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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

ALLEGHENY VALLEY HOSPITAL

Natrona, PA · CCN 390032 · Rates published

19,260 distinct procedures filed
773 distinct payers
1,351,111 rate rows
2026-04-14 last MRF observed
Data quality

1,173,763 of 1,351,111 rate rows are consumer-grade (86.9%)

177,348 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 156,424
exceeds 10× this hospital's gross charge — excluded from medians 17,508
template filing: same amount across many unrelated codes — excluded 1,547
per-diem day rate — not a per-procedure price 1,386
placeholder amount (≤ $0.02) — excluded from medians 483
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ahn.org/content/dam/ahn/en/dmxahn/documents/patients-visitors/patients/financial-services/hospital-charges/251875178_alle-kiski-medical-center_standardcharges.csv
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 0d5b19428c3057d1… · 337,273,454 bytes · first seen 2026-05-09

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 		Pr Injection, Atidarsagene Autotemcel, Per Treatment 12 $2,828,302.75 $4,837,137.50 $4,552,600.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 12 $2,381,050.79 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Pr Inj, Beqvez, Per Tx Dose 12 $2,397,031.00 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 12 $2,148,005.90 $4,551,776.00 $3,557,291.93 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 12 $2,107,161.47 $4,409,533.00 $3,478,200.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 12 $1,906,438.66 $4,565,007.34 $3,141,600.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 12 $1,584,311.89 $4,877,503.13 $2,554,248.40 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 13 $1,506,705.20 $4,897,200.00 $2,468,400.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 15 $497,897.58 $1,945,044.88 $815,694.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 15 $357,538.06 $1,396,728.17 $665,890.59 nat. median
$674,867
1.0× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 15 $349,708.37 $1,366,141.37 $635,138.00 nat. median
$625,184
1.0× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 15 $349,950.80 $1,367,088.40 $621,679.58 nat. median
$673,137
0.9× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 15 $373,655.51 $1,459,691.24 $601,457.56 nat. median
$753,246
0.8× median
C9301
HCPCS 		Pr Obecabtagene Car Pos T 1 $589,050.00 $589,050.00 $589,050.00 nat. median
$459,112
1.3× median
Q2041
HCPCS 		Pr Axicabtagene Ciloleucel Car+ 15 $344,420.71 $1,345,485.03 $554,399.54 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 15 $316,408.09 $1,236,053.28 $509,308.80 nat. median
$619,808
0.8× median
633
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $311,127.21 $311,127.21 $311,127.21 nat. median
$8,452
outlier · 36.8×
Q2058
HCPCS 		Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 13 $174,689.29 $682,426.50 $287,949.38 nat. median
$324,450
0.9× median
612
MS_DRG 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $285,105.09 $285,105.09 $285,105.09 nat. median
$50,031
outlier · 5.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $236,712.96 $576,832.19 $270,161.53 nat. median
$370,174
0.7× median
583
APR_DRG 		Neonate With Ecmo 8 $95,252.17 $643,766.02 $252,068.76 nat. median
$11,771
outlier · 21.4×
631
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $206,732.43 $206,732.43 $206,732.43 nat. median
$65,780
outlier · 3.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $120,127.99 $453,535.37 $205,631.90 nat. median
$265,286
0.8× median
636
MS_DRG 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $182,813.14 $182,813.14 $182,813.14 nat. median
$7,503
outlier · 24.4×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $120,546.48 $394,294.50 $180,537.54 nat. median
$281,646
0.6× median
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $67,127.65 $368,599.83 $180,020.42 nat. median
$50,490
outlier · 3.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $89,750.31 $345,069.08 $156,453.53 nat. median
$202,976
0.8× median
161
APR_DRG 		Implantable Heart Assist Systems 8 $26,702.80 $274,884.46 $155,463.11 nat. median
$181,791
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $126,239.34 $446,273.92 $146,821.84 nat. median
$206,474
0.7× median
2
APR_DRG 		Heart And/or Lung Transplant 8 $80,488.89 $368,355.67 $134,290.52 nat. median
$136,483
1.0× median
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $22,199.15 $258,558.82 $125,590.60 nat. median
