Price Transparencybeta Hospital negotiated rates

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

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Hospital

READING HOSPITAL

West Reading, PA · CCN 390044 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $15,731 across 18 payers · range $12,615-$70,139

Source: https://towerhealth.org/sites/default/files/pricing/23-1352204_Reading-Hospital_StandardCharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,299 distinct procedures filed
25 distinct payers
299,021 rate rows
2026-07-15 last MRF observed
Data quality

296,820 of 299,021 rate rows are consumer-grade (99.3%)

2,201 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
placeholder amount (≤ $0.02) — excluded from medians 985
template filing: same amount across many unrelated codes — excluded 424
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 237
exceeds 10× this hospital's gross charge — excluded from medians 218
per-diem day rate — not a per-procedure price 141
percent-of-charges filed in the dollar field — excluded from medians 139
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://towerhealth.org/sites/default/files/pricing/23-1352204_Reading-Hospital_StandardCharges.csv
Found on page https://towerhealth.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-12
Content fingerprint fda7e6d82cdc0d3d… · 76,764,878 bytes · first seen 2026-05-04

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
845
OTHER 		Inj, Atidarsagene Autotemcel 16 $3,812,018.38 $4,933,200.25 $4,635,246.17 nat. median
$16,015
outlier · 289.4×
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 16 $3,118,380.52 $4,035,551.27 $3,791,813.15 nat. median
$3,758,972
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Treat 16 $2,822,687.49 $3,652,889.69 $3,432,263.46 nat. median
$29,683
outlier · 115.6×
714
OTHER 		Inj Delandistrogene Mox Rokl 16 $2,806,307.73 $3,631,692.36 $3,412,346.40 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 16 $2,748,753.55 $3,557,210.48 $3,342,363.05 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autotemecel 16 $2,614,680.75 $3,383,704.50 $3,179,336.44 nat. median
$24,604
outlier · 129.2×
746
OTHER 		Inj, Betibeglogene Autotemce 16 $2,492,611.54 $3,225,732.59 $3,030,905.67 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 16 $2,077,453.22 $2,688,468.87 $2,526,091.46 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 16 $1,973,280.10 $4,759,087.30 $2,414,366.24 nat. median
$58,186
outlier · 41.5×
2067
OTHER 		Afamitresgene Autoleucel 16 $652,079.38 $3,929,046.76 $797,838.30 nat. median
$786,032
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos T 16 $500,703.92 $3,016,947.26 $612,625.97 nat. median
$576,820
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 16 $478,824.15 $2,885,112.67 $585,855.43 nat. median
$587,650
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 16 $476,005.75 $2,868,130.62 $582,407.03 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 16 $471,588.50 $2,841,514.90 $577,002.40 nat. median
$560,872
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 16 $451,206.04 $2,718,702.21 $552,063.87 nat. median
$533,230
1.0× median
5834
APR_DRG 		Neonate With Ecmo 9 $482,143.50 $1,205,358.75 $527,947.14 nat. median
$311,018
1.7× median
9391
OTHER 		Brexucabtagene Car Pos T 16 $414,037.33 $2,494,745.39 $506,586.85 nat. median
$492,768
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $9,032.32 $1,570,212.97 $336,395.09 nat. median
$370,165
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $295,303.77 $738,259.43 $323,357.62 nat. median
$254,667
1.3× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $276,059.95 $690,149.88 $302,285.65 nat. median
$119,243
outlier · 2.5×
24
APR_DRG 		Heart And/or Lung Transplant 9 $275,877.09 $689,692.73 $302,085.42 nat. median
$243,231
1.2× median
5833
APR_DRG 		Neonate With Ecmo 9 $274,596.25 $686,490.63 $300,682.90 nat. median
$250,089
1.2× median
831
OTHER 		Obecbtge Autol Up To 400 Mil 16 $235,448.20 $1,418,672.34 $288,077.80 nat. median
$20,175
outlier · 14.3×
897
OTHER 		Revakinagene, Per Implant 16 $217,890.06 $1,312,877.35 $266,594.90 nat. median
$19,528
outlier · 13.7×
5832
APR_DRG 		Neonate With Ecmo 9 $210,839.61 $527,099.03 $230,869.37 nat. median
$169,230
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $205,872.56 $514,681.40 $225,430.46 nat. median
$209,486
1.1× median
6094
APR_DRG 		Neonate Birth Weight1500-2499 Grams With Major Procedure 9 $205,745.96 $514,364.90 $225,291.83 nat. median
$168,174
1.3× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $205,447.43 $513,618.58 $224,964.93 nat. median
