Price Transparencybeta Hospital negotiated rates

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

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Hospital

INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL

Bloomington, IN · CCN 150051 · Rates published

27,210 distinct procedures filed
27 distinct payers
1,471,895 rate rows
2026-03-25 last MRF observed
Data quality

1,401,779 of 1,471,895 rate rows are consumer-grade (95.2%)

70,116 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 63,877
per-diem day rate — not a per-procedure price 3,088
exceeds 10× this hospital's gross charge — excluded from medians 1,696
placeholder amount (≤ $0.02) — excluded from medians 1,455
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.iuhealth.org/resources/351720796_indiana-university-health-bloomington-inc._standardcharges.zip
Found on page https://iuhealth.org/schedule-an-appointment/price-estimates/standard-charge-listing
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 00b51821cfcf47df… · 65,268,833 bytes · first seen 2026-06-16

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
56552177
CDM 		Delandistrogene Moxeparvovec Inj 20 $0.03 $4,955,808.00 $3,400,969.54 nat. median
$3,360,000
1.0× median
56508781
CDM 		Lovotibeglogene Autotemcel Inj 17 $0.03 $4,417,500.00 $3,352,650.00 nat. median
$3,255,000
1.0× median
56501190
CDM 		Betibeglogene Autotemcel Inj 17 $0.03 $4,336,332.00 $3,291,047.76 nat. median
$3,195,192
1.0× median
56507668
CDM 		Exagamglogene Autotemcel Inj 18 $849,020.70 $3,276,075.00 $2,758,800.00 nat. median
$2,434,641
1.1× median
56504608
CDM 		Afamitresgene Autoleucel Inj 21 $447,468.50 $1,726,625.00 $1,310,417.50 nat. median
$1,228,630
1.1× median
56507262
CDM 		Lifileucel Inj 18 $339,050.25 $1,533,798.75 $1,164,072.53 nat. median
$1,130,168
1.0× median
56504582
CDM 		Obecabtagene Autoleucel Inj 21 $232,659.00 $897,750.00 $681,345.00 nat. median
$638,820
1.1× median
52590841
CDM 		Tisagenlecleucel Inj (iv)(all) 17 $0.03 $866,515.05 $657,639.31 nat. median
$638,485
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $647,979.12 $647,979.12 $647,979.12 nat. median
$123,836
outlier · 5.2×
5833
APR_DRG 		Neonate W Ecmo 4 $588,944.20 $588,944.20 $588,944.20 nat. median
$244,017
outlier · 2.4×
5834
APR_DRG 		Neonate W Ecmo 4 $588,944.20 $588,944.20 $588,944.20 nat. median
$307,273
1.9× median
52597630
CDM 		Lisocabtagene Maraleucel Inj 20 $0.03 $757,174.32 $585,813.82 nat. median
$585,814
1.0× median
52599552
CDM 		Ciltacabtagene Autoleucel Inj 20 $0.03 $791,317.42 $583,075.96 nat. median
$583,076
1.0× median
52598240
CDM 		Idecabtagene Vicleucel Inj 20 $0.03 $752,845.22 $571,369.89 nat. median
$571,370
1.0× median
52594413
CDM 		Tisagenlecleucel Inj (iv)(dlbcl) 17 $0.03 $745,491.32 $565,788.67 nat. median
$549,309
1.0× median
5832
APR_DRG 		Neonate W Ecmo 4 $558,502.30 $558,502.30 $558,502.30 nat. median
$159,249
outlier · 3.5×
5831
APR_DRG 		Neonate W Ecmo 4 $558,502.30 $558,502.30 $558,502.30 nat. median
$147,206
outlier · 3.8×
24
APR_DRG 		Heart &/or Lung Transplant 4 $537,458.68 $537,458.68 $537,458.68 nat. median
$241,734
outlier · 2.2×
52590668
CDM 		Axicabtagene Ciloleucel Inj (iv) 20 $0.03 $717,601.50 $528,759.00 nat. median
$528,759
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $324,782.54 $1,007,238.81 $505,238.76 nat. median
$359,244
1.4× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $503,124.62 $503,124.62 $503,124.62 nat. median
$247,815
outlier · 2.0×
52596608
CDM 		Brexucabtagene Autoleucel Inj (iv) 20 $0.03 $658,350.00 $485,100.00 nat. median
$485,100
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $469,930.95 $469,930.95 $469,930.95 nat. median
$202,649
outlier · 2.3×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $469,136.53 $469,136.53 $469,136.53 nat. median
$134,402
outlier · 3.5×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $396,403.43 $396,403.43 $396,403.43 nat. median
$175,429
outlier · 2.3×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 $393,435.20 $393,435.20 $393,435.20 nat. median
$122,016
outlier · 3.2×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $378,177.99 $378,177.99 $378,177.99 nat. median
$67,440
outlier · 5.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $333,375.47 $333,375.47 $333,375.47 nat. median
$170,172
2.0× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $332,614.53 $332,614.53 $332,614.53 nat. median
$163,528
outlier · 2.0×
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 4 $328,688.97 $328,688.97 $328,688.97 nat. median
$137,051
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $211,015.43 $653,657.47 $327,879.63 nat. median
$248,541
1.3× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $317,330.38 $317,330.38 $317,330.38 nat. median
$151,838
