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 →

Export CSV
Hospital

Jefferson Methodist Hospital

Philadelphia, PA · CCN 390205 · Rates published

Your selected procedure

You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC-MCC

This hospital’s price: $17,688 across 35 payers · range $10,285-$48,338

Source: https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/232829095_jefferson-methodist-hospital_standardcharges.csv · observed 2026-09-15

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.

22,305 distinct procedures filed
59 distinct payers
818,710 rate rows
2026-03-18 last MRF observed
Data quality

808,320 of 818,710 rate rows are consumer-grade (98.7%)

10,390 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,840
per-diem day rate — not a per-procedure price 2,125
placeholder amount (≤ $0.02) — excluded from medians 1,149
template filing: same amount across many unrelated codes — excluded 160
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 116
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/232829095_jefferson-methodist-hospital_standardcharges.csv
Found on page https://www.jeffersonhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-11-03
Content fingerprint 9502d951414631fb… · 298,586,799 bytes · first seen 2026-11-03

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Injection Atidarsagene Autotemcel Per Treatment-1 Dose 1 $4,233,000.00 $4,233,000.00 $4,233,000.00 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose-1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1411
HCPCS 		Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose-1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,691,450
0.9× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 2 $3,187,200.00 $4,816,583.19 $3,187,200.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 2 $3,087,600.00 $4,629,850.00 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment-1 Dose 2 $2,788,800.00 $4,303,600.00 $2,788,800.00 nat. median
$2,983,626
0.9× median
J3399
HCPCS 		Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Ge… 2 $2,501,245.80 $3,485,015.19 $2,501,245.80 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment-1 Ea 2 $2,191,200.00 $3,381,400.00 $2,191,200.00 nat. median
$2,401,960
0.9× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 36 $727,002.91 $3,140,276.50 $801,444.80 nat. median
$813,967
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $579,952.51 $736,318.76 $626,908.95 nat. median
$309,665
outlier · 2.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 38 $310,000.00 $2,394,672.01 $610,479.76 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 38 $312,500.00 $2,308,615.06 $591,726.20 nat. median
$739,658
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 39 $328,240.00 $2,290,970.06 $583,396.23 nat. median
$637,620
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 39 $335,600.00 $2,274,183.03 $579,121.41 nat. median
$621,967
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 38 $245,394.70 $2,168,683.38 $552,867.91 nat. median
$607,251
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $522,900.00 $522,900.00 $522,900.00 nat. median
$319,951
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 39 $308,800.00 $1,994,509.57 $507,902.47 nat. median
$589,091
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 $289,404.00 $1,241,764.60 $481,360.00 nat. median
$360,195
1.3× median
C9081
HCPCS 		Idecabtagene Vicleucel 1 $422,856.00 $422,856.00 $422,856.00 nat. median
$27,935
outlier · 15.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $355,209.94 $450,981.31 $383,969.87 nat. median
$249,123
1.5× median
24
APR_DRG 		Heart And-or Lung Transplant 6 $331,842.30 $421,313.30 $358,710.24 nat. median
$243,231
1.5× median
5833
APR_DRG 		Neonate With Ecmo 6 $330,301.63 $422,651.43 $357,044.83 nat. median
$244,017
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $257,136.16 $421,592.57 $352,695.44 nat. median
$122,909
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 41 $216,261.00 $805,855.27 $326,373.00 nat. median
$247,805
1.3× median
J3403
HCPCS 		Revakinagene Taroretcel-lwey Per Implant-1 Ea 37 $166,667.00 $1,079,875.00 $275,295.25 nat. median
$265,000
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $253,611.14 $324,518.64 $274,145.02 nat. median
$159,829
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $247,636.45 $323,025.64 $267,686.58 nat. median
$202,660
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $247,484.17 $314,210.61 $267,521.97 nat. median
$165,846
1.6× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $149,962.04 $313,754.72 $262,480.57 nat. median