$67,603
outlier · 3.3×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $201,821.39 $504,553.48 $220,994.42 nat. median
$165,599
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $31,241.01 $1,019,005.05 $218,511.44 nat. median
$261,939
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $197,890.57 $494,726.43 $216,690.17 nat. median
$147,677
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $196,672.25 $491,680.63 $215,356.11 nat. median
$180,995
1.2× median
886
OTHER 		Inj. Remestemcel-l-rknd/ Td 16 $174,007.43 $1,048,466.40 $212,903.20 nat. median
$200,661
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $193,645.60 $484,114.00 $212,041.93 nat. median
$168,361
1.3× median
5831
APR_DRG 		Neonate With Ecmo 9 $189,254.49 $473,136.23 $207,233.66 nat. median
$154,685
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $183,128.51 $457,821.28 $200,525.72 nat. median
$165,646
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $179,466.52 $448,666.30 $196,515.84 nat. median
$160,171
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $170,252.14 $425,630.35 $186,426.10 nat. median
$156,285
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $168,526.65 $421,316.63 $184,536.68 nat. median
$147,847
1.2× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $163,328.28 $408,320.70 $178,844.47 nat. median
$63,564
outlier · 2.8×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $162,425.67 $406,064.18 $177,856.11 nat. median
$175,480
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $161,202.66 $403,006.65 $176,516.92 nat. median
$127,938
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $155,101.69 $387,754.23 $169,836.35 nat. median
$127,600
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $134,879.24 $776,346.88 $168,202.35 nat. median
$205,166
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $153,559.06 $383,897.65 $168,147.17 nat. median
$137,901
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $30,085.99 $771,790.72 $165,641.13 nat. median
$199,832
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $150,275.30 $375,688.25 $164,551.46 nat. median
$116,111
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $146,042.83 $365,107.08 $159,916.90 nat. median
$108,751
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $144,451.75 $361,129.38 $158,174.66 nat. median
$120,928
1.3× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 16 $129,042.11 $777,531.86 $157,886.82 nat. median
$155,877
1.0× median

Other procedures at this hospital

Browse this hospital's 7,299 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
             
845 OTHER Inj, Atidarsagene Autotemcel 18 16 — — $3,812,018.38 $4,933,200.25 $4,635,246.17 2026-07-15
9138 OTHER Inj, Hemgenix, Per Tx Dose 18 16 — — $3,118,380.52 $4,035,551.27 $3,791,813.15 2026-07-15
908 OTHER Topi Adm Prad Zami Per Treat 18 16 — — $2,822,687.49 $3,652,889.69 $3,432,263.46 2026-07-15
714 OTHER Inj Delandistrogene Mox Rokl 18 16 — — $2,806,307.73 $3,631,692.36 $3,412,346.40 2026-07-15
748 OTHER Inj, Lovotibeglogene Autotem 18 16 — — $2,748,753.55 $3,557,210.48 $3,342,363.05 2026-07-15
906 OTHER Inj Elivaldogene Autotemecel 18 16 — — $2,614,680.75 $3,383,704.50 $3,179,336.44 2026-07-15
746 OTHER Inj, Betibeglogene Autotemce 18 16 — — $2,492,611.54 $3,225,732.59 $3,030,905.67 2026-07-15
9141 OTHER Inj Onase Abepar-xioi Treat 18 16 — — $2,077,453.22 $2,688,468.87 $2,526,091.46 2026-07-15
824 OTHER Inj, Exagamglogene Autotem 19 16 — — $1,973,280.10 $4,759,087.30 $2,414,366.24 2026-07-15
2067 OTHER Afamitresgene Autoleucel 21 16 — — $652,079.38 $3,929,046.76 $797,838.30 2026-07-15
9194 OTHER Tisagenlecleucel Car-pos T 21 16 — — $500,703.92 $3,016,947.26 $612,625.97 2026-07-15
9498 OTHER Ciltacabtagene Car-pos T 21 16 — — $478,824.15 $2,885,112.67 $585,855.43 2026-07-15
9413 OTHER Lisocabtagene Car Pos T 21 16 — — $476,005.75 $2,868,130.62 $582,407.03 2026-07-15
9422 OTHER Idecabtagene Vicleucel Car 21 16 — — $471,588.50 $2,841,514.90 $577,002.40 2026-07-15
9035 OTHER Axicabtagene Ciloleucel Car+ 21 16 — — $451,206.04 $2,718,702.21 $552,063.87 2026-07-15
5834 APR_DRG Neonate With Ecmo 10 9 — — $482,143.50 $1,205,358.75 $527,947.14 2026-07-15
9391 OTHER Brexucabtagene Car Pos T 21 16 — — $414,037.33 $2,494,745.39 $506,586.85 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 19 — — $9,032.32 $1,570,212.97 $336,395.09 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $295,303.77 $738,259.43 $323,357.62 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 9 — — $276,059.95 $690,149.88 $302,285.65 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 10 9 — — $275,877.09 $689,692.73 $302,085.42 2026-07-15
