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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

GEISINGER SOUTH WILKES-BARRE

Wilkes Barre, PA · CCN 390169 · Rates published

9,126 distinct procedures filed
22 distinct payers
271,093 rate rows
2026-04-01 last MRF observed
Data quality

270,928 of 271,093 rate rows are consumer-grade (99.9%)

165 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
placeholder amount (≤ $0.02) — excluded from medians 101
per-diem day rate — not a per-procedure price 40
exceeds 3× this hospital's gross charge for a DRG stay — excluded 14
exceeds 10× this hospital's gross charge — excluded from medians 9
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.geisinger.org/-/media/OneGeisinger/pdfs/ghs/patient-care/patients-and-visitors/billing-and-insurance/hosp-charges-csv/23-1996150_Geisinger-Wyoming-Valley_standardcharges
Found on page https://www.geisinger.org/patient-care/patients-and-visitors/billing-and-insurance/tools-to-use/shop-services-and-view-hospital-charge-lists
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-06-16
Content fingerprint 0a34284a650aca76… · 165,098,896 bytes · first seen 2026-06-16

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
583 - 4
APR_DRG 		Neonate With Ecmo 7 $430,523.87 $516,628.88 $473,576.09 —
005 - 4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 $97,570.04 $1,519,065.92 $463,328.44 —
004 - 3
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 13 $93,799.35 $1,090,867.69 $346,963.79 —
004 - 4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 13 $149,584.54 $954,838.15 $344,187.05 —
607 - 4
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 $94,154.13 $1,025,824.84 $329,844.65 —
661 - 4
APR_DRG 		Coagulation And Platelet Disorders 13 $22,647.46 $1,127,912.18 $314,143.90 —
443 - 4
APR_DRG 		Kidney And Urinary Tract Procedures For Non-malignancy 13 $33,349.39 $1,094,649.76 $311,701.60 —
588 - 4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $280,867.78 $337,041.48 $308,954.44 —
583 - 3
APR_DRG 		Neonate With Ecmo 7 $278,907.11 $334,688.69 $306,797.71 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 13 $74,995.50 $911,449.16 $293,060.33 nat. median
$202,986
1.4× median
118058
LOCAL 		Kit Implant Heartmate Iii 10 $100,963.20 $530,400.00 $286,603.20 nat. median
$286,603
1.0× median
2780000603
CDM 		Hc 6139219 Lvad Heartmate 3 Implant Kit 10 $100,963.20 $530,400.00 $286,603.20 nat. median
$286,603
1.0× median
310 - 4
APR_DRG 		Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 13 $36,272.69 $991,956.69 $286,090.90 —
002 - 4
APR_DRG 		Heart And/or Lung Transplant 7 $248,734.12 $298,481.08 $273,607.43 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $34,671.48 $911,442.95 $261,176.60 nat. median
$370,174
0.7× median
602 - 3
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 $87,146.80 $720,373.67 $244,246.50 —
102772
LOCAL 		Kit Implant Heartmate Ii 10 $84,136.00 $442,000.00 $238,836.00 nat. median
$238,836
1.0× median
2780000604
CDM 		Hc 6135022 Lvad Heartmate 2 Implant Kit 10 $84,136.00 $442,000.00 $238,836.00 nat. median
$238,836
1.0× median
162 - 4
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 $84,902.92 $694,764.55 $236,076.10 —
583 - 2
APR_DRG 		Neonate With Ecmo 7 $214,149.42 $256,979.41 $235,564.27 —
161 - 4
APR_DRG 		Implantable Heart Assist Systems 7 $213,164.19 $255,797.14 $234,480.52 —
220 - 4
APR_DRG 		Major Stomach Esophageal And Duodenal Procedures 13 $51,307.97 $740,873.28 $228,205.74 —
630 - 4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $204,883.15 $245,859.88 $225,371.38 —
841 - 4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $202,076.60 $242,492.02 $222,284.17 —
089 - 3
APR_DRG 		Major Cranial Or Facial Bone Procedures 13 $34,894.27 $729,335.22 $215,282.96 —
C9293
HCPCS 		Glucarpidase 1000 Units Solr 1 Each Vial 7 $71,616.00 $376,227.42 $206,084.10 nat. median
$21,340
outlier · 9.7×
609 - 4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $184,671.64 $221,606.07 $203,138.74 —
588 - 3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $182,668.80 $219,202.66 $200,935.61 —
631 - 4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $181,301.67 $217,562.10 $199,431.77 —
591 - 4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $178,425.08 $214,110.20 $196,267.52 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 13 $82,117.31 $785,137.03 $193,216.67 nat. median
$133,176
1.5× median
441 - 4
APR_DRG 		Major Bladder Procedures 13 $46,855.61 $618,103.96 $192,819.90 —
607 - 3
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 $65,178.00 $557,709.33 $187,719.96 —
007 - 4
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $169,361.43 $203,233.80 $186,297.50 —
593 - 2
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 13 $93,979.37 $479,270.06 $184,099.03 —
13811-0705-50
NDC 		Sod Benzoate/ Sod Phenylacetate (ammonul) 10-10 % Soln 50 Ml Vial 7 $63,486.28 $333,518.75 $182,689.80 nat. median
$182,690
1.0× median
593 - 4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $165,445.37 $198,534.54 $181,989.85 —
009 - 4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 13 $108,633.22 $203,837.17 $179,465.82 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $98,519.14 $510,601.42 $179,021.97 nat. median
$265,286
0.7× median
183 - 4
APR_DRG 		Percutaneous Structural Cardiac Procedures 13 $59,064.01 $538,423.57 $178,912.47 —
