer-grade (36.1%)

220,292 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
professional (physician) fee — not the facility price 191,967
exceeds 10× this hospital's gross charge — excluded from medians 11,799
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,883
per-diem day rate — not a per-procedure price 6,509
percent-of-charges filed in the dollar field — excluded from medians 79
placeholder amount (≤ $0.02) — excluded from medians 55
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8733/390808498_richland-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/richlandhospital/8733
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint ac9744e9d7d257f2… · 100,566,122 bytes · first seen 2026-05-18

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $4,208,253.00 $4,208,253.00 $4,208,253.00 nat. median
$3,710,000
1.1× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,802,834.80 $3,802,834.80 $3,802,834.80 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,786,369.07 $3,786,369.07 $3,786,369.07 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,699,734.78 $3,699,734.78 $3,699,734.78 nat. median
$3,286,000
1.1× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,625,200.00 $3,625,200.00 $3,625,200.00 nat. median
$3,180,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $3,349,684.80 $3,349,684.80 $3,349,684.80 nat. median
$3,006,423
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,949,279.47 $2,949,279.47 $2,949,279.47 nat. median
$2,469,189
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,658,480.00 $2,658,480.00 $2,658,480.00 nat. median
$2,448,600
1.1× median
5834
APR_DRG 		Neonate With Ecmo 5 $551,717.46 $551,717.46 $551,717.46 nat. median
$309,665
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $501,646.38 $537,582.68 $519,614.53 nat. median
$370,174
1.4× median
5833
APR_DRG 		Neonate With Ecmo 5 $484,603.61 $484,603.61 $484,603.61 nat. median
$244,017
2.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $420,177.02 $420,177.02 $420,177.02 nat. median
$246,434
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $378,202.00 $378,202.00 $378,202.00 nat. median
$234,738
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $341,656.41 $341,656.41 $341,656.41 nat. median
$150,721
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $325,548.32 $348,869.53 $337,208.93 nat. median
$265,286
1.3× median
5832
APR_DRG 		Neonate With Ecmo 5 $333,438.64 $333,438.64 $333,438.64 nat. median
$156,126
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 5 $321,463.96 $321,463.96 $321,463.96 nat. median
$207,730
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $319,906.28 $319,906.28 $319,906.28 nat. median
$160,267
2.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $303,911.34 $303,911.34 $303,911.34 nat. median
$117,173
outlier · 2.6×
J3403
HCPCS 		Revakinagene, Per Implant 1 $298,946.50 $298,946.50 $298,946.50 nat. median
$265,000
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $287,157.53 $287,157.53 $287,157.53 nat. median
$182,736
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $275,160.39 $275,160.39 $275,160.39 nat. median
$145,336
1.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $275,160.39 $275,160.39 $275,160.39 nat. median
$124,573
outlier · 2.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $264,395.17 $264,395.17 $264,395.17 nat. median
$164,279
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $261,570.62 $261,570.62 $261,570.62 nat. median
$187,294
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $260,889.14 $260,889.14 $260,889.14 nat. median
$122,924
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $258,263.05 $258,263.05 $258,263.05 nat. median
$162,982
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 2 $248,024.70 $265,792.37 $256,908.54 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 2 $246,569.12 $264,232.51 $255,400.82 nat. median
$202,986
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $246,526.77 $246,526.77 $246,526.77 nat. median
$164,834
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $243,634.82 $243,634.82 $243,634.82 nat. median
$151,838
1.6× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $232,767.25 $232,767.25 $232,767.25 nat. median
$129,535
1.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $231,093.49 $231,093.49 $231,093.49 nat. median
$209,753
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $225,079.94 $225,079.94 $225,079.94 nat. median
