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

PALI MOMI MEDICAL CENTER

Aiea, HI · CCN 120026 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITH SPECTRAL DOPPLER ECHOCARDIOGRAPHY, AND WITH COLOR FLOW DOPPLER ECHOCARDIOGRAPHY

This hospital’s price: $1,713 across 9 payers · range $133-$2,798

Source: https://www.hawaiipacifichealth.org/standardcharges/990274038_Pali-Momi-Medical-Center_standardcharges.json · observed 2026-02-12

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.

22,364 distinct procedures filed
36 distinct payers
308,247 rate rows
2026-02-12 last MRF observed
Data quality

291,689 of 308,247 rate rows are consumer-grade (94.6%)

16,558 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 8,572
per-diem day rate — not a per-procedure price 4,234
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,314
template filing: same amount across many unrelated codes — excluded 513
exceeds 10× this hospital's gross charge — excluded from medians 430
placeholder amount (≤ $0.02) — excluded from medians 239
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 185
percent-of-charges filed in the dollar field — excluded from medians 71
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hph.pt.panaceainc.com/MRFDownload/hph/palimomi/990274038_Pali-Momi-Medical-Center_standardcharges.csv
Found on page https://www.hawaiipacifichealth.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-28
Content fingerprint 4885649b79d39769… · 341,161,737 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 8 $3,378,750.00 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $2,763,950.00 $4,422,320.00 $3,685,266.67 nat. median
$3,705,478
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 6 $3,635,800.00 $4,452,000.00 $3,672,900.00 nat. median
$3,758,972
1.0× median
0773
OTHER 		Inj, Beqvez, Per Tx Dose 6 $3,635,800.00 $4,452,000.00 $3,672,900.00 nat. median
$3,635,800
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,487,346.94 $3,979,755.11 $3,324,571.90 nat. median
$3,324,572
1.0× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 6 $3,255,345.87 $3,986,137.81 $3,288,563.69 nat. median
$3,316,463
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $2,436,334.29 $3,898,134.86 $3,261,355.00 nat. median
$3,286,000
1.0× median
0748
OTHER 		Inj, Lovotibeglogene Autotem 6 $3,129,140.00 $3,831,600.00 $3,161,070.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,209,305.00 $3,534,888.00 $2,950,686.67 nat. median
$2,994,107
1.0× median
0746
OTHER 		Inj, Betibeglogene Autotemce 6 $2,908,640.00 $3,561,600.00 $2,938,320.00 nat. median
$2,945,740
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $1,841,332.96 $2,946,132.73 $2,455,110.61 nat. median
$2,467,386
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 6 $2,355,389.57 $2,884,150.50 $2,379,424.16 nat. median
$2,588,981
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $1,749,000.00 $2,798,400.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
0824
RC 		Inj, Exagamglogene Autotem 7 $17,416.22 $2,798,400.00 $2,285,360.00 nat. median
$1,200
outlier · 1904.5×
824
APR_DRG 		Eye Infections & Other Eye Disorders 7 $17,416.22 $2,798,400.00 $2,285,360.00 nat. median
$15,259
outlier · 149.8×
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $577,965.00 $924,744.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $443,794.65 $825,810.81 $591,726.20 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $424,401.71 $804,924.78 $565,868.95 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $421,903.64 $754,069.52 $562,538.19 nat. median
$640,950
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos T 6 $554,311.36 $678,748.60 $559,967.60 nat. median
$577,163
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $417,988.45 $771,336.15 $557,317.93 nat. median
$622,450
0.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 6 $540,291.97 $661,582.00 $545,805.16 nat. median
$587,650
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $399,922.63 $714,695.04 $533,230.17 nat. median
$608,239
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Car 6 $517,746.18 $633,974.91 $523,029.31 nat. median
$563,449
0.9× median
9413
OTHER 		Lisocabtagene Car Pos T 6 $506,156.25 $619,783.16 $511,321.11 nat. median
$562,201
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $366,978.46 $712,555.20 $489,720.00 nat. median
$591,721
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 6 $479,726.81 $587,420.58 $484,621.98 nat. median
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 6 $478,290.48 $585,661.81 $483,170.99 nat. median
$492,768
1.0× median
5834
APR_DRG 		Neonate W Ecmo 2 $433,992.69 $433,992.69 $433,992.69 nat. median
$307,206
