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

JEFFERSON LANSDALE HOSPITAL

Lansdale, PA · CCN 390012 · Rates published

25,526 distinct procedures filed
50 distinct payers
761,291 rate rows
2026-09-15 last MRF observed
Data quality

748,977 of 761,291 rate rows are consumer-grade (98.4%)

12,314 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 6,403
placeholder amount (≤ $0.02) — excluded from medians 4,942
per-diem day rate — not a per-procedure price 434
template filing: same amount across many unrelated codes — excluded 414
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 121
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 success · 2026-09-23
Content fingerprint 2912419f59d3600c… · 261,149,250 bytes · first seen 2026-09-23

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 Treatment-1 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 Dose-1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,508,750
1.0× median
J1411
HCPCS 		Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose-1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,685,267
0.9× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 2 $3,187,200.00 $4,825,396.61 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3389
HCPCS 		Topical Administration Prademagene Zamikeracel Per Treatment-1 Ea 2 $3,134,412.00 $4,836,939.00 $3,134,412.00 nat. median
$3,335,820
0.9× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 2 $3,087,600.00 $4,716,136.72 $3,087,600.00 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Injection Elivaldogene Autotemcel Per Treatment-1 Ea 2 $2,988,000.00 $4,611,000.00 $2,988,000.00 nat. median
$3,180,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment-1 Dose 2 $2,788,800.00 $4,262,954.89 $2,788,800.00 nat. median
$2,968,000
0.9× median
J3399
HCPCS 		Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Genom… 2 $2,576,283.18 $3,754,022.78 $2,576,283.18 nat. median
$2,455,111
1.0× median
C9309
HCPCS 		Injection Onasemnogene Abeparvovec-brve Per Treatment-1 Ea 1 $2,576,283.18 $2,576,283.18 $2,576,283.18 nat. median
$2,664,229
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment-1 Ea 2 $2,191,200.00 $3,381,400.00 $2,191,200.00 nat. median
$2,332,000
0.9× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 37 $770,620.00 $3,316,917.05 $854,665.74 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 38 $312,500.00 $2,492,649.67 $634,754.00 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 38 $310,000.00 $2,396,009.35 $610,144.52 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 38 $328,240.00 $2,361,750.25 $601,420.43 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 38 $335,600.00 $2,314,509.45 $589,390.54 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 37 $245,394.70 $2,292,191.13 $573,750.91 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 38 $308,800.00 $2,078,673.47 $529,334.84 nat. median
$513,770
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $403,462.50 $592,450.43 $528,490.47 nat. median
$286,598
1.8× median
5834
APR_DRG 		Neonate With Ecmo 6 $407,567.22 $517,455.11 $446,383.15 nat. median
$390,362
1.1× median
C9081
HCPCS 		Idecabtagene Vicleucel 1 $422,856.00 $422,856.00 $422,856.00 nat. median
$422,856
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 $264,012.60 $1,182,145.43 $336,022.00 nat. median
$168,055
2.0× median
24
APR_DRG 		Heart And-or Lung Transplant 6 $287,135.57 $364,552.79 $314,481.81 nat. median
$225,531
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $272,514.81 $345,989.99 $298,468.60 nat. median
$286,698
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $256,498.76 $325,655.72 $280,927.22 nat. median
$135,803
outlier · 2.1×
5833
APR_DRG 		Neonate With Ecmo 6 $246,442.33 $312,887.87 $269,913.02 nat. median
$268,208
1.0× median
J3403
HCPCS 		Revakinagene Per Implant 3 $166,667.00 $498,244.16 $249,000.00 nat. median
$264,195
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $205,306.01 $260,660.42 $224,858.96 nat. median
$202,242
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $192,468.00 $794,677.52 $220,065.00 nat. median
$186,516
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $200,552.83 $254,625.69 $219,653.10 nat. median
$198,578
1.1× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $197,632.27 $250,917.69 $216,454.39 nat. median
$68,335
outlier · 3.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $197,624.37 $250,907.66 $216,445.74 nat. median
$152,792
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 38 $129,333.00 $829,913.53 $211,806.15 nat. median
