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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

21,858 distinct procedures filed
47 distinct payers
1,866,072 rate rows
2026-03-18 last MRF observed
Data quality

1,838,888 of 1,866,072 rate rows are consumer-grade (98.5%)

27,184 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 21,337
per-diem day rate — not a per-procedure price 3,270
placeholder amount (≤ $0.02) — excluded from medians 2,358
template filing: same amount across many unrelated codes — excluded 219
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 not_modified · 2026-05-18
Content fingerprint 02a126d8ceef6636… · 196,386,650 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
J3391
HCPCS 		Injection Atidarsagene Autotemcel Per Treatment1 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 Dose1 Dose 2 $3,486,000.00 $3,710,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1411
HCPCS 		Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 2 $3,486,000.00 $3,710,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 2 $3,187,200.00 $3,321,781.51 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatment1 Dose 2 $3,087,600.00 $3,193,000.00 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment1 Dose 2 $2,788,800.00 $2,968,000.00 $2,788,800.00 nat. median
$3,006,423
0.9× median
J3399
HCPCS 		Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Ge… 2 $2,403,458.75 $2,501,245.80 $2,501,245.80 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment1 Ea 2 $2,191,200.00 $2,332,000.00 $2,191,200.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 30 $770,620.00 $3,140,276.50 $786,032.40 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 32 $310,000.00 $2,394,672.01 $599,402.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 33 $312,500.00 $2,308,615.06 $583,527.25 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 32 $328,240.00 $2,290,970.06 $573,445.27 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 32 $335,600.00 $2,274,183.03 $569,243.36 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 33 $245,394.70 $2,168,683.38 $542,836.09 nat. median
$634,511
0.9× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells… 1 $522,900.00 $522,900.00 $522,900.00 nat. median
$324,450
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 32 $488,051.51 $1,994,509.57 $499,239.21 nat. median
$620,080
0.8× median
5834
APR_DRG 		Neonate W Ecmo 3 $462,660.76 $579,952.51 $487,487.35 nat. median
$309,665
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $410,292.00 $1,182,145.43 $443,115.00 nat. median
$370,174
1.2× median
5833
APR_DRG 		Neonate W Ecmo 3 $330,301.63 $424,538.94 $402,918.17 nat. median
$244,017
1.7× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $345,085.40 $363,602.83 $355,209.94 nat. median
$246,434
1.4× median
24
APR_DRG 		Heart &-or Lung Transplant 3 $308,355.98 $331,842.30 $324,902.50 nat. median
$234,738
1.4× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $247,636.45 $335,371.64 $318,291.95 nat. median
$207,730
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $264,951.14 $794,677.52 $296,073.00 nat. median
$265,286
1.1× median
J3403
HCPCS 		Revakinagene Per implant__PER Implant 30 $249,000.00 $1,079,875.00 $270,300.00 nat. median
$265,000
1.0× median
5832
APR_DRG 		Neonate W Ecmo 3 $252,841.06 $266,408.63 $253,611.14 nat. median
$156,126
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $239,527.04 $332,062.26 $252,380.17 nat. median
$117,173
outlier · 2.2×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $193,904.70 $254,133.73 $241,191.30 nat. median
$119,796
outlier · 2.0×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 $215,873.61 $247,140.23 $234,553.96 nat. median
$150,721
1.6× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $221,328.11 $236,569.74 $233,204.67 nat. median
$182,736
1.3× median
5914
APR_DRG 		Neonate Birthwt 500-749g W-o Major Procedure 3 $224,592.49 $236,644.22 $232,929.10 nat. median
$164,279
1.4× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 3 $220,638.80 $238,035.22 $232,478.37 nat. median
$122,924
1.9× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 3 $218,115.46 $247,484.17 $229,819.63 nat. median
$162,982
1.4× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 3 $220,278.48 $240,869.96 $228,603.02 nat. median
$160,267
1.4× median
5934
APR_DRG 		Neonate Birthwt 750-999g W-o Major Procedure 3 $204,789.98 $239,028.88 $226,855.70 nat. median
$151,838
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $184,433.30 $515,748.28 $221,114.00 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 31 $183,559.52 $552,846.27 $219,816.50 nat. median
$202,986
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $205,453.58 $242,763.45 $216,478.32 nat. median
