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 →

Export CSV
Hospital

Memorial Satilla Health

Waycross, GA · CCN 110003 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $9,452 across 21 payers · range $1,349-$14,987

Source: https://core.secure.ehc.com/src/util/json-detail-price-list/81-4223395_memorial-satilla-health_standardcharges.json · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

28,026 distinct procedures filed
33 distinct payers
535,573 rate rows
2026-07-30 last MRF observed
Data quality

495,488 of 535,573 rate rows are consumer-grade (92.5%)

40,085 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 26,488
per-diem day rate — not a per-procedure price 5,519
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,606
template filing: same amount across many unrelated codes — excluded 3,280
placeholder amount (≤ $0.02) — excluded from medians 69
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 59
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 53
exceeds 10× this hospital's gross charge — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://core.secure.ehc.com/src/util/detail-price-list/81-4223395_memorial-satilla-health_standardcharges.csv
Found on page https://memorialsatillahealth.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 2b25f23d2e09ed21… · 31,739,969 bytes · first seen 2026-07-30

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 Autotem 14 $4,983.39 $4,730,250.00 $4,550,050.00 nat. median
$16,015
outlier · 284.1×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,414,900
1.0× median
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 $3,994,116.00 $4,111,590.00 $4,052,853.00 nat. median
$3,710,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 2 $3,195,292.80 $4,850,948.67 $4,023,120.73 nat. median
$2,997,086
1.3× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 13 $3,685,267.00 $3,869,530.35 $3,722,119.67 nat. median
$3,758,972
1.0× median
J1413
HCPCS 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 $3,651,763.20 $3,651,763.20 $3,651,763.20 nat. median
$3,324,572
1.1× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,574,708.99 $3,574,708.99 $3,574,708.99 nat. median
$3,574,709
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 1 $3,537,645.60 $3,537,645.60 $3,537,645.60 nat. median
$3,286,000
1.1× median
908
OTHER 		Topi Adm Prad Zami Per Tr 14 $9,023.13 $3,502,611.00 $3,369,178.20 nat. median
$29,683
outlier · 113.5×
714
OTHER 		Inj Delandistrogene Mox R 14 $5,861.13 $3,494,253.00 $3,361,138.60 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 14 $11,156.61 $3,415,133.40 $3,285,033.08 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$14,170
outlier · 228.4×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,228,024.20 $3,228,024.20 $3,228,024.20 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 14 $7,973.00 $3,339,000.00 $3,211,800.00 nat. median
$24,604
outlier · 130.5×
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 2 $2,510,587.20 $3,847,800.00 $3,179,193.60 nat. median
$2,405,851
1.3× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,154,932.76 $3,154,932.76 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 14 $10,319.99 $3,086,967.45 $2,969,368.69 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,851,769.93 $2,851,769.93 nat. median
$2,878,960
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 $2,648,347.96 $4,271,819.03 $2,729,357.14 nat. median
$2,460,273
1.1× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 13 $2,588,981.00 $2,718,430.05 $2,614,870.81 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,511,311.57 $2,511,311.57 $2,511,311.57 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 14 $12,084.44 $2,448,600.00 $2,355,320.00 nat. median
$58,186
outlier · 40.5×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $926,575.00 $1,271,523.00 $1,099,049.00 nat. median
$809,151
1.4× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 7 $561,407.87 $1,452,018.62 $1,006,713.24 nat. median
$691,418
1.5× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 7 $500,948.74 $1,325,876.30 $913,412.52 nat. median
$624,417
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 7 $487,755.77 $1,256,644.37 $872,200.07 nat. median
$588,565
1.5× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 $536,573.93 $1,415,294.82 $800,562.22 nat. median
$631,793
