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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

JEFFERSON LANSDALE HOSPITAL

Lansdale, PA · CCN 390012 · Rates published

25,147 distinct procedures filed
53 distinct payers
789,097 rate rows
2026-03-18 last MRF observed
Data quality

776,094 of 789,097 rate rows are consumer-grade (98.4%)

13,003 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 7,058
placeholder amount (≤ $0.02) — excluded from medians 4,997
per-diem day rate — not a per-procedure price 480
template filing: same amount across many unrelated codes — excluded 468
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/263359979_jefferson-lansdale-hospital_standardcharges.csv
Found on page https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 6847dc6b48c2ce68… · 240,562,496 bytes · first seen 2026-05-17

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 		Injection Atidarsagene Autotemcel Per Treatment1 Dose 1 $4,233,000.00 $4,233,000.00 $4,233,000.00 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1411
HCPCS 		Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 2 $3,187,200.00 $4,816,583.19 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatment1 Dose 2 $3,087,600.00 $4,629,850.00 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment1 Dose 2 $2,788,800.00 $4,303,600.00 $2,788,800.00 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Genom… 2 $2,501,245.80 $3,485,015.19 $2,501,245.80 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment1 Ea 2 $2,191,200.00 $3,381,400.00 $2,191,200.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 37 $770,620.00 $3,140,276.50 $809,151.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 39 $310,000.00 $2,394,672.01 $611,155.56 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 39 $312,500.00 $2,308,615.06 $591,726.20 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 40 $328,240.00 $2,290,970.06 $584,042.76 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 40 $335,600.00 $2,274,183.03 $579,763.20 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 39 $245,394.70 $2,168,683.38 $553,479.93 nat. median
$634,303
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $522,900.00 $594,405.00 $535,500.00 nat. median
$324,450
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 40 $308,800.00 $1,994,509.57 $508,465.34 nat. median
$619,808
0.8× median
5834
APR_DRG 		Neonate With Ecmo 6 $443,050.56 $562,505.44 $472,595.96 nat. median
$309,665
1.5× median
C9081
HCPCS 		Idecabtagene Vicleucel 1 $422,856.00 $422,856.00 $422,856.00 nat. median
$30,475
outlier · 13.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 $264,013.00 $1,182,145.43 $339,144.00 nat. median
$370,174
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $271,360.09 $344,523.94 $289,456.08 nat. median
$246,434
1.2× median
J3403
HCPCS 		Revakinagene Per implant__PER Implant 38 $166,667.00 $1,079,875.00 $275,600.00 nat. median
$265,000
1.0× median
24
APR_DRG 		Heart And-or Lung Transplant 6 $253,508.55 $321,859.28 $270,414.09 nat. median
$234,729
1.2× median
5833
APR_DRG 		Neonate With Ecmo 6 $252,331.56 $320,364.96 $269,158.61 nat. median
$244,017
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $187,593.80 $322,072.62 $258,986.08 nat. median
$117,173
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $192,468.00 $794,677.52 $250,103.00 nat. median
$265,286
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 38 $129,333.00 $821,801.26 $209,735.78 nat. median
$209,753
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $193,744.41 $245,981.59 $206,664.50 nat. median
$156,126
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $189,180.09 $240,186.65 $201,795.81 nat. median
$207,730
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $189,063.76 $240,038.95 $201,671.71 nat. median
$162,982
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $181,845.30 $230,874.25 $193,971.88 nat. median
$122,924
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $180,725.76 $229,452.87 $192,777.69 nat. median
$182,665
1.1× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $109,404.87 $239,690.67 $192,740.83 nat. median
$60,831
outlier · 3.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $177,944.51 $225,921.74 $189,810.97 nat. median
$164,289
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $185,457.40 $235,460.25 $189,339.05 nat. median
$164,834