outlier · 2.1×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $304,837.81 $304,837.81 $304,837.81 nat. median
$68,020
outlier · 4.5×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $303,870.59 $303,870.59 $303,870.59 nat. median
$120,841
outlier · 2.5×
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $303,851.24 $303,851.24 $303,851.24 nat. median
$85,271
outlier · 3.6×
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $302,838.59 $302,838.59 $302,838.59 nat. median
$77,028
outlier · 3.9×
52780152
CDM 		Heartmate 21 $524.16 $407,054.10 $299,420.43 nat. median
$281,167
1.1× median
23
APR_DRG 		Heart &/or Lung Transplant 4 $295,712.02 $295,712.02 $295,712.02 nat. median
$110,771
outlier · 2.7×
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $294,207.35 $294,207.35 $294,207.35 nat. median
$120,763
outlier · 2.4×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $294,207.35 $294,207.35 $294,207.35 nat. median
$145,061
outlier · 2.0×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $250,369.68 $250,369.68 $250,369.68 nat. median
$165,000
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $160,931.76 $498,000.41 $249,800.85 nat. median
$198,115
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $159,991.39 $495,077.79 $248,334.84 nat. median
$190,359
1.3× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 $245,243.37 $245,243.37 $245,243.37 nat. median
$118,883
outlier · 2.1×
22
APR_DRG 		Heart &/or Lung Transplant 4 $243,586.70 $243,586.70 $243,586.70 nat. median
$92,158
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $242,358.25 $242,358.25 $242,358.25 nat. median
$98,831
outlier · 2.5×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $235,523.02 $235,523.02 $235,523.02 nat. median
$154,116
1.5× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 $228,748.68 $228,748.68 $228,748.68 nat. median
$81,052
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $227,390.60 $227,390.60 $227,390.60 nat. median
$163,718
1.4× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $220,943.88 $220,943.88 $220,943.88 nat. median
$89,273
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 27,210 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
             
56552177 CDM Delandistrogene Moxeparvovec Inj 34 20 — $1,284,336.77 $0.03 $4,955,808.00 $3,400,969.54 2026-03-25
56508781 CDM Lovotibeglogene Autotemcel Inj 27 17 $4,650,000.00 $1,144,830.00 75% off $0.03 $4,417,500.00 $3,352,650.00 2026-03-25
56501190 CDM Betibeglogene Autotemcel Inj 27 17 $4,564,560.00 $1,123,794.67 75% off $0.03 $4,336,332.00 $3,291,047.76 2026-03-25
56507668 CDM Exagamglogene Autotemcel Inj 36 18 $3,448,500.00 $849,020.70 75% off $849,020.70 $3,276,075.00 $2,758,800.00 2026-03-25
56504608 CDM Afamitresgene Autoleucel Inj 43 21 $1,817,500.00 $447,468.50 75% off $447,468.50 $1,726,625.00 $1,310,417.50 2026-03-25
56507262 CDM Lifileucel Inj 35 18 $1,614,525.00 $397,496.06 75% off $339,050.25 $1,533,798.75 $1,164,072.53 2026-03-25
56504582 CDM Obecabtagene Autoleucel Inj 43 21 $945,000.00 $232,659.00 75% off $232,659.00 $897,750.00 $681,345.00 2026-03-25
52590841 CDM Tisagenlecleucel Inj (iv)(all) 27 17 $912,121.10 $224,564.21 75% off $0.03 $866,515.05 $657,639.31 2026-03-25
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $647,979.12 $647,979.12 $647,979.12 2026-03-25
5833 APR_DRG Neonate W Ecmo 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
5834 APR_DRG Neonate W Ecmo 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
52597630 CDM Lisocabtagene Maraleucel Inj 34 20 $797,025.60 $196,227.70 75% off $0.03 $757,174.32 $585,813.82 2026-03-25
52599552 CDM Ciltacabtagene Autoleucel Inj 34 20 $832,965.70 $205,076.16 75% off $0.03 $791,317.42 $583,075.96 2026-03-25
52598240 CDM Idecabtagene Vicleucel Inj 34 20 $792,468.65 $195,105.78 75% off $0.03 $752,845.22 $571,369.89 2026-03-25
52594413 CDM Tisagenlecleucel Inj (iv)(dlbcl) 27 17 $784,727.70 $193,199.96 75% off $0.03 $745,491.32 $565,788.67 2026-03-25
5832 APR_DRG Neonate W Ecmo 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
5831 APR_DRG Neonate W Ecmo 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
24 APR_DRG Heart &/or Lung Transplant 7 4 — — $537,458.68 $537,458.68 $537,458.68 2026-03-25
52590668 CDM Axicabtagene Ciloleucel Inj (iv) 34 20 $755,370.00 $185,972.09 75% off $0.03 $717,601.50 $528,759.00 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 14 — — $324,782.54 $1,007,238.81 $505,238.76 2026-03-25
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $503,124.62 $503,124.62 $503,124.62 2026-03-25
52596608 CDM Brexucabtagene Autoleucel Inj (iv) 34 20 $693,000.00 $170,616.60 75% off $0.03 $658,350.00 $485,100.00 2026-03-25
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $469,930.95 $469,930.95 $469,930.95 2026-03-25
