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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

MEMORIAL HOSPITAL OF GARDENA

Gardena, CA · CCN 050468 · Rates published

15,829 distinct procedures filed
27 distinct payers
494,876 rate rows
2026-02-04 last MRF observed
Data quality

494,451 of 494,876 rate rows are consumer-grade (99.9%)

425 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 160
exceeds 10× this hospital's gross charge — excluded from medians 140
placeholder amount (≤ $0.02) — excluded from medians 81
percent-of-charges filed in the dollar field — excluded from medians 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8430/760594558-1194016923_pipeline-health-system-holdings,-llc_standardcharges.csv
Found on page https://www.memorialhospitalgardena.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 59de127884ec6543… · 338,221,762 bytes · first seen 2026-05-17

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 14 $3,121,965.00 $4,774,770.00 $3,856,545.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Apc 15 $3,064,250.00 $4,938,850.00 $3,785,250.00 nat. median
$3,570,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $2,826,636.54 $4,988,182.14 $3,574,863.86 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 16 $2,793,100.00 $4,929,000.00 $3,532,450.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 17 $2,522,800.00 $4,662,728.00 $3,264,800.00 nat. median
$3,004,655
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 19 $2,030,322.10 $4,777,228.46 $2,627,475.65 nat. median
$2,468,984
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 19 $86,886.87 $1,058,385.71 $582,112.14 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 19 $86,227.85 $1,054,246.87 $579,835.78 nat. median
$674,867
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 19 $98,876.82 $1,053,175.19 $579,246.35 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 19 $96,666.11 $1,033,452.15 $568,398.68 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 19 $91,690.31 $978,911.92 $538,401.55 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 19 $91,685.76 $921,060.80 $506,583.44 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $372,656.13 $768,363.16 $422,599.74 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $278,489.58 $574,205.32 $315,812.93 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $234,630.06 $483,773.32 $266,075.33 nat. median
$206,474
1.3× median
5834
APR_DRG 		Neonate With Ecmo 1 $251,555.97 $251,555.97 $251,555.97 nat. median
$309,665
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $212,024.96 $437,164.86 $240,440.67 nat. median
$202,976
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $206,343.94 $206,343.94 $206,343.94 nat. median
$246,434
0.8× median
5833
APR_DRG 		Neonate With Ecmo 1 $199,237.03 $199,237.03 $199,237.03 nat. median
$244,017
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $197,289.02 $197,289.02 $197,289.02 nat. median
$207,730
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $190,390.26 $190,390.26 $190,390.26 nat. median
$234,729
0.8× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $139,987.00 $288,632.98 $158,748.14 nat. median
$133,161
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $151,144.53 $151,144.53 $151,144.53 nat. median
$119,796
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $149,772.43 $149,772.43 $149,772.43 nat. median
$150,721
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $129,842.73 $267,716.96 $147,244.33 nat. median
$117,357
1.3× median
5832
APR_DRG 		Neonate With Ecmo 1 $146,918.09 $146,918.09 $146,918.09 nat. median
$156,126
0.9× median
7
MS_DRG 		Lung Transplant 16 $129,517.14 $267,045.64 $146,875.10 nat. median
$122,708
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $139,128.87 $139,128.87 $139,128.87 nat. median
$160,267
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $134,575.75 $134,575.75 $134,575.75 nat. median
$151,838
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $132,934.83 $132,934.83 $132,934.83 nat. median
$182,665
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $130,168.23 $130,168.23 $130,168.23 nat. median
$145,336
0.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $129,955.42 $129,955.42 $129,955.42 nat. median
$164,289
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $129,787.40 $129,787.40 $129,787.40 nat. median
$117,173
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $129,126.56 $129,126.56 $129,126.56 nat. median
