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

24,099 distinct procedures filed
49 distinct payers
749,108 rate rows
2026-09-15 last MRF observed
Data quality

741,623 of 749,108 rate rows are consumer-grade (99.0%)

7,485 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 6,095
placeholder amount (≤ $0.02) — excluded from medians 911
per-diem day rate — not a per-procedure price 247
template filing: same amount across many unrelated codes — excluded 135
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 97
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 success · 2026-09-23
Content fingerprint ab1090ade64746bc… · 261,185,085 bytes · first seen 2026-09-23

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 Treatment-1 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 Dose-1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,685,267
0.9× median
J1414
HCPCS 		Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose-1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,508,750
1.0× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 2 $3,187,200.00 $4,825,396.61 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3389
HCPCS 		Topical Administration Prademagene Zamikeracel Per Treatment-1 Ea 2 $3,134,412.00 $4,836,939.00 $3,134,412.00 nat. median
$3,335,820
0.9× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 2 $3,087,600.00 $4,716,136.72 $3,087,600.00 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Injection Elivaldogene Autotemcel Per Treatment-1 Ea 2 $2,988,000.00 $4,611,000.00 $2,988,000.00 nat. median
$3,180,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment-1 Dose 2 $2,788,800.00 $4,262,954.89 $2,788,800.00 nat. median
$2,968,000
0.9× median
J3399
HCPCS 		High Cost Drugs 2 $2,576,283.18 $3,754,022.78 $2,576,283.18 nat. median
$2,455,111
1.0× median
C9309
HCPCS 		Injection Onasemnogene Abeparvovec-brve Per Treatment-1 Ea 1 $2,576,283.18 $2,576,283.18 $2,576,283.18 nat. median
$2,664,229
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment-1 Ea 2 $2,191,200.00 $3,381,400.00 $2,191,200.00 nat. median
$2,332,000
0.9× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 38 $767,896.82 $3,316,917.05 $846,526.07 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 38 $312,500.00 $2,492,649.67 $623,927.03 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 38 $310,000.00 $2,396,009.35 $599,737.31 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 38 $328,240.00 $2,361,750.25 $591,162.03 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 38 $335,600.00 $2,314,509.45 $579,337.34 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 38 $245,394.70 $2,292,191.13 $573,750.91 nat. median
$562,501
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $492,137.68 $624,827.37 $539,007.94 nat. median
$390,362
1.4× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells… 3 $403,462.50 $697,515.53 $522,900.00 nat. median
$286,598
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 38 $308,800.00 $2,078,673.47 $520,306.00 nat. median
$513,770
1.0× median
C9081
HCPCS 		Idecabtagene Vicleucel 1 $422,856.00 $422,856.00 $422,856.00 nat. median
$422,856
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 $263,318.13 $1,182,145.43 $403,443.00 nat. median
$168,055
outlier · 2.4×
24
APR_DRG 		Heart And-or Lung Transplant 6 $346,716.38 $440,197.72 $379,736.99 nat. median
$225,531
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $329,061.81 $417,783.14 $360,401.02 nat. median
$286,698
1.3× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $309,722.42 $393,229.48 $339,219.79 nat. median
$135,803
outlier · 2.5×
5833
APR_DRG 		Neonate With Ecmo 6 $297,579.26 $377,812.30 $325,920.15 nat. median
$268,208
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $247,907.14 $314,747.62 $271,517.34 nat. median
$202,242
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $242,167.67 $307,460.68 $265,231.25 nat. median
$198,578
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $196,761.67 $794,677.52 $264,220.00 nat. median
$186,516
1.4× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $238,641.09 $302,983.27 $261,368.81 nat. median
$68,335
outlier · 3.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $238,631.55 $302,971.16 $261,358.36 nat. median
$152,792
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $229,170.40 $290,959.10 $250,996.15 nat. median
$173,018
1.5× median
5832
APR_DRG 		Neonate With Ecmo 6 $228,486.24 $290,090.48 $250,246.83 nat. median
$201,678
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $226,231.73 $287,228.11 $247,777.60 nat. median
$181,762
