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

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Hospital

WILKES-BARRE GENERAL HOSPITAL

Wilkes-barre, PA · CCN 390137 · Rates published

6,287 distinct procedures filed
43 distinct payers
275,824 rate rows
2026-07-15 last MRF observed
Data quality

265,833 of 275,824 rate rows are consumer-grade (96.4%)

9,991 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,426
per-diem day rate — not a per-procedure price 1,233
template filing: same amount across many unrelated codes — excluded 133
placeholder amount (≤ $0.02) — excluded from medians 96
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 92
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://commonwealthhealth.net/wp-content/uploads/sheets/263632648_wilkes-barre-general-hospital_standardcharges.csv
Found on page https://commonwealthhealth.net/patients-visitors/financial-information/pricing-information/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-12
Content fingerprint 2ff4e8e6d7d3407d… · 171,155,454 bytes · first seen 2026-05-17

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
5834
APR_DRG 		Neonate With Ecmo 8 $3,405,714.17 $3,916,571.30 $3,575,999.88 nat. median
$390,362
outlier · 9.2×
8434
APR_DRG 		Extensive Third Degree Burns Without Skin Graft 8 $911,368.52 $1,048,073.80 $956,936.95 nat. median
$16,968
outlier · 56.4×
42
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $624,814.49 $718,536.66 $656,055.21 nat. median
$52,481
outlier · 12.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 $321,501.62 $1,025,272.56 $464,810.27 nat. median
$168,055
outlier · 2.8×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $414,649.17 $426,490.48 $420,569.82 nat. median
$292,587
1.4× median
5833
APR_DRG 		Neonate With Ecmo 8 $368,122.21 $423,340.54 $386,528.32 nat. median
$268,208
1.4× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 $363,105.21 $417,570.99 $381,260.47 nat. median
$65,108
outlier · 5.9×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 8 $324,334.53 $372,984.71 $340,551.26 nat. median
$77,096
outlier · 4.4×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $322,443.79 $333,308.17 $327,875.98 nat. median
$220,794
1.5× median
7
MS_DRG 		Lung Transplant 23 $111,411.52 $779,318.57 $305,871.04 nat. median
$70,649
outlier · 4.3×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $294,285.67 $307,982.48 $301,134.07 nat. median
$27,663
outlier · 10.9×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $265,586.80 $305,424.82 $278,866.14 nat. median
$85,032
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $181,040.92 $474,579.52 $270,643.55 nat. median
$186,516
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $211,927.28 $243,716.37 $222,523.64 nat. median
$286,698
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $207,344.23 $238,445.86 $217,711.44 nat. median
$225,531
1.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $199,309.50 $229,205.92 $209,274.98 nat. median
$120,079
1.7× median
4054
APR_DRG 		Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 $198,218.81 $227,951.63 $208,129.75 nat. median
$36,918
outlier · 5.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $141,017.76 $399,681.73 $202,236.87 nat. median
$131,925
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $184,671.64 $212,372.39 $193,905.22 nat. median
$198,578
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $121,687.00 $361,079.60 $192,527.93 nat. median
$145,435
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $182,668.79 $210,069.11 $191,802.23 nat. median
$173,134
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $178,425.08 $205,188.84 $187,346.33 nat. median
$171,497
1.1× median
5831
APR_DRG 		Neonate With Ecmo 8 $171,208.32 $196,889.57 $179,768.74 nat. median
$173,909
1.0× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 $170,834.04 $196,459.15 $179,375.74 nat. median
$85,322
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $168,512.53 $193,789.41 $176,938.16 nat. median
$152,792
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $165,445.37 $190,262.18 $173,717.64 nat. median
$168,439
1.0× median
3254
APR_DRG 		Non-elective Or Complex Knee Joint Replacement 8 $162,607.54 $186,998.67 $170,737.92 nat. median
$33,456
outlier · 5.1×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $157,512.86 $181,139.79 $165,388.50 nat. median
$152,383
1.1× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 $156,992.80 $180,541.72 $164,842.44 nat. median