$6,529
outlier · 19.2×
681
MS_DRG 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $124,518.91 $124,518.91 $124,518.91 nat. median
$29,070
outlier · 4.3×
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 $115,325.86 $115,325.86 $115,325.86 nat. median
$32,088
outlier · 3.6×
634
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $111,517.90 $111,517.90 $111,517.90 nat. median
$14,316
outlier · 7.8×
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 13 $51,404.98 $267,849.23 $106,120.93 nat. median
$111,989
0.9× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $63,620.40 $227,323.49 $104,214.96 nat. median
$13,182
outlier · 7.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $32.25 $227,506.77 $102,147.64 nat. median
$133,161
0.8× median
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $41,600.58 $269,475.27 $102,043.12 nat. median
$167,999
0.6× median
632
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Died 1 $101,459.95 $101,459.95 $101,459.95 nat. median
$8,452
outlier · 12.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $82,236.45 $306,090.00 $94,303.75 nat. median
$117,357
0.8× median
7
MS_DRG 		Lung Transplant 15 $82,029.30 $108,582.16 $93,620.40 nat. median
$122,708
0.8× median
K1007
HCPCS 		Pr Bil Hkaf Pc S/d Micro Sensor 13 $45,154.17 $235,278.95 $93,216.70 nat. median
$96,983
1.0× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $53,590.34 $216,873.45 $90,519.33 nat. median
$93,823
1.0× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $39,461.54 $207,094.35 $89,254.42 nat. median
$123,597
0.7× median
365
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $88,388.55 $88,388.55 $88,388.55 nat. median
$10,293
outlier · 8.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $64,939.57 $222,190.77 $79,526.27 nat. median
$102,358
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 16 $32,163.18 $170,587.81 $77,188.26 nat. median
$99,019
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $66,842.97 $279,535.00 $76,288.17 nat. median
$100,136
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $18,566.20 $168,774.72 $75,806.91 nat. median
$98,894
0.8× median
602
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $43,188.92 $171,250.15 $74,313.68 nat. median
$87,950
0.8× median

Other procedures at this hospital

Browse this hospital's 19,260 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 23 12 — — $2,828,302.75 $4,837,137.50 $4,552,600.00 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 39 12 — — $2,397,031.00 $4,978,505.00 $3,927,000.00 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 39 12 — — $2,381,050.79 $4,978,505.00 $3,927,000.00 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 39 12 — — $2,148,005.90 $4,551,776.00 $3,557,291.93 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 39 12 — — $2,107,161.47 $4,409,533.00 $3,478,200.00 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 40 12 — — $1,906,438.66 $4,565,007.34 $3,141,600.00 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 44 12 — — $1,584,311.89 $4,877,503.13 $2,554,248.40 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 46 13 — — $1,506,705.20 $4,897,200.00 $2,468,400.00 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 51 15 — — $497,897.58 $1,945,044.88 $815,694.00 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 54 15 — — $357,538.06 $1,396,728.17 $665,890.59 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 54 15 — — $349,708.37 $1,366,141.37 $635,138.00 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 54 15 — — $349,950.80 $1,367,088.40 $621,679.58 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 54 15 — — $373,655.51 $1,459,691.24 $601,457.56 2026-04-14
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 2026-04-14
Q2041 HCPCS Pr Axicabtagene Ciloleucel Car+ 54 15 — — $344,420.71 $1,345,485.03 $554,399.54 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 54 15 — — $316,408.09 $1,236,053.28 $509,308.80 2026-04-14
633 MS_DRG Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $311,127.21 $311,127.21 $311,127.21 2026-04-14
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 36 13 — — $174,689.29 $682,426.50 $287,949.38 2026-04-14
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $285,105.09 $285,105.09 $285,105.09 2026-04-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 15 — — $236,712.96 $576,832.19 $270,161.53 2026-04-14
583 APR_DRG Neonate With Ecmo 43 8 — — $95,252.17 $643,766.02 $252,068.76 2026-04-14
