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

INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA

Butler, PA · CCN 390168 · Rates published

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You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $13,121 across 28 payers · range $3,339-$31,745

Source: https://www.independence.health/documents/content/250965274_Butler-Memorial_StandardCharges.csv · observed 2026-07-19

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

29,774 distinct procedures filed
36 distinct payers
764,592 rate rows
2026-07-19 last MRF observed
Data quality

756,607 of 764,592 rate rows are consumer-grade (99.0%)

7,985 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 6,063
per-diem day rate — not a per-procedure price 943
placeholder amount (≤ $0.02) — excluded from medians 377
percent-of-charges filed in the dollar field — excluded from medians 368
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 169
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 43
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.independence.health/documents/content/250965274_Butler-Memorial_standardcharges.csv
Found on page https://www.independence.health/patients-visitors/financial-services/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 5cc1692f76cc62d8… · 198,017,333 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 21 $40.00 $4,955,500.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 22 $40.00 $4,857,550.00 $3,832,677.34 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 23 $40.00 $4,676,212.25 $3,465,703.41 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 23 $40.00 $4,580,308.47 $3,394,625.78 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 23 $40.00 $4,153,493.40 $3,078,298.30 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 23 $40.00 $4,910,221.22 $2,577,866.14 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 24 $40.00 $4,919,120.80 $2,448,600.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 24 $755,207.60 $2,076,573.40 $824,563.40 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 29 $40.00 $1,594,511.80 $627,229.77 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 28 $40.00 $1,524,835.60 $599,821.09 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 29 $40.00 $1,515,858.70 $593,477.79 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 29 $40.00 $1,501,791.90 $587,970.42 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 29 $40.00 $1,436,883.60 $565,223.98 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 29 $40.00 $1,318,518.70 $518,662.89 nat. median
$577,541
0.9× median
5834
APR_DRG 		Neonate W Ecmo 8 $236,355.10 $428,659.42 $372,747.50 nat. median
$311,018
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 27 $9,711.94 $793,645.45 $305,026.60 nat. median
$370,165
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 26 $272,685.00 $714,357.00 $299,118.75 nat. median
$302,242
1.0× median
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 2 $298,916.71 $298,916.71 $298,916.71 nat. median
$7,400
outlier · 40.4×
J3403
HCPCS 		Revakinagene- Per Implant 27 $40.00 $680,340.00 $278,100.00 nat. median
$265,000
1.0× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 2 $273,915.85 $273,915.85 $273,915.85 nat. median
$53,038
outlier · 5.2×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $188,503.02 $279,651.44 $243,175.28 nat. median
$254,667
1.0× median
5833
APR_DRG 		Neonate W Ecmo 8 $214,868.10 $277,699.26 $241,477.73 nat. median
$250,089
1.0× median
E0766
HCPCS 		Elec Stim Cancer Treatment 3 $40.00 $225,163.10 $225,163.10 nat. median
$16,786
outlier · 13.4×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 27 $40.00 $554,132.10 $224,147.60 nat. median
$209,736
1.1× median
24
APR_DRG 		N/a 8 $162,165.33 $247,656.92 $215,353.95 nat. median
$243,231
0.9× median
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 2 $198,619.01 $198,619.01 $198,619.01 nat. median
$77,861
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $30,308.43 $515,043.97 $194,527.74 nat. median
$261,939
0.7× median
5832
APR_DRG 		Neonate W Ecmo 8 $126,955.15 $213,222.01 $185,410.53 nat. median
$169,230
1.1× median
1614
APR_DRG 		N/a 8 $167,694.25 $212,241.04 $184,557.51 nat. median
$209,486
