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

ADVANCED SURGICAL HOSPITAL

Washington, PA · CCN 390323 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $12,472 across 12 payers · range $338-$27,735

Source: https://storage.googleapis.com/treatspace-prod-media/pracf/u-2709/264093335_advanced-surgical-hospital_standard%20charges.csv · observed 2026-07-15

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.

8,465 distinct procedures filed
17 distinct payers
235,654 rate rows
2026-07-15 last MRF observed
Data quality

234,819 of 235,654 rate rows are consumer-grade (99.6%)

835 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 761
placeholder amount (≤ $0.02) — excluded from medians 50
exceeds 10× this hospital's gross charge — excluded from medians 20
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://storage.googleapis.com/treatspace-prod-media/pracf/u-2709/264093335_advanced-surgical-hospital_standardcharges.csv
Found on page https://www.ashospital.net/resources/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-02
Content fingerprint fe07be2ecd3f8031… · 28,178,042 bytes · first seen 2026-07-07

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 		Inj, Atidarsagene Autotemcel 9 $4,400,934.50 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,600,137.01 $4,684,342.46 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 9 $3,258,762.56 $4,240,160.80 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,250,986.17 $4,230,042.50 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,177,375.14 $4,134,263.02 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 9 $3,106,542.00 $4,042,098.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,872,055.61 $4,703,950.22 $2,954,668.74 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,529,175.76 $4,142,369.96 $2,601,926.13 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,278,130.80 $3,731,200.00 $2,343,660.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $752,818.68 $1,232,992.00 $774,473.10 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $574,074.87 $940,239.32 $590,587.82 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $553,444.43 $906,450.09 $569,363.96 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Car Pos T 10 $549,214.39 $899,521.99 $565,012.24 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $545,190.04 $892,930.76 $560,872.14 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $519,898.60 $851,507.59 $534,853.20 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $478,143.90 $783,120.32 $491,897.45 nat. median
$577,541
0.9× median
5834
APR_DRG 		Neonate With Ecmo 2 $370,129.77 $370,129.77 $370,129.77 nat. median
$311,018
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $257,746.91 $573,657.95 $311,109.15 nat. median
$370,165
0.8× median
612
MS_DRG 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $295,945.30 $295,945.30 $295,945.30 nat. median
$53,038
outlier · 5.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $271,822.42 $445,200.00 $279,641.25 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 10 $258,878.50 $424,000.00 $266,325.00 nat. median
$265,000
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $260,760.47 $260,760.47 $260,760.47 nat. median
$243,231
1.1× median
633
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $256,406.25 $256,406.25 $256,406.25 nat. median
$7,400
outlier · 34.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $247,482.72 $247,482.72 $247,482.72 nat. median
$254,667
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $232,937.84 $232,937.84 $232,937.84 nat. median
$119,243
2.0× median
631
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $232,555.43 $232,555.43 $232,555.43 nat. median
$77,861
outlier · 3.0×
5833
APR_DRG 		Neonate With Ecmo 2 $223,805.15 $223,805.15 $223,805.15 nat. median
$250,089
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $186,254.69 $310,893.74 $211,767.18 nat. median
$261,939
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $197,010.47 $322,670.43 $202,677.36 nat. median
$209,736
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $186,447.44 $186,447.44 $186,447.44 nat. median
$209,486
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $141,901.40 $327,617.51 $183,222.59 nat. median
$205,166
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $182,130.87 $182,130.87 $182,130.87 nat. median
$168,174
1.1× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $179,478.58 $179,478.58 $179,478.58 nat. median
$67,603
outlier · 2.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $179,471.40 $179,471.40 $179,471.40 nat. median
$165,599
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $172,355.81 $172,355.81 $172,355.81 nat. median
$165,646
1.0× median
5832
APR_DRG 		Neonate With Ecmo 2 $171,841.26 $171,841.26 $171,841.26 nat. median
$169,230
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $170,145.67 $170,145.67 $170,145.67 nat. median
$147,677
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $141,068.62 $234,678.25 $161,121.51 nat. median
