Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

JEFFERSON ABINGTON HOSPITAL

Abington, PA · CCN 390231 · Rates published

22,908 distinct procedures filed
43 distinct payers
879,983 rate rows
2026-03-18 last MRF observed
Data quality

508,706 of 879,983 rate rows are consumer-grade (57.8%)

371,277 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
professional (physician) fee — not the facility price 362,167
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,816
placeholder amount (≤ $0.02) — excluded from medians 3,350
per-diem day rate — not a per-procedure price 671
template filing: same amount across many unrelated codes — excluded 158
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 115
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/231352152%20_jefferson-abington-hospital_standardcharges.csv
Found on page https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-23
Content fingerprint d823013c934c9e37… · 292,969,177 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Injection Atidarsagene Autotemcel Per Treatment 1 $4,233,000.00 $4,233,000.00 $4,233,000.00 nat. median
$4,505,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment 2 $2,788,800.00 $4,303,600.00 $3,546,200.00 nat. median
$2,968,000
1.2× median
J1411
HCPCS 		Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,685,267
0.9× median
J1414
HCPCS 		Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose1 Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,508,750
1.0× median
J1413
HCPCS 		Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 2 $3,187,200.00 $4,816,583.19 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Treatme 2 $3,087,600.00 $4,629,850.00 $3,087,600.00 nat. median
$3,248,446
1.0× median
J3399
HCPCS 		Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Genom… 2 $2,501,245.80 $3,485,015.19 $2,501,245.80 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment 2 $2,191,200.00 $3,381,400.00 $2,191,200.00 nat. median
$2,332,000
0.9× median
Q2042
HCPCS 		Pr Hydroxyprogesterone Caproate 1 $820,154.57 $820,154.57 $820,154.57 nat. median
$621,313
1.3× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 36 $770,620.00 $3,140,276.50 $809,151.00 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 38 $310,000.00 $2,394,672.01 $614,093.81 nat. median
$599,737
1.0× 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 $584,042.76 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 39 $335,600.00 $2,274,183.03 $579,763.20 nat. median
$574,037
1.0× median
5834
APR_DRG 		Neonate With Ecmo 3 $571,804.09 $680,631.28 $575,917.79 nat. median
$390,362
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 37 $245,394.70 $1,515,364.19 $553,479.93 nat. median
$562,501
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells… 2 $522,900.00 $594,405.00 $522,900.00 nat. median
$286,598
1.8× 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 $503,570.84 nat. median
$513,770
1.0× median
C9081
HCPCS 		Idecabtagene Vicleucel 1 $422,856.00 $422,856.00 $422,856.00 nat. median
$422,856
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $273,074.00 $1,182,145.43 $387,983.50 nat. median
$168,055
outlier · 2.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $335,218.10 $416,873.78 $362,969.96 nat. median
$286,698
1.3× median
5833
APR_DRG 		Neonate With Ecmo 4 $311,711.67 $387,641.43 $353,748.59 nat. median
$268,208
1.3× median
24
APR_DRG 		Heart And-or Lung Transplant 5 $306,745.21 $389,449.56 $320,172.75 nat. median
$225,531
1.4× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $226,988.40 $389,707.70 $313,373.22 nat. median
$135,803
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $204,035.00 $794,677.52 $279,762.00 nat. median
$186,516
1.5× median
5832
APR_DRG 		Neonate With Ecmo 3 $239,337.46 $297,637.60 $262,904.05 nat. median
$201,678
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $228,907.81 $290,625.72 $242,203.79 nat. median
$202,242
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $218,678.08 $277,637.85 $238,802.24 nat. median
$173,134
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $228,767.05 $290,447.00 $238,781.15 nat. median
$198,578
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $132,379.84 $290,025.58 $233,216.45 nat. median
$68,335
outlier · 3.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $219,819.44 $238,681.71 $232,737.58 nat. median
$171,497
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $224,638.18 $279,357.72 $229,664.48 nat. median
$181,762
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $224,403.36 $284,906.77 $229,100.30 nat. median
