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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

JEFFERSON STRATFORD HOSPITAL

Stratford, NJ · CCN 310086 · Rates published

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You selected 93458 (CPT)

7-CATHETER PLACEMENT IN CORONARY ARTERY S FOR CORONARY ANGIOGRAPHY INCLUDING INTRAPROCEDURAL INJECTION S FOR CORONARY ANGIOGRAPHY IMAGING SUPERVIS

This hospital’s price: $8,449 across 8 payers · range $377-$11,654

Source: https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/221773439_jefferson-cherry-hill-hospital_standardcharges.csv · observed 2026-09-15

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.

22,321 distinct procedures filed
63 distinct payers
1,257,082 rate rows
2026-09-15 last MRF observed
Data quality

1,239,663 of 1,257,082 rate rows are consumer-grade (98.6%)

17,419 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 13,561
per-diem day rate — not a per-procedure price 2,026
placeholder amount (≤ $0.02) — excluded from medians 1,596
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 163
template filing: same amount across many unrelated codes — excluded 73
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/221773439_jefferson-stratford-hospital_standardcharges.csv
Found on page https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-23
Content fingerprint 7f76dbe5d1509ea5… · 228,148,916 bytes · first seen 2026-09-23

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
J3391
HCPCS 		Injection Atidarsagene Autotemcel Per Treatment-1 Dose 1 $4,233,000.00 $4,233,000.00 $4,233,000.00 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose-1 Dose 2 $3,486,000.00 $3,710,000.00 $3,486,000.00 nat. median
$3,508,750
1.0× median
J1411
HCPCS 		Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose-1 Dose 2 $3,486,000.00 $3,710,000.00 $3,486,000.00 nat. median
$3,685,267
0.9× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 2 $3,187,200.00 $3,321,781.51 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3389
HCPCS 		Topical Administration Prademagene Zamikeracel Per Treatment-1 Ea 1 $3,134,412.00 $3,134,412.00 $3,134,412.00 nat. median
$3,335,820
0.9× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 2 $3,087,600.00 $3,193,000.00 $3,087,600.00 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Injection Elivaldogene Autotemcel Per Treatment-1 Ea 1 $2,988,000.00 $2,988,000.00 $2,988,000.00 nat. median
$3,180,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment-1 Dose 2 $2,788,800.00 $2,968,000.00 $2,788,800.00 nat. median
$2,968,000
0.9× median
C9309
HCPCS 		Injection Onasemnogene Abeparvovec-brve Per Treatment-1 Ea 1 $2,576,283.18 $2,576,283.18 $2,576,283.18 nat. median
$2,664,229
1.0× median
J3399
HCPCS 		Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Ge… 2 $2,403,458.75 $2,576,283.18 $2,576,283.18 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment-1 Ea 2 $2,191,200.00 $2,332,000.00 $2,191,200.00 nat. median
$2,332,000
0.9× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 31 $770,620.00 $3,316,917.05 $830,246.72 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 33 $312,500.00 $2,492,649.67 $623,927.03 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 33 $310,000.00 $2,396,009.35 $599,737.31 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 33 $328,240.00 $2,361,750.25 $591,162.03 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 33 $335,600.00 $2,314,509.45 $579,337.34 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 33 $245,394.70 $2,292,191.13 $573,750.91 nat. median
$562,501
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells… 2 $522,900.00 $536,999.40 $522,900.00 nat. median
$286,598
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 33 $484,598.72 $2,078,673.47 $520,306.00 nat. median
$513,770
1.0× median
5834
APR_DRG 		Neonate W Ecmo 4 $477,928.77 $533,504.87 $482,708.06 nat. median
$390,362
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $393,698.00 $1,182,145.43 $430,958.42 nat. median
$168,055
outlier · 2.6×
5833
APR_DRG 		Neonate W Ecmo 4 $322,592.63 $424,538.94 $416,214.65 nat. median
$268,208
1.6× median
453
MS_DRG 		Combined Anterior-posterior Spinal Fusion W Mcc 1 $368,168.17 $368,168.17 $368,168.17 nat. median
$2,106
outlier · 174.9×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $356,473.37 $363,602.83 $356,597.42 nat. median
$286,698
1.2× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $268,745.25 $335,371.64 $328,795.72 nat. median
$202,242
1.6× median
24
APR_DRG 		Heart &-or Lung Transplant 4 $318,531.87 $375,860.02 $321,717.18 nat. median
$225,531
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $255,494.00 $794,677.52 $281,135.76 nat. median
$186,516
1.5× median
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 1 $276,368.28 $276,368.28 $276,368.28 nat. median
$2,024
outlier · 136.6×
5832
