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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

TEMPLE HEALTH - CHESTNUT HILL HOSPITAL

Philadelphia, PA · CCN 390026 · Rates published

10,533 distinct procedures filed
129 distinct payers
985,334 rate rows
2026-04-08 last MRF observed
Data quality

750,587 of 985,334 rate rows are consumer-grade (76.2%)

234,747 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 221,033
per-diem day rate — not a per-procedure price 12,830
exceeds 10× this hospital's gross charge — excluded from medians 619
placeholder amount (≤ $0.02) — excluded from medians 255
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.templehealth.org/sites/default/files/file/2026-04/883577015_temple-health--chestnut-hill-hospital_standardcharges.csv
Found on page https://www.templehealth.org/pricing-disclaimer
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 04f92f08c4a5f858… · 123,928,662 bytes · first seen 2026-05-18

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
RX-213069
CDM 		Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension 13 $1,053,859.20 $4,654,544.80 $2,744,425.00 nat. median
$1,866,209
1.5× median
J3590
HCPCS 		Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 12 $814,675.20 $4,381,425.06 $2,225,081.64 nat. median
$683
outlier · 3258.2×
C9399
HCPCS 		Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution 13 $742,296.67 $4,797,865.47 $2,027,397.79 nat. median
$2,475
outlier · 819.1×
RX-4082206
CDM 		Inv - Obecabtagene Autoleucel Intravenous Syringe 10 X 10exp6 Cell (irb# Ea25-10… 16 $380,520.00 $3,884,475.00 $1,258,887.00 nat. median
$826,442
1.5× median
RX-4082207
CDM 		Inv - Obecabtagene Autoleucel Intravenous Suspension 300 X 10exp6 Cell (irb# Ea2… 16 $380,520.00 $3,884,475.00 $1,258,887.00 nat. median
$826,442
1.5× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 20 $294,500.00 $3,160,377.22 $599,402.56 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 20 $296,875.00 $4,139,885.82 $589,192.55 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 20 $311,828.00 $4,814,034.62 $573,445.26 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 20 $318,820.00 $4,786,510.61 $569,243.36 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 20 $233,124.96 $4,230,072.00 $542,836.08 nat. median
$634,303
0.9× median
5834
APR_DRG 		Neonate With Ecmo 6 $448,323.96 $896,647.92 $508,847.64 nat. median
$309,665
1.6× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 20 $293,360.00 $3,880,800.00 $499,239.20 nat. median
$619,808
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $315,849.13 $631,698.26 $358,488.72 nat. median
$234,729
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $299,766.30 $599,532.60 $340,234.71 nat. median
$246,434
1.4× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $282,148.65 $564,297.29 $320,238.68 nat. median
$117,173
outlier · 2.7×
5833
APR_DRG 		Neonate With Ecmo 6 $271,086.57 $542,173.13 $307,683.22 nat. median
$244,017
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 81 $37.71 $762,364.25 $263,571.23 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 84 $28.17 $561,204.93 $256,956.85 nat. median
$265,286
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $225,836.62 $451,673.23 $256,324.53 nat. median
$207,730
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $220,608.12 $441,216.23 $250,390.18 nat. median
$162,982
1.5× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $217,395.50 $434,791.00 $246,743.86 nat. median
$60,831
outlier · 4.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $217,386.81 $434,773.62 $246,734.00 nat. median
$164,834
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $208,767.96 $417,535.92 $236,951.60 nat. median
$160,267
1.5× median
5832
APR_DRG 		Neonate With Ecmo 6 $208,144.71 $416,289.42 $236,244.22 nat. median
$156,126
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $206,090.91 $412,181.82 $233,913.15 nat. median
$122,924
1.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $194,218.37 $388,436.74 $220,437.82 nat. median
$164,289
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $185,181.65 $370,363.30 $210,181.15 nat. median
$150,721
1.4× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $184,465.19 $368,930.38 $209,367.96 nat. median
$58,674
outlier · 3.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $183,995.97 $367,991.95 $208,835.41 nat. median
$187,061
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $180,568.50 $361,137.00 $204,945.22 nat. median
$151,838
1.3× median
5831
APR_DRG 		Neonate With Ecmo 6 $177,559.68 $355,119.36 $201,530.21 nat. median
$144,745
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 70 $23.72 $479,556.40 $192,329.00 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 83 $21.43 $433,239.79 $191,201.78 nat. median
$202,976
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $166,597.92 $333,195.84 $189,088.61 nat. median
