Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

COMMUNITY HOSPITAL OF BREMEN INC

Bremen, IN · CCN 151300 · Rates published

14,910 distinct procedures filed
21 distinct payers
405,716 rate rows
2026-07-15 last MRF observed
Data quality

383,824 of 405,716 rate rows are consumer-grade (94.6%)

21,892 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
per-diem day rate — not a per-procedure price 16,923
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,569
percent-of-charges filed in the dollar field — excluded from medians 347
placeholder amount (≤ $0.02) — excluded from medians 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/350835006_Community-Hospital-of-Bremen_standardcharges-8.csv
Found on page https://www.beaconhealthsystem.org/hospital-chargemaster/
Discovered viaCMS hospital list
Last fetch success · 2026-08-18
Content fingerprint 72dfa2118951f456… · 51,800,623 bytes · first seen 2026-05-13

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
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 1 $4,929,000.00 $4,929,000.00 $4,929,000.00 nat. median
$3,286,000
1.5× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 1 $4,452,000.00 $4,452,000.00 $4,452,000.00 nat. median
$2,997,086
1.5× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,605,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,360,000.00 $4,988,182.14 $3,360,000.00 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,231,250.00 $3,582,921.35 $2,231,250.00 nat. median
$2,460,273
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $793,789.29 $793,789.29 $793,789.29 nat. median
$691,418
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $763,350.00 $763,350.00 $763,350.00 nat. median
$809,151
0.9× median
114
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $647,979.12 $647,979.12 $647,979.12 nat. median
$119,243
outlier · 5.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $548,128.28 $790,685.15 $565,602.12 nat. median
$631,793
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $551,250.00 $551,250.00 $551,250.00 nat. median
$302,242
1.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $523,328.35 $789,881.39 $539,028.20 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $511,851.30 $775,089.12 $534,884.61 nat. median
$624,417
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $485,100.00 $734,183.94 $506,929.50 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $485,100.00 $690,795.60 $485,100.00 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 2 $373,825.00 $565,692.00 $424,615.95 nat. median
$370,165
1.1× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $389,138.03 $503,124.62 $389,138.03 nat. median
$254,667
1.5× median
113
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $378,177.99 $378,177.99 $378,177.99 nat. median
$67,603
outlier · 5.6×
24
APR_DRG 		Heart And/or Lung Transplant 6 $347,823.74 $537,458.68 $347,823.74 nat. median
$243,231
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $335,581.17 $469,930.95 $335,581.17 nat. median
$209,486
1.6× median
112
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $304,837.81 $304,837.81 $304,837.81 nat. median
$63,564
outlier · 4.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $275,868.79 $422,524.50 $279,416.58 nat. median
$261,939
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 $209,156.35 $489,311.20 $267,127.61 nat. median
$199,832
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $253,450.84 $328,688.97 $253,450.84 nat. median
$137,901
1.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $235,802.82 $333,375.47 $235,802.82 nat. median
$175,480
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $210,385.85 $355,842.00 $235,444.39 nat. median
$205,166
1.1× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $231,442.66 $393,435.20 $231,442.66 nat. median
$127,600
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $227,390.60 $228,301.56 $228,301.56 nat. median
$165,599
1.4× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $225,770.30 $332,614.53 $225,770.30 nat. median
$168,361
1.3× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $214,457.63 $250,369.68 $214,457.63 nat. median
$168,174
1.3× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $202,944.11 $317,330.38 $202,944.11 nat. median
$156,285
1.3× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $200,848.67 $295,712.02 $200,848.67 nat. median
$116,111
1.7× median
22
APR_DRG 		Heart And/or Lung Transplant 6 $200,364.92 $243,586.70 $200,364.92 nat. median