$67,440
outlier · 3.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 $182,193.00 $613,954.98 $258,106.50 nat. median
$197,664
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $242,763.45 $308,217.10 $257,847.92 nat. median
$165,169
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $238,035.22 $302,214.04 $257,307.97 nat. median
$138,094
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $236,569.74 $300,353.45 $255,723.85 nat. median
$177,531
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $232,929.10 $295,731.22 $251,788.43 nat. median
$165,334
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 36 $164,634.00 $623,790.00 $249,927.00 nat. median
$190,274
1.3× median
5831
APR_DRG 		Neonate With Ecmo 6 $227,647.20 $289,025.22 $241,792.40 nat. median
$148,245
1.6× median
32033928
CDM 		Hc Remvl Repl Ttl Rplcmt Heart Sys 27 $80,636.19 $381,960.90 $239,171.18 nat. median
$239,171
1.0× median
32033927
CDM 		Hc Impl Ttl Rplcmt Heart Sys 27 $80,636.19 $381,960.90 $239,171.18 nat. median
$239,171
1.0× median
36033927
CDM 		Hc Impl Ttl Rplcmt Heart Sys 27 $80,636.19 $381,960.90 $239,171.18 nat. median
$239,171
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $220,278.48 $306,223.68 $238,113.54 nat. median
$160,390
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $215,873.61 $310,476.67 $233,352.03 nat. median
$154,211
1.5× median
27800001
CDM 		Hc Jarvik Artificial Heart 27 $77,128.22 $365,344.20 $228,766.36 nat. median
$1,461
outlier · 156.6×
27801713
CDM 		Hc Novacor Implantables Kit 27 $76,632.32 $362,995.20 $227,295.49 nat. median
$227,295
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $204,789.98 $260,005.26 $221,371.01 nat. median
$152,569
1.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $202,714.44 $257,370.12 $219,127.42 nat. median
$145,336
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $195,375.81 $256,647.63 $211,194.60 nat. median
$171,358
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $193,904.70 $246,185.09 $209,604.39 nat. median
$121,888
1.7× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 37 $129,333.00 $821,801.26 $209,503.86 nat. median
$209,753
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $128,762.13 $249,431.28 $208,668.95 nat. median
$67,645
outlier · 3.1×
453
MS_DRG 		Combined Anterior-posterior Spinal Fusion W Mcc 4 $157,377.87 $379,597.00 $203,710.00 nat. median
$70,514
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 22,305 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
             
J3391 HCPCS Injection Atidarsagene Autotemcel Per Treatment-1 Dose 3 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-03-18
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose-1 Dose 3 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose-1 Dose 3 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose-1 Dose 5 2 — — $3,187,200.00 $4,816,583.19 $3,187,200.00 2026-03-18
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatment-1 Dose 5 2 — — $3,087,600.00 $4,629,850.00 $3,087,600.00 2026-03-18
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment-1 Dose 5 2 — — $2,788,800.00 $4,303,600.00 $2,788,800.00 2026-03-18
J3399 HCPCS Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Ge… 5 2 — — $2,501,245.80 $3,485,015.19 $2,501,245.80 2026-03-18
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment-1 Ea 5 2 — — $2,191,200.00 $3,381,400.00 $2,191,200.00 2026-03-18
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 48 36 — — $727,002.91 $3,140,276.50 $801,444.80 2026-03-18
5834 APR_DRG Neonate With Ecmo 8 6 — — $579,952.51 $736,318.76 $626,908.95 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 54 38 — — $310,000.00 $2,394,672.01 $610,479.76 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 54 38 — — $312,500.00 $2,308,615.06 $591,726.20 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 55 39 — — $328,240.00 $2,290,970.06 $583,396.23 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 55 39 — — $335,600.00 $2,274,183.03 $579,121.41 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 54 38 — — $245,394.70 $2,168,683.38 $552,867.91 2026-03-18
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $522,900.00 $522,900.00 $522,900.00 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 55 39 — — $308,800.00 $1,994,509.57 $507,902.47 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 34 — — $289,404.00 $1,241,764.60 $481,360.00 2026-03-18
C9081 HCPCS Idecabtagene Vicleucel 1 1 — — $422,856.00 $422,856.00 $422,856.00 2026-03-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $355,209.94 $450,981.31 $383,969.87 2026-03-18