APR_DRG 		Neonate W Ecmo 4 $247,691.91 $266,408.63 $261,184.93 nat. median
$201,678
1.3× median
454
MS_DRG 		Combined Anterior-posterior Spinal Fusion W Cc 1 $251,394.92 $251,394.92 $251,394.92 nat. median
$2,106
outlier · 119.4×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $247,431.54 $335,756.49 $249,905.86 nat. median
$135,803
1.8× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $189,400.18 $254,133.73 $249,150.71 nat. median
$155,539
1.6× median
J3403
HCPCS 		Revakinagene Per implant__PER Implant 1 $249,000.00 $249,000.00 $249,000.00 nat. median
$264,195
0.9× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $220,365.90 $247,140.23 $242,294.34 nat. median
$187,567
1.3× median
224
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 1 $242,066.35 $242,066.35 $242,066.35 nat. median
$2,024
outlier · 119.6×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 4 $236,147.02 $248,433.58 $238,508.49 nat. median
$173,018
1.4× median
5934
APR_DRG 		Neonate Birthwt 750-999g W-o Major Procedure 4 $214,876.26 $239,028.88 $234,342.04 nat. median
$168,439
1.4× median
5914
APR_DRG 		Neonate Birthwt 500-749g W-o Major Procedure 4 $231,119.58 $236,644.22 $232,004.14 nat. median
$171,497
1.4× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $227,919.97 $245,247.89 $230,199.17 nat. median
$181,762
1.3× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $198,251.29 $233,204.67 $228,632.03 nat. median
$173,134
1.3× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $225,313.36 $262,523.34 $227,566.49 nat. median
$198,578
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $186,373.36 $227,002.73 $222,551.70 nat. median
$152,383
1.5× median
226
MS_DRG 		Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 1 $219,732.33 $219,732.33 $219,732.33 nat. median
$2,024
outlier · 108.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $212,233.64 $258,690.00 $214,355.98 nat. median
$152,792
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $194,653.00 $515,748.28 $214,188.22 nat. median
$131,925
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical W Mcc 1 $213,663.74 $213,663.74 $213,663.74 nat. median
$2,106
outlier · 101.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 31 $193,510.00 $552,846.27 $212,931.21 nat. median
$145,435
1.5× median
5831
APR_DRG 		Neonate W Ecmo 4 $211,295.77 $215,741.27 $211,511.05 nat. median
$173,909
1.2× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $194,082.36 $212,474.46 $208,308.30 nat. median
$135,630
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $206,218.04 $218,954.95 $208,280.22 nat. median
$149,836
1.4× median

Other procedures at this hospital

Browse this hospital's 22,321 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
             
J3391 HCPCS Injection Atidarsagene Autotemcel Per Treatment-1 Dose 3 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-09-15
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose-1 Dose 4 2 — — $3,486,000.00 $3,710,000.00 $3,486,000.00 2026-09-15
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose-1 Dose 4 2 — — $3,486,000.00 $3,710,000.00 $3,486,000.00 2026-09-15
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 4 2 — — $3,187,200.00 $3,321,781.51 $3,187,200.00 2026-09-15
J3389 HCPCS Topical Administration Prademagene Zamikeracel Per Treatment-1 Ea 3 1 — — $3,134,412.00 $3,134,412.00 $3,134,412.00 2026-09-15
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 4 2 — — $3,087,600.00 $3,193,000.00 $3,087,600.00 2026-09-15
J3387 HCPCS Injection Elivaldogene Autotemcel Per Treatment-1 Ea 3 1 — — $2,988,000.00 $2,988,000.00 $2,988,000.00 2026-09-15
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment-1 Dose 4 2 — — $2,788,800.00 $2,968,000.00 $2,788,800.00 2026-09-15
C9309 HCPCS Injection Onasemnogene Abeparvovec-brve Per Treatment-1 Ea 3 1 — — $2,576,283.18 $2,576,283.18 $2,576,283.18 2026-09-15
J3399 HCPCS Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Ge… 4 2 — — $2,403,458.75 $2,576,283.18 $2,576,283.18 2026-09-15
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment-1 Ea 4 2 — — $2,191,200.00 $2,332,000.00 $2,191,200.00 2026-09-15
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 40 31 — — $770,620.00 $3,316,917.05 $830,246.72 2026-09-15
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 43 33 — — $312,500.00 $2,492,649.67 $623,927.03 2026-09-15
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 43 33 — — $310,000.00 $2,396,009.35 $599,737.31 2026-09-15
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 43 33 — — $328,240.00 $2,361,750.25 $591,162.03 2026-09-15
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 43 33 — — $335,600.00 $2,314,509.45 $579,337.34 2026-09-15
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 43 33 — — $245,394.70 $2,292,191.13 $573,750.91 2026-09-15
Q2058 HCPCS Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells … 4 2 — — $522,900.00 $536,999.40 $522,900.00 2026-09-15
