Price Transparencybeta Hospital negotiated rates

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

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Hospital

FORBES HOSPITAL

Monroeville, PA · CCN 390267 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $14,432 across 18 payers · range $7,071-$31,899

Source: https://www.ahn.org/content/dam/ahn/en/dmxahn/documents/patients-visitors/patients/financial-services/hospital-charges/250969492-1679592380_west-penn-allegheny-health-system-inc_standardcharges.csv · observed 2026-04-14

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

20,527 distinct procedures filed
876 distinct payers
1,476,092 rate rows
2026-04-14 last MRF observed
Data quality

1,208,271 of 1,476,092 rate rows are consumer-grade (81.9%)

267,821 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 234,968
exceeds 10× this hospital's gross charge — excluded from medians 17,432
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,696
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,427
per-diem day rate — not a per-procedure price 1,420
template filing: same amount across many unrelated codes — excluded 1,383
placeholder amount (≤ $0.02) — excluded from medians 491
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/250969492-1679592380_west-penn-allegheny-health-system-inc_standardcharges.csv
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint aa4cc159bac0ad14… · 368,666,867 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 $2,828,302.75 $4,837,137.50 $4,552,600.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 12 $2,381,050.79 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Pr Inj, Beqvez, Per Tx Dose 12 $2,397,031.00 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 12 $2,148,005.90 $4,551,776.00 $3,573,845.96 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 12 $2,107,161.47 $4,409,533.00 $3,478,200.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 12 $1,906,438.66 $4,565,007.34 $3,141,600.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 12 $1,584,311.89 $4,877,503.13 $2,554,248.40 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 13 $1,506,705.20 $4,897,200.00 $2,468,400.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 15 $497,897.58 $2,196,267.00 $815,694.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 15 $357,538.06 $1,577,129.67 $665,890.59 nat. median
$631,793
1.1× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 15 $349,708.37 $1,542,592.27 $635,138.00 nat. median
$610,161
1.0× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 15 $349,950.80 $1,543,661.62 $621,679.58 nat. median
$624,417
1.0× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 15 $373,655.51 $1,648,225.05 $601,457.56 nat. median
$691,418
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 $344,420.71 $1,519,267.96 $554,399.54 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 15 $316,408.09 $1,395,702.00 $509,308.80 nat. median
$577,541
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 $174,689.29 $770,568.75 $289,301.25 nat. median
$302,242
1.0× 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×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $245,885.89 $637,980.41 $281,966.97 nat. median
$370,165
0.8× median
583
APR_DRG 		Neonate With Ecmo 9 $100,014.85 $675,954.86 $249,393.60 nat. median
$13,007
outlier · 19.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $117,165.66 $476,518.59 $213,600.40 nat. median
$261,939
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
$77,861
outlier · 2.7×
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $70,484.09 $387,030.13 $183,305.93 nat. median
$52,667
outlier · 3.5×
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 $126,573.91 $414,009.56 $178,621.52 nat. median
$280,935
0.6× median
161
APR_DRG 		Implantable Heart Assist Systems 9 $28,037.96 $288,628.91 $161,026.91 nat. median
$157,885
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $1,357.86 $362,555.69 $154,643.43 nat. median
$199,832
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $127,215.80 $447,598.68 $153,224.04 nat. median
$205,166
0.7× median
2
APR_DRG 		Heart And/or Lung Transplant 9 $84,513.41 $386,773.76 $136,482.92 nat. median
$137,947
1.0× median
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $23,309.13 $271,486.98 $130,528.88 nat. median
$6,509
outlier · 20.1×
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×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$58,534
outlier · 2.0×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$45,104
outlier · 2.6×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$51,048
outlier · 2.3×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $117,561.13 $117,561.13 $117,561.13 nat. median
$40,712
outlier · 2.9×
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×
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×
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $66,801.47 $238,689.86 $109,425.79 nat. median
$13,186
outlier · 8.3×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $43,680.65 $282,949.26 $107,145.37 nat. median
$136,452
0.8× median
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 13 $51,404.98 $302,444.65 $106,120.93 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $1,199.47 $239,035.83 $103,214.36 nat. median
$132,706
0.8× 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
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $85,423.21 $318,931.66 $98,422.40 nat. median
$114,305
0.9× median
7
MS_DRG 		Lung Transplant 16 $85,208.04 $108,582.16 $97,248.31 nat. median
$122,690
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $96,340.00 $96,340.00 $96,340.00 nat. median
$57,648
1.7× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $41,434.65 $217,449.24 $93,717.21 nat. median
$126,291
0.7× median
K1007
HCPCS 		Pr Bil Hkaf Pc S/d Micro Sensor 13 $45,154.17 $265,667.59 $93,216.70 nat. median
$97,404
1.0× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $56,269.91 $227,717.31 $92,171.38 nat. median
$92,864
1.0× 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×

