Price Transparency 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 →

Export CSV
Hospital

Salem Medical Center

Salem, NJ · CCN 310091 · Rates published

18,443 distinct procedures filed
30 distinct payers
610,673 rate rows
2026-03-24 last MRF observed
Data quality

534,618 of 610,673 rate rows are consumer-grade (87.5%)

76,055 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
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 · 2026-05-17
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
CPT 		Inj, Hemgenix, Per Tx Dose 13 $4,114,600.23 $4,402,622.25 $4,114,600.23 nat. median
$3,710,000
1.1× median
J1413
CPT 		Inj Delandistrogene Mox Rokl 13 $3,702,830.48 $3,962,028.61 $3,702,830.48 nat. median
$3,325,455
1.1× median
J3394
CPT 		Inj, Lovotibeglogene Autotem 13 $3,626,889.64 $3,880,771.91 $3,626,889.64 nat. median
$3,286,000
1.1× median
C9172
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose (Code Deleted Eff… 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,570,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,486,000.00 $3,570,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J3393
CPT 		Inj, Betibeglogene Autotemce 13 $3,288,918.71 $3,519,143.02 $3,288,918.71 nat. median
$3,006,423
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,187,200.00 $3,264,000.00 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,087,600.00 $3,162,000.00 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,788,800.00 $2,856,000.00 $2,788,800.00 nat. median
$3,006,423
0.9× median
J3399
CPT 		Inj Onase Abepar-xioi Treat 13 $2,741,130.99 $2,933,010.16 $2,741,130.99 nat. median
$2,469,189
1.1× median
J3392
CPT 		Inj, Exagamglogene Autotem 13 $2,603,678.00 $2,785,935.46 $2,603,678.00 nat. median
$2,448,600
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,382,138.87 $2,561,516.79 $2,382,138.87 nat. median
$2,469,189
1.0× median
Q2057
CPT 		Afamitresgene Autoleucel 14 $860,397.23 $1,763,814.32 $860,397.23 nat. median
$824,563
1.0× median
Q2042
CPT 		Tisagenlecleucel Car-pos T 14 $660,662.30 $1,354,357.72 $660,662.30 nat. median
$754,974
0.9× median
Q2056
CPT 		Ciltacabtagene Car-pos T 14 $631,792.68 $1,295,174.99 $631,792.68 nat. median
$675,122
0.9× median
5834
APR_DRG 		Neonate W Ecmo 4 $567,810.81 $644,044.67 $630,900.90 nat. median
$309,665
outlier · 2.0×
Q2054
CPT 		Lisocabtagene Mara Car Pos T 14 $628,073.88 $1,287,551.45 $628,073.88 nat. median
$674,188
0.9× median
Q2055
CPT 		Idecabtagene Vicleucel Car 14 $622,245.47 $1,275,603.21 $622,245.47 nat. median
$625,184
1.0× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 14 $595,351.49 $1,220,470.55 $595,351.49 nat. median
$634,511
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $566,416.65 $566,416.65 $566,416.65 nat. median
$675,122
0.8× median
5833
APR_DRG 		Neonate W Ecmo 4 $494,490.12 $560,879.99 $549,433.46 nat. median
$244,017
outlier · 2.3×
Q2053
CPT 		Brexucabtagene Car Pos T 14 $546,308.59 $1,119,932.61 $546,308.59 nat. median
$620,080
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $541,977.41 $541,977.41 $541,977.41 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 $538,878.68 $538,878.68 $538,878.68 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $513,651.60 $513,651.60 $513,651.60 nat. median
$634,511
0.8× median
C9098
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $474,300.00 $474,300.00 $474,300.00 nat. median
$57,174
outlier · 8.3×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 1 $471,240.00 $471,240.00 $471,240.00 nat. median
$620,080
0.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $423,513.64 $480,374.27 $470,570.71 nat. median
$246,434
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $438,031.35 $1,245,665.23 $468,693.54 nat. median
$370,174
1.3× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $390,631.15 $443,077.00 $434,034.61 nat. median
$207,730
outlier · 2.1×
C9081
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab… 1 $427,890.00 $427,890.00 $427,890.00 nat. median
$30,475
outlier · 14.0×
24
APR_DRG 		Heart &/Or Lung Transplant 4 $378,436.38 $429,244.97 $420,484.87 nat. median
$234,738
1.8× median
C9076
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $418,506.00 $418,506.00 $418,506.00 nat. median
$30,475
outlier · 13.7×
C9073
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 1 $380,460.00 $380,460.00 $380,460.00 nat. median
$29,278
outlier · 13.0×
5832
APR_DRG 		Neonate W Ecmo 4 $310,304.47 $351,965.71 $344,782.74 nat. median
$156,126
outlier · 2.2×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $296,007.74 $335,749.52 $328,897.49 nat. median
