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 →

Export CSV
Hospital

ANDERSON HOSPITAL

Maryville, IL · CCN 140289 · Rates published

32,526 distinct procedures filed
78 distinct payers
806,469 rate rows
2026-05-09 last MRF observed
Data quality

687,188 of 806,469 rate rows are consumer-grade (85.2%)

119,281 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 107,204
per-diem day rate — not a per-procedure price 10,577
template filing: same amount across many unrelated codes — excluded 892
placeholder amount (≤ $0.02) — excluded from medians 301
exceeds 10× this hospital's gross charge — excluded from medians 176
percent-of-charges filed in the dollar field — excluded from medians 131
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://andersonhospital.org/wp-content/uploads/2025/04/370662561_anderson-healthcare_standardcharges.csv
Found on page https://andersonhospital.org/patient-visitor-information/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 18261276ecd2da92… · 197,728,719 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $244,302.50 $406,043.40 $267,009.77 nat. median
$370,174
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $185,625.54 $290,499.23 $208,233.73 nat. median
$206,368
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 39 $190,820.31 $549,016.22 $206,423.36 nat. median
$265,286
0.8× median
'583-4
APR_DRG 		Neonate With Ecmo 3 $190,753.52 $190,753.52 $190,753.52 —
161-4
OTHER 		Implantable Heart Assist Systems 2 $160,011.77 $160,011.77 $160,011.77 nat. median
$202,242
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 $149,053.98 $415,822.89 $156,506.68 nat. median
$202,986
0.8× median
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $156,469.62 $156,469.62 $156,469.62 —
'583-3
APR_DRG 		Neonate With Ecmo 3 $151,080.42 $151,080.42 $151,080.42 —
'161-4
APR_DRG 		Implantable Heart Assist Systems 3 $149,603.53 $149,603.53 $149,603.53 —
'002-4
APR_DRG 		Heart And/or Lung Transplant 3 $144,371.88 $144,371.88 $144,371.88 —
754-4
OTHER 		Depression Except Major Depressive Disorder 2 $129,429.03 $129,429.03 $129,429.03 nat. median
$15,955
outlier · 8.1×
161-3
OTHER 		Implantable Heart Assist Systems 2 $122,585.46 $122,585.46 $122,585.46 nat. median
$152,491
0.8× median
593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $121,000.00 $121,000.00 $121,000.00 nat. median
$151,250
0.8× median
591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $120,000.00 $120,000.00 $120,000.00 nat. median
$156,696
0.8× median
'161-3
APR_DRG 		Implantable Heart Assist Systems 3 $114,611.68 $114,611.68 $114,611.68 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $113,571.45 $113,571.45 $113,571.45 —
'583-2
APR_DRG 		Neonate With Ecmo 3 $111,407.32 $111,407.32 $111,407.32 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 $85,172.05 $291,313.02 $106,365.08 nat. median
$133,176
0.8× median
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $105,500.94 $105,500.94 $105,500.94 —
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $102,047.97 $102,047.97 $102,047.97 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $100,803.67 $100,803.67 $100,803.67 —
602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $100,000.00 $100,000.00 $100,000.00 nat. median
$125,000
0.8× median
593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $98,966.45 $98,966.45 $98,966.45 nat. median
$112,711
0.9× median
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $98,706.40 $98,706.40 $98,706.40 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $98,544.17 $98,544.17 $98,544.17 —
161-2
OTHER 		Implantable Heart Assist Systems 2 $98,425.53 $98,425.53 $98,425.53 nat. median
$109,992
0.9× median
'011-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $98,417.51 $98,417.51 $98,417.51 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $97,915.57 $97,915.57 $97,915.57 —
7
MS_DRG 		Lung Transplant 14 $86,551.72 $135,187.99 $96,904.56 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $86,394.37 $134,942.23 $96,728.39 nat. median
$108,660
0.9× median
'583-1
APR_DRG 		Neonate With Ecmo 3 $96,276.06 $96,276.06 $96,276.06 —
'007-4
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $94,647.89 $94,647.89 $94,647.89 —
'631-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $94,003.26 $94,003.26 $94,003.26 —
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $93,749.17 $93,749.17 $93,749.17 —
