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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 GENERAL HOSPITAL

Pittsburgh, PA · CCN 390050 · Rates published

19,244 distinct procedures filed
777 distinct payers
1,385,484 rate rows
2026-04-14 last MRF observed
Data quality

1,192,691 of 1,385,484 rate rows are consumer-grade (86.1%)

192,793 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 163,794
exceeds 10× this hospital's gross charge — excluded from medians 20,813
per-diem day rate — not a per-procedure price 6,249
template filing: same amount across many unrelated codes — excluded 1,459
placeholder amount (≤ $0.02) — excluded from medians 478
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/250969492-1285667493_west-penn-allegheny-health-system-inc_standardcharges.csv
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint 4ccf66416e1791fa… · 361,193,381 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 $3,273,932.25 $4,771,475.00 $4,552,600.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 12 $2,756,210.94 $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 $2,774,709.00 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 12 $2,486,447.32 $4,551,776.00 $3,557,291.93 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 12 $2,439,167.40 $4,409,533.00 $3,478,200.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 12 $2,206,818.56 $3,982,804.00 $3,141,600.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 12 $1,833,937.25 $4,579,080.67 $2,554,248.40 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 13 $1,744,102.80 $4,897,200.00 $2,468,400.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 15 $576,346.70 $2,575,412.04 $815,694.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 15 $413,872.03 $1,849,392.05 $688,852.34 nat. median
$675,122
1.0× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 15 $404,808.69 $1,808,892.41 $657,039.31 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 15 $405,089.31 $1,810,146.37 $643,116.81 nat. median
$674,188
1.0× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 15 $432,528.95 $1,932,760.74 $610,132.43 nat. median
$754,974
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 $398,687.90 $1,781,541.58 $557,064.92 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 15 $366,261.59 $1,636,644.24 $516,654.60 nat. median
$620,080
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×
583
APR_DRG 		Neonate With Ecmo 7 $191,101.08 $778,956.59 $305,382.41 nat. median
$11,771
outlier · 25.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $252,430.80 $749,217.20 $288,100.37 nat. median
$370,174
0.8× median
Q2058
HCPCS 		Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 13 $202,213.46 $903,593.25 $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×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $145,861.19 $477,096.17 $222,422.16 nat. median
$281,646
0.8× median
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $81,224.43 $446,005.63 $217,824.62 nat. median
$50,490
outlier · 4.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $4,784.00 $826,798.35 $209,119.65 nat. median
$265,286
0.8× median
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×
0812
RC 		Cadaver Donor 5 $76,803.51 $255,007.50 $200,611.33 nat. median
$70,278
outlier · 2.9×
161
APR_DRG 		Implantable Heart Assist Systems 7 $119,771.18 $332,610.07 $191,040.64 nat. median
$181,791
1.1× 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×
2
APR_DRG 		Heart And/or Lung Transplant 7 $101,557.17 $445,710.19 $164,703.60 nat. median
$136,483
1.2× median
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $26,860.96 $312,856.06 $160,160.32 nat. median
$6,529
outlier · 24.5×
0811
RC 		Living Donor 5 $123,995.37 $193,142.00 $158,568.68 nat. median
$60,209
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $134,621.68 $599,048.69 $158,034.15 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $15.98 $446,798.24 $150,602.21 nat. median
$202,986
0.7× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $76,980.65 $275,061.32 $132,388.04 nat. median
$13,186
outlier · 10.0×
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×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $50,336.69 $326,064.96 $123,472.14 nat. median
$167,999
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$63,570
1.8× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$44,728
outlier · 2.6×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$54,196
outlier · 2.2×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$48,649
outlier · 2.4×
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×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $62,948.72 $826,798.35 $111,833.33 nat. median
$108,660
1.0× median
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×
7
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $64,844.29 $262,416.78 $109,528.35 nat. median
$93,823
1.2× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $47,748.44 $250,584.07 $109,210.65 nat. median
$123,597
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $1,869.20 $294,577.61 $106,916.20 nat. median
$133,176
0.8× median
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 13 $52,911.90 $354,656.15 $106,120.93 nat. median
$111,989
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $87,696.98 $507,259.71 $102,948.63 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 15 $87,476.08 $843,668.21 $101,738.48 nat. median
