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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

St. Joseph's Hospital

— · CCN 330108 · Rates published

38,923 distinct procedures filed
29 distinct payers
353,062 rate rows
2026-05-13 last MRF observed
Data quality

145,240 of 353,062 rate rows are consumer-grade (41.1%)

207,822 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 207,129
per-diem day rate — not a per-procedure price 412
exceeds 10× this hospital's gross charge — excluded from medians 233
placeholder amount (≤ $0.02) — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wvumedicine.org/wp-content/uploads/2026/03/550356996_St.-Josephs-Hospital-of-Buckhannon-Inc._standardcharges.csv
Found on page https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint fe97256c1c5ff6f8… · 30,977,780 bytes · first seen 2026-05-13

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 		Inj, Atidarsagene Autotemcel 2 $4,505,000.00 $4,955,500.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,685,266.66 $4,053,793.33 $3,869,530.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $3,335,820.00 $3,669,402.00 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,327,859.72 $3,660,645.69 $3,494,252.71 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,252,508.07 $3,577,758.88 $3,415,133.47 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,180,000.00 $3,498,000.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,939,968.88 $3,233,965.77 $3,086,967.33 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,588,981.22 $2,847,879.34 $2,718,430.28 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,332,000.00 $2,565,200.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $1,024,924.60 $847,682.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $587,649.57 $781,573.93 $646,414.53 nat. median
$675,122
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $753,486.63 $623,184.43 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $747,727.65 $618,421.36 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $558,081.72 $742,248.70 $613,889.89 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $532,192.24 $707,815.68 $585,411.46 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,450.20 $650,968.77 $538,395.22 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 $7,639.00 $556,260.36 $375,344.90 nat. median
$370,174
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $278,250.00 $306,075.00 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $265,000.00 $352,450.00 $291,500.00 nat. median
$265,000
1.1× median
0024
APR_DRG 		1 $206,011.26 $360,519.71 $283,265.48 nat. median
$372,987
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $7,639.00 $361,252.89 $243,583.74 nat. median
$265,286
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $201,669.02 $268,219.80 $221,835.92 nat. median
$209,753
1.1× median
5834
APR_DRG 		1 $151,759.86 $265,579.76 $208,669.81 nat. median
$309,665
0.7× median
5884
APR_DRG 		1 $149,099.64 $260,924.37 $205,012.01 nat. median
$246,434
0.8× median
5883
APR_DRG 		1 $149,099.64 $260,924.37 $205,012.01 nat. median
$182,736
1.1× median
1614
APR_DRG 		1 $136,411.90 $238,720.83 $187,566.36 nat. median
$207,730
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $84,378.00 $275,404.79 $185,578.55 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $7,639.00 $273,792.89 $184,489.44 nat. median
$202,986
0.9× median
0034
APR_DRG 		1 $132,461.34 $231,807.35 $182,134.35 nat. median
$267,508
0.7× median
5914
APR_DRG 		1 $114,574.52 $200,505.41 $157,539.96 nat. median
$164,279
1.0× median
5882
