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

St. Joseph's Hospital

— · CCN 330108 · Rates published

Your selected procedure

You selected 93458 (HCPCS)

HC Cath Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ve

This hospital’s price: $3,643 across 4 payers · range $1,959-$8,675

Source: https://CayugaHealth.pt.panaceainc.com/MRFDownload/CayugaHealth/sjh · observed 2026-03-27

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.

33,785 distinct procedures filed
29 distinct payers
273,713 rate rows
2026-03-27 last MRF observed
Data quality

135,345 of 273,713 rate rows are consumer-grade (49.4%)

138,368 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 137,973
per-diem day rate — not a per-procedure price 203
exceeds 10× this hospital's gross charge — excluded from medians 124
placeholder amount (≤ $0.02) — excluded from medians 37
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 30
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
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 Latest re-check couldn't be parsed — showing last good data · 2026-10-03
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
$3,685,267
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
$3,248,446
1.1× 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
$2,968,000
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
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,332,000.00 $2,565,200.00 $2,448,600.00 nat. median
$2,332,000
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $1,024,924.60 $847,682.00 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $587,649.57 $781,573.93 $646,414.53 nat. median
$599,737
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $753,486.63 $623,184.43 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $747,727.65 $618,421.36 nat. median
$579,571
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $558,081.72 $742,248.70 $613,889.89 nat. median
$574,037
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $532,192.24 $707,815.68 $585,411.46 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,450.20 $650,968.77 $538,395.22 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 $7,639.00 $556,260.36 $375,344.90 nat. median
$168,055
outlier · 2.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $278,250.00 $306,075.00 $292,162.50 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $265,000.00 $352,450.00 $291,500.00 nat. median
$264,195
1.1× median
24
APR_DRG 		Heart &/or Lung Transplant 1 $206,011.26 $360,519.71 $283,265.48 nat. median
$225,531
1.3× 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
$186,516
1.3× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $201,669.02 $268,219.80 $221,835.92 nat. median
$207,733
1.1× median
5834
APR_DRG 		Neonate W Ecmo 1 $151,759.86 $265,579.76 $208,669.81 nat. median
$390,362
0.5× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $149,099.64 $260,924.37 $205,012.01 nat. median
$173,134
1.2× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $149,099.64 $260,924.37 $205,012.01 nat. median
$286,698
0.7× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 1 $136,411.90 $238,720.83 $187,566.36 nat. median
$202,242
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
$131,925
1.4× 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
$145,435
1.3× median
34
APR_DRG 		Bone Marrow Transplant 1 $132,461.34 $231,807.35 $182,134.35 nat. median
$187,752
1.0× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $114,574.52 $200,505.41 $157,539.96 nat. median
$171,497
0.9× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $114,162.09 $199,783.66 $156,972.88 nat. median
$130,862
1.2× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $114,162.09 $199,783.66 $156,972.88 nat. median
$152,383
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 1 $110,826.65 $193,946.64 $152,386.65 nat. median
$173,018
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 $106,900.84 $187,076.47 $146,988.65 nat. median
$135,630
1.1× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 1 $103,561.86 $181,233.26 $142,397.56 nat. median
$136,566
1.0× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $103,152.37 $180,516.65 $141,834.51 nat. median
$168,439
0.8× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 1 $94,481.17 $165,342.05 $129,911.61 nat. median
$198,578
0.7× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 $89,516.61 $156,654.07 $123,085.34 nat. median
$124,731
1.0× median
23
APR_DRG 		Heart &/or Lung Transplant 1 $89,205.51 $156,109.64 $122,657.58 nat. median
$117,894
1.0× 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
$97,418
1.2× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 1 $86,696.13 $151,718.23 $119,207.18 nat. median
$54,727
outlier · 2.2×
5833
APR_DRG 		Neonate W Ecmo 1 $86,398.58 $151,197.52 $118,798.05 nat. median
$268,208
outlier · 0.4×
5832
APR_DRG 		Neonate W Ecmo 1 $84,790.67 $148,383.67 $116,587.17 nat. median
$201,678
0.6× median
5831
APR_DRG 		Neonate W Ecmo 1 $84,790.67 $148,383.67 $116,587.17 nat. median
$173,909
0.7× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 $82,494.57 $144,365.50 $113,430.04 nat. median
$115,963
1.0× median
7
MS_DRG 		Lung Transplant 4 $7,639.00 $167,341.45 $112,563.14 nat. median
$70,649
1.6× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 $81,667.93 $142,918.88 $112,293.40 nat. median
$91,350
1.2× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $80,657.46 $141,150.56 $110,904.01 nat. median
$114,205
1.0× median
22
APR_DRG 		Heart &/or Lung Transplant 1 $76,107.68 $133,188.44 $104,648.06 nat. median
$95,481
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $7,639.00 $155,348.14 $104,459.59 nat. median
$72,715
1.4× median

