Price Transparency 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 HOSPITAL

Jefferson Hills, PA · CCN 390265 · Rates published

19,570 distinct procedures filed
776 distinct payers
1,418,688 rate rows
2026-04-14 last MRF observed
Data quality

1,245,102 of 1,418,688 rate rows are consumer-grade (87.8%)

173,586 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 160,013
exceeds 10× this hospital's gross charge — excluded from medians 12,843
placeholder amount (≤ $0.02) — excluded from medians 494
per-diem day rate — not a per-procedure price 236
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ahn.org/content/dam/ahn/en/dmxahn/documents/patients-visitors/patients/financial-services/hospital-charges/251260215_jefferson-regional-medical-center_standardcharges.csv
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint eff253a4b269e008… · 366,715,582 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
J3391
HCPCS 		Pr Injection, Atidarsagene Autotemcel, Per Treatment 13 $2,387,050.75 $4,771,475.00 $4,530,712.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 13 $2,009,575.91 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Pr Inj, Beqvez, Per Tx Dose 13 $2,023,063.00 $4,982,901.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 13 $1,812,889.06 $4,551,776.00 $3,557,291.93 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 13 $1,778,416.88 $4,409,533.00 $3,478,200.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 13 $1,609,009.44 $4,593,924.07 $3,141,600.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 13 $1,337,138.64 $4,704,383.77 $2,554,248.40 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 14 $1,271,639.60 $4,897,200.00 $2,468,400.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 15 $420,219.09 $1,877,230.32 $815,694.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 15 $301,757.48 $1,348,030.83 $642,928.85 nat. median
$675,122
1.0× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 15 $295,149.32 $1,318,510.45 $613,236.68 nat. median
$625,184
1.0× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 15 $315,360.39 $1,408,798.67 $601,457.56 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 15 $295,353.92 $1,319,424.46 $600,242.36 nat. median
$674,188
0.9× median
C9301
HCPCS 		Pr Obecabtagene Car Pos T 1 $589,050.00 $589,050.00 $589,050.00 nat. median
$459,112
1.3× median
Q2041
HCPCS 		Pr Axicabtagene Ciloleucel Car+ 15 $290,686.60 $1,298,574.30 $554,399.54 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 15 $267,044.32 $1,192,957.92 $509,308.80 nat. median
$620,080
0.8× median
633
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $311,127.21 $311,127.21 $311,127.21 nat. median
$8,452
outlier · 36.8×
Q2058
HCPCS 		Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 14 $147,435.49 $658,633.50 $286,597.50 nat. median
$324,450
0.9× median
612
MS_DRG 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $285,105.09 $285,105.09 $285,105.09 nat. median
$50,031
outlier · 5.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $246,364.66 $621,708.84 $283,854.93 nat. median
$370,174
0.8× median
583
APR_DRG 		Neonate With Ecmo 9 $95,252.17 $643,766.02 $246,844.06 nat. median
$11,771
outlier · 21.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $20,509.00 $466,184.06 $216,016.46 nat. median
$265,286
0.8× median
631
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $206,732.43 $206,732.43 $206,732.43 nat. median
$65,780
outlier · 3.1×
636
MS_DRG 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $182,813.14 $182,813.14 $182,813.14 nat. median
$7,503
outlier · 24.4×
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $67,127.65 $368,599.83 $178,065.91 nat. median
$50,490
outlier · 3.5×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $120,546.48 $394,294.50 $176,795.49 nat. median
$281,646
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $8,669.50 $353,308.78 $162,071.85 nat. median
$202,986
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $131,386.60 $506,172.02 $154,950.50 nat. median
$206,368
0.8× median
161
APR_DRG 		Implantable Heart Assist Systems 9 $26,702.80 $274,884.46 $153,358.84 nat. median
$181,791
0.8× median
2
APR_DRG 		Heart And/or Lung Transplant 9 $80,488.89 $368,355.67 $134,290.52 nat. median
$136,483
1.0× median
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $22,199.15 $258,558.82 $125,590.60 nat. median
$6,529
outlier · 19.2×
681
MS_DRG 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $124,518.91 $124,518.91 $124,518.91 nat. median
