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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

Hospital Of The Fox Chase Cancer Center

Philadelphia, PA · CCN 390196 · Rates published

8,790 distinct procedures filed
90 distinct payers
1,028,974 rate rows
2026-04-13 last MRF observed
Data quality

1,003,098 of 1,028,974 rate rows are consumer-grade (97.5%)

25,876 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,651
per-diem day rate — not a per-procedure price 10,947
placeholder amount (≤ $0.02) — excluded from medians 930
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 724
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 618
exceeds 10× this hospital's gross charge — excluded from medians 574
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 297
percent-of-charges filed in the dollar field — excluded from medians 127
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.templehealth.org/sites/default/files/file/2026-04/231352156_fox-chase-cancer-center_standardcharges.csv
Found on page https://www.templehealth.org/pricing-disclaimer
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint cd55fd03eb939e01… · 77,725,797 bytes · first seen 2026-05-13

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
RX-213069
CDM 		Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension 13 $51.38 $3,901,474.58 $1,912,864.23 nat. median
$1,866,209
1.0× median
J3590
HCPCS 		Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 13 $517,658.20 $4,243,100.00 $1,756,643.40 nat. median
$759
outlier · 2314.5×
RX-4082207
CDM 		Inv - Obecabtagene Autoleucel Intravenous Suspension 300 X 10exp6 Cell (irb# Ea2… 14 $51.38 $2,457,525.00 $764,012.81 nat. median
$836,351
0.9× median
RX-4082206
CDM 		Inv - Obecabtagene Autoleucel Intravenous Syringe 10 X 10exp6 Cell (irb# Ea25-10… 14 $51.38 $2,457,525.00 $764,012.81 nat. median
$836,351
0.9× median
5834
APR_DRG 		Neonate With Ecmo 4 $425,335.18 $825,755.88 $602,375.14 nat. median
$311,018
1.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 19 $310,000.00 $2,850,963.80 $596,782.48 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 20 $312,500.00 $4,277,882.01 $591,726.20 nat. median
$691,418
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 20 $328,240.00 $4,974,502.44 $573,445.26 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 20 $335,600.00 $4,946,060.97 $569,243.36 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 20 $245,394.70 $4,371,074.40 $542,836.08 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 20 $308,800.00 $4,010,160.00 $499,239.20 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 65 $37.71 $4,237,734.41 $482,049.94 nat. median
$370,165
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $299,653.29 $581,754.05 $424,379.88 nat. median
$243,231
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $284,395.14 $552,131.51 $402,770.72 nat. median
$254,667
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $267,680.87 $519,682.03 $379,099.38 nat. median
$119,243
outlier · 3.2×
5833
APR_DRG 		Neonate With Ecmo 4 $257,186.02 $499,307.08 $364,236.18 nat. median
$250,089
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 71 $28.17 $2,586,342.27 $306,970.00 nat. median
$261,939
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $214,256.36 $415,962.41 $303,437.64 nat. median
$209,486
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $209,295.96 $406,332.17 $296,412.55 nat. median
$168,174
1.8× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $206,248.08 $400,414.94 $292,096.02 nat. median
$67,603
outlier · 4.3×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $206,239.83 $400,398.94 $292,084.34 nat. median
$165,599
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $198,062.93 $384,524.11 $280,503.92 nat. median
$165,646
1.7× median
5832
APR_DRG 		Neonate With Ecmo 4 $197,471.64 $383,376.16 $279,666.52 nat. median
$169,230
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $195,523.16 $379,593.32 $276,907.00 nat. median
$147,677
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 71 $21.43 $2,078,619.11 $265,465.33 nat. median
$199,832
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $184,259.40 $357,725.61 $260,954.86 nat. median
$168,361
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $175,686.06 $341,081.12 $248,812.98 nat. median
$160,171
1.6× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $175,006.34 $339,761.49 $247,850.34 nat. median
$63,564
outlier · 3.9×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $174,561.19 $338,897.25 $247,219.90 nat. median
$175,480
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 69 $23.72 $1,564,801.98 $244,577.56 nat. median
$205,166
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $171,309.46 $332,584.28 $242,614.68 nat. median
$156,285
1.6× median
5831
APR_DRG 		Neonate With Ecmo 4 $168,454.93 $327,042.42 $238,571.99 nat. median
$154,685
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $158,055.25 $306,852.24 $223,843.59 nat. median