Other procedures at this hospital

Browse this hospital's 33,785 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS 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
24 APR_DRG Heart &/or Lung Transplant 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 Neonate W Ecmo 2 1 — — $151,759.86 $265,579.76 $208,669.81 2026-03-27
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $149,099.64 $260,924.37 $205,012.01 2026-03-27
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $149,099.64 $260,924.37 $205,012.01 2026-03-27
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 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
34 APR_DRG Bone Marrow Transplant 2 1 — — $132,461.34 $231,807.35 $182,134.35 2026-03-27
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $114,574.52 $200,505.41 $157,539.96 2026-03-27
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $114,162.09 $199,783.66 $156,972.88 2026-03-27
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $114,162.09 $199,783.66 $156,972.88 2026-03-27
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 1 — — $110,826.65 $193,946.64 $152,386.65 2026-03-27
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 1 — — $106,900.84 $187,076.47 $146,988.65 2026-03-27
14 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $103,561.86 $181,233.26 $142,397.56 2026-03-27
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $103,152.37 $180,516.65 $141,834.51 2026-03-27
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $94,481.17 $165,342.05 $129,911.61 2026-03-27
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $89,516.61 $156,654.07 $123,085.34 2026-03-27
23 APR_DRG Heart &/or Lung Transplant 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 Extensive 3rd Degree Burns W Skin Graft 2 1 — — $86,696.13 $151,718.23 $119,207.18 2026-03-27
5833 APR_DRG Neonate W Ecmo 2 1 — — $86,398.58 $151,197.52 $118,798.05 2026-03-27
5832 APR_DRG Neonate W Ecmo 2 1 — — $84,790.67 $148,383.67 $116,587.17 2026-03-27
5831 APR_DRG Neonate W Ecmo 2 1 — — $84,790.67 $148,383.67 $116,587.17 2026-03-27
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 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
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $81,667.93 $142,918.88 $112,293.40 2026-03-27
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $80,657.46 $141,150.56 $110,904.01 2026-03-27
22 APR_DRG Heart &/or Lung Transplant 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
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $73,160.53 $128,030.93 $100,595.73 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $74,261.23 $126,595.32 $100,059.38 2026-03-27
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $72,476.47 $126,833.82 $99,655.15 2026-03-27
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $71,942.66 $125,899.66 $98,921.16 2026-03-27
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $71,942.66 $125,899.66 $98,921.16 2026-03-27
21 APR_DRG Heart &/or Lung Transplant 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
33 APR_DRG Bone Marrow Transplant 2 1 — — $70,081.98 $122,643.47 $96,362.73 2026-03-27
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 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
904 APR_DRG Major Larynx & Trachea Procedures 2 1 — — $66,589.81 $116,532.17 $91,560.99 2026-03-27
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $66,187.39 $115,827.93 $91,007.66 2026-03-27
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $66,069.55 $115,621.71 $90,845.63 2026-03-27
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 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 Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $64,610.70 $113,068.73 $88,839.71 2026-03-27
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $63,991.37 $109,191.30 $86,268.76 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $63,790.21 $108,850.40 $85,998.63 2026-03-27
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 2 1 — — $62,365.28 $109,139.24 $85,752.26 2026-03-27
4404 APR_DRG Kidney Transplant 2 1 — — $61,603.45 $107,806.04 $84,704.74 2026-03-27
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 1 — — $59,756.32 $104,573.56 $82,164.94 2026-03-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $59,009.81 $103,267.17 $81,138.49 2026-03-27
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 2 1 — — $58,395.27 $102,191.72 $80,293.49 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $58,285.98 $99,522.56 $78,607.42 2026-03-27
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 3 — — $58,034.71 $99,096.75 $78,270.01 2026-03-27
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $56,300.09 $98,525.16 $77,412.62 2026-03-27
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 2 1 — — $55,715.02 $97,501.29 $76,608.15 2026-03-27
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 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 Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 1 — — $54,521.90 $95,413.33 $74,967.62 2026-03-27
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $54,326.88 $95,072.04 $74,699.46 2026-03-27
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 2 1 — — $53,461.94 $93,558.40 $73,510.17 2026-03-27
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $53,321.71 $93,312.99 $73,317.35 2026-03-27