631 MS_DRG Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $206,732.43 $206,732.43 $206,732.43 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 17 — — $120,127.99 $453,535.37 $205,631.90 2026-04-14
636 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $182,813.14 $182,813.14 $182,813.14 2026-04-14
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 42 8 — — $120,546.48 $394,294.50 $180,537.54 2026-04-14
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 7 — — $67,127.65 $368,599.83 $180,020.42 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 16 — — $89,750.31 $345,069.08 $156,453.53 2026-04-14
161 APR_DRG Implantable Heart Assist Systems 34 8 — — $26,702.80 $274,884.46 $155,463.11 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 16 — — $126,239.34 $446,273.92 $146,821.84 2026-04-14
2 APR_DRG Heart And/or Lung Transplant 44 8 — — $80,488.89 $368,355.67 $134,290.52 2026-04-14
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 44 8 — — $22,199.15 $258,558.82 $125,590.60 2026-04-14
681 MS_DRG Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $124,518.91 $124,518.91 $124,518.91 2026-04-14
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $115,325.86 $115,325.86 $115,325.86 2026-04-14
634 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $111,517.90 $111,517.90 $111,517.90 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 49 13 — — $51,404.98 $267,849.23 $106,120.93 2026-04-14
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 44 8 — — $63,620.40 $227,323.49 $104,214.96 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 53 19 — — $32.25 $227,506.77 $102,147.64 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 40 7 — — $41,600.58 $269,475.27 $102,043.12 2026-04-14
632 MS_DRG Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $101,459.95 $101,459.95 $101,459.95 2026-04-14
14 MS_DRG Allogeneic Bone Marrow Transplant 30 16 — — $82,236.45 $306,090.00 $94,303.75 2026-04-14
7 MS_DRG Lung Transplant 28 15 — — $82,029.30 $108,582.16 $93,620.40 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 49 13 — — $45,154.17 $235,278.95 $93,216.70 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 40 7 — — $53,590.34 $216,873.45 $90,519.33 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 43 8 — — $39,461.54 $207,094.35 $89,254.42 2026-04-14
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $88,388.55 $88,388.55 $88,388.55 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 16 — — $64,939.57 $222,190.77 $79,526.27 2026-04-14
215 MS_DRG Other Heart Assist System Implant 44 16 — — $32,163.18 $170,587.81 $77,188.26 2026-04-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 16 — — $66,842.97 $279,535.00 $76,288.17 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $18,566.20 $168,774.72 $75,806.91 2026-04-14
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 44 8 — — $43,188.92 $171,250.15 $74,313.68 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 55 15 — — $40,982.80 $160,099.98 $73,496.48 2026-04-14
1 APR_DRG Liver Transplant And/or Intestinal Transplant 43 8 — — $40,997.78 $205,034.60 $72,271.67 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 16 — — $41,228.99 $155,390.74 $70,453.81 2026-04-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 15 — — $59,029.16 $261,149.23 $68,653.48 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 49 13 — — $32,674.07 $170,250.51 $67,452.66 2026-04-14
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,270.60 $67,270.60 $67,270.60 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 43 16 — — $55,374.78 $189,464.84 $67,248.11 2026-04-14
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 55 15 — — $36,146.69 $141,207.63 $66,268.94 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 44 8 — — $22,915.86 $144,269.97 $65,437.93 2026-04-14
3 APR_DRG Bone Marrow Transplant 4 1 — — $44,072.96 $149,071.52 $65,134.60 2026-04-14
6 APR_DRG Pancreas Transplant 43 8 — — $33,628.12 $133,928.45 $65,067.57 2026-04-14
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $62,780.59 $62,780.59 $62,780.59 2026-04-14
647 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $62,197.28 $62,197.28 $62,197.28 2026-04-14