$164,834
1.3× median
5831
APR_DRG 		Neonate W Ecmo 3 $204,754.07 $227,647.20 $215,741.27 nat. median
$145,122
1.5× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $202,714.44 $227,002.73 $215,442.02 nat. median
$145,336
1.5× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 30 $201,669.02 $821,801.26 $205,702.40 nat. median
$209,753
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 $186,566.06 $212,474.46 $201,653.64 nat. median
$105,658
1.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $195,375.81 $210,342.40 $199,630.16 nat. median
$187,294
1.1× median
23
APR_DRG 		Heart &-or Lung Transplant 3 $180,760.57 $205,632.21 $195,159.85 nat. median
$93,528
outlier · 2.1×
14
APR_DRG 		Liver Transplant &-or Intestinal Transplant 3 $184,710.48 $203,919.35 $193,534.21 nat. median
$129,535
1.5× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $142,676.18 $203,801.11 $193,422.00 nat. median
$85,406
outlier · 2.3×
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $142,676.18 $193,844.07 $183,972.05 nat. median
$76,806
outlier · 2.4×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or W-o Other Significant Condition 3 $112,838.47 $179,305.82 $170,174.20 nat. median
$109,499
1.6× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd-oth Maj Resp Or Maj Anom 3 $154,274.93 $172,478.93 $163,694.98 nat. median
$118,620
1.4× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 1 $159,745.49 $159,745.49 $159,745.49 nat. median
$35,643
outlier · 4.5×
5913
APR_DRG 		Neonate Birthwt 500-749g W-o Major Procedure 3 $147,040.80 $175,669.49 $154,931.07 nat. median
$102,636
1.5× median

Other procedures at this hospital

Browse this hospital's 21,858 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 Treatment1 Dose 9 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-03-18
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose1 Dose 12 2 — — $3,486,000.00 $3,710,000.00 $3,486,000.00 2026-03-18
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 12 2 — — $3,486,000.00 $3,710,000.00 $3,486,000.00 2026-03-18
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 12 2 — — $3,187,200.00 $3,321,781.51 $3,187,200.00 2026-03-18
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatment1 Dose 12 2 — — $3,087,600.00 $3,193,000.00 $3,087,600.00 2026-03-18
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment1 Dose 12 2 — — $2,788,800.00 $2,968,000.00 $2,788,800.00 2026-03-18
J3399 HCPCS Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Ge… 12 2 — — $2,403,458.75 $2,501,245.80 $2,501,245.80 2026-03-18
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment1 Ea 12 2 — — $2,191,200.00 $2,332,000.00 $2,191,200.00 2026-03-18
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 114 30 — — $770,620.00 $3,140,276.50 $786,032.40 2026-03-18
Q2058 HCPCS Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells … 9 1 — — $522,900.00 $522,900.00 $522,900.00 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 123 32 — — $488,051.51 $1,994,509.57 $499,239.21 2026-03-18
5834 APR_DRG Neonate W Ecmo 9 3 — — $462,660.76 $579,952.51 $487,487.35 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 120 30 — — $410,292.00 $1,182,145.43 $443,115.00 2026-03-18
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 9 3 — — $345,085.40 $363,602.83 $355,209.94 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 123 32 — — $335,600.00 $2,274,183.03 $569,243.36 2026-03-18
5833 APR_DRG Neonate W Ecmo 9 3 — — $330,301.63 $424,538.94 $402,918.17 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 123 32 — — $328,240.00 $2,290,970.06 $573,445.27 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 126 33 — — $312,500.00 $2,308,615.06 $583,527.25 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 123 32 — — $310,000.00 $2,394,672.01 $599,402.57 2026-03-18
24 APR_DRG Heart &-or Lung Transplant 9 3 — — $308,355.98 $331,842.30 $324,902.50 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 147 31 — — $264,951.14 $794,677.52 $296,073.00 2026-03-18
5832 APR_DRG Neonate W Ecmo 9 3 — — $252,841.06 $266,408.63 $253,611.14 2026-03-18
J3403 HCPCS Revakinagene Per implant__PER Implant 114 30 — — $249,000.00 $1,079,875.00 $270,300.00 2026-03-18
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 3 — — $247,636.45 $335,371.64 $318,291.95 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 126 33 — — $245,394.70 $2,168,683.38 $542,836.09 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 3 — — $239,527.04 $332,062.26 $252,380.17 2026-03-18
5914 APR_DRG Neonate Birthwt 500-749g W-o Major Procedure 9 3 — — $224,592.49 $236,644.22 $232,929.10 2026-03-18
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 9 3 — — $221,328.11 $236,569.74 $233,204.67 2026-03-18