$94,014
outlier · 2.1×
21
APR_DRG 		Heart And/or Lung Transplant 6 $200,197.22 $217,018.03 $200,197.22 nat. median
$74,854
outlier · 2.7×
5834
APR_DRG 		Neonate With Ecmo 6 $191,228.48 $588,944.20 $191,228.48 nat. median
$311,018
0.6× median
5833
APR_DRG 		Neonate With Ecmo 6 $191,228.48 $588,944.20 $191,228.48 nat. median
$250,089
0.8× median
5832
APR_DRG 		Neonate With Ecmo 6 $191,228.48 $558,502.30 $191,228.48 nat. median
$169,230
1.1× median
5831
APR_DRG 		Neonate With Ecmo 6 $189,686.93 $558,502.30 $189,686.93 nat. median
$154,685
1.2× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 6 $182,838.72 $469,136.53 $182,838.72 nat. median
$147,677
1.2× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 $180,341.17 $235,523.02 $180,341.17 nat. median
$160,171
1.1× median
8514
APR_DRG 		Gender Related Procedures 6 $180,152.55 $180,152.55 $180,152.55 nat. median
$66,302
outlier · 2.7×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,934.87 $396,403.43 $171,934.87 nat. median
$180,995
0.9× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,212.47 $294,207.35 $171,212.47 nat. median
$147,847
1.2× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,212.47 $294,207.35 $171,212.47 nat. median
$120,928
1.4× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 6 $152,229.56 $163,952.35 $163,952.35 nat. median
$79,344
outlier · 2.1×
64
APR_DRG 		Pancreas Transplant 6 $162,404.42 $171,455.28 $162,404.42 nat. median
$92,994
1.7× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $161,361.55 $191,842.30 $161,361.55 nat. median
$112,711
1.4× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $150,698.11 $228,748.68 $150,698.11 nat. median
$88,000
1.7× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $145,995.49 $245,243.37 $145,995.49 nat. median
$123,690
1.2× median

Other procedures at this hospital

Browse this hospital's 14,910 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
             
J3394 HCPCS Inj- Lovotibeglogene Autotem 1 1 — — $4,929,000.00 $4,929,000.00 $4,929,000.00 2026-07-15
J3393 HCPCS Inj- Betibeglogene Autotemce 1 1 — — $4,452,000.00 $4,452,000.00 $4,452,000.00 2026-07-15
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 21 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-07-15
J1414 HCPCS Inj- Beqvez- Per Tx Dose 10 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-07-15
C9172 HCPCS Inj- Beqvez- Per Tx Dose 10 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 7 — — $3,360,000.00 $4,988,182.14 $3,360,000.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 22 7 — — $2,231,250.00 $3,582,921.35 $2,231,250.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $793,789.29 $793,789.29 $793,789.29 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 10 6 — — $763,350.00 $763,350.00 $763,350.00 2026-07-15
114 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $647,979.12 $647,979.12 $647,979.12 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 22 7 — — $548,128.28 $790,685.15 $565,602.12 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 6 — — $551,250.00 $551,250.00 $551,250.00 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 22 7 — — $523,328.35 $789,881.39 $539,028.20 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 22 7 — — $511,851.30 $775,089.12 $534,884.61 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 7 — — $485,100.00 $734,183.94 $506,929.50 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 22 7 — — $485,100.00 $690,795.60 $485,100.00 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 2 — — $373,825.00 $565,692.00 $424,615.95 2026-07-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 21 6 — — $389,138.03 $503,124.62 $389,138.03 2026-07-15
113 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $378,177.99 $378,177.99 $378,177.99 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 21 6 — — $347,823.74 $537,458.68 $347,823.74 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 21 6 — — $335,581.17 $469,930.95 $335,581.17 2026-07-15