635 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $62,067.45 $62,067.45 $62,067.45 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $40,976.50 $140,201.10 $61,825.95 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 16 — — $42,575.64 $145,672.56 $61,571.92 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 62 13 — — $36,714.34 $143,425.16 $61,086.39 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 16 — — $50,138.50 $171,548.88 $60,887.09 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 44 8 — — $19,526.65 $239,626.67 $60,198.05 2026-04-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 44 8 — — $23,732.05 $274,715.42 $59,560.12 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 16 — — $46,182.72 $158,014.21 $58,846.57 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 44 8 — — $30,287.76 $132,376.86 $58,792.15 2026-04-14
646 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $57,914.81 $57,914.81 $57,914.81 2026-04-14
841 APR_DRG Extensive Third Degree Burns With Skin Graft 34 8 — — $32,565.06 $244,516.22 $57,403.07 2026-04-14
10 MS_DRG Pancreas Transplant 29 16 — — $50,045.29 $178,902.00 $57,116.90 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 16 — — $29,397.75 $125,850.01 $56,793.47 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 15 — — $49,757.16 $80,449.89 $56,788.07 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 16 — — $28,489.97 $124,581.17 $56,220.87 2026-04-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 16 — — $34,489.75 $120,180.50 $54,489.56 2026-04-14
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 2 1 — — $53,680.50 $53,680.50 $53,680.50 2026-04-14
J9226 HCPCS Supprelin La Implant 55 15 — — $30,894.50 $114,994.43 $52,863.72 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 16 — — $37,225.13 $127,365.79 $51,589.76 2026-04-14
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $51,547.80 $51,547.80 $51,547.80 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $13,918.02 $114,303.27 $51,340.50 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 16 — — $35,962.65 $123,046.21 $49,847.84 2026-04-14
178 APR_DRG External Heart Assist Devices 40 7 — — $32,609.41 $88,240.46 $49,840.04 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 58 19 — — $1,247.50 $112,013.56 $49,837.41 2026-04-14
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $49,308.73 $49,308.73 $49,308.73 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 16 — — $25,369.84 $107,951.03 $48,944.75 2026-04-14
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 44 8 — — $23,029.61 $106,046.73 $48,867.35 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 16 — — $13,795.51 $113,275.74 $48,674.63 2026-04-14
440 APR_DRG Kidney Transplant 44 8 — — $24,652.01 $103,839.86 $48,536.84 2026-04-14
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 1 1 — — $48,043.38 $48,043.38 $48,043.38 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 43 16 — — $14,157.81 $107,537.21 $47,390.10 2026-04-14
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 44 8 — — $5,913.69 $125,254.35 $47,324.82 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 49 13 — — $22,869.14 $119,161.25 $47,211.27 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 16 — — $27,047.13 $103,977.05 $47,142.96 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 19 — — $34,002.80 $116,340.58 $46,776.86 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 7 — — $27,184.18 $90,923.14 $46,657.93 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 44 8 — — $28,858.90 $105,534.40 $46,328.93 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 16 — — $39,696.13 $135,902.09 $46,168.33 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 40 7 — — $28,130.45 $96,458.58 $45,842.36 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 44 8 — — $20,928.27 $157,798.15 $45,712.38 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 16 — — $32,079.02 $109,758.37 $45,219.98 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 16 — — $37,189.06 $127,242.37 $45,161.57 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 16 — — $35,205.16 $120,454.46 $44,955.70 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 16 — — $28,676.33 $98,355.85 $44,802.71 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 44 8 — — $5,602.61 $264,226.78 $44,734.29 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 45 16 — — $24,558.24 $97,885.67 $43,966.36 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 16 — — $32,164.52 $131,397.39 $43,733.57 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 16 — — $26,746.54 $96,457.42 $43,733.57 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 16 — — $37,885.80 $338,308.00 $43,651.03 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 16 — — $37,885.80 $230,336.00 $43,445.13 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 16 — — $24,564.26 $95,792.41 $43,432.06 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 16 — — $6,715.36 $134,215.40 $43,402.13 2026-04-14
