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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

SURGICAL INSTITUTE OF READING

Wyomissing, PA · CCN 390316 · Rates published

Your selected procedure

You selected 93458 (CPT)

L HRT ARTERY/VENTRICLE ANGIO

This hospital’s price: $11,700 across 1 payer

Source: https://mrfs.hyvehealthcare.com/USPI/680561190_SurgicalInstituteofReading_standardcharges.json · observed 2026-04-08

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.

12,884 distinct procedures filed
11 distinct payers
203,288 rate rows
2026-04-08 last MRF observed
Data quality

179,082 of 203,288 rate rows are consumer-grade (88.1%)

24,206 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
exceeds 10× this hospital's gross charge — excluded from medians 15,840
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,028
template filing: same amount across many unrelated codes — excluded 220
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 50
per-diem day rate — not a per-procedure price 42
placeholder amount (≤ $0.02) — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/680561190_surgical-institute-of-reading-llc_standardcharges.json
Found on page https://sireading.com/hospital-pricing-information/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 587ea65a22b853cf… · 28,466,348 bytes · first seen 2026-09-28

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,296,000.00 $3,296,000.00 $3,296,000.00 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,302,784.67 $2,302,784.67 $2,302,784.67 nat. median
$2,455,111
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $511,072.50 $511,072.50 $511,072.50 nat. median
$621,313
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $507,195.92 $507,195.92 $507,195.92 nat. median
$599,737
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $484,690.30 $484,690.30 $484,690.30 nat. median
$574,037
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $473,853.52 $473,853.52 $473,853.52 nat. median
$579,571
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$513,770
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$562,501
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $284,278.27 $284,278.27 $284,278.27 nat. median
$168,055
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $209,092.80 $209,092.80 $209,092.80 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $203,383.73 $203,383.73 $203,383.73 nat. median
$131,925
1.5× median
5834
APR_DRG 		Neonate With Ecmo, Severe 1 $192,847.04 $192,847.04 $192,847.04 nat. median
$390,362
outlier · 0.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $164,507.43 $164,507.43 $164,507.43 nat. median
$145,435
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 1 $125,810.72 $125,810.72 $125,810.72 nat. median
$286,698
outlier · 0.4×
5833
APR_DRG 		Neonate With Ecmo, Major 1 $124,932.47 $124,932.47 $124,932.47 nat. median
$268,208
outlier · 0.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $113,425.20 $113,425.20 $113,425.20 nat. median
$97,418
1.2× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 1 $111,416.90 $111,416.90 $111,416.90 nat. median
$225,531
outlier · 0.5×
5832
APR_DRG 		Neonate With Ecmo, Moderate 1 $95,925.18 $95,925.18 $95,925.18 nat. median
$201,678
outlier · 0.5×
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 1 $95,483.86 $95,483.86 $95,483.86 nat. median
$202,242
outlier · 0.5×
7
MS_DRG 		Lung Transplant 1 $94,647.54 $94,647.54 $94,647.54 nat. median
$70,649
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $94,475.48 $94,475.48 $94,475.48 nat. median
$65,418
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 1 $91,774.49 $91,774.49 $91,774.49 nat. median
$187,567
outlier · 0.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 1 $90,517.33 $90,517.33 $90,517.33 nat. median
$173,018
0.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $88,432.30 $88,432.30 $88,432.30 nat. median
$72,715
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 1 $82,721.03 $82,721.03 $82,721.03 nat. median
$198,578
outlier · 0.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 1 $81,823.89 $81,823.89 $81,823.89 nat. median
$173,134
outlier · 0.5×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 1 $81,211.51 $81,211.51 $81,211.51 nat. median
$181,762
outlier · 0.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 1 $79,922.97 $79,922.97 $79,922.97 nat. median
$171,497
outlier · 0.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $79,860.60 $79,860.60 $79,860.60 nat. median
$69,922
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 1 $75,863.04 $75,863.04 $75,863.04 nat. median
$149,836
0.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 1 $75,482.79 $75,482.79 $75,482.79 nat. median
$152,792
outlier · 0.5×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 1 $74,108.90 $74,108.90 $74,108.90 nat. median
