Price Transparencybeta Hospital negotiated rates

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

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Hospital

CLARION HOSPITAL

Clarion, PA · CCN 390093 · Rates published

29,704 distinct procedures filed
24 distinct payers
994,024 rate rows
2026-05-23 last MRF observed
Data quality

979,394 of 994,024 rate rows are consumer-grade (98.5%)

14,630 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 9,914
template filing: same amount across many unrelated codes — excluded 2,870
percent-of-charges filed in the dollar field — excluded from medians 828
placeholder amount (≤ $0.02) — excluded from medians 554
per-diem day rate — not a per-procedure price 332
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 116
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.independence.health/documents/content/251010039_Butler-Clarion_standardcharges.csv
Found on page https://www.independence.health/patients-visitors/financial-services/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint b05181087874eec2… · 61,945,456 bytes · first seen 2026-05-08

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 		Inj- Atidarsagene Autotemcel 16 $4,459,950.00 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 17 $3,648,414.00 $4,090,646.00 $3,740,545.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $3,283,297.96 $3,681,273.47 $3,366,209.53 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 17 $3,215,961.26 $3,605,774.75 $3,297,172.41 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 17 $2,916,282.60 $4,886,982.66 $3,034,112.20 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $2,430,559.50 $4,073,028.50 $2,528,763.93 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 17 $2,308,680.00 $3,868,788.00 $2,401,960.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 18 $762,913.80 $2,076,574.30 $824,563.40 nat. median
$809,151
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $639,975.00 $639,975.00 $639,975.00 nat. median
$459,112
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 21 $523,452.56 $1,594,512.75 $627,229.77 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 21 $507,687.00 $1,524,835.72 $599,821.09 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 21 $496,390.21 $1,515,860.40 $596,290.48 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 21 $503,454.53 $1,501,793.48 $590,757.01 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 21 $489,136.91 $1,436,884.67 $565,223.98 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 21 $449,440.00 $1,318,519.33 $518,662.89 nat. median
$577,541
0.9× median
5834
OTHER 		Neonate W Ecmo 5 $348,720.78 $450,093.22 $391,385.19 nat. median
$376,382
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 20 $227,305.89 $690,924.80 $305,304.15 nat. median
$370,165
0.8× median
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 2 $298,916.71 $298,916.71 $298,916.71 nat. median
$7,400
outlier · 40.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 19 $275,467.50 $714,357.00 $294,945.00 nat. median
$302,242
1.0× median
5833
OTHER 		Neonate W Ecmo 5 $240,611.28 $295,366.01 $291,584.76 nat. median
$246,994
1.2× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 2 $273,915.85 $273,915.85 $273,915.85 nat. median
$53,038
outlier · 5.2×
J3403
HCPCS 		Revakinagene- Per Implant 19 $254,925.00 $680,340.00 $272,950.00 nat. median
$265,000
1.0× median
5884
OTHER 		Neonate Bwt <1500g W Major Procedure 5 $255,334.24 $293,634.55 $270,117.48 nat. median
$247,377
1.1× median
0024
RC 		N/a 5 $226,121.83 $260,040.25 $255,582.38 nat. median
$26,905
outlier · 9.5×
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $225,164.05 $225,164.05 $225,164.05 nat. median
$16,786
outlier · 13.4×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 19 $203,583.60 $554,134.00 $217,978.40 nat. median
$209,736
1.0× median
1614
OTHER 		N/a 5 $180,393.07 $222,853.51 $214,637.93 nat. median
$189,554
1.1× median
8414
OTHER 		N/a 5 $160,463.90 $211,261.93 $200,103.58 nat. median
$140,709
1.4× median
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 2 $198,619.01 $198,619.01 $198,619.01 nat. median
$77,861
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $179,274.59 $472,942.90 $198,130.11 nat. median
$261,939
0.8× median
5832
OTHER 		Neonate W Ecmo 5 $184,745.38 $223,883.52 $191,669.93 nat. median
$184,745
1.0× median
5883
