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 JAY, INC.

Portland, IN · CCN 151320 · Rates published

26,895 distinct procedures filed
25 distinct payers
1,270,488 rate rows
2026-03-25 last MRF observed
Data quality

1,176,855 of 1,270,488 rate rows are consumer-grade (92.6%)

93,633 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 80,768
per-diem day rate — not a per-procedure price 10,780
exceeds 10× this hospital's gross charge — excluded from medians 1,463
placeholder amount (≤ $0.02) — excluded from medians 622
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.iuhealth.org/resources/822736786_indiana-university-health-jay-inc._standardcharges.zip
Found on page https://iuhealth.org/schedule-an-appointment/price-estimates/standard-charge-listing
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-03
Content fingerprint 10a598096775c283… · 61,225,828 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 18 $0.03 $4,694,976.00 $3,360,000.00 —
56508781
CDM 		Lovotibeglogene Autotemcel Inj 16 $0.03 $4,185,000.00 $3,323,820.00 —
56501190
CDM 		Betibeglogene Autotemcel Inj 16 $0.03 $4,108,104.00 $3,262,747.49 —
56507668
CDM 		Exagamglogene Autotemcel Inj 17 $1,384,227.90 $3,103,650.00 $2,517,405.00 —
56504608
CDM 		Afamitresgene Autoleucel Inj 19 $729,544.50 $1,635,750.00 $1,299,149.00 —
56507262
CDM 		Lifileucel Inj 16 $645,810.00 $1,453,072.50 $1,162,458.00 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $885,247.40 $888,745.21 $886,996.30 nat. median
$168,055
outlier · 5.3×
56504582
CDM 		Obecabtagene Autoleucel Inj 19 $379,323.00 $850,500.00 $675,486.00 —
52590841
CDM 		Tisagenlecleucel Inj (iv)(all) 16 $0.03 $820,908.99 $651,984.16 —
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $647,979.12 $647,979.12 $647,979.12 nat. median
$135,803
outlier · 4.8×
5834
APR_DRG 		Neonate W Ecmo 4 $588,944.20 $588,944.20 $588,944.20 nat. median
$390,362
1.5× median
5833
APR_DRG 		Neonate W Ecmo 4 $588,944.20 $588,944.20 $588,944.20 nat. median
$268,208
outlier · 2.2×
52599552
CDM 		Ciltacabtagene Autoleucel Inj 18 $0.03 $749,669.13 $583,075.96 —
52597630
CDM 		Lisocabtagene Maraleucel Inj 18 $0.03 $717,323.04 $581,828.69 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $574,489.95 $576,759.89 $575,624.92 nat. median
$186,516
outlier · 3.1×
52598240
CDM 		Idecabtagene Vicleucel Inj 18 $0.03 $713,221.79 $571,369.89 —
52594413
CDM 		Tisagenlecleucel Inj (iv)(dlbcl) 16 $0.03 $706,254.93 $560,923.36 —
5831
APR_DRG 		Neonate W Ecmo 4 $558,502.30 $558,502.30 $558,502.30 nat. median
$173,909
outlier · 3.2×
5832
APR_DRG 		Neonate W Ecmo 4 $558,502.30 $558,502.30 $558,502.30 nat. median
$201,678
outlier · 2.8×
24
APR_DRG 		Heart &/or Lung Transplant 4 $537,458.68 $537,458.68 $537,458.68 nat. median
$225,531
outlier · 2.4×
52590668
CDM 		Axicabtagene Ciloleucel Inj (iv) 18 $0.03 $679,833.00 $528,759.00 —
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $503,124.62 $503,124.62 $503,124.62 nat. median
$286,698
1.8× median
52596608
CDM 		Brexucabtagene Autoleucel Inj (iv) 18 $0.03 $623,700.00 $485,100.00 —
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $469,930.95 $469,930.95 $469,930.95 nat. median
$202,242
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
$181,762
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $437,685.25 $439,414.64 $438,549.95 nat. median
$131,925
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $435,116.60 $436,835.84 $435,976.22 nat. median
$145,435
outlier · 3.0×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $396,403.43 $396,403.43 $396,403.43 nat. median
$173,134
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
$135,630
outlier · 2.9×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $378,177.99 $378,177.99 $378,177.99 nat. median
$68,335
outlier · 5.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $333,375.47 $333,375.47 $333,375.47 nat. median
$149,836
outlier · 2.2×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $332,614.53 $332,614.53 $332,614.53 nat. median
$171,497
1.9× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 4 $328,688.97 $328,688.97 $328,688.97 nat. median
$136,566
outlier · 2.4×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $317,330.38 $317,330.38 $317,330.38 nat. median
$168,439
1.9× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $304,837.81 $304,837.81 $304,837.81 nat. median
$63,564
