Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Salem Medical Center

Salem, NJ · CCN 310091 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $14,366 across 16 payers · range $1,465-$29,450

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11233/210634484_inspira-medical-center-mannington_standardcharges.csv · observed 2026-03-24

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.

16,951 distinct procedures filed
30 distinct payers
610,673 rate rows
2026-03-24 last MRF observed
Data quality

533,838 of 610,673 rate rows are consumer-grade (87.4%)

76,835 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 74,364
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 780
exceeds 10× this hospital's gross charge — excluded from medians 777
placeholder amount (≤ $0.02) — excluded from medians 653
template filing: same amount across many unrelated codes — excluded 145
per-diem day rate — not a per-procedure price 116
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11233/210634484_inspira-medical-center-mannington_standardcharges.csv
Found on page https://www.inspirahealthnetwork.org/patients-visitors/billing-online-payments/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 6adbef179064c02f… · 555,721,139 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 19 $3,486,000.00 $4,402,622.25 $4,114,600.23 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 19 $3,187,200.00 $3,962,028.61 $3,702,830.48 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 19 $3,087,600.00 $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
$3,605,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 19 $2,788,800.00 $3,519,143.02 $3,288,918.71 nat. median
$2,997,086
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 19 $2,382,138.87 $2,933,010.16 $2,741,130.99 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 13 $2,603,678.00 $2,785,935.46 $2,603,678.00 nat. median
$2,405,851
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $860,397.23 $1,763,814.32 $860,397.23 nat. median
$809,151
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $660,662.30 $1,354,357.72 $660,662.30 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $566,416.65 $1,295,174.99 $631,792.68 nat. median
$631,793
1.0× median
5834
APR_DRG 		Neonate W Ecmo 4 $567,810.81 $644,044.67 $630,900.90 nat. median
$311,018
outlier · 2.0×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $541,977.41 $1,287,551.45 $628,073.88 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $538,878.68 $1,275,603.21 $622,245.47 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $513,651.60 $1,220,470.55 $595,351.49 nat. median
$588,565
1.0× median
5833
APR_DRG 		Neonate W Ecmo 4 $494,490.12 $560,879.99 $549,433.46 nat. median
$250,089
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $471,240.00 $1,119,932.61 $546,308.59 nat. median
$577,541
0.9× 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
$30,221
outlier · 15.7×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $423,513.64 $480,374.27 $470,570.71 nat. median
$254,667
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $438,031.35 $1,245,665.23 $468,693.54 nat. median
$370,165
1.3× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $390,631.15 $443,077.00 $434,034.61 nat. median
$209,486
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
$27,427
outlier · 15.6×
24
APR_DRG 		Heart &/Or Lung Transplant 4 $378,436.38 $429,244.97 $420,484.87 nat. median
$243,231
1.7× 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
$27,935
outlier · 15.0×
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
$27,071
outlier · 14.1×
5832
APR_DRG 		Neonate W Ecmo 4 $310,304.47 $351,965.71 $344,782.74 nat. median
$169,230
outlier · 2.0×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $296,007.74 $335,749.52 $328,897.49 nat. median
$127,938
outlier · 2.6×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $287,861.57 $326,509.65 $319,846.19 nat. median
$160,171
2.0× median
8414
APR_DRG 		Extensive 3Rd Degree Burns W Skin Graft 4 $280,557.79 $318,225.27 $311,730.88 nat. median
$165,646
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 14 $310,666.12 $636,865.55 $310,666.12 nat. median
$302,242
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
$156,285
2.0× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $275,635.69 $312,642.33 $306,261.88 nat. median
$168,361
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $169,343.00 $961,710.86 $303,893.32 nat. median
$261,939
1.2× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $271,629.67 $308,098.46 $301,810.74 nat. median
$180,995
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
$147,677
outlier · 2.0×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $267,687.41 $303,626.92 $297,430.45 nat. median
$168,174
1.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $264,406.10 $299,905.06 $293,784.55 nat. median
$147,847
2.0× median
J3403
HCPCS 		Revakinagene, Per Implant 14 $287,498.75 $589,372.44 $287,498.75 nat. median
$265,000
1.1× median
453
MS_DRG 		DRG 8 $53,814.00 $305,611.26 $286,221.58 nat. median
$83,623
outlier · 3.4×
5831
APR_DRG 		Neonate W Ecmo 4 $251,288.73 $285,026.57 $279,209.70 nat. median
$154,685
1.8× 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
$127,600
outlier · 2.2×
23
APR_DRG 		Heart &/Or Lung Transplant 4 $239,514.35 $271,671.37 $266,127.06 nat. median
$116,111
outlier · 2.3×
14
APR_DRG 		Liver Transplant &/Or Intestinal Transplant 4 $237,518.72 $269,407.81 $263,909.69 nat. median
$137,901
1.9× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $237,381.28 $269,251.91 $263,756.98 nat. median
$93,192
outlier · 2.8×
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $225,783.61 $256,097.15 $250,870.68 nat. median
$82,164
outlier · 3.1×
222
MS_DRG 		DRG 8 $46,568.00 $264,466.16 $245,670.00 nat. median
$58,534
outlier · 4.2×
224
MS_DRG 		DRG 8 $44,039.00 $250,100.30 $232,325.15 nat. median
$51,048
outlier · 4.6×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 $208,849.98 $236,890.02 $232,055.53 nat. median
$109,499
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 26 $123,530.00 $701,538.82 $231,343.32 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 26 $111,900.00 $635,487.14 $229,981.12 nat. median
$199,832
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 14 $229,597.06 $470,673.97 $229,597.06 nat. median
$209,736
1.1× median