588 - 2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $160,287.99 $192,345.67 $176,316.72 —
583 - 1
APR_DRG 		Neonate With Ecmo 7 $155,657.86 $186,789.52 $171,223.59 —
J7330
HCPCS 		Hc Cultured Chondrocytes Implnt 7 $59,075.04 $310,344.77 $169,995.91 nat. median
$76,377
outlier · 2.2×
603 - 4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $153,032.09 $183,638.59 $168,335.24 —
001 - 4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $150,616.47 $180,739.85 $165,678.06 —
260 - 3
APR_DRG 		Major Pancreas Liver And Shunt Procedures 13 $27,334.07 $545,485.32 $161,756.25 —
724 - 4
APR_DRG 		Other Infectious And Parasitic Diseases 13 $22,099.10 $551,875.52 $160,318.07 —
161 - 3
APR_DRG 		Implantable Heart Assist Systems 7 $144,232.06 $173,078.55 $158,655.21 —
361 - 3
APR_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses 13 $26,409.86 $532,073.01 $157,627.73 —
260 - 4
APR_DRG 		Major Pancreas Liver And Shunt Procedures 13 $53,033.63 $459,953.22 $154,384.20 —

Other procedures at this hospital

Browse this hospital's 9,126 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
             
583 - 4 APR_DRG Neonate With Ecmo 7 7 — — $430,523.87 $516,628.88 $473,576.09 2026-04-01
005 - 4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 13 $1,787,136.38 $1,108,024.55 38% off $97,570.04 $1,519,065.92 $463,328.44 2026-04-01
004 - 3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 13 $1,283,373.75 $795,691.72 38% off $93,799.35 $1,090,867.69 $346,963.79 2026-04-01
004 - 4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 13 $1,123,339.00 $696,470.18 38% off $149,584.54 $954,838.15 $344,187.05 2026-04-01
607 - 4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 13 $1,206,852.75 $748,248.70 38% off $94,154.13 $1,025,824.84 $329,844.65 2026-04-01
661 - 4 APR_DRG Coagulation And Platelet Disorders 14 13 $1,326,955.50 $822,712.41 38% off $22,647.46 $1,127,912.18 $314,143.90 2026-04-01
443 - 4 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 14 13 $1,287,823.25 $798,450.42 38% off $33,349.39 $1,094,649.76 $311,701.60 2026-04-01
588 - 4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $280,867.78 $337,041.48 $308,954.44 2026-04-01
583 - 3 APR_DRG Neonate With Ecmo 7 7 — — $278,907.11 $334,688.69 $306,797.71 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 22 13 $1,072,293.13 $664,821.74 38% off $74,995.50 $911,449.16 $293,060.33 2026-04-01
118058 LOCAL Kit Implant Heartmate Iii 16 10 $624,000.00 $386,880.00 38% off $100,963.20 $530,400.00 $286,603.20 2026-04-01
2780000603 CDM Hc 6139219 Lvad Heartmate 3 Implant Kit 16 10 $624,000.00 $386,880.00 38% off $100,963.20 $530,400.00 $286,603.20 2026-04-01
310 - 4 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 14 13 $1,167,007.88 $723,544.88 38% off $36,272.69 $991,956.69 $286,090.90 2026-04-01
002 - 4 APR_DRG Heart And/or Lung Transplant 7 7 — — $248,734.12 $298,481.08 $273,607.43 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 7 — — $34,671.48 $911,442.95 $261,176.60 2026-04-01
602 - 3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 13 $847,498.44 $525,449.03 38% off $87,146.80 $720,373.67 $244,246.50 2026-04-01
102772 LOCAL Kit Implant Heartmate Ii 16 10 $520,000.00 $322,400.00 38% off $84,136.00 $442,000.00 $238,836.00 2026-04-01
2780000604 CDM Hc 6135022 Lvad Heartmate 2 Implant Kit 16 10 $520,000.00 $322,400.00 38% off $84,136.00 $442,000.00 $238,836.00 2026-04-01
162 - 4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 13 $817,370.06 $506,769.44 38% off $84,902.92 $694,764.55 $236,076.10 2026-04-01
583 - 2 APR_DRG Neonate With Ecmo 7 7 — — $214,149.42 $256,979.41 $235,564.27 2026-04-01
161 - 4 APR_DRG Implantable Heart Assist Systems 7 7 — — $213,164.19 $255,797.14 $234,480.52 2026-04-01
220 - 4 APR_DRG Major Stomach Esophageal And Duodenal Procedures 14 13 $871,615.63 $540,401.69 38% off $51,307.97 $740,873.28 $228,205.74 2026-04-01
630 - 4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $204,883.15 $245,859.88 $225,371.38 2026-04-01
841 - 4 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $202,076.60 $242,492.02 $222,284.17 2026-04-01
089 - 3 APR_DRG Major Cranial Or Facial Bone Procedures 14 13 $858,041.44 $531,985.69 38% off $34,894.27 $729,335.22 $215,282.96 2026-04-01
C9293 HCPCS Glucarpidase 1000 Units Solr 1 Each Vial 13 7 $442,620.50 $274,424.71 38% off $71,616.00 $376,227.42 $206,084.10 2026-04-01
609 - 4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $184,671.64 $221,606.07 $203,138.74 2026-04-01
588 - 3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $182,668.80 $219,202.66 $200,935.61 2026-04-01
631 - 4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $181,301.67 $217,562.10 $199,431.77 2026-04-01
591 - 4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $178,425.08 $214,110.20 $196,267.52 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 22 13 $923,690.63 $572,688.19 38% off $82,117.31 $785,137.03 $193,216.67 2026-04-01
441 - 4 APR_DRG Major Bladder Procedures 14 13 $727,181.13 $450,852.30 38% off $46,855.61 $618,103.96 $192,819.90 2026-04-01
607 - 3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 13 $656,128.63 $406,799.75 38% off $65,178.00 $557,709.33 $187,719.96 2026-04-01
007 - 4 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $169,361.43 $203,233.80 $186,297.50 2026-04-01
