Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

GROVE CITY MEDICAL CENTER

Grove City, PA · CCN 390266 · Rates published

19,317 distinct procedures filed
62 distinct payers
1,323,904 rate rows
2026-04-14 last MRF observed
Data quality

1,226,583 of 1,323,904 rate rows are consumer-grade (92.6%)

97,321 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 74,992
exceeds 10× this hospital's gross charge — excluded from medians 15,093
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,709
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,463
template filing: same amount across many unrelated codes — excluded 1,505
placeholder amount (≤ $0.02) — excluded from medians 488
per-diem day rate — not a per-procedure price 67
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
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/251340370_grove-city-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 · 2026-08-18
Content fingerprint 6cbcdc97f647b6c3… · 339,300,398 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 		Pr Injection, Atidarsagene Autotemcel, Per Treatment 12 $3,510,317.25 $4,771,475.00 $4,530,712.50 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Pr Inj, Beqvez, Per Tx Dose 12 $2,975,049.00 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 12 $2,955,215.34 $4,978,505.00 $3,906,382.67 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 12 $2,665,974.21 $4,560,647.73 $3,540,669.07 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 12 $2,615,280.57 $4,473,926.79 $3,467,618.15 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 12 $2,366,155.64 $4,047,751.97 $3,134,663.94 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 12 $1,966,351.50 $4,709,288.00 $2,554,248.40 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 13 $1,870,030.80 $4,960,164.00 $2,468,400.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 14 $617,960.18 $1,847,407.33 $815,694.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 14 $443,754.48 $1,326,615.07 $623,055.89 nat. median
$631,793
1.0× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 14 $434,036.75 $1,297,563.67 $601,605.29 nat. median
$610,161
1.0× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 14 $463,758.48 $1,386,417.51 $601,457.56 nat. median
$691,418
0.9× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 14 $434,337.63 $1,298,463.16 $595,312.61 nat. median
$624,417
1.0× 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+ 14 $427,474.03 $1,277,944.24 $554,399.54 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 14 $392,706.47 $1,174,005.76 $509,308.80 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $289,014.62 $523,759.98 $326,712.18 nat. median
$370,165
0.9× 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
$7,400
outlier · 42.0×
Q2058
HCPCS 		Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 13 $216,813.71 $648,169.99 $285,245.62 nat. median
$302,242
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
$53,038
outlier · 5.4×
583
APR_DRG 		Neonate With Ecmo 9 $95,252.17 $643,766.02 $252,068.76 nat. median
$13,007
outlier · 19.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $72,571.43 $453,535.37 $244,026.97 nat. median
$261,939
0.9× median
631
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $206,732.43 $206,732.43 $206,732.43 nat. median
$77,861
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $54,219.74 $345,069.08 $185,511.93 nat. median
$199,832
0.9× median
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
$8,001
outlier · 22.8×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $120,546.48 $394,294.50 $180,537.54 nat. median
$280,935
0.6× median
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $67,127.65 $368,599.83 $180,020.42 nat. median
$52,667
outlier · 3.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $78,796.40 $323,825.71 $177,586.74 nat. median
$205,166
0.9× median
161
APR_DRG 		Implantable Heart Assist Systems 9 $26,702.80 $274,884.46 $155,955.18 nat. median
$157,885
1.0× median
2
APR_DRG 		Heart And/or Lung Transplant 9 $80,488.89 $368,355.67 $134,290.52 nat. median
$137,947
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
$6,509
outlier · 19.3×
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×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $36,071.43 $227,506.77 $122,411.15 nat. median
$132,706
0.9× median
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 $115,325.86 $115,325.86 $115,325.86 nat. median
$31,389
outlier · 3.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $100,406.57 $306,090.00 $113,503.07 nat. median
$114,305
1.0× median
7
MS_DRG 		Lung Transplant 15 $100,153.65 $126,280.69 $113,217.17 nat. median
$122,690
0.9× median
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
$13,790
outlier · 8.1×