$168,439
outlier · 0.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 1 $71,798.72 $71,798.72 $71,798.72 nat. median
$152,383
outlier · 0.5×
5831
APR_DRG 		Neonate With Ecmo, Minor 1 $69,724.72 $69,724.72 $69,724.72 nat. median
$173,909
outlier · 0.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 1 $68,548.55 $68,548.55 $68,548.55 nat. median
$115,963
0.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $68,374.56 $68,374.56 $68,374.56 nat. median
$2,106
outlier · 32.5×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 1 $67,466.50 $67,466.50 $67,466.50 nat. median
$136,566
outlier · 0.5×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 1 $67,004.27 $67,004.27 $67,004.27 nat. median
$135,630
outlier · 0.5×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $65,476.58 $65,476.58 $65,476.58 nat. median
$65,477
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $65,218.72 $65,218.72 $65,218.72 nat. median
$56,428
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $65,041.25 $65,041.25 $65,041.25 nat. median
$59,651
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 1 $64,606.70 $64,606.70 $64,606.70 nat. median
$155,539
outlier · 0.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $62,616.88 $62,616.88 $62,616.88 nat. median
$60,505
1.0× median
23
APR_DRG 		Heart And/Or Lung Transplant, Major 1 $62,560.03 $62,560.03 $62,560.03 nat. median
$117,894
0.5× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $61,800.00 $61,800.00 $61,800.00 nat. median
$66,211
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $61,677.85 $61,677.85 $61,677.85 nat. median
$45,605
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 1 $61,542.10 $61,542.10 $61,542.10 nat. median
$130,862
outlier · 0.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $60,181.71 $60,181.71 $60,181.71 nat. median
$55,935
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 1 $59,322.01 $59,322.01 $59,322.01 nat. median
$120,079
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 12,884 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-04-08
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — $4,683,077.33 $3,296,000.00 $3,296,000.00 $3,296,000.00 2026-04-08
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — $3,466,788.05 $2,302,784.67 $2,302,784.67 $2,302,784.67 2026-04-08
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — $835,558.82 $511,072.50 $511,072.50 $511,072.50 2026-04-08
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — $799,046.57 $507,195.92 $507,195.92 $507,195.92 2026-04-08
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — $786,971.93 $484,690.30 $484,690.30 $484,690.30 2026-04-08
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — $794,343.30 $473,853.52 $473,853.52 $473,853.52 2026-04-08
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — $752,958.33 $449,440.00 $449,440.00 $449,440.00 2026-04-08
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — $690,932.36 $449,440.00 $449,440.00 $449,440.00 2026-04-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — $445,515.00 $284,278.27 $284,278.27 $284,278.27 2026-04-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — $289,121.31 $209,092.80 $209,092.80 $209,092.80 2026-04-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — $220,272.15 $203,383.73 $203,383.73 $203,383.73 2026-04-08
5834 APR_DRG Neonate With Ecmo, Severe 1 1 — — $192,847.04 $192,847.04 $192,847.04 2026-04-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — $218,979.44 $164,507.43 $164,507.43 $164,507.43 2026-04-08
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 1 1 — — $125,810.72 $125,810.72 $125,810.72 2026-04-08
5833 APR_DRG Neonate With Ecmo, Major 1 1 — — $124,932.47 $124,932.47 $124,932.47 2026-04-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — $142,904.27 $113,425.20 $113,425.20 $113,425.20 2026-04-08
24 APR_DRG Heart And/Or Lung Transplant, Severe 1 1 — — $111,416.90 $111,416.90 $111,416.90 2026-04-08
5832 APR_DRG Neonate With Ecmo, Moderate 1 1 — — $95,925.18 $95,925.18 $95,925.18 2026-04-08
1614 APR_DRG Implantable Heart Assist Systems, Severe 1 1 — — $95,483.86 $95,483.86 $95,483.86 2026-04-08
7 MS_DRG Lung Transplant 1 1 — $133,606.64 $94,647.54 $94,647.54 $94,647.54 2026-04-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — $116,909.67 $94,475.48 $94,475.48 $94,475.48 2026-04-08
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 1 1 — — $91,774.49 $91,774.49 $91,774.49 2026-04-08
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 1 1 — — $90,517.33 $90,517.33 $90,517.33 2026-04-08
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — $123,988.14 $88,432.30 $88,432.30 $88,432.30 2026-04-08
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 1 1 — — $82,721.03 $82,721.03 $82,721.03 2026-04-08
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 1 1 — — $81,823.89 $81,823.89 $81,823.89 2026-04-08