$29,070
outlier · 4.3×
634
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $111,517.90 $111,517.90 $111,517.90 nat. median
$14,316
outlier · 7.8×
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 14 $51,404.98 $258,510.59 $109,835.17 nat. median
$111,989
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $20,824.60 $232,939.27 $107,858.58 nat. median
$133,176
0.8× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $63,620.40 $227,323.49 $104,214.96 nat. median
$13,186
outlier · 7.9×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $41,600.58 $269,475.27 $102,043.12 nat. median
$167,999
0.6× median
632
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Died 1 $101,459.95 $101,459.95 $101,459.95 nat. median
$8,452
outlier · 12.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $85,589.54 $306,090.00 $98,614.04 nat. median
$117,303
0.8× median
7
MS_DRG 		Lung Transplant 14 $85,373.95 $108,582.16 $98,365.64 nat. median
$122,708
0.8× median
K1007
HCPCS 		Pr Bil Hkaf Pc S/d Micro Sensor 14 $45,154.17 $227,075.88 $96,013.20 nat. median
$96,983
1.0× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $53,590.34 $216,873.45 $89,536.55 nat. median
$93,823
1.0× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $39,461.54 $207,094.35 $89,254.42 nat. median
$123,597
0.7× median
365
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $88,388.55 $88,388.55 $88,388.55 nat. median
$10,293
outlier · 8.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $71,165.76 $252,012.82 $83,155.64 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $69,568.41 $279,535.00 $80,154.91 nat. median
$100,136
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $18,566.20 $172,804.79 $80,014.33 nat. median
$98,905
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $3,495.00 $174,661.17 $79,745.43 nat. median
$99,019
0.8× median
602
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $43,188.92 $171,250.15 $74,313.68 nat. median
$87,950
0.8× median
J7330
HCPCS 		Pr Cultured Chondrocytes Implnt 3 $61,878.30 $86,291.72 $73,852.28 nat. median
$76,377
1.0× median

Other procedures at this hospital

Browse this hospital's 19,570 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 24 13 — — $2,387,050.75 $4,771,475.00 $4,530,712.50 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 41 13 — — $2,009,575.91 $4,978,505.00 $3,927,000.00 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 41 13 — — $2,023,063.00 $4,982,901.00 $3,927,000.00 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 41 13 — — $1,812,889.06 $4,551,776.00 $3,557,291.93 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 41 13 — — $1,778,416.88 $4,409,533.00 $3,478,200.00 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 44 13 — — $1,609,009.44 $4,593,924.07 $3,141,600.00 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 48 13 — — $1,337,138.64 $4,704,383.77 $2,554,248.40 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 50 14 — — $1,271,639.60 $4,897,200.00 $2,468,400.00 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 52 15 — — $420,219.09 $1,877,230.32 $815,694.00 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 55 15 — — $301,757.48 $1,348,030.83 $642,928.85 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 55 15 — — $295,149.32 $1,318,510.45 $613,236.68 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 55 15 — — $315,360.39 $1,408,798.67 $601,457.56 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 55 15 — — $295,353.92 $1,319,424.46 $600,242.36 2026-04-14
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 2026-04-14
Q2041 HCPCS Pr Axicabtagene Ciloleucel Car+ 55 15 — — $290,686.60 $1,298,574.30 $554,399.54 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 55 15 — — $267,044.32 $1,192,957.92 $509,308.80 2026-04-14
633 MS_DRG Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $311,127.21 $311,127.21 $311,127.21 2026-04-14
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 37 14 — — $147,435.49 $658,633.50 $286,597.50 2026-04-14
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $285,105.09 $285,105.09 $285,105.09 2026-04-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 14 — — $246,364.66 $621,708.84 $283,854.93 2026-04-14
583 APR_DRG Neonate With Ecmo 55 9 — — $95,252.17 $643,766.02 $246,844.06 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 47 19 — — $20,509.00 $466,184.06 $216,016.46 2026-04-14
631 MS_DRG Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $206,732.43 $206,732.43 $206,732.43 2026-04-14