1.1× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $177,228.08 $196,723.17 $188,747.91 nat. median
$16,785
outlier · 11.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $168,280.16 $223,405.61 $179,502.14 nat. median
$160,267
1.1× median
5831
APR_DRG 		Neonate With Ecmo 6 $172,087.42 $220,798.74 $177,549.40 nat. median
$144,745
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $164,915.09 $226,508.39 $175,912.67 nat. median
$150,721
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 $146,635.00 $515,748.28 $172,907.50 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 37 $145,775.00 $552,846.27 $171,893.00 nat. median
$202,976
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $156,447.84 $198,629.15 $166,880.76 nat. median
$151,838
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $154,862.25 $196,616.06 $165,189.43 nat. median
$145,336
1.1× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 1 $159,745.49 $159,745.49 $159,745.49 nat. median
$35,643
outlier · 4.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $149,255.95 $189,498.19 $159,209.27 nat. median
$187,061
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $148,132.10 $188,071.34 $158,010.48 nat. median
$119,796
1.3× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $93,938.46 $190,551.24 $153,226.68 nat. median
$58,674
outlier · 2.6×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $142,525.80 $180,953.47 $152,030.32 nat. median
$105,658
1.4× median
14
APR_DRG 		Liver Transplant And-or Intestinal Transplant 6 $141,108.25 $179,153.72 $150,518.23 nat. median
$129,535
1.2× median
23
APR_DRG 		Heart And-or Lung Transplant 6 $138,090.74 $175,322.64 $147,299.50 nat. median
$93,528
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $134,201.45 $170,384.72 $143,150.85 nat. median
$102,919
1.4× median

Other procedures at this hospital

Browse this hospital's 25,147 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 Injection Atidarsagene Autotemcel Per Treatment1 Dose 2 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-03-18
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 3 2 — — $3,187,200.00 $4,816,583.19 $3,187,200.00 2026-03-18
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatment1 Dose 3 2 — — $3,087,600.00 $4,629,850.00 $3,087,600.00 2026-03-18
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment1 Dose 3 2 — — $2,788,800.00 $4,303,600.00 $2,788,800.00 2026-03-18
J3399 HCPCS Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Genom… 3 2 — — $2,501,245.80 $3,485,015.19 $2,501,245.80 2026-03-18
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment1 Ea 3 2 — — $2,191,200.00 $3,381,400.00 $2,191,200.00 2026-03-18
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 48 37 — — $770,620.00 $3,140,276.50 $809,151.00 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 53 39 — — $310,000.00 $2,394,672.01 $611,155.56 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 53 39 — — $312,500.00 $2,308,615.06 $591,726.20 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 54 40 — — $328,240.00 $2,290,970.06 $584,042.76 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 54 40 — — $335,600.00 $2,274,183.03 $579,763.20 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 53 39 — — $245,394.70 $2,168,683.38 $553,479.93 2026-03-18
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 2 — — $522,900.00 $594,405.00 $535,500.00 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 54 40 — — $308,800.00 $1,994,509.57 $508,465.34 2026-03-18
5834 APR_DRG Neonate With Ecmo 7 6 — — $443,050.56 $562,505.44 $472,595.96 2026-03-18
C9081 HCPCS Idecabtagene Vicleucel 1 1 — — $422,856.00 $422,856.00 $422,856.00 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 35 — — $264,013.00 $1,182,145.43 $339,144.00 2026-03-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $271,360.09 $344,523.94 $289,456.08 2026-03-18
J3403 HCPCS Revakinagene Per implant__PER Implant 51 38 — — $166,667.00 $1,079,875.00 $275,600.00 2026-03-18
24 APR_DRG Heart And-or Lung Transplant 7 6 — — $253,508.55 $321,859.28 $270,414.09 2026-03-18
5833 APR_DRG Neonate With Ecmo 7 6 — — $252,331.56 $320,364.96 $269,158.61 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $187,593.80 $322,072.62 $258,986.08 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 38 — — $192,468.00 $794,677.52 $250,103.00 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 51 38 — — $129,333.00 $821,801.26 $209,735.78 2026-03-18