$182,665
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $165,641.32 $331,282.65 $188,002.88 nat. median
$129,535
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $163,094.61 $326,189.22 $185,112.36 nat. median
$105,658
1.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $159,160.01 $318,320.01 $180,646.59 nat. median
$119,796
1.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $156,616.45 $313,232.91 $177,759.65 nat. median
$145,336
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $153,986.80 $307,973.60 $174,774.99 nat. median
$93,528
1.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $146,634.20 $293,268.39 $166,429.79 nat. median
$124,573
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $141,282.47 $282,564.94 $160,355.59 nat. median
$102,919
1.6× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $138,116.46 $276,232.91 $156,762.16 nat. median
$93,370
1.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $138,014.56 $276,029.11 $156,646.51 nat. median
$89,796
1.7× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $137,914.24 $275,828.47 $156,532.64 nat. median
$69,788
outlier · 2.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $132,788.43 $265,576.85 $150,714.84 nat. median
$118,620
1.3× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 91 $336.52 $577,313.55 $150,562.83 nat. median
$21,216
outlier · 7.1×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $132,203.09 $264,406.19 $150,050.49 nat. median
$97,957
1.5× median
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 91 $54,404.11 $835,964.92 $143,929.04 nat. median
$66,682
outlier · 2.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $122,882.79 $245,765.58 $139,471.95 nat. median
$108,996
1.3× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $122,138.68 $244,277.37 $138,627.39 nat. median
$78,990
1.8× median

Other procedures at this hospital

Browse this hospital's 10,533 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
             
RX-213069 CDM Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension 23 13 — — $1,053,859.20 $4,654,544.80 $2,744,425.00 2026-04-08
J3590 HCPCS Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 23 12 — — $814,675.20 $4,381,425.06 $2,225,081.64 2026-04-08
C9399 HCPCS Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution 27 13 $196,951.08 $196,951.08 $742,296.67 $4,797,865.47 $2,027,397.79 2026-04-08
RX-4082207 CDM Inv - Obecabtagene Autoleucel Intravenous Suspension 300 X 10exp6 Cell (irb# Ea2… 33 16 $3,963,750.00 — $380,520.00 $3,884,475.00 $1,258,887.00 2026-04-08
RX-4082206 CDM Inv - Obecabtagene Autoleucel Intravenous Syringe 10 X 10exp6 Cell (irb# Ea25-10… 33 16 $3,963,750.00 — $380,520.00 $3,884,475.00 $1,258,887.00 2026-04-08
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 41 20 — — $294,500.00 $3,160,377.22 $599,402.56 2026-04-08
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 42 20 — — $296,875.00 $4,139,885.82 $589,192.55 2026-04-08
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 42 20 — — $311,828.00 $4,814,034.62 $573,445.26 2026-04-08
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 42 20 — — $318,820.00 $4,786,510.61 $569,243.36 2026-04-08
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 42 20 — — $233,124.96 $4,230,072.00 $542,836.08 2026-04-08
5834 APR_DRG Neonate With Ecmo 8 6 — — $448,323.96 $896,647.92 $508,847.64 2026-04-08
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 42 20 — — $293,360.00 $3,880,800.00 $499,239.20 2026-04-08
24 APR_DRG Heart And/or Lung Transplant 8 6 — — $315,849.13 $631,698.26 $358,488.72 2026-04-08
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $299,766.30 $599,532.60 $340,234.71 2026-04-08
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $282,148.65 $564,297.29 $320,238.68 2026-04-08
5833 APR_DRG Neonate With Ecmo 8 6 — — $271,086.57 $542,173.13 $307,683.22 2026-04-08
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 100 81 — $626,763.51 $37.71 $762,364.25 $263,571.23 2026-04-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 104 84 $2,873,713.64 $303,151.53 89% off $28.17 $561,204.93 $256,956.85 2026-04-08
1614 APR_DRG Implantable Heart Assist Systems 8 6 — — $225,836.62 $451,673.23 $256,324.53 2026-04-08
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $220,608.12 $441,216.23 $250,390.18 2026-04-08
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $217,395.50 $434,791.00 $246,743.86 2026-04-08
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $217,386.81 $434,773.62 $246,734.00 2026-04-08
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $208,767.96 $417,535.92 $236,951.60 2026-04-08
5832 APR_DRG Neonate With Ecmo 8 6 — — $208,144.71 $416,289.42 $236,244.22 2026-04-08
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $206,090.91 $412,181.82 $233,913.15 2026-04-08
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $194,218.37 $388,436.74 $220,437.82 2026-04-08