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $213,198.90 $270,681.39 $233,503.56 nat. median
$171,497
1.4× median
453
MS_DRG 		Combined Anterior-posterior Spinal Fusion W Mcc 2 $97,642.64 $368,168.17 $232,905.40 nat. median
$2,106
outlier · 110.6×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $203,279.05 $258,086.95 $222,638.96 nat. median
$187,567
1.2× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $202,492.57 $257,088.42 $221,777.58 nat. median
$63,564
outlier · 3.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $201,977.50 $256,434.48 $221,213.45 nat. median
$149,836
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $198,215.06 $251,657.62 $217,092.69 nat. median
$168,439
1.3× median
5831
APR_DRG 		Neonate With Ecmo 6 $194,912.20 $247,464.24 $213,475.27 nat. median
$173,909
1.2× median
J3403
HCPCS 		Revakinagene Taroretcel-lwey Per Implant 2 $166,667.00 $249,000.00 $207,833.50 nat. median
$264,195
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 37 $129,333.00 $829,913.53 $207,732.96 nat. median
$207,733
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 $165,761.97 $515,748.28 $201,301.00 nat. median
$131,925
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $182,879.17 $232,186.88 $200,296.24 nat. median
$173,134
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 35 $149,784.78 $552,846.27 $200,119.00 nat. median
$145,435
1.4× median
14
APR_DRG 		Liver Transplant And-or Intestinal Transplant 6 $181,829.09 $230,853.67 $199,146.14 nat. median
$136,566
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $179,033.49 $227,304.33 $196,084.30 nat. median
$135,630
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $174,714.37 $221,820.69 $191,353.83 nat. median
$155,539
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $171,922.24 $218,275.75 $188,295.78 nat. median
$152,383
1.2× median

Other procedures at this hospital

Browse this hospital's 24,099 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 Treatment-1 Dose 2 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-09-15
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose-1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-09-15
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose-1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-09-15
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 3 2 — — $3,187,200.00 $4,825,396.61 $3,187,200.00 2026-09-15
J3389 HCPCS Topical Administration Prademagene Zamikeracel Per Treatment-1 Ea 3 2 — — $3,134,412.00 $4,836,939.00 $3,134,412.00 2026-09-15
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 3 2 — — $3,087,600.00 $4,716,136.72 $3,087,600.00 2026-09-15
J3387 HCPCS Injection Elivaldogene Autotemcel Per Treatment-1 Ea 3 2 — — $2,988,000.00 $4,611,000.00 $2,988,000.00 2026-09-15
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment-1 Dose 3 2 — — $2,788,800.00 $4,262,954.89 $2,788,800.00 2026-09-15
C9309 HCPCS Injection Onasemnogene Abeparvovec-brve Per Treatment-1 Ea 2 1 — — $2,576,283.18 $2,576,283.18 $2,576,283.18 2026-09-15
J3399 HCPCS High Cost Drugs 3 2 — — $2,576,283.18 $3,754,022.78 $2,576,283.18 2026-09-15
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment-1 Ea 3 2 — — $2,191,200.00 $3,381,400.00 $2,191,200.00 2026-09-15
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 49 38 — — $767,896.82 $3,316,917.05 $846,526.07 2026-09-15
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 53 38 — — $312,500.00 $2,492,649.67 $623,927.03 2026-09-15
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 53 38 — — $310,000.00 $2,396,009.35 $599,737.31 2026-09-15
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 53 38 — — $328,240.00 $2,361,750.25 $591,162.03 2026-09-15
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 53 38 — — $335,600.00 $2,314,509.45 $579,337.34 2026-09-15
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 53 38 — — $245,394.70 $2,292,191.13 $573,750.91 2026-09-15
5834 APR_DRG Neonate With Ecmo 7 6 — — $492,137.68 $624,827.37 $539,007.94 2026-09-15
Q2058 HCPCS Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells … 5 3 — — $403,462.50 $697,515.53 $522,900.00 2026-09-15
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 51 38 — — $308,800.00 $2,078,673.47 $520,306.00 2026-09-15
C9081 HCPCS Idecabtagene Vicleucel 1 1 — — $422,856.00 $422,856.00 $422,856.00 2026-09-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 34 — — $263,318.13 $1,182,145.43 $403,443.00 2026-09-15
24 APR_DRG Heart And-or Lung Transplant 7 6 — — $346,716.38 $440,197.72 $379,736.99 2026-09-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $329,061.81 $417,783.14 $360,401.02 2026-09-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $309,722.42 $393,229.48 $339,219.79 2026-09-15
