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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

Southwest Healthcare System-wildomar

Wildomar, CA · CCN 050630 · Rates published

11,705 distinct procedures filed
25 distinct payers
654,646 rate rows
2026-11-03 last MRF observed
Data quality

625,299 of 654,646 rate rows are consumer-grade (95.5%)

29,347 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 24,387
template filing: same amount across many unrelated codes — excluded 4,290
exceeds 10× this hospital's gross charge — excluded from medians 516
placeholder amount (≤ $0.02) — excluded from medians 130
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/233059262_southwest-healthcare-system_standardcharges.csv
Found on page https://www.southwesthealthcare.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 33b88eedb1d7686d… · 93,506,112 bytes · first seen 2026-11-03

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
845
OTHER 		Inj, Atidarsagene Autotemcel 16 $3,280,937.44 $3,444,984.31 $3,346,556.19 nat. median
$21,691
outlier · 154.3×
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 16 $2,683,935.48 $2,818,132.26 $2,737,614.19 nat. median
$3,758,972
0.7× median
908
OTHER 		Topi Adm Prad Zami Per Treat 16 $2,429,437.68 $2,550,909.56 $2,478,026.43 nat. median
$32,134
outlier · 77.1×
714
OTHER 		Inj Delandistrogene Mox Rokl 16 $2,415,339.90 $2,536,106.90 $2,463,646.70 nat. median
$3,325,455
0.7× median
748
OTHER 		Inj, Lovotibeglogene Autotem 16 $2,365,804.03 $2,484,094.23 $2,413,120.11 nat. median
$3,252,508
0.7× median
906
OTHER 		Inj Elivaldogene Autotemecel 16 $2,250,409.92 $2,362,930.42 $2,295,418.12 nat. median
$25,642
outlier · 89.5×
746
OTHER 		Inj, Betibeglogene Autotemce 16 $2,145,347.09 $2,252,614.45 $2,188,254.04 nat. median
$2,939,969
0.7× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 16 $1,788,027.58 $1,877,428.96 $1,823,788.14 nat. median
$2,588,981
0.7× median
824
OTHER 		Inj, Exagamglogene Autotem 16 $1,698,367.62 $1,783,286.00 $1,732,334.97 nat. median
$2,308,680
0.8× median
2067
OTHER 		Afamitresgene Autoleucel 16 $561,233.30 $589,294.96 $572,457.96 nat. median
$786,032
0.7× median
5834
APR_DRG 		Neonate With Ecmo 7 $472,907.43 $508,375.49 $472,907.43 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $340,106.40 $775,303.99 $463,238.70 nat. median
$360,195
1.3× median
9194
OTHER 		Tisagenlecleucel Car-pos T 16 $430,947.08 $452,494.44 $439,566.02 nat. median
$577,862
0.8× median
9498
OTHER 		Ciltacabtagene Car-pos T 16 $412,115.56 $432,721.34 $420,357.87 nat. median
$587,650
0.7× median
9413
OTHER 		Lisocabtagene Car Pos T 16 $409,689.81 $430,174.30 $417,883.60 nat. median
$562,201
0.7× median
9422
OTHER 		Idecabtagene Vicleucel Car 16 $405,887.96 $426,182.36 $414,005.72 nat. median
$563,449
0.7× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 16 $388,345.13 $407,762.39 $396,112.03 nat. median
$533,230
0.7× median
9391
OTHER 		Brexucabtagene Car Pos T 16 $356,354.67 $374,172.40 $363,481.76 nat. median
$492,768
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $221,894.24 $503,141.10 $300,955.55 nat. median
$247,805
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $298,895.20 $321,312.33 $298,895.20 nat. median
$249,123
1.2× median
5833
APR_DRG 		Neonate With Ecmo 7 $285,529.45 $306,944.16 $285,529.45 nat. median
$244,017
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $267,832.14 $287,919.56 $267,832.14 nat. median
$122,909
outlier · 2.2×
24
APR_DRG 		Heart And/or Lung Transplant 7 $243,231.46 $261,473.82 $243,231.46 nat. median
$243,231
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $169,853.73 $383,326.88 $229,513.67 nat. median
$197,664
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $168,876.61 $381,077.24 $228,172.28 nat. median
$190,274
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $210,184.97 $225,948.84 $210,184.97 nat. median
$165,846
1.3× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $209,043.24 $224,721.48 $209,043.24 nat. median
$67,440
outlier · 3.1×
831
OTHER 		Obecbtge Autol Up To 400 Mil 16 $202,646.14 $212,778.44 $206,699.06 nat. median
$42,215
outlier · 4.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $205,658.34 $221,082.72 $205,658.34 nat. median
$165,334
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $202,241.64 $217,409.76 $202,241.64 nat. median
$202,660
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $194,638.60 $209,236.50 $194,638.60 nat. median
$165,169
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $193,485.21 $207,996.60 $193,485.21 nat. median