APR_DRG 		1 $114,162.09 $199,783.66 $156,972.88 nat. median
$145,336
1.1× median
5881
APR_DRG 		1 $114,162.09 $199,783.66 $156,972.88 nat. median
$124,573
1.3× median
8414
APR_DRG 		1 $110,826.65 $193,946.64 $152,386.65 nat. median
$160,267
1.0× median
0044
APR_DRG 		1 $106,900.84 $187,076.47 $146,988.65 nat. median
$195,681
0.8× median
0014
APR_DRG 		1 $103,561.86 $181,233.26 $142,397.56 nat. median
$190,591
0.7× median
5934
APR_DRG 		1 $103,152.37 $180,516.65 $141,834.51 nat. median
$151,838
0.9× median
6094
APR_DRG 		1 $94,481.17 $165,342.05 $129,911.61 nat. median
$162,982
0.8× median
6024
APR_DRG 		1 $89,516.61 $156,654.07 $123,085.34 nat. median
$118,620
1.0× median
0023
APR_DRG 		1 $89,205.51 $156,109.64 $122,657.58 nat. median
$167,082
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $7,639.00 $178,934.69 $120,396.37 nat. median
$133,176
0.9× median
8413
APR_DRG 		1 $86,696.13 $151,718.23 $119,207.18 nat. median
$66,693
1.8× median
5833
APR_DRG 		1 $86,398.58 $151,197.52 $118,798.05 nat. median
$244,017
outlier · 0.5×
5832
APR_DRG 		1 $84,790.67 $148,383.67 $116,587.17 nat. median
$156,126
0.7× median
5831
APR_DRG 		1 $84,790.67 $148,383.67 $116,587.17 nat. median
$145,122
0.8× median
6034
APR_DRG 		1 $82,494.57 $144,365.50 $113,430.04 nat. median
$109,499
1.0× median
7
MS_DRG 		Lung Transplant 4 $7,639.00 $167,341.45 $112,563.14 nat. median
$122,708
0.9× median
0054
APR_DRG 		1 $81,667.93 $142,918.88 $112,293.40 nat. median
$149,310
0.8× median
5933
APR_DRG 		1 $80,657.46 $141,150.56 $110,904.01 nat. median
$108,996
1.0× median
0022
APR_DRG 		1 $76,107.68 $133,188.44 $104,648.06 nat. median
$140,623
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $7,639.00 $155,348.14 $104,459.59 nat. median
$117,303
0.9× median

Other procedures at this hospital

Browse this hospital's 38,923 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,955,500.00 $4,730,250.00 2026-03-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,685,266.66 $4,053,793.33 $3,869,530.00 2026-03-27
J3389 HCPCS Topi Adm Prad Zami Per Treat 2 2 — — $3,335,820.00 $3,669,402.00 $3,502,611.00 2026-03-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,327,859.72 $3,660,645.69 $3,494,252.71 2026-03-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,252,508.07 $3,577,758.88 $3,415,133.47 2026-03-27
J3387 HCPCS Inj Elivaldogene Autotemecel 2 2 — — $3,180,000.00 $3,498,000.00 $3,339,000.00 2026-03-27
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $2,939,968.88 $3,233,965.77 $3,086,967.33 2026-03-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,588,981.22 $2,847,879.34 $2,718,430.28 2026-03-27
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,332,000.00 $2,565,200.00 $2,448,600.00 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $770,620.00 $1,024,924.60 $847,682.00 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 3 2 — — $587,649.57 $781,573.93 $646,414.53 2026-03-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $566,531.30 $753,486.63 $623,184.43 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 2 — — $562,201.24 $747,727.65 $618,421.36 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $558,081.72 $742,248.70 $613,889.89 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $532,192.24 $707,815.68 $585,411.46 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $489,450.20 $650,968.77 $538,395.22 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 4 — — $7,639.00 $556,260.36 $375,344.90 2026-03-27
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $278,250.00 $306,075.00 $292,162.50 2026-03-27
J3403 HCPCS Revakinagene, Per Implant 3 2 — — $265,000.00 $352,450.00 $291,500.00 2026-03-27