5833 APR_DRG Neonate With Ecmo 7 6 — — $297,579.26 $377,812.30 $325,920.15 2026-09-15
1614 APR_DRG Implantable Heart Assist Systems 7 6 — — $247,907.14 $314,747.62 $271,517.34 2026-09-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $242,167.67 $307,460.68 $265,231.25 2026-09-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 43 34 — — $196,761.67 $794,677.52 $264,220.00 2026-09-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $238,641.09 $302,983.27 $261,368.81 2026-09-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $238,631.55 $302,971.16 $261,358.36 2026-09-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $229,170.40 $290,959.10 $250,996.15 2026-09-15
5832 APR_DRG Neonate With Ecmo 7 6 — — $228,486.24 $290,090.48 $250,246.83 2026-09-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $226,231.73 $287,228.11 $247,777.60 2026-09-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $213,198.90 $270,681.39 $233,503.56 2026-09-15
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 2 2 — — $97,642.64 $368,168.17 $232,905.40 2026-09-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $203,279.05 $258,086.95 $222,638.96 2026-09-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $202,492.57 $257,088.42 $221,777.58 2026-09-15
74 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $201,977.50 $256,434.48 $221,213.45 2026-09-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $198,215.06 $251,657.62 $217,092.69 2026-09-15
5831 APR_DRG Neonate With Ecmo 7 6 — — $194,912.20 $247,464.24 $213,475.27 2026-09-15
J3403 HCPCS Revakinagene Taroretcel-lwey Per Implant 4 2 — — $166,667.00 $249,000.00 $207,833.50 2026-09-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 49 37 — — $129,333.00 $829,913.53 $207,732.96 2026-09-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 35 — — $165,761.97 $515,748.28 $201,301.00 2026-09-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $182,879.17 $232,186.88 $200,296.24 2026-09-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 45 35 — — $149,784.78 $552,846.27 $200,119.00 2026-09-15
14 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $181,829.09 $230,853.67 $199,146.14 2026-09-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $179,033.49 $227,304.33 $196,084.30 2026-09-15
1613 APR_DRG Implantable Heart Assist Systems 7 6 — — $174,714.37 $221,820.69 $191,353.83 2026-09-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $171,922.24 $218,275.75 $188,295.78 2026-09-15
23 APR_DRG Heart And-or Lung Transplant 7 6 — — $169,035.59 $214,610.81 $185,134.22 2026-09-15
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 2 2 — — $86,615.16 $276,368.28 $181,491.72 2026-09-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $160,964.44 $204,363.51 $176,294.38 2026-09-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $155,089.70 $196,904.83 $169,860.14 2026-09-15
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $151,614.28 $192,492.37 $166,053.73 2026-09-15
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $151,502.42 $192,350.36 $165,931.22 2026-09-15
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $151,392.29 $192,210.54 $165,810.61 2026-09-15
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $159,745.49 $159,745.49 $159,745.49 2026-09-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $145,765.55 $185,066.72 $159,647.98 2026-09-15
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 2 2 — — $76,770.97 $242,066.35 $159,418.66 2026-09-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $145,123.01 $184,250.94 $158,944.25 2026-09-15
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 2 2 — — $63,576.18 $251,394.92 $157,485.55 2026-09-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $134,891.86 $171,261.27 $147,738.70 2026-09-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $134,075.03 $170,224.21 $146,844.08 2026-09-15
1612 APR_DRG Implantable Heart Assist Systems 7 6 — — $132,688.51 $168,463.85 $145,325.51 2026-09-15
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 2 2 — — $69,416.89 $219,732.33 $144,574.61 2026-09-15
459 MS_DRG Spinal Fusion Except Cervical W Mcc 2 2 — — $71,122.29 $213,663.74 $142,393.02 2026-09-15
1611 APR_DRG Implantable Heart Assist Systems 7 6 — — $128,555.81 $163,216.90 $140,799.22 2026-09-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $122,382.78 $155,379.51 $134,038.28 2026-09-15
22 APR_DRG Heart And-or Lung Transplant 7 6 — — $121,127.19 $153,785.39 $132,663.11 2026-09-15