Other procedures at this hospital

Browse this hospital's 16,951 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 19 19 — — $3,486,000.00 $4,402,622.25 $4,114,600.23 2026-03-24
J1413 HCPCS Inj Delandistrogene Mox Rokl 19 19 — — $3,187,200.00 $3,962,028.61 $3,702,830.48 2026-03-24
J3394 HCPCS Inj, Lovotibeglogene Autotem 19 19 — — $3,087,600.00 $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
J3393 HCPCS Inj, Betibeglogene Autotemce 19 19 — — $2,788,800.00 $3,519,143.02 $3,288,918.71 2026-03-24
J3399 HCPCS Inj Onase Abepar-xioi Treat 19 19 — — $2,382,138.87 $2,933,010.16 $2,741,130.99 2026-03-24
J3392 HCPCS Inj, Exagamglogene Autotem 13 13 — — $2,603,678.00 $2,785,935.46 $2,603,678.00 2026-03-24
Q2057 HCPCS Afamitresgene Autoleucel 14 14 — — $860,397.23 $1,763,814.32 $860,397.23 2026-03-24
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 14 — — $660,662.30 $1,354,357.72 $660,662.30 2026-03-24
Q2056 HCPCS Ciltacabtagene Car-pos T 15 15 — — $566,416.65 $1,295,174.99 $631,792.68 2026-03-24
5834 APR_DRG Neonate W Ecmo 4 4 — — $567,810.81 $644,044.67 $630,900.90 2026-03-24
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 15 — — $541,977.41 $1,287,551.45 $628,073.88 2026-03-24
Q2055 HCPCS Idecabtagene Vicleucel Car 15 15 — — $538,878.68 $1,275,603.21 $622,245.47 2026-03-24
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 15 — — $513,651.60 $1,220,470.55 $595,351.49 2026-03-24
5833 APR_DRG Neonate W Ecmo 4 4 — — $494,490.12 $560,879.99 $549,433.46 2026-03-24
Q2053 HCPCS Brexucabtagene Car Pos T 15 15 — — $471,240.00 $1,119,932.61 $546,308.59 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
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $423,513.64 $480,374.27 $470,570.71 2026-03-24
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 25 — — $438,031.35 $1,245,665.23 $468,693.54 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
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
24 APR_DRG Heart &/Or Lung Transplant 4 4 — — $378,436.38 $429,244.97 $420,484.87 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
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
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
8414 APR_DRG Extensive 3Rd Degree Burns W Skin Graft 4 4 — — $280,557.79 $318,225.27 $311,730.88 2026-03-24
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 14 — — $310,666.12 $636,865.55 $310,666.12 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 26 — — $169,343.00 $961,710.86 $303,893.32 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
J3403 HCPCS Revakinagene, Per Implant 14 14 — — $287,498.75 $589,372.44 $287,498.75 2026-03-24
453 MS_DRG DRG 8 8 — — $53,814.00 $305,611.26 $286,221.58 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
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $225,783.61 $256,097.15 $250,870.68 2026-03-24
222 MS_DRG DRG 8 8 — — $46,568.00 $264,466.16 $245,670.00 2026-03-24
224 MS_DRG DRG 8 8 — — $44,039.00 $250,100.30 $232,325.15 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 26 26 — — $123,530.00 $701,538.82 $231,343.32 2026-03-24
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 26 26 — — $111,900.00 $635,487.14 $229,981.12 2026-03-24
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 14 14 — — $229,597.06 $470,673.97 $229,597.06 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
459 MS_DRG DRG 8 8 — — $39,438.00 $223,969.68 $208,852.73 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
226 MS_DRG DRG 8 8 — — $38,451.00 $218,365.03 $202,845.37 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
454 MS_DRG DRG 8 8 — — $35,687.00 $202,668.69 $190,423.12 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
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
223 MS_DRG DRG 8 8 — — $33,962.00 $192,873.03 $179,165.15 2026-03-24
225 MS_DRG DRG 8 8 — — $32,903.00 $186,859.26 $173,578.79 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
227 MS_DRG DRG 8 8 — — $30,527.00 $173,364.87 $161,043.46 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
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 26 26 — — $69,829.00 $418,241.72 $149,816.76 2026-03-24
455 MS_DRG DRG 8 8 — — $28,004.00 $159,035.60 $149,753.85 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