$152,792
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $203,618.91 $270,320.68 $215,446.01 nat. median
$173,018
1.2× median
5831
APR_DRG 		Neonate With Ecmo 2 $208,225.68 $214,834.81 $214,834.81 nat. median
$173,909
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $187,383.24 $237,905.33 $209,824.36 nat. median
$152,383
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 38 $129,333.00 $821,801.26 $209,735.78 nat. median
$207,733
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $199,547.18 $253,348.90 $208,282.20 nat. median
$187,567
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $189,301.80 $240,341.17 $201,912.65 nat. median
$168,439
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 $167,174.00 $515,748.28 $196,942.50 nat. median
$131,925
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $180,599.62 $229,292.71 $191,089.65 nat. median
$149,836
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 33 $155,305.00 $552,846.27 $190,701.50 nat. median
$145,435
1.3× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $113,665.49 $230,566.90 $189,552.76 nat. median
$63,564
outlier · 3.0×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $177,228.08 $196,723.17 $188,747.91 nat. median
$16,158
outlier · 11.7×
1613
APR_DRG 		Implantable Heart Assist Systems 5 $179,239.77 $227,566.22 $187,085.85 nat. median
$155,539
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $163,976.37 $203,919.32 $179,850.16 nat. median
$130,862
1.4× median
23
APR_DRG 		Heart And-or Lung Transplant 6 $167,089.73 $212,140.30 $178,220.86 nat. median
$117,894
1.5× median
14
APR_DRG 		Liver Transplant And-or Intestinal Transplant 5 $170,740.91 $216,775.91 $178,214.96 nat. median
$136,566
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $162,383.69 $206,165.42 $171,470.78 nat. median
$120,079
1.4× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $142,441.83 $194,320.46 $163,250.26 nat. median
$96,548
1.7× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 1 $159,745.49 $159,745.49 $159,745.49 nat. median
$2,024
outlier · 78.9×

Other procedures at this hospital

Browse this hospital's 22,908 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 2 1 — — $4,233,000.00 $4,233,000.00 $4,233,000.00 2026-03-18
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment 2 2 — — $2,788,800.00 $4,303,600.00 $3,546,200.00 2026-03-18
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Therapeutic Dose1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1411 HCPCS Injection Etranacogene Dezaparvovec-drlb Per Therapeutic Dose1 Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-03-18
J1413 HCPCS Injection Delandistrogene Moxeparvovec-rokl Per Therapeutic Dose1 Dose 3 2 — — $3,187,200.00 $4,816,583.19 $3,187,200.00 2026-03-18
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Treatme 3 2 — — $3,087,600.00 $4,629,850.00 $3,087,600.00 2026-03-18
J3399 HCPCS Injection Onasemnogene Abeparvovec-xioi Per Treatment Up To 5x10^15 Vector Genom… 3 2 — — $2,501,245.80 $3,485,015.19 $2,501,245.80 2026-03-18
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment 3 2 — — $2,191,200.00 $3,381,400.00 $2,191,200.00 2026-03-18
Q2042 HCPCS Pr Hydroxyprogesterone Caproate 1 1 — — $820,154.57 $820,154.57 $820,154.57 2026-03-18
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 45 36 — — $770,620.00 $3,140,276.50 $809,151.00 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 50 38 — — $310,000.00 $2,394,672.01 $614,093.81 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 52 39 — — $328,240.00 $2,290,970.06 $584,042.76 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 50 39 — — $335,600.00 $2,274,183.03 $579,763.20 2026-03-18
5834 APR_DRG Neonate With Ecmo 3 3 — — $571,804.09 $680,631.28 $575,917.79 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 49 37 — — $245,394.70 $1,515,364.19 $553,479.93 2026-03-18
Q2058 HCPCS Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car-positive Viable T Cells … 3 2 — — $522,900.00 $594,405.00 $522,900.00 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 50 39 — — $308,800.00 $1,994,509.57 $503,570.84 2026-03-18
C9081 HCPCS Idecabtagene Vicleucel 1 1 — — $422,856.00 $422,856.00 $422,856.00 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 32 — — $273,074.00 $1,182,145.43 $387,983.50 2026-03-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $335,218.10 $416,873.78 $362,969.96 2026-03-18
5833 APR_DRG Neonate With Ecmo 4 4 — — $311,711.67 $387,641.43 $353,748.59 2026-03-18