5833 APR_DRG Neonate With Ecmo 10 9 — — $274,596.25 $686,490.63 $300,682.90 2026-07-15
831 OTHER Obecbtge Autol Up To 400 Mil 21 16 — — $235,448.20 $1,418,672.34 $288,077.80 2026-07-15
897 OTHER Revakinagene, Per Implant 21 16 — — $217,890.06 $1,312,877.35 $266,594.90 2026-07-15
5832 APR_DRG Neonate With Ecmo 10 9 — — $210,839.61 $527,099.03 $230,869.37 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 10 9 — — $205,872.56 $514,681.40 $225,430.46 2026-07-15
6094 APR_DRG Neonate Birth Weight1500-2499 Grams With Major Procedure 10 9 — — $205,745.96 $514,364.90 $225,291.83 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 9 — — $205,447.43 $513,618.58 $224,964.93 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $201,821.39 $504,553.48 $220,994.42 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 19 — — $31,241.01 $1,019,005.05 $218,511.44 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 9 — — $197,890.57 $494,726.43 $216,690.17 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $196,672.25 $491,680.63 $215,356.11 2026-07-15
886 OTHER Inj. Remestemcel-l-rknd/ Td 21 16 — — $174,007.43 $1,048,466.40 $212,903.20 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 9 — — $193,645.60 $484,114.00 $212,041.93 2026-07-15
5831 APR_DRG Neonate With Ecmo 10 9 — — $189,254.49 $473,136.23 $207,233.66 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 9 — — $183,128.51 $457,821.28 $200,525.72 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 9 — — $179,466.52 $448,666.30 $196,515.84 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $170,252.14 $425,630.35 $186,426.10 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $168,526.65 $421,316.63 $184,536.68 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 9 — — $163,328.28 $408,320.70 $178,844.47 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 9 — — $162,425.67 $406,064.18 $177,856.11 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 10 9 — — $161,202.66 $403,006.65 $176,516.92 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $155,101.69 $387,754.23 $169,836.35 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 18 — — $134,879.24 $776,346.88 $168,202.35 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 9 — — $153,559.06 $383,897.65 $168,147.17 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 19 — — $30,085.99 $771,790.72 $165,641.13 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 10 9 — — $150,275.30 $375,688.25 $164,551.46 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 9 — — $146,042.83 $365,107.08 $159,916.90 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $144,451.75 $361,129.38 $158,174.66 2026-07-15
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 21 16 — — $129,042.11 $777,531.86 $157,886.82 2026-07-15
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 21 16 — — $129,042.11 $777,531.86 $157,886.82 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 9 — — $137,652.13 $344,130.33 $150,729.09 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 9 — — $137,652.13 $344,130.33 $150,729.09 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 9 — — $137,652.13 $344,130.33 $150,729.09 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $135,636.71 $339,091.78 $148,522.20 2026-07-15
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 21 16 — — $116,349.49 $701,053.57 $142,357.02 2026-07-15
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 21 16 — — $116,349.49 $701,053.57 $142,357.02 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $128,256.46 $320,641.15 $140,440.83 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 9 — — $125,262.63 $313,156.58 $137,162.58 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $124,544.45 $311,361.13 $136,376.17 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 10 9 — — $118,613.84 $296,534.60 $129,882.15 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 10 9 — — $118,613.84 $296,534.60 $129,882.15 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 9 — — $118,181.68 $295,454.20 $129,408.94 2026-07-15
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 21 16 — — $103,656.86 $624,575.28 $126,827.22 2026-07-15
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 21 16 — — $103,656.86 $624,575.28 $126,827.22 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 10 9 — — $113,793.70 $284,484.25 $124,604.10 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 9 — — $108,049.86 $270,124.65 $118,314.60 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $106,954.23 $267,385.58 $117,114.89 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 10 9 — — $103,304.74 $258,261.85 $113,118.69 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 9 — — $102,525.61 $256,314.03 $112,265.54 2026-07-15