161-1
OTHER 		Implantable Heart Assist Systems 2 $93,503.89 $93,503.89 $93,503.89 nat. median
$101,352
0.9× median
607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $92,543.47 $92,543.47 $92,543.47 nat. median
$100,015
0.9× median
'001-4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $92,291.43 $92,291.43 $92,291.43 —
'161-2
APR_DRG 		Implantable Heart Assist Systems 3 $92,023.26 $92,023.26 $92,023.26 —
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $91,782.85 $91,782.85 $91,782.85 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $80,868.11 $129,559.64 $90,541.11 nat. median
$117,303
0.8× median
'002-3
APR_DRG 		Heart And/or Lung Transplant 3 $89,277.46 $89,277.46 $89,277.46 —
'161-1
APR_DRG 		Implantable Heart Assist Systems 3 $87,421.77 $87,421.77 $87,421.77 —
591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $87,065.36 $87,065.36 $87,065.36 nat. median
$99,157
0.9× median
602-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $86,985.76 $86,985.76 $86,985.76 nat. median
$99,067
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $73,029.60 $378,331.50 $83,157.07 nat. median
$100,136
0.8× median
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $82,029.45 $82,029.45 $82,029.45 —
'006-4
APR_DRG 		Pancreas Transplant 3 $81,504.05 $81,504.05 $81,504.05 —
480-4
OTHER 		Major Male Pelvic Procedures 2 $81,122.49 $81,122.49 $81,122.49 nat. median
$27,837
outlier · 2.9×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $47,455.91 $278,990.13 $80,313.61 nat. median
$66,849
1.2× median
603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $80,000.00 $80,000.00 $80,000.00 nat. median
$107,050
0.7× median

Other procedures at this hospital

Browse this hospital's 32,526 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
             
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 101 54 — — $3,273.20 $101,978.99 $37,036.01 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 95 50 — — $3,267.45 $111,658.90 $41,134.28 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 81 50 — — $10,657.81 $97,708.15 $37,287.23 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 80 49 — — $85,172.05 $291,313.02 $106,365.08 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 90 49 — — $3,303.34 $156,653.78 $49,063.86 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 85 49 — — $12,184.97 $104,474.88 $38,506.83 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 84 48 — — $8,250.81 $149,777.11 $55,876.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 77 48 — — $6,699.98 $96,924.51 $36,993.55 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 76 47 — — $11,808.20 $165,150.17 $62,458.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 76 47 — — $4,767.34 $107,019.76 $40,703.81 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 79 46 — — $3,713.43 $103,367.99 $39,408.36 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 67 43 — — $2,528.00 $75,056.21 $42,336.71 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 74 43 — — $35,170.41 $96,752.11 $40,166.88 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 74 43 — — $33,444.68 $110,487.53 $38,086.75 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 74 43 — — $31,870.54 $90,050.03 $36,290.23 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 71 42 — — $48,967.95 $135,409.07 $51,752.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 73 42 — — $39,025.35 $107,552.63 $44,232.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 73 42 — — $30,748.50 $109,047.42 $39,558.89 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 73 42 — — $31,765.41 $89,820.82 $35,565.01 2026-04-01
215 MS_DRG Other Heart Assist System Implant 70 41 — — $70,261.42 $195,067.59 $74,449.03 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 70 41 — — $42,799.30 $139,691.67 $53,021.35 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 70 41 — — $32,881.49 $117,675.30 $45,274.19 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 70 41 — — $41,493.51 $114,971.74 $43,897.71 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 70 41 — — $33,916.78 $96,421.02 $36,804.86 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 70 41 — — $32,932.13 $90,481.03 $35,164.41 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 40 — — $68,480.60 $191,654.83 $72,495.51 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 