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

JEFFERSON EINSTEIN MONTGOMERY HOSPITAL

East Norriton, PA · CCN 390329 · Rates published

Your selected procedure

You selected G0121 (HCPCS)

COLON CA SCRN NOT HI RSK IND

This hospital’s price: $975 across 20 payers · range $839-$8,218

Source: https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/204193243_jefferson-einstein-montgomery-hospital_standardcharges.csv · observed 2026-09-23

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.

8,320 distinct procedures filed
20 distinct payers
277,440 rate rows
2026-09-23 last MRF observed
Data quality

277,313 of 277,440 rate rows are consumer-grade (100.0%)

127 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
per-diem day rate — not a per-procedure price 68
placeholder amount (≤ $0.02) — excluded from medians 37
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/204193243_jefferson-einstein-montgomery-hospital_standardcharges.csv
Found on page https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-23
Content fingerprint ed1dbbc8b289016d… · 16,789,379 bytes · first seen 2026-09-23

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
5834
APR_DRG 		6 $443,051.00 $833,499.00 $669,985.00 nat. median
$307,273
outlier · 2.2×
5884
APR_DRG 		6 $271,360.00 $510,503.00 $410,353.50 nat. median
$247,214
1.7× median
114
APR_DRG 		6 $253,677.00 $477,235.00 $383,612.00 nat. median
$124,042
outlier · 3.1×
'2-4
OTHER 		6 $253,509.00 $476,919.00 $383,358.00 nat. median
$456,880
0.8× median
5833
APR_DRG 		6 $252,332.00 $474,705.00 $381,578.00 nat. median
$244,017
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $275,283.00 $1,173,910.00 $341,443.00 nat. median
$359,358
1.0× median
5832
APR_DRG 		6 $193,744.00 $364,486.00 $292,982.00 nat. median
$159,249
1.8× median
1614
APR_DRG 		6 $189,180.00 $355,900.00 $286,080.00 nat. median
$202,993
1.4× median
6094
APR_DRG 		6 $189,064.00 $355,681.00 $285,904.00 nat. median
$165,000
1.7× median
113
APR_DRG 		6 $188,789.00 $355,165.00 $285,489.50 nat. median
$67,766
outlier · 4.2×
'9-4
OTHER 		6 $185,457.00 $348,896.00 $280,450.50 nat. median
$287,472
1.0× median
6314
APR_DRG 		6 $181,845.00 $342,101.00 $274,988.00 nat. median
$133,164
outlier · 2.1×
5883
APR_DRG 		6 $180,726.00 $339,995.00 $273,295.00 nat. median
$175,429
1.6× median
5914
APR_DRG 		6 $177,945.00 $334,762.00 $269,089.50 nat. median
$162,514
1.7× median
5831
APR_DRG 		6 $173,909.00 $327,171.00 $262,987.50 nat. median
$146,591
1.8× median
8414
APR_DRG 		6 $168,280.00 $316,581.00 $254,475.00 nat. median
$156,153
1.6× median
6304
APR_DRG 		6 $164,915.00 $310,250.00 $249,386.00 nat. median
$154,011
1.6× median
5934
APR_DRG 		6 $156,448.00 $294,321.00 $236,582.00 nat. median
$151,838
1.6× median
5882
APR_DRG 		6 $154,862.00 $291,338.00 $234,184.00 nat. median
$145,061
1.6× median
112
APR_DRG 		6 $150,085.00 $282,352.00 $226,960.50 nat. median
$68,020
outlier · 3.3×
'7-4
OTHER 		6 $149,256.00 $280,791.00 $225,706.00 nat. median
$268,993
0.8× median
1613
APR_DRG 		6 $148,132.00 $278,677.00 $224,006.50 nat. median
$120,517
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $205,658.00 $715,730.00 $223,744.50 nat. median
$249,124
0.9× median
'4-4
OTHER 		6 $142,526.00 $268,130.00 $215,528.50 nat. median
$256,864
0.8× median
'1-4
OTHER 		6 $141,108.00 $265,463.00 $213,385.50 nat. median
$254,309
0.8× median
'2-3
OTHER 		6 $138,091.00 $259,787.00 $208,822.50 nat. median
$248,871
0.8× median
5913
APR_DRG 		6 $134,201.00 $252,470.00 $202,941.00 nat. median
$101,541
2.0× median
5881
APR_DRG 		6 $132,739.00 $249,719.00 $200,729.50 nat. median
$120,505
1.7× median
5892
APR_DRG 		6 $126,491.00 $237,964.00 $191,280.50 nat. median
$89,188
outlier · 2.1×
5893
APR_DRG 		6 $126,491.00 $237,964.00 $191,280.50 nat. median
$71,350
outlier · 2.7×
5891
APR_DRG 		6 $126,491.00 $237,964.00 $191,280.50 nat. median
$93,998
outlier · 2.0×
'9-3
OTHER 		6 $124,639.00 $234,480.00 $188,480.50 nat. median
$160,698
1.2× median
6024
APR_DRG 		6 $117,857.00 $221,722.00 $178,225.00 nat. median
$118,589
1.5× median
5912
APR_DRG 		6 $115,106.00 $216,546.00 $174,064.50 nat. median
$82,224
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $159,357.00 $545,292.00 $173,228.00 nat. median
$198,433
0.9× median
5933
APR_DRG 		6 $114,446.00 $215,305.00 $173,066.50 nat. median
$108,798
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $156,514.00 $552,846.00 $171,097.00 nat. median
$190,557
0.9× median
1612
APR_DRG 		6 $108,996.00 $205,052.00 $164,825.50 nat. median
$84,808
1.9× median
1611
APR_DRG 		6 $108,996.00 $205,052.00 $164,825.50 nat. median
$76,852
outlier · 2.1×
1604
APR_DRG 		6 $108,599.00 $204,305.00 $164,225.00 nat. median
$98,624
1.7× median
'2-2
OTHER 		6 $104,567.00 $196,719.00 $158,127.00 nat. median
$188,454
0.8× median
'5-4
OTHER 		6 $99,289.00 $186,790.00 $150,145.50 nat. median
$178,941
0.8× median
'4-3
OTHER 		6 $98,282.00 $184,896.00 $148,623.50 nat. median
$177,127
0.8× median
'7-3
OTHER 		6 $94,929.00 $178,587.00 $143,552.00 nat. median
$171,083
0.8× median
8424
APR_DRG 		6 $94,213.00 $177,240.00 $142,469.00 nat. median
$82,002
1.7× median
'2-1
OTHER 		6 $92,421.00 $173,869.00 $139,759.50 nat. median
$166,564
0.8× median
'6-4
OTHER 		6 $92,172.00 $173,400.00 $139,383.00 nat. median
$166,114
0.8× median
5932
APR_DRG 		6 $92,053.00 $173,176.00 $139,203.00 nat. median
$85,523
1.6× median
6074
APR_DRG 		6 $91,104.00 $171,392.00 $137,768.00 nat. median
$96,883
1.4× median
6303
APR_DRG 		6 $90,905.00 $171,017.00 $137,467.50 nat. median
$75,282
1.8× median