0024 APR_DRG — 2 1 — — $206,011.26 $360,519.71 $283,265.48 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $7,639.00 $361,252.89 $243,583.74 2026-03-27
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 2 — — $201,669.02 $268,219.80 $221,835.92 2026-03-27
5834 APR_DRG — 2 1 — — $151,759.86 $265,579.76 $208,669.81 2026-03-27
5883 APR_DRG — 2 1 — — $149,099.64 $260,924.37 $205,012.01 2026-03-27
5884 APR_DRG — 2 1 — — $149,099.64 $260,924.37 $205,012.01 2026-03-27
1614 APR_DRG — 2 1 — — $136,411.90 $238,720.83 $187,566.36 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $84,378.00 $275,404.79 $185,578.55 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $7,639.00 $273,792.89 $184,489.44 2026-03-27
0034 APR_DRG — 2 1 — — $132,461.34 $231,807.35 $182,134.35 2026-03-27
5914 APR_DRG — 2 1 — — $114,574.52 $200,505.41 $157,539.96 2026-03-27
5882 APR_DRG — 2 1 — — $114,162.09 $199,783.66 $156,972.88 2026-03-27
5881 APR_DRG — 2 1 — — $114,162.09 $199,783.66 $156,972.88 2026-03-27
8414 APR_DRG — 2 1 — — $110,826.65 $193,946.64 $152,386.65 2026-03-27
0044 APR_DRG — 2 1 — — $106,900.84 $187,076.47 $146,988.65 2026-03-27
0014 APR_DRG — 2 1 — — $103,561.86 $181,233.26 $142,397.56 2026-03-27
5934 APR_DRG — 2 1 — — $103,152.37 $180,516.65 $141,834.51 2026-03-27
6094 APR_DRG — 2 1 — — $94,481.17 $165,342.05 $129,911.61 2026-03-27
6024 APR_DRG — 2 1 — — $89,516.61 $156,654.07 $123,085.34 2026-03-27
0023 APR_DRG — 2 1 — — $89,205.51 $156,109.64 $122,657.58 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $7,639.00 $178,934.69 $120,396.37 2026-03-27
8413 APR_DRG — 2 1 — — $86,696.13 $151,718.23 $119,207.18 2026-03-27
5833 APR_DRG — 2 1 — — $86,398.58 $151,197.52 $118,798.05 2026-03-27
5832 APR_DRG — 2 1 — — $84,790.67 $148,383.67 $116,587.17 2026-03-27
5831 APR_DRG — 2 1 — — $84,790.67 $148,383.67 $116,587.17 2026-03-27
6034 APR_DRG — 2 1 — — $82,494.57 $144,365.50 $113,430.04 2026-03-27
7 MS_DRG Lung Transplant 5 4 — — $7,639.00 $167,341.45 $112,563.14 2026-03-27
0054 APR_DRG — 2 1 — — $81,667.93 $142,918.88 $112,293.40 2026-03-27
5933 APR_DRG — 2 1 — — $80,657.46 $141,150.56 $110,904.01 2026-03-27
0022 APR_DRG — 2 1 — — $76,107.68 $133,188.44 $104,648.06 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 5 4 — — $7,639.00 $155,348.14 $104,459.59 2026-03-27
J9029 CPT Instill Adstiladrin, Tx Dose 18 16 $138,420.00 $69,210.00 50% off $101,970.00 $101,970.00 $101,970.00 2026-05-13
6074 APR_DRG — 2 1 — — $73,160.53 $128,030.93 $100,595.73 2026-03-27
6304 APR_DRG — 2 1 — — $72,476.47 $126,833.82 $99,655.15 2026-03-27
5891 APR_DRG — 2 1 — — $71,942.66 $125,899.66 $98,921.16 2026-03-27
5892 APR_DRG — 2 1 — — $71,942.66 $125,899.66 $98,921.16 2026-03-27
0021 APR_DRG — 2 1 — — $71,714.05 $125,499.59 $98,606.82 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $7,639.00 $146,521.99 $98,496.01 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $7,639.00 $146,354.76 $98,383.01 2026-03-27
0033 APR_DRG — 2 1 — — $70,081.98 $122,643.47 $96,362.73 2026-03-27
5913 APR_DRG — 2 1 — — $70,033.07 $122,557.87 $96,295.47 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $7,639.00 $142,526.36 $95,796.27 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 — — $7,639.00 $140,634.04 $94,517.68 2026-03-27
0904 APR_DRG — 2 1 — — $66,589.81 $116,532.17 $91,560.99 2026-03-27
6023 APR_DRG — 2 1 — — $66,187.39 $115,827.93 $91,007.66 2026-03-27
5932 APR_DRG — 2 1 — — $66,069.55 $115,621.71 $90,845.63 2026-03-27
5912 APR_DRG — 2 1 — — $65,361.34 $114,382.35 $89,871.85 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $7,639.00 $133,383.77 $89,618.87 2026-03-27