$119,796
outlier · 2.7×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $287,861.57 $326,509.65 $319,846.19 nat. median
$150,721
outlier · 2.1×
8414
APR_DRG 		Extensive 3Rd Degree Burns W Skin Graft 4 $280,557.79 $318,225.27 $311,730.88 nat. median
$160,267
1.9× median
Q2058
CPT 		Obecbtge Autol Up To 400 Mil 14 $310,666.12 $636,865.55 $310,666.12 nat. median
$324,450
1.0× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $278,413.25 $315,792.81 $309,348.06 nat. median
$151,838
outlier · 2.0×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $275,635.69 $312,642.33 $306,261.88 nat. median
$164,279
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $169,343.00 $961,710.86 $303,893.32 nat. median
$265,286
1.1× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $271,629.67 $308,098.46 $301,810.74 nat. median
$182,736
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $270,783.96 $307,139.22 $300,871.07 nat. median
$122,924
outlier · 2.4×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $267,687.41 $303,626.92 $297,430.45 nat. median
$162,982
1.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $264,406.10 $299,905.06 $293,784.55 nat. median
$145,336
outlier · 2.0×
J3403
CPT 		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
$87,411
outlier · 3.3×
5831
APR_DRG 		Neonate W Ecmo 4 $251,288.73 $285,026.57 $279,209.70 nat. median
$145,122
1.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $247,483.91 $280,710.92 $274,982.12 nat. median
$105,658
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 18,443 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
             
38240 CPT Transplt Allo Hct/donor 16 16 — — $314.43 $135,366.44 $66,032.41 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
341 MS_DRG DRG 8 8 — — $13,602.00 $77,247.67 $72,205.67 2026-03-24
338 MS_DRG DRG 8 8 — — $16,384.00 $93,043.79 $86,430.98 2026-03-24
246 MS_DRG DRG 8 8 — — $18,299.00 $103,920.47 $96,534.62 2026-03-24
248 MS_DRG DRG 8 8 — — $18,521.00 $105,181.10 $97,705.65 2026-03-24
10 MS_DRG Pancreas Transplant 26 26 — — $21,202.00 $147,986.51 $76,630.85 2026-03-24
460 MS_DRG DRG 8 8 — — $23,022.00 $130,742.94 $121,450.77 2026-03-24
455 MS_DRG DRG 8 8 — — $28,004.00 $159,035.60 $149,753.85 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
227 MS_DRG DRG 8 8 — — $30,527.00 $173,364.87 $161,043.46 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
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
225 MS_DRG DRG 8 8 — — $32,903.00 $186,859.26 $173,578.79 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
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
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
223 MS_DRG DRG 8 8 — — $33,962.00 $192,873.03 $179,165.15 2026-03-24
28 MS_DRG Spinal Procedures With Mcc 26 26 — — $34,106.00 $193,687.95 $64,550.37 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 26 — — $34,871.00 $198,035.30 $65,140.68 2026-03-24
454 MS_DRG DRG 8 8 — — $35,687.00 $202,668.69 $190,423.12 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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 26 — — $36,836.00 $209,194.70 $72,408.27 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
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
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
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
226 MS_DRG DRG 8 8 — — $38,451.00 $218,365.03 $202,845.37 2026-03-24
459 MS_DRG DRG 8 8 — — $39,438.00 $223,969.68 $208,852.73 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
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
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
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
224 MS_DRG DRG 8 8 — — $44,039.00 $250,100.30 $232,325.15 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
222 MS_DRG DRG 8 8 — — $46,568.00 $264,466.16 $245,670.00 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
90288 CPT Botulism Ig IV 2 2 — — $48,705.00 $118,840.20 $83,772.60 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 26 — — $51,048.00 $289,908.27 $90,876.81 2026-03-24
453 MS_DRG DRG 8 8 — — $53,814.00 $305,611.26 $286,221.58 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
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
1804 APR_DRG Other Circulatory System Procedures 4 4 — — $56,342.89 $63,907.44 $62,603.21 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
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