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 9 3 — — $220,638.80 $238,035.22 $232,478.37 2026-03-18
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 3 — — $220,278.48 $240,869.96 $228,603.02 2026-03-18
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 3 — — $218,115.46 $247,484.17 $229,819.63 2026-03-18
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 3 — — $215,873.61 $247,140.23 $234,553.96 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 3 — — $205,453.58 $242,763.45 $216,478.32 2026-03-18
5934 APR_DRG Neonate Birthwt 750-999g W-o Major Procedure 9 3 — — $204,789.98 $239,028.88 $226,855.70 2026-03-18
5831 APR_DRG Neonate W Ecmo 9 3 — — $204,754.07 $227,647.20 $215,741.27 2026-03-18
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 9 3 — — $202,714.44 $227,002.73 $215,442.02 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 114 30 — — $201,669.02 $821,801.26 $205,702.40 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 9 3 — — $195,375.81 $210,342.40 $199,630.16 2026-03-18
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 3 — — $193,904.70 $254,133.73 $241,191.30 2026-03-18
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 3 — — $186,566.06 $212,474.46 $201,653.64 2026-03-18
14 APR_DRG Liver Transplant &-or Intestinal Transplant 9 3 — — $184,710.48 $203,919.35 $193,534.21 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 132 31 — — $184,433.30 $515,748.28 $221,114.00 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 132 31 — — $183,559.52 $552,846.27 $219,816.50 2026-03-18
23 APR_DRG Heart &-or Lung Transplant 9 3 — — $180,760.57 $205,632.21 $195,159.85 2026-03-18
237 MS_DRG Major Cardiovasc Procedures W Mcc 3 1 — — $159,745.49 $159,745.49 $159,745.49 2026-03-18
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd-oth Maj Resp Or Maj Anom 9 3 — — $154,274.93 $172,478.93 $163,694.98 2026-03-18
5933 APR_DRG Neonate Birthwt 750-999g W-o Major Procedure 9 3 — — $149,809.90 $161,000.96 $152,801.56 2026-03-18
5913 APR_DRG Neonate Birthwt 500-749g W-o Major Procedure 9 3 — — $147,040.80 $175,669.49 $154,931.07 2026-03-18
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 9 3 — — $143,293.31 $173,755.64 $150,982.50 2026-03-18
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 3 — — $142,676.18 $203,801.11 $193,422.00 2026-03-18
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 3 — — $142,676.18 $193,844.07 $183,972.05 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 3 — — $142,156.36 $152,920.32 $145,132.44 2026-03-18
22 APR_DRG Heart &-or Lung Transplant 9 3 — — $136,878.22 $147,998.99 $140,461.75 2026-03-18
54 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 9 3 — — $129,969.16 $145,886.89 $138,457.22 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 3 — — $128,704.87 $247,125.09 $135,611.23 2026-03-18
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 3 — — $128,651.27 $140,432.75 $133,280.84 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 9 3 — — $123,324.25 $131,475.33 $124,779.60 2026-03-18
64 APR_DRG Pancreas Transplant 9 3 — — $120,652.75 $162,475.82 $154,201.31 2026-03-18
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd-oth Maj Resp Or Maj Anom 9 3 — — $119,254.96 $134,078.02 $127,249.74 2026-03-18
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 3 — — $118,994.58 $133,875.33 $127,057.38 2026-03-18
5932 APR_DRG Neonate Birthwt 750-999g W-o Major Procedure 9 3 — — $118,806.80 $125,182.02 $120,496.71 2026-03-18
21 APR_DRG Heart &-or Lung Transplant 9 3 — — $115,473.92 $121,670.30 $120,978.93 2026-03-18
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 3 1 — — $114,942.65 $114,942.65 $114,942.65 2026-03-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 132 31 — — $114,557.41 $342,574.16 $142,122.97 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 9 3 — — $114,434.12 $124,261.44 $120,574.71 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 144 31 — — $114,185.00 $409,471.00 $126,286.50 2026-03-18
6034 APR_DRG Neonate Birthwt 1000-1249g W Or W-o Other Significant Condition 9 3 — — $112,838.47 $179,305.82 $170,174.20 2026-03-18
8514 APR_DRG Gender Related Procedures 9 3 — — $109,851.60 $115,746.29 $113,798.22 2026-03-18
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 93 27 — — $108,243.00 $441,092.00 $110,408.00 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 147 31 — — $107,667.00 $478,772.53 $120,680.00 2026-03-18
209 MS_DRG Complex Aortic Arch Procedures 117 30 — — $107,543.00 $235,453.68 $116,146.00 2026-03-18
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd-oth Maj Resp Or Maj Anom 9 3 — — $107,115.71 $130,296.05 $123,660.38 2026-03-18