5832 APR_DRG Neonate With Ecmo 7 6 — — $193,744.41 $245,981.59 $206,664.50 2026-03-18
1614 APR_DRG Implantable Heart Assist Systems 7 6 — — $189,180.09 $240,186.65 $201,795.81 2026-03-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $189,063.76 $240,038.95 $201,671.71 2026-03-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $181,845.30 $230,874.25 $193,971.88 2026-03-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $180,725.76 $229,452.87 $192,777.69 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $109,404.87 $239,690.67 $192,740.83 2026-03-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $177,944.51 $225,921.74 $189,810.97 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $185,457.40 $235,460.25 $189,339.05 2026-03-18
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $177,228.08 $196,723.17 $188,747.91 2026-03-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $168,280.16 $223,405.61 $179,502.14 2026-03-18
5831 APR_DRG Neonate With Ecmo 7 6 — — $172,087.42 $220,798.74 $177,549.40 2026-03-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $164,915.09 $226,508.39 $175,912.67 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 48 37 — — $146,635.00 $515,748.28 $172,907.50 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 48 37 — — $145,775.00 $552,846.27 $171,893.00 2026-03-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $156,447.84 $198,629.15 $166,880.76 2026-03-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $154,862.25 $196,616.06 $165,189.43 2026-03-18
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $159,745.49 $159,745.49 $159,745.49 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $149,255.95 $189,498.19 $159,209.27 2026-03-18
1613 APR_DRG Implantable Heart Assist Systems 7 6 — — $148,132.10 $188,071.34 $158,010.48 2026-03-18
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $93,938.46 $190,551.24 $153,226.68 2026-03-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $142,525.80 $180,953.47 $152,030.32 2026-03-18
14 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $141,108.25 $179,153.72 $150,518.23 2026-03-18
23 APR_DRG Heart And-or Lung Transplant 7 6 — — $138,090.74 $175,322.64 $147,299.50 2026-03-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $134,201.45 $170,384.72 $143,150.85 2026-03-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $132,739.38 $168,528.44 $141,591.27 2026-03-18
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $117,720.57 $160,595.49 $129,138.56 2026-03-18
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $115,212.37 $160,595.49 $129,138.56 2026-03-18
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $121,298.84 $160,595.49 $129,138.56 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $80,288.25 $158,244.14 $127,247.79 2026-03-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $117,857.23 $149,633.78 $125,716.69 2026-03-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $114,446.20 $145,303.07 $122,078.19 2026-03-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $111,027.04 $146,140.95 $117,515.33 2026-03-18
1611 APR_DRG Implantable Heart Assist Systems 7 6 — — $108,996.45 $138,383.96 $116,265.01 2026-03-18
1612 APR_DRG Implantable Heart Assist Systems 7 6 — — $108,996.45 $138,383.96 $116,265.01 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $108,599.33 $137,879.78 $115,841.41 2026-03-18
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 1 1 — — $114,942.65 $114,942.65 $114,942.65 2026-03-18
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 37 32 — — $102,831.00 $441,092.00 $113,656.00 2026-03-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 48 37 — — $95,131.40 $342,574.16 $112,176.00 2026-03-18
22 APR_DRG Heart And-or Lung Transplant 7 6 — — $104,567.13 $132,760.42 $111,540.32 2026-03-18
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 4 2 — — $96,779.91 $368,168.17 $107,315.87 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 54 38 — — $82,538.90 $401,492.00 $107,255.00 2026-03-18
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $107,024.65 $107,024.65 $107,024.65 2026-03-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $99,289.01 $126,059.22 $105,910.22 2026-03-18
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 1 1 — — $105,247.33 $105,247.33 $105,247.33 2026-03-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $98,282.22 $124,780.98 $103,699.80 2026-03-18