$162,982
0.8× median
5831
APR_DRG 		Neonate With Ecmo 1 $126,963.87 $126,963.87 $126,963.87 nat. median
$144,745
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $124,817.05 $124,817.05 $124,817.05 nat. median
$187,061
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $123,965.79 $123,965.79 $123,965.79 nat. median
$122,924
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $109,300.62 $225,362.10 $123,949.16 nat. median
$108,660
1.1× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $123,631.63 $123,631.63 $123,631.63 nat. median
$105,658
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $108,059.46 $222,803.02 $122,541.66 nat. median
$102,358
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $121,708.83 $121,708.83 $121,708.83 nat. median
$129,535
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $121,355.07 $121,355.07 $121,355.07 nat. median
$85,444
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $121,038.64 $121,038.64 $121,038.64 nat. median
$164,834
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $105,647.22 $217,829.32 $119,806.13 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 16 $105,108.54 $216,718.64 $119,195.25 nat. median
$99,019
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $103,930.52 $214,289.74 $117,859.36 nat. median
$98,894
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 1 $117,734.41 $117,734.41 $117,734.41 nat. median
$93,528
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 1 $115,287.97 $115,287.97 $115,287.97 nat. median
$76,806
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 19 $84,999.92 $199,999.82 $109,999.90 nat. median
$111,989
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $95,797.95 $197,521.54 $108,636.85 nat. median
$93,672
1.2× median

Other procedures at this hospital

Browse this hospital's 15,829 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 14 14 — — $3,121,965.00 $4,774,770.00 $3,856,545.00 2026-02-04
C9172 HCPCS Apc 15 15 — — $3,064,250.00 $4,938,850.00 $3,785,250.00 2026-02-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 16 — — $2,826,636.54 $4,988,182.14 $3,574,863.86 2026-02-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 16 — — $2,793,100.00 $4,929,000.00 $3,532,450.00 2026-02-04
J3393 HCPCS Inj, Betibeglogene Autotemce 18 17 — — $2,522,800.00 $4,662,728.00 $3,264,800.00 2026-02-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 19 — — $2,030,322.10 $4,777,228.46 $2,627,475.65 2026-02-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 21 19 — — $86,886.87 $1,058,385.71 $582,112.14 2026-02-04
Q2056 HCPCS Ciltacabtagene Car-pos T 21 19 — — $86,227.85 $1,054,246.87 $579,835.78 2026-02-04
Q2055 HCPCS Idecabtagene Vicleucel Car 21 19 — — $98,876.82 $1,053,175.19 $579,246.35 2026-02-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 21 19 — — $96,666.11 $1,033,452.15 $568,398.68 2026-02-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 21 19 — — $91,690.31 $978,911.92 $538,401.55 2026-02-04
Q2053 HCPCS Brexucabtagene Car Pos T 21 19 — — $91,685.76 $921,060.80 $506,583.44 2026-02-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 16 — — $372,656.13 $768,363.16 $422,599.74 2026-02-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 16 — — $278,489.58 $574,205.32 $315,812.93 2026-02-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 16 16 — — $234,630.06 $483,773.32 $266,075.33 2026-02-04
5834 APR_DRG Neonate With Ecmo 1 1 — — $251,555.97 $251,555.97 $251,555.97 2026-02-04
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 16 16 — — $212,024.96 $437,164.86 $240,440.67 2026-02-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $206,343.94 $206,343.94 $206,343.94 2026-02-04
5833 APR_DRG Neonate With Ecmo 1 1 — — $199,237.03 $199,237.03 $199,237.03 2026-02-04
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $197,289.02 $197,289.02 $197,289.02 2026-02-04
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $190,390.26 $190,390.26 $190,390.26 2026-02-04
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 16 — — $139,987.00 $288,632.98 $158,748.14 2026-02-04
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $151,144.53 $151,144.53 $151,144.53 2026-02-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $149,772.43 $149,772.43 $149,772.43 2026-02-04
14 MS_DRG Allogeneic Bone Marrow Transplant 16 16 — — $129,842.73 $267,716.96 $147,244.33 2026-02-04
5832 APR_DRG Neonate With Ecmo 1 1 — — $146,918.09 $146,918.09 $146,918.09 2026-02-04
