Price Transparency Hospital negotiated rates

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

Export CSV
Hospital

GIBSON GENERAL HOSPITAL

Princeton, IN · CCN 151319 · Rates published

13,045 distinct procedures filed
46 distinct payers
705,399 rate rows
2026-02-11 last MRF observed
Data quality

252,707 of 705,399 rate rows are consumer-grade (35.8%)

452,692 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 423,776
placeholder amount (≤ $0.02) — excluded from medians 27,728
percent-of-charges filed in the dollar field — excluded from medians 632
template filing: same amount across many unrelated codes — excluded 276
per-diem day rate — not a per-procedure price 106
exceeds 10× this hospital's gross charge — excluded from medians 88
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 86
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8110/350877575_deaconess-health-system-gibson-general-hospital_standardcharges.csv
Found on page https://www.deaconess.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint de9fff6b836e98d7… · 329,241,394 bytes · first seen 2026-05-17

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,141,011.61 $1,141,011.61 $1,141,011.61 nat. median
$754,974
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,136,549.92 $1,136,549.92 $1,136,549.92 nat. median
$675,122
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $1,135,394.66 $1,135,394.66 $1,135,394.66 nat. median
$625,184
1.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $1,114,133.22 $1,114,133.22 $1,114,133.22 nat. median
$674,188
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,055,338.86 $1,055,338.86 $1,055,338.86 nat. median
$634,511
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $992,975.35 $992,975.35 $992,975.35 nat. median
$620,080
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $697,099.94 $871,385.72 $759,175.21 nat. median
$370,174
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $452,389.82 $565,494.28 $492,674.17 nat. median
$265,286
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $389,138.18 $389,138.18 $389,138.18 nat. median
$246,434
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 5 $344,661.12 $430,831.74 $362,958.50 nat. median
$206,368
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 5 $342,638.40 $428,303.31 $360,828.40 nat. median
$202,986
1.8× median
24
APR_DRG 		Heart &/or Lung Transplant 6 $347,823.88 $347,823.88 $347,823.88 nat. median
$234,738
1.5× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $335,581.31 $335,581.31 $335,581.31 nat. median
$207,730
1.6× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 6 $253,450.94 $253,450.94 $253,450.94 nat. median
$129,535
2.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $249,999.88 $249,999.88 $249,999.88 nat. median
$111,989
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $235,802.91 $235,802.91 $235,802.91 nat. median
$187,294
1.3× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $223,603.15 $279,507.40 $235,473.80 nat. median
$133,176
1.8× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 $231,442.75 $231,442.75 $231,442.75 nat. median
$105,658
outlier · 2.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $228,301.66 $228,301.66 $228,301.66 nat. median
$164,834
1.4× median
7
MS_DRG 		Lung Transplant 6 $209,055.08 $261,322.09 $227,670.99 nat. median
$122,708
1.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $225,770.39 $225,770.39 $225,770.39 nat. median
$164,279
1.4× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $214,457.72 $214,457.72 $214,457.72 nat. median
$162,982
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $194,004.96 $242,509.20 $211,280.69 nat. median
$117,303
1.8× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $202,944.19 $202,944.19 $202,944.19 nat. median
$151,838
1.3× median
23
APR_DRG 		Heart &/or Lung Transplant 6 $200,848.75 $200,848.75 $200,848.75 nat. median
$93,528
outlier · 2.1×
22
APR_DRG 		Heart &/or Lung Transplant 6 $200,365.00 $200,365.00 $200,365.00 nat. median
$78,029
outlier · 2.6×
21
APR_DRG 		Heart &/or Lung Transplant 6 $200,197.30 $200,197.30 $200,197.30 nat. median
$65,130
outlier · 3.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $182,929.25 $228,664.39 $199,218.71 nat. median
$108,660
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $182,719.39 $228,402.07 $192,419.60 nat. median
$98,017
2.0× median
5834
APR_DRG 		Neonate W Ecmo 6 $191,228.56 $191,228.56 $191,228.56 nat. median
