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

SHORE MEDICAL CENTER

Somers Point, NJ · CCN 310047 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

OR,KNEE ARTHROPLASTY

This hospital’s price: $11,836 across 8 payers · range $507-$14,062

Source: https://shoremedical.pt.panaceainc.com/MRFDownload/shoremedical/shoremedicalcenter · observed 2025-08-30

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

37,359 distinct procedures filed
9 distinct payers
648,356 rate rows
2025-08-30 last MRF observed · ⚠ 12 mo old
Data quality

524,152 of 648,356 rate rows are consumer-grade (80.8%)

124,204 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 103,056
per-diem day rate — not a per-procedure price 14,584
placeholder amount (≤ $0.02) — excluded from medians 3,834
exceeds 10× this hospital's gross charge — excluded from medians 1,106
template filing: same amount across many unrelated codes — excluded 796
percent-of-charges filed in the dollar field — excluded from medians 646
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 182

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://shoremedical.pt.panaceainc.com/MRFDownload/shoremedical/shoremedicalcenter
Found on page https://www.shoremedicalcenter.org/patients_visitors/patients/insurance
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-17
Content fingerprint e2f7e2bd04aa54d2… · 147,504,739 bytes · first seen 2026-05-09

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,486,000.00 $4,054,584.80 $4,054,584.80 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,654,350.00 $4,027,554.24 $4,027,554.24 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,322,473.30 $3,631,064.62 $3,631,064.62 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,087,600.00 $3,952,500.00 $3,591,203.68 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,788,800.00 $3,570,000.00 $3,222,043.38 nat. median
$2,997,086
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,272,602.41 $2,648,191.66 $2,648,191.66 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,191,200.00 $2,548,596.16 $2,548,596.16 nat. median
$2,405,851
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $724,092.00 $4,126,756.41 $842,195.19 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $518,240.68 $3,099,384.17 $632,527.38 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $507,495.55 $2,962,283.56 $604,547.66 nat. median
$631,793
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $484,690.30 $2,825,477.37 $576,628.03 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $474,060.62 $2,765,606.30 $564,409.45 nat. median
$624,417
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $459,381.45 $2,692,768.43 $549,544.58 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $449,440.00 $2,620,787.31 $534,854.55 nat. median
$577,541
0.9× median
5834
APR_DRG 		Neonate W Ecmo 5 $495,014.71 $668,269.86 $495,014.71 nat. median
$311,018
1.6× median
5833
APR_DRG 		Neonate W Ecmo 5 $431,094.09 $581,977.02 $431,094.09 nat. median
$250,089
1.7× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 5 $369,217.14 $498,443.14 $369,217.14 nat. median
$254,667
1.4× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $340,550.34 $459,742.96 $340,550.34 nat. median
$209,486
1.6× median
24
APR_DRG 		Heart &/or Lung Transplant 5 $329,919.01 $445,390.66 $329,919.01 nat. median
$243,231
1.4× median
C9301
HCPCS 		Obecabtagene Car Pos T 6 $278,250.00 $1,490,059.91 $304,093.86 nat. median
$459,112
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $299,851.74 $899,555.22 $299,851.74 nat. median
$370,165
0.8× median
5832
APR_DRG 		Neonate W Ecmo 5 $270,521.93 $365,204.61 $270,521.93 nat. median
$169,230
1.6× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $258,058.12 $348,378.46 $258,058.12 nat. median
$127,938
outlier · 2.0×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $256,276.94 $345,973.87 $256,276.94 nat. median
$119,243
outlier · 2.1×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 $250,956.32 $338,791.03 $250,956.32 nat. median
$160,171
1.6× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 5 $244,588.92 $330,195.04 $244,588.92 nat. median
$165,646
1.5× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 5 $242,719.33 $327,671.10 $242,719.33 nat. median
$156,285
1.6× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 5 $240,297.85 $324,402.10 $240,297.85 nat. median
$168,361
1.4× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 5 $236,805.42 $319,687.32 $236,805.42 nat. median
$180,995
1.3× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 5 $236,068.15 $318,692.00 $236,068.15 nat. median
$147,677
1.6× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 5 $233,368.58 $315,047.58 $233,368.58 nat. median
