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 WISCONSIN

Milwaukee, WI · CCN 523300 · Rates published

14,345 distinct procedures filed
47 distinct payers
392,469 rate rows
2026-03-23 last MRF observed
Data quality

387,128 of 392,469 rate rows are consumer-grade (98.6%)

5,341 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 2,941
template filing: same amount across many unrelated codes — excluded 2,002
percent-of-charges filed in the dollar field — excluded from medians 276
per-diem day rate — not a per-procedure price 65
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 45
placeholder amount (≤ $0.02) — excluded from medians 11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://7pgcgohua4yc5gik.public.blob.vercel-storage.com/390812532-1750482022_Childrens-Hospital-of-Wisconsin_standardcharges.csv
Found on page https://childrenswi.org/family-resources/insurance-billing-payments/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 51b16dc7754c2714… · 20,575,417 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
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 29 $2,243,500.00 $3,044,750.00 $2,724,250.00 nat. median
$3,325,455
0.8× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 29 $1,627,500.00 $2,273,070.41 $1,976,250.00 nat. median
$2,455,111
0.8× median
Q2057
HCPCS 		Afamitresgene Autoleucel Per Therapeutic Dose 1 $1,656,833.00 $1,656,833.00 $1,656,833.00 nat. median
$813,967
outlier · 2.0×
Q2056
HCPCS 		Cilta Cel To 100 M Auto Bcma Dir Car-pos Tc Dose 1 $1,263,446.58 $1,263,446.58 $1,263,446.58 nat. median
$599,737
outlier · 2.1×
Q2054
HCPCS 		Lm >=110 Mil Autol Anti-cd19 Car-pos Viabl Tc 1 $1,208,732.67 $1,208,732.67 $1,208,732.67 nat. median
$579,571
outlier · 2.1×
Q2055
HCPCS 		Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc 1 $1,199,875.72 $1,199,875.72 $1,199,875.72 nat. median
$574,037
outlier · 2.1×
Q2041
HCPCS 		Kte-c19 To 200 M Auto Anti-cd19 Car T Cell P Inf 1 $1,144,213.32 $1,144,213.32 $1,144,213.32 nat. median
$562,501
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Autolcl Au Anti-cd19 Car P V T C 1 $1,052,317.93 $1,052,317.93 $1,052,317.93 nat. median
$513,770
outlier · 2.0×
5834
APR_DRG 		Neonate With Ecmo 7 $696,362.42 $870,453.02 $769,480.47 nat. median
$390,362
2.0× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 30 $605,500.00 $1,218,042.30 $735,250.00 nat. median
$621,313
1.2× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 Up To 400 Mil Cd19 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$286,598
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 7 $459,751.93 $574,689.91 $508,025.88 nat. median
$225,531
outlier · 2.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $426,509.24 $533,136.54 $471,292.71 nat. median
$286,698
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $398,714.81 $498,393.51 $440,579.86 nat. median
$135,803
outlier · 3.2×
5833
APR_DRG 		Neonate With Ecmo 7 $396,601.16 $495,751.45 $438,244.28 nat. median
$268,208
1.6× median
J3402
HCPCS 		Injection Remestemcel-l-rknd Per Ther Dose 1 $433,588.39 $433,588.39 $433,588.39 nat. median
$207,733
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo 7 $304,517.27 $380,646.59 $336,491.59 nat. median
$201,678
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $297,342.86 $371,678.58 $328,563.86 nat. median
$202,242
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $297,159.28 $371,449.10 $328,361.00 nat. median
$198,578
1.7× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $296,728.47 $370,910.59 $327,884.96 nat. median
$68,335
outlier · 4.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $291,491.47 $364,364.33 $322,098.07 nat. median
$152,792
outlier · 2.1×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $285,813.86 $357,267.33 $315,824.32 nat. median
$181,762
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $284,055.14 $355,068.93 $313,880.93 nat. median
$173,134
1.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $279,683.42 $349,604.28 $309,050.18 nat. median
$171,497
1.8× median
5831
APR_DRG 		Neonate With Ecmo 7 $273,341.25 $341,676.57 $302,042.08 nat. median
$173,909
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $264,493.79 $330,617.23 $292,265.64 nat. median
$173,018
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $259,204.16 $324,005.20 $286,420.59 nat. median
$187,567
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $255,907.29 $319,884.12 $282,777.56 nat. median
$136,566
outlier · 2.1×
23
APR_DRG 		Heart And/or Lung Transplant 7 $250,433.70 $313,042.13 $276,729.24 nat. median
$117,894
outlier · 2.3×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $245,895.63 $307,369.54 $271,714.67 nat. median
$168,439
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $243,403.80 $304,254.75 $268,961.20 nat. median
$152,383
1.8× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $235,895.27 $294,869.08 $260,664.27 nat. median
$63,564
