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 →

Export CSV
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.

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 Pr Injection, Atidarsagene Autotemcel, Per Treatment 24 13 — — $2,387,050.75 $4,771,475.00 $4,530,712.50 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
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
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
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 52 15 — — $420,219.09 $1,877,230.32 $815,694.00 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
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
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 55 15 — — $301,757.48 $1,348,030.83 $642,928.85 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
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 55 15 — — $295,149.32 $1,318,510.45 $613,236.68 2026-04-14
Q2041 HCPCS Pr Axicabtagene Ciloleucel Car+ 55 15 — — $290,686.60 $1,298,574.30 $554,399.54 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
Q2053 HCPCS Pr Brexucabtagene Car Pos T 55 15 — — $267,044.32 $1,192,957.92 $509,308.80 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
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
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
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
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
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
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
632 MS_DRG Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $101,459.95 $101,459.95 $101,459.95 2026-04-14
583 APR_DRG Neonate With Ecmo 55 9 — — $95,252.17 $643,766.02 $246,844.06 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
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
2 APR_DRG Heart And/or Lung Transplant 56 9 — — $80,488.89 $368,355.67 $134,290.52 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
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
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
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
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
635 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $62,067.45 $62,067.45 $62,067.45 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 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
850 MS_DRG Acute Leukemia With Other Procedures 42 15 — — $60,178.38 $214,894.47 $70,971.24 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
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
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 2 1 — — $53,680.50 $53,680.50 $53,680.50 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 52 8 — — $53,590.34 $216,873.45 $89,536.55 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
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
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
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 52 14 — — $51,404.98 $258,510.59 $109,835.17 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
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
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
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
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
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
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 51 14 — — $45,154.17 $227,075.88 $96,013.20 2026-04-14
C1721 HCPCS Pr Aicd, Dual Chamber 1 1 — — $44,101.34 $44,101.34 $44,101.34 2026-04-14
3 APR_DRG Bone Marrow Transplant 4 1 — — $44,072.96 $149,071.52 $65,134.60 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 15 — — $41,978.86 $139,561.26 $52,607.62 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 52 8 — — $41,600.58 $269,475.27 $102,043.12 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
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
1 APR_DRG Liver Transplant And/or Intestinal Transplant 55 9 — — $40,997.78 $205,034.60 $71,667.12 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
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
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
613 MS_DRG Neonate, Birth Weight <750 Grams, Died 1 1 — — $39,972.15 $39,972.15 $39,972.15 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
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
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $39,461.07 $39,461.07 $39,461.07 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
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
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $36,191.62 $36,191.62 $36,191.62 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 42 15 — — $36,107.81 $158,855.33 $42,878.03 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 15 — — $35,545.31 $227,821.00 $40,954.38 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
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
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
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 57 15 — — $34,588.95 $154,518.05 $73,496.48 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
6 APR_DRG Pancreas Transplant 55 9 — — $33,628.12 $133,928.45 $65,067.57 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
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
653 MS_DRG Major Bladder Procedures With Mcc 46 18 — — $33,400.33 $127,802.84 $42,354.35 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
178 APR_DRG External Heart Assist Devices 52 8 — — $32,609.41 $88,240.46 $47,935.44 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
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
6 MS_DRG Liver Transplant Without Mcc 27 14 — — $31,678.37 $60,622.90 $36,498.99 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
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
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
A9543 HCPCS Pr Y90 Ibritumomab, Rx 64 14 — — $30,986.43 $138,424.60 $60,518.14 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
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 57 15 — — $30,507.34 $136,284.39 $64,918.44 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
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
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
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
C1899 HCPCS Pr Lead, Pmkr/aicd Combination 1 1 — — $29,719.07 $29,719.07 $29,719.07 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
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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 18 — — $28,898.19 $96,073.76 $35,513.92 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 18 — — $28,696.66 $101,276.40 $34,155.26 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
28 MS_DRG Spinal Procedures With Mcc 46 18 — — $28,666.61 $100,223.02 $46,190.73 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
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
8 APR_DRG Autologous Bone Marrow Transplant 52 8 — — $28,130.45 $96,458.58 $45,358.62 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
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
0250-1402-1405 EAPG Cochlear Device Implantation 2 2 — — $27,219.32 $28,580.28 $27,899.80 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
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
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
161 APR_DRG Implantable Heart Assist Systems 43 9 — — $26,702.80 $274,884.46 $153,358.84 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 52 8 — — $26,620.72 $79,417.14 $38,852.89 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
609 MS_DRG Other Respiratory Problems After Birth 1 1 — — $26,314.69 $26,314.69 $26,314.69 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
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
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
J9226 HCPCS Supprelin La Implant 57 15 — — $26,092.44 $110,985.11 $52,548.33 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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 50 18 — — $25,649.07 $85,271.88 $38,409.08 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
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
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
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
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
440 APR_DRG Kidney Transplant 56 9 — — $24,652.01 $103,839.86 $47,530.81 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
179 APR_DRG Defibrillator Implants 52 8 — — $24,400.15 $73,351.63 $37,608.06 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
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
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
265 MS_DRG Aicd Lead Procedures 42 15 — — $23,302.93 $81,025.78 $27,482.26 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 15 — — $23,056.63 $77,969.53 $27,191.78 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
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