$207,733
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $189,789.05 $240,959.79 $207,864.20 nat. median
$173,018
1.2× median
5832
APR_DRG 		Neonate With Ecmo 6 $189,222.46 $240,240.44 $207,243.65 nat. median
$201,678
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $187,355.37 $237,869.94 $205,198.74 nat. median
$181,762
1.1× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 2 $114,540.00 $222,870.00 $200,583.00 nat. median
$128,604
1.6× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $184,317.20 $204,698.43 $196,723.17 nat. median
$16,158
outlier · 12.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $176,562.15 $224,166.67 $193,377.59 nat. median
$171,497
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $168,346.95 $213,736.49 $184,379.99 nat. median
$187,567
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $167,695.62 $212,909.56 $183,666.63 nat. median
$63,564
outlier · 2.9×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $167,269.06 $212,367.99 $183,199.45 nat. median
$149,836
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $164,153.18 $208,412.00 $179,786.81 nat. median
$168,439
1.1× median
5831
APR_DRG 		Neonate With Ecmo 6 $161,417.89 $204,939.23 $176,791.02 nat. median
$173,909
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 $146,635.00 $515,748.28 $169,596.00 nat. median
$131,925
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 35 $145,775.00 $552,846.27 $168,600.50 nat. median
$145,435
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $151,452.65 $192,287.17 $165,876.71 nat. median
$173,134
1.0× median
14
APR_DRG 		Liver Transplant And-or Intestinal Transplant 6 $150,583.02 $191,183.07 $164,924.26 nat. median
$136,566
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $148,267.83 $188,243.66 $162,388.57 nat. median
$135,630
1.2× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 1 $159,745.49 $159,745.49 $159,745.49 nat. median
$2,024
outlier · 78.9×

Other procedures at this hospital

Browse this hospital's 25,526 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 Injection Atidarsagene Autotemcel Per Treatment-1 Dose 2 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-09-15
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose-1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-09-15
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose-1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-09-15
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 3 2 — — $3,187,200.00 $4,825,396.61 $3,187,200.00 2026-09-15
J3389 HCPCS Topical Administration Prademagene Zamikeracel Per Treatment-1 Ea 3 2 — — $3,134,412.00 $4,836,939.00 $3,134,412.00 2026-09-15
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 3 2 — — $3,087,600.00 $4,716,136.72 $3,087,600.00 2026-09-15
J3387 HCPCS Injection Elivaldogene Autotemcel Per Treatment-1 Ea 3 2 — — $2,988,000.00 $4,611,000.00 $2,988,000.00 2026-09-15
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment-1 Dose 3 2 — — $2,788,800.00 $4,262,954.89 $2,788,800.00 2026-09-15
C9309 HCPCS Injection Onasemnogene Abeparvovec-brve Per Treatment-1 Ea 2 1 — — $2,576,283.18 $2,576,283.18 $2,576,283.18 2026-09-15
J3399 HCPCS Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Genom… 3 2 — — $2,576,283.18 $3,754,022.78 $2,576,283.18 2026-09-15
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment-1 Ea 3 2 — — $2,191,200.00 $3,381,400.00 $2,191,200.00 2026-09-15
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 48 37 — — $770,620.00 $3,316,917.05 $854,665.74 2026-09-15
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 53 38 — — $312,500.00 $2,492,649.67 $634,754.00 2026-09-15
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 53 38 — — $310,000.00 $2,396,009.35 $610,144.52 2026-09-15
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 53 38 — — $328,240.00 $2,361,750.25 $601,420.43 2026-09-15
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 53 38 — — $335,600.00 $2,314,509.45 $589,390.54 2026-09-15
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 49 37 — — $245,394.70 $2,292,191.13 $573,750.91 2026-09-15
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 53 38 — — $308,800.00 $2,078,673.47 $529,334.84 2026-09-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 3 — — $403,462.50 $592,450.43 $528,490.47 2026-09-15
5834 APR_DRG Neonate With Ecmo 7 6 — — $407,567.22 $517,455.11 $446,383.15 2026-09-15
C9081 HCPCS Idecabtagene Vicleucel 1 1 — — $422,856.00 $422,856.00 $422,856.00 2026-09-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 33 — — $264,012.60 $1,182,145.43 $336,022.00 2026-09-15