$177,531
1.1× median
897
OTHER 		Revakinagene, Per Implant 16 $187,534.16 $196,910.87 $191,284.84 nat. median
$259,700
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $186,605.16 $200,600.55 $186,605.16 nat. median
$145,336
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $181,536.82 $195,152.09 $181,536.82 nat. median
$152,569
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $179,391.18 $192,845.52 $179,391.18 nat. median
$138,094
1.3× median
5832
APR_DRG 		Neonate With Ecmo 7 $179,175.98 $192,614.18 $179,175.98 nat. median
$159,829
1.1× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $176,648.70 $189,897.36 $176,648.70 nat. median
$67,645
outlier · 2.6×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $173,017.86 $185,994.20 $173,017.86 nat. median
$160,390
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $162,739.13 $174,944.57 $162,739.13 nat. median
$121,888
1.3× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $158,746.79 $170,652.80 $158,746.79 nat. median
$71,594
outlier · 2.2×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $158,746.79 $170,652.80 $158,746.79 nat. median
$90,073
1.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $158,746.79 $170,652.80 $158,746.79 nat. median
$95,269
1.7× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $156,262.98 $167,982.70 $156,262.98 nat. median
$103,993
1.5× median
886
OTHER 		Inj. Remestemcel-l-rknd/ Td 16 $149,765.14 $157,253.40 $152,760.45 nat. median
$201,669
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $152,434.96 $163,867.58 $152,434.96 nat. median
$154,211
1.0× median
5831
APR_DRG 		Neonate With Ecmo 7 $151,179.80 $162,518.29 $151,179.80 nat. median
$148,245
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $149,835.59 $161,073.26 $149,835.59 nat. median
$171,358
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $111,374.24 $248,688.04 $149,232.28 nat. median
$126,240
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $148,693.87 $159,845.91 $148,693.87 nat. median
$122,016
1.2× median

Other procedures at this hospital

Browse this hospital's 11,705 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
             
6904 APR_DRG Acute Leukemia 7 7 — — $45,078.63 $48,459.53 $45,078.63 2026-11-03
834 MS_DRG Acute Leukemia With Mcc 21 18 — — $46,169.58 $98,565.66 $59,718.50 2026-11-03
850 MS_DRG Acute Leukemia With Other Procedures 21 18 — — $70,886.76 $155,472.66 $93,650.55 2026-11-03
4014 APR_DRG Adrenal Procedures 7 7 — — $45,294.89 $48,692.01 $45,294.89 2026-11-03
2067 OTHER Afamitresgene Autoleucel 16 16 — — $561,233.30 $589,294.96 $572,457.96 2026-11-03
245 MS_DRG Aicd Generator Procedures 21 18 — — $38,936.75 $81,913.33 $49,789.17 2026-11-03
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $149,835.59 $161,073.26 $149,835.59 2026-11-03
14 MS_DRG Allogeneic Bone Marrow Transplant 21 18 — — $97,076.23 $215,769.38 $129,603.80 2026-11-03
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $89,273.14 $95,968.63 $89,273.14 2026-11-03
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $66,446.01 $71,429.46 $66,446.01 2026-11-03
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $55,309.66 $59,457.88 $55,309.66 2026-11-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 18 — — $41,738.63 $88,364.20 $53,635.65 2026-11-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 18 — — $36,835.13 $77,074.73 $46,904.05 2026-11-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 18 — — $56,993.48 $123,485.82 $74,577.69 2026-11-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 18 — — $36,291.59 $75,823.33 $46,157.87 2026-11-03
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $65,108.16 $69,991.27 $65,108.16 2026-11-03
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $42,705.07 $45,907.95 $42,705.07 2026-11-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 18 — — $49,599.22 $106,461.83 $64,426.77 2026-11-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 18 — — $45,720.38 $97,531.51 $59,101.86 2026-11-03
9035 OTHER Axicabtagene Ciloleucel Car+ 16 16 — — $388,345.13 $407,762.39 $396,112.03 2026-11-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 18 — — $32,502.45 $67,099.48 $40,956.10 2026-11-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 18 — — $46,427.69 $99,159.94 $60,072.85 2026-11-03
90288 HCPCS Botulinum Human Antitoxin For Infusion Into Vein 1 1 — — $132,253.51 $132,253.51 $132,253.51 2026-11-03
C2616 HCPCS Brach Y-90 Nonstrand Per Srce 19 15 $123,917.00 — $4,062.00 $111,525.30 $45,279.27 2026-11-03
9391 OTHER Brexucabtagene Car Pos T 16 16 — — $356,354.67 $374,172.40 $363,481.76 2026-11-03
