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 →

Export CSV
Hospital

Ira Davenport Memorial Hospital

Bath, NY · CCN 330144 · Rates published

53,551 distinct procedures filed
28 distinct payers
582,428 rate rows
2026-03-27 last MRF observed
Data quality

464,951 of 582,428 rate rows are consumer-grade (79.8%)

117,477 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 116,097
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 816
template filing: same amount across many unrelated codes — excluded 234
placeholder amount (≤ $0.02) — excluded from medians 132
exceeds 10× this hospital's gross charge — excluded from medians 128
per-diem day rate — not a per-procedure price 42
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 26
exceeds 3× this hospital's gross charge for a DRG stay — excluded 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbIDMHBATHNY&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 110bb93075feae4d… · 53,687,226 bytes · first seen 2026-05-07

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 $4,730,250.00 $4,730,250.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J339100
OTHER 		Inj, Atidarsagene Autotemcel 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 —
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,869,529.99 $3,869,529.99 $3,869,529.99 nat. median
$3,685,267
1.0× median
J141100
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 —
J141400
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 —
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $3,502,611.00 $3,502,611.00 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,494,252.71 $3,494,252.71 $3,494,252.71 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,415,133.47 $3,415,133.47 $3,415,133.47 nat. median
$3,248,446
1.1× median
J141300
OTHER 		Inj Delandistrogene Mox Rokl 1 $3,392,000.00 $3,392,000.00 $3,392,000.00 —
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,339,000.00 $3,339,000.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
J338900
OTHER 		Topi Adm Prad Zami Per Treat 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 —
J339400
OTHER 		Inj, Lovotibeglogene Autotem 1 $3,286,000.00 $3,286,000.00 $3,286,000.00 —
J338700
OTHER 		Inj Elivaldogene Autotemecel 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 —
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $3,086,967.32 $3,086,967.32 $3,086,967.32 nat. median
$2,968,000
1.0× median
J339300
OTHER 		Inj, Betibeglogene Autotemce 1 $2,968,000.00 $2,968,000.00 $2,968,000.00 —
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,213,634.28 $2,718,430.28 $2,718,430.28 nat. median
$2,455,111
1.1× median
J339900
OTHER 		Inj Onase Abepar-xioi Treat 1 $2,661,968.43 $2,661,968.43 $2,661,968.43 —
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,448,600.00 $2,448,600.00 $2,448,600.00 nat. median
$2,332,000
1.1× median
J339200
OTHER 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 —
Q205700
OTHER 		Afamitresgene Autoleucel 1 $1,032,630.80 $1,032,630.80 $1,032,630.80 —
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $809,151.00 $1,155,930.00 $809,151.00 nat. median
$813,967
1.0× median
Q205600
OTHER 		Ciltacabtagene Car-pos T 1 $787,450.42 $787,450.42 $787,450.42 —
Q204200
OTHER 		Tisagenlecleucel Car-pos T 1 $759,151.94 $759,151.94 $759,151.94 —
Q205400
OTHER 		Lisocabtagene Mara Car Pos T 1 $753,349.66 $753,349.66 $753,349.66 —
Q205500
OTHER 		Idecabtagene Vicleucel Car 1 $747,829.52 $747,829.52 $747,829.52 —
Q204100
OTHER 		Axicabtagene Ciloleucel Car+ 1 $713,137.60 $713,137.60 $713,137.60 —
Q205300
OTHER 		Brexucabtagene Car Pos T 1 $655,863.27 $655,863.27 $655,863.27 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $617,032.05 $881,474.36 $617,032.05 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $429,813.31 $849,796.96 $594,857.87 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $590,311.30 $843,301.86 $590,311.30 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $585,985.81 $837,122.59 $585,985.81 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $395,380.00 $798,288.36 $558,801.85 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $513,922.71 $734,175.30 $513,922.71 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 $186,808.79 $530,975.80 $429,388.22 nat. median
$168,055
outlier · 2.6×
Q205800
OTHER 		Obecbtge Autol Up To 400 Mil 1 $351,750.00 $351,750.00 $351,750.00 —