112 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $304,837.81 $304,837.81 $304,837.81 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 2 — — $275,868.79 $422,524.50 $279,416.58 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 4 3 — — $209,156.35 $489,311.20 $267,127.61 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 21 6 — — $253,450.84 $328,688.97 $253,450.84 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 21 6 — — $235,802.82 $333,375.47 $235,802.82 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 2 — — $210,385.85 $355,842.00 $235,444.39 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 21 6 — — $231,442.66 $393,435.20 $231,442.66 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 6 — — $227,390.60 $228,301.56 $228,301.56 2026-07-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 21 6 — — $225,770.30 $332,614.53 $225,770.30 2026-07-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 21 6 — — $214,457.63 $250,369.68 $214,457.63 2026-07-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 21 6 — — $202,944.11 $317,330.38 $202,944.11 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 21 6 — — $200,848.67 $295,712.02 $200,848.67 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 21 6 — — $200,364.92 $243,586.70 $200,364.92 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 21 6 — — $200,197.22 $217,018.03 $200,197.22 2026-07-15
5833 APR_DRG Neonate With Ecmo 21 6 — — $191,228.48 $588,944.20 $191,228.48 2026-07-15
5834 APR_DRG Neonate With Ecmo 21 6 — — $191,228.48 $588,944.20 $191,228.48 2026-07-15
5832 APR_DRG Neonate With Ecmo 21 6 — — $191,228.48 $558,502.30 $191,228.48 2026-07-15
5831 APR_DRG Neonate With Ecmo 21 6 — — $189,686.93 $558,502.30 $189,686.93 2026-07-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 21 6 — — $182,838.72 $469,136.53 $182,838.72 2026-07-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 21 6 — — $180,341.17 $235,523.02 $180,341.17 2026-07-15
8514 APR_DRG Gender Related Procedures 10 6 — — $180,152.55 $180,152.55 $180,152.55 2026-07-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 21 6 — — $171,934.87 $396,403.43 $171,934.87 2026-07-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 21 6 — — $171,212.47 $294,207.35 $171,212.47 2026-07-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 21 6 — — $171,212.47 $294,207.35 $171,212.47 2026-07-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 21 6 — — $152,229.56 $163,952.35 $163,952.35 2026-07-15
64 APR_DRG Pancreas Transplant 21 6 — — $162,404.42 $171,455.28 $162,404.42 2026-07-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 21 6 — — $161,361.55 $191,842.30 $161,361.55 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 21 6 — — $150,698.11 $228,748.68 $150,698.11 2026-07-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $145,995.49 $245,243.37 $145,995.49 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 4 3 — — $136,800.72 $211,950.00 $144,004.00 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 21 6 — — $142,486.60 $198,437.33 $142,486.60 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 21 6 — — $142,486.60 $220,943.88 $142,486.60 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 21 6 — — $122,893.92 $142,486.60 $142,486.60 2026-07-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $142,086.95 $219,132.78 $142,086.95 2026-07-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $135,186.74 $172,990.93 $135,186.74 2026-07-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 21 6 — — $134,235.08 $149,016.91 $134,235.08 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 6 — — $88,491.13 $132,078.56 $132,078.56 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 6 — — $88,620.13 $132,078.56 $132,078.56 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 21 6 — — $119,929.30 $132,078.56 $132,078.56 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 3 2 — — $118,809.44 $196,527.00 $130,387.88 2026-07-15
7 MS_DRG Lung Transplant 3 2 — — $127,957.66 $196,032.00 $130,061.45 2026-07-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $129,752.55 $129,752.55 $129,752.55 2026-07-15
4404 APR_DRG Kidney Transplant 21 6 — — $128,478.07 $140,057.84 $128,478.07 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 21 6 — — $122,895.96 $242,358.25 $122,895.96 2026-07-15
111 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $122,184.42 $122,184.42 $122,184.42 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 21 6 — — $122,155.07 $180,120.92 $122,155.07 2026-07-15
8634 APR_DRG Neonatal Aftercare 21 6 — — $120,447.58 $150,117.29 $120,447.58 2026-07-15
