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

PENN HIGHLANDS CONNELLSVILLE

Connellsville, PA · CCN 390184 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,178 across 6 payers · range $3,396-$9,177

Source: https://www.phhealthcare.org/download/?id=14597 · observed 2026-07-15

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.

19,532 distinct procedures filed
8 distinct payers
354,796 rate rows
2026-07-15 last MRF observed
Data quality

352,765 of 354,796 rate rows are consumer-grade (99.4%)

2,031 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,109
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 420
template filing: same amount across many unrelated codes — excluded 169
placeholder amount (≤ $0.02) — excluded from medians 112
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 100
per-diem day rate — not a per-procedure price 97
percent-of-charges filed in the dollar field — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.phhealthcare.org/download/?id=14597
Found on page https://www.phhealthcare.org/patients-visitors/patient-billing-services
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-07-15
Content fingerprint 06babe5fd5853990… · 54,134,098 bytes · first seen 2026-05-09

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
J1414
HCPCS 		Inj Beqvez Per Tx Dose 5 $3,524,500.00 $4,043,900.00 $3,728,550.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 5 $3,501,003.34 $4,016,940.67 $3,716,059.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,158,343.31 $3,623,783.37 $3,341,194.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 5 $3,098,287.25 $3,554,876.95 $3,277,661.77 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 5 $2,803,152.34 $3,216,248.47 $2,974,096.77 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,329,509.82 $2,672,806.00 $2,464,376.18 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 5 $2,215,400.00 $2,541,880.00 $2,343,660.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $732,089.00 $839,975.80 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $549,408.35 $630,373.79 $578,324.58 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $525,709.89 $603,182.92 $553,378.83 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $514,553.87 $590,382.87 $541,635.66 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $514,197.42 $589,973.89 $541,260.45 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $489,517.15 $581,053.36 $533,076.48 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $465,234.00 $533,794.80 $489,720.00 nat. median
$577,541
0.8× median
5834
APR_DRG 		Neonate With Ecmo 3 $410,022.31 $410,022.31 $410,022.31 nat. median
$311,018
1.3× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $267,492.84 $267,492.84 $267,492.84 nat. median
$254,667
1.1× median
5833
APR_DRG 		Neonate With Ecmo 3 $265,625.54 $265,625.54 $265,625.54 nat. median
$250,089
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $3,396.00 $549,366.93 $247,220.29 nat. median
$370,165
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $236,889.37 $236,889.37 $236,889.37 nat. median
$243,231
1.0× median
5832
APR_DRG 		Neonate With Ecmo 3 $203,951.61 $203,951.61 $203,951.61 nat. median
$169,230
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $203,013.29 $203,013.29 $203,013.29 nat. median
$209,486
1.0× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 $195,126.59 $195,126.59 $195,126.59 nat. median
$160,171
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $192,453.70 $192,453.70 $192,453.70 nat. median
$165,646
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $170,310.86 $405,623.52 $190,031.07 nat. median
$261,939
0.7× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 3 $175,877.57 $175,877.57 $175,877.57 nat. median
$168,174
1.0× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $173,970.10 $173,970.10 $173,970.10 nat. median
$180,995
1.0× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 3 $172,668.08 $172,668.08 $172,668.08 nat. median
$147,677
1.2× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 3 $169,928.47 $169,928.47 $169,928.47 nat. median
$168,361
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $161,603.46 $161,603.46 $161,603.46 nat. median
$119,243
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $161,296.43 $161,296.43 $161,296.43 nat. median
$175,480
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $160,487.96 $160,487.96 $160,487.96 nat. median
$165,599
1.0× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 3 $157,566.85 $157,566.85 $157,566.85 nat. median
$156,285
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $3,396.00 $341,608.32 $155,511.06 nat. median
$205,166
0.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $152,655.06 $152,655.06 $152,655.06 nat. median
$147,847
1.0× median
5831
APR_DRG 		Neonate With Ecmo 3 $148,245.42 $148,245.42 $148,245.42 nat. median
$154,685