648 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $43,356.80 $43,356.80 $43,356.80 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 16 — — $22,466.13 $94,740.95 $42,955.33 2026-04-14
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 44 8 — — $16,226.12 $75,503.20 $42,771.26 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 44 8 — — $26,165.33 $83,366.55 $42,591.33 2026-04-14
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $42,558.63 $42,558.63 $42,558.63 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 16 — — $28,616.22 $97,910.39 $42,503.42 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 49 13 — — $20,299.85 $105,773.80 $41,907.21 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $29,800.54 $101,962.57 $41,898.20 2026-04-14
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 44 8 — — $20,120.06 $92,795.06 $41,693.84 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 16 — — $25,730.55 $91,857.08 $41,647.79 2026-04-14
677 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $41,069.28 $41,069.28 $41,069.28 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 43 16 — — $34,693.24 $140,057.11 $40,726.84 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 43 16 — — $32,932.70 $112,679.23 $40,695.06 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 40 7 — — $26,620.72 $79,417.14 $40,396.62 2026-04-14
613 MS_DRG Neonate, Birth Weight <750 Grams, Died 1 1 — — $39,972.15 $39,972.15 $39,972.15 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 16 — — $22,586.37 $88,079.55 $39,935.07 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $10,575.43 $88,644.73 $39,815.70 2026-04-14
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $39,694.21 $39,694.21 $39,694.21 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 16 — — $26,049.17 $89,127.25 $39,630.63 2026-04-14
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $39,461.07 $39,461.07 $39,461.07 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 44 8 — — $18,143.44 $86,729.56 $39,413.90 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 16 — — $25,117.34 $86,879.95 $39,391.17 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 16 — — $32,902.64 $112,576.38 $39,386.06 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 16 — — $33,523.17 $119,487.70 $38,988.91 2026-04-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 16 — — $34,152.77 $227,821.00 $38,978.71 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 16 — — $22,935.06 $85,661.03 $38,838.52 2026-04-14
179 APR_DRG Defibrillator Implants 40 7 — — $24,400.15 $73,351.63 $38,722.17 2026-04-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 53 19 — — $1,539.13 $86,962.07 $38,691.42 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 16 — — $22,381.97 $85,281.02 $38,666.22 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 49 13 — — $18,323.98 $95,478.40 $37,828.21 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 43 16 — — $21,341.93 $82,920.47 $37,595.95 2026-04-14
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 44 8 — — $19,980.37 $74,320.99 $37,486.57 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 16 — — $19,376.06 $82,028.42 $37,191.50 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 16 — — $3,338.94 $82,648.35 $37,122.36 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 19 — — $1,110.24 $81,777.23 $36,731.09 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 16 — — $18,961.25 $80,619.49 $36,552.69 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 16 — — $30,798.50 $105,377.09 $36,548.20 2026-04-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 16 — — $27,630.28 $94,537.01 $36,524.22 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 16 — — $19,171.66 $81,097.72 $36,425.88 2026-04-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 44 8 — — $11,826.07 $110,099.45 $36,384.18 2026-04-14
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $36,191.62 $36,191.62 $36,191.62 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 63 19 — — $28.84 $80,534.15 $35,831.50 2026-04-14
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $35,761.91 $35,761.91 $35,761.91 2026-04-14