$180,995
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $157,147.71 $305,090.31 $222,558.29 nat. median
$137,901
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $154,731.59 $300,399.59 $219,136.49 nat. median
$127,600
1.7× median
PX-38301206
CDM 		Hc Tmr Laser 70 $1,093.00 $238,966.00 $215,069.40 nat. median
$238,966
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $150,998.73 $293,152.55 $213,849.90 nat. median
$127,938
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $148,585.61 $288,467.65 $210,432.34 nat. median
$147,847
1.4× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $146,090.80 $283,624.16 $206,899.09 nat. median
$116,111
1.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $139,115.21 $270,081.60 $197,020.02 nat. median
$120,928
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $134,037.91 $260,224.39 $189,829.35 nat. median
$108,751
1.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $131,034.24 $254,393.00 $185,575.45 nat. median
$96,420
1.9× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $130,937.56 $254,205.31 $185,438.54 nat. median
$89,188
outlier · 2.1×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $130,842.39 $254,020.54 $185,303.74 nat. median
$71,350
outlier · 2.6×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $125,979.41 $244,579.44 $178,416.62 nat. median
$123,690
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $125,424.10 $243,501.33 $177,630.16 nat. median
$101,315
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $168,913.94 $168,913.94 $168,913.94 nat. median
$83,623
outlier · 2.0×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $116,581.71 $226,334.52 $165,107.26 nat. median
$112,711
1.5× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $115,875.76 $224,963.97 $164,107.46 nat. median
$80,413
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 71 $14.13 $1,098,977.76 $162,761.88 nat. median
$132,706
1.2× median

Other procedures at this hospital

Browse this hospital's 8,790 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
RX-213069 CDM Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension 46 13 — — $51.38 $3,901,474.58 $1,912,864.23 2026-04-13
J3590 HCPCS Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 47 13 — — $517,658.20 $4,243,100.00 $1,756,643.40 2026-04-13
RX-4082206 CDM Inv - Obecabtagene Autoleucel Intravenous Syringe 10 X 10exp6 Cell (irb# Ea25-10… 50 14 $3,963,750.00 — $51.38 $2,457,525.00 $764,012.81 2026-04-13
RX-4082207 CDM Inv - Obecabtagene Autoleucel Intravenous Suspension 300 X 10exp6 Cell (irb# Ea2… 50 14 $3,963,750.00 — $51.38 $2,457,525.00 $764,012.81 2026-04-13
5834 APR_DRG Neonate With Ecmo 12 4 — — $425,335.18 $825,755.88 $602,375.14 2026-04-13
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 70 19 — — $310,000.00 $2,850,963.80 $596,782.48 2026-04-13
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 71 20 — — $312,500.00 $4,277,882.01 $591,726.20 2026-04-13
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 71 20 — — $328,240.00 $4,974,502.44 $573,445.26 2026-04-13
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 71 20 — — $335,600.00 $4,946,060.97 $569,243.36 2026-04-13
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 71 20 — — $245,394.70 $4,371,074.40 $542,836.08 2026-04-13
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 71 20 — — $308,800.00 $4,010,160.00 $499,239.20 2026-04-13
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 77 65 — $626,763.51 $37.71 $4,237,734.41 $482,049.94 2026-04-13
24 APR_DRG Heart And/or Lung Transplant 12 4 — — $299,653.29 $581,754.05 $424,379.88 2026-04-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 4 — — $284,395.14 $552,131.51 $402,770.72 2026-04-13
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 4 — — $267,680.87 $519,682.03 $379,099.38 2026-04-13
5833 APR_DRG Neonate With Ecmo 12 4 — — $257,186.02 $499,307.08 $364,236.18 2026-04-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 87 71 $2,873,713.64 $303,151.53 89% off $28.17 $2,586,342.27 $306,970.00 2026-04-13
1614 APR_DRG Implantable Heart Assist Systems 12 4 — — $214,256.36 $415,962.41 $303,437.64 2026-04-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 4 — — $209,295.96 $406,332.17 $296,412.55 2026-04-13
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 4 — — $206,248.08 $400,414.94 $292,096.02 2026-04-13
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $206,239.83 $400,398.94 $292,084.34 2026-04-13
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 4 — — $198,062.93 $384,524.11 $280,503.92 2026-04-13
5832 APR_DRG Neonate With Ecmo 12 4 — — $197,471.64 $383,376.16 $279,666.52 2026-04-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 4 — — $195,523.16 $379,593.32 $276,907.00 2026-04-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 90 71 $2,309,576.80 $230,814.49 90% off $21.43 $2,078,619.11 $265,465.33 2026-04-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 4 — — $184,259.40 $357,725.61 $260,954.86 2026-04-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 4 — — $175,686.06 $341,081.12 $248,812.98 2026-04-13