$100,752
1.6× median
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 $152,310.66 $175,157.26 $159,926.19 nat. median
$70,730
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo 8 $149,401.45 $171,811.67 $156,871.52 nat. median
$201,678
0.8× median
294
APR_DRG 		Other Percutaneous Intracranial Procedures 8 $147,221.00 $169,304.15 $154,582.05 nat. median
$35,822
outlier · 4.3×
1613
APR_DRG 		Implantable Heart Assist Systems 8 $144,232.07 $165,866.88 $151,443.67 nat. median
$155,539
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $141,030.56 $162,185.14 $148,082.09 nat. median
$135,630
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $138,964.41 $159,809.07 $145,912.63 nat. median
$173,018
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $138,592.69 $159,381.59 $145,522.32 nat. median
$149,836
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $138,530.58 $159,310.17 $145,457.11 nat. median
$136,566
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $130,542.47 $150,123.84 $137,069.59 nat. median
$115,963
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $130,250.22 $149,787.75 $136,762.73 nat. median
$202,242
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $73,036.00 $337,379.99 $133,064.99 nat. median
$97,418
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $122,856.07 $141,284.48 $128,998.87 nat. median
$124,731
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $85,921.10 $262,893.51 $126,014.57 nat. median
$65,418
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $114,743.00 $131,954.45 $120,480.15 nat. median
$114,205
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $14,511.96 $209,340.56 $118,868.75 nat. median
$72,715
1.6× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $113,197.79 $130,177.46 $118,857.68 nat. median
$117,894
1.0× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 $110,842.74 $127,469.15 $116,384.88 nat. median
$91,350
1.3× median
5004
APR_DRG 		Malignancy, Male Reproductive System 8 $109,826.10 $126,300.01 $115,317.41 nat. median
$13,956
outlier · 8.3×
64
APR_DRG 		Pancreas Transplant 8 $108,349.55 $124,601.98 $113,767.03 nat. median
$92,994
1.2× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 $106,442.55 $122,408.93 $111,764.68 nat. median
$52,992
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 23 $69,257.83 $182,374.32 $111,014.98 nat. median
$69,922
1.6× median

Other procedures at this hospital

Browse this hospital's 6,287 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 24 — — $181,040.92 $474,579.52 $270,643.55 2026-07-15
10 MS_DRG Pancreas Transplant 28 23 — — $32,306.93 $127,392.59 $64,646.67 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 28 — — $34,594.16 $90,910.12 $55,658.04 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $39,318.95 $45,216.79 $41,284.90 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 8 — — $46,470.00 $53,440.50 $48,793.50 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 8 — — $67,170.53 $77,246.11 $70,529.06 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 8 — — $63,415.06 $72,927.32 $66,585.81 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $56,601.69 $65,091.94 $59,431.77 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 28 — — $26,909.55 $81,683.00 $43,326.97 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 9 8 — — $48,185.58 $55,413.42 $50,594.86 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 9 8 — — $42,374.63 $48,730.82 $44,493.36 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $70,458.92 $81,027.76 $73,981.87 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 8 — — $55,758.57 $64,122.36 $58,546.50 2026-07-15
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 9 8 — — $45,293.25 $52,087.24 $47,557.91 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $138,530.58 $159,310.17 $145,457.11 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 28 23 — — $14,511.96 $209,340.56 $118,868.75 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 33 27 — — $25,395.83 $71,253.56 $44,183.13 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 23 — — $41,406.50 $96,441.61 $47,462.53 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 8 — — $56,082.52 $64,494.90 $58,886.65 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 8 — — $94,905.19 $109,140.97 $99,650.45 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 9 8 — — $58,983.79 $67,831.36 $61,932.98 