7 MS_DRG Lung Transplant 16 16 — — $129,517.14 $267,045.64 $146,875.10 2026-02-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $139,128.87 $139,128.87 $139,128.87 2026-02-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $134,575.75 $134,575.75 $134,575.75 2026-02-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $132,934.83 $132,934.83 $132,934.83 2026-02-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $130,168.23 $130,168.23 $130,168.23 2026-02-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $129,955.42 $129,955.42 $129,955.42 2026-02-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $129,787.40 $129,787.40 $129,787.40 2026-02-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $129,126.56 $129,126.56 $129,126.56 2026-02-04
5831 APR_DRG Neonate With Ecmo 1 1 — — $126,963.87 $126,963.87 $126,963.87 2026-02-04
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $124,817.05 $124,817.05 $124,817.05 2026-02-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $123,965.79 $123,965.79 $123,965.79 2026-02-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 16 — — $109,300.62 $225,362.10 $123,949.16 2026-02-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $123,631.63 $123,631.63 $123,631.63 2026-02-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 16 — — $108,059.46 $222,803.02 $122,541.66 2026-02-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $121,708.83 $121,708.83 $121,708.83 2026-02-04
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $121,355.07 $121,355.07 $121,355.07 2026-02-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $121,038.64 $121,038.64 $121,038.64 2026-02-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 16 — — $105,647.22 $217,829.32 $119,806.13 2026-02-04
215 MS_DRG Other Heart Assist System Implant 16 16 — — $105,108.54 $216,718.64 $119,195.25 2026-02-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 16 — — $103,930.52 $214,289.74 $117,859.36 2026-02-04
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $117,734.41 $117,734.41 $117,734.41 2026-02-04
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $115,287.97 $115,287.97 $115,287.97 2026-02-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 20 19 — — $84,999.92 $199,999.82 $109,999.90 2026-02-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $95,797.95 $197,521.54 $108,636.85 2026-02-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $108,176.39 $108,176.39 $108,176.39 2026-02-04
64 APR_DRG Pancreas Transplant 1 1 — — $107,482.88 $107,482.88 $107,482.88 2026-02-04
850 MS_DRG Acute Leukemia With Other Procedures 16 16 — — $91,464.77 $188,587.16 $103,722.94 2026-02-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 20 19 — — $77,377.14 $182,063.86 $100,135.12 2026-02-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $96,464.09 $96,464.09 $96,464.09 2026-02-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 16 — — $84,183.63 $173,574.50 $95,465.98 2026-02-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $84,137.26 $173,478.88 $95,413.38 2026-02-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 16 — — $82,868.49 $170,862.86 $93,974.57 2026-02-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 16 — — $80,110.92 $165,177.16 $90,847.44 2026-02-04
10 MS_DRG Pancreas Transplant 16 16 — — $79,241.73 $163,385.00 $89,861.75 2026-02-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 16 — — $78,790.83 $162,455.32 $89,350.43 2026-02-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 16 — — $77,696.69 $160,199.36 $88,109.65 2026-02-04
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $87,371.84 $87,371.84 $87,371.84 2026-02-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $76,918.26 $158,594.36 $87,226.90 2026-02-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $86,541.11 $86,541.11 $86,541.11 2026-02-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $85,682.39 $85,682.39 $85,682.39 2026-02-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $84,604.31 $84,604.31 $84,604.31 2026-02-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 16 — — $74,221.88 $153,034.80 $84,169.14 2026-02-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $83,481.43 $83,481.43 $83,481.43 2026-02-04