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 7 4 — — $469,136.53 $469,136.53 $469,136.53 2026-03-25
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $396,403.43 $396,403.43 $396,403.43 2026-03-25
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 4 — — $393,435.20 $393,435.20 $393,435.20 2026-03-25
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $378,177.99 $378,177.99 $378,177.99 2026-03-25
74 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $333,375.47 $333,375.47 $333,375.47 2026-03-25
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $332,614.53 $332,614.53 $332,614.53 2026-03-25
14 APR_DRG Liver Transplant &/or Intestinal Transplant 7 4 — — $328,688.97 $328,688.97 $328,688.97 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 14 — — $211,015.43 $653,657.47 $327,879.63 2026-03-25
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $317,330.38 $317,330.38 $317,330.38 2026-03-25
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $304,837.81 $304,837.81 $304,837.81 2026-03-25
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $303,870.59 $303,870.59 $303,870.59 2026-03-25
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $303,851.24 $303,851.24 $303,851.24 2026-03-25
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 4 — — $302,838.59 $302,838.59 $302,838.59 2026-03-25
52780152 CDM Heartmate 47 21 $428,478.00 $105,491.28 75% off $524.16 $407,054.10 $299,420.43 2026-03-25
23 APR_DRG Heart &/or Lung Transplant 7 4 — — $295,712.02 $295,712.02 $295,712.02 2026-03-25
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $294,207.35 $294,207.35 $294,207.35 2026-03-25
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 7 4 — — $294,207.35 $294,207.35 $294,207.35 2026-03-25
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $250,369.68 $250,369.68 $250,369.68 2026-03-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 14 — — $160,931.76 $498,000.41 $249,800.85 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 14 — — $159,991.39 $495,077.79 $248,334.84 2026-03-25
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $245,243.37 $245,243.37 $245,243.37 2026-03-25
22 APR_DRG Heart &/or Lung Transplant 7 4 — — $243,586.70 $243,586.70 $243,586.70 2026-03-25
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 4 — — $242,358.25 $242,358.25 $242,358.25 2026-03-25
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $235,523.02 $235,523.02 $235,523.02 2026-03-25
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 4 — — $228,748.68 $228,748.68 $228,748.68 2026-03-25
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 4 — — $227,390.60 $227,390.60 $227,390.60 2026-03-25
73 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $220,943.88 $220,943.88 $220,943.88 2026-03-25
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $219,132.78 $219,132.78 $219,132.78 2026-03-25
21 APR_DRG Heart &/or Lung Transplant 7 4 — — $217,018.03 $217,018.03 $217,018.03 2026-03-25
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 4 — — $199,957.70 $199,957.70 $199,957.70 2026-03-25
72 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $198,437.33 $198,437.33 $198,437.33 2026-03-25
55729339 CDM Heartmate 47 21 $276,183.00 $67,996.25 75% off $524.16 $262,373.85 $192,996.68 2026-03-25
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $191,842.30 $191,842.30 $191,842.30 2026-03-25
55727275 CDM Implant Hvad Pump 47 21 $273,585.00 $67,356.63 75% off $524.16 $259,905.75 $191,181.20 2026-03-25
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 7 4 — — $186,758.52 $186,758.52 $186,758.52 2026-03-25
55747844 CDM Gammatile Therapy Device 47 21 $266,044.00 $65,500.03 75% off $524.16 $252,741.80 $185,911.55 2026-03-25
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 7 4 — — $181,159.91 $181,159.91 $181,159.91 2026-03-25
13 APR_DRG Liver Transplant &/or Intestinal Transplant 7 4 — — $180,772.13 $180,772.13 $180,772.13 2026-03-25
8514 APR_DRG Gender Related Procedures 7 4 — — $180,152.55 $180,152.55 $180,152.55 2026-03-25
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $180,120.92 $180,120.92 $180,120.92 2026-03-25
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $172,990.93 $172,990.93 $172,990.93 2026-03-25
64 APR_DRG Pancreas Transplant 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
63 APR_DRG Pancreas Transplant 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
62 APR_DRG Pancreas Transplant 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 7 4 — — $169,641.18 $169,641.18 $169,641.18 2026-03-25
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $167,555.65 $167,555.65 $167,555.65 2026-03-25
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 4 — — $166,227.07 $166,227.07 $166,227.07 2026-03-25
84 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $166,222.61 $166,222.61 $166,222.61 2026-03-25
