Hospital

Inspira Medical Center Woodbury

Woodbury, NJ · CCN 310081 · Rates published

18,539 distinct procedures filed

29 distinct payers

590,265 rate rows

2026-03-24 last MRF observed

Data quality

516,976 of 590,265 rate rows are consumer-grade (87.6%)

73,289 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	71,780
exceeds 10× this hospital's gross charge — excluded from medians	700
placeholder amount (≤ $0.02) — excluded from medians	631
per-diem day rate — not a per-procedure price	94
template filing: same amount across many unrelated codes — excluded	83
percent-of-charges filed in the dollar field — excluded from medians	1

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.inspirahealthnetwork.org/sites/default/files/price_transparency/210634484_inspira-health-center-woodbury_standardcharges.csv
Found on page	https://www.inspirahealthnetwork.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	9b81a1f59e8f7d93… · 540,155,436 bytes · first seen 2026-05-18

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
J1411 CPT	Inj, Hemgenix, Per Tx Dose	13	$4,114,600.23	$4,402,622.25	$4,114,600.23	nat. median $3,710,000 1.1× median
J1413 CPT	Inj Delandistrogene Mox Rokl	13	$3,702,830.48	$3,962,028.61	$3,702,830.48	nat. median $3,325,455 1.1× median
J3394 CPT	Inj, Lovotibeglogene Autotem	13	$3,626,889.64	$3,880,771.91	$3,626,889.64	nat. median $3,286,000 1.1× median
C9172 HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose (Code Deleted Eff…	1	$3,570,000.00	$3,570,000.00	$3,570,000.00	nat. median $3,570,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	6	$3,486,000.00	$3,570,000.00	$3,486,000.00	nat. median $3,710,000 0.9× median
J3393 CPT	Inj, Betibeglogene Autotemce	13	$3,288,918.71	$3,519,143.02	$3,288,918.71	nat. median $3,006,423 1.1× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	6	$3,187,200.00	$3,264,000.00	$3,187,200.00	nat. median $3,325,455 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	6	$3,087,600.00	$3,162,000.00	$3,087,600.00	nat. median $3,286,000 0.9× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	6	$2,788,800.00	$2,856,000.00	$2,788,800.00	nat. median $3,006,423 0.9× median
J3399 CPT	Inj Onase Abepar-xioi Treat	13	$2,741,130.99	$2,933,010.16	$2,741,130.99	nat. median $2,469,189 1.1× median
J3392 CPT	Inj, Exagamglogene Autotem	13	$2,603,678.00	$2,785,935.46	$2,603,678.00	nat. median $2,448,600 1.1× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	6	$2,382,138.87	$2,561,516.79	$2,382,138.87	nat. median $2,469,189 1.0× median
Q2057 CPT	Afamitresgene Autoleucel	14	$860,397.23	$1,763,814.32	$860,397.23	nat. median $824,563 1.0× median
Q2042 CPT	Tisagenlecleucel Car-pos T	14	$660,662.30	$1,354,357.72	$660,662.30	nat. median $754,974 0.9× median
Q2056 CPT	Ciltacabtagene Car-pos T	14	$631,792.68	$1,295,174.99	$631,792.68	nat. median $675,122 0.9× median
5834 APR_DRG	Neonate W Ecmo	4	$567,810.81	$644,044.67	$630,900.90	nat. median $309,665 outlier · 2.0×
Q2054 CPT	Lisocabtagene Mara Car Pos T	14	$628,073.88	$1,287,551.45	$628,073.88	nat. median $674,188 0.9× median
Q2055 CPT	Idecabtagene Vicleucel Car	14	$622,245.47	$1,275,603.21	$622,245.47	nat. median $625,184 1.0× median
Q2041 CPT	Axicabtagene Ciloleucel Car+	14	$595,351.49	$1,220,470.55	$595,351.49	nat. median $634,511 0.9× median
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	$566,416.65	$566,416.65	$566,416.65	nat. median $675,122 0.8× median
5833 APR_DRG	Neonate W Ecmo	4	$494,490.12	$560,879.99	$549,433.46	nat. median $244,017 outlier · 2.3×
Q2053 CPT	Brexucabtagene Car Pos T	14	$546,308.59	$1,119,932.61	$546,308.59	nat. median $620,080 0.9× median
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	1	$541,977.41	$541,977.41	$541,977.41	nat. median $674,188 0.8× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	1	$538,878.68	$538,878.68	$538,878.68	nat. median $625,184 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	1	$513,651.60	$513,651.60	$513,651.60	nat. median $634,511 0.8× median
C9098 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	$474,300.00	$474,300.00	$474,300.00	nat. median $57,174 outlier · 8.3×
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	1	$471,240.00	$471,240.00	$471,240.00	nat. median $620,080 0.8× median
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	4	$423,513.64	$480,374.27	$470,570.71	nat. median $246,434 1.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	$438,031.35	$1,245,665.23	$468,693.54	nat. median $370,174 1.3× median
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	$390,631.15	$443,077.00	$434,034.61	nat. median $207,730 outlier · 2.1×
C9081 HCPCS	Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab…	1	$427,890.00	$427,890.00	$427,890.00	nat. median $30,475 outlier · 14.0×
24 APR_DRG	Heart &/Or Lung Transplant	4	$378,436.38	$429,244.97	$420,484.87	nat. median $234,738 1.8× median