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $377,466.18 $1,076,753.00 $422,087.34 nat. median
$359,454
1.2× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 2 $365,805.35 $365,805.35 $365,805.35 nat. median
$162,342
outlier · 2.3×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $364,322.41 $364,322.41 $364,322.41 nat. median
$247,214
1.5× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 2 $315,320.05 $315,320.05 $315,320.05 nat. median
$151,838
outlier · 2.1×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 2 $288,535.69 $288,535.69 $288,535.69 nat. median
$165,000
1.7× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 2 $288,356.62 $288,356.62 $288,356.62 nat. median
$101,406
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $274,016.49 $699,022.00 $281,986.82 nat. median
$249,036
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $208,687.50 $333,900.00 $278,250.00 nat. median
$319,951
0.9× median
5833
APR_DRG 		Neonate W Ecmo 2 $264,407.58 $264,407.58 $264,407.58 nat. median
$244,017
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $193,125.00 $309,000.00 $257,500.00 nat. median
$265,000
1.0× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 $255,226.40 $255,226.40 $255,226.40 nat. median
$118,620
outlier · 2.2×
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 2 $253,200.64 $253,200.64 $253,200.64 nat. median
$82,129
outlier · 3.1×
5832
APR_DRG 		Neonate W Ecmo 2 $251,145.04 $251,145.04 $251,145.04 nat. median
$159,249
1.6× median
5891
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 2 $238,975.59 $238,975.59 $238,975.59 nat. median
$93,998
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $70,343.75 $532,733.00 $237,515.81 nat. median
$198,418
1.2× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 $236,379.05 $236,379.05 $236,379.05 nat. median
$154,011
1.5× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $233,692.96 $233,692.96 $233,692.96 nat. median
$175,204
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $216,443.91 $248,910.49 $232,677.20 nat. median
$202,993
1.1× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 2 $231,197.14 $231,197.14 $231,197.14 nat. median
$108,695
outlier · 2.1×
5892
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 2 $227,595.18 $227,595.18 $227,595.18 nat. median
$89,188
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 22,364 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 8 — — $3,378,750.00 $4,955,500.00 $4,505,000.00 2026-02-12
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 5 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2026-02-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 8 — — $2,763,950.00 $4,422,320.00 $3,685,266.67 2026-02-12
0773 OTHER Inj, Beqvez, Per Tx Dose 8 6 — — $3,635,800.00 $4,452,000.00 $3,672,900.00 2026-02-12
9138 OTHER Inj, Hemgenix, Per Tx Dose 8 6 — — $3,635,800.00 $4,452,000.00 $3,672,900.00 2026-02-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 8 — — $2,487,346.94 $3,979,755.11 $3,324,571.90 2026-02-12
0714 OTHER Inj Delandistrogene Mox Rokl 8 6 — — $3,255,345.87 $3,986,137.81 $3,288,563.69 2026-02-12
J3394 HCPCS Inj, Lovotibeglogene Autotem 13 8 — — $2,436,334.29 $3,898,134.86 $3,261,355.00 2026-02-12
0748 OTHER Inj, Lovotibeglogene Autotem 8 6 — — $3,129,140.00 $3,831,600.00 $3,161,070.00 2026-02-12
J3393 HCPCS Inj, Betibeglogene Autotemce 13 8 — — $2,209,305.00 $3,534,888.00 $2,950,686.67 2026-02-12
0746 OTHER Inj, Betibeglogene Autotemce 8 6 — — $2,908,640.00 $3,561,600.00 $2,938,320.00 2026-02-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 8 — — $1,841,332.96 $2,946,132.73 $2,455,110.61 2026-02-12
9141 OTHER Inj Onase Abepar-xioi Treat 8 6 — — $2,355,389.57 $2,884,150.50 $2,379,424.16 2026-02-12
J3392 HCPCS Inj, Exagamglogene Autotem 13 8 — — $1,749,000.00 $2,798,400.00 $2,332,000.00 2026-02-12
0824 RC Inj, Exagamglogene Autotem 14 7 — — $17,416.22 $2,798,400.00 $2,285,360.00 2026-02-12
824 APR_DRG Eye Infections & Other Eye Disorders 14 7 — — $17,416.22 $2,798,400.00 $2,285,360.00 2026-02-12
Q2057 HCPCS Afamitresgene Autoleucel 19 9 — — $577,965.00 $924,744.00 $770,620.00 2026-02-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 9 — — $443,794.65 $825,810.81 $591,726.20 2026-02-12
Q2056 HCPCS Ciltacabtagene Car-pos T 19 9 — — $424,401.71 $804,924.78 $565,868.95 2026-02-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 19 9 — — $421,903.64 $754,069.52 $562,538.19 2026-02-12
9194 OTHER Tisagenlecleucel Car-pos T 8 6 — — $554,311.36 $678,748.60 $559,967.60 2026-02-12
Q2055 HCPCS Idecabtagene Vicleucel Car 19 9 — — $417,988.45 $771,336.15 $557,317.93 2026-02-12
