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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

DEACONESS ILLINOIS CROSSROADS

Mount Vernon, IL · CCN 140294 · Rates published

14,645 distinct procedures filed
42 distinct payers
1,019,394 rate rows
2026-02-03 last MRF observed
Data quality

417,598 of 1,019,394 rate rows are consumer-grade (41.0%)

601,796 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
professional (physician) fee — not the facility price 579,919
placeholder amount (≤ $0.02) — excluded from medians 20,999
percent-of-charges filed in the dollar field — excluded from medians 468
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 228
per-diem day rate — not a per-procedure price 145
exceeds 10× this hospital's gross charge — excluded from medians 34
template filing: same amount across many unrelated codes — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10476/920573933_deaconess-illinois-crossroads-inc_standardcharges.csv
Found on page https://www.deaconessillinoiscrossroads.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint f7f1f52902e1c469… · 371,650,259 bytes · first seen 2026-05-18

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 12 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $3,685,266.67 $3,758,972.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,316,462.59 $3,382,791.84 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 12 $3,248,445.72 $3,313,414.63 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 14 $2,945,740.00 $4,860,471.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $2,455,110.61 $4,050,932.50 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 14 $2,332,000.00 $3,847,800.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 16 $770,620.00 $2,196,267.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 16 $591,726.20 $1,686,419.67 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 16 $565,868.95 $1,612,726.49 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 16 $562,538.19 $1,603,233.83 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 16 $557,317.93 $1,588,356.11 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 16 $533,230.17 $1,519,705.99 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 16 $489,304.61 $1,394,518.13 $489,304.61 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $335,209.35 $905,065.25 $335,209.35 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 16 $278,250.00 $793,012.50 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 16 $257,500.00 $733,875.00 $257,500.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $217,851.52 $588,199.10 $217,851.52 nat. median
$265,286
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 16 $205,640.00 $586,074.00 $205,640.00 nat. median
$209,753
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $193,610.54 $195,546.65 $193,610.54 nat. median
$309,665
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $166,187.11 $448,705.20 $166,187.11 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $165,217.04 $446,086.01 $165,217.04 nat. median
$202,986
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $158,813.15 $160,401.28 $158,813.15 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 5 $153,343.24 $154,876.67 $153,343.24 nat. median
$244,017
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $151,844.23 $153,362.67 $151,844.23 nat. median
$207,730
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $146,534.22 $147,999.56 $146,534.22 nat. median
$234,738
0.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 16 $129,537.54 $369,181.99 $129,537.54 nat. median
$111,989
1.2× median
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 36 $3,660.83 $194,787.78 $121,742.37 nat. median
$8,558
outlier · 14.2×
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2ml IV Soln 36 $2,429.89 $188,459.70 $117,787.32 nat. median
$4,053
outlier · 29.1×
J9228
HCPCS 		Ipilimumab 200 Mg/40ml IV Soln 36 $183.48 $229,483.10 $117,349.31 nat. median
$9,906
outlier · 11.8×
1613
APR_DRG 		Implantable Heart Assist Systems 5 $116,328.29 $117,491.57 $116,328.29 nat. median
$119,796
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $115,272.48 $116,425.20 $115,272.48 nat. median
$150,721
0.8× median
5832
APR_DRG 		Neonate With Ecmo 5 $113,075.94 $114,206.70 $113,075.94 nat. median
$156,126
0.7× median
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Wet Solr Vial 36 $216.90 $179,446.52 $112,154.07 nat. median
$701
outlier · 160.0×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 16 $111,860.04 $318,801.11 $111,860.04 nat. median
$96,983
1.2× median
J1747
HCPCS 		Spesolimab-sbzo 450 Mg/7.5ml IV Soln 36 $65.73 $176,795.30 $110,497.07 nat. median