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 43 33 — — $484,598.72 $2,078,673.47 $520,306.00 2026-09-15
5834 APR_DRG Neonate W Ecmo 4 4 — — $477,928.77 $533,504.87 $482,708.06 2026-09-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 30 — — $393,698.00 $1,182,145.43 $430,958.42 2026-09-15
5833 APR_DRG Neonate W Ecmo 4 4 — — $322,592.63 $424,538.94 $416,214.65 2026-09-15
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 1 1 — — $368,168.17 $368,168.17 $368,168.17 2026-09-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $356,473.37 $363,602.83 $356,597.42 2026-09-15
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $268,745.25 $335,371.64 $328,795.72 2026-09-15
24 APR_DRG Heart &-or Lung Transplant 4 4 — — $318,531.87 $375,860.02 $321,717.18 2026-09-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 39 31 — — $255,494.00 $794,677.52 $281,135.76 2026-09-15
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 1 1 — — $276,368.28 $276,368.28 $276,368.28 2026-09-15
5832 APR_DRG Neonate W Ecmo 4 4 — — $247,691.91 $266,408.63 $261,184.93 2026-09-15
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 1 1 — — $251,394.92 $251,394.92 $251,394.92 2026-09-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $247,431.54 $335,756.49 $249,905.86 2026-09-15
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $189,400.18 $254,133.73 $249,150.71 2026-09-15
J3403 HCPCS Revakinagene Per implant__PER Implant 3 1 — — $249,000.00 $249,000.00 $249,000.00 2026-09-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $220,365.90 $247,140.23 $242,294.34 2026-09-15
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 1 1 — — $242,066.35 $242,066.35 $242,066.35 2026-09-15
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $236,147.02 $248,433.58 $238,508.49 2026-09-15
5934 APR_DRG Neonate Birthwt 750-999g W-o Major Procedure 4 4 — — $214,876.26 $239,028.88 $234,342.04 2026-09-15
5914 APR_DRG Neonate Birthwt 500-749g W-o Major Procedure 4 4 — — $231,119.58 $236,644.22 $232,004.14 2026-09-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $227,919.97 $245,247.89 $230,199.17 2026-09-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $198,251.29 $233,204.67 $228,632.03 2026-09-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $225,313.36 $262,523.34 $227,566.49 2026-09-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $186,373.36 $227,002.73 $222,551.70 2026-09-15
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 1 1 — — $219,732.33 $219,732.33 $219,732.33 2026-09-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $212,233.64 $258,690.00 $214,355.98 2026-09-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 31 — — $194,653.00 $515,748.28 $214,188.22 2026-09-15
459 MS_DRG Spinal Fusion Except Cervical W Mcc 1 1 — — $213,663.74 $213,663.74 $213,663.74 2026-09-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 39 31 — — $193,510.00 $552,846.27 $212,931.21 2026-09-15
5831 APR_DRG Neonate W Ecmo 4 4 — — $211,295.77 $215,741.27 $211,511.05 2026-09-15
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $194,082.36 $212,474.46 $208,308.30 2026-09-15
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $206,218.04 $218,954.95 $208,280.22 2026-09-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 39 30 — — $193,476.77 $829,913.53 $207,732.96 2026-09-15
23 APR_DRG Heart &-or Lung Transplant 4 4 — — $183,244.07 $205,632.21 $201,600.21 2026-09-15
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 1 1 — — $201,419.99 $201,419.99 $201,419.99 2026-09-15
14 APR_DRG Liver Transplant &-or Intestinal Transplant 4 4 — — $197,112.94 $203,919.35 $199,920.93 2026-09-15
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $143,841.79 $203,801.11 $199,805.01 2026-09-15
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 1 1 — — $197,109.92 $197,109.92 $197,109.92 2026-09-15
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $139,361.71 $193,844.07 $190,043.21 2026-09-15
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 1 1 — — $185,587.13 $185,587.13 $185,587.13 2026-09-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or W-o Other Significant Condition 4 4 — — $116,608.84 $179,305.82 $175,790.02 2026-09-15
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 1 1 — — $173,647.44 $173,647.44 $173,647.44 2026-09-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd-oth Maj Resp Or Maj Anom 4 4 — — $158,018.04 $172,478.93 $169,096.99 2026-09-15
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $159,745.49 $159,745.49 $159,745.49 2026-09-15
64 APR_DRG Pancreas Transplant 4 4 — — $114,663.02 $162,475.82 $159,290.02 2026-09-15
5933 APR_DRG Neonate Birthwt 750-999g W-o Major Procedure 4 4 — — $146,230.35 $161,000.96 $157,844.08 2026-09-15