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 4 — — $175,006.34 $339,761.49 $247,850.34 2026-04-13
74 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $174,561.19 $338,897.25 $247,219.90 2026-04-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 84 69 $1,738,668.86 $255,416.83 85% off $23.72 $1,564,801.98 $244,577.56 2026-04-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 4 — — $171,309.46 $332,584.28 $242,614.68 2026-04-13
5831 APR_DRG Neonate With Ecmo 12 4 — — $168,454.93 $327,042.42 $238,571.99 2026-04-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 4 — — $158,055.25 $306,852.24 $223,843.59 2026-04-13
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 4 — — $157,147.71 $305,090.31 $222,558.29 2026-04-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $154,731.59 $300,399.59 $219,136.49 2026-04-13
PX-38301206 CDM Hc Tmr Laser 75 70 $238,966.00 $238,966.00 $1,093.00 $238,966.00 $215,069.40 2025-01-01
1613 APR_DRG Implantable Heart Assist Systems 12 4 — — $150,998.73 $293,152.55 $213,849.90 2026-04-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 4 — — $148,585.61 $288,467.65 $210,432.34 2026-04-13
23 APR_DRG Heart And/or Lung Transplant 12 4 — — $146,090.80 $283,624.16 $206,899.09 2026-04-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 4 — — $139,115.21 $270,081.60 $197,020.02 2026-04-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 4 — — $134,037.91 $260,224.39 $189,829.35 2026-04-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 4 — — $131,034.24 $254,393.00 $185,575.45 2026-04-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 4 — — $130,937.56 $254,205.31 $185,438.54 2026-04-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 4 — — $130,842.39 $254,020.54 $185,303.74 2026-04-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $125,979.41 $244,579.44 $178,416.62 2026-04-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 4 — — $125,424.10 $243,501.33 $177,630.16 2026-04-13
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $168,913.94 $168,913.94 $168,913.94 2026-04-08
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 4 — — $116,581.71 $226,334.52 $165,107.26 2026-04-13
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $115,875.76 $224,963.97 $164,107.46 2026-04-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 90 71 $1,221,086.40 $152,411.69 88% off $14.13 $1,098,977.76 $162,761.88 2026-04-13
1612 APR_DRG Implantable Heart Assist Systems 12 4 — — $114,677.44 $222,637.52 $162,410.36 2026-04-13
1611 APR_DRG Implantable Heart Assist Systems 12 4 — — $111,105.72 $215,703.29 $157,351.95 2026-04-13
7 MS_DRG Lung Transplant 87 71 $1,892,709.56 $141,016.80 93% off $13.07 $1,703,438.60 $157,198.04 2026-04-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $105,770.61 $205,345.58 $149,796.17 2026-04-13
22 APR_DRG Heart And/or Lung Transplant 12 4 — — $104,685.45 $203,238.83 $148,259.34 2026-04-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 16 — — $97,680.12 $306,970.00 $146,800.58 2026-04-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 4 — — $103,373.97 $200,692.69 $146,401.97 2026-04-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $146,172.69 $146,172.69 $146,172.69 2026-04-08
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 4 — — $101,531.15 $197,115.00 $143,792.10 2026-04-13
73 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $99,576.67 $193,320.52 $141,024.09 2026-04-13
215 MS_DRG Other Heart Assist System Implant 83 64 $723,588.62 $114,451.59 84% off $10.59 $651,229.76 $140,159.14 2026-04-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 4 — — $98,488.51 $191,207.95 $139,483.01 2026-04-13
21 APR_DRG Heart And/or Lung Transplant 12 4 — — $97,775.07 $189,822.85 $138,472.60 2026-04-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 16 — — $95,002.74 $247,921.89 $138,375.15 2026-04-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $138,232.56 $138,232.56 $138,232.56 2026-04-08
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $97,051.88 $188,418.84 $137,448.40 2026-04-13
14 MS_DRG Allogeneic Bone Marrow Transplant 92 73 $1,098,593.04 $141,371.14 87% off $13.10 $988,733.73 $136,815.64 2026-04-13
209 MS_DRG Complex Aortic Arch Procedures 23 16 — — $97,568.06 $254,616.41 $134,414.05 2026-04-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $94,712.20 $183,876.52 $134,134.86 2026-04-13
8514 APR_DRG Gender Related Procedures 12 4 — — $94,372.71 $183,217.43 $133,654.06 2026-04-13
8513 APR_DRG Gender Related Procedures 12 4 — — $94,372.71 $183,217.43 $133,654.06 2026-04-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 4 — — $92,966.05 $180,486.51 $131,661.90 2026-04-13