40 — — $54,327.69 $150,425.58 $57,044.07 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 69 40 — — $13,670.65 $134,744.94 $51,167.46 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 40 — — $44,913.56 $128,816.70 $48,945.74 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 69 40 — — $41,973.32 $118,772.40 $45,181.45 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 65 39 — — $190,820.31 $549,016.22 $206,423.36 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 65 39 — — $149,053.98 $415,822.89 $156,506.68 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 37 — — $36,382.85 $106,851.27 $40,713.78 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 53 34 — — $5,873.24 $130,995.22 $47,392.55 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 28 — — $28,750.61 $76,240.74 $36,988.68 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 27 — — $46,457.00 $126,703.18 $49,726.22 2026-04-01
999 MS_DRG Ungroupable 38 26 — — $41,673.40 $114,971.74 $43,757.07 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 38 21 — — $6,314.60 $75,146.69 $48,435.48 2026-04-01
12203493 OTHER Ustekinumab 90 Mg Ml Syringe 29 21 $99,479.36 $49,739.68 50% off $153.39 $89,531.42 $39,791.74 2026-05-09
12203327 OTHER Glucarpidase 1000 Units Vial 24 19 $147,532.61 $73,766.31 50% off $293.82 $132,779.35 $66,942.92 2026-05-09
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 21 17 — — $3,127.00 $190,541.18 $45,544.80 2026-05-09
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 17 — — $3,127.00 $111,955.22 $44,799.59 2026-05-09
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 21 17 — — $3,127.00 $107,531.98 $43,031.00 2026-05-09
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 17 — — $3,127.00 $97,258.18 $38,923.12 2026-05-09
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 17 — — $3,127.00 $97,961.50 $38,792.60 2026-05-09
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 17 — — $3,127.00 $92,491.15 $37,017.08 2026-05-09
329 OTHER Major Small And Large Bowel Procedures With Mcc 21 17 — — $3,127.00 $90,650.40 $36,281.07 2026-05-09
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 17 — — $3,127.00 $89,727.13 $35,890.85 2026-05-09
356 OTHER Other Digestive System O.r. Procedures With Mcc 21 17 — — $3,127.00 $165,169.78 $35,884.79 2026-05-09
471 MS_DRG Cervical Spinal Fusion With Mcc 35 17 — — $15,600.00 $65,048.02 $35,801.25 2025-01-21
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 19 16 — — $47,455.91 $278,990.13 $80,313.61 2026-05-09
215 OTHER Other Heart Assist System Implant 20 16 — — $3,127.00 $194,190.25 $77,811.92 2026-05-09
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 16 — — $3,127.00 $270,377.08 $77,746.43 2026-05-09
570 OTHER Skin Debridement With Mcc 20 16 — — $3,127.00 $280,884.45 $75,919.81 2026-05-09
C9293 HCPCS Glucarpidase 1000 Units Vial 33 16 $140,506.28 $70,253.14 50% off $46,788.59 $126,455.65 $70,253.14 2025-01-21
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 18 16 — — $3,127.00 $273,655.62 $68,536.61 2026-05-09
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 16 — — $3,127.00 $164,181.97 $65,033.42 2026-05-09
653 OTHER Major Bladder Procedures With Mcc 20 16 — — $3,127.00 $216,313.88 $55,115.89 2026-05-09
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 19 16 — — $50,974.53 $135,371.20 $54,603.22 2026-05-09
459 OTHER Spinal Fusion Except Cervical With Mcc 18 16 — — $3,127.00 $176,973.88 $51,486.50 2026-05-09
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 16 — — $3,127.00 $128,409.95 $51,324.17 2026-05-09
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 18 16 — — $3,127.00 $120,005.85 $47,077.01 2026-05-09
471 OTHER Cervical Spinal Fusion With Mcc 20 16 — — $15,450.00 $194,668.47 $46,704.00 2026-05-09
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 16 — — $2,562.52 $116,668.17 $46,596.49 2026-05-09
28 OTHER Spinal Procedures With Mcc 20 16 — — $3,127.00 $117,919.78 $46,259.27 2026-05-09
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 16 — — $3,127.00 $117,046.73 $45,917.04 2026-05-09
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 16 — — $3,127.00 $186,990.71 $45,310.49 2026-05-09
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 19 16 — — $19,907.80 $107,906.70 $43,162.68 2026-05-09
18014709 CDM Catheter Impella Cp 32 16 $75,000.00 $37,500.00 50% off $33,750.00 $67,500.00 $43,125.00 2025-01-21