24
APR_DRG 		Heart &/or Lung Transplant 1 $351,090.41 $351,090.41 $351,090.41 nat. median
$225,531
1.6× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $292,162.50 $292,162.50 $292,162.50 nat. median
$286,598
1.0× median
J340300
OTHER 		Revakinagene, Per Implant 1 $280,900.00 $280,900.00 $280,900.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $121,231.39 $344,832.31 $278,780.86 nat. median
$186,516
1.5× median
J3403
HCPCS 		Revakinagene, Per Implant 3 $278,250.00 $397,500.00 $278,250.00 nat. median
$264,195
1.1× median
5834
APR_DRG 		Neonate W Ecmo 1 $258,444.37 $258,444.37 $258,444.37 nat. median
$390,362
0.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $253,901.47 $253,901.47 $253,901.47 nat. median
$173,134
1.5× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $253,901.47 $253,901.47 $253,901.47 nat. median
$286,698
0.9× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 1 $232,234.39 $232,234.39 $232,234.39 nat. median
$202,242
1.1× median
34
APR_DRG 		Bone Marrow Transplant 1 $225,487.95 $225,487.95 $225,487.95 nat. median
$187,752
1.2× median
J340200
OTHER 		Inj. Remestemcel-l-rknd/ Td 1 $213,769.16 $213,769.16 $213,769.16 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $92,362.26 $262,886.39 $212,479.02 nat. median
$131,925
1.6× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $211,752.47 $302,503.53 $211,752.47 nat. median
$207,733
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $91,820.22 $261,347.76 $211,234.12 nat. median
$145,435
1.5× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $194,942.34 $194,942.34 $194,942.34 nat. median
$171,497
1.1× median

Other procedures at this hospital

Browse this hospital's 53,551 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 — — $4,730,250.00 $4,730,250.00 $4,730,250.00 2026-03-27
J339100 OTHER Inj, Atidarsagene Autotemcel 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,869,529.99 $3,869,529.99 $3,869,529.99 2026-03-27
J141100 OTHER Inj, Hemgenix, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-27
J141400 OTHER Inj, Beqvez, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-27
J3389 HCPCS Topi Adm Prad Zami Per Treat 2 2 — — $3,502,611.00 $3,502,611.00 $3,502,611.00 2026-03-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,494,252.71 $3,494,252.71 $3,494,252.71 2026-03-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,415,133.47 $3,415,133.47 $3,415,133.47 2026-03-27
J141300 OTHER Inj Delandistrogene Mox Rokl 2 1 — — $3,392,000.00 $3,392,000.00 $3,392,000.00 2026-03-27
J3387 HCPCS Inj Elivaldogene Autotemecel 2 2 — — $3,339,000.00 $3,339,000.00 $3,339,000.00 2026-03-27
J338900 OTHER Topi Adm Prad Zami Per Treat 2 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-27
J339400 OTHER Inj, Lovotibeglogene Autotem 2 1 — — $3,286,000.00 $3,286,000.00 $3,286,000.00 2026-03-27
J338700 OTHER Inj Elivaldogene Autotemecel 2 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-27
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $3,086,967.32 $3,086,967.32 $3,086,967.32 2026-03-27
J339300 OTHER Inj, Betibeglogene Autotemce 2 1 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-03-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,213,634.28 $2,718,430.28 $2,718,430.28 2026-03-27
J339900 OTHER Inj Onase Abepar-xioi Treat 2 1 — — $2,661,968.43 $2,661,968.43 $2,661,968.43 2026-03-27
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,448,600.00 $2,448,600.00 $2,448,600.00 2026-03-27
J339200 OTHER Inj, Exagamglogene Autotem 2 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-27
Q205700 OTHER Afamitresgene Autoleucel 2 1 — — $1,032,630.80 $1,032,630.80 $1,032,630.80 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $809,151.00 $1,155,930.00 $809,151.00 2026-03-27
Q205600 OTHER Ciltacabtagene Car-pos T 2 1 — — $787,450.42 $787,450.42 $787,450.42 2026-03-27
Q204200 OTHER Tisagenlecleucel Car-pos T 2 1 — — $759,151.94 $759,151.94 $759,151.94 2026-03-27
Q205400 OTHER Lisocabtagene Mara Car Pos T 2 1 — — $753,349.66 $753,349.66 $753,349.66 2026-03-27
Q205500 OTHER Idecabtagene Vicleucel Car 2 1 — — $747,829.52 $747,829.52 $747,829.52 2026-03-27
Q204100 OTHER Axicabtagene Ciloleucel Car+ 2 1 — — $713,137.60 $713,137.60 $713,137.60 2026-03-27