$94
outlier · 1178.3×
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $108,130.24 $291,951.65 $108,130.24 nat. median
$133,176
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $107,081.10 $108,151.91 $107,081.10 nat. median
$160,267
0.7× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Ij Soln 36 $28,424.06 $169,900.94 $106,188.09 nat. median
$34,109
outlier · 3.1×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $103,576.40 $104,612.16 $103,576.40 nat. median
$151,838
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $102,313.47 $103,336.60 $102,313.47 nat. median
$182,736
0.6× median
7
MS_DRG 		Lung Transplant 16 $101,153.29 $273,113.88 $101,153.29 nat. median
$122,708
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $100,184.79 $101,186.64 $100,184.79 nat. median
$145,336
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $100,020.12 $101,020.32 $100,020.12 nat. median
$164,279
0.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $99,891.57 $100,890.49 $99,891.57 nat. median
$117,173
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $99,382.11 $100,375.93 $99,382.11 nat. median
$162,982
0.6× median
J9281
HCPCS 		Mitomycin 80 (2 X 40) Mg Ul Solr 36 $318.53 $158,051.52 $98,782.20 nat. median
$545
outlier · 181.4×
5831
APR_DRG 		Neonate With Ecmo 5 $97,718.05 $98,695.23 $97,718.05 nat. median
$145,122
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $96,065.49 $97,026.14 $96,065.49 nat. median
$187,294
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $95,411.21 $96,365.32 $95,411.21 nat. median
$122,924
0.8× median

Other procedures at this hospital

Browse this hospital's 14,645 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 15 12 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-02-03
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 12 — — $3,685,266.67 $3,758,972.00 $3,685,266.67 2026-02-03
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 12 — — $3,316,462.59 $3,382,791.84 $3,316,462.59 2026-02-03
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 12 — — $3,248,445.72 $3,313,414.63 $3,248,445.72 2026-02-03
J3393 HCPCS Inj, Betibeglogene Autotemce 17 14 — — $2,945,740.00 $4,860,471.00 $2,945,740.00 2026-02-03
J3399 HCPCS Inj Onase Abepar-xioi Treat 17 14 — — $2,455,110.61 $4,050,932.50 $2,455,110.61 2026-02-03
J3392 HCPCS Inj, Exagamglogene Autotem 17 14 — — $2,332,000.00 $3,847,800.00 $2,332,000.00 2026-02-03
Q2057 HCPCS Afamitresgene Autoleucel 19 16 — — $770,620.00 $2,196,267.00 $770,620.00 2026-02-03
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 16 — — $591,726.20 $1,686,419.67 $591,726.20 2026-02-03
Q2056 HCPCS Ciltacabtagene Car-pos T 19 16 — — $565,868.95 $1,612,726.49 $565,868.95 2026-02-03
Q2054 HCPCS Lisocabtagene Mara Car Pos T 19 16 — — $562,538.19 $1,603,233.83 $562,538.19 2026-02-03
Q2055 HCPCS Idecabtagene Vicleucel Car 19 16 — — $557,317.93 $1,588,356.11 $557,317.93 2026-02-03
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 16 — — $533,230.17 $1,519,705.99 $533,230.17 2026-02-03
Q2053 HCPCS Brexucabtagene Car Pos T 19 16 — — $489,304.61 $1,394,518.13 $489,304.61 2026-02-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 16 — — $335,209.35 $905,065.25 $335,209.35 2026-02-03
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 19 16 — — $278,250.00 $793,012.50 $278,250.00 2026-02-03
J3403 HCPCS Revakinagene, Per Implant 19 16 — — $257,500.00 $733,875.00 $257,500.00 2026-02-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 16 — — $217,851.52 $588,199.10 $217,851.52 2026-02-03
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 19 16 — — $205,640.00 $586,074.00 $205,640.00 2026-02-03
5834 APR_DRG Neonate With Ecmo 5 5 — — $193,610.54 $195,546.65 $193,610.54 2026-02-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 21 16 — — $166,187.11 $448,705.20 $166,187.11 2026-02-03
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 21 16 — — $165,217.04 $446,086.01 $165,217.04 2026-02-03
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $158,813.15 $160,401.28 $158,813.15 2026-02-03
5833 APR_DRG Neonate With Ecmo 5 5 — — $153,343.24 $154,876.67 $153,343.24 2026-02-03
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $151,844.23 $153,362.67 $151,844.23 2026-02-03
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $146,534.22 $147,999.56 $146,534.22 2026-02-03
Q0480 HCPCS Driver Pneumatic Vad, Rep 19 16 — — $129,537.54 $369,181.99 $129,537.54 2026-02-03
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $116,328.29 $117,491.57 $116,328.29 2026-02-03
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $115,272.48 $116,425.20 $115,272.48 2026-02-03