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 2 2 — — $62,308.81 $201,419.99 $131,864.40 2026-09-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $119,609.73 $151,858.79 $131,001.13 2026-09-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 45 35 — — $98,868.70 $342,574.16 $130,596.00 2026-09-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $117,477.48 $149,151.64 $128,665.81 2026-09-15
73 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $115,216.03 $146,280.46 $126,188.98 2026-09-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $113,956.97 $144,681.94 $124,810.01 2026-09-15
21 APR_DRG Heart And-or Lung Transplant 7 6 — — $113,131.47 $143,633.87 $123,905.90 2026-09-15
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 2 2 — — $49,961.02 $197,109.92 $123,535.47 2026-09-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $112,294.70 $142,571.49 $122,989.43 2026-09-15
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 2 2 — — $58,633.33 $185,587.13 $122,110.23 2026-09-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $109,587.55 $139,134.44 $120,024.46 2026-09-15
7 MS_DRG Lung Transplant 43 34 — — $91,468.66 $594,880.00 $119,880.00 2026-09-15
8514 APR_DRG Gender Related Procedures 7 6 — — $109,194.74 $138,635.73 $119,594.24 2026-09-15
8513 APR_DRG Gender Related Procedures 7 6 — — $109,194.74 $138,635.73 $119,594.24 2026-09-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $107,567.16 $136,569.31 $117,811.65 2026-09-15
64 APR_DRG Pancreas Transplant 7 6 — — $105,772.22 $134,290.42 $115,845.76 2026-09-15
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 1 1 — — $114,942.65 $114,942.65 $114,942.65 2026-09-15
J3404 HCPCS Injection Zopapogene Imadenovec-drba Suspension Per Therapeutic Dose-1 Dose 2 1 — — $114,540.00 $114,540.00 $114,540.00 2026-09-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $104,360.55 $132,498.14 $114,299.65 2026-09-15
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 36 31 — — $102,831.00 $441,092.00 $114,197.00 2026-09-15
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 2 2 — — $54,277.97 $173,647.44 $113,962.71 2026-09-15
14 MS_DRG Allogeneic Bone Marrow Transplant 43 34 — — $91,698.78 $400,192.00 $113,309.00 2026-09-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $102,648.85 $130,324.94 $112,424.93 2026-09-15
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $107,024.65 $107,024.65 $107,024.65 2026-09-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 43 34 — — $77,179.72 $478,772.53 $106,841.00 2026-09-15
209 MS_DRG Complex Aortic Arch Procedures 41 33 — — $92,033.20 $256,699.00 $106,718.00 2026-09-15
8634 APR_DRG Neonatal Aftercare 7 6 — — $96,591.15 $122,633.96 $105,790.31 2026-09-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $96,238.23 $122,185.89 $105,403.78 2026-09-15
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 1 1 — — $105,247.33 $105,247.33 $105,247.33 2026-09-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $95,278.33 $120,967.18 $104,352.45 2026-09-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 35 — — $73,384.16 $328,361.89 $103,912.00 2026-09-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 35 — — $76,302.47 $341,480.19 $102,525.00 2026-09-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $93,436.56 $118,628.84 $102,335.28 2026-09-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $92,239.07 $117,108.48 $101,023.74 2026-09-15
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 34 30 — — $90,327.00 $387,455.00 $99,835.10 2026-09-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $90,928.85 $115,445.00 $99,588.74 2026-09-15
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $69,492.91 $118,849.06 $98,922.27 2026-09-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 43 34 — — $74,597.52 $465,088.00 $97,211.40 2026-09-15
84 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $88,209.56 $111,992.54 $96,610.47 2026-09-15
A9543 HCPCS Y90 Ibritumomab Rx 5 3 — — $67,535.48 $115,501.94 $96,136.35 2026-09-15
63 APR_DRG Pancreas Transplant 7 6 — — $86,457.98 $109,768.70 $94,692.07 2026-09-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $85,983.66 $109,166.50 $94,172.58 2026-09-15
4404 APR_DRG Kidney Transplant 7 6 — — $85,828.45 $108,969.43 $94,002.59 2026-09-15
215 MS_DRG Other Heart Assist System Implant 45 35 — — $74,216.77 $463,262.53 $93,878.50 2026-09-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $85,661.10 $108,756.96 $93,819.29 2026-09-15