5913 APR_DRG Neonate Birthwt 500-749g W-o Major Procedure 4 4 — — $151,893.21 $168,125.94 $153,412.14 2026-09-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $149,921.88 $157,321.49 $151,421.10 2026-09-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $148,022.06 $174,494.49 $149,502.28 2026-09-15
22 APR_DRG Heart &-or Lung Transplant 4 4 — — $131,308.67 $147,998.99 $145,097.05 2026-09-15
54 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 4 4 — — $132,669.80 $145,886.89 $143,026.37 2026-09-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 39 31 — — $126,283.00 $342,574.16 $138,957.24 2026-09-15
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $121,733.76 $140,432.75 $137,679.16 2026-09-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $132,952.19 $258,700.34 $134,281.71 2026-09-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd-oth Maj Resp Or Maj Anom 4 4 — — $111,277.12 $134,078.02 $131,449.04 2026-09-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $123,535.75 $133,875.33 $131,250.33 2026-09-15
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $99,992.33 $132,833.49 $130,228.91 2026-09-15
7 MS_DRG Lung Transplant 38 30 — — $118,067.00 $594,880.00 $129,241.21 2026-09-15
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 4 4 — — $127,352.18 $131,475.33 $128,897.38 2026-09-15
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $98,571.98 $130,774.36 $128,210.16 2026-09-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd-oth Maj Resp Or Maj Anom 4 4 — — $118,799.06 $130,296.05 $127,741.23 2026-09-15
63 APR_DRG Pancreas Transplant 4 4 — — $93,725.30 $128,630.02 $126,107.86 2026-09-15
460 MS_DRG Spinal Fusion Except Cervical W-o Mcc 1 1 — — $126,076.75 $126,076.75 $126,076.75 2026-09-15
5932 APR_DRG Neonate Birthwt 750-999g W-o Major Procedure 4 4 — — $113,132.69 $125,182.02 $122,727.47 2026-09-15
4404 APR_DRG Kidney Transplant 4 4 — — $93,042.86 $123,268.00 $120,850.98 2026-09-15
14 MS_DRG Allogeneic Bone Marrow Transplant 39 31 — — $109,567.00 $409,471.00 $120,563.57 2026-09-15
21 APR_DRG Heart &-or Lung Transplant 4 4 — — $119,284.61 $122,640.87 $120,477.46 2026-09-15
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $118,210.50 $124,900.64 $119,392.61 2026-09-15
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 1 1 — — $114,942.65 $114,942.65 $114,942.65 2026-09-15
8514 APR_DRG Gender Related Procedures 4 4 — — $113,476.75 $118,373.23 $114,611.52 2026-09-15
J3404 HCPCS Injection Zopapogene Imadenovec-drba Suspension Per Therapeutic Dose-1 Dose 3 1 — — $114,540.00 $114,540.00 $114,540.00 2026-09-15
13 APR_DRG Liver Transplant &-or Intestinal Transplant 4 4 — — $92,622.67 $116,028.82 $113,753.75 2026-09-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 31 — — $103,312.00 $478,772.53 $113,680.62 2026-09-15
209 MS_DRG Complex Aortic Arch Procedures 38 30 — — $103,193.00 $271,164.00 $112,960.10 2026-09-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 31 — — $100,480.00 $328,361.89 $110,564.68 2026-09-15
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 31 27 — — $102,831.00 $441,092.00 $110,408.00 2026-09-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 39 31 — — $99,139.20 $341,480.19 $109,088.97 2026-09-15
1634 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 4 4 — — $88,015.70 $110,645.31 $108,475.79 2026-09-15
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $107,024.65 $107,024.65 $107,024.65 2026-09-15
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 1 1 — — $105,247.33 $105,247.33 $105,247.33 2026-09-15
8634 APR_DRG Neonatal Aftercare 4 4 — — $104,706.26 $106,800.38 $104,708.24 2026-09-15
1784 APR_DRG External Heart Assist Systems 4 4 — — $84,748.23 $106,312.86 $104,228.29 2026-09-15
62 APR_DRG Pancreas Transplant 4 4 — — $77,674.68 $105,660.26 $103,588.49 2026-09-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 31 — — $94,000.80 $465,088.00 $103,434.94 2026-09-15
53 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 4 4 — — $88,164.22 $103,306.32 $101,280.70 2026-09-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $99,696.27 $104,327.64 $100,693.23 2026-09-15
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $76,619.99 $102,486.35 $100,476.82 2026-09-15
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $78,215.18 $102,296.72 $100,290.90 2026-09-15
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $95,624.12 $102,101.71 $100,099.71 2026-09-15
215 MS_DRG Other Heart Assist System Implant 39 31 — — $90,778.00 $463,262.53 $99,888.62 2026-09-15
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 1 1 — — $99,774.32 $99,774.32 $99,774.32 2026-09-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd-oth Maj Resp Or Maj Anom 4 4 — — $91,912.97 $101,082.13 $99,100.12 2026-09-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd-oth Maj Resp Or Maj Anom 4 4 — — $87,298.47 $100,894.79 $98,916.46 2026-09-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $85,251.14 $100,240.66 $98,275.16 2026-09-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 31 — — $89,189.80 $297,163.21 $98,141.05 2026-09-15