3624 APR_DRG Mastectomy Procedures 4 4 — — $56,825.43 $64,454.77 $63,139.37 2026-03-24
3634 APR_DRG Breast Procedures Except Mastectomy 4 4 — — $56,897.41 $64,536.42 $63,219.35 2026-03-24
7594 APR_DRG Eating Disorders 4 4 — — $57,546.83 $65,273.02 $63,940.92 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
233 APR_DRG Spinal Procedures 4 4 — — $58,047.34 $65,840.74 $64,497.05 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
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 4 4 — — $58,646.05 $66,519.83 $65,162.28 2026-03-24
213 APR_DRG Craniotomy Except For Trauma 4 4 — — $58,752.38 $66,640.43 $65,280.42 2026-03-24
3224 APR_DRG Shoulder & Elbow Joint Replacement 4 4 — — $58,773.66 $66,664.57 $65,304.07 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
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
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 4 4 — — $59,027.18 $66,952.13 $65,585.76 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
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 4 4 — — $59,107.31 $67,043.01 $65,674.79 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
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 4 — — $59,501.60 $67,490.24 $66,112.88 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 26 — — $59,946.00 $347,749.76 $111,321.78 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
1693 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $59,993.88 $68,048.62 $66,659.87 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
4844 APR_DRG Other Male Reproductive System & Related Procedures 4 4 — — $60,060.95 $68,124.69 $66,734.39 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
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
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 4 4 — — $60,384.85 $68,492.08 $67,094.28 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
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
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
1744 APR_DRG Percutaneous Coronary Intervention W Ami 4 4 — — $60,837.98 $69,006.04 $67,597.75 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
893 APR_DRG Major Cranial/Facial Bone Procedures 4 4 — — $61,263.28 $69,488.44 $68,070.31 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
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $61,372.92 $69,612.81 $68,192.14 2026-03-24
3104 APR_DRG Intervertebral Disc Excision & Decompression 4 4 — — $61,376.14 $69,616.46 $68,195.71 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
Q2043 CPT Sipuleucel-t Auto Cd54+ 14 14 — — $61,711.55 $126,508.68 $61,711.55 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
J9029 HCPCS Instill Adstiladrin, Tx Dose 8 8 — — $62,118.00 $65,901.83 $63,431.05 2026-03-24
2244 APR_DRG Peritoneal Adhesiolysis 4 4 — — $62,120.43 $70,460.68 $69,022.70 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
14 MS_DRG Allogeneic Bone Marrow Transplant 26 26 — — $62,534.00 $355,138.37 $129,883.81 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
A9543 HCPCS Y90 Ibritumomab, Rx 3 3 — — $63,005.77 $69,162.84 $63,005.77 2026-03-24
4804 APR_DRG Major Male Pelvic Procedures 4 4 — — $63,008.70 $71,468.20 $70,009.67 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
2294 APR_DRG Other Digestive System & Abdominal Procedures 4 4 — — $63,391.44 $71,902.33 $70,434.94 2026-03-24
A9543 CPT Y90 Ibritumomab, Rx 14 14 — — $63,444.61 $130,061.45 $63,444.61 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
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
913 APR_DRG Other Major Head & Neck Procedures 4 4 — — $63,918.17 $72,499.78 $71,020.19 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
244 APR_DRG Extracranial Vascular Procedures 4 4 — — $64,150.40 $72,763.19 $71,278.22 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
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
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $64,886.56 $73,598.18 $72,096.18 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
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $65,584.98 $74,390.37 $72,872.20 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
6504 APR_DRG Splenectomy 4 4 — — $65,851.65 $74,692.84 $73,168.50 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
8633 APR_DRG Neonatal Aftercare 4 4 — — $66,250.75 $75,145.53 $73,611.95 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
264 APR_DRG Other Nervous System & Related Procedures 4 4 — — $66,888.72 $75,869.15 $74,320.80 2026-03-24