Q205300 OTHER Brexucabtagene Car Pos T 2 1 — — $655,863.27 $655,863.27 $655,863.27 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $617,032.05 $881,474.36 $617,032.05 2026-03-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $429,813.31 $849,796.96 $594,857.87 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $590,311.30 $843,301.86 $590,311.30 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $585,985.81 $837,122.59 $585,985.81 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $395,380.00 $798,288.36 $558,801.85 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $513,922.71 $734,175.30 $513,922.71 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 4 — — $186,808.79 $530,975.80 $429,388.22 2026-03-27
Q205800 OTHER Obecbtge Autol Up To 400 Mil 2 1 — — $351,750.00 $351,750.00 $351,750.00 2026-03-27
24 APR_DRG Heart &/or Lung Transplant 1 1 — — $351,090.41 $351,090.41 $351,090.41 2026-03-27
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $292,162.50 $292,162.50 $292,162.50 2026-03-27
J340300 OTHER Revakinagene, Per Implant 2 1 — — $280,900.00 $280,900.00 $280,900.00 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $121,231.39 $344,832.31 $278,780.86 2026-03-27
J3403 HCPCS Revakinagene, Per Implant 3 3 — — $278,250.00 $397,500.00 $278,250.00 2026-03-27
5834 APR_DRG Neonate W Ecmo 1 1 — — $258,444.37 $258,444.37 $258,444.37 2026-03-27
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $253,901.47 $253,901.47 $253,901.47 2026-03-27
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $253,901.47 $253,901.47 $253,901.47 2026-03-27
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $232,234.39 $232,234.39 $232,234.39 2026-03-27
34 APR_DRG Bone Marrow Transplant 1 1 — — $225,487.95 $225,487.95 $225,487.95 2026-03-27
J340200 OTHER Inj. Remestemcel-l-rknd/ Td 2 1 — — $213,769.16 $213,769.16 $213,769.16 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $92,362.26 $262,886.39 $212,479.02 2026-03-27
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 3 — — $211,752.47 $302,503.53 $211,752.47 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $91,820.22 $261,347.76 $211,234.12 2026-03-27
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $194,942.34 $194,942.34 $194,942.34 2026-03-27
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $194,238.01 $194,238.01 $194,238.01 2026-03-27
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $194,238.01 $194,238.01 $194,238.01 2026-03-27
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $188,542.03 $188,542.03 $188,542.03 2026-03-27
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $181,837.85 $181,837.85 $181,837.85 2026-03-27
14 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $176,135.83 $176,135.83 $176,135.83 2026-03-27
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $175,436.53 $175,436.53 $175,436.53 2026-03-27
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $160,628.58 $160,628.58 $160,628.58 2026-03-27
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $152,150.51 $152,150.51 $152,150.51 2026-03-27
23 APR_DRG Heart &/or Lung Transplant 1 1 — — $151,619.25 $151,619.25 $151,619.25 2026-03-27
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $147,333.93 $147,333.93 $147,333.93 2026-03-27
5833 APR_DRG Neonate W Ecmo 1 1 — — $146,825.81 $146,825.81 $146,825.81 2026-03-27
5831 APR_DRG Neonate W Ecmo 1 1 — — $144,079.94 $144,079.94 $144,079.94 2026-03-27
5832 APR_DRG Neonate W Ecmo 1 1 — — $144,079.94 $144,079.94 $144,079.94 2026-03-27
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $140,158.86 $140,158.86 $140,158.86 2026-03-27
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $138,747.19 $138,747.19 $138,747.19 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $59,921.16 $170,801.30 $137,973.64 2026-03-27
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $137,021.59 $137,021.59 $137,021.59 2026-03-27
22 APR_DRG Heart &/or Lung Transplant 1 1 — — $129,251.87 $129,251.87 $129,251.87 2026-03-27
7 MS_DRG Lung Transplant 4 4 — — $56,022.57 $159,735.02 $129,019.99 2026-03-27
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $124,218.95 $124,218.95 $124,218.95 2026-03-27
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $123,050.78 $123,050.78 $123,050.78 2026-03-27
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $122,139.18 $122,139.18 $122,139.18 2026-03-27
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $122,139.18 $122,139.18 $122,139.18 2026-03-27
21 APR_DRG Heart &/or Lung Transplant 1 1 — — $121,748.78 $121,748.78 $121,748.78 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $51,989.44 $148,286.86 $119,757.37 2026-03-27
