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

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Hospital

MACNEAL HOSPITAL

Berwyn, IL · CCN 140054 · Rates published

31,417 distinct procedures filed
14 distinct payers
864,593 rate rows
2026-03-31 last MRF observed
Data quality

583,225 of 864,593 rate rows are consumer-grade (67.5%)

281,368 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 274,907
per-diem day rate — not a per-procedure price 2,384
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,537
percent-of-charges filed in the dollar field — excluded from medians 674
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 631
template filing: same amount across many unrelated codes — excluded 586
placeholder amount (≤ $0.02) — excluded from medians 547
exceeds 10× this hospital's gross charge — excluded from medians 102
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/macnealhospital
Found on page https://www.loyolamedicine.org/for-patients/billing-and-insurance/insurance-information/price-estimates-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-14
Content fingerprint ac3a632edd6ecc7c… · 15,248,638 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 $752,930.00 $4,791,353.23 $4,563,193.55 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 12 $638,120.00 $4,834,222.75 $4,022,073.33 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $23,609.42 $4,801,994.60 $3,929,952.38 nat. median
$3,685,267
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 12 $560,953.06 $4,432,181.45 $3,569,686.76 nat. median
$3,248,446
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $23,609.42 $4,518,093.21 $3,557,438.65 nat. median
$3,325,455
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $507,518.11 $4,864,551.99 $3,229,647.54 nat. median
$2,968,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $421,763.88 $3,998,166.53 $2,683,941.06 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 13 $401,104.00 $3,847,800.00 $2,552,469.61 nat. median
$2,332,000
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 13 $132,546.64 $1,271,523.00 $843,475.19 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $37,727.52 $954,972.35 $626,971.39 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $37,727.52 $912,729.35 $599,927.28 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $37,727.52 $852,129.78 $587,196.32 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $37,727.52 $870,577.06 $586,789.54 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $37,727.52 $829,687.20 $577,917.17 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $37,727.52 $807,508.61 $530,913.68 nat. median
$513,770
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$377,029
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $347,116.37 $553,246.78 $375,744.53 nat. median
$168,055
outlier · 2.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $46,504.50 $367,439.63 $295,936.52 nat. median
$286,598
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $259,439.21 $413,228.96 $280,836.26 nat. median
$186,516
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $218,602.20 $348,013.48 $236,631.24 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $197,554.89 $314,401.57 $213,848.08 nat. median
$145,435
1.5× median
5834
APR_DRG 		Neonate With Ecmo 3 $193,972.12 $193,972.12 $193,972.12 nat. median
$390,362
outlier · 0.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $159,109.75 $159,109.75 $159,109.75 nat. median
$286,698
0.6× median
5833
APR_DRG 		Neonate With Ecmo 3 $153,629.62 $153,629.62 $153,629.62 nat. median
$268,208
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $152,127.81 $152,127.81 $152,127.81 nat. median
$202,242
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $146,807.88 $146,807.88 $146,807.88 nat. median
$225,531
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $130,481.33 $207,287.10 $141,242.68 nat. median
$97,418
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $128,711.24 $139,909.44 $138,442.89 nat. median
$2,736
outlier · 50.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $121,036.14 $192,203.41 $131,018.51 nat. median
$72,715
1.8× median
7
MS_DRG 		Lung Transplant 13 $120,733.00 $191,719.30 $130,690.36 nat. median
$70,649
1.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $130,327.56 $130,327.56 $130,327.56 nat. median
$92,809
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $113,186.62 $123,034.14 $121,744.47 nat. median
$2,633
outlier · 46.2×
5063312011
NDC 		Digoxin Immune Fab 40 Mg Inj 6 $58,607.11 $427,215.01 $117,584.38 —
1613
APR_DRG 		Implantable Heart Assist Systems 3 $116,545.54 $116,545.54 $116,545.54 nat. median
$155,539
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $115,487.75 $115,487.75 $115,487.75 nat. median
$187,567
0.6× median
5832
APR_DRG 		Neonate With Ecmo 3 $113,287.12 $113,287.12 $113,287.12 nat. median
$201,678
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $101,909.66 $161,659.00 $110,314.59 nat. median
