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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

WEST PENN HOSPITAL

Pittsburgh, PA · CCN 390090 · Rates published

20,518 distinct procedures filed
876 distinct payers
1,346,796 rate rows
2026-04-14 last MRF observed
Data quality

1,084,743 of 1,346,796 rate rows are consumer-grade (80.5%)

262,053 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 237,506
exceeds 10× this hospital's gross charge — excluded from medians 21,023
template filing: same amount across many unrelated codes — excluded 1,668
per-diem day rate — not a per-procedure price 1,362
placeholder amount (≤ $0.02) — excluded from medians 494
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://goldteamstorage.blob.core.windows.net/hpifilestorage/7879/250969492_HPI-CDM---West-Penn_standardcharges.json
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 49301bebddc90cbe… · 182,198,867 bytes · first seen 2026-05-13

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 $3,573,845.96 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 16 $576,346.70 $2,550,752.20 $815,694.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 16 $413,872.03 $1,831,683.93 $688,852.34 nat. median
$675,122
1.0× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 16 $404,808.69 $1,791,572.08 $657,039.31 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 16 $405,089.31 $1,792,814.02 $643,116.81 nat. median
$674,188
1.0× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 16 $432,528.95 $1,914,254.36 $601,457.56 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 		Axicabtagene Ciloleucel Intravenous Suspension 16 $398,687.90 $1,764,483.14 $554,399.54 nat. median
$634,511
0.9× median
0891
RC 		Special Processed Drugs ? Fda (food And Drug Administration) Approved Cell Thera… 5 $462,000.00 $2,694,393.40 $528,312.43 nat. median
$79
outlier · 6678.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 16 $366,261.59 $1,620,973.20 $509,308.80 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $6,122.00 $833,161.99 $503,580.00 nat. median
$370,174
1.4× 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 $202,213.46 $894,941.25 $289,301.25 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×
583
APR_DRG 		Neonate With Ecmo 9 $115,255.08 $778,956.59 $278,467.82 nat. median
$11,771
outlier · 23.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $150,117.57 $901,522.31 $257,614.94 nat. median
$265,286
1.0× median
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $145,861.19 $477,096.17 $207,909.64 nat. median
$281,646
0.7× median
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $81,224.43 $446,005.63 $207,898.04 nat. median
$50,490
outlier · 4.1×
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×
161
APR_DRG 		Implantable Heart Assist Systems 9 $32,310.38 $332,610.07 $185,668.66 nat. median
$181,791
1.0× 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×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $6,134.00 $473,474.77 $165,162.71 nat. median
$202,986
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $2,145.65 $559,424.42 $157,198.57 nat. median
$206,368
0.8× median
2
APR_DRG 		Heart And/or Lung Transplant 9 $97,391.53 $445,710.19 $152,394.05 nat. median
$136,483
1.1× median
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $26,860.96 $312,856.06 $148,044.59 nat. median
$6,529
outlier · 22.7×
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $76,980.65 $275,061.32 $126,030.04 nat. median
$13,186
outlier · 9.6×
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) 8 $50,336.69 $326,064.96 $123,472.14 nat. median
$167,999
0.7× median
0815
RC 		Allogenic Stem Cell Acquisition/donor Services 4 $78,503.00 $157,006.00 $117,754.50 nat. median
$847
outlier · 139.1×
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×
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
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×
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×
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×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $74,615.54 $312,165.65 $109,409.15 nat. median
$133,176
0.8× median
0362
RC 		Organ Transplant - Other Than Kidney 4 $8,267.00 $208,265.00 $108,266.00 nat. median
$170
outlier · 637.3×
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $47,748.44 $250,584.07 $107,997.80 nat. median
$123,597
0.9× median
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 13 $52,911.90 $351,260.28 $106,120.93 nat. median
$111,989
0.9× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $64,844.29 $262,416.78 $104,761.25 nat. median
$93,823
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $5,789.00 $503,580.00 $103,361.35 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 15 $87,826.77 $919,916.81 $102,146.36 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×
0100
RC 		All-inclusive Room And Board Plus Ancillary 4 $99,999.99 $99,999.99 $99,999.99 nat. median
$859
outlier · 116.4×

Other procedures at this hospital

Browse this hospital's 20,518 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 15 — — $23,335.97 $503,580.00 $27,140.75 2026-04-14