$309,665
0.6× median
5833
APR_DRG 		Neonate W Ecmo 6 $191,228.56 $191,228.56 $191,228.56 nat. median
$244,017
0.8× median
5832
APR_DRG 		Neonate W Ecmo 6 $191,228.56 $191,228.56 $191,228.56 nat. median
$156,126
1.2× median
5831
APR_DRG 		Neonate W Ecmo 6 $189,687.01 $189,687.01 $189,687.01 nat. median
$145,122
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $177,915.23 $222,396.79 $187,360.40 nat. median
$98,905
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $175,540.60 $219,428.46 $184,859.70 nat. median
$102,358
1.8× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 6 $182,838.79 $182,838.79 $182,838.79 nat. median
$122,924
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $166,442.40 $208,055.58 $181,263.74 nat. median
$100,136
1.8× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 $180,341.24 $180,341.24 $180,341.24 nat. median
$150,721
1.2× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,934.93 $171,934.93 $171,934.93 nat. median
$182,736
0.9× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,212.53 $171,212.53 $171,212.53 nat. median
$124,573
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,212.53 $171,212.53 $171,212.53 nat. median
$145,336
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 5 $160,735.85 $200,922.30 $169,269.00 nat. median
$99,019
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $157,923.74 $197,407.12 $166,307.60 nat. median
$93,672
1.8× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 6 $163,952.41 $163,952.41 $163,952.41 nat. median
$72,694
outlier · 2.3×
64
APR_DRG 		Pancreas Transplant 6 $162,404.48 $162,404.48 $162,404.48 nat. median
$91,748
1.8× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $161,361.62 $161,361.62 $161,361.62 nat. median
$108,996
1.5× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $136,593.12 $158,386.93 $158,386.93 nat. median
$69,774
outlier · 2.3×
A9543
HCPCS 		Pr Y90 Ibritumomab, Rx 3 $141,743.71 $154,425.90 $154,425.90 nat. median
$62,507
outlier · 2.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $145,441.97 $181,804.72 $153,163.20 nat. median
$82,712
1.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $151,662.50 $151,662.50 $151,662.50 nat. median
$76,377
2.0× median

Other procedures at this hospital

Browse this hospital's 13,045 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,141,011.61 $1,141,011.61 $1,141,011.61 2026-02-11
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $1,136,549.92 $1,136,549.92 $1,136,549.92 2026-02-11
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $1,135,394.66 $1,135,394.66 $1,135,394.66 2026-02-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $1,114,133.22 $1,114,133.22 $1,114,133.22 2026-02-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $1,055,338.86 $1,055,338.86 $1,055,338.86 2026-02-11
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $992,975.35 $992,975.35 $992,975.35 2026-02-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $697,099.94 $871,385.72 $759,175.21 2026-02-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $452,389.82 $565,494.28 $492,674.17 2026-02-11
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $389,138.18 $389,138.18 $389,138.18 2026-02-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 5 5 — — $344,661.12 $430,831.74 $362,958.50 2026-02-11
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 5 5 — — $342,638.40 $428,303.31 $360,828.40 2026-02-11
24 APR_DRG Heart &/or Lung Transplant 6 6 — — $347,823.88 $347,823.88 $347,823.88 2026-02-11
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $335,581.31 $335,581.31 $335,581.31 2026-02-11
14 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $253,450.94 $253,450.94 $253,450.94 2026-02-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $249,999.88 $249,999.88 $249,999.88 2026-02-11
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $235,802.91 $235,802.91 $235,802.91 2026-02-11
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 5 5 — — $223,603.15 $279,507.40 $235,473.80 2026-02-11
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $231,442.75 $231,442.75 $231,442.75 2026-02-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $228,301.66 $228,301.66 $228,301.66 2026-02-11
7 MS_DRG Lung Transplant 6 6 — — $209,055.08 $261,322.09 $227,670.99 2026-02-11
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $225,770.39 $225,770.39 $225,770.39 2026-02-11