83 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $166,061.36 $166,061.36 $166,061.36 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 14 — — $104,651.23 $323,083.91 $162,061.38 2026-03-25
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $157,422.04 $157,422.04 $157,422.04 2026-03-25
55747836 CDM Gammatile Therapy Device 47 21 $222,668.00 $54,820.86 75% off $524.16 $211,534.60 $155,600.40 2026-03-25
52760881 CDM Lung Acquisition-double 40 19 $210,810.00 $51,901.42 75% off $44,270.10 $200,269.50 $154,312.92 2026-03-25
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $153,859.46 $153,859.46 $153,859.46 2026-03-25
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 4 — — $152,229.56 $152,229.56 $152,229.56 2026-03-25
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $151,921.76 $151,921.76 $151,921.76 2026-03-25
7 MS_DRG Lung Transplant 25 14 — — $97,887.75 $302,063.42 $151,517.34 2026-03-25
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $150,780.11 $150,780.11 $150,780.11 2026-03-25
56507742 CDM Nadofaragene Firadenovec Inj 47 21 $182,700.00 $44,980.74 75% off $44,980.74 $174,225.62 $150,544.80 2026-03-25
8634 APR_DRG Neonatal Aftercare 7 4 — — $150,117.29 $150,117.29 $150,117.29 2026-03-25
58100025 CDM Kidney Acquisition-lrd 40 19 $204,309.00 $50,300.88 75% off $42,904.89 $194,093.55 $149,554.19 2026-03-25
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 7 4 — — $149,016.91 $149,016.91 $149,016.91 2026-03-25
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $147,993.49 $147,993.49 $147,993.49 2026-03-25
914 APR_DRG Other Major Head & Neck Procedures 7 4 — — $143,859.47 $143,859.47 $143,859.47 2026-03-25
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $142,378.87 $142,378.87 $142,378.87 2026-03-25
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 7 4 — — $141,031.91 $141,031.91 $141,031.91 2026-03-25
56329485 CDM Gemcitabine Ives Sys 225mg 44 20 $216,315.00 $53,256.75 75% off $37.28 $205,499.25 $140,961.67 2026-03-25
14 MS_DRG Allogeneic Bone Marrow Transplant 25 14 — — $90,890.87 $280,317.52 $140,609.43 2026-03-25
4404 APR_DRG Kidney Transplant 7 4 — — $140,057.84 $140,057.84 $140,057.84 2026-03-25
4403 APR_DRG Kidney Transplant 7 4 — — $138,967.79 $138,967.79 $138,967.79 2026-03-25
4402 APR_DRG Kidney Transplant 7 4 — — $138,883.94 $138,883.94 $138,883.94 2026-03-25
4401 APR_DRG Kidney Transplant 7 4 — — $138,825.89 $138,825.89 $138,825.89 2026-03-25
214 APR_DRG Craniotomy Except For Trauma 7 4 — — $138,009.22 $138,009.22 $138,009.22 2026-03-25
50730332 CDM Aicd Other Than Sing/dual 47 21 $195,559.00 $48,146.63 75% off $82.84 $185,781.05 $136,656.63 2026-03-25
52573912 CDM Sipuleucel-t 250 Ml 47 21 $196,489.65 $48,375.75 75% off $48,375.75 $186,665.17 $135,577.86 2026-03-25
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $135,568.66 $135,568.66 $135,568.66 2026-03-25
55747828 CDM Gammatile Therapy Device 47 21 $193,750.00 $47,701.25 75% off $524.16 $184,062.50 $135,392.50 2026-03-25
55748990 CDM Cultured Chondrocyter Implnt 39 18 $148,357.00 $36,525.49 75% off $36,525.49 $170,165.33 $134,659.96 2026-03-25
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $134,562.75 $134,562.75 $134,562.75 2026-03-25
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $134,367.74 $134,367.74 $134,367.74 2026-03-25
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $134,367.74 $134,367.74 $134,367.74 2026-03-25
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 4 — — $133,236.70 $133,236.70 $133,236.70 2026-03-25
52799806 CDM Aicd Other Than Sing/dual 47 21 $189,768.00 $46,720.88 75% off $82.84 $180,279.60 $132,609.88 2026-03-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 14 — — $85,741.71 $264,314.24 $132,582.06 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 25 14 — — $85,644.14 $264,011.01 $132,429.96 2026-03-25
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 7 4 — — $132,125.87 $132,125.87 $132,125.87 2026-03-25
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 7 4 — — $131,273.94 $131,273.94 $131,273.94 2026-03-25
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 7 4 — — $131,271.86 $131,271.86 $131,271.86 2026-03-25
56300825 CDM Y-90 Zevalin, Per Dose 47 21 $153,485.10 $37,788.03 75% off $37,788.03 $173,265.87 $130,866.95 2026-03-25
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $129,752.55 $129,752.55 $129,752.55 2026-03-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 14 — — $83,410.67 $257,069.49 $128,948.04 2026-03-25
52596475 CDM Botulism Immune Globulin Inj 50 mg/mL (iv) 35 18 $178,162.85 $43,863.69 75% off $37,414.20 $169,254.71 $128,455.41 2026-03-25
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $127,924.41 $127,924.41 $127,924.41 2026-03-25
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 4 — — $127,924.41 $127,924.41 $127,924.41 2026-03-25