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
L7181 HCPCS Pr Electronic Elbo Simultaneous 52 14 — — $22,869.14 $115,006.65 $48,863.67 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 14 — — $22,684.24 $123,730.80 $26,136.19 2026-04-14
332 MS_DRG Rectal Resection With Mcc 42 15 — — $22,660.07 $87,698.22 $26,724.10 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
901 MS_DRG Wound Debridements For Injuries With Mcc 42 15 — — $22,505.22 $74,819.95 $34,133.82 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
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
665 MS_DRG Prostatectomy With Mcc 42 15 — — $22,189.43 $73,770.09 $26,453.67 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 15 — — $21,992.94 $73,727.58 $34,455.88 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
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
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
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
799 MS_DRG Splenic Procedures With Mcc 42 15 — — $21,199.96 $78,385.02 $36,463.67 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
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
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 56 9 — — $20,928.27 $157,798.15 $45,712.38 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
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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 42 15 — — $20,505.22 $68,170.84 $29,747.47 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
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
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
L7180 HCPCS Pr Electronic Elbow Sequential 52 14 — — $20,299.85 $102,085.96 $43,373.96 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
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
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
37 MS_DRG Extracranial Procedures With Mcc 46 18 — — $19,852.59 $66,001.14 $25,349.53 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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 15 — — $19,333.30 $69,083.34 $32,136.65 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
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
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 51 14 — — $18,323.98 $92,149.52 $38,963.06 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
910 APR_DRG Craniotomy For Multiple Significant Trauma 55 9 — — $18,103.66 $79,183.41 $31,069.42 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
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
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
J7310 HCPCS Pr Ganciclovir Long Act Implant 4 2 — — $16,960.00 $26,515.20 $25,785.60 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
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 51 14 — — $16,607.38 $83,516.90 $35,312.97 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
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
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 57 15 — — $16,278.46 $69,241.01 $31,463.11 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
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 56 9 — — $16,135.56 $81,683.49 $32,405.28 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 18 — — $15,782.42 $59,745.39 $27,535.42 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
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
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
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
851 APR_DRG Gender Related Procedures 39 8 — — $14,297.06 $126,319.70 $26,853.08 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 48 14 — — $14,014.45 $70,477.28 $30,088.82 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
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
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
L5856 HCPCS Pr Elec Knee-shin Swing/stance 52 14 — — $13,701.51 $68,903.53 $29,275.51 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
L6880 HCPCS Pr Hand Bock Vo 51 14 — — $13,636.81 $68,578.17 $28,996.52 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 52 8 — — $13,298.62 $51,171.26 $24,878.03 2026-04-14
27 APR_DRG Other Open Craniotomy 52 8 — — $13,267.32 $60,346.22 $27,508.08 2026-04-14
J9600 HCPCS Pr Porfimer Sodium 52 14 — — $13,211.76 $59,020.43 $26,168.41 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
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
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
21 APR_DRG Open Craniotomy Except Trauma 56 9 — — $12,599.40 $71,701.96 $31,537.27 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
C9760 HCPCS Pr Non-blind Interatrial Shunt 39 14 — — $12,349.68 $86,662.81 $28,043.39 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
20 APR_DRG Open Craniotomy For Trauma 56 9 — — $11,877.67 $62,640.74 $27,031.58 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 56 9 — — $11,862.37 $66,262.51 $30,768.91 2026-04-14
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
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
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 52 8 — — $11,526.73 $54,696.00 $26,347.14 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
L8614 HCPCS Pr Cochlear Device 53 14 — — $11,337.20 $57,013.68 $24,340.82 2026-04-14
23 APR_DRG Spinal Procedures 56 9 — — $10,915.80 $65,377.68 $28,357.26 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
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
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 56 9 — — $9,814.24 $50,306.25 $24,457.44 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
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
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
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
89 APR_DRG Major Cranial Or Facial Bone Procedures 56 9 — — $9,069.23 $62,603.17 $27,203.48 2026-04-14
690 APR_DRG Acute Leukemia 56 9 — — $8,891.62 $68,799.11 $29,514.63 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
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
441 APR_DRG Major Bladder Procedures 56 9 — — $8,517.12 $58,375.16 $25,051.00 2026-04-14
245 MS_DRG Aicd Generator Procedures 50 18 — — $8,467.00 $112,334.91 $36,955.51 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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 18 — — $6,715.36 $152,229.56 $46,227.21 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
863 APR_DRG Neonatal Aftercare 56 9 — — $6,056.57 $107,681.80 $28,417.00 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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 42 15 — — $4,766.12 $93,320.80 $32,433.45 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
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
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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 70 18 — — $4,187.38 $67,377.62 $25,926.94 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 78 18 — — $3,902.00 $63,808.10 $28,745.12 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
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
215 MS_DRG Other Heart Assist System Implant 50 18 — — $3,495.00 $174,661.17 $79,745.43 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 74 18 — — $2,570.51 $119,520.61 $37,684.57 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 18 — — $2,136.00 $85,551.84 $29,431.63 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
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
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
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
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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 18 — — $1,691.00 $55,336.90 $25,503.64 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
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
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
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
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
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
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
252 MS_DRG Other Vascular Procedures With Mcc 58 18 — — $1,197.00 $68,800.76 $25,698.25 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 18 — — $934.42 $70,321.47 $32,106.83 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 74 18 — — $844.72 $76,593.05 $34,856.09 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
264 MS_DRG Other Circulatory System O.r. Procedures 62 18 — — $725.00 $57,618.63 $25,810.70 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
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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 70 18 — — $414.50 $75,701.02 $34,562.97 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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 74 18 — — $87.41 $63,489.47 $28,850.79 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
See an error in this hospital's data? Submit a correction