7 MS_DRG Lung Transplant 26 26 — — $67,823.00 $385,173.96 $140,019.34 2026-03-24
8634 APR_DRG Neonatal Aftercare 4 4 — — $124,397.90 $141,099.47 $138,219.89 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
14 MS_DRG Allogeneic Bone Marrow Transplant 26 26 — — $62,534.00 $355,138.37 $129,883.81 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 26 — — $87,679.00 $497,935.47 $122,424.85 2026-03-24
460 MS_DRG DRG 8 8 — — $23,022.00 $130,742.94 $121,450.77 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
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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 18 — — $109,765.40 $300,788.48 $113,058.36 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 26 — — $59,946.00 $347,749.76 $111,321.78 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
215 MS_DRG Other Heart Assist System Implant 26 26 — — $61,840.00 $351,193.50 $107,478.72 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 26 — — $58,800.00 $333,927.20 $105,584.88 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
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
1204 APR_DRG Major Respiratory & Chest Procedures 4 4 — — $90,440.68 $102,583.18 $100,489.64 2026-03-24
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 14 — — $99,999.91 $204,999.82 $99,999.91 2026-03-24
4403 APR_DRG Kidney Transplant 4 4 — — $89,719.37 $101,765.03 $99,688.19 2026-03-24
J7330 HCPCS Membrane Collagon Maci X1 46 30 $308,587.58 $308,587.58 $28,050.61 $216,011.31 $98,748.02 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
248 MS_DRG DRG 8 8 — — $18,521.00 $105,181.10 $97,705.65 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
246 MS_DRG DRG 8 8 — — $18,299.00 $103,920.47 $96,534.62 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
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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $84,131.49 $95,426.92 $93,479.44 2026-03-24
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 14 14 — — $93,216.70 $191,094.24 $93,216.70 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 26 — — $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… 26 26 — — $50,370.00 $286,053.20 $90,588.74 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
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
338 MS_DRG DRG 8 8 — — $16,384.00 $93,043.79 $86,430.98 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 26 — — $60,543.00 $343,829.29 $84,776.80 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
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… 26 26 — — $47,193.00 $268,011.89 $82,705.79 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 26 — — $46,400.00 $263,511.54 $82,345.95 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 26 — — $43,464.00 $246,833.98 $82,070.88 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
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
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
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 4 4 — — $69,584.46 $78,926.82 $77,316.07 2026-03-24
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 26 — — $38,255.00 $217,254.08 $77,209.15 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 25 — — $71,770.97 $222,180.18 $76,794.94 2026-03-24
10 MS_DRG Pancreas Transplant 26 26 — — $21,202.00 $147,986.51 $76,630.85 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
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
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
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
4034 APR_DRG Procedures For Obesity 4 4 — — $67,065.43 $76,069.58 $74,517.14 2026-03-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 26 26 — — $37,713.00 $214,174.02 $74,372.76 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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 26 — — $40,784.00 $231,613.28 $74,004.23 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 26 — — $36,836.00 $209,194.70 $72,408.27 2026-03-24
341 MS_DRG DRG 8 8 — — $13,602.00 $77,247.67 $72,205.67 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
J9029 HCPCS Instill Adstiladrin, Tx Dose 22 22 — — $62,118.00 $144,979.40 $70,721.66 2026-03-24