$122,708
0.8× 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×

Other procedures at this hospital

Browse this hospital's 19,244 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
             
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 55 15 $219,108.75 $52,586.10 76% off $41,841.99 $186,971.44 $71,002.44 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 43 13 $4,242.00 $1,018.08 76% off $3,953.64 $42,011.53 $30,977.49 2026-04-14
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 22 12 — — $3,273,932.25 $4,771,475.00 $4,552,600.00 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 39 12 — — $2,756,210.94 $4,978,505.00 $3,927,000.00 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 39 12 — — $2,774,709.00 $4,978,505.00 $3,927,000.00 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 39 12 — — $2,486,447.32 $4,551,776.00 $3,557,291.93 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 39 12 — — $2,439,167.40 $4,409,533.00 $3,478,200.00 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 39 12 — — $2,206,818.56 $3,982,804.00 $3,141,600.00 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 40 12 — — $1,833,937.25 $4,579,080.67 $2,554,248.40 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 42 13 — — $1,744,102.80 $4,897,200.00 $2,468,400.00 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 51 15 — — $576,346.70 $2,575,412.04 $815,694.00 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 54 15 — — $413,872.03 $1,849,392.05 $688,852.34 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 54 15 — — $404,808.69 $1,808,892.41 $657,039.31 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 54 15 — — $405,089.31 $1,810,146.37 $643,116.81 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 54 15 — — $432,528.95 $1,932,760.74 $610,132.43 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 — — $398,687.90 $1,781,541.58 $557,064.92 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 54 15 — — $366,261.59 $1,636,644.24 $516,654.60 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
583 APR_DRG Neonate With Ecmo 40 7 — — $191,101.08 $778,956.59 $305,382.41 2026-04-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 15 — — $252,430.80 $749,217.20 $288,100.37 2026-04-14
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 36 13 — — $202,213.46 $903,593.25 $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
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 40 7 — — $145,861.19 $477,096.17 $222,422.16 2026-04-14
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 7 — — $81,224.43 $446,005.63 $217,824.62 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 114 22 — — $4,784.00 $826,798.35 $209,119.65 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
0812 RC Cadaver Donor 36 5 — — $76,803.51 $255,007.50 $200,611.33 2026-04-14
161 APR_DRG Implantable Heart Assist Systems 30 7 — — $119,771.18 $332,610.07 $191,040.64 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
2 APR_DRG Heart And/or Lung Transplant 40 7 — — $101,557.17 $445,710.19 $164,703.60 2026-04-14
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 40 7 — — $26,860.96 $312,856.06 $160,160.32 2026-04-14
0811 RC Living Donor 12 5 — — $123,995.37 $193,142.00 $158,568.68 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 16 — — $134,621.68 $599,048.69 $158,034.15 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 115 20 — — $15.98 $446,798.24 $150,602.21 2026-04-14
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 40 7 — — $76,980.65 $275,061.32 $132,388.04 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
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 40 7 — — $50,336.69 $326,064.96 $123,472.14 2026-04-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $117,561.13 $117,561.13 $117,561.13 2026-04-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $117,561.13 $117,561.13 $117,561.13 2026-04-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $117,561.13 $117,561.13 $117,561.13 2026-04-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $117,561.13 $117,561.13 $117,561.13 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 57 16 — — $62,948.72 $826,798.35 $111,833.33 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
7 APR_DRG Allogeneic Bone Marrow Transplant 40 7 — — $64,844.29 $262,416.78 $109,528.35 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 40 7 — — $47,748.44 $250,584.07 $109,210.65 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 67 20 — — $1,869.20 $294,577.61 $106,916.20 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 49 13 — — $52,911.90 $354,656.15 $106,120.93 2026-04-14
14 MS_DRG Allogeneic Bone Marrow Transplant 45 16 — — $87,696.98 $507,259.71 $102,948.63 2026-04-14
7 MS_DRG Lung Transplant 40 15 — — $87,476.08 $843,668.21 $101,738.48 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
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $96,340.00 $96,340.00 $96,340.00 2026-04-14
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $53,523.86 $207,212.61 $94,415.50 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 49 13 — — $46,477.85 $311,530.21 $93,216.70 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
1 APR_DRG Liver Transplant And/or Intestinal Transplant 40 7 — — $54,655.43 $248,091.78 $88,000.67 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 40 7 — — $23,627.23 $289,948.17 $86,365.49 2026-04-14