9498 OTHER Ciltacabtagene Car-pos T 8 6 — — $540,291.97 $661,582.00 $545,805.16 2026-02-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 9 — — $399,922.63 $714,695.04 $533,230.17 2026-02-12
9422 OTHER Idecabtagene Vicleucel Car 8 6 — — $517,746.18 $633,974.91 $523,029.31 2026-02-12
9413 OTHER Lisocabtagene Car Pos T 8 6 — — $506,156.25 $619,783.16 $511,321.11 2026-02-12
Q2053 HCPCS Brexucabtagene Car Pos T 19 9 — — $366,978.46 $712,555.20 $489,720.00 2026-02-12
9035 OTHER Axicabtagene Ciloleucel Car+ 8 6 — — $479,726.81 $587,420.58 $484,621.98 2026-02-12
9391 OTHER Brexucabtagene Car Pos T 8 6 — — $478,290.48 $585,661.81 $483,170.99 2026-02-12
5834 APR_DRG Neonate W Ecmo 3 2 — — $433,992.69 $433,992.69 $433,992.69 2026-02-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $377,466.18 $1,076,753.00 $422,087.34 2026-02-12
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $365,805.35 $365,805.35 $365,805.35 2026-02-12
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $364,322.41 $364,322.41 $364,322.41 2026-02-12
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $315,320.05 $315,320.05 $315,320.05 2026-02-12
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $288,535.69 $288,535.69 $288,535.69 2026-02-12
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $288,356.62 $288,356.62 $288,356.62 2026-02-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 — — $274,016.49 $699,022.00 $281,986.82 2026-02-12
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 8 — — $208,687.50 $333,900.00 $278,250.00 2026-02-12
5833 APR_DRG Neonate W Ecmo 3 2 — — $264,407.58 $264,407.58 $264,407.58 2026-02-12
J3403 HCPCS Revakinagene, Per Implant 7 5 — — $193,125.00 $309,000.00 $257,500.00 2026-02-12
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $255,226.40 $255,226.40 $255,226.40 2026-02-12
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $253,200.64 $253,200.64 $253,200.64 2026-02-12
5832 APR_DRG Neonate W Ecmo 3 2 — — $251,145.04 $251,145.04 $251,145.04 2026-02-12
5891 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 3 2 — — $238,975.59 $238,975.59 $238,975.59 2026-02-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $70,343.75 $532,733.00 $237,515.81 2026-02-12
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 2 — — $236,379.05 $236,379.05 $236,379.05 2026-02-12
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $233,692.96 $233,692.96 $233,692.96 2026-02-12
1614 APR_DRG Implantable Heart Assist Systems 6 2 — — $216,443.91 $248,910.49 $232,677.20 2026-02-12
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $231,197.14 $231,197.14 $231,197.14 2026-02-12
5892 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 3 2 — — $227,595.18 $227,595.18 $227,595.18 2026-02-12
5893 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 3 2 — — $216,757.58 $216,757.58 $216,757.58 2026-02-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 12 — — $207,607.37 $529,611.00 $215,338.35 2026-02-12
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $211,782.73 $211,782.73 $211,782.73 2026-02-12
24 APR_DRG Heart &/or Lung Transplant 6 2 — — $196,653.30 $226,151.29 $211,402.29 2026-02-12
74 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $192,346.18 $221,198.10 $206,772.14 2026-02-12
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 16 8 — — $154,230.00 $246,768.00 $205,640.00 2026-02-12
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 2 — — $205,377.17 $205,377.17 $205,377.17 2026-02-12
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 1 1 — — $202,813.00 $202,813.00 $202,813.00 2026-02-12
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 1 1 — — $202,813.00 $202,813.00 $202,813.00 2026-02-12
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $199,350.27 $199,350.27 $199,350.27 2026-02-12
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $198,691.81 $198,691.81 $198,691.81 2026-02-12
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $185,503.89 $185,503.89 $185,503.89 2026-02-12
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $183,202.06 $183,202.06 $183,202.06 2026-02-12
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $164,688.61 $164,688.61 $164,688.61 2026-02-12
14 APR_DRG Liver Transplant &/or Intestinal Transplant 6 2 — — $152,466.51 $175,336.48 $163,901.49 2026-02-12
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 2 — — $152,082.61 $174,895.00 $163,488.80 2026-02-12
5831 APR_DRG Neonate W Ecmo 3 2 — — $159,045.97 $159,045.97 $159,045.97 2026-02-12
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 2 — — $157,417.53 $157,417.53 $157,417.53 2026-02-12
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $153,388.40 $153,388.40 $153,388.40 2026-02-12