24 APR_DRG Heart And-or Lung Transplant 6 5 — — $306,745.21 $389,449.56 $320,172.75 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $226,988.40 $389,707.70 $313,373.22 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 34 — — $204,035.00 $794,677.52 $279,762.00 2026-03-18
5832 APR_DRG Neonate With Ecmo 4 3 — — $239,337.46 $297,637.60 $262,904.05 2026-03-18
1614 APR_DRG Implantable Heart Assist Systems 6 5 — — $228,907.81 $290,625.72 $242,203.79 2026-03-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $218,678.08 $277,637.85 $238,802.24 2026-03-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $228,767.05 $290,447.00 $238,781.15 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $132,379.84 $290,025.58 $233,216.45 2026-03-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $219,819.44 $238,681.71 $232,737.58 2026-03-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 — — $224,638.18 $279,357.72 $229,664.48 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $224,403.36 $284,906.77 $229,100.30 2026-03-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $203,618.91 $270,320.68 $215,446.01 2026-03-18
5831 APR_DRG Neonate With Ecmo 3 2 — — $208,225.68 $214,834.81 $214,834.81 2026-03-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $187,383.24 $237,905.33 $209,824.36 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 49 38 — — $129,333.00 $821,801.26 $209,735.78 2026-03-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $199,547.18 $253,348.90 $208,282.20 2026-03-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $189,301.80 $240,341.17 $201,912.65 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 34 — — $167,174.00 $515,748.28 $196,942.50 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $180,599.62 $229,292.71 $191,089.65 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 44 33 — — $155,305.00 $552,846.27 $190,701.50 2026-03-18
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $113,665.49 $230,566.90 $189,552.76 2026-03-18
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $177,228.08 $196,723.17 $188,747.91 2026-03-18
1613 APR_DRG Implantable Heart Assist Systems 6 5 — — $179,239.77 $227,566.22 $187,085.85 2026-03-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $163,976.37 $203,919.32 $179,850.16 2026-03-18
23 APR_DRG Heart And-or Lung Transplant 7 6 — — $167,089.73 $212,140.30 $178,220.86 2026-03-18
14 APR_DRG Liver Transplant And-or Intestinal Transplant 6 5 — — $170,740.91 $216,775.91 $178,214.96 2026-03-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $162,383.69 $206,165.42 $171,470.78 2026-03-18
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 3 — — $142,441.83 $194,320.46 $163,250.26 2026-03-18
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $159,745.49 $159,745.49 $159,745.49 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $97,148.74 $191,475.33 $157,414.95 2026-03-18
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 4 — — $139,406.91 $167,630.73 $156,257.69 2026-03-18
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 3 — — $146,771.53 $194,320.46 $156,257.69 2026-03-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $141,378.33 $175,816.64 $151,668.39 2026-03-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $145,592.07 $164,346.27 $145,592.07 2026-03-18
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 4 2 — — $132,142.94 $368,168.17 $142,590.08 2026-03-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $134,342.66 $152,542.98 $142,193.58 2026-03-18
1612 APR_DRG Implantable Heart Assist Systems 6 5 — — $131,885.64 $167,444.52 $139,546.15 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $131,405.13 $166,834.46 $139,037.73 2026-03-18
1611 APR_DRG Implantable Heart Assist Systems 6 5 — — $131,885.64 $167,444.52 $137,658.84 2026-03-18
22 APR_DRG Heart And-or Lung Transplant 7 6 — — $126,526.17 $160,640.04 $134,955.06 2026-03-18
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 4 2 — — $117,219.09 $276,368.28 $126,486.36 2026-03-18
64 APR_DRG Pancreas Transplant 4 4 — — $113,862.20 $144,940.71 $120,553.54 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $114,863.60 $145,833.01 $119,891.67 2026-03-18
7 MS_DRG Lung Transplant 38 32 — — $94,813.70 $594,880.00 $119,456.00 2026-03-18