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $92,524.47 $99,463.80 $92,524.47 2026-11-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 18 — — $58,962.52 $128,019.20 $77,280.82 2026-11-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 18 — — $50,198.91 $107,842.50 $65,250.01 2026-11-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 18 — — $39,374.23 $82,920.55 $50,389.75 2026-11-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $79,646.48 $175,640.39 $105,676.01 2026-11-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $54,633.74 $118,052.94 $71,338.22 2026-11-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $54,633.74 $118,052.94 $71,338.22 2026-11-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 — — $63,235.16 $137,856.20 $83,146.35 2026-11-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 — — $44,944.48 $95,745.09 $58,036.67 2026-11-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 — — $42,662.73 $90,491.75 $54,904.25 2026-11-03
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $80,771.14 $86,828.97 $80,771.14 2026-11-03
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $57,853.90 $62,192.94 $57,853.90 2026-11-03
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $44,276.14 $47,596.85 $44,276.14 2026-11-03
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $71,005.50 $76,330.91 $71,005.50 2026-11-03
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $48,537.74 $52,178.07 $48,537.74 2026-11-03
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 18 — — $33,542.73 $69,494.55 $42,384.20 2026-11-03
471 MS_DRG Cervical Spinal Fusion With Mcc 21 18 — — $41,013.40 $86,694.48 $52,640.05 2026-11-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 18 — — $40,823.14 $86,256.40 $52,378.82 2026-11-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 18 — — $340,106.40 $775,303.99 $463,238.70 2026-11-03
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $267,832.14 $287,919.56 $267,832.14 2026-11-03
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $209,043.24 $224,721.48 $209,043.24 2026-11-03
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $176,648.70 $189,897.36 $176,648.70 2026-11-03
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $74,625.74 $80,222.67 $74,625.74 2026-11-03
9498 OTHER Ciltacabtagene Car-pos T 16 16 — — $412,115.56 $432,721.34 $420,357.87 2026-11-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 18 — — $73,616.90 $161,758.36 $97,398.55 2026-11-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 18 — — $48,331.24 $103,542.51 $62,686.04 2026-11-03
209 MS_DRG Complex Aortic Arch Procedures 21 18 — — $91,624.51 $203,217.74 $122,119.61 2026-11-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 18 — — $88,156.65 $195,233.59 $117,358.89 2026-11-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 18 — — $55,500.89 $120,049.42 $72,528.68 2026-11-03
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $63,659.00 $68,433.43 $63,659.00 2026-11-03
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $46,931.69 $50,451.56 $46,931.69 2026-11-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 18 — — $62,977.04 $137,261.92 $82,792.00 2026-11-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 18 — — $45,957.47 $98,077.32 $59,427.31 2026-11-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 18 — — $69,096.29 $151,350.42 $91,192.58 2026-11-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 18 — — $50,635.60 $108,847.92 $65,849.52 2026-11-03
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $55,046.75 $59,175.26 $55,046.75 2026-11-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 18 — — $49,122.76 $105,364.84 $63,772.66 2026-11-03
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 18 — — $36,023.34 $75,205.72 $45,789.61 2026-11-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 18 — — $37,104.16 $77,694.14 $47,273.40 2026-11-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 18 — — $38,814.32 $81,631.45 $49,621.11 2026-11-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 18 — — $55,848.71 $120,850.17 $73,006.13 2026-11-03
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $56,988.86 $61,263.02 $56,988.86 2026-11-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 18 — — $48,044.25 $102,881.81 $62,292.10 2026-11-03
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 18 — — $33,864.02 $70,234.25 $42,825.26 2026-11-03
C1721 HCPCS Defib Ilesto 7 Dr T 383563 469 15 $103,556.00 — $2,449.62 $201,550.50 $55,291.50 2026-11-03