6 APR_DRG Pancreas Transplant 40 7 — — $46,739.97 $162,053.36 $84,987.59 2026-04-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $84,937.30 $84,937.30 $84,937.30 2026-04-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $84,937.30 $84,937.30 $84,937.30 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 55 20 — — $13,306.00 $298,254.24 $83,221.68 2026-04-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 81 21 — — $2,635.02 $948,283.36 $82,128.53 2026-04-14
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $82,084.32 $82,084.32 $82,084.32 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 40 7 — — $27,728.18 $174,566.60 $81,826.99 2026-04-14
215 MS_DRG Other Heart Assist System Implant 57 20 — — $12,294.00 $220,878.48 $80,938.13 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 20 — — $3,038.00 $218,530.88 $80,077.88 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 55 15 — — $47,440.08 $211,986.58 $78,746.23 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 2026-04-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 40 7 — — $37,773.43 $332,405.53 $73,653.73 2026-04-14
237 MS_DRG Major Cardiovasc Procedures W Mcc 2 2 — — $70,240.35 $76,002.00 $73,121.18 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $36,648.17 $160,175.94 $72,069.38 2026-04-14
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 7 — — $2,881.00 $222,392.37 $71,802.42 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 43 16 — — $61,660.13 $254,325.11 $71,713.41 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 87 20 — — $2,577.84 $201,201.19 $70,216.79 2026-04-14
841 APR_DRG Extensive Third Degree Burns With Skin Graft 30 7 — — $39,403.71 $295,864.52 $69,457.68 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 49 13 — — $33,631.90 $225,426.79 $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
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 16 — — $51,624.09 $195,541.24 $65,968.58 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 20 — — $5,011.43 $188,196.71 $64,698.85 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 49 20 — — $8,930.00 $230,275.91 $64,323.19 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
10 MS_DRG Pancreas Transplant 43 16 — — $53,368.31 $280,096.75 $62,649.76 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
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 40 7 — — $36,955.92 $128,316.50 $61,830.40 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 15 — — $53,061.06 $509,577.15 $61,712.32 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 62 13 — — $42,499.08 $189,907.64 $61,086.39 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 67 20 — — $3,072.00 $212,107.86 $60,994.55 2026-04-14
178 APR_DRG External Heart Assist Devices 40 7 — — $39,457.37 $106,770.91 $60,306.43 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 20 — — $4,448.00 $162,951.61 $60,280.24 2026-04-14
440 APR_DRG Kidney Transplant 40 7 — — $42,579.84 $125,646.18 $59,797.37 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 40 7 — — $34,919.25 $127,696.58 $58,398.65 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 40 7 — — $29,305.60 $190,935.69 $58,077.56 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
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 40 7 — — $7,155.56 $151,557.70 $56,853.29 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 105 20 — — $2,858.80 $161,308.71 $56,799.35 2026-04-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 91 20 — — $2,087.20 $158,404.42 $56,478.50 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 7 — — $32,892.84 $110,016.95 $56,456.08 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 40 7 — — $6,779.16 $319,714.28 $56,429.41 2026-04-14
J9226 HCPCS Supprelin La Implant 55 15 — — $35,787.69 $152,262.83 $56,301.78 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 40 7 — — $34,037.83 $116,714.83 $55,469.24 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 61 20 — — $46,398.08 $170,967.44 $54,501.18 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
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 40 7 — — $31,204.96 $112,281.99 $52,972.01 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 40 7 — — $33,850.81 $100,873.49 $52,472.50 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 55 20 — — $1,839.32 $165,169.12 $52,164.15 2026-04-14
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 40 7 — — $19,633.60 $91,358.84 $51,753.20 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 20 — — $582.32 $148,000.80 $51,650.50 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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 43 16 — — $17,646.56 $139,240.05 $51,508.69 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 61 20 — — $28,650.00 $139,775.87 $50,731.30 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 97 20 — — $1,586.50 $145,036.07 $50,615.84 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 73 20 — — $7,966.00 $152,053.89 $50,451.32 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 20 — — $33,712.04 $134,630.33 $49,803.43 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 16 — — $42,331.97 $182,426.01 $49,507.77 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