24 APR_DRG Heart And-or Lung Transplant 7 6 — — $287,135.57 $364,552.79 $314,481.81 2026-09-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $272,514.81 $345,989.99 $298,468.60 2026-09-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $256,498.76 $325,655.72 $280,927.22 2026-09-15
5833 APR_DRG Neonate With Ecmo 7 6 — — $246,442.33 $312,887.87 $269,913.02 2026-09-15
J3403 HCPCS Revakinagene Per Implant 8 3 — — $166,667.00 $498,244.16 $249,000.00 2026-09-15
1614 APR_DRG Implantable Heart Assist Systems 7 6 — — $205,306.01 $260,660.42 $224,858.96 2026-09-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 41 34 — — $192,468.00 $794,677.52 $220,065.00 2026-09-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $200,552.83 $254,625.69 $219,653.10 2026-09-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $197,632.27 $250,917.69 $216,454.39 2026-09-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $197,624.37 $250,907.66 $216,445.74 2026-09-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 51 38 — — $129,333.00 $829,913.53 $211,806.15 2026-09-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $189,789.05 $240,959.79 $207,864.20 2026-09-15
5832 APR_DRG Neonate With Ecmo 7 6 — — $189,222.46 $240,240.44 $207,243.65 2026-09-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $187,355.37 $237,869.94 $205,198.74 2026-09-15
J3404 HCPCS Inj Zopapogene Per Ther Dose 5 2 — — $114,540.00 $222,870.00 $200,583.00 2026-09-15
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $184,317.20 $204,698.43 $196,723.17 2026-09-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $176,562.15 $224,166.67 $193,377.59 2026-09-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $168,346.95 $213,736.49 $184,379.99 2026-09-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $167,695.62 $212,909.56 $183,666.63 2026-09-15
74 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $167,269.06 $212,367.99 $183,199.45 2026-09-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $164,153.18 $208,412.00 $179,786.81 2026-09-15
5831 APR_DRG Neonate With Ecmo 7 6 — — $161,417.89 $204,939.23 $176,791.02 2026-09-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 35 — — $146,635.00 $515,748.28 $169,596.00 2026-09-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 44 35 — — $145,775.00 $552,846.27 $168,600.50 2026-09-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $151,452.65 $192,287.17 $165,876.71 2026-09-15
14 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $150,583.02 $191,183.07 $164,924.26 2026-09-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $148,267.83 $188,243.66 $162,388.57 2026-09-15
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $159,745.49 $159,745.49 $159,745.49 2026-09-15
1613 APR_DRG Implantable Heart Assist Systems 7 6 — — $144,690.91 $183,702.34 $158,471.00 2026-09-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $142,378.59 $180,766.57 $155,938.46 2026-09-15
23 APR_DRG Heart And-or Lung Transplant 7 6 — — $139,988.00 $177,731.43 $153,320.19 2026-09-15
J2789 HCPCS Riboflavin Epioxa Hd< 2ml 3 1 — — $136,919.70 $152,133.00 $146,528.10 2026-09-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $133,303.81 $169,245.06 $145,999.41 2026-09-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $128,438.60 $163,068.10 $140,670.85 2026-09-15
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $125,560.41 $159,413.89 $137,518.55 2026-09-15
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $125,467.78 $159,296.28 $137,417.09 2026-09-15
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $125,376.58 $159,180.49 $137,317.20 2026-09-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $120,716.75 $153,264.28 $132,213.58 2026-09-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $120,184.63 $152,588.69 $131,630.78 2026-09-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $111,711.63 $141,831.21 $122,350.83 2026-09-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $111,035.16 $140,972.36 $121,609.94 2026-09-15
1612 APR_DRG Implantable Heart Assist Systems 7 6 — — $109,886.90 $139,514.51 $120,352.32 2026-09-15
1611 APR_DRG Implantable Heart Assist Systems 7 6 — — $106,464.38 $135,169.21 $116,603.85 2026-09-15
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 1 1 — — $114,942.65 $114,942.65 $114,942.65 2026-09-15
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 35 30 — — $102,831.00 $441,092.00 $113,656.00 2026-09-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $101,352.15 $128,678.61 $111,004.73 2026-09-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 44 35 — — $95,131.40 $342,574.16 $110,027.50 2026-09-15