1784 APR_DRG External Heart Assist Systems 10 6 — — $118,390.37 $118,390.37 $118,390.37 2026-07-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $115,017.12 $115,017.12 $115,017.12 2026-07-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $114,901.02 $114,901.02 $114,901.02 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 21 6 — — $113,894.85 $181,159.91 $113,894.85 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $113,743.82 $113,743.82 $113,743.82 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 21 6 — — $113,713.77 $199,957.70 $113,713.77 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 21 6 — — $113,262.27 $114,623.02 $113,262.27 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 21 6 — — $78,058.12 $113,049.42 $113,049.42 2026-07-15
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 21 6 — — $112,943.33 $150,780.11 $112,943.33 2026-07-15
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 21 6 — — $112,943.33 $151,921.76 $112,943.33 2026-07-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 21 6 — — $112,943.33 $157,422.04 $112,943.33 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $109,793.00 $165,295.50 $112,077.05 2026-07-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 1 1 — — $111,949.49 $111,949.49 $111,949.49 2026-07-15
63 APR_DRG Pancreas Transplant 21 6 — — $111,535.23 $171,455.28 $111,535.23 2026-07-15
62 APR_DRG Pancreas Transplant 21 6 — — $111,438.48 $171,455.28 $111,438.48 2026-07-15
61 APR_DRG Pancreas Transplant 21 6 — — $51,945.63 $111,406.23 $111,406.23 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $104,470.44 $157,131.00 $109,029.30 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 3 2 — — $107,585.88 $163,408.50 $108,548.66 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $102,055.53 $159,741.00 $106,130.21 2026-07-15
215 MS_DRG Other Heart Assist System Implant 3 2 — — $98,586.80 $158,922.00 $105,590.15 2026-07-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 21 6 — — $104,929.15 $112,195.05 $104,929.15 2026-07-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 21 6 — — $104,929.15 $147,993.49 $104,929.15 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 6 — — $104,413.45 $166,222.61 $104,413.45 2026-07-15
104 APR_DRG Head Trauma With Deep Coma 11 6 — — $104,064.07 $104,064.07 $104,064.07 2026-07-15
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 21 6 — — $103,735.90 $109,627.95 $103,735.90 2026-07-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $103,060.66 $134,562.75 $103,060.66 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 21 6 — — $102,012.19 $125,385.71 $102,012.19 2026-07-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 21 6 — — $101,883.95 $167,555.65 $101,883.95 2026-07-15
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 21 6 — — $99,884.45 $112,777.42 $99,884.45 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 21 6 — — $99,693.76 $133,236.70 $99,693.76 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 21 6 — — $98,946.36 $142,378.87 $98,946.36 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 21 6 — — $98,836.71 $101,038.94 $98,836.71 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $98,807.61 $98,807.61 $98,807.61 2026-07-15
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 21 6 — — $90,448.37 $98,772.21 $98,772.21 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 3 — — $75,902.19 $163,728.66 $97,676.93 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $96,255.64 $144,766.50 $96,877.46 2026-07-15
103 APR_DRG Head Trauma With Deep Coma 11 6 — — $96,681.47 $96,681.47 $96,681.47 2026-07-15
102 APR_DRG Head Trauma With Deep Coma 11 6 — — $96,681.47 $96,681.47 $96,681.47 2026-07-15
101 APR_DRG Head Trauma With Deep Coma 11 6 — — $96,681.47 $96,681.47 $96,681.47 2026-07-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $96,251.40 $135,568.66 $96,251.40 2026-07-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $95,258.73 $104,674.53 $95,258.73 2026-07-15
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $93,687.08 $95,180.70 $95,180.70 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 21 6 — — $93,875.45 $166,227.07 $93,875.45 2026-07-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 21 6 — — $92,371.31 $169,641.18 $92,371.31 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $85,855.05 $138,178.50 $91,905.41 2026-07-15
8633 APR_DRG Neonatal Aftercare 21 6 — — $91,197.12 $113,807.97 $91,197.12 2026-07-15
1783 APR_DRG External Heart Assist Systems 10 6 — — $90,339.64 $90,339.64 $90,339.64 2026-07-15