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 9 8 — — $66,524.72 $76,503.43 $69,850.96 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 9 8 — — $144,232.07 $165,866.88 $151,443.67 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 9 8 — — $130,250.22 $149,787.75 $136,762.73 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 8 — — $40,343.91 $46,395.50 $42,361.11 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 8 — — $54,239.56 $62,375.49 $56,951.54 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 8 — — $84,902.92 $97,638.36 $89,148.07 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 34 28 — — $29,473.00 $147,782.79 $42,841.59 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 8 — — $45,132.97 $51,902.92 $47,389.62 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 8 — — $58,753.30 $67,566.29 $61,690.97 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 8 — — $44,201.97 $50,832.27 $46,412.07 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 8 — — $51,640.15 $59,386.17 $54,222.16 2026-07-15
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $294,285.67 $307,982.48 $301,134.07 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 8 — — $57,840.01 $66,516.01 $60,732.01 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 8 — — $39,454.27 $45,372.41 $41,426.98 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 8 — — $62,519.68 $71,897.63 $65,645.66 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 9 8 — — $45,255.12 $52,043.39 $47,517.88 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 23 — — $7,519.37 $96,441.61 $44,563.55 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 9 8 — — $37,384.46 $42,992.13 $39,253.68 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 9 8 — — $41,278.23 $47,469.96 $43,342.14 2026-07-15
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 9 8 — — $41,595.52 $47,834.85 $43,675.30 2026-07-15
1781 APR_DRG External Heart Assist Systems 9 8 — — $40,713.75 $46,820.81 $42,749.44 2026-07-15
1782 APR_DRG External Heart Assist Systems 9 8 — — $47,989.98 $55,188.48 $50,389.48 2026-07-15
1783 APR_DRG External Heart Assist Systems 9 8 — — $49,922.02 $57,410.32 $52,418.12 2026-07-15
1784 APR_DRG External Heart Assist Systems 9 8 — — $59,302.33 $68,197.68 $62,267.45 2026-07-15
1793 APR_DRG Defibrillator Implants 9 8 — — $39,753.38 $45,716.39 $41,741.05 2026-07-15
1794 APR_DRG Defibrillator Implants 9 8 — — $49,875.92 $57,357.31 $52,369.72 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 27 — — $321,501.62 $1,025,272.56 $464,810.27 2026-07-15
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $414,649.17 $426,490.48 $420,569.82 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 9 8 — — $44,372.20 $51,028.03 $46,590.81 2026-07-15
1824 APR_DRG Other Peripheral Vascular And Related Procedures 9 8 — — $40,506.61 $46,582.60 $42,531.94 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 9 8 — — $39,556.03 $45,489.43 $41,533.83 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 8 — — $59,064.01 $67,923.61 $62,017.21 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 25 — — $7,191.65 $133,559.15 $67,580.23 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 23 — — $85,921.10 $262,893.51 $126,014.57 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 28 — — $44,012.00 $135,813.41 $75,660.71 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 9 8 — — $49,928.80 $57,418.12 $52,425.24 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 27 — — $53,143.89 $186,896.28 $68,914.48 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 28 — — $38,784.49 $123,335.69 $52,158.85 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 8 7 — — $48,170.49 $55,396.06 $50,579.01 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 33 27 — — $36,514.58 $185,211.56 $92,870.50 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 9 8 — — $48,131.58 $55,351.32 $50,538.16 2026-07-15
215 MS_DRG Other Heart Assist System Implant 33 27 — — $68,355.48 $178,501.19 $81,431.82 2026-07-15