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 1 1 — — $97,852.81 $97,852.81 $97,852.81 2026-09-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $96,109.64 $145,344.86 $97,070.74 2026-09-15
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 32 28 — — $51,888.20 $387,455.00 $96,982.70 2026-09-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $94,967.78 $219,513.31 $95,917.46 2026-09-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd-oth Maj Resp Cond 4 4 — — $92,861.44 $97,743.92 $95,827.37 2026-09-15
12 APR_DRG Liver Transplant &-or Intestinal Transplant 4 4 — — $72,805.44 $96,805.72 $94,907.57 2026-09-15
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $69,941.24 $96,482.49 $94,590.68 2026-09-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $72,257.42 $95,044.49 $93,180.87 2026-09-15
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $85,388.38 $94,975.39 $93,113.12 2026-09-15
248 MS_DRG Percutaneous Cardiovascular Procedures W Non-drug-eluting Stent W Mcc Or 4+ Arte… 1 1 — — $92,404.87 $92,404.87 $92,404.87 2026-09-15
5912 APR_DRG Neonate Birthwt 500-749g W-o Major Procedure 4 4 — — $89,785.42 $129,663.66 $90,683.27 2026-09-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 39 31 — — $82,140.50 $261,444.45 $90,384.31 2026-09-15
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $76,643.49 $91,429.12 $89,636.39 2026-09-15
1794 APR_DRG Defibrillator Implants 4 4 — — $64,520.22 $91,078.25 $89,292.40 2026-09-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $72,199.14 $90,942.36 $89,159.18 2026-09-15
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $63,790.77 $90,817.21 $89,036.49 2026-09-15
1664 APR_DRG Coronary Bypass W-o Ami Or Complex Pdx 4 4 — — $66,465.09 $90,216.06 $88,447.12 2026-09-15
6804 APR_DRG Major O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 4 4 — — $72,273.40 $89,006.84 $87,261.61 2026-09-15
850 MS_DRG Acute Leukemia With Other Procedures 39 31 — — $78,948.70 $288,756.22 $86,872.10 2026-09-15
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $67,703.08 $88,574.60 $86,837.84 2026-09-15
914 APR_DRG Other Major Head & Neck Procedures 4 4 — — $65,317.34 $87,984.19 $86,259.01 2026-09-15
61 APR_DRG Pancreas Transplant 4 4 — — $56,123.13 $87,772.29 $86,051.27 2026-09-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $85,881.88 $85,881.88 $85,881.88 2026-09-15
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $84,816.08 $164,358.39 $85,664.24 2026-09-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or W-o Other Significant Condition 4 4 — — $71,465.93 $86,581.50 $84,883.82 2026-09-15
11 APR_DRG Liver Transplant &-or Intestinal Transplant 4 4 — — $68,001.06 $86,282.07 $84,590.27 2026-09-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 39 31 — — $76,855.40 $244,994.07 $84,568.76 2026-09-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 39 31 — — $76,613.80 $300,517.24 $84,302.91 2026-09-15
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 4 4 — — $81,072.81 $84,943.87 $83,278.31 2026-09-15
81200013 CDM Hc Herat/lung Procurement 24 19 $140,000.00 — $21,434.00 $126,000.00 $83,160.00 2026-09-15
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital-perinatal Infection 4 4 — — $81,224.18 $103,287.06 $82,036.42 2026-09-15
90288 CPT Botulism Ig IV 3 2 — — $13.00 $98,371.35 $81,877.95 2026-09-15
1783 APR_DRG External Heart Assist Systems 4 4 — — $65,248.72 $81,462.86 $79,865.55 2026-09-15
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 24 19 $134,298.00 — $20,561.02 $120,868.20 $79,773.01 2026-09-15
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $65,351.18 $81,141.17 $79,550.17 2026-09-15
9114 APR_DRG Extensive Abdominal-thoracic Procedures For Mult Significant Trauma 4 4 — — $72,809.20 $81,044.44 $79,455.33 2026-09-15
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $59,302.24 $80,864.01 $79,278.44 2026-09-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 39 31 — — $71,739.80 $294,329.54 $78,939.80 2026-09-15
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $77,626.26 $93,211.12 $78,402.52 2026-09-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 4 4 — — $77,395.50 $79,426.00 $77,868.63 2026-09-15
214 APR_DRG Craniotomy Except For Trauma 4 4 — — $66,328.79 $79,161.13 $77,608.95 2026-09-15
234 APR_DRG Spinal Procedures 4 4 — — $61,960.58 $78,732.72 $77,188.94 2026-09-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 31 — — $70,003.10 $248,232.11 $77,028.71 2026-09-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 31 — — $69,701.30 $231,606.19 $76,696.65 2026-09-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 39 31 — — $69,470.60 $210,977.39 $76,442.84 2026-09-15
1204 APR_DRG Major Respiratory & Chest Procedures 4 4 — — $63,346.15 $77,647.11 $76,124.62 2026-09-15
4403 APR_DRG Kidney Transplant 4 4 — — $61,200.11 $77,027.53 $75,517.19 2026-09-15