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 21 16 — — $90,964.24 $548,096.99 $111,297.42 2026-07-15
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 21 16 — — $90,964.24 $548,096.99 $111,297.42 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 10 9 — — $100,575.83 $251,439.58 $110,130.54 2026-07-15
64 APR_DRG Pancreas Transplant 10 9 — — $100,304.66 $250,761.65 $109,833.61 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $100,174.94 $250,437.35 $109,691.56 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $99,142.61 $247,856.53 $108,561.15 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 9 — — $98,926.14 $247,315.35 $108,324.12 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 19 — — $23,052.92 $503,664.61 $108,298.55 2026-07-15
8513 APR_DRG Gender Related Procedures 10 9 — — $94,606.14 $236,515.35 $103,593.73 2026-07-15
8514 APR_DRG Gender Related Procedures 10 9 — — $94,606.14 $236,515.35 $103,593.73 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 9 — — $93,808.26 $234,520.65 $102,720.04 2026-07-15
PTCA-EP Studies LOCAL Ptca-ep Studies 2 1 — — $84,122.50 $120,175.00 $102,148.75 2026-07-15
7 MS_DRG Lung Transplant 30 19 — — $24,748.34 $470,895.17 $101,290.34 2026-07-15
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 21 16 — — $80,387.05 $484,365.08 $98,355.92 2026-07-15
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 21 16 — — $80,387.05 $484,365.08 $98,355.92 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $89,050.64 $222,626.60 $97,510.45 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 30 19 — — $11,833.28 $436,994.88 $94,040.28 2026-07-15
6114 APR_DRG Neonate Birth Weight1500-1999 Grams With Major Anomaly 10 9 — — $82,458.12 $206,145.30 $90,291.64 2026-07-15
6134 APR_DRG Neonate Birth Weight1500-1999 Grams With Congenital Or Perinatal Infection 10 9 — — $81,700.09 $204,250.23 $89,461.60 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 19 — — $30,650.14 $412,046.91 $88,704.80 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 28 18 — — $22,935.15 $411,574.21 $88,603.70 2026-07-15
8634 APR_DRG Neonatal Aftercare 10 9 — — $80,647.44 $201,618.60 $88,308.95 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 9 — — $80,439.57 $201,098.93 $88,081.33 2026-07-15
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 21 16 — — $71,925.30 $433,379.55 $88,002.72 2026-07-15
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 21 16 — — $71,925.30 $433,379.55 $88,002.72 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 9 — — $79,724.52 $199,311.30 $87,298.35 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 9 — — $79,422.87 $198,557.18 $86,968.04 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 9 — — $79,039.16 $197,597.90 $86,547.88 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 19 — — $5,898.83 $400,752.87 $86,289.41 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 9 — — $78,414.76 $196,036.90 $85,864.16 2026-07-15
4404 APR_DRG Kidney Transplant 10 9 — — $77,770.05 $194,425.13 $85,158.21 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 19 — — $8,990.76 $395,404.02 $85,145.49 2026-07-15
63 APR_DRG Pancreas Transplant 10 9 — — $77,300.38 $193,250.95 $84,643.92 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $76,236.79 $190,591.98 $83,479.29 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 19 — — $15,440.86 $350,557.00 $80,762.63 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 10 9 — — $72,747.51 $181,868.78 $79,658.52 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 10 9 — — $72,241.89 $180,604.73 $79,104.87 2026-07-15
6093 APR_DRG Neonate Birth Weight1500-2499 Grams With Major Procedure 10 9 — — $71,371.33 $178,428.33 $78,151.61 2026-07-15
215 MS_DRG Other Heart Assist System Implant 32 19 — — $10,864.32 $362,056.43 $78,013.62 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $71,156.42 $177,891.05 $77,916.28 2026-07-15
104 MS_DRG Cardiac Valve Procedures W Cardiac 3 3 — — $75,295.13 $77,672.87 $77,672.87 2026-07-15
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 21 16 — — $63,463.55 $382,394.02 $77,649.52 2026-07-15