1.3× median
2067
OTHER 		Afamitresgene Autoleucel 13 $770,620.00 $809,151.00 $778,326.20 nat. median
$786,032
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 6 $511,793.34 $1,356,236.12 $769,254.14 nat. median
$610,161
1.3× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 $474,717.03 $1,252,881.91 $683,224.77 nat. median
$577,541
1.2× median
9498
OTHER 		Ciltacabtagene Car-pos T 13 $587,649.60 $617,032.08 $593,526.10 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 13 $566,531.30 $594,857.87 $572,196.61 nat. median
$576,820
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $570,020.11 $570,020.11 $570,020.11 nat. median
$570,020
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 13 $562,201.20 $590,311.26 $567,823.21 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 13 $558,081.80 $585,985.89 $563,662.62 nat. median
$560,872
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $549,535.36 $549,535.36 $549,535.36 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $545,335.16 $545,335.16 $545,335.16 nat. median
$545,335
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $541,339.35 $541,339.35 $541,339.35 nat. median
$541,339
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 13 $532,192.20 $558,801.81 $537,514.12 nat. median
$533,230
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $516,226.43 $516,226.43 $516,226.43 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 13 $489,450.20 $513,922.71 $494,344.70 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $474,766.69 $474,766.69 $474,766.69 nat. median
$474,767
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$302,242
1.5× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $9,694.17 $949,373.86 $317,085.60 nat. median
$370,165
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 14 $3,412.41 $292,162.50 $281,032.50 nat. median
$20,175
outlier · 13.9×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$272,685
1.0× median
897
OTHER 		Revakinagene, Per Implant 13 $265,000.00 $278,250.00 $267,650.00 nat. median
$19,528
outlier · 13.7×

Other procedures at this hospital

Browse this hospital's 28,026 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
             
845 OTHER Inj, Atidarsagene Autotem 18 14 $16,029.00 — $4,983.39 $4,730,250.00 $4,550,050.00 2026-07-30
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 2 — — $3,994,116.00 $4,111,590.00 $4,052,853.00 2026-07-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 2 — — $3,195,292.80 $4,850,948.67 $4,023,120.73 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 16 13 — — $3,685,267.00 $3,869,530.35 $3,722,119.67 2026-03-01
J1413 HCPCS Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 1 — — $3,651,763.20 $3,651,763.20 $3,651,763.20 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,574,708.99 $3,574,708.99 $3,574,708.99 2026-03-01
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 1 1 — — $3,537,645.60 $3,537,645.60 $3,537,645.60 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 18 14 $37,276.24 — $9,023.13 $3,502,611.00 $3,369,178.20 2026-07-30
714 OTHER Inj Delandistrogene Mox R 18 14 $19,440.00 — $5,861.13 $3,494,253.00 $3,361,138.60 2026-07-30
748 OTHER Inj, Lovotibeglogene Auto 18 14 $25,688.25 — $11,156.61 $3,415,133.40 $3,285,033.08 2026-07-30
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,228,024.20 $3,228,024.20 $3,228,024.20 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 18 14 $32,405.77 — $7,973.00 $3,339,000.00 $3,211,800.00 2026-07-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 2 2 — — $2,510,587.20 $3,847,800.00 $3,179,193.60 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,154,932.76 $3,154,932.76 $3,154,932.76 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 18 14 $28,338.28 — $10,319.99 $3,086,967.45 $2,969,368.69 2026-07-30
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,851,769.93 $2,851,769.93 $2,851,769.93 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 3 — — $2,648,347.96 $4,271,819.03 $2,729,357.14 2026-07-30
9141 OTHER Inj Onase Abepar-xioi Tre 16 13 — — $2,588,981.00 $2,718,430.05 $2,614,870.81 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,511,311.57 $2,511,311.57 $2,511,311.57 2026-03-01
824 OTHER Inj, Exagamglogene Autote 18 14 $41,514.12 — $12,084.44 $2,448,600.00 $2,355,320.00 2026-07-30