6814 APR_DRG Other O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 4 4 — — $62,405.20 $76,273.59 $74,778.03 2026-09-15
2204 APR_DRG Major Stomach Esophageal & Duodenal Procedures 4 4 — — $56,159.79 $76,249.79 $74,754.70 2026-09-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $67,346.82 $76,241.35 $74,746.42 2026-09-15
J9183 HCPCS Gemcitabine Intravesical Sys__225 Mg 39 30 — — $69,335.03 $297,410.78 $74,443.93 2026-09-15
6904 APR_DRG Acute Leukemia 4 4 — — $66,928.52 $75,691.63 $74,207.48 2026-09-15
2604 APR_DRG Major Pancreas Liver & Shunt Procedures 4 4 — — $60,095.60 $75,677.81 $74,193.93 2026-09-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 4 4 — — $73,277.14 $85,426.92 $74,009.92 2026-09-15
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $71,932.17 $74,905.45 $73,436.72 2026-09-15
81200012 CDM Hc Single Lung Procurement 24 19 $123,278.00 — $18,873.86 $110,950.20 $73,227.14 2026-09-15
81200011 CDM Hc Double Lung Procurement 24 19 $123,278.00 — $18,873.86 $110,950.20 $73,227.14 2026-09-15
894 APR_DRG Major Cranial-facial Bone Procedures 4 4 — — $60,441.53 $74,647.48 $73,183.81 2026-09-15
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses 4 4 — — $67,081.74 $74,417.16 $72,958.00 2026-09-15
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 4 4 — — $56,502.90 $74,368.02 $72,909.82 2026-09-15
204 APR_DRG Craniotomy For Trauma 4 4 — — $55,323.19 $74,356.50 $72,898.53 2026-09-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 31 — — $65,812.00 $222,641.23 $72,417.00 2026-09-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 31 27 — — $67,229.90 $279,165.00 $72,183.60 2026-09-15
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $56,098.69 $73,555.73 $72,113.46 2026-09-15
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 4 4 — — $60,732.93 $73,439.03 $71,999.05 2026-09-15
10 MS_DRG Pancreas Transplant 39 31 — — $65,420.90 $270,400.00 $71,986.62 2026-09-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd-oth Maj Resp Or Maj Anom 4 4 — — $63,365.89 $73,404.48 $71,965.18 2026-09-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 39 31 — — $65,393.50 $181,004.34 $71,956.53 2026-09-15
4414 APR_DRG Major Bladder Procedures 4 4 — — $59,421.62 $73,225.60 $71,789.80 2026-09-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or W-o Other Significant Condition 4 4 — — $68,820.75 $73,224.83 $71,789.05 2026-09-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 31 — — $65,007.90 $221,522.18 $71,532.17 2026-09-15
81200005 CDM Hc Heart Trans Procurement Cadaver 24 19 $120,332.00 — $18,422.83 $108,298.80 $71,477.21 2026-09-15
1633 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 4 4 — — $58,311.47 $72,887.78 $71,458.61 2026-09-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 30 — — $65,046.10 $248,489.15 $71,202.35 2026-09-15
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 4 — — $57,078.18 $72,420.99 $71,000.97 2026-09-15
1782 APR_DRG External Heart Assist Systems 4 4 — — $53,439.41 $72,303.52 $70,885.80 2026-09-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $62,628.92 $72,229.82 $70,813.55 2026-09-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or W-o Other Significant Condition 4 4 — — $63,861.27 $71,591.04 $70,187.30 2026-09-15
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 32 28 — — $37,546.89 $280,367.00 $70,177.70 2026-09-15
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W-o Cc-mcc 1 1 — — $69,895.31 $69,895.31 $69,895.31 2026-09-15
J7330 HCPCS Cultured Chondrocytes Implant 8 4 — — $67,138.44 $143,387.52 $69,492.91 2026-09-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 39 31 — — $63,014.90 $185,527.57 $69,339.18 2026-09-15
131 MS_DRG Cranial-facial Procedures W Cc-mcc 1 1 — — $69,080.31 $69,080.31 $69,080.31 2026-09-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 31 — — $62,705.80 $196,874.82 $68,999.09 2026-09-15
274 APR_DRG Other Open Craniotomy 4 4 — — $54,004.36 $70,181.44 $68,805.33 2026-09-15
129 MS_DRG Major Head & Neck Procedures W Cc-mcc Or Major Device 1 1 — — $68,726.10 $68,726.10 $68,726.10 2026-09-15
341 MS_DRG Appendectomy W-o Complicated Principal Diag W Mcc 1 1 — — $68,400.11 $68,400.11 $68,400.11 2026-09-15
A9543 HCPCS Y90 Ibritumomab Rx 7 3 — — $67,535.48 $115,501.94 $68,140.74 2026-09-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or W-o Other Significant Condition 4 4 — — $64,630.20 $69,383.74 $68,023.28 2026-09-15
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $51,834.82 $69,204.09 $67,847.14 2026-09-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 39 31 — — $61,367.40 $169,443.94 $67,526.40 2026-09-15
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $51,313.12 $68,850.92 $67,500.90 2026-09-15