0.9× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 8 $121,998.82 $203,995.86 $177,387.79 nat. median
$160,171
1.1× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 2 $175,638.46 $175,638.46 $175,638.46 nat. median
$8,001
outlier · 22.0×
8414
APR_DRG 		N/a 8 $115,208.64 $201,201.47 $174,957.88 nat. median
$165,646
1.1× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 8 $137,957.56 $183,871.89 $159,888.67 nat. median
$168,174
1.0× median
J7330
HCPCS 		Maci Implant 1-membrane 81073 19 $40.00 $222,944.40 $159,246.00 nat. median
$75,807
outlier · 2.1×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $129,323.10 $181,877.72 $158,154.61 nat. median
$180,995
0.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 8 $154,480.40 $177,652.38 $157,077.91 nat. median
$168,361
0.9× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 8 $113,827.39 $180,516.52 $156,970.96 nat. median
$147,677
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $134,481.75 $405,491.30 $150,948.90 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 27 $29,237.25 $390,092.43 $148,630.60 nat. median
$199,832
0.7× median
114
APR_DRG 		N/a 5 $146,912.21 $230,374.90 $146,912.21 nat. median
$119,243
1.2× median
74
APR_DRG 		N/a 8 $135,545.91 $168,627.98 $146,633.09 nat. median
$175,480
0.8× median
94
APR_DRG 		N/a 8 $116,795.32 $168,422.04 $145,898.12 nat. median
$165,599
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $40.00 $145,723.40 $145,723.40 nat. median
$97,404
1.5× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 8 $133,889.45 $164,728.88 $143,242.57 nat. median
$156,285
0.9× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $116,574.89 $159,593.83 $138,777.31 nat. median
$147,847
0.9× median
5831
APR_DRG 		Neonate W Ecmo 8 $126,681.90 $157,934.84 $134,768.55 nat. median
$154,685
0.9× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 8 $78,283.97 $152,369.36 $132,495.16 nat. median
$109,499
1.2× median
14
APR_DRG 		N/a 8 $120,789.73 $149,964.20 $130,403.71 nat. median
$137,901
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 8 $108,347.38 $148,936.74 $129,510.27 nat. median
$127,600
1.0× median
1613
APR_DRG 		N/a 8 $124,876.10 $143,607.45 $125,216.52 nat. median
$127,938
1.0× median

Other procedures at this hospital

Browse this hospital's 29,774 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 Inj- Atidarsagene Autotemcel 24 21 — — $40.00 $4,955,500.00 $4,617,625.00 2026-07-19
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 25 22 — — $40.00 $4,857,550.00 $3,832,677.34 2026-07-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 26 23 — — $40.00 $4,676,212.25 $3,465,703.41 2026-07-19
J3394 HCPCS Inj- Lovotibeglogene Autotem 26 23 — — $40.00 $4,580,308.47 $3,394,625.78 2026-07-19
J3393 HCPCS Inj- Betibeglogene Autotemce 26 23 — — $40.00 $4,153,493.40 $3,078,298.30 2026-07-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 27 23 — — $40.00 $4,910,221.22 $2,577,866.14 2026-07-19
J3392 HCPCS Inj- Exagamglogene Autotem 29 24 — — $40.00 $4,919,120.80 $2,448,600.00 2026-07-19
Q2057 HCPCS Afamitresgene Autoleucel 37 24 — — $755,207.60 $2,076,573.40 $824,563.40 2026-07-19
Q2042 HCPCS Tisagenlecleucel Car-pos T 45 29 — — $40.00 $1,594,511.80 $627,229.77 2026-07-19
Q2056 HCPCS Ciltacabtagene Car-pos T 43 28 — — $40.00 $1,524,835.60 $599,821.09 2026-07-19
Q2054 HCPCS Lisocabtagene Mara Car Pos T 44 29 — — $40.00 $1,515,858.70 $593,477.79 2026-07-19
Q2055 HCPCS Idecabtagene Vicleucel Car 44 29 — — $40.00 $1,501,791.90 $587,970.42 2026-07-19
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 45 29 — — $40.00 $1,436,883.60 $565,223.98 2026-07-19
Q2053 HCPCS Brexucabtagene Car Pos T 45 29 — — $40.00 $1,318,518.70 $518,662.89 2026-07-19
5834 APR_DRG Neonate W Ecmo 9 8 — — $236,355.10 $428,659.42 $372,747.50 2026-07-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 37 27 — — $9,711.94 $793,645.45 $305,026.60 2026-07-19
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 34 26 — — $272,685.00 $714,357.00 $299,118.75 2026-07-19
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 2 2 — — $298,916.71 $298,916.71 $298,916.71 2026-07-19
J3403 HCPCS Revakinagene- Per Implant 37 27 — — $40.00 $680,340.00 $278,100.00 2026-07-19
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 2 2 — — $273,915.85 $273,915.85 $273,915.85 2026-07-19