22 APR_DRG Heart And-or Lung Transplant 7 6 — — $100,312.32 $127,358.43 $109,865.87 2026-09-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $99,055.62 $125,762.91 $108,489.49 2026-09-15
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 4 2 — — $96,779.91 $368,168.17 $107,315.87 2026-09-15
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $107,024.65 $107,024.65 $107,024.65 2026-09-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $97,289.79 $123,520.97 $106,555.48 2026-09-15
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 1 1 — — $105,247.33 $105,247.33 $105,247.33 2026-09-15
73 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $95,416.95 $121,143.18 $104,504.28 2026-09-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $94,374.25 $119,819.35 $103,362.28 2026-09-15
21 APR_DRG Heart And-or Lung Transplant 7 6 — — $93,690.61 $118,951.38 $102,613.53 2026-09-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $92,997.63 $118,071.57 $101,854.55 2026-09-15
7 MS_DRG Lung Transplant 41 34 — — $88,942.00 $594,880.00 $101,695.00 2026-09-15
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 35 30 — — $90,327.00 $387,455.00 $100,786.00 2026-09-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $90,755.69 $115,225.15 $99,399.09 2026-09-15
8514 APR_DRG Gender Related Procedures 7 6 — — $90,430.38 $114,812.14 $99,042.80 2026-09-15
8513 APR_DRG Gender Related Procedures 7 6 — — $90,430.38 $114,812.14 $99,042.80 2026-09-15
J7330 HCPCS Cultured Chondrocytes Implant 11 5 — — $69,492.91 $148,063.20 $98,922.27 2026-09-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $89,082.49 $113,100.82 $97,566.53 2026-09-15
A9543 HCPCS Y90 Ibritumomab Rx 11 5 — — $67,535.48 $159,766.16 $96,136.35 2026-09-15
64 APR_DRG Pancreas Transplant 7 6 — — $87,596.00 $111,213.54 $95,938.47 2026-09-15
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 2026-09-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $86,426.91 $109,729.25 $94,658.04 2026-09-15
14 MS_DRG Allogeneic Bone Marrow Transplant 41 34 — — $82,538.90 $401,492.00 $94,373.90 2026-09-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $85,009.36 $107,929.50 $93,105.49 2026-09-15
90288 CPT Botulism Ig IV 10 7 — — $13.00 $136,070.55 $90,124.65 2026-09-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 34 — — $77,144.61 $478,772.53 $88,986.10 2026-09-15
209 MS_DRG Complex Aortic Arch Procedures 39 32 — — $77,737.50 $235,272.58 $88,884.00 2026-09-15
8634 APR_DRG Neonatal Aftercare 7 6 — — $79,992.63 $101,560.16 $87,610.97 2026-09-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $79,700.36 $101,189.09 $87,290.87 2026-09-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 34 — — $73,334.19 $328,361.89 $86,547.00 2026-09-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $78,905.41 $100,179.81 $86,420.21 2026-09-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 34 — — $74,683.30 $341,480.19 $85,391.90 2026-09-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $77,380.14 $98,243.30 $84,749.67 2026-09-15
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 2026-09-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $76,388.42 $96,984.20 $83,663.51 2026-09-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $75,303.36 $95,606.58 $82,475.11 2026-09-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 41 34 — — $70,812.50 $485,463.00 $80,966.10 2026-09-15
84 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $73,051.36 $92,747.40 $80,008.63 2026-09-15
215 MS_DRG Other Heart Assist System Implant 44 35 — — $68,384.70 $463,262.53 $79,092.50 2026-09-15
63 APR_DRG Pancreas Transplant 7 6 — — $71,600.77 $90,905.71 $78,419.89 2026-09-15
459 MS_DRG Spinal Fusion Except Cervical W Mcc 4 2 — — $70,493.88 $213,663.74 $78,168.21 2026-09-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $71,207.97 $90,406.99 $77,989.68 2026-09-15
4404 APR_DRG Kidney Transplant 7 6 — — $71,079.42 $90,243.79 $77,848.89 2026-09-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 35 — — $67,188.30 $297,163.21 $77,708.75 2026-09-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $70,940.83 $90,067.83 $77,697.10 2026-09-15
13 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $70,758.43 $89,836.25 $77,497.33 2026-09-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $70,216.25 $89,147.89 $76,903.52 2026-09-15
J9183 HCPCS Gemcitabine Intravesical Sys__225 Mg 47 36 — — $72,984.24 $297,410.78 $76,633.45 2026-09-15
