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

JEFFERSON HEALTH- NORTHEAST

Philadelphia, PA · CCN 390115 · Rates published

23,951 distinct procedures filed
52 distinct payers
1,573,068 rate rows
2026-03-18 last MRF observed
Data quality

1,556,636 of 1,573,068 rate rows are consumer-grade (99.0%)

16,432 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 13,574
placeholder amount (≤ $0.02) — excluded from medians 2,010
per-diem day rate — not a per-procedure price 578
template filing: same amount across many unrelated codes — excluded 270
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/230596940_jefferson-torresdale-hospital_standardcharges.csv
Found on page https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 322eb93034c118d3… · 243,008,502 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 		Injection Atidarsagene Autotemcel Per Treatment1 Dose 1 $4,233,000.00 $4,233,000.00 $4,233,000.00 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1414
HCPCS 		Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 2 $3,187,200.00 $4,816,583.19 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatment1 Dose 2 $3,087,600.00 $4,629,850.00 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment1 Dose 2 $2,788,800.00 $4,303,600.00 $2,788,800.00 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		High Cost Drugs 2 $2,501,245.80 $3,485,015.19 $2,501,245.80 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment1 Ea 2 $2,191,200.00 $3,381,400.00 $2,191,200.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 37 $727,002.91 $3,140,276.50 $800,558.58 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 38 $310,000.00 $2,394,672.01 $604,603.26 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 38 $312,500.00 $2,308,615.06 $590,459.38 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 39 $328,240.00 $2,290,970.06 $573,445.27 nat. median
$673,137
0.9× median
5834
APR_DRG 		Neonate With Ecmo 6 $534,983.84 $679,225.67 $570,631.85 nat. median
$309,665
1.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 39 $335,600.00 $2,274,183.03 $569,243.36 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 38 $245,394.70 $2,168,683.38 $547,545.99 nat. median
$634,303
0.9× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells… 1 $522,900.00 $522,900.00 $522,900.00 nat. median
$324,450
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 39 $308,800.00 $1,994,509.57 $499,239.21 nat. median
$619,808
0.8× median
C9081
HCPCS 		Idecabtagene Vicleucel 1 $422,856.00 $422,856.00 $422,856.00 nat. median
$30,475
outlier · 13.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 $263,318.00 $1,182,145.43 $400,362.00 nat. median
$370,174
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $327,667.48 $416,012.87 $349,501.21 nat. median
$246,434
1.4× median
24
APR_DRG 		Heart And-or Lung Transplant 6 $306,111.73 $388,645.28 $326,509.12 nat. median
$234,729
1.4× median
5833
APR_DRG 		Neonate With Ecmo 6 $304,690.52 $386,840.89 $324,993.21 nat. median
$244,017
1.3× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $226,519.63 $388,902.89 $317,046.71 nat. median
$117,173
outlier · 2.7×
J3403
HCPCS 		Revakinagene Per implant__PER Implant 37 $166,667.00 $1,079,875.00 $272,645.25 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $196,762.00 $794,677.52 $271,628.00 nat. median
$265,286
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $233,946.50 $297,022.93 $249,535.25 nat. median
$156,126
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $228,435.08 $290,025.53 $243,656.58 nat. median
$207,730
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $228,294.61 $289,847.18 $243,506.75 nat. median
$162,982
1.5× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $132,106.45 $289,426.63 $235,950.33 nat. median
$60,831
outlier · 3.9×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $219,578.31 $278,780.81 $234,209.65 nat. median
$122,924
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $218,226.47 $277,064.48 $232,767.73 nat. median
$182,665
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $223,939.93 $284,318.40 $231,908.96 nat. median
$164,834
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $214,868.11 $272,800.65 $229,185.60 nat. median
$164,289
1.4× median
5831
APR_DRG 		Neonate With Ecmo 6 $207,795.67 $266,614.62 $217,353.20 nat. median
$144,745
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $203,198.40 $269,762.42 $216,738.29 nat. median
$160,267
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $199,135.08 $273,509.02 $212,404.21 nat. median
$150,721