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $90,231.60 $90,231.60 $90,231.60 2026-07-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 21 6 — — $90,007.56 $153,859.46 $90,007.56 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $83,287.03 $125,109.00 $89,290.41 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $76,227.00 $116,062.50 $88,593.17 2026-07-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 21 6 — — $88,346.23 $97,374.00 $88,346.23 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 21 6 — — $76,239.22 $87,926.72 $87,926.72 2026-07-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 21 6 — — $87,849.58 $96,948.30 $87,849.58 2026-07-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 21 6 — — $87,585.96 $115,963.34 $87,585.96 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 6 — — $87,568.42 $87,568.42 $87,568.42 2026-07-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 21 6 — — $85,805.76 $115,169.99 $85,805.76 2026-07-15
1794 APR_DRG Defibrillator Implants 10 6 — — $85,673.79 $85,673.79 $85,673.79 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 2 — — $83,602.08 $127,108.50 $84,611.49 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 2 — — $83,342.05 $127,038.00 $84,564.99 2026-07-15
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 21 6 — — $68,755.81 $84,467.93 $84,467.93 2026-07-15
274 APR_DRG Other Open Craniotomy 10 6 — — $84,403.30 $84,403.30 $84,403.30 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 21 6 — — $84,377.79 $92,232.30 $84,377.79 2026-07-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 21 6 — — $84,159.71 $94,985.80 $84,159.71 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 21 6 — — $83,664.73 $132,125.87 $83,664.73 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 21 6 — — $82,254.29 $111,053.89 $82,254.29 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 10 6 — — $81,963.38 $81,963.38 $81,963.38 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 21 6 — — $81,860.95 $89,298.56 $81,860.95 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 21 6 — — $81,657.49 $110,819.19 $81,657.49 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 21 6 — — $81,615.52 $180,772.13 $81,615.52 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 21 6 — — $81,331.72 $120,077.11 $81,331.72 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 21 6 — — $52,666.95 $81,312.37 $81,312.37 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 21 6 — — $81,088.74 $127,441.76 $81,088.74 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 21 6 — — $80,850.20 $97,549.52 $80,850.20 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $78,096.26 $120,916.50 $80,528.32 2026-07-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 21 6 — — $80,273.63 $109,899.76 $80,273.63 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 21 6 — — $79,670.23 $303,870.59 $79,670.23 2026-07-15
10 MS_DRG Pancreas Transplant 3 2 — — $71,295.21 $119,595.00 $79,656.87 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 21 6 — — $79,530.68 $104,651.81 $79,530.68 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $70,891.91 $118,909.50 $79,204.85 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 21 6 — — $79,163.70 $111,363.86 $79,163.70 2026-07-15
894 APR_DRG Major Cranial/facial Bone Procedures 21 6 — — $79,013.05 $85,568.88 $79,013.05 2026-07-15
4414 APR_DRG Major Bladder Procedures 21 6 — — $78,766.42 $79,252.26 $78,766.42 2026-07-15
4284 APR_DRG Genetic Disorders 10 6 — — $78,294.40 $78,294.40 $78,294.40 2026-07-15
C1822 HCPCS Kit Ipg Nevro Senza Ii 2500 13 8 $104,000.00 $67,600.00 35% off $41,600.00 $91,520.00 $78,000.00 2026-07-15
6904 APR_DRG Acute Leukemia 21 6 — — $76,802.22 $95,802.54 $76,802.22 2026-07-15
4403 APR_DRG Kidney Transplant 21 6 — — $75,658.78 $138,967.79 $75,658.78 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 2 — — $74,624.15 $111,963.00 $75,653.95 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 21 6 — — $75,492.62 $103,777.96 $75,492.62 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 21 6 — — $75,262.60 $100,576.91 $75,262.60 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 21 6 — — $74,838.00 $138,009.22 $74,838.00 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $74,455.37 $74,455.37 $74,455.37 2026-07-15
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 21 6 — — $20,856.83 $74,341.70 $74,341.70 2026-07-15
6903 APR_DRG Acute Leukemia 21 6 — — $74,232.00 $95,802.54 $74,232.00 2026-07-15
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 10 6 — — $74,022.53 $74,022.53 $74,022.53 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 21 6 — — $73,979.33 $131,273.94 $73,979.33 2026-07-15