$109,499
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $220,232.16 $220,232.16 $220,232.16 nat. median
$105,658
outlier · 2.1×
1613
APR_DRG 		Implantable Heart Assist Systems 5 $219,888.92 $219,888.92 $219,888.92 nat. median
$119,796
1.8× median
5831
APR_DRG 		Neonate With Ecmo 5 $208,710.56 $208,710.56 $208,710.56 nat. median
$145,122
1.4× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $205,283.16 $205,283.16 $205,283.16 nat. median
$93,528
outlier · 2.2×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $190,607.51 $190,607.51 $190,607.51 nat. median
$102,636
1.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $179,927.16 $179,927.16 $179,927.16 nat. median
$118,620
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $178,725.20 $178,725.20 $178,725.20 nat. median
$85,406
outlier · 2.1×
64
APR_DRG 		Pancreas Transplant 5 $178,645.32 $178,645.32 $178,645.32 nat. median
$91,748
1.9× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 5 $174,464.04 $174,464.04 $174,464.04 nat. median
$97,957
1.8× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $172,697.92 $172,697.92 $172,697.92 nat. median
$60,845
outlier · 2.8×
1611
APR_DRG 		Implantable Heart Assist Systems 5 $169,748.56 $169,748.56 $169,748.56 nat. median
$76,806
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 2 $160,909.08 $172,436.08 $166,672.58 nat. median
$133,176
1.3× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $165,528.59 $165,528.59 $165,528.59 nat. median
$108,996
1.5× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $165,251.50 $165,251.50 $165,251.50 nat. median
$93,260
1.8× median
22
APR_DRG 		Heart And/or Lung Transplant 5 $163,075.99 $163,075.99 $163,075.99 nat. median
$78,029
outlier · 2.1×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $159,405.21 $159,405.21 $159,405.21 nat. median
$89,790
1.8× median

Other procedures at this hospital

Browse this hospital's 12,944 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $4,208,253.00 $4,208,253.00 $4,208,253.00 2026-04-24
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $3,802,834.80 $3,802,834.80 $3,802,834.80 2026-04-24
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,786,369.07 $3,786,369.07 $3,786,369.07 2026-04-24
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,699,734.78 $3,699,734.78 $3,699,734.78 2026-04-24
J3387 HCPCS Inj Elivaldogene Autotemecel 1 1 — — $3,625,200.00 $3,625,200.00 $3,625,200.00 2026-04-24
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $3,349,684.80 $3,349,684.80 $3,349,684.80 2026-04-24
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,949,279.47 $2,949,279.47 $2,949,279.47 2026-04-24
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,658,480.00 $2,658,480.00 $2,658,480.00 2026-04-24
5834 APR_DRG Neonate With Ecmo 5 5 — — $551,717.46 $551,717.46 $551,717.46 2026-04-24
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $501,646.38 $537,582.68 $519,614.53 2026-04-24
5833 APR_DRG Neonate With Ecmo 5 5 — — $484,603.61 $484,603.61 $484,603.61 2026-04-24
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $420,177.02 $420,177.02 $420,177.02 2026-04-24
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $378,202.00 $378,202.00 $378,202.00 2026-04-24
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $341,656.41 $341,656.41 $341,656.41 2026-04-24
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $325,548.32 $348,869.53 $337,208.93 2026-04-24
5832 APR_DRG Neonate With Ecmo 5 5 — — $333,438.64 $333,438.64 $333,438.64 2026-04-24
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $321,463.96 $321,463.96 $321,463.96 2026-04-24
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $319,906.28 $319,906.28 $319,906.28 2026-04-24
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $303,911.34 $303,911.34 $303,911.34 2026-04-24
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $298,946.50 $298,946.50 $298,946.50 2026-04-24
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $287,157.53 $287,157.53 $287,157.53 2026-04-24
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $275,160.39 $275,160.39 $275,160.39 2026-04-24
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $275,160.39 $275,160.39 $275,160.39 2026-04-24
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $264,395.17 $264,395.17 $264,395.17 2026-04-24
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $261,570.62 $261,570.62 $261,570.62 2026-04-24
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $260,889.14 $260,889.14 $260,889.14 2026-04-24