636 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $182,813.14 $182,813.14 $182,813.14 2026-04-14
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 52 8 — — $67,127.65 $368,599.83 $178,065.91 2026-04-14
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 54 9 — — $120,546.48 $394,294.50 $176,795.49 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 18 — — $8,669.50 $353,308.78 $162,071.85 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 15 — — $131,386.60 $506,172.02 $154,950.50 2026-04-14
161 APR_DRG Implantable Heart Assist Systems 43 9 — — $26,702.80 $274,884.46 $153,358.84 2026-04-14
2 APR_DRG Heart And/or Lung Transplant 56 9 — — $80,488.89 $368,355.67 $134,290.52 2026-04-14
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 56 9 — — $22,199.15 $258,558.82 $125,590.60 2026-04-14
681 MS_DRG Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $124,518.91 $124,518.91 $124,518.91 2026-04-14
634 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $111,517.90 $111,517.90 $111,517.90 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 52 14 — — $51,404.98 $258,510.59 $109,835.17 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 18 — — $20,824.60 $232,939.27 $107,858.58 2026-04-14
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 56 9 — — $63,620.40 $227,323.49 $104,214.96 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 52 8 — — $41,600.58 $269,475.27 $102,043.12 2026-04-14
632 MS_DRG Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $101,459.95 $101,459.95 $101,459.95 2026-04-14
14 MS_DRG Allogeneic Bone Marrow Transplant 29 15 — — $85,589.54 $306,090.00 $98,614.04 2026-04-14
7 MS_DRG Lung Transplant 27 14 — — $85,373.95 $108,582.16 $98,365.64 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 51 14 — — $45,154.17 $227,075.88 $96,013.20 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 52 8 — — $53,590.34 $216,873.45 $89,536.55 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 55 9 — — $39,461.54 $207,094.35 $89,254.42 2026-04-14
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $88,388.55 $88,388.55 $88,388.55 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 18 — — $71,165.76 $252,012.82 $83,155.64 2026-04-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 15 — — $69,568.41 $279,535.00 $80,154.91 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 15 — — $18,566.20 $172,804.79 $80,014.33 2026-04-14
215 MS_DRG Other Heart Assist System Implant 50 18 — — $3,495.00 $174,661.17 $79,745.43 2026-04-14
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 56 9 — — $43,188.92 $171,250.15 $74,313.68 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 18 — — $48,126.22 $159,998.51 $73,669.12 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 57 15 — — $34,588.95 $154,518.05 $73,496.48 2026-04-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 14 — — $61,436.00 $296,200.22 $72,454.42 2026-04-14
1 APR_DRG Liver Transplant And/or Intestinal Transplant 55 9 — — $40,997.78 $205,034.60 $71,667.12 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 42 15 — — $60,178.38 $214,894.47 $70,971.24 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 51 14 — — $32,674.07 $164,314.68 $69,476.24 2026-04-14
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,270.60 $67,270.60 $67,270.60 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 56 9 — — $22,915.86 $144,269.97 $65,437.93 2026-04-14
3 APR_DRG Bone Marrow Transplant 4 1 — — $44,072.96 $149,071.52 $65,134.60 2026-04-14
6 APR_DRG Pancreas Transplant 55 9 — — $33,628.12 $133,928.45 $65,067.57 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 15 — — $47,831.48 $159,018.64 $64,948.20 2026-04-14
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 57 15 — — $30,507.34 $136,284.39 $64,918.44 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 18 — — $49,698.15 $165,224.48 $64,383.30 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 15 — — $54,486.09 $194,573.87 $64,258.05 2026-04-14
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $62,780.59 $62,780.59 $62,780.59 2026-04-14
647 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $62,197.28 $62,197.28 $62,197.28 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 15 — — $52,660.08 $179,222.60 $62,104.56 2026-04-14
635 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $62,067.45 $62,067.45 $62,067.45 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 64 14 — — $30,986.43 $138,424.60 $60,518.14 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 56 9 — — $19,526.65 $239,626.67 $60,198.05 2026-04-14