183 APR_DRG Percutaneous Structural Cardiac Procedures 40 7 — — $32,211.06 $96,094.70 $48,879.88 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 73 20 — — $2,015.00 $156,167.93 $48,427.91 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 57 20 — — $940.11 $131,704.57 $47,999.84 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 16 — — $41,220.10 $161,690.13 $47,940.77 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $21,953.55 $104,942.72 $47,690.80 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 45 16 — — $40,401.43 $507,259.71 $47,427.77 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 67 20 — — $23,945.38 $147,332.40 $47,321.25 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 49 13 — — $23,539.54 $157,780.06 $47,211.27 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 44 16 — — $40,401.43 $507,259.71 $47,208.19 2026-04-14
179 APR_DRG Defibrillator Implants 40 7 — — $29,524.18 $88,755.44 $46,853.80 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 67 20 — — $17.12 $170,801.77 $46,810.03 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 16 — — $30,617.34 $124,032.79 $46,748.82 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 16 — — $6,715.36 $180,161.91 $46,716.61 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 16 — — $32,164.52 $176,379.20 $46,637.50 2026-04-14
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 40 7 — — $28,430.48 $89,928.36 $45,423.75 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 85 20 — — $4,200.00 $124,893.85 $45,329.91 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 69 20 — — $1,814.50 $126,743.16 $44,681.85 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 61 20 — — $254.00 $131,428.46 $44,054.85 2026-04-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 40 7 — — $14,309.54 $133,220.28 $44,024.84 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 40 7 — — $21,879.38 $90,057.14 $43,567.91 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 87 20 — — $1,245.09 $122,671.35 $43,306.57 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 40 7 — — $16,829.14 $131,995.60 $43,282.29 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 49 20 — — $5,593.00 $151,253.17 $42,991.65 2026-04-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 16 — — $36,420.53 $509,577.15 $42,754.54 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 49 20 — — $13,155.81 $188,003.44 $42,626.84 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
0001 RC Total Charge 24 7 — — $13,781.35 $75,478.59 $42,555.74 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 61 20 — — $2,682.00 $114,777.91 $42,459.48 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 49 20 — — $2,275.00 $114,046.11 $42,188.76 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 73 20 — — $20,000.00 $136,867.83 $42,145.41 2026-04-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $42,101.03 $42,101.03 $42,101.03 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 49 13 — — $20,894.93 $140,053.90 $41,907.21 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 20 — — $2,927.00 $115,358.84 $41,221.59 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 55 20 — — $3,090.28 $151,115.11 $41,216.24 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 40 7 — — $22,692.94 $98,836.98 $41,170.90 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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 73 20 — — $728.38 $115,548.16 $40,867.59 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 67 20 — — $3,839.00 $160,392.42 $40,695.00 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 64 21 — — $8,790.29 $110,914.60 $40,449.71 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 20 — — $1,969.80 $110,422.56 $40,077.59 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 40 7 — — $20,885.90 $86,759.34 $40,068.10 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
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 7 — — $24,746.97 $83,929.94 $39,970.12 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 79 20 — — $2,876.43 $119,638.55 $39,860.50 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 40 7 — — $24,694.88 $77,123.48 $39,756.16 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
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $39,596.40 $39,596.40 $39,596.40 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 55 20 — — $1,108.00 $107,366.10 $39,342.95 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 16 — — $23,633.65 $104,386.77 $38,979.81 2026-04-14
238 MS_DRG Major Cardiovasc Procedures Without Mcc 1 1 — — $38,961.86 $38,961.86 $38,961.86 2026-04-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 16 — — $29,835.57 $126,900.25 $38,949.45 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 40 7 — — $14,906.89 $165,641.56 $38,882.19 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 61 20 — — $3,677.00 $105,005.99 $38,844.58 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 50 20 — — $32,458.37 $948,283.36 $38,808.92 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 63 20 — — $1,650.00 $106,211.06 $38,549.04 2026-04-14
91 APR_DRG Other Major Head And Neck Procedures 40 7 — — $15,455.31 $88,237.79 $38,159.14 2026-04-14
910 APR_DRG Craniotomy For Multiple Significant Trauma 40 7 — — $21,905.42 $95,811.89 $38,124.82 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 63 20 — — $2,975.00 $141,451.26 $38,068.62 2026-04-14
245 MS_DRG Aicd Generator Procedures 43 16 — — $32,710.06 $132,947.06 $38,043.23 2026-04-14