5832 APR_DRG Neonate With Ecmo 5 5 — — $113,075.94 $114,206.70 $113,075.94 2026-02-03
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 19 16 — — $111,860.04 $318,801.11 $111,860.04 2026-02-03
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 21 16 — — $108,130.24 $291,951.65 $108,130.24 2026-02-03
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $107,081.10 $108,151.91 $107,081.10 2026-02-03
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $103,576.40 $104,612.16 $103,576.40 2026-02-03
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $102,313.47 $103,336.60 $102,313.47 2026-02-03
7 MS_DRG Lung Transplant 21 16 — — $101,153.29 $273,113.88 $101,153.29 2026-02-03
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $100,184.79 $101,186.64 $100,184.79 2026-02-03
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $100,020.12 $101,020.32 $100,020.12 2026-02-03
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $99,891.57 $100,890.49 $99,891.57 2026-02-03
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $99,382.11 $100,375.93 $99,382.11 2026-02-03
5831 APR_DRG Neonate With Ecmo 5 5 — — $97,718.05 $98,695.23 $97,718.05 2026-02-03
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $96,065.49 $97,026.14 $96,065.49 2026-02-03
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $95,411.21 $96,365.32 $95,411.21 2026-02-03
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $95,153.31 $96,104.84 $95,153.31 2026-02-03
14 MS_DRG Allogeneic Bone Marrow Transplant 21 16 — — $93,935.57 $253,626.04 $93,935.57 2026-02-03
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $93,673.74 $94,610.48 $93,673.74 2026-02-03
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $93,401.55 $94,335.57 $93,401.55 2026-02-03
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $93,157.54 $94,089.12 $93,157.54 2026-02-03
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $90,614.62 $91,520.77 $90,614.62 2026-02-03
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $88,731.14 $89,618.45 $88,731.14 2026-02-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 16 — — $88,623.88 $239,284.48 $88,623.88 2026-02-03
209 MS_DRG Complex Aortic Arch Procedures 21 16 — — $88,523.24 $239,012.75 $88,523.24 2026-02-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 16 — — $86,219.27 $232,792.03 $86,219.27 2026-02-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 16 — — $85,080.44 $229,717.19 $85,080.44 2026-02-03
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $83,258.05 $84,090.63 $83,258.05 2026-02-03
64 APR_DRG Pancreas Transplant 5 5 — — $82,724.79 $83,552.04 $82,724.79 2026-02-03
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 19 16 — — $80,943.19 $230,688.09 $80,943.19 2026-02-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 16 — — $80,717.14 $217,936.28 $80,717.14 2026-02-03
215 MS_DRG Other Heart Assist System Implant 21 16 — — $77,980.41 $210,547.11 $77,980.41 2026-02-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 16 — — $76,631.77 $206,905.78 $76,631.77 2026-02-03
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $74,243.77 $74,986.21 $74,243.77 2026-02-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 16 — — $70,645.78 $190,743.61 $70,645.78 2026-02-03
850 MS_DRG Acute Leukemia With Other Procedures 21 16 — — $67,935.36 $183,425.47 $67,935.36 2026-02-03
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $67,245.88 $67,918.34 $67,245.88 2026-02-03
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $66,606.28 $67,272.34 $66,606.28 2026-02-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 16 — — $66,157.83 $178,626.14 $66,157.83 2026-02-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 16 — — $65,952.67 $178,072.21 $65,952.67 2026-02-03
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $65,945.26 $66,604.71 $65,945.26 2026-02-03
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $65,116.00 $65,767.16 $65,116.00 2026-02-03
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,251.83 $64,894.35 $64,251.83 2026-02-03
J9029 HCPCS Instill Adstiladrin, Tx Dose 19 16 — — $63,342.28 $180,525.50 $63,342.28 2026-02-03
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $62,707.99 $63,335.07 $62,707.99 2026-02-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 16 — — $61,813.87 $166,897.45 $61,813.87 2026-02-03
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 19 16 — — $61,651.15 $175,705.77 $61,651.15 2026-02-03
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $60,556.29 $61,161.85 $60,556.29 2026-02-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 16 — — $60,339.06 $162,915.46 $60,339.06 2026-02-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 16 — — $60,082.80 $162,223.56 $60,082.80 2026-02-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 16 — — $59,886.92 $161,694.68 $59,886.92 2026-02-03