1.0× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 $145,744.69 $145,744.69 $145,744.69 nat. median
$109,499
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $143,444.11 $143,444.11 $143,444.11 nat. median
$137,901
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $142,461.32 $142,461.32 $142,461.32 nat. median
$127,600
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 6 $3,396.00 $308,615.04 $140,491.46 nat. median
$199,832
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $137,363.73 $137,363.73 $137,363.73 nat. median
$127,938
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $133,012.20 $133,012.20 $133,012.20 nat. median
$116,111
1.1× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $130,847.91 $130,847.91 $130,847.91 nat. median
$120,928
1.1× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 3 $126,127.66 $126,127.66 $126,127.66 nat. median
$108,751
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $118,444.69 $118,444.69 $118,444.69 nat. median
$101,315
1.2× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 $117,005.66 $117,005.66 $117,005.66 nat. median
$123,690
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $110,264.59 $110,264.59 $110,264.59 nat. median
$93,192
1.2× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 3 $109,278.93 $109,278.93 $109,278.93 nat. median
$112,711
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 5 $83,459.27 $207,107.96 $106,120.90 nat. median
$111,503
1.0× median
1611
APR_DRG 		Implantable Heart Assist Systems 3 $105,055.81 $105,055.81 $105,055.81 nat. median
$82,164
1.3× median
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 3 $104,493.39 $104,493.39 $104,493.39 nat. median
$96,420
1.1× median

Other procedures at this hospital

Browse this hospital's 19,532 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
             
J1414 HCPCS Inj Beqvez Per Tx Dose 12 5 — — $3,524,500.00 $4,043,900.00 $3,728,550.00 2026-07-15
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 12 5 — — $3,501,003.34 $4,016,940.67 $3,716,059.67 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 5 — — $3,158,343.31 $3,623,783.37 $3,341,194.76 2026-07-15
J3394 HCPCS Inj- Lovotibeglogene Autotem 12 5 — — $3,098,287.25 $3,554,876.95 $3,277,661.77 2026-07-15
J3393 HCPCS Inj- Betibeglogene Autotemce 12 5 — — $2,803,152.34 $3,216,248.47 $2,974,096.77 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 5 — — $2,329,509.82 $2,672,806.00 $2,464,376.18 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 12 5 — — $2,215,400.00 $2,541,880.00 $2,343,660.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 11 4 — — $732,089.00 $839,975.80 $770,620.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 4 — — $549,408.35 $630,373.79 $578,324.58 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 12 4 — — $525,709.89 $603,182.92 $553,378.83 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 4 — — $514,553.87 $590,382.87 $541,635.66 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 13 4 — — $514,197.42 $589,973.89 $541,260.45 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 4 — — $489,517.15 $581,053.36 $533,076.48 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 12 4 — — $465,234.00 $533,794.80 $489,720.00 2026-07-15
5834 APR_DRG Neonate With Ecmo 3 3 — — $410,022.31 $410,022.31 $410,022.31 2026-07-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $267,492.84 $267,492.84 $267,492.84 2026-07-15
5833 APR_DRG Neonate With Ecmo 3 3 — — $265,625.54 $265,625.54 $265,625.54 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 13 6 — — $3,396.00 $549,366.93 $247,220.29 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $236,889.37 $236,889.37 $236,889.37 2026-07-15
5832 APR_DRG Neonate With Ecmo 3 3 — — $203,951.61 $203,951.61 $203,951.61 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $203,013.29 $203,013.29 $203,013.29 2026-07-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 3 — — $195,126.59 $195,126.59 $195,126.59 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $192,453.70 $192,453.70 $192,453.70 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 6 — — $170,310.86 $405,623.52 $190,031.07 2026-07-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 3 — — $175,877.57 $175,877.57 $175,877.57 2026-07-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $173,970.10 $173,970.10 $173,970.10 2026-07-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 3 — — $172,668.08 $172,668.08 $172,668.08 2026-07-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 3 — — $169,928.47 $169,928.47 $169,928.47 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $161,603.46 $161,603.46 $161,603.46 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $161,296.43 $161,296.43 $161,296.43 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $160,487.96 $160,487.96 $160,487.96 2026-07-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 3 — — $157,566.85 $157,566.85 $157,566.85 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 6 — — $3,396.00 $341,608.32 $155,511.06 2026-07-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $152,655.06 $152,655.06 $152,655.06 2026-07-15
