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

FISHER-TITUS HOSPITAL

Norwalk, OH · CCN 360065 · Rates published

22,231 distinct procedures filed
41 distinct payers
714,877 rate rows
2026-07-31 last MRF observed
Data quality

689,517 of 714,877 rate rows are consumer-grade (96.5%)

25,360 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
template filing: same amount across many unrelated codes — excluded 19,818
placeholder amount (≤ $0.02) — excluded from medians 4,323
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 598
percent-of-charges filed in the dollar field — excluded from medians 506
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 108
per-diem day rate — not a per-procedure price 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ft-data.org/wp-content/uploads/2025/08/Financial-Documents_2025-344430716_Fisher-Titus-Medical-Center_standardcharges-4.xls
Found on page https://www.fishertitus.org/rights-and-policies/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03

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 14 $6,881.22 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 15 $11,138.13 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $11,138.13 $3,482,285.72 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 15 $6,881.22 $3,410,868.01 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 15 $6,881.22 $3,093,027.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $110,758.00 $2,577,866.14 $2,455,110.61 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 15 $6,881.22 $2,448,600.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $6,881.22 $809,151.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 16 $6,881.22 $1,089,321.97 $591,726.20 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 16 $6,881.22 $1,074,763.80 $565,868.95 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 16 $6,881.22 $1,003,577.39 $562,538.19 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 16 $6,881.22 $1,026,080.22 $557,317.93 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 16 $6,881.22 $951,456.00 $533,230.17 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 16 $6,881.22 $951,456.00 $489,304.61 nat. median
$577,541
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 14 $6,881.22 $292,162.50 $278,250.00 nat. median
$302,242
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $233,173.51 $862,981.54 $269,305.20 nat. median
$370,165
0.7× median
J3403
HCPCS 		Revakinagene- Per Implant 14 $6,881.22 $270,375.00 $257,500.00 nat. median
$265,000
1.0× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $237,967.59 $237,967.59 $237,967.59 nat. median
$254,667
0.9× median
5833
APR_DRG 		Neonate W Ecmo 7 $230,198.57 $230,198.57 $230,198.57 nat. median
$250,089
0.9× median
5834
APR_DRG 		Neonate W Ecmo 7 $230,198.57 $230,198.57 $230,198.57 nat. median
$311,018
0.7× median
5831
APR_DRG 		Neonate W Ecmo 7 $218,965.98 $218,965.98 $218,965.98 nat. median
$154,685
1.4× median
5832
APR_DRG 		Neonate W Ecmo 7 $218,965.98 $218,965.98 $218,965.98 nat. median
$169,230
1.3× median
1614
APR_DRG 		N/a 7 $218,117.63 $218,117.63 $218,117.63 nat. median
$209,486
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 14 $6,881.22 $215,922.00 $205,640.00 nat. median
$209,736
1.0× median
24
APR_DRG 		N/a 7 $191,831.60 $191,831.60 $191,831.60 nat. median
$243,231
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $174,161.07 $420,436.79 $174,768.24 nat. median
$261,939
0.7× median
1611
APR_DRG 		N/a 7 $168,807.13 $168,807.13 $168,807.13 nat. median
$82,164
outlier · 2.1×
1613
APR_DRG 		N/a 7 $168,807.13 $168,807.13 $168,807.13 nat. median
$127,938
1.3× median
1612
APR_DRG 		N/a 7 $168,807.13 $168,807.13 $168,807.13 nat. median
$93,192
1.8× median
74
APR_DRG 		N/a 7 $163,980.08 $163,980.08 $163,980.08 nat. median
$175,480
0.9× median
8413
APR_DRG 		N/a 7 $152,638.36 $152,638.36 $152,638.36 nat. median
$64,013
outlier · 2.4×
8411
APR_DRG 		N/a 7 $152,638.36 $152,638.36 $152,638.36 nat. median
$31,876
outlier · 4.8×
8412
APR_DRG 		N/a 7 $152,638.36 $152,638.36 $152,638.36 nat. median
$33,878
outlier · 4.5×
8414
APR_DRG 		N/a 7 $152,638.36 $152,638.36 $152,638.36 nat. median
$165,646
0.9× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 7 $152,626.67 $152,626.67 $152,626.67 nat. median