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $214,457.72 $214,457.72 $214,457.72 2026-02-11
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $194,004.96 $242,509.20 $211,280.69 2026-02-11
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $202,944.19 $202,944.19 $202,944.19 2026-02-11
23 APR_DRG Heart &/or Lung Transplant 6 6 — — $200,848.75 $200,848.75 $200,848.75 2026-02-11
22 APR_DRG Heart &/or Lung Transplant 6 6 — — $200,365.00 $200,365.00 $200,365.00 2026-02-11
21 APR_DRG Heart &/or Lung Transplant 6 6 — — $200,197.30 $200,197.30 $200,197.30 2026-02-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $182,929.25 $228,664.39 $199,218.71 2026-02-11
209 MS_DRG Complex Aortic Arch Procedures 5 5 — — $182,719.39 $228,402.07 $192,419.60 2026-02-11
5833 APR_DRG Neonate W Ecmo 6 6 — — $191,228.56 $191,228.56 $191,228.56 2026-02-11
5832 APR_DRG Neonate W Ecmo 6 6 — — $191,228.56 $191,228.56 $191,228.56 2026-02-11
5834 APR_DRG Neonate W Ecmo 6 6 — — $191,228.56 $191,228.56 $191,228.56 2026-02-11
5831 APR_DRG Neonate W Ecmo 6 6 — — $189,687.01 $189,687.01 $189,687.01 2026-02-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $177,915.23 $222,396.79 $187,360.40 2026-02-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 5 — — $175,540.60 $219,428.46 $184,859.70 2026-02-11
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 6 6 — — $182,838.79 $182,838.79 $182,838.79 2026-02-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $166,442.40 $208,055.58 $181,263.74 2026-02-11
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 6 — — $180,341.24 $180,341.24 $180,341.24 2026-02-11
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $171,934.93 $171,934.93 $171,934.93 2026-02-11
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $171,212.53 $171,212.53 $171,212.53 2026-02-11
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $171,212.53 $171,212.53 $171,212.53 2026-02-11
215 MS_DRG Other Heart Assist System Implant 5 5 — — $160,735.85 $200,922.30 $169,269.00 2026-02-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $157,923.74 $197,407.12 $166,307.60 2026-02-11
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $163,952.41 $163,952.41 $163,952.41 2026-02-11
64 APR_DRG Pancreas Transplant 6 6 — — $162,404.48 $162,404.48 $162,404.48 2026-02-11
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $161,361.62 $161,361.62 $161,361.62 2026-02-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 3 — — $136,593.12 $158,386.93 $158,386.93 2026-02-11
A9543 HCPCS Pr Y90 Ibritumomab, Rx 3 3 — — $141,743.71 $154,425.90 $154,425.90 2026-02-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 5 — — $145,441.97 $181,804.72 $153,163.20 2026-02-11
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $151,662.50 $151,662.50 $151,662.50 2026-02-11
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $150,698.17 $150,698.17 $150,698.17 2026-02-11
850 MS_DRG Acute Leukemia With Other Procedures 5 5 — — $139,790.31 $174,740.05 $147,211.50 2026-02-11
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $145,995.55 $145,995.55 $145,995.55 2026-02-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $136,083.88 $170,106.95 $143,308.30 2026-02-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $135,656.09 $169,572.21 $142,857.80 2026-02-11
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $142,486.66 $142,486.66 $142,486.66 2026-02-11
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $142,486.66 $142,486.66 $142,486.66 2026-02-11
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $142,486.66 $142,486.66 $142,486.66 2026-02-11
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $142,087.01 $142,087.01 $142,087.01 2026-02-11
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 3 — — $118,684.63 $137,538.08 $137,538.08 2026-02-11
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $135,186.80 $135,186.80 $135,186.80 2026-02-11
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 6 6 — — $134,235.14 $134,235.14 $134,235.14 2026-02-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $127,026.04 $158,784.52 $133,769.60 2026-02-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $132,078.62 $132,078.62 $132,078.62 2026-02-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $132,078.62 $132,078.62 $132,078.62 2026-02-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $132,078.62 $132,078.62 $132,078.62 2026-02-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $123,950.80 $154,940.42 $130,531.10 2026-02-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $123,416.46 $154,272.49 $129,968.40 2026-02-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 5 — — $123,008.05 $153,761.96 $129,538.30 2026-02-11