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 13 $54,707.31 $254,403.71 $109,304.56 nat. median
$111,503
1.0× 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
$136,452
0.7× median
632
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Died 1 $101,459.95 $101,459.95 $101,459.95 nat. median
$65,117
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $39,231.14 $175,400.70 $96,190.13 nat. median
$100,978
1.0× median
K1007
HCPCS 		Pr Bil Hkaf Pc S/d Micro Sensor 13 $56,439.80 $223,468.39 $95,547.11 nat. median
$97,404
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $81,611.90 $279,535.00 $92,256.93 nat. median
$99,646
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 16 $19,430.34 $170,587.81 $90,550.05 nat. median
$98,002
0.9× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $53,590.34 $216,873.45 $90,519.33 nat. median
$92,864
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $18,566.20 $168,774.72 $89,587.64 nat. median
$96,835
0.9× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $39,461.54 $207,094.35 $89,254.42 nat. median
$126,291
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
$17,293
outlier · 5.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $24,907.16 $155,390.74 $83,608.76 nat. median
$92,900
0.9× median

Other procedures at this hospital

Browse this hospital's 19,317 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
             
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 18 — — $3,338.94 $82,648.35 $44,347.24 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 18 — — $12,319.20 $80,534.15 $42,748.49 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 18 — — $14,236.81 $76,553.74 $41,190.12 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 18 — — $10,459.70 $73,935.55 $39,131.12 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 46 18 — — $10,332.58 $58,746.54 $31,608.87 2026-04-14
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 46 18 — — $11,923.33 $51,906.41 $28,331.32 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 17 — — $72,571.43 $453,535.37 $244,026.97 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 16 — — $54,219.74 $345,069.08 $185,511.93 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 16 — — $78,796.40 $323,825.71 $177,586.74 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 43 16 — — $36,071.43 $227,506.77 $122,411.15 2026-04-14
14 MS_DRG Allogeneic Bone Marrow Transplant 32 16 — — $100,406.57 $306,090.00 $113,503.07 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 16 — — $39,231.14 $175,400.70 $96,190.13 2026-04-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 16 — — $81,611.90 $279,535.00 $92,256.93 2026-04-14
215 MS_DRG Other Heart Assist System Implant 43 16 — — $19,430.34 $170,587.81 $90,550.05 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $18,566.20 $168,774.72 $89,587.64 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 16 — — $24,907.16 $155,390.74 $83,608.76 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 43 16 — — $33,452.88 $148,320.35 $81,339.21 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 16 — — $30,289.55 $134,290.68 $73,645.31 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 16 — — $25,720.69 $136,438.69 $73,439.77 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $24,754.62 $136,361.40 $73,369.93 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 16 — — $27,899.79 $129,790.17 $71,177.22 2026-04-14
10 MS_DRG Pancreas Transplant 31 16 — — $61,102.78 $178,902.00 $69,072.71 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 43 16 — — $17,759.70 $125,850.01 $66,802.69 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 16 — — $17,211.29 $124,581.17 $66,129.18 2026-04-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 16 — — $20,835.87 $120,180.50 $64,663.72 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 16 — — $22,488.35 $113,784.78 $61,811.15 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $13,918.02 $114,303.27 $60,673.54 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 16 — — $21,725.67 $109,942.85 $60,292.90 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 16 — — $18,885.57 $112,013.56 $60,269.46 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 16 — — $13,795.51 $107,355.25 $57,763.03 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 16 — — $15,326.36 $107,951.03 $57,301.70 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 16 — — $20,541.69 $104,142.91 $57,112.20 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 43 16 — — $8,552.98 $107,537.21 $57,082.03 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 16 — — $16,339.65 $103,977.05 $55,905.83 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 16 — — $23,995.57 $101,827.44 $55,842.39 