OTHER 		Neonate Bwt <1500g W Major Procedure 5 $166,062.47 $190,971.95 $182,253.78 nat. median
$168,056
1.1× median
6304
OTHER 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 $157,255.13 $214,196.05 $182,117.43 nat. median
$177,388
1.0× median
5914
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 5 $162,204.55 $186,535.34 $179,775.78 nat. median
$167,487
1.1× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 2 $175,638.46 $175,638.46 $175,638.46 nat. median
$8,001
outlier · 22.0×
0074
OTHER 		N/a 5 $142,323.32 $177,059.70 $173,565.86 nat. median
$146,633
1.2× median
480
OTHER 		Liver Transplant And/or Intestinal Transplant 1 $168,924.19 $168,924.19 $168,924.19 nat. median
$1,155
outlier · 146.2×
6094
OTHER 		Neonate Bwt 1500-2499g W Major Procedure 5 $157,892.52 $193,065.84 $167,883.24 nat. median
$167,902
1.0× median
6314
OTHER 		Neonate Birthwt >2499g W Other Major Procedure 5 $157,927.60 $189,542.69 $164,819.64 nat. median
$159,704
1.0× median
0094
OTHER 		N/a 5 $153,193.15 $176,843.29 $160,801.69 nat. median
$119,231
1.3× median
114
OTHER 		Upper Limb & Toe Amputation For Circ System Disorders 3 $15,457.00 $241,893.83 $154,257.95 nat. median
$10,138
outlier · 15.2×
5934
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 5 $149,181.16 $172,965.64 $153,236.57 nat. median
$151,842
1.0× median
0014
OTHER 		N/a 5 $134,554.07 $157,462.70 $153,058.19 nat. median
$88,049
1.7× median
5831
OTHER 		Neonate W Ecmo 5 $141,507.09 $165,831.71 $151,442.01 nat. median
$150,754
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $137,226.27 $439,946.88 $150,981.61 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 20 $136,399.47 $419,782.65 $150,063.03 nat. median
$199,832
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $145,724.16 $145,724.16 $145,724.16 nat. median
$97,404
1.5× median
5882
OTHER 		Neonate Bwt <1500g W Major Procedure 5 $138,102.87 $167,573.83 $145,716.29 nat. median
$139,074
1.0× median
1613
OTHER 		N/a 5 $131,120.01 $150,788.10 $143,310.40 nat. median
$78
outlier · 1838.7×
0044
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 5 $135,905.78 $156,383.87 $141,461.60 nat. median
$156,384
0.9× median

Other procedures at this hospital

Browse this hospital's 29,704 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
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 34 16 — — $4,459,950.00 $4,955,500.00 $4,505,000.00 2026-05-23
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 36 17 — — $3,648,414.00 $4,090,646.00 $3,740,545.67 2026-05-23
J1413 HCPCS Inj Delandistrogene Mox Rokl 36 17 — — $3,283,297.96 $3,681,273.47 $3,366,209.53 2026-05-23
J3394 HCPCS Inj- Lovotibeglogene Autotem 36 17 — — $3,215,961.26 $3,605,774.75 $3,297,172.41 2026-05-23
J3393 HCPCS Inj- Betibeglogene Autotemce 38 17 — — $2,916,282.60 $4,886,982.66 $3,034,112.20 2026-05-23
J3399 HCPCS Inj Onase Abepar-xioi Treat 38 17 — — $2,430,559.50 $4,073,028.50 $2,528,763.93 2026-05-23
J3392 HCPCS Inj- Exagamglogene Autotem 38 17 — — $2,308,680.00 $3,868,788.00 $2,401,960.00 2026-05-23
Q2057 HCPCS Afamitresgene Autoleucel 46 18 — — $762,913.80 $2,076,574.30 $824,563.40 2026-05-23
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $639,975.00 $639,975.00 $639,975.00 2026-05-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 21 — — $523,452.56 $1,594,512.75 $627,229.77 2026-05-23
Q2056 HCPCS Ciltacabtagene Car-pos T 54 21 — — $507,687.00 $1,524,835.72 $599,821.09 2026-05-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 54 21 — — $496,390.21 $1,515,860.40 $596,290.48 2026-05-23
Q2055 HCPCS Idecabtagene Vicleucel Car 54 21 — — $503,454.53 $1,501,793.48 $590,757.01 2026-05-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 21 — — $489,136.91 $1,436,884.67 $565,223.98 2026-05-23
Q2053 HCPCS Brexucabtagene Car Pos T 54 21 — — $449,440.00 $1,318,519.33 $518,662.89 2026-05-23
5834 OTHER Neonate W Ecmo 10 5 — — $348,720.78 $450,093.22 $391,385.19 2026-05-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 54 20 — — $227,305.89 $690,924.80 $305,304.15 2026-05-23
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 4 2 — — $298,916.71 $298,916.71 $298,916.71 2026-05-23
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 48 19 — — $275,467.50 $714,357.00 $294,945.00 2026-05-23
5833 OTHER Neonate W Ecmo 10 5 — — $240,611.28 $295,366.01 $291,584.76 2026-05-23