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 9 8 — — $188,503.02 $279,651.44 $243,175.28 2026-07-19
5833 APR_DRG Neonate W Ecmo 9 8 — — $214,868.10 $277,699.26 $241,477.73 2026-07-19
E0766 HCPCS Elec Stim Cancer Treatment 4 3 — — $40.00 $225,163.10 $225,163.10 2026-07-19
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 38 27 — — $40.00 $554,132.10 $224,147.60 2026-07-19
24 APR_DRG N/a 9 8 — — $162,165.33 $247,656.92 $215,353.95 2026-07-19
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 2 2 — — $198,619.01 $198,619.01 $198,619.01 2026-07-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 27 — — $30,308.43 $515,043.97 $194,527.74 2026-07-19
5832 APR_DRG Neonate W Ecmo 9 8 — — $126,955.15 $213,222.01 $185,410.53 2026-07-19
1614 APR_DRG N/a 9 8 — — $167,694.25 $212,241.04 $184,557.51 2026-07-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 8 — — $121,998.82 $203,995.86 $177,387.79 2026-07-19
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 2 2 — — $175,638.46 $175,638.46 $175,638.46 2026-07-19
8414 APR_DRG N/a 9 8 — — $115,208.64 $201,201.47 $174,957.88 2026-07-19
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 8 — — $137,957.56 $183,871.89 $159,888.67 2026-07-19
J7330 HCPCS Maci Implant 1-membrane 81073 38 19 $212,328.00 $148,629.60 30% off $40.00 $222,944.40 $159,246.00 2026-07-19
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 9 8 — — $129,323.10 $181,877.72 $158,154.61 2026-07-19
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 8 — — $154,480.40 $177,652.38 $157,077.91 2026-07-19
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 9 8 — — $113,827.39 $180,516.52 $156,970.96 2026-07-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 26 — — $134,481.75 $405,491.30 $150,948.90 2026-07-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 38 27 — — $29,237.25 $390,092.43 $148,630.60 2026-07-19
114 APR_DRG N/a 5 5 — — $146,912.21 $230,374.90 $146,912.21 2026-07-19
74 APR_DRG N/a 9 8 — — $135,545.91 $168,627.98 $146,633.09 2026-07-19
94 APR_DRG N/a 9 8 — — $116,795.32 $168,422.04 $145,898.12 2026-07-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 2 — — $40.00 $145,723.40 $145,723.40 2026-07-19
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 8 — — $133,889.45 $164,728.88 $143,242.57 2026-07-19
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 9 8 — — $116,574.89 $159,593.83 $138,777.31 2026-07-19
5831 APR_DRG Neonate W Ecmo 9 8 — — $126,681.90 $157,934.84 $134,768.55 2026-07-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 8 — — $78,283.97 $152,369.36 $132,495.16 2026-07-19
14 APR_DRG N/a 9 8 — — $120,789.73 $149,964.20 $130,403.71 2026-07-19
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 8 — — $108,347.38 $148,936.74 $129,510.27 2026-07-19
1613 APR_DRG N/a 9 8 — — $124,876.10 $143,607.45 $125,216.52 2026-07-19
23 APR_DRG N/a 9 8 — — $111,848.77 $139,058.12 $120,920.16 2026-07-19
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 2 2 — — $119,632.04 $119,632.04 $119,632.04 2026-07-19
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 9 8 — — $104,917.73 $136,795.46 $118,952.63 2026-07-19
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 8 — — $100,383.34 $131,860.65 $114,661.49 2026-07-19
Q0480 HCPCS Driver Pneumatic Vad- Rep 39 28 — — $40.00 $333,837.06 $114,610.60 2026-07-19
1604 APR_DRG N/a 9 8 — — $90,001.13 $123,828.46 $107,676.97 2026-07-19
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 2 2 — — $107,141.27 $107,141.27 $107,141.27 2026-07-19
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 8 — — $103,145.84 $122,324.02 $106,368.76 2026-07-19
1612 APR_DRG N/a 9 8 — — $91,743.67 $115,276.54 $100,240.52 2026-07-19
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 8 — — $89,990.04 $114,246.08 $99,344.47 2026-07-19
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 8 — — $94,993.98 $142,730.63 $98,429.50 2026-07-19
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 2 2 — — $97,478.05 $97,478.05 $97,478.05 2026-07-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 38 27 — — $22,714.74 $254,571.28 $96,995.17 2026-07-19
1611 APR_DRG N/a 9 8 — — $87,135.58 $109,831.00 $95,505.26 2026-07-19
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 8 — — $92,191.70 $114,872.13 $94,947.03 2026-07-19
64 APR_DRG Pancreas Transplant 9 8 — — $83,705.28 $107,880.33 $93,809.03 2026-07-19