24 APR_DRG Heart And-or Lung Transplant 8 6 — — $331,842.30 $421,313.30 $358,710.24 2026-03-18
5833 APR_DRG Neonate With Ecmo 8 6 — — $330,301.63 $422,651.43 $357,044.83 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $257,136.16 $421,592.57 $352,695.44 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 41 — — $216,261.00 $805,855.27 $326,373.00 2026-03-18
J3403 HCPCS Revakinagene Taroretcel-lwey Per Implant-1 Ea 50 37 — — $166,667.00 $1,079,875.00 $275,295.25 2026-03-18
5832 APR_DRG Neonate With Ecmo 8 6 — — $253,611.14 $324,518.64 $274,145.02 2026-03-18
1614 APR_DRG Implantable Heart Assist Systems 8 6 — — $247,636.45 $323,025.64 $267,686.58 2026-03-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $247,484.17 $314,210.61 $267,521.97 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $149,962.04 $313,754.72 $262,480.57 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 52 37 — — $182,193.00 $613,954.98 $258,106.50 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $242,763.45 $308,217.10 $257,847.92 2026-03-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $238,035.22 $302,214.04 $257,307.97 2026-03-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $236,569.74 $300,353.45 $255,723.85 2026-03-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $232,929.10 $295,731.22 $251,788.43 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 50 36 — — $164,634.00 $623,790.00 $249,927.00 2026-03-18
5831 APR_DRG Neonate With Ecmo 8 6 — — $227,647.20 $289,025.22 $241,792.40 2026-03-18
32033928 CDM Hc Remvl Repl Ttl Rplcmt Heart Sys 44 27 — — $80,636.19 $381,960.90 $239,171.18 2026-03-18
32033927 CDM Hc Impl Ttl Rplcmt Heart Sys 44 27 — — $80,636.19 $381,960.90 $239,171.18 2026-03-18
36033927 CDM Hc Impl Ttl Rplcmt Heart Sys 44 27 — — $80,636.19 $381,960.90 $239,171.18 2026-03-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $220,278.48 $306,223.68 $238,113.54 2026-03-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $215,873.61 $310,476.67 $233,352.03 2026-03-18
27800001 CDM Hc Jarvik Artificial Heart 44 27 — — $77,128.22 $365,344.20 $228,766.36 2026-03-18
27801713 CDM Hc Novacor Implantables Kit 44 27 — — $76,632.32 $362,995.20 $227,295.49 2026-03-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $204,789.98 $260,005.26 $221,371.01 2026-03-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $202,714.44 $257,370.12 $219,127.42 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $195,375.81 $256,647.63 $211,194.60 2026-03-18
1613 APR_DRG Implantable Heart Assist Systems 8 6 — — $193,904.70 $246,185.09 $209,604.39 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 50 37 — — $129,333.00 $821,801.26 $209,503.86 2026-03-18
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $128,762.13 $249,431.28 $208,668.95 2026-03-18
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 9 4 — — $157,377.87 $379,597.00 $203,710.00 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 66 41 — — $100,800.00 $409,471.00 $203,216.11 2026-03-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $186,566.06 $236,867.82 $201,671.57 2026-03-18
14 APR_DRG Liver Transplant And-or Intestinal Transplant 8 6 — — $184,710.48 $234,511.95 $199,665.76 2026-03-18
23 APR_DRG Heart And-or Lung Transplant 8 6 — — $180,760.57 $229,497.07 $195,396.04 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 63 41 — — $84,843.60 $478,772.53 $193,297.84 2026-03-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $175,669.49 $223,033.34 $189,892.75 2026-03-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $173,755.64 $220,603.47 $187,823.94 2026-03-18
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 6 — — $157,922.43 $210,219.25 $175,864.99 2026-03-18
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 6 — — $165,576.64 $210,219.25 $175,864.99 2026-03-18
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 6 — — $161,360.44 $210,219.25 $175,864.99 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $110,051.68 $207,141.34 $173,290.08 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 65 41 — — $82,005.80 $485,463.00 $172,667.00 2026-03-18
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 9 4 — — $138,804.36 $321,661.00 $172,618.00 2026-03-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $154,274.93 $195,870.39 $166,765.96 2026-03-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 50 36 — — $108,679.00 $411,270.00 $163,100.50 2026-03-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $149,809.90 $190,201.50 $161,939.40 2026-03-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $150,673.76 $191,298.28 $160,036.10 2026-03-18