outlier · 4.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $234,593.05 $293,241.32 $259,225.32 nat. median
$149,836
1.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $232,825.76 $291,032.20 $257,272.46 nat. median
$155,539
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $224,015.01 $280,018.77 $247,536.60 nat. median
$135,630
1.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $210,930.46 $263,663.08 $233,078.16 nat. median
$120,079
1.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $208,632.00 $260,790.01 $230,538.36 nat. median
$130,862
1.8× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 30 $964.68 $254,210.23 $226,916.08 nat. median
$57,284
outlier · 4.0×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $198,812.77 $248,515.97 $219,688.11 nat. median
$96,548
outlier · 2.3×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $198,812.77 $248,515.97 $219,688.11 nat. median
$77,096
outlier · 2.8×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $198,812.77 $248,515.97 $219,688.11 nat. median
$99,483
outlier · 2.2×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $195,901.15 $244,876.44 $216,470.78 nat. median
$73,618
outlier · 2.9×
22
APR_DRG 		Heart And/or Lung Transplant 7 $189,638.16 $237,047.70 $209,550.16 nat. median
$95,481
outlier · 2.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $185,241.11 $231,551.39 $204,691.43 nat. median
$124,731
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $155,000.00 $342,429.00 $204,000.00 nat. median
$72,715
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $202,006.00 $202,006.00 $202,006.00 nat. median
$145,435
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $202,006.00 $202,006.00 $202,006.00 nat. median
$97,418
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $202,006.00 $202,006.00 $202,006.00 nat. median
$37,013
outlier · 5.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $202,006.00 $202,006.00 $202,006.00 nat. median
$60,505
outlier · 3.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $202,006.00 $202,006.00 $202,006.00 nat. median
$56,428
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 14,345 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
             
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 43 29 $3,205,000.00 $1,762,750.00 45% off $2,243,500.00 $3,044,750.00 $2,724,250.00 2026-03-23
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 86 29 $2,358,852.84 $1,297,369.06 45% off $1,627,500.00 $2,273,070.41 $1,976,250.00 2026-03-23
Q2057 HCPCS Afamitresgene Autoleucel Per Therapeutic Dose 1 1 — — $1,656,833.00 $1,656,833.00 $1,656,833.00 2026-03-23
Q2056 HCPCS Cilta Cel To 100 M Auto Bcma Dir Car-pos Tc Dose 1 1 — — $1,263,446.58 $1,263,446.58 $1,263,446.58 2026-03-23
Q2054 HCPCS Lm >=110 Mil Autol Anti-cd19 Car-pos Viabl Tc 1 1 — — $1,208,732.67 $1,208,732.67 $1,208,732.67 2026-03-23
Q2055 HCPCS Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc 1 1 — — $1,199,875.72 $1,199,875.72 $1,199,875.72 2026-03-23
Q2041 HCPCS Kte-c19 To 200 M Auto Anti-cd19 Car T Cell P Inf 1 1 — — $1,144,213.32 $1,144,213.32 $1,144,213.32 2026-03-23
Q2053 HCPCS Brexucabtagene Autolcl Au Anti-cd19 Car P V T C 1 1 — — $1,052,317.93 $1,052,317.93 $1,052,317.93 2026-03-23
5834 APR_DRG Neonate With Ecmo 8 7 — — $696,362.42 $870,453.02 $769,480.47 2026-03-23
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 44 30 $865,000.00 $475,750.00 45% off $605,500.00 $1,218,042.30 $735,250.00 2026-03-23
Q2058 HCPCS Obecabtagene Autoleucel 10 Up To 400 Mil Cd19 1 1 — — $598,237.50 $598,237.50 $598,237.50 2026-03-23
24 APR_DRG Heart And/or Lung Transplant 8 7 — — $459,751.93 $574,689.91 $508,025.88 2026-03-23
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $426,509.24 $533,136.54 $471,292.71 2026-03-23
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $398,714.81 $498,393.51 $440,579.86 2026-03-23
5833 APR_DRG Neonate With Ecmo 8 7 — — $396,601.16 $495,751.45 $438,244.28 2026-03-23
J3402 HCPCS Injection Remestemcel-l-rknd Per Ther Dose 1 1 — — $433,588.39 $433,588.39 $433,588.39 2026-03-23
5832 APR_DRG Neonate With Ecmo 8 7 — — $304,517.27 $380,646.59 $336,491.59 2026-03-23
1614 APR_DRG Implantable Heart Assist Systems 8 7 — — $297,342.86 $371,678.58 $328,563.86 2026-03-23
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $297,159.28 $371,449.10 $328,361.00 2026-03-23
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $296,728.47 $370,910.59 $327,884.96 2026-03-23
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $291,491.47 $364,364.33 $322,098.07 2026-03-23
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $285,813.86 $357,267.33 $315,824.32 2026-03-23
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $284,055.14 $355,068.93 $313,880.93 2026-03-23
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $279,683.42 $349,604.28 $309,050.18 2026-03-23
5831 APR_DRG Neonate With Ecmo 8 7 — — $273,341.25 $341,676.57 $302,042.08 2026-03-23