270 OTHER Other Major Cardiovascular Procedures With Mcc 20 16 — — $33,503.00 $103,780.98 $41,521.79 2026-05-09
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 20 16 — — $10,815.00 $102,411.52 $40,180.04 2026-05-09
228 OTHER Other Cardiothoracic Procedures With Mcc 20 16 — — $3,127.00 $97,428.13 $38,981.17 2026-05-09
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 16 — — $3,127.00 $96,535.77 $38,490.45 2026-05-09
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 16 — — $3,127.00 $90,424.40 $36,180.24 2026-05-09
245 OTHER Aicd Generator Procedures 20 16 — — $25,255.00 $89,991.75 $36,007.21 2026-05-09
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 18 16 — — $3,127.00 $146,158.35 $35,984.51 2026-05-09
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 15 — — $73,029.60 $378,331.50 $83,157.07 2025-01-21
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 15 — — $35,431.71 $234,156.19 $61,201.88 2026-05-09
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 15 — — $52,586.70 $139,593.50 $56,090.32 2026-05-09
276 OTHER Non-maligant Breast Disorders 18 15 — — $35,158.65 $117,886.95 $47,163.06 2026-05-09
278 OTHER Cellulitis Age >17 Without Cc 18 15 — — $7,215.47 $109,380.50 $43,761.15 2026-05-09
277 OTHER Cellulitis Age >17 W Cc 18 15 — — $34,061.44 $116,456.00 $36,468.56 2026-05-09
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 31 14 — — $244,302.50 $406,043.40 $267,009.77 2025-01-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 14 — — $185,625.54 $290,499.23 $208,233.73 2025-01-21
7 MS_DRG Lung Transplant 31 14 — — $86,551.72 $135,187.99 $96,904.56 2025-01-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 14 — — $86,394.37 $134,942.23 $96,728.39 2025-01-21
14 MS_DRG Allogeneic Bone Marrow Transplant 31 14 — — $80,868.11 $129,559.64 $90,541.11 2025-01-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 14 — — $7,534.42 $118,703.88 $78,469.05 2025-01-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 14 — — $59,640.13 $95,176.52 $66,773.96 2025-01-21
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 31 14 — — $15,600.00 $97,661.49 $64,661.87 2025-01-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 14 — — $56,402.14 $88,096.36 $63,148.65 2025-01-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $15,600.00 $92,900.42 $61,537.83 2025-01-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $51,032.52 $79,709.38 $57,136.75 2025-01-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 14 — — $48,493.07 $75,742.92 $54,293.54 2025-01-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 14 — — $38,910.17 $76,262.01 $50,620.38 2025-01-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $43,874.91 $68,529.68 $49,122.99 2025-01-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 14 — — $43,584.91 $68,076.72 $48,798.30 2025-01-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 31 14 — — $15,600.00 $73,094.58 $48,542.04 2025-01-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 14 — — $43,333.72 $74,681.62 $48,517.06 2025-01-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 14 — — $42,972.45 $103,269.23 $48,112.58 2025-01-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 14 — — $42,665.52 $66,640.68 $47,768.93 2025-01-21
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 31 14 — — $42,494.71 $68,838.27 $45,749.21 2025-01-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 14 — — $43,584.91 $68,076.72 $45,249.52 2025-01-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $40,195.92 $62,783.33 $45,003.93 2025-01-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $40,099.95 $62,633.45 $44,896.49 2025-01-21
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 31 14 — — $15,600.00 $67,407.74 $44,810.56 2025-01-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $39,999.05 $62,475.84 $44,783.52 2025-01-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $15,600.00 $66,955.88 $44,514.07 2025-01-21
28 MS_DRG Spinal Procedures With Mcc 31 14 — — $34,995.59 $66,413.65 $44,158.27 2025-01-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 14 — — $38,844.69 $60,672.81 $43,491.08 2025-01-21
653 MS_DRG Major Bladder Procedures With Mcc 31 14 — — $38,198.36 $59,663.29 $42,767.44 2025-01-21
8 MS_DRG Simultaneous Pancreas/kidney Transplant 31 14 — — $37,126.56 $57,989.20 $41,567.43 2025-01-21