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 1 1 — — $81,211.51 $81,211.51 $81,211.51 2026-04-08
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 1 1 — — $79,922.97 $79,922.97 $79,922.97 2026-04-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — $106,372.97 $79,860.60 $79,860.60 $79,860.60 2026-04-08
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 1 1 — — $75,863.04 $75,863.04 $75,863.04 2026-04-08
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 1 1 — — $75,482.79 $75,482.79 $75,482.79 2026-04-08
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 1 1 — — $74,108.90 $74,108.90 $74,108.90 2026-04-08
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 1 1 — — $71,798.72 $71,798.72 $71,798.72 2026-04-08
5831 APR_DRG Neonate With Ecmo, Minor 1 1 — — $69,724.72 $69,724.72 $69,724.72 2026-04-08
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 1 1 — — $68,548.55 $68,548.55 $68,548.55 2026-04-08
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — $86,712.48 $68,374.56 $68,374.56 $68,374.56 2026-04-08
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 1 1 — — $67,466.50 $67,466.50 $67,466.50 2026-04-08
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 1 1 — — $67,004.27 $67,004.27 $67,004.27 2026-04-08
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — $80,240.24 $65,476.58 $65,476.58 $65,476.58 2026-04-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — $81,182.06 $65,218.72 $65,218.72 $65,218.72 2026-04-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — $86,697.50 $65,041.25 $65,041.25 $65,041.25 2026-04-08
1613 APR_DRG Implantable Heart Assist Systems, Major 1 1 — — $64,606.70 $64,606.70 $64,606.70 2026-04-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — $86,970.90 $62,616.88 $62,616.88 $62,616.88 2026-04-08
23 APR_DRG Heart And/Or Lung Transplant, Major 1 1 — — $62,560.03 $62,560.03 $62,560.03 2026-04-08
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — $89,443.74 $61,800.00 $61,800.00 $61,800.00 2026-04-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — $73,607.34 $61,677.85 $61,677.85 $61,677.85 2026-04-08
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 1 1 — — $61,542.10 $61,542.10 $61,542.10 2026-04-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — $78,875.19 $60,181.71 $60,181.71 $60,181.71 2026-04-08
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 1 1 — — $59,322.01 $59,322.01 $59,322.01 2026-04-08
33270 CPT Ins/rep Subq Defibrillator 1 1 — $45,283.29 $56,199.00 $56,199.00 $56,199.00 2026-04-08
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 1 1 — $32,089.80 $56,199.00 $56,199.00 $56,199.00 2026-04-08
33231 CPT Insrt Pulse Gen W/mult Leads 1 1 — $45,283.29 $56,199.00 $56,199.00 $56,199.00 2026-04-08
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — $45,283.29 $56,199.00 $56,199.00 $56,199.00 2026-04-08
33230 CPT Insrt Pulse Gen W/dual Leads 1 1 — $32,089.80 $56,199.00 $56,199.00 $56,199.00 2026-04-08
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — $32,089.80 $56,199.00 $56,199.00 $56,199.00 2026-04-08
33271 CPT Insj Subq Impltbl Dfb Elctrd 1 1 — $11,938.53 $56,199.00 $56,199.00 $56,199.00 2026-04-08
33272 CPT Rmvl Of Subq Defibrillator 1 1 — $5,391.14 $56,199.00 $56,199.00 $56,199.00 2026-04-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — $78,614.16 $55,805.97 $55,805.97 $55,805.97 2026-04-08
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 1 1 — — $55,708.45 $55,708.45 $55,708.45 2026-04-08
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $55,031.63 $55,031.63 $55,031.63 2026-04-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — $73,564.02 $54,288.23 $54,288.23 $54,288.23 2026-04-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — $71,308.73 $53,741.17 $53,741.17 $53,741.17 2026-04-08
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — $78,048.39 $53,426.66 $53,426.66 $53,426.66 2026-04-08
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — $74,000.43 $53,392.41 $53,392.41 $53,392.41 2026-04-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — $66,386.51 $53,302.13 $53,302.13 $53,302.13 2026-04-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — $63,153.18 $53,028.98 $53,028.98 $53,028.98 2026-04-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — $70,958.99 $52,890.87 $52,890.87 $52,890.87 2026-04-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — $56,980.55 $52,611.55 $52,611.55 $52,611.55 2026-04-08
1612 APR_DRG Implantable Heart Assist Systems, Moderate 1 1 — — $51,861.08 $51,861.08 $51,861.08 2026-04-08
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 1 1 — — $51,397.49 $51,397.49 $51,397.49 2026-04-08
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — $64,899.81 $51,174.83 $51,174.83 $51,174.83 2026-04-08
1611 APR_DRG Implantable Heart Assist Systems, Minor 1 1 — — $49,411.22 $49,411.22 $49,411.22 2026-04-08