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 4 — — $127,441.76 $127,441.76 $127,441.76 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 14 — — $82,306.68 $253,638.38 $127,226.97 2026-03-25
52797297 CDM Aicd Dual Chamber 47 21 $181,549.00 $44,697.36 75% off $82.84 $172,471.55 $126,866.44 2026-03-25
55700751 CDM Aicd Other Than Sing/dual 47 21 $180,610.00 $44,466.18 75% off $82.84 $171,579.50 $126,210.27 2026-03-25
50721950 CDM Bmt Allogeneic Unrelated 40 19 $172,363.00 $42,435.77 75% off $36,196.23 $163,744.85 $126,169.72 2026-03-25
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 7 4 — — $125,385.71 $125,385.71 $125,385.71 2026-03-25
224 APR_DRG Ventricular Shunt Procedures 7 4 — — $124,923.91 $124,923.91 $124,923.91 2026-03-25
71 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $122,893.92 $122,893.92 $122,893.92 2026-03-25
52797313 CDM Aicd Dual Chamber 47 21 $175,811.00 $43,284.67 75% off $82.84 $167,020.45 $122,856.73 2026-03-25
56209950 CDM Aicd Other Than Sing/dual 47 21 $175,116.00 $43,113.56 75% off $82.84 $166,360.20 $122,371.06 2026-03-25
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $122,184.42 $122,184.42 $122,184.42 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 14 — — $78,076.88 $240,492.41 $120,632.85 2026-03-25
12 APR_DRG Liver Transplant &/or Intestinal Transplant 7 4 — — $120,077.11 $120,077.11 $120,077.11 2026-03-25
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 4 — — $119,929.30 $119,929.30 $119,929.30 2026-03-25
1784 APR_DRG External Heart Assist Devices 7 4 — — $118,390.37 $118,390.37 $118,390.37 2026-03-25
52797305 CDM Aicd Other Than Sing/dual 47 21 $167,818.00 $41,316.79 75% off $82.84 $159,427.10 $117,271.22 2026-03-25
215 MS_DRG Other Heart Assist System Implant 25 14 — — $75,423.88 $232,247.03 $116,496.90 2026-03-25
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 4 — — $116,133.18 $116,133.18 $116,133.18 2026-03-25
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 4 — — $115,963.34 $115,963.34 $115,963.34 2026-03-25
58100033 CDM Heart Acquisition 40 19 $157,985.00 $38,895.91 75% off $33,176.85 $150,085.75 $115,645.02 2026-03-25
55747810 CDM Gammatile Therapy Device 47 21 $164,831.00 $40,581.39 75% off $524.16 $156,589.45 $115,183.90 2026-03-25
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 4 — — $115,169.99 $115,169.99 $115,169.99 2026-03-25
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $115,017.12 $115,017.12 $115,017.12 2026-03-25
52799947 CDM Aicd Other Than Sing/dual 47 21 $164,467.00 $40,491.78 75% off $82.84 $156,243.65 $114,929.54 2026-03-25
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $114,901.02 $114,901.02 $114,901.02 2026-03-25
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 4 — — $114,623.02 $114,623.02 $114,623.02 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $74,116.51 $228,183.81 $114,458.76 2026-03-25
8633 APR_DRG Neonatal Aftercare 7 4 — — $113,807.97 $113,807.97 $113,807.97 2026-03-25
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 4 — — $113,743.82 $113,743.82 $113,743.82 2026-03-25
58100058 CDM Liver Acquisition Cadaveric 40 19 $154,411.00 $38,015.99 75% off $32,426.31 $146,690.45 $113,028.85 2026-03-25
58142134 CDM Liver Acquistion Domino 40 19 $154,411.00 $38,015.99 75% off $32,426.31 $146,690.45 $113,028.85 2026-03-25
58142126 CDM Liver Acquisition Living Donor 40 19 $154,411.00 $38,015.99 75% off $32,426.31 $146,690.45 $113,028.85 2026-03-25
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 4 — — $112,777.42 $112,777.42 $112,777.42 2026-03-25
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $112,195.05 $112,195.05 $112,195.05 2026-03-25
50738376 CDM Aicd Other Than Sing/dual 47 21 $160,522.00 $39,520.52 75% off $82.84 $152,495.90 $112,172.77 2026-03-25
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $111,911.47 $111,911.47 $111,911.47 2026-03-25
204 APR_DRG Craniotomy For Trauma 7 4 — — $111,739.26 $111,739.26 $111,739.26 2026-03-25
58100074 CDM Pancreas Acquisition 40 19 $152,460.00 $37,535.65 75% off $32,016.60 $144,837.00 $111,600.72 2026-03-25
6954 APR_DRG Chemotherapy For Acute Leukemia 7 4 — — $111,363.86 $111,363.86 $111,363.86 2026-03-25
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 4 — — $111,276.39 $111,276.39 $111,276.39 2026-03-25
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 4 — — $111,053.89 $111,053.89 $111,053.89 2026-03-25
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 7 4 — — $110,819.19 $110,819.19 $110,819.19 2026-03-25
55704142 CDM Generator Neuro Non-recharg 48 21 $158,625.00 $39,053.48 75% off $524.16 $150,693.75 $110,149.20 2026-03-25
53300687 CDM Srs,(cerebral)1 Ses Multi Co60 47 21 $157,077.00 $38,672.36 75% off $29,078.36 $149,223.15 $109,953.90 2026-03-25
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $109,899.76 $109,899.76 $109,899.76 2026-03-25