237 MS_DRG Major Cardiovasc Procedures W Mcc Or Thoracic Aortic Aneurysm Repair 3 2 — — $102,467.00 $190,940.00 $159,745.49 2026-03-18
27801899 CDM Hc Heartmate Iii Lvas W/add Contr 44 27 — — $52,454.82 $248,470.20 $155,583.76 2026-03-18
1612 APR_DRG Implantable Heart Assist Systems 8 6 — — $142,676.18 $181,144.40 $154,228.10 2026-03-18
1611 APR_DRG Implantable Heart Assist Systems 8 6 — — $142,676.18 $181,144.40 $154,228.10 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $142,156.36 $188,463.87 $153,666.19 2026-03-18
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 9 4 — — $123,737.45 $286,200.00 $153,588.00 2026-03-18
7 MS_DRG Lung Transplant 50 35 — — $100,547.00 $594,880.00 $152,489.00 2026-03-18
22 APR_DRG Heart And-or Lung Transplant 8 6 — — $136,878.22 $173,783.19 $147,960.70 2026-03-18
27801900 CDM Hc Ventricular Heartmate Ii 44 27 — — $48,684.84 $230,612.40 $144,401.80 2026-03-18
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 9 4 — — $102,470.44 $263,661.00 $141,493.00 2026-03-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $129,969.16 $165,011.32 $140,492.24 2026-03-18
459 MS_DRG Spinal Fusion Except Cervical W Mcc 9 4 — — $108,911.92 $233,223.00 $139,332.44 2026-03-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $128,651.27 $163,338.11 $139,067.65 2026-03-18
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 9 4 — — $111,884.34 $248,205.00 $135,991.48 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 6 — — $123,324.25 $156,827.79 $133,309.33 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $124,261.44 $157,764.69 $131,982.61 2026-03-18
21 APR_DRG Heart And-or Lung Transplant 8 6 — — $120,978.93 $153,597.16 $130,774.11 2026-03-18
64 APR_DRG Pancreas Transplant 8 6 — — $120,652.75 $164,191.20 $130,421.52 2026-03-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $120,496.71 $152,984.92 $130,252.85 2026-03-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $119,254.96 $151,408.37 $128,910.55 2026-03-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $118,994.58 $151,077.78 $128,629.09 2026-03-18
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 9 4 — — $100,427.72 $235,965.00 $126,630.00 2026-03-18
209 MS_DRG Complex Aortic Arch Procedures 40 32 — — $111,906.00 $325,483.41 $126,171.00 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 35 — — $80,672.40 $328,361.89 $124,007.00 2026-03-18
8514 APR_DRG Gender Related Procedures 8 6 — — $113,798.22 $144,480.38 $122,450.83 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 35 — — $83,879.50 $341,480.19 $122,352.00 2026-03-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $112,838.47 $231,902.41 $121,974.55 2026-03-18
8513 APR_DRG Gender Related Procedures 8 6 — — $35,964.41 $144,480.38 $120,869.24 2026-03-18
215 MS_DRG Other Heart Assist System Implant 52 37 — — $81,587.40 $486,513.00 $120,370.50 2026-03-18
32033929 CDM Hc Remv Total Rplcmt Hrt Sys Transp 44 27 — — $40,318.00 $190,980.00 $119,585.31 2026-03-18
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 9 4 — — $94,503.68 $221,146.00 $118,677.00 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 37 — — $74,355.40 $386,647.00 $118,264.50 2026-03-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $107,115.71 $135,996.14 $115,788.43 2026-03-18
230 MS_DRG Other Cardiothoracic Procedures W O Cc Mcc 3 2 — — $77,303.70 $144,050.00 $114,942.65 2026-03-18
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 34 31 — — $102,831.00 $441,092.00 $113,656.00 2026-03-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $99,185.80 $125,928.19 $107,216.48 2026-03-18
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 2 — — $68,053.10 $126,812.00 $107,024.65 2026-03-18
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 9 4 — — $87,483.83 $191,562.00 $106,333.51 2026-03-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $98,274.00 $124,770.54 $106,230.85 2026-03-18
238 MS_DRG Major Cardiovasc Procedures W O Mcc 3 2 — — $59,756.80 $111,352.00 $105,247.33 2026-03-18
8634 APR_DRG Neonatal Aftercare 8 6 — — $97,007.81 $123,162.96 $104,862.14 2026-03-18
13 APR_DRG Liver Transplant And-or Intestinal Transplant 8 6 — — $95,897.66 $121,753.50 $103,662.11 2026-03-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $95,534.82 $128,660.54 $103,269.89 2026-03-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $95,073.27 $135,359.63 $102,770.98 2026-03-18
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 6 — — $58,715.54 $122,845.50 $102,769.96 2026-03-18