4034 APR_DRG Procedures For Obesity 4 4 — — $67,065.43 $76,069.58 $74,517.14 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
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
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
L8702 CPT Ewhf S/d Uprt Micro Sensor 14 14 — — $67,452.66 $138,277.95 $67,452.66 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
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 4 4 — — $67,701.69 $76,791.27 $75,224.10 2026-03-24
7 MS_DRG Lung Transplant 26 26 — — $67,823.00 $385,173.96 $140,019.34 2026-03-24
1824 APR_DRG Other Peripheral Vascular Procedures 4 4 — — $67,983.12 $77,110.48 $75,536.80 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
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
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
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 4 4 — — $68,591.57 $77,800.62 $76,212.85 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
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
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 4 4 — — $69,584.46 $78,926.82 $77,316.07 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
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
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
J9029 CPT Instill Adstiladrin, Tx Dose 14 14 — — $70,721.66 $144,979.40 $70,721.66 2026-03-24
4401 APR_DRG Kidney Transplant 4 4 — — $70,729.57 $80,225.67 $78,588.41 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
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $71,264.43 $80,832.34 $79,182.70 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
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
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 25 — — $71,770.97 $222,180.18 $76,794.94 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
1214 APR_DRG Other Respiratory & Chest Procedures 4 4 — — $72,489.65 $82,222.06 $80,544.06 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
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
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $73,387.66 $83,240.64 $81,541.85 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
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 4 4 — — $73,966.79 $83,897.52 $82,185.32 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
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $75,831.60 $86,012.69 $84,257.33 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
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
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
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
4014 APR_DRG Pituitary & Adrenal Procedures 4 4 — — $78,384.97 $88,908.88 $87,094.42 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
4402 APR_DRG Kidney Transplant 4 4 — — $78,882.27 $89,472.95 $87,646.97 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
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $79,474.46 $90,144.64 $88,304.95 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
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $80,195.85 $90,962.89 $89,106.50 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
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
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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $84,131.49 $95,426.92 $93,479.44 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
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
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
4414 APR_DRG Major Bladder Procedures 4 4 — — $85,291.26 $96,742.40 $94,768.07 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
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 4 4 — — $85,539.95 $97,024.48 $95,044.39 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
204 APR_DRG Craniotomy For Trauma 4 4 — — $86,608.06 $98,236.00 $96,231.18 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
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
894 APR_DRG Major Cranial/Facial Bone Procedures 4 4 — — $86,946.72 $98,620.12 $96,607.46 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
850 MS_DRG Acute Leukemia With Other Procedures 17 17 — — $87,264.41 $239,530.43 $89,882.34 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
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 4 — — $88,147.35 $99,981.95 $97,941.50 2026-03-24
6904 APR_DRG Acute Leukemia 4 4 — — $88,163.72 $100,000.51 $97,959.68 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
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 4 4 — — $88,813.13 $100,737.12 $98,681.26 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