outlier · 4.8×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $303,870.59 $303,870.59 $303,870.59 nat. median
$155,539
2.0× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $303,851.24 $303,851.24 $303,851.24 nat. median
$109,992
outlier · 2.8×
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $302,838.59 $302,838.59 $302,838.59 nat. median
$108,954
outlier · 2.8×
52780152
CDM 		Heartmate 19 $524.16 $385,630.20 $299,934.60 —
23
APR_DRG 		Heart &/or Lung Transplant 4 $295,712.02 $295,712.02 $295,712.02 nat. median
$117,894
outlier · 2.5×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $294,207.35 $294,207.35 $294,207.35 nat. median
$152,383
1.9× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $294,207.35 $294,207.35 $294,207.35 nat. median
$130,862
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $283,953.70 $285,075.66 $284,514.68 nat. median
$97,418
outlier · 2.9×
7
MS_DRG 		Lung Transplant 2 $265,479.10 $266,528.07 $266,003.58 nat. median
$70,649
outlier · 3.8×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $250,369.68 $250,369.68 $250,369.68 nat. median
$198,578
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $246,366.95 $247,340.40 $246,853.67 nat. median
$72,715
outlier · 3.4×
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
$124,731
2.0× median
22
APR_DRG 		Heart &/or Lung Transplant 4 $243,586.70 $243,586.70 $243,586.70 nat. median
$95,481
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $242,358.25 $242,358.25 $242,358.25 nat. median
$106,926
outlier · 2.3×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $235,523.02 $235,523.02 $235,523.02 nat. median
$187,567
1.3× median

Other procedures at this hospital

Browse this hospital's 26,895 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 31 18 — $2,333,924.74 $0.03 $4,694,976.00 $3,360,000.00 2026-03-25
56508781 CDM Lovotibeglogene Autotemcel Inj 24 16 $4,650,000.00 $2,080,410.00 55% off $0.03 $4,185,000.00 $3,323,820.00 2026-03-25
56501190 CDM Betibeglogene Autotemcel Inj 24 16 $4,564,560.00 $2,042,184.14 55% off $0.03 $4,108,104.00 $3,262,747.49 2026-03-25
56507668 CDM Exagamglogene Autotemcel Inj 33 17 $3,448,500.00 $1,542,858.90 55% off $1,384,227.90 $3,103,650.00 $2,517,405.00 2026-03-25
56504608 CDM Afamitresgene Autoleucel Inj 40 19 $1,817,500.00 $813,149.50 55% off $729,544.50 $1,635,750.00 $1,299,149.00 2026-03-25
56507262 CDM Lifileucel Inj 31 16 $1,614,525.00 $722,338.49 55% off $645,810.00 $1,453,072.50 $1,162,458.00 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $885,247.40 $888,745.21 $886,996.30 2026-03-25
56504582 CDM Obecabtagene Autoleucel Inj 40 19 $945,000.00 $422,793.00 55% off $379,323.00 $850,500.00 $675,486.00 2026-03-25
52590841 CDM Tisagenlecleucel Inj (iv)(all) 24 16 $912,121.10 $408,082.98 55% off $0.03 $820,908.99 $651,984.16 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
5834 APR_DRG Neonate W Ecmo 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
5833 APR_DRG Neonate W Ecmo 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
52599552 CDM Ciltacabtagene Autoleucel Inj 31 18 $832,965.70 $372,668.85 55% off $0.03 $749,669.13 $583,075.96 2026-03-25
52597630 CDM Lisocabtagene Maraleucel Inj 31 18 $797,025.60 $356,589.25 55% off $0.03 $717,323.04 $581,828.69 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $574,489.95 $576,759.89 $575,624.92 2026-03-25
52598240 CDM Idecabtagene Vicleucel Inj 31 18 $792,468.65 $354,550.47 55% off $0.03 $713,221.79 $571,369.89 2026-03-25
52594413 CDM Tisagenlecleucel Inj (iv)(dlbcl) 24 16 $784,727.70 $351,087.17 55% off $0.03 $706,254.93 $560,923.36 2026-03-25
5831 APR_DRG Neonate W Ecmo 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
5832 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) 31 18 $755,370.00 $337,952.54 55% off $0.03 $679,833.00 $528,759.00 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) 31 18 $693,000.00 $310,048.20 55% off $0.03 $623,700.00 $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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $437,685.25 $439,414.64 $438,549.95 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $435,116.60 $436,835.84 $435,976.22 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
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 43 19 $428,478.00 $191,701.06 55% off $524.16 $385,630.20 $299,934.60 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $283,953.70 $285,075.66 $284,514.68 2026-03-25