4404 APR_DRG Kidney Transplant 6 6 — — $128,478.12 $128,478.12 $128,478.12 2026-02-11
10 MS_DRG Pancreas Transplant 6 6 — — $115,837.33 $144,798.45 $126,152.39 2026-02-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $115,173.85 $143,969.09 $125,429.83 2026-02-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $122,896.01 $122,896.01 $122,896.01 2026-02-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $116,529.86 $145,664.13 $122,716.20 2026-02-11
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $122,155.11 $122,155.11 $122,155.11 2026-02-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 5 — — $115,788.90 $144,737.91 $121,935.90 2026-02-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $115,106.05 $143,884.34 $121,216.80 2026-02-11
8634 APR_DRG Neonatal Aftercare 6 6 — — $120,447.63 $120,447.63 $120,447.63 2026-02-11
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $118,092.68 $118,092.68 $118,092.68 2026-02-11
38240 CPT Transplt Allo Hct/donor 1 1 — — $118,062.19 $118,062.19 $118,062.19 2026-02-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 5 5 — — $111,577.19 $139,473.21 $117,500.60 2026-02-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $111,029.94 $138,789.14 $116,924.30 2026-02-11
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $114,698.20 $114,698.20 $114,698.20 2026-02-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $108,660.15 $135,826.87 $114,428.70 2026-02-11
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 6 — — $113,894.89 $113,894.89 $113,894.89 2026-02-11
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $113,713.82 $113,713.82 $113,713.82 2026-02-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $107,940.17 $134,926.88 $113,670.50 2026-02-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $107,861.07 $134,828.01 $113,587.20 2026-02-11
J9226 HCPCS Supprelin La Implant 3 3 — — $97,846.87 $113,375.55 $113,375.55 2026-02-11
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $113,262.32 $113,262.32 $113,262.32 2026-02-11
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $113,049.47 $113,049.47 $113,049.47 2026-02-11
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $112,943.37 $112,943.37 $112,943.37 2026-02-11
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $112,943.37 $112,943.37 $112,943.37 2026-02-11
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $112,943.37 $112,943.37 $112,943.37 2026-02-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $106,145.07 $132,682.98 $111,780.10 2026-02-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $106,145.07 $132,682.98 $111,780.10 2026-02-11
63 APR_DRG Pancreas Transplant 6 6 — — $111,535.28 $111,535.28 $111,535.28 2026-02-11
62 APR_DRG Pancreas Transplant 6 6 — — $111,438.53 $111,438.53 $111,438.53 2026-02-11
61 APR_DRG Pancreas Transplant 6 6 — — $111,406.28 $111,406.28 $111,406.28 2026-02-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $105,759.25 $132,200.70 $111,373.80 2026-02-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 5 5 — — $103,875.36 $129,845.81 $109,389.90 2026-02-11
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $104,929.20 $104,929.20 $104,929.20 2026-02-11
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $104,929.20 $104,929.20 $104,929.20 2026-02-11
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $104,413.49 $104,413.49 $104,413.49 2026-02-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 6 — — $95,723.15 $119,655.42 $104,247.09 2026-02-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 5 — — $98,930.76 $123,664.98 $104,182.80 2026-02-11
104 APR_DRG Head Trauma With Deep Coma 6 6 — — $104,064.11 $104,064.11 $104,064.11 2026-02-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 5 — — $98,816.15 $123,521.71 $104,062.10 2026-02-11
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $103,735.95 $103,735.95 $103,735.95 2026-02-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $97,868.55 $122,337.21 $103,064.20 2026-02-11
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $103,060.70 $103,060.70 $103,060.70 2026-02-11
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $96,991.99 $121,241.49 $102,141.10 2026-02-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 5 — — $96,964.54 $121,207.18 $102,112.20 2026-02-11