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 8 6 — — $149,450.49 $183,000.60 $150,975.49 2026-02-12
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 8 6 — — $149,450.49 $183,000.60 $150,975.49 2026-02-12
23 APR_DRG Heart &/or Lung Transplant 6 2 — — $138,155.17 $158,878.45 $148,516.81 2026-02-12
64 APR_DRG Pancreas Transplant 6 2 — — $137,600.39 $158,240.44 $147,920.42 2026-02-12
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $135,458.26 $155,777.00 $145,617.63 2026-02-12
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 2 — — $133,150.06 $153,122.56 $143,136.31 2026-02-12
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $143,112.27 $143,112.27 $143,112.27 2026-02-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 12 — — $135,580.72 $457,414.00 $141,553.27 2026-02-12
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 8 6 — — $134,750.49 $165,000.60 $136,125.49 2026-02-12
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 8 6 — — $134,750.49 $165,000.60 $136,125.49 2026-02-12
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 2 — — $136,010.94 $136,010.94 $136,010.94 2026-02-12
73 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $125,603.27 $144,443.76 $135,023.52 2026-02-12
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 1 1 — — $134,455.00 $134,455.00 $134,455.00 2026-02-12
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 1 1 — — $134,455.00 $134,455.00 $134,455.00 2026-02-12
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $133,865.80 $133,865.80 $133,865.80 2026-02-12
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $133,656.89 $133,656.89 $133,656.89 2026-02-12
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $133,625.17 $133,625.17 $133,625.17 2026-02-12
1612 APR_DRG Implantable Heart Assist Systems 6 2 — — $123,363.66 $141,868.21 $132,615.93 2026-02-12
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $117,671.25 $300,182.00 $131,267.57 2026-02-12
7 MS_DRG Lung Transplant 15 12 — — $126,777.88 $323,413.00 $130,937.45 2026-02-12
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 3 2 — — $130,495.14 $130,495.14 $130,495.14 2026-02-12
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 3 2 — — $125,602.37 $125,602.37 $125,602.37 2026-02-12
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 14 7 — — $14,341.42 $147,000.60 $120,050.49 2026-02-12
1903 APR_DRG Acute Myocardial Infarction 14 7 — — $10,176.31 $147,000.60 $120,050.49 2026-02-12
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 14 7 — — $10,176.31 $147,000.60 $120,050.49 2026-02-12
1904 APR_DRG Acute Myocardial Infarction 14 7 — — $14,341.42 $147,000.60 $120,050.49 2026-02-12
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 1 1 — — $118,282.00 $118,282.00 $118,282.00 2026-02-12
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 1 1 — — $118,282.00 $118,282.00 $118,282.00 2026-02-12
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 1 1 — — $118,282.00 $118,282.00 $118,282.00 2026-02-12
209 MS_DRG #n/a 7 6 — — $110,842.50 $282,761.00 $115,366.68 2026-02-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $110,439.07 $305,297.00 $112,913.05 2026-02-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 12 — — $97,540.55 $271,680.00 $109,180.62 2026-02-12
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $108,624.08 $108,624.08 $108,624.08 2026-02-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 12 — — $104,994.11 $275,346.00 $107,935.57 2026-02-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $100,993.51 $405,434.00 $106,734.74 2026-02-12
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 2 — — $98,823.07 $113,646.53 $106,234.80 2026-02-12
22 APR_DRG Heart &/or Lung Transplant 6 2 — — $98,818.25 $113,640.99 $106,229.62 2026-02-12
215 MS_DRG Other Heart Assist System Implant 17 12 — — $95,838.98 $248,828.00 $106,188.54 2026-02-12
1611 APR_DRG Implantable Heart Assist Systems 6 2 — — $98,341.69 $113,092.95 $105,717.32 2026-02-12
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $105,652.60 $105,652.60 $105,652.60 2026-02-12
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 1 1 — — $105,397.00 $105,397.00 $105,397.00 2026-02-12
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 1 1 — — $105,397.00 $105,397.00 $105,397.00 2026-02-12
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 14 7 — — $7,711.66 $129,000.60 $105,350.49 2026-02-12
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 14 7 — — $6,490.16 $129,000.60 $105,350.49 2026-02-12
1902 APR_DRG Acute Myocardial Infarction 14 7 — — $7,711.66 $129,000.60 $105,350.49 2026-02-12
1901 APR_DRG Acute Myocardial Infarction 14 7 — — $6,490.16 $129,000.60 $105,350.49 2026-02-12