10 MS_DRG Pancreas Transplant 28 15 — — $52,085.82 $178,902.00 $60,011.93 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 14 — — $51,785.96 $80,449.89 $59,666.43 2026-04-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 56 9 — — $23,732.05 $274,715.42 $59,560.12 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 18 — — $9,235.83 $149,303.93 $58,966.00 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 56 9 — — $30,287.76 $132,376.86 $58,792.15 2026-04-14
646 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $57,914.81 $57,914.81 $57,914.81 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 62 18 — — $4,517.00 $128,855.11 $57,721.62 2026-04-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 15 — — $40,259.57 $133,845.36 $57,506.33 2026-04-14
841 APR_DRG Extensive Third Degree Burns With Skin Graft 43 9 — — $32,565.06 $244,516.22 $54,669.59 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 18 — — $2,395.00 $121,317.04 $54,092.45 2026-04-14
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 2 1 — — $53,680.50 $53,680.50 $53,680.50 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 50 18 — — $4,326.50 $144,460.60 $53,442.37 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 18 — — $13,918.02 $117,032.65 $53,181.80 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 15 — — $41,978.86 $139,561.26 $52,607.62 2026-04-14
J9226 HCPCS Supprelin La Implant 57 15 — — $26,092.44 $110,985.11 $52,548.33 2026-04-14
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $51,547.80 $51,547.80 $51,547.80 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 42 15 — — $29,613.98 $110,528.73 $51,416.49 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 15 — — $13,795.51 $128,479.41 $51,132.73 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 42 15 — — $16,526.28 $110,105.02 $49,622.50 2026-04-14
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $49,308.73 $49,308.73 $49,308.73 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 18 — — $31,571.87 $106,459.86 $49,065.16 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 74 18 — — $4,748.00 $131,955.61 $48,913.78 2026-04-14
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 56 9 — — $23,029.61 $106,046.73 $48,867.35 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 52 14 — — $22,869.14 $115,006.65 $48,863.67 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 15 — — $41,314.70 $154,142.63 $48,724.40 2026-04-14
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 1 1 — — $48,043.38 $48,043.38 $48,043.38 2026-04-14
178 APR_DRG External Heart Assist Devices 52 8 — — $32,609.41 $88,240.46 $47,935.44 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 42 15 — — $40,413.78 $144,320.62 $47,661.91 2026-04-14
440 APR_DRG Kidney Transplant 56 9 — — $24,652.01 $103,839.86 $47,530.81 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 15 — — $40,229.55 $136,621.65 $47,444.63 2026-04-14
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 56 9 — — $5,913.69 $125,254.35 $46,819.48 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 18 — — $33,473.62 $111,285.05 $46,629.48 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 62 18 — — $1,229.50 $124,489.95 $46,623.92 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 56 9 — — $28,858.90 $105,534.40 $46,328.93 2026-04-14
C1882 HCPCS Crt,unify Assura 40 Cd3257-40 1 1 $50,637.60 $9,621.14 81% off $46,301.03 $46,301.03 $46,301.03 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 18 — — $6,715.36 $152,229.56 $46,227.21 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 46 18 — — $28,666.61 $100,223.02 $46,190.73 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 15 — — $39,135.91 $149,033.32 $46,154.85 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 52 8 — — $27,184.18 $90,923.14 $46,151.36 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 15 — — $28,673.63 $98,079.78 $45,836.64 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 56 9 — — $20,928.27 $157,798.15 $45,712.38 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 18 — — $31,220.99 $103,796.06 $45,694.44 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 15 — — $39,430.55 $338,308.00 $45,430.85 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 15 — — $39,430.55 $230,336.00 $45,430.85 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 52 8 — — $28,130.45 $96,458.58 $45,358.62 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 15 — — $33,403.44 $111,051.75 $44,856.59 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 56 9 — — $5,602.61 $264,226.78 $44,734.29 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 18 — — $26,224.51 $97,003.21 $44,288.96 2026-04-14