0266T CPT Screening Mammography 1 1 — — $102,040.49 $102,040.49 $102,040.49 2026-02-11
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $102,040.49 $102,040.49 $102,040.49 2026-02-11
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 6 6 — — $102,012.23 $102,012.23 $102,012.23 2026-02-11
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $101,883.99 $101,883.99 $101,883.99 2026-02-11
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $96,262.32 $120,329.39 $101,372.70 2026-02-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $95,945.92 $119,933.89 $101,039.50 2026-02-11
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $99,884.49 $99,884.49 $99,884.49 2026-02-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $94,736.81 $118,422.48 $99,766.20 2026-02-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 5 — — $94,675.47 $118,345.80 $99,701.60 2026-02-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 6 6 — — $99,693.80 $99,693.80 $99,693.80 2026-02-11
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $98,946.40 $98,946.40 $98,946.40 2026-02-11
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $98,836.75 $98,836.75 $98,836.75 2026-02-11
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $98,772.25 $98,772.25 $98,772.25 2026-02-11
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $90,475.06 $113,095.22 $98,531.67 2026-02-11
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $93,098.30 $116,374.31 $98,040.70 2026-02-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $92,504.23 $115,631.72 $97,415.10 2026-02-11
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 5 — — $92,126.49 $115,159.54 $97,017.30 2026-02-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $92,007.03 $115,010.21 $96,891.50 2026-02-11
102 APR_DRG Head Trauma With Deep Coma 6 6 — — $96,681.51 $96,681.51 $96,681.51 2026-02-11
101 APR_DRG Head Trauma With Deep Coma 6 6 — — $96,681.51 $96,681.51 $96,681.51 2026-02-11
103 APR_DRG Head Trauma With Deep Coma 6 6 — — $96,681.51 $96,681.51 $96,681.51 2026-02-11
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $96,251.44 $96,251.44 $96,251.44 2026-02-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $90,755.95 $113,446.34 $95,574.00 2026-02-11
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 6 — — $87,693.62 $109,618.38 $95,502.55 2026-02-11
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $95,258.77 $95,258.77 $95,258.77 2026-02-11
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $95,180.74 $95,180.74 $95,180.74 2026-02-11
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 2 — — $94,635.35 $94,635.35 $94,635.35 2026-02-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $89,855.17 $112,320.35 $94,625.40 2026-02-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 5 — — $89,157.79 $111,448.62 $93,891.00 2026-02-11
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $93,875.49 $93,875.49 $93,875.49 2026-02-11
834 MS_DRG Acute Leukemia With Mcc 5 5 — — $88,623.46 $110,780.69 $93,328.30 2026-02-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 5 — — $88,310.28 $110,389.22 $92,998.50 2026-02-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $88,184.37 $110,231.82 $92,865.90 2026-02-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 5 — — $88,045.54 $110,058.28 $92,719.70 2026-02-11
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 6 6 — — $92,371.35 $92,371.35 $92,371.35 2026-02-11
8633 APR_DRG Neonatal Aftercare 6 6 — — $91,197.16 $91,197.16 $91,197.16 2026-02-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $86,087.39 $107,610.57 $90,657.60 2026-02-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $86,035.73 $107,546.00 $90,603.20 2026-02-11
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $90,007.60 $90,007.60 $90,007.60 2026-02-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $85,457.81 $106,823.59 $89,994.60 2026-02-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 5 — — $85,175.31 $106,470.46 $89,697.10 2026-02-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 5 — — $84,030.77 $105,039.77 $88,491.80 2026-02-11
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $88,346.26 $88,346.26 $88,346.26 2026-02-11
653 MS_DRG Major Bladder Procedures With Mcc 5 5 — — $83,885.49 $104,858.16 $88,338.80 2026-02-11
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 6 6 — — $87,926.76 $87,926.76 $87,926.76 2026-02-11