Other procedures at this hospital

Browse this hospital's 8,320 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
             
5834 APR_DRG Neonate With Ecmo 6 6 — — $443,051.00 $833,499.00 $669,985.00 2026-09-23
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $271,360.00 $510,503.00 $410,353.50 2026-09-23
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $253,677.00 $477,235.00 $383,612.00 2026-09-23
'2-4 OTHER Heart And/or Lung Transplant 6 6 — — $253,509.00 $476,919.00 $383,358.00 2026-09-23
5833 APR_DRG Neonate With Ecmo 6 6 — — $252,332.00 $474,705.00 $381,578.00 2026-09-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 19 — $567,806.00 $275,283.00 $1,173,910.00 $341,443.00 2026-09-23
5832 APR_DRG Neonate With Ecmo 6 6 — — $193,744.00 $364,486.00 $292,982.00 2026-09-23
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $189,180.00 $355,900.00 $286,080.00 2026-09-23
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $189,064.00 $355,681.00 $285,904.00 2026-09-23
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $188,789.00 $355,165.00 $285,489.50 2026-09-23
'9-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $185,457.00 $348,896.00 $280,450.50 2026-09-23
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $181,845.00 $342,101.00 $274,988.00 2026-09-23
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $180,726.00 $339,995.00 $273,295.00 2026-09-23
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $177,945.00 $334,762.00 $269,089.50 2026-09-23
5831 APR_DRG Neonate With Ecmo 6 6 — — $173,909.00 $327,171.00 $262,987.50 2026-09-23
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $168,280.00 $316,581.00 $254,475.00 2026-09-23
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $164,915.00 $310,250.00 $249,386.00 2026-09-23
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $156,448.00 $294,321.00 $236,582.00 2026-09-23
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $154,862.00 $291,338.00 $234,184.00 2026-09-23
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $150,085.00 $282,352.00 $226,960.50 2026-09-23
'7-4 OTHER Allogeneic Bone Marrow Transplant 6 6 — — $149,256.00 $280,791.00 $225,706.00 2026-09-23
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $148,132.00 $278,677.00 $224,006.50 2026-09-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 19 — $368,752.00 $205,658.00 $715,730.00 $223,744.50 2026-09-23
'4-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $142,526.00 $268,130.00 $215,528.50 2026-09-23
'1-4 OTHER Liver Transplant And/or Intestinal Transplant 6 6 — — $141,108.00 $265,463.00 $213,385.50 2026-09-23
'2-3 OTHER Heart And/or Lung Transplant 6 6 — — $138,091.00 $259,787.00 $208,822.50 2026-09-23
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $134,201.00 $252,470.00 $202,941.00 2026-09-23
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $132,739.00 $249,719.00 $200,729.50 2026-09-23
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $126,491.00 $237,964.00 $191,280.50 2026-09-23
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $126,491.00 $237,964.00 $191,280.50 2026-09-23
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $126,491.00 $237,964.00 $191,280.50 2026-09-23
'9-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $124,639.00 $234,480.00 $188,480.50 2026-09-23
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $117,857.00 $221,722.00 $178,225.00 2026-09-23
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $115,106.00 $216,546.00 $174,064.50 2026-09-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 19 — $281,122.00 $159,357.00 $545,292.00 $173,228.00 2026-09-23
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $114,446.00 $215,305.00 $173,066.50 2026-09-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 19 — $279,477.00 $156,514.00 $552,846.00 $171,097.00 2026-09-23
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $108,996.00 $205,052.00 $164,825.50 2026-09-23
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $108,996.00 $205,052.00 $164,825.50 2026-09-23
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $108,599.00 $204,305.00 $164,225.00 2026-09-23
'2-2 OTHER Heart And/or Lung Transplant 6 6 — — $104,567.00 $196,719.00 $158,127.00 2026-09-23