33 APR_DRG Bone Marrow Transplant 1 1 — — $118,961.66 $118,961.66 $118,961.66 2026-03-27
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $118,878.15 $118,878.15 $118,878.15 2026-03-27
904 APR_DRG Major Larynx & Trachea Procedures 1 1 — — $112,998.03 $112,998.03 $112,998.03 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $49,021.37 $139,861.90 $112,940.79 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 4 4 — — $48,965.13 $139,702.27 $112,811.64 2026-03-27
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $112,310.81 $112,310.81 $112,310.81 2026-03-27
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $112,109.58 $112,109.58 $112,109.58 2026-03-27
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $110,900.15 $110,900.15 $110,900.15 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $47,677.71 $136,047.89 $109,854.91 2026-03-27
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $109,618.28 $109,618.28 $109,618.28 2026-03-27
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $108,695.61 $108,695.61 $108,695.61 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $47,041.36 $134,241.59 $108,393.44 2026-03-27
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $105,783.72 $105,783.72 $105,783.72 2026-03-27
4404 APR_DRG Kidney Transplant 1 1 — — $104,482.73 $104,482.73 $104,482.73 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $44,603.22 $127,320.87 $102,793.94 2026-03-27
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $101,328.36 $101,328.36 $101,328.36 2026-03-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $100,053.53 $100,053.53 $100,053.53 2026-03-27
215 MS_DRG Other Heart Assist System Implant 4 4 — — $43,073.98 $122,980.06 $99,281.82 2026-03-27
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $99,004.08 $99,004.08 $99,004.08 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $42,320.39 $120,840.98 $97,551.10 2026-03-27
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 1 1 — — $96,598.31 $96,598.31 $96,598.31 2026-03-27
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $95,426.11 $95,426.11 $95,426.11 2026-03-27
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $94,426.97 $94,426.97 $94,426.97 2026-03-27
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $92,897.58 $92,897.58 $92,897.58 2026-03-27
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $92,389.45 $92,389.45 $92,389.45 2026-03-27
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $92,056.41 $92,056.41 $92,056.41 2026-03-27
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 1 1 — — $90,579.34 $90,579.34 $90,579.34 2026-03-27
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $90,339.87 $90,339.87 $90,339.87 2026-03-27
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 1 1 — — $90,266.42 $90,266.42 $90,266.42 2026-03-27
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 1 1 — — $90,015.88 $90,015.88 $90,015.88 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $38,975.53 $111,346.48 $89,869.17 2026-03-27
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $89,443.36 $89,443.36 $89,443.36 2026-03-27
6904 APR_DRG Acute Leukemia 1 1 — — $88,071.94 $88,071.94 $88,071.94 2026-03-27
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 1 1 — — $86,910.80 $86,910.80 $86,910.80 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $37,461.00 $107,047.44 $86,390.85 2026-03-27
J902900 OTHER Instill Adstiladrin, Tx Dose 2 1 — — $86,128.22 $86,128.22 $86,128.22 2026-03-27
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $85,259.66 $85,259.66 $85,259.66 2026-03-27
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 1 1 — — $84,399.38 $84,399.38 $84,399.38 2026-03-27
13 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $84,182.04 $84,182.04 $84,182.04 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $36,467.75 $104,228.06 $84,109.71 2026-03-27
E076600 OTHER Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
E0766NU OTHER Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $36,353.11 $103,902.66 $83,846.43 2026-03-27
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $82,644.60 $82,644.60 $82,644.60 2026-03-27
9028800 OTHER Botulism Ig IV 2 1 — — $81,774.00 $81,774.00 $81,774.00 2026-03-27
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $81,644.46 $81,644.46 $81,644.46 2026-03-27