13 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $85,440.85 $108,477.33 $93,578.07 2026-09-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $84,786.17 $107,646.14 $92,861.04 2026-09-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 35 — — $67,636.08 $297,163.21 $92,236.10 2026-09-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $81,328.09 $103,255.70 $89,073.63 2026-09-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $81,191.09 $103,081.75 $88,923.57 2026-09-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $80,529.48 $102,241.76 $88,198.95 2026-09-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 6 — — $79,222.73 $100,582.68 $86,767.75 2026-09-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 6 — — $78,803.04 $100,049.84 $86,308.09 2026-09-15
72 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $78,767.49 $100,004.70 $86,269.15 2026-09-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $78,640.89 $99,843.97 $86,130.50 2026-09-15
1784 APR_DRG External Heart Assist Devices 7 6 — — $78,176.98 $99,254.98 $85,622.40 2026-09-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 35 — — $58,497.60 $261,444.45 $84,946.00 2026-09-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 6 — — $74,786.54 $94,950.41 $81,909.06 2026-09-15
850 MS_DRG Acute Leukemia With Other Procedures 44 35 — — $64,573.43 $288,756.22 $81,645.10 2026-09-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 35 — — $59,427.16 $244,994.07 $79,480.40 2026-09-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 45 35 — — $59,394.37 $300,517.24 $79,230.50 2026-09-15
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 6 — — $72,150.49 $91,603.64 $79,021.97 2026-09-15
62 APR_DRG Pancreas Transplant 7 6 — — $71,651.90 $90,970.61 $78,475.89 2026-09-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 6 — — $71,394.36 $90,643.64 $78,193.83 2026-09-15
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 21 17 $151,086.00 — $24,324.85 $120,868.80 $77,658.20 2026-09-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $70,700.67 $89,762.91 $77,434.06 2026-09-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $70,678.99 $89,735.39 $77,410.32 2026-09-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $70,116.23 $89,020.90 $76,793.96 2026-09-15
J9183 HCPCS Gemcitabine Intravesical Sys__225 Mg 46 36 — — $68,853.33 $297,410.78 $75,089.84 2026-09-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 45 35 — — $56,548.58 $294,329.54 $74,190.10 2026-09-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 6 — — $67,163.68 $85,272.29 $73,560.22 2026-09-15
12 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $67,160.21 $85,267.89 $73,556.42 2026-09-15
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $66,669.42 $84,644.77 $73,018.89 2026-09-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $66,654.68 $84,626.05 $73,002.75 2026-09-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $66,600.92 $84,557.80 $72,943.87 2026-09-15
71 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $66,354.66 $84,245.14 $72,674.15 2026-09-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 35 — — $54,292.03 $248,232.11 $72,394.00 2026-09-15
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 34 30 — — $65,361.60 $280,367.00 $72,241.80 2026-09-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $65,924.57 $83,699.09 $72,203.10 2026-09-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 45 35 — — $54,842.22 $231,606.19 $72,081.90 2026-09-15
81200013 CDM Hc Herat/lung Procurement 21 17 $140,000.00 — $22,540.00 $112,000.00 $71,960.00 2026-09-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 45 35 — — $52,386.23 $210,977.39 $71,843.40 2026-09-15
36133249 CDM Hc Icd Lead Insert/repos Sgl Cham 21 17 $137,653.00 $37,084.82 73% off $22,162.13 $110,122.40 $70,753.64 2026-09-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $64,518.10 $81,913.40 $70,662.68 2026-09-15
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W-o Cc-mcc 1 1 — — $69,895.31 $69,895.31 $69,895.31 2026-09-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $63,484.49 $80,601.12 $69,530.63 2026-09-15
11 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $62,728.36 $79,641.12 $68,702.49 2026-09-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $62,621.70 $79,505.71 $68,585.68 2026-09-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $62,453.48 $79,292.13 $68,401.43 2026-09-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 35 — — $49,865.38 $222,641.23 $68,059.80 2026-09-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $62,124.84 $78,874.89 $68,041.50 2026-09-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 35 31 — — $35,542.20 $263,335.00 $67,853.20 2026-09-15