1794 APR_DRG Defibrillator Implants 7 7 — — $54,992.69 $59,117.14 $54,992.69 2026-11-03
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $54,426.59 $58,508.59 $54,426.59 2026-11-03
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $74,045.86 $79,599.30 $74,045.86 2026-11-03
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $49,432.46 $53,139.90 $49,432.46 2026-11-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 18 — — $168,876.61 $381,077.24 $228,172.28 2026-11-03
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 18 — — $47,861.79 $102,461.68 $62,041.58 2026-11-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 18 — — $51,148.73 $110,029.29 $66,553.95 2026-11-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 18 — — $40,483.90 $85,475.40 $51,913.14 2026-11-03
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $54,718.12 $58,821.98 $54,718.12 2026-11-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 18 — — $169,853.73 $383,326.88 $229,513.67 2026-11-03
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 18 — — $33,726.00 $69,916.47 $42,635.78 2026-11-03
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $44,744.70 $48,100.55 $44,744.70 2026-11-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 18 — — $39,945.83 $84,236.58 $51,174.47 2026-11-03
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $173,017.86 $185,994.20 $173,017.86 2026-11-03
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $52,320.18 $56,244.19 $52,320.18 2026-11-03
1784 APR_DRG External Heart Assist Devices 7 7 — — $66,228.69 $71,195.84 $66,228.69 2026-11-03
1783 APR_DRG External Heart Assist Devices 7 7 — — $53,704.67 $57,732.52 $53,704.67 2026-11-03
1782 APR_DRG External Heart Assist Devices 7 7 — — $43,293.42 $46,540.43 $43,293.42 2026-11-03
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $194,638.60 $209,236.50 $194,638.60 2026-11-03
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $110,110.47 $118,368.75 $110,110.47 2026-11-03
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $60,423.58 $64,955.35 $60,423.58 2026-11-03
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $48,887.57 $52,554.14 $48,887.57 2026-11-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 18 — — $49,706.85 $106,709.60 $64,574.49 2026-11-03
793 MS_DRG Full Term Neonate With Major Problems 21 18 — — $35,873.61 $74,861.00 $45,584.06 2026-11-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 18 — — $59,292.39 $128,778.66 $77,733.66 2026-11-03
8514 APR_DRG Gender Related Procedures 7 7 — — $69,605.11 $74,825.49 $69,605.11 2026-11-03
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $243,231.46 $261,473.82 $243,231.46 2026-11-03
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $131,530.85 $141,395.66 $131,530.85 2026-11-03
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $101,523.66 $109,137.93 $101,523.66 2026-11-03
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $77,825.12 $83,662.01 $77,825.12 2026-11-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 18 — — $221,894.24 $503,141.10 $300,955.55 2026-11-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 18 — — $91,725.89 $203,451.14 $122,258.78 2026-11-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 18 — — $51,093.36 $109,901.82 $66,477.93 2026-11-03
C1722 HCPCS Icd Cobalt Xt Vr MRI Dvpa2d4 279 15 $110,691.00 — $4,062.00 $172,074.60 $49,810.95 2026-11-03
C1882 HCPCS Icd Quandra Assura Cd3369-40c 409 15 $185,882.00 — $4,062.00 $236,599.20 $70,005.65 2026-11-03
9422 OTHER Idecabtagene Vicleucel Car 16 16 — — $405,887.96 $426,182.36 $414,005.72 2026-11-03
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $202,241.64 $217,409.76 $202,241.64 2026-11-03
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,739.13 $174,944.57 $162,739.13 2026-11-03
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $109,991.74 $118,241.12 $109,991.74 2026-11-03
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $109,991.74 $118,241.12 $109,991.74 2026-11-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 18 — — $41,870.43 $88,667.62 $53,816.57 2026-11-03
714 OTHER Inj Delandistrogene Mox Rokl 16 16 — — $2,415,339.90 $2,536,106.90 $2,463,646.70 2026-11-03
906 OTHER Inj Elivaldogene Autotemecel 16 16 — — $2,250,409.92 $2,362,930.42 $2,295,418.12 2026-11-03
9141 OTHER Inj Onase Abepar-xioi Treat 16 16 — — $1,788,027.58 $1,877,428.96 $1,823,788.14 2026-11-03
845 OTHER Inj, Atidarsagene Autotemcel 16 16 — — $3,280,937.44 $3,444,984.31 $3,346,556.19 2026-11-03
746 OTHER Inj, Betibeglogene Autotemce 16 16 — — $2,145,347.09 $2,252,614.45 $2,188,254.04 2026-11-03