C1721 HCPCS Pr Aicd, Dual Chamber 1 1 — — $44,101.34 $44,101.34 $44,101.34 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 15 — — $30,035.03 $99,853.26 $43,953.58 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 18 — — $1,788.24 $115,647.80 $43,899.19 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 52 14 — — $20,299.85 $102,085.96 $43,373.96 2026-04-14
648 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $43,356.80 $43,356.80 $43,356.80 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 42 15 — — $36,107.81 $158,855.33 $42,878.03 2026-04-14
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $42,558.63 $42,558.63 $42,558.63 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 46 18 — — $33,400.33 $127,802.84 $42,354.35 2026-04-14
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 56 9 — — $16,226.12 $75,503.20 $42,306.88 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 15 — — $26,364.86 $90,182.75 $42,146.04 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 15 — — $10,575.43 $90,761.42 $42,025.54 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 42 15 — — $30,406.96 $101,089.76 $41,824.75 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 56 9 — — $26,165.33 $83,366.55 $41,708.53 2026-04-14
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 56 9 — — $20,120.06 $92,795.06 $41,693.84 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 15 — — $29,319.24 $97,473.58 $41,572.03 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 15 — — $35,245.44 $127,686.18 $41,566.64 2026-04-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 18 — — $21,445.53 $89,038.59 $41,227.81 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 15 — — $34,890.04 $135,525.13 $41,147.49 2026-04-14
677 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $41,069.28 $41,069.28 $41,069.28 2026-04-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 15 — — $35,545.31 $227,821.00 $40,954.38 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 70 18 — — $26,771.88 $89,004.71 $40,044.33 2026-04-14
613 MS_DRG Neonate, Birth Weight <750 Grams, Died 1 1 — — $39,972.15 $39,972.15 $39,972.15 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 18 — — $26,126.26 $87,317.40 $39,866.69 2026-04-14
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $39,694.21 $39,694.21 $39,694.21 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 15 — — $24,912.23 $84,900.48 $39,677.42 2026-04-14
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $39,461.07 $39,461.07 $39,461.07 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 70 18 — — $2,135.00 $84,621.86 $39,000.47 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 56 9 — — $18,143.44 $86,729.56 $38,985.97 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 51 14 — — $18,323.98 $92,149.52 $38,963.06 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 52 8 — — $26,620.72 $79,417.14 $38,852.89 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 50 18 — — $25,649.07 $85,271.88 $38,409.08 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 15 — — $22,133.29 $82,544.56 $38,398.63 2026-04-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 15 — — $29,835.57 $107,225.60 $38,368.72 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 18 — — $22,617.50 $83,987.13 $38,346.18 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 18 — — $22,378.90 $83,034.21 $37,911.11 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 74 18 — — $2,570.51 $119,520.61 $37,684.57 2026-04-14
179 APR_DRG Defibrillator Implants 52 8 — — $24,400.15 $73,351.63 $37,608.06 2026-04-14
245 MS_DRG Aicd Generator Procedures 50 18 — — $8,467.00 $112,334.91 $36,955.51 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 46 18 — — $20,996.45 $80,074.88 $36,904.87 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 15 — — $31,196.88 $112,708.20 $36,791.97 2026-04-14
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 56 9 — — $19,980.37 $74,320.99 $36,709.57 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 27 14 — — $31,678.37 $60,622.90 $36,498.99 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 42 15 — — $21,199.96 $78,385.02 $36,463.67 2026-04-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 56 9 — — $11,826.07 $110,099.45 $36,384.18 2026-04-14