$199,832
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $160,343.87 $160,343.87 $160,343.87 nat. median
$168,361
1.0× median
636
MS_DRG 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $155,615.88 $155,615.88 $155,615.88 nat. median
$8,001
outlier · 19.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $152,883.29 $152,883.29 $152,883.29 nat. median
$160,171
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $152,291.79 $152,291.79 $152,291.79 nat. median
$63,564
outlier · 2.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $151,904.41 $151,904.41 $151,904.41 nat. median
$175,480
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $149,074.74 $149,074.74 $149,074.74 nat. median
$156,285
1.0× median
5831
APR_DRG 		Neonate With Ecmo 2 $146,590.70 $146,590.70 $146,590.70 nat. median
$154,685
0.9× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 10 $142,032.40 $232,625.48 $146,117.89 nat. median
$155,877
0.9× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 10 $142,032.40 $232,625.48 $146,117.89 nat. median
$155,877
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $137,540.83 $137,540.83 $137,540.83 nat. median
$180,995
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $136,751.08 $136,751.08 $136,751.08 nat. median
$137,901
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $134,648.55 $134,648.55 $134,648.55 nat. median
$127,600
1.1× median

Other procedures at this hospital

Browse this hospital's 8,465 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 9 — — $4,400,934.50 $4,595,100.00 $4,505,000.00 2026-07-15
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 9 — — $3,600,137.01 $4,684,342.46 $3,685,266.67 2026-07-15
J3389 HCPCS Topi Adm Prad Zami Per Treat 17 9 — — $3,258,762.56 $4,240,160.80 $3,335,820.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 9 — — $3,250,986.17 $4,230,042.50 $3,327,859.73 2026-07-15
J3394 HCPCS Inj, Lovotibeglogene Autotem 17 9 — — $3,177,375.14 $4,134,263.02 $3,252,508.08 2026-07-15
J3387 HCPCS Inj Elivaldogene Autotemecel 17 9 — — $3,106,542.00 $4,042,098.00 $3,180,000.00 2026-07-15
J3393 HCPCS Inj, Betibeglogene Autotemce 20 10 — — $2,872,055.61 $4,703,950.22 $2,954,668.74 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 10 — — $2,529,175.76 $4,142,369.96 $2,601,926.13 2026-07-15
J3392 HCPCS Inj, Exagamglogene Autotem 20 10 — — $2,278,130.80 $3,731,200.00 $2,343,660.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 20 10 — — $752,818.68 $1,232,992.00 $774,473.10 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 20 10 — — $574,074.87 $940,239.32 $590,587.82 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 10 — — $553,444.43 $906,450.09 $569,363.96 2026-07-15
Q2054 HCPCS Lisocabtagene Car Pos T 20 10 — — $549,214.39 $899,521.99 $565,012.24 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 20 10 — — $545,190.04 $892,930.76 $560,872.14 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 10 — — $519,898.60 $851,507.59 $534,853.20 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 20 10 — — $478,143.90 $783,120.32 $491,897.45 2026-07-15
5834 APR_DRG Neonate With Ecmo 2 2 — — $370,129.77 $370,129.77 $370,129.77 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 17 — $257,746.91 $257,746.91 $573,657.95 $311,109.15 2026-07-15
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $295,945.30 $295,945.30 $295,945.30 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 20 10 — — $271,822.42 $445,200.00 $279,641.25 2026-07-15
J3403 HCPCS Revakinagene, Per Implant 20 10 — — $258,878.50 $424,000.00 $266,325.00 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $260,760.47 $260,760.47 $260,760.47 2026-07-15
633 MS_DRG Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $256,406.25 $256,406.25 $256,406.25 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $247,482.72 $247,482.72 $247,482.72 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $232,937.84 $232,937.84 $232,937.84 2026-07-15
631 MS_DRG Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $232,555.43 $232,555.43 $232,555.43 2026-07-15
5833 APR_DRG Neonate With Ecmo 2 2 — — $223,805.15 $223,805.15 $223,805.15 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 17 — $192,515.62 $186,254.69 $310,893.74 $211,767.18 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 20 10 — — $197,010.47 $322,670.43 $202,677.36 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $186,447.44 $186,447.44 $186,447.44 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 53 17 — $162,143.88 $141,901.40 $327,617.51 $183,222.59 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $182,130.87 $182,130.87 $182,130.87 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $179,478.58 $179,478.58 $179,478.58 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $179,471.40 $179,471.40 $179,471.40 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $172,355.81 $172,355.81 $172,355.81 2026-07-15