824 OTHER Inj, Exagamglogene Autotem 16 16 — — $1,698,367.62 $1,783,286.00 $1,732,334.97 2026-11-03
9138 OTHER Inj, Hemgenix, Per Tx Dose 16 16 — — $2,683,935.48 $2,818,132.26 $2,737,614.19 2026-11-03
748 OTHER Inj, Lovotibeglogene Autotem 16 16 — — $2,365,804.03 $2,484,094.23 $2,413,120.11 2026-11-03
886 OTHER Inj. Remestemcel-l-rknd/ Td 16 16 — — $149,765.14 $157,253.40 $152,760.45 2026-11-03
717 OTHER Instill Adstiladrin, Tx Dose 16 16 — — $46,131.42 $48,437.99 $47,054.05 2026-11-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 18 — — $44,640.36 $95,044.89 $57,619.16 2026-11-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 18 — — $64,720.72 $141,276.44 $85,185.74 2026-11-03
4404 APR_DRG Kidney Transplant 7 7 — — $76,896.47 $82,663.71 $76,896.47 2026-11-03
4403 APR_DRG Kidney Transplant 7 7 — — $51,187.99 $55,027.09 $51,187.99 2026-11-03
4402 APR_DRG Kidney Transplant 7 7 — — $44,182.85 $47,496.56 $44,182.85 2026-11-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 18 — — $40,020.69 $84,408.94 $51,277.24 2026-11-03
5244 OTHER Level 4 Blood Product Exchange And Related Services 16 16 — — $46,802.34 $49,142.46 $47,738.39 2026-11-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 18 — — $32,702.86 $67,560.90 $41,231.22 2026-11-03
9413 OTHER Lisocabtagene Car Pos T 16 16 — — $409,689.81 $430,174.30 $417,883.60 2026-11-03
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $137,900.99 $148,243.56 $137,900.99 2026-11-03
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $76,155.46 $81,867.12 $76,155.46 2026-11-03
12 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $61,446.58 $66,055.07 $61,446.58 2026-11-03
11 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $50,490.44 $54,277.23 $50,490.44 2026-11-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 18 — — $83,761.58 $185,114.72 $111,325.29 2026-11-03
6 MS_DRG Liver Transplant Without Mcc 21 18 — — $39,518.49 $83,252.70 $50,587.81 2026-11-03
7 MS_DRG Lung Transplant 21 18 — — $104,346.49 $232,507.89 $139,584.51 2026-11-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 18 — — $49,093.12 $105,296.62 $63,731.98 2026-11-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 18 — — $39,111.42 $82,315.50 $50,028.98 2026-11-03
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $49,701.73 $53,429.36 $49,701.73 2026-11-03
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $41,597.26 $44,717.06 $41,597.26 2026-11-03
4414 APR_DRG Major Bladder Procedures 7 7 — — $43,454.56 $46,713.65 $43,454.56 2026-11-03
653 MS_DRG Major Bladder Procedures With Mcc 21 18 — — $43,880.80 $93,296.17 $56,576.44 2026-11-03
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $106,925.93 $114,945.37 $106,925.93 2026-11-03
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $46,998.47 $50,523.36 $46,998.47 2026-11-03
163 MS_DRG Major Chest Procedures With Mcc 21 18 — — $38,308.20 $80,466.24 $48,926.31 2026-11-03
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $45,836.60 $49,274.35 $45,836.60 2026-11-03
140 MS_DRG Major Head And Neck Procedures With Mcc 21 18 — — $36,619.90 $76,579.20 $46,608.58 2026-11-03
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $52,992.28 $56,966.70 $52,992.28 2026-11-03
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $46,961.37 $50,483.47 $46,961.37 2026-11-03
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $44,991.70 $48,366.08 $44,991.70 2026-11-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 18 — — $39,202.66 $82,525.56 $50,154.23 2026-11-03
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $45,647.91 $49,071.50 $45,647.91 2026-11-03
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 7 — — $45,534.48 $48,949.56 $45,534.48 2026-11-03
81529 HCPCS Mrna Gene Analysis Of 31 Genes In Skin Melanoma Tissue Specimen 4 3 — — $7,751.90 $64,952.79 $45,247.13 2026-11-03
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $66,991.96 $72,016.36 $66,991.96 2026-11-03
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $52,521.59 $56,460.71 $52,521.59 2026-11-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 18 — — $89,303.77 $197,874.62 $118,933.66 2026-11-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 18 — — $59,650.33 $129,602.74 $78,225.05 2026-11-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 18 — — $47,199.72 $100,937.39 $61,132.69 2026-11-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 18 — — $55,462.68 $119,961.45 $72,476.20 2026-11-03
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 18 — — $36,428.83 $76,139.32 $46,346.29 2026-11-03