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $264,493.79 $330,617.23 $292,265.64 2026-03-23
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $259,204.16 $324,005.20 $286,420.59 2026-03-23
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $255,907.29 $319,884.12 $282,777.56 2026-03-23
23 APR_DRG Heart And/or Lung Transplant 8 7 — — $250,433.70 $313,042.13 $276,729.24 2026-03-23
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $245,895.63 $307,369.54 $271,714.67 2026-03-23
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $243,403.80 $304,254.75 $268,961.20 2026-03-23
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $235,895.27 $294,869.08 $260,664.27 2026-03-23
74 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $234,593.05 $293,241.32 $259,225.32 2026-03-23
1613 APR_DRG Implantable Heart Assist Systems 8 7 — — $232,825.76 $291,032.20 $257,272.46 2026-03-23
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $224,015.01 $280,018.77 $247,536.60 2026-03-23
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $210,930.46 $263,663.08 $233,078.16 2026-03-23
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $208,632.00 $260,790.01 $230,538.36 2026-03-23
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 44 30 $267,589.72 $147,174.35 45% off $964.68 $254,210.23 $226,916.08 2026-03-23
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 7 — — $198,812.77 $248,515.97 $219,688.11 2026-03-23
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 7 — — $198,812.77 $248,515.97 $219,688.11 2026-03-23
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 7 — — $198,812.77 $248,515.97 $219,688.11 2026-03-23
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $195,901.15 $244,876.44 $216,470.78 2026-03-23
22 APR_DRG Heart And/or Lung Transplant 8 7 — — $189,638.16 $237,047.70 $209,550.16 2026-03-23
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $185,241.11 $231,551.39 $204,691.43 2026-03-23
14 MS_DRG Allogeneic Bone Marrow Transplant 15 7 — — $155,000.00 $342,429.00 $204,000.00 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
215 MS_DRG Other Heart Assist System Implant 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $202,006.00 $202,006.00 $202,006.00 2026-03-23
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $180,917.13 $226,146.41 $199,913.42 2026-03-23
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $179,879.27 $224,849.09 $198,766.60 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $196,247.18 $196,247.18 $196,247.18 2026-03-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $195,964.98 $195,964.98 $195,964.98 2026-03-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 5 — — $66,000.00 $240,000.00 $195,000.00 2026-03-23
6 MS_DRG Liver Transplant Without Mcc 5 5 — — $66,000.00 $240,000.00 $195,000.00 2026-03-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $191,910.88 $191,910.88 $191,910.88 2026-03-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $145,000.00 $322,772.00 $189,469.00 2026-03-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $145,000.00 $322,772.00 $189,469.00 2026-03-23
1612 APR_DRG Implantable Heart Assist Systems 8 7 — — $171,314.53 $214,143.16 $189,302.55 2026-03-23
1611 APR_DRG Implantable Heart Assist Systems 8 7 — — $171,314.53 $214,143.16 $189,302.55 2026-03-23
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $170,690.35 $213,362.93 $188,612.84 2026-03-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc 1 1 — — $187,969.07 $187,969.07 $187,969.07 2026-03-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $187,726.31 $187,726.31 $187,726.31 2026-03-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $186,870.58 $186,870.58 $186,870.58 2026-03-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $186,218.16 $186,218.16 $186,218.16 2026-03-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $185,368.50 $185,368.50 $185,368.50 2026-03-23
21 APR_DRG Heart And/or Lung Transplant 8 7 — — $167,609.64 $209,512.05 $185,208.65 2026-03-23
64 APR_DRG Pancreas Transplant 8 7 — — $167,157.74 $208,947.18 $184,709.30 2026-03-23
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $184,482.43 $184,482.43 $184,482.43 2026-03-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $181,790.83 $181,790.83 $181,790.83 2026-03-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $180,531.51 $180,531.51 $180,531.51 2026-03-23
J7330 HCPCS Autol Culturd Chondrocytes Impl 1 1 — — $180,011.44 $180,011.44 $180,011.44 2026-03-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $178,556.05 $178,556.05 $178,556.05 2026-03-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $176,677.69 $176,677.69 $176,677.69 2026-03-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $174,162.09 $174,162.09 $174,162.09 2026-03-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $173,121.26 $173,121.26 $173,121.26 2026-03-23
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $156,057.58 $195,071.97 $172,443.62 2026-03-23