332 MS_DRG Rectal Resection With Mcc 43 16 — — $23,311.10 $96,924.61 $27,365.21 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 16 — — $23,304.21 $79,984.08 $27,386.19 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 16 — — $20,450.53 $92,206.02 $27,516.73 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 43 16 — — $23,719.06 $86,172.40 $27,586.29 2026-04-14
623 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 51 9 — — $10,003.42 $73,517.61 $27,751.07 2026-04-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 16 — — $17,459.38 $78,455.12 $27,756.69 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 48 19 — — $24,091.39 $92,051.31 $27,757.47 2026-04-14
265 MS_DRG Aicd Lead Procedures 43 16 — — $23,972.43 $89,550.19 $27,880.98 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 17 — — $15,844.16 $79,179.80 $28,013.08 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 16 — — $23,199.03 $79,623.09 $28,020.90 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 53 19 — — $16,895.93 $80,065.76 $28,061.79 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 49 13 — — $14,036.57 $93,182.99 $28,151.96 2026-04-14
0117 RC Oncology 93 6 — — $4,704.00 $159,936.00 $28,224.00 2026-04-14
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 52 9 — — $11,533.15 $63,677.21 $28,230.84 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 19 — — $14,165.55 $80,607.06 $28,251.51 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 49 13 — — $14,103.16 $93,625.07 $28,285.52 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 38 13 — — $18,823.47 $92,831.04 $28,307.95 2026-04-14
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 52 9 — — $10,965.71 $75,257.41 $28,317.64 2026-04-14
181 APR_DRG Lower Vascular Procedures 52 9 — — $11,550.06 $65,985.17 $28,398.29 2026-04-14
0250-1402-1405 EAPG Cochlear Device Implantation 1 1 — — $28,580.28 $28,580.28 $28,580.28 2026-04-14
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 52 9 — — $19,250.88 $66,131.63 $28,580.97 2026-04-14
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 52 9 — — $13,843.97 $68,053.25 $28,587.30 2026-04-14
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 52 9 — — $9,325.36 $76,869.70 $28,618.29 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
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 48 8 — — $18,260.56 $54,820.36 $28,744.19 2026-04-14
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 52 9 — — $11,875.23 $60,870.54 $28,797.98 2026-04-14
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 52 9 — — $5,359.57 $102,915.05 $28,981.85 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 19 — — $1,307.00 $82,719.22 $28,991.79 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 48 8 — — $16,091.33 $61,917.20 $29,045.96 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 19 — — $2,845.00 $85,390.37 $29,424.05 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
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
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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 16 — — $22,853.45 $83,987.41 $29,713.97 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 49 19 — — $11,090.10 $83,333.43 $29,758.14 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 58 19 — — $2,473.00 $85,083.26 $29,820.35 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 48 19 — — $1,137.50 $85,301.99 $29,897.01 2026-04-14
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 52 9 — — $9,810.71 $77,768.65 $29,911.09 2026-04-14
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 52 9 — — $11,749.67 $80,949.03 $29,932.14 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 46 13 — — $14,425.28 $95,763.46 $29,944.17 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 16 — — $25,688.25 $122,683.51 $30,155.77 2026-04-14
441 APR_DRG Major Bladder Procedures 52 9 — — $10,305.71 $70,633.92 $30,311.70 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 16 — — $26,133.84 $101,101.73 $30,394.79 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 19 — — $1,426.00 $88,010.69 $30,409.86 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 58 19 — — $3,514.76 $103,938.05 $30,488.61 2026-04-14
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 51 13 $121,894.00 $88,982.62 27% off $432.89 $102,867.04 $30,488.85 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 58 19 — — $4,277.12 $97,775.51 $30,533.88 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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 19 — — $17,151.36 $87,188.80 $30,558.31 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 16 — — $26,278.34 $94,552.42 $30,562.85 2026-04-14
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 52 9 — — $9,345.48 $86,881.80 $30,610.77 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 16 — — $11,277.59 $86,811.00 $30,712.93 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 43 16 — — $26,408.72 $92,953.77 $30,714.49 2026-04-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 48 8 — — $13,947.34 $66,182.13 $30,761.19 2026-04-14
120 APR_DRG Major Respiratory And Chest Procedures 52 9 — — $13,946.19 $78,041.36 $30,767.80 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 38 12 $4,242.00 $1,145.34 73% off $11,117.24 $41,873.48 $31,145.85 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