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 21 16 — — $63,463.55 $382,394.02 $77,649.52 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 19 — — $20,829.98 $355,722.17 $76,658.96 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 9 — — $69,498.13 $173,745.33 $76,100.46 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $68,347.80 $170,869.50 $74,840.85 2026-07-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 9 — — $68,096.17 $170,240.43 $74,565.30 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $68,075.85 $170,189.63 $74,543.05 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $67,974.26 $169,935.65 $74,431.82 2026-07-15
62 APR_DRG Pancreas Transplant 10 9 — — $66,641.84 $166,604.60 $72,972.82 2026-07-15
1784 APR_DRG External Heart Assist Systems 10 9 — — $66,087.00 $165,217.50 $72,365.26 2026-07-15
6124 APR_DRG Neonate Birth Weight1500-1999 Grams With Respiratory Distress Syndrome Or Other … 10 9 — — $64,955.42 $162,388.55 $71,126.18 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 9 — — $64,785.06 $161,962.65 $70,939.64 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 19 — — $9,173.86 $327,607.08 $70,646.14 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 10 9 — — $64,217.71 $160,544.28 $70,318.39 2026-07-15
6214 APR_DRG Neonate Birth Weight2000-2499 Grams With Major Anomaly 10 9 — — $63,700.37 $159,250.93 $69,751.90 2026-07-15
0811 RC — 22 10 $106,273.50 $74,391.45 30% off $37,734.40 $112,300.45 $69,336.96 2026-07-15
0812 RC — 22 10 $106,273.50 $74,391.45 30% off $37,734.40 $112,300.45 $69,336.96 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 9 — — $62,436.73 $156,091.83 $68,368.22 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 28 18 — — $54,985.75 $314,876.74 $68,247.02 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 9 — — $61,611.49 $154,028.73 $67,464.58 2026-07-15
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 21 16 — — $55,001.80 $331,408.49 $67,296.32 2026-07-15
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 21 16 — — $55,001.80 $331,408.49 $67,296.32 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 9 — — $61,176.21 $152,940.53 $66,987.95 2026-07-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 21 16 — — $54,378.18 $327,650.93 $66,533.30 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 19 — — $11,159.27 $306,528.02 $66,138.08 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 19 — — $21,498.04 $305,564.43 $65,932.01 2026-07-15
Defibrillator LOCAL Defibrillator 1 1 — — $65,801.00 $65,801.00 $65,801.00 2026-07-15
717 OTHER Instill Adstiladrin, Tx Dose 21 16 — — $53,598.65 $322,953.96 $65,579.53 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 9 — — $59,555.43 $148,888.58 $65,213.19 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 9 — — $59,478.84 $148,697.10 $65,129.33 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 9 — — $59,303.79 $148,259.48 $64,937.65 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 9 — — $58,162.84 $145,407.10 $63,688.31 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 9 — — $58,097.98 $145,244.95 $63,617.29 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 9 — — $57,643.94 $144,109.85 $63,120.11 2026-07-15
108 MS_DRG Other Cardiothoracic Procedures 3 3 — — $60,454.04 $62,363.11 $62,363.11 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 9 — — $56,547.53 $141,368.83 $61,919.54 2026-07-15
6254 APR_DRG Neonate Birth Weight2000-2499 Grams With Other Significant Condition 10 9 — — $56,465.48 $141,163.70 $61,829.70 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 19 — — $20,614.21 $286,125.31 $61,774.67 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 9 — — $56,406.87 $141,017.18 $61,765.52 2026-07-15
484 MS_DRG Craniotomy For Multiple 3 3 — — $59,193.12 $61,062.38 $61,062.38 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 9 — — $55,741.83 $139,354.58 $61,037.31 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 9 — — $55,662.12 $139,155.30 $60,950.02 2026-07-15
0915T OTHER Hb Insj Perm Ccm-d Sys Pg&eltrd 13 11 $96,185.00 $67,329.50 30% off $38,474.00 $91,375.75 $60,894.72 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 18 — — $48,441.18 $277,074.80 $60,409.00 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 19 — — $9,038.26 $279,198.34 $60,293.25 2026-07-15
1794 APR_DRG Defibrillator Implants 10 9 — — $54,936.13 $137,340.33 $60,155.07 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 9 — — $54,852.51 $137,131.28 $60,063.50 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 19 — — $18,855.46 $277,994.76 $60,035.84 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 9 — — $54,777.49 $136,943.73 $59,981.35 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 10 9 — — $54,615.72 $136,539.30 $59,804.21 2026-07-15