Other procedures at this hospital

Browse this hospital's 20,527 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 22 12 — — $2,828,302.75 $4,837,137.50 $4,552,600.00 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 38 12 — — $2,381,050.79 $4,978,505.00 $3,927,000.00 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 38 12 — — $2,397,031.00 $4,978,505.00 $3,927,000.00 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 38 12 — — $2,148,005.90 $4,551,776.00 $3,573,845.96 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 38 12 — — $2,107,161.47 $4,409,533.00 $3,478,200.00 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 39 12 — — $1,906,438.66 $4,565,007.34 $3,141,600.00 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 43 12 — — $1,584,311.89 $4,877,503.13 $2,554,248.40 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 45 13 — — $1,506,705.20 $4,897,200.00 $2,468,400.00 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 51 15 — — $497,897.58 $2,196,267.00 $815,694.00 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 54 15 — — $357,538.06 $1,577,129.67 $665,890.59 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 54 15 — — $349,708.37 $1,542,592.27 $635,138.00 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 54 15 — — $349,950.80 $1,543,661.62 $621,679.58 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 54 15 — — $373,655.51 $1,648,225.05 $601,457.56 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+ 54 15 — — $344,420.71 $1,519,267.96 $554,399.54 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 54 15 — — $316,408.09 $1,395,702.00 $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… 35 13 — — $174,689.29 $770,568.75 $289,301.25 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 30 16 — — $245,885.89 $637,980.41 $281,966.97 2026-04-14
583 APR_DRG Neonate With Ecmo 55 9 — — $100,014.85 $675,954.86 $249,393.60 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 18 — — $117,165.66 $476,518.59 $213,600.40 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
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 52 8 — — $70,484.09 $387,030.13 $183,305.93 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
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 54 9 — — $126,573.91 $414,009.56 $178,621.52 2026-04-14
161 APR_DRG Implantable Heart Assist Systems 43 9 — — $28,037.96 $288,628.91 $161,026.91 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 74 21 — — $1,357.86 $362,555.69 $154,643.43 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 17 — — $127,215.80 $447,598.68 $153,224.04 2026-04-14
2 APR_DRG Heart And/or Lung Transplant 56 9 — — $84,513.41 $386,773.76 $136,482.92 2026-04-14
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 56 9 — — $23,309.13 $271,486.98 $130,528.88 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
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $117,561.13 $117,561.13 $117,561.13 2026-04-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $117,561.13 $117,561.13 $117,561.13 2026-04-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $117,561.13 $117,561.13 $117,561.13 2026-04-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $117,561.13 $117,561.13 $117,561.13 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
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 56 9 — — $66,801.47 $238,689.86 $109,425.79 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 52 8 — — $43,680.65 $282,949.26 $107,145.37 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 49 13 — — $51,404.98 $302,444.65 $106,120.93 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 74 21 — — $1,199.47 $239,035.83 $103,214.36 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 32 17 — — $85,423.21 $318,931.66 $98,422.40 2026-04-14
7 MS_DRG Lung Transplant 29 16 — — $85,208.04 $108,582.16 $97,248.31 2026-04-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $96,340.00 $96,340.00 $96,340.00 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 55 9 — — $41,434.65 $217,449.24 $93,717.21 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 49 13 — — $45,154.17 $265,667.59 $93,216.70 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 52 8 — — $56,269.91 $227,717.31 $92,171.38 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
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $84,937.30 $84,937.30 $84,937.30 2026-04-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $84,937.30 $84,937.30 $84,937.30 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 17 — — $63,338.18 $222,850.34 $82,994.04 2026-04-14
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $82,084.32 $82,084.32 $82,084.32 2026-04-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 17 — — $69,433.22 $279,535.00 $79,621.79 2026-04-14
215 MS_DRG Other Heart Assist System Implant 52 21 — — $31,370.05 $179,232.46 $79,590.45 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $78,440.00 $78,440.00 $78,440.00 2026-04-14
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 56 9 — — $45,348.40 $179,812.81 $78,029.43 2026-04-14
0804 RC Inpatient Continuous Cycling Peritoneal Dialysis (ccpd) 6 5 — — $75,950.00 $75,950.00 $75,950.00 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 74 21 — — $1,575.20 $177,327.50 $75,798.14 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 55 15 — — $40,982.80 $180,778.50 $73,496.48 2026-04-14