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $185,181.65 $370,363.30 $210,181.15 2026-04-08
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $184,465.19 $368,930.38 $209,367.96 2026-04-08
74 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $183,995.97 $367,991.95 $208,835.41 2026-04-08
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $180,568.50 $361,137.00 $204,945.22 2026-04-08
5831 APR_DRG Neonate With Ecmo 8 6 — — $177,559.68 $355,119.36 $201,530.21 2026-04-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 92 70 $1,738,668.86 $255,416.83 85% off $23.72 $479,556.40 $192,329.00 2026-04-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 107 83 $2,309,576.80 $230,814.49 90% off $21.43 $433,239.79 $191,201.78 2026-04-08
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $166,597.92 $333,195.84 $189,088.61 2026-04-08
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $165,641.32 $331,282.65 $188,002.88 2026-04-08
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $163,094.61 $326,189.22 $185,112.36 2026-04-08
1613 APR_DRG Implantable Heart Assist Systems 8 6 — — $159,160.01 $318,320.01 $180,646.59 2026-04-08
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $156,616.45 $313,232.91 $177,759.65 2026-04-08
23 APR_DRG Heart And/or Lung Transplant 8 6 — — $153,986.80 $307,973.60 $174,774.99 2026-04-08
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $146,634.20 $293,268.39 $166,429.79 2026-04-08
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $141,282.47 $282,564.94 $160,355.59 2026-04-08
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $138,116.46 $276,232.91 $156,762.16 2026-04-08
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $138,014.56 $276,029.11 $156,646.51 2026-04-08
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $137,914.24 $275,828.47 $156,532.64 2026-04-08
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $132,788.43 $265,576.85 $150,714.84 2026-04-08
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 119 91 $561,039.40 $561,039.40 $336.52 $577,313.55 $150,562.83 2026-04-08
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $132,203.09 $264,406.19 $150,050.49 2026-04-08
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 122 91 $918,996.00 $55,015.23 94% off $54,404.11 $835,964.92 $143,929.04 2026-04-08
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $122,882.79 $245,765.58 $139,471.95 2026-04-08
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $122,138.68 $244,277.37 $138,627.39 2026-04-08
1612 APR_DRG Implantable Heart Assist Systems 8 6 — — $120,875.60 $241,751.19 $137,193.79 2026-04-08
1611 APR_DRG Implantable Heart Assist Systems 8 6 — — $117,110.82 $234,221.65 $132,920.77 2026-04-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 95 71 $1,221,086.40 $152,411.69 88% off $14.13 $285,637.95 $126,802.62 2026-04-08
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $111,487.36 $222,974.72 $126,538.14 2026-04-08
22 APR_DRG Heart And/or Lung Transplant 8 6 — — $110,343.55 $220,687.11 $125,239.92 2026-04-08
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $108,961.19 $217,922.38 $123,670.93 2026-04-08
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 6 — — $107,018.77 $214,037.54 $121,466.29 2026-04-08
73 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $104,958.65 $209,917.30 $119,128.05 2026-04-08
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $103,811.68 $207,623.36 $117,826.24 2026-04-08
7 MS_DRG Lung Transplant 112 92 $1,892,709.56 $141,016.80 93% off $13.07 $471,896.00 $117,788.29 2026-04-08
21 APR_DRG Heart And/or Lung Transplant 8 6 — — $103,059.67 $206,119.35 $116,972.72 2026-04-08
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $102,297.40 $204,594.80 $116,107.54 2026-04-08
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $99,831.26 $199,662.52 $113,308.46 2026-04-08
8514 APR_DRG Gender Related Procedures 8 6 — — $99,473.42 $198,946.85 $112,902.32 2026-04-08
8513 APR_DRG Gender Related Procedures 8 6 — — $99,473.42 $198,946.85 $112,902.32 2026-04-08
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $97,990.74 $195,981.48 $111,219.48 2026-04-08
14 MS_DRG Allogeneic Bone Marrow Transplant 110 88 $1,098,593.04 $141,371.14 87% off $13.10 $341,759.00 $110,539.30 2026-04-08
64 APR_DRG Pancreas Transplant 8 6 — — $96,355.60 $192,711.19 $109,363.59 2026-04-08
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $95,069.60 $190,139.21 $107,903.99 2026-04-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 19 — — $102,199.62 $219,548.57 $107,309.60 2026-04-08
209 MS_DRG Complex Aortic Arch Procedures 29 19 — — $102,082.69 $172,550.37 $107,186.82 2026-04-08
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $93,510.29 $187,020.59 $106,134.17 2026-04-08
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 19 — — $99,405.44 $208,704.33 $104,375.71 2026-04-08