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 37 $129,333.00 $821,801.26 $207,487.17 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 $165,762.00 $515,748.28 $206,792.00 nat. median
$206,474
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $188,910.86 $239,844.83 $201,498.71 nat. median
$151,838
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 37 $149,785.00 $552,846.27 $201,106.00 nat. median
$202,976
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $186,996.26 $237,414.01 $199,456.53 nat. median
$145,336
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $180,226.65 $228,819.19 $192,235.84 nat. median
$187,061
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $178,869.61 $227,096.26 $190,788.37 nat. median
$119,796
1.6× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $113,430.75 $230,090.74 $187,577.71 nat. median
$58,674
outlier · 3.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $172,100.00 $218,501.43 $183,567.68 nat. median
$105,658
1.7× median
14
APR_DRG 		Liver Transplant And-or Intestinal Transplant 6 $170,388.30 $216,328.23 $181,741.93 nat. median
$129,535
1.4× median
23
APR_DRG 		Heart And-or Lung Transplant 6 $166,744.66 $211,702.20 $177,855.50 nat. median
$93,528
1.9× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $162,048.34 $205,739.65 $172,846.24 nat. median
$102,919
1.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $160,282.88 $203,498.20 $170,963.14 nat. median
$124,573
1.4× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 1 $159,745.49 $159,745.49 $159,745.49 nat. median
$35,643
outlier · 4.5×

Other procedures at this hospital

Browse this hospital's 23,951 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
             
J3391 HCPCS Injection Atidarsagene Autotemcel Per Treatment1 Dose 4 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-03-18
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 4 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose1 Dose 4 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 6 2 — — $3,187,200.00 $4,816,583.19 $3,187,200.00 2026-03-18
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatment1 Dose 6 2 — — $3,087,600.00 $4,629,850.00 $3,087,600.00 2026-03-18
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment1 Dose 6 2 — — $2,788,800.00 $4,303,600.00 $2,788,800.00 2026-03-18
J3399 HCPCS High Cost Drugs 6 2 — — $2,501,245.80 $3,485,015.19 $2,501,245.80 2026-03-18
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment1 Ea 6 2 — — $2,191,200.00 $3,381,400.00 $2,191,200.00 2026-03-18
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 92 37 — — $727,002.91 $3,140,276.50 $800,558.58 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 100 38 — — $310,000.00 $2,394,672.01 $604,603.26 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 100 38 — — $312,500.00 $2,308,615.06 $590,459.38 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 104 39 — — $328,240.00 $2,290,970.06 $573,445.27 2026-03-18
5834 APR_DRG Neonate With Ecmo 16 6 — — $534,983.84 $679,225.67 $570,631.85 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 104 39 — — $335,600.00 $2,274,183.03 $569,243.36 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 100 38 — — $245,394.70 $2,168,683.38 $547,545.99 2026-03-18
Q2058 HCPCS Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells … 4 1 — — $522,900.00 $522,900.00 $522,900.00 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 104 39 — — $308,800.00 $1,994,509.57 $499,239.21 2026-03-18
C9081 HCPCS Idecabtagene Vicleucel 4 1 — — $422,856.00 $422,856.00 $422,856.00 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 90 36 — — $263,318.00 $1,182,145.43 $400,362.00 2026-03-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 6 — — $327,667.48 $416,012.87 $349,501.21 2026-03-18
24 APR_DRG Heart And-or Lung Transplant 16 6 — — $306,111.73 $388,645.28 $326,509.12 2026-03-18
5833 APR_DRG Neonate With Ecmo 16 6 — — $304,690.52 $386,840.89 $324,993.21 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $226,519.63 $388,902.89 $317,046.71 2026-03-18
J3403 HCPCS Revakinagene Per implant__PER Implant 96 37 — — $166,667.00 $1,079,875.00 $272,645.25 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 110 38 — — $196,762.00 $794,677.52 $271,628.00 2026-03-18
5832 APR_DRG Neonate With Ecmo 16 6 — — $233,946.50 $297,022.93 $249,535.25 2026-03-18