$168,174
0.9× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 $148,123.11 $148,123.11 $148,123.11 nat. median
$160,171
0.9× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $135,045.88 $135,045.88 $135,045.88 nat. median
$83,623
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $133,150.25 $317,824.22 $133,150.25 nat. median
$205,166
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 14 $132,368.83 $303,649.40 $132,368.83 nat. median
$199,832
0.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 7 $130,745.47 $130,745.47 $130,745.47 nat. median
$147,677
0.9× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $120,209.88 $120,209.88 $120,209.88 nat. median
$180,995
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 1 $114,535.56 $114,535.56 $114,535.56 nat. median
$58,534
2.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $114,344.15 $114,344.15 $114,344.15 nat. median
$120,928
0.9× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $114,344.15 $114,344.15 $114,344.15 nat. median
$147,847
0.8× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $110,813.01 $110,813.01 $110,813.01 nat. median
$156,285
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 15 $10,425.18 $114,163.58 $108,727.22 nat. median
$111,503
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 1 $107,080.67 $107,080.67 $107,080.67 nat. median
$51,048
outlier · 2.1×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $102,872.51 $102,872.51 $102,872.51 nat. median
$168,361
0.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $97,680.44 $97,680.44 $97,680.44 nat. median
$62,767
1.6× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $95,598.22 $95,598.22 $95,598.22 nat. median
$46,826
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 22,231 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
             
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 7 7 — — $237,967.59 $237,967.59 $237,967.59 2026-07-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 14 — — $233,173.51 $862,981.54 $269,305.20 2026-07-31
5834 APR_DRG Neonate W Ecmo 7 7 — — $230,198.57 $230,198.57 $230,198.57 2026-07-31
5833 APR_DRG Neonate W Ecmo 7 7 — — $230,198.57 $230,198.57 $230,198.57 2026-07-31
5832 APR_DRG Neonate W Ecmo 7 7 — — $218,965.98 $218,965.98 $218,965.98 2026-07-31
5831 APR_DRG Neonate W Ecmo 7 7 — — $218,965.98 $218,965.98 $218,965.98 2026-07-31
1614 APR_DRG N/a 7 7 — — $218,117.63 $218,117.63 $218,117.63 2026-07-31
24 APR_DRG N/a 7 7 — — $191,831.60 $191,831.60 $191,831.60 2026-07-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 14 — — $174,161.07 $420,436.79 $174,768.24 2026-07-31
1612 APR_DRG N/a 7 7 — — $168,807.13 $168,807.13 $168,807.13 2026-07-31
1611 APR_DRG N/a 7 7 — — $168,807.13 $168,807.13 $168,807.13 2026-07-31
1613 APR_DRG N/a 7 7 — — $168,807.13 $168,807.13 $168,807.13 2026-07-31
74 APR_DRG N/a 7 7 — — $163,980.08 $163,980.08 $163,980.08 2026-07-31
8413 APR_DRG N/a 7 7 — — $152,638.36 $152,638.36 $152,638.36 2026-07-31
8411 APR_DRG N/a 7 7 — — $152,638.36 $152,638.36 $152,638.36 2026-07-31
8412 APR_DRG N/a 7 7 — — $152,638.36 $152,638.36 $152,638.36 2026-07-31
8414 APR_DRG N/a 7 7 — — $152,638.36 $152,638.36 $152,638.36 2026-07-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 7 — — $152,626.67 $152,626.67 $152,626.67 2026-07-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 7 — — $148,123.11 $148,123.11 $148,123.11 2026-07-31
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 1 1 — — $135,045.88 $135,045.88 $135,045.88 2026-07-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 14 — — $133,150.25 $317,824.22 $133,150.25 2026-07-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 15 14 — — $132,368.83 $303,649.40 $132,368.83 2026-07-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 7 7 — — $130,745.47 $130,745.47 $130,745.47 2026-07-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 7 7 — — $120,209.88 $120,209.88 $120,209.88 2026-07-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 1 1 — — $114,535.56 $114,535.56 $114,535.56 2026-07-31