C9076 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	1	$418,506.00	$418,506.00	$418,506.00	nat. median $30,475 outlier · 13.7×
C9073 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	1	$380,460.00	$380,460.00	$380,460.00	nat. median $29,278 outlier · 13.0×
5832 APR_DRG	Neonate W Ecmo	4	$310,304.47	$351,965.71	$344,782.74	nat. median $156,126 outlier · 2.2×
1613 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	$296,007.74	$335,749.52	$328,897.49	nat. median $119,796 outlier · 2.7×
6304 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	$287,861.57	$326,509.65	$319,846.19	nat. median $150,721 outlier · 2.1×
8414 APR_DRG	Extensive 3Rd Degree Burns W Skin Graft	4	$280,557.79	$318,225.27	$311,730.88	nat. median $160,267 1.9× median
Q2058 CPT	Obecbtge Autol Up To 400 Mil	14	$310,666.12	$636,865.55	$310,666.12	nat. median $324,450 1.0× median
5934 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	$278,413.25	$315,792.81	$309,348.06	nat. median $151,838 outlier · 2.0×
5914 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	$275,635.69	$312,642.33	$306,261.88	nat. median $164,279 1.9× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	$169,343.00	$961,710.86	$303,893.32	nat. median $265,286 1.1× median
5883 APR_DRG	Neonate Bwt <1500g W Major Procedure	4	$271,629.67	$308,098.46	$301,810.74	nat. median $182,736 1.7× median
6314 APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	4	$270,783.96	$307,139.22	$300,871.07	nat. median $122,924 outlier · 2.4×
6094 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	$267,687.41	$303,626.92	$297,430.45	nat. median $162,982 1.8× median
5882 APR_DRG	Neonate Bwt <1500g W Major Procedure	4	$264,406.10	$299,905.06	$293,784.55	nat. median $145,336 outlier · 2.0×
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	7	$53,814.00	$305,611.26	$292,986.94	nat. median $87,411 outlier · 3.4×
J3403 CPT	Revakinagene, Per Implant	14	$287,498.75	$589,372.44	$287,498.75	nat. median $265,000 1.1× median
5831 APR_DRG	Neonate W Ecmo	4	$251,288.73	$285,026.57	$279,209.70	nat. median $145,122 1.9× median
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	$247,483.91	$280,710.92	$274,982.12	nat. median $105,658 outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 18,539 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J1411	CPT	Inj, Hemgenix, Per Tx Dose	13	13	—	—	$4,114,600.23	$4,402,622.25	$4,114,600.23	2026-03-24
J1413	CPT	Inj Delandistrogene Mox Rokl	13	13	—	—	$3,702,830.48	$3,962,028.61	$3,702,830.48	2026-03-24
J3394	CPT	Inj, Lovotibeglogene Autotem	13	13	—	—	$3,626,889.64	$3,880,771.91	$3,626,889.64	2026-03-24
C9172	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose (Code Deleted Eff…	1	1	—	—	$3,570,000.00	$3,570,000.00	$3,570,000.00	2026-03-24
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	6	6	—	—	$3,486,000.00	$3,570,000.00	$3,486,000.00	2026-03-24
J3393	CPT	Inj, Betibeglogene Autotemce	13	13	—	—	$3,288,918.71	$3,519,143.02	$3,288,918.71	2026-03-24
J1413	HCPCS	Inj Delandistrogene Mox Rokl	6	6	—	—	$3,187,200.00	$3,264,000.00	$3,187,200.00	2026-03-24
J3394	HCPCS	Inj, Lovotibeglogene Autotem	6	6	—	—	$3,087,600.00	$3,162,000.00	$3,087,600.00	2026-03-24
J3393	HCPCS	Inj, Betibeglogene Autotemce	6	6	—	—	$2,788,800.00	$2,856,000.00	$2,788,800.00	2026-03-24
J3399	CPT	Inj Onase Abepar-xioi Treat	13	13	—	—	$2,741,130.99	$2,933,010.16	$2,741,130.99	2026-03-24
J3392	CPT	Inj, Exagamglogene Autotem	13	13	—	—	$2,603,678.00	$2,785,935.46	$2,603,678.00	2026-03-24
J3399	HCPCS	Inj Onase Abepar-xioi Treat	6	6	—	—	$2,382,138.87	$2,561,516.79	$2,382,138.87	2026-03-24
Q2057	CPT	Afamitresgene Autoleucel	14	14	—	—	$860,397.23	$1,763,814.32	$860,397.23	2026-03-24
Q2042	CPT	Tisagenlecleucel Car-pos T	14	14	—	—	$660,662.30	$1,354,357.72	$660,662.30	2026-03-24
Q2056	CPT	Ciltacabtagene Car-pos T	14	14	—	—	$631,792.68	$1,295,174.99	$631,792.68	2026-03-24
Q2054	CPT	Lisocabtagene Mara Car Pos T	14	14	—	—	$628,073.88	$1,287,551.45	$628,073.88	2026-03-24
Q2055	CPT	Idecabtagene Vicleucel Car	14	14	—	—	$622,245.47	$1,275,603.21	$622,245.47	2026-03-24
Q2041	CPT	Axicabtagene Ciloleucel Car+	14	14	—	—	$595,351.49	$1,220,470.55	$595,351.49	2026-03-24
5834	APR_DRG	Neonate W Ecmo	4	4	—	—	$567,810.81	$644,044.67	$630,900.90	2026-03-24
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	1	—	—	$566,416.65	$566,416.65	$566,416.65	2026-03-24
Q2053	CPT	Brexucabtagene Car Pos T	14	14	—	—	$546,308.59	$1,119,932.61	$546,308.59	2026-03-24
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	1	1	—	—	$541,977.41	$541,977.41	$541,977.41	2026-03-24
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	1	1	—	—	$538,878.68	$538,878.68	$538,878.68	2026-03-24
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	1	1	—	—	$513,651.60	$513,651.60	$513,651.60	2026-03-24
5833	APR_DRG	Neonate W Ecmo	4	4	—	—	$494,490.12	$560,879.99	$549,433.46	2026-03-24