7 MS_DRG Lung Transplant 37 27 — — $24,287.08 $238,008.36 $91,475.20 2026-07-19
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 8 — — $90,227.42 $114,872.13 $90,392.42 2026-07-19
8424 APR_DRG N/a 9 8 — — $71,715.52 $103,042.27 $89,602.01 2026-07-19
22 APR_DRG N/a 9 8 — — $87,999.68 $101,199.59 $88,954.43 2026-07-19
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 10 9 — — $5,332.70 $105,596.69 $88,672.43 2026-07-19
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 8 — — $82,832.71 $125,536.07 $86,949.72 2026-07-19
113 APR_DRG N/a 5 5 — — $85,679.34 $171,448.02 $85,679.34 2026-07-19
A9699 HCPCS Radiopharm Rx Agent Noc 3 2 — — $40.00 $84,842.40 $84,842.40 2026-07-19
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 8 — — $69,555.60 $97,408.48 $84,703.07 2026-07-19
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 8 — — $72,807.87 $97,147.49 $84,476.12 2026-07-19
14 MS_DRG Allogeneic Bone Marrow Transplant 37 27 — — $12,309.57 $220,873.86 $83,422.19 2026-07-19
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 8 — — $80,430.19 $96,650.44 $81,518.63 2026-07-19
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 8 — — $81,044.51 $93,572.38 $81,367.33 2026-07-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 8 — — $78,247.45 $93,393.14 $81,211.46 2026-07-19
21 APR_DRG N/a 9 8 — — $69,040.41 $93,067.65 $80,928.43 2026-07-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 27 — — $29,760.45 $237,284.18 $80,043.45 2026-07-19
73 APR_DRG N/a 9 8 — — $71,664.65 $99,358.16 $78,214.19 2026-07-19
3034 APR_DRG N/a 9 8 — — $65,959.00 $88,936.81 $77,336.39 2026-07-19
212 MS_DRG Testes Procedures Age 0-17 37 27 — — $9,673.39 $201,885.92 $76,810.44 2026-07-19
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 32 24 — — $4,673.06 $208,025.28 $76,386.90 2026-07-19
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 8 — — $74,141.52 $86,769.39 $75,451.68 2026-07-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 27 — — $6,805.91 $202,555.77 $74,378.50 2026-07-19
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 7 — — $10,378.33 $125,090.03 $74,032.54 2026-07-19
112 APR_DRG N/a 5 5 — — $73,566.97 $136,299.14 $73,566.97 2026-07-19
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 36 27 — — $40.00 $168,631.65 $73,523.40 2026-07-19
1624 APR_DRG N/a 9 8 — — $66,279.21 $84,535.23 $73,508.93 2026-07-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 37 27 — — $15,655.27 $198,428.33 $72,829.38 2026-07-19
84 APR_DRG N/a 9 8 — — $60,286.61 $86,133.88 $72,677.44 2026-07-19
8514 APR_DRG N/a 5 5 — — $70,568.39 $81,153.61 $70,568.39 2026-07-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 28 — — $20,653.17 $179,795.54 $69,101.92 2026-07-19
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 8 — — $66,069.87 $84,516.55 $68,812.15 2026-07-19
215 MS_DRG Other Heart Assist System Implant 38 27 — — $11,410.95 $182,997.11 $68,796.48 2026-07-19
4404 APR_DRG N/a 9 8 — — $64,899.91 $78,999.70 $68,695.42 2026-07-19
C1824 HCPCS Optimizer Pulse Generator 13 9 $91,000.00 $63,700.00 30% off $35.28 $81,900.00 $68,250.00 2026-07-19
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 7 — — $7,698.10 $111,820.36 $68,064.20 2026-07-19
8634 APR_DRG Neonatal Aftercare 9 8 — — $59,672.29 $78,211.58 $67,893.28 2026-07-19
J9029 HCPCS Instill Adstiladrin- Tx Dose 44 28 — — $40.00 $170,685.30 $67,142.82 2026-07-19
63 APR_DRG Pancreas Transplant 9 8 — — $64,507.97 $76,639.54 $66,643.11 2026-07-19
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 9 8 — — $66,298.77 $76,336.55 $66,379.64 2026-07-19
93 APR_DRG N/a 9 8 — — $62,876.95 $113,190.24 $65,763.36 2026-07-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 27 — — $9,843.20 $165,585.10 $63,640.33 2026-07-19
E0194 HCPCS Air Fluidized Bed 8 7 — — $40.00 $63,001.60 $63,001.60 2026-07-19
13 APR_DRG N/a 9 8 — — $61,003.32 $70,153.79 $61,966.55 2026-07-19
A9543 HCPCS Y90 Ibritumomab- Rx 38 28 — — $40.00 $184,524.40 $61,938.76 2026-07-19
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 9 8 — — $51,052.18 $70,895.51 $61,648.30 2026-07-19
1634 APR_DRG N/a 9 8 — — $57,996.91 $70,417.03 $61,232.23 2026-07-19
850 MS_DRG Acute Leukemia With Other Procedures 35 26 — — $54,544.14 $172,150.64 $61,223.02 2026-07-19
72 APR_DRG N/a 9 8 — — $57,467.37 $72,072.90 $60,708.55 2026-07-19