52 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 4 4 — — $58,632.01 $68,528.46 $67,184.76 2026-09-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 31 — — $60,960.80 $193,918.89 $67,078.97 2026-09-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 31 — — $60,916.10 $210,165.53 $67,029.81 2026-09-15
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $49,357.90 $68,232.11 $66,894.22 2026-09-15
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 4 4 — — $60,512.03 $68,095.44 $66,760.24 2026-09-15
4402 APR_DRG Kidney Transplant 4 4 — — $53,890.62 $67,723.85 $66,395.93 2026-09-15
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 4 4 — — $49,151.10 $67,521.16 $66,197.22 2026-09-15
4014 APR_DRG Pituitary & Adrenal Procedures 4 4 — — $52,564.27 $67,296.21 $65,976.68 2026-09-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 31 — — $59,947.00 $170,089.67 $65,963.41 2026-09-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 31 — — $59,947.00 $196,962.59 $65,963.41 2026-09-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 39 31 — — $59,729.10 $156,952.00 $65,723.64 2026-09-15
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 44 33 — — $61,115.03 $262,151.33 $65,618.25 2026-09-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $65,214.88 $65,214.88 $65,214.88 2026-09-15
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy & Other Radical GYN Procs 3 3 — — $64,934.94 $66,233.63 $64,934.94 2026-09-15
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $51,026.41 $66,176.05 $64,878.48 2026-09-15
1781 APR_DRG External Heart Assist Systems 4 4 — — $48,174.43 $66,100.04 $64,803.96 2026-09-15
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $48,086.07 $65,901.96 $64,609.77 2026-09-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 39 31 — — $58,665.20 $164,742.04 $64,552.91 2026-09-15
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $50,596.83 $65,316.16 $64,035.46 2026-09-15
247 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W-o Mcc 1 1 — — $63,970.92 $63,970.92 $63,970.92 2026-09-15
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $58,661.15 $65,104.26 $63,827.71 2026-09-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $49,245.10 $64,774.13 $63,504.05 2026-09-15
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $48,081.37 $64,157.62 $62,899.63 2026-09-15
3214 APR_DRG Cervical Spinal Fusion & Other Back-neck Proc Exc Disc Excis-decomp 4 4 — — $52,962.83 $63,749.17 $62,499.19 2026-09-15
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $61,770.57 $164,237.13 $62,388.28 2026-09-15
1793 APR_DRG Defibrillator Implants 4 4 — — $49,154.86 $63,567.98 $62,321.55 2026-09-15
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 4 4 — — $49,168.02 $63,503.49 $62,258.32 2026-09-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $51,367.64 $63,485.06 $62,240.26 2026-09-15
924 APR_DRG Facial Bone Procedures Except Major Cranial-facial Bone Procedures 4 4 — — $56,381.63 $63,305.41 $62,064.13 2026-09-15
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $49,686.90 $62,774.12 $61,543.26 2026-09-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 39 31 — — $55,872.60 $281,863.23 $61,480.11 2026-09-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 39 31 — — $55,807.90 $172,077.00 $61,408.88 2026-09-15
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $55,449.60 $66,619.31 $61,034.46 2026-09-15
1214 APR_DRG Other Respiratory & Chest Procedures 4 4 — — $49,651.18 $62,235.16 $61,014.86 2026-09-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 39 31 — — $55,272.70 $175,992.12 $60,820.00 2026-09-15
2324 APR_DRG Gastric Fundoplication 3 3 — — $60,689.69 $61,903.48 $60,689.69 2026-09-15
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $45,885.51 $61,885.83 $60,672.38 2026-09-15
28 MS_DRG Spinal Procedures With Mcc 39 31 — — $54,777.70 $170,331.03 $60,275.27 2026-09-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd-oth Maj Resp Cond 4 4 — — $59,653.80 $61,472.77 $60,267.42 2026-09-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 31 — — $54,762.20 $194,169.66 $60,258.21 2026-09-15
1663 APR_DRG Coronary Bypass W-o Ami Or Complex Pdx 4 4 — — $48,542.91 $61,347.63 $60,144.73 2026-09-15
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $57,918.55 $61,187.17 $59,987.42 2026-09-15
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $45,486.01 $61,183.33 $59,983.65 2026-09-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 39 31 — — $54,365.60 $213,742.10 $59,821.82 2026-09-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $51,590.42 $61,010.58 $59,814.30 2026-09-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 39 31 — — $54,186.90 $157,717.40 $59,625.19 2026-09-15
4401 APR_DRG Kidney Transplant 4 4 — — $50,034.71 $60,724.21 $59,533.54 2026-09-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 39 31 — — $54,061.10 $409,471.00 $59,486.75 2026-09-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $48,881.32 $60,665.09 $59,475.58 2026-09-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami Heart Failure Or Shock 4 4 — — $58,795.57 $60,299.64 $59,117.29 2026-09-15