C1882 HCPCS Pacemaker Vigilant X4 Crt-d Is-1 Df4 Is4 60 27 $173,250.00 $173,250.00 $25,987.50 $160,880.80 $82,467.00 2026-02-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $81,475.55 $81,475.55 $81,475.55 2026-02-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 16 — — $70,655.29 $145,681.02 $80,124.56 2026-02-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 16 — — $70,303.08 $144,954.80 $79,725.14 2026-02-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $78,680.02 $78,680.02 $78,680.02 2026-02-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 16 16 — — $69,212.87 $142,706.94 $78,488.82 2026-02-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 16 — — $67,948.05 $140,099.08 $77,054.49 2026-02-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $76,133.70 $76,133.70 $76,133.70 2026-02-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $76,064.63 $76,064.63 $76,064.63 2026-02-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 16 — — $66,728.61 $137,584.76 $75,671.62 2026-02-04
63 APR_DRG Pancreas Transplant 1 1 — — $75,576.46 $75,576.46 $75,576.46 2026-02-04
C1822 HCPCS Itrevia 7 Hf-t 38 27 $158,905.59 $158,905.59 $23,835.84 $127,124.47 $75,480.15 2026-02-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 16 — — $66,474.06 $137,059.92 $75,382.96 2026-02-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 16 — — $66,362.58 $136,830.06 $75,256.53 2026-02-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $75,220.84 $75,220.84 $75,220.84 2026-02-04
38240 CPT Transplt Allo Hct/donor 22 19 — — $106.32 $136,552.90 $75,104.10 2026-02-04
A9543 HCPCS Y90 Ibritumomab, Rx Per Tx Dose 55 27 $130,422.08 $130,422.08 $1,053.00 $130,953.16 $74,992.70 2026-02-04
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $74,900.68 $74,900.68 $74,900.68 2026-02-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $74,092.36 $74,092.36 $74,092.36 2026-02-04
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $73,557.52 $73,557.52 $73,557.52 2026-02-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 16 16 — — $64,385.43 $132,753.46 $73,014.40 2026-02-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $64,293.65 $132,564.22 $72,910.32 2026-02-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 20 19 — — $55,990.98 $131,743.48 $72,458.91 2026-02-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $72,366.50 $72,366.50 $72,366.50 2026-02-04
4404 APR_DRG Kidney Transplant 1 1 — — $71,509.64 $71,509.64 $71,509.64 2026-02-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 16 — — $62,975.56 $129,846.52 $71,415.59 2026-02-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $70,363.43 $70,363.43 $70,363.43 2026-02-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $70,312.09 $70,312.09 $70,312.09 2026-02-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 16 — — $61,693.96 $127,204.04 $69,962.22 2026-02-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 16 — — $61,615.03 $127,041.30 $69,872.72 2026-02-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 21 19 — — $15,300.00 $126,709.55 $69,690.25 2026-02-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 16 — — $61,336.80 $126,467.62 $69,557.19 2026-02-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 16 — — $61,124.68 $126,030.26 $69,316.64 2026-02-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 16 — — $60,848.44 $125,460.70 $69,003.39 2026-02-04
28 MS_DRG Spinal Procedures With Mcc 16 16 — — $60,560.35 $124,866.70 $68,676.69 2026-02-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $68,591.83 $68,591.83 $68,591.83 2026-02-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 16 — — $60,130.19 $123,979.78 $68,188.88 2026-02-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 16 — — $60,130.19 $123,979.78 $68,188.88 2026-02-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 16 — — $59,685.23 $123,062.32 $67,684.28 2026-02-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $59,275.80 $122,218.14 $67,219.98 2026-02-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 15 — — $59,231.40 $122,126.60 $67,169.63 2026-02-04
C1722 HCPCS Lumax 740 Vr-t 170 27 $128,782.50 $128,782.50 $9,659.70 $127,935.19 $67,121.37 2026-02-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $66,951.85 $66,951.85 $66,951.85 2026-02-04
1784 APR_DRG External Heart Assist Systems 1 1 — — $66,505.68 $66,505.68 $66,505.68 2026-02-04
L8682 HCPCS Imp Freedom 8a Stim/receiv Kit 53 27 $140,000.00 $140,000.00 $6,122.56 $112,000.00 $66,500.00 2026-02-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 16 — — $58,633.51 $120,893.84 $66,491.61 2026-02-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 16 — — $58,022.78 $119,634.60 $65,799.03 2026-02-04