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $258,263.05 $258,263.05 $258,263.05 2026-04-24
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 2 2 — — $248,024.70 $265,792.37 $256,908.54 2026-04-24
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 2 2 — — $246,569.12 $264,232.51 $255,400.82 2026-04-24
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $246,526.77 $246,526.77 $246,526.77 2026-04-24
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $243,634.82 $243,634.82 $243,634.82 2026-04-24
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $232,767.25 $232,767.25 $232,767.25 2026-04-24
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $231,093.49 $231,093.49 $231,093.49 2026-04-24
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $225,079.94 $225,079.94 $225,079.94 2026-04-24
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $220,232.16 $220,232.16 $220,232.16 2026-04-24
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $219,888.92 $219,888.92 $219,888.92 2026-04-24
5831 APR_DRG Neonate With Ecmo 5 5 — — $208,710.56 $208,710.56 $208,710.56 2026-04-24
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $205,283.16 $205,283.16 $205,283.16 2026-04-24
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $190,607.51 $190,607.51 $190,607.51 2026-04-24
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $179,927.16 $179,927.16 $179,927.16 2026-04-24
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $178,725.20 $178,725.20 $178,725.20 2026-04-24
64 APR_DRG Pancreas Transplant 5 5 — — $178,645.32 $178,645.32 $178,645.32 2026-04-24
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $174,464.04 $174,464.04 $174,464.04 2026-04-24
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $172,697.92 $172,697.92 $172,697.92 2026-04-24
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $169,748.56 $169,748.56 $169,748.56 2026-04-24
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 2 2 — — $160,909.08 $172,436.08 $166,672.58 2026-04-24
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $165,528.59 $165,528.59 $165,528.59 2026-04-24
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $165,251.50 $165,251.50 $165,251.50 2026-04-24
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $163,075.99 $163,075.99 $163,075.99 2026-04-24
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $159,405.21 $159,405.21 $159,405.21 2026-04-24
7 MS_DRG Lung Transplant 2 2 — — $150,440.01 $161,217.04 $155,828.53 2026-04-24
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $151,759.09 $151,759.09 $151,759.09 2026-04-24
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $146,247.29 $146,247.29 $146,247.29 2026-04-24
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $145,529.61 $145,529.61 $145,529.61 2026-04-24
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $139,609.66 $149,610.84 $144,610.25 2026-04-24
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $144,407.53 $144,407.53 $144,407.53 2026-04-24
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $142,268.22 $142,268.22 $142,268.22 2026-04-24
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $142,039.81 $142,039.81 $142,039.81 2026-04-24
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $140,930.21 $140,930.21 $140,930.21 2026-04-24
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $140,859.07 $140,859.07 $140,859.07 2026-04-24
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $139,744.47 $139,744.47 $139,744.47 2026-04-24
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $136,758.92 $136,758.92 $136,758.92 2026-04-24
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $131,639.37 $141,069.58 $136,354.47 2026-04-24
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $131,488.35 $140,907.74 $136,198.04 2026-04-24
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 1 1 — — $134,171.49 $134,171.49 $134,171.49 2026-04-24
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $133,742.16 $133,742.16 $133,742.16 2026-04-24
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $128,031.19 $137,202.92 $132,617.05 2026-04-24
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $132,194.46 $132,194.46 $132,194.46 2026-04-24
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $131,083.62 $131,083.62 $131,083.62 2026-04-24
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $126,322.35 $135,371.67 $130,847.01 2026-04-24