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 2 — — $104,663.98 $104,663.98 $104,663.98 2026-02-12
63 APR_DRG Pancreas Transplant 6 2 — — $96,183.92 $110,611.51 $103,397.71 2026-02-12
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $102,763.20 $102,763.20 $102,763.20 2026-02-12
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 2 — — $101,007.50 $101,007.50 $101,007.50 2026-02-12
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 2 — — $93,144.02 $107,115.63 $100,129.83 2026-02-12
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 2 — — $92,878.06 $106,809.77 $99,843.92 2026-02-12
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 2 — — $92,713.19 $106,620.17 $99,666.68 2026-02-12
13 APR_DRG Liver Transplant &/or Intestinal Transplant 6 2 — — $92,099.44 $105,914.35 $99,006.90 2026-02-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $64,508.40 $244,487.00 $98,249.46 2026-02-12
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 2 — — $91,309.98 $105,006.48 $98,158.23 2026-02-12
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 3 2 — — $98,124.11 $98,124.11 $98,124.11 2026-02-12
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 2 — — $95,975.24 $95,975.24 $95,975.24 2026-02-12
4404 APR_DRG Kidney Transplant 6 2 — — $88,401.26 $101,661.45 $95,031.35 2026-02-12
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 2 — — $94,673.24 $94,673.24 $94,673.24 2026-02-12
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 8 6 — — $93,100.49 $114,000.60 $94,050.49 2026-02-12
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 8 6 — — $93,100.49 $114,000.60 $94,050.49 2026-02-12
72 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $86,714.03 $99,721.14 $93,217.58 2026-02-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 2 — — $93,216.70 $93,216.70 $93,216.70 2026-02-12
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $92,610.18 $92,610.18 $92,610.18 2026-02-12
850 MS_DRG Acute Leukemia With Other Procedures 17 12 — — $48,521.25 $216,497.00 $92,354.56 2026-02-12
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 2 — — $85,147.15 $97,919.22 $91,533.18 2026-02-12
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $90,341.93 $90,341.93 $90,341.93 2026-02-12
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 2 — — $90,187.11 $90,187.11 $90,187.11 2026-02-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 12 — — $83,638.43 $225,220.00 $88,286.43 2026-02-12
62 APR_DRG Pancreas Transplant 6 2 — — $81,183.01 $93,360.46 $87,271.74 2026-02-12
8634 APR_DRG Neonatal Aftercare 6 2 — — $81,013.33 $93,165.33 $87,089.33 2026-02-12
21 APR_DRG Heart &/or Lung Transplant 6 2 — — $80,923.07 $93,061.53 $86,992.30 2026-02-12
459 MS_DRG Spinal Fusion Except Cervical W Mcc 1 1 — — $86,206.00 $86,206.00 $86,206.00 2026-02-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $59,500.39 $210,775.00 $85,484.15 2026-02-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $82,365.12 $210,115.00 $85,325.93 2026-02-12
8424 APR_DRG Burns W Skin Graft Except Extensive 3rd Degree Burns 6 2 — — $78,483.69 $90,256.24 $84,369.96 2026-02-12
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 8 6 — — $83,300.49 $102,000.60 $84,150.49 2026-02-12
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 8 6 — — $83,300.49 $102,000.60 $84,150.49 2026-02-12
71 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $77,989.08 $89,687.44 $83,838.26 2026-02-12
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 6 2 — — $77,406.61 $89,017.60 $83,212.11 2026-02-12
12 APR_DRG Liver Transplant &/or Intestinal Transplant 6 2 — — $75,999.79 $87,399.75 $81,699.77 2026-02-12
1784 APR_DRG External Heart Assist Systems 6 2 — — $75,982.94 $87,380.38 $81,681.66 2026-02-12
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $81,291.32 $81,291.32 $81,291.32 2026-02-12
11 APR_DRG Liver Transplant &/or Intestinal Transplant 6 2 — — $75,482.31 $86,804.65 $81,143.48 2026-02-12
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $81,119.00 $81,119.00 $81,119.00 2026-02-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $77,143.19 $277,310.00 $80,842.42 2026-02-12
J7330 HCPCS Implant,autologous Cultured Chondrocytes 16 6 $121,329.00 $48,531.60 60% off $313.71 $103,129.65 $80,786.48 2026-02-12
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 2 — — $80,561.98 $80,561.98 $80,561.98 2026-02-12
10 MS_DRG Pancreas Transplant 15 12 — — $70,373.05 $179,523.00 $79,961.10 2026-02-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 12 — — $69,971.59 $178,499.00 $79,503.94 2026-02-12
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $79,444.64 $79,444.64 $79,444.64 2026-02-12
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 2 — — $73,659.09 $84,707.95 $79,183.52 2026-02-12