62 APR_DRG Pancreas Transplant 1 1 — — $65,607.75 $65,607.75 $65,607.75 2026-02-04
0266T CPT Apc 21 19 — — $3,153.00 $118,021.91 $64,912.05 2026-02-04
33276 CPT Insj Phrnc Nrv Stim Sys 20 19 — — $50,159.31 $118,021.91 $64,912.05 2026-02-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $57,204.92 $117,948.28 $64,871.55 2026-02-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 16 — — $56,866.51 $117,250.54 $64,487.80 2026-02-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $64,330.86 $64,330.86 $64,330.86 2026-02-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $63,884.70 $63,884.70 $63,884.70 2026-02-04
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $63,139.84 $63,139.84 $63,139.84 2026-02-04
653 MS_DRG Major Bladder Procedures With Mcc 16 16 — — $55,578.98 $114,595.84 $63,027.71 2026-02-04
834 MS_DRG Acute Leukemia With Mcc 16 16 — — $55,112.33 $113,633.66 $62,498.51 2026-02-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 16 — — $55,112.33 $113,633.66 $62,498.51 2026-02-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 16 — — $54,883.41 $113,161.68 $62,238.92 2026-02-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 16 — — $54,551.93 $112,478.20 $61,863.01 2026-02-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 16 — — $54,261.86 $111,880.12 $61,534.07 2026-02-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 16 — — $54,139.51 $111,627.86 $61,395.32 2026-02-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $61,226.37 $61,226.37 $61,226.37 2026-02-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 16 — — $53,866.24 $111,064.42 $61,085.43 2026-02-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 16 — — $53,815.92 $110,960.66 $61,028.36 2026-02-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 16 — — $53,809.99 $110,948.44 $61,021.64 2026-02-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 21 19 — — $46,762.94 $110,030.45 $60,516.75 2026-02-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $60,223.90 $60,223.90 $60,223.90 2026-02-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 16 — — $53,069.05 $109,420.72 $60,181.40 2026-02-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $59,998.02 $59,998.02 $59,998.02 2026-02-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $52,837.19 $108,942.66 $59,918.46 2026-02-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $58,973.15 $58,973.15 $58,973.15 2026-02-04
C1721 HCPCS Icd-dr Evera Xt Is1/df1 US 170 27 $114,210.00 $114,210.00 $6,545.68 $111,648.34 $58,543.65 2026-02-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 16 — — $51,390.85 $105,960.52 $58,278.29 2026-02-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $58,166.69 $58,166.69 $58,166.69 2026-02-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 16 — — $51,222.14 $105,612.66 $58,086.96 2026-02-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $58,038.81 $58,038.81 $58,038.81 2026-02-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $57,735.46 $57,735.46 $57,735.46 2026-02-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 16 — — $50,843.28 $104,831.50 $57,657.33 2026-02-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $57,640.25 $57,640.25 $57,640.25 2026-02-04
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $57,537.58 $57,537.58 $57,537.58 2026-02-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 16 — — $50,689.37 $104,514.16 $57,482.79 2026-02-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 16 — — $50,274.02 $103,657.78 $57,011.78 2026-02-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $56,954.20 $56,954.20 $56,954.20 2026-02-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $56,751.65 $56,751.65 $56,751.65 2026-02-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 16 — — $49,980.98 $103,053.56 $56,679.46 2026-02-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 16 — — $49,942.50 $102,974.22 $56,635.82 2026-02-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 16 — — $49,922.77 $102,933.54 $56,613.45 2026-02-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 16 — — $49,745.18 $102,567.38 $56,412.06 2026-02-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $56,304.55 $56,304.55 $56,304.55 2026-02-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $55,785.58 $55,785.58 $55,785.58 2026-02-04
245 MS_DRG Aicd Generator Procedures 16 16 — — $48,793.10 $100,604.34 $55,332.39 2026-02-04