C9098	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	1	—	—	$474,300.00	$474,300.00	$474,300.00	2026-03-24
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	1	1	—	—	$471,240.00	$471,240.00	$471,240.00	2026-03-24
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	24	—	—	$438,031.35	$1,245,665.23	$468,693.54	2026-03-24
C9081	HCPCS	Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab…	1	1	—	—	$427,890.00	$427,890.00	$427,890.00	2026-03-24
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$423,513.64	$480,374.27	$470,570.71	2026-03-24
C9076	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	1	1	—	—	$418,506.00	$418,506.00	$418,506.00	2026-03-24
1614	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$390,631.15	$443,077.00	$434,034.61	2026-03-24
C9073	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	1	1	—	—	$380,460.00	$380,460.00	$380,460.00	2026-03-24
24	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$378,436.38	$429,244.97	$420,484.87	2026-03-24
Q2058	CPT	Obecbtge Autol Up To 400 Mil	14	14	—	—	$310,666.12	$636,865.55	$310,666.12	2026-03-24
5832	APR_DRG	Neonate W Ecmo	4	4	—	—	$310,304.47	$351,965.71	$344,782.74	2026-03-24
1613	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$296,007.74	$335,749.52	$328,897.49	2026-03-24
6304	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	4	—	—	$287,861.57	$326,509.65	$319,846.19	2026-03-24
J3403	CPT	Revakinagene, Per Implant	14	14	—	—	$287,498.75	$589,372.44	$287,498.75	2026-03-24
8414	APR_DRG	Extensive 3Rd Degree Burns W Skin Graft	4	4	—	—	$280,557.79	$318,225.27	$311,730.88	2026-03-24
5934	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$278,413.25	$315,792.81	$309,348.06	2026-03-24
5914	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$275,635.69	$312,642.33	$306,261.88	2026-03-24
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$271,629.67	$308,098.46	$301,810.74	2026-03-24
6314	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	4	4	—	—	$270,783.96	$307,139.22	$300,871.07	2026-03-24
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$267,687.41	$303,626.92	$297,430.45	2026-03-24
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$264,406.10	$299,905.06	$293,784.55	2026-03-24
5831	APR_DRG	Neonate W Ecmo	4	4	—	—	$251,288.73	$285,026.57	$279,209.70	2026-03-24
44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$247,483.91	$280,710.92	$274,982.12	2026-03-24
23	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$239,514.35	$271,671.37	$266,127.06	2026-03-24
14	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$237,518.72	$269,407.81	$263,909.69	2026-03-24
1612	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$237,381.28	$269,251.91	$263,756.98	2026-03-24
J3402	CPT	Inj. Remestemcel-l-rknd/ Td	14	14	—	—	$229,597.06	$470,673.97	$229,597.06	2026-03-24
1611	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$225,783.61	$256,097.15	$250,870.68	2026-03-24
6034	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	4	—	—	$208,849.98	$236,890.02	$232,055.53	2026-03-24
6024	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$200,898.49	$227,870.97	$223,220.54	2026-03-24
64	APR_DRG	Pancreas Transplant	4	4	—	—	$189,246.81	$214,654.95	$210,274.24	2026-03-24
5933	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$187,529.20	$212,706.73	$208,365.78	2026-03-24
5913	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$180,459.36	$204,687.70	$200,510.40	2026-03-24
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$178,116.94	$202,030.79	$197,907.71	2026-03-24
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$175,859.55	$199,470.33	$195,399.50	2026-03-24
22	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$172,385.17	$195,529.48	$191,539.08	2026-03-24
54	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$169,924.96	$192,738.96	$188,805.52	2026-03-24
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	25	—	—	$169,343.00	$961,710.86	$303,893.32	2026-03-24
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$163,571.61	$185,532.61	$181,746.23	2026-03-24
6074	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$156,169.72	$177,136.95	$173,521.91	2026-03-24
6303	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	4	—	—	$155,934.08	$176,869.68	$173,260.09	2026-03-24
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$154,720.39	$175,493.03	$171,911.54	2026-03-24
8424	APR_DRG	Burns With Skin Graft Except Extensive 3Rd Degree Burns	4	4	—	—	$153,138.54	$173,698.80	$170,153.93	2026-03-24
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$152,322.35	$172,773.03	$169,247.05	2026-03-24
6023	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$151,764.51	$172,140.30	$168,627.23	2026-03-24
63	APR_DRG	Pancreas Transplant	4	4	—	—	$149,824.50	$169,939.83	$166,471.67	2026-03-24