21 APR_DRG Heart And-or Lung Transplant 7 6 — — $111,829.35 $141,980.67 $119,279.16 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 5 — — $113,997.29 $144,733.13 $118,987.44 2026-03-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $113,714.94 $125,717.52 $118,803.71 2026-03-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $112,543.08 $139,957.42 $117,579.41 2026-03-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $108,444.55 $125,710.81 $117,077.68 2026-03-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $104,304.54 $204,713.16 $114,238.31 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 47 32 — — $79,991.70 $465,088.00 $113,125.00 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 50 36 — — $94,100.20 $401,492.00 $112,312.50 2026-03-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $109,995.07 $139,651.83 $112,297.36 2026-03-18
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 4 2 — — $103,896.63 $242,066.35 $112,110.64 2026-03-18
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 32 27 — — $102,831.00 $308,212.00 $111,705.89 2026-03-18
8514 APR_DRG Gender Related Procedures 7 6 — — $105,191.71 $133,553.39 $109,032.50 2026-03-18
8513 APR_DRG Gender Related Procedures 7 6 — — $31,747.78 $133,553.39 $107,393.46 2026-03-18
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 1 1 — — $105,247.33 $105,247.33 $105,247.33 2026-03-18
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 35 31 — — $90,327.00 $387,455.00 $101,737.00 2026-03-18
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 4 2 — — $93,944.12 $219,732.33 $101,371.29 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 22 — — $76,054.50 $328,361.89 $101,222.00 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 36 — — $77,313.10 $485,463.00 $100,061.55 2026-03-18
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 3 2 — — $86,039.71 $251,394.92 $99,644.20 2026-03-18
209 MS_DRG Complex Aortic Arch Procedures 36 30 — — $88,626.20 $211,955.85 $99,435.90 2026-03-18
8634 APR_DRG Neonatal Aftercare 3 3 — — $91,548.04 $104,899.28 $98,211.26 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implant 10 5 — — $69,492.91 $130,235.79 $97,854.76 2026-03-18
63 APR_DRG Pancreas Transplant 4 4 — — $87,748.58 $109,123.23 $97,321.52 2026-03-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $88,309.56 $113,575.81 $96,719.99 2026-03-18
215 MS_DRG Other Heart Assist System Implant 28 23 — — $76,918.20 $186,454.78 $96,631.10 2026-03-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $89,722.38 $119,489.48 $96,252.72 2026-03-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $92,742.97 $99,493.16 $96,118.07 2026-03-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $91,684.42 $116,404.29 $95,697.84 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 36 — — $79,081.70 $341,480.19 $95,529.20 2026-03-18
13 APR_DRG Liver Transplant And-or Intestinal Transplant 7 6 — — $88,644.96 $112,545.33 $94,253.88 2026-03-18
4404 APR_DRG Kidney Transplant 6 5 — — $86,471.80 $109,786.25 $91,494.47 2026-03-18
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $51,831.47 $113,554.75 $91,312.07 2026-03-18
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 4 2 — — $84,324.53 $201,419.99 $90,991.18 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $80,887.29 $102,696.04 $88,590.84 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 34 — — $70,092.00 $297,163.21 $87,895.35 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $80,325.10 $112,291.11 $86,825.64 2026-03-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $80,774.19 $100,449.95 $86,653.24 2026-03-18
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $84,766.99 $107,621.79 $86,541.24 2026-03-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $79,357.13 $100,753.32 $85,779.33 2026-03-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $77,274.34 $98,108.97 $83,527.99 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 33 — — $60,612.60 $261,444.45 $80,948.35 2026-03-18
Q2043 HCPCS Injectables-oncology-therapeutic Chemo Drugs-sipuleucel-t Inc 1 1 — — $80,527.93 $80,527.93 $80,527.93 2026-03-18
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 3 1 — — $79,350.38 $91,897.17 $79,350.38 2026-03-18
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 4 2 — — $73,456.14 $173,647.44 $79,263.54 2026-03-18
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 3 — — $77,300.29 $82,926.51 $79,029.89 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $75,692.91 $96,101.17 $79,006.32 2026-03-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $76,832.65 $91,455.63 $78,894.29 2026-03-18