1782 APR_DRG External Heart Assist Systems 10 6 — — $73,715.50 $73,715.50 $73,715.50 2026-07-15
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 21 6 — — $49,930.37 $73,494.31 $73,494.31 2026-07-15
5204 APR_DRG Other GYN Procedures For Malignancy 10 6 — — $73,420.43 $73,420.43 $73,420.43 2026-07-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 21 6 — — $72,900.47 $131,271.86 $72,900.47 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad- Rep 22 7 — — $72,648.53 $149,999.93 $72,648.53 2026-07-15
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 21 6 — — $72,526.92 $98,064.99 $72,526.92 2026-07-15
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 21 6 — — $64,275.23 $72,122.13 $72,122.13 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 21 6 — — $71,945.19 $94,520.97 $71,945.19 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $71,008.85 $106,540.50 $71,716.18 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 2 — — $66,856.43 $100,183.50 $71,265.78 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 21 6 — — $70,983.12 $78,448.14 $70,983.12 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $70,695.27 $106,005.00 $70,850.70 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 21 6 — — $70,247.00 $97,069.40 $70,247.00 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 6 — — $69,848.23 $166,061.36 $69,848.23 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 6 — — $69,745.03 $80,603.23 $69,745.03 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 21 6 — — $69,646.48 $116,133.18 $69,646.48 2026-07-15
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 21 6 — — $69,628.93 $80,551.63 $69,628.93 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 2 — — $68,705.68 $104,347.50 $69,602.28 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 21 6 — — $69,102.30 $101,277.72 $69,102.30 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 2 — — $66,744.65 $100,014.00 $68,373.04 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $66,932.56 $102,424.50 $68,334.21 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 21 6 — — $67,714.74 $303,851.24 $67,714.74 2026-07-15
1793 APR_DRG Defibrillator Implants 10 6 — — $67,549.46 $67,549.46 $67,549.46 2026-07-15
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 21 6 — — $67,447.87 $111,911.47 $67,447.87 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 21 6 — — $67,161.19 $102,054.57 $67,161.19 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 2 — — $66,446.85 $100,570.50 $67,106.68 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 21 6 — — $51,697.74 $66,929.37 $66,929.37 2026-07-15
1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 21 6 — — $43,328.99 $66,768.12 $66,768.12 2026-07-15
A9604 HCPCS Sm 153 Lexidronam 11 7 — — $25,889.78 $66,678.38 $66,678.38 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 2 — — $61,980.95 $92,796.00 $66,494.92 2026-07-15
293 APR_DRG Other Percutaneous Intracranial Procedures 10 6 — — $66,238.49 $66,238.49 $66,238.49 2026-07-15
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 21 6 — — $66,187.58 $134,367.74 $66,187.58 2026-07-15
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 21 6 — — $66,187.58 $134,367.74 $66,187.58 2026-07-15
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 21 6 — — $66,187.58 $127,924.41 $66,187.58 2026-07-15
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 21 6 — — $66,187.58 $127,924.41 $66,187.58 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 21 6 — — $66,105.27 $111,276.39 $66,105.27 2026-07-15
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 21 6 — — $65,889.66 $141,031.91 $65,889.66 2026-07-15
234 APR_DRG Spinal Procedures 21 6 — — $65,807.38 $90,204.57 $65,807.38 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 7 — — $65,732.65 $82,522.85 $65,732.65 2026-07-15
4402 APR_DRG Kidney Transplant 21 6 — — $65,530.27 $138,883.94 $65,530.27 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 21 6 — — $65,374.51 $76,544.35 $65,374.51 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 1 1 — — $64,973.52 $64,973.52 $64,973.52 2026-07-15
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 21 6 — — $62,534.12 $64,568.53 $64,568.53 2026-07-15
4401 APR_DRG Kidney Transplant 21 6 — — $63,958.85 $138,825.89 $63,958.85 2026-07-15
J9029 HCPCS Instill Adstiladrin- Tx Dose 22 7 — — $63,000.00 $95,032.16 $63,472.50 2026-07-15
1781 APR_DRG External Heart Assist Systems 10 6 — — $63,427.05 $63,427.05 $63,427.05 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 21 6 — — $56,028.62 $63,334.62 $63,334.62 2026-07-15