5932	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$145,808.64	$165,384.80	$162,009.60	2026-03-24
4404	APR_DRG	Kidney Transplant	4	4	—	—	$143,579.07	$162,855.89	$159,532.30	2026-03-24
21	APR_DRG	Heart &/Or Lung Transplant	4	4	—	—	$141,717.58	$160,744.48	$157,463.98	2026-03-24
13	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$135,146.64	$153,291.33	$150,162.94	2026-03-24
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$128,876.71	$146,179.61	$143,196.35	2026-03-24
8634	APR_DRG	Neonatal Aftercare	4	4	—	—	$124,397.90	$141,099.47	$138,219.89	2026-03-24
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	25	—	—	$123,530.00	$701,538.82	$231,343.32	2026-03-24
62	APR_DRG	Pancreas Transplant	4	4	—	—	$123,069.65	$139,592.89	$136,744.06	2026-03-24
53	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$120,328.11	$136,483.28	$133,697.90	2026-03-24
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$119,372.78	$135,399.68	$132,636.42	2026-03-24
1674	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	4	4	—	—	$119,151.98	$135,149.24	$132,391.09	2026-03-24
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	4	4	—	—	$118,445.25	$134,347.62	$131,605.84	2026-03-24
6022	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$117,737.00	$133,544.28	$130,818.89	2026-03-24
6073	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$117,519.42	$133,297.49	$130,577.14	2026-03-24
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$116,757.16	$132,432.89	$129,730.18	2026-03-24
6124	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$113,848.75	$129,134.00	$126,498.61	2026-03-24
12	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$112,756.06	$127,894.61	$125,284.51	2026-03-24
3044	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	4	4	—	—	$112,379.84	$127,467.88	$124,866.49	2026-03-24
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	25	25	—	—	$111,900.00	$635,487.14	$229,981.12	2026-03-24
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	17	—	—	$111,259.98	$304,857.41	$114,597.78	2026-03-24
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	18	18	—	—	$109,765.40	$300,788.48	$113,058.36	2026-03-24
5912	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$106,670.97	$120,992.54	$118,523.30	2026-03-24
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$106,494.26	$120,792.11	$118,326.96	2026-03-24
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	4	4	—	—	$105,926.68	$120,148.32	$117,696.31	2026-03-24
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$105,781.10	$119,983.19	$117,534.55	2026-03-24
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	4	4	—	—	$105,080.98	$119,189.07	$116,756.64	2026-03-24
6804	APR_DRG	Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	4	4	—	—	$103,672.52	$117,591.51	$115,191.68	2026-03-24
1623	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$103,168.68	$117,020.04	$114,631.87	2026-03-24
914	APR_DRG	Other Major Head & Neck Procedures	4	4	—	—	$102,481.72	$116,240.84	$113,868.58	2026-03-24
61	APR_DRG	Pancreas Transplant	4	4	—	—	$102,234.72	$115,960.68	$113,594.14	2026-03-24
6033	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	4	—	—	$100,847.55	$114,387.27	$112,052.83	2026-03-24
5891	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	4	4	—	—	$100,767.42	$114,296.38	$111,963.80	2026-03-24
11	APR_DRG	Liver Transplant &/Or Intestinal Transplant	4	4	—	—	$100,499.14	$113,992.08	$111,665.71	2026-03-24
Q0480	CPT	Driver Pneumatic Vad, Rep	14	14	—	—	$99,999.91	$204,999.82	$99,999.91	2026-03-24
8504	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	4	4	—	—	$98,940.27	$112,223.92	$109,933.63	2026-03-24
6134	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/Perinatal Infection	4	4	—	—	$96,499.65	$109,455.62	$107,221.84	2026-03-24
9124	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	4	4	—	—	$94,510.55	$107,199.47	$105,011.72	2026-03-24
9114	APR_DRG	Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma	4	4	—	—	$94,397.69	$107,071.46	$104,886.32	2026-03-24
1694	APR_DRG	Major Abdominal Vascular Procedures	4	4	—	—	$94,188.26	$106,833.90	$104,653.62	2026-03-24
K1007	CPT	Bil Hkaf Pc S/d Micro Sensor	14	14	—	—	$93,216.70	$191,094.24	$93,216.70	2026-03-24
6214	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	4	4	—	—	$92,513.22	$104,933.98	$102,792.47	2026-03-24
8413	APR_DRG	Extensive 3Rd Degree Burns W Skin Graft	4	4	—	—	$92,225.36	$104,607.47	$102,472.62	2026-03-24
214	APR_DRG	Craniotomy Except For Trauma	4	4	—	—	$92,204.07	$104,583.32	$102,448.97	2026-03-24
234	APR_DRG	Spinal Procedures	4	4	—	—	$91,705.17	$104,017.43	$101,894.63	2026-03-24
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	17	17	—	—	$90,821.53	$249,214.55	$93,546.18	2026-03-24
1204	APR_DRG	Major Respiratory & Chest Procedures	4	4	—	—	$90,440.68	$102,583.18	$100,489.64	2026-03-24
4403	APR_DRG	Kidney Transplant	4	4	—	—	$89,719.37	$101,765.03	$99,688.19	2026-03-24