215 OTHER Other Heart Assist System Implant 2 2 — — $58,634.47 $58,852.13 $58,743.30 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 28 — — $51,051.00 $162,601.73 $86,702.85 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 28 — — $42,663.24 $108,802.70 $53,052.30 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 28 — — $17,026.91 $100,233.81 $50,884.39 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 28 — — $39,854.00 $130,361.40 $64,774.27 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 8 7 — — $101,639.75 $116,885.71 $106,721.74 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 28 — — $23,394.10 $89,238.80 $42,975.79 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 9 8 — — $41,614.81 $47,857.03 $43,695.55 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 28 — — $31,205.68 $77,376.12 $39,917.56 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 9 8 — — $43,186.61 $49,664.60 $45,345.94 2026-07-15
22515 CPT Perq Vertebral Augmentation 24 19 $164,520.00 $39,484.80 76% off $404.27 $164,520.00 $43,787.00 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 28 — — $17,859.16 $83,958.64 $44,013.82 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 8 7 — — $113,197.79 $130,177.46 $118,857.68 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 28 — — $29,762.00 $96,119.52 $53,198.46 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 9 8 — — $40,778.65 $46,895.45 $42,817.58 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 28 — — $46,686.00 $142,768.27 $79,489.55 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 28 — — $39,882.11 $102,919.38 $54,072.71 2026-07-15
2324 APR_DRG Gastric Fundoplication 9 8 — — $51,884.20 $59,666.83 $54,478.41 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 28 — — $38,429.00 $131,690.71 $65,927.56 2026-07-15
234 APR_DRG Spinal Procedures 9 8 — — $51,166.36 $58,841.31 $53,724.68 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 28 — — $34,871.82 $89,634.73 $43,166.08 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 28 — — $25,992.03 $99,137.00 $47,688.47 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 27 — — $32,261.54 $84,861.69 $42,939.57 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 8 7 — — $207,344.23 $238,445.86 $217,711.44 2026-07-15
245 MS_DRG Aicd Generator Procedures 33 27 — — $12,546.97 $82,383.12 $41,659.97 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 9 8 — — $51,715.31 $59,472.61 $54,301.08 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 9 8 — — $45,969.81 $52,865.28 $48,268.30 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 9 8 — — $39,945.25 $45,937.04 $41,942.51 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 9 8 — — $92,326.22 $106,175.15 $96,942.53 2026-07-15
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $105,098.54 $108,876.05 $106,987.29 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 27 — — $41,867.69 $100,933.00 $51,071.57 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 27 — — $32,751.43 $79,264.79 $40,414.09 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 27 — — $50,674.59 $178,542.41 $71,049.95 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 27 — — $14,882.53 $86,480.78 $43,758.82 2026-07-15
27134 CPT Revise Hip Joint Replacement 24 19 $192,572.00 $46,217.28 76% off $1,833.28 $192,572.00 $51,253.04 2026-07-15
274 APR_DRG Other Open Craniotomy 9 8 — — $52,238.97 $60,074.82 $54,850.92 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 27 — — $31,773.72 $119,064.82 $60,246.18 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 32 26 — — $41,628.09 $104,363.25 $58,346.43 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 33 27 — — $32,098.69 $78,375.21 $48,421.00 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 33 27 — — $7,100.61 $84,295.60 $42,653.13 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 34 28 — — $13,499.00 $102,427.42 $49,314.38 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 9 8 — — $147,221.00 $169,304.15 $154,582.05 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 28 — — $121,687.00 $361,079.60 $192,527.93 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 8 — — $42,713.58 $49,120.62 $44,849.26 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 8 — — $54,423.38 $62,586.89 $57,144.55 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 8 — — $89,323.64 $102,722.19 $93,789.82 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 8 — — $41,096.39 $47,260.85 $43,151.21 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 8 — — $40,135.62 $46,155.96 $42,142.40 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 8 — — $67,761.53 $77,925.76 $71,149.61 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 8 — — $47,928.30 $55,117.54 $50,324.72 2026-07-15