64 APR_DRG Pancreas Transplant 12 4 — — $91,414.76 $177,474.79 $129,464.90 2026-04-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 86 69 $2,965,799.90 $231,697.07 92% off $10.89 $2,669,219.91 $127,999.93 2026-04-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 4 — — $90,194.70 $175,106.15 $127,737.01 2026-04-13
PX-43500438 CDM Hc Implant-pulse Generator 75 70 $126,895.00 $126,895.00 $15,722.29 $126,895.00 $126,895.00 2025-01-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $88,715.35 $172,234.11 $125,641.90 2026-04-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $123,789.94 $123,789.94 $123,789.94 2026-04-08
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $120,692.21 $120,692.21 $120,692.21 2026-04-08
5 MS_DRG Liver Transplant With McC Or Intestinal Transplant 84 69 $1,231,196.44 $115,037.86 91% off $10.65 $1,108,076.79 $119,748.62 2026-04-13
8634 APR_DRG Neonatal Aftercare 12 4 — — $83,479.92 $162,069.91 $118,227.29 2026-04-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 4 — — $83,174.91 $161,477.75 $117,795.32 2026-04-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 88 69 $1,411,513.30 $104,318.37 93% off $9.65 $1,270,361.96 $117,663.88 2026-04-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 4 — — $82,345.30 $159,867.13 $116,620.40 2026-04-13
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 4 — — $80,753.54 $156,776.84 $114,366.10 2026-04-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 16 — — $77,662.75 $202,670.95 $113,320.82 2026-04-13
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 4 — — $79,718.59 $154,767.57 $112,900.36 2026-04-13
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $112,016.71 $112,016.71 $112,016.71 2026-04-08
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 4 — — $78,586.22 $152,569.16 $111,296.66 2026-04-13
850 MS_DRG Acute Leukemia With Other Procedures 26 16 — — $74,644.89 $206,530.80 $108,960.36 2026-04-13
84 APR_DRG Autologous Bone Marrow Transplant 12 4 — — $76,236.04 $148,006.48 $107,968.26 2026-04-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 89 70 $560,649.28 $65,014.96 88% off $5.99 $504,584.35 $106,935.78 2026-04-13
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $106,602.56 $106,602.56 $106,602.56 2026-04-08
63 APR_DRG Pancreas Transplant 12 4 — — $74,722.22 $145,067.50 $105,824.32 2026-04-13
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 4 — — $74,312.29 $144,271.65 $105,243.76 2026-04-13
4404 APR_DRG Kidney Transplant 12 4 — — $74,178.14 $144,011.22 $105,053.78 2026-04-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $74,033.51 $143,730.42 $104,848.94 2026-04-13
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 4 — — $73,843.15 $143,360.86 $104,579.35 2026-04-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $73,277.34 $142,262.38 $103,778.04 2026-04-13
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $103,278.70 $103,278.70 $103,278.70 2026-04-08
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 16 — — $56,679.09 $147,911.37 $102,338.21 2026-04-13
231 MS_DRG Coronary Bypass With Ptca With McC 89 70 $733,480.92 $91,677.88 88% off $8.47 $660,132.82 $100,374.77 2026-04-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $70,288.66 $136,460.09 $99,545.36 2026-04-13
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 4 — — $70,170.26 $136,230.21 $99,377.66 2026-04-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $69,598.45 $135,120.09 $98,567.86 2026-04-13
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 4 — — $68,469.08 $132,927.50 $96,968.40 2026-04-13
C1767 HCPCS Interstim Micro Surescan MRI Rechargeable Neurostimulator 35 35 $96,876.00 $96,876.00 $7,362.58 $96,876.00 $96,876.00 2025-01-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 4 — — $68,106.36 $132,223.31 $96,454.70 2026-04-13
72 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $68,075.63 $132,163.66 $96,411.18 2026-04-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 4 — — $67,966.22 $131,951.24 $96,256.23 2026-04-13
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $95,820.24 $95,820.24 $95,820.24 2026-04-08
1784 APR_DRG External Heart Assist Devices 12 4 — — $67,565.28 $131,172.85 $95,688.40 2026-04-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 16 — — $52,259.61 $136,957.05 $94,871.59 2026-04-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 88 69 $496,688.36 $87,245.33 82% off $8.06 $447,019.53 $94,850.26 2026-04-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 94 72 $434,556.64 $91,627.41 79% off $8.47 $391,100.97 $93,777.35 2026-04-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 90 71 $712,041.42 $84,617.81 88% off $7.82 $640,837.28 $92,185.10 2026-04-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 90 71 $490,964.16 $80,835.97 84% off $7.46 $441,867.75 $91,883.53 2026-04-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 4 — — $64,635.05 $125,484.04 $91,538.51 2026-04-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 16 — — $62,224.33 $162,382.41 $91,014.04 2026-04-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 88 69 $999,692.61 $83,770.59 92% off $7.74 $899,723.35 $90,686.83 2026-04-13