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 1 — — $107,024.65 $107,024.65 $107,024.65 2026-03-18
7 MS_DRG Lung Transplant 135 30 — — $106,850.83 $594,880.00 $132,887.00 2026-03-18
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 3 1 — — $105,247.33 $105,247.33 $105,247.33 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 123 31 — — $104,715.00 $328,361.89 $113,093.00 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 123 31 — — $103,318.00 $341,480.19 $111,583.00 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 144 31 — — $97,962.90 $465,088.00 $108,345.00 2026-03-18
8634 APR_DRG Neonatal Aftercare 9 3 — — $97,007.81 $106,800.38 $101,361.29 2026-03-18
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 3 — — $96,511.35 $101,690.19 $99,185.80 2026-03-18
13 APR_DRG Liver Transplant &-or Intestinal Transplant 9 3 — — $95,897.66 $116,028.82 $110,119.75 2026-03-18
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 9 3 — — $95,534.82 $130,774.36 $124,114.33 2026-03-18
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 12 2 — — $95,272.90 $368,168.17 $118,188.92 2026-03-18
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 93 27 — — $95,081.00 $387,455.00 $96,982.70 2026-03-18
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 3 — — $95,073.27 $132,833.49 $126,068.59 2026-03-18
215 MS_DRG Other Heart Assist System Implant 132 31 — — $94,604.20 $463,262.53 $104,065.00 2026-03-18
53 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 9 3 — — $94,322.21 $103,306.32 $98,045.17 2026-03-18
4404 APR_DRG Kidney Transplant 9 3 — — $93,546.70 $123,268.00 $116,990.25 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 3 — — $93,039.30 $163,152.36 $98,031.83 2026-03-18
63 APR_DRG Pancreas Transplant 9 3 — — $92,981.76 $128,630.02 $122,079.19 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 132 31 — — $92,949.10 $297,163.21 $101,314.50 2026-03-18
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 3 — — $91,933.93 $196,461.52 $96,867.14 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 9 3 — — $87,505.27 $94,975.39 $90,138.51 2026-03-18
5912 APR_DRG Neonate Birthwt 500-749g W-o Major Procedure 9 3 — — $86,917.12 $150,673.76 $91,581.13 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 9 3 — — $86,897.09 $102,101.71 $96,901.91 2026-03-18
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 3 — — $85,849.92 $100,240.66 $95,135.64 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 123 31 — — $85,602.70 $261,444.45 $92,450.90 2026-03-18
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd-oth Maj Resp Or Maj Anom 9 3 — — $85,591.42 $101,082.13 $95,934.25 2026-03-18
1634 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 9 3 — — $83,596.72 $110,645.31 $105,010.40 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 123 31 — — $82,276.30 $288,756.22 $88,858.40 2026-03-18
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 3 — — $82,213.03 $91,429.12 $86,772.85 2026-03-18
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 3 — — $82,106.53 $165,576.64 $86,512.40 2026-03-18
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 1 — — $81,910.35 $81,910.35 $81,910.35 2026-03-18
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd-oth Maj Resp Or Maj Anom 9 3 — — $81,763.71 $100,894.79 $95,756.46 2026-03-18
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 12 2 — — $81,632.39 $276,368.28 $101,267.45 2026-03-18
62 APR_DRG Pancreas Transplant 9 3 — — $80,161.00 $105,660.26 $100,279.23 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 132 31 — — $80,094.80 $244,994.07 $87,303.35 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 132 31 — — $79,843.00 $300,517.24 $87,827.30 2026-03-18
1784 APR_DRG External Heart Assist Systems 9 3 — — $79,493.59 $106,312.86 $100,898.59 2026-03-18
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital-perinatal Infection 9 3 — — $78,629.38 $98,274.00 $82,848.66 2026-03-18
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd-oth Maj Resp Cond 9 3 — — $78,132.46 $97,743.92 $92,766.05 2026-03-18
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 9 3 — — $75,381.02 $79,426.00 $76,622.81 2026-03-18
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 9 3 — — $75,102.82 $102,486.35 $97,266.97 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 132 31 — — $74,763.60 $294,329.54 $82,240.00 2026-03-18
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 12 2 — — $74,484.59 $242,066.35 $92,400.39 2026-03-18
12 APR_DRG Liver Transplant &-or Intestinal Transplant 9 3 — — $74,110.17 $96,805.72 $91,875.63 2026-03-18