$65,418
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $102,480.95 $111,397.05 $110,229.37 nat. median
$2,596
outlier · 42.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 13 $100,754.06 $159,813.51 $109,063.67 nat. median
$74,509
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $107,281.08 $107,281.08 $107,281.08 nat. median
$173,018
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $98,508.04 $156,226.70 $106,632.41 nat. median
$69,922
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 13 $98,006.47 $155,425.72 $106,089.48 nat. median
$73,023
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $103,769.84 $103,769.84 $103,769.84 nat. median
$168,439
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $102,504.55 $102,504.55 $102,504.55 nat. median
$173,134
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $100,371.89 $100,371.89 $100,371.89 nat. median
$152,383
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $100,206.92 $100,206.92 $100,206.92 nat. median
$171,497
0.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $100,078.12 $100,078.12 $100,078.12 nat. median
$135,803
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $99,567.72 $99,567.72 $99,567.72 nat. median
$198,578
0.5× median
5831
APR_DRG 		Neonate With Ecmo 3 $97,900.54 $97,900.54 $97,900.54 nat. median
$173,909
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $89,337.50 $141,581.64 $96,705.55 nat. median
$69,822
1.4× median

Other procedures at this hospital

Browse this hospital's 31,417 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 8 — — $752,930.00 $4,791,353.23 $4,563,193.55 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 14 12 — — $638,120.00 $4,834,222.75 $4,022,073.33 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 12 — — $23,609.42 $4,801,994.60 $3,929,952.38 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 12 — — $560,953.06 $4,432,181.45 $3,569,686.76 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 12 — — $23,609.42 $4,518,093.21 $3,557,438.65 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 17 13 — — $507,518.11 $4,864,551.99 $3,229,647.54 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 17 13 — — $421,763.88 $3,998,166.53 $2,683,941.06 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 17 13 — — $401,104.00 $3,847,800.00 $2,552,469.61 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 17 13 — — $132,546.64 $1,271,523.00 $843,475.19 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 13 — — $37,727.52 $954,972.35 $626,971.39 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 20 13 — — $37,727.52 $912,729.35 $599,927.28 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 13 — — $37,727.52 $852,129.78 $587,196.32 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 20 13 — — $37,727.52 $870,577.06 $586,789.54 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 13 — — $37,727.52 $829,687.20 $577,917.17 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 20 13 — — $37,727.52 $807,508.61 $530,913.68 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 13 — — $347,116.37 $553,246.78 $375,744.53 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 12 — — $46,504.50 $367,439.63 $295,936.52 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 13 — — $259,439.21 $413,228.96 $280,836.26 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 13 — — $218,602.20 $348,013.48 $236,631.24 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 13 — — $197,554.89 $314,401.57 $213,848.08 2026-03-31
5834 APR_DRG Neonate With Ecmo 3 3 — — $193,972.12 $193,972.12 $193,972.12 2026-03-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $159,109.75 $159,109.75 $159,109.75 2026-03-31
5833 APR_DRG Neonate With Ecmo 3 3 — — $153,629.62 $153,629.62 $153,629.62 2026-03-31
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $152,127.81 $152,127.81 $152,127.81 2026-03-31
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $146,807.88 $146,807.88 $146,807.88 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 13 — — $130,481.33 $207,287.10 $141,242.68 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $128,711.24 $139,909.44 $138,442.89 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 17 13 — — $121,036.14 $192,203.41 $131,018.51 2026-03-31
7 MS_DRG Lung Transplant 17 13 — — $120,733.00 $191,719.30 $130,690.36 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $130,327.56 $130,327.56 $130,327.56 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $113,186.62 $123,034.14 $121,744.47 2026-03-31
5063312011 NDC Digoxin Immune Fab 40 Mg Inj 16 6 $308,458.49 — $58,607.11 $427,215.01 $117,584.38 2026-03-31
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $116,545.54 $116,545.54 $116,545.54 2026-03-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $115,487.75 $115,487.75 $115,487.75 2026-03-31