863 APR_DRG Neonatal Aftercare 40 7 — — $11,768.64 $130,294.93 $38,021.36 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 40 7 — — $23,268.98 $80,177.61 $37,880.67 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 49 13 — — $18,861.15 $126,421.88 $37,828.21 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 109 20 — — $1,242.62 $107,013.75 $37,718.88 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $37,500.00 $37,500.00 $37,500.00 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 91 20 — — $1,229.50 $105,885.82 $37,308.88 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 49 20 — — $17,468.84 $133,388.84 $36,829.27 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 49 20 — — $22,637.05 $99,126.57 $36,669.62 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 73 20 — — $1,981.15 $101,263.59 $36,480.67 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 65 20 — — $19,919.94 $272,805.05 $35,867.22 2026-04-14
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 40 7 — — $11,078.96 $88,072.40 $35,766.82 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
690 APR_DRG Acute Leukemia 40 7 — — $12,586.15 $83,246.89 $35,712.69 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 21 — — $1,959.58 $95,744.86 $35,418.63 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 67 20 — — $844.42 $98,957.90 $35,407.94 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 40 7 — — $17,783.95 $84,732.93 $35,270.76 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 61 20 — — $1,277.00 $113,702.18 $35,203.63 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 85 20 — — $2,640.00 $110,637.36 $34,925.08 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 96 20 — — $1,012.40 $108,235.20 $34,592.52 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 49 20 — — $1,884.00 $93,495.26 $34,586.44 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 40 7 — — $17,701.09 $75,795.26 $34,343.60 2026-04-14
23 APR_DRG Spinal Procedures 40 7 — — $15,272.24 $79,106.96 $34,312.28 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 49 13 — — $17,094.22 $114,578.60 $34,284.44 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 49 20 — — $5,243.00 $92,365.24 $34,168.42 2026-04-14
851 APR_DRG Gender Related Procedures 30 7 — — $17,299.44 $152,846.78 $34,116.82 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 40 7 — — $15,736.23 $75,749.81 $34,109.48 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
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 55 15 — — $22,327.10 $94,993.21 $33,710.48 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 43 16 — — $24,353.00 $90,207.37 $33,684.98 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 40 7 — — $16,462.20 $91,131.58 $33,682.57 2026-04-14
27 APR_DRG Other Open Craniotomy 40 7 — — $16,053.45 $73,018.90 $33,650.10 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $28,902.54 $123,724.98 $33,614.91 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 55 20 — — $4,489.00 $119,859.44 $33,558.05 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 85 20 — — $2,206.00 $95,732.35 $33,524.84 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 117 20 — — $841.40 $174,133.56 $33,292.25 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 61 20 — — $22,437.22 $107,793.42 $32,849.56 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 85 20 — — $2,802.00 $94,056.09 $32,824.44 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 49 20 — — $20,643.85 $87,363.56 $32,318.16 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 55 20 — — $94.12 $110,444.08 $32,308.94 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 73 20 — — $2,158.00 $88,929.32 $32,276.67 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
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 40 7 — — $13,947.34 $66,182.13 $32,229.96 2026-04-14
0210 RC Coronary Care - General Classification 96 5 — — $8,482.40 $98,738.91 $32,199.10 2026-04-14
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 40 7 — — $14,916.36 $67,839.87 $32,110.92 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 67 20 — — $88.10 $87,357.31 $32,010.98 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 40 7 — — $14,525.75 $93,130.21 $31,846.34 2026-04-14
441 APR_DRG Major Bladder Procedures 40 7 — — $18,831.87 $70,633.92 $31,827.29 2026-04-14
120 APR_DRG Major Respiratory And Chest Procedures 40 7 — — $16,504.82 $78,041.36 $31,737.21 2026-04-14
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 40 7 — — $13,007.52 $86,881.80 $31,675.10 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 55 20 — — $18,896.59 $96,666.18 $31,663.89 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 49 20 — — $19,690.75 $93,794.63 $31,647.94 2026-04-14
791 MS_DRG Prematurity With Major Problems 41 16 — — $2,651.40 $84,649.02 $31,609.39 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 41 16 — — $6,219.38 $86,952.84 $31,559.31 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 36 13 — — $20,512.55 $102,183.68 $31,514.92 2026-04-14
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 40 7 — — $16,527.70 $80,949.03 $31,428.75 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 55 20 — — $24,840.06 $91,530.53 $31,395.97 2026-04-14
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $31,307.40 $31,307.40 $31,307.40 2026-04-14
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $31,307.40 $31,307.40 $31,307.40 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 85 20 — — $857.34 $86,740.18 $31,197.08 2026-04-14