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 4 2 — — $273,915.85 $273,915.85 $273,915.85 2026-05-23
J3403 HCPCS Revakinagene- Per Implant 48 19 — — $254,925.00 $680,340.00 $272,950.00 2026-05-23
5884 OTHER Neonate Bwt <1500g W Major Procedure 10 5 — — $255,334.24 $293,634.55 $270,117.48 2026-05-23
0024 RC N/a 10 5 — — $226,121.83 $260,040.25 $255,582.38 2026-05-23
E0766 HCPCS Elec Stim Cancer Treatment 4 2 — — $225,164.05 $225,164.05 $225,164.05 2026-05-23
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 48 19 — — $203,583.60 $554,134.00 $217,978.40 2026-05-23
1614 OTHER N/a 10 5 — — $180,393.07 $222,853.51 $214,637.93 2026-05-23
8414 OTHER N/a 10 5 — — $160,463.90 $211,261.93 $200,103.58 2026-05-23
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 4 2 — — $198,619.01 $198,619.01 $198,619.01 2026-05-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 20 — — $179,274.59 $472,942.90 $198,130.11 2026-05-23
5832 OTHER Neonate W Ecmo 10 5 — — $184,745.38 $223,883.52 $191,669.93 2026-05-23
5883 OTHER Neonate Bwt <1500g W Major Procedure 10 5 — — $166,062.47 $190,971.95 $182,253.78 2026-05-23
6304 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 5 — — $157,255.13 $214,196.05 $182,117.43 2026-05-23
5914 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 5 — — $162,204.55 $186,535.34 $179,775.78 2026-05-23
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 4 2 — — $175,638.46 $175,638.46 $175,638.46 2026-05-23
0074 OTHER N/a 10 5 — — $142,323.32 $177,059.70 $173,565.86 2026-05-23
480 OTHER Liver Transplant And/or Intestinal Transplant 2 1 — — $168,924.19 $168,924.19 $168,924.19 2026-05-23
6094 OTHER Neonate Bwt 1500-2499g W Major Procedure 10 5 — — $157,892.52 $193,065.84 $167,883.24 2026-05-23
6314 OTHER Neonate Birthwt >2499g W Other Major Procedure 10 5 — — $157,927.60 $189,542.69 $164,819.64 2026-05-23
0094 OTHER N/a 10 5 — — $153,193.15 $176,843.29 $160,801.69 2026-05-23
114 OTHER Upper Limb & Toe Amputation For Circ System Disorders 6 3 — — $15,457.00 $241,893.83 $154,257.95 2026-05-23
5934 OTHER Neonate Birthwt 750-999g Without Major Procedure 10 5 — — $149,181.16 $172,965.64 $153,236.57 2026-05-23
0014 OTHER N/a 10 5 — — $134,554.07 $157,462.70 $153,058.19 2026-05-23
5831 OTHER Neonate W Ecmo 10 5 — — $141,507.09 $165,831.71 $151,442.01 2026-05-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 20 — — $137,226.27 $439,946.88 $150,981.61 2026-05-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 54 20 — — $136,399.47 $419,782.65 $150,063.03 2026-05-23
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $145,724.16 $145,724.16 $145,724.16 2026-05-23
5882 OTHER Neonate Bwt <1500g W Major Procedure 10 5 — — $138,102.87 $167,573.83 $145,716.29 2026-05-23
1613 OTHER N/a 10 5 — — $131,120.01 $150,788.10 $143,310.40 2026-05-23
0044 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 5 — — $135,905.78 $156,383.87 $141,461.60 2026-05-23
5881 OTHER Neonate Bwt <1500g W Major Procedure 10 5 — — $124,900.36 $143,635.50 $138,102.87 2026-05-23
0023 RC N/a 10 5 — — $126,966.27 $146,011.30 $129,185.49 2026-05-23
103 OTHER Heart Transplant Or Implant Of Heart Assist System 2 1 — — $125,704.52 $125,704.52 $125,704.52 2026-05-23
5913 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 5 — — $114,888.80 $138,453.94 $120,394.66 2026-05-23
6034 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 5 — — $82,198.23 $159,988.12 $120,222.77 2026-05-23
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 4 2 — — $119,632.04 $119,632.04 $119,632.04 2026-05-23
495 OTHER Lung Transplant 2 1 — — $119,142.54 $119,142.54 $119,142.54 2026-05-23
6024 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $111,687.29 $128,440.46 $118,050.49 2026-05-23
5891 OTHER Neonate Bwt <500g Or Ga <24 Weeks 10 5 — — $99,743.76 $120,615.84 $113,686.21 2026-05-23
0064 OTHER Pancreas Transplant 10 5 — — $87,890.62 $117,834.26 $113,274.55 2026-05-23
Q0480 HCPCS Driver Pneumatic Vad- Rep 54 20 — — $75,872.06 $333,776.36 $112,488.19 2026-05-23
1604 OTHER N/a 10 5 — — $103,555.12 $130,020.12 $110,989.64 2026-05-23
5892 OTHER Neonate Bwt <500g Or Ga <24 Weeks 10 5 — — $96,801.36 $120,615.84 $109,663.95 2026-05-23
J7330 HCPCS Cultured Chondrocytes Implnt 10 5 — — $29,124.96 $189,873.82 $109,499.39 2026-05-23
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 4 2 — — $107,141.27 $107,141.27 $107,141.27 2026-05-23
0022 RC N/a 10 5 — — $92,399.74 $109,679.01 $106,259.76 2026-05-23