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 119 91 $342,695.41 $29,624.90 91% off $240.58 $671,683.00 $103,615.63 2026-04-08
8634 APR_DRG Neonatal Aftercare 8 6 — — $87,991.89 $175,983.79 $99,870.79 2026-04-08
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $87,670.39 $175,340.79 $99,505.88 2026-04-08
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 194 91 $368,220.57 $27,551.07 93% off $212.00 $378,195.33 $99,039.37 2026-04-08
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $86,795.95 $173,591.90 $98,513.39 2026-04-08
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $85,118.15 $170,236.31 $96,609.10 2026-04-08
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $84,027.27 $168,054.54 $95,370.94 2026-04-08
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $82,833.70 $165,667.39 $94,016.23 2026-04-08
215 MS_DRG Other Heart Assist System Implant 110 86 $723,588.62 $114,451.59 84% off $10.59 $327,807.00 $91,628.42 2026-04-08
84 APR_DRG Autologous Bone Marrow Transplant 8 6 — — $80,356.50 $160,712.99 $91,204.61 2026-04-08
63 APR_DRG Pancreas Transplant 8 6 — — $78,760.85 $157,521.71 $89,393.56 2026-04-08
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $78,328.76 $156,657.53 $88,903.14 2026-04-08
4404 APR_DRG Kidney Transplant 8 6 — — $78,187.37 $156,374.74 $88,742.65 2026-04-08
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $78,034.91 $156,069.83 $88,569.62 2026-04-08
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $77,834.27 $155,668.55 $88,341.89 2026-04-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 111 87 $1,411,513.30 $104,318.37 93% off $9.65 $202,268.00 $88,264.67 2026-04-08
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $77,237.88 $154,475.76 $87,664.99 2026-04-08
5 MS_DRG Liver Transplant With McC Or Intestinal Transplant 106 84 $1,231,196.44 $115,037.86 91% off $10.65 $532,400.00 $85,436.86 2026-04-08
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 19 — — $81,308.84 $166,172.11 $85,374.28 2026-04-08
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 104 82 $2,965,799.90 $231,697.07 92% off $10.89 $220,220.19 $85,020.93 2026-04-08
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $74,087.67 $148,175.34 $84,089.49 2026-04-08
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $73,962.86 $147,925.72 $83,947.84 2026-04-08
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 122 91 $278,339.53 $23,870.14 91% off $18,171.31 $272,772.74 $83,440.57 2026-04-08
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $73,360.15 $146,720.30 $83,263.76 2026-04-08
850 MS_DRG Acute Leukemia With Other Procedures 33 19 — — $78,159.33 $183,531.26 $82,067.30 2026-04-08
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $72,169.74 $144,339.47 $81,912.64 2026-04-08
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 6 — — $71,787.41 $143,574.82 $81,478.70 2026-04-08
72 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $71,755.03 $143,510.05 $81,441.95 2026-04-08
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $71,639.70 $143,279.39 $81,311.04 2026-04-08
1784 APR_DRG External Heart Assist Devices 8 6 — — $71,217.09 $142,434.18 $80,831.39 2026-04-08
J9999 HCPCS Pembrolizumab 395 Mg-berahyaluronid-pmph 4,800 Unit/2.4 Ml Subcut Soln 61 16 $163,940.04 — $15,738.24 $321,322.47 $79,576.49 2026-04-08
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 6 — — $68,128.49 $136,256.98 $77,325.82 2026-04-08
231 MS_DRG Coronary Bypass With Ptca With McC 116 92 $733,480.92 $91,677.88 88% off $8.47 $171,299.89 $76,093.82 2026-04-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 116 92 $434,556.64 $91,627.41 79% off $8.47 $199,722.00 $75,855.40 2026-04-08
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 8 6 — — $65,727.12 $131,454.25 $74,600.27 2026-04-08
62 APR_DRG Pancreas Transplant 8 6 — — $65,272.92 $130,545.83 $74,084.76 2026-04-08
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 6 — — $65,038.31 $130,076.62 $73,818.48 2026-04-08
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $64,406.37 $128,812.74 $73,101.23 2026-04-08
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $64,386.62 $128,773.25 $73,078.81 2026-04-08
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $63,873.96 $127,747.93 $72,496.94 2026-04-08
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 122 91 $817,563.60 $63,402.04 92% off $35,972.80 $390,898.93 $72,320.07 2026-04-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 116 92 $496,688.36 $87,245.33 82% off $8.06 $200,537.00 $71,046.09 2026-04-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 108 84 $712,041.42 $84,617.81 88% off $7.82 $158,008.53 $70,415.25 2026-04-08
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 6 — — $61,184.28 $122,368.55 $69,444.15 2026-04-08
12 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $61,181.12 $122,362.23 $69,440.56 2026-04-08
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 6 — — $60,734.02 $121,468.04 $68,933.10 2026-04-08