$168,174
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 5 $230,507.95 $311,185.73 $230,507.95 nat. median
$147,847
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $171,360.38 $672,071.25 $224,023.75 nat. median
$261,939
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $219,820.95 $296,758.28 $219,820.95 nat. median
$165,599
1.3× median
5831
APR_DRG 		Neonate W Ecmo 5 $219,072.29 $295,747.59 $219,072.29 nat. median
$154,685
1.4× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 5 $215,755.28 $291,269.63 $215,755.28 nat. median
$127,600
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $213,590.53 $288,347.22 $213,590.53 nat. median
$175,480
1.2× median
23
APR_DRG 		Heart &/or Lung Transplant 5 $208,807.45 $281,890.06 $208,807.45 nat. median
$116,111
1.8× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 5 $207,067.67 $279,541.35 $207,067.67 nat. median
$137,901
1.5× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $206,947.84 $279,379.58 $206,947.84 nat. median
$93,192
outlier · 2.2×
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $196,837.06 $265,730.03 $196,837.06 nat. median
$82,164
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $104,247.61 $566,117.04 $188,705.68 nat. median
$205,166
0.9× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 5 $182,074.40 $245,800.44 $182,074.40 nat. median
$109,499
1.7× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 $175,142.33 $236,442.15 $175,142.33 nat. median
$123,690
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $115,279.43 $511,508.49 $170,502.83 nat. median
$199,832
0.9× median
64
APR_DRG 		Pancreas Transplant 5 $164,984.45 $222,729.01 $164,984.45 nat. median
$92,994
1.8× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 5 $163,487.05 $220,707.52 $163,487.05 nat. median
$112,711
1.5× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 5 $157,323.59 $212,386.85 $157,323.59 nat. median
$108,751
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 5 $155,281.48 $209,630.00 $155,281.48 nat. median
$101,315
1.5× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 5 $153,313.50 $206,973.23 $153,313.50 nat. median
$120,928
1.3× median

Other procedures at this hospital

Browse this hospital's 37,359 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 22 6 — $4,662,772.52 $3,486,000.00 $4,054,584.80 $4,054,584.80 2025-08-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 7 — $4,631,687.37 $3,654,350.00 $4,027,554.24 $4,027,554.24 2025-08-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 7 — $4,175,724.31 $3,322,473.30 $3,631,064.62 $3,631,064.62 2025-08-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 24 6 — $4,129,884.23 $3,087,600.00 $3,952,500.00 $3,591,203.68 2025-08-30
J3393 HCPCS Inj, Betibeglogene Autotemce 24 6 — $3,705,349.89 $2,788,800.00 $3,570,000.00 $3,222,043.38 2025-08-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 6 — $3,045,420.41 $2,272,602.41 $2,648,191.66 $2,648,191.66 2025-08-30
J3392 HCPCS Inj, Exagamglogene Autotem 22 6 — $2,930,885.58 $2,191,200.00 $2,548,596.16 $2,548,596.16 2025-08-30
Q2057 HCPCS Afamitresgene Autoleucel 26 6 — $968,524.46 $724,092.00 $4,126,756.41 $842,195.19 2025-08-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 32 7 — $727,406.49 $518,240.68 $3,099,384.17 $632,527.38 2025-08-30
Q2056 HCPCS Ciltacabtagene Car-pos T 32 7 — $695,229.81 $507,495.55 $2,962,283.56 $604,547.66 2025-08-30
Q2055 HCPCS Idecabtagene Vicleucel Car 32 7 — $663,122.24 $484,690.30 $2,825,477.37 $576,628.03 2025-08-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 32 7 — $649,070.87 $474,060.62 $2,765,606.30 $564,409.45 2025-08-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 32 7 — $631,976.26 $459,381.45 $2,692,768.43 $549,544.58 2025-08-30
Q2053 HCPCS Brexucabtagene Car Pos T 32 7 — $615,082.74 $449,440.00 $2,620,787.31 $534,854.55 2025-08-30
5834 APR_DRG Neonate W Ecmo 10 5 — — $495,014.71 $668,269.86 $495,014.71 2025-08-30
5833 APR_DRG Neonate W Ecmo 10 5 — — $431,094.09 $581,977.02 $431,094.09 2025-08-30
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 10 5 — — $369,217.14 $498,443.14 $369,217.14 2025-08-30
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 10 5 — — $340,550.34 $459,742.96 $340,550.34 2025-08-30
24 APR_DRG Heart &/or Lung Transplant 10 5 — — $329,919.01 $445,390.66 $329,919.01 2025-08-30
C9301 HCPCS Obecabtagene Car Pos T 26 6 — $349,707.94 $278,250.00 $1,490,059.91 $304,093.86 2025-08-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 7 — — $299,851.74 $899,555.22 $299,851.74 2025-08-30
5832 APR_DRG Neonate W Ecmo 10 5 — — $270,521.93 $365,204.61 $270,521.93 2025-08-30
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 10 5 — — $258,058.12 $348,378.46 $258,058.12 2025-08-30