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $58,596.63 $59,182.60 $58,596.63 2026-02-03
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $58,543.06 $59,128.49 $58,543.06 2026-02-03
63 APR_DRG Pancreas Transplant 5 5 — — $58,167.72 $58,749.40 $58,167.72 2026-02-03
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $57,893.55 $58,472.49 $57,893.55 2026-02-03
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $57,647.55 $58,224.03 $57,647.55 2026-02-03
L7181 HCPCS Electronic Elbo Simultaneous 19 16 — — $57,614.51 $164,201.35 $57,614.51 2026-02-03
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $57,025.80 $57,596.06 $57,025.80 2026-02-03
A9543 HCPCS Y90 Ibritumomab, Rx 19 16 — — $56,824.55 $161,949.96 $56,824.55 2026-02-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 16 — — $56,780.13 $153,306.35 $56,780.13 2026-02-03
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $56,613.95 $57,180.09 $56,613.95 2026-02-03
10 MS_DRG Pancreas Transplant 21 16 — — $56,448.01 $152,409.63 $56,448.01 2026-02-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 16 — — $56,424.79 $152,346.93 $56,424.79 2026-02-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 16 — — $56,129.82 $151,550.51 $56,129.82 2026-02-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 16 — — $56,097.30 $151,462.71 $56,097.30 2026-02-03
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $55,697.01 $56,253.98 $55,697.01 2026-02-03
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 19 16 — — $55,272.32 $157,526.12 $55,272.32 2026-02-03
4404 APR_DRG Kidney Transplant 5 5 — — $55,037.97 $55,588.35 $55,037.97 2026-02-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 21 16 — — $54,404.94 $146,893.34 $54,404.94 2026-02-03
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $54,155.55 $54,697.11 $54,155.55 2026-02-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 16 — — $54,142.50 $146,184.75 $54,142.50 2026-02-03
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $54,115.87 $54,657.03 $54,115.87 2026-02-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 16 — — $53,005.98 $143,116.15 $53,005.98 2026-02-03
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $52,791.84 $53,319.76 $52,791.84 2026-02-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 16 — — $52,660.71 $142,183.92 $52,660.71 2026-02-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 16 — — $52,622.77 $142,081.48 $52,622.77 2026-02-03
L7180 HCPCS Electronic Elbow Sequential 19 16 — — $52,277.90 $148,992.02 $52,277.90 2026-02-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 16 — — $51,799.80 $139,859.46 $51,799.80 2026-02-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 16 — — $51,799.80 $139,859.46 $51,799.80 2026-02-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 16 — — $51,614.78 $139,359.91 $51,614.78 2026-02-03
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $51,529.70 $52,045.00 $51,529.70 2026-02-03
1784 APR_DRG External Heart Assist Systems 5 5 — — $51,185.70 $51,697.56 $51,185.70 2026-02-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 21 16 — — $50,711.31 $136,920.54 $50,711.31 2026-02-03
62 APR_DRG Pancreas Transplant 5 5 — — $50,495.32 $51,000.27 $50,495.32 2026-02-03
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $49,512.51 $50,007.64 $49,512.51 2026-02-03
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $49,169.30 $49,660.99 $49,169.30 2026-02-03
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $48,595.57 $49,081.53 $48,595.57 2026-02-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 16 — — $48,339.98 $130,517.95 $48,339.98 2026-02-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 16 — — $48,285.02 $130,369.55 $48,285.02 2026-02-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 16 — — $47,830.57 $129,142.54 $47,830.57 2026-02-03
28 MS_DRG Spinal Procedures With Mcc 21 16 — — $47,410.17 $128,007.46 $47,410.17 2026-02-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 16 — — $47,397.02 $127,971.95 $47,397.02 2026-02-03
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $47,122.75 $47,593.98 $47,122.75 2026-02-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 16 — — $47,060.25 $127,062.68 $47,060.25 2026-02-03
33276 CPT Insj Phrnc Nrv Stim Sys 19 16 — — $46,909.42 $133,691.85 $46,909.42 2026-02-03
0266T CPT Outpatient Services 19 16 — — $46,909.42 $133,691.85 $46,909.42 2026-02-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 16 — — $46,908.50 $126,652.95 $46,908.50 2026-02-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 16 — — $46,801.67 $126,364.51 $46,801.67 2026-02-03