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
791 MS_DRG Prematurity With Major Problems 56 19 — — $288.00 $89,703.08 $31,439.52 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 53 19 — — $1,687.50 $90,272.16 $31,493.72 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 36 13 — — $20,858.48 $102,867.04 $31,514.92 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 52 9 — — $11,139.57 $93,130.21 $31,704.46 2026-04-14
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 52 9 — — $13,133.26 $67,839.87 $31,771.53 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 16 — — $19,983.62 $90,213.44 $31,916.68 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 16 — — $25,520.44 $90,659.74 $32,074.58 2026-04-14
27 APR_DRG Other Open Craniotomy 48 8 — — $16,053.45 $73,018.90 $32,116.62 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 43 16 — — $24,904.40 $90,794.51 $32,122.26 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 53 19 — — $18,225.66 $92,573.06 $32,139.32 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 17 — — $22,004.52 $90,845.33 $32,440.61 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 16 — — $6,271.02 $91,919.09 $32,520.12 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 19 — — $2,529.00 $94,238.94 $32,561.87 2026-04-14
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 56 16 $93,853.03 $25,340.32 73% off $22,327.10 $94,083.64 $32,586.80 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 52 9 — — $14,371.97 $75,795.26 $32,708.19 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 16 — — $20,697.32 $92,579.69 $32,753.84 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 52 9 — — $10,973.76 $75,749.81 $32,916.20 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 51 9 — — $15,062.56 $91,131.58 $32,959.13 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 53 19 — — $28,625.24 $100,663.39 $32,981.26 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 43 16 — — $4,766.12 $103,138.72 $33,056.34 2026-04-14
851 APR_DRG Gender Related Procedures 36 8 — — $17,299.44 $152,846.78 $33,082.99 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 52 9 — — $17,783.95 $84,732.93 $33,591.20 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $29,018.41 $115,541.15 $33,749.67 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 44 17 — — $24,416.08 $95,593.29 $33,820.02 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
23 APR_DRG Spinal Procedures 52 9 — — $13,208.11 $79,106.96 $34,127.62 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 49 13 — — $17,094.22 $113,481.50 $34,284.44 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 53 19 — — $24,093.04 $97,880.00 $34,305.40 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 16 — — $29,521.12 $111,931.30 $34,334.35 2026-04-14
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 51 9 — — $11,078.96 $88,072.40 $34,356.78 2026-04-14
863 APR_DRG Neonatal Aftercare 52 9 — — $7,328.45 $130,294.93 $34,384.56 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 73 19 — — $426.54 $101,448.15 $34,885.11 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 53 19 — — $1,701.00 $99,077.48 $35,052.70 2026-04-14
91 APR_DRG Other Major Head And Neck Procedures 52 9 — — $10,741.96 $88,237.79 $35,096.62 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 52 9 — — $14,353.46 $80,177.61 $35,178.77 2026-04-14
690 APR_DRG Acute Leukemia 52 9 — — $10,758.86 $83,246.89 $35,221.29 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 53 19 — — $10,494.00 $99,671.81 $35,262.96 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 45 16 — — $23,544.61 $98,803.52 $35,282.46 2026-04-14
0174 RC Newborn - Level IV 35 4 — — $3,160.46 $182,844.00 $35,412.03 2026-04-14
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 27 9 — — $913.54 $222,392.37 $35,414.00 2026-04-14
0024 RC Inpatient Rehabilitation Facility Prospective Payment System 40 6 — — $16,807.48 $55,741.86 $35,502.60 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 53 19 — — $9,728.47 $101,828.16 $35,689.17 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 15 — — $24,192.66 $503,580.00 $35,842.74 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 52 9 — — $14,906.89 $165,641.56 $35,947.61 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 17 — — $22,229.90 $101,461.40 $36,231.58 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 16 — — $30,937.05 $106,181.31 $36,364.32 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 16 — — $3,700.07 $103,938.12 $36,772.34 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 19 — — $13,165.10 $105,040.60 $36,815.08 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 19 — — $6,933.00 $103,381.36 $36,920.50 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 19 — — $32,093.18 $124,565.79 $36,976.92 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 43 16 — — $22,695.69 $105,045.02 $37,163.96 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 51 9 — — $24,694.88 $77,123.48 $37,261.30 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