593 - 2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 13 $563,847.13 $349,585.22 38% off $93,979.37 $479,270.06 $184,099.03 2026-04-01
13811-0705-50 NDC Sod Benzoate/ Sod Phenylacetate (ammonul) 10-10 % Soln 50 Ml Vial 13 7 $392,375.00 $243,272.50 38% off $63,486.28 $333,518.75 $182,689.80 2026-04-01
593 - 4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $165,445.37 $198,534.54 $181,989.85 2026-04-01
009 - 4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 13 $239,808.44 $148,681.23 38% off $108,633.22 $203,837.17 $179,465.82 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 12 $217,481.55 $134,838.56 38% off $98,519.14 $510,601.42 $179,021.97 2026-04-01
183 - 4 APR_DRG Percutaneous Structural Cardiac Procedures 14 13 $633,439.50 $392,732.49 38% off $59,064.01 $538,423.57 $178,912.47 2026-04-01
588 - 2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $160,287.99 $192,345.67 $176,316.72 2026-04-01
583 - 1 APR_DRG Neonate With Ecmo 7 7 — — $155,657.86 $186,789.52 $171,223.59 2026-04-01
J7330 HCPCS Hc Cultured Chondrocytes Implnt 13 7 $365,111.50 $226,369.13 38% off $59,075.04 $310,344.77 $169,995.91 2026-04-01
603 - 4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $153,032.09 $183,638.59 $168,335.24 2026-04-01
001 - 4 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $150,616.47 $180,739.85 $165,678.06 2026-04-01
260 - 3 APR_DRG Major Pancreas Liver And Shunt Procedures 14 13 $641,747.44 $397,883.41 38% off $27,334.07 $545,485.32 $161,756.25 2026-04-01
724 - 4 APR_DRG Other Infectious And Parasitic Diseases 14 13 $649,265.31 $402,544.49 38% off $22,099.10 $551,875.52 $160,318.07 2026-04-01
161 - 3 APR_DRG Implantable Heart Assist Systems 7 7 — — $144,232.06 $173,078.55 $158,655.21 2026-04-01
361 - 3 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 13 $625,968.25 $388,100.32 38% off $26,409.86 $532,073.01 $157,627.73 2026-04-01
260 - 4 APR_DRG Major Pancreas Liver And Shunt Procedures 14 13 $541,121.44 $335,495.29 38% off $53,033.63 $459,953.22 $154,384.20 2026-04-01
002 - 3 APR_DRG Heart And/or Lung Transplant 7 7 — — $139,662.95 $167,595.62 $153,629.19 2026-04-01
421 - 4 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 14 13 $621,420.94 $385,280.98 38% off $18,779.61 $528,207.80 $152,019.61 2026-04-01
588 - 1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $137,390.46 $164,868.62 $151,129.45 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 13 $532,868.31 $330,378.35 38% off $59,678.99 $452,938.07 $148,965.54 2026-04-01
911 - 4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 14 13 $508,948.69 $315,548.19 38% off $56,072.17 $432,606.38 $148,920.20 2026-04-01
089 - 2 APR_DRG Major Cranial Or Facial Bone Procedures 14 13 $604,232.75 $374,624.30 38% off $19,322.69 $513,597.84 $148,452.33 2026-04-01
165 - 4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 13 $479,374.34 $297,212.09 38% off $66,048.74 $407,468.19 $148,207.55 2026-04-01
591 - 3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $132,434.18 $158,921.08 $145,677.54 2026-04-01
215 MS_DRG Other Heart Assist System Implant 22 13 $276,051.22 $171,151.76 38% off $42,527.12 $306,941.95 $145,308.08 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 13 $438,952.06 $272,150.28 38% off $11,937.07 $373,109.25 $143,242.89 2026-04-01
Q2043 HCPCS Sipuleucel-t Susp 250 Ml Flex Cont 27 17 $672,976.88 $417,245.66 38% off $55,536.50 $572,030.34 $142,696.70 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 8 — — $27,942.85 $582,673.44 $139,982.76 2026-04-01
169 - 4 APR_DRG Major Abdominal Vascular Procedures 14 13 $482,413.63 $299,096.45 38% off $50,972.78 $410,051.58 $139,850.37 2026-04-01
611 - 3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 13 $488,497.38 $302,868.37 38% off $47,145.61 $415,222.77 $138,932.03 2026-04-01
165 - 3 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 13 $490,940.97 $304,383.40 38% off $44,201.97 $417,299.82 $137,719.33 2026-04-01
160 - 4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $124,367.06 $149,240.54 $136,803.72 2026-04-01
229 - 3 APR_DRG Other Digestive System And Abdominal Procedures 14 13 $549,419.94 $340,640.36 38% off $20,542.92 $467,006.95 $136,769.38 2026-04-01
710 - 4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 13 $492,914.59 $305,607.05 38% off $39,759.40 $418,977.40 $135,500.81 2026-04-01
602 - 4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $122,856.06 $147,427.34 $135,141.62 2026-04-01
286971 LOCAL Kit Pump Impella 5.5 Temporary 16 10 $292,500.00 $181,350.00 38% off $47,326.50 $248,625.00 $134,345.25 2026-04-01
191978 LOCAL Cath Bypass Impella 5.5 16 10 $292,500.00 $181,350.00 38% off $47,326.50 $248,625.00 $134,345.25 2026-04-01
020 - 4 APR_DRG Open Craniotomy For Trauma 14 13 $459,250.22 $284,735.14 38% off $49,928.80 $390,362.69 $133,977.47 2026-04-01
445 - 3 APR_DRG Other Bladder Procedures 14 13 $548,830.31 $340,274.79 38% off $15,707.17 $466,505.77 $133,734.37 2026-04-01
501 - 3 APR_DRG Male Reproductive System Diagnoses Except Malignancy 14 13 $561,075.69 $347,866.93 38% off $8,555.22 $476,914.33 $132,216.78 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 13 $574,959.00 $356,474.58 38% off $34,396.08 $488,715.15 $131,971.23 2026-04-01
130 - 4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 13 $462,557.22 $286,785.48 38% off $45,043.33 $393,173.64 $131,795.22 2026-04-01