4403 APR_DRG Kidney Transplant 4 4 — — $89,719.37 $101,765.03 $99,688.19 2026-03-24
1204 APR_DRG Major Respiratory & Chest Procedures 4 4 — — $90,440.68 $102,583.18 $100,489.64 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
234 APR_DRG Spinal Procedures 4 4 — — $91,705.17 $104,017.43 $101,894.63 2026-03-24
214 APR_DRG Craniotomy Except For Trauma 4 4 — — $92,204.07 $104,583.32 $102,448.97 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
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 4 4 — — $92,513.22 $104,933.98 $102,792.47 2026-03-24
K1007 CPT Bil Hkaf Pc S/d Micro Sensor 14 14 — — $93,216.70 $191,094.24 $93,216.70 2026-03-24
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $94,188.26 $106,833.90 $104,653.62 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
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $94,510.55 $107,199.47 $105,011.72 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
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
Q0480 CPT Driver Pneumatic Vad, Rep 14 14 — — $99,999.91 $204,999.82 $99,999.91 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
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $100,767.42 $114,296.38 $111,963.80 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
61 APR_DRG Pancreas Transplant 4 4 — — $102,234.72 $115,960.68 $113,594.14 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
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
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
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $105,080.98 $119,189.07 $116,756.64 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
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $105,926.68 $120,148.32 $117,696.31 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
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $106,670.97 $120,992.54 $118,523.30 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
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
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
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
12 APR_DRG Liver Transplant &/Or Intestinal Transplant 4 4 — — $112,756.06 $127,894.61 $125,284.51 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
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $116,757.16 $132,432.89 $129,730.18 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
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
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $118,445.25 $134,347.62 $131,605.84 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
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $119,372.78 $135,399.68 $132,636.42 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
62 APR_DRG Pancreas Transplant 4 4 — — $123,069.65 $139,592.89 $136,744.06 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
8634 APR_DRG Neonatal Aftercare 4 4 — — $124,397.90 $141,099.47 $138,219.89 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
13 APR_DRG Liver Transplant &/Or Intestinal Transplant 4 4 — — $135,146.64 $153,291.33 $150,162.94 2026-03-24
21 APR_DRG Heart &/Or Lung Transplant 4 4 — — $141,717.58 $160,744.48 $157,463.98 2026-03-24
4404 APR_DRG Kidney Transplant 4 4 — — $143,579.07 $162,855.89 $159,532.30 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
63 APR_DRG Pancreas Transplant 4 4 — — $149,824.50 $169,939.83 $166,471.67 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
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
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
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
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $155,934.08 $176,869.68 $173,260.09 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
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
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
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
22 APR_DRG Heart &/Or Lung Transplant 4 4 — — $172,385.17 $195,529.48 $191,539.08 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $178,116.94 $202,030.79 $197,907.71 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
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $187,529.20 $212,706.73 $208,365.78 2026-03-24
64 APR_DRG Pancreas Transplant 4 4 — — $189,246.81 $214,654.95 $210,274.24 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
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