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $87,849.61 $87,849.61 $87,849.61 2026-02-11
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $87,586.00 $87,586.00 $87,586.00 2026-02-11
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $85,805.80 $85,805.80 $85,805.80 2026-02-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $81,363.95 $101,706.20 $85,683.40 2026-02-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 — — $80,511.60 $100,640.74 $84,785.80 2026-02-11
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $84,467.97 $84,467.97 $84,467.97 2026-02-11
1204 APR_DRG Major Respiratory & Chest Procedures 6 6 — — $84,377.83 $84,377.83 $84,377.83 2026-02-11
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $84,159.75 $84,159.75 $84,159.75 2026-02-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 — — $79,865.88 $99,833.58 $84,105.80 2026-02-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 5 — — $79,723.82 $99,656.01 $83,956.20 2026-02-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 — — $79,451.00 $99,314.98 $83,668.90 2026-02-11
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $83,664.76 $83,664.76 $83,664.76 2026-02-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $79,120.07 $98,901.31 $83,320.40 2026-02-11
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $75,894.70 $94,869.55 $82,652.96 2026-02-11
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 — — $82,254.32 $82,254.32 $82,254.32 2026-02-11
471 MS_DRG Cervical Spinal Fusion With Mcc 5 5 — — $77,949.70 $97,438.34 $82,087.90 2026-02-11
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 6 — — $81,860.98 $81,860.98 $81,860.98 2026-02-11
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 5 — — $77,555.81 $96,945.97 $81,673.10 2026-02-11
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 6 6 — — $81,657.52 $81,657.52 $81,657.52 2026-02-11
13 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $81,615.55 $81,615.55 $81,615.55 2026-02-11
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $74,855.09 $93,570.02 $81,520.78 2026-02-11
12 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $81,331.75 $81,331.75 $81,331.75 2026-02-11
11 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $81,312.40 $81,312.40 $81,312.40 2026-02-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $81,088.77 $81,088.77 $81,088.77 2026-02-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 5 — — $76,853.59 $96,068.18 $80,933.60 2026-02-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 6 6 — — $80,850.23 $80,850.23 $80,850.23 2026-02-11
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $80,273.66 $80,273.66 $80,273.66 2026-02-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $75,739.73 $94,675.83 $79,760.60 2026-02-11
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $79,670.26 $79,670.26 $79,670.26 2026-02-11
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $79,530.72 $79,530.72 $79,530.72 2026-02-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 5 — — $75,513.73 $94,393.33 $79,522.60 2026-02-11
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $79,163.73 $79,163.73 $79,163.73 2026-02-11
894 APR_DRG Major Cranial/facial Bone Procedures 6 6 — — $79,013.08 $79,013.08 $79,013.08 2026-02-11
4414 APR_DRG Major Bladder Procedures 6 6 — — $78,766.45 $78,766.45 $78,766.45 2026-02-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 5 — — $74,556.45 $93,196.71 $78,514.50 2026-02-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 — — $74,201.30 $92,752.77 $78,140.50 2026-02-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 — — $74,012.43 $92,516.68 $77,941.60 2026-02-11
245 MS_DRG Aicd Generator Procedures 5 5 — — $73,650.82 $92,064.67 $77,560.80 2026-02-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 5 — — $73,429.66 $91,788.22 $77,327.90 2026-02-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 5 — — $73,397.38 $91,747.86 $77,293.90 2026-02-11
799 MS_DRG Splenic Procedures With Mcc 5 5 — — $73,110.03 $91,388.67 $76,991.30 2026-02-11
6904 APR_DRG Acute Leukemia 6 6 — — $76,802.25 $76,802.25 $76,802.25 2026-02-11
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $72,349.70 $90,438.24 $76,190.60 2026-02-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 5 — — $72,328.71 $90,412.01 $76,168.50 2026-02-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 5 — — $72,044.59 $90,056.86 $75,869.30 2026-02-11
4403 APR_DRG Kidney Transplant 6 6 — — $75,658.81 $75,658.81 $75,658.81 2026-02-11