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 4 2 — — $68,803.55 $219,732.33 $76,293.86 2026-09-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $67,352.42 $85,511.92 $73,766.94 2026-09-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $67,238.96 $85,367.87 $73,642.67 2026-09-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $66,691.04 $84,672.22 $73,042.57 2026-09-15
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 35 30 — — $65,361.60 $280,367.00 $72,241.80 2026-09-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 6 — — $65,608.85 $83,298.24 $71,857.31 2026-09-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 6 — — $65,261.28 $82,856.97 $71,476.64 2026-09-15
72 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $65,231.84 $82,819.59 $71,444.40 2026-09-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $65,127.00 $82,686.47 $71,329.57 2026-09-15
1784 APR_DRG External Heart Assist Devices 7 6 — — $64,742.81 $82,198.70 $70,908.79 2026-09-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 34 — — $58,389.29 $261,444.45 $70,750.40 2026-09-15
81200013 CDM Hc Herat/lung Procurement 17 14 $140,000.00 — $28,000.00 $112,000.00 $70,000.00 2026-09-15
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 2026-09-15
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 4 2 — — $63,014.45 $251,394.92 $69,874.52 2026-09-15
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 2026-09-15
850 MS_DRG Acute Leukemia With Other Procedures 41 34 — — $59,473.40 $288,756.22 $68,001.10 2026-09-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 6 — — $61,934.99 $78,633.84 $67,833.56 2026-09-15
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 54 40 — — $64,282.30 $262,151.33 $67,548.19 2026-09-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 35 — — $57,896.60 $244,994.07 $66,962.15 2026-09-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 35 — — $57,714.60 $300,517.24 $66,751.65 2026-09-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 33 30 — — $34,687.50 $257,003.00 $66,221.60 2026-09-15
A9699 HCPCS Radiopharm Rx Agent Noc 6 3 — — $55,449.60 $67,779.10 $65,878.83 2026-09-15
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 6 — — $59,751.93 $75,862.19 $65,442.59 2026-09-15
62 APR_DRG Pancreas Transplant 7 6 — — $59,339.01 $75,337.94 $64,990.35 2026-09-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 6 — — $59,125.74 $75,067.16 $64,756.76 2026-09-15
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 2026-09-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $58,551.25 $74,337.78 $64,127.55 2026-09-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $58,533.29 $74,314.98 $64,107.89 2026-09-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $58,067.24 $73,723.27 $63,597.45 2026-09-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 35 — — $54,042.90 $294,329.54 $62,505.10 2026-09-15
81200005 CDM Hc Heart Trans Procurement Cadaver 17 14 $123,278.00 — $24,655.60 $98,622.40 $61,639.00 2026-09-15
81200012 CDM Hc Single Lung Procurement 17 14 $123,278.00 — $24,655.60 $98,622.40 $61,639.00 2026-09-15
81200011 CDM Hc Double Lung Procurement 17 14 $123,278.00 — $24,655.60 $98,622.40 $61,639.00 2026-09-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 35 — — $52,734.60 $248,232.11 $60,991.90 2026-09-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 6 — — $55,622.07 $70,618.84 $60,919.41 2026-09-15
12 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $55,619.20 $70,615.19 $60,916.26 2026-09-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 35 — — $52,507.20 $231,606.19 $60,728.95 2026-09-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 35 — — $52,253.95 $210,977.39 $60,528.00 2026-09-15
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $55,212.74 $70,099.15 $60,471.10 2026-09-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $55,200.54 $70,083.65 $60,457.73 2026-09-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $55,156.01 $70,027.12 $60,408.97 2026-09-15
71 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $54,952.07 $69,768.19 $60,185.60 2026-09-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $54,595.89 $69,315.98 $59,795.49 2026-09-15
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 4 2 — — $53,798.39 $173,647.44 $59,655.16 2026-09-15
Q2043 HCPCS Sipuleucel-t Auto cd54+__Per Infusion (minimum 50 Million Cells) 54 40 — — $55,932.43 $227,924.64 $59,568.04 2026-09-15
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $59,115.42 $59,115.42 $59,115.42 2026-09-15