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 1 — — $53,278.70 $93,237.73 $73,258.21 2026-03-27
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 1 — — $53,131.99 $92,980.98 $73,056.49 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $54,126.87 $92,474.25 $73,022.47 2026-03-27
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $52,796.73 $92,394.28 $72,595.51 2026-03-27
6904 APR_DRG Acute Leukemia 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 Burns With Skin Graft Except Extensive 3rd Degree Burns 2 1 — — $51,313.73 $89,799.03 $70,556.38 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $52,210.14 $89,226.03 $70,448.64 2026-03-27
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 1 — — $50,346.86 $88,107.01 $69,226.93 2026-03-27
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 2 1 — — $49,843.09 $87,225.41 $68,534.25 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 3 — — $50,720.03 $86,700.78 $68,447.68 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
13 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $49,715.83 $87,002.70 $68,359.26 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $49,913.10 $85,333.31 $67,364.12 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $49,913.10 $85,333.31 $67,364.12 2026-03-27
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 2 1 — — $48,815.54 $85,427.20 $67,121.37 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $49,731.68 $85,025.86 $67,120.51 2026-03-27
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 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
234 APR_DRG Spinal Procedures 2 1 — — $48,040.15 $84,070.26 $66,055.21 2026-03-27
32 APR_DRG Bone Marrow Transplant 2 1 — — $46,145.89 $80,755.31 $63,450.60 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 3 — — $46,520.68 $79,584.30 $62,808.71 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
64 APR_DRG Pancreas Transplant 2 1 — — $45,428.84 $79,500.47 $62,464.65 2026-03-27
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 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 Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $46,021.20 $78,737.82 $62,137.98 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
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 2 1 — — $45,061.77 $78,858.10 $61,959.93 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $45,596.10 $78,017.43 $61,567.15 2026-03-27
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 2 1 — — $44,630.48 $78,103.34 $61,366.91 2026-03-27
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $44,483.18 $77,845.57 $61,164.38 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $45,265.89 $77,457.84 $61,123.74 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 Major Pancreas, Liver & Shunt Procedures 2 1 — — $44,177.39 $77,310.43 $60,743.91 2026-03-27
6954 APR_DRG Chemotherapy For Acute Leukemia # 2 1 — — $43,943.48 $76,901.09 $60,422.29 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $44,548.54 $76,242.17 $60,160.46 2026-03-27
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 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
63 APR_DRG Pancreas Transplant 2 1 — — $43,515.72 $76,152.51 $59,834.11 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 Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $43,332.48 $75,831.84 $59,582.16 2026-03-27
214 APR_DRG Craniotomy Except For Trauma 2 1 — — $43,086.78 $75,401.87 $59,244.32 2026-03-27
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 1 — — $42,775.69 $74,857.46 $58,816.58 2026-03-27
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 1 — — $42,775.69 $74,857.46 $58,816.58 2026-03-27
1694 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $42,742.10 $74,798.68 $58,770.39 2026-03-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $42,739.75 $74,794.56 $58,767.15 2026-03-27
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $42,739.16 $74,793.53 $58,766.35 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 3 — — $43,321.08 $74,162.02 $58,512.20 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
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 2 1 — — $42,181.19 $73,817.08 $57,999.14 2026-03-27
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 1 — — $42,147.02 $73,757.29 $57,952.15 2026-03-27
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 2 1 — — $42,115.79 $73,702.63 $57,909.21 2026-03-27
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 2 1 — — $42,042.73 $73,574.78 $57,808.76 2026-03-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 2 1 — — $41,941.39 $73,397.43 $57,669.41 2026-03-27
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $41,593.76 $72,789.08 $57,191.42 2026-03-27
4014 APR_DRG Pituitary & Adrenal Procedures 2 1 — — $41,591.99 $72,785.98 $57,188.99 2026-03-27
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $41,066.43 $71,866.25 $56,466.34 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $41,526.57 $71,120.92 $56,102.49 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 3 — — $41,467.36 $71,020.58 $56,022.98 2026-03-27
3104 APR_DRG Intervertebral Disc Excision & Decompression 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 Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $40,625.12 $71,093.96 $55,859.54 2026-03-27