3034 APR_DRG — 2 1 — — $64,610.70 $113,068.73 $88,839.71 2026-03-27
5931 APR_DRG — 2 1 — — $64,070.41 $112,123.22 $88,096.82 2026-03-27
215 MS_DRG Other Heart Assist System Implant 5 4 — — $7,639.00 $128,836.26 $86,546.24 2026-03-27
6314 APR_DRG — 2 1 — — $62,365.28 $109,139.24 $85,752.26 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $7,639.00 $126,595.32 $85,032.10 2026-03-27
4404 APR_DRG — 2 1 — — $61,603.45 $107,806.04 $84,704.74 2026-03-27
0043 APR_DRG — 2 1 — — $59,756.32 $104,573.56 $82,164.94 2026-03-27
1604 APR_DRG — 2 1 — — $59,009.81 $103,267.17 $81,138.49 2026-03-27
1613 APR_DRG — 2 1 — — $58,395.27 $102,191.72 $80,293.49 2026-03-27
3614 APR_DRG — 2 1 — — $56,986.51 $99,726.39 $78,356.45 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $7,639.00 $116,648.70 $78,311.44 2026-03-27
6022 APR_DRG — 2 1 — — $56,300.09 $98,525.16 $77,412.62 2026-03-27
1624 APR_DRG — 2 1 — — $55,715.02 $97,501.29 $76,608.15 2026-03-27
0053 APR_DRG — 2 1 — — $54,819.44 $95,934.02 $75,376.73 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $7,639.00 $112,144.93 $75,268.37 2026-03-27
3044 APR_DRG — 2 1 — — $54,521.90 $95,413.33 $74,967.62 2026-03-27
6073 APR_DRG — 2 1 — — $54,326.88 $95,072.04 $74,699.46 2026-03-27
J9226 CPT Supprelin La Implant 18 16 $150,543.00 $75,271.50 50% off $73,550.30 $73,550.30 $73,550.30 2026-05-13
3124 APR_DRG — 2 1 — — $53,461.94 $93,558.40 $73,510.17 2026-03-27
6033 APR_DRG — 2 1 — — $53,321.71 $93,312.99 $73,317.35 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $7,639.00 $109,191.30 $73,272.69 2026-03-27
6814 APR_DRG — 2 1 — — $53,278.70 $93,237.73 $73,258.21 2026-03-27
6804 APR_DRG — 2 1 — — $53,131.99 $92,980.98 $73,056.49 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $7,639.00 $108,850.40 $73,042.35 2026-03-27
5911 APR_DRG — 2 1 — — $52,796.73 $92,394.28 $72,595.51 2026-03-27
6904 APR_DRG — 2 1 — — $51,993.66 $90,988.91 $71,491.29 2026-03-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 2 — — $64,274.79 $85,485.47 $70,702.27 2026-03-27
8424 APR_DRG — 2 1 — — $51,313.73 $89,799.03 $70,556.38 2026-03-27
6124 APR_DRG — 2 1 — — $50,346.86 $88,107.01 $69,226.93 2026-03-27
4054 APR_DRG — 2 1 — — $49,843.09 $87,225.41 $68,534.25 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $7,639.00 $101,973.19 $68,395.61 2026-03-27
0013 APR_DRG — 2 1 — — $49,715.83 $87,002.70 $68,359.26 2026-03-27
6114 APR_DRG — 2 1 — — $48,815.54 $85,427.20 $67,121.37 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $7,639.00 $99,522.56 $66,739.78 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 5 4 — — $7,639.00 $99,096.75 $66,452.08 2026-03-27
9504 APR_DRG — 2 1 — — $48,229.88 $84,402.29 $66,316.08 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $7,639.00 $98,771.29 $66,232.17 2026-03-27
0234 APR_DRG — 2 1 — — $48,040.15 $84,070.26 $66,055.21 2026-03-27
0032 APR_DRG — 2 1 — — $46,145.89 $80,755.31 $63,450.60 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $7,639.00 $93,608.87 $62,744.07 2026-03-27
0064 APR_DRG — 2 1 — — $45,428.84 $79,500.47 $62,464.65 2026-03-27
4474 APR_DRG — 2 1 — — $45,379.93 $79,414.88 $62,397.40 2026-03-27
10 MS_DRG Pancreas Transplant 5 4 — — $7,639.00 $93,057.00 $62,371.18 2026-03-27
8504 APR_DRG — 2 1 — — $45,356.96 $79,374.68 $62,365.82 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $24,003.00 $93,018.40 $62,345.11 2026-03-27
27000000S1-178 CDM Icd Maximo Ii D284trk Sc Pm C1882 Defib 4 3 $77,175.00 $15,435.00 80% off $15,435.00 $77,175.00 $62,125.88 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 — — $7,639.00 $92,528.27 $62,013.94 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $7,639.00 $92,474.25 $61,977.44 2026-03-27