799 MS_DRG Splenic Procedures With Mcc 31 14 — — $34,959.66 $54,604.65 $39,141.34 2025-01-21
6 MS_DRG Liver Transplant Without Mcc 31 14 — — $34,129.17 $59,845.13 $38,211.51 2025-01-21
10 MS_DRG Pancreas Transplant 31 14 — — $33,964.76 $53,050.69 $38,027.44 2025-01-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 14 — — $33,959.06 $53,385.72 $37,974.22 2025-01-21
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 31 14 — — $3,518.03 $53,784.68 $35,871.66 2025-01-21
18014709 OTHER Catheter Impella Cp 15 13 $84,000.00 $42,000.00 50% off $37,800.00 $84,000.00 $52,080.00 2026-05-09
'583-4 APR_DRG Neonate With Ecmo 3 3 — — $190,753.52 $190,753.52 $190,753.52 2025-01-21
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $156,469.62 $156,469.62 $156,469.62 2025-01-21
'583-3 APR_DRG Neonate With Ecmo 3 3 — — $151,080.42 $151,080.42 $151,080.42 2025-01-21
'161-4 APR_DRG Implantable Heart Assist Systems 3 3 — — $149,603.53 $149,603.53 $149,603.53 2025-01-21
'002-4 APR_DRG Heart And/or Lung Transplant 3 3 — — $144,371.88 $144,371.88 $144,371.88 2025-01-21
'161-3 APR_DRG Implantable Heart Assist Systems 3 3 — — $114,611.68 $114,611.68 $114,611.68 2025-01-21
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $113,571.45 $113,571.45 $113,571.45 2025-01-21
'583-2 APR_DRG Neonate With Ecmo 3 3 — — $111,407.32 $111,407.32 $111,407.32 2025-01-21
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $105,500.94 $105,500.94 $105,500.94 2025-01-21
'593-4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $102,047.97 $102,047.97 $102,047.97 2025-01-21
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $100,803.67 $100,803.67 $100,803.67 2025-01-21
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $98,706.40 $98,706.40 $98,706.40 2025-01-21
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $98,544.17 $98,544.17 $98,544.17 2025-01-21
'011-4 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $98,417.51 $98,417.51 $98,417.51 2025-01-21
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $97,915.57 $97,915.57 $97,915.57 2025-01-21
'583-1 APR_DRG Neonate With Ecmo 3 3 — — $96,276.06 $96,276.06 $96,276.06 2025-01-21
'007-4 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $94,647.89 $94,647.89 $94,647.89 2025-01-21
'631-4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $94,003.26 $94,003.26 $94,003.26 2025-01-21
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $93,749.17 $93,749.17 $93,749.17 2025-01-21
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $92,291.43 $92,291.43 $92,291.43 2025-01-21
'161-2 APR_DRG Implantable Heart Assist Systems 3 3 — — $92,023.26 $92,023.26 $92,023.26 2025-01-21
'009-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $91,782.85 $91,782.85 $91,782.85 2025-01-21
'002-3 APR_DRG Heart And/or Lung Transplant 3 3 — — $89,277.46 $89,277.46 $89,277.46 2025-01-21
'161-1 APR_DRG Implantable Heart Assist Systems 3 3 — — $87,421.77 $87,421.77 $87,421.77 2025-01-21
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $82,029.45 $82,029.45 $82,029.45 2025-01-21
'006-4 APR_DRG Pancreas Transplant 3 3 — — $81,504.05 $81,504.05 $81,504.05 2025-01-21
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $73,148.18 $73,148.18 $73,148.18 2025-01-21
'002-2 APR_DRG Heart And/or Lung Transplant 3 3 — — $66,253.56 $66,253.56 $66,253.56 2025-01-21
'593-3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $65,623.40 $65,623.40 $65,623.40 2025-01-21
'588-1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $64,972.13 $64,972.13 $64,972.13 2025-01-21
'004-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $64,155.11 $64,155.11 $64,155.11 2025-01-21
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $63,303.69 $63,303.69 $63,303.69 2025-01-21
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $61,782.63 $61,782.63 $61,782.63 2025-01-21
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $59,662.68 $59,662.68 $59,662.68 2025-01-21
'591-3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $57,731.94 $57,731.94 $57,731.94 2025-01-21
'602-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $57,679.16 $57,679.16 $57,679.16 2025-01-21
'006-3 APR_DRG Pancreas Transplant 3 3 — — $57,309.36 $57,309.36 $57,309.36 2025-01-21
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $57,039.23 $57,039.23 $57,039.23 2025-01-21
'002-1 APR_DRG Heart And/or Lung Transplant 3 3 — — $56,796.86 $56,796.86 $56,796.86 2025-01-21