6814	APR_DRG	Other O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	4	4	—	—	$88,840.94	$100,768.66	$98,712.16	2026-03-24
2204	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	4	4	—	—	$88,813.13	$100,737.12	$98,681.26	2026-03-24
6313	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	4	4	—	—	$88,803.29	$100,725.96	$98,670.32	2026-03-24
6904	APR_DRG	Acute Leukemia	4	4	—	—	$88,163.72	$100,000.51	$97,959.68	2026-03-24
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	4	4	—	—	$88,147.35	$99,981.95	$97,941.50	2026-03-24
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	25	—	—	$87,679.00	$497,935.47	$122,424.85	2026-03-24
850	MS_DRG	Acute Leukemia With Other Procedures	17	17	—	—	$87,264.41	$239,530.43	$89,882.34	2026-03-24
6334	APR_DRG	Neonate Birthwt >2499g W Major Anomaly	4	4	—	—	$87,057.96	$98,746.29	$96,731.06	2026-03-24
894	APR_DRG	Major Cranial/Facial Bone Procedures	4	4	—	—	$86,946.72	$98,620.12	$96,607.46	2026-03-24
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	4	4	—	—	$86,678.43	$98,315.82	$96,309.37	2026-03-24
9504	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	4	4	—	—	$86,621.21	$98,250.90	$96,245.78	2026-03-24
204	APR_DRG	Craniotomy For Trauma	4	4	—	—	$86,608.06	$98,236.00	$96,231.18	2026-03-24
1653	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$85,675.70	$97,178.45	$95,195.22	2026-03-24
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	4	4	—	—	$85,539.95	$97,024.48	$95,044.39	2026-03-24
6072	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom	4	4	—	—	$85,499.00	$96,978.03	$94,998.89	2026-03-24
4414	APR_DRG	Major Bladder Procedures	4	4	—	—	$85,291.26	$96,742.40	$94,768.07	2026-03-24
6084	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$85,289.65	$96,740.58	$94,766.28	2026-03-24
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$84,897.07	$96,295.29	$94,330.08	2026-03-24
1304	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	4	4	—	—	$84,353.98	$95,679.29	$93,726.65	2026-03-24
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$84,131.49	$95,426.92	$93,479.44	2026-03-24
6083	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$83,387.20	$94,582.70	$92,652.44	2026-03-24
6144	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	4	4	—	—	$80,815.75	$91,666.02	$89,795.28	2026-03-24
1622	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$80,606.40	$91,428.56	$89,562.67	2026-03-24
2614	APR_DRG	Major Biliary Tract Procedures	4	4	—	—	$80,195.85	$90,962.89	$89,106.50	2026-03-24
52	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$79,819.55	$90,536.06	$88,688.39	2026-03-24
1814	APR_DRG	Lower Extremity Arterial Procedures	4	4	—	—	$79,474.46	$90,144.64	$88,304.95	2026-03-24
7404	APR_DRG	Mental Illness Diagnosis W O.r. Procedure	4	4	—	—	$79,315.72	$89,964.59	$88,128.58	2026-03-24
4402	APR_DRG	Kidney Transplant	4	4	—	—	$78,882.27	$89,472.95	$87,646.97	2026-03-24
1764	APR_DRG	Cardiac Pacemaker & Defibrillator Device Replacement	4	4	—	—	$78,646.72	$89,205.77	$87,385.25	2026-03-24
4014	APR_DRG	Pituitary & Adrenal Procedures	4	4	—	—	$78,384.97	$88,908.88	$87,094.42	2026-03-24
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	4	4	—	—	$77,146.69	$87,504.35	$85,718.54	2026-03-24
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	4	—	—	$77,079.62	$87,428.27	$85,644.02	2026-03-24
3032	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$76,760.64	$87,066.47	$85,289.60	2026-03-24
6302	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	4	—	—	$76,078.59	$86,292.85	$84,531.77	2026-03-24
6954	APR_DRG	Chemotherapy For Acute Leukemia	4	4	—	—	$75,831.60	$86,012.69	$84,257.33	2026-03-24
3214	APR_DRG	Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp	4	4	—	—	$74,253.05	$84,222.20	$82,503.38	2026-03-24
5114	APR_DRG	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	4	4	—	—	$73,966.79	$83,897.52	$82,185.32	2026-03-24
924	APR_DRG	Facial Bone Procedures Except Major Cranial/Facial Bone Procedures	4	4	—	—	$73,736.07	$83,635.82	$81,928.97	2026-03-24
5892	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	4	4	—	—	$73,387.66	$83,240.64	$81,541.85	2026-03-24
3043	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	4	4	—	—	$73,117.78	$82,934.52	$81,241.98	2026-03-24
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	17	—	—	$72,624.41	$199,673.70	$74,803.14	2026-03-24
1214	APR_DRG	Other Respiratory & Chest Procedures	4	4	—	—	$72,489.65	$82,222.06	$80,544.06	2026-03-24
1673	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	4	4	—	—	$72,082.32	$81,760.04	$80,091.47	2026-03-24
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	24	24	—	—	$71,770.97	$222,180.18	$76,794.94	2026-03-24
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	18	18	—	—	$71,728.30	$197,234.00	$73,880.15	2026-03-24
6123	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$71,601.39	$81,214.54	$79,557.10	2026-03-24