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $154,475.09 $193,093.87 $170,694.98 2026-03-23
S2055 HCPCS Hbc Deceased Donor Kidney Acquisition Charges 135 30 $211,752.00 $116,463.60 45% off $108,311.00 $227,637.10 $170,608.02 2026-03-23
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $169,161.24 $169,161.24 $169,161.24 2026-03-23
90288 CPT Botulism Immune Globulin, Human 100 Mg Intravenous Solution 43 29 $197,577.49 $108,667.62 45% off $138,304.24 $187,698.62 $167,940.87 2026-03-23
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $167,725.92 $167,725.92 $167,725.92 2026-03-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $167,725.92 $167,725.92 $167,725.92 2026-03-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $167,021.91 $167,021.91 $167,021.91 2026-03-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $166,002.32 $166,002.32 $166,002.32 2026-03-23
73 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $149,203.82 $186,504.78 $164,870.22 2026-03-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $164,733.90 $164,733.90 $164,733.90 2026-03-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $163,893.35 $163,893.35 $163,893.35 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $163,738.59 $163,738.59 $163,738.59 2026-03-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $163,720.38 $163,720.38 $163,720.38 2026-03-23
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 7 — — $148,077.85 $185,097.31 $163,626.02 2026-03-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $161,441.47 $161,441.47 $161,441.47 2026-03-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $160,728.36 $160,728.36 $160,728.36 2026-03-23
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $144,682.79 $180,853.49 $159,874.48 2026-03-23
50320 CPT Hbc Living Related Kidney Acquisition Charges 48 30 $189,457.00 $104,201.35 45% off $8,006.00 $179,984.15 $158,764.96 2026-03-23
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $143,192.10 $178,990.12 $158,227.27 2026-03-23
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $142,880.01 $178,600.01 $157,882.41 2026-03-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $156,279.78 $156,279.78 $156,279.78 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $155,760.89 $155,760.89 $155,760.89 2026-03-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $154,595.64 $154,595.64 $154,595.64 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $154,122.26 $154,122.26 $154,122.26 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $152,844.73 $152,844.73 $152,844.73 2026-03-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $151,943.48 $151,943.48 $151,943.48 2026-03-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $151,825.14 $151,825.14 $151,825.14 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $151,764.45 $151,764.45 $151,764.45 2026-03-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $151,218.24 $151,218.24 $151,218.24 2026-03-23
8514 APR_DRG Gender Related Procedures 8 7 — — $136,639.42 $170,799.27 $150,986.55 2026-03-23
8513 APR_DRG Gender Related Procedures 8 7 — — $136,639.42 $170,799.27 $150,986.55 2026-03-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 7 7 — — $116,000.00 $213,929.00 $150,000.00 2026-03-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 7 — — $116,000.00 $213,929.00 $150,000.00 2026-03-23
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 7 — — $135,487.74 $169,359.68 $149,713.96 2026-03-23
245 MS_DRG Aicd Generator Procedures 1 1 — — $148,289.95 $148,289.95 $148,289.95 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $147,394.77 $147,394.77 $147,394.77 2026-03-23
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $132,860.25 $166,075.31 $146,810.58 2026-03-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $144,912.55 $144,912.55 $144,912.55 2026-03-23
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $144,284.41 $144,284.41 $144,284.41 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $144,257.10 $144,257.10 $144,257.10 2026-03-23
4404 APR_DRG Kidney Transplant 8 7 — — $129,605.18 $162,006.48 $143,213.73 2026-03-23
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $142,764.12 $142,764.12 $142,764.12 2026-03-23
63 APR_DRG Pancreas Transplant 8 7 — — $128,821.43 $161,026.78 $142,347.68 2026-03-23
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $128,615.63 $160,769.53 $142,120.27 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $141,999.43 $141,999.43 $141,999.43 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $141,161.91 $141,161.91 $141,161.91 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $139,866.17 $139,866.17 $139,866.17 2026-03-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $139,362.45 $139,362.45 $139,362.45 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $139,341.21 $139,341.21 $139,341.21 2026-03-23