'607-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $56,184.29 $56,184.29 $56,184.29 2025-01-21
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $55,778.52 $55,778.52 $55,778.52 2025-01-21
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $54,875.11 $54,875.11 $54,875.11 2025-01-21
'440-4 APR_DRG Kidney Transplant 3 3 — — $54,225.79 $54,225.79 $54,225.79 2025-01-21
'001-3 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $53,356.39 $53,356.39 $53,356.39 2025-01-21
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $53,317.30 $53,317.30 $53,317.30 2025-01-21
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2040 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
C9081 HCPCS Idecabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
C9098 HCPCS Ciltacabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
C9073 HCPCS Brexucabtagene Autoleucel Ca 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
C9076 HCPCS Lisocabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $52,012.81 $52,012.81 $52,012.81 2025-01-21
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $50,769.30 $50,769.30 $50,769.30 2025-01-21
'178-4 APR_DRG External Heart Assist Systems 3 3 — — $50,430.37 $50,430.37 $50,430.37 2025-01-21
'006-2 APR_DRG Pancreas Transplant 3 3 — — $49,750.17 $49,750.17 $49,750.17 2025-01-21
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $48,781.87 $48,781.87 $48,781.87 2025-01-21
'011-3 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $48,443.73 $48,443.73 $48,443.73 2025-01-21
'008-4 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $47,878.46 $47,878.46 $47,878.46 2025-01-21
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $46,427.37 $46,427.37 $46,427.37 2025-01-21
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $45,667.43 $45,667.43 $45,667.43 2025-01-21
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $45,495.81 $45,495.81 $45,495.81 2025-01-21
'001-2 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $44,719.06 $44,719.06 $44,719.06 2025-01-21
'004-2 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $44,106.88 $44,106.88 $44,106.88 2025-01-21
'602-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $44,011.11 $44,011.11 $44,011.11 2025-01-21
'304-4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $43,780.47 $43,780.47 $43,780.47 2025-01-21
'607-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $43,708.15 $43,708.15 $43,708.15 2025-01-21
'007-2 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $43,630.35 $43,630.35 $43,630.35 2025-01-21
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $43,188.22 $43,188.22 $43,188.22 2025-01-21
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $43,034.59 $43,034.59 $43,034.59 2025-01-21
A9543 HCPCS Y90 Ibritumomab, Rx 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
A9513 HCPCS Lutetium Lu 177 Dotatat Ther 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
A9607 HCPCS Lutetium Lu 177 Vipivotide 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $42,695.67 $42,695.67 $42,695.67 2025-01-21
'009-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $42,302.01 $42,302.01 $42,302.01 2025-01-21
'863-4 APR_DRG Neonatal Aftercare 3 3 — — $41,857.15 $41,857.15 $41,857.15 2025-01-21
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $41,850.11 $41,850.11 $41,850.11 2025-01-21
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $41,343.48 $41,343.48 $41,343.48 2025-01-21
'179-4 APR_DRG Defibrillator Implants 3 3 — — $41,087.04 $41,087.04 $41,087.04 2025-01-21
'680-4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $40,916.60 $40,916.60 $40,916.60 2025-01-21
'162-3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $40,863.83 $40,863.83 $40,863.83 2025-01-21
'612-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $40,827.86 $40,827.86 $40,827.86 2025-01-21
'613-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $40,056.97 $40,056.97 $40,056.97 2025-01-21
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $39,918.20 $39,918.20 $39,918.20 2025-01-21
'001-1 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $39,704.75 $39,704.75 $39,704.75 2025-01-21
'169-4 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $39,170.37 $39,170.37 $39,170.37 2025-01-21
'006-1 APR_DRG Pancreas Transplant 3 3 — — $39,105.87 $39,105.87 $39,105.87 2025-01-21
'911-4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $39,058.96 $39,058.96 $39,058.96 2025-01-21