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 9 3 — — $73,586.59 $102,296.72 $97,086.99 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 132 31 — — $72,953.60 $248,232.11 $79,519.45 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 132 31 — — $72,639.10 $231,606.19 $79,176.70 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 132 31 — — $72,398.80 $210,977.39 $78,914.65 2026-03-18
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 3 — — $71,637.01 $79,178.79 $75,146.40 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 3 — — $71,544.89 $95,044.49 $90,204.09 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 3 — — $71,334.33 $90,942.36 $86,310.88 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 9 3 — — $71,090.69 $77,245.10 $74,905.45 2026-03-18
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 9 3 — — $70,936.22 $77,927.54 $74,742.69 2026-03-18
5244 OTHER Level 4 Blood Product Exchange And Related Services 96 27 — — $70,768.30 $279,165.00 $72,183.60 2026-03-18
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 9 3 — — $69,961.92 $76,241.35 $72,358.55 2026-03-18
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W-o Cc-mcc 3 1 — — $69,895.31 $69,895.31 $69,895.31 2026-03-18
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 9 3 — — $69,883.90 $88,574.60 $84,063.70 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 9 3 — — $69,337.75 $89,006.84 $84,473.93 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 123 31 — — $68,585.90 $222,641.23 $74,072.80 2026-03-18
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 12 2 — — $68,400.18 $219,732.33 $84,852.50 2026-03-18
6084 APR_DRG Neonate Bwt 1250-1499g W Or W-o Other Significant Condition 9 3 — — $68,018.92 $73,224.83 $69,495.66 2026-03-18
9114 APR_DRG Extensive Abdominal-thoracic Procedures For Mult Significant Trauma 9 3 — — $67,849.72 $81,044.44 $76,917.03 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 120 30 — — $67,787.80 $248,489.15 $73,210.80 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 123 31 — — $67,747.90 $221,522.18 $73,167.70 2026-03-18
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Mil… 21 3 — — $67,535.48 $103,744.26 $68,140.74 2026-03-18
J7330 HCPCS Autologous Cultured Chondrocytes Implant1 Ea 24 4 — — $67,138.44 $125,965.77 $69,492.91 2026-03-18
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 9 3 — — $67,049.78 $96,482.49 $91,568.87 2026-03-18
1664 APR_DRG Coronary Bypass W-o Ami Or Complex Pdx 9 3 — — $66,953.90 $90,216.06 $85,621.57 2026-03-18
1794 APR_DRG Defibrillator Implants 9 3 — — $66,080.63 $91,078.25 $86,439.85 2026-03-18
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 3 — — $65,980.05 $90,817.21 $86,192.11 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 3 — — $65,889.81 $72,229.82 $68,551.32 2026-03-18
914 APR_DRG Other Major Head & Neck Procedures 9 3 — — $65,695.23 $87,984.19 $83,503.36 2026-03-18
6144 APR_DRG Neonate Bwt 1500-1999g W Or W-o Other Significant Condition 9 3 — — $65,572.09 $69,383.74 $65,850.19 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 132 31 — — $65,348.80 $196,874.82 $71,230.20 2026-03-18
11 APR_DRG Liver Transplant &-or Intestinal Transplant 9 3 — — $65,107.72 $86,282.07 $81,887.93 2026-03-18
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 9 3 — — $64,685.66 $84,943.87 $80,617.88 2026-03-18
214 APR_DRG Craniotomy Except For Trauma 9 3 — — $64,594.48 $79,161.13 $75,129.64 2026-03-18
1783 APR_DRG External Heart Assist Systems 9 3 — — $64,142.33 $81,462.86 $77,314.15 2026-03-18
459 MS_DRG Spinal Fusion Except Cervical W Mcc 12 2 — — $64,052.31 $213,663.74 $79,458.84 2026-03-18
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 1 — — $64,050.21 $64,050.21 $64,050.21 2026-03-18
6033 APR_DRG Neonate Birthwt 1000-1249g W Or W-o Other Significant Condition 9 3 — — $63,895.11 $86,581.50 $82,172.11 2026-03-18
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 12 2 — — $63,765.40 $201,419.99 $79,102.91 2026-03-18
4403 APR_DRG Kidney Transplant 9 3 — — $63,600.89 $77,027.53 $73,104.70 2026-03-18
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 12 2 — — $63,570.78 $251,394.92 $78,861.48 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 123 31 — — $63,530.30 $193,918.89 $68,612.70 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 123 31 — — $63,483.70 $210,165.53 $68,562.40 2026-03-18
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 129 33 — — $63,342.28 $261,919.77 $65,560.29 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 132 31 — — $63,154.45 $185,527.57 $71,581.30 2026-03-18
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 9 3 — — $63,085.77 $81,141.17 $77,008.84 2026-03-18
52 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 9 3 — — $62,893.07 $68,528.46 $65,038.47 2026-03-18
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy & Other Radical GYN Procs 6 2 — — $62,860.51 $66,233.63 $64,547.07 2026-03-18