5832 APR_DRG Neonate With Ecmo 2 2 — — $171,841.26 $171,841.26 $171,841.26 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $170,145.67 $170,145.67 $170,145.67 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 53 17 — $146,474.10 $141,068.62 $234,678.25 $161,121.51 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $160,343.87 $160,343.87 $160,343.87 2026-07-15
636 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $155,615.88 $155,615.88 $155,615.88 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $152,883.29 $152,883.29 $152,883.29 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $152,291.79 $152,291.79 $152,291.79 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $151,904.41 $151,904.41 $151,904.41 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $149,074.74 $149,074.74 $149,074.74 2026-07-15
5831 APR_DRG Neonate With Ecmo 2 2 — — $146,590.70 $146,590.70 $146,590.70 2026-07-15
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 20 10 — — $142,032.40 $232,625.48 $146,117.89 2026-07-15
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 20 10 — — $142,032.40 $232,625.48 $146,117.89 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $137,540.83 $137,540.83 $137,540.83 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $136,751.08 $136,751.08 $136,751.08 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $134,648.55 $134,648.55 $134,648.55 2026-07-15
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 20 10 — — $128,062.04 $209,744.36 $131,745.68 2026-07-15
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 20 10 — — $128,062.04 $209,744.36 $131,745.68 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $131,400.20 $131,400.20 $131,400.20 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $129,300.28 $129,300.28 $129,300.28 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $127,129.27 $127,129.27 $127,129.27 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $121,059.07 $121,059.07 $121,059.07 2026-07-15
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $120,018.79 $120,018.79 $120,018.79 2026-07-15
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 20 10 — — $114,091.69 $186,863.24 $117,373.48 2026-07-15
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 20 10 — — $114,091.69 $186,863.24 $117,373.48 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $116,640.76 $116,640.76 $116,640.76 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $114,026.95 $114,026.95 $114,026.95 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $113,942.82 $113,942.82 $113,942.82 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $113,860.00 $113,860.00 $113,860.00 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $109,628.20 $109,628.20 $109,628.20 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $109,144.96 $109,144.96 $109,144.96 2026-07-15
681 MS_DRG Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $107,853.14 $107,853.14 $107,853.14 2026-07-15
7 MS_DRG Lung Transplant 53 17 — $89,318.30 $86,070.66 $187,203.33 $107,810.18 2026-07-15
634 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $107,283.78 $107,283.78 $107,283.78 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 53 17 — $96,571.53 $92,060.28 $170,949.54 $106,228.69 2026-07-15
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 20 10 — — $100,121.33 $163,982.12 $103,001.27 2026-07-15
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 20 10 — — $100,121.33 $163,982.12 $103,001.27 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $101,450.25 $101,450.25 $101,450.25 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $100,835.93 $100,835.93 $100,835.93 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $99,793.14 $99,793.14 $99,793.14 2026-07-15
632 MS_DRG Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $99,393.38 $99,393.38 $99,393.38 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 53 17 — $89,543.85 $79,874.33 $146,181.00 $98,498.23 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $96,685.00 $96,685.00 $96,685.00 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $92,042.35 $92,042.35 $92,042.35 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $91,098.04 $91,098.04 $91,098.04 2026-07-15
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 20 10 — — $88,479.37 $144,914.52 $91,024.43 2026-07-15
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 20 10 — — $88,479.37 $144,914.52 $91,024.43 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 53 17 — $75,318.97 $75,314.32 $206,576.71 $90,912.52 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $89,956.78 $89,956.78 $89,956.78 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $88,353.15 $88,353.15 $88,353.15 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 17 — $72,782.53 $68,526.47 $165,305.01 $87,639.25 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $86,652.34 $86,652.34 $86,652.34 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $85,705.42 $85,705.42 $85,705.42 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $85,084.58 $85,084.58 $85,084.58 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 1 — — $66,041.61 $88,060.84 $85,082.90 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $84,455.25 $84,455.25 $84,455.25 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $82,419.24 $82,419.24 $82,419.24 2026-07-15