9124 APR_DRG — 2 1 — — $45,061.77 $78,858.10 $61,959.93 2026-03-27
5124 APR_DRG — 2 1 — — $44,630.48 $78,103.34 $61,366.91 2026-03-27
6072 APR_DRG — 2 1 — — $44,483.18 $77,845.57 $61,164.38 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $45,117.11 $77,205.70 $60,923.95 2026-03-27
2604 APR_DRG — 2 1 — — $44,177.39 $77,310.43 $60,743.91 2026-03-27
6954 APR_DRG — 2 1 — — $43,943.48 $76,901.09 $60,422.29 2026-03-27
0924 APR_DRG — 2 1 — — $43,746.68 $76,556.69 $60,151.68 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $7,639.00 $89,662.12 $60,077.37 2026-03-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $54,404.10 $72,357.46 $59,844.51 2026-03-27
0063 APR_DRG — 2 1 — — $43,515.72 $76,152.51 $59,834.11 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $7,639.00 $89,226.03 $59,782.71 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $56,824.54 $62,506.99 $59,665.76 2026-03-27
6093 APR_DRG — 2 1 — — $43,332.48 $75,831.84 $59,582.16 2026-03-27
0214 APR_DRG — 2 1 — — $43,086.78 $75,401.87 $59,244.32 2026-03-27
0041 APR_DRG — 2 1 — — $42,775.69 $74,857.46 $58,816.58 2026-03-27
0042 APR_DRG — 2 1 — — $42,775.69 $74,857.46 $58,816.58 2026-03-27
1694 APR_DRG — 2 1 — — $42,742.10 $74,798.68 $58,770.39 2026-03-27
9104 APR_DRG — 2 1 — — $42,739.75 $74,794.56 $58,767.15 2026-03-27
6084 APR_DRG — 2 1 — — $42,739.16 $74,793.53 $58,766.35 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $7,639.00 $87,337.56 $58,506.72 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $7,639.00 $86,763.82 $58,119.06 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $7,639.00 $86,700.78 $58,076.47 2026-03-27
2204 APR_DRG — 2 1 — — $42,181.19 $73,817.08 $57,999.14 2026-03-27
8412 APR_DRG — 2 1 — — $42,147.02 $73,757.29 $57,952.15 2026-03-27
1654 APR_DRG — 2 1 — — $42,115.79 $73,702.63 $57,909.21 2026-03-27
3214 APR_DRG — 2 1 — — $42,042.73 $73,574.78 $57,808.76 2026-03-27
1634 APR_DRG — 2 1 — — $41,941.39 $73,397.43 $57,669.41 2026-03-27
3033 APR_DRG — 2 1 — — $41,593.76 $72,789.08 $57,191.42 2026-03-27
4014 APR_DRG — 2 1 — — $41,591.99 $72,785.98 $57,188.99 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $7,639.00 $85,333.31 $57,152.51 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $7,639.00 $85,333.31 $57,152.51 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $7,639.00 $85,025.86 $56,944.77 2026-03-27
6032 APR_DRG — 2 1 — — $41,066.43 $71,866.25 $56,466.34 2026-03-27
3104 APR_DRG — 2 1 — — $40,734.71 $71,285.74 $56,010.23 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $7,639.00 $83,524.61 $55,930.41 2026-03-27
6083 APR_DRG — 2 1 — — $40,625.12 $71,093.96 $55,859.54 2026-03-27
0894 APR_DRG — 2 1 — — $40,595.66 $71,042.41 $55,819.04 2026-03-27
0244 APR_DRG — 2 1 — — $40,448.36 $70,784.63 $55,616.50 2026-03-27
6214 APR_DRG — 2 1 — — $40,439.53 $70,769.18 $55,604.35 2026-03-27
4414 APR_DRG — 2 1 — — $40,269.84 $70,472.22 $55,371.03 2026-03-27
0204 APR_DRG — 2 1 — — $39,837.96 $69,716.43 $54,777.19 2026-03-27
1674 APR_DRG — 2 1 — — $39,491.51 $69,110.14 $54,300.82 2026-03-27
0031 APR_DRG — 2 1 — — $39,458.52 $69,052.41 $54,255.46 2026-03-27
1814 APR_DRG — 2 1 — — $39,404.90 $68,958.58 $54,181.74 2026-03-27
7914 APR_DRG — 2 1 — — $39,370.72 $68,898.76 $54,134.74 2026-03-27
2214 APR_DRG — 2 1 — — $39,356.58 $68,874.02 $54,115.30 2026-03-27
4034 APR_DRG — 2 1 — — $39,170.40 $68,548.20 $53,859.30 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 5 4 — — $7,639.00 $79,584.30 $53,268.05 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $7,639.00 $79,492.96 $53,206.34 2026-03-27