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $49,146.70 $49,146.70 $49,146.70 2026-04-08
64 APR_DRG Pancreas Transplant, Severe 1 1 — — $48,533.64 $48,533.64 $48,533.64 2026-04-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — $63,226.43 $48,194.91 $48,194.91 $48,194.91 2026-04-08
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — $67,590.50 $47,978.86 $47,978.86 $47,978.86 2026-04-08
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — $61,969.82 $47,917.90 $47,917.90 $47,917.90 2026-04-08
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $47,696.89 $47,696.89 $47,696.89 2026-04-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — $61,176.45 $47,661.73 $47,661.73 $47,661.73 2026-04-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — $56,044.80 $47,661.73 $47,661.73 $47,661.73 2026-04-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — $54,615.90 $47,387.04 $47,387.04 $47,387.04 2026-04-08
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — $59,850.54 $47,193.37 $47,193.37 $47,193.37 2026-04-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — $69,444.45 $46,991.98 $46,991.98 $46,991.98 2026-04-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — $61,521.03 $46,877.01 $46,877.01 $46,877.01 2026-04-08
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $46,680.64 $46,680.64 $46,680.64 2026-04-08
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — $60,506.88 $46,656.34 $46,656.34 $46,656.34 2026-04-08
28 MS_DRG Spinal Procedures With Mcc 1 1 — $61,987.37 $46,497.39 $46,497.39 $46,497.39 2026-04-08
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 1 1 — — $46,357.07 $46,357.07 $46,357.07 2026-04-08
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — $62,547.57 $45,899.40 $45,899.40 $45,899.40 2026-04-08
22 APR_DRG Heart And/Or Lung Transplant, Moderate 1 1 — — $45,528.08 $45,528.08 $45,528.08 2026-04-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — $60,546.08 $45,374.71 $45,374.71 $45,374.71 2026-04-08
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 1 1 — — $44,984.87 $44,984.87 $44,984.87 2026-04-08
J9226 HCPCS Supprelin La Implant 1 1 — $63,572.31 $44,575.94 $44,575.94 $44,575.94 2026-04-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — $50,565.47 $43,850.80 $43,850.80 $43,850.80 2026-04-08
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 1 1 — — $43,822.52 $43,822.52 $43,822.52 2026-04-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — $59,119.25 $43,740.46 $43,740.46 $43,740.46 2026-04-08
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 1 1 — — $43,705.11 $43,705.11 $43,705.11 2026-04-08
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — $58,801.49 $43,701.11 $43,701.11 $43,701.11 2026-04-08
834 MS_DRG Acute Leukemia With Mcc 1 1 — $56,639.06 $43,201.88 $43,201.88 $43,201.88 2026-04-08
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — $56,438.90 $42,478.12 $42,478.12 $42,478.12 2026-04-08
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $42,175.00 $42,175.00 $42,175.00 2026-04-08
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 1 1 — — $42,096.72 $42,096.72 $42,096.72 2026-04-08
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 1 1 — — $42,016.08 $42,016.08 $42,016.08 2026-04-08
21 APR_DRG Heart And/Or Lung Transplant, Minor 1 1 — — $41,869.65 $41,869.65 $41,869.65 2026-04-08
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — $53,611.02 $41,771.34 $41,771.34 $41,771.34 2026-04-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — $57,822.41 $40,599.28 $40,599.28 $40,599.28 2026-04-08
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — $55,018.26 $40,467.33 $40,467.33 $40,467.33 2026-04-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — $56,358.44 $40,107.00 $40,107.00 $40,107.00 2026-04-08
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — $53,703.89 $40,019.81 $40,019.81 $40,019.81 2026-04-08
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 1 1 — — $40,011.25 $40,011.25 $40,011.25 2026-04-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — $56,269.71 $39,786.01 $39,786.01 $39,786.01 2026-04-08
27125 CPT Partial Hip Replacement 9 8 $65,407.00 $18,521.79 72% off $1,119.02 $54,287.81 $39,244.20 2026-04-08
27236 CPT Bicentric Hip Replacement 9 8 $65,407.00 $10,468.22 84% off $1,182.19 $54,287.81 $39,244.20 2026-04-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — $51,454.79 $39,189.56 $39,189.56 $39,189.56 2026-04-08
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $39,036.17 $39,036.17 $39,036.17 2026-04-08
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — $54,435.35 $39,019.04 $39,019.04 $39,019.04 2026-04-08
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — $51,042.11 $38,878.61 $38,878.61 $38,878.61 2026-04-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — $50,951.31 $38,574.60 $38,574.60 $38,574.60 2026-04-08