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $256,276.94 $345,973.87 $256,276.94 2025-08-30
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 5 — — $250,956.32 $338,791.03 $250,956.32 2025-08-30
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 10 5 — — $244,588.92 $330,195.04 $244,588.92 2025-08-30
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 5 — — $242,719.33 $327,671.10 $242,719.33 2025-08-30
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 5 — — $240,297.85 $324,402.10 $240,297.85 2025-08-30
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 10 5 — — $236,805.42 $319,687.32 $236,805.42 2025-08-30
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 5 — — $236,068.15 $318,692.00 $236,068.15 2025-08-30
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 5 — — $233,368.58 $315,047.58 $233,368.58 2025-08-30
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 10 5 — — $230,507.95 $311,185.73 $230,507.95 2025-08-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 7 — — $171,360.38 $672,071.25 $224,023.75 2025-08-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $219,820.95 $296,758.28 $219,820.95 2025-08-30
5831 APR_DRG Neonate W Ecmo 10 5 — — $219,072.29 $295,747.59 $219,072.29 2025-08-30
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 10 5 — — $215,755.28 $291,269.63 $215,755.28 2025-08-30
74 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $213,590.53 $288,347.22 $213,590.53 2025-08-30
23 APR_DRG Heart &/or Lung Transplant 10 5 — — $208,807.45 $281,890.06 $208,807.45 2025-08-30
14 APR_DRG Liver Transplant &/or Intestinal Transplant 10 5 — — $207,067.67 $279,541.35 $207,067.67 2025-08-30
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 10 5 — — $206,947.84 $279,379.58 $206,947.84 2025-08-30
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 10 5 — — $196,837.06 $265,730.03 $196,837.06 2025-08-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 7 — — $104,247.61 $566,117.04 $188,705.68 2025-08-30
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 5 — — $182,074.40 $245,800.44 $182,074.40 2025-08-30
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $175,142.33 $236,442.15 $175,142.33 2025-08-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 7 — — $115,279.43 $511,508.49 $170,502.83 2025-08-30
64 APR_DRG Pancreas Transplant 10 5 — — $164,984.45 $222,729.01 $164,984.45 2025-08-30
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 5 — — $163,487.05 $220,707.52 $163,487.05 2025-08-30
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 5 — — $157,323.59 $212,386.85 $157,323.59 2025-08-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $155,281.48 $209,630.00 $155,281.48 2025-08-30
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 10 5 — — $153,313.50 $206,973.23 $153,313.50 2025-08-30
22 APR_DRG Heart &/or Lung Transplant 10 5 — — $150,284.55 $202,884.14 $150,284.55 2025-08-30
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 5 — — $148,139.76 $199,988.68 $148,139.76 2025-08-30
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 10 5 — — $142,600.93 $192,511.26 $142,600.93 2025-08-30
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $137,705.20 $185,902.02 $137,705.20 2025-08-30
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $136,148.00 $183,799.80 $136,148.00 2025-08-30
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 5 — — $135,942.58 $183,522.48 $135,942.58 2025-08-30
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 5 — — $134,884.49 $182,094.06 $134,884.49 2025-08-30
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 10 5 — — $133,505.43 $180,232.33 $133,505.43 2025-08-30
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 10 5 — — $132,793.88 $179,271.74 $132,793.88 2025-08-30
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $132,307.56 $178,615.21 $132,307.56 2025-08-30
63 APR_DRG Pancreas Transplant 10 5 — — $130,616.27 $176,331.96 $130,616.27 2025-08-30
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 5 — — $127,115.26 $171,605.60 $127,115.26 2025-08-30
4404 APR_DRG Kidney Transplant 10 5 — — $125,171.54 $168,981.58 $125,171.54 2025-08-30
21 APR_DRG Heart &/or Lung Transplant 10 5 — — $123,548.69 $166,790.73 $123,548.69 2025-08-30
73 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $122,436.34 $165,289.06 $122,436.34 2025-08-30
13 APR_DRG Liver Transplant &/or Intestinal Transplant 10 5 — — $117,820.18 $159,057.24 $117,820.18 2025-08-30
8514 APR_DRG Gender Related Procedures 10 5 — — $117,533.52 $158,670.25 $117,533.52 2025-08-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 7 — — $71,463.60 $337,481.88 $112,493.96 2025-08-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 10 5 — — $112,354.09 $151,678.02 $112,354.09 2025-08-30