234 APR_DRG Spinal Procedures 1 1 — — $81,320.47 $81,320.47 $81,320.47 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $34,040.43 $97,338.05 $78,535.05 2026-03-27
32 APR_DRG Bone Marrow Transplant 1 1 — — $78,085.60 $78,085.60 $78,085.60 2026-03-27
64 APR_DRG Pancreas Transplant 1 1 — — $76,861.08 $76,861.08 $76,861.08 2026-03-27
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 1 1 — — $76,777.57 $76,777.57 $76,777.57 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $33,216.33 $94,998.80 $76,642.39 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 4 — — $33,073.14 $94,592.35 $76,313.53 2026-03-27
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 1 1 — — $76,234.23 $76,234.23 $76,234.23 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $32,963.69 $94,281.68 $76,062.17 2026-03-27
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 1 1 — — $75,497.71 $75,497.71 $75,497.71 2026-03-27
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $75,246.16 $75,246.16 $75,246.16 2026-03-27
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 1 1 — — $74,723.95 $74,723.95 $74,723.95 2026-03-27
6954 APR_DRG Chemotherapy For Acute Leukemia # 1 1 — — $74,324.50 $74,324.50 $74,324.50 2026-03-27
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 1 1 — — $73,988.44 $73,988.44 $73,988.44 2026-03-27
J733000 OTHER Cultured Chondrocytes Implnt 2 1 — — $73,958.32 $73,958.32 $73,958.32 2026-03-27
63 APR_DRG Pancreas Transplant 1 1 — — $73,594.01 $73,594.01 $73,594.01 2026-03-27
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $73,281.09 $73,281.09 $73,281.09 2026-03-27
Q204300 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $72,901.51 $72,901.51 $72,901.51 2026-03-27
214 APR_DRG Craniotomy Except For Trauma 1 1 — — $72,861.51 $72,861.51 $72,861.51 2026-03-27
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $72,330.25 $72,330.25 $72,330.25 2026-03-27
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $72,330.25 $72,330.25 $72,330.25 2026-03-27
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $72,272.90 $72,272.90 $72,272.90 2026-03-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $72,268.87 $72,268.87 $72,268.87 2026-03-27
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $72,267.87 $72,267.87 $72,267.87 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $31,227.66 $89,353.92 $72,075.15 2026-03-27
A954300 OTHER Y90 Ibritumomab, Rx 2 1 — — $71,875.11 $71,875.11 $71,875.11 2026-03-27
10 MS_DRG Pancreas Transplant 4 4 — — $31,042.08 $88,827.13 $71,648.93 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $31,029.10 $88,790.29 $71,619.13 2026-03-27
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 1 1 — — $71,315.01 $71,315.01 $71,315.01 2026-03-27
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $71,256.66 $71,256.66 $71,256.66 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $30,864.28 $88,322.44 $71,240.60 2026-03-27
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 1 1 — — $71,203.33 $71,203.33 $71,203.33 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $30,846.11 $88,270.88 $71,198.88 2026-03-27
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 1 1 — — $71,078.56 $71,078.56 $71,078.56 2026-03-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $70,905.50 $70,905.50 $70,905.50 2026-03-27
Q048000 OTHER Driver Pneumatic Vad, Rep 2 1 — — $70,358.18 $70,358.18 $70,358.18 2026-03-27
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $70,311.85 $70,311.85 $70,311.85 2026-03-27
4014 APR_DRG Pituitary & Adrenal Procedures 1 1 — — $70,308.83 $70,308.83 $70,308.83 2026-03-27
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $69,411.32 $69,411.32 $69,411.32 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $29,900.45 $85,586.57 $69,027.02 2026-03-27
3104 APR_DRG Intervertebral Disc Excision & Decompression 1 1 — — $68,844.84 $68,844.84 $68,844.84 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $29,753.80 $85,170.30 $68,690.22 2026-03-27
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $68,657.69 $68,657.69 $68,657.69 2026-03-27
894 APR_DRG Major Cranial/facial Bone Procedures 1 1 — — $68,607.38 $68,607.38 $68,607.38 2026-03-27
244 APR_DRG Extracranial Vascular Procedures 1 1 — — $68,355.84 $68,355.84 $68,355.84 2026-03-27
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $68,340.75 $68,340.75 $68,340.75 2026-03-27