484 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $56,231.42 $64,470.23 $60,350.82 2026-07-19
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 8 — — $59,380.78 $69,389.57 $60,338.78 2026-07-19
38240 CPT Transplt Allo Hct/donor 40 28 — — $40.00 $145,917.44 $60,309.87 2026-07-19
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 2 2 — — $59,756.29 $59,756.29 $59,756.29 2026-07-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 8 — — $59,560.12 $73,575.45 $59,699.02 2026-07-19
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 2 2 — — $59,631.56 $59,631.56 $59,631.56 2026-07-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 38 27 — — $21,272.74 $154,443.90 $58,845.26 2026-07-19
1784 APR_DRG N/a 9 8 — — $55,150.28 $67,480.89 $58,679.06 2026-07-19
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 45 29 — — $40.00 $148,941.10 $58,588.66 2026-07-19
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 7 — — $13,617.56 $94,719.30 $58,551.88 2026-07-19
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 8 — — $44,328.52 $72,697.01 $58,524.50 2026-07-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 39 28 — — $11,684.48 $154,930.94 $58,516.10 2026-07-19
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 8 — — $56,763.70 $67,105.91 $58,352.99 2026-07-19
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 9 8 — — $54,205.97 $66,963.41 $58,229.08 2026-07-19
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 7 — — $8,827.10 $104,905.17 $58,104.14 2026-07-19
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 9 8 — — $44,876.98 $66,351.43 $57,696.93 2026-07-19
1654 APR_DRG N/a 9 8 — — $52,104.10 $65,762.71 $57,184.99 2026-07-19
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 8 — — $50,113.09 $61,463.74 $57,036.95 2026-07-19
6804 APR_DRG N/a 9 8 — — $55,882.00 $64,264.27 $56,994.56 2026-07-19
2994 APR_DRG N/a 1 1 — — $56,826.96 $56,826.96 $56,826.96 2026-07-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 8 — — $54,850.30 $64,895.74 $56,431.11 2026-07-19
8413 APR_DRG N/a 9 8 — — $49,699.62 $64,388.76 $55,990.25 2026-07-19
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 9 8 — — $52,416.48 $75,868.41 $55,929.60 2026-07-19
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 2 2 — — $55,641.89 $55,641.89 $55,641.89 2026-07-19
62 APR_DRG Pancreas Transplant 9 8 — — $53,360.79 $64,072.99 $55,613.31 2026-07-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 27 — — $20,453.07 $144,618.63 $55,607.45 2026-07-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 9 8 — — $50,918.49 $64,912.96 $55,366.80 2026-07-19
71 APR_DRG N/a 9 8 — — $49,414.63 $66,157.91 $54,594.00 2026-07-19
3044 APR_DRG N/a 9 8 — — $46,517.14 $62,355.59 $54,222.28 2026-07-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 39 28 — — $18,821.98 $140,509.14 $54,002.74 2026-07-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 26 — — $47,995.95 $140,044.16 $53,848.51 2026-07-19
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 10 9 — — $9,471.46 $68,217.33 $53,596.11 2026-07-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 28 — — $9,717.45 $141,117.48 $53,298.88 2026-07-19
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 9 8 — — $50,919.79 $58,557.74 $53,243.40 2026-07-19
3033 APR_DRG N/a 9 8 — — $45,774.99 $60,607.41 $52,702.12 2026-07-19
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 8 — — $22,199.15 $90,511.11 $52,267.13 2026-07-19
9104 APR_DRG N/a 9 8 — — $49,489.63 $59,529.70 $51,764.98 2026-07-19
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 8 — — $47,189.50 $91,183.47 $51,504.12 2026-07-19
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 8 — — $49,635.71 $62,011.54 $51,137.61 2026-07-19
L7181 HCPCS Electronic Elbo Simultaneous 39 28 — — $40.00 $148,518.08 $50,988.17 2026-07-19
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 7 — — $9,601.80 $83,374.66 $50,802.04 2026-07-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 9 8 — — $40,169.77 $58,395.74 $50,778.93 2026-07-19
7404 APR_DRG N/a 9 8 — — $37,726.17 $58,318.49 $50,711.76 2026-07-19
C1722 HCPCS Cardiac Defib Single 35 10 $74,620.00 $52,234.00 30% off $0.80 $70,342.20 $50,594.53 2026-07-19