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 6 — — $61,880.32 $78,564.43 $67,773.68 2026-09-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 45 35 — — $46,910.11 $181,004.34 $67,627.00 2026-09-15
6904 APR_DRG Acute Leukemia 7 6 — — $61,738.98 $78,384.98 $67,618.88 2026-09-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 35 — — $49,616.44 $221,522.18 $67,228.20 2026-09-15
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 54 40 — — $60,690.44 $262,151.33 $67,226.54 2026-09-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $61,311.49 $77,842.23 $67,150.67 2026-09-15
214 APR_DRG Open Craniotomy Except Trauma 7 6 — — $61,185.75 $77,682.60 $67,012.97 2026-09-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 34 — — $55,615.55 $248,489.15 $66,656.25 2026-09-15
A9699 HCPCS Radiopharm Rx Agent Noc 3 2 — — $55,449.60 $66,619.31 $66,619.31 2026-09-15
10 MS_DRG Pancreas Transplant 43 34 — — $41,271.06 $270,400.00 $66,425.20 2026-09-15
246 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels-stents 2 2 — — $32,932.98 $99,774.32 $66,353.65 2026-09-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 6 — — $60,283.95 $76,537.65 $66,025.28 2026-09-15
914 APR_DRG Other Major Head And Neck Procedures 7 6 — — $60,252.73 $76,498.02 $65,991.09 2026-09-15
1783 APR_DRG External Heart Assist Devices 7 6 — — $60,189.43 $76,417.65 $65,921.76 2026-09-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 6 — — $60,158.22 $76,378.02 $65,887.57 2026-09-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $59,618.87 $75,693.25 $65,296.85 2026-09-15
1794 APR_DRG Defibrillator Implants 7 6 — — $59,517.41 $75,564.44 $65,185.74 2026-09-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 45 35 — — $48,845.88 $185,527.57 $65,167.10 2026-09-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 35 — — $46,831.31 $196,874.82 $64,847.50 2026-09-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $58,909.56 $74,792.70 $64,520.00 2026-09-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $58,844.53 $74,710.13 $64,448.77 2026-09-15
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 2 2 — — $30,206.21 $97,852.81 $64,029.51 2026-09-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $58,452.59 $74,212.52 $64,019.50 2026-09-15
1204 APR_DRG Major Respiratory And Chest Procedures 7 6 — — $58,434.38 $74,189.40 $63,999.56 2026-09-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $58,177.71 $73,863.53 $63,718.45 2026-09-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 45 35 — — $47,951.92 $169,443.94 $63,463.40 2026-09-15
81200005 CDM Hc Heart Trans Procurement Cadaver 21 17 $123,278.00 — $19,847.76 $98,622.40 $63,364.89 2026-09-15
81200011 CDM Hc Double Lung Procurement 21 17 $123,278.00 — $19,847.76 $98,622.40 $63,364.89 2026-09-15
81200012 CDM Hc Single Lung Procurement 21 17 $123,278.00 — $19,847.76 $98,622.40 $63,364.89 2026-09-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $57,772.77 $73,349.41 $63,274.94 2026-09-15
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $57,566.39 $73,087.39 $63,048.91 2026-09-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 44 35 — — $43,475.78 $193,918.89 $63,042.90 2026-09-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 35 — — $47,090.03 $210,165.53 $62,996.70 2026-09-15
234 APR_DRG Spinal Procedures 7 6 — — $57,156.24 $72,566.66 $62,599.70 2026-09-15
248 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves-stents 2 2 — — $32,141.01 $92,404.87 $62,272.94 2026-09-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 35 — — $45,369.01 $196,962.59 $61,994.50 2026-09-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 35 — — $41,822.41 $170,089.67 $61,994.50 2026-09-15
4403 APR_DRG Kidney Transplant 7 6 — — $56,454.74 $71,676.02 $61,831.39 2026-09-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 45 35 — — $43,279.12 $148,579.00 $61,769.20 2026-09-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 6 — — $56,195.47 $71,346.85 $61,547.43 2026-09-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 6 — — $56,023.79 $71,128.86 $61,359.38 2026-09-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 6 — — $55,820.01 $70,870.15 $61,136.20 2026-09-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $55,754.98 $70,787.58 $61,064.98 2026-09-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 2 — — $48,695.00 $126,076.75 $60,809.00 2026-09-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $55,494.84 $70,457.31 $60,780.06 2026-09-15
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $55,435.88 $70,382.45 $60,715.48 2026-09-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 45 35 — — $45,433.87 $164,742.04 $60,668.90 2026-09-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $55,028.33 $69,865.02 $60,269.12 2026-09-15