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 2 — — $926,575.00 $1,271,523.00 $1,099,049.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 7 $1,011,785.25 — $561,407.87 $1,452,018.62 $1,006,713.24 2026-07-30
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 7 $1,024,847.73 — $500,948.74 $1,325,876.30 $913,412.52 2026-07-30
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 11 7 $970,645.45 — $487,755.77 $1,256,644.37 $872,200.07 2026-07-30
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 6 $1,059,735.00 — $536,573.93 $1,415,294.82 $800,562.22 2026-07-30
2067 OTHER Afamitresgene Autoleucel 16 13 — — $770,620.00 $809,151.00 $778,326.20 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 6 6 $1,047,827.50 — $511,793.34 $1,356,236.12 $769,254.14 2026-07-30
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 6 $964,817.66 — $474,717.03 $1,252,881.91 $683,224.77 2026-07-30
9498 OTHER Ciltacabtagene Car-pos T 16 13 $838,162.50 — $587,649.60 $617,032.08 $593,526.10 2026-07-30
9194 OTHER Tisagenlecleucel Car-pos 16 13 $794,249.05 — $566,531.30 $594,857.87 $572,196.61 2026-07-30
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $570,020.11 $570,020.11 $570,020.11 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 16 13 $761,106.50 — $562,201.20 $590,311.26 $567,823.21 2026-07-30
9422 OTHER Idecabtagene Vicleucel Ca 16 13 $778,172.50 — $558,081.80 $585,985.89 $563,662.62 2026-07-30
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $549,535.36 $549,535.36 $549,535.36 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $545,335.16 $545,335.16 $545,335.16 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $541,339.35 $541,339.35 $541,339.35 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 16 13 $740,048.35 — $532,192.20 $558,801.81 $537,514.12 2026-07-30
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $516,226.43 $516,226.43 $516,226.43 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 16 13 $740,145.00 — $489,450.20 $513,922.71 $494,344.70 2026-07-30
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $474,766.69 $474,766.69 $474,766.69 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 20 — — $9,694.17 $949,373.86 $317,085.60 2026-03-01
831 OTHER Obecbtge Autol Up To 400 18 14 $21,657.02 — $3,412.41 $292,162.50 $281,032.50 2026-07-30
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
897 OTHER Revakinagene, Per Implant 16 13 $16,029.00 — $265,000.00 $278,250.00 $267,650.00 2026-07-30
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 $655,170.06 — $201,202.73 $217,796.78 $209,499.76 2026-07-30
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $209,220.70 $213,405.11 $209,220.70 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 19 — — $9,694.17 $616,105.44 $206,407.77 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 18 14 $24,742.07 — $7,466.91 $211,752.45 $203,685.69 2026-07-30
5834 APR_DRG Neonate With Ecmo 4 4 — — $199,821.86 $203,818.30 $199,821.86 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 $510,177.90 — $176,860.49 $191,446.92 $184,153.71 2026-07-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $180,122.93 $183,725.39 $180,122.93 2026-03-01
5833 APR_DRG Neonate With Ecmo 4 4 — — $158,235.22 $161,399.92 $158,235.22 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 19 — — $9,694.17 $469,390.74 $156,929.66 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 41 19 — — $9,694.17 $466,636.02 $156,019.14 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $153,213.93 $156,278.21 $153,213.93 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $150,767.66 $153,783.01 $150,767.66 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $150,638.90 $153,651.68 $150,638.90 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $147,677.63 $150,631.18 $147,677.63 2026-03-01
1907 OTHER New Technology - Level 52 16 13 $237,044.49 — $141,950.50 $149,048.02 $143,370.01 2026-07-30
1908 OTHER New Technology - Level 52 16 13 $237,044.49 — $141,950.50 $149,048.02 $143,370.01 2026-07-30
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 3 $140,899.18 — $93,760.51 $145,874.87 $142,897.83 2026-07-30
01908 OTHER New Technology - Level 52 1 1 — — $141,827.97 $141,827.97 $141,827.97 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $141,827.97 $141,827.97 $141,827.97 2026-03-01
J7330 HCPCS $134,810.16 1 1 $134,810.16 — $138,148.31 $138,148.31 $138,148.31 2026-07-30