6144 APR_DRG Neonate Birth Weight1500-1999 Grams With Or Without Other Significant Condition 10 9 — — $54,513.35 $136,283.38 $59,692.11 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 9 — — $54,127.30 $135,318.25 $59,269.40 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 9 — — $53,776.42 $134,441.05 $58,885.18 2026-07-15
105 MS_DRG Cardiac Valve Procedures Without 3 3 — — $57,064.20 $58,866.23 $58,866.23 2026-07-15
1643 OTHER Y90 Ibritumomab, Rx 21 16 — — $48,083.51 $289,722.97 $58,831.59 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 10 9 — — $53,700.62 $134,251.55 $58,802.18 2026-07-15
1783 APR_DRG External Heart Assist Systems 10 9 — — $53,324.73 $133,311.83 $58,390.58 2026-07-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 9 — — $53,248.14 $133,120.35 $58,306.71 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 9 — — $53,119.20 $132,798.00 $58,165.52 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $53,006.67 $132,516.68 $58,042.31 2026-07-15
4403 APR_DRG Kidney Transplant 10 9 — — $52,874.60 $132,186.50 $57,897.68 2026-07-15
106 MS_DRG Coronary Bypass W Cardiac Cath 3 3 — — $56,101.19 $57,872.80 $57,872.80 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 9 — — $52,446.35 $131,115.88 $57,428.75 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 9 — — $52,286.15 $130,715.38 $57,253.33 2026-07-15
9273 OTHER Sipuleucel-t Auto Cd54+ 21 16 — — $46,770.06 $281,808.87 $57,224.54 2026-07-15
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 21 16 — — $46,540.05 $280,422.96 $56,943.12 2026-07-15
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 21 16 — — $46,540.05 $280,422.96 $56,943.12 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 18 — — $45,625.92 $260,813.72 $56,898.20 2026-07-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 9 — — $51,949.33 $129,873.33 $56,884.51 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 19 — — $5,907.74 $262,482.73 $56,718.38 2026-07-15
6904 APR_DRG Acute Leukemia 10 9 — — $51,526.55 $128,816.38 $56,421.57 2026-07-15
10 MS_DRG Pancreas Transplant 30 19 — — $12,488.48 $260,922.80 $56,384.76 2026-07-15
33289 CPT Hb Cv Trans Cath Implant Wireless Pulm Pressure Sensor 16 12 $93,303.00 $65,312.10 30% off $34,131.46 $88,637.85 $56,359.68 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 19 — — $5,864.18 $259,428.33 $56,065.15 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 19 — — $5,079.33 $259,275.60 $56,032.48 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant 10 9 — — $50,847.45 $127,118.63 $55,677.96 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $50,769.30 $126,923.25 $55,592.39 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 9 — — $50,104.27 $125,260.68 $54,864.18 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 18 — — $43,983.48 $251,326.87 $54,849.99 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 9 — — $49,962.04 $124,905.10 $54,708.43 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $49,850.29 $124,625.73 $54,586.07 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 10 9 — — $49,626.79 $124,066.98 $54,341.33 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 19 — — $8,270.23 $250,094.20 $54,068.91 2026-07-15
234 APR_DRG Spinal Procedures 10 9 — — $48,964.10 $122,410.25 $53,615.69 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 9 — — $48,830.47 $122,076.18 $53,469.36 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 9 — — $48,812.49 $122,031.23 $53,449.68 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 18 — — $42,845.92 $244,756.26 $53,431.39 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 10 9 — — $48,304.53 $120,761.33 $52,893.46 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 9 — — $48,226.39 $120,565.98 $52,807.90 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 9 — — $48,135.73 $120,339.33 $52,708.62 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 19 — — $5,096.15 $243,134.51 $52,580.48 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 19 — — $4,628.00 $242,956.34 $52,542.38 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 9 — — $47,736.40 $119,341.00 $52,271.36 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 9 — — $47,579.32 $118,948.30 $52,099.35 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 18 — — $41,714.66 $238,222.01 $52,020.63 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 10 9 — — $47,423.81 $118,559.53 $51,929.07 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $47,287.05 $118,217.63 $51,779.32 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 19 — — $29,775.20 $239,091.06 $51,715.73 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 19 — — $13,884.01 $239,091.06 $51,715.73 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 10 9 — — $46,914.29 $117,285.73 $51,371.15 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 9 — — $46,886.16 $117,215.40 $51,340.35 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 9 — — $46,833.80 $117,084.50 $51,283.01 2026-07-15