5832 APR_DRG Neonate With Ecmo 3 3 — — $113,287.12 $113,287.12 $113,287.12 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 13 — — $101,909.66 $161,659.00 $110,314.59 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $102,480.95 $111,397.05 $110,229.37 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 17 13 — — $100,754.06 $159,813.51 $109,063.67 2026-03-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $107,281.08 $107,281.08 $107,281.08 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 13 — — $98,508.04 $156,226.70 $106,632.41 2026-03-31
215 MS_DRG Other Heart Assist System Implant 17 13 — — $98,006.47 $155,425.72 $106,089.48 2026-03-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $103,769.84 $103,769.84 $103,769.84 2026-03-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $102,504.55 $102,504.55 $102,504.55 2026-03-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $100,371.89 $100,371.89 $100,371.89 2026-03-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $100,206.92 $100,206.92 $100,206.92 2026-03-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $100,078.12 $100,078.12 $100,078.12 2026-03-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $99,567.72 $99,567.72 $99,567.72 2026-03-31
5831 APR_DRG Neonate With Ecmo 3 3 — — $97,900.54 $97,900.54 $97,900.54 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 13 — — $89,337.50 $141,581.64 $96,705.55 2026-03-31
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $96,244.90 $96,244.90 $96,244.90 2026-03-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $95,589.40 $95,589.40 $95,589.40 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $95,331.01 $95,331.01 $95,331.01 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $87,270.87 $94,863.66 $93,869.28 2026-03-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $93,848.68 $93,848.68 $93,848.68 2026-03-31
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $93,575.99 $93,575.99 $93,575.99 2026-03-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $93,331.52 $93,331.52 $93,331.52 2026-03-31
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $90,783.85 $90,783.85 $90,783.85 2026-03-31
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $88,896.85 $88,896.85 $88,896.85 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 2 — — $82,380.65 $89,547.97 $88,609.32 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 13 — — $78,523.58 $124,312.11 $84,999.75 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 13 — — $78,480.40 $124,243.16 $84,953.01 2026-03-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $83,413.54 $83,413.54 $83,413.54 2026-03-31
64 APR_DRG Pancreas Transplant 3 3 — — $82,879.28 $82,879.28 $82,879.28 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 2 — — $76,012.30 $82,625.56 $81,759.46 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 13 — — $74,731.54 $118,256.34 $80,894.96 2026-03-31
10 MS_DRG Pancreas Transplant 17 13 — — $73,922.24 $116,963.91 $80,018.91 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 13 — — $73,502.43 $116,293.49 $79,564.49 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 13 — — $72,483.69 $114,666.59 $78,461.72 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 13 — — $71,758.90 $113,509.13 $77,677.16 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 13 — — $69,248.33 $109,499.81 $74,959.53 2026-03-31
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-03-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $74,382.42 $74,382.42 $74,382.42 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $67,628.88 $73,512.76 $72,742.19 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $67,216.03 $73,064.00 $72,298.13 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 13 — — $65,599.59 $103,672.89 $71,009.86 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 13 — — $64,584.52 $102,051.86 $69,911.08 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 20 13 — — $10,910.14 $104,338.76 $68,766.67 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 13 — — $63,406.85 $100,171.16 $68,636.28 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 2 — — $63,279.28 $68,784.74 $68,063.72 2026-03-31
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $67,371.47 $67,371.47 $67,371.47 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 13 — — $62,034.45 $97,979.46 $67,150.69 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 13 — — $61,930.64 $97,813.69 $67,038.32 2026-03-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $66,730.68 $66,730.68 $66,730.68 2026-03-31
3621387-256 CDM Heartmate Ii Lvad Sys 16 6 $175,000.00 — $33,250.00 $242,375.00 $66,710.00 2026-03-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $66,068.42 $66,068.42 $66,068.42 2026-03-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $65,237.61 $65,237.61 $65,237.61 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 13 — — $60,089.74 $94,873.82 $65,045.60 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 13 — — $60,004.31 $94,737.39 $64,953.12 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $64,371.83 $64,371.83 $64,371.83 2026-03-31