1614 APR_DRG Implantable Heart Assist Systems 16 6 — — $228,435.08 $290,025.53 $243,656.58 2026-03-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 6 — — $228,294.61 $289,847.18 $243,506.75 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $132,106.45 $289,426.63 $235,950.33 2026-03-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 6 — — $219,578.31 $278,780.81 $234,209.65 2026-03-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 6 — — $218,226.47 $277,064.48 $232,767.73 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 6 — — $223,939.93 $284,318.40 $231,908.96 2026-03-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 6 — — $214,868.11 $272,800.65 $229,185.60 2026-03-18
5831 APR_DRG Neonate With Ecmo 16 6 — — $207,795.67 $266,614.62 $217,353.20 2026-03-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 16 6 — — $203,198.40 $269,762.42 $216,738.29 2026-03-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 6 — — $199,135.08 $273,509.02 $212,404.21 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 96 37 — — $129,333.00 $821,801.26 $207,487.17 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 100 37 — — $165,762.00 $515,748.28 $206,792.00 2026-03-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 6 — — $188,910.86 $239,844.83 $201,498.71 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 100 37 — — $149,785.00 $552,846.27 $201,106.00 2026-03-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 6 — — $186,996.26 $237,414.01 $199,456.53 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 16 6 — — $180,226.65 $228,819.19 $192,235.84 2026-03-18
1613 APR_DRG Implantable Heart Assist Systems 16 6 — — $178,869.61 $227,096.26 $190,788.37 2026-03-18
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $113,430.75 $230,090.74 $187,577.71 2026-03-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 6 — — $172,100.00 $218,501.43 $183,567.68 2026-03-18
14 APR_DRG Liver Transplant And-or Intestinal Transplant 16 6 — — $170,388.30 $216,328.23 $181,741.93 2026-03-18
23 APR_DRG Heart And-or Lung Transplant 16 6 — — $166,744.66 $211,702.20 $177,855.50 2026-03-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 6 — — $162,048.34 $205,739.65 $172,846.24 2026-03-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 6 — — $160,282.88 $203,498.20 $170,963.14 2026-03-18
237 MS_DRG Major Cardiovasc Procedures W Mcc 2 1 — — $159,745.49 $159,745.49 $159,745.49 2026-03-18
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 16 6 — — $139,119.01 $193,919.16 $158,089.42 2026-03-18
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 16 6 — — $146,468.43 $193,919.16 $158,089.42 2026-03-18
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 16 6 — — $142,147.67 $193,919.16 $158,089.42 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 6 — — $96,948.12 $191,079.90 $155,774.76 2026-03-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $142,312.68 $180,682.88 $151,795.51 2026-03-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 6 — — $138,193.85 $175,453.55 $147,402.24 2026-03-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 6 — — $134,065.22 $176,465.29 $143,860.43 2026-03-18
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 8 3 — — $97,642.64 $368,168.17 $142,809.64 2026-03-18
1611 APR_DRG Implantable Heart Assist Systems 16 6 — — $131,613.28 $167,098.72 $140,383.17 2026-03-18
1612 APR_DRG Implantable Heart Assist Systems 16 6 — — $131,613.28 $167,098.72 $140,383.17 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 6 — — $131,133.76 $166,489.92 $139,871.70 2026-03-18
22 APR_DRG Heart And-or Lung Transplant 16 6 — — $126,264.88 $160,308.29 $134,678.39 2026-03-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 100 37 — — $98,868.70 $342,574.16 $131,240.50 2026-03-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 6 — — $119,891.54 $152,216.59 $127,880.37 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 110 38 — — $91,698.80 $400,192.00 $126,616.00 2026-03-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 6 — — $118,675.84 $150,673.11 $125,900.62 2026-03-18
7 MS_DRG Lung Transplant 100 36 — — $91,468.70 $594,880.00 $122,701.00 2026-03-18
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 8 3 — — $86,615.16 $276,368.28 $122,363.15 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 16 6 — — $113,761.87 $144,434.23 $121,342.26 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 110 38 — — $77,179.70 $478,772.53 $119,387.00 2026-03-18
21 APR_DRG Heart And-or Lung Transplant 16 6 — — $111,598.40 $141,687.46 $119,034.63 2026-03-18
64 APR_DRG Pancreas Transplant 16 6 — — $111,297.51 $144,641.38 $118,713.69 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 16 6 — — $110,497.62 $145,531.84 $118,642.45 2026-03-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 6 — — $111,153.57 $141,122.69 $118,560.16 2026-03-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $110,008.10 $139,668.38 $117,338.36 2026-03-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 6 — — $109,767.91 $139,363.43 $117,082.17 2026-03-18