6904 APR_DRG N/a 9 8 — — $42,999.44 $58,008.01 $50,441.77 2026-07-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 37 27 — — $6,773.78 $141,462.19 $50,396.06 2026-07-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 27 — — $6,045.90 $131,047.77 $50,366.39 2026-07-19
12 APR_DRG N/a 9 8 — — $49,005.74 $63,105.85 $50,364.82 2026-07-19
1664 APR_DRG N/a 9 8 — — $46,450.62 $57,589.52 $50,077.87 2026-07-19
10 MS_DRG Pancreas Transplant 37 27 — — $12,917.21 $131,880.32 $49,348.88 2026-07-19
K0606 HCPCS Aed Garment W Elec Analysis 8 7 — — $40.00 $49,318.90 $49,318.90 2026-07-19
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 9 8 — — $39,083.29 $56,579.31 $49,199.42 2026-07-19
914 APR_DRG Other Major Head & Neck Procedures 9 8 — — $45,577.39 $56,409.82 $49,052.04 2026-07-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 26 — — $43,535.79 $127,030.18 $48,844.49 2026-07-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 27 — — $6,814.17 $132,668.77 $48,715.99 2026-07-19
9114 APR_DRG N/a 9 8 — — $47,072.11 $55,829.34 $48,547.28 2026-07-19
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 4 4 — — $25,893.31 $81,697.45 $48,528.93 2026-07-19
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 8 — — $37,623.78 $55,742.34 $48,471.63 2026-07-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 26 — — $19,973.70 $131,825.19 $48,406.22 2026-07-19
214 APR_DRG Open Craniotomy Except Trauma 9 8 — — $44,813.72 $55,488.85 $48,251.20 2026-07-19
J9226 HCPCS Supprelin La Implant 46 29 — — $40.00 $121,315.80 $47,946.99 2026-07-19
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 9 8 — — $47,134.72 $54,204.90 $47,722.31 2026-07-19
33276 CPT Insj Phrnc Nrv Stim Sys 32 24 — — $42,425.55 $111,026.37 $47,620.52 2026-07-19
0266T CPT Implt/rpl Crtd Sns Dev Total 35 26 — — $40.00 $111,026.37 $47,620.52 2026-07-19
7594 APR_DRG N/a 9 8 — — $24,656.45 $54,762.13 $47,619.27 2026-07-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 26 — — $42,397.61 $123,709.14 $47,589.15 2026-07-19
1794 APR_DRG N/a 9 8 — — $45,844.77 $54,688.64 $47,555.36 2026-07-19
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 9 8 — — $45,491.96 $66,935.27 $47,539.71 2026-07-19
1623 APR_DRG N/a 9 8 — — $46,960.60 $54,004.66 $47,287.32 2026-07-19
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 27 — — $6,061.50 $122,889.45 $47,230.85 2026-07-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 27 — — $9,005.17 $126,407.14 $47,003.96 2026-07-19
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 7 — — $7,759.60 $76,328.65 $46,825.09 2026-07-19
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 9 8 — — $38,159.19 $62,721.08 $46,509.31 2026-07-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 27 — — $5,627.34 $122,799.39 $46,380.29 2026-07-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 26 — — $41,265.72 $120,406.48 $46,318.66 2026-07-19
1204 APR_DRG N/a 9 8 — — $40,310.63 $53,231.44 $46,288.23 2026-07-19
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 2 2 — — $46,157.86 $46,157.86 $46,157.86 2026-07-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 28 — — $28,949.04 $120,845.73 $46,134.15 2026-07-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 28 — — $14,211.43 $120,845.73 $45,924.60 2026-07-19
2604 APR_DRG N/a 9 8 — — $41,812.53 $53,306.66 $45,916.51 2026-07-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 27 — — $10,572.00 $118,261.68 $45,472.91 2026-07-19
9124 APR_DRG N/a 9 8 — — $43,767.02 $52,208.48 $45,398.70 2026-07-19
274 APR_DRG Other Open Craniotomy 9 8 — — $37,716.39 $52,012.74 $45,228.49 2026-07-19
11 APR_DRG N/a 9 8 — — $42,610.11 $58,508.20 $45,169.80 2026-07-19
2324 APR_DRG N/a 9 8 — — $28,240.01 $51,659.50 $44,921.33 2026-07-19
L7180 HCPCS Electronic Elbow Sequential 37 28 — — $40.00 $104,768.03 $44,840.71 2026-07-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 9 — — $17,437.81 $72,665.48 $44,802.50 2026-07-19
6954 APR_DRG N/a 9 8 — — $39,575.66 $52,461.47 $44,700.25 2026-07-19
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 8 — — $39,461.54 $53,517.96 $44,470.69 2026-07-19
2993 APR_DRG N/a 1 1 — — $44,436.13 $44,436.13 $44,436.13 2026-07-19
2204 APR_DRG N/a 9 8 — — $39,705.44 $51,085.77 $44,422.43 2026-07-19
234 APR_DRG Spinal Procedures 9 8 — — $40,861.05 $50,944.78 $44,299.83 2026-07-19
1694 APR_DRG N/a 9 8 — — $41,414.07 $51,438.25 $44,132.23 2026-07-19