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 12 4 — — $62,356.82 $121,061.03 $88,312.00 2026-04-13
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $87,900.33 $87,900.33 $87,900.33 2026-04-08
62 APR_DRG Pancreas Transplant 12 4 — — $61,925.91 $120,224.44 $87,701.72 2026-04-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 4 — — $61,703.33 $119,792.32 $87,386.49 2026-04-13
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 142 89 $561,039.40 $561,039.40 $410.09 $561,039.40 $87,381.89 2026-04-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $61,103.80 $118,628.37 $86,537.42 2026-04-13
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 4 — — $61,085.06 $118,592.00 $86,510.88 2026-04-13
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 4 — — $60,598.69 $117,647.74 $85,822.07 2026-04-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 86 70 $2,263,969.99 $109,132.86 95% off $7.93 $2,037,573.00 $84,516.92 2026-04-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 86 69 $634,807.76 $76,570.92 88% off $7.07 $571,326.99 $84,289.75 2026-04-13
10 MS_DRG Pancreas Transplant 27 16 — — $26,462.54 $178,754.66 $82,484.21 2026-04-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 90 71 $426,332.33 $74,007.83 83% off $6.83 $3,585,830.76 $82,400.82 2026-04-13
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 4 — — $58,046.92 $112,693.68 $82,208.16 2026-04-13
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 4 — — $58,043.92 $112,687.86 $82,203.91 2026-04-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 4 — — $57,619.75 $111,864.36 $81,603.18 2026-04-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 4 — — $57,607.01 $111,839.63 $81,585.15 2026-04-13
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 4 — — $57,560.55 $111,749.42 $81,519.34 2026-04-13
71 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $57,347.71 $111,336.22 $81,217.92 2026-04-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 4 — — $56,976.00 $110,614.57 $80,691.48 2026-04-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 95 73 $488,467.22 $75,384.40 85% off $6.96 $439,620.50 $80,237.67 2026-04-13
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 125 84 $159,997.20 $159,997.20 $10,535.99 $159,997.20 $79,998.60 2026-04-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 87 72 $346,505.98 $72,403.61 79% off $6.68 $728,920.58 $79,338.81 2026-04-13
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 4 — — $55,760.45 $108,254.66 $78,969.97 2026-04-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 87 68 $784,713.85 $70,030.57 91% off $6.46 $706,242.46 $78,501.60 2026-04-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 89 70 $651,279.09 $66,812.47 90% off $6.16 $586,151.18 $78,240.82 2026-04-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 82 68 $1,035,188.83 $72,680.64 93% off $6.70 $931,669.95 $77,961.87 2026-04-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 4 — — $54,867.14 $106,520.38 $77,704.83 2026-04-13
11 APR_DRG Liver Transplant And/or Intestinal Transplant 12 4 — — $54,213.65 $105,251.67 $76,779.34 2026-04-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 12 4 — — $54,121.47 $105,072.71 $76,648.79 2026-04-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 82 68 $429,323.55 $67,115.28 84% off $6.19 $386,391.20 $76,566.79 2026-04-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 94 72 $759,233.52 $72,282.27 90% off $6.67 $683,310.17 $76,490.99 2026-04-13
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 4 — — $53,976.08 $104,790.45 $76,442.89 2026-04-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 4 — — $53,692.05 $104,239.03 $76,040.64 2026-04-13
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 12 4 — — $53,480.72 $103,828.74 $75,741.33 2026-04-13
6904 APR_DRG Acute Leukemia 12 4 — — $53,358.56 $103,591.59 $75,568.33 2026-04-13
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 4 — — $52,989.10 $102,874.30 $75,045.09 2026-04-13
214 APR_DRG Open Craniotomy Except Trauma 12 4 — — $52,880.43 $102,663.34 $74,891.19 2026-04-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 95 73 $459,572.34 $65,790.23 86% off $6.47 $413,615.10 $74,070.66 2026-04-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 4 — — $52,101.04 $101,150.20 $73,787.39 2026-04-13
914 APR_DRG Other Major Head And Neck Procedures 12 4 — — $52,074.06 $101,097.82 $73,749.17 2026-04-13
1783 APR_DRG External Heart Assist Devices 12 4 — — $52,019.35 $100,991.61 $73,671.70 2026-04-13
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 4 — — $51,992.37 $100,939.23 $73,633.49 2026-04-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 4 — — $51,526.23 $100,034.26 $72,973.33 2026-04-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 16 — — $49,712.40 $129,730.91 $72,935.71 2026-04-13