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 7 7 — — $114,344.15 $114,344.15 $114,344.15 2026-07-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 7 7 — — $114,344.15 $114,344.15 $114,344.15 2026-07-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 7 — — $110,813.01 $110,813.01 $110,813.01 2026-07-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 13 — — $110,758.00 $2,577,866.14 $2,455,110.61 2026-07-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 1 1 — — $107,080.67 $107,080.67 $107,080.67 2026-07-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 7 — — $102,872.51 $102,872.51 $102,872.51 2026-07-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $97,680.44 $97,680.44 $97,680.44 2026-07-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $95,598.22 $95,598.22 $95,598.22 2026-07-31
1604 APR_DRG N/a 7 7 — — $94,629.95 $94,629.95 $94,629.95 2026-07-31
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 1 1 — — $88,097.15 $88,097.15 $88,097.15 2026-07-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 15 14 — — $86,382.87 $205,866.50 $86,382.87 2026-07-31
21 APR_DRG N/a 7 7 — — $85,029.77 $85,029.77 $85,029.77 2026-07-31
23 APR_DRG N/a 7 7 — — $85,029.77 $85,029.77 $85,029.77 2026-07-31
22 APR_DRG N/a 7 7 — — $85,029.77 $85,029.77 $85,029.77 2026-07-31
94 APR_DRG N/a 7 7 — — $84,893.35 $84,893.35 $84,893.35 2026-07-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 1 1 — — $82,171.62 $82,171.62 $82,171.62 2026-07-31
7 MS_DRG Lung Transplant 15 14 — — $80,762.62 $272,922.94 $80,762.62 2026-07-31
73 APR_DRG N/a 7 7 — — $80,031.22 $80,031.22 $80,031.22 2026-07-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 1 1 — — $77,352.91 $77,352.91 $77,352.91 2026-07-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 7 — — $77,093.81 $77,093.81 $77,093.81 2026-07-31
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 7 — — $75,845.31 $75,845.31 $75,845.31 2026-07-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 7 — — $75,009.95 $75,009.95 $75,009.95 2026-07-31
14 MS_DRG Allogeneic Bone Marrow Transplant 15 14 — — $74,948.43 $188,841.50 $74,948.43 2026-07-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $73,751.65 $73,751.65 $73,751.65 2026-07-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 7 7 — — $72,632.47 $72,632.47 $72,632.47 2026-07-31
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 13 12 — — $70,588.56 $74,117.99 $70,588.56 2026-07-31
3034 APR_DRG N/a 7 7 — — $70,430.39 $70,430.39 $70,430.39 2026-07-31
8514 APR_DRG Gender Related Procedures 7 7 — — $70,290.73 $70,290.73 $70,290.73 2026-07-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 7 — — $69,337.79 $69,337.79 $69,337.79 2026-07-31
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 1 1 — — $68,377.75 $68,377.75 $68,377.75 2026-07-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 14 — — $68,133.42 $289,523.94 $70,669.63 2026-07-31
14 APR_DRG N/a 7 7 — — $67,663.16 $67,663.16 $67,663.16 2026-07-31
212 MS_DRG Testes Procedures Age 0-17 14 13 — — $67,355.62 $71,206.00 $67,815.23 2026-07-31
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 7 — — $65,427.30 $65,427.30 $65,427.30 2026-07-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $64,768.08 $72,169.24 $68,732.61 2026-07-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 14 — — $64,300.40 $224,295.74 $64,300.40 2026-07-31
84 APR_DRG N/a 7 7 — — $64,225.57 $64,225.57 $64,225.57 2026-07-31
71 APR_DRG N/a 7 7 — — $64,065.77 $64,065.77 $64,065.77 2026-07-31
72 APR_DRG N/a 7 7 — — $64,065.77 $64,065.77 $64,065.77 2026-07-31
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 7 7 — — $63,791.65 $63,791.65 $63,791.65 2026-07-31
8424 APR_DRG N/a 7 7 — — $63,731.89 $63,731.89 $63,731.89 2026-07-31
215 MS_DRG Other Heart Assist System Implant 15 14 — — $62,095.83 $157,653.64 $62,095.83 2026-07-31
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 7 — — $62,031.28 $62,031.28 $62,031.28 2026-07-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 7 — — $61,317.39 $61,317.39 $61,317.39 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $59,671.54 $147,162.78 $61,009.45 2026-07-31
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 7 — — $59,004.22 $59,004.22 $59,004.22 2026-07-31