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $38,888.52 $38,888.52 $38,888.52 2025-01-21
'007-1 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $38,849.43 $38,849.43 $38,849.43 2025-01-21
'841-3 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $38,717.69 $38,717.69 $38,717.69 2025-01-21
'091-4 APR_DRG Other Major Head And Neck Procedures 3 3 — — $38,684.85 $38,684.85 $38,684.85 2025-01-21
'912-4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $37,949.14 $37,949.14 $37,949.14 2025-01-21
'178-3 APR_DRG External Heart Assist Systems 3 3 — — $37,308.43 $37,308.43 $37,308.43 2025-01-21
'850-4 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $37,156.75 $37,156.75 $37,156.75 2025-01-21
'023-4 APR_DRG Spinal Procedures 3 3 — — $37,061.37 $37,061.37 $37,061.37 2025-01-21
'021-4 APR_DRG Open Craniotomy Except Trauma 3 3 — — $36,553.56 $36,553.56 $36,553.56 2025-01-21
'441-4 APR_DRG Major Bladder Procedures 3 3 — — $36,546.92 $36,546.92 $36,546.92 2025-01-21
'631-3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $36,099.71 $36,099.71 $36,099.71 2025-01-21
'260-4 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $36,088.76 $36,088.76 $36,088.76 2025-01-21
'440-3 APR_DRG Kidney Transplant 3 3 — — $35,743.19 $35,743.19 $35,743.19 2025-01-21
'740-4 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $35,626.31 $35,626.31 $35,626.31 2025-01-21
'608-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $35,573.53 $35,573.53 $35,573.53 2025-01-21
161-4 OTHER Implantable Heart Assist Systems 2 2 — — $160,011.77 $160,011.77 $160,011.77 2026-05-09
754-4 OTHER Depression Except Major Depressive Disorder 2 2 — — $129,429.03 $129,429.03 $129,429.03 2026-05-09
161-3 OTHER Implantable Heart Assist Systems 2 2 — — $122,585.46 $122,585.46 $122,585.46 2026-05-09
593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $121,000.00 $121,000.00 $121,000.00 2026-05-09
591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $120,000.00 $120,000.00 $120,000.00 2026-05-09
602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $100,000.00 $100,000.00 $100,000.00 2026-05-09
593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $98,966.45 $98,966.45 $98,966.45 2026-05-09
161-2 OTHER Implantable Heart Assist Systems 2 2 — — $98,425.53 $98,425.53 $98,425.53 2026-05-09
161-1 OTHER Implantable Heart Assist Systems 2 2 — — $93,503.89 $93,503.89 $93,503.89 2026-05-09
607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $92,543.47 $92,543.47 $92,543.47 2026-05-09
591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $87,065.36 $87,065.36 $87,065.36 2026-05-09
602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $86,985.76 $86,985.76 $86,985.76 2026-05-09
480-4 OTHER Major Male Pelvic Procedures 2 2 — — $81,122.49 $81,122.49 $81,122.49 2026-05-09
603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $80,000.00 $80,000.00 $80,000.00 2026-05-09
593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $79,000.00 $79,000.00 $79,000.00 2026-05-09
611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $70,325.79 $70,325.79 $70,325.79 2026-05-09
602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $67,314.48 $67,314.48 $67,314.48 2026-05-09
612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $67,249.26 $67,249.26 $67,249.26 2026-05-09
607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $65,916.12 $65,916.12 $65,916.12 2026-05-09
613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $62,000.00 $62,000.00 $62,000.00 2026-05-09
303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $61,007.58 $61,007.58 $61,007.58 2026-05-09
603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $60,200.51 $60,200.51 $60,200.51 2026-05-09
608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $58,594.64 $58,594.64 $58,594.64 2026-05-09
621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $55,171.69 $55,171.69 $55,171.69 2026-05-09
950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $54,985.04 $54,985.04 $54,985.04 2026-05-09
178-4 OTHER External Heart Assist Systems 2 2 — — $53,938.93 $53,938.93 $53,938.93 2026-05-09
607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $51,764.77 $51,764.77 $51,764.77 2026-05-09
608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $51,093.25 $51,093.25 $51,093.25 2026-05-09
634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $50,958.18 $50,958.18 $50,958.18 2026-05-09
