Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ATHUR M BLANK HOSPITAL

Atlanta, GA · CCN 113300 · Rates published

3,150 distinct procedures filed
23 distinct payers
217,136 rate rows
2026-04-23 last MRF observed
Data quality

217,034 of 217,136 rate rows are consumer-grade (100.0%)

102 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
percent-of-charges filed in the dollar field — excluded from medians 68
per-diem day rate — not a per-procedure price 29
placeholder amount (≤ $0.02) — excluded from medians 4
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.choa.org/-/media/Files/Childrens/billing/standard-charges/2026/58-0572412_childrens-healthcare-of-atl-at-arthur-m-blank_standardcharges.csv
Found on page https://www.choa.org/patients/bills-and-insurance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 5ea0937233441ed3… · 204,937,231 bytes · first seen 2026-05-09

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
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 1 $389,992.24 $389,992.24 $389,992.24 nat. median
$123,597
outlier · 3.2×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 1 $381,875.76 $381,875.76 $381,875.76 nat. median
$281,646
1.4× median
583
APR_DRG 		Neonate With Ecmo,moderate 3 $301,804.20 $516,754.06 $310,917.98 nat. median
$11,771
outlier · 26.4×
2
APR_DRG 		Heart And/or Lung Transplant,extreme 1 $307,240.09 $307,240.09 $307,240.09 nat. median
$136,483
outlier · 2.3×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 1 $114,598.19 $465,854.83 $290,226.51 nat. median
$167,999
1.7× median
609
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 3 $114,092.06 $277,921.30 $266,928.95 nat. median
$95,296
outlier · 2.8×
1
APR_DRG 		Liver Transplant And/or Intestinal Transplant,extreme 1 $202,979.25 $202,979.31 $202,979.28 nat. median
$73,184
outlier · 2.8×
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure,major 3 $200,110.63 $209,667.74 $202,639.27 nat. median
$13,186
outlier · 15.4×
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 1 $191,478.14 $191,478.14 $191,478.14 nat. median
$72,907
outlier · 2.6×
7
APR_DRG 		Allogeneic Bone Marrow Transplant,extreme 1 $135,143.05 $246,043.47 $190,593.26 nat. median
$93,823
outlier · 2.0×
C1899
HCPCS 		Implant Heartware Hvad Et 23 $116,190.25 $271,888.00 $186,365.63 nat. median
$4,054
outlier · 46.0×
910
APR_DRG 		Craniotomy For Multiple Significant Trauma,extreme 3 $157,822.25 $165,359.70 $159,816.52 nat. median
$39,934
outlier · 4.0×
PX-81021006
CDM 		Organ Acquisition, Heart, With Transportation 23 $97,489.16 $228,127.00 $156,369.65 nat. median
$158,548
1.0× median
J9226
HCPCS 		Supprelin La 50 Mg (65 Mcg/day) Implant Kit 23 $48,315.76 $208,834.00 $143,145.27 nat. median
$60,368
outlier · 2.4×
PX-81021005
CDM 		Organ Acquisition, Heart, Without Transportation 23 $88,696.94 $207,553.00 $142,267.21 nat. median
$144,249
1.0× median
303
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back,minor 3 $115,445.62 $164,811.52 $133,601.32 nat. median
$27,905
outlier · 4.8×
8
APR_DRG 		Autologous Bone Marrow Transplant,extreme 3 $131,686.69 $137,975.93 $133,350.71 nat. median
$47,149
outlier · 2.8×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 23 $77,117.15 $180,456.00 $123,693.57 nat. median
$21,340
outlier · 5.8×
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 3 $99,714.01 $128,556.69 $123,171.04 nat. median
$60,050
outlier · 2.1×
607
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $116,036.69 $116,036.69 $116,036.69 nat. median
$73,068
1.6× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 3 $78,832.90 $185,699.33 $115,635.42 nat. median
$58,634
2.0× median
631
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 1 $50,253.25 $174,989.00 $112,621.12 nat. median
$69,934
1.6× median
440
APR_DRG 		Kidney Transplant,major 1 $112,333.93 $112,333.93 $112,333.93 nat. median
$58,854
1.9× median
J7330
HCPCS 		1 Membrane Implant Autologus Chondrocytes 23 $68,312.97 $159,854.00 $109,571.92 nat. median
$76,377
1.4× median
J0567
HCPCS 		Cerliponase Alfa 300 Mg/10 Ml(150 Mg/5ml X2) Intraventricular Kit 23 $34,755.00 $147,531.00 $100,247.31 nat. median
$180
outlier · 558.4×
J0802
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 23 $62,407.90 $146,036.00 $100,100.38 nat. median
$5,034
outlier · 19.9×
711
APR_DRG 		Post-operative Post-trauma Other Device Infections With O.r. Procedure,extreme 1 $56,180.28 $139,851.35 $98,015.82 nat. median
$21,042
outlier · 4.7×
911
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 1 $93,493.96 $93,493.96 $93,493.96 nat. median
$12,069
outlier · 7.7×
160
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly,major 3 $48,438.52 $184,234.17 $93,330.80 nat. median
$71,750
1.3× median
621
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly,extreme 3 $30,614.13 $95,072.14 $90,738.55 nat. median
$24,444
outlier · 3.7×
612
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $87,222.29 $87,222.29 $87,222.29 nat. median
$53,038
1.6× median
21
APR_DRG 		Open Craniotomy Except Trauma,extreme 3 $37,067.27 $167,942.41 $86,998.72 nat. median
$65,130
1.3× median
361
APR_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses,extreme 3 $31,941.06 $90,458.18 $86,334.90 nat. median
$23,876
outlier · 3.6×
PX-81021009
CDM 		Organ Acquisition, Liver, Cadaveric Donor With Transportation 23 $52,826.38 $123,615.00 $84,731.90 nat. median
$85,912
1.0× median
J9118
HCPCS 		Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 23 $34,436.66 $122,476.00 $83,951.18 nat. median
$202
outlier · 415.8×
169
APR_DRG 		Major Abdominal Vascular Procedures,major 1 $81,794.72 $81,794.72 $81,794.72 nat. median
$39,932
outlier · 2.0×
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 23 $31,800.84 $113,406.00 $77,734.14 nat. median
$34,109
outlier · 2.3×
611