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 2 1 — — $114,942.65 $114,942.65 $114,942.65 2026-03-18
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 74 33 — — $102,831.00 $441,092.00 $114,738.00 2026-03-18
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 8 3 — — $76,770.97 $242,066.35 $111,648.93 2026-03-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 6 — — $104,089.14 $204,290.39 $111,025.00 2026-03-18
8514 APR_DRG Gender Related Procedures 16 6 — — $104,974.47 $133,277.59 $110,388.33 2026-03-18
8513 APR_DRG Gender Related Procedures 16 6 — — $31,682.22 $133,277.59 $108,652.37 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 112 38 — — $74,597.50 $465,088.00 $107,835.30 2026-03-18
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 1 — — $107,024.65 $107,024.65 $107,024.65 2026-03-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $98,810.11 $125,451.20 $105,394.20 2026-03-18
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 2 1 — — $105,247.33 $105,247.33 $105,247.33 2026-03-18
209 MS_DRG Complex Aortic Arch Procedures 84 34 — — $92,033.20 $211,955.85 $104,940.00 2026-03-18
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 8 3 — — $69,416.89 $219,732.33 $102,528.68 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 37 — — $73,384.20 $328,361.89 $102,181.00 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 94 37 — — $76,302.50 $341,480.19 $100,817.00 2026-03-18
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 70 32 — — $90,327.00 $387,455.00 $99,835.10 2026-03-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 16 6 — — $91,495.08 $116,163.90 $97,591.75 2026-03-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 16 6 — — $90,653.97 $115,096.01 $96,694.60 2026-03-18
215 MS_DRG Other Heart Assist System Implant 100 37 — — $74,216.80 $463,262.53 $96,439.25 2026-03-18
459 MS_DRG Spinal Fusion Except Cervical W Mcc 8 3 — — $71,122.29 $213,663.74 $96,011.43 2026-03-18
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 8 3 — — $62,308.81 $201,419.99 $95,581.36 2026-03-18
8634 APR_DRG Neonatal Aftercare 16 6 — — $89,485.96 $113,613.08 $95,448.76 2026-03-18
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 8 3 — — $63,576.18 $251,394.92 $95,289.63 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 100 37 — — $67,636.10 $297,163.21 $94,752.05 2026-03-18
13 APR_DRG Liver Transplant And-or Intestinal Transplant 16 6 — — $88,461.89 $112,312.91 $94,207.84 2026-03-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 6 — — $88,127.19 $113,341.26 $93,999.44 2026-03-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 6 — — $87,701.43 $119,242.71 $93,545.31 2026-03-18
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $51,724.43 $113,320.24 $92,382.47 2026-03-18
4404 APR_DRG Kidney Transplant 16 6 — — $86,293.23 $109,559.52 $92,043.27 2026-03-18
63 APR_DRG Pancreas Transplant 16 6 — — $85,772.09 $108,897.87 $91,487.41 2026-03-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 6 — — $87,008.60 $110,467.78 $91,389.54 2026-03-18
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 6 — — $27,150.30 $107,399.53 $87,555.71 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 16 6 — — $80,720.24 $102,483.96 $86,098.94 2026-03-18
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 8 3 — — $58,633.33 $185,587.13 $86,005.48 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 16 6 — — $80,159.22 $112,059.21 $85,500.53 2026-03-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 6 — — $79,193.24 $100,545.25 $84,470.19 2026-03-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $78,954.79 $100,242.50 $84,215.84 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 94 37 — — $58,497.60 $261,444.45 $83,530.90 2026-03-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 16 6 — — $77,114.76 $97,906.36 $82,253.21 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 100 37 — — $59,427.20 $244,994.07 $81,648.45 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 100 37 — — $59,394.40 $300,517.24 $81,391.75 2026-03-18
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 5 — — $75,559.14 $95,931.33 $80,593.94 2026-03-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $75,423.87 $95,759.58 $80,449.65 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 94 37 — — $64,573.40 $288,756.22 $80,285.00 2026-03-18