161 - 2 APR_DRG Implantable Heart Assist Systems 7 7 — — $115,777.94 $138,933.59 $127,355.69 2026-04-01
912 - 4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 13 $422,775.72 $262,120.95 38% off $52,435.56 $359,359.36 $127,220.05 2026-04-01
049 - 4 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 14 13 $475,826.25 $295,012.28 38% off $32,354.37 $404,452.31 $127,187.27 2026-04-01
163 - 4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 13 $371,577.59 $230,378.11 38% off $70,723.31 $315,840.95 $126,596.33 2026-04-01
593 - 3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $114,743.00 $137,691.66 $126,217.25 2026-04-01
167 - 3 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 13 $442,985.66 $274,651.11 38% off $40,915.62 $376,537.81 $124,885.63 2026-04-01
121 - 4 APR_DRG Other Respiratory And Chest Procedures 14 13 $434,273.78 $269,249.74 38% off $42,374.63 $369,132.71 $123,787.80 2026-04-01
161 - 1 APR_DRG Implantable Heart Assist Systems 7 7 — — $110,308.71 $132,370.51 $121,339.54 2026-04-01
589 - 1 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $109,718.18 $131,661.88 $120,689.96 2026-04-01
021 - 3 APR_DRG Open Craniotomy Except Trauma 14 13 $441,268.59 $273,586.53 38% off $34,437.81 $375,078.30 $120,610.03 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 22 13 $314,997.44 $195,298.41 38% off $32,613.26 $267,747.82 $119,248.57 2026-04-01
006 - 4 APR_DRG Pancreas Transplant 7 7 — — $108,349.55 $130,019.52 $119,184.46 2026-04-01
171 - 4 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 14 13 $437,153.63 $271,035.25 38% off $32,234.61 $371,580.58 $118,356.07 2026-04-01
405 - 4 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 14 13 $413,134.28 $256,143.25 38% off $40,716.76 $351,164.14 $118,004.99 2026-04-01
304 - 3 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 13 $412,049.13 $255,470.46 38% off $40,281.39 $350,241.76 $117,497.97 2026-04-01
589 - 2 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $106,481.53 $127,777.90 $117,129.64 2026-04-01
299674 LOCAL System Transcath Triclip G4 16 10 $253,500.00 $157,170.00 38% off $41,016.30 $215,475.00 $116,432.55 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 13 $277,768.84 $172,216.68 38% off $25,426.16 $245,497.36 $115,873.94 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 13 $528,479.31 $327,657.17 38% off $48,775.02 $449,207.42 $115,110.96 2026-04-01
589 - 3 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $104,212.80 $125,055.41 $114,634.03 2026-04-01
130 - 3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 13 $414,032.22 $256,699.98 38% off $34,363.24 $351,927.39 $114,396.26 2026-04-01
179 - 4 APR_DRG Defibrillator Implants 14 13 $357,372.91 $221,571.20 38% off $54,926.50 $303,766.97 $113,900.88 2026-04-01
842 - 4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $103,490.45 $124,188.59 $113,839.45 2026-04-01
423 - 3 APR_DRG Inborn Errors Of Metabolism 14 13 $470,537.81 $291,733.44 38% off $11,878.48 $399,957.14 $113,703.91 2026-04-01
230 - 4 APR_DRG Major Small Bowel Procedures 14 13 $387,425.66 $240,203.91 38% off $42,297.80 $329,311.81 $113,130.60 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 7 — — $57,637.17 $227,287.96 $112,178.30 2026-04-01
002 - 2 APR_DRG Heart And/or Lung Transplant 7 7 — — $101,639.76 $121,967.76 $111,803.69 2026-04-01
591 - 2 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $100,427.05 $120,512.51 $110,469.71 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 13 $445,194.28 $276,020.45 38% off $45,745.69 $378,415.14 $109,923.15 2026-04-01
310 - 3 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 14 13 $431,011.53 $267,227.15 38% off $18,958.12 $366,359.80 $108,998.99 2026-04-01
162 - 3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 13 $336,011.75 $208,327.29 38% off $54,239.56 $285,609.99 $108,650.41 2026-04-01
264 - 4 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 14 13 $366,248.72 $227,074.21 38% off $42,669.89 $311,311.41 $108,557.29 2026-04-01
021 - 4 APR_DRG Open Craniotomy Except Trauma 14 13 $328,189.38 $203,477.41 38% off $55,730.20 $278,960.97 $107,773.03 2026-04-01
630 - 3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $97,832.16 $117,398.65 $107,615.34 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 13 $375,611.19 $232,878.94 38% off $43,343.71 $319,269.51 $106,883.14 2026-04-01
163 - 3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 13 $348,834.97 $216,277.68 38% off $45,132.97 $296,509.72 $106,090.91 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 13 $370,522.06 $229,723.68 38% off $31,417.79 $314,943.75 $105,804.25 2026-04-01
612 - 2 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 13 $377,417.34 $233,998.75 38% off $33,109.86 $320,804.74 $105,350.95 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 13 $295,036.03 $182,922.34 38% off $41,848.47 $250,780.63 $105,343.92 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 13 $408,387.22 $253,200.08 38% off $43,530.18 $347,129.14 $104,507.77 2026-04-01
120 - 4 APR_DRG Major Respiratory And Chest Procedures 14 13 $316,052.00 $195,952.24 38% off $53,462.97 $268,644.20 $103,663.57 2026-04-01
002 - 1 APR_DRG Heart And/or Lung Transplant 7 7 — — $93,472.45 $112,166.99 $102,819.66 2026-04-01
271996 LOCAL Valve Transcath Resilia 20mm 16 10 $221,000.00 $137,020.00 38% off $35,757.80 $187,850.00 $101,505.30 2026-04-01