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 1 $36,313.07 $115,663.72 $75,988.39 nat. median
$43,288
1.8× median
J9348
HCPCS 		Naxitamab-gqgk 4 Mg/ml Intravenous Solution 23 $30,703.45 $110,346.00 $75,636.67 nat. median
$887
outlier · 85.3×
J1951
HCPCS 		Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 23 $46,393.54 $108,562.00 $74,413.82 nat. median
$188
outlier · 394.8×
PX-81021000
CDM 		Organ Acquisition, Kidney, Cadaveric Donor 23 $45,421.32 $106,287.00 $72,854.43 nat. median
$73,869
1.0× median
633
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly,extreme 3 $6,110.17 $182,346.77 $70,701.15 nat. median
$11,181
outlier · 6.3×
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 23 $28,362.62 $101,565.00 $69,617.73 nat. median
$6,098
outlier · 11.4×
304
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 3 $60,226.85 $100,709.64 $69,260.75 nat. median
$37,088
1.9× median
232
APR_DRG 		Gastric Fundoplication,extreme 1 $69,061.59 $69,061.59 $69,061.59 nat. median
$17,595
outlier · 3.9×
PX-81021007
CDM 		Organ Acquisition, Liver, Cadaveric Donor Without Transportation 23 $42,965.79 $100,541.00 $68,915.83 nat. median
$69,876
1.0× median
PX-81011001
CDM 		Organ Acquisition, Liver, Living Donor 23 $42,965.79 $100,541.00 $68,915.83 nat. median
$69,876
1.0× median
J3316
HCPCS 		Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 23 $25,273.62 $94,956.00 $65,087.59 nat. median
$4,815
outlier · 13.5×
167
APR_DRG 		Other Cardiothoracic And Thoracic Circulatory Procedures,extreme 3 $50,734.42 $121,231.33 $64,276.13 nat. median
$45,388
1.4× median
912
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 3 $46,738.65 $126,072.66 $61,754.11 nat. median
$21,208
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 3,150 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
             
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 2 1 $2,489,760.00 $2,489,760.00 $389,992.24 $389,992.24 $389,992.24 2026-04-23
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 2 1 $1,257,768.00 $1,257,768.00 $381,875.76 $381,875.76 $381,875.76 2026-04-23
583 APR_DRG Neonate With Ecmo,moderate 8 3 $180,283.00 $180,283.00 $301,804.20 $516,754.06 $310,917.98 2026-04-23
2 APR_DRG Heart And/or Lung Transplant,extreme 2 1 $2,361,376.00 $2,361,376.00 $307,240.09 $307,240.09 $307,240.09 2026-04-23
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 4 1 $714,987.50 $714,987.50 $114,598.19 $465,854.83 $290,226.51 2026-04-23
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 8 3 $588,350.00 $588,350.00 $114,092.06 $277,921.30 $266,928.95 2026-04-23
1 APR_DRG Liver Transplant And/or Intestinal Transplant,extreme 4 1 $1,081,654.50 $1,081,654.50 $202,979.25 $202,979.31 $202,979.28 2026-04-23
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,major 6 3 $118,034.00 $118,034.00 $200,110.63 $209,667.74 $202,639.27 2026-04-23
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 2 1 $677,033.00 $677,033.00 $191,478.14 $191,478.14 $191,478.14 2026-04-23
7 APR_DRG Allogeneic Bone Marrow Transplant,extreme 4 1 $1,168,501.00 $1,168,501.00 $135,143.05 $246,043.47 $190,593.26 2026-04-23
C1899 HCPCS Implant Heartware Hvad Et 28 23 $271,888.00 $271,888.00 $116,190.25 $271,888.00 $186,365.63 2026-04-23
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 6 3 $449,729.00 $449,729.00 $157,822.25 $165,359.70 $159,816.52 2026-04-23
PX-81021006 CDM Organ Acquisition, Heart, With Transportation 28 23 $228,127.00 $228,127.00 $97,489.16 $228,127.00 $156,369.65 2026-04-23
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 28 23 $208,834.00 $208,834.00 $48,315.76 $208,834.00 $143,145.27 2026-04-23
PX-81021005 CDM Organ Acquisition, Heart, Without Transportation 28 23 $207,553.00 $207,553.00 $88,696.94 $207,553.00 $142,267.21 2026-04-23
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,minor 8 3 $317,507.00 $317,507.00 $115,445.62 $164,811.52 $133,601.32 2026-04-23
8 APR_DRG Autologous Bone Marrow Transplant,extreme 6 3 $435,917.00 $435,917.00 $131,686.69 $137,975.93 $133,350.71 2026-04-23
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 28 23 $180,456.00 $180,456.00 $77,117.15 $180,456.00 $123,693.57 2026-04-23
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 10 3 $195,001.00 $195,001.00 $99,714.01 $128,556.69 $123,171.04 2026-04-23
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 $1,846,642.00 $1,846,642.00 $116,036.69 $116,036.69 $116,036.69 2026-04-23
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 14 3 $363,804.00 $363,804.00 $78,832.90 $185,699.33 $115,635.42 2026-04-23
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 4 1 $579,154.50 $579,154.50 $50,253.25 $174,989.00 $112,621.12 2026-04-23
440 APR_DRG Kidney Transplant,major 2 1 $412,334.00 $412,334.00 $112,333.93 $112,333.93 $112,333.93 2026-04-23
J7330 HCPCS 1 Membrane Implant Autologus Chondrocytes 28 23 $159,854.00 $159,854.00 $68,312.97 $159,854.00 $109,571.92 2026-04-23
J0567 HCPCS Cerliponase Alfa 300 Mg/10 Ml(150 Mg/5ml X2) Intraventricular Kit 31 23 $147,531.00 $147,531.00 $34,755.00 $147,531.00 $100,247.31 2026-04-23
J0802 HCPCS Corticotropin 80 Unit/ml Injection Gel 28 23 $146,036.00 $146,036.00 $62,407.90 $146,036.00 $100,100.38 2026-04-23
711 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure,extreme 4 1 $223,400.50 $223,400.50 $56,180.28 $139,851.35 $98,015.82 2026-04-23
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 2 1 $196,255.00 $196,255.00 $93,493.96 $93,493.96 $93,493.96 2026-04-23
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,major 16 3 $335,356.00 $335,356.00 $48,438.52 $184,234.17 $93,330.80 2026-04-23
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly,extreme 10 3 $32,708.00 $32,708.00 $30,614.13 $95,072.14 $90,738.55 2026-04-23