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 8 3 — — $54,277.97 $173,647.44 $79,949.88 2026-03-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 6 — — $75,838.35 $96,285.82 $79,079.82 2026-03-18
62 APR_DRG Pancreas Transplant 16 6 — — $73,945.43 $93,882.53 $78,872.70 2026-03-18
1784 APR_DRG External Heart Assist Devices 16 6 — — $73,329.77 $93,100.88 $78,216.02 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 6 — — $58,488.63 $95,902.70 $78,183.11 2026-03-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $72,074.18 $91,506.76 $76,876.76 2026-03-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 16 6 — — $71,885.15 $91,266.76 $76,675.13 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 100 37 — — $56,548.60 $294,329.54 $76,213.90 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 16 6 — — $71,255.62 $90,467.50 $76,003.66 2026-03-18
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 52 19 — — $24,324.85 $120,868.80 $75,543.00 2026-03-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 16 6 — — $70,681.59 $89,738.69 $75,391.37 2026-03-18
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 8 3 — — $49,961.02 $197,109.92 $75,187.50 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 100 37 — — $54,292.00 $248,232.11 $74,368.75 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 100 37 — — $54,842.20 $231,606.19 $74,048.20 2026-03-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 6 — — $69,279.46 $88,171.86 $73,895.81 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 100 37 — — $52,386.20 $210,977.39 $73,803.10 2026-03-18
12 APR_DRG Liver Transplant And-or Intestinal Transplant 16 6 — — $68,363.78 $86,795.95 $72,919.12 2026-03-18
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 16 6 — — $67,880.79 $95,053.70 $72,403.95 2026-03-18
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 70 32 — — $65,361.60 $280,367.00 $72,241.80 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implnt 14 4 — — $69,492.91 $106,750.65 $71,167.44 2026-03-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 16 6 — — $66,082.38 $86,329.73 $70,485.70 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 16 6 — — $65,997.40 $83,791.56 $70,395.06 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 16 6 — — $65,803.17 $83,544.96 $70,187.89 2026-03-18
81200013 CDM Hc Herat/lung Procurement 52 19 — — $22,540.00 $112,000.00 $70,000.00 2026-03-18
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W-o Cc-mcc 2 1 — — $69,895.31 $69,895.31 $69,895.31 2026-03-18
10 MS_DRG Pancreas Transplant 106 38 — — $41,271.06 $270,400.00 $69,449.40 2026-03-18
A9543 HCPCS Y90 Ibritumomab Rx 14 4 — — $67,535.48 $103,744.26 $69,162.84 2026-03-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 6 — — $64,537.17 $81,937.63 $68,837.53 2026-03-18
36133249 CDM Hc Icd Lead Insert/repos Sgl Cham 52 19 — — $22,162.13 $110,122.40 $68,826.50 2026-03-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 6 — — $64,465.20 $81,846.25 $68,760.77 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 16 6 — — $63,961.41 $86,162.81 $68,223.40 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 100 37 — — $46,910.10 $181,004.34 $67,960.35 2026-03-18
5244 OTHER Level 4 Blood Product Exchange And Related Services 70 32 — — $61,391.00 $263,335.00 $67,853.20 2026-03-18
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 108 41 — — $60,636.84 $261,919.77 $67,488.53 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 37 — — $49,865.40 $222,641.23 $66,926.00 2026-03-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 16 6 — — $62,744.84 $79,662.04 $66,925.76 2026-03-18
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 16 6 — — $62,653.79 $79,546.44 $66,828.65 2026-03-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 16 6 — — $62,588.75 $79,463.87 $66,759.28 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 100 37 — — $46,831.30 $196,874.82 $66,616.40 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 100 37 — — $48,845.90 $185,527.57 $66,270.04 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 90 36 — — $55,615.60 $248,489.15 $66,147.20 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 94 37 — — $49,616.40 $221,522.18 $66,108.20 2026-03-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 6 — — $61,850.83 $83,603.74 $65,972.19 2026-03-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 16 6 — — $61,762.39 $78,414.70 $65,877.85 2026-03-18
1794 APR_DRG Defibrillator Implants 16 6 — — $60,956.83 $77,391.96 $65,018.62 2026-03-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 6 — — $60,864.05 $81,259.85 $64,919.66 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 6 — — $60,780.81 $77,168.47 $64,830.87 2026-03-18