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 2026-09-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $53,431.11 $67,837.15 $58,519.79 2026-09-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $52,575.12 $66,750.37 $57,582.27 2026-09-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 44 35 — — $46,756.37 $181,004.34 $56,975.70 2026-09-15
11 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $51,948.93 $65,955.35 $56,896.44 2026-09-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $51,860.60 $65,843.20 $56,799.70 2026-09-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 34 — — $49,577.30 $222,641.23 $56,686.10 2026-09-15
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 17 14 $113,314.00 — $22,662.80 $90,651.20 $56,657.00 2026-09-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $51,721.28 $65,666.33 $56,647.12 2026-09-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $51,449.12 $65,320.78 $56,349.04 2026-09-15
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 6 — — $51,246.61 $65,063.68 $56,127.24 2026-09-15
6904 APR_DRG Acute Leukemia 7 6 — — $51,129.56 $64,915.06 $55,999.04 2026-09-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 34 — — $48,971.60 $221,522.18 $55,993.40 2026-09-15
36033270 CDM Hc Insert Sq Icd W Electrode 17 14 $111,589.00 $36,193.09 68% off $22,317.80 $89,271.20 $55,794.50 2026-09-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 33 — — $49,000.40 $248,489.15 $55,761.17 2026-09-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $50,775.53 $64,465.58 $55,611.30 2026-09-15
214 APR_DRG Open Craniotomy Except Trauma 7 6 — — $50,671.40 $64,333.38 $55,497.25 2026-09-15
10 MS_DRG Pancreas Transplant 41 34 — — $40,906.41 $270,400.00 $55,324.60 2026-09-15
E0194 HCPCS Air Fluidized Bed 3 1 — — $51,573.41 $57,276.24 $55,044.70 2026-09-15
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 4 2 — — $49,519.58 $197,109.92 $54,910.54 2026-09-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 35 — — $47,470.20 $185,527.57 $54,903.25 2026-09-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 6 — — $49,924.57 $63,385.18 $54,679.29 2026-09-15
914 APR_DRG Other Major Head And Neck Procedures 7 6 — — $49,898.72 $63,352.36 $54,650.98 2026-09-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 35 — — $46,677.27 $196,874.82 $54,633.95 2026-09-15
1783 APR_DRG External Heart Assist Devices 7 6 — — $49,846.29 $63,285.80 $54,593.56 2026-09-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 6 — — $49,820.44 $63,252.98 $54,565.25 2026-09-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $49,373.78 $62,685.89 $54,076.04 2026-09-15
1794 APR_DRG Defibrillator Implants 7 6 — — $49,289.76 $62,579.22 $53,984.02 2026-09-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 35 — — $46,229.20 $169,443.94 $53,467.85 2026-09-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $48,786.36 $61,940.09 $53,432.68 2026-09-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $48,732.50 $61,871.71 $53,373.69 2026-09-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $48,407.92 $61,459.61 $53,018.19 2026-09-15
1204 APR_DRG Major Respiratory And Chest Procedures 7 6 — — $48,392.84 $61,440.47 $53,001.68 2026-09-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $48,180.28 $61,170.59 $52,768.87 2026-09-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 41 34 — — $43,308.57 $193,918.89 $52,507.60 2026-09-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 41 34 — — $45,889.20 $210,165.53 $52,469.10 2026-09-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $47,844.92 $60,744.82 $52,401.58 2026-09-15
81200007 CDM Hc Liver Acquisition Cadaver 17 14 $104,683.00 — $20,936.60 $83,746.40 $52,341.50 2026-09-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 35 — — $45,159.20 $196,962.59 $52,230.30 2026-09-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 35 — — $41,648.72 $170,089.67 $52,230.30 2026-09-15
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $47,674.01 $60,527.83 $52,214.39 2026-09-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 35 — — $43,111.16 $136,177.40 $52,040.45 2026-09-15
234 APR_DRG Spinal Procedures 7 6 — — $47,334.34 $60,096.58 $51,842.37 2026-09-15
4403 APR_DRG Kidney Transplant 7 6 — — $46,753.39 $59,358.99 $51,206.09 2026-09-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 35 — — $44,193.50 $164,742.04 $51,113.45 2026-09-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 6 — — $46,538.67 $59,086.38 $50,970.93 2026-09-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 6 — — $46,396.49 $58,905.86 $50,815.20 2026-09-15