910 APR_DRG Craniotomy For Multiple Significant Trauma 51 9 — — $21,905.42 $95,811.89 $37,593.99 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 49 13 — — $18,861.15 $125,211.38 $37,828.21 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 41 15 — — $32,588.50 $1,033,986.82 $37,901.84 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 43 16 — — $22,477.82 $107,309.64 $37,965.16 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 83 19 — — $820.35 $110,502.19 $38,096.28 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 52 9 — — $15,245.27 $86,759.34 $38,160.09 2026-04-14
245 MS_DRG Aicd Generator Procedures 43 16 — — $32,841.20 $124,153.23 $38,195.74 2026-04-14
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 8 — — $24,746.97 $83,929.94 $38,215.11 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 63 19 — — $17,331.68 $111,275.47 $38,264.45 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 73 19 — — $660.00 $112,207.83 $38,585.06 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 19 — — $4,199.77 $110,619.29 $38,770.32 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 $118,506.39 $39,105.60 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 52 9 — — $19,524.02 $98,836.98 $39,210.38 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 16 — — $33,489.09 $132,094.92 $39,313.28 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
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
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $39,694.21 $39,694.21 $39,694.21 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 19 — — $729.50 $113,403.11 $39,746.01 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 16 — — $24,213.24 $112,552.50 $39,820.03 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 43 16 — — $26,669.87 $113,776.49 $40,253.07 2026-04-14
0173 RC Newborn - Level Iii 97 6 — — $1,623.74 $697,077.00 $40,378.03 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
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 52 9 — — $24,176.24 $89,928.36 $41,412.52 2026-04-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 19 — — $7,973.72 $119,322.04 $41,425.97 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 52 9 — — $21,879.38 $90,057.14 $41,582.46 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 19 — — $6,616.00 $119,934.04 $41,638.44 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 19 — — $3,630.76 $141,119.55 $41,775.59 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 17 — — $28,660.72 $117,536.86 $41,777.76 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 16 — — $27,969.56 $117,015.45 $41,785.89 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 52 9 — — $16,829.14 $131,995.60 $41,831.38 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 49 13 — — $20,894.93 $138,712.87 $41,907.21 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 16 — — $35,892.45 $149,783.21 $42,134.61 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 16 — — $31,387.81 $119,209.36 $42,175.17 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 78 19 — — $2,281.38 $175,567.89 $42,393.98 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 16 — — $36,566.54 $555,631.46 $42,727.21 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 16 — — $28,224.99 $120,855.35 $42,757.50 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $10,575.43 $121,630.84 $43,031.87 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 48 19 — — $16,689.05 $141,248.48 $43,164.00 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
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 52 9 — — $14,309.54 $133,220.28 $44,024.84 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 16 — — $32,154.10 $126,038.56 $44,591.27 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $37,240.16 $127,814.66 $44,859.38 2026-04-14
179 APR_DRG Defibrillator Implants 48 8 — — $29,524.18 $88,755.44 $45,063.93 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 19 — — $35,760.17 $128,627.95 $45,082.08 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 91 19 — — $121.60 $349,193.34 $45,166.71 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 52 9 — — $21,953.55 $104,942.72 $45,517.46 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 48 8 — — $32,211.06 $96,094.70 $45,918.72 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 16 — — $28,074.74 $129,995.56 $46,156.01 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 68 20 — — $5,267.00 $503,580.00 $46,295.19 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 16 — — $32,164.52 $164,712.54 $46,824.47 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 16 — — $33,423.74 $132,350.76 $46,824.47 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 16 — — $30,696.65 $131,438.29 $46,936.24 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 45 16 — — $26,696.58 $134,310.48 $47,073.71 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 52 9 — — $31,660.03 $100,873.49 $47,136.32 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 49 13 — — $23,539.54 $156,269.30 $47,211.27 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 16 — — $41,385.36 $150,995.09 $48,132.97 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 16 — — $35,835.29 $134,955.62 $48,192.27 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 16 — — $41,574.88 $159,504.03 $48,353.40 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 16 — — $34,445.35 $137,587.05 $48,415.93 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 61 19 — — $40,563.40 $503,580.00 $48,499.72 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 99 20 — — $28.53 $147,553.51 $48,787.91 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