7 MS_DRG Lung Transplant 2 2 — — $265,479.10 $266,528.07 $266,003.58 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
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $246,366.95 $247,340.40 $246,853.67 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $232,301.90 $233,219.78 $232,760.84 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $232,035.40 $232,952.22 $232,493.81 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $225,934.60 $226,827.32 $226,380.96 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $222,919.05 $223,799.85 $223,359.45 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $211,365.25 $212,200.40 $211,782.83 2026-03-25
215 MS_DRG Other Heart Assist System Implant 2 2 — — $204,118.50 $204,925.02 $204,521.76 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $200,547.40 $201,339.81 $200,943.60 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 43 19 $276,183.00 $123,564.27 55% off $524.16 $248,564.70 $193,328.10 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 43 19 $273,585.00 $122,401.93 55% off $524.16 $246,226.50 $191,509.50 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 43 19 $266,044.00 $119,028.09 55% off $524.16 $239,439.60 $186,230.80 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $184,696.80 $185,426.58 $185,061.69 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
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $177,519.75 $178,221.17 $177,870.46 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $172,812.95 $173,495.77 $173,154.36 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $172,269.70 $172,950.38 $172,610.04 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $161,310.40 $161,947.77 $161,629.08 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $157,405.15 $158,027.09 $157,716.12 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $156,726.60 $157,345.86 $157,036.23 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $156,207.95 $156,825.16 $156,516.55 2026-03-25
55747836 CDM Gammatile Therapy Device 43 19 $222,668.00 $99,621.66 55% off $524.16 $200,401.20 $155,867.60 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
52760881 CDM Lung Acquisition-double 36 17 $210,810.00 $94,316.39 55% off $84,324.00 $189,729.00 $152,942.65 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
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 4 — — $150,780.11 $150,780.11 $150,780.11 2026-03-25
8634 APR_DRG Neonatal Aftercare 7 4 — — $150,117.29 $150,117.29 $150,117.29 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $147,981.30 $148,566.01 $148,273.65 2026-03-25
58100025 CDM Kidney Acquisition-lrd 36 17 $204,309.00 $91,407.85 55% off $81,723.60 $183,878.10 $148,226.18 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
10 MS_DRG Pancreas Transplant 2 2 — — $147,101.85 $147,683.08 $147,392.46 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $147,040.35 $147,621.34 $147,330.85 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $146,259.30 $146,837.20 $146,548.25 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $146,173.20 $146,750.76 $146,461.98 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $141,691.90 $142,251.76 $141,971.83 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $140,996.95 $141,554.06 $141,275.51 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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $137,987.55 $138,532.77 $138,260.16 2026-03-25
214 APR_DRG Craniotomy Except For Trauma 7 4 — — $138,009.22 $138,009.22 $138,009.22 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $137,073.25 $137,614.86 $137,344.05 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $136,972.80 $137,514.01 $137,243.40 2026-03-25
50730332 CDM Aicd Other Than Sing/dual 43 19 $195,559.00 $87,493.10 55% off $82.84 $176,003.10 $136,891.30 2026-03-25
55747828 CDM Gammatile Therapy Device 43 19 $193,750.00 $86,683.75 55% off $524.16 $174,375.00 $135,625.00 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $134,793.65 $135,326.25 $135,059.95 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $134,793.65 $135,326.25 $135,059.95 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $134,303.70 $134,834.36 $134,569.03 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