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 $177,804.00 $177,804.00 $87,222.29 $87,222.29 $87,222.29 2026-04-23
21 APR_DRG Open Craniotomy Except Trauma,extreme 20 3 $133,256.00 $133,256.00 $37,067.27 $167,942.41 $86,998.72 2026-04-23
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,extreme 10 3 $687,334.00 $687,334.00 $31,941.06 $90,458.18 $86,334.90 2026-04-23
PX-81021009 CDM Organ Acquisition, Liver, Cadaveric Donor With Transportation 28 23 $123,615.00 $123,615.00 $52,826.38 $123,615.00 $84,731.90 2026-04-23
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 28 23 $122,476.00 $122,476.00 $34,436.66 $122,476.00 $83,951.18 2026-04-23
169 APR_DRG Major Abdominal Vascular Procedures,major 2 1 $192,771.00 $192,771.00 $81,794.72 $81,794.72 $81,794.72 2026-04-23
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 28 23 $113,406.00 $113,406.00 $31,800.84 $113,406.00 $77,734.14 2026-04-23
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 4 1 $218,456.00 $218,456.00 $36,313.07 $115,663.72 $75,988.39 2026-04-23
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 28 23 $110,346.00 $110,346.00 $30,703.45 $110,346.00 $75,636.67 2026-04-23
J1951 HCPCS Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 28 23 $108,562.00 $108,562.00 $46,393.54 $108,562.00 $74,413.82 2026-04-23
PX-81021000 CDM Organ Acquisition, Kidney, Cadaveric Donor 28 23 $106,287.00 $106,287.00 $45,421.32 $106,287.00 $72,854.43 2026-04-23
633 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly,extreme 16 3 $120,350.00 $120,350.00 $6,110.17 $182,346.77 $70,701.15 2026-04-23
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 28 23 $101,565.00 $101,565.00 $28,362.62 $101,565.00 $69,617.73 2026-04-23
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 8 3 $186,462.00 $186,462.00 $60,226.85 $100,709.64 $69,260.75 2026-04-23
232 APR_DRG Gastric Fundoplication,extreme 2 1 $368,632.00 $368,632.00 $69,061.59 $69,061.59 $69,061.59 2026-04-23
PX-81011001 CDM Organ Acquisition, Liver, Living Donor 28 23 $100,541.00 $100,541.00 $42,965.79 $100,541.00 $68,915.83 2026-04-23
PX-81021007 CDM Organ Acquisition, Liver, Cadaveric Donor Without Transportation 28 23 $100,541.00 $100,541.00 $42,965.79 $100,541.00 $68,915.83 2026-04-23
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 28 23 $94,956.00 $94,956.00 $25,273.62 $94,956.00 $65,087.59 2026-04-23
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,extreme 20 3 $256,305.00 $256,305.00 $50,734.42 $121,231.33 $64,276.13 2026-04-23
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 10 3 $168,613.00 $168,613.00 $46,738.65 $126,072.66 $61,754.11 2026-04-23
405 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders,extreme 6 3 $851,168.00 $851,168.00 $60,537.34 $63,428.56 $61,302.30 2026-04-23
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment,major 10 3 $52,498.00 $52,498.00 $26,510.15 $77,484.31 $60,874.06 2026-04-23
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 28 23 $88,190.00 $88,190.00 $19,910.16 $88,190.00 $60,449.83 2026-04-23
721 APR_DRG Post-operative Post-traumatic Other Device Infections,extreme 10 3 $161,632.00 $161,632.00 $17,085.17 $62,767.40 $59,906.32 2026-04-23
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,moderate 2 1 $101,160.00 $101,160.00 $59,843.06 $59,843.06 $59,843.06 2026-04-23
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,moderate 10 3 $350,419.00 $350,419.00 $56,891.20 $389,589.23 $59,608.27 2026-04-23
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 12 3 $156,100.50 $156,100.50 $44,489.38 $75,041.07 $59,117.35 2026-04-23
PX-81011000 CDM Organ Acquisition, Kidney, Living Donor 28 23 $85,206.00 $85,206.00 $36,412.44 $85,206.00 $58,404.46 2026-04-23
50 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis,extreme 8 3 $187,943.00 $187,943.00 $17,123.47 $60,637.47 $58,239.14 2026-04-23
325 APR_DRG Non-elective Or Complex Knee Joint Replacement,extreme 12 3 $328,405.00 $328,405.00 $47,634.39 $69,420.58 $58,082.81 2026-04-23
589 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 3 $102,989.00 $102,989.00 $54,685.21 $82,815.33 $56,336.57 2026-04-23
33477 CPT Transcatheter Valve Implantation 28 23 $81,742.00 $81,742.00 $34,932.12 $81,742.00 $56,030.06 2026-04-23
634 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 20 3 $215,057.00 $215,057.00 $5,151.50 $177,847.93 $55,467.99 2026-04-23
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 28 23 $79,901.00 $79,901.00 $21,422.56 $79,901.00 $54,768.14 2026-04-23
444 APR_DRG Renal Dialysis Access Device Procedures,major 2 1 $88,249.00 $88,249.00 $52,732.28 $52,732.28 $52,732.28 2026-04-23
220 APR_DRG Major Stomach Esophageal And Duodenal Procedures,extreme 16 3 $183,809.00 $183,809.00 $25,333.08 $124,606.82 $51,450.32 2026-04-23
J1246 HCPCS Dinutuximab 3.5 Mg/ml Intravenous Solution 28 23 $74,674.00 $74,674.00 $31,911.64 $74,674.00 $51,185.29 2026-04-23
681 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms,major 8 3 $350,800.00 $350,800.00 $22,437.82 $53,169.65 $51,066.68 2026-04-23
C1767 HCPCS Gen Sentiva Mod 1000 140 23 $80,172.00 $80,172.00 $15,611.38 $110,257.00 $50,765.92 2026-04-23
37187 CPT Removal Of Blood Clot And Injections (Accessed Through The Skin) To Dissolve Blo… 28 23 $71,578.00 $71,578.00 $3,367.40 $71,578.00 $49,063.14 2026-04-23
175 APR_DRG Percutaneous Cardiac Intervention Without Ami,major 16 3 $145,614.00 $145,614.00 $38,246.02 $61,734.38 $48,771.04 2026-04-23
131 APR_DRG Cystic Fibrosis - Pulmonary Disease,moderate 8 3 $53,974.00 $53,974.00 $13,960.30 $50,647.23 $48,644.03 2026-04-23
38205 CPT Collection Of Donor Stem Cells For Transplantation 56 23 $107,719.50 $107,719.50 $3,552.10 $207,127.00 $48,413.44 2026-04-23
680 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms,major 14 3 $250,357.00 $250,357.00 $40,140.67 $99,164.63 $47,602.74 2026-04-23