J9029 HCPCS Ives Instal Nadofaragn Firadenovc-vncg Per Thr D 1 1 — — $138,190.80 $138,190.80 $138,190.80 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $136,904.50 $136,904.50 $136,904.50 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $136,088.22 $136,088.22 $136,088.22 2026-03-23
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 47 30 $160,433.04 $88,238.17 45% off $141.32 $152,411.39 $135,726.35 2026-03-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $135,711.94 $135,711.94 $135,711.94 2026-03-23
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $134,443.52 $134,443.52 $134,443.52 2026-03-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $133,299.52 $133,299.52 $133,299.52 2026-03-23
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 7 — — $119,095.03 $148,868.78 $131,600.01 2026-03-23
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $131,299.78 $131,299.78 $131,299.78 2026-03-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $131,029.71 $131,029.71 $131,029.71 2026-03-23
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 7 — — $117,999.65 $147,499.56 $130,389.61 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $129,442.67 $129,442.67 $129,442.67 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $129,251.49 $129,251.49 $129,251.49 2026-03-23
8634 APR_DRG Neonatal Aftercare 8 7 — — $116,479.58 $145,599.48 $128,709.94 2026-03-23
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $116,179.73 $145,224.66 $128,378.61 2026-03-23
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $128,335.07 $128,335.07 $128,335.07 2026-03-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $127,163.76 $127,163.76 $127,163.76 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $127,133.41 $127,133.41 $127,133.41 2026-03-23
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $114,711.07 $143,388.84 $126,755.74 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $126,256.44 $126,256.44 $126,256.44 2026-03-23
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $114,156.65 $142,695.81 $126,143.10 2026-03-23
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $113,255.87 $141,569.84 $125,147.74 2026-03-23
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $124,781.67 $124,781.67 $124,781.67 2026-03-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $124,711.88 $124,711.88 $124,711.88 2026-03-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $124,526.78 $124,526.78 $124,526.78 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $123,913.81 $123,913.81 $123,913.81 2026-03-23
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $123,425.25 $123,425.25 $123,425.25 2026-03-23
62 APR_DRG Pancreas Transplant 8 7 — — $111,059.09 $138,823.86 $122,720.29 2026-03-23
A9543 HCPCS Y-90 Ibritumomb Tiuxtn Tx To 40 Mci 1 1 — — $122,172.78 $122,172.78 $122,172.78 2026-03-23
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $110,109.26 $137,636.58 $121,670.74 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $120,885.38 $120,885.38 $120,885.38 2026-03-23
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $120,800.41 $120,800.41 $120,800.41 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $119,732.27 $119,732.27 $119,732.27 2026-03-23
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $119,486.47 $119,486.47 $119,486.47 2026-03-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $119,243.71 $119,243.71 $119,243.71 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $118,715.71 $118,715.71 $118,715.71 2026-03-23
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $118,658.05 $118,658.05 $118,658.05 2026-03-23
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $118,002.60 $118,002.60 $118,002.60 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $117,283.43 $117,283.43 $117,283.43 2026-03-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $117,165.08 $117,165.08 $117,165.08 2026-03-23
Q2043 HCPCS Sipuleucel-t Including Leukapheresis Per Infus 1 1 — — $116,968.84 $116,968.84 $116,968.84 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $116,837.35 $116,837.35 $116,837.35 2026-03-23
72 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $105,070.53 $131,338.16 $116,102.93 2026-03-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $115,990.73 $115,990.73 $115,990.73 2026-03-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $115,362.59 $115,362.59 $115,362.59 2026-03-23
84 APR_DRG Autologous Bone Marrow Transplant 8 7 — — $104,339.87 $130,424.83 $115,295.55 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $114,464.37 $114,464.37 $114,464.37 2026-03-23
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $103,081.71 $128,852.14 $113,905.30 2026-03-23
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $102,772.07 $128,465.09 $113,563.14 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $113,550.99 $113,550.99 $113,550.99 2026-03-23
12 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $102,676.42 $128,345.52 $113,457.45 2026-03-23