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $60,720.59 $121,441.18 $68,917.86 2026-04-08
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 6 — — $60,671.62 $121,343.23 $68,862.27 2026-04-08
71 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $60,447.28 $120,894.56 $68,607.65 2026-04-08
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 19 — — $65,196.82 $141,509.08 $68,456.66 2026-04-08
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $60,055.48 $120,110.95 $68,162.95 2026-04-08
10 MS_DRG Pancreas Transplant 33 19 — — $28,098.79 $158,848.31 $67,403.32 2026-04-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 107 83 $490,964.16 $80,835.97 84% off $7.46 $150,888.80 $66,983.73 2026-04-08
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $58,774.22 $117,548.44 $66,708.74 2026-04-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 111 87 $999,692.61 $83,770.59 92% off $7.74 $163,675.00 $66,697.25 2026-04-08
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $57,832.63 $115,665.27 $65,640.03 2026-04-08
11 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $57,143.82 $114,287.64 $64,858.23 2026-04-08
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 6 — — $57,046.66 $114,093.32 $64,747.96 2026-04-08
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $56,893.41 $113,786.83 $64,574.01 2026-04-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 105 83 $2,263,969.99 $109,132.86 95% off $7.93 $160,275.00 $64,441.14 2026-04-08
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $56,594.03 $113,188.07 $64,234.22 2026-04-08
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 8 6 — — $56,371.28 $112,742.55 $63,981.39 2026-04-08
6904 APR_DRG Acute Leukemia 8 6 — — $56,242.52 $112,485.04 $63,835.25 2026-04-08
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $55,853.09 $111,706.17 $63,393.24 2026-04-08
214 APR_DRG Open Craniotomy Except Trauma 8 6 — — $55,738.55 $111,477.09 $63,263.25 2026-04-08
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 19 — — $59,409.62 $118,529.57 $62,380.10 2026-04-08
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 6 — — $54,917.03 $109,834.05 $62,330.82 2026-04-08
914 APR_DRG Other Major Head And Neck Procedures 8 6 — — $54,888.59 $109,777.18 $62,298.54 2026-04-08
1783 APR_DRG External Heart Assist Devices 8 6 — — $54,830.93 $109,661.85 $62,233.09 2026-04-08
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $54,802.49 $109,604.98 $62,200.82 2026-04-08
G0339 HCPCS Hc Stereo Rad,sgl Tx,(image-guid) 31 16 $248,801.00 — $1,358.87 $243,824.98 $62,200.25 2026-04-08
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 6 — — $54,311.16 $108,622.31 $61,643.15 2026-04-08
1794 APR_DRG Defibrillator Implants 8 6 — — $54,218.73 $108,437.47 $61,538.26 2026-04-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 118 94 $759,233.52 $72,282.27 90% off $6.67 $134,785.53 $60,983.44 2026-04-08
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $53,665.00 $107,330.00 $60,909.77 2026-04-08
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $53,605.75 $107,211.51 $60,842.52 2026-04-08
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $53,248.71 $106,497.42 $60,437.28 2026-04-08
1204 APR_DRG Major Respiratory And Chest Procedures 8 6 — — $53,232.12 $106,464.24 $60,418.45 2026-04-08
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $52,998.30 $105,996.61 $60,153.07 2026-04-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 109 85 $488,467.22 $75,384.40 85% off $6.96 $140,625.65 $59,965.03 2026-04-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 108 84 $426,332.33 $74,007.83 83% off $6.83 $138,034.08 $59,835.59 2026-04-08
38301206 CDM Hc Tmr Laser 31 16 $238,966.00 — $1,342.00 $234,186.68 $59,741.50 2026-04-08
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $52,629.41 $105,258.82 $59,734.37 2026-04-08
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 6 — — $52,441.41 $104,882.82 $59,520.99 2026-04-08
234 APR_DRG Spinal Procedures 8 6 — — $52,067.77 $104,135.55 $59,096.92 2026-04-08
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 102 80 $1,035,188.83 $72,680.64 93% off $6.70 $135,535.51 $58,981.25 2026-04-08
4403 APR_DRG Kidney Transplant 8 6 — — $51,428.73 $102,857.45 $58,371.60 2026-04-08
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 6 — — $51,192.54 $102,385.08 $58,103.53 2026-04-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 111 87 $784,713.85 $70,030.57 91% off $6.46 $134,418.00 $57,953.19 2026-04-08
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 6 — — $51,036.14 $102,072.27 $57,926.01 2026-04-08
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 6 — — $50,850.50 $101,701.01 $57,715.32 2026-04-08
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 6 — — $50,791.26 $101,582.52 $57,648.07 2026-04-08
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 19 — — $54,797.31 $121,705.34 $57,537.18 2026-04-08