695 APR_DRG Chemotherapy For Acute Leukemia,extreme 14 3 $157,893.00 $157,893.00 $16,755.52 $89,701.10 $47,496.82 2026-04-23
260 APR_DRG Major Pancreas Liver And Shunt Procedures,moderate 10 3 $239,959.00 $239,959.00 $44,218.01 $95,048.97 $46,329.83 2026-04-23
441 APR_DRG Major Bladder Procedures,major 12 3 $147,878.00 $147,878.00 $33,009.91 $59,962.38 $45,907.81 2026-04-23
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,mode… 8 3 $245,384.00 $245,384.00 $35,470.63 $47,509.06 $45,629.97 2026-04-23
38210 CPT Prep Stem Cells For Transplant W/Removal Of T Cells 56 23 $64,507.50 $64,507.50 $25,990.33 $68,197.00 $45,613.50 2026-04-23
C2616 HCPCS Nm Isotope Yttrium, Mci 28 23 $66,224.00 $66,224.00 $28,300.56 $66,224.00 $45,393.24 2026-04-23
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,major 4 1 $166,217.00 $166,217.00 $37,836.45 $50,349.82 $44,093.13 2026-04-23
J9381 HCPCS Teplizumab-mzwv 1 Mg/ml Intravenous Solution 29 23 $63,924.00 $63,924.00 $17,180.29 $63,924.00 $43,525.85 2026-04-23
92 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,extreme 16 3 $173,441.50 $173,441.50 $33,121.83 $86,864.69 $43,248.19 2026-04-23
L5961 HCPCS Addition, Endo, Polycentric Hip Joint 28 23 $61,659.00 $61,659.00 $26,349.73 $61,659.00 $42,264.16 2026-04-23
176 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices,major 6 3 $478,832.00 $478,832.00 $41,519.22 $43,502.15 $42,043.86 2026-04-23
PX-36001596 CDM Or Time Level I, First 15 Min 28 23 $60,705.00 $60,705.00 $25,942.04 $60,705.00 $41,610.24 2026-04-23
227 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical,major 8 3 $63,189.00 $63,189.00 $18,663.50 $42,071.70 $40,407.68 2026-04-23
401 APR_DRG Adrenal Procedures,minor 6 3 $96,437.00 $96,437.00 $39,376.48 $41,257.06 $39,874.05 2026-04-23
C1722 HCPCS Defibrillator Icd Vr Df-4 168 23 $60,546.50 $60,546.50 $18,300.67 $109,360.00 $39,209.65 2026-04-23
230 APR_DRG Major Small Bowel Procedures,moderate 12 3 $80,596.00 $80,596.00 $30,624.12 $91,930.62 $38,778.35 2026-04-23
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 28 23 $55,660.00 $55,660.00 $15,017.09 $55,660.00 $38,152.15 2026-04-23
20 APR_DRG Open Craniotomy For Trauma,moderate 2 1 $165,787.00 $165,787.00 $35,150.98 $40,423.63 $37,787.31 2026-04-23
93591 CPT Perq Transcath Cls Aortic 28 23 $55,089.00 $55,089.00 $23,542.06 $55,089.00 $37,760.76 2026-04-23
89 APR_DRG Major Cranial Or Facial Bone Procedures,extreme 6 1 $139,231.00 $139,231.00 $32,539.79 $104,678.73 $37,731.56 2026-04-23
23 APR_DRG Spinal Procedures,minor 14 3 $56,214.00 $56,214.00 $19,121.34 $57,647.06 $37,072.26 2026-04-23
309 APR_DRG Other Significant Hip And Femur Surgery,moderate 10 3 $90,131.00 $90,131.00 $14,723.54 $65,623.58 $36,984.36 2026-04-23
518 APR_DRG Other Female Reproductive System And Related Procedures,major 2 1 $106,815.00 $106,815.00 $36,870.81 $36,870.81 $36,870.81 2026-04-23
182 APR_DRG Other Peripheral Vascular And Related Procedures,minor 14 3 $149,253.00 $149,253.00 $35,673.75 $59,828.07 $36,689.32 2026-04-23
442 APR_DRG Kidney And Urinary Tract Procedures For Malignancy,major 2 1 $125,773.00 $125,773.00 $36,412.96 $36,412.96 $36,412.96 2026-04-23
C1721 HCPCS Icd Cobalt Dr MRI Is 1 Df4 140 23 $52,901.00 $52,901.00 $21,398.92 $53,950.00 $36,368.45 2026-04-23
231 APR_DRG Major Large Bowel Procedures,minor 16 3 $65,370.50 $65,370.50 $27,450.82 $85,790.50 $36,281.13 2026-04-23
29 APR_DRG Other Percutaneous Intracranial Procedures,moderate 10 3 $118,381.00 $118,381.00 $30,449.31 $47,255.03 $36,029.55 2026-04-23
651 APR_DRG Other Procedures Of Blood And Blood-forming Organs,major 10 3 $44,235.00 $44,235.00 $18,696.79 $37,305.97 $35,605.49 2026-04-23
27 APR_DRG Other Open Craniotomy,minor 14 3 $97,597.00 $97,597.00 $14,386.65 $100,376.50 $35,069.81 2026-04-23
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock,minor 8 3 $129,985.00 $129,985.00 $33,865.67 $38,758.81 $34,888.33 2026-04-23
261 APR_DRG Major Biliary Tract Procedures,major 4 1 $163,919.50 $163,919.50 $34,644.84 $34,849.62 $34,747.23 2026-04-23
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures,major 10 3 $166,692.00 $166,692.00 $16,149.90 $36,404.11 $34,744.74 2026-04-23
26 APR_DRG Other Nervous System And Related Procedures,major 16 3 $126,315.00 $126,315.00 $21,910.05 $73,252.14 $34,730.28 2026-04-23
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment,extrem… 18 3 $136,768.00 $136,768.00 $13,117.27 $67,831.42 $34,303.72 2026-04-23
37279 CPT Intravascular Shockwave Treatment Artery In Thigh/back Of Knee 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
37275 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
37272 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
37276 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
37269 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Initial Vessel 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
37278 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
37268 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Each A… 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
37277 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 28 23 $49,861.00 $49,861.00 $21,307.90 $49,861.00 $34,177.22 2026-04-23
121 APR_DRG Other Respiratory And Chest Procedures,extreme 14 3 $120,528.00 $120,528.00 $24,234.25 $85,275.53 $34,042.18 2026-04-23
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 20 3 $54,817.00 $54,817.00 $15,112.27 $67,934.34 $33,956.99 2026-04-23
93653 CPT Comp Electrophysiologic (Ep) Evaluation With Ablation 28 23 $49,493.00 $49,493.00 $21,150.64 $49,493.00 $33,924.97 2026-04-23
93654 CPT Comp Electrophysiologic (Ep) Evaluation With Ablation 28 23 $49,493.00 $49,493.00 $21,150.64 $49,493.00 $33,924.97 2026-04-23