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $59,115.42 $59,115.42 $59,115.42 2026-09-15
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc-mcc Or Disc Device-neurostim 1 1 — — $59,071.54 $59,071.54 $59,071.54 2026-09-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $40,589.51 $60,133.04 $58,953.96 2026-09-15
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $42,435.69 $60,093.88 $58,915.57 2026-09-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 31 — — $53,504.00 $183,305.14 $58,873.80 2026-09-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 31 — — $53,469.40 $184,248.65 $58,835.67 2026-09-15
2644 APR_DRG Other Hepatobiliary Pancreas & Abdominal Procedures 4 4 — — $47,776.81 $59,740.71 $58,569.33 2026-09-15
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital-perinatal Infection 4 4 — — $54,156.64 $59,442.05 $58,276.52 2026-09-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $58,124.41 $58,124.41 $58,124.41 2026-09-15
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 4 4 — — $57,466.62 $60,919.05 $58,041.29 2026-09-15
4054 APR_DRG Other Procedures For Endocrine Nutritional & Metabolic Disorders 4 4 — — $45,456.87 $59,106.55 $57,947.59 2026-09-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 31 — — $52,578.70 $171,478.29 $57,855.55 2026-09-15
4044 APR_DRG Thyroid Parathyroid & Thyroglossal Procedures 4 4 — — $55,654.07 $58,888.50 $57,733.83 2026-09-15
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 4 4 — — $48,289.11 $58,804.05 $57,651.03 2026-09-15
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 3 3 — — $57,625.44 $58,777.94 $57,625.44 2026-09-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 31 — — $52,243.10 $161,704.61 $57,486.37 2026-09-15
1824 APR_DRG Other Peripheral Vascular Procedures 4 4 — — $43,964.14 $58,366.43 $57,221.99 2026-09-15
249 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W-o Mcc 1 1 — — $57,190.78 $57,190.78 $57,190.78 2026-09-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 31 — — $51,962.30 $160,341.06 $57,177.38 2026-09-15
Q2043 HCPCS Sipuleucel-t Auto cd54+__Per Infusion (minimum 50 Million Cells) 44 33 — — $53,135.81 $227,924.64 $57,051.08 2026-09-15
4800408T CDM Hc Insj/rplc Cardiac Modulj Sys 24 19 $95,954.00 $40,611.94 58% off $14,690.56 $86,358.60 $56,996.68 2026-09-15
1754 APR_DRG Percutaneous Coronary Intervention W-o Ami 4 4 — — $46,053.78 $58,124.58 $56,984.89 2026-09-15
1632 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 4 4 — — $44,117.36 $58,123.05 $56,983.38 2026-09-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 38 30 — — $52,029.80 $136,720.00 $56,954.11 2026-09-15
51 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 4 4 — — $30,536.14 $57,839.75 $56,705.63 2026-09-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $56,113.26 $60,159.52 $56,674.39 2026-09-15
4034 APR_DRG Procedures For Obesity 4 4 — — $45,353.47 $57,577.94 $56,448.96 2026-09-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 31 — — $51,255.80 $172,531.52 $56,399.90 2026-09-15
264 APR_DRG Other Nervous System & Related Procedures 4 4 — — $48,139.65 $57,426.69 $56,300.68 2026-09-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 39 31 — — $51,097.10 $242,588.00 $56,225.35 2026-09-15
2314 APR_DRG Major Large Bowel Procedures 4 4 — — $43,003.45 $57,088.11 $55,968.74 2026-09-15
133 MS_DRG Other Ear Nose Mouth & Throat O.r. Procedures W Cc-mcc 1 1 — — $55,871.11 $55,871.11 $55,871.11 2026-09-15
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $55,839.27 $56,956.06 $55,842.55 2026-09-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 31 — — $50,747.00 $156,833.44 $55,840.12 2026-09-15
8633 APR_DRG Neonatal Aftercare 4 4 — — $48,425.41 $56,878.51 $55,763.25 2026-09-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $48,373.71 $56,703.47 $55,591.63 2026-09-15
6504 APR_DRG Splenectomy 4 4 — — $45,190.85 $56,536.09 $55,427.54 2026-09-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 39 31 — — $50,353.20 $157,526.19 $55,406.74 2026-09-15
4474 APR_DRG Other Kidney Urinary Tract & Related Procedures 4 4 — — $45,768.95 $56,336.48 $55,231.84 2026-09-15
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $50,265.01 $56,307.30 $55,203.24 2026-09-15
834 MS_DRG Acute Leukemia With Mcc 39 31 — — $50,051.40 $168,729.25 $55,074.68 2026-09-15
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 4 4 — — $46,621.54 $56,103.85 $55,003.77 2026-09-15
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 39 31 — — $49,874.50 $170,312.22 $54,880.06 2026-09-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 31 — — $49,803.40 $151,307.14 $54,801.81 2026-09-15
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 39 31 — — $49,725.00 $148,097.31 $54,715.53 2026-09-15
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