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $46,351.42 $46,814.93 $46,351.42 2026-02-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 16 — — $46,328.64 $125,087.33 $46,328.64 2026-02-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 16 — — $46,299.24 $125,007.95 $46,299.24 2026-02-03
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $46,177.24 $46,639.01 $46,177.24 2026-02-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 16 — — $45,542.85 $122,965.70 $45,542.85 2026-02-03
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $45,388.85 $45,842.74 $45,388.85 2026-02-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 16 — — $45,257.96 $122,196.49 $45,257.96 2026-02-03
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 16 — — $45,076.80 $121,707.36 $45,076.80 2026-02-03
J9226 HCPCS Supprelin La Implant 19 16 — — $45,020.65 $128,308.85 $45,020.65 2026-02-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 16 — — $45,019.50 $121,552.65 $45,019.50 2026-02-03
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $44,767.50 $45,215.18 $44,767.50 2026-02-03
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $44,670.29 $45,116.99 $44,670.29 2026-02-03
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $44,436.20 $44,880.56 $44,436.20 2026-02-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 16 — — $44,419.50 $119,932.65 $44,419.50 2026-02-03
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $44,362.79 $44,806.42 $44,362.79 2026-02-03
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 16 — — $44,284.80 $119,568.96 $44,284.80 2026-02-03
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $44,283.83 $44,726.67 $44,283.83 2026-02-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 16 — — $43,987.52 $118,766.30 $43,987.52 2026-02-03
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,835.08 $44,273.43 $43,835.08 2026-02-03
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $43,679.15 $44,115.94 $43,679.15 2026-02-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 16 — — $43,653.06 $117,863.26 $43,653.06 2026-02-03
834 MS_DRG Acute Leukemia With Mcc 21 16 — — $43,396.82 $117,171.41 $43,396.82 2026-02-03
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $43,335.15 $43,768.50 $43,335.15 2026-02-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 16 — — $43,246.62 $116,765.87 $43,246.62 2026-02-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 16 — — $43,186.24 $116,602.85 $43,186.24 2026-02-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 16 — — $43,119.64 $116,423.03 $43,119.64 2026-02-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 16 — — $42,950.87 $115,967.35 $42,950.87 2026-02-03
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $42,935.60 $43,364.96 $42,935.60 2026-02-03
8634 APR_DRG Neonatal Aftercare 5 5 — — $42,484.07 $42,908.91 $42,484.07 2026-02-03
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $42,476.93 $42,901.70 $42,476.93 2026-02-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 16 — — $42,180.56 $113,887.51 $42,180.56 2026-02-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 16 — — $42,155.79 $113,820.63 $42,155.79 2026-02-03
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $41,962.71 $42,382.34 $41,962.71 2026-02-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 16 — — $41,878.63 $113,072.30 $41,878.63 2026-02-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 16 — — $41,743.15 $112,706.51 $41,743.15 2026-02-03
1794 APR_DRG Defibrillator Implants 5 5 — — $41,702.43 $42,119.45 $41,702.43 2026-02-03
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $41,529.44 $41,944.73 $41,529.44 2026-02-03
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $41,475.87 $41,890.63 $41,475.87 2026-02-03
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $41,439.37 $41,853.76 $41,439.37 2026-02-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 16 — — $41,194.25 $111,224.48 $41,194.25 2026-02-03
L8701 HCPCS Ewh S/d Uprt Micro Sensor 19 16 — — $41,141.33 $117,252.79 $41,141.33 2026-02-03
653 MS_DRG Major Bladder Procedures With Mcc 21 16 — — $41,124.58 $111,036.37 $41,124.58 2026-02-03
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $40,656.93 $41,063.50 $40,656.93 2026-02-03
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $40,516.08 $40,921.24 $40,516.08 2026-02-03
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $40,299.44 $40,702.43 $40,299.44 2026-02-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 16 — — $39,915.31 $107,771.34 $39,915.31 2026-02-03