45 APR_DRG Cva And Precerebral Occlusion With Infarction,major 2 1 $98,052.00 $98,052.00 $33,399.50 $33,399.50 $33,399.50 2026-04-23
443 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy,extreme 8 1 $70,105.50 $70,105.50 $14,525.87 $56,238.56 $33,327.05 2026-04-23
326 APR_DRG Elective Knee Joint Replacement,major 2 1 $337,562.00 $337,562.00 $33,203.05 $33,203.05 $33,203.05 2026-04-23
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 28 23 $47,867.00 $47,867.00 $12,823.19 $47,867.00 $32,810.43 2026-04-23
J0391 HCPCS Artesunate 110 Mg/11 Ml Solution For Injection 28 23 $47,824.00 $47,824.00 $12,036.05 $47,824.00 $32,780.96 2026-04-23
133 APR_DRG Respiratory Failure,extreme 14 3 $59,359.00 $59,359.00 $18,879.93 $44,304.55 $32,745.19 2026-04-23
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 28 23 $47,314.00 $47,314.00 $10,022.21 $47,314.00 $32,431.38 2026-04-23
690 APR_DRG Acute Leukemia,major 18 3 $248,872.00 $248,872.00 $7,221.91 $107,823.79 $32,423.90 2026-04-23
55 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage,extreme 20 3 $78,379.00 $78,379.00 $6,101.76 $42,445.01 $32,414.27 2026-04-23
Q0481 HCPCS Controller Heartmate 3 56 23 $44,851.50 $44,851.50 $17,545.12 $48,647.00 $32,216.47 2026-04-23
73 APR_DRG Orbit And Eye Procedures,extreme 20 3 $92,278.00 $92,278.00 $12,700.93 $61,748.66 $32,099.29 2026-04-23
850 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 10 3 $39,840.00 $39,840.00 $30,434.32 $65,492.05 $31,887.83 2026-04-23
44 APR_DRG Intracranial Hemorrhage,extreme 16 3 $99,071.00 $99,071.00 $12,093.81 $60,313.01 $31,560.58 2026-04-23
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 28 23 $45,532.00 $45,532.00 $12,091.60 $45,532.00 $31,209.91 2026-04-23
206 APR_DRG Malfunction Reaction Complication Of Cardiac Or Vascular Device Or Procedure,ext… 10 3 $189,961.00 $189,961.00 $19,359.42 $32,545.48 $31,061.98 2026-04-23
93580 CPT Percutaneous Repair, Atrial Septal Defect 28 23 $45,135.00 $45,135.00 $19,288.26 $45,135.00 $30,937.78 2026-04-23
37294 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Complex Lesion In… 28 23 $45,130.00 $45,130.00 $19,286.12 $45,130.00 $30,934.36 2026-04-23
37295 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Complex Lesion In… 28 23 $45,130.00 $45,130.00 $19,286.12 $45,130.00 $30,934.36 2026-04-23
37292 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Straightforward L… 28 23 $45,130.00 $45,130.00 $19,286.12 $45,130.00 $30,934.36 2026-04-23
37293 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Straightforward L… 28 23 $45,130.00 $45,130.00 $19,286.12 $45,130.00 $30,934.36 2026-04-23
248 APR_DRG Major Gastrointestinal And Peritoneal Infections,extreme 12 3 $82,931.50 $82,931.50 $8,254.21 $33,855.53 $30,792.27 2026-04-23
91 APR_DRG Other Major Head And Neck Procedures,minor 14 3 $86,243.00 $86,243.00 $21,154.18 $54,502.38 $30,630.87 2026-04-23
324 APR_DRG Elective Hip Joint Replacement,minor 8 3 $95,693.00 $95,693.00 $18,426.39 $30,946.25 $30,569.65 2026-04-23
279 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders,extreme 10 3 $266,710.00 $266,710.00 $16,117.87 $31,933.19 $30,477.60 2026-04-23
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions,extreme 8 1 $118,406.00 $118,406.00 $18,203.98 $59,799.77 $30,126.32 2026-04-23
625 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,moderate 2 1 $42,110.00 $42,110.00 $29,816.64 $29,816.64 $29,816.64 2026-04-23
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System,moderate 8 3 $62,866.00 $62,866.00 $28,919.26 $51,054.07 $29,792.56 2026-04-23
446 APR_DRG Urethral And Transurethral Procedures,major 6 3 $94,475.00 $94,475.00 $29,398.76 $30,552.36 $29,770.25 2026-04-23
33249 CPT Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 28 23 $42,952.00 $42,952.00 $18,355.37 $42,952.00 $29,441.45 2026-04-23
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 28 23 $42,118.00 $42,118.00 $7,172.63 $42,118.00 $28,869.78 2026-04-23
310 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,minor 14 3 $93,344.00 $93,344.00 $20,504.56 $56,105.36 $28,591.28 2026-04-23
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,moderate 12 3 $56,504.00 $56,504.00 $15,150.56 $58,134.87 $28,513.03 2026-04-23
420 APR_DRG Diabetes,extreme 12 3 $41,941.50 $41,941.50 $9,143.61 $44,394.40 $28,509.32 2026-04-23
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,moderate 8 3 $83,609.00 $83,609.00 $27,603.99 $53,852.76 $28,437.57 2026-04-23
136 APR_DRG Respiratory Malignancy,extreme 12 3 $91,514.50 $91,514.50 $17,947.59 $39,646.97 $28,322.26 2026-04-23
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 28 23 $40,650.00 $40,650.00 $9,132.76 $40,650.00 $27,863.54 2026-04-23
L8614 HCPCS Impl Coch Nucleus Slm Modiolar 588 23 $38,720.00 $38,720.00 $7,124.29 $72,034.00 $27,560.96 2026-04-23
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 28 23 $40,155.00 $40,155.00 $8,226.54 $40,155.00 $27,524.25 2026-04-23
120 APR_DRG Major Respiratory And Chest Procedures,major 14 3 $85,688.00 $85,688.00 $23,751.98 $56,239.81 $27,470.80 2026-04-23
893 APR_DRG HIV With Multiple Significant HIV Related Conditions,major 6 3 $74,122.00 $74,122.00 $27,106.19 $28,400.76 $27,448.71 2026-04-23
263 APR_DRG Cholecystectomy,major 16 3 $107,986.50 $107,986.50 $17,353.22 $48,223.74 $27,287.65 2026-04-23
Q4130 HCPCS Graft Biological Tissue W10XL10cm Porcine Regenerative Tissue Matrix Pliable Fir… 252 23 $41,510.00 $41,510.00 $4,764.05 $81,992.00 $27,130.49 2026-04-23
317 APR_DRG Tendon Muscle And Other Soft Tissue Procedures,minor 16 3 $79,444.00 $79,444.00 $19,021.45 $56,176.95 $26,696.08 2026-04-23
C1772 HCPCS Balcofen Pump 2.0ml 84 23 $37,945.00 $37,945.00 $15,629.75 $40,483.00 $26,694.53 2026-04-23
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 28 23 $38,899.00 $38,899.00 $16,623.33 $38,899.00 $26,663.32 2026-04-23