1612 OTHER N/a 10 5 — — $103,933.79 $121,040.59 $105,252.63 2026-05-23
5893 OTHER Neonate Bwt <500g Or Ga <24 Weeks 10 5 — — $94,738.87 $120,615.84 $104,403.37 2026-05-23
5933 OTHER Neonate Birthwt 750-999g Without Major Procedure 10 5 — — $102,993.67 $119,958.61 $104,311.77 2026-05-23
1611 OTHER N/a 10 5 — — $99,726.74 $115,322.77 $100,641.72 2026-05-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 54 20 — — $89,027.24 $410,617.09 $97,929.96 2026-05-23
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 8 4 — — $65,720.86 $100,388.09 $97,908.47 2026-05-23
8424 OTHER N/a 10 5 — — $89,836.69 $108,194.58 $97,684.63 2026-05-23
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 4 2 — — $97,478.05 $97,478.05 $97,478.05 2026-05-23
0043 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 5 — — $85,272.10 $98,062.98 $96,583.71 2026-05-23
5912 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 5 — — $91,297.28 $109,759.70 $95,671.89 2026-05-23
0054 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 5 — — $88,700.00 $102,005.06 $93,657.74 2026-05-23
5932 OTHER Neonate Birthwt 750-999g Without Major Procedure 10 5 — — $85,435.76 $98,251.18 $92,755.50 2026-05-23
6074 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $85,594.63 $98,433.88 $92,052.41 2026-05-23
7 MS_DRG Lung Transplant 54 20 — — $83,175.19 $361,123.06 $91,558.44 2026-05-23
113 OTHER Amputation For Circ System Disorders Except Upper Limb & Toe 6 3 — — $26,820.46 $180,020.56 $89,963.37 2026-05-23
0073 OTHER N/a 10 5 — — $75,247.95 $90,519.40 $89,516.19 2026-05-23
0021 OTHER N/a 10 5 — — $84,974.92 $97,721.21 $88,616.05 2026-05-23
3034 OTHER N/a 10 5 — — $69,257.01 $93,383.82 $88,195.84 2026-05-23
0084 OTHER N/a 10 5 — — $63,300.99 $99,484.75 $87,758.13 2026-05-23
6303 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 5 — — $84,422.11 $102,279.10 $86,682.70 2026-05-23
14 MS_DRG Allogeneic Bone Marrow Transplant 54 20 — — $77,242.76 $471,109.78 $84,967.04 2026-05-23
6023 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $78,029.43 $91,108.03 $84,855.02 2026-05-23
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $84,843.15 $84,843.15 $84,843.15 2026-05-23
1624 OTHER N/a 10 5 — — $69,593.22 $88,762.16 $84,004.14 2026-05-23
8514 OTHER N/a 6 3 — — $74,096.87 $85,211.45 $82,897.37 2026-05-23
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 4 2 — — $77,853.04 $86,872.63 $82,362.83 2026-05-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 20 — — $70,133.88 $181,308.80 $80,116.29 2026-05-23
6114 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 10 5 — — $69,373.42 $82,882.75 $79,779.47 2026-05-23
16508876 OTHER Ipilimumab 1mg Inj 28 10 $159,363.12 $89,243.34 44% off $54,183.46 $141,833.18 $79,681.56 2026-05-23
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 44 17 — — $4,673.06 $181,100.80 $77,841.89 2026-05-23
4404 OTHER N/a 10 5 — — $68,144.96 $82,949.83 $77,347.88 2026-05-23
112 OTHER No Longer Valid 6 3 — — $19,675.62 $143,114.21 $77,245.38 2026-05-23
212 MS_DRG Testes Procedures Age 0-17 52 20 — — $69,333.24 $229,139.00 $76,880.33 2026-05-23
0093 OTHER N/a 10 5 — — $66,020.85 $118,849.85 $75,924.02 2026-05-23
6134 OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 10 5 — — $69,698.68 $80,153.52 $75,878.99 2026-05-23
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 4 2 — — $69,594.32 $82,153.69 $75,874.01 2026-05-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 20 — — $17,837.55 $176,339.20 $75,086.86 2026-05-23
0063 OTHER Pancreas Transplant 10 5 — — $67,733.42 $80,471.66 $74,393.69 2026-05-23
1674 OTHER Other Cardiothoracic & Thoracic Vascular Procedures 10 5 — — $53,604.83 $74,440.42 $73,414.43 2026-05-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 20 — — $66,268.78 $256,635.68 $72,895.65 2026-05-23
1634 OTHER N/a 10 5 — — $60,896.81 $73,938.01 $72,344.11 2026-05-23
6093 OTHER Neonate Bwt 1500-2499g W Major Procedure 10 5 — — $62,538.17 $76,637.69 $72,086.67 2026-05-23
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 50 20 — — $66,778.13 $158,513.75 $71,499.82 2026-05-23
104 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 2 1 — — $71,164.54 $71,164.54 $71,164.54 2026-05-23
0013 OTHER N/a 10 5 — — $64,053.54 $73,661.61 $70,920.76 2026-05-23
6033 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 5 — — $46,544.99 $71,441.89 $70,668.44 2026-05-23