1794 APR_DRG Defibrillator Implants 12 4 — — $51,438.55 $99,864.03 $72,849.15 2026-04-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $72,262.74 $72,262.74 $72,262.74 2026-04-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 16 — — $27,590.00 $137,584.81 $72,134.63 2026-04-13
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 4 — — $50,913.21 $98,844.12 $72,105.14 2026-04-13
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 4 — — $50,857.00 $98,735.00 $72,025.54 2026-04-13
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $50,518.27 $98,077.37 $71,545.81 2026-04-13
1204 APR_DRG Major Respiratory And Chest Procedures 12 4 — — $50,502.53 $98,046.82 $71,523.52 2026-04-13
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $50,280.70 $97,616.16 $71,209.36 2026-04-13
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 86 69 $405,973.17 $67,201.17 83% off $6.19 $365,375.86 $71,168.63 2026-04-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 90 71 $664,107.82 $63,870.32 90% off $5.88 $597,697.04 $71,009.15 2026-04-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 86 70 $1,696,256.43 $59,112.43 97% off $5.44 $1,526,630.80 $70,937.06 2026-04-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 4 — — $49,930.72 $96,936.70 $70,713.71 2026-04-13
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 146 90 $817,563.60 $63,402.04 92% off $34,882.71 $735,807.24 $70,702.27 2026-04-13
28 MS_DRG Spinal Procedures With McC 87 68 $538,271.61 $65,967.42 88% off $6.08 $484,444.45 $70,535.39 2026-04-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 4 — — $49,752.36 $96,590.42 $70,461.10 2026-04-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 69 $804,586.75 $64,521.02 92% off $5.94 $724,128.07 $70,431.92 2026-04-13
234 APR_DRG Spinal Procedures 12 4 — — $49,397.89 $95,902.24 $69,959.08 2026-04-13
969 MS_DRG HIV With Extensive O.r. Procedures With McC 94 72 $344,233.19 $68,596.00 80% off $6.32 $309,809.86 $69,514.40 2026-04-13
4403 APR_DRG Kidney Transplant 12 4 — — $48,791.61 $94,725.19 $69,100.45 2026-04-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 12 4 — — $48,567.53 $94,290.17 $68,783.10 2026-04-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 89 70 $543,670.95 $61,947.18 89% off $5.71 $489,303.86 $68,697.49 2026-04-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 4 — — $48,419.15 $94,002.09 $68,572.96 2026-04-13
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 12 4 — — $48,243.03 $93,660.18 $68,323.54 2026-04-13
653 MS_DRG Major Bladder Procedures With McC 82 63 $354,096.47 $59,953.31 83% off $5.57 $318,686.83 $68,262.51 2026-04-13
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 4 — — $48,186.83 $93,551.06 $68,243.93 2026-04-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 92 73 $400,714.73 $65,499.22 84% off $6.04 $360,643.26 $68,014.40 2026-04-13
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $47,962.00 $93,114.58 $67,925.53 2026-04-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 4 — — $47,911.04 $93,015.64 $67,853.36 2026-04-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 16 — — $45,941.15 $119,889.35 $67,486.66 2026-04-13
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $47,558.82 $92,331.82 $67,354.53 2026-04-13
4414 APR_DRG Major Bladder Procedures 12 4 — — $47,373.71 $91,972.45 $67,092.37 2026-04-13
1694 APR_DRG Major Abdominal Vascular Procedures 12 4 — — $47,278.53 $91,787.67 $66,957.58 2026-04-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 94 72 $266,003.20 $62,315.49 77% off $5.74 $239,402.88 $66,447.03 2026-04-13
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 12 4 — — $46,874.60 $91,003.46 $66,385.51 2026-04-13
6954 APR_DRG Chemotherapy For Acute Leukemia 12 4 — — $46,767.43 $90,795.41 $66,233.74 2026-04-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $46,744.20 $90,750.30 $66,200.84 2026-04-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 88 69 $652,775.28 $57,814.22 91% off $5.32 $587,497.76 $66,171.11 2026-04-13
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 12 4 — — $46,605.56 $90,481.14 $66,004.49 2026-04-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 94 72 $340,864.11 $58,681.83 83% off $5.40 $306,777.70 $65,874.18 2026-04-13
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 4 — — $46,488.65 $90,254.17 $65,838.91 2026-04-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 16 — — $27,590.00 $307,780.00 $65,808.74 2026-04-13
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 16 — — $49,193.48 $128,376.72 $65,806.96 2026-04-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 82 68 $1,309,500.21 $83,121.47 94% off $5.50 $1,178,550.19 $65,760.60 2026-04-13
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 4 — — $46,339.51 $89,964.64 $65,627.71 2026-04-13
83 APR_DRG Autologous Bone Marrow Transplant 12 4 — — $46,175.39 $89,646.00 $65,395.26 2026-04-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 94 72 $216,151.77 $63,205.64 71% off $5.82 $194,536.58 $65,367.75 2026-04-13