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 16 — — $22,466.56 $99,606.97 $54,624.68 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 16 — — $21,268.06 $99,152.90 $54,375.67 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 16 — — $19,379.50 $99,735.79 $54,179.33 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 43 16 — — $17,323.88 $98,355.85 $52,920.85 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 43 16 — — $23,200.19 $96,457.42 $52,897.46 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 16 — — $6,715.36 $95,726.39 $52,496.56 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 16 — — $46,256.66 $338,308.00 $52,290.13 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 16 — — $45,923.17 $230,336.00 $52,290.13 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 43 16 — — $14,836.07 $97,885.67 $51,958.88 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 16 — — $16,158.06 $96,457.42 $51,899.40 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 16 — — $14,839.70 $95,792.41 $50,847.76 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $18,003.03 $92,409.38 $50,677.51 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 16 — — $17,287.56 $93,744.23 $50,439.55 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 16 — — $13,572.19 $94,740.95 $50,289.63 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 16 — — $15,544.28 $91,857.08 $49,424.16 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 43 16 — — $24,729.20 $88,994.14 $48,804.59 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 43 16 — — $19,895.22 $89,755.77 $48,757.90 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 16 — — $19,877.06 $86,868.68 $47,638.98 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 16 — — $21,097.36 $85,992.73 $47,158.60 2026-04-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 16 — — $41,698.82 $227,821.00 $47,137.79 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 16 — — $10,575.43 $88,644.73 $47,053.68 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 16 — — $15,736.76 $87,408.10 $47,030.36 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 16 — — $13,644.82 $88,079.55 $46,753.68 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 16 — — $15,173.83 $86,879.95 $46,746.19 2026-04-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 16 — — $13,252.58 $86,962.07 $46,160.51 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 43 16 — — $13,855.47 $85,661.03 $46,090.35 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 16 — — $13,521.34 $85,281.02 $45,885.88 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 43 16 — — $12,893.03 $82,920.47 $44,113.29 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 43 16 — — $18,605.92 $80,234.66 $44,000.86 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 43 16 — — $13,274.38 $81,777.23 $44,000.65 2026-04-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 16 — — $16,691.94 $80,556.70 $43,760.70 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 43 16 — — $11,705.42 $82,028.42 $43,541.66 2026-04-14
245 MS_DRG Aicd Generator Procedures 43 16 — — $17,487.31 $78,682.42 $43,149.61 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 16 — — $11,581.94 $81,097.72 $43,047.64 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 16 — — $11,454.82 $80,619.49 $42,793.79 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 16 — — $17,545.42 $76,890.27 $42,166.79 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 43 16 — — $10,866.47 $78,207.41 $41,513.43 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 16 — — $3,700.07 $75,750.25 $41,149.70 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 16 — — $14,955.92 $74,909.72 $41,080.66 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 43 16 — — $10,971.79 $76,556.96 $40,637.35 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 16 — — $13,016.51 $75,344.48 $40,539.47 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 43 16 — — $11,923.33 $74,212.51 $39,930.41 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 16 — — $10,746.61 $73,945.21 $39,251.00 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 16 — — $15,765.82 $70,728.04 $38,787.41 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 16 — — $11,382.19 $72,008.14 $38,744.34 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 16 — — $9,969.40 $72,640.95 $38,558.69 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 43 16 — — $11,647.31 $71,335.08 $38,382.20 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 16 — — $10,383.43 $72,207.81 $38,328.77 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 16 — — $16,274.28 $69,523.61 $38,126.90 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 43 16 — — $14,178.70 $68,581.64 $37,610.32 