6021 APR_DRG — 2 1 — — $38,675.47 $67,682.07 $53,178.77 2026-03-27
9114 APR_DRG — 2 1 — — $38,661.33 $67,657.33 $53,159.33 2026-03-27
3134 APR_DRG — 2 1 — — $38,549.39 $67,461.43 $53,005.41 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $7,639.00 $78,737.82 $52,696.12 2026-03-27
5104 APR_DRG — 2 1 — — $38,184.08 $66,822.14 $52,503.11 2026-03-27
4424 APR_DRG — 2 1 — — $37,987.29 $66,477.76 $52,232.52 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $7,639.00 $78,039.30 $52,224.14 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $7,639.00 $78,017.43 $52,209.37 2026-03-27
6123 APR_DRG — 2 1 — — $37,793.45 $66,138.54 $51,965.99 2026-03-27
1774 APR_DRG — 2 1 — — $37,743.95 $66,051.91 $51,897.93 2026-03-27
6914 APR_DRG — 2 1 — — $37,733.35 $66,033.36 $51,883.35 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $7,639.00 $77,457.84 $51,831.27 2026-03-27
7104 APR_DRG — 2 1 — — $37,660.29 $65,905.51 $51,782.90 2026-03-27
3174 APR_DRG — 2 1 — — $37,646.15 $65,880.76 $51,763.46 2026-03-27
3054 APR_DRG — 2 1 — — $37,550.70 $65,713.73 $51,632.21 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 4 — — $7,639.00 $77,028.17 $51,540.95 2026-03-27
0264 APR_DRG — 2 1 — — $37,398.10 $65,446.68 $51,422.39 2026-03-27
9514 APR_DRG — 2 1 — — $37,393.38 $65,438.42 $51,415.90 2026-03-27
1824 APR_DRG — 2 1 — — $37,375.12 $65,406.46 $51,390.79 2026-03-27
6113 APR_DRG — 2 1 — — $37,338.59 $65,342.53 $51,340.56 2026-03-27
27800000S1-15059 CDM Icd Hv Generator Cd3369-40q C1722 4 3 $74,040.00 $14,808.00 80% off $14,808.00 $65,155.20 $51,069.09 2026-03-27
1664 APR_DRG — 2 1 — — $37,134.73 $64,985.78 $51,060.26 2026-03-27
5114 APR_DRG — 2 1 — — $37,106.44 $64,936.27 $51,021.35 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $7,639.00 $76,242.17 $51,009.87 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $7,639.00 $76,193.28 $50,976.84 2026-03-27
4444 APR_DRG — 2 1 — — $36,867.82 $64,518.69 $50,693.26 2026-03-27
0011 APR_DRG — 2 1 — — $36,734.66 $64,285.66 $50,510.16 2026-03-27
0012 APR_DRG — 2 1 — — $36,734.66 $64,285.66 $50,510.16 2026-03-27
2644 APR_DRG — 2 1 — — $36,683.40 $64,195.95 $50,439.68 2026-03-27
2614 APR_DRG — 2 1 — — $36,600.91 $64,051.59 $50,326.25 2026-03-27
1612 APR_DRG — 2 1 — — $36,524.32 $63,917.56 $50,220.94 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $7,639.00 $74,936.46 $50,127.63 2026-03-27
1204 APR_DRG — 2 1 — — $36,307.49 $63,538.11 $49,922.80 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $7,639.00 $74,463.05 $49,807.77 2026-03-27
1304 APR_DRG — 2 1 — — $36,201.44 $63,352.52 $49,776.98 2026-03-27
6903 APR_DRG — 2 1 — — $36,143.11 $63,250.44 $49,696.78 2026-03-27
1214 APR_DRG — 2 1 — — $36,108.94 $63,190.65 $49,649.79 2026-03-27
3014 APR_DRG — 2 1 — — $36,088.90 $63,155.58 $49,622.24 2026-03-27
2624 APR_DRG — 2 1 — — $36,088.31 $63,154.54 $49,621.43 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $7,639.00 $74,162.02 $49,604.37 2026-03-27
5194 APR_DRG — 2 1 — — $36,060.03 $63,105.05 $49,582.54 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $7,639.00 $74,066.83 $49,540.05 2026-03-27
6071 APR_DRG — 2 1 — — $36,015.25 $63,026.69 $49,520.97 2026-03-27
7114 APR_DRG — 2 1 — — $35,984.03 $62,972.05 $49,478.04 2026-03-27
5184 APR_DRG — 2 1 — — $35,642.29 $62,374.01 $49,008.15 2026-03-27
0494 APR_DRG — 2 1 — — $35,581.02 $62,266.79 $48,923.90 2026-03-27
1714 APR_DRG — 2 1 — — $35,559.22 $62,228.64 $48,893.93 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $7,639.00 $73,069.85 $48,866.42 2026-03-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 5 4 — — $7,639.00 $72,846.02 $48,715.18 2026-03-27