56329485 CDM Gemcitabine Ives Sys 225mg 39 18 $216,315.00 $96,779.33 55% off $37.28 $194,683.50 $133,682.67 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 43 19 $189,768.00 $84,902.20 55% off $82.84 $170,791.20 $132,837.60 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $131,911.35 $132,432.56 $132,171.96 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
52573912 CDM Sipuleucel-t 250 Ml 43 19 $196,489.65 $87,909.47 55% off $65,732.65 $176,840.69 $132,036.55 2026-03-25
56507742 CDM Nadofaragene Firadenovec Inj 43 19 $182,700.00 $81,739.98 55% off $63,945.00 $174,225.62 $131,726.70 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
55748990 CDM Cultured Chondrocyter Implnt 35 16 $148,357.00 $66,374.92 55% off $59,550.50 $170,165.33 $131,014.07 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
52596475 CDM Botulism Immune Globulin Inj 50 mg/mL (iv) 31 16 $178,162.85 $79,710.06 55% off $71,265.14 $160,346.57 $128,277.25 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
52797297 CDM Aicd Dual Chamber 43 19 $181,549.00 $81,225.02 55% off $82.84 $163,394.10 $127,084.30 2026-03-25
55700751 CDM Aicd Other Than Sing/dual 43 19 $180,610.00 $80,804.91 55% off $82.84 $162,549.00 $126,427.00 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $125,632.20 $126,128.60 $125,880.40 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $125,486.65 $125,982.48 $125,734.57 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
50721950 CDM Bmt Allogeneic Unrelated 36 17 $172,363.00 $77,115.21 55% off $68,945.20 $155,126.70 $125,049.36 2026-03-25
224 APR_DRG Ventricular Shunt Procedures 7 4 — — $124,923.91 $124,923.91 $124,923.91 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $124,283.30 $124,774.37 $124,528.83 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $123,170.15 $123,656.82 $123,413.49 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $123,135.30 $123,621.83 $123,378.57 2026-03-25
52797313 CDM Aicd Dual Chamber 43 19 $175,811.00 $78,657.84 55% off $82.84 $158,229.90 $123,067.70 2026-03-25
71 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $122,893.92 $122,893.92 $122,893.92 2026-03-25
56300825 CDM Y-90 Zevalin, Per Dose 43 19 $153,485.10 $68,669.23 55% off $48,770.67 $173,265.87 $122,788.08 2026-03-25
56209950 CDM Aicd Other Than Sing/dual 43 19 $175,116.00 $78,346.90 55% off $82.84 $157,604.40 $122,581.20 2026-03-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $122,243.55 $122,726.56 $122,485.05 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $121,841.75 $122,323.17 $122,082.46 2026-03-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $121,558.85 $122,039.16 $121,799.01 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $120,306.30 $120,781.66 $120,543.98 2026-03-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $120,228.40 $120,703.45 $120,465.92 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $118,225.55 $118,692.69 $118,459.12 2026-03-25
1784 APR_DRG External Heart Assist Devices 7 4 — — $118,390.37 $118,390.37 $118,390.37 2026-03-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $117,471.15 $117,935.30 $117,703.23 2026-03-25
52797305 CDM Aicd Other Than Sing/dual 43 19 $167,818.00 $75,081.77 55% off $82.84 $151,036.20 $117,472.60 2026-03-25
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $116,991.45 $117,453.71 $117,222.58 2026-03-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $116,839.75 $117,301.41 $117,070.58 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
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $115,251.00 $115,706.38 $115,478.69 2026-03-25
55747810 CDM Gammatile Therapy Device 43 19 $164,831.00 $73,745.39 55% off $524.16 $148,347.90 $115,381.70 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
52799947 CDM Aicd Other Than Sing/dual 43 19 $164,467.00 $73,582.54 55% off $82.84 $148,020.30 $115,126.90 2026-03-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $114,894.30 $115,348.27 $115,121.29 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
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
58100033 CDM Heart Acquisition 36 17 $157,985.00 $70,682.49 55% off $63,194.00 $142,186.50 $114,618.12 2026-03-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $114,107.10 $114,557.96 $114,332.53 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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $113,221.50 $113,668.86 $113,445.18 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