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 7 — — $59,004.22 $59,004.22 $59,004.22 2026-07-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 7 — — $58,802.85 $58,802.85 $58,802.85 2026-07-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $58,530.03 $58,530.03 $58,530.03 2026-07-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 7 — — $58,417.00 $58,417.00 $58,417.00 2026-07-31
8634 APR_DRG Neonatal Aftercare 7 7 — — $58,331.90 $58,331.90 $58,331.90 2026-07-31
1784 APR_DRG N/a 7 7 — — $58,312.42 $58,312.42 $58,312.42 2026-07-31
6904 APR_DRG N/a 7 7 — — $58,084.41 $58,084.41 $58,084.41 2026-07-31
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 7 7 — — $57,740.78 $57,740.78 $57,740.78 2026-07-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 7 — — $56,985.32 $56,985.32 $56,985.32 2026-07-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 7 — — $54,968.36 $54,968.36 $54,968.36 2026-07-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $54,425.31 $54,425.31 $54,425.31 2026-07-31
850 MS_DRG Acute Leukemia With Other Procedures 14 13 — — $54,004.10 $56,956.02 $54,004.10 2026-07-31
3033 APR_DRG N/a 7 7 — — $52,825.39 $52,825.39 $52,825.39 2026-07-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 7 — — $52,711.71 $52,711.71 $52,711.71 2026-07-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 14 — — $52,393.06 $122,688.83 $52,572.23 2026-07-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 15 14 — — $52,364.00 $126,687.56 $52,406.96 2026-07-31
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 7 — — $51,989.38 $51,989.38 $51,989.38 2026-07-31
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 7 — — $51,989.38 $51,989.38 $51,989.38 2026-07-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 13 — — $51,568.88 $58,996.84 $56,187.47 2026-07-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 7 — — $51,137.12 $51,137.12 $51,137.12 2026-07-31
6954 APR_DRG N/a 7 7 — — $50,845.46 $50,845.46 $50,845.46 2026-07-31
1634 APR_DRG N/a 7 7 — — $50,429.08 $50,429.08 $50,429.08 2026-07-31
1624 APR_DRG N/a 7 7 — — $49,860.04 $49,860.04 $49,860.04 2026-07-31
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 7 7 — — $49,620.35 $49,620.35 $49,620.35 2026-07-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 7 — — $49,452.75 $49,452.75 $49,452.75 2026-07-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 7 — — $49,452.75 $49,452.75 $49,452.75 2026-07-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 14 — — $49,072.98 $155,955.97 $49,072.98 2026-07-31
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $48,489.42 $48,489.42 $48,489.42 2026-07-31
83 APR_DRG N/a 7 7 — — $48,242.58 $48,242.58 $48,242.58 2026-07-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $47,839.99 $120,145.63 $47,884.95 2026-07-31
111 APR_DRG N/a 7 7 — — $47,784.62 $47,784.62 $47,784.62 2026-07-31
114 APR_DRG N/a 7 7 — — $47,784.62 $47,784.62 $47,784.62 2026-07-31
112 APR_DRG N/a 7 7 — — $47,784.62 $47,784.62 $47,784.62 2026-07-31
113 APR_DRG N/a 7 7 — — $47,784.62 $47,784.62 $47,784.62 2026-07-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 15 14 — — $47,678.52 $113,222.44 $47,678.52 2026-07-31
7924 APR_DRG N/a 7 7 — — $46,931.07 $46,931.07 $46,931.07 2026-07-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 14 — — $46,150.21 $112,841.13 $47,520.74 2026-07-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $45,988.90 $45,988.90 $45,988.90 2026-07-31
9504 APR_DRG N/a 7 7 — — $45,607.87 $45,607.87 $45,607.87 2026-07-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 7 — — $44,862.80 $44,862.80 $44,862.80 2026-07-31
10 MS_DRG Pancreas Transplant 15 14 — — $44,750.53 $100,985.89 $44,750.53 2026-07-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 14 — — $44,494.22 $196,088.26 $44,494.22 2026-07-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $44,336.13 $44,336.13 $44,336.13 2026-07-31
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 7 — — $44,146.96 $44,146.96 $44,146.96 2026-07-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 7 — — $44,146.96 $44,146.96 $44,146.96 2026-07-31
8633 APR_DRG Neonatal Aftercare 7 7 — — $44,070.31 $44,070.31 $44,070.31 2026-07-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $43,915.10 $47,268.98 $45,018.08 2026-07-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 7 — — $43,865.04 $43,865.04 $43,865.04 2026-07-31