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 7 — — $100,375.70 $125,469.63 $110,915.15 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $110,719.80 $110,719.80 $110,719.80 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $109,952.07 $109,952.07 $109,952.07 2026-03-23
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $98,714.89 $123,393.62 $109,079.95 2026-03-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $108,780.76 $108,780.76 $108,780.76 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $108,774.69 $108,774.69 $108,774.69 2026-03-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $108,756.48 $108,756.48 $108,756.48 2026-03-23
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $98,351.40 $122,939.25 $108,678.30 2026-03-23
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $98,322.03 $122,902.53 $108,645.84 2026-03-23
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $98,175.16 $122,718.95 $108,483.55 2026-03-23
265 MS_DRG Aicd Lead Procedures 1 1 — — $108,246.68 $108,246.68 $108,246.68 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $107,761.16 $107,761.16 $107,761.16 2026-03-23
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $107,129.99 $107,129.99 $107,129.99 2026-03-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $107,102.68 $107,102.68 $107,102.68 2026-03-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $106,832.61 $106,832.61 $106,832.61 2026-03-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $106,322.81 $106,322.81 $106,322.81 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $106,289.43 $106,289.43 $106,289.43 2026-03-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $106,246.95 $106,246.95 $106,246.95 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $106,058.81 $106,058.81 $106,058.81 2026-03-23
1784 APR_DRG External Heart Assist Systems 8 7 — — $95,449.57 $119,311.96 $105,471.77 2026-03-23
332 MS_DRG Rectal Resection With Mcc 1 1 — — $105,257.70 $105,257.70 $105,257.70 2026-03-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $105,142.39 $105,142.39 $105,142.39 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $104,520.32 $104,520.32 $104,520.32 2026-03-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $104,356.46 $104,356.46 $104,356.46 2026-03-23
665 MS_DRG Prostatectomy With Mcc 1 1 — — $104,192.59 $104,192.59 $104,192.59 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $104,095.49 $104,095.49 $104,095.49 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $103,937.69 $103,937.69 $103,937.69 2026-03-23
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $93,814.46 $117,268.07 $103,664.98 2026-03-23
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 7 — — $93,568.46 $116,960.57 $103,393.14 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $103,361.14 $103,361.14 $103,361.14 2026-03-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $102,930.24 $102,930.24 $102,930.24 2026-03-23
71 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $92,749.68 $115,937.10 $102,488.39 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $101,859.06 $101,859.06 $101,859.06 2026-03-23
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 7 — — $92,003.11 $115,003.88 $101,663.43 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $100,772.71 $100,772.71 $100,772.71 2026-03-23
A9699 HCPCS Radiopharmaceutical Therapeutic Noc 1 1 — — $100,394.53 $100,394.53 $100,394.53 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $100,196.16 $100,196.16 $100,196.16 2026-03-23
11 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $90,202.68 $112,753.35 $99,673.96 2026-03-23
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $90,178.29 $112,722.87 $99,647.01 2026-03-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $99,188.70 $99,188.70 $99,188.70 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $98,906.49 $98,906.49 $98,906.49 2026-03-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $98,864.01 $98,864.01 $98,864.01 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $97,689.66 $97,689.66 $97,689.66 2026-03-23
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 7 — — $88,357.15 $110,446.44 $97,634.65 2026-03-23
4403 APR_DRG Kidney Transplant 8 7 — — $88,115.48 $110,144.35 $97,367.61 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $97,237.52 $97,237.52 $97,237.52 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $96,955.31 $96,955.31 $96,955.31 2026-03-23
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 47 30 $114,516.88 $62,984.28 45% off $80,161.82 $108,791.04 $96,881.28 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $96,770.21 $96,770.21 $96,770.21 2026-03-23
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $96,509.24 $96,509.24 $96,509.24 2026-03-23
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $96,315.03 $96,315.03 $96,315.03 2026-03-23
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $96,154.20 $96,154.20 $96,154.20 2026-03-23
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $86,017.09 $107,521.36 $95,048.88 2026-03-23