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 $232,063.86 — $124,654.80 $134,935.61 $129,795.20 2026-07-30
1905 OTHER New Technology - Level 51 16 13 $213,728.71 — $127,988.20 $134,387.61 $129,268.08 2026-07-30
1906 OTHER New Technology - Level 51 16 13 $213,728.71 — $127,988.20 $134,387.61 $129,268.08 2026-07-30
01905 OTHER New Technology - Level 51 1 1 — — $127,877.72 $127,877.72 $127,877.72 2026-03-01
01906 OTHER New Technology - Level 51 1 1 — — $127,877.72 $127,877.72 $127,877.72 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $118,772.98 $121,148.44 $118,772.98 2026-03-01
5832 APR_DRG Neonate With Ecmo 4 4 — — $116,712.96 $119,047.22 $116,712.96 2026-03-01
7 MS_DRG Lung Transplant 45 24 — — $9,694.17 $284,710.15 $115,253.64 2026-03-01
1903 OTHER New Technology - Level 50 16 13 $190,412.94 — $114,025.90 $119,727.19 $115,166.16 2026-07-30
1904 OTHER New Technology - Level 50 16 13 $190,412.94 — $114,025.90 $119,727.19 $115,166.16 2026-07-30
01904 OTHER New Technology - Level 50 1 1 — — $113,927.47 $113,927.47 $113,927.47 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $113,927.47 $113,927.47 $113,927.47 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $110,532.91 $112,743.57 $110,532.91 2026-03-01
817685 CDM Rem/repl Aicd Mult Ld 25 15 $376,402.00 $376,402.00 $50,437.87 $376,402.00 $108,403.78 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $108,215.38 $110,379.69 $108,215.38 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 5 — — $61,338.53 $162,760.01 $106,053.40 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $105,575.98 $107,687.50 $105,575.98 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 23 — — $9,694.17 $270,787.00 $105,286.76 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $104,545.97 $106,636.89 $104,545.97 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $103,387.21 $105,454.95 $103,387.21 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $103,065.34 $105,126.65 $103,065.34 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $102,550.33 $104,601.34 $102,550.33 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 19 — — $9,694.17 $304,523.03 $102,439.36 2026-03-01
215 MS_DRG Other Heart Assist System Implant 51 25 — — $9,694.17 $221,100.00 $102,270.67 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 $157,974.47 — $97,345.51 $105,374.01 $101,359.76 2026-07-30
1902 OTHER New Technology - Level 49 16 13 $167,097.16 — $100,063.60 $105,066.78 $101,064.24 2026-07-30
1901 OTHER New Technology - Level 49 16 13 $167,097.16 — $100,063.60 $105,066.78 $101,064.24 2026-07-30
5831 APR_DRG Neonate With Ecmo 4 4 — — $100,876.57 $102,894.10 $100,876.57 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $99,977.22 $99,977.22 $99,977.22 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $99,977.22 $99,977.22 $99,977.22 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $96,370.27 $98,297.68 $96,370.27 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $95,147.14 $97,050.08 $95,147.14 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 46 22 — — $9,694.17 $248,843.82 $94,646.25 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 45 24 — — $9,694.17 $226,676.34 $92,199.90 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $91,542.10 $93,372.94 $91,542.10 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 24 — — $9,694.17 $239,067.09 $90,970.04 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 $64,278.63 — $87,241.71 $94,436.91 $90,839.31 2026-07-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $89,610.84 $91,403.06 $89,610.84 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 20 — — $9,694.17 $264,213.53 $89,545.15 2026-03-01
1585 OTHER New Technology - Level 48 16 13 $147,667.35 — $88,428.37 $92,849.79 $89,312.65 2026-07-30
1599 OTHER New Technology - Level 48 16 13 $147,667.35 — $88,428.37 $92,849.79 $89,312.65 2026-07-30
01585 OTHER New Technology - Level 48 1 1 — — $88,352.04 $88,352.04 $88,352.04 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $88,352.04 $88,352.04 $88,352.04 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $85,941.43 $87,660.26 $85,941.43 2026-03-01
64 APR_DRG Pancreas Transplant 4 4 — — $85,362.05 $87,069.29 $85,362.05 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 51 25 — — $9,694.17 $242,301.08 $81,874.44 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 51 25 — — $9,694.17 $185,331.35 $81,797.81 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $81,628.26 $83,260.83 $81,628.26 2026-03-01