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 7 — — $43,865.04 $43,865.04 $43,865.04 2026-07-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 13 — — $43,694.37 $46,691.43 $44,468.02 2026-07-31
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $43,072.55 $43,072.55 $43,072.55 2026-07-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 14 — — $43,011.17 $101,579.65 $43,104.75 2026-07-31
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 7 — — $42,990.70 $42,990.70 $42,990.70 2026-07-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 7 — — $42,990.70 $42,990.70 $42,990.70 2026-07-31
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 7 — — $42,870.53 $42,870.53 $42,870.53 2026-07-31
6301 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 7 — — $42,870.53 $42,870.53 $42,870.53 2026-07-31
2004 APR_DRG N/a 7 7 — — $42,022.17 $42,022.17 $42,022.17 2026-07-31
0453T CPT Insj/rplcmt Mech-elec Ntrfce 6 6 — — $42,012.57 $43,272.95 $43,272.95 2026-07-31
0452T CPT Insj/rplcmt Dev Vasc Seal 6 6 — — $42,012.57 $43,272.95 $43,272.95 2026-07-31
0451T CPT Insj/rplcmt Aortic Ventr Sys 6 6 — — $42,012.57 $43,272.95 $43,272.95 2026-07-31
0459T CPT Relocaj Rplcmt Aortic Ventr 6 6 — — $42,012.57 $43,272.95 $43,272.95 2026-07-31
0454T CPT Insj/rplcmt Subq Electrode 6 6 — — $42,012.57 $43,272.95 $43,272.95 2026-07-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 14 — — $41,977.83 $119,987.62 $41,977.83 2026-07-31
3044 APR_DRG N/a 7 7 — — $41,724.66 $41,724.66 $41,724.66 2026-07-31
9104 APR_DRG N/a 7 7 — — $41,469.38 $41,469.38 $41,469.38 2026-07-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 13 — — $41,454.32 $43,752.59 $41,669.13 2026-07-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 14 — — $41,294.80 $98,577.73 $44,731.82 2026-07-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 14 — — $41,224.93 $103,160.50 $42,893.33 2026-07-31
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $41,164.07 $41,164.07 $41,164.07 2026-07-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $40,844.06 $40,844.06 $40,844.06 2026-07-31
1794 APR_DRG N/a 7 7 — — $40,049.39 $40,049.39 $40,049.39 2026-07-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 14 — — $39,985.89 $95,306.95 $40,129.36 2026-07-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $39,928.39 $93,506.42 $41,006.20 2026-07-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $39,786.96 $39,786.96 $39,786.96 2026-07-31
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $39,715.50 $39,715.50 $39,715.50 2026-07-31
1204 APR_DRG N/a 7 7 — — $39,490.10 $39,490.10 $39,490.10 2026-07-31
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $39,388.76 $39,388.76 $39,388.76 2026-07-31
6604 APR_DRG N/a 7 7 — — $39,375.12 $39,375.12 $39,375.12 2026-07-31
1603 APR_DRG N/a 7 7 — — $38,794.40 $38,794.40 $38,794.40 2026-07-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 14 13 — — $38,762.63 $40,700.76 $38,762.63 2026-07-31
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 13 — — $38,249.74 $43,784.67 $41,699.69 2026-07-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 14 — — $38,174.87 $99,705.35 $38,174.87 2026-07-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $38,075.38 $82,013.59 $40,857.15 2026-07-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 7 7 — — $38,032.44 $38,032.44 $38,032.44 2026-07-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 14 — — $37,769.33 $84,938.49 $37,808.80 2026-07-31
28 MS_DRG Spinal Procedures With Mcc 15 14 — — $37,470.16 $85,565.10 $37,470.16 2026-07-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 13 — — $37,459.56 $39,332.54 $37,459.56 2026-07-31
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 7 — — $37,145.75 $37,145.75 $37,145.75 2026-07-31
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 7 — — $37,145.75 $37,145.75 $37,145.75 2026-07-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 15 14 — — $37,040.37 $98,642.75 $38,219.15 2026-07-31
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 7 7 — — $37,035.33 $37,035.33 $37,035.33 2026-07-31
2204 APR_DRG N/a 7 7 — — $37,032.08 $37,032.08 $37,032.08 2026-07-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 14 — — $36,979.98 $114,274.85 $36,979.98 2026-07-31