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 43 16 — — $11,803.48 $69,668.52 $37,485.50 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 43 16 — — $4,766.12 $68,095.36 $36,991.35 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 16 — — $10,136.47 $68,681.47 $36,456.95 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 41 16 — — $3,014.43 $67,155.00 $36,133.08 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 16 — — $6,271.02 $66,990.76 $36,044.71 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 16 — — $12,715.07 $65,488.44 $35,914.01 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 16 — — $10,005.72 $67,472.21 $35,815.06 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 16 — — $8,810.84 $67,467.38 $35,812.49 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 43 16 — — $10,637.66 $66,208.20 $35,623.65 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 43 16 — — $12,039.55 $66,171.17 $35,603.73 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 16 — — $12,337.36 $66,072.95 $35,550.88 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 43 16 — — $13,771.94 $64,097.23 $35,151.06 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 16 — — $9,660.69 $65,747.69 $34,899.66 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 16 — — $14,639.95 $63,398.40 $34,767.83 2026-04-14
791 MS_DRG Prematurity With Major Problems 41 16 — — $2,651.40 $65,375.73 $34,702.22 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 16 — — $13,317.96 $62,958.82 $34,526.76 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 43 16 — — $13,092.78 $63,271.20 $34,370.73 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 16 — — $14,240.44 $62,612.63 $34,336.90 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 16 — — $9,976.66 $64,142.32 $34,134.99 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 16 — — $17,280.29 $64,967.54 $33,751.45 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 16 — — $8,291.49 $63,543.32 $33,729.56 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 16 — — $9,573.53 $63,267.98 $33,583.40 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 43 16 — — $10,612.24 $62,168.21 $33,449.92 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 16 — — $8,306.02 $62,232.62 $33,033.82 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 16 — — $11,048.06 $61,210.14 $32,934.42 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 16 — — $9,598.95 $62,008.80 $32,915.01 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 16 — — $9,337.46 $60,733.52 $32,238.08 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 16 — — $7,296.37 $60,285.89 $32,000.47 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 43 16 — — $12,965.67 $57,719.23 $31,653.35 2026-04-14
265 MS_DRG Aicd Lead Procedures 43 16 — — $12,613.38 $57,434.22 $31,497.06 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 16 — — $11,215.12 $57,722.45 $31,356.49 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 43 16 — — $12,137.61 $56,827.18 $31,164.15 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 16 — — $12,987.46 $56,683.87 $31,085.56 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 16 — — $8,168.01 $58,352.04 $30,973.96 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 16 — — $11,265.97 $56,414.97 $30,938.09 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 16 — — $12,355.52 $56,374.71 $30,916.02 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 43 16 — — $7,659.55 $57,706.35 $30,631.22 2026-04-14
332 MS_DRG Rectal Resection With Mcc 43 16 — — $13,652.09 $55,849.79 $30,628.15 2026-04-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 16 — — $8,440.40 $57,178.20 $30,350.87 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 16 — — $9,381.04 $56,405.31 $30,349.16 2026-04-14
665 MS_DRG Prostatectomy With Mcc 43 16 — — $11,483.88 $55,284.61 $30,318.20 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 16 — — $11,821.64 $55,788.60 $30,305.96 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 16 — — $10,510.54 $54,856.29 $30,010.55 2026-04-14
252 MS_DRG Other Vascular Procedures With Mcc 43 16 — — $10,710.30 $55,233.08 $30,004.19 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 16 — — $4,187.38 $55,461.73 $29,948.33 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 43 16 — — $6,693.48 $56,274.88 $29,871.38 2026-04-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 16 — — $8,861.69 $55,371.56 $29,792.94 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 16 — — $9,577.16 $54,617.98 $29,387.48 2026-04-14