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $130,273.57 $130,273.57 $130,273.57 2026-04-24
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $126,143.47 $126,143.47 $126,143.47 2026-04-24
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $124,690.63 $124,690.63 $124,690.63 2026-04-24
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $119,775.12 $128,355.41 $124,065.26 2026-04-24
4404 APR_DRG Kidney Transplant 5 5 — — $120,771.47 $120,771.47 $120,771.47 2026-04-24
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $120,015.09 $120,015.09 $120,015.09 2026-04-24
215 MS_DRG Other Heart Assist System Implant 2 2 — — $115,668.58 $123,954.69 $119,811.64 2026-04-24
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $119,367.31 $119,367.31 $119,367.31 2026-04-24
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $113,644.93 $121,786.08 $117,715.51 2026-04-24
63 APR_DRG Pancreas Transplant 5 5 — — $114,645.59 $114,645.59 $114,645.59 2026-04-24
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $113,077.92 $113,077.92 $113,077.92 2026-04-24
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $112,413.91 $112,413.91 $112,413.91 2026-04-24
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $110,575.40 $110,575.40 $110,575.40 2026-04-24
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $110,047.43 $110,047.43 $110,047.43 2026-04-24
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $104,662.81 $112,160.51 $108,411.66 2026-04-24
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $108,411.12 $108,411.12 $108,411.12 2026-04-24
8634 APR_DRG Neonatal Aftercare 5 5 — — $107,956.79 $107,956.79 $107,956.79 2026-04-24
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $107,314.00 $107,314.00 $107,314.00 2026-04-24
1784 APR_DRG External Heart Assist Systems 5 5 — — $107,281.55 $107,281.55 $107,281.55 2026-04-24
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $106,894.63 $106,894.63 $106,894.63 2026-04-24
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $106,291.77 $106,291.77 $106,291.77 2026-04-24
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $105,116.02 $105,116.02 $105,116.02 2026-04-24
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $104,833.94 $104,833.94 $104,833.94 2026-04-24
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $100,595.77 $107,802.12 $104,198.95 2026-04-24
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $103,583.30 $103,583.30 $103,583.30 2026-04-24
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $103,396.08 $103,396.08 $103,396.08 2026-04-24
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $102,964.23 $102,964.23 $102,964.23 2026-04-24
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $102,923.04 $102,923.04 $102,923.04 2026-04-24
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $97,928.55 $104,943.83 $101,436.19 2026-04-24
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $97,620.70 $104,613.93 $101,117.32 2026-04-24
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $101,038.34 $101,038.34 $101,038.34 2026-04-24
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $100,922.27 $100,922.27 $100,922.27 2026-04-24
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $100,887.32 $100,887.32 $100,887.32 2026-04-24
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $100,861.11 $100,861.11 $100,861.11 2026-04-24
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $100,755.01 $100,755.01 $100,755.01 2026-04-24
62 APR_DRG Pancreas Transplant 5 5 — — $100,205.83 $100,205.83 $100,205.83 2026-04-24
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $98,988.89 $98,988.89 $98,988.89 2026-04-24
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $98,699.32 $98,699.32 $98,699.32 2026-04-24
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $98,683.10 $98,683.10 $98,683.10 2026-04-24
6904 APR_DRG Acute Leukemia 5 5 — — $97,292.67 $97,292.67 $97,292.67 2026-04-24
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $97,058.02 $97,058.02 $97,058.02 2026-04-24
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $96,002.09 $96,002.09 $96,002.09 2026-04-24
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $95,432.94 $95,432.94 $95,432.94 2026-04-24
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $95,414.22 $95,414.22 $95,414.22 2026-04-24
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $95,320.60 $95,320.60 $95,320.60 2026-04-24
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $91,410.35 $97,958.69 $94,684.52 2026-04-24