245 MS_DRG Aicd Generator Procedures 43 16 — — $28,946.87 $99,041.71 $35,674.43 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 43 16 — — $17,987.34 $78,207.41 $35,459.06 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 44 8 — — $18,082.14 $74,427.42 $34,865.36 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 16 — — $29,043.05 $99,370.82 $34,861.87 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 28 15 — — $30,437.32 $60,622.90 $34,738.25 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 43 16 — — $18,161.68 $76,556.96 $34,710.75 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 16 — — $23,566.30 $80,632.09 $34,709.29 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 44 8 — — $13,908.38 $109,087.31 $34,571.40 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 16 — — $3,700.07 $82,421.63 $34,344.99 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 49 13 — — $16,607.38 $86,533.93 $34,284.44 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 16 — — $21,546.33 $75,344.48 $34,161.01 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 16 — — $24,756.63 $84,704.83 $33,963.90 2026-04-14
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $33,823.64 $33,823.64 $33,823.64 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 43 16 — — $19,736.77 $74,212.51 $33,647.78 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 16 — — $17,788.95 $73,945.21 $33,526.59 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 16 — — $17,314.01 $73,935.55 $33,522.21 2026-04-14
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 7 — — $20,452.04 $69,363.61 $33,033.17 2026-04-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 15 — — $24,192.66 $36,462.93 $33,005.24 2026-04-14
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 55 15 — — $19,274.35 $71,742.32 $32,980.44 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 16 — — $17,187.76 $72,207.81 $32,738.86 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 43 8 — — $20,409.00 $63,738.43 $32,654.40 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 16 — — $18,841.01 $72,008.14 $32,648.33 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 19 — — $1,028.50 $72,640.95 $32,627.44 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 44 8 — — $16,135.56 $81,683.49 $32,405.28 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 43 16 — — $19,279.87 $71,335.08 $32,343.16 2026-04-14
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $32,273.03 $32,273.03 $32,273.03 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 16 — — $26,097.27 $89,291.81 $32,067.93 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 43 16 — — $19,538.38 $69,668.52 $31,587.55 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 44 8 — — $12,599.40 $71,701.96 $31,537.27 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $26,938.92 $92,171.53 $31,521.84 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 36 13 — — $18,961.72 $92,614.28 $31,514.92 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 43 16 — — $23,470.11 $80,302.98 $31,094.76 2026-04-14
910 APR_DRG Craniotomy For Multiple Significant Trauma 43 8 — — $18,103.66 $79,183.41 $31,069.42 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 43 16 — — $4,766.12 $82,277.64 $30,874.28 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 16 — — $16,778.96 $68,681.47 $30,848.99 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 44 8 — — $11,862.37 $66,262.51 $30,768.91 2026-04-14
649 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $30,553.28 $30,553.28 $30,553.28 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 16 — — $16,562.54 $67,472.21 $30,305.84 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 16 — — $14,584.65 $67,467.38 $30,303.67 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 16 — — $6,271.02 $66,990.76 $30,093.03 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 16 — — $17,608.59 $66,208.20 $30,071.27 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 43 16 — — $19,929.15 $68,187.59 $30,001.86 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 16 — — $20,422.12 $69,874.29 $29,957.32 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 46 13 — — $14,014.45 $73,023.26 $29,944.17 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 16 — — $15,991.41 $65,747.69 $29,809.85 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 44 8 — — $12,319.75 $136,893.90 $29,708.78 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 16 — — $21,047.35 $72,013.50 $29,692.31 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 41 16 — — $4,989.80 $67,155.00 $29,594.24 2026-04-14