1814 APR_DRG Lower Extremity Arterial Procedures 6 6 — — $75,492.65 $75,492.65 $75,492.65 2026-02-11
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $75,262.63 $75,262.63 $75,262.63 2026-02-11
214 APR_DRG Craniotomy Except For Trauma 6 6 — — $74,838.03 $74,838.03 $74,838.03 2026-02-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 5 — — $70,912.97 $88,642.31 $74,677.60 2026-02-11
1324 APR_DRG Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period 6 6 — — $74,341.73 $74,341.73 $74,341.73 2026-02-11
6903 APR_DRG Acute Leukemia 6 6 — — $74,232.03 $74,232.03 $74,232.03 2026-02-11
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 6 6 — — $73,979.36 $73,979.36 $73,979.36 2026-02-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $69,857.22 $87,322.60 $73,565.80 2026-02-11
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $73,494.34 $73,494.34 $73,494.34 2026-02-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 5 — — $69,300.28 $86,626.43 $72,979.30 2026-02-11
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 6 6 — — $72,900.50 $72,900.50 $72,900.50 2026-02-11
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $72,526.95 $72,526.95 $72,526.95 2026-02-11
140 MS_DRG Major Head And Neck Procedures With Mcc 5 5 — — $68,854.74 $86,069.49 $72,510.10 2026-02-11
69930 CPT Pr Cochlear Device Implantation W/wo Mastoidectomy 1 1 — — $72,451.13 $72,451.13 $72,451.13 2026-02-11
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $72,122.16 $72,122.16 $72,122.16 2026-02-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $68,459.23 $85,575.10 $72,093.60 2026-02-11
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 — — $71,945.22 $71,945.22 $71,945.22 2026-02-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $68,175.12 $85,219.95 $71,794.40 2026-02-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 5 — — $68,058.89 $85,074.66 $71,672.00 2026-02-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 5 — — $68,024.99 $85,032.29 $71,636.30 2026-02-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 5 — — $67,826.43 $84,784.09 $71,427.20 2026-02-11
901 MS_DRG Wound Debridements For Injuries With Mcc 5 5 — — $67,745.71 $84,683.19 $71,342.20 2026-02-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 5 — — $67,619.80 $84,525.80 $71,209.60 2026-02-11
0571T CPT Pr Insj/rplcmt Icds W/substernal Electrode 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
0408T CPT Insj/rplc Cardiac Modulj Sys 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33249 CPT Pr Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33231 CPT Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33264 CPT Pr Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33270 CPT Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
1214 APR_DRG Other Respiratory & Chest Procedures 6 6 — — $70,983.15 $70,983.15 $70,983.15 2026-02-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $67,358.28 $84,198.90 $70,934.20 2026-02-11
793 MS_DRG Full Term Neonate With Major Problems 5 5 — — $67,309.85 $84,138.36 $70,883.20 2026-02-11
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $70,752.40 $70,752.40 $70,752.40 2026-02-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 5 — — $67,041.88 $83,803.39 $70,601.00 2026-02-11
L6880 HCPCS Elec Hand Ind Art Digits 2 2 — — $70,418.30 $70,418.30 $70,418.30 2026-02-11
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 6 6 — — $70,247.03 $70,247.03 $70,247.03 2026-02-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 5 — — $66,597.95 $83,248.46 $70,133.50 2026-02-11
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $69,848.26 $69,848.26 $69,848.26 2026-02-11
82 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $69,745.06 $69,745.06 $69,745.06 2026-02-11
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 6 — — $69,646.51 $69,646.51 $69,646.51 2026-02-11
81 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $69,628.96 $69,628.96 $69,628.96 2026-02-11
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 6 6 — — $69,102.33 $69,102.33 $69,102.33 2026-02-11
791 MS_DRG Prematurity With Major Problems 5 5 — — $65,524.44 $81,906.56 $69,003.00 2026-02-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $64,902.93 $81,129.67 $68,348.50 2026-02-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 5 — — $64,315.33 $80,395.15 $67,729.70 2026-02-11
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $67,714.76 $67,714.76 $67,714.76 2026-02-11