4284 APR_DRG Genetic Disorders 10 9 — — $46,776.75 $116,941.88 $51,220.54 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 10 9 — — $46,588.41 $116,471.03 $51,014.31 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 9 — — $46,581.38 $116,453.45 $51,006.62 2026-07-15
0520T OTHER Hb Cv Remove/replace Wcs, Left Vent; Battery Component Only 16 12 $84,437.00 $59,105.90 30% off $28,522.90 $80,215.15 $51,004.17 2026-07-15
0515T OTHER Hb Cv Ins Wireless Card Stim Comlete Sys 16 12 $84,436.00 $59,105.20 30% off $28,522.90 $80,214.20 $51,003.57 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 9 — — $46,570.44 $116,426.10 $50,994.63 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 9 — — $46,397.73 $115,994.33 $50,805.51 2026-07-15
61 APR_DRG Pancreas Transplant 10 9 — — $46,288.33 $115,720.83 $50,685.72 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 19 — — $9,959.71 $233,978.56 $50,622.35 2026-07-15
6234 APR_DRG Neonate Birth Weight2000-2499 Grams With Congenital Or Perinatal Infection 10 9 — — $45,504.51 $113,761.28 $49,827.44 2026-07-15
274 APR_DRG Other Open Craniotomy 10 9 — — $45,195.83 $112,989.58 $49,489.43 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 9 — — $45,084.86 $112,712.15 $49,367.92 2026-07-15
4402 APR_DRG Kidney Transplant 10 9 — — $45,059.85 $112,649.63 $49,340.54 2026-07-15
6123 APR_DRG Neonate Birth Weight1500-1999 Grams With Respiratory Distress Syndrome Or Other … 10 9 — — $44,980.92 $112,452.30 $49,254.10 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 9 — — $44,694.12 $111,735.30 $48,940.06 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 18 — — $39,007.05 $222,582.71 $48,644.09 2026-07-15
4014 APR_DRG Adrenal Procedures 10 9 — — $44,329.17 $110,822.93 $48,540.44 2026-07-15
5204 APR_DRG Other GYN Procedures For Malignancy 10 9 — — $44,165.84 $110,414.60 $48,361.60 2026-07-15
6133 APR_DRG Neonate Birth Weight1500-1999 Grams With Congenital Or Perinatal Infection 10 9 — — $44,148.65 $110,371.63 $48,342.77 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 19 — — $7,282.47 $222,840.88 $48,240.40 2026-07-15
6113 APR_DRG Neonate Birth Weight1500-1999 Grams With Major Anomaly 10 9 — — $43,975.16 $109,937.90 $48,152.80 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 9 — — $43,922.02 $109,805.05 $48,094.61 2026-07-15
4414 APR_DRG Major Bladder Procedures 10 9 — — $43,719.62 $109,299.05 $47,872.98 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 19 — — $11,441.34 $220,448.26 $47,728.71 2026-07-15
1782 APR_DRG External Heart Assist Systems 10 9 — — $43,417.97 $108,544.93 $47,542.68 2026-07-15
A9543 HCPCS Hb Rad-supply Y90 Zevalin/dose 15 12 $67,800.00 $47,460.00 30% off $27,120.00 $100,330.83 $47,460.00 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 9 — — $43,341.38 $108,353.45 $47,458.82 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 9 — — $43,221.04 $108,052.60 $47,327.04 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 32 19 — — $12,045.08 $218,473.80 $47,306.44 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 19 — — $6,074.01 $218,411.99 $47,293.22 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 19 — — $16,139.62 $216,830.24 $46,954.94 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 18 — — $37,887.76 $216,117.55 $46,802.52 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 19 — — $10,380.35 $215,615.75 $46,695.20 2026-07-15
33231 CPT Hb Insert Implant Defib Generator Only W/existing Multiple Leads 16 12 $77,201.00 $54,040.70 30% off $970.00 $73,340.95 $46,633.26 2026-07-15
33230 CPT Hb Insert Implant Defib Generator Only W/existing Dual Leads 16 12 $77,201.00 $54,040.70 30% off $970.00 $73,340.95 $46,633.26 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 18 — — $37,392.32 $213,255.86 $46,630.42 2026-07-15
1142 OTHER Supprelin La Implant 21 16 — — $38,095.35 $229,540.18 $46,610.78 2026-07-15
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 21 16 — — $38,078.30 $229,437.44 $46,589.92 2026-07-15
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 21 16 — — $38,078.30 $229,437.44 $46,589.92 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 9 — — $42,306.71 $105,766.78 $46,325.85 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 19 — — $8,871.99 $213,394.03 $46,220.06 2026-07-15