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 9 8 — — $86,527.07 $99,506.13 $90,853.42 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 9 8 — — $42,306.84 $48,652.87 $44,422.18 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 9 8 — — $162,607.54 $186,998.67 $170,737.92 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 27 — — $34,078.24 $115,252.47 $49,657.21 2026-07-15
33225 CPT L Ventric Pacing Lead Add-on 24 19 $406,163.00 $97,479.12 76% off $437.00 $406,163.00 $108,100.28 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 50 39 $379,040.00 $90,969.60 76% off $814.80 $379,040.00 $55,588.90 2026-07-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 50 39 $356,499.00 $85,559.76 76% off $353.15 $356,499.00 $40,897.90 2026-07-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 50 39 $244,284.00 $58,628.16 76% off $367.07 $244,284.00 $40,897.90 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 50 39 $403,696.00 $96,887.04 76% off $382.85 $403,696.00 $57,082.00 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 48 38 $424,470.00 $101,872.80 76% off $531.12 $424,470.00 $60,209.38 2026-07-15
33970 CPT Aortic Circulation Assist 24 19 $210,010.00 $50,402.40 76% off $334.73 $210,010.00 $55,894.16 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 8 — — $96,904.53 $111,440.21 $101,749.76 2026-07-15
3634 APR_DRG Breast Procedures Except Mastectomy 9 8 — — $42,509.46 $48,885.88 $44,634.93 2026-07-15
37232 CPT Tib/per Revasc Add-on 24 19 $164,851.00 $39,564.24 76% off $364.82 $164,851.00 $43,875.10 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 28 — — $73,036.00 $337,379.99 $133,064.99 2026-07-15
4014 APR_DRG Adrenal Procedures 9 8 — — $40,142.80 $46,164.22 $42,149.94 2026-07-15
4034 APR_DRG Procedures For Obesity 9 8 — — $40,053.16 $46,061.13 $42,055.82 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 9 8 — — $42,340.73 $48,691.84 $44,457.77 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 27 — — $36,922.78 $91,462.74 $46,279.67 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 9 8 — — $198,218.81 $227,951.63 $208,129.75 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 8 — — $51,363.71 $59,068.27 $53,931.90 2026-07-15
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $83,293.28 $86,466.68 $84,879.98 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 8 — — $624,814.49 $718,536.66 $656,055.21 2026-07-15
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $65,958.80 $66,571.35 $66,265.08 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 8 — — $265,586.80 $305,424.82 $278,866.14 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 8 — — $141,030.56 $162,185.14 $148,082.09 2026-07-15
4401 APR_DRG Kidney Transplant 9 8 — — $38,772.67 $44,588.57 $40,711.30 2026-07-15
4402 APR_DRG Kidney Transplant 9 8 — — $42,028.89 $48,333.22 $44,130.33 2026-07-15
4403 APR_DRG Kidney Transplant 9 8 — — $48,084.14 $55,296.76 $50,488.35 2026-07-15
4404 APR_DRG Kidney Transplant 9 8 — — $79,343.30 $91,244.79 $83,310.47 2026-07-15
4414 APR_DRG Major Bladder Procedures 9 8 — — $62,494.71 $71,868.92 $65,619.45 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 9 8 — — $37,505.73 $43,131.59 $39,381.02 2026-07-15
4454 APR_DRG Other Bladder Procedures 9 8 — — $37,788.89 $43,457.22 $39,678.33 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 9 8 — — $37,662.28 $43,311.62 $39,545.39 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 27 23 — — $24,710.00 $126,026.26 $66,801.21 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 27 23 — — $14,632.68 $87,090.90 $45,896.67 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 28 — — $16,853.00 $142,689.08 $79,445.96 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 28 — — $16,853.00 $96,697.41 $46,560.47 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 28 — — $16,853.00 $74,146.53 $39,700.64 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 26 22 — — $44,445.26 $94,409.62 $50,127.80 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 27 — — $43,038.63 $119,030.42 $63,307.11 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 27 — — $26,090.87 $90,996.05 $46,043.53 2026-07-15
464 APR_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction 9 8 — — $63,321.55 $72,819.78 $66,487.63 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 28 — — $6,456.10 $85,833.82 $39,788.84 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 34 28 — — $16,855.00 $127,855.19 $40,948.62 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 23 — — $69,257.83 $182,374.32 $111,014.98 2026-07-15