8634 OTHER Neonatal Aftercare 10 5 — — $68,294.97 $81,981.24 $70,666.24 2026-05-23
1784 OTHER N/a 10 5 — — $57,907.85 $71,043.43 $70,397.54 2026-05-23
215 MS_DRG Other Heart Assist System Implant 54 20 — — $62,231.25 $169,516.80 $70,396.39 2026-05-23
0072 OTHER N/a 10 5 — — $60,340.79 $74,350.88 $69,391.94 2026-05-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 20 — — $61,423.55 $194,309.87 $69,164.79 2026-05-23
6022 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $62,349.86 $72,859.18 $68,842.82 2026-05-23
8413 OTHER N/a 10 5 — — $52,184.65 $69,444.32 $67,608.32 2026-05-23
6804 OTHER N/a 10 5 — — $58,676.14 $69,078.25 $67,477.60 2026-05-23
J9029 HCPCS Instill Adstiladrin- Tx Dose 56 21 — — $62,708.86 $170,687.17 $67,142.82 2026-05-23
0053 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 5 — — $61,270.69 $70,461.33 $65,855.16 2026-05-23
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 2 — — $58,951.03 $71,729.19 $65,340.11 2026-05-23
1654 OTHER N/a 10 5 — — $54,709.35 $69,050.97 $65,251.22 2026-05-23
0062 OTHER Pancreas Transplant 10 5 — — $56,028.87 $68,605.97 $64,433.24 2026-05-23
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 4 2 — — $63,355.50 $65,290.47 $64,322.99 2026-05-23
27800055 OTHER Optimizer Pulse Generator 8 3 $91,000.00 $50,960.00 44% off $36,400.00 $68,250.00 $63,700.00 2026-05-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 52 20 — — $53,082.99 $175,978.75 $63,698.24 2026-05-23
3033 OTHER N/a 10 5 — — $48,063.78 $65,818.25 $63,637.89 2026-05-23
6124 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $56,916.32 $70,311.71 $63,330.77 2026-05-23
5911 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 5 — — $23,309.13 $68,979.57 $63,112.65 2026-05-23
E0194 HCPCS Air Fluidized Bed 10 5 — — $63,002.69 $63,002.69 $63,002.69 2026-05-23
6073 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $59,252.71 $68,140.65 $62,776.20 2026-05-23
3044 OTHER N/a 10 5 — — $48,843.03 $65,473.49 $62,344.79 2026-05-23
6084 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 5 — — $49,549.02 $79,617.48 $62,191.31 2026-05-23
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 10 5 — — $42,178.29 $62,995.89 $61,315.64 2026-05-23
9104 OTHER N/a 10 5 — — $51,964.15 $62,506.30 $61,272.24 2026-05-23
850 MS_DRG Acute Leukemia With Other Procedures 52 20 — — $55,657.29 $280,466.14 $61,223.02 2026-05-23
16509457 OTHER Loncastuximab Tesirine 0.075mg 28 10 $122,172.16 $68,416.41 44% off $41,538.53 $108,733.22 $61,086.08 2026-05-23
6814 OTHER Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 10 5 — — $53,465.83 $61,496.20 $60,937.11 2026-05-23
6904 OTHER N/a 10 5 — — $45,149.45 $64,129.50 $60,908.52 2026-05-23
1834 OTHER Percutaneous Structural Cardiac Procedures 10 5 — — $52,117.54 $61,748.75 $60,722.15 2026-05-23
8504 OTHER Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 10 5 — — $47,120.87 $69,669.13 $60,581.82 2026-05-23
A9543 HCPCS Y90 Ibritumomab- Rx 52 20 — — $56,256.30 $184,526.46 $60,518.14 2026-05-23
0042 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 5 — — $52,618.78 $70,990.70 $60,511.63 2026-05-23
38240 OTHER Transplt Allo Hct/donor 56 21 — — $124.39 $133,705.84 $60,025.39 2026-05-23
6214 OTHER Neonate Bwt 2000-2499g W Major Anomaly 10 5 — — $55,816.60 $67,535.09 $59,990.69 2026-05-23
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 4 2 — — $59,756.29 $59,756.29 $59,756.29 2026-05-23
2994 OTHER N/a 2 1 — — $59,668.36 $59,668.36 $59,668.36 2026-05-23
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 4 2 — — $59,631.56 $59,631.56 $59,631.56 2026-05-23
27800201 OTHER Valve, 26mm Reslilia Tavr 8 3 $85,000.00 $47,600.00 44% off $34,000.00 $63,750.00 $59,500.00 2026-05-23
27800157 OTHER Tavr, Resilia 29mm 8 3 $85,000.00 $47,600.00 44% off $34,000.00 $63,750.00 $59,500.00 2026-05-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 54 20 — — $53,901.46 $172,312.53 $59,412.38 2026-05-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 20 — — $52,038.71 $190,643.65 $59,328.83 2026-05-23
9114 OTHER N/a 10 5 — — $49,425.76 $63,536.71 $58,620.92 2026-05-23
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 60 21 — — $53,062.44 $148,941.23 $58,588.66 2026-05-23
3614 OTHER Skin Graft For Skin & Subcutaneous Tissue Diagnoses 10 5 — — $41,037.49 $59,408.39 $58,499.42 2026-05-23
6334 OTHER Neonate Birthwt >2499g W Major Anomaly 10 5 — — $56,767.04 $66,855.50 $58,276.25 2026-05-23