4414 APR_DRG Major Bladder Procedures 1 1 — — $68,050.97 $68,050.97 $68,050.97 2026-03-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 3 — — $67,488.53 $96,412.19 $67,488.53 2026-03-27
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $67,476.70 $67,476.70 $67,476.70 2026-03-27
204 APR_DRG Craniotomy For Trauma 1 1 — — $67,313.44 $67,313.44 $67,313.44 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $29,118.74 $83,367.67 $67,231.73 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $28,925.80 $82,820.01 $66,788.61 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $28,904.60 $82,759.83 $66,739.93 2026-03-27
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $66,721.80 $66,721.80 $66,721.80 2026-03-27
31 APR_DRG Bone Marrow Transplant 1 1 — — $66,665.46 $66,665.46 $66,665.46 2026-03-27
1814 APR_DRG Lower Extremity Arterial Procedures # 1 1 — — $66,573.89 $66,573.89 $66,573.89 2026-03-27
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 1 1 — — $66,515.54 $66,515.54 $66,515.54 2026-03-27
2214 APR_DRG Major Small & Large Bowel Procedures 1 1 — — $66,491.39 $66,491.39 $66,491.39 2026-03-27
4034 APR_DRG Procedures For Obesity 1 1 — — $66,173.44 $66,173.44 $66,173.44 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $28,444.75 $81,454.53 $65,683.82 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $28,444.75 $81,454.53 $65,683.82 2026-03-27
27000000S1-178 CDM Icd Maximo Ii D284trk Sc Pm C1882 Defib 5 5 $77,175.00 $15,435.00 80% off $32,313.17 $77,175.00 $65,598.75 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $28,341.36 $81,161.05 $65,446.37 2026-03-27
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $65,328.24 $65,328.24 $65,328.24 2026-03-27
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 1 1 — — $65,304.10 $65,304.10 $65,304.10 2026-03-27
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 1 1 — — $65,112.92 $65,112.92 $65,112.92 2026-03-27
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 1 1 — — $64,489.09 $64,489.09 $64,489.09 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $27,836.51 $79,728.03 $64,286.92 2026-03-27
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 1 1 — — $64,153.03 $64,153.03 $64,153.03 2026-03-27
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $63,821.99 $63,821.99 $63,821.99 2026-03-27
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 1 1 — — $63,737.47 $63,737.47 $63,737.47 2026-03-27
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 1 1 — — $63,719.36 $63,719.36 $63,719.36 2026-03-27
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 1 1 — — $63,594.60 $63,594.60 $63,594.60 2026-03-27
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 1 1 — — $63,570.45 $63,570.45 $63,570.45 2026-03-27
3054 APR_DRG Amputation Of Lower Limb Except Toes 1 1 — — $63,407.45 $63,407.45 $63,407.45 2026-03-27
264 APR_DRG Other Nervous System & Related Procedures 1 1 — — $63,146.85 $63,146.85 $63,146.85 2026-03-27
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $63,138.80 $63,138.80 $63,138.80 2026-03-27
1824 APR_DRG Other Peripheral Vascular Procedures # 1 1 — — $63,107.60 $63,107.60 $63,107.60 2026-03-27
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $63,045.22 $63,045.22 $63,045.22 2026-03-27
E0766UE OTHER Elec Stim Cancer Treatment 2 1 — — $62,991.19 $62,991.19 $62,991.19 2026-03-27
27800000S1-15059 CDM Icd Hv Generator Cd3369-40q C1722 5 5 $74,040.00 $14,808.00 80% off $31,000.55 $74,040.00 $62,934.00 2026-03-27
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 1 1 — — $62,697.08 $62,697.08 $62,697.08 2026-03-27
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 1 1 — — $62,648.79 $62,648.79 $62,648.79 2026-03-27
4444 APR_DRG Renal Dialysis Access Device Procedure Only 1 1 — — $62,241.28 $62,241.28 $62,241.28 2026-03-27
12 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $62,013.89 $62,013.89 $62,013.89 2026-03-27
11 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $62,013.89 $62,013.89 $62,013.89 2026-03-27
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 1 1 — — $61,926.35 $61,926.35 $61,926.35 2026-03-27
K100700 OTHER Bil Hkaf Pc S/d Micro Sensor 2 1 — — $61,802.67 $61,802.67 $61,802.67 2026-03-27
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $61,785.48 $61,785.48 $61,785.48 2026-03-27
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $61,654.68 $61,654.68 $61,654.68 2026-03-27