799 MS_DRG Splenic Procedures With Mcc 1 1 — $46,724.46 $38,229.69 $38,229.69 $38,229.69 2026-04-08
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 1 1 — — $38,031.05 $38,031.05 $38,031.05 2026-04-08
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — $49,817.48 $37,955.00 $37,955.00 $37,955.00 2026-04-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — $49,116.96 $37,655.62 $37,655.62 $37,655.62 2026-04-08
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 1 1 — — $37,600.87 $37,600.87 $37,600.87 2026-04-08
6 MS_DRG Liver Transplant Without Mcc 1 1 — $47,839.73 $37,321.52 $37,321.52 $37,321.52 2026-04-08
10 MS_DRG Pancreas Transplant 1 1 — $74,031.38 $37,141.74 $37,141.74 $37,141.74 2026-04-08
27138 CPT Revision Hip Arthroplasty 9 8 $61,867.00 $18,521.79 70% off $1,532.30 $51,349.61 $37,120.20 2026-04-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — $50,776.95 $37,089.27 $37,089.27 $37,089.27 2026-04-08
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 1 1 — — $37,076.89 $37,076.89 $37,076.89 2026-04-08
27120 CPT Reconstruction Of Hip Socket 9 8 $61,606.00 $18,521.79 70% off $1,281.51 $51,132.98 $36,963.60 2026-04-08
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — $47,648.85 $36,901.00 $36,901.00 $36,901.00 2026-04-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — $49,565.75 $36,701.93 $36,701.93 $36,701.93 2026-04-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — $48,405.09 $36,576.93 $36,576.93 $36,576.93 2026-04-08
163 MS_DRG Major Chest Procedures With Mcc 1 1 — $46,238.54 $36,370.14 $36,370.14 $36,370.14 2026-04-08
27137 CPT Revision Of Hip Arthroplasty 9 8 $60,349.00 $18,521.79 69% off $1,472.24 $50,089.67 $36,209.40 2026-04-08
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — $51,999.51 $35,868.60 $35,868.60 $35,868.60 2026-04-08
4404 APR_DRG Kidney Transplant, Severe 1 1 — — $35,540.70 $35,540.70 $35,540.70 2026-04-08
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — $45,067.71 $35,536.81 $35,536.81 $35,536.81 2026-04-08
8634 APR_DRG Neonatal Aftercare, Severe 1 1 — — $35,125.70 $35,125.70 $35,125.70 2026-04-08
245 MS_DRG Aicd Generator Procedures 1 1 — $47,070.08 $34,964.28 $34,964.28 $34,964.28 2026-04-08
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — $43,048.53 $34,961.20 $34,961.20 $34,961.20 2026-04-08
27590 CPT Amputate Leg At Thigh 9 8 $58,238.00 $4,720.37 92% off $831.01 $48,337.54 $34,942.80 2026-04-08
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — $47,421.89 $34,851.63 $34,851.63 $34,851.63 2026-04-08
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — $47,301.18 $34,736.66 $34,736.66 $34,736.66 2026-04-08
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — $48,504.14 $34,702.71 $34,702.71 $34,702.71 2026-04-08
63 APR_DRG Pancreas Transplant, Major 1 1 — — $34,478.91 $34,478.91 $34,478.91 2026-04-08
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — $57,426.24 $34,416.45 $34,416.45 $34,416.45 2026-04-08
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 1 1 — — $34,342.60 $34,342.60 $34,342.60 2026-04-08
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 1 1 — — $34,182.33 $34,182.33 $34,182.33 2026-04-08
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — $46,928.73 $34,169.53 $34,169.53 $34,169.53 2026-04-08
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — $46,908.11 $34,073.86 $34,073.86 $34,073.86 2026-04-08
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — $48,260.66 $33,863.98 $33,863.98 $33,863.98 2026-04-08
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — $46,043.54 $33,656.42 $33,656.42 $33,656.42 2026-04-08
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — $43,296.14 $33,393.30 $33,393.30 $33,393.30 2026-04-08
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — $44,289.66 $33,200.40 $33,200.40 $33,200.40 2026-04-08
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — $45,320.33 $33,014.45 $33,014.45 $33,014.45 2026-04-08
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 1 1 — — $32,530.42 $32,530.42 $32,530.42 2026-04-08
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — $43,570.56 $32,087.76 $32,087.76 $32,087.76 2026-04-08
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — $44,645.60 $31,944.24 $31,944.24 $31,944.24 2026-04-08
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 1 1 — — $31,894.76 $31,894.76 $31,894.76 2026-04-08
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — $46,225.11 $31,763.69 $31,763.69 $31,763.69 2026-04-08
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 1 1 — — $31,679.50 $31,679.50 $31,679.50 2026-04-08
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 1 1 — — $31,561.07 $31,561.07 $31,561.07 2026-04-08
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — $38,561.69 $31,309.98 $31,309.98 $31,309.98 2026-04-08