271997 LOCAL Valve Transcath Resilia 23mm 16 10 $221,000.00 $137,020.00 38% off $35,757.80 $187,850.00 $101,505.30 2026-04-01
271998 LOCAL Valve Transcath Resilia 26mm 16 10 $221,000.00 $137,020.00 38% off $35,757.80 $187,850.00 $101,505.30 2026-04-01
271999 LOCAL Valve Transcath Resilia 29mm 16 10 $221,000.00 $137,020.00 38% off $35,757.80 $187,850.00 $101,505.30 2026-04-01
321 - 4 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 14 13 $329,569.13 $204,332.86 38% off $42,306.84 $280,133.76 $100,031.52 2026-04-01
180 - 3 APR_DRG Other Circulatory System Procedures 14 13 $390,261.97 $241,962.42 38% off $18,937.78 $331,722.67 $99,757.01 2026-04-01
020 - 3 APR_DRG Open Craniotomy For Trauma 14 13 $352,130.25 $218,320.76 38% off $31,101.74 $299,310.71 $98,418.55 2026-04-01
303 - 4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $89,323.64 $107,188.42 $98,255.97 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 13 $371,601.06 $230,392.66 38% off $8,320.46 $315,860.90 $98,098.15 2026-04-01
792 - 4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 13 $311,967.94 $193,420.12 38% off $44,615.50 $265,172.75 $97,430.05 2026-04-01
260919 LOCAL Valve Pericardial 23mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6112123 LOCAL Valve Tavr Sapien 26mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
138517 LOCAL Valve Sapien 3 Ultra 23mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6110485 LOCAL Sapien Xt Kit Novaflex 29mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6110484 LOCAL Sapien Xt Kit Novaflex 26mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
138515 LOCAL Valve Sapien 3 Ultra 29mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
260920 LOCAL Valve Pericardial 26mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
264628 LOCAL Valve Sapien 3 29mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
138512 LOCAL Valve Sapien 3 Ultra 20mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
138514 LOCAL Valve Sapien 3 Ultra 26mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
138516 LOCAL Valve Sapien 3 Ultra 20mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6110486 LOCAL Sapien Xt Kit Ascendra 23mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6110488 LOCAL Sapien Xt Kit Ascendra 29mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6112122 LOCAL Valve Tavr Sapien 23mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6110483 LOCAL Sapien Xt Kit Novaflex 23mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
138513 LOCAL Valve Sapien 3 Ultra 23mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
74419 LOCAL Valve Tavr Sapien 20mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6112124 LOCAL Valve Tavr Sapien 29mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
6110487 LOCAL Sapien Xt Kit Ascendra 26mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
138518 LOCAL Valve Sapien 3 Ultra 26mm 16 10 $211,250.00 $130,975.00 38% off $34,180.25 $179,562.50 $97,027.12 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 20 13 $241,249.75 $149,574.85 38% off $15,669.89 $205,062.29 $96,689.82 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 13 $459,651.91 $284,984.18 38% off $15,025.21 $390,704.12 $96,635.68 2026-04-01
182 - 3 APR_DRG Other Peripheral Vascular And Related Procedures 14 13 $361,234.34 $223,965.29 38% off $22,804.13 $307,049.19 $95,502.07 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 13 $446,739.78 $276,978.66 38% off $24,017.42 $379,728.81 $95,124.68 2026-04-01
50242-0142-01 NDC Mosunetuzumab-axgb 30 Mg/30ml Soln 30 Ml Vial 13 7 $201,322.23 $124,819.79 38% off $32,573.94 $171,123.90 $93,735.63 2026-04-01
304 - 2 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 13 $340,344.13 $211,013.36 38% off $27,520.12 $289,292.51 $93,600.03 2026-04-01
711 - 4 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 14 13 $308,857.38 $191,491.57 38% off $38,219.04 $262,528.77 $92,887.63 2026-04-01
008 - 4 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $83,942.55 $100,731.10 $92,336.77 2026-04-01
50474-0983-86 NDC Rozanolixizumab-noli 840 Mg/6ml Soln 6 Ml Vial 13 7 $197,551.44 $122,481.89 38% off $31,963.82 $167,918.72 $91,979.95 2026-04-01
169 - 3 APR_DRG Major Abdominal Vascular Procedures 14 13 $320,317.59 $198,596.91 38% off $32,190.92 $272,269.95 $91,866.49 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 13 $312,759.59 $193,910.95 38% off $41,090.96 $265,845.65 $91,681.51 2026-04-01
280889 LOCAL Valve Heart Precision Mitral Pascal System 16 10 $198,900.00 $123,318.00 38% off $32,182.02 $169,065.00 $91,354.77 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 13 $855,525.63 $530,425.89 38% off $17,296.75 $727,196.78 $91,174.21 2026-04-01
007 - 3 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $82,772.78 $99,327.38 $91,050.02 2026-04-01
179 - 3 APR_DRG Defibrillator Implants 14 13 $296,302.19 $183,707.36 38% off $39,753.38 $251,856.86 $90,964.48 2026-04-01
950 - 3 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 13 $330,528.22 $204,927.50 38% off $26,568.79 $280,948.99 $90,805.92 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 7 — — $31,486.24 $316,644.30 $90,526.71 2026-04-01
86993 LOCAL Valve Aortic Transcath 29 Pro 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
140516 LOCAL Valve Aort Evolut Proplus 26mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