7594 APR_DRG Eating Disorders 5 5 — — $94,187.29 $94,187.29 $94,187.29 2026-04-24
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $92,959.12 $92,959.12 $92,959.12 2026-04-24
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $92,497.31 $92,497.31 $92,497.31 2026-04-24
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $89,197.35 $95,587.16 $92,392.26 2026-04-24
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $88,812.84 $95,175.09 $91,993.96 2026-04-24
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $88,518.93 $94,860.14 $91,689.54 2026-04-24
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $90,957.10 $90,957.10 $90,957.10 2026-04-24
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $90,904.68 $90,904.68 $90,904.68 2026-04-24
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $90,769.88 $90,769.88 $90,769.88 2026-04-24
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $89,639.06 $89,639.06 $89,639.06 2026-04-24
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $89,567.92 $89,567.92 $89,567.92 2026-04-24
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $88,259.87 $88,259.87 $88,259.87 2026-04-24
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $87,215.17 $87,215.17 $87,215.17 2026-04-24
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $83,857.10 $89,864.35 $86,860.73 2026-04-24
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $86,450.06 $86,450.06 $86,450.06 2026-04-24
10 MS_DRG Pancreas Transplant 2 2 — — $83,358.74 $89,330.29 $86,344.51 2026-04-24
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $83,323.89 $89,292.94 $86,308.42 2026-04-24
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $82,881.29 $88,818.64 $85,849.96 2026-04-24
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $82,832.50 $88,766.35 $85,799.43 2026-04-24
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $84,969.76 $84,969.76 $84,969.76 2026-04-24
1794 APR_DRG Defibrillator Implants 5 5 — — $84,778.80 $84,778.80 $84,778.80 2026-04-24
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $83,701.65 $83,701.65 $83,701.65 2026-04-24
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $83,539.39 $83,539.39 $83,539.39 2026-04-24
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $83,491.96 $83,491.96 $83,491.96 2026-04-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 2 2 — — $80,293.07 $86,045.00 $83,169.04 2026-04-24
234 APR_DRG Spinal Procedures 5 5 — — $83,132.50 $83,132.50 $83,132.50 2026-04-24
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $79,899.26 $85,622.98 $82,761.12 2026-04-24
0120 EAPG Car T-cell Immunotherapy 5 5 — — $81,761.75 $81,761.75 $81,761.75 2026-04-24
4014 APR_DRG Adrenal Procedures 5 5 — — $81,103.02 $81,103.02 $81,103.02 2026-04-24
4414 APR_DRG Major Bladder Procedures 5 5 — — $81,099.27 $81,099.27 $81,099.27 2026-04-24
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $78,193.91 $83,795.46 $80,994.68 2026-04-24
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $80,822.19 $80,822.19 $80,822.19 2026-04-24
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $80,716.09 $80,716.09 $80,716.09 2026-04-24
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $80,473.96 $80,473.96 $80,473.96 2026-04-24
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $77,675.80 $83,240.24 $80,458.02 2026-04-24
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $77,618.88 $83,179.24 $80,399.06 2026-04-24
274 APR_DRG Other Open Craniotomy 5 5 — — $80,103.26 $80,103.26 $80,103.26 2026-04-24
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $79,746.29 $79,746.29 $79,746.29 2026-04-24
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $79,681.39 $79,681.39 $79,681.39 2026-04-24
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $76,384.01 $81,855.91 $79,119.96 2026-04-24
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $76,384.01 $81,855.91 $79,119.96 2026-04-24
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $76,106.37 $81,558.38 $78,832.38 2026-04-24
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $78,499.39 $78,499.39 $78,499.39 2026-04-24
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $78,061.30 $78,061.30 $78,061.30 2026-04-24
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $77,912.77 $77,912.77 $77,912.77 2026-04-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 2 2 — — $74,750.69 $80,105.58 $77,428.14 2026-04-24
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $77,387.30 $77,387.30 $77,387.30 2026-04-24