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $39,757.05 $40,154.62 $39,757.05 2026-02-03
61 APR_DRG Pancreas Transplant 5 5 — — $39,691.58 $40,088.50 $39,691.58 2026-02-03
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $39,643.97 $40,040.41 $39,643.97 2026-02-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 16 — — $39,506.53 $106,667.63 $39,506.53 2026-02-03
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $39,470.98 $39,865.69 $39,470.98 2026-02-03
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $39,431.30 $39,825.61 $39,431.30 2026-02-03
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $39,297.59 $39,690.57 $39,297.59 2026-02-03
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $39,264.26 $39,656.90 $39,264.26 2026-02-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 16 — — $39,196.86 $105,831.52 $39,196.86 2026-02-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 16 — — $39,128.72 $105,647.54 $39,128.72 2026-02-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 16 — — $38,997.88 $105,294.28 $38,997.88 2026-02-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 16 — — $38,839.19 $104,865.81 $38,839.19 2026-02-03
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $38,517.53 $38,902.71 $38,517.53 2026-02-03
471 MS_DRG Cervical Spinal Fusion With Mcc 21 16 — — $38,277.90 $103,350.33 $38,277.90 2026-02-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 16 — — $38,088.99 $102,840.27 $38,088.99 2026-02-03
1783 APR_DRG External Heart Assist Systems 5 5 — — $37,867.22 $38,245.89 $37,867.22 2026-02-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 16 — — $37,752.24 $101,931.05 $37,752.24 2026-02-03
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $37,713.27 $38,090.40 $37,713.27 2026-02-03
234 APR_DRG Spinal Procedures 5 5 — — $37,616.46 $37,992.62 $37,616.46 2026-02-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 16 — — $37,292.37 $100,689.40 $37,292.37 2026-02-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 16 — — $37,218.04 $100,488.71 $37,218.04 2026-02-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 16 — — $37,109.65 $100,196.06 $37,109.65 2026-02-03
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $37,101.05 $37,472.06 $37,101.05 2026-02-03
4414 APR_DRG Major Bladder Procedures 5 5 — — $37,094.31 $37,465.25 $37,094.31 2026-02-03
6 MS_DRG Liver Transplant Without Mcc 21 16 — — $36,793.80 $99,343.26 $36,793.80 2026-02-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 16 — — $36,650.56 $98,956.51 $36,650.56 2026-02-03
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $36,640.40 $37,006.80 $36,640.40 2026-02-03
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $36,629.29 $36,995.58 $36,629.29 2026-02-03
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 19 16 — — $36,485.22 $103,982.88 $36,485.22 2026-02-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 16 — — $36,480.24 $98,496.65 $36,480.24 2026-02-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 16 — — $36,389.67 $98,252.11 $36,389.67 2026-02-03
4403 APR_DRG Kidney Transplant 5 5 — — $36,278.54 $36,641.33 $36,278.54 2026-02-03
245 MS_DRG Aicd Generator Procedures 21 16 — — $36,216.25 $97,783.88 $36,216.25 2026-02-03
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $36,159.91 $36,521.51 $36,159.91 2026-02-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 16 — — $36,110.18 $97,497.49 $36,110.18 2026-02-03
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $36,106.34 $36,467.40 $36,106.34 2026-02-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 16 — — $36,094.70 $97,455.69 $36,094.70 2026-02-03
799 MS_DRG Splenic Procedures With Mcc 21 16 — — $35,956.89 $97,083.60 $35,956.89 2026-02-03
163 MS_DRG Major Chest Procedures With Mcc 21 16 — — $35,592.25 $96,099.08 $35,592.25 2026-02-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 16 — — $35,582.20 $96,071.94 $35,582.20 2026-02-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 16 — — $35,445.94 $95,704.04 $35,445.94 2026-02-03
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $35,412.78 $35,766.91 $35,412.78 2026-02-03
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $35,337.79 $35,691.17 $35,337.79 2026-02-03
1782 APR_DRG External Heart Assist Systems 5 5 — — $35,280.26 $35,633.06 $35,280.26 2026-02-03
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $35,141.79 $35,493.21 $35,141.79 2026-02-03
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $34,904.52 $35,253.57 $34,904.52 2026-02-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 16 — — $34,903.23 $94,238.72 $34,903.23 2026-02-03
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $34,803.34 $35,151.37 $34,803.34 2026-02-03