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 26 — — $35,782.00 $203,207.54 $70,714.52 2026-03-24
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 26 — — $37,973.00 $215,654.18 $70,714.52 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 26 — — $32,442.00 $184,241.54 $70,454.65 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
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
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
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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 26 26 — — $33,596.00 $200,952.92 $69,185.98 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
2244 APR_DRG Peritoneal Adhesiolysis 4 4 — — $62,120.43 $70,460.68 $69,022.70 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
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 14 — — $67,452.66 $138,277.95 $67,452.66 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
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
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $60,178.72 $68,258.27 $66,865.25 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
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
38240 CPT Transplt Allo Hct/donor 16 16 — — $314.43 $135,366.44 $66,032.41 2026-03-24
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 26 — — $41,279.00 $234,427.25 $65,856.02 2026-03-24
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 26 — — $34,274.00 $221,624.14 $65,778.84 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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 26 — — $34,871.00 $198,035.30 $65,140.68 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
28 MS_DRG Spinal Procedures With Mcc 26 26 — — $34,106.00 $193,687.95 $64,550.37 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 26 — — $38,046.00 $216,066.63 $64,058.97 2026-03-24
7594 APR_DRG Eating Disorders 4 4 — — $57,546.83 $65,273.02 $63,940.92 2026-03-24
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 26 — — $39,454.00 $224,062.81 $63,695.85 2026-03-24
A9543 HCPCS Y90 Ibritumomab, Rx 17 17 — — $63,005.77 $130,061.45 $63,444.61 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 26 — — $35,751.00 $203,034.57 $63,031.60 2026-03-24
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 26 — — $33,336.00 $189,317.33 $62,990.29 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
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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 22 — — $55,945.97 $126,508.68 $61,711.55 2026-03-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 26 — — $33,220.00 $188,658.74 $61,528.08 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
247 MS_DRG DRG 8 8 — — $11,557.00 $65,632.58 $61,339.07 2026-03-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 26 — — $31,453.00 $178,626.92 $61,193.23 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
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $54,468.24 $61,781.11 $60,520.27 2026-03-24
203 APR_DRG Craniotomy For Trauma 4 4 — — $54,394.64 $61,697.63 $60,438.49 2026-03-24
1302 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 4 — — $54,361.92 $61,660.51 $60,402.13 2026-03-24
4444 APR_DRG Renal Dialysis Access Device Procedure Only 4 4 — — $54,306.30 $61,597.42 $60,340.33 2026-03-24
1661 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $54,209.80 $61,487.97 $60,233.11 2026-03-24
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 26 — — $31,822.00 $180,722.42 $60,161.53 2026-03-24
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 4 4 — — $54,065.83 $61,324.66 $60,073.14 2026-03-24
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 4 4 — — $54,005.29 $61,256.00 $60,005.88 2026-03-24
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 17 — — $57,876.76 $159,523.75 $59,613.06 2026-03-24
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 26 — — $35,620.00 $202,289.51 $59,274.40 2026-03-24
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $53,213.60 $60,358.02 $59,126.22 2026-03-24
834 MS_DRG Acute Leukemia With Mcc 26 26 — — $35,447.00 $201,308.28 $58,914.55 2026-03-24
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