22523 CPT Prq Vrt Agmntj Mchnl Dev 1 Vrt Bdy Thrc 6 5 $45,977.00 — $17,011.49 $38,160.91 $31,264.36 2026-04-08
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $31,217.26 $31,217.26 $31,217.26 2026-04-08
C1767 HCPCS Generator Pulse Wavewriter Alpha 30 5 $45,900.00 — $14,119.20 $44,820.00 $31,212.00 2026-04-08
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — $43,474.62 $31,209.68 $31,209.68 $31,209.68 2026-04-08
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — $43,215.66 $31,181.90 $31,181.90 $31,181.90 2026-04-08
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — $38,449.23 $30,975.88 $30,975.88 $30,975.88 2026-04-08
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — $43,496.28 $30,901.81 $30,901.81 $30,901.81 2026-04-08
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 1 1 — — $30,886.27 $30,886.27 $30,886.27 2026-04-08
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — $35,979.35 $30,537.61 $30,537.61 $30,537.61 2026-04-08
1784 APR_DRG External Heart Assist Systems, Severe 1 1 — — $30,358.58 $30,358.58 $30,358.58 2026-04-08
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 1 1 — — $30,278.61 $30,278.61 $30,278.61 2026-04-08
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 1 1 — — $30,189.88 $30,189.88 $30,189.88 2026-04-08
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — $42,846.32 $30,176.50 $30,176.50 $30,176.50 2026-04-08
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $30,125.77 $30,125.77 $30,125.77 2026-04-08
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — $39,933.84 $30,103.20 $30,103.20 $30,103.20 2026-04-08
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — $42,562.61 $30,069.25 $30,069.25 $30,069.25 2026-04-08
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — $36,877.95 $29,993.64 $29,993.64 $29,993.64 2026-04-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — $38,822.70 $29,924.19 $29,924.19 $29,924.19 2026-04-08
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $29,850.45 $29,850.45 $29,850.45 2026-04-08
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 1 1 — — $29,731.69 $29,731.69 $29,731.69 2026-04-08
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — $39,835.83 $29,710.46 $29,710.46 $29,710.46 2026-04-08
64582 CPT Open Implantation Hypoglossal Nerve Stim 14 10 $48,082.00 $44,517.00 $858.03 $44,379.44 $29,586.29 2026-04-08
64568 CPT Incision Imp Cranial Ner Neurostimulator 14 10 $48,082.00 $63,543.86 $633.77 $44,379.44 $29,586.29 2026-04-08
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 1 1 — — $29,585.59 $29,585.59 $29,585.59 2026-04-08
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — $36,720.11 $29,518.33 $29,518.33 $29,518.33 2026-04-08
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — $40,358.90 $29,234.38 $29,234.38 $29,234.38 2026-04-08
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $29,195.56 $29,195.56 $29,195.56 2026-04-08
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — $44,004.92 $29,151.82 $29,151.82 $29,151.82 2026-04-08
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 1 1 — — $28,967.48 $28,967.48 $28,967.48 2026-04-08
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 1 1 — — $28,936.10 $28,936.10 $28,936.10 2026-04-08
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 1 1 — — $28,911.47 $28,911.47 $28,911.47 2026-04-08
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — $39,874.01 $28,792.25 $28,792.25 $28,792.25 2026-04-08
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — $36,786.14 $28,720.50 $28,720.50 $28,720.50 2026-04-08
22610 CPT Arthrodesis Thoracic 9 8 $47,867.00 $25,295.25 47% off $1,241.86 $39,729.61 $28,720.20 2026-04-08
22600 CPT Anticervical Dissectomy 9 8 $47,867.00 $25,295.25 47% off $1,269.00 $39,729.61 $28,720.20 2026-04-08
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — $39,609.89 $28,699.66 $28,699.66 $28,699.66 2026-04-08
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 1 1 — — $28,644.92 $28,644.92 $28,644.92 2026-04-08
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — $43,347.72 $28,533.77 $28,533.77 $28,533.77 2026-04-08
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 1 1 — — $28,245.10 $28,245.10 $28,245.10 2026-04-08
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — $35,794.07 $28,224.36 $28,224.36 $28,224.36 2026-04-08
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — $38,557.56 $28,177.29 $28,177.29 $28,177.29 2026-04-08
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — $37,262.78 $28,062.32 $28,062.32 $28,062.32 2026-04-08
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 1 1 — — $28,052.79 $28,052.79 $28,052.79 2026-04-08
332 MS_DRG Rectal Resection With Mcc 1 1 — $37,354.61 $27,990.56 $27,990.56 $27,990.56 2026-04-08
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — $36,309.50 $27,952.75 $27,952.75 $27,952.75 2026-04-08