8514 APR_DRG Gender Related Procedures 2 2 — — $82,123.82 $82,123.82 $82,123.82 2026-07-15
8513 APR_DRG Gender Related Procedures 2 2 — — $82,123.82 $82,123.82 $82,123.82 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 51 17 — $74,453.67 $6,941.48 $167,876.70 $81,899.04 2026-07-15
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 20 10 — — $79,165.80 $129,660.44 $81,442.96 2026-07-15
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 20 10 — — $79,165.80 $129,660.44 $81,442.96 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $80,899.74 $80,899.74 $80,899.74 2026-07-15
64 APR_DRG Pancreas Transplant 2 2 — — $79,549.79 $79,549.79 $79,549.79 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $78,488.09 $78,488.09 $78,488.09 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 19 12 — — $7,179.41 $112,542.83 $78,362.43 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $77,200.75 $77,200.75 $77,200.75 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $17,363.89 $109,583.79 $76,302.08 2026-07-15
449 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $75,559.22 $75,559.22 $75,559.22 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 17 — $65,959.89 $65,019.23 $105,688.60 $72,661.47 2026-07-15
8634 APR_DRG Neonatal Aftercare 2 2 — — $72,644.83 $72,644.83 $72,644.83 2026-07-15
215 MS_DRG Other Heart Assist System Implant 53 17 — $72,410.71 $60,282.14 $105,338.13 $72,410.71 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $72,379.41 $72,379.41 $72,379.41 2026-07-15
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 20 10 — — $69,852.23 $114,406.36 $71,861.50 2026-07-15
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 20 10 — — $69,852.23 $114,406.36 $71,861.50 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $71,657.48 $71,657.48 $71,657.48 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $70,272.32 $70,272.32 $70,272.32 2026-07-15
647 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $70,089.73 $70,089.73 $70,089.73 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $69,371.70 $69,371.70 $69,371.70 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $68,386.30 $68,386.30 $68,386.30 2026-07-15
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,719.73 $67,719.73 $67,719.73 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 53 17 — $55,093.02 $52,298.25 $119,030.21 $66,499.13 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $66,341.16 $66,341.16 $66,341.16 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 17 — $57,882.36 $55,851.35 $103,646.83 $65,407.07 2026-07-15
63 APR_DRG Pancreas Transplant 2 2 — — $65,023.82 $65,023.82 $65,023.82 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 53 17 — $57,915.17 $56,027.48 $103,148.08 $64,772.51 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $64,667.09 $64,667.09 $64,667.09 2026-07-15
J9029 HCPCS Instill Adstiladrin, Tx Dose 20 10 — — $62,790.04 $102,839.67 $64,596.17 2026-07-15
4404 APR_DRG Kidney Transplant 2 2 — — $64,550.36 $64,550.36 $64,550.36 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $64,424.50 $64,424.50 $64,424.50 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $64,258.85 $64,258.85 $64,258.85 2026-07-15
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $64,208.26 $64,208.26 $64,208.26 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $63,766.48 $63,766.48 $63,766.48 2026-07-15
38240 CPT Transplt Allo Hct/donor 29 11 — $57,329.03 $49,725.36 $109,438.08 $63,061.93 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 12 — — $59,880.32 $92,584.28 $62,375.35 2026-07-15
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 20 10 — — $60,538.67 $99,152.28 $62,280.03 2026-07-15
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 20 10 — — $60,538.67 $99,152.28 $62,280.03 2026-07-15
431 MS_DRG Complex Aortic Arch Procedures 1 1 — — $62,256.72 $62,256.72 $62,256.72 2026-07-15
38240 HCPCS Level 4 Blood Product Exchange And Related Services 22 11 — — $59,852.27 $116,365.37 $62,186.57 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 53 17 — $51,013.93 $50,643.99 $89,276.55 $61,575.53 2026-07-15
635 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $61,463.33 $61,463.33 $61,463.33 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 53 17 — $54,178.51 $47,418.55 $116,100.04 $61,221.72 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $61,165.71 $61,165.71 $61,165.71 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $61,062.67 $61,062.67 $61,062.67 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $60,565.08 $60,565.08 $60,565.08 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 19 12 — — $57,553.46 $86,101.41 $59,951.54 2026-07-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $59,582.29 $59,582.29 $59,582.29 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $59,266.65 $59,266.65 $59,266.65 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $59,239.91 $59,239.91 $59,239.91 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $59,144.70 $59,144.70 $59,144.70 2026-07-15