140518 LOCAL Valve Aort Evolut Proplus 34mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
185199 LOCAL Mirtaclip G4 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
180549 LOCAL Mitraclip Bundle 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
249432 LOCAL Valve Aortic Transcath Fx 23mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
180551 LOCAL Mitraclip Bundle 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
140515 LOCAL Valve Aort Evolut Proplus 23mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
6122521 LOCAL Valve Aortic Transcath 29 Fr 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
86992 LOCAL Valve Aortic Transcath 26 Pro 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
140517 LOCAL Valve Aort Evolut Proplus 29mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
6122520 LOCAL Valve Aortic Transcath 26 Fr 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
249434 LOCAL Valve Aortic Transcath Fx 29mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
86991 LOCAL Valve Aortic Transcath 23 Pro 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
180550 LOCAL Mitraclip Bundle 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
249435 LOCAL Valve Aortic Transcath Fx 34mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
6122519 LOCAL Valve Aortic Transcath 23 Fr 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
249433 LOCAL Valve Aortic Transcath Fx 26mm 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
180548 LOCAL Mitraclip Bundle 16 10 $195,000.00 $120,900.00 38% off $31,551.00 $165,750.00 $89,563.50 2026-04-01
910 - 3 APR_DRG Craniotomy For Multiple Significant Trauma 14 13 $285,305.38 $176,889.33 38% off $40,093.09 $242,509.57 $88,677.53 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 13 $400,710.38 $248,440.43 38% off $39,635.40 $340,603.82 $88,433.89 2026-04-01
183 - 2 APR_DRG Percutaneous Structural Cardiac Procedures 14 13 $303,920.78 $188,430.88 38% off $32,566.78 $258,332.66 $88,378.13 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 13 $479,591.03 $297,346.44 38% off $39,578.40 $407,652.38 $88,306.72 2026-04-01
098 - 3 APR_DRG Other Ear Nose Mouth Throat Craniofacial And Neck Procedures 14 13 $336,278.41 $208,492.61 38% off $18,705.79 $285,836.65 $87,390.54 2026-04-01
440 - 4 APR_DRG Kidney Transplant 7 7 — — $79,343.30 $95,212.01 $87,277.60 2026-04-01
607 - 2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 13 $257,209.13 $159,469.66 38% off $48,137.61 $218,627.76 $87,140.45 2026-04-01
167 - 4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 13 $195,536.66 $121,232.73 38% off $71,203.87 $166,206.16 $87,011.39 2026-04-01
7 MS_DRG Lung Transplant 14 7 — — $47,503.15 $315,846.76 $86,782.40 2026-04-01
183 - 1 APR_DRG Percutaneous Structural Cardiac Procedures 14 13 $299,358.97 $185,602.56 38% off $31,056.55 $254,455.12 $86,438.74 2026-04-01
165 - 2 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 13 $289,977.88 $179,786.28 38% off $34,561.34 $246,481.19 $86,416.80 2026-04-01
863 - 4 APR_DRG Neonatal Aftercare 7 7 — — $78,416.83 $94,100.23 $86,258.48 2026-04-01
612 - 3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 13 $268,659.47 $166,568.87 38% off $41,899.34 $228,360.55 $85,990.99 2026-04-01
266451 LOCAL Valve Navitor 23mm 16 10 $185,250.00 $114,855.00 38% off $29,973.45 $157,462.50 $85,085.32 2026-04-01
266452 LOCAL Valve Navitor 25mm 16 10 $185,250.00 $114,855.00 38% off $29,973.45 $157,462.50 $85,085.32 2026-04-01
266455 LOCAL Valve Navitor 27mm 16 10 $185,250.00 $114,855.00 38% off $29,973.45 $157,462.50 $85,085.32 2026-04-01
266456 LOCAL Valve Navitor 29mm 16 10 $185,250.00 $114,855.00 38% off $29,973.45 $157,462.50 $85,085.32 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 13 $336,053.19 $208,352.98 38% off $27,080.08 $285,645.21 $85,054.89 2026-04-01
622 - 3 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 14 13 $312,365.75 $193,666.76 38% off $23,766.01 $265,510.89 $85,010.45 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 13 $390,875.97 $242,343.10 38% off $10,007.80 $332,244.57 $84,703.57 2026-04-01
121 - 3 APR_DRG Other Respiratory And Chest Procedures 14 13 $309,872.50 $192,120.95 38% off $24,147.90 $263,391.63 $84,674.86 2026-04-01
006 - 3 APR_DRG Pancreas Transplant 7 7 — — $76,972.88 $92,367.50 $84,670.14 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 13 $314,230.63 $194,822.99 38% off $25,058.46 $267,096.03 $84,594.17 2026-04-01
169 - 2 APR_DRG Major Abdominal Vascular Procedures 14 13 $309,855.69 $192,110.53 38% off $23,713.28 $263,377.33 $84,410.29 2026-04-01
613 - 4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $76,668.58 $92,002.33 $84,335.40 2026-04-01
910 - 4 APR_DRG Craniotomy For Multiple Significant Trauma 14 13 $213,922.75 $132,632.11 38% off $59,788.62 $181,834.34 $84,326.70 2026-04-01
611 - 4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $76,310.79 $91,572.98 $83,941.83 2026-04-01
321 - 2 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 14 13 $318,533.38 $197,490.69 38% off $18,607.87 $270,753.37 $83,312.54 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 22 13 $392,076.53 $243,087.45 38% off $21,004.11 $333,265.05 $83,132.39 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 22 13 $392,708.97 $243,479.56 38% off $17,059.56 $333,802.62 $82,768.85 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 13 $203,960.34 $126,455.41 38% off $25,402.30 $173,366.29 $82,243.79 2026-04-01