233 MS_DRG Coronary Bypass W Cardiac Cath W Mcc 18 12 — — $53,640.61 $191,222.00 $78,394.54 2026-02-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $52,371.76 $192,047.00 $77,980.21 2026-02-12
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 3 2 — — $77,431.94 $77,431.94 $77,431.94 2026-02-12
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $71,822.64 $82,596.03 $77,209.33 2026-02-12
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 2 — — $70,995.87 $81,645.25 $76,320.56 2026-02-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $41,442.44 $190,592.00 $76,316.35 2026-02-12
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 2 — — $70,862.29 $81,491.63 $76,176.96 2026-02-12
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 6 2 — — $70,798.51 $81,418.28 $76,108.39 2026-02-12
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $70,751.57 $81,364.31 $76,057.94 2026-02-12
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $75,523.70 $75,523.70 $75,523.70 2026-02-12
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $75,447.23 $75,447.23 $75,447.23 2026-02-12
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 6 2 — — $69,503.60 $79,929.15 $74,716.38 2026-02-12
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 8 6 — — $73,500.49 $90,000.60 $74,250.49 2026-02-12
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 8 6 — — $73,500.49 $90,000.60 $74,250.49 2026-02-12
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 2 — — $66,467.32 $76,437.42 $71,452.37 2026-02-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 12 — — $70,792.10 $180,592.00 $71,254.97 2026-02-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 12 — — $58,953.38 $180,935.00 $70,897.84 2026-02-12
1794 APR_DRG Defibrillator Implants 6 2 — — $65,934.19 $75,824.32 $70,879.26 2026-02-12
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 2 — — $65,546.69 $75,378.69 $70,462.69 2026-02-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 12 — — $31,741.93 $179,448.00 $70,343.75 2026-02-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 12 — — $19,255.60 $206,541.00 $70,177.45 2026-02-12
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 3 2 — — $69,545.30 $69,545.30 $69,545.30 2026-02-12
5244 OTHER Level 4 Blood Product Exchange And Related Services 8 6 — — $68,705.17 $84,128.78 $69,406.24 2026-02-12
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 2 — — $64,370.92 $74,026.56 $69,198.74 2026-02-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $37,038.09 $254,220.00 $68,617.67 2026-02-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 — — $41,533.28 $172,102.00 $68,521.33 2026-02-12
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 2 — — $63,644.04 $73,190.65 $68,417.35 2026-02-12
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $68,058.63 $68,058.63 $68,058.63 2026-02-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 6 2 — — $67,452.66 $67,452.66 $67,452.66 2026-02-12
914 APR_DRG Other Major Head & Neck Procedures 6 2 — — $62,728.22 $72,137.46 $67,432.84 2026-02-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 12 — — $65,546.73 $167,211.00 $67,273.54 2026-02-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 12 — — $63,135.03 $209,424.00 $66,924.89 2026-02-12
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 2 — — $61,452.58 $70,670.46 $66,061.52 2026-02-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $64,508.40 $218,623.00 $65,973.02 2026-02-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $59,716.82 $218,623.00 $65,824.90 2026-02-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 12 — — $23,776.19 $167,333.00 $65,193.10 2026-02-12
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 2 — — $60,318.93 $69,366.77 $64,842.85 2026-02-12
4403 APR_DRG Kidney Transplant 6 2 — — $60,061.40 $69,070.61 $64,566.01 2026-02-12
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $64,479.05 $64,479.05 $64,479.05 2026-02-12
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 8 6 — — $63,700.49 $78,000.60 $64,350.49 2026-02-12
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 8 6 — — $63,700.49 $78,000.60 $64,350.49 2026-02-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $34,189.77 $163,967.00 $64,274.94 2026-02-12
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 3 2 — — $63,713.30 $63,713.30 $63,713.30 2026-02-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $26,043.33 $153,249.00 $63,468.17 2026-02-12
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 3 2 — — $63,456.85 $63,456.85 $63,456.85 2026-02-12
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 6 2 — — $59,025.23 $67,879.02 $63,452.12 2026-02-12