7 MS_DRG Lung Transplant 47 36 — — $88,942.00 $594,880.00 $103,425.00 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 38 — — $77,144.60 $478,772.53 $101,132.00 2026-03-18
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 37 32 — — $90,327.00 $387,455.00 $100,786.00 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $94,212.68 $119,614.21 $100,495.37 2026-03-18
21 APR_DRG Heart And-or Lung Transplant 7 6 — — $92,420.99 $117,339.45 $98,584.20 2026-03-18
64 APR_DRG Pancreas Transplant 7 6 — — $92,171.80 $119,785.76 $98,318.40 2026-03-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $92,052.60 $116,871.73 $98,191.24 2026-03-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $91,103.97 $115,667.34 $97,179.36 2026-03-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $90,905.05 $115,414.79 $96,967.17 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $91,509.37 $120,523.20 $96,915.51 2026-03-18
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 4 2 — — $85,849.86 $276,368.28 $95,195.92 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 55 38 — — $70,812.50 $485,463.00 $92,017.60 2026-03-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $86,202.14 $169,184.50 $91,950.64 2026-03-18
8514 APR_DRG Gender Related Procedures 7 6 — — $86,935.33 $110,374.75 $90,109.54 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implant 11 5 — — $69,492.91 $130,235.79 $88,958.88 2026-03-18
209 MS_DRG Complex Aortic Arch Procedures 39 33 — — $77,737.50 $211,955.85 $88,894.30 2026-03-18
8513 APR_DRG Gender Related Procedures 7 6 — — $26,237.85 $110,374.75 $88,754.90 2026-03-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $81,830.28 $103,893.28 $87,287.23 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 36 — — $73,334.20 $328,361.89 $86,557.10 2026-03-18
A9543 HCPCS Y90 Ibritumomab Rx 11 5 — — $67,535.48 $153,541.50 $86,453.55 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 45 36 — — $74,683.30 $341,480.19 $85,401.80 2026-03-18
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 4 2 — — $76,092.65 $242,066.35 $84,376.49 2026-03-18
90288 CPT Botulism Ig IV 10 7 — — $13.00 $108,125.10 $80,994.38 2026-03-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $75,772.28 $96,201.94 $80,825.26 2026-03-18
215 MS_DRG Other Heart Assist System Implant 48 37 — — $68,384.70 $463,262.53 $80,637.05 2026-03-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $75,075.72 $95,317.56 $80,082.24 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 37 — — $67,188.30 $297,163.21 $79,226.30 2026-03-18
8634 APR_DRG Neonatal Aftercare 7 6 — — $74,108.42 $94,089.46 $79,050.43 2026-03-18
459 MS_DRG Spinal Fusion Except Cervical W Mcc 4 2 — — $70,493.88 $213,663.74 $78,168.21 2026-03-18
13 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $73,260.33 $93,012.71 $77,895.80 2026-03-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $72,983.14 $93,864.35 $77,850.11 2026-03-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $72,630.55 $98,751.68 $77,474.01 2026-03-18
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 4 2 — — $68,803.55 $219,732.33 $76,293.86 2026-03-18
4404 APR_DRG Kidney Transplant 7 6 — — $71,464.33 $90,732.48 $76,230.02 2026-03-18
63 APR_DRG Pancreas Transplant 7 6 — — $71,032.75 $90,184.53 $75,769.66 2026-03-18
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $42,835.95 $93,846.94 $75,464.51 2026-03-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $72,056.77 $91,484.65 $74,511.56 2026-03-18
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 37 32 — — $65,361.60 $280,367.00 $72,241.80 2026-03-18
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $22,484.71 $88,943.67 $71,521.67 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $66,849.03 $84,872.80 $71,306.94 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $66,384.41 $92,802.61 $70,811.34 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 45 36 — — $58,389.30 $261,444.45 $70,758.60 2026-03-18
81200013 CDM Hc Herat/lung Procurement 19 15 — — $28,000.00 $112,000.00 $70,000.00 2026-03-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $65,584.43 $83,267.24 $69,958.01 2026-03-18
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W-o Cc-mcc 1 1 — — $69,895.31 $69,895.31 $69,895.31 2026-03-18
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 4 2 — — $63,014.45 $251,394.92 $69,874.52 2026-03-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $65,386.95 $83,016.52 $69,747.36 2026-03-18