1584 OTHER New Technology - Level 47 16 13 $132,123.50 — $79,120.16 $83,076.17 $79,911.36 2026-07-30
1598 OTHER New Technology - Level 47 16 13 $132,123.50 — $79,120.16 $83,076.17 $79,911.36 2026-07-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $79,568.24 $81,159.60 $79,568.24 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $79,051.88 $79,051.88 $79,051.88 2026-03-01
01598 OTHER New Technology - Level 47 1 1 — — $79,051.88 $79,051.88 $79,051.88 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $78,473.86 $80,043.34 $78,473.86 2026-03-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $78,473.86 $80,043.34 $78,473.86 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $78,473.86 $80,043.34 $78,473.86 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 25 — — $9,694.17 $215,074.86 $78,062.00 2026-03-01
007 OTHER Lung Transplant 2 2 $221,270.25 — $74,816.72 $80,987.17 $77,901.95 2026-07-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $77,379.47 $78,927.06 $77,379.47 2026-03-01
A9699 HCPCS $101,856.21 1 1 $101,856.21 — $77,046.96 $77,046.96 $77,046.96 2026-07-30
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 6 6 $123,527.05 — $55,306.59 $142,568.30 $76,805.49 2026-07-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 25 — — $9,694.17 $168,079.72 $75,451.02 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $74,289.44 $75,775.23 $74,289.44 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $74,031.94 $75,512.58 $74,031.94 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 48 24 — — $9,694.17 $190,379.11 $72,662.53 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $71,778.79 $73,214.37 $71,778.79 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $71,263.79 $72,689.07 $71,263.79 2026-03-01
823254 CDM Ins Perm Subq Defib 25 15 $246,364.50 $246,364.50 $33,012.84 $246,364.50 $70,952.98 2026-03-01
1597 OTHER New Technology - Level 46 16 13 $116,579.65 — $69,811.97 $73,302.57 $70,510.09 2026-07-30
1583 OTHER New Technology - Level 46 16 13 $116,579.65 — $69,811.97 $73,302.57 $70,510.09 2026-07-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 25 — — $9,694.17 $168,807.43 $69,846.00 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $69,751.71 $69,751.71 $69,751.71 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $69,751.71 $69,751.71 $69,751.71 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 $346,536.00 — $66,309.69 $71,778.54 $69,044.11 2026-07-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 51 25 — — $9,694.17 $156,761.84 $68,217.12 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $68,045.01 $69,405.91 $68,045.01 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 51 25 — — $9,694.17 $198,076.06 $67,904.37 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $67,658.76 $69,011.94 $67,658.76 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $67,272.50 $68,617.95 $67,272.50 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 $202,884.99 — $63,863.07 $69,130.13 $66,496.60 2026-07-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $66,178.12 $67,501.68 $66,178.12 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 $206,763.97 — $63,190.40 $68,401.98 $65,796.19 2026-07-30
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $65,663.11 $66,976.37 $65,663.11 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 18 14 $32,088.56 — $11,062.77 $67,488.53 $64,917.54 2026-07-30
10 MS_DRG Pancreas Transplant 45 24 — — $9,694.17 $157,757.76 $64,822.24 2026-03-01
C1822 HCPCS Pulse Gen Imp 12 9 $122,715.00 $122,715.00 $16,443.81 $122,715.00 $64,505.14 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 45 24 — — $9,694.17 $156,854.18 $64,463.30 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 24 — — $9,694.17 $167,523.50 $64,068.43 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 25 — — $9,694.17 $184,748.75 $63,457.22 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $63,409.97 $64,678.17 $63,409.97 2026-03-01
815599 CDM Pmaker Repl Gen Dual 25 15 $218,097.50 $218,097.50 $29,225.06 $218,097.50 $62,812.08 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $62,346.55 $62,346.55 $62,346.55 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 25 — — $9,694.17 $144,557.97 $62,337.54 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 6 $102,368.20 — $43,855.64 $116,192.02 $61,810.47 2026-07-30