8634 APR_DRG Neonatal Aftercare 1 1 — — $55,199.41 $55,199.41 $55,199.41 2026-02-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $55,190.08 $55,190.08 $55,190.08 2026-02-04
471 MS_DRG Cervical Spinal Fusion With Mcc 16 16 — — $48,502.06 $100,004.24 $55,002.33 2026-02-04
6 MS_DRG Liver Transplant Without Mcc 16 16 — — $48,422.14 $99,839.46 $54,911.70 2026-02-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $54,521.76 $54,521.76 $54,521.76 2026-02-04
1794 APR_DRG Defibrillator Implants 1 1 — — $54,182.94 $54,182.94 $54,182.94 2026-02-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 16 — — $47,695.02 $98,340.24 $54,087.13 2026-02-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $53,958.92 $53,958.92 $53,958.92 2026-02-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $53,889.85 $53,889.85 $53,889.85 2026-02-04
799 MS_DRG Splenic Procedures With Mcc 16 16 — — $47,490.79 $97,919.16 $53,855.54 2026-02-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 16 — — $47,481.91 $97,900.84 $53,845.46 2026-02-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $53,841.31 $53,841.31 $53,841.31 2026-02-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 16 — — $46,996.51 $96,900.02 $53,295.01 2026-02-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 16 — — $46,747.88 $96,387.38 $53,013.06 2026-02-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $52,824.84 $52,824.84 $52,824.84 2026-02-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 16 — — $46,475.58 $95,825.94 $52,704.27 2026-02-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $52,641.89 $52,641.89 $52,641.89 2026-02-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $52,360.01 $52,360.01 $52,360.01 2026-02-04
163 MS_DRG Major Chest Procedures With Mcc 16 16 — — $46,054.30 $94,957.32 $52,226.53 2026-02-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 16 — — $46,035.55 $94,918.66 $52,205.26 2026-02-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $45,890.51 $94,619.60 $52,040.78 2026-02-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 16 — — $45,883.61 $94,605.38 $52,032.96 2026-02-04
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $51,655.29 $51,655.29 $51,655.29 2026-02-04
61 APR_DRG Pancreas Transplant 1 1 — — $51,571.28 $51,571.28 $51,571.28 2026-02-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $51,508.75 $51,508.75 $51,508.75 2026-02-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $51,284.73 $51,284.73 $51,284.73 2026-02-04
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $51,232.46 $51,232.46 $51,232.46 2026-02-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 16 — — $45,091.36 $92,971.88 $51,134.53 2026-02-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $51,058.85 $51,058.85 $51,058.85 2026-02-04
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $51,015.91 $51,015.91 $51,015.91 2026-02-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 16 — — $44,825.97 $92,424.68 $50,833.57 2026-02-04
L7181 HCPCS Electronic Elbo Simultaneous 20 19 — — $39,189.05 $92,209.52 $50,715.24 2026-02-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 16 — — $44,703.63 $92,172.44 $50,694.84 2026-02-04
C1820 HCPCS Imp Neurostimulator Surescan 38 27 $106,680.00 $106,680.00 $16,002.00 $85,344.00 $50,673.00 2026-02-04
901 MS_DRG Wound Debridements For Injuries With Mcc 16 16 — — $44,291.23 $91,322.12 $50,227.17 2026-02-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $50,045.17 $50,045.17 $50,045.17 2026-02-04
J9226 HCPCS Supprelin La Implant 21 19 — — $38,547.68 $90,700.43 $49,885.24 2026-02-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 16 — — $43,919.28 $90,555.22 $49,805.37 2026-02-04
1783 APR_DRG External Heart Assist Systems 1 1 — — $49,200.45 $49,200.45 $49,200.45 2026-02-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 16 16 — — $43,269.10 $89,214.64 $49,068.05 2026-02-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $48,999.77 $48,999.77 $48,999.77 2026-02-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $43,181.31 $89,033.62 $48,968.49 2026-02-04
234 APR_DRG Spinal Procedures 1 1 — — $48,874.69 $48,874.69 $48,874.69 2026-02-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 16 — — $42,665.30 $87,969.70 $48,383.34 2026-02-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 16 — — $42,603.15 $87,841.54 $48,312.85 2026-02-04
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $48,204.51 $48,204.51 $48,204.51 2026-02-04
4414 APR_DRG Major Bladder Procedures 1 1 — — $48,196.11 $48,196.11 $48,196.11 2026-02-04