237 MS_DRG Major Cardiovasc Procedures W Mcc 2 2 — — $70,240.35 $76,002.00 $73,121.18 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 21 — — $40,212.29 $163,265.27 $72,500.02 2026-04-14
1 APR_DRG Liver Transplant And/or Intestinal Transplant 55 9 — — $43,047.70 $215,286.51 $72,407.34 2026-04-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 16 — — $61,316.61 $261,924.45 $71,647.13 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 44 17 — — $54,009.25 $190,027.26 $70,180.48 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 56 9 — — $24,061.68 $151,483.59 $68,709.89 2026-04-14
3 APR_DRG Bone Marrow Transplant 4 1 — — $46,276.64 $156,525.22 $68,391.39 2026-04-14
6 APR_DRG Pancreas Transplant 55 9 — — $35,309.55 $140,624.98 $68,321.01 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 49 13 — — $32,674.07 $192,240.08 $67,452.66 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
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 55 15 — — $36,146.69 $159,446.02 $66,268.94 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 21 — — $41,525.73 $146,104.99 $63,657.64 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 50 21 — — $39,966.02 $143,271.61 $63,621.58 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 17 — — $48,902.09 $172,058.12 $63,542.08 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 56 9 — — $20,502.99 $251,608.21 $63,208.00 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
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 56 9 — — $24,918.68 $288,451.42 $62,538.17 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 17 — — $45,043.87 $158,483.27 $61,412.59 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 61 13 — — $36,714.34 $161,949.96 $61,370.51 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 56 9 — — $31,802.17 $138,995.81 $60,648.53 2026-04-14
10 MS_DRG Pancreas Transplant 30 17 — — $51,984.60 $178,902.00 $59,612.79 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 16 — — $51,685.32 $80,449.89 $58,988.68 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 21 — — $28,672.81 $132,227.55 $58,163.39 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 21 — — $1,862.00 $130,894.41 $57,576.97 2026-04-14
841 APR_DRG Extensive Third Degree Burns With Skin Graft 43 9 — — $34,193.34 $256,742.24 $57,403.11 2026-04-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 21 — — $4,728.00 $126,270.73 $55,014.16 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 21 — — $26,002.96 $127,743.87 $53,839.35 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
J9226 HCPCS Supprelin La Implant 55 15 — — $30,894.50 $129,847.11 $52,548.33 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 17 — — $35,075.82 $123,411.47 $52,021.46 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 21 — — $2,218.36 $120,095.66 $51,591.63 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
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 56 9 — — $24,181.11 $111,349.16 $51,310.76 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 86 21 — — $1,044.40 $117,689.93 $50,347.40 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 21 — — $13,795.51 $113,612.00 $50,088.30 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 21 — — $704.00 $113,421.52 $49,891.11 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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 44 17 — — $13,808.68 $112,986.73 $49,226.53 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 17 — — $26,380.16 $117,561.13 $48,969.81 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 56 9 — — $30,301.87 $110,811.21 $48,645.41 2026-04-14
178 APR_DRG External Heart Assist Devices 52 8 — — $34,239.90 $92,652.55 $48,430.54 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 21 — — $33,164.30 $116,685.94 $48,360.33 2026-04-14
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 56 9 — — $6,209.38 $131,517.17 $48,213.30 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
440 APR_DRG Kidney Transplant 56 9 — — $25,884.64 $109,031.94 $48,021.73 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 56 9 — — $21,974.70 $165,688.19 $47,998.04 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 52 8 — — $28,543.41 $95,469.37 $47,509.48 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 21 — — $38,740.54 $136,305.52 $47,509.21 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 49 13 — — $22,869.14 $134,552.12 $47,211.27 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 21 — — $36,271.98 $127,620.09 $47,130.85 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 17 — — $31,287.96 $110,084.19 $46,972.31 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 56 9 — — $5,882.75 $277,438.34 $46,971.04 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 17 — — $34,337.01 $120,812.03 $46,916.01 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 52 8 — — $29,536.99 $101,281.59 $46,180.63 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 21 — — $1,896.59 $106,117.26 $46,105.94 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 52 21 — — $4,616.00 $102,846.09 $45,454.68 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 17 — — $32,164.52 $131,787.44 $45,428.31 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 17 — — $39,353.92 $289,937.85 $45,342.56 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 17 — — $39,353.92 $338,308.00 $45,342.56 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 17 — — $23,958.51 $117,561.13 $45,325.93 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 21 — — $2,184.00 $101,345.47 $45,003.74 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 48 21 — — $6,715.36 $134,613.82 $44,662.67 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 17 — — $27,910.55 $98,494.79 $44,356.79 2026-04-14