639 - 3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 14 13 $314,983.84 $195,289.98 38% off $17,846.35 $267,736.27 $82,051.65 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 8 — — $51,116.87 $241,635.52 $81,974.59 2026-04-01
252 - 4 APR_DRG Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure 14 13 $306,302.16 $189,907.34 38% off $20,242.38 $260,356.83 $81,522.88 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 7 — — $59,090.02 $257,374.70 $81,207.90 2026-04-01
82705-0010-01 NDC Epcoritamab-bysp 48 Mg/0.8ml Soln 0.8 Ml Vial 13 7 $173,689.47 $107,687.47 38% off $28,102.96 $147,636.05 $80,869.82 2026-04-01
952 - 4 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 14 13 $264,719.31 $164,125.97 38% off $34,541.76 $225,011.42 $80,683.99 2026-04-01
313 - 3 APR_DRG Knee And Lower Leg Procedures Except Foot 14 13 $296,812.47 $184,023.73 38% off $22,158.61 $252,290.60 $80,523.19 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 13 $292,913.56 $181,606.41 38% off $36,062.38 $248,976.53 $80,461.82 2026-04-01
009 - 3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $72,622.96 $87,147.59 $79,885.23 2026-04-01
304 - 1 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 13 $292,267.72 $181,205.99 38% off $22,317.54 $248,427.56 $79,589.17 2026-04-01
321 - 3 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 14 13 $281,531.75 $174,549.68 38% off $26,229.83 $239,301.99 $79,504.85 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 13 $218,305.88 $135,349.64 38% off $29,949.63 $185,559.99 $79,481.88 2026-04-01
181 - 3 APR_DRG Lower Extremity Arterial Procedures 14 13 $275,196.06 $170,621.56 38% off $28,376.55 $233,916.65 $79,357.85 2026-04-01
621 - 3 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 13 $265,935.97 $164,880.30 38% off $31,839.91 $226,045.57 $79,338.45 2026-04-01
044 - 4 APR_DRG Intracranial Hemorrhage 14 13 $299,239.97 $185,528.78 38% off $18,125.05 $254,353.97 $78,652.89 2026-04-01
163 - 2 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 13 $257,357.58 $159,561.70 38% off $33,889.46 $218,753.94 $78,625.17 2026-04-01
021 - 2 APR_DRG Open Craniotomy Except Trauma 14 13 $285,929.38 $177,276.21 38% off $22,805.64 $243,039.97 $78,446.39 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 13 $179,314.95 $111,175.27 38% off $12,463.96 $168,677.85 $78,302.67 2026-04-01
305 - 4 APR_DRG Amputation Of Lower Limb Except Toes 14 13 $253,504.56 $157,172.83 38% off $34,325.58 $215,478.88 $78,014.14 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 13 $347,561.84 $215,488.34 38% off $34,964.73 $295,427.57 $78,012.77 2026-04-01
611 - 2 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 13 $273,498.50 $169,569.07 38% off $26,712.66 $232,473.73 $77,975.01 2026-04-01
167 - 2 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 13 $272,219.53 $168,776.11 38% off $26,474.63 $231,386.60 $77,542.51 2026-04-01
001 - 3 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $70,458.92 $84,550.75 $77,504.79 2026-04-01
166 - 3 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 13 $242,703.34 $150,476.07 38% off $37,155.48 $206,297.84 $77,265.60 2026-04-01
179 - 1 APR_DRG Defibrillator Implants 14 13 $265,175.00 $164,408.50 38% off $28,472.96 $225,398.75 $77,145.92 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 13 $239,273.16 $148,349.36 38% off $29,267.51 $203,382.18 $76,963.40 2026-04-01
602 - 2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $69,691.38 $83,629.69 $76,660.49 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 22 13 $200,888.50 $124,550.87 38% off $14,063.76 $170,755.23 $76,337.55 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 13 $369,080.72 $228,830.05 38% off $33,732.87 $313,718.61 $76,283.57 2026-04-01
116457 LOCAL Melody Valve Hde 16 10 $165,750.00 $102,765.00 38% off $26,818.35 $140,887.50 $76,128.98 2026-04-01
180553 LOCAL Valve Melody Pul 16mm 16 10 $165,750.00 $102,765.00 38% off $26,818.35 $140,887.50 $76,128.98 2026-04-01
609 - 3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $68,952.45 $82,742.98 $75,847.67 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 22 13 $173,942.13 $107,844.12 38% off $13,436.56 $160,131.41 $75,176.19 2026-04-01
55513-0077-01 NDC Tarlatamab-dlle 10 Mg Solr 1 Each Vial 13 7 $161,250.00 $99,975.00 38% off $26,090.25 $137,062.50 $75,078.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 13 $308,245.97 $191,112.50 38% off $28,833.60 $262,009.07 $74,910.24 2026-04-01
303524 LOCAL Valve Aortic Navitor With Radiopaque Marker 25mm 16 10 $162,500.00 $100,750.00 38% off $26,292.50 $138,125.00 $74,636.25 2026-04-01
303526 LOCAL Valve Aortic Navitor With Radiopaque Marker 35mm 16 10 $162,500.00 $100,750.00 38% off $26,292.50 $138,125.00 $74,636.25 2026-04-01
303527 LOCAL Valve Aortic Navitor With Radiopaque Marker 27mm 16 10 $162,500.00 $100,750.00 38% off $26,292.50 $138,125.00 $74,636.25 2026-04-01
303528 LOCAL Valve Aortic Navitor With Radiopaque Marker 23mm 16 10 $162,500.00 $100,750.00 38% off $26,292.50 $138,125.00 $74,636.25 2026-04-01
303525 LOCAL Valve Aortic Navitor With Radiopaque Marker 29mm 16 10 $162,500.00 $100,750.00 38% off $26,292.50 $138,125.00 $74,636.25 2026-04-01
6122559 LOCAL Pump Impella Cp 16 10 $162,500.00 $100,750.00 38% off $26,292.50 $138,125.00 $74,636.25 2026-04-01