5004 APR_DRG Malignancy, Male Reproductive System 9 8 — — $109,826.10 $126,300.01 $115,317.41 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 9 8 — — $44,530.38 $51,209.94 $46,756.90 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 9 8 — — $42,430.37 $48,794.93 $44,551.89 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 9 8 — — $49,358.91 $56,762.75 $51,826.86 2026-07-15
5144 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 8 — — $38,417.48 $44,180.10 $40,338.35 2026-07-15
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $56,431.46 $58,580.40 $57,505.93 2026-07-15
5184 APR_DRG Other Female Reproductive System And Related Procedures 9 8 — — $41,483.55 $47,706.08 $43,557.73 2026-07-15
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 9 8 — — $48,324.20 $55,572.83 $50,740.41 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 8 — — $44,501.76 $51,177.02 $46,726.85 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 8 — — $67,397.78 $77,507.45 $70,767.67 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 8 — — $110,842.74 $127,469.15 $116,384.88 2026-07-15
544 APR_DRG Migraine And Other Headaches 9 8 — — $63,898.96 $73,483.80 $67,093.91 2026-07-15
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 9 8 — — $67,796.73 $77,966.24 $71,186.57 2026-07-15
570 MS_DRG Skin Debridement With Mcc 33 27 — — $24,795.01 $192,725.69 $52,079.40 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 27 — — $31,241.49 $103,753.35 $52,498.65 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 27 — — $12,730.44 $94,557.46 $45,994.93 2026-07-15
5831 APR_DRG Neonate With Ecmo 9 8 — — $171,208.32 $196,889.57 $179,768.74 2026-07-15
5832 APR_DRG Neonate With Ecmo 9 8 — — $149,401.45 $171,811.67 $156,871.52 2026-07-15
5833 APR_DRG Neonate With Ecmo 9 8 — — $368,122.21 $423,340.54 $386,528.32 2026-07-15
5834 APR_DRG Neonate With Ecmo 9 8 — — $3,405,714.17 $3,916,571.30 $3,575,999.88 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 9 8 — — $56,954.09 $65,497.20 $59,801.79 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 8 — — $157,512.86 $181,139.79 $165,388.50 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 8 — — $182,668.79 $210,069.11 $191,802.23 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 8 — — $211,927.28 $243,716.37 $222,523.64 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 8 — — $68,673.53 $78,974.56 $72,107.21 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 8 — — $48,949.24 $56,291.63 $51,396.70 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 8 — — $324,334.53 $372,984.71 $340,551.26 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 8 — — $100,427.05 $115,491.11 $105,448.40 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 8 — — $199,309.50 $229,205.92 $209,274.98 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 8 — — $178,425.08 $205,188.84 $187,346.33 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 8 — — $86,965.40 $100,010.21 $91,313.67 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 8 — — $114,743.00 $131,954.45 $120,480.15 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 8 — — $165,445.37 $190,262.18 $173,717.64 2026-07-15
595 OTHER Major Skin Disorders With Mcc 2 2 — — $38,657.61 $40,005.30 $39,331.46 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 28 23 — — $41,339.43 $202,442.89 $64,999.06 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $69,691.38 $80,145.09 $73,175.95 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $87,146.80 $100,218.82 $91,504.14 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $122,856.07 $141,284.48 $128,998.87 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 8 — — $50,945.16 $58,586.93 $53,492.42 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 8 — — $67,595.88 $77,735.26 $70,975.67 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 8 — — $130,542.47 $150,123.84 $137,069.59 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $48,137.61 $55,358.25 $50,544.49 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $67,922.24 $78,110.58 $71,318.35 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $156,992.80 $180,541.72 $164,842.44 2026-07-15
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 8 — — $37,803.29 $43,473.78 $39,693.45 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 8 — — $73,349.49 $84,351.91 $77,016.96 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 8 — — $59,487.33 $68,410.43 $62,461.70 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 8 — — $38,042.79 $43,749.21 $39,944.93 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 8 — — $67,313.76 $77,410.82 $70,679.45 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 8 — — $184,671.64 $212,372.39 $193,905.22 2026-07-15