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $36,960.62 $36,960.62 $36,960.62 2026-07-31
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 7 — — $36,835.90 $36,835.90 $36,835.90 2026-07-31
6903 APR_DRG N/a 7 7 — — $36,802.77 $36,802.77 $36,802.77 2026-07-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $36,783.78 $84,546.95 $41,006.20 2026-07-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 15 14 — — $36,755.95 $99,739.58 $37,066.04 2026-07-31
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 7 7 — — $36,596.21 $36,596.21 $36,596.21 2026-07-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 14 — — $36,381.27 $87,659.30 $36,598.94 2026-07-31
3032 APR_DRG N/a 7 7 — — $36,352.61 $36,352.61 $36,352.61 2026-07-31
1623 APR_DRG N/a 7 7 — — $36,142.80 $36,142.80 $36,142.80 2026-07-31
1654 APR_DRG N/a 7 7 — — $36,079.79 $36,079.79 $36,079.79 2026-07-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 14 — — $35,998.55 $95,596.99 $36,575.24 2026-07-31
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $35,921.94 $35,921.94 $35,921.94 2026-07-31
9114 APR_DRG N/a 7 7 — — $35,631.58 $35,631.58 $35,631.58 2026-07-31
213 MS_DRG Splenectomy Age 0-17 13 12 — — $35,590.51 $37,370.04 $35,590.51 2026-07-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 15 14 — — $35,485.99 $90,732.25 $37,188.28 2026-07-31
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $35,388.63 $35,388.63 $35,388.63 2026-07-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $35,273.92 $87,381.49 $35,736.44 2026-07-31
92 APR_DRG N/a 7 7 — — $34,811.80 $34,811.80 $34,811.80 2026-07-31
91 APR_DRG N/a 7 7 — — $34,811.80 $34,811.80 $34,811.80 2026-07-31
93 APR_DRG N/a 7 7 — — $34,811.80 $34,811.80 $34,811.80 2026-07-31
234 APR_DRG Spinal Procedures 7 7 — — $34,661.75 $34,661.75 $34,661.75 2026-07-31
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 7 — — $34,633.82 $34,633.82 $34,633.82 2026-07-31
1783 APR_DRG N/a 7 7 — — $34,591.59 $34,591.59 $34,591.59 2026-07-31
1782 APR_DRG N/a 7 7 — — $34,591.59 $34,591.59 $34,591.59 2026-07-31
1781 APR_DRG N/a 7 7 — — $34,591.59 $34,591.59 $34,591.59 2026-07-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 15 14 — — $34,443.64 $88,595.67 $34,443.64 2026-07-31
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 7 — — $34,241.47 $34,241.47 $34,241.47 2026-07-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 14 — — $34,174.60 $120,603.81 $34,237.21 2026-07-31
6804 APR_DRG N/a 7 7 — — $34,126.49 $34,126.49 $34,126.49 2026-07-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $34,031.16 $36,814.09 $35,061.04 2026-07-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 14 — — $33,877.99 $102,269.31 $33,877.99 2026-07-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 13 — — $33,823.42 $37,764.24 $35,965.94 2026-07-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 15 14 — — $33,641.64 $147,620.67 $34,952.53 2026-07-31
2304 APR_DRG N/a 7 7 — — $33,601.63 $33,601.63 $33,601.63 2026-07-31
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 15 14 — — $33,564.97 $83,677.52 $34,116.22 2026-07-31
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $33,508.74 $33,508.74 $33,508.74 2026-07-31
8423 APR_DRG N/a 7 7 — — $33,489.90 $33,489.90 $33,489.90 2026-07-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $33,393.71 $82,030.60 $35,544.36 2026-07-31
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 15 14 — — $33,362.17 $77,479.12 $34,013.95 2026-07-31
894 APR_DRG N/a 7 7 — — $33,272.94 $33,272.94 $33,272.94 2026-07-31
1664 APR_DRG N/a 7 7 — — $33,249.56 $33,249.56 $33,249.56 2026-07-31
2604 APR_DRG N/a 7 7 — — $33,118.99 $33,118.99 $33,118.99 2026-07-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 14 — — $33,014.25 $111,044.48 $33,014.25 2026-07-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 15 14 — — $32,894.13 $74,905.34 $34,067.58 2026-07-31
304 APR_DRG Percutaneous Intra And Extracranial Vascular Procedures 7 7 — — $32,818.23 $32,818.23 $32,818.23 2026-07-31
274 APR_DRG Other Open Craniotomy 7 7 — — $32,781.21 $32,781.21 $32,781.21 2026-07-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $32,748.83 $79,137.19 $33,257.47 2026-07-31
1694 APR_DRG N/a 7 7 — — $32,725.99 $32,725.99 $32,725.99 2026-07-31