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 4 2 — — $61,758.28 $201,419.99 $68,481.60 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 37 — — $57,896.60 $244,994.07 $68,269.80 2026-03-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $63,863.12 $81,081.83 $68,121.91 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 48 37 — — $57,714.60 $300,517.24 $68,055.20 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 45 36 — — $59,473.40 $288,756.22 $68,009.00 2026-03-18
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 55 41 — — $63,342.28 $261,919.77 $67,488.53 2026-03-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $62,462.80 $79,303.96 $66,628.21 2026-03-18
5244 OTHER Level 4 Blood Product Exchange And Related Services 34 31 — — $59,914.80 $257,003.00 $65,377.10 2026-03-18
62 APR_DRG Pancreas Transplant 7 6 — — $61,238.42 $77,749.46 $65,322.18 2026-03-18
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 5 — — $62,574.83 $79,446.19 $65,316.12 2026-03-18
1784 APR_DRG External Heart Assist Devices 7 6 — — $60,728.56 $77,102.14 $64,778.32 2026-03-18
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 4 2 — — $58,115.27 $185,587.13 $64,441.99 2026-03-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $62,806.06 $79,739.77 $64,120.60 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $48,437.76 $79,422.49 $63,865.47 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 37 — — $54,042.90 $294,329.54 $63,725.65 2026-03-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $59,688.73 $75,781.95 $63,669.15 2026-03-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 6 — — $59,532.19 $75,583.20 $63,502.17 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $59,010.84 $74,921.28 $62,946.05 2026-03-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 6 — — $58,535.45 $74,317.72 $62,438.96 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 37 — — $52,734.60 $248,232.11 $62,182.90 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 37 — — $52,507.20 $231,606.19 $61,914.85 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 37 — — $52,253.90 $210,977.39 $61,709.95 2026-03-18
81200011 CDM Hc Double Lung Procurement 19 15 — — $24,655.60 $98,622.40 $61,639.00 2026-03-18
81200012 CDM Hc Single Lung Procurement 19 15 — — $24,655.60 $98,622.40 $61,639.00 2026-03-18
81200005 CDM Hc Heart Trans Procurement Cadaver 19 15 — — $24,655.60 $98,622.40 $61,639.00 2026-03-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $57,374.26 $73,020.13 $61,200.34 2026-03-18
12 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $56,615.93 $71,880.67 $60,391.44 2026-03-18
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 6 — — $56,215.95 $78,719.38 $59,964.78 2026-03-18
A9699 HCPCS Radiopharm Rx Agent Noc 6 3 — — $49,864.75 $65,138.35 $59,837.70 2026-03-18
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 4 2 — — $53,798.39 $173,647.44 $59,655.16 2026-03-18
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $59,115.42 $59,115.42 $59,115.42 2026-03-18
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc-mcc Or Disc Device-neurostim 1 1 — — $59,071.54 $59,071.54 $59,071.54 2026-03-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $54,726.58 $71,494.56 $58,376.09 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $54,656.21 $69,392.56 $58,301.03 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $54,495.35 $69,188.33 $58,129.44 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 48 37 — — $46,756.40 $181,004.34 $58,088.30 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto cd54+__Per Infusion (minimum 50 Million Cells) 56 42 — — $52,916.50 $221,696.74 $57,940.38 2026-03-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $53,446.91 $67,857.21 $57,011.08 2026-03-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $53,387.30 $67,781.54 $56,947.50 2026-03-18
10 MS_DRG Pancreas Transplant 52 38 — — $40,906.41 $270,400.00 $56,831.80 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 36 — — $49,577.30 $222,641.23 $56,692.60 2026-03-18
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 19 15 — — $22,662.80 $90,651.20 $56,657.00 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $52,970.08 $71,356.33 $56,502.46 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 35 — — $49,000.40 $248,489.15 $56,032.90 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 45 36 — — $48,971.60 $221,522.18 $55,999.90 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 37 — — $47,470.20 $185,527.57 $55,975.40 2026-03-18