3621431-256 CDM Hw Hvad - Sterile Implant Kit #5400 16 6 $168,400.00 — $31,996.00 $233,234.00 $64,194.08 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 13 — — $58,777.04 $92,777.48 $63,624.63 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $62,825.10 $62,825.10 $62,825.10 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 17 13 — — $57,583.76 $90,871.85 $62,332.94 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 13 — — $57,251.22 $90,340.79 $61,972.97 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 13 — — $57,053.72 $90,025.39 $61,759.18 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 20 13 — — $9,773.82 $93,760.51 $61,604.45 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 13 — — $56,796.51 $89,614.63 $61,480.76 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 17 13 — — $56,528.27 $89,186.27 $61,190.40 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 13 — — $56,127.76 $88,546.65 $60,756.85 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 13 — — $56,127.76 $88,546.65 $60,756.85 2026-03-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $60,669.38 $60,669.38 $60,669.38 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 13 — — $9,622.71 $94,078.22 $60,651.96 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 13 — — $55,713.46 $87,885.04 $60,308.39 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 13 — — $55,332.23 $87,276.23 $59,895.72 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $55,290.90 $87,210.22 $59,850.98 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 13 — — $54,734.22 $86,321.21 $59,248.38 2026-03-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $58,706.06 $58,706.06 $58,706.06 2026-03-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $58,652.40 $58,652.40 $58,652.40 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 13 — — $54,165.60 $85,413.14 $58,632.86 2026-03-31
63 APR_DRG Pancreas Transplant 3 3 — — $58,276.35 $58,276.35 $58,276.35 2026-03-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $58,001.67 $58,001.67 $58,001.67 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 13 — — $53,404.07 $84,197.00 $57,808.53 2026-03-31
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $57,755.21 $57,755.21 $57,755.21 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 13 — — $53,088.98 $83,693.82 $57,467.46 2026-03-31
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 31 14 $91,360.00 — $1,285.52 $126,533.60 $57,335.57 2026-03-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $57,132.30 $57,132.30 $57,132.30 2026-03-31
3621004-256 CDM Hvad Heartware Pump 16 6 $149,300.00 — $28,367.00 $206,780.50 $56,913.16 2026-03-31
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $56,719.68 $56,719.68 $56,719.68 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 17 13 — — $51,890.19 $81,779.38 $56,169.79 2026-03-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $55,801.03 $55,801.03 $55,801.03 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 13 — — $51,455.69 $81,085.49 $55,699.46 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 17 13 — — $51,455.69 $81,085.49 $55,699.46 2026-03-31
4404 APR_DRG Kidney Transplant 3 3 — — $55,140.76 $55,140.76 $55,140.76 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 13 — — $50,663.84 $79,820.94 $54,842.30 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 13 — — $50,549.93 $79,639.03 $54,719.00 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 13 — — $50,295.47 $79,232.67 $54,443.55 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 13 — — $50,248.62 $79,157.85 $54,392.84 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 13 — — $50,243.11 $79,149.05 $54,386.87 2026-03-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $54,256.69 $54,256.69 $54,256.69 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $54,216.93 $54,216.93 $54,216.93 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $50,173.96 $54,539.23 $53,967.54 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 13 — — $49,553.24 $78,047.33 $53,640.10 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 13 — — $49,337.35 $77,702.59 $53,406.41 2026-03-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $52,890.43 $52,890.43 $52,890.43 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 13 — — $47,833.58 $75,301.11 $51,778.62 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 2 — — $48,069.20 $52,251.34 $51,703.64 2026-03-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $51,625.94 $51,625.94 $51,625.94 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 13 — — $47,480.84 $74,737.78 $51,396.79 2026-03-31
1784 APR_DRG External Heart Assist Systems 3 3 — — $51,281.29 $51,281.29 $51,281.29 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 13 — — $47,337.53 $74,508.93 $51,241.66 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 13 — — $46,950.79 $73,891.32 $50,823.02 2026-03-31