1784 APR_DRG External Heart Assist Devices 7 6 — — $73,481.53 $93,293.55 $78,376.70 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 35 — — $61,576.80 $244,994.07 $77,759.70 2026-03-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $75,579.96 $95,957.75 $77,161.91 2026-03-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $72,223.34 $91,696.13 $77,034.69 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $71,403.08 $90,654.71 $76,159.79 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 42 34 — — $66,915.10 $288,756.22 $76,073.90 2026-03-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $67,605.16 $86,508.38 $75,839.12 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $67,518.22 $83,964.96 $75,741.59 2026-03-18
62 APR_DRG Pancreas Transplant 5 4 — — $74,098.46 $94,076.81 $75,649.40 2026-03-18
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 4 2 — — $67,613.86 $197,109.92 $72,959.37 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 33 — — $58,590.80 $294,329.54 $72,583.95 2026-03-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 4 — — $70,827.86 $86,414.67 $72,310.35 2026-03-18
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 21 18 — — $65,361.60 $99,762.50 $72,241.80 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 34 — — $56,250.10 $248,232.11 $71,757.20 2026-03-18
12 APR_DRG Liver Transplant And-or Intestinal Transplant 6 5 — — $68,505.25 $86,975.57 $71,504.01 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $65,939.35 $83,717.85 $71,275.68 2026-03-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 4 — — $69,422.82 $88,140.54 $70,875.90 2026-03-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $66,024.34 $72,826.04 $70,829.85 2026-03-18
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 14 14 — — $22,662.80 $90,651.20 $70,821.25 2026-03-18
81200013 CDM Hc Herat/lung Procurement 17 15 — — $28,000.00 $112,000.00 $70,000.00 2026-03-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $64,598.61 $82,015.62 $69,826.44 2026-03-18
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 5 4 — — $68,021.27 $95,250.41 $69,445.01 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 25 — — $54,273.20 $142,690.25 $68,462.35 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $64,093.77 $86,341.12 $68,363.55 2026-03-18
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 54 40 — — $63,342.28 $261,919.77 $67,488.53 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 31 — — $56,820.80 $231,606.19 $67,163.20 2026-03-18
10 MS_DRG Pancreas Transplant 27 22 — — $55,853.47 $223,350.00 $66,477.10 2026-03-18
1794 APR_DRG Defibrillator Implants 6 5 — — $62,361.50 $77,552.11 $66,026.30 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 33 — — $51,400.10 $221,522.18 $65,488.00 2026-03-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 5 — — $62,718.28 $75,008.52 $65,463.72 2026-03-18
5244 OTHER Level 4 Blood Product Exchange And Related Services 29 27 — — $58,640.10 $150,204.00 $65,163.30 2026-03-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $60,990.01 $81,428.01 $65,053.02 2026-03-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $61,890.20 $78,576.98 $64,599.39 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 46 35 — — $48,592.80 $181,004.34 $64,444.40 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $60,906.59 $77,328.17 $64,444.32 2026-03-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 4 — — $62,874.68 $79,826.89 $64,190.70 2026-03-18
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 4 — — $62,783.45 $79,711.06 $64,097.56 2026-03-18
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $59,709.23 $75,807.97 $63,686.92 2026-03-18
81200005 CDM Hc Heart Trans Procurement Cadaver 18 15 — — $24,717.24 $98,622.40 $63,611.45 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 30 — — $51,658.30 $135,175.50 $63,415.50 2026-03-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 4 — — $61,978.83 $67,881.58 $63,276.10 2026-03-18
1783 APR_DRG External Heart Assist Devices 7 6 — — $59,291.28 $75,277.33 $63,241.12 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 33 — — $48,511.10 $196,874.82 $63,169.00 2026-03-18
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $60,445.36 $75,169.22 $63,150.30 2026-03-18
11 APR_DRG Liver Transplant And-or Intestinal Transplant 4 3 — — $61,443.35 $65,915.43 $62,818.15 2026-03-18
4403 APR_DRG Kidney Transplant 7 6 — — $58,790.78 $74,641.90 $62,707.29 2026-03-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $59,062.75 $90,423.95 $62,493.38 2026-03-18
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $60,544.28 $64,237.70 $62,390.99 2026-03-18
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $58,314.62 $70,143.78 $62,199.40 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 35 — — $49,673.50 $169,443.94 $62,089.50 2026-03-18