48133270 CDM Hc Insert Subq Defib W/electrod 17 14 $101,304.00 $36,193.09 64% off $20,260.80 $81,043.20 $50,652.00 2026-09-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 6 — — $46,227.73 $58,691.61 $50,630.37 2026-09-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $46,173.87 $58,623.23 $50,571.38 2026-09-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $45,958.44 $58,349.71 $50,335.43 2026-09-15
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $45,909.61 $58,287.71 $50,281.95 2026-09-15
L7181 HCPCS Electronic Elbow Microprocessor Simultaneous Control Of Elbow And Terminal Devic… 35 30 — — $43,853.31 $196,234.00 $50,081.70 2026-09-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $45,572.09 $57,859.20 $49,912.29 2026-09-15
4414 APR_DRG Major Bladder Procedures 7 6 — — $45,394.72 $57,634.00 $49,718.03 2026-09-15
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $45,303.52 $57,518.21 $49,618.14 2026-09-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 7 6 — — $44,916.46 $57,026.79 $49,194.21 2026-09-15
6954 APR_DRG Chemotherapy For Acute Leukemia 7 6 — — $44,813.77 $56,896.41 $49,081.74 2026-09-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $44,791.51 $56,868.15 $49,057.36 2026-09-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $44,658.65 $56,699.48 $48,911.86 2026-09-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $44,546.63 $56,557.25 $48,789.17 2026-09-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 35 — — $41,939.25 $281,863.23 $48,680.40 2026-09-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 6 — — $44,403.72 $56,375.82 $48,632.65 2026-09-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 35 — — $42,041.10 $172,077.00 $48,624.00 2026-09-15
83 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $44,246.46 $56,176.15 $48,460.41 2026-09-15
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc-mcc 1 1 — — $48,442.11 $48,442.11 $48,442.11 2026-09-15
4234 APR_DRG Inborn Errors Of Metabolism 7 6 — — $44,088.47 $55,975.57 $48,287.38 2026-09-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 35 — — $41,637.90 $175,992.12 $48,157.70 2026-09-15
36133249 CDM Hc Icd Lead Insert/repos Sgl Cham 17 14 $96,229.00 $36,193.09 62% off $19,245.80 $76,983.20 $48,114.50 2026-09-15
4800408T CDM Hc Insj/rplc Cardiac Modulj Sys 17 14 $95,954.00 $36,193.09 62% off $19,190.80 $76,763.20 $47,977.00 2026-09-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $43,660.48 $55,432.18 $47,818.62 2026-09-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $43,604.47 $55,361.06 $47,757.27 2026-09-15
28 MS_DRG Spinal Procedures With Mcc 44 35 — — $41,265.00 $170,331.03 $47,726.35 2026-09-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 35 — — $40,179.30 $213,742.10 $47,367.35 2026-09-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $43,164.98 $54,803.08 $47,275.93 2026-09-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 6 — — $43,072.35 $54,685.47 $47,174.47 2026-09-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 41 34 — — $41,253.30 $194,169.66 $47,168.50 2026-09-15
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 6 — — $42,902.87 $54,470.30 $46,988.86 2026-09-15
61 APR_DRG Pancreas Transplant 7 6 — — $42,874.86 $54,434.75 $46,958.19 2026-09-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $42,856.19 $54,411.04 $46,937.74 2026-09-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $42,663.02 $54,165.79 $46,726.17 2026-09-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 35 — — $40,305.50 $183,305.14 $46,616.70 2026-09-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 35 — — $40,279.40 $184,248.65 $46,586.50 2026-09-15
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 7 6 — — $42,516.53 $53,979.79 $46,565.72 2026-09-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 41 34 — — $40,725.20 $400,192.00 $46,564.60 2026-09-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $42,425.33 $53,864.00 $46,465.83 2026-09-15
204 APR_DRG Open Craniotomy For Trauma 7 6 — — $42,263.75 $53,658.86 $46,288.87 2026-09-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 44 35 — — $3,722.00 $157,717.40 $46,248.70 2026-09-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 6 — — $41,873.82 $53,163.80 $45,861.80 2026-09-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 35 — — $39,355.70 $161,704.61 $45,518.15 2026-09-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $41,372.58 $52,527.41 $45,312.82 2026-09-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 41 34 — — $38,296.83 $171,478.29 $45,287.80 2026-09-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 35 — — $37,810.30 $160,341.06 $45,273.45 2026-09-15