5831 APR_DRG Neonate With Ecmo 3 3 — — $148,245.42 $148,245.42 $148,245.42 2026-07-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 3 — — $145,744.69 $145,744.69 $145,744.69 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $143,444.11 $143,444.11 $143,444.11 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $142,461.32 $142,461.32 $142,461.32 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 13 6 — — $3,396.00 $308,615.04 $140,491.46 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $137,363.73 $137,363.73 $137,363.73 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $133,012.20 $133,012.20 $133,012.20 2026-07-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $130,847.91 $130,847.91 $130,847.91 2026-07-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 3 — — $126,127.66 $126,127.66 $126,127.66 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $118,444.69 $118,444.69 $118,444.69 2026-07-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $117,005.66 $117,005.66 $117,005.66 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $110,264.59 $110,264.59 $110,264.59 2026-07-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 3 — — $109,278.93 $109,278.93 $109,278.93 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad- Rep 14 5 — — $83,459.27 $207,107.96 $106,120.90 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $105,055.81 $105,055.81 $105,055.81 2026-07-15
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 3 — — $104,493.39 $104,493.39 $104,493.39 2026-07-15
64 APR_DRG Pancreas Transplant 3 3 — — $103,189.94 $103,189.94 $103,189.94 2026-07-15
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 3 — — $101,410.88 $101,410.88 $101,410.88 2026-07-15
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 3 — — $99,250.18 $99,250.18 $99,250.18 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $98,562.23 $98,562.23 $98,562.23 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $96,799.66 $96,799.66 $96,799.66 2026-07-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 3 — — $95,644.71 $95,644.71 $95,644.71 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $94,247.28 $94,247.28 $94,247.28 2026-07-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 3 — — $93,173.39 $93,173.39 $93,173.39 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $92,923.75 $92,923.75 $92,923.75 2026-07-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $92,852.57 $92,852.57 $92,852.57 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 13 6 — — $3,396.00 $203,472.00 $92,626.98 2026-07-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $89,670.50 $89,670.50 $89,670.50 2026-07-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 3 — — $89,504.07 $89,504.07 $89,504.07 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $89,332.62 $89,332.62 $89,332.62 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $89,021.29 $89,021.29 $89,021.29 2026-07-15
7 MS_DRG Lung Transplant 12 6 — — $79,016.43 $188,190.72 $88,165.71 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 13 6 — — $3,396.00 $188,665.92 $85,886.77 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $85,070.04 $85,070.04 $85,070.04 2026-07-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $82,996.86 $82,996.86 $82,996.86 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $80,923.68 $80,923.68 $80,923.68 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $80,859.84 $80,859.84 $80,859.84 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $79,945.20 $79,945.20 $79,945.20 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $78,831.13 $78,831.13 $78,831.13 2026-07-15
8514 APR_DRG Gender Related Procedures 3 3 — — $77,625.24 $77,625.24 $77,625.24 2026-07-15
4404 APR_DRG Kidney Transplant 3 3 — — $75,564.97 $75,564.97 $75,564.97 2026-07-15
8634 APR_DRG Neonatal Aftercare 3 3 — — $74,682.61 $74,682.61 $74,682.61 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 6 — — $66,627.19 $190,063.56 $74,341.91 2026-07-15
63 APR_DRG Pancreas Transplant 3 3 — — $73,307.43 $73,307.43 $73,307.43 2026-07-15
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 3 — — $73,017.61 $73,017.61 $73,017.61 2026-07-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 3 — — $72,676.86 $72,676.86 $72,676.86 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 6 — — $64,388.28 $158,940.21 $71,843.76 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 13 6 — — $3,396.00 $161,709.72 $71,413.24 2026-07-15