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 56 9 — — $21,126.08 $97,434.90 $43,778.57 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 21 — — $2,888.35 $102,265.24 $43,725.18 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 64 21 — — $2,126.50 $99,542.01 $43,585.65 2026-04-14
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 56 9 — — $17,037.44 $79,278.43 $43,551.87 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 21 — — $1,114.00 $96,512.00 $42,857.38 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 44 17 — — $32,120.58 $113,013.71 $42,272.05 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 56 9 — — $27,473.61 $87,534.95 $42,139.31 2026-04-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $42,101.03 $42,101.03 $42,101.03 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 49 13 — — $20,299.85 $119,435.55 $41,907.21 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 17 — — $10,575.43 $93,136.86 $41,553.69 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 50 21 — — $751.80 $140,472.87 $41,521.63 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 17 — — $25,406.81 $91,837.56 $41,358.74 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 44 17 — — $32,091.26 $112,910.56 $41,103.50 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 50 21 — — $22,029.39 $92,543.04 $41,094.91 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 17 — — $34,061.42 $119,842.40 $40,689.03 2026-04-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 17 — — $35,476.24 $227,821.00 $40,681.99 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 21 — — $24,497.95 $91,282.65 $40,535.22 2026-04-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 21 — — $21,396.13 $91,368.93 $40,190.77 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 56 9 — — $19,050.62 $91,066.11 $40,133.24 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 21 — — $21,830.03 $89,602.70 $39,601.54 2026-04-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $39,596.40 $39,596.40 $39,596.40 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 65 22 — — $22,369.48 $90,001.96 $39,352.60 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 52 8 — — $27,951.78 $83,388.06 $39,254.18 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 44 17 — — $20,815.64 $87,122.52 $39,052.84 2026-04-14
238 MS_DRG Major Cardiovasc Procedures Without Mcc 1 1 — — $38,961.86 $38,961.86 $38,961.86 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 21 — — $3,338.94 $86,836.61 $38,560.90 2026-04-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 56 9 — — $12,417.38 $115,604.51 $38,203.42 2026-04-14
179 APR_DRG Defibrillator Implants 52 8 — — $25,620.18 $77,019.28 $37,996.50 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 44 17 — — $18,493.67 $84,704.94 $37,969.16 2026-04-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 17 — — $26,948.92 $94,817.64 $37,939.58 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 58 21 — — $1,574.00 $86,185.27 $37,910.61 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 21 — — $18,698.89 $85,207.41 $37,837.43 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 49 13 — — $18,323.98 $107,810.40 $37,828.21 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 68 21 — — $6,211.50 $85,921.35 $37,794.52 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 21 — — $4,357.00 $105,689.90 $37,611.33 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $37,500.00 $37,500.00 $37,500.00 2026-04-14
245 MS_DRG Aicd Generator Procedures 44 17 — — $28,233.04 $99,335.71 $37,230.03 2026-04-14
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 56 9 — — $20,979.41 $78,037.10 $37,088.73 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 56 9 — — $18,986.26 $78,148.85 $36,608.66 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 56 9 — — $14,603.81 $114,541.77 $36,300.00 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
471 MS_DRG Cervical Spinal Fusion With Mcc 56 21 — — $354.68 $82,170.63 $36,144.68 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 29 16 — — $31,616.81 $60,622.90 $36,084.40 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 44 17 — — $17,713.81 $80,436.54 $36,055.84 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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 21 — — $17,620.62 $99,665.80 $35,705.16 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 21 — — $21,015.00 $79,162.61 $35,153.16 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 22 — — $1,820.00 $84,937.30 $35,030.95 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 50 21 — — $24,146.14 $84,956.28 $34,950.32 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 74 21 — — $2,031.00 $82,666.29 $34,452.78 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 