274 APR_DRG Other Open Craniotomy 7 6 — — $41,256.24 $52,379.71 $45,185.41 2026-09-15
460 MS_DRG Spinal Fusion Except Cervical W-o Mcc 4 2 — — $40,744.89 $126,076.75 $45,180.58 2026-09-15
4402 APR_DRG Kidney Transplant 7 6 — — $41,169.35 $52,269.39 $45,090.24 2026-09-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $41,158.58 $52,255.71 $45,078.44 2026-09-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 32 — — $39,195.00 $118,623.62 $44,815.00 2026-09-15
1782 APR_DRG External Heart Assist Devices 7 6 — — $40,824.66 $51,831.76 $44,712.72 2026-09-15
L7180 HCPCS Electronic Elbow Microprocessor Sequential Control Of Elbow And Terminal Device 35 30 — — $38,926.49 $174,187.00 $44,455.20 2026-09-15
4284 APR_DRG Genetic Disorders 7 6 — — $40,510.12 $51,432.42 $44,368.23 2026-09-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 6 — — $40,460.57 $51,369.51 $44,313.96 2026-09-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 34 — — $38,532.06 $172,531.52 $44,148.30 2026-09-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 34 — — $38,091.02 $297,812.00 $44,011.70 2026-09-15
4014 APR_DRG Adrenal Procedures 7 6 — — $40,156.09 $50,982.94 $43,980.48 2026-09-15
224 APR_DRG Ventricular Shunt Procedures 7 6 — — $40,142.45 $50,965.62 $43,965.54 2026-09-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 35 — — $37,932.00 $157,526.19 $43,871.45 2026-09-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 34 — — $35,026.15 $156,833.44 $43,710.10 2026-09-15
834 MS_DRG Acute Leukemia With Mcc 44 35 — — $37,704.60 $168,729.25 $43,608.55 2026-09-15
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 44 35 — — $37,571.40 $170,312.22 $43,454.40 2026-09-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 35 — — $37,244.65 $151,307.14 $43,392.45 2026-09-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 6 — — $39,601.71 $50,279.09 $43,373.30 2026-09-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $39,598.84 $50,275.44 $43,370.16 2026-09-15
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 35 — — $37,458.80 $148,097.31 $43,324.15 2026-09-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $39,412.13 $50,038.39 $43,165.67 2026-09-15
K0606 HCPCS Automatic External Defibr 3 1 — — $40,372.78 $44,837.08 $43,090.18 2026-09-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $39,241.94 $49,822.31 $42,979.26 2026-09-15
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $39,200.29 $49,769.43 $42,933.65 2026-09-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $38,981.26 $49,491.35 $42,693.76 2026-09-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 41 34 — — $37,309.00 $400,192.00 $42,658.60 2026-09-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 35 — — $36,625.70 $165,873.63 $42,360.60 2026-09-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $38,653.09 $49,074.69 $42,334.33 2026-09-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $38,625.08 $49,039.14 $42,303.66 2026-09-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $38,449.14 $48,815.76 $42,110.97 2026-09-15
5144 APR_DRG Female Reproductive System Reconstructive Procedures 7 6 — — $38,399.59 $48,752.85 $42,056.70 2026-09-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 35 — — $36,357.80 $202,050.05 $42,050.80 2026-09-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 35 — — $35,934.13 $148,420.18 $41,911.80 2026-09-15
4401 APR_DRG Kidney Transplant 7 6 — — $38,223.65 $48,529.48 $41,864.00 2026-09-15
48133263 CDM Hc Remove/replace Aicd Gen Dual 17 14 $83,705.00 $25,648.07 69% off $16,741.00 $66,964.00 $41,852.50 2026-09-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 41 34 — — $36,053.85 $161,435.03 $41,852.20 2026-09-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $37,957.95 $48,192.14 $41,573.00 2026-09-15
1214 APR_DRG Other Respiratory And Chest Procedures 7 6 — — $37,930.67 $48,157.50 $41,543.11 2026-09-15
4844 APR_DRG Other Male Reproductive System And Related Procedures 7 6 — — $37,885.42 $48,100.06 $41,493.56 2026-09-15
1814 APR_DRG Lower Vascular Procedures 7 6 — — $37,706.61 $47,873.04 $41,297.72 2026-09-15
653 MS_DRG Major Bladder Procedures With Mcc 44 35 — — $35,688.90 $186,690.51 $41,277.15 2026-09-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $37,620.44 $47,763.63 $41,203.34 2026-09-15
5114 APR_DRG Gynecologic Procedures For Malignancy 7 6 — — $37,561.56 $47,688.87 $41,138.85 2026-09-15
1793 APR_DRG Defibrillator Implants 7 6 — — $37,551.50 $47,676.10 $41,127.84 2026-09-15
See an error in this hospital's data? Submit a correction