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 8 — — $38,529.62 $45,958.24 $43,633.33 2026-07-19
1603 APR_DRG N/a 9 8 — — $43,426.60 $50,152.06 $43,610.51 2026-07-19
3004 APR_DRG N/a 1 1 — — $43,352.26 $43,352.26 $43,352.26 2026-07-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 26 — — $38,556.62 $123,482.72 $43,277.84 2026-07-19
204 APR_DRG Open Craniotomy For Trauma 9 8 — — $39,150.46 $49,712.58 $43,228.35 2026-07-19
1783 APR_DRG N/a 9 8 — — $43,091.40 $49,705.83 $43,222.48 2026-07-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 39 28 — — $11,946.08 $111,422.95 $42,823.86 2026-07-19
4403 APR_DRG N/a 9 8 — — $41,631.24 $47,875.90 $42,723.59 2026-07-19
9504 APR_DRG N/a 9 8 — — $42,640.76 $49,068.35 $42,668.15 2026-07-19
83 APR_DRG N/a 9 8 — — $37,082.50 $51,988.67 $42,432.73 2026-07-19
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 8 — — $41,677.54 $47,929.15 $42,367.51 2026-07-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 38 27 — — $16,303.30 $109,594.26 $42,081.67 2026-07-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 37 27 — — $6,451.81 $121,950.16 $41,982.59 2026-07-19
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 38 27 — — $8,089.12 $112,632.27 $41,752.47 2026-07-19
648 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 2 2 — — $41,655.22 $41,655.22 $41,655.22 2026-07-19
924 APR_DRG N/a 9 8 — — $37,297.71 $49,065.73 $41,606.45 2026-07-19
110 MS_DRG Major Cardiovascular Procedures W Cc 2 2 — — $38,781.45 $44,339.51 $41,560.48 2026-07-19
1782 APR_DRG N/a 9 8 — — $36,232.75 $47,782.15 $41,549.72 2026-07-19
C1882 HCPCS Biventricular Icd 45 10 $56,350.00 $39,445.00 30% off $0.80 $80,227.80 $41,475.00 2026-07-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 28 — — $9,563.24 $107,857.47 $41,453.52 2026-07-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 26 — — $36,940.99 $107,787.63 $41,445.53 2026-07-19
7924 APR_DRG N/a 9 8 — — $38,628.09 $44,422.28 $41,323.42 2026-07-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 37 27 — — $6,968.38 $110,393.74 $41,308.72 2026-07-19
91 APR_DRG N/a 9 8 — — $36,037.75 $42,173.82 $41,062.56 2026-07-19
92 APR_DRG N/a 9 8 — — $37,933.55 $56,810.00 $41,062.56 2026-07-19
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 8 — — $40,734.53 $50,559.81 $41,010.39 2026-07-19
28 MS_DRG Spinal Procedures With Mcc 38 27 — — $12,505.99 $110,424.98 $40,934.24 2026-07-19
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 37 27 — — $40.00 $94,570.53 $40,854.47 2026-07-19
C1816 HCPCS Receiver/transmitter- Neuro 3 2 — — $40.00 $40,845.70 $40,845.70 2026-07-19
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 8 — — $36,697.73 $48,264.90 $40,818.66 2026-07-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 27 — — $10,962.11 $108,980.41 $40,779.86 2026-07-19
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 63 31 $96,185.00 $67,329.50 30% off $17,986.60 $100,994.25 $40,655.32 2026-07-19
4414 APR_DRG N/a 9 8 — — $36,484.48 $50,060.26 $40,567.58 2026-07-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 9 8 — — $35,632.12 $46,330.21 $40,287.16 2026-07-19
894 APR_DRG N/a 9 8 — — $39,126.98 $49,893.31 $40,176.29 2026-07-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 27 — — $8,682.07 $105,315.69 $40,126.74 2026-07-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 37 27 — — $9,577.93 $105,992.03 $40,032.29 2026-07-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 27 — — $7,916.55 $104,749.63 $39,911.06 2026-07-19
61 APR_DRG Pancreas Transplant 9 8 — — $38,628.09 $62,473.27 $39,906.95 2026-07-19
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 9 8 — — $38,998.51 $44,848.27 $39,836.52 2026-07-19
1633 APR_DRG N/a 9 8 — — $39,076.12 $44,937.51 $39,831.30 2026-07-19
2614 APR_DRG N/a 9 8 — — $38,878.51 $45,770.73 $39,800.65 2026-07-19
8 MS_DRG Simultaneous Pancreas/kidney Transplant 37 27 — — $9,766.10 $103,005.49 $39,588.73 2026-07-19
1764 APR_DRG N/a 9 8 — — $32,891.13 $45,432.49 $39,506.53 2026-07-19
677 MS_DRG Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With… 2 2 — — $39,457.47 $39,457.47 $39,457.47 2026-07-19
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 9 8 — — $37,973.98 $45,063.51 $39,185.68 2026-07-19
4284 APR_DRG N/a 1 1 — — $39,035.68 $39,035.68 $39,035.68 2026-07-19
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 38 27 — — $9,992.82 $119,389.68 $39,030.08 2026-07-19