215 MS_DRG Other Heart Assist System Implant 13 6 — — $3,396.00 $152,565.12 $69,452.53 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $69,164.65 $69,164.65 $69,164.65 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 6 — — $3,396.00 $150,845.76 $68,669.83 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $67,813.14 $67,813.14 $67,813.14 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 5 — — $64,080.03 $73,523.40 $67,452.66 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $67,355.46 $67,355.46 $67,355.46 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $67,103.66 $67,103.66 $67,103.66 2026-07-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $66,372.67 $66,372.67 $66,372.67 2026-07-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 3 — — $65,668.94 $65,668.94 $65,668.94 2026-07-15
1784 APR_DRG External Heart Assist Systems 3 3 — — $64,546.98 $64,546.98 $64,546.98 2026-07-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 3 — — $64,376.96 $64,376.96 $64,376.96 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $64,188.30 $64,188.30 $64,188.30 2026-07-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $64,052.00 $64,052.00 $64,052.00 2026-07-15
J9029 HCPCS Instill Adstiladrin- Tx Dose 18 6 — — $60,259.50 $73,690.23 $63,748.21 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $63,466.63 $63,466.63 $63,466.63 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 6 — — $3,396.00 $138,975.84 $63,266.26 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $63,214.12 $63,214.12 $63,214.12 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $62,903.50 $62,903.50 $62,903.50 2026-07-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $62,074.22 $62,074.22 $62,074.22 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $61,589.29 $61,589.29 $61,589.29 2026-07-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 3 3 — — $61,522.57 $61,522.57 $61,522.57 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 3 3 — — $61,470.20 $61,470.20 $61,470.20 2026-07-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 3 3 — — $60,903.49 $60,903.49 $60,903.49 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 13 6 — — $3,396.00 $137,891.89 $60,387.15 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $60,053.41 $60,053.41 $60,053.41 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $59,644.51 $59,644.51 $59,644.51 2026-07-15
62 APR_DRG Pancreas Transplant 3 3 — — $58,696.87 $58,696.87 $58,696.87 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $57,972.34 $57,972.34 $57,972.34 2026-07-15
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 3 — — $57,493.86 $57,493.86 $57,493.86 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $56,941.48 $56,941.48 $56,941.48 2026-07-15
A9543 HCPCS Y90 Ibritumomab- Rx 13 5 — — $53,983.32 $70,418.21 $56,824.55 2026-07-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 3 — — $56,654.54 $56,654.54 $56,654.54 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 5 — — $53,148.67 $68,902.76 $56,505.43 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $56,251.38 $56,251.38 $56,251.38 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 3 3 — — $56,011.78 $56,011.78 $56,011.78 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $55,856.83 $55,856.83 $55,856.83 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $55,782.94 $55,782.94 $55,782.94 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 6 — — $3,396.00 $122,024.16 $55,549.31 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 13 6 — — $3,396.00 $121,956.48 $55,518.50 2026-07-15
6904 APR_DRG Acute Leukemia 3 3 — — $55,485.95 $55,485.95 $55,485.95 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $55,124.40 $55,124.40 $55,124.40 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $55,085.66 $55,085.66 $55,085.66 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 6 — — $3,396.00 $124,852.72 $54,675.48 2026-07-15
38240 CPT Transplt Allo Hct/donor 20 5 — — $214.34 $108,774.82 $54,478.02 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $54,119.37 $54,119.37 $54,119.37 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $53,957.25 $53,957.25 $53,957.25 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $53,906.32 $53,906.32 $53,906.32 2026-07-15
10 MS_DRG Pancreas Transplant 12 6 — — $48,206.26 $114,811.20 $53,788.04 2026-07-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 3 3 — — $53,402.01 $53,402.01 $53,402.01 2026-07-15
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 3 — — $53,318.80 $53,318.80 $53,318.80 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $53,076.33 $53,076.33 $53,076.33 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 6 — — $3,396.00 $116,079.84 $52,843.26 2026-07-15
7594 APR_DRG Eating Disorders 3 3 — — $52,381.20 $52,381.20 $52,381.20 2026-07-15
1794 APR_DRG Defibrillator Implants 3 3 — — $52,310.90 $52,310.90 $52,310.90 2026-07-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 3 3 — — $52,293.68 $52,293.68 $52,293.68 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 6 — — $3,396.00 $114,153.12 $51,966.16 2026-07-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 3 — — $51,848.20 $51,848.20 $51,848.20 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $51,656.66 $51,656.66 $51,656.66 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 13 6 — — $3,396.00 $112,556.16 $51,239.17 2026-07-15