1663	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	4	4	—	—	$71,455.80	$81,049.41	$79,395.34	2026-03-24
1652	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$71,264.43	$80,832.34	$79,182.70	2026-03-24
6113	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	4	4	—	—	$71,063.22	$80,604.12	$78,959.14	2026-03-24
4401	APR_DRG	Kidney Transplant	4	4	—	—	$70,729.57	$80,225.67	$78,588.41	2026-03-24
1704	APR_DRG	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	4	4	—	—	$70,235.58	$79,665.35	$78,039.53	2026-03-24
1621	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$69,995.11	$79,392.61	$77,772.35	2026-03-24
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	25	25	—	—	$69,829.00	$418,241.72	$149,816.76	2026-03-24
2644	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	4	4	—	—	$69,584.46	$78,926.82	$77,316.07	2026-03-24
6133	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/Perinatal Infection	4	4	—	—	$69,236.07	$78,531.65	$76,928.96	2026-03-24
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	1	1	—	—	$69,162.84	$69,162.84	$69,162.84	2026-03-24
4054	APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	4	4	—	—	$68,845.10	$78,088.19	$76,494.55	2026-03-24
4044	APR_DRG	Thyroid, Parathyroid & Thyroglossal Procedures	4	4	—	—	$68,591.57	$77,800.62	$76,212.85	2026-03-24
7104	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	4	4	—	—	$68,493.47	$77,689.35	$76,103.86	2026-03-24
5124	APR_DRG	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	4	4	—	—	$68,462.34	$77,654.05	$76,069.27	2026-03-24
6514	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	4	4	—	—	$68,274.20	$77,440.64	$75,860.22	2026-03-24
1824	APR_DRG	Other Peripheral Vascular Procedures	4	4	—	—	$67,983.12	$77,110.48	$75,536.80	2026-03-24
7	MS_DRG	Lung Transplant	25	25	—	—	$67,823.00	$385,173.96	$140,019.34	2026-03-24
1754	APR_DRG	Percutaneous Coronary Intervention Without Ami	4	4	—	—	$67,701.69	$76,791.27	$75,224.10	2026-03-24
1632	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$67,700.08	$76,789.44	$75,222.31	2026-03-24
L8702	CPT	Ewhf S/d Uprt Micro Sensor	14	14	—	—	$67,452.66	$138,277.95	$67,452.66	2026-03-24
51	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$67,369.65	$76,414.65	$74,855.17	2026-03-24
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	17	17	—	—	$67,218.14	$184,955.28	$69,234.68	2026-03-24
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	17	17	—	—	$67,168.36	$184,819.74	$69,183.41	2026-03-24
4034	APR_DRG	Procedures For Obesity	4	4	—	—	$67,065.43	$76,069.58	$74,517.14	2026-03-24
264	APR_DRG	Other Nervous System & Related Procedures	4	4	—	—	$66,888.72	$75,869.15	$74,320.80	2026-03-24
6092	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$66,340.72	$75,247.57	$73,711.91	2026-03-24
8633	APR_DRG	Neonatal Aftercare	4	4	—	—	$66,250.75	$75,145.53	$73,611.95	2026-03-24
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	4	4	—	—	$66,046.33	$74,913.66	$73,384.81	2026-03-24
J9029	CPT	Instill Adstiladrin, Tx Dose	15	15	—	—	$65,901.83	$144,979.40	$70,721.66	2026-03-24
6504	APR_DRG	Splenectomy	4	4	—	—	$65,851.65	$74,692.84	$73,168.50	2026-03-24
4474	APR_DRG	Other Kidney, Urinary Tract & Related Procedures	4	4	—	—	$65,619.41	$74,429.42	$72,910.45	2026-03-24
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	4	4	—	—	$65,584.98	$74,390.37	$72,872.20	2026-03-24
4424	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	4	4	—	—	$65,347.82	$74,121.37	$72,608.69	2026-03-24
224	APR_DRG	Ventricular Shunt Procedures	4	4	—	—	$64,886.56	$73,598.18	$72,096.18	2026-03-24
1303	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	4	4	—	—	$64,526.71	$73,190.01	$71,696.34	2026-03-24
3031	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$64,493.98	$73,152.90	$71,659.98	2026-03-24
244	APR_DRG	Extracranial Vascular Procedures	4	4	—	—	$64,150.40	$72,763.19	$71,278.22	2026-03-24
3094	APR_DRG	Other Significant Hip & Femur Surgery	4	4	—	—	$64,124.29	$72,733.57	$71,249.21	2026-03-24
913	APR_DRG	Other Major Head & Neck Procedures	4	4	—	—	$63,918.17	$72,499.78	$71,020.19	2026-03-24
6224	APR_DRG	Neonate Bwt 2000-2499g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$63,761.14	$72,321.66	$70,845.71	2026-03-24
3134	APR_DRG	Knee & Lower Leg Procedures Except Foot	4	4	—	—	$63,618.77	$72,160.18	$70,687.52	2026-03-24
2294	APR_DRG	Other Digestive System & Abdominal Procedures	4	4	—	—	$63,391.44	$71,902.33	$70,434.94	2026-03-24
9514	APR_DRG	Moderately Extensive Procedure Unrelated To Principal Diagnosis	4	4	—	—	$63,370.17	$71,878.20	$70,411.30	2026-03-24
4804	APR_DRG	Major Male Pelvic Procedures	4	4	—	—	$63,008.70	$71,468.20	$70,009.67	2026-03-24
A9543	CPT	Y90 Ibritumomab, Rx	15	15	—	—	$63,005.77	$130,061.45	$63,444.61	2026-03-24
6143	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	4	4	—	—	$62,668.44	$71,082.25	$69,631.60	2026-03-24