J9029 HCPCS Nadofaragene Firadenov-vncg Intraves Susp 300000000000 Vp/ml 38 21 $33,211.68 $19,927.01 40% off $313.71 $78,935.54 $63,342.28 2026-02-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $59,500.39 $158,846.00 $63,149.99 2026-02-12
0717 OTHER Instill Adstiladrin, Tx Dose 8 6 — — $62,134.00 $76,082.45 $62,768.02 2026-02-12
1783 APR_DRG External Heart Assist Systems 6 2 — — $58,339.27 $67,090.16 $62,714.71 2026-02-12
4414 APR_DRG Major Bladder Procedures 6 2 — — $57,902.42 $66,587.78 $62,245.10 2026-02-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 12 — — $45,394.54 $150,391.00 $62,168.70 2026-02-12
894 APR_DRG Major Cranial/facial Bone Procedures 6 2 — — $57,705.06 $66,360.82 $62,032.94 2026-02-12
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 3 2 — — $61,829.73 $61,829.73 $61,829.73 2026-02-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $54,229.62 $138,341.00 $61,591.49 2026-02-12
28 MS_DRG Spinal Procedures With Mcc 18 12 — — $58,969.99 $150,434.00 $61,198.10 2026-02-12
1204 APR_DRG Major Respiratory & Chest Procedures 6 2 — — $56,881.90 $65,414.19 $61,148.04 2026-02-12
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 2 — — $56,766.37 $65,281.33 $61,023.85 2026-02-12
Q2043 HCPCS Sipuleucel-t IV Susp 50 000 000 Cells 36 20 $135,972.63 $81,583.58 40% off $40,247.90 $115,576.74 $60,799.55 2026-02-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 12 — — $53,343.67 $258,862.00 $60,583.13 2026-02-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 12 — — $58,202.23 $258,862.00 $60,583.13 2026-02-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 12 — — $39,929.39 $307,493.00 $60,194.96 2026-02-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 12 — — $46,784.52 $153,426.00 $60,143.12 2026-02-12
61 APR_DRG Pancreas Transplant 6 2 — — $55,650.78 $63,998.40 $59,824.59 2026-02-12
234 APR_DRG Spinal Procedures 6 2 — — $55,446.20 $63,763.12 $59,604.66 2026-02-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $41,197.27 $146,953.00 $59,511.12 2026-02-12
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 6 2 — — $55,176.62 $63,453.12 $59,314.87 2026-02-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $57,617.06 $155,208.00 $59,225.11 2026-02-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 — — $22,147.88 $146,858.00 $59,182.19 2026-02-12
214 APR_DRG Open Craniotomy Except Trauma 6 2 — — $54,521.95 $62,700.24 $58,611.10 2026-02-12
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 1 1 — — $58,375.00 $58,375.00 $58,375.00 2026-02-12
213 MS_DRG #n/a 7 6 — — $56,025.94 $142,923.00 $58,312.71 2026-02-12
6132 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 2 — — $58,209.66 $58,209.66 $58,209.66 2026-02-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $56,254.51 $143,506.00 $57,912.28 2026-02-12
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $57,832.86 $57,832.86 $57,832.86 2026-02-12
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 6 2 — — $53,785.45 $61,853.26 $57,819.35 2026-02-12
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 6 2 — — $53,625.39 $61,669.20 $57,647.29 2026-02-12
6312 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 2 — — $56,868.48 $56,868.48 $56,868.48 2026-02-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 12 — — $54,927.09 $144,423.00 $56,613.97 2026-02-12
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 2 — — $52,543.49 $60,425.02 $56,484.25 2026-02-12
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 2 — — $52,396.67 $60,256.17 $56,326.42 2026-02-12
1643 OTHER Y90 Ibritumomab, Rx 8 6 — — $55,688.06 $68,189.46 $56,256.31 2026-02-12
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 6 2 — — $52,282.35 $60,124.70 $56,203.52 2026-02-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $54,231.84 $142,739.00 $56,177.39 2026-02-12
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 2 — — $56,070.12 $56,070.12 $56,070.12 2026-02-12
234 MS_DRG Coronary Bypass W Cardiac Cath Without Mcc 18 12 — — $53,423.55 $136,838.00 $55,962.38 2026-02-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 12 — — $54,632.99 $787,846.00 $55,922.49 2026-02-12
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 6 2 — — $51,974.26 $59,770.40 $55,872.33 2026-02-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 12 — — $20,655.34 $157,948.00 $55,800.93 2026-02-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $51,990.81 $277,310.00 $55,495.30 2026-02-12
6954 APR_DRG Chemotherapy For Acute Leukemia 6 2 — — $51,450.77 $59,168.38 $55,309.57 2026-02-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 12 — — $55,196.64 $140,808.00 $55,263.21 2026-02-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 — — $53,716.80 $137,033.00 $55,209.14 2026-02-12