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 3 3 — — $51,160.25 $51,160.25 $51,160.25 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $50,917.06 $50,917.06 $50,917.06 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 6 — — $3,396.00 $111,420.00 $50,721.96 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $50,508.16 $50,508.16 $50,508.16 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $49,938.58 $49,938.58 $49,938.58 2026-07-15
274 APR_DRG Other Open Craniotomy 3 3 — — $49,751.35 $49,751.35 $49,751.35 2026-07-15
2324 APR_DRG Gastric Fundoplication 3 3 — — $49,413.47 $49,413.47 $49,413.47 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $49,170.28 $49,170.28 $49,170.28 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 6 — — $3,396.00 $107,484.48 $48,930.38 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $48,917.77 $48,917.77 $48,917.77 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $48,864.68 $48,864.68 $48,864.68 2026-07-15
234 APR_DRG Spinal Procedures 3 3 — — $48,729.82 $48,729.82 $48,729.82 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $48,545.46 $48,545.46 $48,545.46 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $47,971.57 $47,971.57 $47,971.57 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $47,551.19 $47,551.19 $47,551.19 2026-07-15
1783 APR_DRG External Heart Assist Systems 3 3 — — $47,544.73 $47,544.73 $47,544.73 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 14 5 — — $37,129.52 $92,138.59 $47,211.27 2026-07-15
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 3 3 — — $46,934.97 $46,934.97 $46,934.97 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $46,871.13 $46,871.13 $46,871.13 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 6 — — $3,396.00 $102,278.88 $46,560.62 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 6 — — $3,396.00 $101,764.80 $46,326.60 2026-07-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $45,845.30 $45,845.30 $45,845.30 2026-07-15
4403 APR_DRG Kidney Transplant 3 3 — — $45,794.37 $45,794.37 $45,794.37 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 3 3 — — $45,767.11 $45,767.11 $45,767.11 2026-07-15
1782 APR_DRG External Heart Assist Systems 3 3 — — $45,704.70 $45,704.70 $45,704.70 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 6 — — $3,396.00 $100,173.60 $45,602.23 2026-07-15
J9226 HCPCS Supprelin La Implant 15 5 — — $43,282.37 $55,576.39 $45,560.39 2026-07-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 3 — — $45,111.44 $45,111.44 $45,111.44 2026-07-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 3 — — $44,900.53 $44,900.53 $44,900.53 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 6 — — $3,396.00 $98,327.52 $44,761.84 2026-07-15
4414 APR_DRG Major Bladder Procedures 3 3 — — $44,624.35 $44,624.35 $44,624.35 2026-07-15
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 3 — — $44,315.88 $44,315.88 $44,315.88 2026-07-15
894 APR_DRG Major Cranial/facial Bone Procedures 3 3 — — $44,193.93 $44,193.93 $44,193.93 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 6 — — $3,396.00 $96,547.68 $43,951.60 2026-07-15
61 APR_DRG Pancreas Transplant 3 3 — — $43,897.66 $43,897.66 $43,897.66 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $43,780.72 $43,780.72 $43,780.72 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 6 — — $3,396.00 $96,013.44 $43,708.40 2026-07-15
C1882 HCPCS Aicd- Other Than Sing/dual 1 1 — — $43,675.42 $43,675.42 $43,675.42 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 12 5 — — $867.45 $82,765.11 $43,507.83 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $43,457.19 $43,457.19 $43,457.19 2026-07-15
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 3 3 — — $43,104.25 $43,104.25 $43,104.25 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $42,983.73 $42,983.73 $42,983.73 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $42,898.37 $42,898.37 $42,898.37 2026-07-15
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 3 — — $42,578.42 $42,578.42 $42,578.42 2026-07-15
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 3 3 — — $42,490.90 $42,490.90 $42,490.90 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $42,409.84 $42,409.84 $42,409.84 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 6 — — $3,396.00 $93,127.68 $42,394.71 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $42,382.58 $42,382.58 $42,382.58 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 6 — — $3,396.00 $92,993.76 $42,333.74 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $42,259.20 $42,259.20 $42,259.20 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $42,097.07 $42,097.07 $42,097.07 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $42,051.88 $42,051.88 $42,051.88 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 14 5 — — $17,622.37 $54,663.39 $41,907.21 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $41,787.89 $41,787.89 $41,787.89 2026-07-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $41,787.89 $41,787.89 $41,787.89 2026-07-15