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 $71,269.86 — $59,220.24 $64,104.38 $61,662.31 2026-07-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $61,607.45 $62,839.60 $61,607.45 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 8 4 $51,502.66 — $39,976.89 $62,197.02 $61,562.36 2026-07-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 51 25 — — $9,694.17 $172,995.57 $61,376.64 2026-03-01
1596 OTHER New Technology - Level 45 16 13 $101,035.80 — $60,503.77 $63,528.96 $61,108.81 2026-07-30
1582 OTHER New Technology - Level 45 16 13 $101,035.80 — $60,503.77 $63,528.96 $61,108.81 2026-07-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $61,028.07 $62,248.63 $61,028.07 2026-03-01
01582 OTHER New Technology - Level 45 1 1 — — $60,451.54 $60,451.54 $60,451.54 2026-03-01
01596 OTHER New Technology - Level 45 1 1 — — $60,451.54 $60,451.54 $60,451.54 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $60,448.69 $61,657.66 $60,448.69 2026-03-01
5244 OTHER Level 4 Blood Product Exc 16 13 $63,771.72 — $59,817.77 $62,808.66 $60,415.95 2026-07-30
817680 CDM Rem/repl Pacer Mult Ld 25 15 $208,811.25 $208,811.25 $27,980.71 $208,811.25 $60,137.64 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 51 25 — — $9,694.17 $132,055.10 $59,793.99 2026-03-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $59,766.14 $59,766.14 $59,766.14 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 25 — — $9,694.17 $144,557.97 $59,578.68 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 51 25 — — $9,694.17 $158,700.92 $59,573.00 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 $74,260.66 — $57,197.99 $61,915.35 $59,556.67 2026-07-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 48 24 — — $9,694.17 $157,691.81 $59,551.08 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 48 24 — — $9,694.17 $147,002.70 $59,107.41 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 51 25 — — $9,694.17 $133,286.26 $58,966.75 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 51 25 — — $9,694.17 $146,445.00 $57,828.66 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 51 25 — — $9,694.17 $121,423.15 $57,519.00 2026-03-01
817683 CDM Rem/repl Aicd Sing Ld 25 15 $199,645.50 $199,645.50 $26,752.50 $199,645.50 $57,497.90 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 16 13 $104,639.20 — $56,824.55 $59,665.78 $57,392.80 2026-07-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $57,358.66 $58,505.83 $57,358.66 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $176,582.26 — $54,960.13 $59,492.93 $57,226.53 2026-07-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $57,101.16 $58,243.18 $57,101.16 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $56,779.28 $57,914.87 $56,779.28 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $56,779.28 $57,914.87 $56,779.28 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 24 — — $9,694.17 $147,983.23 $56,720.96 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $56,199.90 $57,323.90 $56,199.90 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $55,427.39 $56,535.94 $55,427.39 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 25 — — $9,694.17 $131,098.75 $55,401.92 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $55,298.64 $56,404.61 $55,298.64 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $55,119.81 $55,119.81 $55,119.81 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 25 — — $9,694.17 $125,980.65 $55,070.83 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 16 13 $93,634.68 — $54,404.11 $57,124.32 $54,948.15 2026-07-30
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 $10,257.28 — $52,721.22 $57,069.36 $54,895.29 2026-07-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 24 — — $9,694.17 $144,032.53 $54,666.17 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 24 — — $9,694.17 $141,466.88 $54,270.71 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 $168,632.17 — $52,113.91 $56,411.96 $54,262.93 2026-07-30