4414 APR_DRG Major Bladder Procedures 7 6 — — $54,814.15 $69,593.09 $60,034.55 2026-09-15
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $54,704.03 $69,453.28 $59,913.94 2026-09-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 7 6 — — $54,236.65 $68,859.88 $59,402.05 2026-09-15
6954 APR_DRG Chemotherapy For Acute Leukemia 7 6 — — $54,112.65 $68,702.45 $59,266.24 2026-09-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $54,085.77 $68,668.32 $59,236.80 2026-09-15
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $59,115.42 $59,115.42 $59,115.42 2026-09-15
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc-mcc Or Disc Device-neurostim 1 1 — — $59,071.54 $59,071.54 $59,071.54 2026-09-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $53,925.35 $68,464.66 $59,061.10 2026-09-15
Q2043 HCPCS Sipuleucel-t Auto cd54+__Per Infusion (minimum 50 Million Cells) 54 40 — — $52,766.65 $227,924.64 $59,008.71 2026-09-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $53,790.08 $68,292.91 $58,912.95 2026-09-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 6 — — $53,617.53 $68,073.83 $58,723.96 2026-09-15
83 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $53,427.63 $67,832.73 $58,515.97 2026-09-15
4234 APR_DRG Inborn Errors Of Metabolism 7 6 — — $53,236.86 $67,590.53 $58,307.04 2026-09-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 45 35 — — $42,111.80 $281,863.23 $57,780.90 2026-09-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $52,720.06 $66,934.39 $57,741.01 2026-09-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 45 35 — — $44,437.38 $172,077.00 $57,714.00 2026-09-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $52,652.42 $66,848.52 $57,666.94 2026-09-15
36033270 CDM Hc Insert Sq Icd W Electrode 21 17 $111,589.00 $37,084.82 67% off $17,965.83 $89,271.20 $57,356.75 2026-09-15
48133270 CDM Hc Insert Subq Defib W/electrod 21 17 $111,589.00 $37,084.82 67% off $17,965.83 $89,271.20 $57,356.75 2026-09-15
C1816 HCPCS Receiver And Or Transmitter 2 1 — — $55,116.72 $59,403.58 $57,260.15 2026-09-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 35 — — $42,933.94 $175,992.12 $57,160.60 2026-09-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $52,121.74 $66,174.76 $57,085.72 2026-09-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 6 — — $52,009.88 $66,032.74 $56,963.21 2026-09-15
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 6 — — $51,805.24 $65,772.92 $56,739.08 2026-09-15
61 APR_DRG Pancreas Transplant 7 6 — — $51,771.43 $65,729.99 $56,702.04 2026-09-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $51,748.88 $65,701.37 $56,677.35 2026-09-15
28 MS_DRG Spinal Procedures With Mcc 45 35 — — $42,730.33 $170,331.03 $56,648.60 2026-09-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 35 — — $43,531.55 $194,169.66 $56,632.60 2026-09-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $51,515.63 $65,405.22 $56,421.88 2026-09-15
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 7 6 — — $51,338.73 $65,180.63 $56,228.14 2026-09-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 45 35 — — $40,358.71 $213,742.10 $56,222.40 2026-09-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $51,228.61 $65,040.82 $56,107.52 2026-09-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 45 35 — — $41,791.03 $157,717.40 $56,037.60 2026-09-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 43 34 — — $42,426.29 $400,192.00 $55,907.50 2026-09-15
204 APR_DRG Open Craniotomy For Trauma 7 6 — — $51,033.51 $64,793.11 $55,893.84 2026-09-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 6 — — $50,562.66 $64,195.32 $55,378.15 2026-09-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 35 — — $41,368.44 $183,305.14 $55,331.40 2026-09-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 45 35 — — $40,936.80 $184,248.65 $55,295.60 2026-09-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $49,957.41 $63,426.88 $54,715.26 2026-09-15
274 APR_DRG Other Open Craniotomy 7 6 — — $49,816.94 $63,248.53 $54,561.41 2026-09-15
4402 APR_DRG Kidney Transplant 7 6 — — $49,712.02 $63,115.32 $54,446.49 2026-09-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $49,699.01 $63,098.81 $54,432.25 2026-09-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 35 — — $38,483.61 $171,478.29 $54,374.50 2026-09-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 45 35 — — $40,119.53 $161,704.61 $54,027.50 2026-09-15
1782 APR_DRG External Heart Assist Devices 7 6 — — $49,295.80 $62,586.88 $53,990.64 2026-09-15