1204 APR_DRG Major Respiratory & Chest Procedures 1 1 — — $61,284.41 $61,284.41 $61,284.41 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 4 — — $26,511.46 $75,966.83 $61,243.76 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $26,480.74 $75,879.65 $61,173.22 2026-03-27
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 1 1 — — $61,103.29 $61,103.29 $61,103.29 2026-03-27
6903 APR_DRG Acute Leukemia 1 1 — — $61,003.68 $61,003.68 $61,003.68 2026-03-27
1214 APR_DRG Other Respiratory & Chest Procedures 1 1 — — $60,945.32 $60,945.32 $60,945.32 2026-03-27
3014 APR_DRG Hip Joint Replacement 1 1 — — $60,911.11 $60,911.11 $60,911.11 2026-03-27
2624 APR_DRG Cholecystectomy Except Laparoscopic 1 1 — — $60,910.11 $60,910.11 $60,910.11 2026-03-27
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 1 1 — — $60,861.81 $60,861.81 $60,861.81 2026-03-27
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $60,785.34 $60,785.34 $60,785.34 2026-03-27
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 1 1 — — $60,732.01 $60,732.01 $60,732.01 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $26,226.81 $75,158.83 $60,590.01 2026-03-27
5184 APR_DRG Other Female Reproductive System & Related Procedures 1 1 — — $60,148.43 $60,148.43 $60,148.43 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $25,991.91 $74,492.06 $60,050.54 2026-03-27
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 1 1 — — $60,043.79 $60,043.79 $60,043.79 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $25,984.55 $74,471.19 $60,033.65 2026-03-27
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $60,006.56 $60,006.56 $60,006.56 2026-03-27
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 46 25 $93,835.14 $93,835.14 $372.80 $309,074.18 $59,726.07 2026-03-27
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 1 1 — — $59,682.57 $59,682.57 $59,682.57 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,746.93 $59,665.77 $59,665.77 2026-03-27
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $59,621.19 $59,621.19 $59,621.19 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $25,796.37 $73,937.03 $59,601.46 2026-03-27
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 1 1 — — $59,542.71 $59,542.71 $59,542.71 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $25,711.58 $73,696.35 $59,406.73 2026-03-27
3814 APR_DRG Major Skin Disorders 1 1 — — $59,392.79 $59,392.79 $59,392.79 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $25,651.88 $73,526.89 $59,269.62 2026-03-27
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $58,797.13 $58,797.13 $58,797.13 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $25,387.56 $72,776.61 $58,662.57 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $25,371.12 $72,729.95 $58,624.82 2026-03-27
2294 APR_DRG Other Digestive System & Abdominal Procedures 1 1 — — $58,225.62 $58,225.62 $58,225.62 2026-03-27
3084 APR_DRG Hip And Femur Fracture Repair 1 1 — — $58,044.51 $58,044.51 $58,044.51 2026-03-27
J922600 OTHER Supprelin La Implant 2 1 — — $57,868.36 $57,868.36 $57,868.36 2026-03-27
3094 APR_DRG Other Significant Hip And Femur Surgery 1 1 — — $57,806.04 $57,806.04 $57,806.04 2026-03-27
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $57,721.52 $57,721.52 $57,721.52 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $24,948.47 $71,530.25 $57,654.15 2026-03-27
27800000S1-14046 CDM Icd Generator Cd3357-40q C1882 5 5 $67,800.00 $13,560.00 80% off $28,387.86 $67,800.00 $57,630.00 2026-03-27
27800000S1-14175 CDM Icd Generator Cd3357-40c C1882 5 5 $67,800.00 $13,560.00 80% off $28,387.86 $67,800.00 $57,630.00 2026-03-27
27800000S1-6378 CDM Generator Crt-d G150 C1882 5 5 $67,704.75 $13,540.95 80% off $28,347.98 $67,704.75 $57,549.04 2026-03-27
6504 APR_DRG Splenectomy 1 1 — — $57,382.44 $57,382.44 $57,382.44 2026-03-27
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $57,313.01 $57,313.01 $57,313.01 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $24,789.28 $71,078.36 $57,288.54 2026-03-27
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $57,211.39 $57,211.39 $57,211.39 2026-03-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $49,671.77 $81,606.16 $57,124.31 2026-03-27
4403 APR_DRG Kidney Transplant 1 1 — — $57,074.55 $57,074.55 $57,074.55 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 4 — — $24,688.05 $70,791.02 $57,056.05 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $24,656.04 $70,700.15 $56,982.52 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $24,320.77 $69,748.50 $56,212.55 2026-03-27