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $77,192.59 $77,192.59 $77,192.59 2026-04-24
1783 APR_DRG External Heart Assist Systems 5 5 — — $76,981.65 $76,981.65 $76,981.65 2026-04-24
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $76,749.50 $76,749.50 $76,749.50 2026-04-24
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $76,310.15 $76,310.15 $76,310.15 2026-04-24
4403 APR_DRG Kidney Transplant 5 5 — — $74,933.45 $74,933.45 $74,933.45 2026-04-24
1782 APR_DRG External Heart Assist Systems 5 5 — — $74,873.54 $74,873.54 $74,873.54 2026-04-24
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $74,534.05 $74,534.05 $74,534.05 2026-04-24
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $74,351.82 $74,351.82 $74,351.82 2026-04-24
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $74,338.09 $74,338.09 $74,338.09 2026-04-24
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 5 5 — — $74,278.18 $74,278.18 $74,278.18 2026-04-24
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $71,192.46 $76,292.45 $73,742.46 2026-04-24
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $71,109.98 $76,204.06 $73,657.02 2026-04-24
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $73,281.82 $73,281.82 $73,281.82 2026-04-24
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $70,428.07 $75,473.31 $72,950.69 2026-04-24
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $72,494.58 $72,494.58 $72,494.58 2026-04-24
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $69,797.28 $74,797.33 $72,297.30 2026-04-24
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $69,777.53 $74,776.16 $72,276.85 2026-04-24
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $72,076.46 $72,076.46 $72,076.46 2026-04-24
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $71,981.60 $71,981.60 $71,981.60 2026-04-24
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $69,272.20 $74,234.63 $71,753.42 2026-04-24
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $69,044.51 $73,990.63 $71,517.57 2026-04-24
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $71,469.86 $71,469.86 $71,469.86 2026-04-24
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $68,884.20 $73,818.84 $71,351.52 2026-04-24
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $70,943.14 $70,943.14 $70,943.14 2026-04-24
2324 APR_DRG Gastric Fundoplication 5 5 — — $70,915.68 $70,915.68 $70,915.68 2026-04-24
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $68,174.41 $73,058.20 $70,616.30 2026-04-24
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $68,130.27 $73,010.90 $70,570.58 2026-04-24
83 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $70,502.55 $70,502.55 $70,502.55 2026-04-24
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $70,337.79 $70,337.79 $70,337.79 2026-04-24
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $69,844.78 $69,844.78 $69,844.78 2026-04-24
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $69,462.85 $69,462.85 $69,462.85 2026-04-24
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $69,462.85 $69,462.85 $69,462.85 2026-04-24
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $66,995.30 $71,794.63 $69,394.96 2026-04-24
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $69,310.57 $69,310.57 $69,310.57 2026-04-24
61 APR_DRG Pancreas Transplant 5 5 — — $69,295.60 $69,295.60 $69,295.60 2026-04-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $66,567.81 $71,336.50 $68,952.15 2026-04-24
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 5 — — $68,906.18 $68,906.18 $68,906.18 2026-04-24
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $66,295.97 $71,045.20 $68,670.58 2026-04-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $66,210.01 $70,953.08 $68,581.54 2026-04-24
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $68,515.51 $68,515.51 $68,515.51 2026-04-24
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $68,515.51 $68,515.51 $68,515.51 2026-04-24
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $68,466.83 $68,466.83 $68,466.83 2026-04-24
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $68,406.92 $68,406.92 $68,406.92 2026-04-24
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $68,302.07 $68,302.07 $68,302.07 2026-04-24
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $68,250.90 $68,250.90 $68,250.90 2026-04-24
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $68,078.22 $68,078.22 $68,078.22 2026-04-24