914 APR_DRG Other Major Head And Neck Procedures 5 4 — — $60,726.72 $75,788.41 $61,997.78 2026-03-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 4 — — $60,612.90 $76,955.29 $61,881.57 2026-03-18
81200012 CDM Hc Single Lung Procurement 17 14 — — $24,655.60 $98,622.40 $61,639.00 2026-03-18
81200011 CDM Hc Double Lung Procurement 20 16 — — $24,655.60 $98,622.40 $61,639.00 2026-03-18
6904 APR_DRG Acute Leukemia 7 6 — — $57,291.90 $77,935.63 $61,108.56 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 34 — — $46,994.20 $196,962.59 $60,652.35 2026-03-18
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $56,449.93 $71,669.90 $59,728.79 2026-03-18
1694 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $56,334.53 $70,057.04 $59,645.14 2026-03-18
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 1 1 — — $59,568.91 $59,568.91 $59,568.91 2026-03-18
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $58,937.63 $60,171.24 $59,554.43 2026-03-18
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $55,710.48 $70,943.82 $59,421.78 2026-03-18
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $55,552.34 $70,530.30 $59,253.10 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 40 29 — — $43,941.70 $400,192.00 $59,196.10 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 35 — — $43,315.30 $170,089.67 $59,076.95 2026-03-18
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc-mcc Or Disc Device-neurostim 1 1 — — $59,071.54 $59,071.54 $59,071.54 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 32 — — $45,030.30 $193,918.89 $58,741.00 2026-03-18
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 3 3 — — $53,622.48 $78,674.21 $58,729.38 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 30 — — $48,779.40 $210,165.53 $58,698.00 2026-03-18
83 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $56,536.82 $71,780.22 $57,720.18 2026-03-18
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $53,709.37 $71,518.16 $57,287.36 2026-03-18
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $52,914.65 $61,014.18 $56,964.42 2026-03-18
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 5 — — $54,294.15 $78,352.78 $56,670.83 2026-03-18
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $55,428.08 $70,372.55 $56,588.24 2026-03-18
61 APR_DRG Pancreas Transplant 3 3 — — $51,467.57 $61,658.70 $56,369.24 2026-03-18
2614 APR_DRG Major Biliary Tract Procedures 6 6 — — $51,801.23 $65,767.83 $55,993.40 2026-03-18
36033270 CDM Hc Insert Sq Icd W Electrode 19 15 — — $22,317.80 $89,271.20 $55,794.50 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 29 — — $41,548.90 $161,704.61 $55,611.70 2026-03-18
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 4 — — $54,274.16 $63,363.57 $55,410.17 2026-03-18
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 6 5 — — $52,903.01 $67,166.68 $55,218.81 2026-03-18
204 APR_DRG Open Craniotomy For Trauma 6 5 — — $52,163.57 $66,790.45 $55,193.46 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 34 — — $43,615.50 $281,863.23 $55,061.70 2026-03-18
6954 APR_DRG Chemotherapy For Acute Leukemia 6 5 — — $52,730.10 $66,947.14 $55,038.32 2026-03-18
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $51,589.22 $65,498.65 $55,025.97 2026-03-18
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 5 — — $51,793.41 $65,924.92 $54,801.81 2026-03-18
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $50,890.36 $65,742.46 $54,788.93 2026-03-18
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 31 25 — — $39,549.60 $170,312.22 $54,611.90 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 41 30 — — $3,579.00 $157,717.40 $54,587.10 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 35 — — $44,468.30 $175,992.12 $54,470.55 2026-03-18
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 5 — — $52,132.29 $66,188.14 $54,414.34 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 45 34 — — $42,396.60 $184,248.65 $54,332.70 2026-03-18
4284 APR_DRG Genetic Disorders 6 5 — — $52,010.64 $66,033.70 $54,287.37 2026-03-18
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $50,013.87 $63,498.57 $54,061.39 2026-03-18
81200007 CDM Hc Liver Acquisition Cadaver 18 15 — — $20,936.60 $83,746.40 $54,016.43 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 34 — — $45,088.20 $194,169.66 $53,967.40 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 33 — — $46,027.80 $172,077.00 $53,775.70 2026-03-18
274 APR_DRG Other Open Craniotomy 5 4 — — $51,304.66 $63,801.94 $53,600.55 2026-03-18
4402 APR_DRG Kidney Transplant 7 6 — — $50,101.63 $63,609.99 $53,439.29 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 32 — — $39,851.90 $171,478.29 $53,427.60 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 30 — — $38,594.80 $165,873.63 $53,237.20 2026-03-18