8634 APR_DRG Neonatal Aftercare 10 5 — — $108,449.48 $146,406.80 $108,449.48 2025-08-30
1784 APR_DRG External Heart Assist Systems 10 5 — — $107,954.66 $145,738.79 $107,954.66 2025-08-30
62 APR_DRG Pancreas Transplant 10 5 — — $107,291.52 $144,843.55 $107,291.52 2025-08-30
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 5 — — $104,901.47 $141,616.98 $104,901.47 2025-08-30
14 MS_DRG Allogeneic Bone Marrow Transplant 30 7 — — $75,687.77 $312,975.72 $104,325.24 2025-08-30
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 10 5 — — $104,068.61 $140,492.62 $104,068.61 2025-08-30
7 MS_DRG Lung Transplant 30 7 — — $63,334.51 $312,189.18 $104,063.06 2025-08-30
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 10 5 — — $103,876.12 $140,232.76 $103,876.12 2025-08-30
84 APR_DRG Autologous Bone Marrow Transplant 10 5 — — $103,677.87 $139,965.12 $103,677.87 2025-08-30
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 5 — — $103,259.99 $139,400.99 $103,259.99 2025-08-30
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $102,642.54 $138,567.43 $102,642.54 2025-08-30
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $102,452.86 $138,311.36 $102,452.86 2025-08-30
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 5 — — $101,788.32 $137,414.23 $101,788.32 2025-08-30
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $99,545.14 $134,385.94 $99,545.14 2025-08-30
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $99,252.79 $133,991.27 $99,252.79 2025-08-30
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $98,362.94 $132,789.97 $98,362.94 2025-08-30
12 APR_DRG Liver Transplant &/or Intestinal Transplant 10 5 — — $98,300.18 $132,705.24 $98,300.18 2025-08-30
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 10 5 — — $97,972.20 $132,262.47 $97,972.20 2025-08-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $96,511.91 $130,291.08 $96,511.91 2025-08-30
72 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $96,441.98 $130,196.67 $96,441.98 2025-08-30
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 5 — — $92,995.23 $125,543.56 $92,995.23 2025-08-30
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 10 5 — — $92,841.18 $125,335.59 $92,841.18 2025-08-30
1794 APR_DRG Defibrillator Implants 10 5 — — $92,484.66 $124,854.29 $92,484.66 2025-08-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $92,346.36 $124,667.59 $92,346.36 2025-08-30
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 5 — — $92,219.44 $124,496.24 $92,219.44 2025-08-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 10 5 — — $91,609.08 $123,672.26 $91,609.08 2025-08-30
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 10 5 — — $90,381.19 $122,014.61 $90,381.19 2025-08-30
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 10 5 — — $89,941.96 $121,421.65 $89,941.96 2025-08-30
914 APR_DRG Other Major Head & Neck Procedures 10 5 — — $89,343.06 $120,613.13 $89,343.06 2025-08-30
61 APR_DRG Pancreas Transplant 10 5 — — $89,127.73 $120,322.44 $89,127.73 2025-08-30
C9790 HCPCS Kidney Histotripsy W/image 10 2 — — $19,541.76 $88,289.66 $88,289.66 2025-08-30
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 5 — — $87,918.40 $118,689.84 $87,918.40 2025-08-30
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 10 5 — — $87,848.55 $118,595.54 $87,848.55 2025-08-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 7 — — $87,783.62 $263,350.86 $87,783.62 2025-08-30
11 APR_DRG Liver Transplant &/or Intestinal Transplant 10 5 — — $87,614.66 $118,279.79 $87,614.66 2025-08-30
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 28 7 — — $86,784.18 $260,352.54 $86,784.18 2025-08-30
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 10 5 — — $86,255.64 $116,445.11 $86,255.64 2025-08-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 7 — — $70,030.51 $254,525.10 $84,841.70 2025-08-30
215 MS_DRG Other Heart Assist System Implant 30 7 — — $84,407.93 $253,223.79 $84,407.93 2025-08-30
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 10 5 — — $84,127.93 $113,572.71 $84,127.93 2025-08-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 6 — — $83,459.33 $250,377.99 $83,459.33 2025-08-30
0618T OTHER Insj Iris Prosth Sec Io Lens 10 2 — — $18,458.49 $83,395.48 $83,395.48 2025-08-30
0617T OTHER Insj Iris Prosth W/rmvl&insj 10 2 — — $18,458.49 $83,395.48 $83,395.48 2025-08-30
0616T OTHER Insertion Of Iris Prosthesis 10 2 — — $18,458.49 $83,395.48 $83,395.48 2025-08-30
1783 APR_DRG External Heart Assist Systems 10 5 — — $82,720.41 $111,672.55 $82,720.41 2025-08-30
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 10 5 — — $82,393.83 $111,231.67 $82,393.83 2025-08-30