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 10 9 — — $5,354.73 $56,162.49 $39,012.13 2026-07-19
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 36 26 — — $34,579.58 $127,258.03 $38,813.82 2026-07-19
1653 APR_DRG N/a 9 8 — — $38,270.06 $44,010.55 $38,719.39 2026-07-19
5144 APR_DRG N/a 9 8 — — $29,859.29 $44,513.78 $38,707.65 2026-07-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 39 28 — — $10,081.85 $100,397.54 $38,586.40 2026-07-19
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 9 8 — — $34,068.26 $44,337.54 $38,554.40 2026-07-19
213 MS_DRG Splenectomy Age 0-17 32 24 — — $16,201.98 $104,885.63 $38,514.01 2026-07-19
0408T CPT Insj/rplc Cardiac Modulj Sys 65 31 $76,948.00 $53,863.60 30% off $40.00 $80,795.40 $38,474.00 2026-07-19
1814 APR_DRG N/a 9 8 — — $34,083.26 $44,180.04 $38,417.45 2026-07-19
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 2 2 — — $38,403.40 $38,403.40 $38,403.40 2026-07-19
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 38 27 — — $11,285.20 $100,540.90 $38,307.47 2026-07-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 27 — — $6,704.94 $102,299.74 $38,279.99 2026-07-19
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 9 8 — — $34,553.46 $60,270.31 $38,228.97 2026-07-19
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 38 27 — — $8,434.24 $100,239.49 $38,192.62 2026-07-19
C2621 HCPCS Biventricular Pacer 15 10 $54,544.00 $38,180.80 30% off $40.00 $49,089.60 $38,180.80 2026-07-19
8411 APR_DRG N/a 9 8 — — $32,565.06 $43,687.31 $37,988.98 2026-07-19
8412 APR_DRG N/a 9 8 — — $32,565.06 $43,687.31 $37,988.98 2026-07-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 27 — — $8,238.73 $103,325.28 $37,941.05 2026-07-19
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 10 7 — — $40.00 $63,342.44 $37,903.07 2026-07-19
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 8 — — $32,937.44 $42,681.20 $37,878.04 2026-07-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 28 — — $10,170.89 $98,010.14 $37,668.84 2026-07-19
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 9 8 — — $33,090.04 $38,099.85 $37,662.26 2026-07-19
7104 APR_DRG N/a 9 8 — — $34,423.69 $39,587.22 $37,644.00 2026-07-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 9 8 — — $36,276.44 $42,807.71 $37,537.04 2026-07-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 27 — — $14,499.65 $108,568.35 $37,410.37 2026-07-19
224 APR_DRG Ventricular Shunt Procedures 9 8 — — $35,018.44 $46,466.27 $37,390.96 2026-07-19
L8701 HCPCS Ewh S/d Uprt Micro Sensor 36 27 — — $40.00 $85,711.10 $37,370.04 2026-07-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 37 27 — — $7,021.61 $99,838.83 $37,359.13 2026-07-19
33274 CPT Tcat Insj/rpl Perm Ldls Pm 66 31 $115,032.00 $80,522.40 30% off $40.00 $120,783.60 $37,317.47 2026-07-19
7584 APR_DRG N/a 9 8 — — $10,993.93 $42,653.10 $37,089.67 2026-07-19
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 35 26 — — $40.00 $86,354.11 $37,038.30 2026-07-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 37 27 — — $5,161.05 $97,951.33 $36,995.39 2026-07-19
3032 APR_DRG N/a 9 8 — — $33,292.21 $42,528.61 $36,981.41 2026-07-19
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 9 8 — — $32,947.22 $47,786.22 $36,943.59 2026-07-19
5204 APR_DRG N/a 1 1 — — $36,856.85 $36,856.85 $36,856.85 2026-07-19
3634 APR_DRG N/a 9 8 — — $20,240.75 $42,325.36 $36,804.68 2026-07-19
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 9 8 — — $35,305.39 $42,246.62 $36,736.21 2026-07-19
264 APR_DRG Other Nervous System & Related Procedures 9 8 — — $31,783.79 $42,207.62 $36,702.29 2026-07-19
1214 APR_DRG Other Respiratory & Chest Procedures 9 8 — — $33,789.14 $42,191.12 $36,687.95 2026-07-19
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 9 8 — — $32,812.88 $42,157.37 $36,658.60 2026-07-19
3214 APR_DRG N/a 9 8 — — $35,041.27 $42,123.62 $36,629.25 2026-07-19
2304 APR_DRG N/a 9 8 — — $33,586.33 $42,114.62 $36,621.43 2026-07-19
4402 APR_DRG N/a 9 8 — — $36,183.18 $41,846.88 $36,388.61 2026-07-19
653 MS_DRG Major Bladder Procedures With Mcc 36 26 — — $32,089.50 $102,382.07 $36,388.07 2026-07-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 27 — — $6,217.54 $95,668.69 $36,179.08 2026-07-19
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