140 MS_DRG Major Head And Neck Procedures With Mcc 16 16 — — $42,305.20 $87,227.22 $47,974.97 2026-02-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $47,606.20 $47,606.20 $47,606.20 2026-02-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $47,591.27 $47,591.27 $47,591.27 2026-02-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 16 — — $41,924.35 $86,441.96 $47,543.08 2026-02-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 16 — — $41,914.51 $86,421.66 $47,531.91 2026-02-04
793 MS_DRG Full Term Neonate With Major Problems 15 15 — — $41,726.05 $86,033.10 $47,318.21 2026-02-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 16 — — $41,629.37 $85,833.76 $47,208.57 2026-02-04
4403 APR_DRG Kidney Transplant 1 1 — — $47,136.70 $47,136.70 $47,136.70 2026-02-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 1 1 — — $46,982.69 $46,982.69 $46,982.69 2026-02-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $46,912.68 $46,912.68 $46,912.68 2026-02-04
L7180 HCPCS Electronic Elbow Sequential 21 19 — — $16,636.20 $84,935.76 $46,714.67 2026-02-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 16 — — $41,149.87 $84,845.10 $46,664.81 2026-02-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 16 — — $41,127.19 $84,798.32 $46,639.08 2026-02-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 16 — — $41,067.00 $84,674.22 $46,570.82 2026-02-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 16 — — $40,867.71 $84,263.32 $46,344.83 2026-02-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 16 — — $40,708.86 $83,935.80 $46,164.69 2026-02-04
69930 CPT Implant Cochlear Device 23 20 — — $1,149.87 $83,798.30 $46,089.06 2026-02-04
791 MS_DRG Prematurity With Major Problems 15 15 — — $40,634.87 $83,783.24 $46,080.78 2026-02-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $46,011.02 $46,011.02 $46,011.02 2026-02-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $45,913.95 $45,913.95 $45,913.95 2026-02-04
1782 APR_DRG External Heart Assist Systems 1 1 — — $45,839.27 $45,839.27 $45,839.27 2026-02-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $45,660.06 $45,660.06 $45,660.06 2026-02-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $45,350.17 $45,350.17 $45,350.17 2026-02-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 16 — — $39,883.08 $82,233.16 $45,228.24 2026-02-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $45,219.50 $45,219.50 $45,219.50 2026-02-04
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 22 19 — — $331.63 $82,210.47 $45,215.76 2026-02-04
33270 CPT Ins/rep Subq Defibrillator 22 19 — — $519.11 $82,210.47 $45,215.76 2026-02-04
33249 CPT Insj/rplcmt Defib W/lead(s) 22 19 — — $912.91 $82,210.47 $45,215.76 2026-02-04
0408T CPT Insj/rplc Cardiac Modulj Sys 21 19 — — $3,153.00 $82,210.47 $45,215.76 2026-02-04
33231 CPT Insrt Pulse Gen W/mult Leads 22 19 — — $331.02 $82,210.47 $45,215.76 2026-02-04
0571T CPT Insj/rplcmt Icds Ss Eltrd 21 19 — — $4,387.00 $82,210.47 $45,215.76 2026-02-04
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 20 19 — — $37,633.75 $77,595.37 $45,209.01 2026-02-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 16 — — $39,855.46 $82,176.20 $45,196.91 2026-02-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $44,904.01 $44,904.01 $44,904.01 2026-02-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $44,813.47 $44,813.47 $44,813.47 2026-02-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 16 — — $39,508.16 $81,460.12 $44,803.07 2026-02-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 16 — — $39,428.25 $81,295.36 $44,712.45 2026-02-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $44,679.06 $44,679.06 $44,679.06 2026-02-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $44,632.39 $44,632.39 $44,632.39 2026-02-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 16 — — $39,349.32 $81,132.62 $44,622.94 2026-02-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $44,571.72 $44,571.72 $44,571.72 2026-02-04
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $44,472.78 $44,472.78 $44,472.78 2026-02-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 16 — — $39,177.66 $80,778.68 $44,428.27 2026-02-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 16 — — $39,158.90 $80,740.00 $44,407.00 2026-02-04
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $44,267.43 $44,267.43 $44,267.43 2026-02-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $44,172.22 $44,172.22 $44,172.22 2026-02-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 16 — — $38,945.81 $80,300.64 $44,165.35 2026-02-04