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $54,075.50 $55,157.01 $54,075.50 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 45 24 — — $9,694.17 $130,364.45 $53,940.35 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $53,882.38 $54,960.03 $53,882.38 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 51 25 — — $9,694.17 $151,210.63 $53,647.62 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 51 25 — — $9,694.17 $116,384.19 $53,354.54 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 51 25 — — $9,694.17 $123,599.67 $53,130.59 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 51 25 — — $9,694.17 $126,789.69 $52,806.25 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $52,771.99 $52,771.99 $52,771.99 2026-03-01
818440 CDM Prc D-e Cor Revsc Ami Sl 25 15 $182,851.75 $182,851.75 $24,502.13 $182,851.75 $52,661.30 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $52,530.49 $53,581.10 $52,530.49 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 25 — — $9,694.17 $151,955.92 $52,514.68 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $52,272.99 $53,318.45 $52,272.99 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 51 25 — — $9,694.17 $146,894.98 $52,116.48 2026-03-01
1581 OTHER New Technology - Level 44 16 13 $85,491.95 — $51,195.57 $53,755.35 $51,707.53 2026-07-30
1595 OTHER New Technology - Level 44 16 13 $85,491.95 — $51,195.57 $53,755.35 $51,707.53 2026-07-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 24 — — $9,694.17 $134,576.78 $51,679.91 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 48 24 — — $9,694.17 $125,303.51 $51,500.65 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 $152,135.65 — $49,328.85 $53,397.20 $51,363.02 2026-07-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 51 25 — — $9,694.17 $120,097.46 $51,355.42 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 $46,666.19 — $49,169.64 $53,224.87 $51,197.26 2026-07-30
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 3 $52,891.51 — $50,091.52 $52,189.32 $51,166.00 2026-07-30
01595 OTHER New Technology - Level 44 1 1 — — $51,151.38 $51,151.38 $51,151.38 2026-03-01
01581 OTHER New Technology - Level 44 1 1 — — $51,151.38 $51,151.38 $51,151.38 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 25 — — $9,694.17 $120,600.00 $51,128.58 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 45 24 — — $9,694.17 $123,217.13 $51,101.10 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $50,921.10 $51,939.52 $50,921.10 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $50,921.10 $51,939.52 $50,921.10 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $50,727.97 $51,742.53 $50,727.97 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 4 3 $49,818.35 — $49,266.78 $51,330.04 $50,323.57 2026-07-30
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $49,697.96 $50,691.92 $49,697.96 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 45 24 — — $9,694.17 $119,429.12 $49,596.32 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 24 — — $9,694.17 $128,937.63 $49,559.50 2026-03-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $48,732.33 $49,706.98 $48,732.33 2026-03-01
1784 APR_DRG External Heart Assist Devices 4 4 — — $48,539.20 $49,509.98 $48,539.20 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 46 22 — — $9,694.17 $125,466.20 $48,254.18 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 2 2 $582.71 — $46,215.35 $50,026.92 $48,121.13 2026-07-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 51 25 — — $9,694.17 $118,224.00 $48,103.36 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 11 7 $50,806.80 — $26,258.38 $69,493.02 $47,875.70 2026-07-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 51 25 — — $9,694.17 $129,021.17 $47,246.00 2026-03-01
245 MS_DRG Aicd Generator Procedures 51 25 — — $9,694.17 $100,304.36 $47,171.85 2026-03-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $47,058.56 $47,999.73 $47,058.56 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $46,607.93 $47,540.09 $46,607.93 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 $134,323.17 — $44,682.32 $48,367.46 $46,524.89 2026-07-30
834 MS_DRG Acute Leukemia With Mcc 48 24 — — $9,694.17 $120,695.45 $46,460.30 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 51 25 — — $9,694.17 $132,092.48 $46,412.00 2026-03-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $46,350.43 $47,277.44 $46,350.43 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 48 24 — — $9,694.17 $120,268.94 $46,299.92 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 25 — — $9,694.17 $110,808.80 $46,171.93 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 24 — — $9,694.17 $119,908.39 $46,164.35 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $45,964.18 $46,883.46 $45,964.18 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 $140,384.52 — $44,096.64 $47,733.47 $45,915.06 2026-07-30