178 - 4 APR_DRG External Heart Assist Systems 7 7 — — $67,774.40 $81,329.31 $74,551.81 2026-04-01
282 - 4 APR_DRG Disorders Of Pancreas Except Malignancy 14 13 $269,953.94 $167,371.44 38% off $22,216.61 $229,460.85 $74,474.54 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 13 $259,039.34 $160,604.39 38% off $13,745.40 $220,183.44 $74,460.54 2026-04-01
603 - 3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $67,595.88 $81,115.10 $74,355.44 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 13 $130,703.74 $81,036.32 38% off $38,759.61 $183,221.30 $74,298.03 2026-04-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 22 13 $249,843.70 $154,903.10 38% off $33,270.77 $212,367.15 $74,233.22 2026-04-01
005 - 3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $67,397.78 $80,877.37 $74,137.53 2026-04-01
612 - 4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $67,254.67 $80,705.63 $73,980.11 2026-04-01
483 - 4 APR_DRG Penis Testes And Scrotal Procedures 14 13 $240,348.81 $149,016.26 38% off $32,393.54 $204,296.49 $73,875.14 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 13 $247,537.33 $153,473.14 38% off $25,954.66 $210,406.73 $73,854.44 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 13 $433,920.03 $269,030.42 38% off $33,069.74 $368,832.03 $73,784.71 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 13 $356,113.69 $220,790.49 38% off $10,259.29 $302,696.63 $73,776.50 2026-04-01
850 - 4 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 7 — — $66,640.03 $79,968.07 $73,304.01 2026-04-01
007 - 2 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $66,374.89 $79,649.91 $73,012.36 2026-04-01
681 - 3 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 14 13 $258,674.84 $160,378.40 38% off $23,753.20 $219,873.62 $72,841.78 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 13 $321,596.97 $199,390.12 38% off $30,980.04 $273,357.42 $72,749.57 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 13 $366,091.94 $226,977.00 38% off $32,461.78 $311,178.15 $72,428.22 2026-04-01
841 - 3 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $64,668.82 $77,602.62 $71,135.67 2026-04-01
621 - 4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $64,598.77 $77,518.55 $71,058.62 2026-04-01
680 - 4 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 7 — — $64,543.78 $77,452.57 $70,998.14 2026-04-01
470 - 4 APR_DRG Chronic Kidney Disease 14 13 $266,204.38 $165,046.71 38% off $17,789.10 $226,273.72 $70,968.76 2026-04-01
711 - 3 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 14 13 $256,430.70 $158,987.04 38% off $20,933.85 $217,966.10 $70,641.87 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 22 13 $372,498.28 $230,948.93 38% off $21,905.05 $316,623.54 $70,614.31 2026-04-01
633 - 4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $63,948.73 $76,738.50 $70,343.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 13 $338,265.88 $209,724.84 38% off $28,479.29 $287,525.99 $70,189.75 2026-04-01
182 - 1 APR_DRG Other Peripheral Vascular And Related Procedures 14 13 $265,808.28 $164,801.13 38% off $16,592.97 $225,937.04 $70,161.36 2026-04-01
315 - 3 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 14 13 $252,433.19 $156,508.58 38% off $20,906.73 $214,568.21 $69,720.16 2026-04-01
179 - 2 APR_DRG Defibrillator Implants 14 13 $221,832.59 $137,536.21 38% off $32,401.07 $188,557.70 $69,685.73 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 13 $258,603.80 $160,334.35 38% off $31,223.17 $219,813.23 $69,664.67 2026-04-01
055 - 4 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 14 13 $241,566.88 $149,771.46 38% off $24,800.95 $205,331.84 $69,595.47 2026-04-01
007 - 1 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $63,056.15 $75,667.41 $69,361.74 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 13 $372,913.31 $231,206.25 38% off $29,135.13 $316,976.32 $69,233.40 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 13 $260,980.09 $161,807.66 38% off $23,976.62 $221,833.08 $69,031.77 2026-04-01
304 - 4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $62,626.80 $75,152.20 $68,889.46 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 13 $194,561.14 $120,627.91 38% off $22,072.19 $165,376.97 $68,875.66 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 13 $296,529.56 $183,848.33 38% off $19,857.98 $252,050.13 $68,522.83 2026-04-01
174 - 4 APR_DRG Percutaneous Cardiac Intervention With Ami 14 13 $214,800.44 $133,176.27 38% off $32,729.48 $182,580.37 $68,289.99 2026-04-01
951 - 4 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 13 $202,711.52 $125,681.14 38% off $36,987.51 $172,304.79 $68,106.68 2026-04-01
405 - 2 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 14 13 $264,931.84 $164,257.74 38% off $13,187.60 $225,192.07 $67,919.63 2026-04-01
023 - 2 APR_DRG Spinal Procedures 14 13 $248,045.00 $153,787.90 38% off $19,538.11 $210,838.25 $67,905.07 2026-04-01
006 - 2 APR_DRG Pancreas Transplant 7 7 — — $61,631.78 $73,958.17 $67,794.93 2026-04-01
539 - 4 APR_DRG Cesarean Section With Sterilization 14 13 $236,166.66 $146,423.33 38% off $23,575.44 $200,741.66 $67,637.02 2026-04-01
303 - 3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $60,871.02 $73,045.25 $66,958.09 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 13 $304,523.88 $188,804.80 38% off $25,187.65 $258,845.29 $66,844.27 2026-04-01
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