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 52 9 — — $19,633.60 $91,358.84 $49,394.74 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 16 — — $42,501.68 $170,359.38 $49,636.01 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 19 — — $42,491.49 $145,838.15 $50,082.85 2026-04-14
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 52 9 — — $24,345.27 $112,281.99 $50,449.53 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 16 — — $33,799.37 $142,668.57 $50,474.82 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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 19 — — $5,426.00 $147,303.85 $51,627.68 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 16 — — $31,703.34 $148,121.32 $52,403.95 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 16 — — $44,940.61 $154,243.96 $53,370.86 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 63 19 — — $8,566.00 $206,985.92 $53,867.89 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 8 — — $32,892.84 $110,016.95 $53,883.30 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 52 9 — — $6,779.16 $319,714.28 $54,128.47 2026-04-14
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 52 9 — — $7,155.56 $151,557.70 $54,286.74 2026-04-14
J9226 HCPCS Supprelin La Implant 56 16 — — $35,787.69 $150,804.89 $54,425.06 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 50 8 — — $34,037.83 $161,062.00 $54,460.53 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $13,918.02 $156,837.33 $54,969.02 2026-04-14
0344 RC Therapeutic Radiopharmaceuticals 104 6 — — $2,500.20 $160,980.48 $55,161.75 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 16 — — $46,518.27 $159,658.74 $55,235.90 2026-04-14
440 APR_DRG Kidney Transplant 52 9 — — $29,828.93 $125,646.18 $55,247.24 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 52 9 — — $25,323.20 $190,935.69 $55,311.96 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 52 9 — — $34,919.25 $127,696.58 $55,748.35 2026-04-14
178 APR_DRG External Heart Assist Devices 48 8 — — $39,457.37 $106,770.91 $57,015.77 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 16 — — $43,100.02 $164,901.57 $58,340.65 2026-04-14
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 52 9 — — $27,865.82 $128,316.50 $58,917.11 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 16 — — $35,602.40 $170,939.81 $60,476.92 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 45 16 — — $36,736.81 $172,680.80 $61,092.87 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 61 13 — — $42,499.08 $188,089.26 $61,370.51 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 15 — — $53,273.78 $503,580.00 $61,959.73 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
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
10 MS_DRG Pancreas Transplant 42 16 — — $53,582.27 $503,580.00 $62,609.71 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 16 — — $54,173.03 $198,077.91 $63,005.59 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 16 — — $56,051.49 $215,044.23 $65,190.32 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $51,206.15 $187,103.64 $66,195.54 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 16 — — $51,624.09 $187,209.69 $66,233.05 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
841 APR_DRG Extensive Third Degree Burns With Skin Graft 40 9 — — $39,403.71 $295,864.52 $67,352.90 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 49 13 — — $33,631.90 $223,268.30 $67,452.66 2026-04-14
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 56 16 — — $41,841.99 $185,181.16 $68,635.69 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 52 9 — — $36,648.17 $160,175.94 $68,785.07 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 58 19 — — $7,357.00 $237,502.69 $70,655.10 2026-04-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 52 9 — — $28,715.78 $332,405.53 $72,067.71 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 52 9 — — $23,627.23 $289,948.17 $72,839.61 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
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 16 — — $51,521.69 $213,214.10 $75,433.18 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 56 16 — — $47,440.08 $209,956.79 $76,121.35 2026-04-14
6 APR_DRG Pancreas Transplant 51 9 — — $40,690.00 $162,053.36 $78,390.25 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $78,440.00 $78,440.00 $78,440.00 2026-04-14
3 APR_DRG Bone Marrow Transplant 4 1 — — $53,328.26 $180,376.47 $78,812.83 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 52 9 — — $27,728.18 $174,566.60 $79,179.87 2026-04-14
1 APR_DRG Liver Transplant And/or Intestinal Transplant 51 9 — — $49,607.29 $248,091.78 $80,848.56 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $18,566.20 $231,578.48 $81,164.62 2026-04-14