653 MS_DRG Major Bladder Procedures With Mcc 15 14 — — $32,406.83 $82,025.09 $32,406.83 2026-07-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $32,299.04 $32,299.04 $32,299.04 2026-07-31
9124 APR_DRG N/a 7 7 — — $32,143.97 $32,143.97 $32,143.97 2026-07-31
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $31,899.07 $31,899.07 $31,899.07 2026-07-31
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 7 7 — — $31,889.33 $31,889.33 $31,889.33 2026-07-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 13 — — $31,842.42 $34,899.39 $33,237.52 2026-07-31
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 7 — — $31,783.45 $31,783.45 $31,783.45 2026-07-31
1814 APR_DRG N/a 7 7 — — $31,749.02 $31,749.02 $31,749.02 2026-07-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 14 — — $31,736.70 $82,983.62 $32,905.12 2026-07-31
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $31,530.11 $31,530.11 $31,530.11 2026-07-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 14 — — $31,499.27 $75,562.00 $32,462.96 2026-07-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 7 7 — — $31,315.10 $31,315.10 $31,315.10 2026-07-31
1824 APR_DRG Other Peripheral Vascular Procedures 7 7 — — $31,174.14 $31,174.14 $31,174.14 2026-07-31
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 15 14 — — $31,103.42 $79,078.55 $31,103.42 2026-07-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 13 — — $30,934.78 $36,448.70 $34,713.05 2026-07-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 14 — — $30,811.12 $112,839.23 $30,853.96 2026-07-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 14 — — $30,799.08 $72,330.48 $30,799.08 2026-07-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 14 — — $30,693.69 $71,494.45 $30,693.69 2026-07-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $30,565.84 $91,167.65 $30,565.84 2026-07-31
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 7 — — $30,501.82 $30,501.82 $30,501.82 2026-07-31
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 7 — — $30,501.82 $30,501.82 $30,501.82 2026-07-31
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 7 7 — — $30,486.88 $30,486.88 $30,486.88 2026-07-31
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 7 7 — — $30,282.26 $30,282.26 $30,282.26 2026-07-31
3043 APR_DRG N/a 7 7 — — $30,254.33 $30,254.33 $30,254.33 2026-07-31
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $30,235.49 $30,235.49 $30,235.49 2026-07-31
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 7 7 — — $30,188.07 $30,188.07 $30,188.07 2026-07-31
471 MS_DRG Cervical Spinal Fusion With Mcc 15 14 — — $30,032.08 $73,298.34 $30,113.70 2026-07-31
9514 APR_DRG N/a 7 7 — — $30,010.73 $30,010.73 $30,010.73 2026-07-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 14 — — $29,961.54 $92,631.10 $29,961.54 2026-07-31
1633 APR_DRG N/a 7 7 — — $29,889.91 $29,889.91 $29,889.91 2026-07-31
7104 APR_DRG N/a 7 7 — — $29,887.31 $29,887.31 $29,887.31 2026-07-31
1324 APR_DRG N/a 7 7 — — $29,637.22 $29,637.22 $29,637.22 2026-07-31
1764 APR_DRG N/a 7 7 — — $29,499.51 $29,499.51 $29,499.51 2026-07-31
1793 APR_DRG N/a 7 7 — — $29,441.70 $29,441.70 $29,441.70 2026-07-31
81 APR_DRG N/a 7 7 — — $29,296.84 $29,296.84 $29,296.84 2026-07-31
82 APR_DRG N/a 7 7 — — $29,296.84 $29,296.84 $29,296.84 2026-07-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $29,259.94 $70,586.32 $29,259.94 2026-07-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 14 — — $29,172.63 $78,013.11 $29,172.63 2026-07-31
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 7 7 — — $29,155.23 $29,155.23 $29,155.23 2026-07-31
3031 APR_DRG N/a 7 7 — — $29,146.79 $29,146.79 $29,146.79 2026-07-31
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 15 14 — — $29,088.57 $77,487.19 $29,690.25 2026-07-31
L6700 HCPCS Ue Add Ext Power Myoel 13 12 — — $28,931.56 $30,378.14 $28,931.56 2026-07-31
6 MS_DRG Liver Transplant Without Mcc 15 14 — — $28,918.19 $148,408.54 $28,918.19 2026-07-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 14 — — $28,486.36 $127,836.64 $29,319.81 2026-07-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $28,395.47 $67,218.81 $31,432.70 2026-07-31
C1882 HCPCS Bi-ventricular Icd Atlas Ii 47 17 $69,901.86 $62,911.68 $19,904.24 $71,252.57 $58,765.01 2026-07-31