L6700 HCPCS Ue Add Ext Power Myoel 19 16 — — $34,717.87 $98,945.93 $34,717.87 2026-02-03
L5856 HCPCS Elec Knee-shin Swing/stance 19 16 — — $34,568.35 $98,519.80 $34,568.35 2026-02-03
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $34,560.52 $34,906.13 $34,560.52 2026-02-03
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $34,490.68 $34,835.59 $34,490.68 2026-02-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 16 — — $34,396.90 $92,871.63 $34,396.90 2026-02-03
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $34,386.73 $34,730.60 $34,386.73 2026-02-03
L6880 HCPCS Elec Hand Ind Art Digits 19 16 — — $34,363.97 $97,937.31 $34,363.97 2026-02-03
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $34,351.42 $34,694.93 $34,351.42 2026-02-03
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $34,304.60 $34,647.65 $34,304.60 2026-02-03
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $34,228.42 $34,570.70 $34,228.42 2026-02-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 16 — — $34,129.81 $92,150.49 $34,129.81 2026-02-03
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $34,070.50 $34,411.21 $34,070.50 2026-02-03
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $33,997.10 $34,337.07 $33,997.10 2026-02-03
140 MS_DRG Major Head And Neck Procedures With Mcc 21 16 — — $33,916.15 $91,573.61 $33,916.15 2026-02-03
6904 APR_DRG Acute Leukemia 5 5 — — $33,897.51 $34,236.49 $33,897.51 2026-02-03
7594 APR_DRG Eating Disorders 5 5 — — $33,836.80 $34,175.17 $33,836.80 2026-02-03
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $33,800.70 $34,138.71 $33,800.70 2026-02-03
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 16 — — $33,726.48 $91,061.50 $33,726.48 2026-02-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 16 — — $33,590.22 $90,693.59 $33,590.22 2026-02-03
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 16 — — $33,534.47 $90,543.07 $33,534.47 2026-02-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 16 — — $33,518.21 $90,499.17 $33,518.21 2026-02-03
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $33,426.93 $33,761.20 $33,426.93 2026-02-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 16 — — $33,422.99 $90,242.07 $33,422.99 2026-02-03
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 19 16 — — $33,421.63 $95,251.65 $33,421.63 2026-02-03
33270 CPT Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 19 16 — — $33,421.63 $95,251.65 $33,421.63 2026-02-03
33264 CPT Pr Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 19 16 — — $33,421.63 $95,251.65 $33,421.63 2026-02-03
33249 CPT Pr Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 19 16 — — $33,421.63 $95,251.65 $33,421.63 2026-02-03
33231 CPT Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 19 16 — — $33,421.63 $95,251.65 $33,421.63 2026-02-03
0408T CPT Insj/rplc Cardiac Modulj Sys 19 16 — — $33,421.63 $95,251.65 $33,421.63 2026-02-03
0571T CPT Pr Insj/rplcmt Icds W/substernal Electrode 19 16 — — $33,421.63 $95,251.65 $33,421.63 2026-02-03
901 MS_DRG Wound Debridements For Injuries With Mcc 21 16 — — $33,384.29 $90,137.58 $33,384.29 2026-02-03
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 16 — — $33,323.89 $89,974.50 $33,323.89 2026-02-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 16 — — $33,198.47 $89,635.87 $33,198.47 2026-02-03
793 MS_DRG Full Term Neonate With Major Problems 21 16 — — $33,175.26 $89,573.20 $33,175.26 2026-02-03
69930 CPT Pr Cochlear Device Implantation W/wo Mastoidectomy 19 16 — — $33,157.11 $94,497.76 $33,157.11 2026-02-03
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 16 — — $33,046.74 $89,226.20 $33,046.74 2026-02-03
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $32,871.45 $33,200.16 $32,871.45 2026-02-03
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $32,871.45 $33,200.16 $32,871.45 2026-02-03
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 16 — — $32,833.84 $88,651.37 $32,833.84 2026-02-03
274 APR_DRG Other Open Craniotomy 5 5 — — $32,702.43 $33,029.45 $32,702.43 2026-02-03
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $32,672.67 $32,999.40 $32,672.67 2026-02-03
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $32,332.63 $32,655.96 $32,332.63 2026-02-03
791 MS_DRG Prematurity With Major Problems 21 16 — — $32,319.00 $87,261.30 $32,319.00 2026-02-03
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 80 36 $193,069.25 $42,475.24 78% off $28,424.06 $169,900.94 $106,188.09 2026-02-03
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 80 36 $221,349.75 $48,696.95 78% off $3,660.83 $194,787.78 $121,742.37 2026-02-03