0012 OTHER N/a 10 5 — — $51,456.06 $59,174.51 $57,642.57 2026-05-23
108 OTHER Other Cardiothoracic Procedures 2 1 — — $57,400.81 $57,400.81 $57,400.81 2026-05-23
0071 OTHER N/a 10 5 — — $56,269.91 $65,922.35 $57,073.97 2026-05-23
1664 OTHER N/a 10 5 — — $48,773.19 $60,469.11 $56,726.75 2026-05-23
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 4 2 — — $51,890.40 $61,380.08 $56,635.24 2026-05-23
6254 OTHER Neonate Bwt 2000-2499g W Other Significant Condition 10 5 — — $48,834.82 $72,442.94 $56,160.07 2026-05-23
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 4 2 — — $55,641.89 $55,641.89 $55,641.89 2026-05-23
1794 OTHER N/a 10 5 — — $48,137.05 $57,423.17 $55,634.05 2026-05-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 20 — — $50,575.21 $161,313.86 $55,632.74 2026-05-23
2604 OTHER N/a 10 5 — — $43,903.20 $58,123.22 $55,444.26 2026-05-23
6144 OTHER Neonate Bwt 1500-1999g W Or Without Other Significant Condition 10 5 — — $47,766.59 $57,404.27 $55,189.95 2026-05-23
9124 OTHER N/a 10 5 — — $45,955.41 $57,279.60 $54,819.01 2026-05-23
6313 OTHER Neonate Birthwt >2499g W Other Major Procedure 10 5 — — $49,491.50 $56,915.25 $54,618.22 2026-05-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 20 — — $49,244.62 $150,315.18 $54,285.89 2026-05-23
105 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 2 1 — — $54,257.04 $54,257.04 $54,257.04 2026-05-23
1623 OTHER N/a 10 5 — — $49,308.67 $56,705.00 $54,120.38 2026-05-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 54 20 — — $49,138.07 $201,642.32 $54,051.87 2026-05-23
6954 OTHER N/a 10 5 — — $41,554.48 $58,996.22 $53,975.62 2026-05-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 20 — — $47,505.22 $185,144.31 $53,873.00 2026-05-23
0041 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 5 — — $41,434.65 $61,813.31 $53,698.44 2026-05-23
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 8 4 — — $42,456.84 $66,573.21 $53,596.11 2026-05-23
0914 RC Other Major Head & Neck Procedures 10 5 — — $47,856.30 $59,230.42 $53,480.72 2026-05-23
106 OTHER Coronary Bypass W Ptca 2 1 — — $53,363.94 $53,363.94 $53,363.94 2026-05-23
1694 OTHER N/a 10 5 — — $43,484.81 $54,911.44 $53,289.74 2026-05-23
2324 OTHER N/a 10 5 — — $29,652.03 $54,242.58 $53,160.53 2026-05-23
7594 OTHER N/a 10 5 — — $25,889.29 $57,500.34 $53,096.34 2026-05-23
C1882 HCPCS Aicd- Other Than Sing/dual 6 3 — — $32,248.84 $70,387.55 $53,042.78 2026-05-23
0234 RC Spinal Procedures 10 5 — — $42,904.13 $53,492.12 $52,389.51 2026-05-23
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 2 — — $47,505.13 $56,947.40 $52,226.26 2026-05-23
2204 OTHER N/a 10 5 — — $41,690.75 $53,640.16 $51,849.13 2026-05-23
6302 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 5 — — $39,505.00 $58,529.57 $51,607.30 2026-05-23
9504 OTHER N/a 10 5 — — $44,801.60 $52,153.85 $51,521.87 2026-05-23
0011 OTHER N/a 10 5 — — $44,740.65 $58,171.43 $51,451.78 2026-05-23
10 MS_DRG Pancreas Transplant 54 20 — — $39,552.12 $127,568.00 $50,732.49 2026-05-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 20 — — $45,856.28 $185,144.31 $50,452.58 2026-05-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 20 — — $44,977.28 $152,148.30 $50,412.22 2026-05-23
6072 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 5 — — $43,761.45 $50,983.33 $50,325.70 2026-05-23
L7181 HCPCS Electronic Elbo Simultaneous 54 20 — — $33,754.11 $148,491.09 $50,043.95 2026-05-23
1603 OTHER N/a 10 5 — — $45,791.07 $52,659.76 $49,701.78 2026-05-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 20 — — $13,371.80 $115,497.60 $49,643.91 2026-05-23
6083 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 5 — — $42,771.29 $50,241.39 $49,520.11 2026-05-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 20 — — $27,393.38 $227,305.89 $49,328.25 2026-05-23
K0606 HCPCS Aed Garment W Elec Analysis 10 5 — — $49,319.85 $49,319.85 $49,319.85 2026-05-23
1783 OTHER N/a 10 5 — — $45,383.64 $52,191.22 $49,318.14 2026-05-23
4403 OTHER N/a 10 5 — — $43,712.83 $50,269.79 $48,897.17 2026-05-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 20 — — $44,274.01 $232,805.22 $48,866.71 2026-05-23
1204 OTHER N/a 10 5 — — $42,326.20 $55,893.12 $48,602.68 2026-05-23
0894 OTHER N/a 10 5 — — $41,083.37 $50,392.04 $48,512.94 2026-05-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 20 — — $13,254.09 $111,819.83 $48,406.00 2026-05-23