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 9 4 — — $80,525.87 $197,109.92 $102,146.00 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 37 — — $65,334.00 $291,156.00 $101,909.00 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 52 37 — — $65,298.00 $331,456.00 $101,589.00 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 35 — — $64,312.50 $261,444.45 $101,373.50 2026-03-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $94,322.21 $119,753.27 $101,373.23 2026-03-18
4404 APR_DRG Kidney Transplant 8 6 — — $93,546.70 $120,235.59 $101,120.80 2026-03-18
63 APR_DRG Pancreas Transplant 8 6 — — $92,981.76 $118,051.41 $100,510.12 2026-03-18
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 34 31 — — $90,327.00 $387,455.00 $99,835.10 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 61 41 — — $46,650.60 $409,471.00 $99,302.90 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 44 35 — — $70,989.60 $288,756.22 $97,434.00 2026-03-18
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $30,819.95 $116,427.12 $97,400.48 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 52 37 — — $62,170.60 $320,004.00 $95,126.10 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $87,505.27 $111,098.36 $94,590.23 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 8 6 — — $86,897.09 $127,205.21 $93,932.80 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 37 — — $59,690.70 $300,833.00 $92,823.15 2026-03-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $85,849.92 $108,996.70 $92,800.85 2026-03-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $85,591.42 $108,668.50 $92,521.42 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 37 — — $60,295.30 $262,550.00 $92,423.00 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 51 37 — — $57,596.30 $238,862.00 $91,718.40 2026-03-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $83,596.72 $107,172.98 $90,365.22 2026-03-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $81,763.71 $103,808.76 $88,383.79 2026-03-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $82,213.03 $104,379.23 $87,703.80 2026-03-18
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 5 — — $81,910.35 $103,994.94 $87,373.27 2026-03-18
10 MS_DRG Pancreas Transplant 61 41 — — $61,495.40 $270,400.00 $87,122.70 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $66,393.99 $103,963.91 $86,974.01 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 52 37 — — $51,578.20 $206,258.16 $86,710.95 2026-03-18
62 APR_DRG Pancreas Transplant 8 6 — — $80,161.00 $101,773.93 $86,651.32 2026-03-18
1784 APR_DRG External Heart Assist Devices 8 6 — — $79,493.59 $102,704.25 $85,929.87 2026-03-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $78,132.46 $101,916.66 $84,458.54 2026-03-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 6 — — $77,927.54 $98,938.29 $84,237.02 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 37 — — $53,705.60 $219,956.00 $83,556.90 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $77,245.10 $98,071.85 $83,499.32 2026-03-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 6 — — $76,622.81 $97,891.95 $82,826.65 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 65 41 — — $37,556.40 $465,088.00 $81,506.24 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 35 — — $54,825.90 $222,641.23 $81,221.45 2026-03-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $75,102.82 $100,089.22 $81,183.60 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 51 37 — — $52,723.10 $215,307.00 $81,020.20 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 36 — — $51,491.60 $197,780.89 $80,987.45 2026-03-18
460 MS_DRG Spinal Fusion Except Cervical W-o Mcc 9 4 — — $66,256.97 $140,667.00 $80,533.01 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 35 — — $54,552.30 $221,522.18 $80,229.05 2026-03-18
12 APR_DRG Liver Transplant And-or Intestinal Transplant 8 6 — — $74,110.17 $94,091.69 $80,110.57 2026-03-18
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 8 6 — — $73,586.59 $107,901.22 $79,544.60 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 34 — — $61,145.20 $248,489.15 $79,529.55 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 37 — — $45,986.90 $200,245.00 $79,489.00 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 37 — — $49,884.60 $250,006.00 $79,489.00 2026-03-18
81200013 CDM Hc Herat/lung Procurement 44 27 — — $26,600.00 $126,000.00 $78,897.00 2026-03-18