1784 APR_DRG External Heart Assist Devices 2 2 — — $58,795.80 $58,795.80 $58,795.80 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 1 — — $45,445.98 $60,598.33 $58,549.08 2026-07-15
A9543 HCPCS Y90 Ibritumomab, Rx 20 10 — — $55,511.90 $90,919.28 $57,108.67 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 53 17 — $46,668.28 $44,736.78 $89,260.96 $56,330.18 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $56,245.89 $56,245.89 $56,245.89 2026-07-15
10 MS_DRG Pancreas Transplant 53 17 — $54,492.23 $40,898.03 $79,271.56 $55,037.15 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 1 — — $42,664.05 $56,888.86 $54,965.06 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 10 — — $53,147.37 $87,046.57 $54,676.13 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 51 17 — $48,299.09 $47,390.63 $97,646.23 $54,577.98 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 53 17 — $53,420.51 $50,812.14 $77,712.50 $54,488.92 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 2 2 — — $54,263.36 $54,263.36 $54,263.36 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 17 — $47,547.25 $45,937.76 $80,517.22 $54,184.70 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 17 — $52,881.92 $51,032.13 $76,928.99 $54,127.61 2026-07-15
62 APR_DRG Pancreas Transplant 2 2 — — $53,888.38 $53,888.38 $53,888.38 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $53,694.69 $53,694.69 $53,694.69 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 53 17 — $44,206.33 $42,766.82 $88,793.39 $53,358.53 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $53,172.97 $53,172.97 $53,172.97 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $53,156.66 $53,156.66 $53,156.66 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $52,733.42 $52,733.42 $52,733.42 2026-07-15
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 20 10 — — $51,225.10 $83,898.20 $52,698.56 2026-07-15
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 20 10 — — $51,225.10 $83,898.20 $52,698.56 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 53 17 — $43,223.47 $40,683.87 $104,441.72 $52,031.05 2026-07-15
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $51,924.11 $51,924.11 $51,924.11 2026-07-15
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $51,626.01 $51,626.01 $51,626.01 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 53 17 — $45,569.90 $16,558.47 $85,785.29 $51,493.99 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 53 17 — $42,088.19 $42,088.19 $89,697.37 $50,801.85 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $50,512.85 $50,512.85 $50,512.85 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $50,510.24 $50,510.24 $50,510.24 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $50,141.13 $50,141.13 $50,141.13 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $50,130.04 $50,130.04 $50,130.04 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $50,089.61 $50,089.61 $50,089.61 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $14,266.24 $71,774.54 $49,975.88 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $49,904.40 $49,904.40 $49,904.40 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $49,580.93 $49,580.93 $49,580.93 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 53 17 — $41,749.86 $40,293.74 $72,069.62 $48,994.59 2026-07-15
613 MS_DRG Neonate, Birth Weight <750 Grams, Died 1 1 — — $48,846.82 $48,846.82 $48,846.82 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $48,523.15 $48,523.15 $48,523.15 2026-07-15
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $48,046.03 $48,046.03 $48,046.03 2026-07-15
33276 CPT Insj Phrnc Nrv Stim Sys 29 11 — $43,620.78 $41,426.66 $69,793.26 $47,982.86 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 29 11 — $43,620.78 $41,426.66 $69,793.26 $47,982.86 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $47,745.78 $47,745.78 $47,745.78 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 17 — $44,135.93 $43,701.28 $73,253.11 $47,686.04 2026-07-15
691 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $47,457.23 $47,457.23 $47,457.23 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 53 17 — $41,943.97 $36,707.40 $100,856.94 $47,396.68 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 17 — $39,225.71 $39,225.71 $76,823.34 $47,346.75 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $47,177.11 $47,177.11 $47,177.11 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $47,096.90 $47,096.90 $47,096.90 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $46,970.38 $46,970.38 $46,970.38 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $46,723.22 $46,723.22 $46,723.22 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc 51 17 — $42,335.61 $34,192.68 $80,517.22 $46,569.17 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 53 17 — $45,647.14 $23,251.67 $71,318.16 $46,560.08 2026-07-15