62 APR_DRG Pancreas Transplant 3 3 — — $50,589.62 $50,589.62 $50,589.62 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 13 — — $46,677.97 $73,455.62 $50,527.70 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 13 — — $46,642.14 $73,398.41 $50,488.91 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 13 — — $46,623.77 $73,369.07 $50,469.03 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 13 — — $46,458.42 $73,105.01 $50,290.04 2026-03-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $49,604.98 $49,604.98 $49,604.98 2026-03-31
J9226 HCPCS Supprelin La Implant 20 13 — — $7,836.39 $74,599.87 $49,392.78 2026-03-31
245 MS_DRG Aicd Generator Procedures 17 13 — — $45,571.96 $71,689.36 $49,330.47 2026-03-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $49,261.13 $49,261.13 $49,261.13 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 17 13 — — $45,300.97 $71,256.59 $49,037.13 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 17 13 — — $45,226.56 $71,137.76 $48,956.59 2026-03-31
84 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $48,686.32 $48,686.32 $48,686.32 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 13 — — $44,549.54 $70,056.59 $48,223.73 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 18 12 — — $8,068.42 $63,749.90 $48,152.52 2026-03-31
0266T OTHER Implt/rpl Crtd Sns Dev Total 18 12 — — $8,068.42 $63,749.90 $48,152.52 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 17 13 — — $44,359.38 $69,752.92 $48,017.89 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 13 — — $44,351.12 $69,739.71 $48,008.94 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 13 — — $43,899.15 $69,017.95 $47,519.70 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 13 — — $43,667.66 $68,648.27 $47,269.12 2026-03-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $47,210.75 $47,210.75 $47,210.75 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 13 — — $43,414.13 $68,243.37 $46,994.68 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 17 13 — — $43,021.89 $67,616.96 $46,570.08 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 13 — — $43,004.43 $67,589.09 $46,551.18 2026-03-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $46,437.98 $46,437.98 $46,437.98 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 13 — — $42,869.39 $67,373.44 $46,405.01 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 13 — — $42,862.96 $67,363.17 $46,398.05 2026-03-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $46,263.47 $46,263.47 $46,263.47 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 13 — — $42,125.32 $66,185.17 $45,599.57 2026-03-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $45,473.61 $45,473.61 $45,473.61 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 13 — — $41,878.21 $65,790.55 $45,332.08 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 13 — — $41,764.30 $65,608.64 $45,208.78 2026-03-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $44,851.11 $44,851.11 $44,851.11 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 17 13 — — $41,380.32 $64,995.44 $44,793.13 2026-03-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $44,753.72 $44,753.72 $44,753.72 2026-03-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $44,519.18 $44,519.18 $44,519.18 2026-03-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $44,445.64 $44,445.64 $44,445.64 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 13 — — $41,034.00 $64,442.38 $44,418.24 2026-03-31
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $44,366.54 $44,366.54 $44,366.54 2026-03-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $43,916.95 $43,916.95 $43,916.95 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 13 — — $40,428.63 $63,475.62 $43,762.95 2026-03-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $43,760.73 $43,760.73 $43,760.73 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 13 — — $40,346.88 $63,345.06 $43,674.46 2026-03-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $43,416.08 $43,416.08 $43,416.08 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 13 — — $39,866.44 $62,577.82 $43,154.39 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 13 — — $39,808.57 $62,485.40 $43,091.75 2026-03-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $43,015.78 $43,015.78 $43,015.78 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 17 13 — — $39,531.15 $62,042.36 $42,791.45 2026-03-31
8634 APR_DRG Neonatal Aftercare 3 3 — — $42,563.41 $42,563.41 $42,563.41 2026-03-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $42,556.26 $42,556.26 $42,556.26 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 13 — — $39,176.56 $61,476.10 $42,407.62 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 13 — — $39,167.38 $61,461.43 $42,397.68 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 15 12 — — $38,991.92 $61,181.24 $42,207.75 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 13 — — $38,901.90 $61,037.47 $42,110.30 2026-03-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $42,041.08 $42,041.08 $42,041.08 2026-03-31