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $51,297.93 $58,992.62 $55,145.28 2026-02-12
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 3 2 — — $55,038.59 $55,038.59 $55,038.59 2026-02-12
9273 OTHER Sipuleucel-t Auto Cd54+ 8 6 — — $54,425.77 $66,643.80 $54,981.13 2026-02-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 12 — — $53,556.61 $136,624.00 $54,961.71 2026-02-12
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 6 2 — — $50,947.73 $58,589.89 $54,768.81 2026-02-12
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 2 — — $50,863.49 $58,493.01 $54,678.25 2026-02-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 12 — — $35,508.43 $139,417.00 $54,651.59 2026-02-12
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 8 6 — — $53,900.49 $66,000.60 $54,450.49 2026-02-12
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 8 6 — — $53,900.49 $66,000.60 $54,450.49 2026-02-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $26,173.24 $122,847.00 $54,174.82 2026-02-12
274 APR_DRG Other Open Craniotomy 6 2 — — $50,283.43 $57,825.94 $54,054.68 2026-02-12
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 2 — — $50,222.05 $57,755.36 $53,988.71 2026-02-12
4402 APR_DRG Kidney Transplant 6 2 — — $50,181.14 $57,708.31 $53,944.72 2026-02-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $49,513.67 $142,182.00 $53,848.93 2026-02-12
6364 APR_DRG Neonate Birthwt >2499g W Congenital/perinatal Infection 3 2 — — $53,464.25 $53,464.25 $53,464.25 2026-02-12
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $27,624.75 $130,203.00 $53,383.07 2026-02-12
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 2 — — $49,627.55 $57,071.68 $53,349.62 2026-02-12
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 6 2 — — $49,486.75 $56,909.76 $53,198.26 2026-02-12
1782 APR_DRG External Heart Assist Systems 6 2 — — $49,408.53 $56,819.80 $53,114.17 2026-02-12
6233 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 3 2 — — $52,818.84 $52,818.84 $52,818.84 2026-02-12
2304 APR_DRG Major Small Bowel Procedures 6 2 — — $49,130.53 $56,500.11 $52,815.32 2026-02-12
6223 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $52,779.67 $52,779.67 $52,779.67 2026-02-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 — — $35,019.06 $132,194.00 $52,716.40 2026-02-12
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $48,761.07 $56,075.23 $52,418.15 2026-02-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 12 — — $51,721.94 $133,522.00 $52,340.51 2026-02-12
1814 APR_DRG Lower Extremity Arterial Procedures 6 2 — — $48,570.93 $55,856.57 $52,213.75 2026-02-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 12 — — $51,127.33 $130,427.00 $52,190.07 2026-02-12
1764 APR_DRG Insertion, Revision & Replacements Of Pacemaker & Other Cardiac Devices 6 2 — — $48,284.51 $55,527.19 $51,905.85 2026-02-12
6904 APR_DRG Acute Leukemia 6 2 — — $48,110.01 $55,326.51 $51,718.26 2026-02-12
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 6 2 — — $48,083.54 $55,296.07 $51,689.81 2026-02-12
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 2 — — $47,633.45 $54,778.47 $51,205.96 2026-02-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 12 — — $15,932.56 $143,172.00 $51,010.68 2026-02-12
4034 APR_DRG Procedures For Obesity 6 2 — — $47,436.08 $54,551.50 $50,993.79 2026-02-12
1793 APR_DRG Defibrillator Implants 6 2 — — $47,259.18 $54,348.05 $50,803.62 2026-02-12
2614 APR_DRG Major Biliary Tract Procedures 6 2 — — $47,238.72 $54,324.53 $50,781.62 2026-02-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 12 — — $28,124.87 $123,358.00 $50,589.53 2026-02-12
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 2 — — $47,007.66 $54,058.81 $50,533.24 2026-02-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 12 — — $19,798.70 $174,159.00 $50,367.56 2026-02-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 12 — — $31,045.47 $127,387.00 $50,322.26 2026-02-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 — — $20,670.97 $120,432.00 $50,292.42 2026-02-12
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 6 2 — — $46,423.99 $53,387.59 $49,905.79 2026-02-12
6253 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 3 2 — — $49,854.82 $49,854.82 $49,854.82 2026-02-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $46,144.93 $142,182.00 $49,513.67 2026-02-12
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 6 2 — — $46,028.06 $52,932.26 $49,480.16 2026-02-12
304 APR_DRG Percutaneous Intra & Extracranial Vascular Procedures 6 2 — — $45,979.92 $52,876.91 $49,428.42 2026-02-12
See an error in this hospital's data? Submit a correction