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $46,539.31 $46,539.31 $46,539.31 2026-07-15
6904 APR_DRG Acute Leukemia 2 2 — — $46,433.01 $46,433.01 $46,433.01 2026-07-15
648 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $46,375.92 $46,375.92 $46,375.92 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 12 — — $44,440.35 $66,483.87 $46,292.04 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 53 17 — $40,944.02 $37,730.08 $69,513.52 $46,266.74 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 12 — — $44,407.78 $75,304.63 $46,258.12 2026-07-15
C1822 HCPCS Freedon-8a Neorost Receiver Kit Stimwave 24 4 $92,500.00 — $10,000.00 $52,800.00 $46,250.00 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $46,111.50 $46,111.50 $46,111.50 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $46,016.94 $46,016.94 $46,016.94 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 53 17 — $40,633.71 $6,936.85 $97,178.65 $45,916.09 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 53 17 — $37,776.02 $36,487.41 $109,725.37 $45,596.93 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 17 — $40,661.73 $40,661.73 $67,568.83 $45,522.18 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $45,338.70 $45,338.70 $45,338.70 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $45,315.23 $45,315.23 $45,315.23 2026-07-15
1783 APR_DRG External Heart Assist Devices 2 2 — — $45,267.62 $45,267.62 $45,267.62 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 53 17 — $38,991.28 $38,085.18 $66,988.59 $45,257.71 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 5 1 — — $35,124.78 $46,835.90 $45,252.05 2026-07-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $45,244.14 $45,244.14 $45,244.14 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 53 17 — $37,778.76 $35,184.08 $89,401.24 $44,997.30 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 53 17 — $39,792.33 $35,981.29 $70,807.15 $44,946.31 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 53 17 — $37,187.53 $37,187.53 $83,992.90 $44,886.60 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $44,838.50 $44,838.50 $44,838.50 2026-07-15
1794 APR_DRG Defibrillator Implants 2 2 — — $44,762.20 $44,762.20 $44,762.20 2026-07-15
646 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $44,531.77 $44,531.77 $44,531.77 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $44,305.05 $44,305.05 $44,305.05 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $44,256.14 $44,256.14 $44,256.14 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $43,961.36 $43,961.36 $43,961.36 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $43,947.67 $43,947.67 $43,947.67 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 53 17 — $36,878.60 $36,249.48 $70,410.97 $43,804.48 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $43,754.63 $43,754.63 $43,754.63 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $43,450.08 $43,450.08 $43,450.08 2026-07-15
J9226 HCPCS Supprelin La Implant 20 10 — — $42,187.76 $69,096.54 $43,401.26 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 53 17 — $37,102.78 $36,358.47 $67,300.30 $43,389.28 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $43,294.87 $43,294.87 $43,294.87 2026-07-15
0620T, 33276, 64568, 64654 OTHER New Technology - Level 43 ($40,001-$50,000) 20 10 — — $41,911.53 $68,644.12 $43,117.09 2026-07-15
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 20 10 — — $41,911.53 $68,644.12 $43,117.09 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 53 17 — $38,099.32 $34,536.73 $84,881.30 $43,052.23 2026-07-15
234 APR_DRG Spinal Procedures 2 2 — — $42,986.40 $42,986.40 $42,986.40 2026-07-15
4403 APR_DRG Kidney Transplant 2 2 — — $42,458.81 $42,458.81 $42,458.81 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 53 17 — $41,550.28 $39,932.84 $62,437.48 $42,428.63 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $42,263.82 $42,263.82 $42,263.82 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $42,134.69 $42,134.69 $42,134.69 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $41,981.44 $41,981.44 $41,981.44 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $41,932.53 $41,932.53 $41,932.53 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $41,736.88 $41,736.88 $41,736.88 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $41,692.54 $41,692.54 $41,692.54 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 53 17 — $36,873.81 $32,574.75 $85,707.36 $41,667.41 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 53 17 — $41,252.27 $33,943.29 $60,010.98 $41,664.80 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 53 17 — $40,215.41 $38,510.58 $58,502.62 $41,442.12 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $41,386.03 $41,386.03 $41,386.03 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 53 17 — $41,252.27 $24,185.89 $60,010.98 $41,252.27 2026-07-15
4414 APR_DRG Major Bladder Procedures 2 2 — — $41,224.95 $41,224.95 $41,224.95 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $41,142.12 $41,142.12 $41,142.12 2026-07-15