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 44 27 — — $26,579.86 $125,904.60 $78,837.26 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 37 — — $49,955.80 $196,344.00 $77,789.25 2026-03-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $71,637.01 $97,998.11 $77,437.17 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $71,544.89 $90,834.76 $77,337.60 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 37 — — $47,587.80 $188,392.06 $77,142.90 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 6 — — $71,334.33 $90,602.73 $77,109.99 2026-03-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $69,961.92 $88,824.99 $75,626.46 2026-03-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $69,883.90 $88,725.93 $75,542.12 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 44 35 — — $47,803.90 $193,918.89 $75,234.40 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 35 — — $51,775.90 $210,165.53 $75,179.30 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 8 6 — — $69,337.75 $97,808.63 $74,951.76 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 61 41 — — $46,650.60 $409,471.00 $74,404.41 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 52 37 — — $48,860.70 $208,834.00 $74,000.55 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 59 41 — — $42,092.40 $297,812.00 $73,861.90 2026-03-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $68,018.92 $90,146.16 $73,526.14 2026-03-18
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 6 — — $67,920.22 $86,232.81 $73,419.46 2026-03-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 6 — — $67,849.72 $86,143.30 $73,343.24 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 37 — — $47,208.50 $210,787.00 $73,290.90 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 52 37 — — $46,984.70 $193,727.00 $72,634.50 2026-03-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $67,049.78 $94,903.67 $72,478.53 2026-03-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $66,953.90 $87,649.83 $72,374.89 2026-03-18
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 34 31 — — $65,361.60 $280,367.00 $72,241.80 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 36 — — $46,305.00 $281,863.23 $72,162.10 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 52 37 — — $44,378.40 $226,060.00 $72,088.05 2026-03-18
1794 APR_DRG Defibrillator Implants 8 6 — — $66,080.63 $83,897.23 $71,430.91 2026-03-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $65,980.05 $92,242.98 $71,322.19 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $65,889.81 $83,654.96 $71,224.64 2026-03-18
J7330 HCPCS Autologous Cultured Chondrocytes Implant-1 Ea 8 4 — — $69,492.91 $106,750.65 $71,167.44 2026-03-18
914 APR_DRG Other Major Head And Neck Procedures 8 6 — — $65,695.23 $85,854.35 $71,014.30 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 37 — — $45,488.00 $215,750.00 $70,945.65 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 37 — — $45,013.70 $203,522.00 $70,899.70 2026-03-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 6 — — $65,572.09 $83,251.57 $70,881.20 2026-03-18
11 APR_DRG Liver Transplant And-or Intestinal Transplant 8 6 — — $65,107.72 $82,662.00 $70,379.24 2026-03-18
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 8 6 — — $64,685.66 $100,985.25 $69,923.00 2026-03-18
214 APR_DRG Open Craniotomy Except Trauma 8 6 — — $64,594.48 $84,452.67 $69,824.43 2026-03-18
484 MS_DRG Major Joint Limb Reattachment Proc Of Upper Extremity W O Cc Mcc 3 2 — — $37,356.70 $69,895.31 $69,611.30 2026-03-18
81200011 CDM Hc Double Lung Procurement 44 27 — — $23,422.82 $110,950.20 $69,473.32 2026-03-18
81200012 CDM Hc Single Lung Procurement 44 27 — — $23,422.82 $110,950.20 $69,473.32 2026-03-18
1783 APR_DRG External Heart Assist Devices 8 6 — — $64,142.33 $81,436.33 $69,335.68 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 37 — — $44,115.50 $187,323.00 $69,273.75 2026-03-18
A9543 HCPCS Y90 Ibritumomab Rx 8 4 — — $67,535.48 $103,744.26 $69,162.84 2026-03-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $63,895.11 $102,433.73 $69,068.45 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 37 — — $41,785.10 $201,064.00 $68,901.40 2026-03-18
4403 APR_DRG Kidney Transplant 8 6 — — $63,600.89 $80,748.90 $68,750.40 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 52 37 — — $3,968.00 $182,351.00 $68,429.60 2026-03-18
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 5 — — $64,050.21 $81,319.37 $68,321.97 2026-03-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 6 — — $63,085.77 $80,094.89 $68,193.57 2026-03-18
5244 OTHER Level 4 Blood Product Exchange And Related Services 34 31 — — $34,734.80 $263,335.00 $67,853.20 2026-03-18
81200005 CDM Hc Heart Trans Procurement Cadaver 44 27 — — $22,863.08 $108,298.80 $67,813.10 2026-03-18