2234 APR_DRG Other Small & Large Bowel Procedures 1 1 — — $56,129.75 $56,129.75 $56,129.75 2026-03-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 4 — — $24,245.50 $69,534.83 $56,039.68 2026-03-27
2244 APR_DRG Peritoneal Adhesiolysis 1 1 — — $56,030.13 $56,030.13 $56,030.13 2026-03-27
33249 HCPCS Insertion Of Implantable Defibrillator System 114 25 $77,592.87 $77,592.87 $603.24 $294,540.26 $55,788.59 2026-03-27
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 1 1 — — $55,682.00 $55,682.00 $55,682.00 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $24,079.38 $69,063.30 $55,658.16 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 4 — — $23,892.50 $68,532.83 $55,228.96 2026-03-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 4 — — $23,749.31 $68,126.37 $54,900.10 2026-03-27
3024 APR_DRG Knee Joint Replacement 1 1 — — $54,764.36 $54,764.36 $54,764.36 2026-03-27
4234 APR_DRG Inborn Errors Of Metabolism 1 1 — — $54,719.08 $54,719.08 $54,719.08 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $23,665.38 $67,888.15 $54,707.36 2026-03-27
27800000S1-11789 CDM Generator Neurostimulation Lead L60cm Proclaim Plus 5 5 5 $64,329.00 $12,865.80 80% off $26,934.55 $64,329.00 $54,679.65 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 4 — — $23,631.64 $67,792.37 $54,629.86 2026-03-27
27800000S1-6385 CDM Icd Generator Cd2357-40q Fortify Assura C1721 5 5 $64,230.00 $12,846.00 80% off $26,893.10 $64,230.00 $54,595.50 2026-03-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 4 4 — — $23,594.44 $67,686.77 $54,544.42 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $23,500.13 $67,419.07 $54,327.83 2026-03-27
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $54,207.94 $54,207.94 $54,207.94 2026-03-27
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $53,999.66 $53,999.66 $53,999.66 2026-03-27
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 1 1 — — $53,869.87 $53,869.87 $53,869.87 2026-03-27
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 1 1 — — $53,795.41 $53,795.41 $53,795.41 2026-03-27
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $53,605.24 $53,605.24 $53,605.24 2026-03-27
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 1 1 — — $53,421.11 $53,421.11 $53,421.11 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $23,069.69 $66,197.27 $53,339.28 2026-03-27
8634 APR_DRG Neonatal Aftercare 1 1 — — $53,317.47 $53,317.47 $53,317.47 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $23,055.85 $66,157.97 $53,307.48 2026-03-27
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $53,210.82 $53,210.82 $53,210.82 2026-03-27
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 1 1 — — $53,062.91 $53,062.91 $53,062.91 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $22,900.98 $65,718.37 $52,951.80 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $22,825.27 $65,503.47 $52,777.93 2026-03-27
27800000S1-11787 CDM Eterna Implantable Pulse Generator 32400 5 5 $61,726.98 $12,345.40 80% off $25,845.09 $61,726.98 $52,467.93 2026-03-27
27800000S1-13370 CDM Stimulator 2 Lead Lumbar Scs 5 5 $61,726.98 $12,345.40 80% off $25,845.09 $61,726.98 $52,467.93 2026-03-27
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 1 1 — — $52,101.00 $52,101.00 $52,101.00 2026-03-27
27800000S1-17912 CDM Icd Itrevia 7 Hf-t 393014 C1722 5 5 $61,290.00 $12,258.00 80% off $25,662.12 $61,290.00 $52,096.50 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $22,518.56 $64,632.87 $52,073.53 2026-03-27
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $52,061.76 $52,061.76 $52,061.76 2026-03-27
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $52,009.44 $52,009.44 $52,009.44 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $22,479.63 $64,522.34 $51,984.10 2026-03-27
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 1 1 — — $51,651.24 $51,651.24 $51,651.24 2026-03-27
8444 APR_DRG Partial Thickness Burns Without Skin Graft 1 1 — — $51,110.92 $51,110.92 $51,110.92 2026-03-27
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 1 1 — — $50,991.19 $50,991.19 $50,991.19 2026-03-27
61 APR_DRG Pancreas Transplant 1 1 — — $50,866.42 $50,866.42 $50,866.42 2026-03-27
62 APR_DRG Pancreas Transplant 1 1 — — $50,866.42 $50,866.42 $50,866.42 2026-03-27
See an error in this hospital's data? Submit a correction