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $36,191.62 $36,191.62 $36,191.62 2026-04-14
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $35,761.91 $35,761.91 $35,761.91 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 18 — — $28,898.19 $96,073.76 $35,513.92 2026-04-14
C1722 HCPCS Icd,ellipse Vr Df4 Cd1411-36q 1 1 $23,643.75 $4,492.31 81% off $35,493.44 $35,493.44 $35,493.44 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 18 — — $3,700.07 $93,484.11 $35,411.30 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 18 — — $25,150.83 $83,615.44 $35,387.75 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 51 14 — — $16,607.38 $83,516.90 $35,312.97 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 18 — — $3,180.11 $91,454.38 $35,144.23 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 18 — — $3,785.82 $75,710.91 $35,070.86 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 56 9 — — $18,082.14 $74,427.42 $34,865.36 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 74 18 — — $844.72 $76,593.05 $34,856.09 2026-04-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 14 — — $24,192.66 $37,949.66 $34,678.14 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 56 9 — — $13,908.38 $109,087.31 $34,571.40 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 70 18 — — $414.50 $75,701.02 $34,562.97 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 15 — — $21,992.94 $73,727.58 $34,455.88 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 58 18 — — $1,001.00 $74,375.50 $34,438.32 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 18 — — $28,696.66 $101,276.40 $34,155.26 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 42 15 — — $22,505.22 $74,819.95 $34,133.82 2026-04-14
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $33,823.64 $33,823.64 $33,823.64 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 18 — — $1,438.50 $73,932.02 $33,755.30 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 15 — — $22,806.97 $75,823.15 $33,336.36 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 15 — — $28,207.98 $104,542.63 $33,267.03 2026-04-14
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 52 8 — — $20,452.04 $69,363.61 $32,651.96 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 42 15 — — $4,766.12 $93,320.80 $32,433.45 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 56 9 — — $16,135.56 $81,683.49 $32,405.28 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 55 9 — — $20,409.00 $63,738.43 $32,373.07 2026-04-14
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $32,273.03 $32,273.03 $32,273.03 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 18 — — $27,396.44 $91,081.10 $32,211.39 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 15 — — $19,333.30 $69,083.34 $32,136.65 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 18 — — $934.42 $70,321.47 $32,106.83 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 98 18 — — $694.00 $82,457.18 $31,749.82 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 15 — — $23,263.11 $77,339.61 $31,662.89 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 15 — — $23,838.55 $79,252.69 $31,615.89 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 56 9 — — $12,599.40 $71,701.96 $31,537.27 2026-04-14
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 57 15 — — $16,278.46 $69,241.01 $31,463.11 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 52 18 — — $99.38 $68,758.56 $31,245.16 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 37 14 — — $13,684.80 $96,031.97 $31,075.18 2026-04-14
910 APR_DRG Craniotomy For Multiple Significant Trauma 55 9 — — $18,103.66 $79,183.41 $31,069.42 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 70 18 — — $13,125.40 $68,334.16 $31,031.68 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 46 18 — — $18,666.63 $67,317.64 $31,027.25 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 46 14 $4,242.00 $805.98 81% off $3,953.64 $38,711.76 $30,977.49 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 58 18 — — $1,418.00 $69,078.39 $30,944.19 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 66 18 — — $6,271.02 $68,590.39 $30,900.58 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 56 9 — — $11,862.37 $66,262.51 $30,768.91 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 15 — — $26,006.33 $88,468.12 $30,670.50 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 18 — — $1,413.45 $81,679.03 $30,614.17 2026-04-14