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $31,346.15 $80,950.60 $67,721.56 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 35 — — $47,865.20 $194,169.66 $67,584.40 2026-03-18
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 57 41 — — $60,636.84 $261,919.77 $67,488.53 2026-03-18
5104 APR_DRG — 1 1 — — $67,480.64 $67,480.64 $67,480.64 2026-03-18
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $62,893.07 $79,850.23 $67,262.45 2026-03-18
6904 APR_DRG Acute Leukemia 8 6 — — $61,979.38 $88,286.76 $66,997.60 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 52 37 — — $47,423.10 $174,369.00 $66,767.65 2026-03-18
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 5 — — $62,487.92 $79,335.86 $66,655.49 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 52 37 — — $42,753.00 $168,729.25 $66,367.50 2026-03-18
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 52 37 — — $41,997.40 $212,008.00 $66,133.00 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 37 — — $41,165.90 $175,230.00 $66,038.70 2026-03-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $61,068.51 $77,533.74 $66,012.99 2026-03-18
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 8 6 — — $60,268.56 $80,366.32 $65,148.27 2026-03-18
83 APR_DRG Autologous Bone Marrow Transplant 8 6 — — $61,162.51 $77,653.09 $65,073.04 2026-03-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $60,097.48 $76,300.91 $64,963.34 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 35 — — $42,317.70 $171,478.29 $64,889.60 2026-03-18
1694 APR_DRG Major Abdominal Vascular Procedures 8 6 — — $59,694.22 $77,243.35 $64,527.42 2026-03-18
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 9 4 — — $53,080.52 $117,378.00 $64,517.51 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 37 — — $40,985.80 $196,294.00 $64,468.35 2026-03-18
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 36 — — $41,746.00 $157,055.00 $64,222.15 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 37 — — $42,753.00 $235,354.00 $63,996.85 2026-03-18
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $59,963.06 $76,130.25 $63,688.96 2026-03-18
234 APR_DRG Spinal Procedures 8 6 — — $58,897.09 $77,536.70 $63,665.75 2026-03-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 40 32 — — $56,422.60 $164,107.62 $63,614.95 2026-03-18
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 6 — — $58,736.35 $88,759.31 $63,492.00 2026-03-18
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $58,714.73 $74,545.34 $63,468.63 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 35 — — $42,575.20 $172,531.52 $63,257.00 2026-03-18
248 MS_DRG Percutaneous Cardiovascular Procedures W Non-drug-eluting Stent W Mcc Or 4+ Arte… 9 4 — — $51,804.04 $107,761.00 $62,965.98 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 37 — — $39,437.00 $177,073.00 $62,928.20 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 52 37 — — $43,115.40 $220,646.00 $62,819.45 2026-03-18
1204 APR_DRG Major Respiratory And Chest Procedures 8 6 — — $58,103.73 $81,016.94 $62,808.15 2026-03-18
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 8 6 — — $58,009.73 $89,123.43 $62,706.54 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 35 — — $38,737.30 $160,061.65 $62,629.20 2026-03-18
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 8 6 — — $57,900.69 $88,876.88 $62,588.68 2026-03-18
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 9 4 — — $48,685.59 $116,323.00 $62,424.60 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 36 — — $39,731.30 $151,725.28 $62,128.55 2026-03-18
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 6 — — $57,420.34 $72,901.96 $62,069.44 2026-03-18
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 8 6 — — $57,231.40 $77,751.29 $61,865.20 2026-03-18
6954 APR_DRG Chemotherapy For Acute Leukemia 8 6 — — $57,044.34 $78,237.54 $61,662.99 2026-03-18
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $56,879.84 $77,835.76 $61,485.18 2026-03-18
204 APR_DRG Open Craniotomy For Trauma 8 6 — — $56,431.46 $75,661.32 $61,000.49 2026-03-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 6 — — $56,397.61 $71,603.49 $60,963.90 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 37 — — $35,590.00 $166,562.00 $60,931.10 2026-03-18
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 6 — — $56,334.63 $86,112.32 $60,895.82 2026-03-18
2614 APR_DRG Major Biliary Tract Procedures 8 6 — — $56,039.47 $71,148.78 $60,576.76 2026-03-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 6 — — $56,031.01 $74,680.82 $60,567.62 2026-03-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $55,810.11 $70,857.58 $60,328.83 2026-03-18