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/mcc 1 1 — — $29,537.51 $29,537.51 $29,537.51 2026-04-14
676 MS_DRG Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, Without… 1 1 — — $29,524.71 $29,524.71 $29,524.71 2026-04-14
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $29,515.57 $29,515.57 $29,515.57 2026-04-14
690 APR_DRG Acute Leukemia 44 8 — — $8,891.62 $68,799.11 $29,514.63 2026-04-14
791 MS_DRG Prematurity With Major Problems 41 16 — — $2,651.40 $65,375.73 $29,364.19 2026-04-14
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 23 8 — — $754.99 $183,795.41 $29,267.78 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 43 16 — — $22,796.78 $77,999.20 $29,061.54 2026-04-14
91 APR_DRG Other Major Head And Neck Procedures 44 8 — — $8,877.65 $72,923.82 $29,005.48 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 16 — — $13,724.96 $63,543.32 $28,810.40 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 16 — — $16,514.44 $64,142.32 $28,810.19 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 16 — — $24,233.61 $82,915.29 $28,744.69 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 43 16 — — $21,672.58 $74,152.72 $28,687.02 2026-04-14
0427T CPT Pr Insj/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
0431T CPT Pr Rmvl/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 16 — — $22,045.31 $75,428.03 $28,545.39 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 16 — — $11,277.59 $63,267.98 $28,417.47 2026-04-14
863 APR_DRG Neonatal Aftercare 44 8 — — $6,056.57 $107,681.80 $28,417.00 2026-04-14
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 43 8 — — $9,156.17 $72,787.13 $28,394.05 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 16 — — $23,572.31 $80,652.66 $28,388.42 2026-04-14
23 APR_DRG Spinal Procedures 44 8 — — $10,915.80 $65,377.68 $28,357.26 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 38 13 — — $17,111.76 $83,578.57 $28,307.95 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 49 13 — — $13,701.51 $71,392.65 $28,285.52 2026-04-14
851 APR_DRG Gender Related Procedures 30 7 — — $14,297.06 $126,319.70 $28,195.74 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 43 16 — — $17,566.51 $62,168.21 $28,186.93 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 49 13 — — $13,636.81 $71,055.55 $28,151.96 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 16 — — $15,889.21 $62,008.80 $28,114.65 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 16 — — $13,749.01 $62,232.62 $27,952.43 2026-04-14
0250-1402-1405 EAPG Cochlear Device Implantation 2 2 — — $27,219.32 $28,580.28 $27,899.80 2026-04-14
27 APR_DRG Other Open Craniotomy 40 7 — — $13,267.32 $60,346.22 $27,810.01 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 19 — — $21,875.07 $97,869.25 $27,773.99 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 44 8 — — $14,697.48 $70,027.24 $27,761.33 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 16 — — $18,287.93 $62,572.15 $27,752.54 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 16 — — $11,090.10 $60,733.52 $27,407.76 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 16 — — $12,077.73 $60,285.89 $27,333.48 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 43 8 — — $12,448.40 $75,315.38 $27,238.96 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 44 8 — — $9,069.23 $62,603.17 $27,203.48 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 44 8 — — $11,877.67 $62,640.74 $27,031.58 2026-04-14
104 MS_DRG Craniotomy, Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 1 1 — — $26,951.03 $26,951.03 $26,951.03 2026-04-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 40 7 — — $11,526.73 $54,696.00 $26,636.34 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 16 — — $17,103.60 $58,746.54 $26,635.55 2026-04-14
609 MS_DRG Other Respiratory Problems After Birth 1 1 — — $26,314.69 $26,314.69 $26,314.69 2026-04-14
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 44 8 — — $10,853.94 $56,066.03 $26,257.48 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 19 — — $11,052.10 $58,352.04 $26,209.42 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 44 8 — — $9,206.26 $76,967.15 $26,202.04 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 43 16 — — $21,462.16 $73,432.79 $26,169.77 2026-04-14
J9600 HCPCS Pr Porfimer Sodium 51 13 — — $15,653.98 $61,152.53 $26,168.41 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 43 16 — — $12,678.91 $57,706.35 $26,163.93 2026-04-14