791 MS_DRG Prematurity With Major Problems 48 18 — — $1,300.32 $66,936.80 $30,561.48 2026-04-14
649 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $30,553.28 $30,553.28 $30,553.28 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 42 15 — — $25,722.79 $94,044.04 $30,336.11 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 15 — — $25,298.20 $84,105.37 $30,275.25 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 48 14 — — $14,014.45 $70,477.28 $30,088.82 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 18 — — $1,450.00 $65,060.64 $29,985.11 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 18 — — $2,046.57 $65,673.93 $29,984.89 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 15 — — $25,403.97 $91,477.71 $29,960.12 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 42 15 — — $20,505.22 $68,170.84 $29,747.47 2026-04-14
C1899 HCPCS Pr Lead, Pmkr/aicd Combination 1 1 — — $29,719.07 $29,719.07 $29,719.07 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 56 9 — — $12,319.75 $136,893.90 $29,708.78 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 18 — — $1,894.00 $64,778.72 $29,576.16 2026-04-14
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/mcc 1 1 — — $29,537.51 $29,537.51 $29,537.51 2026-04-14
676 MS_DRG Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, Without… 1 1 — — $29,524.71 $29,524.71 $29,524.71 2026-04-14
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $29,515.57 $29,515.57 $29,515.57 2026-04-14
690 APR_DRG Acute Leukemia 56 9 — — $8,891.62 $68,799.11 $29,514.63 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 18 — — $2,136.00 $85,551.84 $29,431.63 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 46 18 — — $24,970.83 $111,005.09 $29,313.58 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 15 — — $21,347.33 $70,970.47 $29,289.03 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 52 14 — — $13,701.51 $68,903.53 $29,275.51 2026-04-14
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 29 9 — — $754.99 $183,795.41 $29,267.78 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 18 — — $11,653.26 $79,628.86 $29,092.15 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 15 — — $18,042.07 $62,183.74 $29,060.97 2026-04-14
91 APR_DRG Other Major Head And Neck Procedures 56 9 — — $8,877.65 $72,923.82 $29,005.48 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 51 14 — — $13,636.81 $68,578.17 $28,996.52 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 74 18 — — $87.41 $63,489.47 $28,850.79 2026-04-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 78 18 — — $3,902.00 $63,808.10 $28,745.12 2026-04-14
0427T CPT Pr Insj/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
0431T CPT Pr Rmvl/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
863 APR_DRG Neonatal Aftercare 56 9 — — $6,056.57 $107,681.80 $28,417.00 2026-04-14
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 55 9 — — $9,156.17 $72,787.13 $28,394.05 2026-04-14
23 APR_DRG Spinal Procedures 56 9 — — $10,915.80 $65,377.68 $28,357.26 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 50 18 — — $1,465.00 $61,725.42 $28,182.11 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 15 — — $19,964.87 $66,374.42 $28,110.20 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 39 14 — — $12,349.68 $86,662.81 $28,043.39 2026-04-14
0250-1402-1405 EAPG Cochlear Device Implantation 2 2 — — $27,219.32 $28,580.28 $27,899.80 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 56 9 — — $14,697.48 $70,027.24 $27,761.33 2026-04-14
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 4 — — $27,538.96 $115,325.86 $27,538.96 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 18 — — $15,782.42 $59,745.39 $27,535.42 2026-04-14
27 APR_DRG Other Open Craniotomy 52 8 — — $13,267.32 $60,346.22 $27,508.08 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 42 15 — — $21,670.13 $72,043.66 $27,492.89 2026-04-14
265 MS_DRG Aicd Lead Procedures 42 15 — — $23,302.93 $81,025.78 $27,482.26 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 46 18 — — $55.64 $83,288.81 $27,364.08 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 55 9 — — $12,448.40 $75,315.38 $27,238.96 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 46 18 — — $14,799.97 $59,084.28 $27,230.73 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 56 9 — — $9,069.23 $62,603.17 $27,203.48 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 15 — — $23,056.63 $77,969.53 $27,191.78 2026-04-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 46 18 — — $16,308.74 $58,543.53 $27,045.61 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 56 9 — — $11,877.67 $62,640.74 $27,031.58 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 15 — — $21,768.38 $72,370.28 $26,994.54 2026-04-14