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 1 — — $62,487.92 $62,487.92 $62,487.92 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 132 31 — — $62,473.70 $196,962.59 $68,096.35 2026-03-18
6904 APR_DRG Acute Leukemia 9 3 — — $61,979.38 $75,691.63 $71,836.84 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 132 31 — — $61,164.10 $169,443.94 $69,709.85 2026-03-18
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd-oth Maj Resp Or Maj Anom 9 3 — — $61,068.51 $73,404.48 $69,666.17 2026-03-18
2604 APR_DRG Major Pancreas Liver & Shunt Procedures 9 3 — — $60,268.56 $75,677.81 $71,823.72 2026-03-18
1633 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 9 3 — — $60,097.48 $72,887.78 $69,175.78 2026-03-18
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 3 — — $59,797.24 $165,576.64 $63,005.98 2026-03-18
1694 APR_DRG Major Abdominal Vascular Procedures 9 3 — — $59,694.22 $80,864.01 $76,745.80 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 132 31 — — $59,241.97 $170,089.67 $68,096.35 2026-03-18
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 3 1 — — $59,115.42 $59,115.42 $59,115.42 2026-03-18
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc-mcc Or Disc Device-neurostim 3 1 — — $59,071.54 $59,071.54 $59,071.54 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 132 31 — — $58,944.02 $181,004.34 $73,361.82 2026-03-18
234 APR_DRG Spinal Procedures 9 3 — — $58,897.09 $78,732.72 $74,723.05 2026-03-18
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 9 3 — — $58,736.35 $68,095.44 $64,627.50 2026-03-18
6083 APR_DRG Neonate Bwt 1250-1499g W Or W-o Other Significant Condition 9 3 — — $58,714.73 $71,591.04 $67,945.08 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 132 31 — — $58,227.60 $281,863.23 $64,050.40 2026-03-18
1204 APR_DRG Major Respiratory & Chest Procedures 9 3 — — $58,103.73 $77,647.11 $73,692.73 2026-03-18
83 APR_DRG Autologous Bone Marrow Transplant 9 3 — — $58,071.05 $61,187.17 $61,162.51 2026-03-18
6814 APR_DRG Other O.r. Procedures For Lymphatic-hematopoietic-other Neoplasms 9 3 — — $58,009.73 $76,273.59 $72,389.16 2026-03-18
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses 9 3 — — $57,900.69 $74,417.16 $70,627.27 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 132 31 — — $57,602.40 $175,992.12 $62,786.65 2026-03-18
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 9 3 — — $57,420.34 $72,420.99 $68,732.76 2026-03-18
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 12 2 — — $57,377.02 $185,587.13 $71,177.93 2026-03-18
2204 APR_DRG Major Stomach Esophageal & Duodenal Procedures 9 3 — — $57,231.40 $76,249.79 $72,366.57 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 123 31 — — $57,070.30 $194,169.66 $61,636.00 2026-03-18
6954 APR_DRG Chemotherapy For Acute Leukemia 9 3 — — $57,044.34 $65,104.26 $61,788.66 2026-03-18
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 3 — — $56,879.84 $66,176.05 $62,805.86 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 132 31 — — $56,657.00 $213,742.10 $62,322.70 2026-03-18
204 APR_DRG Craniotomy For Trauma 9 3 — — $56,431.46 $74,356.50 $70,569.70 2026-03-18
894 APR_DRG Major Cranial-facial Bone Procedures 9 3 — — $56,397.61 $74,647.48 $70,845.86 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 141 31 — — $56,339.70 $409,471.00 $62,647.40 2026-03-18
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 9 3 — — $56,334.63 $73,439.03 $69,698.96 2026-03-18
4284 APR_DRG Genetic Disorders 3 1 — — $56,266.01 $56,266.01 $56,266.01 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 132 31 — — $56,166.16 $172,077.00 $63,394.60 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 132 31 — — $56,144.09 $164,742.04 $66,640.25 2026-03-18
2614 APR_DRG Major Biliary Tract Procedures 9 3 — — $56,039.47 $68,850.92 $65,344.50 2026-03-18
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 9 3 — — $56,031.01 $74,368.02 $70,580.63 2026-03-18
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 9 3 — — $55,810.11 $73,555.73 $69,809.71 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 132 31 — — $55,759.20 $183,305.14 $60,777.50 2026-03-18
61 APR_DRG Pancreas Transplant 9 3 — — $55,678.51 $87,772.29 $83,302.25 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 132 31 — — $55,038.56 $157,717.40 $61,553.20 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 123 31 — — $54,794.80 $171,478.29 $59,178.40 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 132 31 — — $54,611.20 $184,248.65 $60,738.15 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 132 31 — — $54,445.10 $161,704.61 $59,345.25 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto cd54+__Per Infusion (minimum 50 Million Cells) 129 33 — — $54,404.11 $221,696.74 $55,536.50 2026-03-18