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 21 6 — — $63,219.90 $71,420.76 $63,219.90 2026-07-15
4854 APR_DRG Prostatectomy Procedures 10 6 — — $63,155.40 $63,155.40 $63,155.40 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 21 6 — — $63,072.49 $143,859.47 $63,072.49 2026-07-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 21 6 — — $62,156.25 $78,591.47 $62,156.25 2026-07-15
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 21 6 — — $61,633.80 $76,940.27 $61,633.80 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 21 6 — — $61,631.73 $92,323.37 $61,631.73 2026-07-15
4034 APR_DRG Procedures For Obesity 21 6 — — $60,156.30 $61,577.25 $61,577.25 2026-07-15
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 21 6 — — $61,518.90 $83,239.52 $61,518.90 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 21 6 — — $61,515.21 $111,739.26 $61,515.21 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 21 6 — — $60,936.37 $61,502.73 $61,502.73 2026-07-15
C1767 HCPCS Generator Pulse Proclaim 5 Implantable 13 8 $82,000.00 $53,300.00 35% off $32,800.00 $72,160.00 $61,500.00 2026-07-15
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 21 6 — — $61,042.01 $69,137.09 $61,042.01 2026-07-15
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 21 6 — — $56,472.49 $60,705.45 $60,705.45 2026-07-15
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $60,526.41 $60,526.41 $60,526.41 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 6 5 — — $26,696.76 $91,192.50 $60,383.80 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 21 6 — — $60,183.11 $93,332.37 $60,183.11 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 21 6 — — $60,067.02 $87,793.50 $60,067.02 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 21 6 — — $59,454.27 $80,814.58 $59,454.27 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 6 5 — — $26,423.94 $145,312.78 $59,399.68 2026-07-15
893 APR_DRG Major Cranial/facial Bone Procedures 21 6 — — $56,027.91 $59,085.63 $59,085.63 2026-07-15
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $58,915.66 $58,915.66 $58,915.66 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 5 — — $26,108.60 $227,008.55 $58,732.49 2026-07-15
244 APR_DRG Open Extracranial Vascular Procedures 21 6 — — $58,683.64 $59,064.33 $58,683.64 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 5 — — $26,506.47 $137,704.48 $58,480.01 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 5 — — $26,092.60 $87,334.50 $58,407.71 2026-07-15
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 10 6 — — $58,099.48 $58,099.48 $58,099.48 2026-07-15
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 6 — — $58,094.37 $58,094.37 $58,094.37 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 10 6 — — $57,893.58 $57,893.58 $57,893.58 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 21 6 — — $57,640.93 $76,935.52 $57,640.93 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $54,899.72 $82,057.50 $57,473.28 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $25,526.35 $155,688.15 $57,168.18 2026-07-15
213 MS_DRG Splenic Procedures Age 0-17 1 1 — — $56,882.57 $56,882.57 $56,882.57 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $56,781.21 $56,781.21 $56,781.21 2026-07-15
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 22 7 — — $12,435.28 $95,156.25 $56,583.99 2026-07-15
8513 APR_DRG Gender Related Procedures 10 6 — — $56,484.74 $56,484.74 $56,484.74 2026-07-15
213 APR_DRG Open Craniotomy Except Trauma 21 6 — — $56,248.40 $78,298.23 $56,248.40 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $55,246.91 $82,561.50 $56,049.48 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 3 2 — — $54,612.86 $81,616.50 $55,878.74 2026-07-15
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 21 6 — — $55,747.86 $97,040.10 $55,747.86 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 21 6 — — $55,181.08 $302,838.59 $55,181.08 2026-07-15
C1882 HCPCS Defibrillator Cobalt Xt Hf Quad Crt D MRI Surescan 13 8 $73,382.00 $47,698.30 35% off $29,352.80 $64,576.16 $55,036.50 2026-07-15
2444 APR_DRG Diverticulitis And Diverticulosis 21 6 — — $27,847.44 $54,423.78 $54,423.78 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 21 6 — — $54,308.99 $65,226.10 $54,308.99 2026-07-15
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 21 6 — — $54,008.12 $60,877.12 $54,008.12 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 6 5 — — $24,399.71 $101,202.32 $53,951.68 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 21 6 — — $53,660.95 $72,944.62 $53,660.95 2026-07-15