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 10 5 — — $82,295.45 $111,098.86 $82,295.45 2025-08-30
1694 APR_DRG Major Abdominal Vascular Procedures 10 5 — — $82,112.86 $110,852.36 $82,112.86 2025-08-30
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 10 5 — — $80,652.57 $108,880.97 $80,652.57 2025-08-30
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 10 5 — — $80,401.61 $108,542.17 $80,401.61 2025-08-30
214 APR_DRG Craniotomy Except For Trauma 10 5 — — $80,383.06 $108,517.13 $80,383.06 2025-08-30
234 APR_DRG Spinal Procedures 10 5 — — $79,948.11 $107,929.95 $79,948.11 2025-08-30
1204 APR_DRG Major Respiratory & Chest Procedures 10 5 — — $78,845.74 $106,441.75 $78,845.74 2025-08-30
4403 APR_DRG Kidney Transplant 10 5 — — $78,216.91 $105,592.83 $78,216.91 2025-08-30
Q04800 OTHER Driver Pneumatic Vad, Rep 2 1 — — $77,899.99 $77,899.99 $77,899.99 2025-08-30
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 10 5 — — $77,451.09 $104,558.97 $77,451.09 2025-08-30
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 10 5 — — $77,426.85 $104,526.25 $77,426.85 2025-08-30
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 5 — — $77,418.27 $104,514.66 $77,418.27 2025-08-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 7 — — $61,790.44 $230,731.59 $76,910.53 2025-08-30
6904 APR_DRG Acute Leukemia 10 5 — — $76,860.69 $103,761.93 $76,860.69 2025-08-30
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 10 5 — — $76,846.43 $103,742.68 $76,846.43 2025-08-30
71 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $76,062.06 $102,683.78 $76,062.06 2025-08-30
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 10 5 — — $75,896.70 $102,460.55 $75,896.70 2025-08-30
894 APR_DRG Major Cranial/facial Bone Procedures 10 5 — — $75,799.72 $102,329.62 $75,799.72 2025-08-30
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 10 5 — — $75,565.84 $102,013.88 $75,565.84 2025-08-30
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 10 5 — — $75,515.94 $101,946.52 $75,515.94 2025-08-30
204 APR_DRG Craniotomy For Trauma 10 5 — — $75,504.48 $101,931.05 $75,504.48 2025-08-30
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 10 5 — — $74,691.66 $100,833.74 $74,691.66 2025-08-30
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 2 1 — — $74,627.48 $74,627.48 $74,627.48 2025-08-30
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 10 5 — — $74,573.31 $100,673.97 $74,573.31 2025-08-30
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $74,537.61 $100,625.77 $74,537.61 2025-08-30
4414 APR_DRG Major Bladder Procedures 10 5 — — $74,356.50 $100,381.28 $74,356.50 2025-08-30
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 5 — — $74,355.10 $100,379.39 $74,355.10 2025-08-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 10 5 — — $74,012.85 $99,917.35 $74,012.85 2025-08-30
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 10 5 — — $73,539.39 $99,278.18 $73,539.39 2025-08-30
850 MS_DRG Acute Leukemia With Other Procedures 26 6 — — $73,421.23 $220,263.69 $73,421.23 2025-08-30
1782 APR_DRG External Heart Assist Systems 10 5 — — $73,419.57 $99,116.42 $73,419.57 2025-08-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $73,345.42 $99,016.32 $73,345.42 2025-08-30
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 5 — — $72,696.55 $98,140.34 $72,696.55 2025-08-30
274 APR_DRG Other Open Craniotomy 10 5 — — $71,264.80 $96,207.48 $71,264.80 2025-08-30
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 10 5 — — $70,454.78 $95,113.95 $70,454.78 2025-08-30
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 10 5 — — $70,272.27 $94,867.56 $70,272.27 2025-08-30
2614 APR_DRG Major Biliary Tract Procedures 10 5 — — $69,914.35 $94,384.37 $69,914.35 2025-08-30
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 5 — — $69,586.29 $93,941.49 $69,586.29 2025-08-30
1814 APR_DRG Lower Extremity Arterial Procedures 10 5 — — $69,285.44 $93,535.34 $69,285.44 2025-08-30
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 10 5 — — $69,147.06 $93,348.53 $69,147.06 2025-08-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 32 7 — $79,475.27 $63,235.61 $338,633.77 $69,108.93 2025-08-30
4402 APR_DRG Kidney Transplant 10 5 — — $68,769.18 $92,838.39 $68,769.18 2025-08-30
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 10 5 — — $68,563.83 $92,561.17 $68,563.83 2025-08-30
4014 APR_DRG Pituitary & Adrenal Procedures 10 5 — — $68,335.64 $92,253.11 $68,335.64 2025-08-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 7 — — $50,961.67 $202,674.15 $67,558.05 2025-08-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 7 — — $61,411.11 $202,562.13 $67,520.71 2025-08-30
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 10 5 — — $67,256.11 $90,795.75 $67,256.11 2025-08-30