274 APR_DRG Other Open Craniotomy 9 3 — — $54,364.38 $70,181.44 $66,607.26 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 3 — — $54,320.65 $81,885.91 $57,235.52 2026-03-18
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 3 — — $54,230.90 $65,316.16 $61,989.77 2026-03-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 117 30 — — $54,222.80 $118,714.93 $58,560.60 2026-03-18
4402 APR_DRG Kidney Transplant 9 3 — — $54,200.82 $67,723.85 $64,274.83 2026-03-18
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd-oth Maj Resp Cond 9 3 — — $54,105.88 $61,472.77 $58,342.11 2026-03-18
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 3 — — $54,055.42 $56,956.06 $56,017.85 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 132 31 — — $53,919.99 $170,331.03 $62,224.30 2026-03-18
924 APR_DRG Facial Bone Procedures Except Major Cranial-facial Bone Procedures 9 3 — — $53,760.89 $63,305.41 $60,081.41 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 123 31 — — $53,416.20 $172,531.52 $57,689.50 2026-03-18
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 12 2 — — $53,337.13 $173,647.44 $66,166.33 2026-03-18
4014 APR_DRG Pituitary & Adrenal Procedures 9 3 — — $53,321.91 $67,296.21 $63,868.97 2026-03-18
5204 APR_DRG Other GYN Procedures For Malignancy 3 1 — — $53,125.45 $53,125.45 $53,125.45 2026-03-18
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital-perinatal Infection 9 3 — — $53,104.77 $59,442.05 $56,414.81 2026-03-18
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 3 — — $52,896.09 $61,010.58 $57,903.46 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 123 31 — — $52,886.00 $156,833.44 $57,116.90 2026-03-18
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 9 3 — — $52,832.17 $69,204.09 $65,679.68 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 132 31 — — $52,683.05 $141,851.00 $66,915.15 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 135 31 — — $52,657.97 $242,588.00 $58,575.90 2026-03-18
4414 APR_DRG Major Bladder Procedures 9 3 — — $52,588.71 $73,225.60 $69,496.39 2026-03-18
1782 APR_DRG External Heart Assist Systems 9 3 — — $52,225.86 $72,303.52 $68,621.27 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 132 31 — — $52,161.00 $168,729.25 $56,855.50 2026-03-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 9 3 — — $51,988.98 $63,485.06 $60,251.92 2026-03-18
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 132 31 — — $51,976.70 $170,312.22 $56,654.65 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 132 31 — — $51,636.71 $151,307.14 $56,573.85 2026-03-18
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 3 — — $51,604.22 $59,963.06 $54,373.32 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 132 31 — — $51,483.22 $160,341.06 $59,026.25 2026-03-18
4804 APR_DRG Major Male Pelvic Procedures 6 2 — — $51,340.44 $54,095.39 $52,717.92 2026-03-18
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 9 3 — — $50,889.17 $63,503.49 $60,269.41 2026-03-18
4401 APR_DRG Kidney Transplant 9 3 — — $50,722.79 $60,724.21 $57,631.67 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 132 31 — — $50,668.40 $165,873.63 $55,228.55 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 123 31 — — $50,638.00 $161,435.03 $54,689.00 2026-03-18
3214 APR_DRG Cervical Spinal Fusion & Other Back-neck Proc Exc Disc Excis-decomp 9 3 — — $50,508.47 $63,749.17 $60,502.58 2026-03-18
224 APR_DRG Ventricular Shunt Procedures 9 3 — — $50,475.57 $55,707.68 $52,870.62 2026-03-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 9 3 — — $50,325.17 $64,774.13 $61,475.33 2026-03-18
1793 APR_DRG Defibrillator Implants 9 3 — — $50,323.29 $63,567.98 $60,330.61 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 132 31 — — $50,297.80 $202,050.05 $55,327.60 2026-03-18
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 3 — — $50,215.40 $165,576.64 $52,909.98 2026-03-18
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 12 2 — — $50,160.00 $197,109.92 $62,225.00 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 132 31 — — $50,131.60 $148,420.18 $54,643.40 2026-03-18
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 9 3 — — $49,940.69 $67,920.22 $52,620.53 2026-03-18
A9699 HCPCS Radiopharm Rx Agent Noc 6 1 — — $49,864.75 $59,837.70 $54,851.22 2026-03-18
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 9 3 — — $49,805.34 $58,615.95 $55,630.78 2026-03-18
8633 APR_DRG Neonatal Aftercare 9 3 — — $49,624.86 $56,878.51 $53,981.83 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 132 31 — — $49,457.90 $165,343.88 $53,909.15 2026-03-18