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $67,796.58 $67,796.58 $67,796.58 2026-04-24
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $65,309.71 $69,988.28 $67,648.99 2026-04-24
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $65,107.57 $69,771.67 $67,439.62 2026-04-24
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $64,661.49 $69,293.62 $66,977.55 2026-04-24
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $66,862.97 $66,862.97 $66,862.97 2026-04-24
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $66,496.01 $66,496.01 $66,496.01 2026-04-24
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $64,159.64 $68,755.83 $66,457.74 2026-04-24
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $63,775.13 $68,343.77 $66,059.45 2026-04-24
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $66,056.67 $66,056.67 $66,056.67 2026-04-24
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $63,549.76 $68,102.25 $65,826.01 2026-04-24
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $63,459.15 $68,005.15 $65,732.15 2026-04-24
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $65,722.17 $65,722.17 $65,722.17 2026-04-24
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $63,359.24 $67,898.09 $65,628.66 2026-04-24
0246 EAPG Class IV Therapeutic Radiopharmaceuticals 5 5 — — $65,599.41 $65,599.41 $65,599.41 2026-04-24
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $63,106.00 $67,626.70 $65,366.35 2026-04-24
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 5 — — $65,347.72 $65,347.72 $65,347.72 2026-04-24
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 5 — — $65,294.05 $65,294.05 $65,294.05 2026-04-24
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $65,211.68 $65,211.68 $65,211.68 2026-04-24
7584 APR_DRG Behavioral Disorders 5 5 — — $65,140.53 $65,140.53 $65,140.53 2026-04-24
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 5 — — $65,098.09 $65,098.09 $65,098.09 2026-04-24
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 5 — — $64,523.95 $64,523.95 $64,523.95 2026-04-24
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $64,507.72 $64,507.72 $64,507.72 2026-04-24
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $61,950.12 $66,388.03 $64,169.07 2026-04-24
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $64,146.88 $64,146.88 $64,146.88 2026-04-24
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $61,912.95 $66,348.19 $64,130.57 2026-04-24
1824 APR_DRG Other Peripheral Vascular And Related Procedures 5 5 — — $63,984.75 $63,984.75 $63,984.75 2026-04-24
1214 APR_DRG Other Respiratory And Chest Procedures 5 5 — — $63,834.97 $63,834.97 $63,834.97 2026-04-24
8633 APR_DRG Neonatal Aftercare 5 5 — — $63,813.76 $63,813.76 $63,813.76 2026-04-24
4402 APR_DRG Kidney Transplant 5 5 — — $63,798.78 $63,798.78 $63,798.78 2026-04-24
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $61,497.07 $65,902.52 $63,699.79 2026-04-24
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $63,530.43 $63,530.43 $63,530.43 2026-04-24
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $61,293.77 $65,684.66 $63,489.21 2026-04-24
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $63,237.11 $63,237.11 $63,237.11 2026-04-24
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $63,237.11 $63,237.11 $63,237.11 2026-04-24
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $63,149.74 $63,149.74 $63,149.74 2026-04-24
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $62,744.10 $62,744.10 $62,744.10 2026-04-24
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $60,470.14 $64,802.02 $62,636.08 2026-04-24
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $60,365.59 $64,689.98 $62,527.79 2026-04-24
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 — — $62,470.76 $62,470.76 $62,470.76 2026-04-24
294 APR_DRG Other Percutaneous Intracranial Procedures 5 5 — — $61,961.51 $61,961.51 $61,961.51 2026-04-24
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $61,892.87 $61,892.87 $61,892.87 2026-04-24
1793 APR_DRG Defibrillator Implants 5 5 — — $61,726.86 $61,726.86 $61,726.86 2026-04-24
6504 APR_DRG Splenectomy 5 5 — — $61,644.49 $61,644.49 $61,644.49 2026-04-24
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $61,499.70 $61,499.70 $61,499.70 2026-04-24
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 5 — — $61,479.73 $61,479.73 $61,479.73 2026-04-24
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 5 5 — — $60,836.94 $60,836.94 $60,836.94 2026-04-24