1794 APR_DRG Defibrillator Implants 3 3 — — $41,780.31 $41,780.31 $41,780.31 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 13 — — $38,455.45 $60,324.51 $41,627.03 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $41,607.00 $41,607.00 $41,607.00 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 13 — — $38,434.32 $60,290.77 $41,604.16 2026-03-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $41,553.33 $41,553.33 $41,553.33 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 13 — — $38,378.28 $60,201.28 $41,543.50 2026-03-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $41,516.76 $41,516.76 $41,516.76 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 13 — — $38,044.83 $59,668.76 $41,182.54 2026-03-31
791 MS_DRG Prematurity With Major Problems 15 12 — — $37,975.94 $59,558.73 $41,107.97 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $37,917.68 $41,216.62 $40,784.58 2026-03-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $40,732.86 $40,732.86 $40,732.86 2026-03-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $40,591.74 $40,591.74 $40,591.74 2026-03-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $40,374.70 $40,374.70 $40,374.70 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 13 — — $37,275.95 $58,440.88 $40,350.25 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 13 — — $37,250.23 $58,399.80 $40,322.42 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 13 — — $36,926.87 $57,883.42 $39,972.39 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 13 — — $36,852.46 $57,764.59 $39,891.84 2026-03-31
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $39,831.30 $39,831.30 $39,831.30 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 13 — — $36,778.98 $57,647.23 $39,812.29 2026-03-31
61 APR_DRG Pancreas Transplant 3 3 — — $39,765.71 $39,765.71 $39,765.71 2026-03-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $39,718.01 $39,718.01 $39,718.01 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 13 — — $36,601.69 $57,364.10 $39,620.39 2026-03-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $39,544.69 $39,544.69 $39,544.69 2026-03-31
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $39,504.94 $39,504.94 $39,504.94 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 13 — — $36,403.27 $57,047.23 $39,405.60 2026-03-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $39,370.98 $39,370.98 $39,370.98 2026-03-31
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $39,337.59 $39,337.59 $39,337.59 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 13 — — $36,185.55 $56,699.55 $39,169.92 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 17 13 — — $36,149.73 $56,642.34 $39,131.15 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 13 — — $36,050.52 $56,483.90 $39,023.75 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 13 — — $35,794.22 $56,074.61 $38,746.32 2026-03-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $38,589.47 $38,589.47 $38,589.47 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 13 — — $35,604.07 $55,770.94 $38,540.49 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 13 — — $35,332.16 $55,336.71 $38,246.16 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 13 — — $35,055.65 $54,895.14 $37,946.84 2026-03-31
1783 APR_DRG External Heart Assist Systems 3 3 — — $37,937.94 $37,937.94 $37,937.94 2026-03-31
5024204413 NDC Alteplase 1 Mg Inj 16 6 $99,238.31 — $18,855.28 $137,445.06 $37,829.64 2026-03-31
5024208525_2 NDC Alteplase 1 Mg Inj 16 6 $99,238.21 — $18,855.26 $137,444.92 $37,829.61 2026-03-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $37,783.71 $37,783.71 $37,783.71 2026-03-31
Q2040 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9098 HCPCS Ciltacabtagene Car Pos T 3 3 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9081 HCPCS Idecabtagene Car Pos T 3 3 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9076 HCPCS Lisocabtagene Car Pos T 3 3 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9073 HCPCS Brexucabtagene Autoleucel Ca 3 3 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
234 APR_DRG Spinal Procedures 3 3 — — $37,686.71 $37,686.71 $37,686.71 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 18 12 — — $6,275.46 $49,583.42 $37,452.08 2026-03-31
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $37,170.34 $37,170.34 $37,170.34 2026-03-31
4414 APR_DRG Major Bladder Procedures 3 3 — — $37,163.58 $37,163.58 $37,163.58 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 13 — — $34,198.59 $53,526.43 $37,019.09 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 13 — — $33,966.18 $53,155.28 $36,767.51 2026-03-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $36,708.83 $36,708.83 $36,708.83 2026-03-31