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 10 5 — — $67,197.64 $90,716.81 $67,197.64 2025-08-30
1781 APR_DRG External Heart Assist Systems 10 5 — — $67,120.69 $90,612.93 $67,120.69 2025-08-30
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 5 — — $66,919.55 $90,341.39 $66,919.55 2025-08-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 6 — — $66,499.03 $199,497.09 $66,499.03 2025-08-30
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 5 — — $66,324.94 $89,538.67 $66,324.94 2025-08-30
6954 APR_DRG Chemotherapy For Acute Leukemia 10 5 — — $66,109.61 $89,247.97 $66,109.61 2025-08-30
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $65,774.46 $88,795.52 $65,774.46 2025-08-30
0398T OTHER Mrgfus Strtctc Les Abltj 10 2 — — $14,492.81 $65,478.54 $65,478.54 2025-08-30
0786T OTHER Insj/rplcmt Prq Ra Sac Nstim 10 2 — — $14,492.81 $65,478.54 $65,478.54 2025-08-30
2304 APR_DRG Major Small Bowel Procedures 10 5 — — $65,148.43 $87,950.38 $65,148.43 2025-08-30
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 10 5 — — $64,733.44 $87,390.14 $64,733.44 2025-08-30
38240 HCPCS Transplt Allo Hct/donor 26 6 — $74,330.79 $58,139.17 $316,713.80 $64,635.47 2025-08-30
1793 APR_DRG Defibrillator Implants 10 5 — — $64,549.45 $87,141.76 $64,549.45 2025-08-30
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 10 5 — — $64,483.89 $87,053.25 $64,483.89 2025-08-30
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $64,465.33 $87,028.20 $64,465.33 2025-08-30
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 10 5 — — $64,282.75 $86,781.71 $64,282.75 2025-08-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 7 — — $63,702.74 $192,835.47 $64,278.49 2025-08-30
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 10 5 — — $63,979.01 $86,371.66 $63,979.01 2025-08-30
A9543 HCPCS Y90 Ibritumomab, Rx 32 7 — $71,417.78 $56,824.55 $304,301.83 $63,789.50 2025-08-30
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 10 5 — — $63,743.72 $86,054.02 $63,743.72 2025-08-30
10 MS_DRG Pancreas Transplant 30 7 — — $28,099.56 $190,735.68 $63,578.56 2025-08-30
J90290 OTHER Instill Adstiladrin, Tx Dose 2 1 — $79,475.27 $63,505.40 $63,505.40 $63,505.40 2025-08-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 7 — — $63,215.49 $189,646.47 $63,215.49 2025-08-30
1214 APR_DRG Other Respiratory & Chest Procedures 10 5 — — $63,196.12 $85,314.76 $63,196.12 2025-08-30
A95430 OTHER Y90 Ibritumomab, Rx 2 1 — $71,417.78 $63,005.77 $63,005.77 $63,005.77 2025-08-30
2324 APR_DRG Gastric Fundoplication 10 5 — — $62,859.56 $84,860.41 $62,859.56 2025-08-30
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 10 5 — — $62,841.01 $84,835.36 $62,841.01 2025-08-30
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $62,421.73 $84,269.34 $62,421.73 2025-08-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 7 — — $48,040.00 $187,003.29 $62,334.43 2025-08-30
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 10 5 — — $62,294.81 $84,097.99 $62,294.81 2025-08-30
83 APR_DRG Autologous Bone Marrow Transplant 10 5 — — $62,132.26 $83,878.55 $62,132.26 2025-08-30
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 10 5 — — $62,127.98 $83,872.77 $62,127.98 2025-08-30
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 5 — — $61,952.56 $83,635.96 $61,952.56 2025-08-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 7 — — $49,351.65 $185,122.77 $61,707.59 2025-08-30
4401 APR_DRG Kidney Transplant 10 5 — — $61,661.69 $83,243.28 $61,661.69 2025-08-30
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 5 — — $61,601.82 $83,162.46 $61,601.82 2025-08-30
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 10 5 — — $61,231.03 $82,661.89 $61,231.03 2025-08-30
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 10 5 — — $61,061.31 $82,432.77 $61,061.31 2025-08-30
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 10 5 — — $61,021.40 $82,378.89 $61,021.40 2025-08-30
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 10 5 — — $60,663.40 $81,895.59 $60,663.40 2025-08-30
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 10 5 — — $60,359.66 $81,485.54 $60,359.66 2025-08-30
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 10 5 — — $60,018.81 $81,025.39 $60,018.81 2025-08-30
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 10 5 — — $59,797.79 $80,727.02 $59,797.79 2025-08-30
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 10 5 — — $59,712.27 $80,611.56 $59,712.27 2025-08-30
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 10 5 — — $59,685.14 $80,574.94 $59,685.14 2025-08-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 7 — — $42,766.64 $178,608.93 $59,536.31 2025-08-30