14	MS_DRG	Allogeneic Bone Marrow Transplant	25	25	—	—	$62,534.00	$355,138.37	$129,883.81	2026-03-24
7114	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	4	4	—	—	$62,460.70	$70,846.63	$69,400.78	2026-03-24
2244	APR_DRG	Peritoneal Adhesiolysis	4	4	—	—	$62,120.43	$70,460.68	$69,022.70	2026-03-24
J9029	HCPCS	Instill Adstiladrin, Tx Dose	6	6	—	—	$62,118.00	$63,431.05	$63,431.05	2026-03-24
215	MS_DRG	Other Heart Assist System Implant	25	25	—	—	$61,840.00	$351,193.50	$107,478.72	2026-03-24
5893	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	4	4	—	—	$61,628.05	$69,902.19	$68,475.61	2026-03-24
3104	APR_DRG	Intervertebral Disc Excision & Decompression	4	4	—	—	$61,376.14	$69,616.46	$68,195.71	2026-03-24
1651	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$61,372.92	$69,612.81	$68,192.14	2026-03-24
6254	APR_DRG	Neonate Bwt 2000-2499g W Other Significant Condition	4	4	—	—	$61,291.09	$69,519.99	$68,101.21	2026-03-24
893	APR_DRG	Major Cranial/Facial Bone Procedures	4	4	—	—	$61,263.28	$69,488.44	$68,070.31	2026-03-24
6234	APR_DRG	Neonate Bwt 2000-2499g W Congenital/Perinatal Infection	4	4	—	—	$61,022.82	$69,215.70	$67,803.13	2026-03-24
1744	APR_DRG	Percutaneous Coronary Intervention W Ami	4	4	—	—	$60,837.98	$69,006.04	$67,597.75	2026-03-24
1631	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$60,597.50	$68,733.28	$67,330.56	2026-03-24
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	25	25	—	—	$60,543.00	$343,829.29	$84,776.80	2026-03-24
1662	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	4	4	—	—	$60,458.45	$68,575.56	$67,176.06	2026-03-24
5194	APR_DRG	Uterine & Adnexa Procedures For Leiomyoma	4	4	—	—	$60,384.85	$68,492.08	$67,094.28	2026-03-24
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	18	18	—	—	$60,310.17	$166,148.56	$62,119.48	2026-03-24
6091	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$60,178.72	$68,258.27	$66,865.25	2026-03-24
Q2043	CPT	Sipuleucel-t Auto Cd54+	15	15	—	—	$60,161.89	$126,508.68	$61,711.55	2026-03-24
4844	APR_DRG	Other Male Reproductive System & Related Procedures	4	4	—	—	$60,060.95	$68,124.69	$66,734.39	2026-03-24
5184	APR_DRG	Other Female Reproductive System & Related Procedures	4	4	—	—	$60,038.05	$68,098.72	$66,708.95	2026-03-24
1693	APR_DRG	Major Abdominal Vascular Procedures	4	4	—	—	$59,993.88	$68,048.62	$66,659.87	2026-03-24
6082	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$59,964.46	$68,015.25	$66,627.18	2026-03-24
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	25	25	—	—	$59,946.00	$347,749.76	$111,321.78	2026-03-24
3154	APR_DRG	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	4	4	—	—	$59,786.14	$67,812.99	$66,429.05	2026-03-24
3054	APR_DRG	Amputation Of Lower Limb Except Toes	4	4	—	—	$59,501.60	$67,490.24	$66,112.88	2026-03-24
2224	APR_DRG	Other Stomach, Esophageal & Duodenal Procedures	4	4	—	—	$59,189.14	$67,135.83	$65,765.71	2026-03-24
3204	APR_DRG	Other Musculoskeletal System & Connective Tissue Procedures	4	4	—	—	$59,107.31	$67,043.01	$65,674.79	2026-03-24
984	APR_DRG	Other Ear, Nose, Mouth & Throat Procedures	4	4	—	—	$59,051.69	$66,979.93	$65,612.99	2026-03-24
9524	APR_DRG	Nonextensive Procedure Unrelated To Principal Diagnosis	4	4	—	—	$59,027.18	$66,952.13	$65,585.76	2026-03-24
1714	APR_DRG	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	4	4	—	—	$58,932.31	$66,844.51	$65,480.34	2026-03-24
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	25	—	—	$58,800.00	$333,927.20	$105,584.88	2026-03-24
3224	APR_DRG	Shoulder & Elbow Joint Replacement	4	4	—	—	$58,773.66	$66,664.57	$65,304.07	2026-03-24
213	APR_DRG	Craniotomy Except For Trauma	4	4	—	—	$58,752.38	$66,640.43	$65,280.42	2026-03-24
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral & Umbilical	4	4	—	—	$58,646.05	$66,519.83	$65,162.28	2026-03-24
2234	APR_DRG	Other Small & Large Bowel Procedures	4	4	—	—	$58,441.53	$66,287.85	$64,935.04	2026-03-24
233	APR_DRG	Spinal Procedures	4	4	—	—	$58,047.34	$65,840.74	$64,497.05	2026-03-24
7524	APR_DRG	Disorders Of Personality & Impulse Control	4	4	—	—	$57,872.34	$65,642.24	$64,302.60	2026-03-24
7594	APR_DRG	Eating Disorders	4	4	—	—	$57,546.83	$65,273.02	$63,940.92	2026-03-24
3634	APR_DRG	Breast Procedures Except Mastectomy	4	4	—	—	$56,897.41	$64,536.42	$63,219.35	2026-03-24
3624	APR_DRG	Mastectomy Procedures	4	4	—	—	$56,825.43	$64,454.77	$63,139.37	2026-03-24
504	APR_DRG	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	4	4	—	—	$56,797.61	$64,423.22	$63,108.46	2026-03-24
6344	APR_DRG	Neonate, Birthwt >2499g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$56,468.79	$64,050.25	$62,743.10	2026-03-24
1804	APR_DRG	Other Circulatory System Procedures	4	4	—	—	$56,342.89	$63,907.44	$62,603.21	2026-03-24
6122	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond	4	4	—	—	$56,107.34	$63,640.27	$62,341.49	2026-03-24