J9266 HCPCS Pegaspargase Injection 3 3 — — $58,435.87 $67,676.33 $67,676.33 2026-02-11
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $67,447.89 $67,447.89 $67,447.89 2026-02-11
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 — — $67,161.21 $67,161.21 $67,161.21 2026-02-11
61886 CPT Implant Neurostim Arrays 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
64568 CPT Pr Open Implantation Cranial Nerve Nea & Pulse Gen 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
64582 CPT Pr Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
63685 CPT Pr Insj/rplcmt Spi Npgr Dir/induxive Coupling 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
0268T CPT All Other Codes 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 6 6 — — $66,929.40 $66,929.40 $66,929.40 2026-02-11
1763 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 6 6 — — $66,768.15 $66,768.15 $66,768.15 2026-02-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $63,149.80 $78,938.23 $66,502.30 2026-02-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 5 5 — — $62,864.07 $78,581.06 $66,201.40 2026-02-11
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 6 — — $66,105.30 $66,105.30 $66,105.30 2026-02-11
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 6 6 — — $65,889.68 $65,889.68 $65,889.68 2026-02-11
234 APR_DRG Spinal Procedures 6 6 — — $65,807.40 $65,807.40 $65,807.40 2026-02-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 5 — — $62,484.71 $78,106.86 $65,801.90 2026-02-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 — — $62,391.08 $77,989.82 $65,703.30 2026-02-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 5 — — $62,331.35 $77,915.15 $65,640.40 2026-02-11
4402 APR_DRG Kidney Transplant 6 6 — — $65,530.30 $65,530.30 $65,530.30 2026-02-11
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 6 6 — — $65,374.54 $65,374.54 $65,374.54 2026-02-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 5 — — $61,977.82 $77,473.23 $65,268.10 2026-02-11
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $59,822.73 $74,779.34 $65,149.82 2026-02-11
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 6 6 — — $64,568.55 $64,568.55 $64,568.55 2026-02-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 5 — — $60,746.11 $75,933.58 $63,971.00 2026-02-11
4401 APR_DRG Kidney Transplant 6 6 — — $63,958.87 $63,958.87 $63,958.87 2026-02-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 5 — — $60,481.36 $75,602.64 $63,692.20 2026-02-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 5 — — $60,337.69 $75,423.05 $63,540.90 2026-02-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 5 — — $60,331.23 $75,414.98 $63,534.10 2026-02-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 5 — — $60,161.73 $75,203.10 $63,355.60 2026-02-11
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 6 6 — — $63,334.64 $63,334.64 $63,334.64 2026-02-11
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $63,219.93 $63,219.93 $63,219.93 2026-02-11
914 APR_DRG Other Major Head & Neck Procedures 6 6 — — $63,072.51 $63,072.51 $63,072.51 2026-02-11
33289 CPT Pr Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 1 1 — — $62,793.83 $62,793.83 $62,793.83 2026-02-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 5 — — $59,294.85 $74,119.48 $62,442.70 2026-02-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $59,270.64 $74,089.22 $62,417.20 2026-02-11
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 1 1 — — $62,358.52 $62,358.52 $62,358.52 2026-02-11
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $62,358.52 $62,358.52 $62,358.52 2026-02-11
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 6 — — $62,156.27 $62,156.27 $62,156.27 2026-02-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 5 — — $58,574.88 $73,219.50 $61,684.50 2026-02-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 5 — — $58,529.68 $73,163.00 $61,636.90 2026-02-11
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 6 — — $61,633.82 $61,633.82 $61,633.82 2026-02-11
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $61,631.76 $61,631.76 $61,631.76 2026-02-11
4034 APR_DRG Procedures For Obesity 6 6 — — $61,577.27 $61,577.27 $61,577.27 2026-02-11
332 MS_DRG Rectal Resection With Mcc 5 5 — — $58,448.96 $73,062.11 $61,551.90 2026-02-11
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 6 6 — — $61,518.92 $61,518.92 $61,518.92 2026-02-11
See an error in this hospital's data? Submit a correction