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 6 — — $49,694.98 $64,284.53 $53,005.55 2026-03-18
E0194 HCPCS Air Fluidized Bed 1 1 — — $52,813.16 $52,813.16 $52,813.16 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 48 35 — — $43,384.40 $341,724.00 $52,719.60 2026-03-18
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 4 — — $49,919.00 $62,078.76 $52,152.89 2026-03-18
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $48,836.49 $62,003.74 $52,089.87 2026-03-18
4414 APR_DRG Major Bladder Procedures 7 6 — — $48,611.44 $62,679.40 $51,849.83 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 30 — — $42,844.40 $183,305.14 $51,555.80 2026-03-18
1782 APR_DRG External Heart Assist Devices 7 6 — — $48,276.04 $64,196.87 $51,492.08 2026-03-18
4014 APR_DRG Adrenal Procedures 6 5 — — $49,289.20 $53,983.41 $51,446.79 2026-03-18
4401 APR_DRG Kidney Transplant 5 5 — — $46,886.65 $59,528.18 $51,352.04 2026-03-18
5204 APR_DRG Other GYN Procedures For Malignancy 6 5 — — $49,107.59 $62,347.94 $51,257.24 2026-03-18
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $49,088.48 $62,323.67 $51,237.29 2026-03-18
36133249 CDM Hc Icd Lead Insert/repos Sgl Cham 17 16 — — $19,245.80 $76,983.20 $51,193.83 2026-03-18
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $50,129.44 $54,903.67 $51,178.69 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 34 — — $43,245.10 $157,526.19 $51,166.20 2026-03-18
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $46,519.10 $59,682.77 $50,949.49 2026-03-18
1793 APR_DRG Defibrillator Implants 5 5 — — $46,517.36 $59,059.33 $50,947.58 2026-03-18
48133270 CDM Hc Insert Subq Defib W/electrod 19 15 — — $20,260.80 $81,043.20 $50,652.00 2026-03-18
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $46,835.38 $59,463.09 $50,625.67 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 32 — — $38,764.80 $151,307.14 $50,607.60 2026-03-18
L7181 HCPCS Electronic Elbow Microprocessor Simultaneous Control Of Elbow And Terminal Devic… 36 32 — — $42,166.64 $196,234.00 $50,563.30 2026-03-18
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $47,002.21 $58,451.47 $50,423.21 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 43 33 — — $40,262.80 $168,729.25 $50,421.10 2026-03-18
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $48,190.89 $51,401.25 $50,418.80 2026-03-18
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 32 28 — — $45,577.50 $106,867.41 $50,135.20 2026-03-18
1824 APR_DRG Other Peripheral Vascular And Related Procedures 3 3 — — $39,288.86 $54,186.26 $49,881.88 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 26 — — $42,138.50 $148,420.18 $49,738.10 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 28 — — $40,095.00 $172,531.52 $49,389.40 2026-03-18
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $46,046.41 $58,461.40 $49,113.91 2026-03-18
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $45,406.02 $57,648.34 $49,067.13 2026-03-18
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $45,690.15 $58,009.09 $48,733.92 2026-03-18
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $42,145.31 $57,934.07 $48,670.90 2026-03-18
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $48,603.09 $48,603.09 $48,603.09 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 42 32 — — $40,604.90 $186,690.51 $48,562.70 2026-03-18
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $44,749.99 $56,815.43 $48,371.51 2026-03-18
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 4 4 — — $45,512.89 $50,009.71 $48,156.49 2026-03-18
4800408T CDM Hc Insj/rplc Cardiac Modulj Sys 15 12 — — $19,190.80 $76,763.20 $47,977.00 2026-03-18
8633 APR_DRG Neonatal Aftercare 6 5 — — $45,871.76 $54,338.41 $47,879.76 2026-03-18
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 4 4 — — $44,248.62 $56,178.89 $47,829.57 2026-03-18
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $44,607.92 $50,872.23 $47,740.07 2026-03-18
1781 APR_DRG External Heart Assist Devices 5 4 — — $44,357.76 $55,162.85 $47,586.29 2026-03-18
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 3 — — $46,501.00 $57,828.16 $47,541.46 2026-03-18
1814 APR_DRG Lower Extremity Vascular Procedures 6 5 — — $45,412.10 $59,357.31 $47,399.98 2026-03-18
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $43,823.72 $61,040.02 $47,370.29 2026-03-18
82 APR_DRG Autologous Bone Marrow Transplant 7 6 — — $44,374.61 $56,338.86 $47,330.75 2026-03-18