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $52,238.55 $56,156.44 $52,238.55 2026-11-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 18 — — $39,836.66 $83,985.22 $51,024.59 2026-11-03
8634 APR_DRG Neonatal Aftercare 7 7 — — $79,352.73 $85,304.18 $79,352.73 2026-11-03
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $95,898.77 $103,091.17 $95,898.77 2026-11-03
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $132,592.01 $142,536.41 $132,592.01 2026-11-03
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $92,424.82 $99,356.68 $92,424.82 2026-11-03
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $67,567.59 $72,635.16 $67,567.59 2026-11-03
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $48,331.02 $51,955.85 $48,331.02 2026-11-03
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $48,331.02 $51,955.85 $48,331.02 2026-11-03
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $98,696.37 $106,098.60 $98,696.37 2026-11-03
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $69,311.46 $74,509.82 $69,311.46 2026-11-03
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $47,210.49 $50,751.28 $47,210.49 2026-11-03
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $53,084.51 $57,065.85 $53,084.51 2026-11-03
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $83,170.15 $89,407.91 $83,170.15 2026-11-03
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $60,950.45 $65,521.73 $60,950.45 2026-11-03
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $42,172.90 $45,335.87 $42,172.90 2026-11-03
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $210,184.97 $225,948.84 $210,184.97 2026-11-03
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $64,545.25 $69,386.14 $64,545.25 2026-11-03
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $41,331.18 $44,431.02 $41,331.18 2026-11-03
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $56,944.33 $61,215.16 $56,944.33 2026-11-03
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $205,658.34 $221,082.72 $205,658.34 2026-11-03
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $156,262.98 $167,982.70 $156,262.98 2026-11-03
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $126,883.37 $136,399.62 $126,883.37 2026-11-03
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $181,536.82 $195,152.09 $181,536.82 2026-11-03
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $129,686.27 $139,412.74 $129,686.27 2026-11-03
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $100,833.53 $108,396.05 $100,833.53 2026-11-03
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $49,985.84 $53,734.77 $49,985.84 2026-11-03
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $298,895.20 $321,312.33 $298,895.20 2026-11-03
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $193,485.21 $207,996.60 $193,485.21 2026-11-03
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $186,605.16 $200,600.55 $186,605.16 2026-11-03
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $124,113.33 $133,421.83 $124,113.33 2026-11-03
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $158,746.79 $170,652.80 $158,746.79 2026-11-03
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $158,746.79 $170,652.80 $158,746.79 2026-11-03
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $158,746.79 $170,652.80 $158,746.79 2026-11-03
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $59,665.61 $64,140.53 $59,665.61 2026-11-03
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $152,434.96 $163,867.58 $152,434.96 2026-11-03
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $82,787.45 $88,996.51 $82,787.45 2026-11-03
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $179,391.18 $192,845.52 $179,391.18 2026-11-03
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $49,611.62 $53,332.49 $49,611.62 2026-11-03
5834 APR_DRG Neonate With Ecmo 7 7 — — $472,907.43 $508,375.49 $472,907.43 2026-11-03
5833 APR_DRG Neonate With Ecmo 7 7 — — $285,529.45 $306,944.16 $285,529.45 2026-11-03
5832 APR_DRG Neonate With Ecmo 7 7 — — $179,175.98 $192,614.18 $179,175.98 2026-11-03
5831 APR_DRG Neonate With Ecmo 7 7 — — $151,179.80 $162,518.29 $151,179.80 2026-11-03
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 16 16 — — $40,056.20 $42,059.01 $40,857.33 2026-11-03
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 16 16 — — $40,056.20 $42,059.01 $40,857.33 2026-11-03
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 16 16 — — $47,339.08 $49,706.04 $48,285.87 2026-11-03
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 16 16 — — $47,339.08 $49,706.04 $48,285.87 2026-11-03