C1820 HCPCS Generator Implantable Pulse 120 5 $45,625.00 — $439.56 $62,748.00 $27,917.25 2026-04-08
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — $36,963.59 $27,903.37 $27,903.37 $27,903.37 2026-04-08
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — $37,406.19 $27,632.54 $27,632.54 $27,632.54 2026-04-08
62 APR_DRG Pancreas Transplant, Moderate 1 1 — — $27,607.08 $27,607.08 $27,607.08 2026-04-08
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — $36,840.81 $27,584.70 $27,584.70 $27,584.70 2026-04-08
265 MS_DRG Aicd Lead Procedures 1 1 — $37,328.81 $27,269.12 $27,269.12 $27,269.12 2026-04-08
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 1 1 — — $27,266.31 $27,266.31 $27,266.31 2026-04-08
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — $36,755.19 $27,200.44 $27,200.44 $27,200.44 2026-04-08
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 1 1 — — $27,041.26 $27,041.26 $27,041.26 2026-04-08
63050 CPT C-laminoplasty Decompression Spinal Cord 9 8 $44,910.00 — $1,379.00 $37,275.30 $26,946.00 2026-04-08
63051 CPT C-laminoplasty W/graft/plate 9 8 $44,910.00 — $1,379.00 $37,275.30 $26,946.00 2026-04-08
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — $36,383.78 $26,900.29 $26,900.29 $26,900.29 2026-04-08
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — $32,781.09 $26,826.22 $26,826.22 $26,826.22 2026-04-08
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 1 1 — — $26,781.46 $26,781.46 $26,781.46 2026-04-08
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — $37,879.73 $26,713.56 $26,713.56 $26,713.56 2026-04-08
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — $38,232.57 $26,685.01 $26,685.01 $26,685.01 2026-04-08
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — $36,690.18 $26,668.04 $26,668.04 $26,668.04 2026-04-08
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — $32,939.97 $26,659.55 $26,659.55 $26,659.55 2026-04-08
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 1 1 — — $26,646.50 $26,646.50 $26,646.50 2026-04-08
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 1 1 — — $26,456.88 $26,456.88 $26,456.88 2026-04-08
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — $35,197.32 $26,451.99 $26,451.99 $26,451.99 2026-04-08
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 1 1 — — $26,344.19 $26,344.19 $26,344.19 2026-04-08
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — $35,814.29 $26,279.15 $26,279.15 $26,279.15 2026-04-08
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 1 1 — — $26,271.31 $26,271.31 $26,271.31 2026-04-08
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 1 1 — — $26,236.56 $26,236.56 $26,236.56 2026-04-08
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — $41,103.78 $26,159.55 $26,159.55 $26,159.55 2026-04-08
6904 APR_DRG Acute Leukemia, Severe 1 1 — — $26,096.88 $26,096.88 $26,096.88 2026-04-08
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — $35,370.65 $26,054.62 $26,054.62 $26,054.62 2026-04-08
37 MS_DRG Extracranial Procedures With Mcc 1 1 — $33,964.46 $26,046.13 $26,046.13 $26,046.13 2026-04-08
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — $35,640.96 $25,995.20 $25,995.20 $25,995.20 2026-04-08
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 1 1 — — $25,926.83 $25,926.83 $25,926.83 2026-04-08
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 1 1 — — $25,908.61 $25,908.61 $25,908.61 2026-04-08
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — $35,988.63 $25,877.92 $25,877.92 $25,877.92 2026-04-08
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — $33,411.47 $25,788.42 $25,788.42 $25,788.42 2026-04-08
J9266 HCPCS Pegaspargase Injection 1 1 — $40,136.76 $25,781.46 $25,781.46 $25,781.46 2026-04-08
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — $31,293.39 $25,692.74 $25,692.74 $25,692.74 2026-04-08
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — $38,653.50 $25,660.33 $25,660.33 $25,660.33 2026-04-08
27132 CPT Conversion Of Hip Arthroplasty 9 8 $42,755.00 $18,521.79 57% off $1,672.11 $35,486.65 $25,653.00 2026-04-08
27134 CPT Revision Of Hip Arthroplasty 9 8 $42,755.00 $18,521.79 57% off $1,924.88 $35,486.65 $25,653.00 2026-04-08
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — $33,558.99 $25,580.08 $25,580.08 $25,580.08 2026-04-08
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 1 1 — — $25,454.13 $25,454.13 $25,454.13 2026-04-08
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — $33,293.85 $25,416.50 $25,416.50 $25,416.50 2026-04-08
914 APR_DRG Other Major Head And Neck Procedures, Severe 1 1 — — $25,377.88 $25,377.88 $25,377.88 2026-04-08
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 1 1 — — $25,353.92 $25,353.92 $25,353.92 2026-04-08
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — $34,464.83 $25,200.46 $25,200.46 $25,200.46 2026-04-08
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — $37,895.21 $25,124.84 $25,124.84 $25,124.84 2026-04-08