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $112,542.95 $112,987.63 $112,765.29 2026-03-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $112,145.25 $112,588.36 $112,366.80 2026-03-25
50738376 CDM Aicd Other Than Sing/dual 43 19 $160,522.00 $71,817.54 55% off $82.84 $144,469.80 $112,365.40 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $111,985.35 $112,427.83 $112,206.59 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
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $111,809.05 $112,250.83 $112,029.94 2026-03-25
58142134 CDM Liver Acquistion Domino 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 2026-03-25
58100058 CDM Liver Acquisition Cadaveric 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 2026-03-25
58142126 CDM Liver Acquisition Living Donor 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $111,362.15 $111,802.17 $111,582.16 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
55704142 CDM Generator Neuro Non-recharg 43 19 $158,625.00 $70,968.83 55% off $524.16 $142,762.50 $111,037.50 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
58100074 CDM Pancreas Acquisition 36 17 $152,460.00 $68,210.60 55% off $60,984.00 $137,214.00 $110,609.73 2026-03-25
55700744 CDM Aicd Other Than Sing/dual 43 19 $157,265.00 $70,360.36 55% off $82.84 $141,538.50 $110,085.50 2026-03-25
53300687 CDM Srs,(cerebral)1 Ses Multi Co60 43 19 $157,077.00 $70,276.25 55% off $29,078.36 $141,369.30 $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
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 4 — — $109,627.95 $109,627.95 $109,627.95 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $109,322.40 $109,754.36 $109,538.38 2026-03-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $109,256.80 $109,688.50 $109,472.65 2026-03-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $108,522.90 $108,951.70 $108,737.30 2026-03-25
52799780 CDM Aicd Dual Chamber 43 19 $155,189.00 $69,431.56 55% off $82.84 $139,670.10 $108,632.30 2026-03-25
57601171 CDM Intestine Acquisition 36 17 $149,697.00 $66,974.44 55% off $59,878.80 $134,727.30 $108,605.17 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $108,164.15 $108,591.53 $108,377.84 2026-03-25
2004 APR_DRG Cardiac Structural & Valvular Disorders 7 4 — — $107,954.58 $107,954.58 $107,954.58 2026-03-25
50751577 CDM Aicd Other Than Sing/dual 43 19 $153,226.00 $68,553.31 55% off $82.84 $137,903.40 $107,258.20 2026-03-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $106,710.70 $107,132.34 $106,921.52 2026-03-25
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $106,526.20 $106,947.11 $106,736.65 2026-03-25
58100017 CDM Lung Acquisition-single 36 17 $146,611.00 $65,593.76 55% off $58,644.40 $131,949.90 $106,366.28 2026-03-25
56208754 CDM Aicd Dual Chamber 43 19 $151,037.00 $67,573.95 55% off $82.84 $135,933.30 $105,725.90 2026-03-25
50736792 CDM Aicd Dual Chamber 43 19 $150,462.00 $67,316.70 55% off $82.84 $135,415.80 $105,323.40 2026-03-25
55747802 CDM Gammatile Therapy Device 43 19 $150,373.00 $67,276.88 55% off $524.16 $135,335.70 $105,261.10 2026-03-25
52798253 CDM Aicd Dual Chamber 43 19 $150,270.00 $67,230.80 55% off $82.84 $135,243.00 $105,189.00 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 43 19 $148,184.00 $66,297.52 55% off $82.84 $133,365.60 $103,728.80 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $103,324.10 $103,732.36 $103,528.23 2026-03-25
50755347 CDM Aicd Dual Chamber 43 19 $146,622.00 $65,598.68 55% off $82.84 $131,959.80 $102,635.40 2026-03-25
50751544 CDM Aicd Dual Chamber 43 19 $146,622.00 $65,598.68 55% off $82.84 $131,959.80 $102,635.40 2026-03-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $102,241.70 $102,645.68 $102,443.69 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $101,421.70 $101,822.44 $101,622.07 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $101,241.30 $101,641.33 $101,441.32 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $100,894.85 $101,293.51 $101,094.18 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
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $100,474.60 $100,871.60 $100,673.10 2026-03-25
55737928 CDM Aicd Dual Chamber 43 19 $143,732.00 $64,305.70 55% off $82.84 $129,358.80 $100,612.40 2026-03-25
2304 APR_DRG Major Small Bowel Procedures 7 4 — — $100,576.91 $100,576.91 $100,576.91 2026-03-25
58100041 CDM Kidney Acquisition-cadaveric 36 17 $137,181.00 $61,374.78 55% off $54,872.40 $123,462.90 $99,524.82 2026-03-25