9524 APR_DRG — 2 1 — — $35,369.49 $61,896.61 $48,633.05 2026-03-27
6303 APR_DRG — 2 1 — — $35,333.55 $61,833.71 $48,583.63 2026-03-27
0434 APR_DRG — 2 1 — — $35,287.60 $61,753.30 $48,520.45 2026-03-27
3814 APR_DRG — 2 1 — — $35,199.81 $61,599.67 $48,399.74 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $7,639.00 $72,352.03 $48,381.41 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 5 4 — — $7,639.00 $71,796.30 $48,005.92 2026-03-27
0052 APR_DRG — 2 1 — — $34,851.00 $60,989.25 $47,920.12 2026-03-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $7,639.00 $71,370.49 $47,718.21 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $7,639.00 $71,120.92 $47,549.59 2026-03-27
J9226 HCPCS Supprelin La Implant 3 2 — — $43,185.33 $57,436.50 $47,503.86 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 5 4 — — $7,639.00 $71,020.58 $47,481.79 2026-03-27
2294 APR_DRG — 2 1 — — $34,516.34 $60,403.60 $47,459.97 2026-03-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 5 4 — — $7,639.00 $70,909.95 $47,407.04 2026-03-27
3084 APR_DRG — 2 1 — — $34,410.28 $60,217.99 $47,314.13 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 4 — — $7,639.00 $70,629.50 $47,217.55 2026-03-27
3094 APR_DRG — 2 1 — — $34,270.64 $59,973.62 $47,122.13 2026-03-27
1623 APR_DRG — 2 1 — — $34,221.15 $59,887.01 $47,054.08 2026-03-27
6504 APR_DRG — 2 1 — — $34,022.59 $59,539.53 $46,781.06 2026-03-27
27800000S1-14175 CDM Icd Generator Cd3357-40c C1882 4 3 $67,800.00 $13,560.00 80% off $13,560.00 $59,664.00 $46,765.05 2026-03-27
27800000S1-14046 CDM Icd Generator Cd3357-40q C1882 4 3 $67,800.00 $13,560.00 80% off $13,560.00 $59,664.00 $46,765.05 2026-03-27
0051 APR_DRG — 2 1 — — $33,981.94 $59,468.40 $46,725.17 2026-03-27
27800000S1-6378 CDM Generator Crt-d G150 C1882 4 3 $67,704.75 $13,540.95 80% off $13,540.95 $59,580.18 $46,699.35 2026-03-27
6082 APR_DRG — 2 1 — — $33,922.43 $59,364.25 $46,643.34 2026-03-27
4403 APR_DRG — 2 1 — — $33,842.30 $59,224.03 $46,533.17 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $7,639.00 $69,349.52 $46,352.70 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $7,639.00 $69,308.35 $46,324.88 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $7,639.00 $68,847.81 $46,013.71 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $7,639.00 $68,622.69 $45,861.60 2026-03-27
2234 APR_DRG — 2 1 — — $33,289.04 $58,255.82 $45,772.43 2026-03-27
2244 APR_DRG — 2 1 — — $33,230.71 $58,153.74 $45,692.22 2026-03-27
2224 APR_DRG — 2 1 — — $33,026.85 $57,796.99 $45,411.92 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $7,639.00 $67,710.62 $45,245.34 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $7,639.00 $67,594.84 $45,167.11 2026-03-27
3024 APR_DRG — 2 1 — — $32,489.50 $56,856.63 $44,673.07 2026-03-27
4234 APR_DRG — 2 1 — — $32,462.99 $56,810.23 $44,636.61 2026-03-27
27800000S1-11789 CDM Generator Neurostimulation Lead L60cm Proclaim Plus 5 4 3 $64,329.00 $12,865.80 80% off $12,865.80 $56,609.52 $44,370.93 2026-03-27
27800000S1-6385 CDM Icd Generator Cd2357-40q Fortify Assura C1721 4 3 $64,230.00 $12,846.00 80% off $12,846.00 $56,522.40 $44,302.65 2026-03-27
0224 APR_DRG — 2 1 — — $32,163.68 $56,286.44 $44,225.06 2026-03-27
8411 APR_DRG — 2 1 — — $32,041.72 $56,073.01 $44,057.37 2026-03-27
6334 APR_DRG — 2 1 — — $31,965.71 $55,939.99 $43,952.85 2026-03-27
0504 APR_DRG — 2 1 — — $31,922.11 $55,863.69 $43,892.90 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $7,639.00 $65,585.44 $43,809.42 2026-03-27
3043 APR_DRG — 2 1 — — $31,810.75 $55,668.81 $43,739.78 2026-03-27
3644 APR_DRG — 2 1 — — $31,702.93 $55,480.13 $43,591.53 2026-03-27