223 APR_DRG Other Small And Large Bowel Procedures,moderate 10 3 $89,656.00 $89,656.00 $11,790.72 $30,890.50 $26,649.57 2026-04-23
514 APR_DRG Female Reproductive System Reconstructive Procedures,moderate 2 1 $89,504.00 $89,504.00 $26,386.95 $26,386.95 $26,386.95 2026-04-23
351 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses,extreme 12 3 $219,355.50 $219,355.50 $8,946.72 $27,723.93 $26,342.84 2026-04-23
445 APR_DRG Other Bladder Procedures,extreme 14 3 $73,577.00 $73,577.00 $20,458.26 $48,431.83 $26,113.91 2026-04-23
346 APR_DRG Connective Tissue Disorders,extreme 20 3 $75,321.00 $75,321.00 $15,386.98 $43,788.20 $26,056.07 2026-04-23
233 APR_DRG Appendectomy With Complex Principal Diagnosis,moderate 8 3 $76,113.00 $76,113.00 $21,627.01 $27,106.40 $26,034.29 2026-04-23
J9015 HCPCS Aldesleukin 22 Million Unit Intravenous Solution 3 3 $26,565.00 $26,565.00 $23,908.50 $26,565.00 $26,033.70 2026-04-23
93460 CPT Cath Insertion For Coronary Angiography 28 23 $37,838.00 $37,838.00 $16,169.92 $37,838.00 $25,936.06 2026-04-23
PX-36001594 CDM Or Time Level P, First 15 Min 28 23 $37,610.00 $37,610.00 $16,072.48 $37,610.00 $25,779.78 2026-04-23
132 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,major 12 3 $25,293.00 $25,293.00 $6,528.06 $36,191.53 $25,712.60 2026-04-23
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 28 23 $37,454.00 $37,454.00 $9,745.87 $37,454.00 $25,672.85 2026-04-23
720 APR_DRG Septicemia And Disseminated Infections,extreme 14 3 $69,857.00 $69,857.00 $11,039.43 $54,868.70 $25,482.36 2026-04-23
234 APR_DRG Appendectomy Without Complex Principal Diagnosis,major 10 3 $29,861.00 $29,861.00 $12,361.87 $30,438.15 $25,421.08 2026-04-23
PX-48014890 CDM Hybrid or/Cath, First 15 Min 28 23 $36,190.00 $36,190.00 $15,465.65 $36,190.00 $24,806.43 2026-04-23
137 APR_DRG Major Respiratory Infections And Inflammations,extreme 12 3 $61,185.50 $61,185.50 $16,638.98 $33,614.80 $24,758.10 2026-04-23
229 APR_DRG Other Digestive System And Abdominal Procedures,minor 4 1 $80,427.50 $80,427.50 $23,971.19 $25,080.01 $24,525.60 2026-04-23
344 APR_DRG Osteomyelitis Septic Arthritis And Other Musculoskeletal Infections,extreme 16 3 $72,741.00 $72,741.00 $8,765.84 $36,761.73 $24,375.76 2026-04-23
861 APR_DRG Signs Symptoms And Other Factors Influencing Health Status,extreme 12 3 $44,589.00 $44,589.00 $4,175.72 $26,335.37 $24,265.88 2026-04-23
691 APR_DRG Lymphoma Myeloma And Non-acute Leukemia,major 16 3 $160,278.00 $160,278.00 $5,881.15 $56,298.49 $24,206.71 2026-04-23
860 APR_DRG Rehabilitation,minor 16 3 $101,821.00 $101,821.00 $18,328.85 $36,489.55 $23,970.17 2026-04-23
22 APR_DRG Ventricular Shunt Procedures,major 12 3 $44,052.00 $44,052.00 $9,330.77 $43,529.78 $23,435.03 2026-04-23
226 APR_DRG Anal And Perineal Procedures,major 12 3 $107,557.00 $107,557.00 $19,249.54 $27,863.48 $23,381.14 2026-04-23
313 APR_DRG Knee And Lower Leg Procedures Except Foot,minor 10 3 $71,966.00 $71,966.00 $10,144.08 $33,522.70 $23,244.87 2026-04-23
37289 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Straightforward … 28 23 $33,848.00 $33,848.00 $14,464.81 $33,848.00 $23,201.11 2026-04-23
37290 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Complex Lesion I… 28 23 $33,848.00 $33,848.00 $14,464.81 $33,848.00 $23,201.11 2026-04-23
37288 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Straightforward … 28 23 $33,848.00 $33,848.00 $14,464.81 $33,848.00 $23,201.11 2026-04-23
37291 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Complex Lesion I… 28 23 $33,848.00 $33,848.00 $14,464.81 $33,848.00 $23,201.11 2026-04-23
43 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies,mod… 12 3 $71,007.00 $71,007.00 $15,856.48 $51,778.30 $23,149.69 2026-04-23
264 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures,minor 4 1 $100,275.50 $100,275.50 $20,641.39 $25,364.72 $23,003.06 2026-04-23
37236 CPT Open/Perq Placement Intravascular Stent Initial 28 23 $33,468.00 $33,468.00 $14,302.42 $33,468.00 $22,940.64 2026-04-23
180 APR_DRG Other Circulatory System Procedures,moderate 8 3 $209,245.00 $209,245.00 $20,213.51 $23,706.56 $22,768.90 2026-04-23
L8619 HCPCS Naida Ci Sky M90 Patient Kit 56 23 $32,530.50 $32,530.50 $11,427.23 $38,321.00 $22,729.00 2026-04-23
447 APR_DRG Other Kidney Urinary Tract And Related Non-percutaneous Procedures,moderate 8 3 $149,180.00 $149,180.00 $21,991.62 $29,964.82 $22,655.72 2026-04-23
37273 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 28 23 $32,849.00 $32,849.00 $14,037.89 $32,849.00 $22,516.35 2026-04-23
37274 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 28 23 $32,849.00 $32,849.00 $14,037.89 $32,849.00 $22,516.35 2026-04-23
37271 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 28 23 $32,849.00 $32,849.00 $14,037.89 $32,849.00 $22,516.35 2026-04-23
661 APR_DRG Coagulation And Platelet Disorders,moderate 8 3 $44,234.00 $44,234.00 $7,333.67 $23,396.04 $22,470.68 2026-04-23
L8699 HCPCS Bar Darter Pre Bent 84 23 $33,851.00 $33,851.00 $2,412.37 $35,249.00 $22,460.14 2026-04-23
314 APR_DRG Foot And Toe Procedures,major 14 3 $87,130.00 $87,130.00 $19,519.25 $37,304.23 $22,436.15 2026-04-23
37270 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Each Additiona… 28 23 $32,584.00 $32,584.00 $13,924.64 $32,584.00 $22,334.71 2026-04-23
37267 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Initia… 28 23 $32,584.00 $32,584.00 $13,924.64 $32,584.00 $22,334.71 2026-04-23
33895 CPT Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch 28 23 $32,464.00 $32,464.00 $13,873.36 $32,464.00 $22,252.45 2026-04-23
142 APR_DRG Interstitial And Alveolar Lung Diseases,extreme 8 3 $33,238.00 $33,238.00 $11,855.73 $22,963.43 $22,055.18 2026-04-23
421 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders,extreme 16 3 $42,317.50 $42,317.50 $8,256.22 $31,691.94 $21,979.26 2026-04-23