55700744 CDM Aicd Other Than Sing/dual 47 21 $157,265.00 $38,718.64 75% off $82.84 $149,401.75 $109,896.78 2026-03-25
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $109,627.95 $109,627.95 $109,627.95 2026-03-25
57601171 CDM Intestine Acquisition 40 19 $149,697.00 $36,855.40 75% off $31,436.37 $142,212.15 $109,578.20 2026-03-25
52799780 CDM Aicd Dual Chamber 47 21 $155,189.00 $38,207.53 75% off $82.84 $147,429.55 $108,446.07 2026-03-25
2004 APR_DRG Cardiac Structural & Valvular Disorders 7 4 — — $107,954.58 $107,954.58 $107,954.58 2026-03-25
58100017 CDM Lung Acquisition-single 40 19 $146,611.00 $36,095.63 75% off $30,788.31 $139,280.45 $107,319.25 2026-03-25
50751577 CDM Aicd Other Than Sing/dual 47 21 $153,226.00 $37,724.24 75% off $82.84 $145,564.70 $107,074.33 2026-03-25
56208754 CDM Aicd Dual Chamber 47 21 $151,037.00 $37,185.31 75% off $82.84 $143,485.15 $105,544.66 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 14 — — $68,313.67 $210,148.92 $105,412.32 2026-03-25
50736792 CDM Aicd Dual Chamber 47 21 $150,462.00 $37,043.74 75% off $82.84 $142,938.90 $105,142.85 2026-03-25
55747802 CDM Gammatile Therapy Device 47 21 $150,373.00 $37,021.83 75% off $524.16 $142,854.35 $105,080.65 2026-03-25
52798253 CDM Aicd Dual Chamber 47 21 $150,270.00 $36,996.47 75% off $82.84 $142,756.50 $105,008.68 2026-03-25
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $104,674.53 $104,674.53 $104,674.53 2026-03-25
1694 APR_DRG Major Abdominal Vascular Procedures 7 4 — — $104,651.81 $104,651.81 $104,651.81 2026-03-25
1814 APR_DRG Lower Extremity Arterial Procedures 7 4 — — $103,777.96 $103,777.96 $103,777.96 2026-03-25
52794633 CDM Aicd Dual Chamber 47 21 $148,184.00 $36,482.90 75% off $82.84 $140,774.80 $103,550.98 2026-03-25
52550092 CDM Histrelin Inj 50 Mg (Supprelin La) 47 21 $125,577.35 $30,917.14 75% off $30,917.14 $124,713.11 $103,475.74 2026-03-25
50755347 CDM Aicd Dual Chamber 47 21 $146,622.00 $36,098.34 75% off $82.84 $139,290.90 $102,459.45 2026-03-25
50751544 CDM Aicd Dual Chamber 47 21 $146,622.00 $36,098.34 75% off $82.84 $139,290.90 $102,459.45 2026-03-25
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 4 — — $102,054.57 $102,054.57 $102,054.57 2026-03-25
850 MS_DRG Acute Leukemia With Other Procedures 25 14 — — $65,686.18 $201,982.84 $101,316.15 2026-03-25
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 7 4 — — $101,277.72 $101,277.72 $101,277.72 2026-03-25
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $101,038.94 $101,038.94 $101,038.94 2026-03-25
2304 APR_DRG Major Small Bowel Procedures 7 4 — — $100,576.91 $100,576.91 $100,576.91 2026-03-25
55737928 CDM Aicd Dual Chamber 47 21 $143,732.00 $35,386.82 75% off $82.84 $136,545.40 $100,439.92 2026-03-25
58100041 CDM Kidney Acquisition-cadaveric 40 19 $137,181.00 $33,773.96 75% off $28,808.01 $130,321.95 $100,416.49 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 14 — — $63,963.03 $196,627.42 $98,629.83 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 14 — — $63,764.15 $196,009.31 $98,319.78 2026-03-25
52534120 CDM Sod Benzo-sod Phenylac Inj 100mg/mL 35 18 $136,187.30 $33,529.31 75% off $28,599.33 $129,377.94 $98,191.04 2026-03-25
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $98,064.99 $98,064.99 $98,064.99 2026-03-25
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 7 4 — — $97,549.52 $97,549.52 $97,549.52 2026-03-25
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 4 — — $97,374.00 $97,374.00 $97,374.00 2026-03-25
52749710 CDM Aicd Dual Chamber 47 21 $139,326.00 $34,302.06 75% off $82.84 $132,359.70 $97,361.01 2026-03-25
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 7 4 — — $97,069.40 $97,069.40 $97,069.40 2026-03-25
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 7 4 — — $97,040.10 $97,040.10 $97,040.10 2026-03-25
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 4 — — $96,948.30 $96,948.30 $96,948.30 2026-03-25
50736800 CDM Aicd Single Chamber 47 21 $138,633.00 $34,131.44 75% off $82.84 $131,701.35 $96,876.74 2026-03-25
3213 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 7 4 — — $96,872.40 $96,872.40 $96,872.40 2026-03-25
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6301 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
55737936 CDM Aicd Single Chamber 47 21 $137,983.00 $33,971.41 75% off $82.84 $131,083.85 $96,422.52 2026-03-25
55720247 CDM Pmkr Other Than Sing/dual 47 21 $137,883.00 $33,946.79 75% off $82.84 $130,988.85 $96,352.64 2026-03-25
55729305 CDM Generator Neuro Non-recharg 48 21 $138,541.00 $34,108.79 75% off $524.16 $131,613.95 $96,202.87 2026-03-25
55700736 CDM Aicd Dual Chamber 47 21 $137,666.00 $33,893.37 75% off $82.84 $130,782.70 $96,201.00 2026-03-25
6903 APR_DRG Acute Leukemia 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