649 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $41,123.98 $41,123.98 $41,123.98 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 53 17 — $34,057.82 $32,881.81 $75,592.05 $41,108.93 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $40,790.62 $40,790.62 $40,790.62 2026-07-15
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $40,727.75 $40,727.75 $40,727.75 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $40,697.36 $40,697.36 $40,697.36 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $40,677.14 $40,677.14 $40,677.14 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $40,556.49 $40,556.49 $40,556.49 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $40,454.76 $40,454.76 $40,454.76 2026-07-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $40,324.98 $40,324.98 $40,324.98 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 53 17 — $36,913.45 $36,913.45 $56,670.13 $40,247.99 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $40,182.16 $40,182.16 $40,182.16 2026-07-15
4234 APR_DRG Inborn Errors Of Metabolism 2 2 — — $40,038.69 $40,038.69 $40,038.69 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 53 17 — $36,361.19 $36,306.63 $59,039.73 $39,997.31 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 12 — — $38,329.76 $57,342.28 $39,926.84 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 17 — $36,199.89 $35,443.28 $57,746.09 $39,819.87 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 53 17 — $34,712.60 $33,147.66 $57,590.23 $39,795.49 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $39,650.01 $39,650.01 $39,650.01 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $39,599.14 $39,599.14 $39,599.14 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 12 — — $37,929.66 $58,645.26 $39,510.07 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 53 17 — $33,141.93 $30,818.80 $74,875.10 $39,414.50 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 53 17 — $32,638.20 $31,089.97 $75,576.47 $39,395.40 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 17 — $32,495.35 $31,183.02 $61,502.32 $39,222.97 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $39,200.02 $39,200.02 $39,200.02 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $39,115.90 $39,115.90 $39,115.90 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $38,961.99 $38,961.99 $38,961.99 2026-07-15
61 APR_DRG Pancreas Transplant 2 2 — — $38,936.56 $38,936.56 $38,936.56 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $10,934.36 $55,899.55 $38,922.29 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 51 17 — $34,194.52 $34,091.77 $69,513.52 $38,921.32 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $38,919.60 $38,919.60 $38,919.60 2026-07-15
677 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $38,909.52 $38,909.52 $38,909.52 2026-07-15
245 MS_DRG Aicd Generator Procedures 53 17 — $33,398.93 $30,322.99 $74,672.48 $38,780.40 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $38,744.17 $38,744.17 $38,744.17 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $38,611.13 $38,611.13 $38,611.13 2026-07-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $38,528.31 $38,528.31 $38,528.31 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $38,381.58 $38,381.58 $38,381.58 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 48 17 $128,955.46 $35,197.88 73% off $35,197.88 $64,477.73 $38,176.77 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $38,027.46 $38,027.46 $38,027.46 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $37,572.26 $37,572.26 $37,572.26 2026-07-15
274 APR_DRG Other Open Craniotomy 2 2 — — $37,466.61 $37,466.61 $37,466.61 2026-07-15
4402 APR_DRG Kidney Transplant 2 2 — — $37,387.70 $37,387.70 $37,387.70 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $37,377.92 $37,377.92 $37,377.92 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 29 11 — $33,927.38 $26,264.13 $54,283.82 $37,320.12 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 17 — $35,082.37 $4,152.11 $54,815.93 $37,259.49 2026-07-15
1782 APR_DRG External Heart Assist Devices 2 2 — — $37,074.67 $37,074.67 $37,074.67 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 53 17 — $31,982.05 $30,471.86 $53,444.36 $37,011.19 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 17 — $34,184.95 $32,823.32 $53,397.60 $36,978.81 2026-07-15
4284 APR_DRG Genetic Disorders 2 2 — — $36,789.03 $36,789.03 $36,789.03 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 2 2 — — $36,744.03 $36,744.03 $36,744.03 2026-07-15
4014 APR_DRG Adrenal Procedures 2 2 — — $36,467.52 $36,467.52 $36,467.52 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $36,455.13 $36,455.13 $36,455.13 2026-07-15
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $36,386.78 $36,386.78 $36,386.78 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 53 17 — $32,154.29 $3,521.66 $63,450.57 $36,334.34 2026-07-15
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