265 MS_DRG Aicd Lead Procedures 43 16 — — $20,879.02 $71,437.56 $26,040.55 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 48 19 — — $12,736.44 $63,518.34 $25,926.64 2026-04-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 16 — — $13,971.45 $57,178.20 $25,924.47 2026-04-14
J7310 HCPCS Pr Ganciclovir Long Act Implant 4 2 — — $16,960.00 $26,515.20 $25,785.60 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 43 16 — — $20,091.47 $68,742.97 $25,765.31 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 16 — — $20,450.53 $73,556.21 $25,700.34 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 16 — — $15,528.51 $56,405.31 $25,693.54 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 16 — — $18,648.63 $63,806.31 $25,578.42 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 16 — — $20,452.18 $69,977.13 $25,560.17 2026-04-14
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 44 8 — — $15,909.83 $54,654.26 $25,455.72 2026-04-14
120 APR_DRG Major Respiratory And Chest Procedures 44 8 — — $11,525.78 $64,497.01 $25,427.94 2026-04-14
332 MS_DRG Rectal Resection With Mcc 43 16 — — $21,772.33 $77,320.41 $25,322.17 2026-04-14
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 44 8 — — $7,723.54 $71,803.17 $25,298.16 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 16 — — $19,568.44 $66,953.43 $25,294.42 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 58 19 — — $927.00 $56,274.88 $25,276.44 2026-04-14
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 44 8 — — $8,108.03 $64,271.63 $25,226.69 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 40 7 — — $13,298.62 $51,171.26 $25,151.10 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 16 — — $4,187.38 $59,404.46 $25,146.22 2026-04-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 16 — — $14,668.82 $55,371.56 $25,105.34 2026-04-14
665 MS_DRG Prostatectomy With Mcc 43 16 — — $19,009.34 $65,040.47 $25,065.91 2026-04-14
441 APR_DRG Major Bladder Procedures 44 8 — — $8,517.12 $58,375.16 $25,051.00 2026-04-14
252 MS_DRG Other Vascular Procedures With Mcc 43 16 — — $17,728.83 $60,659.19 $25,042.55 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 16 — — $15,853.14 $54,617.98 $24,879.39 2026-04-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 15 — — $21,795.55 $123,730.80 $24,875.36 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 16 — — $17,398.18 $59,527.87 $24,871.72 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 55 19 — — $74.06 $55,147.74 $24,770.18 2026-04-14
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 44 8 — — $9,710.47 $66,900.05 $24,737.32 2026-04-14
678 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $24,615.97 $24,615.97 $24,615.97 2026-04-14
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 44 8 — — $9,814.24 $50,306.25 $24,599.76 2026-04-14
181 APR_DRG Lower Vascular Procedures 44 8 — — $9,545.50 $54,533.22 $24,590.29 2026-04-14
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 40 7 — — $15,091.38 $45,306.10 $24,526.90 2026-04-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 45 16 — — $14,247.99 $54,046.36 $24,504.50 2026-04-14
37 MS_DRG Extracranial Procedures With Mcc 44 16 — — $17,007.41 $58,190.86 $24,243.14 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 16 — — $14,458.40 $53,163.97 $24,104.42 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 50 19 — — $13,352.23 $52,629.39 $24,085.05 2026-04-14
T1999 HCPCS Pr Noc Retail Items Andsupplies 2 1 — — $24,000.00 $24,000.00 $24,000.00 2026-04-14
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 44 8 — — $4,429.40 $85,053.79 $23,951.95 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 43 16 — — $14,536.56 $52,455.49 $23,783.20 2026-04-14
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 44 8 — — $11,441.30 $56,242.37 $23,780.34 2026-04-14
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 44 8 — — $9,062.58 $62,196.23 $23,732.28 2026-04-14
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 44 8 — — $7,706.91 $63,528.70 $23,651.49 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 48 19 — — $11,013.64 $52,478.03 $23,571.05 2026-04-14
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 16 — — $19,736.77 $67,529.37 $23,534.25 2026-04-14
L8614 HCPCS Pr Cochlear Device 49 13 — — $11,337.20 $59,073.29 $23,404.63 2026-04-14
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 16 — — $19,249.82 $65,863.25 $23,392.61 2026-04-14
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 44 8 — — $9,531.54 $52,625.82 $23,331.28 2026-04-14
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