37 MS_DRG Extracranial Procedures With Mcc 43 16 — — $10,274.48 $53,469.91 $29,323.02 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 16 — — $7,732.19 $55,147.74 $29,273.08 2026-04-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 16 — — $8,607.46 $54,046.36 $29,079.92 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 16 — — $8,734.58 $53,163.97 $28,605.14 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 43 16 — — $8,781.79 $52,455.49 $28,223.94 2026-04-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 43 16 — — $10,982.68 $51,445.89 $28,213.04 2026-04-14
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 16 — — $11,629.15 $51,594.03 $28,211.81 2026-04-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 16 — — $11,371.29 $51,355.72 $28,163.59 2026-04-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 43 16 — — $11,690.89 $51,104.53 $28,025.84 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 43 16 — — $8,066.32 $52,629.39 $27,936.31 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 16 — — $6,653.53 $52,478.03 $27,855.96 2026-04-14
662 MS_DRG Minor Bladder Procedures With Mcc 43 16 — — $11,011.74 $50,228.58 $27,545.46 2026-04-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 16 — — $9,933.08 $50,014.42 $27,428.02 2026-04-14
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 43 16 — — $4,154.82 $51,207.58 $27,181.60 2026-04-14
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 43 16 — — $9,657.06 $49,407.38 $27,095.11 2026-04-14
500 MS_DRG Soft Tissue Procedures With Mcc 43 16 — — $7,750.35 $51,019.19 $27,081.59 2026-04-14
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 43 16 — — $9,275.72 $50,251.12 $27,037.87 2026-04-14
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 43 16 — — $9,170.40 $49,790.60 $26,790.08 2026-04-14
652 MS_DRG Kidney Transplant 31 16 — — $23,537.97 $135,466.00 $26,608.14 2026-04-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 43 16 — — $7,819.35 $49,246.36 $26,497.25 2026-04-14
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 16 — — $7,412.59 $49,687.55 $26,374.75 2026-04-14
974 MS_DRG HIV With Major Related Condition With Mcc 43 16 — — $9,330.20 $48,080.57 $26,367.49 2026-04-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 16 — — $5,840.00 $49,652.13 $26,355.94 2026-04-14
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 16 — — $9,257.56 $47,355.98 $25,970.13 2026-04-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 15 — — $289,014.62 $523,759.98 $326,712.18 2026-04-14
7 MS_DRG Lung Transplant 30 15 — — $100,153.65 $126,280.69 $113,217.17 2026-04-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 15 — — $46,109.84 $157,764.05 $83,039.06 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 15 — — $60,751.00 $80,449.89 $68,675.04 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 30 15 — — $37,162.44 $60,622.90 $42,009.71 2026-04-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 15 — — $24,192.66 $44,519.41 $39,913.95 2026-04-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 15 — — $26,611.28 $123,730.80 $30,082.31 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 51 14 — — $617,960.18 $1,847,407.33 $815,694.00 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 54 14 — — $443,754.48 $1,326,615.07 $623,055.89 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 54 14 — — $434,036.75 $1,297,563.67 $601,605.29 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 54 14 — — $463,758.48 $1,386,417.51 $601,457.56 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 54 14 — — $434,337.63 $1,298,463.16 $595,312.61 2026-04-14
Q2041 HCPCS Pr Axicabtagene Ciloleucel Car+ 54 14 — — $427,474.03 $1,277,944.24 $554,399.54 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 54 14 — — $392,706.47 $1,174,005.76 $509,308.80 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 55 14 — — $50,865.36 $152,063.26 $69,139.85 2026-04-14
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 55 14 — — $44,863.07 $134,119.28 $60,981.11 2026-04-14
J9226 HCPCS Supprelin La Implant 56 14 — — $38,357.29 $114,680.06 $51,150.14 2026-04-14
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 56 14 — — $3,713.14 $71,546.20 $31,039.07 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 44 13 — — $1,870,030.80 $4,960,164.00 $2,468,400.00 2026-04-14