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 9 3 — — $49,428.40 $62,774.12 $59,577.18 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 132 31 — — $49,372.40 $186,690.51 $54,309.70 2026-03-18
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 132 31 — — $49,281.20 $148,097.31 $56,484.80 2026-03-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 3 — — $49,274.24 $60,665.09 $57,575.56 2026-03-18
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami Heart Failure Or Shock 9 3 — — $49,236.64 $60,299.64 $57,228.72 2026-03-18
1814 APR_DRG Lower Extremity Arterial Procedures 9 3 — — $49,127.60 $68,232.11 $64,757.20 2026-03-18
1663 APR_DRG Coronary Bypass W-o Ami Or Complex Pdx 9 3 — — $49,121.02 $61,347.63 $58,223.34 2026-03-18
1214 APR_DRG Other Respiratory & Chest Procedures 9 3 — — $48,703.66 $62,235.16 $59,065.67 2026-03-18
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 9 3 — — $48,683.92 $58,777.94 $55,784.52 2026-03-18
2304 APR_DRG Major Small Bowel Procedures 9 3 — — $48,411.31 $64,157.62 $60,890.22 2026-03-18
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 3 — — $47,987.37 $65,901.96 $62,545.73 2026-03-18
4054 APR_DRG Other Procedures For Endocrine Nutritional & Metabolic Disorders 9 3 — — $47,868.93 $59,106.55 $56,096.39 2026-03-18
2644 APR_DRG Other Hepatobiliary Pancreas & Abdominal Procedures 9 3 — — $47,774.93 $59,740.71 $56,698.26 2026-03-18
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 9 3 — — $47,602.91 $58,804.05 $55,809.30 2026-03-18
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 9 3 — — $47,409.27 $67,521.16 $64,082.47 2026-03-18
4044 APR_DRG Thyroid Parathyroid & Thyroglossal Procedures 9 3 — — $47,296.46 $58,888.50 $55,889.45 2026-03-18
4034 APR_DRG Procedures For Obesity 9 3 — — $47,163.92 $57,577.94 $54,645.63 2026-03-18
1781 APR_DRG External Heart Assist Systems 9 3 — — $47,003.18 $66,100.04 $62,733.72 2026-03-18
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 9 3 — — $46,708.96 $61,885.83 $58,734.13 2026-03-18
9103 APR_DRG Craniotomy For Multiple Significant Trauma 9 3 — — $46,048.14 $56,703.47 $53,815.69 2026-03-18
264 APR_DRG Other Nervous System & Related Procedures 9 3 — — $45,813.13 $57,426.69 $54,502.09 2026-03-18
1754 APR_DRG Percutaneous Coronary Intervention W-o Ami 9 3 — — $45,319.63 $58,124.58 $55,164.44 2026-03-18
10 MS_DRG Pancreas Transplant 141 31 — — $45,283.44 $270,400.00 $73,632.60 2026-03-18
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 9 3 — — $45,000.97 $61,183.33 $58,067.40 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 132 31 — — $44,968.44 $157,526.19 $56,411.20 2026-03-18
4474 APR_DRG Other Kidney Urinary Tract & Related Procedures 9 3 — — $44,888.17 $56,336.48 $53,467.39 2026-03-18
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 9 3 — — $44,747.17 $56,103.85 $53,246.61 2026-03-18
1632 APR_DRG Cardiac Valve Procedures W-o Ami Or Complex Pdx 9 3 — — $44,354.24 $58,123.05 $55,162.98 2026-03-18
6504 APR_DRG Splenectomy 9 3 — — $44,333.56 $56,536.09 $53,656.84 2026-03-18
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 9 3 — — $44,023.36 $60,093.88 $57,033.44 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 141 31 — — $43,951.20 $409,471.00 $55,742.90 2026-03-18
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 9 3 — — $43,318.35 $55,399.05 $52,577.70 2026-03-18
5144 APR_DRG Female Reproductive System Reconstructive Procedures 9 3 — — $43,039.17 $56,307.30 $53,439.70 2026-03-18
2314 APR_DRG Major Large Bowel Procedures 9 3 — — $42,735.55 $57,088.11 $54,180.75 2026-03-18
1824 APR_DRG Other Peripheral Vascular Procedures 9 3 — — $42,503.37 $58,366.43 $55,393.96 2026-03-18
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 9 3 — — $40,815.11 $60,133.04 $57,070.60 2026-03-18
2324 APR_DRG Gastric Fundoplication 9 3 — — $40,705.13 $61,903.48 $58,750.89 2026-03-18
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 96 28 — — $37,546.89 $280,367.00 $70,177.70 2026-03-18
51 APR_DRG Tracheostomy W Mv 96+ Hours W-o Extensive Procedure 9 3 — — $33,030.91 $57,839.75 $54,894.10 2026-03-18
81200013 CDM Hc Herat/lung Procurement 69 17 — — $21,434.00 $126,000.00 $82,880.00 2026-03-18
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 69 17 — — $20,561.02 $120,868.20 $79,504.42 2026-03-18
81200011 CDM Hc Double Lung Procurement 69 17 — — $18,873.86 $110,950.20 $72,980.58 2026-03-18
81200012 CDM Hc Single Lung Procurement 69 17 — — $18,873.86 $110,950.20 $72,980.58 2026-03-18
81200005 CDM Hc Heart Trans Procurement Cadaver 69 17 — — $18,422.83 $108,298.80 $71,236.54 2026-03-18
4800408T CDM Hc Insj/rplc Cardiac Modulj Sys 69 17 — — $14,690.56 $86,358.60 $56,804.77 2026-03-18
90288 CPT Botulism Ig IV 9 2 — — $13.00 $88,357.50 $73,631.25 2026-03-18
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