633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $50,145.42 $50,145.42 $50,145.42 2026-05-09
588-1 OTHER Female Reproductive System Reconstructive Procedures 2 2 — — $50,000.00 $50,000.00 $50,000.00 2026-05-09
227-4 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 — — $49,747.19 $49,747.19 $49,747.19 2026-05-09
167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $48,844.61 $48,844.61 $48,844.61 2026-05-09
023-4 OTHER Spinal Procedures 2 2 — — $47,399.01 $47,399.01 $47,399.01 2026-05-09
591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $46,986.93 $46,986.93 $46,986.93 2026-05-09
304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $46,826.37 $46,826.37 $46,826.37 2026-05-09
303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $46,192.93 $46,192.93 $46,192.93 2026-05-09
183-4 OTHER Percutaneous Structural Cardiac Procedures 2 2 — — $46,028.61 $46,028.61 $46,028.61 2026-05-09
863-4 OTHER Neonatal Aftercare 2 2 — — $44,769.25 $44,769.25 $44,769.25 2026-05-09
589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $44,141.53 $44,141.53 $44,141.53 2026-05-09
179-4 OTHER Defibrillator Implants 2 2 — — $43,945.56 $43,945.56 $43,945.56 2026-05-09
680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $43,763.26 $43,763.26 $43,763.26 2026-05-09
622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $43,546.76 $43,546.76 $43,546.76 2026-05-09
323-4 OTHER Non-elective Or Complex Hip Joint Replacement 2 2 — — $43,324.49 $43,324.49 $43,324.49 2026-05-09
612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $43,302.45 $43,302.45 $43,302.45 2026-05-09
548-3 OTHER Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 2 — — $42,442.72 $42,442.72 $42,442.72 2026-05-09
911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $41,776.38 $41,776.38 $41,776.38 2026-05-09
312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $41,594.08 $41,594.08 $41,594.08 2026-05-09
232-4 OTHER Gastric Fundoplication 2 2 — — $41,001.36 $41,001.36 $41,001.36 2026-05-09
912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $40,589.35 $40,589.35 $40,589.35 2026-05-09
623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $39,965.40 $39,965.40 $39,965.40 2026-05-09
178-3 OTHER External Heart Assist Systems 2 2 — — $39,904.06 $39,904.06 $39,904.06 2026-05-09
850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $39,741.83 $39,741.83 $39,741.83 2026-05-09
613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $39,392.62 $39,392.62 $39,392.62 2026-05-09
441-4 OTHER Major Bladder Procedures 2 2 — — $39,089.57 $39,089.57 $39,089.57 2026-05-09
260-4 OTHER Major Pancreas, Liver And Shunt Procedures 2 2 — — $38,599.54 $38,599.54 $38,599.54 2026-05-09
751-3 OTHER Major Depressive Disorders And Other Or Unspecified Psychoses 2 2 — — $38,530.00 $38,530.00 $38,530.00 2026-05-09
608-2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $38,253.33 $38,253.33 $38,253.33 2026-05-09
222-4 OTHER Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $38,206.57 $38,206.57 $38,206.57 2026-05-09
681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $37,317.60 $37,317.60 $37,317.60 2026-05-09
614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $37,241.96 $37,241.96 $37,241.96 2026-05-09
793-4 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $37,179.51 $37,179.51 $37,179.51 2026-05-09
178-2 OTHER External Heart Assist Systems 2 2 — — $37,177.95 $37,177.95 $37,177.95 2026-05-09
511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $37,076.52 $37,076.52 $37,076.52 2026-05-09
220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $37,032.03 $37,032.03 $37,032.03 2026-05-09
625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $36,817.40 $36,817.40 $36,817.40 2026-05-09
089-4 OTHER Major Cranial Or Facial Bone Procedures 2 2 — — $36,781.99 $36,781.99 $36,781.99 2026-05-09
690-4 OTHER Acute Leukemia 2 2 — — $35,720.82 $35,720.82 $35,720.82 2026-05-09
361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $35,224.93 $35,224.93 $35,224.93 2026-05-09
774-4 OTHER Cocaine Abuse And Dependence 2 2 — — $35,160.76 $35,160.76 $35,160.76 2026-05-09
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $39,823.54 $39,823.54 $39,823.54 2025-01-21
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $36,846.38 $36,846.38 $36,846.38 2025-01-21
See an error in this hospital's data? Submit a correction