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $50,554.28 $101,108.56 $57,379.10 2026-04-08
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 6 — — $50,500.57 $101,001.13 $57,318.14 2026-04-08
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $50,129.30 $100,258.61 $56,896.75 2026-04-08
4414 APR_DRG Major Bladder Procedures 8 6 — — $49,934.19 $99,868.39 $56,675.30 2026-04-08
1694 APR_DRG Major Abdominal Vascular Procedures 8 6 — — $49,833.87 $99,667.74 $56,561.43 2026-04-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 104 82 $634,807.76 $76,570.92 88% off $7.07 $145,280.54 $56,379.29 2026-04-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 95 71 $560,649.28 $65,014.96 88% off $5.99 $190,974.00 $56,093.25 2026-04-08
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 8 6 — — $49,408.10 $98,816.21 $56,078.19 2026-04-08
6954 APR_DRG Chemotherapy For Acute Leukemia 8 6 — — $49,295.14 $98,590.29 $55,949.99 2026-04-08
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $49,270.66 $98,541.31 $55,922.19 2026-04-08
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $49,124.52 $98,249.04 $55,756.32 2026-04-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 109 85 $459,572.34 $65,790.23 86% off $6.47 $130,734.45 $55,747.26 2026-04-08
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $49,001.29 $98,002.59 $55,616.46 2026-04-08
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $48,844.10 $97,688.20 $55,438.05 2026-04-08
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 107 83 $651,279.09 $66,812.47 90% off $6.16 $124,488.01 $55,263.69 2026-04-08
83 APR_DRG Autologous Bone Marrow Transplant 8 6 — — $48,671.11 $97,342.21 $55,241.69 2026-04-08
RX-191403 CDM Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 33 16 $173,667.68 — $16,672.10 $170,194.33 $55,156.86 2026-04-08
4234 APR_DRG Inborn Errors Of Metabolism 8 6 — — $48,497.32 $96,994.65 $55,044.46 2026-04-08
j9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 33 16 $159,997.20 $159,997.20 $16,581.24 $169,266.80 $54,856.26 2026-04-08
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 19 — — $52,138.95 $108,990.30 $54,745.90 2026-04-08
969 MS_DRG HIV With Extensive O.r. Procedures With McC 109 85 $344,233.19 $68,596.00 80% off $6.32 $137,519.95 $54,515.47 2026-04-08
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $48,026.53 $96,053.06 $54,510.11 2026-04-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 112 92 $400,714.73 $65,499.22 84% off $6.04 $341,759.00 $54,474.15 2026-04-08
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 6 — — $47,964.91 $95,929.83 $54,440.17 2026-04-08
28 MS_DRG Spinal Procedures With McC 113 89 $538,271.61 $65,967.42 88% off $6.08 $122,897.09 $54,308.83 2026-04-08
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 98 76 $405,973.17 $67,201.17 83% off $6.19 $125,219.80 $54,293.53 2026-04-08
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 29 19 — — $51,597.40 $87,215.09 $54,177.27 2026-04-08
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 6 — — $47,481.48 $94,962.96 $53,891.47 2026-04-08
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 6 — — $47,379.58 $94,759.16 $53,775.82 2026-04-08
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 6 — — $47,193.16 $94,386.32 $53,564.23 2026-04-08
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 96 74 $804,586.75 $64,521.02 92% off $5.94 $120,174.13 $53,537.26 2026-04-08
61 APR_DRG Pancreas Transplant 8 6 — — $47,162.35 $94,324.71 $53,529.26 2026-04-08
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $47,141.81 $94,283.63 $53,505.96 2026-04-08
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $46,929.33 $93,858.65 $53,264.78 2026-04-08
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 8 6 — — $46,768.18 $93,536.36 $53,081.88 2026-04-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 116 92 $664,107.82 $63,870.32 90% off $5.88 $121,246.00 $53,052.08 2026-04-08
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $46,667.86 $93,335.72 $52,968.01 2026-04-08
204 APR_DRG Open Craniotomy For Trauma 8 6 — — $46,490.13 $92,980.26 $52,766.29 2026-04-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 118 94 $266,003.20 $62,315.49 77% off $5.74 $146,701.00 $52,703.79 2026-04-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 19 — — $49,065.57 $122,263.19 $52,440.16 2026-04-08
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 6 — — $46,061.20 $92,122.40 $52,279.46 2026-04-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 111 91 $1,696,256.43 $59,112.43 97% off $5.44 $197,018.00 $51,690.65 2026-04-08
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $45,509.83 $91,019.67 $51,653.65 2026-04-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 19 — — $44,284.96 $307,780.00 $51,583.41 2026-04-08
274 APR_DRG Other Open Craniotomy 8 6 — — $45,381.87 $90,763.73 $51,508.41 2026-04-08
4402 APR_DRG Kidney Transplant 8 6 — — $45,286.29 $90,572.57 $51,399.93 2026-04-08