C1721 HCPCS Dual Chamber Icd 24 17 $49,760.38 $44,784.34 $14,928.11 $48,267.57 $39,808.30 2026-07-31
C1722 HCPCS Single Chamber Icd 24 17 $47,390.75 $42,651.68 $14,217.22 $45,969.03 $37,912.60 2026-07-31
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 20 15 — — $13,449.70 $31,578.12 $30,074.40 2026-07-31
0571T CPT Insj/rplcmt Icds Ss Eltrd 21 16 — — $13,449.70 $67,001.56 $30,074.40 2026-07-31
0266T CPT Implt/rpl Crtd Sns Dev Total 21 16 — — $11,812.40 $61,324.47 $42,211.37 2026-07-31
A9543 HCPCS Y90 Ibritumomab- Rx 24 16 — — $11,505.16 $131,471.92 $56,824.55 2026-07-31
L8686 HCPCS Generator Pulse Implant 7427 23 16 $37,145.85 $33,431.27 $11,143.76 $36,031.47 $29,716.68 2026-07-31
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 20 15 — — $11,138.13 $3,869,530.00 $3,685,266.67 2026-07-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 15 — — $11,138.13 $3,482,285.72 $3,316,462.59 2026-07-31
J9029 HCPCS Instill Adstiladrin- Tx Dose 26 16 — — $11,138.13 $68,294.46 $63,342.28 2026-07-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 27 16 — — $11,138.13 $140,480.04 $55,272.32 2026-07-31
J9226 HCPCS Supprelin La Implant 27 16 — — $11,138.13 $106,349.82 $45,020.65 2026-07-31
Q0480 HCPCS Driver Pneumatic Vad- Rep 20 15 — — $10,425.18 $114,163.58 $108,727.22 2026-07-31
L7181 HCPCS Electronic Elbo Simultaneous 20 15 — — $10,425.18 $50,789.30 $48,370.76 2026-07-31
L7180 HCPCS Electronic Elbow Sequential 20 15 — — $10,425.18 $49,329.40 $46,980.38 2026-07-31
L5856 HCPCS Elec Knee-shin Swing/stance 20 15 — — $10,425.18 $30,429.19 $28,980.18 2026-07-31
J3391 HCPCS Inj- Atidarsagene Autotemcel 19 14 — — $6,881.22 $4,730,250.00 $4,505,000.00 2026-07-31
J3394 HCPCS Inj- Lovotibeglogene Autotem 20 15 — — $6,881.22 $3,410,868.01 $3,248,445.72 2026-07-31
J3393 HCPCS Inj- Betibeglogene Autotemce 20 15 — — $6,881.22 $3,093,027.00 $2,945,740.00 2026-07-31
J3392 HCPCS Inj- Exagamglogene Autotem 20 15 — — $6,881.22 $2,448,600.00 $2,332,000.00 2026-07-31
Q2057 HCPCS Afamitresgene Autoleucel 20 14 — — $6,881.22 $809,151.00 $770,620.00 2026-07-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 16 — — $6,881.22 $1,089,321.97 $591,726.20 2026-07-31
Q2056 HCPCS Ciltacabtagene Car-pos T 24 16 — — $6,881.22 $1,074,763.80 $565,868.95 2026-07-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 24 16 — — $6,881.22 $1,003,577.39 $562,538.19 2026-07-31
Q2055 HCPCS Idecabtagene Vicleucel Car 24 16 — — $6,881.22 $1,026,080.22 $557,317.93 2026-07-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 16 — — $6,881.22 $951,456.00 $533,230.17 2026-07-31
Q2053 HCPCS Brexucabtagene Car Pos T 24 16 — — $6,881.22 $951,456.00 $489,304.61 2026-07-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 19 14 — — $6,881.22 $292,162.50 $278,250.00 2026-07-31
J3403 HCPCS Revakinagene- Per Implant 22 14 — — $6,881.22 $270,375.00 $257,500.00 2026-07-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 20 14 — — $6,881.22 $215,922.00 $205,640.00 2026-07-31
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 21 16 — — $5,196.62 $35,880.85 $32,831.17 2026-07-31
0408T CPT Insj/rplc Cardiac Modulj Sys 22 16 — — $3,883.32 $67,001.56 $30,074.40 2026-07-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 20 15 — — $2,763.54 $70,825.29 $67,452.66 2026-07-31
L8701 HCPCS Ewh S/d Uprt Micro Sensor 20 15 — — $2,763.54 $35,998.66 $34,284.44 2026-07-31
69930 CPT Implant Cochlear Device 27 16 — — $895.24 $73,299.93 $29,836.37 2026-07-31
33249 CPT Insj/rplcmt Defib W/lead(s) 47 25 $47,902.00 $43,111.80 $713.56 $70,527.96 $30,074.40 2026-07-31
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 33 21 $74,720.40 $67,248.36 $678.56 $72,478.79 $59,776.32 2026-07-31
33276 CPT Insj Phrnc Nrv Stim Sys 23 16 — — $454.79 $44,321.94 $42,211.37 2026-07-31
33231 CPT Insrt Pulse Gen W/mult Leads 24 16 — — $313.61 $67,001.56 $30,074.40 2026-07-31
38240 CPT Transplt Allo Hct/donor 24 16 — — $225.04 $88,217.81 $55,476.69 2026-07-31
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 50 25 $76,184.00 $68,565.60 $51.52 $73,898.48 $29,299.46 2026-07-31
J1930 HCPCS Lanreotide Injection 67 23 $44,908.80 $40,417.92 $34.05 $44,520.67 $32,940.00 2026-07-31
See an error in this hospital's data? Submit a correction