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $85,905.71 $107,382.14 $94,925.82 2026-03-23
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $94,706.75 $94,706.75 $94,706.75 2026-03-23
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $94,664.26 $94,664.26 $94,664.26 2026-03-23
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $85,652.37 $107,065.46 $94,645.86 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $94,260.67 $94,260.67 $94,260.67 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $93,838.88 $93,838.88 $93,838.88 2026-03-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $93,644.67 $93,644.67 $93,644.67 2026-03-23
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $93,577.91 $93,577.91 $93,577.91 2026-03-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $93,116.67 $93,116.67 $93,116.67 2026-03-23
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $84,005.02 $105,006.27 $92,825.54 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $92,813.22 $92,813.22 $92,813.22 2026-03-23
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $83,910.78 $104,888.47 $92,721.41 2026-03-23
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 7 — — $83,256.00 $104,070.00 $91,997.88 2026-03-23
570 MS_DRG Skin Debridement With Mcc 1 1 — — $91,344.52 $91,344.52 $91,344.52 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $90,616.24 $90,616.24 $90,616.24 2026-03-23
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 7 — — $81,672.29 $102,090.37 $90,247.89 2026-03-23
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 7 — — $81,552.35 $101,940.44 $90,115.35 2026-03-23
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 7 — — $81,467.91 $101,834.88 $90,022.04 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $89,475.27 $89,475.27 $89,475.27 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $89,244.65 $89,244.65 $89,244.65 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $89,001.89 $89,001.89 $89,001.89 2026-03-23
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 7 — — $80,508.38 $100,635.47 $88,961.76 2026-03-23
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 7 — — $80,393.33 $100,491.67 $88,834.63 2026-03-23
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $88,495.12 $88,495.12 $88,495.12 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $88,446.57 $88,446.57 $88,446.57 2026-03-23
800 MS_DRG Splenic Procedures With Cc 1 1 — — $88,419.26 $88,419.26 $88,419.26 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $88,370.71 $88,370.71 $88,370.71 2026-03-23
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 6 — — $65,000.00 $124,797.00 $88,200.00 2026-03-23
652 MS_DRG Kidney Transplant 8 6 — — $65,000.00 $124,797.00 $88,200.00 2026-03-23
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 6 — — $65,000.00 $124,797.00 $88,200.00 2026-03-23
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution 138 30 $103,915.26 $57,153.39 45% off $13.64 $266,773.66 $88,120.14 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $87,915.53 $87,915.53 $87,915.53 2026-03-23
1794 APR_DRG Defibrillator Implants 8 7 — — $79,344.46 $99,180.58 $87,675.64 2026-03-23
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $79,224.52 $99,030.65 $87,543.10 2026-03-23
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $79,115.60 $98,894.50 $87,422.74 2026-03-23
914 APR_DRG Other Major Head And Neck Procedures 8 7 — — $78,881.84 $98,602.30 $87,164.43 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $87,002.15 $87,002.15 $87,002.15 2026-03-23
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 7 — — $78,733.75 $98,417.18 $87,000.79 2026-03-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $86,902.01 $86,902.01 $86,902.01 2026-03-23
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $86,850.42 $86,850.42 $86,850.42 2026-03-23
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $86,729.04 $86,729.04 $86,729.04 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $86,386.15 $86,386.15 $86,386.15 2026-03-23
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 7 — — $77,670.19 $97,087.74 $85,825.56 2026-03-23
214 APR_DRG Open Craniotomy Except Trauma 8 7 — — $77,560.04 $96,950.05 $85,703.85 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $85,636.62 $85,636.62 $85,636.62 2026-03-23
61 APR_DRG Pancreas Transplant 8 7 — — $77,140.06 $96,425.07 $85,239.76 2026-03-23
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $85,220.90 $85,220.90 $85,220.90 2026-03-23
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $85,132.90 $85,132.90 $85,132.90 2026-03-23
1783 APR_DRG External Heart Assist Systems 8 7 — — $77,017.86 $96,272.32 $85,104.74 2026-03-23
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 44 30 $100,258.72 $55,142.30 45% off $1,475.07 $95,245.78 $85,019.40 2026-03-23
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $76,907.71 $96,134.64 $84,983.01 2026-03-23
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