G0339 HCPCS Hc Stereo Rad,Sgl Tx,(image-guid) 126 84 $248,801.00 $248,801.00 $1,358.87 $248,801.00 $65,272.95 2026-04-13
4234 APR_DRG Inborn Errors Of Metabolism 12 4 — — $46,010.52 $89,325.92 $65,161.77 2026-04-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 95 73 $426,954.98 $58,627.06 86% off $5.40 $397,185.23 $65,048.00 2026-04-13
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With McC 95 73 $496,629.65 $60,038.01 88% off $5.53 $446,966.69 $65,048.00 2026-04-13
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 146 90 $918,996.00 $55,015.23 94% off $54,404.11 $827,096.40 $64,925.65 2026-04-13
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $45,563.86 $88,458.78 $64,529.20 2026-04-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 4 — — $45,505.41 $88,345.29 $64,446.41 2026-04-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 87 68 $723,201.29 $57,561.89 92% off $5.30 $650,881.15 $63,882.31 2026-04-13
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 4 — — $45,046.77 $87,454.87 $63,796.86 2026-04-13
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 4 — — $44,950.09 $87,267.18 $63,659.96 2026-04-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 94 72 $305,990.61 $55,551.71 82% off $5.43 $275,391.55 $63,420.57 2026-04-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 12 4 — — $44,773.23 $86,923.82 $63,409.48 2026-04-13
61 APR_DRG Pancreas Transplant 12 4 — — $44,744.00 $86,867.07 $63,368.08 2026-04-13
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 4 — — $44,724.52 $86,829.24 $63,340.49 2026-04-13
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 4 — — $44,522.92 $86,437.87 $63,054.98 2026-04-13
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 12 4 — — $44,370.04 $86,141.06 $62,838.47 2026-04-13
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 12 4 — — $44,274.87 $85,956.28 $62,703.68 2026-04-13
PX-38300026 CDM Hc Cardiac, Cabg 75 70 $69,575.00 $69,575.00 $1,093.00 $69,575.00 $62,617.50 2025-01-01
204 APR_DRG Open Craniotomy For Trauma 12 4 — — $44,106.25 $85,628.92 $62,464.87 2026-04-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 90 71 $489,942.17 $54,772.21 89% off $5.04 $440,947.95 $62,406.31 2026-04-13
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 95 73 $802,218.54 $55,391.78 93% off $5.09 $721,996.69 $62,381.20 2026-04-13
270 MS_DRG Other Major Cardiovascular Procedures With McC 95 73 $635,339.05 $55,804.11 91% off $5.13 $571,805.15 $62,067.21 2026-04-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 12 4 — — $43,699.31 $84,838.89 $61,888.56 2026-04-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 85 66 $368,334.60 $49,207.48 87% off $4.59 $331,501.14 $61,835.69 2026-04-13
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 4 — — $43,176.22 $83,823.34 $61,147.73 2026-04-13
274 APR_DRG Other Open Craniotomy 12 4 — — $43,054.81 $83,587.64 $60,975.79 2026-04-13
4402 APR_DRG Kidney Transplant 12 4 — — $42,964.13 $83,411.60 $60,847.37 2026-04-13
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 4 — — $42,952.89 $83,389.77 $60,831.45 2026-04-13
6 MS_DRG Liver Transplant Without Mcc 27 16 — — $39,970.94 $475,052.00 $60,746.04 2026-04-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 89 70 $255,857.10 $60,038.01 77% off $5.53 $230,271.38 $60,539.93 2026-04-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 90 71 $431,541.93 $51,205.15 88% off $4.70 $388,387.75 $60,402.32 2026-04-13
1782 APR_DRG External Heart Assist Devices 12 4 — — $42,604.41 $82,713.23 $60,337.92 2026-04-13
4284 APR_DRG Genetic Disorders 12 4 — — $42,276.17 $82,075.96 $59,873.04 2026-04-13
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 12 4 — — $42,224.46 $81,975.57 $59,799.81 2026-04-13
4014 APR_DRG Adrenal Procedures 12 4 — — $41,906.71 $81,358.68 $59,349.80 2026-04-13
224 APR_DRG Ventricular Shunt Procedures 12 4 — — $41,892.47 $81,331.03 $59,329.64 2026-04-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 95 73 $303,672.65 $55,224.29 82% off $5.08 $273,305.39 $58,821.40 2026-04-13
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 12 4 — — $41,328.15 $80,235.47 $58,530.43 2026-04-13
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 4 — — $41,325.16 $80,229.65 $58,526.18 2026-04-13
228 MS_DRG Other Cardiothoracic Procedures With McC 95 73 $671,001.66 $54,196.68 92% off $4.98 $603,901.50 $58,262.32 2026-04-13
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 4 — — $41,130.31 $79,851.36 $58,250.24 2026-04-13
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $58,134.49 $58,134.49 $58,134.49 2026-04-08
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 86 69 $107,204.63 $54,411.42 49% off $5.00 $125,211.67 $58,083.15 2026-04-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures 12 4 — — $40,952.70 $79,506.54 $57,998.69 2026-04-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 86 64 $271,070.87 $51,965.37 81% off $4.78 $243,963.79 $57,981.85 2026-04-13