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $98,988.35 $99,379.47 $99,183.91 2026-03-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $98,488.15 $98,877.30 $98,682.73 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
52534120 CDM Sod Benzo-sod Phenylac Inj 100mg/mL 31 16 $136,187.30 $60,930.20 55% off $54,474.92 $122,568.57 $98,054.86 2026-03-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $97,596.40 $97,982.02 $97,789.21 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
52749710 CDM Aicd Dual Chamber 43 19 $139,326.00 $62,334.45 55% off $82.84 $125,393.40 $97,528.20 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
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 7 4 — — $97,069.40 $97,069.40 $97,069.40 2026-03-25
50736800 CDM Aicd Single Chamber 43 19 $138,633.00 $62,024.40 55% off $82.84 $124,769.70 $97,043.10 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
55729305 CDM Generator Neuro Non-recharg 43 19 $138,541.00 $61,983.24 55% off $524.16 $124,686.90 $96,978.70 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
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
6301 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 4 — — $96,758.04 $96,758.04 $96,758.04 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
55737936 CDM Aicd Single Chamber 43 19 $137,983.00 $61,733.59 55% off $82.84 $124,184.70 $96,588.10 2026-03-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $96,378.70 $96,759.51 $96,569.10 2026-03-25
55720247 CDM Pmkr Other Than Sing/dual 43 19 $137,883.00 $61,688.85 55% off $82.84 $124,094.70 $96,518.10 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $96,181.90 $96,561.94 $96,371.92 2026-03-25
55700736 CDM Aicd Dual Chamber 43 19 $137,666.00 $61,591.77 55% off $82.84 $123,899.40 $96,366.20 2026-03-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $95,894.90 $96,273.80 $96,084.35 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
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $95,058.50 $95,434.10 $95,246.30 2026-03-25
55747794 CDM Gammatile Therapy Device 43 19 $135,915.00 $60,808.37 55% off $524.16 $122,323.50 $95,140.50 2026-03-25
52794617 CDM Aicd Dual Chamber 43 19 $135,882.00 $60,793.61 55% off $82.84 $122,293.80 $95,117.40 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $94,679.25 $95,053.35 $94,866.30 2026-03-25
52799913 CDM Aicd Dual Chamber 43 19 $135,516.00 $60,629.86 55% off $82.84 $121,964.40 $94,861.20 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 43 19 $134,984.00 $60,391.84 55% off $82.84 $121,485.60 $94,488.80 2026-03-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $94,228.25 $94,600.57 $94,414.41 2026-03-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $93,988.40 $94,359.77 $94,174.08 2026-03-25
245 MS_DRG Aicd Generator Procedures 2 2 — — $93,529.20 $93,898.75 $93,713.98 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $93,248.35 $93,616.79 $93,432.57 2026-03-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $93,207.35 $93,575.63 $93,391.49 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
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $92,842.45 $93,209.29 $93,025.87 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
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $91,876.90 $92,239.93 $92,058.41 2026-03-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $91,850.25 $92,213.17 $92,031.71 2026-03-25
55737332 CDM Anchor/screw Bn/bntis/bn 43 19 $131,399.00 $58,787.91 55% off $524.16 $118,259.10 $91,979.30 2026-03-25
52794377 CDM Aicd Single Chamber 43 19 $131,301.00 $58,744.07 55% off $82.84 $118,170.90 $91,910.70 2026-03-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $91,489.45 $91,850.94 $91,670.20 2026-03-25
58100066 CDM Pancreas Acq-combined W/kidney 36 17 $125,917.00 $56,335.27 55% off $50,366.80 $113,325.30 $91,352.79 2026-03-25
55748008 CDM System Circulatory Assist 43 19 $130,130.00 $58,220.16 55% off $524.16 $117,117.00 $91,091.00 2026-03-25
52550092 CDM Histrelin Inj 50 Mg (Supprelin La) 43 19 $125,577.35 $56,183.31 55% off $50,406.75 $124,713.11 $90,541.27 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $90,052.40 $90,408.22 $90,230.31 2026-03-25
234 APR_DRG Spinal Procedures 7 4 — — $90,204.57 $90,204.57 $90,204.57 2026-03-25
55751507 CDM Device Ventricular Assist 43 19 $127,767.00 $57,162.96 55% off $121.68 $114,990.30 $89,436.90 2026-03-25
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