6904 APR_DRG Acute Leukemia 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 4 — — $94,985.80 $94,985.80 $94,985.80 2026-03-25
55747794 CDM Gammatile Therapy Device 47 21 $135,915.00 $33,462.27 75% off $524.16 $129,119.25 $94,977.40 2026-03-25
52794617 CDM Aicd Dual Chamber 47 21 $135,882.00 $33,454.15 75% off $82.84 $129,087.90 $94,954.34 2026-03-25
52799913 CDM Aicd Dual Chamber 47 21 $135,516.00 $33,364.04 75% off $82.84 $128,740.20 $94,698.58 2026-03-25
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 4 — — $94,520.97 $94,520.97 $94,520.97 2026-03-25
52730017 CDM Aicd Dual Chamber 47 21 $134,984.00 $33,233.06 75% off $82.84 $128,234.80 $94,326.82 2026-03-25
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 4 — — $93,687.08 $93,687.08 $93,687.08 2026-03-25
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 7 4 — — $93,332.37 $93,332.37 $93,332.37 2026-03-25
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 7 4 — — $93,047.62 $93,047.62 $93,047.62 2026-03-25
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 4 — — $92,323.37 $92,323.37 $92,323.37 2026-03-25
1204 APR_DRG Major Respiratory & Chest Procedures 7 4 — — $92,232.30 $92,232.30 $92,232.30 2026-03-25
58100066 CDM Pancreas Acq-combined W/kidney 40 19 $125,917.00 $31,000.77 75% off $26,442.57 $119,621.15 $92,171.24 2026-03-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 14 — — $59,751.99 $183,539.76 $92,064.96 2026-03-25
55737332 CDM Anchor/screw Bn/bntis/bn 47 21 $131,399.00 $32,350.43 75% off $524.16 $124,829.05 $91,821.62 2026-03-25
52794377 CDM Aicd Single Chamber 47 21 $131,301.00 $32,326.31 75% off $82.84 $124,735.95 $91,753.14 2026-03-25
55748008 CDM System Circulatory Assist 47 21 $130,130.00 $32,038.01 75% off $524.16 $123,623.50 $90,934.84 2026-03-25
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 4 — — $90,448.37 $90,448.37 $90,448.37 2026-03-25
1783 APR_DRG External Heart Assist Devices 7 4 — — $90,339.64 $90,339.64 $90,339.64 2026-03-25
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $90,231.60 $90,231.60 $90,231.60 2026-03-25
234 APR_DRG Spinal Procedures 7 4 — — $90,204.57 $90,204.57 $90,204.57 2026-03-25
53403796 CDM Lu-177 Psma Pluvicto 200 Mci 40 19 $122,902.00 $30,258.47 75% off $25,809.42 $116,756.90 $89,964.26 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 14 — — $58,322.30 $179,096.35 $89,836.11 2026-03-25
52738143 CDM Cochlear Device 40 19 $122,280.00 $30,105.34 75% off $25,678.80 $116,166.00 $89,508.96 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 14 — — $58,073.88 $178,324.29 $89,448.84 2026-03-25
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 7 4 — — $89,298.56 $89,298.56 $89,298.56 2026-03-25
55751507 CDM Device Ventricular Assist 47 21 $127,767.00 $31,456.24 75% off $121.68 $121,378.65 $89,283.58 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 14 — — $57,884.01 $177,734.17 $89,152.83 2026-03-25
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 4 — — $88,620.13 $88,620.13 $88,620.13 2026-03-25
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 4 — — $88,491.13 $88,491.13 $88,491.13 2026-03-25
50743699 CDM Generator Neuro Non-recharg 48 21 $126,739.00 $31,203.14 75% off $524.16 $120,402.05 $88,007.56 2026-03-25
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 7 4 — — $87,793.50 $87,793.50 $87,793.50 2026-03-25
54899992 CDM Tis Cgen Car Anomal 1st Shnt 47 21 $127,110.00 $31,294.48 75% off $1,854.49 $120,754.50 $87,705.90 2026-03-25
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 4 — — $87,568.42 $87,568.42 $87,568.42 2026-03-25
55718399 CDM Generator Neuro Rechg Bat Sy 47 21 $125,124.00 $30,805.53 75% off $524.16 $118,867.80 $87,436.65 2026-03-25
52794609 CDM Aicd Single Chamber 47 21 $124,112.00 $30,556.37 75% off $82.84 $117,906.40 $86,729.47 2026-03-25
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 7 4 — — $85,912.30 $85,912.30 $85,912.30 2026-03-25
52738135 CDM Cochlear Device 40 19 $117,220.00 $28,859.56 75% off $24,616.20 $111,359.00 $85,805.04 2026-03-25
55737894 CDM Cochlear System 47 21 $122,652.00 $30,196.92 75% off $524.16 $116,519.40 $85,709.22 2026-03-25
1794 APR_DRG Defibrillator Implants 7 4 — — $85,673.79 $85,673.79 $85,673.79 2026-03-25
894 APR_DRG Major Cranial/facial Bone Procedures 7 4 — — $85,568.88 $85,568.88 $85,568.88 2026-03-25
55729362 CDM Berlin Heart 47 21 $122,434.00 $30,143.25 75% off $524.16 $116,312.30 $85,556.88 2026-03-25
55709984 CDM Aicd Dual Chamber 47 21 $121,901.00 $30,012.03 75% off $82.84 $115,805.95 $85,184.42 2026-03-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 14 — — $54,872.26 $168,373.85 $84,457.62 2026-03-25
274 APR_DRG Other Open Craniotomy 7 4 — — $84,403.30 $84,403.30 $84,403.30 2026-03-25
50751635 CDM Aicd Single Chamber 47 21 $120,391.00 $29,640.26 75% off $82.84 $114,371.45 $84,129.23 2026-03-25