4401 APR_DRG Kidney Transplant 10 9 — — $42,168.39 $105,420.98 $46,174.39 2026-07-15
6224 APR_DRG Neonate Birth Weight2000-2499 Grams With Respiratory Distress Syndrome Or Other … 10 9 — — $42,122.28 $105,305.70 $46,123.89 2026-07-15
Pulse Generator LOCAL Pulse Generator 1 1 — — $46,063.00 $46,063.00 $46,063.00 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 10 9 — — $41,990.21 $104,975.53 $45,979.28 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 10 9 — — $41,962.86 $104,907.15 $45,949.33 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 9 — — $41,837.83 $104,594.58 $45,812.43 2026-07-15
1793 APR_DRG Defibrillator Implants 10 9 — — $41,836.26 $104,590.65 $45,810.71 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 19 — — $8,887.83 $209,703.29 $45,430.74 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 9 — — $41,412.70 $103,531.75 $45,346.90 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 9 — — $41,405.67 $103,514.18 $45,339.21 2026-07-15
8633 APR_DRG Neonatal Aftercare 10 9 — — $41,255.63 $103,139.08 $45,174.91 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 19 — — $7,921.84 $208,365.17 $45,144.56 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 9 — — $41,092.30 $102,730.75 $44,996.07 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 18 — — $17,057.11 $207,514.30 $44,962.60 2026-07-15
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 9 — — $41,039.16 $102,597.90 $44,937.88 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 19 — — $7,096.41 $207,245.22 $44,905.05 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 9 — — $40,964.14 $102,410.35 $44,855.74 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 10 9 — — $40,932.88 $102,332.20 $44,821.51 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 10 9 — — $40,842.23 $102,105.58 $44,722.25 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 9 — — $40,836.76 $102,091.90 $44,716.25 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 10 9 — — $40,489.78 $101,224.45 $44,336.31 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 9 — — $40,473.37 $101,183.43 $44,318.34 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 19 — — $7,443.80 $204,427.16 $44,302.37 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 19 — — $9,090.72 $203,794.47 $44,167.05 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 10 9 — — $40,246.74 $100,616.85 $44,070.18 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 19 — — $5,789.96 $202,398.16 $43,868.43 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant 10 9 — — $39,909.15 $99,772.88 $43,700.52 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 29 18 — — $35,032.21 $199,623.74 $43,687.23 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 9 — — $39,894.30 $99,735.75 $43,684.26 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 10 9 — — $39,795.83 $99,489.58 $43,576.43 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 19 — — $9,335.18 $200,827.33 $43,532.49 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 10 9 — — $39,717.69 $99,294.23 $43,490.87 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 9 — — $39,574.68 $98,936.70 $43,334.28 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 9 — — $39,413.69 $98,534.23 $43,157.99 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 19 — — $10,728.73 $198,918.32 $43,124.22 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 19 — — $9,431.19 $198,634.70 $43,063.57 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 10 9 — — $39,319.91 $98,299.78 $43,055.30 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 9 — — $39,296.47 $98,241.18 $43,029.64 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 19 — — $7,654.62 $198,321.98 $42,996.68 2026-07-15
4034 APR_DRG Procedures For Obesity 10 9 — — $39,209.73 $98,024.33 $42,934.65 2026-07-15
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 9 — — $39,162.84 $97,907.10 $42,883.31 2026-07-15
107 MS_DRG Coronary Bypass Without Cardiac Cath 3 3 — — $41,543.17 $42,855.06 $42,855.06 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 19 — — $6,131.41 $197,529.29 $42,827.16 2026-07-15
1781 APR_DRG External Heart Assist Systems 10 9 — — $39,076.09 $97,690.23 $42,788.32 2026-07-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 10 9 — — $39,022.95 $97,557.38 $42,730.13 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 10 9 — — $39,022.95 $97,557.38 $42,730.13 2026-07-15
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