249 APR_DRG Other Gastroenteritis Nausea And Vomiting,major 12 3 $29,767.00 $29,767.00 $6,472.56 $27,689.41 $21,959.36 2026-04-23
37284 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Initial Vessel 28 23 $31,838.00 $31,838.00 $13,605.84 $31,838.00 $21,823.36 2026-04-23
37285 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Each Additiona… 28 23 $31,838.00 $31,838.00 $13,605.84 $31,838.00 $21,823.36 2026-04-23
37286 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Initial Vessel 28 23 $31,838.00 $31,838.00 $13,605.84 $31,838.00 $21,823.36 2026-04-23
37287 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Each Additional Vessel 28 23 $31,838.00 $31,838.00 $13,605.84 $31,838.00 $21,823.36 2026-04-23
511 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,minor 2 1 $71,250.00 $71,250.00 $21,816.81 $21,816.81 $21,816.81 2026-04-23
636 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,extreme 20 3 $67,342.00 $67,342.00 $4,613.38 $41,825.74 $21,760.30 2026-04-23
93453 CPT Cath Insertion Into Right And Left Heart For Diagnosis 28 23 $31,718.00 $31,718.00 $13,554.56 $31,718.00 $21,741.10 2026-04-23
115 APR_DRG Other Ear Nose Mouth Throat And Cranial Or Facial Diagnoses,major 16 3 $44,213.00 $44,213.00 $7,785.22 $30,549.20 $21,725.41 2026-04-23
57 APR_DRG Concussion Closed Skull Fracture Nos And Uncomplicated Intracranial Injury Coma … 12 3 $45,518.00 $45,518.00 $4,532.63 $24,943.33 $21,614.76 2026-04-23
Q5151 HCPCS Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution 4 4 $22,057.00 $22,057.00 $19,851.30 $22,057.00 $21,573.95 2026-04-23
308 APR_DRG Hip And Femur Fracture Repair,major 18 3 $66,603.00 $66,603.00 $19,378.27 $28,988.45 $21,512.64 2026-04-23
194 APR_DRG Heart Failure,extreme 6 1 $62,287.00 $62,287.00 $14,446.31 $41,031.39 $21,282.38 2026-04-23
37262 CPT Intravascular Shockwave Treatment Artery In Abdomen/pelvis 28 23 $30,941.00 $30,941.00 $13,222.51 $30,941.00 $21,208.51 2026-04-23
37260 CPT Insertion Of Stent Artery Of Abdomen/pelvis, Complex Lesion In Initial Vessel 28 23 $30,941.00 $30,941.00 $13,222.51 $30,941.00 $21,208.51 2026-04-23
37258 CPT Insertion Of Stent Of Artery In Abdomen/pelvis, Straightforward Lesion In Initia… 28 23 $30,941.00 $30,941.00 $13,222.51 $30,941.00 $21,208.51 2026-04-23
466 APR_DRG Malfunction Reaction Complication Of Genitourinary Device Or Procedure,extreme 6 1 $43,131.00 $43,131.00 $14,223.22 $39,150.05 $21,090.92 2026-04-23
381 APR_DRG Major Skin Disorders,major 8 3 $68,927.00 $68,927.00 $6,558.03 $21,890.61 $21,024.79 2026-04-23
33235 CPT Removal Of Electrodes From Right Heart 28 23 $30,667.00 $30,667.00 $13,105.42 $30,667.00 $21,020.69 2026-04-23
243 APR_DRG Other Esophageal Disorders,major 8 3 $34,474.00 $34,474.00 $2,961.25 $24,554.33 $20,993.72 2026-04-23
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 28 23 $30,570.00 $30,570.00 $7,545.19 $30,570.00 $20,954.21 2026-04-23
404 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures,minor 8 3 $76,288.00 $76,288.00 $20,318.40 $23,606.58 $20,931.97 2026-04-23
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 28 23 $30,532.00 $30,532.00 $7,556.93 $30,532.00 $20,928.16 2026-04-23
662 APR_DRG Sickle Cell Anemia Crisis,major 20 3 $40,210.00 $40,210.00 $13,875.25 $52,989.36 $20,879.97 2026-04-23
815 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses,extreme 24 3 $71,575.50 $71,575.50 $6,886.01 $34,564.64 $20,872.31 2026-04-23
J1950 HCPCS Leuprolide 15 Mg Intramuscular Kit 112 23 $38,983.50 $38,983.50 $5,920.25 $103,040.00 $20,825.85 2026-04-23
254 APR_DRG Other Digestive System Diagnoses,major 16 3 $47,993.50 $47,993.50 $8,780.67 $29,399.00 $20,695.72 2026-04-23
193 APR_DRG Acute And Subacute Endocarditis,extreme 18 3 $154,337.00 $154,337.00 $15,330.38 $32,653.63 $20,620.67 2026-04-23
696 APR_DRG Other Chemotherapy,major 16 3 $43,142.00 $43,142.00 $10,417.26 $60,827.86 $20,610.97 2026-04-23
364 APR_DRG Other Skin Subcutaneous Tissue And Related Procedures,extreme 18 3 $26,203.00 $26,203.00 $11,610.99 $51,664.22 $20,563.35 2026-04-23
51 APR_DRG Viral Meningitis,major 10 3 $39,318.00 $39,318.00 $6,298.14 $21,100.40 $20,138.59 2026-04-23
92986 CPT Cath Repair Of Aortic Valve 28 23 $29,247.00 $29,247.00 $12,498.59 $29,247.00 $20,047.35 2026-04-23
224 APR_DRG Peritoneal Adhesiolysis,minor 4 1 $51,813.00 $51,813.00 $16,137.63 $23,854.64 $19,996.13 2026-04-23
93458 CPT Cath Insertion For Coronary Angiography 28 23 $28,810.00 $28,810.00 $12,311.84 $28,810.00 $19,747.82 2026-04-23
517 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses,major 2 1 $121,357.00 $121,357.00 $19,744.01 $19,744.01 $19,744.01 2026-04-23
469 APR_DRG Acute Kidney Injury,extreme 16 3 $41,777.00 $41,777.00 $9,233.52 $64,858.95 $19,423.53 2026-04-23
228 APR_DRG Inguinal Femoral And Umbilical Hernia Procedures,minor 14 3 $36,579.00 $36,579.00 $11,514.43 $54,760.13 $19,382.73 2026-04-23
281 APR_DRG Malignancy Of Hepatobiliary System And Pancreas,major 4 1 $123,136.00 $123,136.00 $16,325.99 $22,419.50 $19,372.74 2026-04-23
PX-36001592 CDM Or Time Level E, First 15 Min 28 23 $28,242.00 $28,242.00 $12,069.11 $28,242.00 $19,358.48 2026-04-23
33741 CPT Tas Congen Card Anomalies 28 23 $28,195.00 $28,195.00 $12,049.02 $28,195.00 $19,326.26 2026-04-23
33745 CPT Tis Cgen Crd Anm 1st Shnt 28 23 $28,064.00 $28,064.00 $11,993.04 $28,064.00 $19,236.47 2026-04-23
242 APR_DRG Major Esophageal Disorders,major 4 1 $50,690.50 $50,690.50 $13,305.86 $25,116.64 $19,211.25 2026-04-23
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 28 23 $27,979.00 $27,979.00 $6,682.59 $27,979.00 $19,178.21 2026-04-23
52 APR_DRG Alteration In Consciousness,extreme 6 1 $82,315.00 $82,315.00 $12,612.75 $28,945.90 $19,129.67 2026-04-23
650 APR_DRG Splenic Procedures,minor 8 3 $59,033.00 $59,033.00 $19,067.54 $22,390.87 $19,079.14 2026-04-23
