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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.

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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
             
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
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 73 20 — — $5,789.00 $503,580.00 $103,361.35 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 68 20 — — $5,267.00 $503,580.00 $46,295.19 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
850 MS_DRG Acute Leukemia With Other Procedures 58 19 — — $7,357.00 $237,502.69 $70,655.10 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
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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 61 19 — — $40,563.40 $503,580.00 $48,499.72 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
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
653 MS_DRG Major Bladder Procedures With Mcc 48 19 — — $16,689.05 $141,248.48 $43,164.00 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 78 19 — — $2,281.38 $175,567.89 $42,393.98 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 19 — — $6,616.00 $119,934.04 $41,638.44 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 19 — — $729.50 $113,403.11 $39,746.01 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 73 19 — — $660.00 $112,207.83 $38,585.06 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
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
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
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
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
163 MS_DRG Major Chest Procedures With Mcc 53 19 — — $9,728.47 $101,828.16 $35,689.17 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
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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 73 19 — — $426.54 $101,448.15 $34,885.11 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
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
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
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
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
791 MS_DRG Prematurity With Major Problems 56 19 — — $288.00 $89,703.08 $31,439.52 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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 48 19 — — $1,137.50 $85,301.99 $29,897.01 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
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
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
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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 53 19 — — $16,895.93 $80,065.76 $28,061.79 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
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
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
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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 17 — — $22,004.52 $90,845.33 $32,440.61 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
Q2057 HCPCS Pr Afamitresgene Autoleucel 52 16 — — $576,346.70 $2,550,752.20 $815,694.00 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
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 55 16 — — $404,808.69 $1,791,572.08 $657,039.31 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
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
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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 16 — — $73,210.37 $278,526.11 $85,146.85 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
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
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 56 16 — — $47,440.08 $209,956.79 $76,121.35 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
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 56 16 — — $41,841.99 $185,181.16 $68,635.69 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
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
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
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
10 MS_DRG Pancreas Transplant 42 16 — — $53,582.27 $503,580.00 $62,609.71 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
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
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
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
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
J9226 HCPCS Supprelin La Implant 56 16 — — $35,787.69 $150,804.89 $54,425.06 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
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
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
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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 16 — — $35,835.29 $134,955.62 $48,192.27 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
28 MS_DRG Spinal Procedures With Mcc 45 16 — — $26,696.58 $134,310.48 $47,073.71 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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 16 — — $28,074.74 $129,995.56 $46,156.01 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
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
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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 16 — — $36,566.54 $555,631.46 $42,727.21 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
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
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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 16 — — $33,489.09 $132,094.92 $39,313.28 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
245 MS_DRG Aicd Generator Procedures 43 16 — — $32,841.20 $124,153.23 $38,195.74 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
799 MS_DRG Splenic Procedures With Mcc 43 16 — — $22,695.69 $105,045.02 $37,163.96 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 16 — — $30,937.05 $106,181.31 $36,364.32 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 16 — — $29,521.12 $111,931.30 $34,334.35 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
140 MS_DRG Major Head And Neck Procedures With Mcc 43 16 — — $4,766.12 $103,138.72 $33,056.34 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
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
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
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
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
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
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
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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 16 — — $26,278.34 $94,552.42 $30,562.85 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
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
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
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
265 MS_DRG Aicd Lead Procedures 43 16 — — $23,972.43 $89,550.19 $27,880.98 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 43 16 — — $23,719.06 $86,172.40 $27,586.29 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
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
332 MS_DRG Rectal Resection With Mcc 43 16 — — $23,311.10 $96,924.61 $27,365.21 2026-04-14
7 MS_DRG Lung Transplant 40 15 — — $87,826.77 $919,916.81 $102,146.36 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 15 — — $53,273.78 $503,580.00 $61,959.73 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 15 — — $24,192.66 $503,580.00 $35,842.74 2026-04-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 15 — — $23,335.97 $503,580.00 $27,140.75 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
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
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 49 13 — — $52,911.90 $351,260.28 $106,120.93 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
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 49 13 — — $33,631.90 $223,268.30 $67,452.66 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 61 13 — — $42,499.08 $188,089.26 $61,370.51 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 49 13 — — $23,539.54 $156,269.30 $47,211.27 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 49 13 — — $20,894.93 $138,712.87 $41,907.21 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
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 49 13 — — $17,094.22 $113,481.50 $34,284.44 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
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
L6700 HCPCS Pr Terminal Device Model #3 46 13 — — $14,425.28 $95,763.46 $29,944.17 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 38 13 — — $18,823.47 $92,831.04 $28,307.95 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