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 5 — — $60,765.79 $60,765.79 $60,765.79 2026-04-24
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $58,551.05 $62,745.45 $60,648.25 2026-04-24
1781 APR_DRG External Heart Assist Systems 5 5 — — $60,091.80 $60,091.80 $60,091.80 2026-04-24
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $57,937.68 $62,088.14 $60,012.91 2026-04-24
5184 APR_DRG Other Female Reproductive System And Related Procedures 5 5 — — $59,817.21 $59,817.21 $59,817.21 2026-04-24
82 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $59,560.09 $59,560.09 $59,560.09 2026-04-24
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 5 — — $59,553.85 $59,553.85 $59,553.85 2026-04-24
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $57,473.01 $61,590.18 $59,531.60 2026-04-24
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $59,512.66 $59,512.66 $59,512.66 2026-04-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $57,370.78 $61,480.63 $59,425.71 2026-04-24
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $57,174.45 $61,270.24 $59,222.35 2026-04-24
2314 APR_DRG Major Large Bowel Procedures 5 5 — — $59,165.68 $59,165.68 $59,165.68 2026-04-24
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $59,089.54 $59,089.54 $59,089.54 2026-04-24
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $56,936.31 $61,015.04 $58,975.68 2026-04-24
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $58,884.84 $58,884.84 $58,884.84 2026-04-24
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $58,817.44 $58,817.44 $58,817.44 2026-04-24
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $58,374.35 $58,374.35 $58,374.35 2026-04-24
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $56,094.09 $60,112.49 $58,103.29 2026-04-24
4401 APR_DRG Kidney Transplant 5 5 — — $57,857.62 $57,857.62 $57,857.62 2026-04-24
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $55,810.64 $59,808.73 $57,809.68 2026-04-24
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $57,681.63 $57,681.63 $57,681.63 2026-04-24
6903 APR_DRG Acute Leukemia 5 5 — — $57,525.62 $57,525.62 $57,525.62 2026-04-24
734 APR_DRG Orbit And Eye Procedures 5 5 — — $57,524.37 $57,524.37 $57,524.37 2026-04-24
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $57,484.43 $57,484.43 $57,484.43 2026-04-24
2294 APR_DRG Other Digestive System And Abdominal Procedures 5 5 — — $57,322.17 $57,322.17 $57,322.17 2026-04-24
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $55,305.31 $59,267.20 $57,286.25 2026-04-24
5144 APR_DRG Female Reproductive System Reconstructive Procedures 5 5 — — $57,236.05 $57,236.05 $57,236.05 2026-04-24
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $56,940.24 $56,940.24 $56,940.24 2026-04-24
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $56,911.53 $56,911.53 $56,911.53 2026-04-24
2234 APR_DRG Other Small And Large Bowel Procedures 5 5 — — $56,767.99 $56,767.99 $56,767.99 2026-04-24
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $54,615.27 $58,527.73 $56,571.50 2026-04-24
4034 APR_DRG Procedures For Obesity 5 5 — — $56,524.61 $56,524.61 $56,524.61 2026-04-24
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $54,503.75 $58,408.22 $56,455.99 2026-04-24
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $54,341.11 $58,233.93 $56,287.52 2026-04-24
3094 APR_DRG Other Significant Hip And Femur Surgery 5 5 — — $56,273.73 $56,273.73 $56,273.73 2026-04-24
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $56,245.02 $56,245.02 $56,245.02 2026-04-24
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $56,218.81 $56,218.81 $56,218.81 2026-04-24
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 5 5 — — $55,891.80 $55,891.80 $55,891.80 2026-04-24
36906 CPT Thrmbc/nfs Dialysis Circuit 1 1 — — $55,840.63 $55,840.63 $55,840.63 2026-04-24
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $53,867.15 $57,726.01 $55,796.58 2026-04-24
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 5 5 — — $55,613.46 $55,613.46 $55,613.46 2026-04-24
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $53,652.24 $57,495.71 $55,573.97 2026-04-24
3054 APR_DRG Amputation Of Lower Limb Except Toes 5 5 — — $55,551.06 $55,551.06 $55,551.06 2026-04-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $53,396.67 $57,221.83 $55,309.25 2026-04-24
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 5 5 — — $55,184.10 $55,184.10 $55,184.10 2026-04-24
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