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 36 13 — — $216,813.71 $648,169.99 $285,245.62 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 51 13 — — $54,707.31 $254,403.71 $109,304.56 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 50 13 — — $56,439.80 $223,468.39 $95,547.11 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 50 13 — — $40,840.48 $161,704.26 $69,138.98 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 62 13 — — $45,567.61 $136,225.49 $60,518.14 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 51 13 — — $24,338.29 $113,179.58 $48,627.61 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 52 13 — — $21,603.95 $100,464.15 $43,373.96 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 50 13 — — $20,536.69 $90,685.57 $38,773.91 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 50 13 — — $20,758.16 $82,190.09 $35,141.55 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 36 13 — — $20,254.56 $88,855.36 $31,075.18 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 45 13 $4,242.00 $975.66 77% off $3,953.64 $39,792.60 $30,977.49 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 47 13 — — $23,200.22 $69,357.63 $30,088.82 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 51 13 — — $14,581.71 $67,808.88 $29,134.09 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 50 13 — — $14,512.86 $67,488.69 $28,855.76 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 38 13 — — $18,278.47 $80,186.38 $27,911.11 2026-04-14
J9600 HCPCS Pr Porfimer Sodium 52 13 — — $6,868.50 $58,082.79 $26,168.41 2026-04-14
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 24 12 — — $3,510,317.25 $4,771,475.00 $4,530,712.50 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 38 12 — — $2,975,049.00 $4,978,505.00 $3,927,000.00 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 38 12 — — $2,955,215.34 $4,978,505.00 $3,906,382.67 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 40 12 — — $2,665,974.21 $4,560,647.73 $3,540,669.07 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 40 12 — — $2,615,280.57 $4,473,926.79 $3,467,618.15 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 40 12 — — $2,366,155.64 $4,047,751.97 $3,134,663.94 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 41 12 — — $1,966,351.50 $4,709,288.00 $2,554,248.40 2026-04-14
583 APR_DRG Neonate With Ecmo 51 9 — — $95,252.17 $643,766.02 $252,068.76 2026-04-14
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 50 9 — — $120,546.48 $394,294.50 $180,537.54 2026-04-14
161 APR_DRG Implantable Heart Assist Systems 40 9 — — $26,702.80 $274,884.46 $155,955.18 2026-04-14
2 APR_DRG Heart And/or Lung Transplant 52 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 52 9 — — $22,199.15 $258,558.82 $125,590.60 2026-04-14
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 52 9 — — $63,620.40 $227,323.49 $104,214.96 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 51 9 — — $39,461.54 $207,094.35 $89,254.42 2026-04-14
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 52 9 — — $43,188.92 $171,250.15 $74,313.68 2026-04-14
1 APR_DRG Liver Transplant And/or Intestinal Transplant 51 9 — — $40,997.78 $205,034.60 $72,271.67 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 52 9 — — $22,915.86 $144,269.97 $65,437.93 2026-04-14
6 APR_DRG Pancreas Transplant 51 9 — — $33,628.12 $133,928.45 $65,067.57 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 52 9 — — $19,526.65 $239,626.67 $60,198.05 2026-04-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 52 9 — — $23,732.05 $274,715.42 $59,560.12 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 52 9 — — $30,287.76 $132,376.86 $58,792.15 2026-04-14
841 APR_DRG Extensive Third Degree Burns With Skin Graft 40 9 — — $32,565.06 $244,516.22 $57,616.77 2026-04-14
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 52 9 — — $23,029.61 $106,046.73 $48,867.35 2026-04-14
440 APR_DRG Kidney Transplant 52 9 — — $24,652.01 $103,839.86 $48,536.84 2026-04-14
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 52 9 — — $5,913.69 $125,254.35 $47,324.82 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 52 9 — — $28,858.90 $105,534.40 $46,328.93 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 52 9 — — $20,928.27 $157,798.15 $45,712.38 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 52 9 — — $5,602.61 $264,226.78 $44,734.29 2026-04-14
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 52 9 — — $16,226.12 $75,503.20 $42,771.26 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 52 9 — — $26,165.33 $83,366.55 $42,591.33 2026-04-14
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 52 9 — — $20,120.06 $92,795.06 $41,693.84 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 52 9 — — $18,143.44 $86,729.56 $39,413.90 2026-04-14
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 52 9 — — $19,980.37 $74,320.99 $37,486.57 2026-04-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 52 9 — — $11,826.07 $110,099.45 $36,384.18 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 52 9 — — $18,082.14 $74,427.42 $34,865.36 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 52 9 — — $13,908.38 $109,087.31 $34,571.40 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 51 9 — — $20,409.00 $63,738.43 $32,654.40 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 52 9 — — $16,135.56 $81,683.49 $32,405.28 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 52 9 — — $12,599.40 $71,701.96 $31,537.27 2026-04-14