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 80 36 $214,158.75 $47,114.93 78% off $2,429.89 $188,459.70 $117,787.32 2026-02-03
J9026 HCPCS Tarlatamab-dlle 10 Mg/4.2 Ml (wet Solr Vial) 111 36 $108,000.00 $23,760.00 78% off $1,564.64 $95,040.00 $48,600.00 2026-02-03
J0584 HCPCS Burosumab-twza 20 Mg/ml Sc Soln 142 36 $64,101.00 $14,102.22 78% off $484.14 $84,613.32 $35,255.55 2026-02-03
J9307 HCPCS Pralatrexate 40 Mg/2ml IV Soln 111 36 $97,740.50 $21,502.91 78% off $392.63 $86,011.64 $43,983.23 2026-02-03
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 80 36 $129,736.50 $28,542.03 78% off $359.19 $114,168.12 $71,355.07 2026-02-03
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr 80 36 $179,604.00 $39,512.88 78% off $318.53 $158,051.52 $98,782.20 2026-02-03
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 80 36 $91,266.00 $20,078.52 78% off $258.64 $80,314.08 $50,196.30 2026-02-03
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 80 36 $86,618.00 $19,055.96 78% off $243.71 $76,223.84 $47,639.90 2026-02-03
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg IV Solr 80 36 $73,409.00 $16,149.98 78% off $236.62 $64,599.92 $40,374.95 2026-02-03
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 111 36 $95,048.50 $20,910.67 78% off $227.28 $334,570.50 $52,276.68 2026-02-03
J1303 HCPCS Ravulizumab-cwvz 1100 Mg/11ml IV Soln 111 36 $172,447.00 $37,938.34 78% off $225.11 $151,753.36 $77,601.15 2026-02-03
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5ml IV Soln 80 36 $151,128.00 $33,248.16 78% off $217.09 $132,992.64 $83,120.40 2026-02-03
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Wet Solr Vial 80 36 $203,916.50 $44,861.63 78% off $216.90 $179,446.52 $112,154.07 2026-02-03
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 80 36 $59,400.00 $13,068.00 78% off $207.13 $52,272.00 $32,670.00 2026-02-03
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 80 36 $111,038.25 $24,428.42 78% off $197.83 $97,713.66 $61,071.04 2026-02-03
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 111 36 $260,776.25 $57,370.78 78% off $183.48 $229,483.10 $117,349.31 2026-02-03
J3101 HCPCS Tenecteplase 50 Mg IV Kit 80 36 $59,740.50 $13,142.91 78% off $172.22 $52,571.64 $32,857.28 2026-02-03
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 111 36 $104,945.50 $23,088.01 78% off $149.40 $184,703.64 $57,720.03 2026-02-03
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 111 36 $134,002.25 $29,480.50 78% off $136.67 $117,921.98 $60,301.01 2026-02-03
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 111 36 $83,443.50 $18,357.57 78% off $91.34 $73,430.28 $45,893.93 2026-02-03
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 80 36 $64,802.25 $14,256.50 78% off $79.00 $57,025.98 $35,641.24 2026-02-03
J1628 HCPCS Guselkumab 200 Mg/20ml IV Soln 80 36 $104,878.50 $23,073.27 78% off $75.97 $92,293.08 $57,683.18 2026-02-03
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 80 36 $79,992.00 $17,598.24 78% off $70.75 $70,392.96 $43,995.60 2026-02-03
J1747 HCPCS Spesolimab-sbzo 450 Mg/7.5ml IV Soln 80 36 $200,903.75 $44,198.83 78% off $65.73 $176,795.30 $110,497.07 2026-02-03
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 80 36 $148,615.00 $32,695.30 78% off $59.41 $130,781.20 $81,738.25 2026-02-03
J9321 HCPCS Epcoritamab-bysp 48 Mg/0.8ml Sc Soln 111 36 $118,658.25 $26,104.82 78% off $55.84 $104,419.26 $53,396.21 2026-02-03
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 80 36 $76,117.50 $16,745.85 78% off $55.57 $66,983.40 $41,864.62 2026-02-03
J0896 HCPCS Luspatercept-aamt 75 Mg Sc Solr 111 36 $88,843.50 $19,545.57 78% off $41.98 $78,182.28 $39,979.58 2026-02-03
J3263 HCPCS Toripalimab-tpzi 240 Mg/6ml IV Soln 80 36 $68,562.25 $15,083.70 78% off $39.41 $60,334.78 $37,709.24 2026-02-03
J1640 HCPCS Hemin 350 Mg IV Solr 80 36 $80,583.50 $17,728.37 78% off $34.18 $70,913.48 $44,320.93 2026-02-03
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 80 36 $118,153.75 $25,993.83 78% off $33.89 $103,975.30 $64,984.57 2026-02-03
J1932 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 80 36 $64,027.25 $14,086.00 78% off $29.84 $56,343.98 $35,214.99 2026-02-03
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 80 36 $81,609.50 $17,954.09 78% off $29.29 $71,816.36 $44,885.22 2026-02-03
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 80 36 $63,930.50 $14,064.71 78% off $24.00 $56,258.84 $35,161.78 2026-02-03
J3380 HCPCS Vedolizumab 300 Mg IV Solr 80 36 $67,391.50 $14,826.13 78% off $21.31 $59,304.52 $37,065.32 2026-02-03
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 80 36 $76,550.75 $16,841.17 78% off $14.94 $67,364.66 $42,102.92 2026-02-03
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