36033270 CDM Hc Insert Sq Icd W Electrode 19 15 — — $22,317.80 $89,271.20 $55,794.50 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 37 — — $46,677.30 $196,874.82 $55,700.85 2026-03-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $51,962.57 $65,972.67 $55,427.76 2026-03-18
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $51,887.17 $65,876.94 $55,347.33 2026-03-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 6 — — $51,833.31 $65,808.56 $55,289.88 2026-03-18
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 4 2 — — $49,519.58 $197,109.92 $54,910.54 2026-03-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $51,222.20 $69,237.01 $54,638.01 2026-03-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $51,148.95 $64,939.68 $54,559.88 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 37 — — $46,229.20 $169,443.94 $54,512.00 2026-03-18
1794 APR_DRG Defibrillator Implants 7 6 — — $50,481.82 $64,092.68 $53,848.27 2026-03-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $50,404.99 $67,295.90 $53,766.31 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $50,336.05 $63,907.60 $53,692.77 2026-03-18
914 APR_DRG Other Major Head And Neck Procedures 7 6 — — $50,187.40 $63,718.88 $53,534.21 2026-03-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $50,093.32 $63,599.44 $53,433.86 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 37 — — $45,159.20 $196,962.59 $53,250.25 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 37 — — $41,648.70 $170,089.67 $53,250.25 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 37 — — $43,111.20 $122,681.52 $53,056.70 2026-03-18
11 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $49,738.58 $63,149.05 $53,055.46 2026-03-18
E0194 HCPCS Air Fluidized Bed 3 1 — — $49,589.82 $55,044.70 $52,813.16 2026-03-18
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 6 — — $49,416.15 $73,673.83 $52,711.52 2026-03-18
214 APR_DRG Open Craniotomy Except Trauma 7 6 — — $49,346.49 $62,651.24 $52,637.22 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 45 36 — — $43,308.60 $193,918.89 $52,513.70 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 45 36 — — $45,889.20 $210,165.53 $52,475.20 2026-03-18
81200007 CDM Hc Liver Acquisition Cadaver 19 15 — — $20,936.60 $83,746.40 $52,341.50 2026-03-18
1783 APR_DRG External Heart Assist Devices 7 6 — — $49,001.08 $62,212.70 $52,268.78 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 37 — — $44,193.50 $164,742.04 $52,111.60 2026-03-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $48,812.21 $74,730.57 $52,067.32 2026-03-18
4403 APR_DRG Kidney Transplant 7 6 — — $48,587.44 $61,687.54 $51,827.56 2026-03-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 6 — — $48,193.92 $61,187.92 $51,407.79 2026-03-18
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 5 — — $48,930.70 $62,123.35 $51,074.27 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 52 38 — — $40,725.20 $400,192.00 $51,015.35 2026-03-18
48133270 CDM Hc Insert Subq Defib W/electrod 19 15 — — $20,260.80 $81,043.20 $50,652.00 2026-03-18
6904 APR_DRG Acute Leukemia 7 6 — — $47,348.70 $64,409.64 $50,506.21 2026-03-18
L7181 HCPCS Electronic Elbow Microprocessor Simultaneous Control Of Elbow And Terminal Devic… 37 32 — — $42,166.64 $196,234.00 $50,081.70 2026-03-18
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 5 — — $47,737.20 $60,608.06 $49,828.49 2026-03-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $46,652.85 $59,231.35 $49,763.96 2026-03-18
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $22,868.60 $61,841.63 $49,728.29 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 37 — — $41,939.30 $281,863.23 $49,631.00 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 37 — — $42,041.10 $172,077.00 $49,573.50 2026-03-18
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 1 1 — — $49,230.53 $49,230.53 $49,230.53 2026-03-18
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $48,046.71 $61,001.01 $49,198.88 2026-03-18
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $46,041.74 $58,631.28 $49,112.09 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 37 — — $41,637.90 $175,992.12 $49,098.10 2026-03-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $45,911.04 $58,289.53 $48,972.68 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 48 37 — — $41,265.00 $170,331.03 $48,658.40 2026-03-18
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $45,602.97 $57,898.40 $48,644.06 2026-03-18