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 52 37 — — $39,317.50 $215,549.00 $60,292.80 2026-03-18
61 APR_DRG Pancreas Transplant 8 6 — — $55,678.51 $70,690.50 $60,186.57 2026-03-18
4284 APR_DRG Genetic Disorders 7 5 — — $56,266.01 $71,436.40 $60,018.61 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 44 35 — — $39,862.30 $161,435.03 $59,967.00 2026-03-18
A9699 HCPCS Radiopharm Rx Agent Noc 3 2 — — $49,864.75 $59,837.70 $59,837.70 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 37 — — $38,584.10 $285,912.00 $59,809.25 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 37 — — $38,722.00 $208,349.00 $59,702.85 2026-03-18
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $56,017.85 $71,121.33 $59,498.60 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 37 — — $38,994.80 $179,261.00 $59,498.55 2026-03-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 37 — — $41,741.40 $157,035.00 $59,250.70 2026-03-18
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 6 — — $54,735.68 $69,493.46 $59,167.41 2026-03-18
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 3 2 — — $39,641.80 $73,869.60 $59,115.42 2026-03-18
490 MS_DRG Back Neck Proc Exc Spinal Fusion W Cc Mcc Or Disc Device Neurostim 3 2 — — $36,054.30 $67,184.50 $59,071.54 2026-03-18
48133289 CDM Hc Tcat Impl Wrls P-art Prs Snr 44 27 — — $19,885.97 $94,196.70 $58,982.83 2026-03-18
274 APR_DRG Other Open Craniotomy 8 6 — — $54,364.38 $79,162.11 $58,766.04 2026-03-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $54,230.90 $84,838.47 $58,621.76 2026-03-18
4402 APR_DRG Kidney Transplant 8 6 — — $54,200.82 $68,814.39 $58,589.24 2026-03-18
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $54,105.88 $68,693.85 $58,486.62 2026-03-18
471 MS_DRG Cervical Spinal Fusion With Mcc 52 37 — — $37,618.50 $175,117.00 $58,374.30 2026-03-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 6 — — $53,760.89 $72,822.56 $58,113.70 2026-03-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 37 — — $38,767.20 $241,224.00 $58,079.30 2026-03-18
4014 APR_DRG Adrenal Procedures 8 6 — — $53,321.91 $67,698.51 $57,639.18 2026-03-18
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $53,104.77 $70,513.44 $57,404.45 2026-03-18
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $52,896.09 $71,443.71 $57,178.87 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto cd54+__Per Infusion (minimum 50 Million Cells) 56 41 — — $51,324.84 $221,696.74 $57,124.31 2026-03-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $52,832.17 $67,076.73 $57,109.78 2026-03-18
0FYG0Z2 OTHER Transplantation Of Pancreas Zooplastic Open Approach 3 2 — — $52,938.00 $57,000.00 $57,000.00 2026-03-18
0FYG0Z0 OTHER Transplantation Of Pancreas Allogeneic Open Approach 3 2 — — $52,938.00 $57,000.00 $57,000.00 2026-03-18
0FYG0Z1 OTHER Transplantation Of Pancreas Syngeneic Open Approach 3 2 — — $52,938.00 $57,000.00 $57,000.00 2026-03-18
36033270 CDM Hc Insert Sq Icd W Electrode 44 27 — — $19,197.60 $90,936.00 $56,941.09 2026-03-18
4414 APR_DRG Major Bladder Procedures 8 6 — — $52,588.71 $71,004.25 $56,846.60 2026-03-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 37 — — $36,826.10 $191,069.00 $56,719.25 2026-03-18
5204 APR_DRG — 7 5 — — $53,125.45 $67,449.08 $56,668.59 2026-03-18
652 MS_DRG Kidney Transplant 67 41 — — $23,932.40 $223,350.00 $56,628.93 2026-03-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 52 37 — — $36,991.60 $171,029.00 $56,550.00 2026-03-18
1782 APR_DRG External Heart Assist Devices 8 6 — — $52,225.86 $72,723.26 $56,454.38 2026-03-18
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $52,133.74 $66,189.99 $56,354.80 2026-03-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $51,988.98 $66,006.20 $56,198.32 2026-03-18
27000022 CDM Hc Catheter Impella 44 27 — — $18,903.67 $89,543.70 $56,069.28 2026-03-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 50 36 — — $36,449.00 $211,638.79 $56,058.55 2026-03-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 52 37 — — $35,584.60 $194,887.00 $55,567.25 2026-03-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 37 — — $36,255.90 $147,921.00 $55,425.75 2026-03-18
245 MS_DRG Aicd Generator Procedures 52 37 — — $37,844.50 $153,700.00 $55,154.95 2026-03-18
4804 APR_DRG — 1 1 — — $55,058.37 $55,058.37 $55,058.37 2026-03-18
5114 APR_DRG Gynecologic Procedures For Malignancy 8 6 — — $50,889.17 $64,609.86 $55,009.46 2026-03-18
0FY00Z2 OTHER Transplantation Of Liver Zooplastic Open Approach 3 2 — — $50,576.00 $55,000.00 $55,000.00 2026-03-18
See an error in this hospital's data? Submit a correction