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $45,274.44 $90,548.87 $51,386.48 2026-04-08
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 119 91 $579,310.24 $48,483.21 92% off $194.49 $766,159.30 $51,326.15 2026-04-08
1782 APR_DRG External Heart Assist Devices 8 6 — — $44,907.12 $89,814.25 $50,969.58 2026-04-08
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 19 — — $48,203.15 $102,606.88 $50,613.31 2026-04-08
4284 APR_DRG Genetic Disorders 8 6 — — $44,561.14 $89,122.27 $50,576.88 2026-04-08
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 6 — — $44,506.63 $89,013.26 $50,515.02 2026-04-08
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 109 85 $216,151.77 $63,205.64 71% off $5.82 $117,697.79 $50,188.23 2026-04-08
4014 APR_DRG Adrenal Procedures 8 6 — — $44,171.70 $88,343.41 $50,134.88 2026-04-08
224 APR_DRG Ventricular Shunt Procedures 8 6 — — $44,156.70 $88,313.39 $50,117.84 2026-04-08
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 6 — — $43,561.88 $87,123.77 $49,442.73 2026-04-08
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $43,558.72 $87,117.45 $49,439.15 2026-04-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 116 92 $652,775.28 $57,814.22 91% off $5.32 $107,547.84 $49,400.52 2026-04-08
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $43,353.34 $86,706.69 $49,206.04 2026-04-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 109 85 $543,670.95 $61,947.18 89% off $5.71 $115,328.60 $49,177.96 2026-04-08
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $43,166.13 $86,332.26 $48,993.56 2026-04-08
2614 APR_DRG Major Biliary Tract Procedures 8 6 — — $43,120.32 $86,240.63 $48,941.55 2026-04-08
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $42,879.39 $85,758.78 $48,668.10 2026-04-08
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 119 91 $319,080.23 $28,052.32 91% off $2,429.89 $312,698.63 $48,660.72 2026-04-08
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 102 80 $1,309,500.21 $83,121.47 94% off $5.50 $111,265.38 $48,419.57 2026-04-08
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $42,518.40 $85,036.79 $48,258.38 2026-04-08
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 111 87 $723,201.29 $57,561.89 92% off $5.30 $110,557.00 $48,231.95 2026-04-08
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $42,487.59 $84,975.18 $48,223.40 2026-04-08
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 116 92 $802,218.54 $55,391.78 93% off $5.09 $109,405.00 $48,027.56 2026-04-08
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 6 — — $42,294.06 $84,588.11 $48,003.75 2026-04-08
5144 APR_DRG Female Reproductive System Reconstructive Procedures 8 6 — — $42,239.55 $84,479.11 $47,941.88 2026-04-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 116 92 $255,857.10 $60,038.01 77% off $5.53 $151,969.00 $47,881.09 2026-04-08
270 MS_DRG Other Major Cardiovascular Procedures With McC 116 92 $635,339.05 $55,804.11 91% off $5.13 $103,763.60 $47,723.67 2026-04-08
4401 APR_DRG Kidney Transplant 8 6 — — $42,046.02 $84,092.04 $47,722.23 2026-04-08
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With McC 109 85 $496,629.65 $60,038.01 88% off $5.53 $112,000.00 $47,645.33 2026-04-08
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 119 91 $380,992.27 $27,857.23 93% off $3,565.32 $410,527.71 $47,608.40 2026-04-08
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $41,753.75 $83,507.50 $47,390.50 2026-04-08
1214 APR_DRG Other Respiratory And Chest Procedures 8 6 — — $41,723.73 $83,447.47 $47,356.43 2026-04-08
4844 APR_DRG Other Male Reproductive System And Related Procedures 8 6 — — $41,673.97 $83,347.94 $47,299.95 2026-04-08
1814 APR_DRG Lower Vascular Procedures 8 6 — — $41,477.28 $82,954.55 $47,076.70 2026-04-08
653 MS_DRG Major Bladder Procedures With McC 101 77 $354,096.47 $59,953.31 83% off $5.57 $123,092.00 $47,004.87 2026-04-08
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 6 — — $41,382.49 $82,764.97 $46,969.12 2026-04-08
5114 APR_DRG Gynecologic Procedures For Malignancy 8 6 — — $41,317.71 $82,635.42 $46,895.60 2026-04-08
1793 APR_DRG Defibrillator Implants 8 6 — — $41,306.65 $82,613.31 $46,883.04 2026-04-08
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 6 — — $41,303.49 $82,606.99 $46,879.46 2026-04-08
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 109 85 $305,840.23 $55,551.71 82% off $5.43 $117,632.00 $46,795.39 2026-04-08
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 107 85 $346,505.98 $72,403.61 79% off $6.68 $135,013.96 $46,678.21 2026-04-08
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 6 — — $41,076.79 $82,153.57 $46,622.15 2026-04-08
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 109 85 $340,864.11 $58,681.83 83% off $5.40 $113,295.00 $46,556.62 2026-04-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 109 85 $441,316.92 $58,627.06 87% off $5.40 $109,078.12 $46,512.66 2026-04-08