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $36,697.70 $36,697.70 $36,697.70 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 13 — — $33,611.60 $52,589.02 $36,383.69 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 13 — — $33,609.75 $52,586.08 $36,381.69 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 13 — — $33,604.24 $52,577.28 $36,375.73 2026-03-31
4403 APR_DRG Kidney Transplant 3 3 — — $36,346.30 $36,346.30 $36,346.30 2026-03-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $36,227.44 $36,227.44 $36,227.44 2026-03-31
265 MS_DRG Aicd Lead Procedures 17 13 — — $33,449.92 $52,330.82 $36,208.67 2026-03-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $36,173.77 $36,173.77 $36,173.77 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 13 — — $33,302.94 $52,096.10 $36,049.58 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 13 — — $33,111.87 $51,790.97 $35,842.75 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 13 — — $33,103.60 $51,777.77 $35,833.79 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 13 — — $33,021.85 $51,647.20 $35,745.30 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 13 — — $32,867.52 $51,400.75 $35,578.24 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 13 — — $32,857.41 $51,384.61 $35,567.30 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 13 — — $32,844.55 $51,364.07 $35,553.38 2026-03-31
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 3 3 — — $35,545.22 $35,545.22 $35,545.22 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 17 13 — — $32,787.60 $51,273.12 $35,491.73 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $35,478.92 $35,478.92 $35,478.92 2026-03-31
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $35,403.79 $35,403.79 $35,403.79 2026-03-31
1782 APR_DRG External Heart Assist Systems 3 3 — — $35,346.15 $35,346.15 $35,346.15 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 13 — — $32,579.99 $50,941.58 $35,267.00 2026-03-31
332 MS_DRG Rectal Resection With Mcc 17 13 — — $32,545.08 $50,885.83 $35,229.21 2026-03-31
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $35,207.42 $35,207.42 $35,207.42 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 13 — — $32,510.18 $50,830.08 $35,191.43 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 15 12 — — $5,748.52 $45,420.00 $35,092.71 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 13 — — $32,321.86 $50,529.35 $34,987.58 2026-03-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $34,969.70 $34,969.70 $34,969.70 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 13 — — $32,272.26 $50,450.13 $34,933.89 2026-03-31
665 MS_DRG Prostatectomy With Mcc 17 13 — — $32,222.65 $50,370.91 $34,880.19 2026-03-31
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $34,868.34 $34,868.34 $34,868.34 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 17 13 — — $32,193.25 $50,323.97 $34,848.37 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 13 — — $32,145.49 $50,247.68 $34,796.66 2026-03-31
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $34,625.06 $34,625.06 $34,625.06 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 13 — — $31,970.95 $49,968.95 $34,607.73 2026-03-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $34,555.10 $34,555.10 $34,555.10 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 13 — — $31,840.50 $49,760.64 $34,466.52 2026-03-31
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $34,450.95 $34,450.95 $34,450.95 2026-03-31
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $34,415.57 $34,415.57 $34,415.57 2026-03-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $34,368.66 $34,368.66 $34,368.66 2026-03-31
3657004-256 CDM Ab Pump Set Abiomed 15 6 $90,000.00 — $17,100.00 $124,650.00 $34,308.00 2026-03-31
33249 HCPCS Insrt Or Replc Icd With Trnsven Lead Sing Or Dual Chamb 34 14 $91,718.00 — $1,276.00 $127,029.43 $34,307.31 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 18 12 — — $5,748.52 $45,420.00 $34,307.31 2026-03-31
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $34,292.34 $34,292.34 $34,292.34 2026-03-31
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $34,134.13 $34,134.13 $34,134.13 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 13 — — $31,516.23 $49,242.79 $34,115.51 2026-03-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $34,060.59 $34,060.59 $34,060.59 2026-03-31
69930 HCPCS Implant Cochlear Device 18 12 — — $5,703.02 $45,060.51 $34,035.77 2026-03-31
6904 APR_DRG Acute Leukemia 3 3 — — $33,960.81 $33,960.81 $33,960.81 2026-03-31
7594 APR_DRG Eating Disorders 3 3 — — $33,899.99 $33,899.99 $33,899.99 2026-03-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $33,863.82 $33,863.82 $33,863.82 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 17 13 — — $31,187.37 $48,717.60 $33,759.53 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 13 — — $31,012.83 $48,438.87 $33,570.59 2026-03-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $33,489.36 $33,489.36 $33,489.36 2026-03-31
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