81200007 CDM Hc Liver Acquisition Cadaver 21 17 $104,683.00 — $16,853.96 $83,746.40 $53,807.06 2026-09-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 41 33 — — $46,402.80 $129,427.00 $53,806.90 2026-09-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 35 — — $37,998.95 $160,341.06 $53,737.10 2026-09-15
4284 APR_DRG Genetic Disorders 7 6 — — $48,916.00 $62,104.68 $53,574.67 2026-09-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 6 — — $48,856.17 $62,028.72 $53,509.14 2026-09-15
4014 APR_DRG Adrenal Procedures 7 6 — — $48,488.51 $61,561.93 $53,106.46 2026-09-15
224 APR_DRG Ventricular Shunt Procedures 7 6 — — $48,472.03 $61,541.02 $53,088.42 2026-09-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 35 — — $38,717.91 $172,531.52 $53,006.40 2026-09-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 43 34 — — $38,278.59 $161,516.53 $52,842.40 2026-09-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 35 — — $35,225.69 $156,833.44 $52,480.30 2026-09-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 6 — — $47,819.09 $60,712.03 $52,373.29 2026-09-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $47,815.62 $60,707.63 $52,369.49 2026-09-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $47,590.17 $60,421.39 $52,122.57 2026-09-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 35 — — $43,129.19 $157,526.19 $52,073.00 2026-09-15
48133264 CDM Hc Remove/replace Aicd Gen Biv 21 17 $101,010.00 $37,084.82 63% off $16,262.61 $80,808.00 $51,919.14 2026-09-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $47,384.66 $60,160.47 $51,897.49 2026-09-15
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $47,334.37 $60,096.62 $51,842.41 2026-09-15
834 MS_DRG Acute Leukemia With Mcc 45 35 — — $38,879.69 $168,729.25 $51,760.90 2026-09-15
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 45 35 — — $38,192.11 $170,312.22 $51,578.00 2026-09-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $47,069.90 $59,760.84 $51,552.75 2026-09-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 45 35 — — $37,435.51 $151,307.14 $51,504.50 2026-09-15
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 45 35 — — $37,963.39 $148,097.31 $51,423.40 2026-09-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $46,673.63 $59,257.72 $51,118.73 2026-09-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $46,639.81 $59,214.79 $51,081.69 2026-09-15
36133287 CDM Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 21 17 $99,334.00 $36,457.27 63% off $15,992.77 $79,467.20 $51,057.68 2026-09-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $46,427.36 $58,945.06 $50,849.02 2026-09-15
5144 APR_DRG Female Reproductive System Reconstructive Procedures 7 6 — — $46,367.53 $58,869.10 $50,783.49 2026-09-15
L7181 HCPCS Electronic Elbow Microprocessor Simultaneous Control Of Elbow And Terminal Devic… 34 30 — — $45,747.70 $196,234.00 $50,563.30 2026-09-15
4401 APR_DRG Kidney Transplant 7 6 — — $46,155.09 $58,599.38 $50,550.81 2026-09-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 43 34 — — $42,426.29 $400,192.00 $50,286.60 2026-09-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 35 — — $37,271.64 $165,873.63 $50,279.70 2026-09-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 44 35 — — $36,249.37 $161,435.03 $50,249.50 2026-09-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $45,834.25 $58,192.04 $50,199.42 2026-09-15
1214 APR_DRG Other Respiratory And Chest Procedures 7 6 — — $45,801.30 $58,150.21 $50,163.33 2026-09-15
4844 APR_DRG Other Male Reproductive System And Related Procedures 7 6 — — $45,746.67 $58,080.85 $50,103.50 2026-09-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 45 35 — — $38,879.69 $202,050.05 $49,912.00 2026-09-15
1814 APR_DRG Lower Vascular Procedures 7 6 — — $45,530.76 $57,806.72 $49,867.02 2026-09-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $45,426.71 $57,674.61 $49,753.06 2026-09-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 35 — — $36,130.12 $148,420.18 $49,747.00 2026-09-15
5114 APR_DRG Gynecologic Procedures For Malignancy 7 6 — — $45,355.60 $57,584.34 $49,675.18 2026-09-15
1793 APR_DRG Defibrillator Implants 7 6 — — $45,343.46 $57,568.92 $49,661.89 2026-09-15
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 6 — — $45,339.99 $57,564.52 $49,658.09 2026-09-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 6 — — $45,091.13 $57,248.56 $49,385.52 2026-09-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 35 — — $35,862.34 $165,343.88 $49,078.50 2026-09-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $44,778.97 $56,852.23 $49,043.63 2026-09-15
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