8423	APR_DRG	Burns With Skin Graft Except Extensive 3Rd Degree Burns	4	4	—	—	$54,653.09	$61,990.77	$60,725.65	2026-03-24
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	7	7	—	—	$53,814.00	$305,611.26	$292,986.94	2026-03-24
231	MS_DRG	Coronary Bypass With Ptca With Mcc	25	25	—	—	$51,048.00	$289,908.27	$90,876.81	2026-03-24
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	25	—	—	$50,370.00	$286,053.20	$90,588.74	2026-03-24
90288	CPT	Botulism Ig IV	2	2	—	—	$48,705.00	$118,840.20	$83,772.60	2026-03-24
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	25	—	—	$47,193.00	$268,011.89	$82,705.79	2026-03-24
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	7	7	—	—	$46,568.00	$264,466.16	$253,541.49	2026-03-24
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	25	25	—	—	$46,400.00	$263,511.54	$82,345.95	2026-03-24
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	7	7	—	—	$44,039.00	$250,100.30	$239,769.06	2026-03-24
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	25	—	—	$43,464.00	$246,833.98	$82,070.88	2026-03-24
J7330	HCPCS	Membrane Collagon Maci X1	44	29	$308,587.58	$308,587.58	$42,276.50	$216,011.31	$98,748.02	2026-03-24
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	25	25	—	—	$41,279.00	$234,427.25	$65,856.02	2026-03-24
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	25	25	—	—	$40,784.00	$231,613.28	$74,004.23	2026-03-24
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	25	25	—	—	$39,454.00	$224,062.81	$63,695.85	2026-03-24
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	7	7	—	—	$39,438.00	$223,969.68	$214,717.85	2026-03-24
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	7	7	—	—	$38,451.00	$218,365.03	$209,344.72	2026-03-24
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	25	—	—	$38,255.00	$217,254.08	$77,209.15	2026-03-24
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	25	—	—	$38,046.00	$216,066.63	$64,058.97	2026-03-24
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	25	—	—	$37,973.00	$215,654.18	$70,714.52	2026-03-24
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	25	25	—	—	$37,713.00	$214,174.02	$74,372.76	2026-03-24
955	MS_DRG	Craniotomy For Multiple Significant Trauma	25	25	—	—	$36,836.00	$209,194.70	$72,408.27	2026-03-24
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	25	—	—	$35,782.00	$203,207.54	$70,714.52	2026-03-24
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	25	25	—	—	$35,751.00	$203,034.57	$63,031.60	2026-03-24
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	7	7	—	—	$35,687.00	$202,668.69	$194,296.77	2026-03-24
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	25	25	—	—	$34,871.00	$198,035.30	$65,140.68	2026-03-24
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	25	25	—	—	$34,274.00	$221,624.14	$65,778.84	2026-03-24
28	MS_DRG	Spinal Procedures With Mcc	25	25	—	—	$34,106.00	$193,687.95	$64,550.37	2026-03-24
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	7	7	—	—	$33,962.00	$192,873.03	$184,905.76	2026-03-24
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	25	25	—	—	$33,596.00	$200,952.92	$69,185.98	2026-03-24
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	25	25	—	—	$33,336.00	$189,317.33	$62,990.29	2026-03-24
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	25	25	—	—	$33,220.00	$188,658.74	$61,528.08	2026-03-24
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	7	7	—	—	$32,903.00	$186,859.26	$179,140.41	2026-03-24
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	25	25	—	—	$32,442.00	$184,241.54	$70,454.65	2026-03-24
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	25	25	—	—	$31,453.00	$178,626.92	$61,193.23	2026-03-24
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	7	7	—	—	$30,527.00	$173,364.87	$166,203.44	2026-03-24
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	7	7	—	—	$28,004.00	$159,035.60	$152,466.09	2026-03-24
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	7	7	—	—	$23,022.00	$130,742.94	$125,342.16	2026-03-24
10	MS_DRG	Pancreas Transplant	25	25	—	—	$21,202.00	$147,986.51	$76,240.97	2026-03-24
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	7	7	—	—	$18,521.00	$105,181.10	$100,836.23	2026-03-24
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	7	7	—	—	$18,299.00	$103,920.47	$99,627.68	2026-03-24
338	MS_DRG	Appendectomy With Complicated Principal Diagnosis With Mcc	7	7	—	—	$16,384.00	$93,043.79	$89,200.30	2026-03-24
341	MS_DRG	Appendectomy Without Complicated Principal Diagnosis With Mcc	7	7	—	—	$13,602.00	$77,247.67	$74,056.69	2026-03-24
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	7	7	—	—	$11,557.00	$65,632.58	$62,921.40	2026-03-24
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	23	23	—	—	$4,795.00	$188,665.39	$61,459.11	2026-03-24
38240	CPT	Transplt Allo Hct/donor	16	16	—	—	$314.43	$135,366.44	$66,032.41	2026-03-24

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