104 MS_DRG Craniotomy, Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 1 1 — — $26,951.03 $26,951.03 $26,951.03 2026-04-14
851 APR_DRG Gender Related Procedures 39 8 — — $14,297.06 $126,319.70 $26,853.08 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 46 18 — — $20,450.53 $83,428.80 $26,748.24 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 46 18 — — $22,873.05 $79,369.34 $26,726.66 2026-04-14
332 MS_DRG Rectal Resection With Mcc 42 15 — — $22,660.07 $87,698.22 $26,724.10 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 15 — — $20,720.24 $75,939.80 $26,571.81 2026-04-14
665 MS_DRG Prostatectomy With Mcc 42 15 — — $22,189.43 $73,770.09 $26,453.67 2026-04-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 52 8 — — $11,526.73 $54,696.00 $26,347.14 2026-04-14
609 MS_DRG Other Respiratory Problems After Birth 1 1 — — $26,314.69 $26,314.69 $26,314.69 2026-04-14
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 56 9 — — $10,853.94 $56,066.03 $26,257.48 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 18 — — $717.00 $60,261.91 $26,243.65 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 56 9 — — $9,206.26 $76,967.15 $26,202.04 2026-04-14
J9600 HCPCS Pr Porfimer Sodium 52 14 — — $13,211.76 $59,020.43 $26,168.41 2026-04-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 14 — — $22,684.24 $123,730.80 $26,136.19 2026-04-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 50 18 — — $1,894.00 $56,925.69 $26,006.88 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 18 — — $12,614.69 $67,517.60 $26,006.79 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 70 18 — — $4,187.38 $67,377.62 $25,926.94 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 62 18 — — $725.00 $57,618.63 $25,810.70 2026-04-14
J7310 HCPCS Pr Ganciclovir Long Act Implant 4 2 — — $16,960.00 $26,515.20 $25,785.60 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 66 18 — — $14,940.32 $56,464.58 $25,780.15 2026-04-14
252 MS_DRG Other Vascular Procedures With Mcc 58 18 — — $1,197.00 $68,800.76 $25,698.25 2026-04-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 18 — — $1,691.00 $55,336.90 $25,503.64 2026-04-14
120 APR_DRG Major Respiratory And Chest Procedures 56 9 — — $11,525.78 $64,497.01 $25,427.94 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 58 18 — — $1,635.75 $61,521.74 $25,412.07 2026-04-14
37 MS_DRG Extracranial Procedures With Mcc 46 18 — — $19,852.59 $66,001.14 $25,349.53 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 42 15 — — $16,877.16 $56,109.13 $25,321.71 2026-04-14
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 56 9 — — $7,723.54 $71,803.17 $25,298.16 2026-04-14
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 56 9 — — $8,108.03 $64,271.63 $25,226.69 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 42 15 — — $16,968.39 $56,412.42 $25,099.93 2026-04-14
441 APR_DRG Major Bladder Procedures 56 9 — — $8,517.12 $58,375.16 $25,051.00 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 50 18 — — $12,856.11 $53,731.12 $24,995.00 2026-04-14
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 56 9 — — $15,909.83 $54,654.26 $24,963.86 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 46 18 — — $15,585.93 $53,886.09 $24,951.04 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 52 8 — — $13,298.62 $51,171.26 $24,878.03 2026-04-14
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 56 9 — — $9,710.47 $66,900.05 $24,737.32 2026-04-14
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 50 18 — — $19,438.67 $76,593.05 $24,636.44 2026-04-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 42 15 — — $20,873.27 $70,550.52 $24,616.84 2026-04-14
678 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $24,615.97 $24,615.97 $24,615.97 2026-04-14
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 18 — — $20,933.37 $74,703.30 $24,460.19 2026-04-14
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 56 9 — — $9,814.24 $50,306.25 $24,457.44 2026-04-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 15 — — $20,734.77 $75,099.91 $24,453.50 2026-04-14
L8614 HCPCS Pr Cochlear Device 53 14 — — $11,337.20 $57,013.68 $24,340.82 2026-04-14
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