8634 APR_DRG — 2 1 — — $31,642.24 $55,373.92 $43,508.08 2026-03-27
3032 APR_DRG — 2 1 — — $31,579.79 $55,264.63 $43,422.21 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $7,639.00 $64,906.22 $43,350.48 2026-03-27
2274 APR_DRG — 2 1 — — $31,493.17 $55,113.05 $43,303.11 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $7,639.00 $64,391.65 $43,002.80 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $7,639.00 $64,278.45 $42,926.31 2026-03-27
793 MS_DRG Full Term Neonate With Major Problems 4 3 — — $31,651.43 $54,385.86 $42,841.93 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $7,639.00 $64,061.04 $42,779.42 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $7,639.00 $63,797.32 $42,601.23 2026-03-27
27800000S1-11787 CDM Eterna Implantable Pulse Generator 32400 4 3 $61,726.98 $12,345.40 80% off $12,345.40 $54,319.74 $42,576.18 2026-03-27
27800000S1-13370 CDM Stimulator 2 Lead Lumbar Scs 4 3 $61,726.98 $12,345.40 80% off $12,345.40 $54,319.74 $42,576.18 2026-03-27
6134 APR_DRG — 2 1 — — $30,929.90 $54,127.33 $42,528.62 2026-03-27
6031 APR_DRG — 2 1 — — $30,906.92 $54,087.11 $42,497.01 2026-03-27
6224 APR_DRG — 2 1 — — $30,876.29 $54,033.51 $42,454.90 2026-03-27
27800000S1-17912 CDM Icd Itrevia 7 Hf-t 393014 C1722 4 3 $61,290.00 $12,258.00 80% off $12,258.00 $53,935.20 $42,274.78 2026-03-27
3154 APR_DRG — 2 1 — — $30,666.53 $53,666.43 $42,166.48 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $7,639.00 $62,864.66 $41,971.06 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $7,639.00 $62,550.77 $41,758.98 2026-03-27
8444 APR_DRG — 2 1 — — $30,350.13 $53,112.73 $41,731.43 2026-03-27
791 MS_DRG Prematurity With Major Problems 4 3 — — $30,811.87 $52,963.08 $41,714.54 2026-03-27
4434 APR_DRG — 2 1 — — $30,280.02 $52,990.04 $41,635.03 2026-03-27
0062 APR_DRG — 2 1 — — $30,206.96 $52,862.18 $41,534.57 2026-03-27
0061 APR_DRG — 2 1 — — $30,206.96 $52,862.18 $41,534.57 2026-03-27
6133 APR_DRG — 2 1 — — $30,161.59 $52,782.78 $41,472.18 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 5 4 — — $7,639.00 $61,991.18 $41,380.87 2026-03-27
6144 APR_DRG — 2 1 — — $30,093.24 $52,663.17 $41,378.21 2026-03-27
6143 APR_DRG — 2 1 — — $30,093.24 $52,663.17 $41,378.21 2026-03-27
3204 APR_DRG — 2 1 — — $29,901.76 $52,328.08 $41,114.92 2026-03-27
6604 APR_DRG — 2 1 — — $29,750.92 $52,064.11 $40,907.51 2026-03-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $7,639.00 $61,227.05 $40,864.57 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $7,639.00 $61,103.55 $40,781.13 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $7,639.00 $60,923.46 $40,659.44 2026-03-27
27800000S1-11130 CDM Momemtum Icd G124 4 3 $58,671.00 $11,734.20 80% off $11,734.20 $51,630.48 $40,468.32 2026-03-27
1754 APR_DRG — 2 1 — — $29,354.39 $51,370.18 $40,362.29 2026-03-27
27800000S1-15694 CDM Ipg Kit Nipg2500 Nevro 4 3 $58,500.00 $11,700.00 80% off $11,700.00 $51,480.00 $40,350.38 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $7,639.00 $60,398.59 $40,304.80 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $7,639.00 $60,160.61 $40,144.00 2026-03-27
6313 APR_DRG — 2 1 — — $29,149.94 $51,012.40 $40,081.17 2026-03-27
3464 APR_DRG — 2 1 — — $29,141.10 $50,996.93 $40,069.01 2026-03-27
1653 APR_DRG — 2 1 — — $29,063.92 $50,861.86 $39,962.89 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $7,639.00 $59,877.59 $39,952.78 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $7,639.00 $59,727.09 $39,851.08 2026-03-27
245 MS_DRG Aicd Generator Procedures 5 4 — — $7,639.00 $59,438.92 $39,656.38 2026-03-27
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