910 APR_DRG Craniotomy For Multiple Significant Trauma 51 9 — — $18,103.66 $79,183.41 $31,069.42 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 52 9 — — $11,862.37 $66,262.51 $30,768.91 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 52 9 — — $12,319.75 $136,893.90 $29,708.78 2026-04-14
690 APR_DRG Acute Leukemia 52 9 — — $8,891.62 $68,799.11 $29,514.63 2026-04-14
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 27 9 — — $754.99 $183,795.41 $29,267.78 2026-04-14
91 APR_DRG Other Major Head And Neck Procedures 52 9 — — $8,877.65 $72,923.82 $29,005.48 2026-04-14
863 APR_DRG Neonatal Aftercare 52 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 51 9 — — $9,156.17 $72,787.13 $28,394.05 2026-04-14
23 APR_DRG Spinal Procedures 52 9 — — $10,915.80 $65,377.68 $28,357.26 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 52 9 — — $14,697.48 $70,027.24 $27,761.33 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 51 9 — — $12,448.40 $75,315.38 $27,238.96 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 52 9 — — $9,069.23 $62,603.17 $27,203.48 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 52 9 — — $11,877.67 $62,640.74 $27,031.58 2026-04-14
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 52 9 — — $10,853.94 $56,066.03 $26,257.48 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 52 9 — — $9,206.26 $76,967.15 $26,202.04 2026-04-14
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 48 8 — — $67,127.65 $368,599.83 $180,020.42 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 48 8 — — $41,600.58 $269,475.27 $102,043.12 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 48 8 — — $53,590.34 $216,873.45 $90,519.33 2026-04-14
178 APR_DRG External Heart Assist Devices 48 8 — — $32,609.41 $88,240.46 $49,840.04 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 8 — — $27,184.18 $90,923.14 $46,657.93 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 48 8 — — $28,130.45 $96,458.58 $45,842.36 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 48 8 — — $26,620.72 $79,417.14 $40,396.62 2026-04-14
179 APR_DRG Defibrillator Implants 48 8 — — $24,400.15 $73,351.63 $38,722.17 2026-04-14
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 8 — — $20,452.04 $69,363.61 $33,033.17 2026-04-14
851 APR_DRG Gender Related Procedures 36 8 — — $14,297.06 $126,319.70 $28,300.71 2026-04-14
27 APR_DRG Other Open Craniotomy 48 8 — — $13,267.32 $60,346.22 $27,810.01 2026-04-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 48 8 — — $11,526.73 $54,696.00 $26,636.34 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 16 4 — — $61,878.30 $91,452.37 $73,852.28 2026-04-14
0100 RC All-inclusive Room And Board Plus Ancillary 3 2 — — $79,639.75 $79,639.75 $79,639.75 2026-04-14
0481 RC Cardiac Cath Lab 3 2 — — $43,094.00 $43,094.00 $43,094.00 2026-04-14
0250-1402-1405 EAPG Cochlear Device Implantation 2 2 — — $27,219.32 $28,580.28 $27,899.80 2026-04-14
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 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
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $285,105.09 $285,105.09 $285,105.09 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
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
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $115,325.86 $115,325.86 $115,325.86 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
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
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
3 APR_DRG Bone Marrow Transplant 4 1 — — $44,072.96 $149,071.52 $65,134.60 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
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
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 2 1 — — $53,680.50 $53,680.50 $53,680.50 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
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
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
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
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
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
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
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $39,461.07 $39,461.07 $39,461.07 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
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
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
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
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
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
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
609 MS_DRG Other Respiratory Problems After Birth 1 1 — — $26,314.69 $26,314.69 $26,314.69 2026-04-14
See an error in this hospital's data? Submit a correction