914 APR_DRG Other Major Head And Neck Procedures 16 6 — — $60,601.31 $76,940.58 $64,639.41 2026-03-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 16 6 — — $60,487.72 $76,796.36 $64,518.25 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 100 37 — — $47,951.90 $169,443.94 $64,130.29 2026-03-18
11 APR_DRG Liver Transplant And-or Intestinal Transplant 16 6 — — $60,059.36 $76,252.51 $64,061.35 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 100 37 — — $45,369.00 $196,962.59 $63,685.55 2026-03-18
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 16 6 — — $59,670.03 $88,961.20 $63,646.07 2026-03-18
214 APR_DRG Open Craniotomy Except Trauma 16 6 — — $59,585.92 $75,651.41 $63,556.35 2026-03-18
1783 APR_DRG External Heart Assist Devices 16 6 — — $59,168.83 $75,121.87 $63,111.48 2026-03-18
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 5 — — $59,083.85 $75,013.99 $63,020.84 2026-03-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 6 — — $58,940.78 $90,237.21 $62,868.23 2026-03-18
4403 APR_DRG Kidney Transplant 16 6 — — $58,669.37 $74,487.75 $62,578.73 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 100 37 — — $41,822.40 $170,089.67 $62,300.05 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 100 37 — — $43,279.10 $134,283.00 $62,073.60 2026-03-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 16 6 — — $58,194.19 $73,884.45 $62,071.89 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 94 37 — — $43,475.80 $193,918.89 $61,992.70 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 94 37 — — $47,090.00 $210,165.53 $61,947.30 2026-03-18
81200012 CDM Hc Single Lung Procurement 52 19 — — $19,847.76 $98,622.40 $61,639.00 2026-03-18
81200005 CDM Hc Heart Trans Procurement Cadaver 52 19 — — $19,847.76 $98,622.40 $61,639.00 2026-03-18
81200011 CDM Hc Double Lung Procurement 52 19 — — $19,847.76 $98,622.40 $61,639.00 2026-03-18
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 5 — — $57,642.70 $73,184.27 $61,483.65 2026-03-18
6904 APR_DRG Acute Leukemia 16 6 — — $57,173.59 $77,774.68 $60,983.28 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 100 37 — — $45,433.90 $164,742.04 $60,967.95 2026-03-18
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $27,613.85 $74,673.80 $60,876.60 2026-03-18
460 MS_DRG Spinal Fusion Except Cervical W-o Mcc 16 3 — — $41,108.10 $126,076.75 $60,809.00 2026-03-18
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 6 — — $58,016.43 $73,658.76 $60,644.98 2026-03-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $56,333.35 $71,521.89 $60,087.05 2026-03-18
A9699 HCPCS Radiopharm Rx Agent Noc 6 2 — — $49,864.75 $59,837.70 $59,837.70 2026-03-18
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 2 1 — — $59,445.89 $59,445.89 $59,445.89 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 100 37 — — $42,111.80 $281,863.23 $59,357.10 2026-03-18
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 16 6 — — $55,595.43 $70,797.31 $59,299.96 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 100 37 — — $44,437.40 $172,077.00 $59,288.30 2026-03-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 16 6 — — $55,437.61 $70,384.65 $59,131.63 2026-03-18
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 2 1 — — $59,115.42 $59,115.42 $59,115.42 2026-03-18
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc-mcc Or Disc Device-neurostim 2 1 — — $59,071.54 $59,071.54 $59,071.54 2026-03-18
1694 APR_DRG Major Abdominal Vascular Procedures 16 6 — — $55,065.62 $69,912.36 $58,734.85 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 100 37 — — $42,933.90 $175,992.12 $58,719.75 2026-03-18
83 APR_DRG Autologous Bone Marrow Transplant 16 6 — — $56,420.06 $71,631.98 $58,677.98 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 100 37 — — $42,730.30 $170,331.03 $58,088.98 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 106 38 — — $42,426.30 $400,192.00 $57,974.80 2026-03-18
234 APR_DRG Spinal Procedures 16 6 — — $54,330.30 $68,978.78 $57,950.53 2026-03-18
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 16 6 — — $54,182.02 $78,190.97 $57,792.38 2026-03-18
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 16 6 — — $54,162.08 $68,765.21 $57,771.10 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 100 37 — — $40,358.70 $213,742.10 $57,756.05 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 100 37 — — $41,791.00 $157,717.40 $57,566.20 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto cd54+__Per Infusion (minimum 50 Million Cells) 112 42 — — $51,324.84 $221,696.74 $57,396.33 2026-03-18