61 APR_DRG Pancreas Transplant 9 8 — — $38,694.52 $44,498.70 $40,629.25 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 8 — — $170,834.04 $196,459.15 $179,375.74 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $73,694.50 $84,748.67 $77,379.23 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $67,254.67 $77,342.87 $70,617.40 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 8 — — $46,531.72 $53,511.48 $48,858.31 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 8 — — $76,668.57 $88,168.86 $80,502.00 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 8 — — $41,346.94 $47,548.98 $43,414.29 2026-07-15
61624 CPT Transcath Occlusion Cns 24 19 $149,120.00 $35,788.80 76% off $1,121.39 $149,120.00 $39,688.29 2026-07-15
62 APR_DRG Pancreas Transplant 9 8 — — $61,631.78 $70,876.55 $64,713.37 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 8 — — $152,310.66 $175,157.26 $159,926.19 2026-07-15
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $82,611.87 $85,545.72 $84,078.79 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 9 8 — — $75,281.61 $86,573.85 $79,045.69 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 9 8 — — $45,259.51 $52,048.44 $47,522.49 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 8 — — $53,588.32 $61,626.57 $56,267.74 2026-07-15
63 APR_DRG Pancreas Transplant 9 8 — — $76,972.88 $88,518.81 $80,821.52 2026-07-15
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 8 — — $54,754.56 $62,967.74 $57,492.29 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 8 — — $51,738.22 $59,498.95 $54,325.13 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 8 — — $80,446.67 $92,513.67 $84,469.00 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 8 — — $104,014.88 $119,617.11 $109,215.62 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 8 — — $48,049.79 $55,257.26 $50,452.28 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 8 — — $104,570.79 $120,256.41 $109,799.33 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 8 — — $56,468.19 $64,938.42 $59,291.60 2026-07-15
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 2 — — $47,905.00 $50,154.26 $49,029.63 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 9 8 — — $38,029.23 $43,733.61 $39,930.69 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 56 42 $285,419.00 $68,500.56 76% off $301.00 $285,419.00 $42,983.16 2026-07-15
64 APR_DRG Pancreas Transplant 9 8 — — $108,349.55 $124,601.98 $113,767.03 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 25 — — $30,197.22 $78,067.08 $47,973.86 2026-07-15
6504 APR_DRG Splenectomy 9 8 — — $38,465.35 $44,235.15 $40,388.62 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 9 8 — — $42,752.59 $49,165.48 $44,890.22 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 33 27 — — $36,351.22 $128,968.96 $58,092.57 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 8 — — $106,442.55 $122,408.93 $111,764.68 2026-07-15
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $322,443.79 $333,308.17 $327,875.98 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 8 — — $58,812.43 $67,634.29 $61,753.05 2026-07-15
6904 APR_DRG Acute Leukemia 9 8 — — $58,260.31 $66,999.36 $61,173.33 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 9 8 — — $51,628.85 $59,373.18 $54,210.29 2026-07-15
7 MS_DRG Lung Transplant 28 23 — — $111,411.52 $779,318.57 $305,871.04 2026-07-15
7 OTHER Lung Transplant 2 2 — — $53,849.46 $55,907.27 $54,878.36 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 8 — — $53,099.54 $61,064.47 $55,754.52 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 9 8 — — $39,759.40 $45,723.31 $41,747.37 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 9 8 — — $38,219.04 $43,951.90 $40,129.99 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 8 — — $66,374.89 $76,331.12 $69,693.63 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 8 — — $95,648.32 $109,995.57 $100,430.74 2026-07-15
734 APR_DRG Orbit And Eye Procedures 9 8 — — $37,886.35 $43,569.30 $39,780.67 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 8 — — $138,592.69 $159,381.59 $145,522.32 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 9 8 — — $71,555.51 $82,288.84 $75,133.29 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 26 — — $40,225.82 $107,213.27 $56,031.30 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 9 8 — — $44,615.50 $51,307.82 $46,846.28 2026-07-15