49 13 — — $16,607.38 $97,710.65 $34,284.44 2026-04-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 16 — — $24,192.66 $37,875.92 $34,284.23 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 21 — — $1,747.00 $76,322.08 $34,051.65 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 56 9 — — $16,942.35 $85,767.73 $34,025.58 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 62 21 — — $1,236.00 $77,973.28 $33,971.72 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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 86 21 — — $793.56 $80,871.44 $33,695.63 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 21 — — $897.37 $75,866.99 $33,689.70 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 44 17 — — $18,804.44 $74,950.03 $33,596.50 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 44 17 — — $25,453.71 $89,556.87 $33,466.26 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 76 21 — — $4,409.38 $75,657.21 $33,121.12 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 56 9 — — $13,229.38 $75,287.11 $33,114.16 2026-04-14
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 52 8 — — $21,474.66 $72,831.85 $32,989.21 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 44 17 — — $19,056.57 $73,199.02 $32,964.93 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 17 — — $26,274.61 $92,445.14 $32,896.37 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 55 9 — — $21,429.47 $66,925.41 $32,707.44 2026-04-14
910 APR_DRG Craniotomy For Multiple Significant Trauma 55 9 — — $19,008.85 $83,142.65 $32,622.92 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 86 21 — — $477.69 $77,682.29 $32,543.21 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
140 MS_DRG Major Head And Neck Procedures With Mcc 50 21 — — $4,766.12 $82,521.88 $31,770.97 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 21 — — $16,365.20 $72,161.95 $31,742.13 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 44 17 — — $16,154.11 $70,891.41 $31,628.72 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 56 9 — — $12,455.50 $69,575.69 $31,505.83 2026-04-14
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 55 15 — — $19,274.35 $81,008.57 $31,463.11 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 36 13 — — $16,748.35 $92,614.28 $31,368.34 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 74 21 — — $2,459.50 $80,541.35 $31,354.68 2026-04-14
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $31,307.40 $31,307.40 $31,307.40 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 56 9 — — $12,935.74 $143,738.71 $31,194.24 2026-04-14
690 APR_DRG Acute Leukemia 56 9 — — $9,336.21 $72,239.12 $30,990.39 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 43 13 $4,242.00 $933.24 78% off $3,953.64 $38,169.65 $30,977.49 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 21 — — $6,271.02 $70,385.56 $30,960.74 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 62 21 — — $3,149.08 $70,886.34 $30,884.05 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 74 21 — — $2,088.00 $69,524.44 $30,873.21 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 21 — — $19,918.51 $70,081.71 $30,827.38 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 60 21 — — $470.80 $70,558.13 $30,741.06 2026-04-14
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 29 9 — — $792.74 $192,985.34 $30,731.20 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 50 21 — — $9,258.49 $72,227.28 $30,554.67 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
91 APR_DRG Other Major Head And Neck Procedures 56 9 — — $9,321.54 $76,570.08 $30,455.78 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 56 21 — — $15,597.07 $69,079.50 $30,386.24 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 44 17 — — $22,234.62 $78,230.74 $30,328.78 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 71 22 — — $2,086.11 $69,563.35 $30,307.65 2026-04-14
791 MS_DRG Prematurity With Major Problems 54 21 — — $428.00 $68,688.69 $30,214.33 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 44 17 — — $23,636.01 $83,161.42 $29,998.11 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 46 13 — — $14,014.45 $82,454.95 $29,944.17 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 44 17 — — $21,138.13 $74,372.84 $29,937.92 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 21 — — $1,881.23 $67,392.77 $29,926.62 2026-04-14
863 APR_DRG Neonatal Aftercare 56 9 — — $6,359.41 $113,065.98 $29,837.88 2026-04-14
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 55 9 — — $9,613.99 $76,426.55 $29,813.77 2026-04-14
23 APR_DRG Spinal Procedures 56 9 — — $11,461.60 $68,646.62 $29,775.15 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 21 — — $15,497.39 $65,151.14 $29,613.53 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
0173 RC Newborn - Level Iii 30 5 — — $1,860.74 $63,229.50 $29,490.10 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 44 17 — — $17,133.32 $65,318.63 $29,416.02 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 50 21 — — $21,501.67 $75,651.93 $29,374.44 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 56 21 — — $13,386.51 $66,763.42 $29,367.46 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 50 21 — — $22,991.02 $80,892.07 $29,212.92 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 56 9 — — $15,432.37 $73,528.66 $29,149.42 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 17 — — $17,836.95 $64,312.01 $28,962.70 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 62 21 — — $10,000.00 $66,474.13 $28,961.72 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