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $40,792.41 $81,584.83 $46,299.38 2026-04-08
8633 APR_DRG Neonatal Aftercare 8 6 — — $40,693.67 $81,387.35 $46,187.32 2026-04-08
9103 APR_DRG Craniotomy For Multiple Significant Trauma 8 6 — — $40,650.23 $81,300.46 $46,138.00 2026-04-08
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 8 6 — — $40,613.89 $81,227.78 $46,096.76 2026-04-08
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 6 — — $40,579.13 $81,158.27 $46,057.31 2026-04-08
1781 APR_DRG External Heart Assist Devices 8 6 — — $40,482.76 $80,965.53 $45,947.93 2026-04-08
264 APR_DRG Other Nervous System And Related Procedures 8 6 — — $40,453.54 $80,907.07 $45,914.76 2026-04-08
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $40,408.51 $80,817.02 $45,863.65 2026-04-08
2304 APR_DRG Major Small Bowel Procedures 8 6 — — $40,404.56 $80,809.12 $45,859.17 2026-04-08
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 6 — — $40,393.50 $80,787.01 $45,846.62 2026-04-08
294 APR_DRG Other Percutaneous Intracranial Procedures 8 6 — — $40,313.72 $80,627.44 $45,756.07 2026-04-08
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 8 6 — — $40,148.63 $80,297.25 $45,568.68 2026-04-08
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 119 91 $316,492.50 $24,587.36 92% off $313.00 $310,162.65 $45,486.62 2026-04-08
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 109 85 $368,334.60 $49,207.48 87% off $4.59 $98,433.00 $45,424.00 2026-04-08
RX-200415 CDM Coagulation Factor Viia Recombinant-jncw 5 Mg (5,000 Mcg) IV Solution 33 16 $142,937.10 — $13,721.96 $140,078.36 $45,396.82 2026-04-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 103 79 $297,862.56 $55,224.29 81% off $5.08 $114,361.00 $45,124.68 2026-04-08
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $39,705.48 $79,410.96 $45,065.71 2026-04-08
228 MS_DRG Other Cardiothoracic Procedures With McC 116 92 $671,001.66 $54,196.68 92% off $4.98 $155,279.00 $44,764.84 2026-04-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 115 91 $489,942.17 $54,772.21 89% off $5.04 $101,820.93 $44,533.64 2026-04-08
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $39,229.16 $78,458.31 $44,525.09 2026-04-08
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 8 6 — — $39,177.81 $78,355.62 $44,466.81 2026-04-08
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 8 6 — — $39,170.70 $78,341.40 $44,458.74 2026-04-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 109 85 $256,607.26 $58,620.63 77% off $5.40 $109,065.99 $44,349.21 2026-04-08
6 MS_DRG Liver Transplant Without Mcc 33 19 — — $41,972.45 $96,611.97 $44,071.07 2026-04-08
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 8 6 — — $38,700.70 $77,401.40 $43,925.29 2026-04-08
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 8 6 — — $38,559.30 $77,118.60 $43,764.80 2026-04-08
471 MS_DRG Cervical Spinal Fusion With McC 116 92 $763,667.89 $52,843.72 93% off $4.86 $103,507.00 $43,697.02 2026-04-08
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 8 6 — — $38,461.35 $76,922.70 $43,653.62 2026-04-08
650 MS_DRG Kidney Transplant With Hemodialysis With McC 112 92 $1,275,990.10 $50,159.28 96% off $4.61 $178,206.00 $43,402.84 2026-04-08
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $38,223.58 $76,447.17 $43,383.76 2026-04-08
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 6 — — $38,199.10 $76,398.19 $43,355.97 2026-04-08
4034 APR_DRG Procedures For Obesity 8 6 — — $38,112.20 $76,224.41 $43,257.35 2026-04-08
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 102 80 $429,323.55 $67,115.28 84% off $6.19 $125,058.08 $43,236.17 2026-04-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 109 85 $325,967.66 $54,453.31 83% off $5.01 $137,264.00 $43,162.06 2026-04-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 109 85 $452,069.51 $54,389.95 88% off $5.00 $110,584.00 $43,111.21 2026-04-08
6504 APR_DRG Splenic Procedures 8 6 — — $37,975.55 $75,951.10 $43,102.24 2026-04-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 109 85 $431,541.93 $51,205.15 88% off $4.70 $143,395.00 $43,086.17 2026-04-08
213 APR_DRG Open Craniotomy Except Trauma 8 6 — — $37,950.27 $75,900.54 $43,073.55 2026-04-08
82 APR_DRG Autologous Bone Marrow Transplant 8 6 — — $37,617.71 $75,235.43 $42,696.10 2026-04-08
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $37,549.78 $75,099.56 $42,619.00 2026-04-08
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 8 6 — — $37,499.22 $74,998.45 $42,561.61 2026-04-08
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 6 — — $37,475.53 $74,951.05 $42,534.71 2026-04-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 115 91 $432,888.70 $51,733.43 88% off $4.75 $106,122.00 $42,465.44 2026-04-08
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 101 77 $271,070.87 $51,965.37 81% off $4.78 $108,102.00 $42,339.49 2026-04-08
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