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 9 8 — — $71,893.61 $82,677.65 $75,488.29 2026-07-15
799 MS_DRG Splenectomy With Mcc 32 26 — — $33,247.98 $80,108.87 $40,721.54 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 23 — — $46,385.38 $198,215.03 $63,243.92 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 8 — — $48,674.39 $55,975.55 $51,108.11 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 27 — — $29,418.09 $98,094.11 $49,635.11 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 27 — — $25,884.84 $83,380.45 $40,711.14 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 8 — — $42,830.33 $49,254.88 $44,971.85 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 32 26 — — $37,548.83 $121,055.56 $52,158.85 2026-07-15
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $97,320.52 $101,658.47 $99,489.49 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 27 — — $38,464.12 $141,982.29 $42,826.17 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 8 — — $363,105.21 $417,570.99 $381,260.47 2026-07-15
8411 APR_DRG Chemotherapy For Acute Leukemia 9 8 — — $38,251.47 $43,989.19 $40,164.04 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 9 8 — — $38,251.47 $43,989.19 $40,164.04 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 8 — — $64,668.82 $74,369.14 $67,902.26 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 8 — — $138,964.41 $159,809.07 $145,912.63 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 8 — — $38,213.77 $43,945.84 $40,124.46 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 8 — — $93,235.89 $107,221.27 $97,897.68 2026-07-15
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 9 8 — — $911,368.52 $1,048,073.80 $956,936.95 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 8 — — $50,509.78 $58,086.25 $53,035.27 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 27 — — $2,057.11 $84,261.90 $42,636.08 2026-07-15
8634 APR_DRG Neonatal Aftercare 9 8 — — $56,341.58 $64,792.82 $59,158.66 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 27 — — $46,085.86 $117,203.11 $59,304.16 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 9 8 — — $56,055.76 $64,464.12 $58,858.55 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 8 — — $37,800.74 $43,470.85 $39,690.78 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 9 8 — — $40,093.09 $46,107.05 $42,097.74 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 8 — — $53,026.38 $60,980.34 $55,677.70 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 8 — — $54,363.30 $62,517.79 $57,081.47 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 8 — — $52,435.56 $60,300.89 $55,057.34 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 9 8 — — $60,103.19 $69,118.67 $63,108.35 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 9 8 — — $56,655.17 $65,153.45 $59,487.93 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 8 — — $39,294.84 $45,189.07 $41,259.58 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 9 8 — — $46,447.49 $53,414.61 $48,769.86 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 27 — — $141,017.76 $399,681.73 $202,236.87 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 26 — — $31,742.99 $112,526.11 $49,757.12 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 8 — — $56,192.46 $64,621.33 $59,002.08 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 8 — — $168,512.53 $193,789.41 $176,938.16 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 8 — — $49,281.78 $56,674.05 $51,745.87 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $59,181.13 $60,711.12 $59,946.12 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 27 — — $40,827.17 $115,043.20 $58,211.26 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 27 — — $36,646.85 $125,756.84 $63,632.31 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 27 — — $53,914.66 $241,383.21 $87,575.91 2026-07-15
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $68,963.41 $71,645.12 $70,304.26 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 27 — — $3,413.61 $80,093.71 $40,527.00 2026-07-15
G0269 HCPCS Occlusive Device In Vein Art 24 19 $168,216.00 $40,371.84 76% off $814.80 $168,216.00 $44,770.69 2026-07-15
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