623 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 40 7 — — $10,003.42 $73,517.61 $31,154.46 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 43 16 — — $26,646.67 $104,700.99 $30,991.24 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 85 20 — — $1,167.00 $85,130.64 $30,897.95 2026-04-14
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 40 7 — — $19,250.88 $66,131.63 $30,823.50 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 109 20 — — $884.86 $96,090.96 $30,676.38 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 16 — — $26,356.15 $111,300.02 $30,653.35 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 100 21 — — $1,415.38 $85,726.92 $30,588.38 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
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 40 7 — — $13,524.38 $77,768.65 $30,524.28 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 49 20 — — $17,107.04 $82,276.41 $30,436.28 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 67 20 — — $1,108.65 $83,051.99 $30,433.35 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 40 7 — — $16,091.33 $61,917.20 $30,432.82 2026-04-14
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 40 7 — — $18,306.33 $60,870.54 $30,385.46 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 49 20 — — $1,876.92 $99,537.73 $30,305.94 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 46 13 — — $14,425.28 $96,689.27 $30,088.82 2026-04-14
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $13,843.97 $68,053.25 $29,952.26 2026-04-14
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 40 7 — — $13,590.67 $76,869.70 $29,921.33 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 49 20 — — $3.05 $80,579.30 $29,808.48 2026-04-14
181 APR_DRG Lower Vascular Procedures 40 7 — — $15,441.11 $65,985.17 $29,754.24 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 55 20 — — $26,029.49 $108,262.81 $29,707.57 2026-04-14
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 40 7 — — $18,260.56 $54,820.36 $29,677.54 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 73 20 — — $1,419.25 $81,919.89 $29,667.89 2026-04-14
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 40 7 — — $15,408.76 $63,677.21 $29,642.39 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 67 20 — — $868.25 $101,249.61 $29,587.33 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 53 20 — — $23,242.79 $209,225.83 $29,306.12 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 61 20 — — $1,092.66 $80,679.40 $29,215.79 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 67 20 — — $11,427.34 $80,289.50 $29,161.20 2026-04-14
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 40 7 — — $5,359.57 $102,915.05 $29,157.17 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 20 — — $59.00 $83,992.72 $28,765.54 2026-04-14
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 40 7 — — $14,010.47 $75,257.41 $28,716.06 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
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 55 20 — — $15,053.90 $78,058.66 $28,603.61 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 38 13 — — $18,511.28 $92,214.35 $28,307.95 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 49 13 — — $14,103.16 $94,530.21 $28,285.52 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 55 20 — — $16,852.27 $75,554.69 $28,213.42 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 49 13 — — $14,036.57 $94,083.85 $28,151.96 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 85 20 — — $3,368.00 $131,373.23 $28,140.04 2026-04-14
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 40 7 — — $14,492.61 $75,665.22 $27,957.10 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 55 20 — — $1,369.50 $78,553.35 $27,873.24 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 49 20 — — $2,190.50 $85,262.83 $27,648.18 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 49 20 — — $23,995.19 $98,571.34 $27,646.63 2026-04-14
265 MS_DRG Aicd Lead Procedures 49 20 — — $14,095.62 $95,893.07 $27,510.12 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 56 21 — — $8,237.66 $74,718.65 $27,510.08 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 43 16 — — $23,624.34 $92,276.03 $27,476.14 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 98 20 — — $1,661.00 $78,638.26 $27,443.81 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 16 — — $23,244.00 $85,649.38 $27,276.83 2026-04-14
332 MS_DRG Rectal Resection With Mcc 43 16 — — $23,218.02 $103,789.82 $27,255.94 2026-04-14
0250-1402-1405 EAPG Cochlear Device Implantation 1 1 — — $27,219.32 $27,219.32 $27,219.32 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 49 20 — — $20,450.53 $98,737.01 $27,150.71 2026-04-14
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 40 7 — — $11,887.00 $63,937.30 $27,022.26 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 49 20 — — $11,567.40 $93,932.69 $27,002.63 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 16 — — $20,720.24 $89,873.87 $26,973.98 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 55 20 — — $13,810.02 $72,865.17 $26,954.81 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 73 20 — — $8,449.49 $74,034.80 $26,870.74 2026-04-14
92 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 40 7 — — $13,958.39 $72,208.33 $26,811.01 2026-04-14
363 APR_DRG Breast Procedures Except Mastectomy 40 7 — — $11,797.05 $44,656.75 $26,810.86 2026-04-14
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