50734425 CDM Aicd Single Chamber 47 21 $120,357.00 $29,631.89 75% off $82.84 $114,339.15 $84,105.47 2026-03-25
52738085 CDM Cochlear Device 40 19 $114,882.00 $28,283.95 75% off $24,125.22 $109,137.90 $84,093.62 2026-03-25
10 MS_DRG Pancreas Transplant 25 14 — — $54,550.30 $167,373.20 $83,955.69 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 14 — — $54,527.78 $167,303.23 $83,920.59 2026-03-25
55748479 CDM Implant Cardiovascular Anytype 47 21 $120,009.00 $29,546.22 75% off $524.16 $114,008.55 $83,862.29 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 14 — — $54,241.85 $166,414.55 $83,474.82 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 14 — — $54,210.32 $166,316.58 $83,425.68 2026-03-25
52545092 CDM Carmustine Wafer 40 19 $113,749.00 $28,005.00 75% off $23,887.29 $108,061.55 $83,264.27 2026-03-25
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 7 4 — — $83,239.52 $83,239.52 $83,239.52 2026-03-25
294 APR_DRG Other Percutaneous Intracranial Procedures 7 4 — — $81,963.38 $81,963.38 $81,963.38 2026-03-25
56304686 CDM Brachytx Non-stryttrium-90 47 21 $116,646.00 $28,718.25 75% off $524.16 $110,813.70 $81,512.22 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 14 — — $52,569.74 $161,217.74 $80,868.06 2026-03-25
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 7 4 — — $80,814.58 $80,814.58 $80,814.58 2026-03-25
82 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $80,603.23 $80,603.23 $80,603.23 2026-03-25
81 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $80,551.63 $80,551.63 $80,551.63 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 14 — — $52,315.32 $160,427.02 $80,471.43 2026-03-25
52749603 CDM Aicd Single Chamber 47 21 $114,556.00 $28,203.69 75% off $524.16 $108,828.20 $80,051.73 2026-03-25
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 7 4 — — $79,950.34 $79,950.34 $79,950.34 2026-03-25
6902 APR_DRG Acute Leukemia 7 4 — — $79,314.45 $79,314.45 $79,314.45 2026-03-25
55756027 CDM Anchor/screw Bn/bntis/bn 47 21 $113,458.00 $27,933.36 75% off $524.16 $107,785.10 $79,284.45 2026-03-25
4414 APR_DRG Major Bladder Procedures 7 4 — — $79,252.26 $79,252.26 $79,252.26 2026-03-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 14 — — $51,213.59 $157,002.91 $78,753.87 2026-03-25
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 7 4 — — $78,591.47 $78,591.47 $78,591.47 2026-03-25
55756548 CDM Valve Aortic 47 21 $112,338.00 $27,657.62 75% off $524.16 $106,721.10 $78,501.79 2026-03-25
1214 APR_DRG Other Respiratory & Chest Procedures 7 4 — — $78,448.14 $78,448.14 $78,448.14 2026-03-25
213 APR_DRG Craniotomy Except For Trauma 7 4 — — $78,298.23 $78,298.23 $78,298.23 2026-03-25
4284 APR_DRG Genetic Disorders 7 4 — — $78,294.40 $78,294.40 $78,294.40 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 14 — — $50,878.87 $155,962.61 $78,232.05 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 14 — — $50,842.09 $155,848.32 $78,174.72 2026-03-25
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 4 — — $78,058.12 $78,058.12 $78,058.12 2026-03-25
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 7 4 — — $77,900.70 $77,900.70 $77,900.70 2026-03-25
55725543 CDM Conn Tiss Non-human 47 21 $111,123.00 $27,358.48 75% off $524.16 $105,566.85 $77,652.75 2026-03-25
554 APR_DRG Head Trauma W Coma >1 Hr Or Hemorrhage 7 4 — — $77,121.40 $77,121.40 $77,121.40 2026-03-25
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 7 4 — — $76,940.27 $76,940.27 $76,940.27 2026-03-25
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 4 — — $76,935.52 $76,935.52 $76,935.52 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $50,044.32 $153,368.87 $76,931.01 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $50,044.32 $153,368.87 $76,931.01 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 14 — — $49,864.95 $152,811.41 $76,651.38 2026-03-25
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 7 4 — — $76,544.35 $76,544.35 $76,544.35 2026-03-25
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 7 4 — — $76,239.22 $76,239.22 $76,239.22 2026-03-25
6223 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 7 4 — — $75,527.18 $75,527.18 $75,527.18 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 14 — — $48,989.12 $150,089.38 $75,285.99 2026-03-25
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 7 4 — — $75,266.96 $75,266.96 $75,266.96 2026-03-25
52799939 CDM Aicd Single Chamber 47 21 $107,115.00 $26,371.71 75% off $82.84 $101,759.25 $74,851.96 2026-03-25
55747786 CDM Gammatile Therapy Device 47 21 $106,995.00 $26,342.17 75% off $524.16 $101,645.25 $74,768.11 2026-03-25
51708105 CDM Generator Neuro Rechg Bat Sy 47 21 $106,712.00 $26,272.49 75% off $524.16 $101,376.40 $74,570.35 2026-03-25
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