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 4 3 $48,200.37 — $44,666.84 $46,537.47 $45,624.97 2026-07-30
4404 APR_DRG Kidney Transplant 4 4 — — $45,449.17 $46,358.15 $45,449.17 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 51 25 — — $9,694.17 $113,765.00 $45,414.05 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 48 24 — — $9,694.17 $122,372.91 $45,363.57 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 17 — — $9,694.17 $130,667.85 $44,978.65 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 51 25 — — $9,694.17 $110,364.00 $44,904.38 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $44,869.79 $45,767.19 $44,869.79 2026-03-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $44,741.04 $45,635.86 $44,741.04 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 4 — — $44,741.04 $45,635.86 $44,741.04 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $44,741.04 $45,635.86 $44,741.04 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $42,881.50 $46,418.12 $44,649.81 2026-03-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $44,612.29 $45,504.54 $44,612.29 2026-03-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $44,612.29 $45,504.54 $44,612.29 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $44,612.29 $45,504.54 $44,612.29 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 4 3 $34,999.73 — $43,518.83 $45,341.38 $44,452.33 2026-07-30
63 APR_DRG Pancreas Transplant 4 4 — — $44,419.16 $45,307.54 $44,419.16 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $44,290.41 $45,176.22 $44,290.41 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $44,097.29 $44,979.24 $44,097.29 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 48 24 — — $9,694.17 $114,242.85 $44,034.01 2026-03-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 3 3 $41,857.52 — $12,060.00 $44,886.18 $43,970.13 2026-07-30
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 4 3 $45,360.51 — $42,968.48 $44,767.97 $43,890.17 2026-07-30
8634 APR_DRG Neonatal Aftercare 4 4 — — $43,839.78 $44,716.58 $43,839.78 2026-03-01
010 OTHER Pancreas Transplant 2 2 $75,165.15 — $41,989.52 $45,452.57 $43,721.04 2026-07-30
1142 OTHER Supprelin La Implant 16 13 $66,970.62 — $43,185.34 $45,344.61 $43,617.19 2026-07-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $43,582.28 $44,453.93 $43,582.28 2026-03-01
1794 APR_DRG Defibrillator Implants 4 4 — — $43,517.91 $44,388.27 $43,517.91 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 $129,322.19 — $41,749.12 $45,192.35 $43,470.74 2026-07-30
4403 APR_DRG Kidney Transplant 4 4 — — $43,453.53 $44,322.60 $43,453.53 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $164,331.00 — $41,713.28 $45,153.55 $43,433.42 2026-07-30
1824 APR_DRG Other Upper Vascular Procedures 4 4 — — $43,324.78 $44,191.28 $43,324.78 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 45 24 — — $9,694.17 $103,360.28 $43,213.04 2026-03-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $43,196.03 $44,059.95 $43,196.03 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 51 25 — — $9,694.17 $99,959.20 $43,170.71 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $42,809.77 $43,665.97 $42,809.77 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 45 24 — — $9,694.17 $101,944.44 $42,650.60 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $42,616.65 $43,468.98 $42,616.65 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 $68,955.16 — $40,789.14 $44,153.19 $42,471.17 2026-07-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 24 — — $9,694.17 $109,647.99 $42,306.26 2026-03-01
1594 OTHER New Technology - Level 43 16 13 $69,948.10 — $41,887.37 $43,981.74 $42,306.24 2026-07-30
1580 OTHER New Technology - Level 43 16 13 $69,948.10 — $41,887.37 $43,981.74 $42,306.24 2026-07-30
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 $10,257.28 — $40,546.63 $43,890.68 $42,218.65 2026-07-30
913 APR_DRG Other Major Head And Neck Procedures 4 4 — — $42,101.64 $42,943.67 $42,101.64 2026-03-01
See an error in this hospital's data? Submit a correction