33276 CPT Insj Phrnc Nrv Stim Sys 19 5 — — $428.40 $82,765.11 $41,776.18 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $41,726.91 $41,726.91 $41,726.91 2026-07-15
C1721 HCPCS Aicd- Dual Chamber 1 1 — — $41,600.46 $41,600.46 $41,600.46 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 6 — — $3,396.00 $98,909.10 $41,457.95 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $41,130.06 $41,130.06 $41,130.06 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 6 — — $3,396.00 $96,176.16 $41,019.50 2026-07-15
7584 APR_DRG Behavioral Disorders 3 3 — — $40,798.64 $40,798.64 $40,798.64 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $40,790.75 $40,790.75 $40,790.75 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $40,679.56 $40,679.56 $40,679.56 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $40,637.95 $40,637.95 $40,637.95 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 6 — — $3,396.00 $89,199.36 $40,606.41 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 6 — — $3,396.00 $92,606.59 $40,553.97 2026-07-15
3634 APR_DRG Breast Procedures Except Mastectomy 3 3 — — $40,485.15 $40,485.15 $40,485.15 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $40,409.83 $40,409.83 $40,409.83 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $40,372.53 $40,372.53 $40,372.53 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 6 — — $3,396.00 $88,678.08 $40,369.10 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $40,356.75 $40,356.75 $40,356.75 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $40,324.47 $40,324.47 $40,324.47 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $40,292.18 $40,292.18 $40,292.18 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $40,283.58 $40,283.58 $40,283.58 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 13 6 — — $3,396.00 $95,630.60 $40,228.16 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 12 6 — — $35,943.38 $97,681.53 $40,105.25 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 6 — — $3,396.00 $87,965.28 $40,044.62 2026-07-15
4402 APR_DRG Kidney Transplant 3 3 — — $40,027.48 $40,027.48 $40,027.48 2026-07-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $39,904.09 $39,904.09 $39,904.09 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 13 6 — — $3,396.00 $87,544.80 $39,853.20 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $39,641.53 $39,641.53 $39,641.53 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 6 — — $3,396.00 $86,916.96 $39,567.39 2026-07-15
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 3 — — $39,508.10 $39,508.10 $39,508.10 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 13 6 — — $3,396.00 $86,267.52 $39,271.74 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $39,139.38 $39,139.38 $39,139.38 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 6 — — $3,396.00 $85,669.92 $38,999.69 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $38,967.21 $38,967.21 $38,967.21 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $38,777.83 $38,777.83 $38,777.83 2026-07-15
1781 APR_DRG External Heart Assist Systems 3 3 — — $38,774.96 $38,774.96 $38,774.96 2026-07-15
8633 APR_DRG Neonatal Aftercare 3 3 — — $38,686.01 $38,686.01 $38,686.01 2026-07-15
1824 APR_DRG Other Peripheral Vascular Procedures 3 3 — — $38,577.68 $38,577.68 $38,577.68 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 6 — — $3,396.00 $84,732.48 $38,572.94 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $38,422.73 $38,422.73 $38,422.73 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $38,363.19 $38,363.19 $38,363.19 2026-07-15
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $38,272.80 $38,272.80 $38,272.80 2026-07-15
4014 APR_DRG Adrenal Procedures 3 3 — — $38,231.20 $38,231.20 $38,231.20 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $38,183.85 $38,183.85 $38,183.85 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 6 — — $3,396.00 $83,841.12 $38,167.17 2026-07-15
4034 APR_DRG Procedures For Obesity 3 3 — — $38,145.83 $38,145.83 $38,145.83 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $37,866.06 $37,866.06 $37,866.06 2026-07-15
1793 APR_DRG Defibrillator Implants 3 3 — — $37,860.32 $37,860.32 $37,860.32 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 13 5 — — $35,936.80 $41,232.75 $37,828.21 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 6 — — $3,396.00 $86,916.96 $37,740.25 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $37,672.37 $37,672.37 $37,672.37 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 13 6 — — $3,396.00 $82,647.36 $37,623.73 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 6 — — $3,396.00 $82,153.44 $37,398.88 2026-07-15