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 57 21 — — $3,591.00 $63,811.24 $28,603.51 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 55 9 — — $13,070.83 $79,081.22 $28,600.93 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 56 9 — — $9,522.70 $65,733.39 $28,563.68 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 21 — — $975.00 $65,386.30 $28,487.78 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 56 9 — — $12,471.56 $65,772.83 $28,383.18 2026-04-14
27 APR_DRG Other Open Craniotomy 52 8 — — $13,930.70 $63,363.58 $28,317.57 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 86 21 — — $911.00 $98,159.78 $28,308.49 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 49 13 — — $13,701.51 $80,613.73 $28,285.52 2026-04-14
851 APR_DRG Gender Related Procedures 39 8 — — $15,011.93 $132,635.79 $28,195.76 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 38 13 — — $15,114.33 $83,578.57 $28,175.67 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 49 13 — — $13,636.81 $80,233.09 $28,151.96 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 50 21 — — $11,779.89 $63,340.92 $28,127.34 2026-04-14
0210 RC Coronary Care - General Classification 78 5 — — $8,467.00 $55,925.41 $27,942.00 2026-04-14
0250-1402-1405 EAPG Cochlear Device Implantation 2 2 — — $27,219.32 $28,580.28 $27,899.80 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 44 17 — — $16,681.83 $61,723.56 $27,796.99 2026-04-14
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 56 9 — — $11,396.64 $58,869.38 $27,570.37 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 56 9 — — $9,666.58 $80,815.57 $27,512.17 2026-04-14
265 MS_DRG Aicd Lead Procedures 44 17 — — $20,364.14 $71,649.62 $27,176.05 2026-04-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 52 8 — — $12,103.08 $57,430.84 $27,122.47 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
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 21 — — $988.71 $63,706.89 $26,931.33 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 21 — — $20,932.91 $73,650.78 $26,929.82 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 44 17 — — $19,596.02 $68,947.03 $26,888.82 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 62 21 — — $638.50 $61,309.07 $26,711.39 2026-04-14
120 APR_DRG Major Respiratory And Chest Procedures 56 9 — — $12,102.08 $67,721.92 $26,699.36 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 44 17 — — $20,450.53 $73,774.56 $26,696.26 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 17 — — $19,947.83 $70,184.86 $26,674.72 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 57 22 — — $474.08 $60,630.66 $26,669.82 2026-04-14
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 56 9 — — $8,109.73 $75,393.39 $26,563.09 2026-04-14
332 MS_DRG Rectal Resection With Mcc 44 17 — — $22,041.12 $77,549.94 $26,426.35 2026-04-14
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 56 9 — — $8,513.43 $67,485.27 $26,372.93 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 50 21 — — $18,188.76 $63,995.72 $26,321.30 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
441 APR_DRG Major Bladder Procedures 56 9 — — $8,942.98 $61,293.97 $26,303.57 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 44 17 — — $19,085.89 $67,152.18 $26,274.61 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 21 — — $2,579.00 $59,263.68 $26,192.65 2026-04-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 21 — — $1,547.00 $60,075.75 $26,174.05 2026-04-14
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 50 13 $81,630.50 $17,958.71 78% off $15,653.98 $69,051.00 $26,168.41 2026-04-14
665 MS_DRG Prostatectomy With Mcc 44 17 — — $18,540.58 $65,233.55 $26,158.92 2026-04-14
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 56 9 — — $10,196.00 $70,245.11 $25,974.20 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 44 17 — — $16,969.14 $59,704.58 $25,956.25 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 62 21 — — $557.00 $59,126.65 $25,877.71 2026-04-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 16 — — $22,640.16 $123,730.80 $25,839.31 2026-04-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 50 21 — — $14,307.09 $58,177.55 $25,834.48 2026-04-14
J7310 HCPCS Pr Ganciclovir Long Act Implant 4 2 — — $16,960.00 $26,515.20 $25,785.60 2026-04-14
0001 RC Total Charge 12 7 — — $5,233.27 $46,130.90 $25,682.09 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 21 — — $4,187.38 $59,580.80 $25,632.43 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 52 8 — — $13,963.56 $53,729.87 $25,610.13 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 58 21 — — $3,924.00 $57,385.79 $25,482.89 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 64 21 — — $3,099.50 $57,942.39 $25,425.25 2026-04-14
252 MS_DRG Other Vascular Procedures With Mcc 62 21 — — $17,291.64 $60,839.26 $25,405.21 2026-04-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 17 — — $13,896.64 $56,785.20 $25,394.33 2026-04-14
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