J9226 HCPCS Supprelin La Implant 58 21 — — $44,158.25 $121,316.25 $47,721.89 2026-05-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 20 — — $43,262.86 $159,480.74 $47,589.15 2026-05-23
2614 OTHER N/a 10 5 — — $40,822.47 $48,059.36 $47,348.43 2026-05-23
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 20 — — $39,372.78 $106,984.00 $47,273.83 2026-05-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 52 20 — — $42,671.46 $142,982.74 $47,239.18 2026-05-23
214 OTHER No Longer Valid 6 3 — — $18,992.71 $50,663.80 $47,054.45 2026-05-23
0061 OTHER Pancreas Transplant 10 5 — — $40,559.53 $48,187.71 $47,011.81 2026-05-23
0092 OTHER N/a 10 5 — — $39,830.26 $59,650.55 $46,996.13 2026-05-23
486 OTHER Other O.r. Procedures For Multiple Significant Trauma 2 1 — — $46,783.60 $46,783.60 $46,783.60 2026-05-23
2993 OTHER N/a 2 1 — — $46,657.97 $46,657.97 $46,657.97 2026-05-23
7924 OTHER N/a 10 5 — — $40,559.53 $47,728.61 $46,643.48 2026-05-23
0052 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 5 — — $40,456.13 $53,081.84 $46,524.57 2026-05-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 20 — — $37,863.78 $105,204.80 $46,487.64 2026-05-23
1814 OTHER N/a 10 5 — — $35,787.46 $48,472.05 $46,389.13 2026-05-23
0266T CPT Implt/rpl Crtd Sns Dev Total 46 18 — — $42,858.47 $103,037.65 $46,321.78 2026-05-23
33276 OTHER Insj Phrnc Nrv Stim Sys 46 18 — — $42,858.47 $103,037.65 $46,321.78 2026-05-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 20 — — $39,193.31 $219,973.44 $46,318.66 2026-05-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 20 — — $41,100.72 $105,204.80 $46,276.33 2026-05-23
6514 OTHER Other Procedures Of Blood & Blood-forming Organs 10 5 — — $36,281.16 $64,825.49 $46,161.55 2026-05-23
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 4 2 — — $46,157.86 $46,157.86 $46,157.86 2026-05-23
1304 OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 10 5 — — $40,948.47 $47,090.77 $45,952.69 2026-05-23
1782 OTHER N/a 10 5 — — $38,044.41 $50,171.35 $45,839.98 2026-05-23
1633 OTHER N/a 10 5 — — $41,029.95 $47,184.47 $45,586.96 2026-05-23
3004 OTHER N/a 2 1 — — $45,519.91 $45,519.91 $45,519.91 2026-05-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 20 — — $41,159.91 $229,139.00 $45,493.59 2026-05-23
1000044 OTHER Mesh 11 8 3 $64,750.00 $36,260.00 44% off $25,900.00 $48,562.50 $45,325.00 2026-05-23
27800046 OTHER Mesh, 40x30cm TransorbTSB40x30 8 3 $64,750.00 $36,260.00 44% off $25,900.00 $48,562.50 $45,325.00 2026-05-23
1653 OTHER N/a 10 5 — — $40,183.60 $46,211.16 $45,280.19 2026-05-23
0224 RC Ventricular Shunt Procedures 10 5 — — $36,769.40 $51,805.86 $45,149.65 2026-05-23
6234 OTHER Neonate Bwt 2000-2499g W Congenital/perinatal Infection 10 5 — — $39,872.72 $47,316.77 $45,081.65 2026-05-23
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 4 — — $44,802.50 $73,570.22 $45,013.88 2026-05-23
7584 OTHER N/a 10 5 — — $24,532.79 $45,745.35 $44,785.84 2026-05-23
0083 OTHER N/a 10 5 — — $38,936.65 $52,036.35 $44,777.18 2026-05-23
16508973 OTHER Pegaspargase 3750 Iu Inj` 28 10 $89,498.68 $50,119.26 44% off $30,429.55 $79,653.83 $44,749.34 2026-05-23
8412 OTHER N/a 10 5 — — $34,193.34 $45,871.76 $44,717.42 2026-05-23
8411 OTHER N/a 10 5 — — $34,193.34 $45,871.76 $44,717.42 2026-05-23
6113 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 10 5 — — $38,532.65 $49,288.60 $44,533.81 2026-05-23
L7180 HCPCS Electronic Elbow Sequential 52 20 — — $16,020.34 $98,481.94 $44,421.64 2026-05-23
0264 RC Other Nervous System & Related Procedures 10 5 — — $33,373.00 $44,894.19 $44,318.08 2026-05-23
4044 OTHER Thyroid, Parathyroid & Thyroglossal Procedures 10 5 — — $34,453.55 $47,459.70 $44,265.32 2026-05-23
5104 OTHER Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 10 5 — — $40,482.15 $46,554.50 $44,240.48 2026-05-23
2304 OTHER N/a 10 5 — — $35,265.67 $45,159.33 $44,220.43 2026-05-23
0924 RC N/a 10 5 — — $39,162.62 $50,239.86 $44,216.59 2026-05-23
3214 OTHER N/a 10 5 — — $36,793.36 $44,229.88 $43,820.26 2026-05-23
0091 OTHER N/a 10 5 — — $37,839.67 $47,427.32 $43,680.65 2026-05-23
3032 OTHER N/a 10 5 — — $34,956.84 $44,655.12 $43,628.44 2026-05-23
7404 OTHER N/a 10 5 — — $39,612.51 $61,234.53 $43,573.78 2026-05-23
0274 RC Other Open Craniotomy 16 6 — — $39.80 $54,613.48 $43,546.10 2026-05-23
1764 OTHER N/a 10 5 — — $34,535.72 $47,704.21 $43,389.60 2026-05-23