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 16 16 — — $54,621.96 $57,353.06 $55,714.40 2026-11-03
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 16 16 — — $54,621.96 $57,353.06 $55,714.40 2026-11-03
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 16 16 — — $61,904.84 $65,000.09 $63,142.94 2026-11-03
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 16 16 — — $61,904.84 $65,000.09 $63,142.94 2026-11-03
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 16 16 — — $69,187.72 $72,647.11 $70,571.48 2026-11-03
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 16 16 — — $69,187.72 $72,647.11 $70,571.48 2026-11-03
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 16 16 — — $78,291.32 $82,205.89 $79,857.15 2026-11-03
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 16 16 — — $78,291.32 $82,205.89 $79,857.15 2026-11-03
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 16 16 — — $89,215.64 $93,676.43 $90,999.96 2026-11-03
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 16 16 — — $89,215.64 $93,676.43 $90,999.96 2026-11-03
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 16 16 — — $100,139.96 $105,146.96 $102,142.76 2026-11-03
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 16 16 — — $100,139.96 $105,146.96 $102,142.76 2026-11-03
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 16 16 — — $111,064.28 $116,617.50 $113,285.57 2026-11-03
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 16 16 — — $111,064.28 $116,617.50 $113,285.57 2026-11-03
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 18 — — $33,497.51 $69,390.41 $42,322.11 2026-11-03
831 OTHER Obecbtge Autol Up To 400 Mil 16 16 — — $202,646.14 $212,778.44 $206,699.06 2026-11-03
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $49,641.30 $53,364.40 $49,641.30 2026-11-03
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $43,983.55 $47,282.32 $43,983.55 2026-11-03
C1824 HCPCS Optimizer Smart Ipg Impl 45 15 $96,308.00 — $4,062.00 $89,076.60 $43,776.50 2026-11-03
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $42,835.46 $46,048.12 $42,835.46 2026-11-03
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $54,029.06 $58,081.24 $54,029.06 2026-11-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 18 — — $41,939.04 $88,825.62 $53,910.78 2026-11-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 18 — — $37,614.17 $78,868.33 $47,973.54 2026-11-03
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 18 — — $32,574.97 $67,266.46 $41,055.66 2026-11-03
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 18 — — $32,420.57 $66,910.97 $40,843.68 2026-11-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 18 — — $38,160.82 $80,126.91 $48,723.97 2026-11-03
5204 APR_DRG Other GYN Procedures For Malignancy 7 7 — — $42,979.63 $46,203.11 $42,979.63 2026-11-03
215 MS_DRG Other Heart Assist System Implant 21 18 — — $81,004.92 $178,767.98 $107,540.89 2026-11-03
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 18 — — $35,744.15 $74,562.96 $45,406.36 2026-11-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 18 — — $36,123.15 $75,435.53 $45,926.65 2026-11-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 18 — — $44,503.87 $94,730.69 $57,431.82 2026-11-03
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $53,845.66 $57,884.08 $53,845.66 2026-11-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 18 — — $33,297.86 $68,930.79 $42,048.05 2026-11-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 18 — — $36,219.07 $75,656.36 $46,058.32 2026-11-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 18 — — $62,779.74 $136,807.68 $82,521.15 2026-11-03
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 18 — — $34,427.03 $71,530.53 $43,598.20 2026-11-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 18 — — $32,505.56 $67,106.67 $40,960.38 2026-11-03
64 APR_DRG Pancreas Transplant 7 7 — — $92,994.09 $99,968.65 $92,994.09 2026-11-03
63 APR_DRG Pancreas Transplant 7 7 — — $79,144.95 $85,080.82 $79,144.95 2026-11-03
10 MS_DRG Pancreas Transplant 21 18 — — $59,315.78 $128,832.52 $77,765.78 2026-11-03
62 APR_DRG Pancreas Transplant 7 7 — — $66,925.17 $71,944.56 $66,925.17 2026-11-03
61 APR_DRG Pancreas Transplant 7 7 — — $54,005.73 $58,056.16 $54,005.73 2026-11-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 18 — — $46,018.29 $98,217.36 $59,510.81 2026-11-03
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 18 — — $35,529.71 $74,069.23 $45,111.97 2026-11-03
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $58,768.76 $63,176.42 $58,768.76 2026-11-03