J0600 HCPCS Edetate Calcium Disodium 200 Mg/ml Injection Solution 28 23 $27,730.00 $27,730.00 $11,850.30 $27,730.00 $19,007.53 2026-04-23
58 APR_DRG Other Disorders Of Nervous System,major 6 1 $48,308.00 $48,308.00 $14,184.92 $29,235.59 $18,591.90 2026-04-23
C1786 HCPCS Lead Pacemaker W42.9XH40.2mm 224 23 $29,297.00 $29,297.00 $4,140.56 $41,448.00 $18,329.19 2026-04-23
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Kit 28 23 $26,584.00 $26,584.00 $6,409.38 $26,584.00 $18,222.00 2026-04-23
61624 CPT Occlusion Or Embolization Of Abnormal Artery, Accessed Through The Skin 28 23 $26,395.00 $26,395.00 $11,279.80 $26,395.00 $18,092.46 2026-04-23
692 APR_DRG Radiotherapy,moderate 8 3 $68,772.00 $68,772.00 $17,511.39 $24,337.46 $18,040.18 2026-04-23
PX-41001004 CDM Ecmo Initiation And Management, Each Day 28 23 $26,305.00 $26,305.00 $11,241.34 $26,305.00 $18,030.76 2026-04-23
143 APR_DRG Other Respiratory Diagnoses Except Signs Symptoms And Miscellaneous Diagnoses,ex… 16 3 $35,492.50 $35,492.50 $8,376.31 $42,675.27 $17,950.56 2026-04-23
C1875 HCPCS Hchg Stent Cp Cov Mtd 26mmx5.5cm 112 23 $26,096.50 $26,096.50 $9,503.75 $29,436.00 $17,930.62 2026-04-23
J0491 HCPCS Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 28 23 $26,112.00 $26,112.00 $6,155.64 $26,112.00 $17,898.47 2026-04-23
461 APR_DRG Kidney And Urinary Tract Malignancy,extreme 4 1 $33,840.00 $33,840.00 $11,972.28 $23,769.73 $17,871.01 2026-04-23
196 APR_DRG Cardiac Arrest And Shock,major 10 3 $33,345.00 $33,345.00 $8,008.16 $25,794.25 $17,707.38 2026-04-23
660 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 12 3 $29,044.50 $29,044.50 $12,598.28 $45,979.46 $17,626.60 2026-04-23
J9021 HCPCS Asparaginase Erwinia Chrysanthemi-rywn 10 Mg/0.5 Ml IM Solution 28 23 $25,579.00 $25,579.00 $6,285.42 $25,579.00 $17,533.12 2026-04-23
PX-48011066 CDM Cath Lab Time, First 15 Min 28 23 $25,489.00 $25,489.00 $10,892.62 $25,489.00 $17,471.43 2026-04-23
C1816 HCPCS Receiver I-110a Std Mark IV 28 23 $25,346.00 $25,346.00 $10,831.51 $25,346.00 $17,373.42 2026-04-23
93596 CPT R&l Hrt Cath Chd Nml Nt Cnj 28 23 $25,332.00 $25,332.00 $10,825.53 $25,332.00 $17,363.82 2026-04-23
93597 CPT R&l Hrt Cath Chd Abnl Nt Cnj 28 23 $25,332.00 $25,332.00 $10,825.53 $25,332.00 $17,363.82 2026-04-23
140 APR_DRG Chronic Obstructive Pulmonary Disease,major 8 3 $66,468.00 $66,468.00 $13,537.28 $18,023.25 $17,310.40 2026-04-23
98 APR_DRG Other Ear Nose Mouth Throat Craniofacial And Neck Procedures,major 14 3 $53,099.00 $53,099.00 $14,328.10 $29,484.03 $17,171.74 2026-04-23
810 APR_DRG Hemorrhage Or Hematoma Due To Complication,major 14 3 $39,616.00 $39,616.00 $4,283.28 $32,422.21 $16,986.94 2026-04-23
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 12 3 $52,494.00 $52,494.00 $8,296.85 $171,068.17 $16,965.78 2026-04-23
33208 CPT Pacemaker Insertion 28 23 $24,683.00 $24,683.00 $10,548.18 $24,683.00 $16,918.96 2026-04-23
25575 CPT Open Treatment Of Broken Forearm Bones 28 23 $24,641.00 $24,641.00 $10,530.23 $24,641.00 $16,890.18 2026-04-23
92990 CPT Cath Repair Of Pulmonary Valve 28 23 $24,630.00 $24,630.00 $10,525.53 $24,630.00 $16,882.64 2026-04-23
241 APR_DRG Peptic Ulcer And Gastritis,major 14 3 $58,730.00 $58,730.00 $10,838.49 $25,400.90 $16,848.67 2026-04-23
33207 CPT Pacemaker Insertion, Ventricular 28 23 $24,367.00 $24,367.00 $10,413.14 $24,367.00 $16,702.36 2026-04-23
201 APR_DRG Cardiac Arrhythmia And Conduction Disorders,major 16 3 $50,474.00 $50,474.00 $10,112.58 $33,189.73 $16,680.61 2026-04-23
844 APR_DRG Partial Thickness Burns Without Skin Graft,major 6 3 $39,534.00 $39,534.00 $16,459.17 $17,245.25 $16,667.15 2026-04-23
33214 CPT Pacemaker Conversion To Two Chamber System 28 23 $24,313.00 $24,313.00 $10,390.06 $24,313.00 $16,665.35 2026-04-23
465 APR_DRG Urinary Stones And Acquired Upper Urinary Tract Obstruction,major 8 3 $30,328.00 $30,328.00 $12,393.50 $17,342.93 $16,656.99 2026-04-23
283 APR_DRG Other Disorders Of The Liver,major 16 3 $60,649.00 $60,649.00 $7,705.14 $29,470.34 $16,549.31 2026-04-23
403 APR_DRG Procedures For Obesity,minor 12 3 $50,966.00 $50,966.00 $15,451.26 $17,493.84 $16,471.32 2026-04-23
37246 CPT Balloon Dilation Of Artery W/Imaging 28 23 $23,714.00 $23,714.00 $10,134.08 $23,714.00 $16,254.76 2026-04-23
36254 CPT Insertion Of Catheters Into Main And Accessory Arteries Of Both Kidneys For Imag… 28 23 $23,710.00 $23,710.00 $10,132.37 $23,710.00 $16,252.02 2026-04-23
930 APR_DRG Multiple Significant Trauma Without O.r. Procedure,major 12 3 $42,892.00 $42,892.00 $15,033.62 $17,972.67 $16,102.67 2026-04-23
245 APR_DRG Inflammatory Bowel Disease,major 14 3 $89,370.00 $89,370.00 $11,554.38 $22,734.91 $16,022.97 2026-04-23
J9204 HCPCS Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution 28 23 $23,289.00 $23,289.00 $5,671.64 $23,289.00 $15,963.44 2026-04-23
C2621 HCPCS Pacemaker Crpt MRI US 56 23 $23,262.00 $23,262.00 $9,922.12 $23,306.00 $15,944.74 2026-04-23
36522 CPT Photopheresis, Extracorporeal 28 23 $23,259.00 $23,259.00 $9,939.64 $23,259.00 $15,942.88 2026-04-23
J7504 HCPCS Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution 28 23 $23,027.00 $23,027.00 $9,840.50 $23,027.00 $15,783.85 2026-04-23
J9038 HCPCS Axatilimab-csfr 50 Mg/ml Intravenous Solution 28 23 $23,019.00 $23,019.00 $5,603.51 $23,019.00 $15,778.38 2026-04-23
53 APR_DRG Seizure,extreme 8 1 $38,961.50 $38,961.50 $8,217.93 $59,763.32 $15,526.78 2026-04-23
36253 CPT Insertion Of Catheters Into Main And Accessory Arteries Of One Kidney For Imagin… 28 23 $22,555.00 $22,555.00 $9,638.79 $22,555.00 $15,460.33 2026-04-23
110 APR_DRG Ear Nose Mouth Throat And Cranial Or Facial Malignancies,moderate 10 3 $154,442.00 $154,442.00 $14,564.53 $33,614.27 $15,260.11 2026-04-23
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