6904 APR_DRG Acute Leukemia 1 1 — — $44,042.48 $44,042.48 $44,042.48 2026-02-04
7594 APR_DRG Eating Disorders 1 1 — — $43,963.14 $43,963.14 $43,963.14 2026-02-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $43,916.47 $43,916.47 $43,916.47 2026-02-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 16 — — $38,711.97 $79,818.50 $43,900.18 2026-02-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 16 — — $38,673.51 $79,739.20 $43,856.56 2026-02-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 16 — — $38,566.96 $79,519.50 $43,735.73 2026-02-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $43,431.10 $43,431.10 $43,431.10 2026-02-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 16 — — $38,291.68 $78,951.92 $43,423.56 2026-02-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 16 — — $38,087.45 $78,530.82 $43,191.95 2026-02-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 16 — — $37,795.43 $77,928.72 $42,860.80 2026-02-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $42,709.58 $42,709.58 $42,709.58 2026-02-04
1814 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $42,709.58 $42,709.58 $42,709.58 2026-02-04
61886 CPT Implant Neurostim Arrays 23 20 — — $386.20 $77,595.37 $42,677.45 2026-02-04
0268T CPT Apc 21 19 — — $3,153.00 $77,595.37 $42,677.45 2026-02-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 22 19 — — $754.93 $77,595.37 $42,677.45 2026-02-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 23 20 — — $385.83 $77,595.37 $42,677.45 2026-02-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 22 19 — — $560.90 $77,595.37 $42,677.45 2026-02-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 16 — — $37,498.45 $77,316.40 $42,524.02 2026-02-04
274 APR_DRG Other Open Craniotomy 1 1 — — $42,489.30 $42,489.30 $42,489.30 2026-02-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $42,451.03 $42,451.03 $42,451.03 2026-02-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 20 19 — — $32,501.72 $76,474.64 $42,061.05 2026-02-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $42,009.53 $42,009.53 $42,009.53 2026-02-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $41,958.20 $41,958.20 $41,958.20 2026-02-04
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $41,832.19 $41,832.19 $41,832.19 2026-02-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 16 — — $36,577.96 $75,418.48 $41,480.16 2026-02-04
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $41,450.43 $41,450.43 $41,450.43 2026-02-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $41,379.49 $41,379.49 $41,379.49 2026-02-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 16 — — $36,328.34 $74,903.80 $41,197.09 2026-02-04
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $40,923.99 $40,923.99 $40,923.99 2026-02-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $40,909.06 $40,909.06 $40,909.06 2026-02-04
1781 APR_DRG External Heart Assist Systems 1 1 — — $40,884.79 $40,884.79 $40,884.79 2026-02-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 16 — — $35,947.50 $74,118.56 $40,765.21 2026-02-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 16 — — $35,945.52 $74,114.48 $40,762.96 2026-02-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 16 — — $35,939.63 $74,102.32 $40,756.28 2026-02-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $40,687.84 $40,687.84 $40,687.84 2026-02-04
265 MS_DRG Aicd Lead Procedures 16 16 — — $35,773.87 $73,760.56 $40,568.31 2026-02-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $40,512.36 $40,512.36 $40,512.36 2026-02-04
4402 APR_DRG Kidney Transplant 1 1 — — $40,427.42 $40,427.42 $40,427.42 2026-02-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 16 — — $35,616.01 $73,435.08 $40,389.29 2026-02-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $40,358.35 $40,358.35 $40,358.35 2026-02-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $40,314.48 $40,314.48 $40,314.48 2026-02-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $40,162.34 $40,162.34 $40,162.34 2026-02-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 16 — — $35,410.80 $73,011.96 $40,156.58 2026-02-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $40,148.33 $40,148.33 $40,148.33 2026-02-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 16 — — $35,401.92 $72,993.64 $40,146.50 2026-02-04
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