894 APR_DRG Major Cranial/facial Bone Procedures 2 1 — — $40,595.66 $71,042.41 $55,819.04 2026-03-27
244 APR_DRG Extracranial Vascular Procedures 2 1 — — $40,448.36 $70,784.63 $55,616.50 2026-03-27
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 2 1 — — $40,439.53 $70,769.18 $55,604.35 2026-03-27
4414 APR_DRG Major Bladder Procedures 2 1 — — $40,269.84 $70,472.22 $55,371.03 2026-03-27
204 APR_DRG Craniotomy For Trauma 2 1 — — $39,837.96 $69,716.43 $54,777.19 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $40,481.28 $69,349.52 $54,698.86 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $40,456.99 $69,308.35 $54,666.24 2026-03-27
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 2 1 — — $39,491.51 $69,110.14 $54,300.82 2026-03-27
31 APR_DRG Bone Marrow Transplant 2 1 — — $39,458.52 $69,052.41 $54,255.46 2026-03-27
1814 APR_DRG Lower Extremity Arterial Procedures # 2 1 — — $39,404.90 $68,958.58 $54,181.74 2026-03-27
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 2 1 — — $39,370.72 $68,898.76 $54,134.74 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $40,052.39 $68,622.69 $54,122.93 2026-03-27
2214 APR_DRG Major Small & Large Bowel Procedures 2 1 — — $39,356.58 $68,874.02 $54,115.30 2026-03-27
4034 APR_DRG Procedures For Obesity 2 1 — — $39,170.40 $68,548.20 $53,859.30 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $39,445.87 $67,594.84 $53,308.48 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 Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $38,675.47 $67,682.07 $53,178.77 2026-03-27
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 2 1 — — $38,661.33 $67,657.33 $53,159.33 2026-03-27
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 2 1 — — $38,549.39 $67,461.43 $53,005.41 2026-03-27
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 2 1 — — $38,184.08 $66,822.14 $52,503.11 2026-03-27
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 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
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 1 — — $37,793.45 $66,138.54 $51,965.99 2026-03-27
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 2 1 — — $37,743.95 $66,051.91 $51,897.93 2026-03-27
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 2 1 — — $37,733.35 $66,033.36 $51,883.35 2026-03-27
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 2 1 — — $37,660.29 $65,905.51 $51,782.90 2026-03-27
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 2 1 — — $37,646.15 $65,880.76 $51,763.46 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $38,260.16 $65,585.44 $51,716.27 2026-03-27
3054 APR_DRG Amputation Of Lower Limb Except Toes 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
264 APR_DRG Other Nervous System & Related Procedures 2 1 — — $37,398.10 $65,446.68 $51,422.39 2026-03-27
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 2 1 — — $37,393.38 $65,438.42 $51,415.90 2026-03-27
1824 APR_DRG Other Peripheral Vascular Procedures # 2 1 — — $37,375.12 $65,406.46 $51,390.79 2026-03-27
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 2 1 — — $37,338.59 $65,342.53 $51,340.56 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $37,859.35 $64,906.22 $51,178.07 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 Coronary Bypass Without Ami Or Complex Pdx 2 1 — — $37,134.73 $64,985.78 $51,060.26 2026-03-27
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 2 1 — — $37,106.44 $64,936.27 $51,021.35 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 Renal Dialysis Access Device Procedure Only 2 1 — — $36,867.82 $64,518.69 $50,693.26 2026-03-27
11 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $36,734.66 $64,285.66 $50,510.16 2026-03-27
12 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $36,734.66 $64,285.66 $50,510.16 2026-03-27
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 2 1 — — $36,683.40 $64,195.95 $50,439.68 2026-03-27
2614 APR_DRG Major Biliary Tract Procedures 2 1 — — $36,600.91 $64,051.59 $50,326.25 2026-03-27
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 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 Major Respiratory & Chest Procedures 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 Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 1 — — $36,201.44 $63,352.52 $49,776.98 2026-03-27
6903 APR_DRG Acute Leukemia 2 1 — — $36,143.11 $63,250.44 $49,696.78 2026-03-27
1214 APR_DRG Other Respiratory & Chest Procedures 2 1 — — $36,108.94 $63,190.65 $49,649.79 2026-03-27
3014 APR_DRG Hip Joint Replacement 2 1 — — $36,088.90 $63,155.58 $49,622.24 2026-03-27
2624 APR_DRG Cholecystectomy Except Laparoscopic 2 1 — — $36,088.31 $63,154.54 $49,621.43 2026-03-27
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 2 1 — — $36,060.03 $63,105.05 $49,582.54 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $36,654.66 $62,864.66 $49,560.38 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 Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $36,015.25 $63,026.69 $49,520.97 2026-03-27
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 2 1 — — $35,984.03 $62,972.05 $49,478.04 2026-03-27
5184 APR_DRG Other Female Reproductive System & Related Procedures 2 1 — — $35,642.29 $62,374.01 $49,008.15 2026-03-27
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 2 1 — — $35,581.02 $62,266.79 $48,923.90 2026-03-27