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc-mcc 1 1 — — $48,442.11 $48,442.11 $48,442.11 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 48 37 — — $40,179.30 $213,742.10 $48,292.35 2026-03-18
36133249 CDM Hc Icd Lead Insert/repos Sgl Cham 19 15 — — $19,245.80 $76,983.20 $48,114.50 2026-03-18
234 APR_DRG Spinal Procedures 7 6 — — $44,994.01 $57,125.26 $47,994.50 2026-03-18
4800408T CDM Hc Insj/rplc Cardiac Modulj Sys 19 15 — — $19,190.80 $76,763.20 $47,977.00 2026-03-18
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 6 — — $44,871.22 $64,754.39 $47,863.51 2026-03-18
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $44,854.70 $56,948.38 $47,845.89 2026-03-18
83 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $46,724.66 $59,322.52 $47,702.62 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 37 — — $40,305.50 $183,305.14 $47,527.05 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 37 — — $40,279.40 $184,248.65 $47,496.25 2026-03-18
1204 APR_DRG Major Respiratory And Chest Procedures 7 6 — — $44,387.93 $59,105.94 $47,347.99 2026-03-18
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $44,316.12 $65,020.04 $47,271.39 2026-03-18
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 6 — — $44,232.81 $64,840.17 $47,182.54 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 45 36 — — $41,253.30 $194,169.66 $47,174.00 2026-03-18
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $43,865.86 $55,692.93 $46,791.11 2026-03-18
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $45,808.35 $58,159.16 $46,767.13 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 48 37 — — $3,579.00 $157,717.40 $46,678.40 2026-03-18
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 6 — — $43,721.52 $56,723.49 $46,637.14 2026-03-18
6954 APR_DRG Chemotherapy For Acute Leukemia 7 6 — — $43,578.61 $57,078.23 $46,484.71 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 37 — — $39,355.70 $161,704.61 $46,407.00 2026-03-18
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $43,452.95 $56,785.11 $46,350.66 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 38 — — $38,091.00 $297,812.00 $46,217.60 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 37 — — $37,810.30 $160,341.06 $46,157.55 2026-03-18
204 APR_DRG Open Craniotomy For Trauma 7 6 — — $43,110.41 $55,198.75 $45,985.28 2026-03-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $43,084.55 $54,700.97 $45,957.70 2026-03-18
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 6 — — $43,036.44 $62,823.28 $45,906.38 2026-03-18
J9226 HCPCS Supprelin La Implant__50 Mg 53 41 — — $42,802.12 $175,980.26 $45,776.46 2026-03-18
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $42,810.95 $54,353.60 $45,665.86 2026-03-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $42,804.49 $54,483.43 $45,658.96 2026-03-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $42,635.73 $54,131.14 $45,478.95 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 52 38 — — $37,309.00 $400,192.00 $45,372.94 2026-03-18
61 APR_DRG Pancreas Transplant 7 6 — — $42,535.20 $54,003.50 $45,371.71 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 45 36 — — $38,296.80 $171,478.29 $45,293.00 2026-03-18
460 MS_DRG Spinal Fusion Except Cervical W-o Mcc 4 2 — — $40,744.89 $126,076.75 $45,180.58 2026-03-18
4284 APR_DRG Genetic Disorders 6 5 — — $42,984.02 $54,573.33 $44,867.07 2026-03-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 33 — — $39,195.00 $106,867.41 $44,820.20 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 37 — — $37,932.00 $157,526.19 $44,728.20 2026-03-18
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 6 — — $41,814.93 $53,089.03 $44,603.41 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 48 37 — — $37,704.60 $168,729.25 $44,460.10 2026-03-18
L7180 HCPCS Electronic Elbow Microprocessor Sequential Control Of Elbow And Terminal Device 37 32 — — $37,429.32 $174,187.00 $44,455.20 2026-03-18
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 48 37 — — $37,571.40 $170,312.22 $44,303.00 2026-03-18
274 APR_DRG Other Open Craniotomy 7 6 — — $41,531.28 $57,752.75 $44,300.84 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 48 37 — — $37,244.70 $151,307.14 $44,239.80 2026-03-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $41,429.31 $61,893.94 $44,192.07 2026-03-18
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 37 — — $37,458.80 $148,097.31 $44,170.15 2026-03-18