L6880 HCPCS Pr Hand Bock Vo 49 13 — — $14,036.57 $93,182.99 $28,151.96 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
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
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 38 12 — — $2,486,447.32 $4,551,776.00 $3,573,845.96 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
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 38 12 — — $2,206,818.56 $3,982,804.00 $3,141,600.00 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
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
583 APR_DRG Neonate With Ecmo 51 9 — — $115,255.08 $778,956.59 $278,467.82 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
161 APR_DRG Implantable Heart Assist Systems 40 9 — — $32,310.38 $332,610.07 $185,668.66 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
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
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
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
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
1 APR_DRG Liver Transplant And/or Intestinal Transplant 51 9 — — $49,607.29 $248,091.78 $80,848.56 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
6 APR_DRG Pancreas Transplant 51 9 — — $40,690.00 $162,053.36 $78,390.25 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
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
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
841 APR_DRG Extensive Third Degree Burns With Skin Graft 40 9 — — $39,403.71 $295,864.52 $67,352.90 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
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
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 52 9 — — $25,323.20 $190,935.69 $55,311.96 2026-04-14
440 APR_DRG Kidney Transplant 52 9 — — $29,828.93 $125,646.18 $55,247.24 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
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
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
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
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
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
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
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
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
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
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 52 9 — — $19,524.02 $98,836.98 $39,210.38 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 52 9 — — $15,245.27 $86,759.34 $38,160.09 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
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
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
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
690 APR_DRG Acute Leukemia 52 9 — — $10,758.86 $83,246.89 $35,221.29 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 52 9 — — $14,353.46 $80,177.61 $35,178.77 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
863 APR_DRG Neonatal Aftercare 52 9 — — $7,328.45 $130,294.93 $34,384.56 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
23 APR_DRG Spinal Procedures 52 9 — — $13,208.11 $79,106.96 $34,127.62 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
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
89 APR_DRG Major Cranial Or Facial Bone Procedures 52 9 — — $10,973.76 $75,749.81 $32,916.20 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 52 9 — — $14,371.97 $75,795.26 $32,708.19 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
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
120 APR_DRG Major Respiratory And Chest Procedures 52 9 — — $13,946.19 $78,041.36 $30,767.80 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
441 APR_DRG Major Bladder Procedures 52 9 — — $10,305.71 $70,633.92 $30,311.70 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
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
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
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 52 9 — — $11,875.23 $60,870.54 $28,797.98 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
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
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
181 APR_DRG Lower Vascular Procedures 52 9 — — $11,550.06 $65,985.17 $28,398.29 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
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
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
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
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 48 8 — — $50,336.69 $326,064.96 $123,472.14 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 50 8 — — $64,844.29 $262,416.78 $104,761.25 2026-04-14
178 APR_DRG External Heart Assist Devices 48 8 — — $39,457.37 $106,770.91 $57,015.77 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 50 8 — — $34,037.83 $161,062.00 $54,460.53 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
183 APR_DRG Percutaneous Structural Cardiac Procedures 48 8 — — $32,211.06 $96,094.70 $45,918.72 2026-04-14
179 APR_DRG Defibrillator Implants 48 8 — — $29,524.18 $88,755.44 $45,063.93 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
851 APR_DRG Gender Related Procedures 36 8 — — $17,299.44 $152,846.78 $33,082.99 2026-04-14
27 APR_DRG Other Open Craniotomy 48 8 — — $16,053.45 $73,018.90 $32,116.62 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
29 APR_DRG Other Percutaneous Intracranial Procedures 48 8 — — $16,091.33 $61,917.20 $29,045.96 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
0344 RC Therapeutic Radiopharmaceuticals 104 6 — — $2,500.20 $160,980.48 $55,161.75 2026-04-14
0173 RC Newborn - Level Iii 97 6 — — $1,623.74 $697,077.00 $40,378.03 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
0117 RC Oncology 93 6 — — $4,704.00 $159,936.00 $28,224.00 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
0815 RC Allogenic Stem Cell Acquisition/donor Services 10 4 — — $78,503.00 $157,006.00 $117,754.50 2026-04-14
0362 RC Organ Transplant - Other Than Kidney 10 4 — — $8,267.00 $208,265.00 $108,266.00 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
0174 RC Newborn - Level IV 35 4 — — $3,160.46 $182,844.00 $35,412.03 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 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
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 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
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $285,105.09 $285,105.09 $285,105.09 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
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
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
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
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
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
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
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
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $82,084.32 $82,084.32 $82,084.32 2026-04-14
3 APR_DRG Bone Marrow Transplant 4 1 — — $53,328.26 $180,376.47 $78,812.83 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
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
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $62,780.59 $62,780.59 $62,780.59 2026-04-14
647 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $62,197.28 $62,197.28 $62,197.28 2026-04-14
635 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $62,067.45 $62,067.45 $62,067.45 2026-04-14
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
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 2 1 — — $53,680.50 $53,680.50 $53,680.50 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
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
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
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
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
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
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
613 MS_DRG Neonate, Birth Weight <750 Grams, Died 1 1 — — $39,972.15 $39,972.15 $39,972.15 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
238 MS_DRG Major Cardiovasc Procedures Without Mcc 1 1 — — $38,961.86 $38,961.86 $38,961.86 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
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $36,191.62 $36,191.62 $36,191.62 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
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
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
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
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
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
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
0250-1402-1405 EAPG Cochlear Device Implantation 1 1 — — $28,580.28 $28,580.28 $28,580.28 2026-04-14
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