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 1 — — $35,559.22 $62,228.64 $48,893.93 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 4 3 — — $36,139.23 $61,991.18 $48,868.25 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 Nonextensive Procedure Unrelated To Principal Diagnosis 2 1 — — $35,369.49 $61,896.61 $48,633.05 2026-03-27
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $35,333.55 $61,833.71 $48,583.63 2026-03-27
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 2 1 — — $35,287.60 $61,753.30 $48,520.45 2026-03-27
3814 APR_DRG Major Skin Disorders 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
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 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
J9226 HCPCS Supprelin La Implant 3 2 — — $43,185.33 $57,436.50 $47,503.86 2026-03-27
2294 APR_DRG Other Digestive System & Abdominal Procedures 2 1 — — $34,516.34 $60,403.60 $47,459.97 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $35,059.03 $60,160.61 $47,417.73 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 Hip And Femur Fracture Repair 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $34,892.03 $59,877.59 $47,193.47 2026-03-27
3094 APR_DRG Other Significant Hip And Femur Surgery 2 1 — — $34,270.64 $59,973.62 $47,122.13 2026-03-27
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 2 1 — — $34,221.15 $59,887.01 $47,054.08 2026-03-27
6504 APR_DRG Splenectomy 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
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 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 Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $33,922.43 $59,364.25 $46,643.34 2026-03-27
4403 APR_DRG Kidney Transplant 2 1 — — $33,842.30 $59,224.03 $46,533.17 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $34,378.88 $59,007.97 $46,504.40 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
2234 APR_DRG Other Small & Large Bowel Procedures 2 1 — — $33,289.04 $58,255.82 $45,772.43 2026-03-27
2244 APR_DRG Peritoneal Adhesiolysis 2 1 — — $33,230.71 $58,153.74 $45,692.22 2026-03-27
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 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
3024 APR_DRG Knee Joint Replacement 2 1 — — $32,489.50 $56,856.63 $44,673.07 2026-03-27
4234 APR_DRG Inborn Errors Of Metabolism 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
224 APR_DRG Ventricular Shunt Procedures 2 1 — — $32,163.68 $56,286.44 $44,225.06 2026-03-27
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 1 — — $32,041.72 $56,073.01 $44,057.37 2026-03-27
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 2 1 — — $31,965.71 $55,939.99 $43,952.85 2026-03-27
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 2 1 — — $31,922.11 $55,863.69 $43,892.90 2026-03-27
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 1 — — $31,810.75 $55,668.81 $43,739.78 2026-03-27
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 2 1 — — $31,702.93 $55,480.13 $43,591.53 2026-03-27
8634 APR_DRG Neonatal Aftercare 2 1 — — $31,642.24 $55,373.92 $43,508.08 2026-03-27
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $31,579.79 $55,264.63 $43,422.21 2026-03-27
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 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
27800000S1-13370 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
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
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 2 1 — — $30,929.90 $54,127.33 $42,528.62 2026-03-27
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $30,906.92 $54,087.11 $42,497.01 2026-03-27
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 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 Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 2 1 — — $30,666.53 $53,666.43 $42,166.48 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 Partial Thickness Burns Without Skin Graft 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 Kidney & Urinary Tract Procedures For Nonmalignancy 2 1 — — $30,280.02 $52,990.04 $41,635.03 2026-03-27
62 APR_DRG Pancreas Transplant 2 1 — — $30,206.96 $52,862.18 $41,534.57 2026-03-27
61 APR_DRG Pancreas Transplant 2 1 — — $30,206.96 $52,862.18 $41,534.57 2026-03-27
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 2 1 — — $30,161.59 $52,782.78 $41,472.18 2026-03-27
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 2 1 — — $30,093.24 $52,663.17 $41,378.21 2026-03-27
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 2 1 — — $30,093.24 $52,663.17 $41,378.21 2026-03-27
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 2 1 — — $29,901.76 $52,328.08 $41,114.92 2026-03-27
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 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 Percutaneous Coronary Intervention Without Ami 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
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 2 1 — — $29,149.94 $51,012.40 $40,081.17 2026-03-27
3464 APR_DRG Connective Tissue Disorders 2 1 — — $29,141.10 $50,996.93 $40,069.01 2026-03-27
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 2 1 — — $29,063.92 $50,861.86 $39,962.89 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
1804 APR_DRG Other Circulatory System Procedures 2 1 — — $28,814.69 $50,425.71 $39,620.20 2026-03-27
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