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 1 1 — — $25,116.73 $25,116.73 $25,116.73 2026-04-08
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 1 1 — — $25,077.59 $25,077.59 $25,077.59 2026-04-08
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — $32,651.10 $25,021.44 $25,021.44 $25,021.44 2026-04-08
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — $33,960.32 $25,006.01 $25,006.01 $25,006.01 2026-04-08
214 APR_DRG Open Craniotomy Except Trauma, Severe 1 1 — — $24,963.55 $24,963.55 $24,963.55 2026-04-08
63685 CPT Insertion Spinal Neurostim Generator 15 10 $36,607.00 $44,517.00 $301.00 $44,379.44 $24,892.76 2026-04-08
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — $33,228.86 $24,810.80 $24,810.80 $24,810.80 2026-04-08
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — $37,435.07 $24,809.25 $24,809.25 $24,809.25 2026-04-08
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — $35,150.90 $24,697.37 $24,697.37 $24,697.37 2026-04-08
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — $37,207.07 $24,695.83 $24,695.83 $24,695.83 2026-04-08
7594 APR_DRG Eating Disorders, Severe 1 1 — — $24,636.61 $24,636.61 $24,636.61 2026-04-08
1794 APR_DRG Defibrillator Implants, Severe 1 1 — — $24,603.55 $24,603.55 $24,603.55 2026-04-08
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 1 1 — — $24,595.45 $24,595.45 $24,595.45 2026-04-08
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — $32,493.26 $24,533.79 $24,533.79 $24,533.79 2026-04-08
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — $32,879.10 $24,394.13 $24,394.13 $24,394.13 2026-04-08
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 1 1 — — $24,385.92 $24,385.92 $24,385.92 2026-04-08
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — $32,601.59 $24,334.72 $24,334.72 $24,334.72 2026-04-08
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 1 1 — — $24,295.84 $24,295.84 $24,295.84 2026-04-08
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — $32,847.12 $24,209.72 $24,209.72 $24,209.72 2026-04-08
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — $33,374.33 $24,114.04 $24,114.04 $24,114.04 2026-04-08
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 1 1 — — $24,062.36 $24,062.36 $24,062.36 2026-04-08
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 1 1 — — $23,947.98 $23,947.98 $23,947.98 2026-04-08
665 MS_DRG Prostatectomy With Mcc 1 1 — $32,201.28 $23,835.50 $23,835.50 $23,835.50 2026-04-08
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 1 1 — — $23,755.66 $23,755.66 $23,755.66 2026-04-08
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — $30,707.39 $23,726.70 $23,726.70 $23,726.70 2026-04-08
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 1 1 — — $23,487.76 $23,487.76 $23,487.76 2026-04-08
274 APR_DRG Other Open Craniotomy, Severe 1 1 — — $23,399.70 $23,399.70 $23,399.70 2026-04-08
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — $40,176.29 $23,394.91 $23,394.91 $23,394.91 2026-04-08
2324 APR_DRG Gastric Fundoplication, Severe 1 1 — — $23,240.79 $23,240.79 $23,240.79 2026-04-08
652 MS_DRG Kidney Transplant 1 1 — $33,318.60 $23,181.95 $23,181.95 $23,181.95 2026-04-08
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — $32,134.22 $23,158.80 $23,158.80 $23,158.80 2026-04-08
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 1 1 — — $23,126.41 $23,126.41 $23,126.41 2026-04-08
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — $31,585.37 $23,122.54 $23,122.54 $23,122.54 2026-04-08
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — $29,611.73 $23,103.25 $23,103.25 $23,103.25 2026-04-08
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 1 1 — — $23,007.64 $23,007.64 $23,007.64 2026-04-08
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 1 1 — — $22,982.68 $22,982.68 $22,982.68 2026-04-08
234 APR_DRG Spinal Procedures, Severe 1 1 — — $22,919.24 $22,919.24 $22,919.24 2026-04-08
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — $32,508.72 $22,905.72 $22,905.72 $22,905.72 2026-04-08
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 1 1 — — $22,832.53 $22,832.53 $22,832.53 2026-04-08
J9600 HCPCS Porfimer Sodium Injection 1 1 — $34,212.23 $22,828.16 $22,828.16 $22,828.16 2026-04-08
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — $30,394.79 $22,803.87 $22,803.87 $22,803.87 2026-04-08
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — $32,077.47 $22,786.12 $22,786.12 $22,786.12 2026-04-08
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — $30,046.07 $22,753.71 $22,753.71 $22,753.71 2026-04-08
27487 CPT Revision Of Knee All Components 9 8 $37,609.00 $25,295.25 33% off $1,757.53 $31,215.47 $22,565.40 2026-04-08
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — $29,939.81 $22,563.90 $22,563.90 $22,563.90 2026-04-08
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