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 6 — — $55,313.61 $70,227.22 $57,282.46 2026-03-18
1204 APR_DRG Major Respiratory And Chest Procedures 16 6 — — $53,598.45 $71,370.47 $57,169.92 2026-03-18
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 16 6 — — $53,511.74 $78,511.73 $57,077.43 2026-03-18
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 16 6 — — $53,411.15 $78,294.54 $56,970.14 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 100 37 — — $41,368.40 $183,305.14 $56,840.75 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 100 37 — — $40,936.80 $184,248.65 $56,803.95 2026-03-18
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 16 6 — — $52,968.05 $67,249.25 $56,497.52 2026-03-18
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 16 6 — — $52,793.76 $68,493.65 $56,311.61 2026-03-18
6954 APR_DRG Chemotherapy For Acute Leukemia 16 6 — — $52,621.20 $68,922.00 $56,127.56 2026-03-18
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 6 — — $52,469.46 $68,568.05 $55,965.70 2026-03-18
48133270 CDM Hc Insert Subq Defib W/electrod 52 19 — — $17,965.83 $89,271.20 $55,794.50 2026-03-18
36033270 CDM Hc Insert Sq Icd W Electrode 52 19 — — $17,965.83 $89,271.20 $55,794.50 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 94 37 — — $43,531.60 $194,169.66 $55,689.10 2026-03-18
204 APR_DRG Open Craniotomy For Trauma 16 6 — — $52,055.84 $66,652.52 $55,524.52 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 100 37 — — $40,119.50 $161,704.61 $55,501.25 2026-03-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 16 6 — — $52,024.63 $66,051.46 $55,491.23 2026-03-18
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 16 6 — — $51,966.53 $75,859.15 $55,429.26 2026-03-18
4284 APR_DRG Genetic Disorders 14 5 — — $51,903.23 $65,897.33 $55,361.74 2026-03-18
2614 APR_DRG Major Biliary Tract Procedures 16 6 — — $51,694.25 $65,632.01 $55,138.84 2026-03-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 16 6 — — $51,686.45 $65,788.77 $55,130.51 2026-03-18
C1816 HCPCS Receiver And Or Transmitter 4 1 — — $52,973.29 $57,107.05 $55,040.17 2026-03-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 6 — — $51,482.68 $65,363.39 $54,913.16 2026-03-18
61 APR_DRG Pancreas Transplant 16 6 — — $51,361.28 $65,209.26 $54,783.68 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 100 37 — — $37,998.90 $160,341.06 $54,712.77 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 102 38 — — $38,278.60 $201,139.00 $54,324.00 2026-03-18
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 16 6 — — $50,491.56 $64,105.04 $53,856.00 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 108 37 — — $37,435.50 $151,307.14 $53,724.64 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 100 37 — — $43,129.20 $157,526.19 $53,493.45 2026-03-18
274 APR_DRG Other Open Craniotomy 16 6 — — $50,149.04 $69,736.48 $53,490.67 2026-03-18
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 6 — — $50,785.27 $65,606.69 $53,484.78 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 94 37 — — $38,483.60 $171,478.29 $53,468.60 2026-03-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 6 — — $50,025.91 $74,736.98 $53,359.33 2026-03-18
4402 APR_DRG Kidney Transplant 16 6 — — $49,998.17 $63,478.62 $53,329.73 2026-03-18
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $49,910.59 $63,367.43 $53,236.32 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 100 37 — — $38,879.70 $168,729.25 $53,172.85 2026-03-18
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 100 37 — — $38,192.10 $170,312.22 $52,984.95 2026-03-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 84 34 — — $46,402.80 $106,867.41 $52,910.50 2026-03-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 16 6 — — $49,592.35 $64,151.77 $52,896.88 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 106 38 — — $42,426.30 $400,192.00 $52,653.90 2026-03-18
4014 APR_DRG Adrenal Procedures 16 6 — — $49,187.41 $62,449.27 $52,464.95 2026-03-18
81200007 CDM Hc Liver Acquisition Cadaver 52 19 — — $16,853.96 $83,746.40 $52,341.50 2026-03-18
5204 APR_DRG Other GYN Procedures For Malignancy 14 5 — — $49,006.18 $62,219.18 $52,271.65 2026-03-18
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 16 6 — — $48,987.10 $62,194.96 $52,251.30 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 37 — — $38,717.90 $172,531.52 $52,123.40 2026-03-18
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 100 37 — — $37,963.40 $148,097.31 $52,051.29 2026-03-18