4401 APR_DRG Kidney Transplant 3 3 — — $36,926.31 $36,926.31 $36,926.31 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $36,901.20 $36,901.20 $36,901.20 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 12 6 — — $32,897.92 $80,869.83 $36,707.15 2026-07-15
6504 APR_DRG Splenic Procedures 3 3 — — $36,633.63 $36,633.63 $36,633.63 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 13 6 — — $3,396.00 $82,007.58 $36,543.41 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 3 — — $36,451.42 $36,451.42 $36,451.42 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $36,399.05 $36,399.05 $36,399.05 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $36,394.03 $36,394.03 $36,394.03 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 6 — — $3,396.00 $86,962.76 $36,233.34 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 13 6 — — $3,396.00 $101,933.11 $36,233.34 2026-07-15
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 3 — — $36,231.19 $36,231.19 $36,231.19 2026-07-15
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $36,218.27 $36,218.27 $36,218.27 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $36,132.19 $36,132.19 $36,132.19 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 6 — — $3,396.00 $79,259.04 $36,081.26 2026-07-15
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 3 3 — — $35,899.05 $35,899.05 $35,899.05 2026-07-15
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 3 — — $35,895.46 $35,895.46 $35,895.46 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 6 — — $3,396.00 $78,775.20 $35,861.00 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 — — $35,744.81 $35,744.81 $35,744.81 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $35,719.71 $35,719.71 $35,719.71 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $35,604.21 $35,604.21 $35,604.21 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 13 6 — — $3,396.00 $78,173.28 $35,586.98 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 6 — — $3,396.00 $77,774.40 $35,405.40 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $35,386.13 $35,386.13 $35,386.13 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 13 6 — — $3,396.00 $77,700.96 $35,371.97 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 6 — — $3,396.00 $81,932.73 $35,368.03 2026-07-15
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 3 3 — — $35,226.16 $35,226.16 $35,226.16 2026-07-15
7934 APR_DRG Moderately Extensive Or Procedures For Other Complications Of Treatment 3 3 — — $35,096.32 $35,096.32 $35,096.32 2026-07-15
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 3 3 — — $35,095.60 $35,095.60 $35,095.60 2026-07-15
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $34,938.50 $34,938.50 $34,938.50 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 3 3 — — $34,916.98 $34,916.98 $34,916.98 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $34,903.35 $34,903.35 $34,903.35 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 13 6 — — $3,396.00 $76,610.88 $34,875.73 2026-07-15
2314 APR_DRG Major Large Bowel Procedures 3 3 — — $34,744.09 $34,744.09 $34,744.09 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 6 — — $3,396.00 $76,272.48 $34,721.68 2026-07-15
244 APR_DRG Open Extracranial Vascular Procedures 3 3 — — $34,605.64 $34,605.64 $34,605.64 2026-07-15
4804 APR_DRG Major Male Pelvic Procedures 3 3 — — $34,602.77 $34,602.77 $34,602.77 2026-07-15
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 3 — — $34,545.38 $34,545.38 $34,545.38 2026-07-15
6233 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 3 3 — — $34,451.41 $34,451.41 $34,451.41 2026-07-15
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 3 — — $34,419.84 $34,419.84 $34,419.84 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $34,364.61 $34,364.61 $34,364.61 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 5 — — $32,570.22 $37,370.04 $34,284.44 2026-07-15
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 3 — — $34,097.75 $34,097.75 $34,097.75 2026-07-15
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 3 — — $34,061.16 $34,061.16 $34,061.16 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 3 — — $33,911.23 $33,911.23 $33,911.23 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 5 — — $2,163.75 $64,373.07 $33,839.54 2026-07-15
3094 APR_DRG Other Significant Hip And Femur Surgery 3 3 — — $33,835.19 $33,835.19 $33,835.19 2026-07-15
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 3 — — $33,785.69 $33,785.69 $33,785.69 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 6 — — $3,396.00 $74,161.44 $33,760.66 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 3 3 — — $33,746.95 $33,746.95 $33,746.95 2026-07-15
6312 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 3 — — $33,670.91 $33,670.91 $33,670.91 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 6 — — $3,396.00 $73,915.20 $33,648.57 2026-07-15
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 3 — — $33,524.57 $33,524.57 $33,524.57 2026-07-15
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