215 MS_DRG Other Heart Assist System Implant 50 19 — — $32,223.78 $234,066.24 $82,036.54 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 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 16 — — $71,567.14 $1,033,986.82 $83,624.64 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 16 — — $73,210.37 $278,526.11 $85,146.85 2026-04-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 15 — — $63,201.08 $901,522.31 $87,534.40 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
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 52 9 — — $52,258.57 $207,212.61 $89,919.52 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 49 13 — — $46,477.85 $308,547.28 $93,216.70 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
0100 RC All-inclusive Room And Board Plus Ancillary 5 4 — — $99,999.99 $99,999.99 $99,999.99 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
7 MS_DRG Lung Transplant 40 15 — — $87,826.77 $919,916.81 $102,146.36 2026-04-14
14 MS_DRG Allogeneic Bone Marrow Transplant 73 20 — — $5,789.00 $503,580.00 $103,361.35 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 50 8 — — $64,844.29 $262,416.78 $104,761.25 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 49 13 — — $52,911.90 $351,260.28 $106,120.93 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 51 9 — — $47,748.44 $250,584.07 $107,997.80 2026-04-14
0362 RC Organ Transplant - Other Than Kidney 10 4 — — $8,267.00 $208,265.00 $108,266.00 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 20 — — $74,615.54 $312,165.65 $109,409.15 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
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
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
0815 RC Allogenic Stem Cell Acquisition/donor Services 10 4 — — $78,503.00 $157,006.00 $117,754.50 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 48 8 — — $50,336.69 $326,064.96 $123,472.14 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
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 52 9 — — $76,980.65 $275,061.32 $126,030.04 2026-04-14
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 52 9 — — $26,860.96 $312,856.06 $148,044.59 2026-04-14
2 APR_DRG Heart And/or Lung Transplant 52 9 — — $97,391.53 $445,710.19 $152,394.05 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 49 20 — — $2,145.65 $559,424.42 $157,198.57 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 20 — — $6,134.00 $473,474.77 $165,162.71 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
161 APR_DRG Implantable Heart Assist Systems 40 9 — — $32,310.38 $332,610.07 $185,668.66 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
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 48 8 — — $81,224.43 $446,005.63 $207,898.04 2026-04-14
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 50 9 — — $145,861.19 $477,096.17 $207,909.64 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 57 17 — — $150,117.57 $901,522.31 $257,614.94 2026-04-14
583 APR_DRG Neonate With Ecmo 51 9 — — $115,255.08 $778,956.59 $278,467.82 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
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 35 13 — — $202,213.46 $894,941.25 $289,301.25 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 113 18 — — $6,122.00 $833,161.99 $503,580.00 2026-04-14
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 55 16 $2,356,200.00 $636,174.00 73% off $366,261.59 $1,620,973.20 $509,308.80 2026-04-14
0891 RC Special Processed Drugs ? Fda (food And Drug Administration) Approved Cell Thera… 90 5 — — $462,000.00 $2,694,393.40 $528,312.43 2026-04-14
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 55 16 $2,568,258.00 $693,429.66 73% off $398,687.90 $1,764,483.14 $554,399.54 2026-04-14
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 2026-04-14
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 55 16 $3,027,020.04 $817,295.41 73% off $432,528.95 $1,914,254.36 $601,457.56 2026-04-14
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 55 16 $2,709,887.04 $731,669.50 73% off $405,089.31 $1,792,814.02 $643,116.81 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 55 16 — — $404,808.69 $1,791,572.08 $657,039.31 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 55 16 — — $413,872.03 $1,831,683.93 $688,852.34 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 52 16 — — $576,346.70 $2,550,752.20 $815,694.00 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 41 13 — — $1,744,102.80 $4,897,200.00 $2,468,400.00 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 39 12 — — $1,833,937.25 $4,579,080.67 $2,554,248.40 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 38 12 — — $2,206,818.56 $3,982,804.00 $3,141,600.00 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 38 12 — — $2,439,167.40 $4,409,533.00 $3,478,200.00 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 38 12 — — $2,486,447.32 $4,551,776.00 $3,573,845.96 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 38 12 — — $2,774,709.00 $4,978,505.00 $3,927,000.00 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 38 12 — — $2,756,210.94 $4,978,505.00 $3,927,000.00 2026-04-14
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 21 12 — — $3,273,932.25 $4,771,475.00 $4,552,600.00 2026-04-14
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