16508566 OTHER Injection Ocrelizumab 1mg 28 10 $86,743.27 $48,576.23 44% off $29,492.71 $77,201.51 $43,371.64 2026-05-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 20 — — $39,343.49 $214,474.10 $43,277.84 2026-05-23
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 54 20 — — $36,896.95 $98,054.40 $43,131.09 2026-05-23
6123 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $38,090.29 $43,803.86 $43,062.68 2026-05-23
0304 RC Percutaneous Intra & Extracranial Vascular Procedures 10 5 — — $35,894.28 $44,999.65 $42,964.42 2026-05-23
234 OTHER Other Musculoskelet Sys & Conn Tiss O.r. Proc Without Cc 6 3 — — $10,081.85 $46,514.86 $42,904.13 2026-05-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 20 — — $38,878.27 $137,483.40 $42,862.83 2026-05-23
4054 OTHER Other Procedures For Endocrine, Nutritional & Metabolic Disorders 10 5 — — $34,870.57 $43,619.72 $42,567.53 2026-05-23
28 MS_DRG Spinal Procedures With Mcc 54 20 — — $38,617.20 $174,145.64 $42,285.84 2026-05-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 54 20 — — $36,527.89 $95,409.60 $42,159.36 2026-05-23
3043 OTHER N/a 10 5 — — $36,006.58 $42,585.53 $42,112.37 2026-05-23
6224 OTHER Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $36,533.16 $47,760.24 $42,013.15 2026-05-23
4014 OTHER N/a 10 5 — — $36,493.44 $56,338.06 $41,967.48 2026-05-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 20 — — $35,221.73 $295,131.03 $41,923.22 2026-05-23
191 OTHER Pancreas, Liver & Shunt Procedures W Cc 2 1 — — $41,883.91 $41,883.91 $41,883.91 2026-05-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 54 20 — — $6,451.81 $328,127.05 $41,829.78 2026-05-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 20 — — $33,093.51 $113,652.94 $41,791.29 2026-05-23
648 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 4 2 — — $41,655.22 $41,655.22 $41,655.22 2026-05-23
488 OTHER HIV W Extensive O.r. Procedure 2 1 — — $41,588.35 $41,588.35 $41,588.35 2026-05-23
7104 OTHER N/a 10 5 — — $36,144.90 $43,478.87 $41,566.66 2026-05-23
1824 OTHER Other Peripheral Vascular Procedures 10 5 — — $30,961.97 $42,347.83 $41,517.67 2026-05-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 20 — — $37,449.46 $146,648.96 $41,491.24 2026-05-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 20 — — $37,055.50 $196,142.98 $41,464.37 2026-05-23
4402 OTHER N/a 10 5 — — $38,208.07 $43,939.31 $41,411.68 2026-05-23
1833 OTHER Percutaneous Structural Cardiac Procedures 10 5 — — $35,960.01 $41,766.77 $41,354.04 2026-05-23
1622 OTHER N/a 10 5 — — $36,676.27 $42,177.73 $41,302.71 2026-05-23
6133 OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 10 5 — — $38,684.66 $48,646.81 $41,155.14 2026-05-23
1793 OTHER N/a 10 5 — — $36,139.42 $41,560.36 $41,135.52 2026-05-23
204 OTHER Disorders Of Pancreas Except Malignancy 6 3 — — $11,777.19 $45,389.80 $41,108.02 2026-05-23
4284 OTHER N/a 2 1 — — $40,987.50 $40,987.50 $40,987.50 2026-05-23
361 MS_DRG Cardiac Defibrillator Implant With Mcc 4 2 — — $40,888.38 $40,888.38 $40,888.38 2026-05-23
5114 OTHER Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 10 5 — — $37,070.69 $44,359.03 $40,853.38 2026-05-23
C1816 HCPCS Receiver/transmitter- Neuro 2 1 — — $40,847.61 $40,847.61 $40,847.61 2026-05-23
6092 OTHER Neonate Bwt 1500-2499g W Major Procedure 10 5 — — $34,584.34 $47,373.84 $40,806.72 2026-05-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 52 20 — — $34,816.50 $92,273.60 $40,773.63 2026-05-23
1673 OTHER Other Cardiothoracic & Thoracic Vascular Procedures 10 5 — — $34,025.58 $42,775.42 $40,518.26 2026-05-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 20 — — $36,309.59 $130,150.95 $40,513.45 2026-05-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 20 — — $34,374.17 $194,309.87 $40,295.70 2026-05-23
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 52 20 — — $36,436.06 $88,896.29 $40,097.90 2026-05-23
7114 OTHER Post-op, Post-trauma, Other Device Infections W O.r. Procedure 10 5 — — $34,744.57 $43,499.96 $39,956.28 2026-05-23
107 OTHER Coronary Bypass W Cardiac Cath 2 1 — — $39,862.72 $39,862.72 $39,862.72 2026-05-23
6344 OTHER Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 10 5 — — $34,433.01 $40,256.54 $39,757.84 2026-05-23
1214 OTHER Other Respiratory & Chest Procedures 12 6 — — $62.28 $44,300.76 $39,752.44 2026-05-23
154 OTHER Stomach, Esophageal & Duodenal Procedures Age >17 W Cc 2 1 — — $39,647.94 $39,647.94 $39,647.94 2026-05-23
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