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $225,783.61 $256,097.15 $250,870.68 2026-03-24
J3402 CPT Inj. Remestemcel-l-rknd/ Td 14 14 — — $229,597.06 $470,673.97 $229,597.06 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
14 APR_DRG Liver Transplant &/Or Intestinal Transplant 4 4 — — $237,518.72 $269,407.81 $263,909.69 2026-03-24
23 APR_DRG Heart &/Or Lung Transplant 4 4 — — $239,514.35 $271,671.37 $266,127.06 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
5831 APR_DRG Neonate W Ecmo 4 4 — — $251,288.73 $285,026.57 $279,209.70 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
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $267,687.41 $303,626.92 $297,430.45 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
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $271,629.67 $308,098.46 $301,810.74 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
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $278,413.25 $315,792.81 $309,348.06 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
J3403 CPT Revakinagene, Per Implant 14 14 — — $287,498.75 $589,372.44 $287,498.75 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
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $296,007.74 $335,749.52 $328,897.49 2026-03-24
5832 APR_DRG Neonate W Ecmo 4 4 — — $310,304.47 $351,965.71 $344,782.74 2026-03-24
Q2058 CPT Obecbtge Autol Up To 400 Mil 14 14 — — $310,666.12 $636,865.55 $310,666.12 2026-03-24
24 APR_DRG Heart &/Or Lung Transplant 4 4 — — $378,436.38 $429,244.97 $420,484.87 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
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $390,631.15 $443,077.00 $434,034.61 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
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $423,513.64 $480,374.27 $470,570.71 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
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
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 1 1 — — $471,240.00 $471,240.00 $471,240.00 2026-03-24
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
5833 APR_DRG Neonate W Ecmo 4 4 — — $494,490.12 $560,879.99 $549,433.46 2026-03-24
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 1 — — $513,651.60 $513,651.60 $513,651.60 2026-03-24
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 1 — — $538,878.68 $538,878.68 $538,878.68 2026-03-24
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 1 — — $541,977.41 $541,977.41 $541,977.41 2026-03-24
Q2053 CPT Brexucabtagene Car Pos T 14 14 — — $546,308.59 $1,119,932.61 $546,308.59 2026-03-24
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 1 — — $566,416.65 $566,416.65 $566,416.65 2026-03-24
5834 APR_DRG Neonate W Ecmo 4 4 — — $567,810.81 $644,044.67 $630,900.90 2026-03-24
Q2041 CPT Axicabtagene Ciloleucel Car+ 14 14 — — $595,351.49 $1,220,470.55 $595,351.49 2026-03-24
Q2055 CPT Idecabtagene Vicleucel Car 14 14 — — $622,245.47 $1,275,603.21 $622,245.47 2026-03-24
Q2054 CPT Lisocabtagene Mara Car Pos T 14 14 — — $628,073.88 $1,287,551.45 $628,073.88 2026-03-24
Q2056 CPT Ciltacabtagene Car-pos T 14 14 — — $631,792.68 $1,295,174.99 $631,792.68 2026-03-24
Q2042 CPT Tisagenlecleucel Car-pos T 14 14 — — $660,662.30 $1,354,357.72 $660,662.30 2026-03-24
Q2057 CPT Afamitresgene Autoleucel 14 14 — — $860,397.23 $1,763,814.32 $860,397.23 2026-03-24
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,382,138.87 $2,561,516.79 $2,382,138.87 2026-03-24
J3392 CPT Inj, Exagamglogene Autotem 13 13 — — $2,603,678.00 $2,785,935.46 $2,603,678.00 2026-03-24
J3399 CPT Inj Onase Abepar-xioi Treat 13 13 — — $2,741,130.99 $2,933,010.16 $2,741,130.99 2026-03-24
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,788,800.00 $2,856,000.00 $2,788,800.00 2026-03-24
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,087,600.00 $3,162,000.00 $3,087,600.00 2026-03-24
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,187,200.00 $3,264,000.00 $3,187,200.00 2026-03-24
J3393 CPT Inj, Betibeglogene Autotemce 13 13 — — $3,288,918.71 $3,519,143.02 $3,288,918.71 2026-03-24
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,486,000.00 $3,570,000.00 $3,486,000.00 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
J3394 CPT Inj, Lovotibeglogene Autotem 13 13 — — $3,626,889.64 $3,880,771.91 $3,626,889.64 2026-03-24
J1413 CPT Inj Delandistrogene Mox Rokl 13 13 — — $3,702,830.48 $3,962,028.61 $3,702,830.48 2026-03-24
J1411 CPT Inj, Hemgenix, Per Tx Dose 13 13 — — $4,114,600.23 $4,402,622.25 $4,114,600.23 2026-03-24
See an error in this hospital's data? Submit a correction