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $41,408.57 $44,514.21 $41,408.57 2026-11-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 18 — — $33,468.65 $69,323.98 $42,282.49 2026-11-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 18 — — $38,829.91 $81,667.36 $49,642.51 2026-11-03
791 MS_DRG Prematurity With Major Problems 21 18 — — $35,011.14 $72,875.29 $44,400.03 2026-11-03
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $47,159.61 $50,696.58 $47,159.61 2026-11-03
4854 APR_DRG Prostatectomy Procedures 7 7 — — $41,471.11 $44,581.45 $41,471.11 2026-11-03
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $47,938.78 $51,534.19 $47,938.78 2026-11-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 18 — — $53,537.32 $115,528.60 $69,833.04 2026-11-03
897 OTHER Revakinagene, Per Implant 16 16 — — $187,534.16 $196,910.87 $191,284.84 2026-11-03
64656 HCPCS Revise Replace Bat Generator 19 15 $119,064.00 — $4,062.00 $107,157.60 $43,505.99 2026-11-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 18 — — $43,950.98 $93,457.75 $56,672.78 2026-11-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 18 — — $57,257.85 $124,094.46 $74,940.62 2026-11-03
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 18 — — $47,064.03 $100,624.99 $60,946.41 2026-11-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 18 — — $58,995.27 $128,094.61 $77,325.79 2026-11-03
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $50,655.82 $54,455.00 $50,655.82 2026-11-03
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 18 — — $34,710.91 $72,184.06 $43,987.88 2026-11-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 18 — — $44,919.53 $95,687.64 $58,002.42 2026-11-03
9273 OTHER Sipuleucel-t Auto Cd54+ 16 16 — — $40,254.17 $42,266.87 $41,059.25 2026-11-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 18 — — $41,578.77 $87,996.14 $53,416.20 2026-11-03
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $43,474.70 $46,735.30 $43,474.70 2026-11-03
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $40,936.82 $44,007.08 $40,936.82 2026-11-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 18 — — $54,447.36 $117,623.84 $71,082.35 2026-11-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 18 — — $68,889.63 $150,874.64 $90,908.88 2026-11-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 18 — — $49,859.68 $107,061.50 $64,784.32 2026-11-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 18 — — $35,897.00 $74,914.86 $45,616.19 2026-11-03
234 APR_DRG Spinal Procedures 7 7 — — $47,896.38 $51,488.61 $47,896.38 2026-11-03
28 MS_DRG Spinal Procedures With Mcc 21 18 — — $50,212.16 $107,873.02 $65,268.22 2026-11-03
799 MS_DRG Splenic Procedures With Mcc 21 18 — — $38,675.51 $81,311.87 $49,430.54 2026-11-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 18 — — $42,250.98 $89,543.78 $54,339.00 2026-11-03
9194 OTHER Tisagenlecleucel Car-pos T 16 16 — — $430,947.08 $452,494.44 $439,566.02 2026-11-03
908 OTHER Topi Adm Prad Zami Per Treat 16 16 — — $2,429,437.68 $2,550,909.56 $2,478,026.43 2026-11-03
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 18 — — $36,235.46 $75,694.06 $46,080.81 2026-11-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 18 — — $45,890.40 $97,922.91 $59,335.24 2026-11-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 18 — — $111,374.24 $248,688.04 $149,232.28 2026-11-03
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $148,693.87 $159,845.91 $148,693.87 2026-11-03
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $98,565.98 $105,958.43 $98,565.98 2026-11-03
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $61,468.84 $66,079.00 $61,468.84 2026-11-03
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $43,549.97 $46,816.22 $43,549.97 2026-11-03
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $105,772.54 $113,705.48 $105,772.54 2026-11-03
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $74,623.62 $80,220.39 $74,623.62 2026-11-03
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $49,972.05 $53,719.96 $49,972.05 2026-11-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 18 — — $46,764.57 $99,935.55 $60,535.33 2026-11-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 18 — — $38,298.07 $80,442.90 $48,912.40 2026-11-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 18 — — $47,804.08 $102,328.82 $61,962.36 2026-11-03
901 MS_DRG Wound Debridements For Injuries With Mcc 21 18 — — $36,084.17 $75,345.76 $45,873.12 2026-11-03
1643 OTHER Y90 Ibritumomab, Rx 16 16 — — $41,384.64 $43,453.87 $42,212.33 2026-11-03
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