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 10 5 — — $59,521.11 $80,353.50 $59,521.11 2025-08-30
1824 APR_DRG Other Peripheral Vascular Procedures 10 5 — — $59,267.35 $80,010.92 $59,267.35 2025-08-30
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 10 5 — — $59,022.00 $79,679.70 $59,022.00 2025-08-30
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 10 5 — — $59,020.60 $79,677.81 $59,020.60 2025-08-30
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 5 — — $58,732.53 $79,288.92 $58,732.53 2025-08-30
4034 APR_DRG Procedures For Obesity 10 5 — — $58,467.31 $78,930.87 $58,467.31 2025-08-30
264 APR_DRG Other Nervous System & Related Procedures 10 5 — — $58,313.26 $78,722.90 $58,313.26 2025-08-30
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $58,119.29 $78,461.04 $58,119.29 2025-08-30
2314 APR_DRG Major Large Bowel Procedures 10 5 — — $57,969.60 $78,258.96 $57,969.60 2025-08-30
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 5 — — $57,835.51 $78,077.94 $57,835.51 2025-08-30
8633 APR_DRG Neonatal Aftercare 10 5 — — $57,757.08 $77,972.06 $57,757.08 2025-08-30
9103 APR_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $57,578.86 $77,731.46 $57,578.86 2025-08-30
6504 APR_DRG Splenectomy 10 5 — — $57,409.14 $77,502.34 $57,409.14 2025-08-30
J73300 OTHER Cultured Chondrocytes Implnt 2 1 — — $57,294.42 $57,294.42 $57,294.42 2025-08-30
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 10 5 — — $57,206.68 $77,229.02 $57,206.68 2025-08-30
5144 APR_DRG Female Reproductive System Reconstructive Procedures 10 5 — — $57,176.66 $77,188.49 $57,176.66 2025-08-30
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 10 5 — — $56,969.91 $76,909.38 $56,969.91 2025-08-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 6 — — $56,664.31 $169,992.93 $56,664.31 2025-08-30
224 APR_DRG Ventricular Shunt Procedures 10 5 — — $56,567.78 $76,366.50 $56,567.78 2025-08-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 7 — — $56,380.68 $169,142.04 $56,380.68 2025-08-30
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 10 5 — — $56,254.07 $75,942.99 $56,254.07 2025-08-30
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 5 — — $56,225.53 $75,904.47 $56,225.53 2025-08-30
244 APR_DRG Extracranial Vascular Procedures 10 5 — — $55,926.01 $75,500.11 $55,926.01 2025-08-30
3094 APR_DRG Other Significant Hip & Femur Surgery 10 5 — — $55,903.24 $75,469.37 $55,903.24 2025-08-30
913 APR_DRG Other Major Head & Neck Procedures 10 5 — — $55,723.54 $75,226.78 $55,723.54 2025-08-30
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $55,586.64 $75,041.96 $55,586.64 2025-08-30
1832 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $55,551.01 $74,993.86 $55,551.01 2025-08-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 7 — — $38,377.94 $166,508.40 $55,502.80 2025-08-30
294 APR_DRG Other Percutaneous Intracranial Procedures 10 5 — — $55,502.52 $74,928.40 $55,502.52 2025-08-30
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 10 5 — — $55,462.53 $74,874.42 $55,462.53 2025-08-30
Q20430 OTHER Sipuleucel-t Auto Cd54+ 2 1 — $71,659.78 $55,453.57 $55,453.57 $55,453.57 2025-08-30
2294 APR_DRG Other Digestive System & Abdominal Procedures 10 5 — — $55,264.35 $74,606.87 $55,264.35 2025-08-30
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 10 5 — — $55,245.80 $74,581.83 $55,245.80 2025-08-30
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $55,212.97 $74,537.51 $55,212.97 2025-08-30
4804 APR_DRG Major Male Pelvic Procedures 10 5 — — $54,930.68 $74,156.42 $54,930.68 2025-08-30
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 10 5 — — $54,634.03 $73,755.94 $54,634.03 2025-08-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 7 — — $37,066.30 $163,452.87 $54,484.29 2025-08-30
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 10 5 — — $54,452.93 $73,511.46 $54,452.93 2025-08-30
1831 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $54,368.81 $73,397.89 $54,368.81 2025-08-30
2244 APR_DRG Peritoneal Adhesiolysis 10 5 — — $54,156.29 $73,110.99 $54,156.29 2025-08-30
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 10 5 — — $53,727.03 $72,531.49 $53,727.03 2025-08-30
3104 APR_DRG Intervertebral Disc Excision & Decompression 10 5 — — $53,507.42 $72,235.02 $53,507.42 2025-08-30
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx 10 5 — — $53,504.61 $72,231.22 $53,504.61 2025-08-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 6 — — $53,502.33 $160,506.99 $53,502.33 2025-08-30
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 10 5 — — $53,433.28 $72,134.93 $53,433.28 2025-08-30
893 APR_DRG Major Cranial/facial Bone Procedures 10 5 — — $53,409.03 $72,102.19 $53,409.03 2025-08-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 7 — — $37,475.00 $159,892.05 $53,297.35 2025-08-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 7 — — $41,005.81 $159,622.74 $53,207.58 2025-08-30