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 16 6 — — $48,794.60 $62,937.09 $52,045.97 2026-03-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 6 — — $48,735.64 $61,875.69 $51,983.08 2026-03-18
4414 APR_DRG Major Bladder Procedures 16 6 — — $48,511.05 $62,549.96 $51,743.53 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 100 37 — — $37,271.60 $165,873.63 $51,651.25 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 94 37 — — $35,225.70 $156,833.44 $51,606.00 2026-03-18
1782 APR_DRG External Heart Assist Devices 16 6 — — $48,176.35 $64,064.29 $51,386.52 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 100 37 — — $38,879.70 $202,050.05 $51,273.50 2026-03-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 16 6 — — $47,957.83 $60,888.18 $51,153.44 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 100 37 — — $36,130.10 $148,420.18 $51,104.00 2026-03-18
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 6 — — $48,091.37 $61,057.72 $50,805.28 2026-03-18
L7181 HCPCS Electronic Elbow Microprocessor Simultaneous Control Of Elbow And Terminal Devic… 70 32 — — $45,747.70 $196,234.00 $50,563.30 2026-03-18
48133264 CDM Hc Remove/replace Aicd Gen Biv 52 19 — — $16,262.61 $80,808.00 $50,505.00 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 100 37 — — $35,862.30 $165,343.88 $50,417.30 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 100 37 — — $39,209.50 $186,690.51 $50,330.15 2026-03-18
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 16 6 — — $46,943.30 $59,600.11 $50,071.31 2026-03-18
4401 APR_DRG Kidney Transplant 16 6 — — $46,789.82 $59,405.25 $49,907.60 2026-03-18
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 16 6 — — $46,738.66 $59,340.29 $49,853.03 2026-03-18
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 16 6 — — $46,592.12 $59,154.24 $49,696.73 2026-03-18
36133287 CDM Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 52 19 — — $15,992.77 $79,467.20 $49,667.00 2026-03-18
224 APR_DRG Ventricular Shunt Procedures 16 6 — — $46,561.77 $59,115.71 $49,664.36 2026-03-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 16 6 — — $46,423.03 $59,559.52 $49,516.37 2026-03-18
1793 APR_DRG Defibrillator Implants 16 6 — — $46,421.29 $58,937.36 $49,514.52 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 94 37 — — $36,249.40 $161,435.03 $49,412.40 2026-03-18
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 16 6 — — $45,951.31 $58,340.66 $49,013.23 2026-03-18
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 16 6 — — $45,943.51 $58,944.13 $49,004.90 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 112 38 — — $34,151.10 $465,088.00 $48,853.50 2026-03-18
8633 APR_DRG Neonatal Aftercare 16 6 — — $45,777.02 $58,119.38 $48,827.32 2026-03-18
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 8 3 — — $32,932.98 $99,774.32 $48,703.46 2026-03-18
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 6 — — $45,595.79 $57,889.29 $48,634.02 2026-03-18
4804 APR_DRG Major Male Pelvic Procedures 2 1 — — $48,502.72 $48,502.72 $48,502.72 2026-03-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 16 6 — — $45,453.59 $57,708.74 $48,482.33 2026-03-18
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 16 6 — — $45,418.90 $57,664.70 $48,445.34 2026-03-18
1814 APR_DRG Lower Extremity Vascular Procedures 16 6 — — $45,318.32 $59,234.73 $48,338.05 2026-03-18
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 16 6 — — $45,312.25 $57,529.29 $48,331.57 2026-03-18
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 100 37 — — $35,753.60 $175,578.35 $48,305.85 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 100 37 — — $32,361.80 $145,520.67 $48,244.33 2026-03-18
1214 APR_DRG Other Respiratory And Chest Procedures 16 6 — — $44,927.24 $57,040.49 $47,920.92 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 100 37 — — $35,086.20 $215,290.60 $47,918.45 2026-03-18
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 16 6 — — $44,909.04 $57,017.37 $47,901.50 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 100 37 — — $35,211.70 $167,672.89 $47,833.20 2026-03-18
248 MS_DRG Percutaneous Cardiovascular Procedures W Non-drug-eluting Stent W Mcc Or 4+ Arte… 8 3 — — $32,141.01 $92,404.87 $47,707.97 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 100 37 — — $35,460.00 $152,344.69 $47,669.50 2026-03-18
2304 APR_DRG Major Small Bowel Procedures 16 6 — — $44,657.57 $56,698.10 $47,633.27 2026-03-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 100 37 — — $37,959.20 $134,558.97 $47,470.95 2026-03-18
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