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 21 6 — — $53,327.08 $70,070.79 $53,327.08 2026-07-15
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 21 6 — — $53,265.01 $93,047.62 $53,265.01 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $23,852.81 $135,772.80 $53,198.13 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 2 — — $51,730.52 $77,251.50 $53,180.29 2026-07-15
1792 APR_DRG Defibrillator Implants 10 6 — — $53,147.51 $53,147.51 $53,147.51 2026-07-15
1744 APR_DRG Percutaneous Coronary Intervention W Ami 21 6 — — $52,977.41 $59,372.64 $52,977.41 2026-07-15
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 21 6 — — $52,909.19 $65,116.56 $52,909.19 2026-07-15
C1820 HCPCS Generator Neurostim Spectra Wavewriter 13 8 $70,120.00 $45,578.00 35% off $28,048.00 $61,705.60 $52,590.00 2026-07-15
3002 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $52,579.61 $52,579.61 $52,579.61 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 21 6 — — $52,557.30 $63,841.42 $52,557.30 2026-07-15
2314 APR_DRG Major Large Bowel Procedures 21 6 — — $52,304.14 $60,388.22 $52,304.14 2026-07-15
9101 APR_DRG Craniotomy For Multiple Significant Trauma 21 6 — — $25,032.71 $52,196.10 $52,196.10 2026-07-15
9102 APR_DRG Craniotomy For Multiple Significant Trauma 21 6 — — $25,032.71 $52,196.10 $52,196.10 2026-07-15
6813 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 21 6 — — $43,677.19 $52,125.58 $52,125.58 2026-07-15
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 21 6 — — $52,003.57 $53,834.24 $52,003.57 2026-07-15
J9226 HCPCS Supprelin La Implant 22 7 — — $51,205.74 $68,025.33 $51,948.22 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 21 6 — — $51,888.01 $62,661.22 $51,888.01 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 5 — — $23,316.44 $234,210.70 $51,573.54 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 21 6 — — $46,093.37 $51,524.34 $51,524.34 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 21 6 — — $42,516.54 $51,493.39 $51,493.39 2026-07-15
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 21 6 — — $51,489.49 $60,862.60 $51,489.49 2026-07-15
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 21 6 — — $49,139.61 $51,489.49 $51,489.49 2026-07-15
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 21 6 — — $42,707.50 $51,489.49 $51,489.49 2026-07-15
1824 APR_DRG Other Peripheral Vascular Procedures 21 6 — — $51,334.14 $70,195.10 $51,334.14 2026-07-15
2634 APR_DRG Cholecystectomy 21 6 — — $51,087.38 $55,401.14 $51,087.38 2026-07-15
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 21 6 — — $50,819.00 $71,827.10 $50,819.00 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 21 6 — — $50,659.24 $66,397.62 $50,659.24 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 6 5 — — $22,398.63 $185,420.75 $50,426.81 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $50,221.35 $50,221.35 $50,221.35 2026-07-15
1813 APR_DRG Lower Extremity Arterial Procedures 21 6 — — $49,597.59 $50,055.03 $50,055.03 2026-07-15
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 21 6 — — $49,875.22 $66,705.33 $49,875.22 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 5 — — $22,193.18 $75,019.50 $49,803.12 2026-07-15
892 APR_DRG Major Cranial/facial Bone Procedures 21 6 — — $35,047.33 $49,787.81 $49,787.81 2026-07-15
404 APR_DRG Spinal Disorders And Injuries 21 6 — — $49,744.31 $62,277.48 $49,744.31 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 21 6 — — $49,575.80 $124,923.91 $49,575.80 2026-07-15
3244 APR_DRG Elective Hip Joint Replacement 10 6 — — $49,308.15 $49,308.15 $49,308.15 2026-07-15
3243 APR_DRG Elective Hip Joint Replacement 10 6 — — $49,275.90 $49,275.90 $49,275.90 2026-07-15
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 21 6 — — $48,517.29 $49,262.63 $49,262.63 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 21 6 — — $48,819.78 $69,722.43 $48,819.78 2026-07-15
A9543 HCPCS Y90 Ibritumomab- Rx 11 7 — — $48,770.67 $98,214.87 $48,770.67 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 3 2 — — $46,384.16 $72,738.00 $48,758.14 2026-07-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 21 6 — — $48,672.85 $96,758.04 $48,672.85 2026-07-15
1832 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $48,665.35 $48,665.35 $48,665.35 2026-07-15
See an error in this hospital's data? Submit a correction