471 MS_DRG Cervical Spinal Fusion With McC 89 70 $763,667.89 $52,843.72 93% off $4.86 $687,301.10 $57,942.64 2026-04-13
2614 APR_DRG Major Biliary Tract Procedures 12 4 — — $40,909.23 $79,422.16 $57,937.14 2026-04-13
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 65 $308,986.63 $41,508.95 87% off $3.80 $278,087.96 $57,793.11 2026-04-13
650 MS_DRG Kidney Transplant With Hemodialysis With McC 85 69 $1,275,990.10 $50,159.28 96% off $4.61 $1,148,391.09 $57,781.92 2026-04-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $40,680.66 $78,978.40 $57,613.43 2026-04-13
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $57,437.72 $57,437.72 $57,437.72 2026-04-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 94 72 $452,069.51 $54,389.95 88% off $5.00 $406,862.56 $57,352.73 2026-04-13
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 4 — — $40,338.17 $78,313.49 $57,128.38 2026-04-13
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $40,308.95 $78,256.75 $57,086.99 2026-04-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 94 72 $432,888.70 $51,733.43 88% off $4.75 $389,599.83 $56,982.47 2026-04-13
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 4 — — $40,125.34 $77,900.29 $56,826.96 2026-04-13
5144 APR_DRG Female Reproductive System Reconstructive Procedures 12 4 — — $40,073.63 $77,799.90 $56,753.73 2026-04-13
4401 APR_DRG Kidney Transplant 12 4 — — $39,890.02 $77,443.44 $56,493.70 2026-04-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 89 70 $256,607.26 $58,620.63 77% off $5.40 $230,946.54 $56,124.30 2026-04-13
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 4 — — $39,612.74 $76,905.11 $56,101.00 2026-04-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 95 73 $325,967.66 $54,453.31 83% off $5.01 $293,370.89 $56,082.71 2026-04-13
1214 APR_DRG Other Respiratory And Chest Procedures 12 4 — — $39,584.26 $76,849.83 $56,060.67 2026-04-13
4844 APR_DRG Other Male Reproductive System And Related Procedures 12 4 — — $39,537.05 $76,758.16 $55,993.80 2026-04-13
PX-38301651 CDM Hc Cardiac/Thoracic, Case Cx. 75 70 $62,047.00 $62,047.00 $1,093.00 $62,047.00 $55,842.30 2025-01-01
PX-38300018 CDM Hc Cardiac, Valve 75 70 $62,047.00 $62,047.00 $1,093.00 $62,047.00 $55,842.30 2025-01-01
1814 APR_DRG Lower Vascular Procedures 12 4 — — $39,350.44 $76,395.88 $55,729.52 2026-04-13
245 MS_DRG Aicd Generator Procedures 89 70 $287,364.27 $53,160.47 82% off $4.89 $258,627.84 $55,662.48 2026-04-13
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 4 — — $39,260.51 $76,221.29 $55,602.16 2026-04-13
5114 APR_DRG Gynecologic Procedures For Malignancy 12 4 — — $39,199.06 $76,101.99 $55,515.13 2026-04-13
1793 APR_DRG Defibrillator Implants 12 4 — — $39,188.57 $76,081.62 $55,500.27 2026-04-13
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 12 4 — — $39,185.57 $76,075.80 $55,496.03 2026-04-13
329 MS_DRG Major Small And Large Bowel Procedures With McC 95 73 $346,444.81 $49,993.92 86% off $4.59 $311,800.32 $55,206.67 2026-04-13
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 4 — — $38,970.49 $75,658.23 $55,191.42 2026-04-13
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 4 — — $38,700.69 $75,134.45 $54,809.33 2026-04-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 16 — — $6,157.00 $111,790.00 $54,776.66 2026-04-13
8633 APR_DRG Neonatal Aftercare 12 4 — — $38,607.02 $74,952.59 $54,676.66 2026-04-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 95 73 $489,874.39 $49,131.68 90% off $4.51 $440,886.96 $54,643.46 2026-04-13
9103 APR_DRG Craniotomy For Multiple Significant Trauma 12 4 — — $38,565.80 $74,872.56 $54,618.29 2026-04-13
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 12 4 — — $38,531.33 $74,805.64 $54,569.46 2026-04-13
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 12 4 — — $38,498.35 $74,741.62 $54,522.76 2026-04-13
1781 APR_DRG External Heart Assist Devices 12 4 — — $38,406.92 $74,564.12 $54,393.28 2026-04-13
264 APR_DRG Other Nervous System And Related Procedures 12 4 — — $38,379.19 $74,510.28 $54,354.01 2026-04-13
37 MS_DRG Extracranial Procedures With McC 81 62 $372,738.31 $36,346.23 90% off $3.32 $335,464.48 $54,323.46 2026-04-13
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 4 — — $38,336.48 $74,427.35 $54,293.51 2026-04-13
2304 APR_DRG Major Small Bowel Procedures 12 4 — — $38,332.73 $74,420.08 $54,288.21 2026-04-13
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 12 4 — — $38,322.24 $74,399.71 $54,273.35 2026-04-13
277 MS_DRG Cardiac Defibrillator Implant Without McC 86 69 $349,746.41 $50,638.19 86% off $4.65 $314,771.77 $54,205.31 2026-04-13
294 APR_DRG Other Percutaneous Intracranial Procedures 12 4 — — $38,246.55 $74,252.76 $54,166.15 2026-04-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 95 73 $506,443.98 $50,934.55 90% off $4.68 $455,799.59 $54,067.58 2026-04-13
651 MS_DRG Kidney Transplant With Hemodialysis Without McC 86 70 $898,796.84 $37,974.07 96% off $3.47 $808,917.17 $54,007.90 2026-04-13
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