4402 APR_DRG Kidney Transplant 7 6 — — $41,406.33 $52,570.26 $44,167.56 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 36 — — $38,532.10 $172,531.52 $44,153.40 2026-03-18
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $41,333.80 $52,478.18 $44,090.19 2026-03-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 6 — — $41,070.25 $53,127.73 $43,809.07 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 45 36 — — $35,026.20 $156,833.44 $43,715.20 2026-03-18
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $42,058.17 $54,332.63 $43,690.13 2026-03-18
4014 APR_DRG Adrenal Procedures 7 6 — — $40,734.89 $51,717.79 $43,451.35 2026-03-18
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $40,569.01 $51,507.19 $43,274.40 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 37 — — $36,625.70 $165,873.63 $43,187.85 2026-03-18
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $40,409.59 $52,121.79 $43,104.35 2026-03-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $40,360.76 $51,242.78 $43,052.26 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 37 — — $36,357.80 $202,050.05 $42,872.00 2026-03-18
4414 APR_DRG Major Bladder Procedures 7 6 — — $40,174.76 $51,801.18 $42,853.87 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 37 — — $35,934.10 $148,420.18 $42,730.25 2026-03-18
1782 APR_DRG External Heart Assist Devices 7 6 — — $39,897.57 $53,055.28 $42,558.19 2026-03-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $39,716.61 $50,424.96 $42,365.16 2026-03-18
5204 APR_DRG Other GYN Procedures For Malignancy 6 5 — — $40,584.81 $51,527.24 $42,362.76 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 48 37 — — $35,688.90 $186,690.51 $42,083.15 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 45 36 — — $36,053.80 $161,435.03 $41,857.00 2026-03-18
48133263 CDM Hc Remove/replace Aicd Gen Dual 19 15 — — $16,741.00 $66,964.00 $41,852.50 2026-03-18
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $39,827.20 $50,565.37 $41,668.45 2026-03-18
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 6 — — $38,876.42 $49,358.24 $41,468.94 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 55 38 — — $31,846.90 $465,088.00 $41,383.60 2026-03-18
K0606 HCPCS Automatic External Defibr 3 1 — — $38,819.98 $43,090.18 $41,343.28 2026-03-18
4401 APR_DRG Kidney Transplant 7 6 — — $38,749.31 $49,196.87 $41,333.36 2026-03-18
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $38,706.94 $49,143.07 $41,288.17 2026-03-18
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 6 — — $38,585.58 $48,988.99 $41,158.71 2026-03-18
224 APR_DRG Ventricular Shunt Procedures 7 6 — — $38,560.45 $48,957.08 $41,131.90 2026-03-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $38,445.55 $49,324.63 $41,009.34 2026-03-18
1793 APR_DRG Defibrillator Implants 7 6 — — $38,444.12 $48,809.38 $41,007.81 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 51 37 — — $32,023.00 $165,343.88 $40,881.60 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 37 — — $32,151.00 $145,520.67 $40,818.20 2026-03-18
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $38,054.90 $48,315.22 $40,592.64 2026-03-18
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 6 — — $38,048.44 $48,814.99 $40,585.74 2026-03-18
8633 APR_DRG Neonatal Aftercare 7 6 — — $37,910.56 $48,131.97 $40,438.67 2026-03-18
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 48 37 — — $34,253.50 $175,578.35 $40,390.60 2026-03-18
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $37,760.47 $47,941.42 $40,278.58 2026-03-18
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $40,167.86 $40,167.86 $40,167.86 2026-03-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 6 — — $37,642.70 $47,791.89 $40,152.95 2026-03-18
L2006 HCPCS Knee Ankle Foot Device Any Material Single Or Double Upright Swing And Stance Ph… 37 32 — — $31,136.26 $157,233.00 $40,128.20 2026-03-18
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 7 6 — — $37,613.98 $47,755.42 $40,122.31 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 37 — — $33,978.70 $215,290.60 $40,066.65 2026-03-18
1814 APR_DRG Lower Extremity Vascular Procedures 7 6 — — $37,530.68 $49,055.65 $40,033.46 2026-03-18
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $37,525.65 $47,643.28 $40,028.10 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 37 — — $33,918.30 $167,672.89 $39,995.35 2026-03-18
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