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 10 5 — — $53,199.39 $71,819.18 $53,199.39 2025-08-30
1792 APR_DRG Defibrillator Implants 10 5 — — $53,132.35 $71,728.67 $53,132.35 2025-08-30
C91500 OTHER Xe129 Xenon, Diagnostic 2 1 — — $53,040.00 $53,040.00 $53,040.00 2025-08-30
1744 APR_DRG Percutaneous Coronary Intervention W Ami 10 5 — — $53,038.25 $71,601.64 $53,038.25 2025-08-30
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 10 5 — — $52,828.61 $71,318.62 $52,828.61 2025-08-30
1662 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 10 5 — — $52,707.38 $71,154.96 $52,707.38 2025-08-30
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 1 — — $52,686.59 $52,686.59 $52,686.59 2025-08-30
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 10 5 — — $52,643.22 $71,068.35 $52,643.22 2025-08-30
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 5 — — $52,463.52 $70,825.75 $52,463.52 2025-08-30
4844 APR_DRG Other Male Reproductive System & Related Procedures 10 5 — — $52,360.84 $70,687.13 $52,360.84 2025-08-30
5184 APR_DRG Other Female Reproductive System & Related Procedures 10 5 — — $52,340.88 $70,660.19 $52,340.88 2025-08-30
1693 APR_DRG Major Abdominal Vascular Procedures 10 5 — — $52,302.37 $70,608.20 $52,302.37 2025-08-30
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 5 — — $52,276.72 $70,573.57 $52,276.72 2025-08-30
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 10 5 — — $52,121.27 $70,363.71 $52,121.27 2025-08-30
82 APR_DRG Autologous Bone Marrow Transplant 10 5 — — $51,900.25 $70,065.34 $51,900.25 2025-08-30
3054 APR_DRG Amputation Of Lower Limb Except Toes 10 5 — — $51,873.19 $70,028.81 $51,873.19 2025-08-30
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $51,870.31 $70,024.92 $51,870.31 2025-08-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 7 — — $34,928.10 $154,846.41 $51,615.47 2025-08-30
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 10 5 — — $51,600.80 $69,661.08 $51,600.80 2025-08-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 7 — — $40,854.99 $154,624.74 $51,541.58 2025-08-30
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 10 5 — — $51,529.46 $69,564.77 $51,529.46 2025-08-30
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 10 5 — — $51,480.97 $69,499.31 $51,480.97 2025-08-30
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 10 5 — — $51,459.61 $69,470.47 $51,459.61 2025-08-30
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 10 5 — — $51,376.89 $69,358.80 $51,376.89 2025-08-30
3224 APR_DRG Shoulder & Elbow Joint Replacement 10 5 — — $51,238.59 $69,172.10 $51,238.59 2025-08-30
213 APR_DRG Craniotomy Except For Trauma 10 5 — — $51,220.04 $69,147.05 $51,220.04 2025-08-30
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 10 5 — — $51,127.34 $69,021.91 $51,127.34 2025-08-30
2234 APR_DRG Other Small & Large Bowel Procedures 10 5 — — $50,949.04 $68,781.20 $50,949.04 2025-08-30
233 APR_DRG Spinal Procedures 10 5 — — $50,605.39 $68,317.28 $50,605.39 2025-08-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 7 — — $32,834.29 $151,440.51 $50,480.17 2025-08-30
7524 APR_DRG Disorders Of Personality & Impulse Control 10 5 — — $50,452.82 $68,111.31 $50,452.82 2025-08-30
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 6 — $56,557.17 $49,180.15 $240,982.72 $50,249.36 2025-08-30
7594 APR_DRG Eating Disorders 10 5 — — $50,169.04 $67,728.20 $50,169.04 2025-08-30
3634 APR_DRG Breast Procedures Except Mastectomy 10 5 — — $49,602.89 $66,963.90 $49,602.89 2025-08-30
3624 APR_DRG Mastectomy Procedures 10 5 — — $49,540.13 $66,879.18 $49,540.13 2025-08-30
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 10 5 — — $49,515.88 $66,846.44 $49,515.88 2025-08-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc 28 7 — — $49,448.16 $148,344.48 $49,448.16 2025-08-30
J9226 HCPCS Supprelin La Implant 32 7 — $56,823.03 $44,578.75 $242,115.54 $49,411.33 2025-08-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 6 — — $49,384.60 $148,153.80 $49,384.60 2025-08-30
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $49,229.22 $66,459.45 $49,229.22 2025-08-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 7 — — $25,547.43 $147,481.68 $49,160.56 2025-08-30
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $49,159.37 $66,365.15 $49,159.37 2025-08-30
1804 APR_DRG Other Circulatory System Procedures 10 5 — — $49,119.45 $66,311.26 $49,119.45 2025-08-30
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 10 5 — — $49,085.22 $66,265.05 $49,085.22 2025-08-30
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