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $44,080.10 $54,733.39 $47,288.42 2026-03-18
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 6 — — $44,002.72 $55,866.69 $46,934.08 2026-03-18
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $43,456.47 $54,042.01 $46,619.39 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 34 — — $40,262.80 $202,050.05 $46,506.10 2026-03-18
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 4 4 — — $43,798.00 $54,466.74 $46,371.88 2026-03-18
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $44,358.11 $56,317.90 $46,299.85 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 47 33 — — $35,357.80 $465,088.00 $46,291.10 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 32 — — $33,501.70 $94,382.79 $46,290.90 2026-03-18
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $43,389.27 $58,695.31 $46,279.76 2026-03-18
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 6 5 — — $44,161.73 $57,080.11 $46,094.88 2026-03-18
1214 APR_DRG Other Respiratory And Chest Procedures 5 4 — — $45,020.22 $57,158.53 $45,962.53 2026-03-18
913 APR_DRG Other Major Head And Neck Procedures 4 4 — — $41,425.89 $51,516.81 $45,921.01 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 30 — — $36,715.50 $152,344.69 $45,799.00 2026-03-18
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $42,348.31 $56,707.30 $45,775.46 2026-03-18
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $44,364.99 $48,346.15 $45,555.43 2026-03-18
245 MS_DRG Aicd Generator Procedures 51 34 — — $35,629.80 $147,395.16 $45,546.30 2026-03-18
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 31 23 — — $29,180.80 $105,056.12 $45,396.80 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 33 — — $36,458.00 $167,672.89 $45,357.80 2026-03-18
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $43,389.27 $58,695.31 $45,288.60 2026-03-18
J9226 HCPCS Histrelin Implant Supprelin La 50 Mg 3 2 — — $45,020.65 $65,629.61 $45,020.65 2026-03-18
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $42,468.23 $52,813.06 $44,963.97 2026-03-18
471 MS_DRG Cervical Spinal Fusion With Mcc 43 32 — — $35,416.40 $154,987.16 $44,734.10 2026-03-18
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $42,612.46 $46,670.78 $44,641.62 2026-03-18
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 5 2 — — $41,916.00 $99,774.32 $44,569.27 2026-03-18
4484 APR_DRG Other Kidney Urinary Tract And Related Percutaneous Procedures 4 4 — — $41,144.86 $52,238.30 $44,474.62 2026-03-18
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $43,544.80 $47,691.93 $44,456.23 2026-03-18
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 4 2 — — $40,879.04 $97,852.81 $44,110.92 2026-03-18
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 4 — — $42,608.98 $54,097.17 $44,076.03 2026-03-18
L7180 HCPCS Electronic Elbow Microprocessor Sequential Control Of Elbow And Terminal Device 32 28 — — $37,429.32 $103,457.00 $44,027.75 2026-03-18
1804 APR_DRG Other Circulatory System Procedures 3 3 — — $38,115.22 $47,399.70 $43,996.29 2026-03-18
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $42,592.69 $45,256.20 $43,924.44 2026-03-18
4474 APR_DRG Other Kidney Urinary Tract And Related Non-percutaneous Procedures 2 2 — — $42,361.78 $45,445.04 $43,903.41 2026-03-18
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 5 — — $41,362.96 $52,515.20 $43,765.51 2026-03-18
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $40,999.75 $52,054.06 $43,731.06 2026-03-18
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 5 — — $41,892.13 $49,295.32 $43,725.92 2026-03-18
248 MS_DRG Percutaneous Cardiovascular Procedures W Non-drug-eluting Stent W Mcc Or 4+ Arte… 5 2 — — $39,498.00 $92,404.87 $43,497.46 2026-03-18
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $40,611.34 $51,560.94 $43,316.78 2026-03-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 44 35 — — $36,500.70 $189,596.28 $43,165.10 2026-03-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 31 — — $34,824.70 $154,473.09 $43,149.30 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 24 — — $36,327.80 $102,268.30 $43,067.90 2026-03-18
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 3 3 — — $39,236.72 $49,815.69 $42,973.55 2026-03-18
213 APR_DRG Open Craniotomy Except Trauma 1 1 — — $42,899.37 $42,899.37 $42,899.37 2026-03-18
244 APR_DRG Open Extracranial Vascular Procedures 2 2 — — $39,645.57 $45,957.83 $42,801.70 2026-03-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 33 — — $34,312.60 $211,638.79 $42,774.25 2026-03-18
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