'5-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $99,289.00 $186,790.00 $150,145.50 2026-09-23
'4-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $98,282.00 $184,896.00 $148,623.50 2026-09-23
'7-3 OTHER Allogeneic Bone Marrow Transplant 6 6 — — $94,929.00 $178,587.00 $143,552.00 2026-09-23
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $94,213.00 $177,240.00 $142,469.00 2026-09-23
'2-1 OTHER Heart And/or Lung Transplant 6 6 — — $92,421.00 $173,869.00 $139,759.50 2026-09-23
'6-4 OTHER Pancreas Transplant 6 6 — — $92,172.00 $173,400.00 $139,383.00 2026-09-23
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $92,053.00 $173,176.00 $139,203.00 2026-09-23
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $91,104.00 $171,392.00 $137,768.00 2026-09-23
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $90,905.00 $171,017.00 $137,467.50 2026-09-23
8513 APR_DRG Gender Related Procedures 6 6 — — $86,935.00 $163,549.00 $131,464.50 2026-09-23
8514 APR_DRG Gender Related Procedures 6 6 — — $86,935.00 $163,549.00 $131,464.50 2026-09-23
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $86,202.00 $162,170.00 $130,355.50 2026-09-23
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $81,830.00 $153,945.00 $123,744.50 2026-09-23
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 4 1 — — $108,041.00 $131,685.00 $121,237.00 2026-09-23
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $75,772.00 $142,548.00 $114,583.50 2026-09-23
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $75,076.00 $141,238.00 $113,530.50 2026-09-23
8634 APR_DRG Neonatal Aftercare 6 6 — — $74,108.00 $139,418.00 $112,067.00 2026-09-23
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $73,917.00 $139,059.00 $111,778.50 2026-09-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 19 — $182,650.00 $103,250.00 $353,765.00 $111,728.00 2026-09-23
'1-3 OTHER Liver Transplant And/or Intestinal Transplant 6 6 — — $73,260.00 $137,823.00 $110,785.00 2026-09-23
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $72,983.00 $137,301.00 $110,366.00 2026-09-23
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $72,631.00 $136,638.00 $109,832.50 2026-09-23
'5-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $72,057.00 $135,559.00 $108,965.00 2026-09-23
4404 APR_DRG Kidney Transplant 6 6 — — $71,464.00 $134,444.00 $108,069.00 2026-09-23
'6-3 OTHER Pancreas Transplant 6 6 — — $71,033.00 $133,632.00 $107,416.00 2026-09-23
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $70,055.00 $131,793.00 $105,938.50 2026-09-23
7 MS_DRG Lung Transplant 35 19 — $170,816.00 $95,509.00 $572,000.00 $104,472.00 2026-09-23
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 4 1 — — $92,573.00 $112,832.00 $103,879.50 2026-09-23
'7-2 OTHER Allogeneic Bone Marrow Transplant 6 6 — — $66,849.00 $125,761.00 $101,090.00 2026-09-23
'8-4 OTHER Autologous Bone Marrow Transplant 6 6 — — $66,384.00 $124,887.00 $100,387.00 2026-09-23
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $65,584.00 $123,382.00 $99,177.50 2026-09-23
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $65,387.00 $123,011.00 $98,878.50 2026-09-23
14 MS_DRG Allogeneic Bone Marrow Transplant 35 19 — $158,574.00 $89,783.00 $384,800.00 $96,965.00 2026-09-23
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $63,863.00 $120,144.00 $96,574.50 2026-09-23
'4-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $62,806.00 $118,155.00 $94,976.00 2026-09-23
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 4 1 — — $84,467.00 $102,952.00 $94,783.50 2026-09-23
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $62,575.00 $117,720.00 $94,626.00 2026-09-23
'9-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $62,556.00 $117,685.00 $94,598.00 2026-09-23
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $62,463.00 $117,510.00 $94,457.00 2026-09-23
'6-2 OTHER Pancreas Transplant 6 6 — — $61,238.00 $115,206.00 $92,605.00 2026-09-23
1784 APR_DRG External Heart Assist Devices 6 6 — — $60,729.00 $114,247.00 $91,834.00 2026-09-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 19 — $149,564.00 $80,561.00 $369,200.00 $90,594.50 2026-09-23
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $59,689.00 $112,291.00 $90,262.00 2026-09-23
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $59,532.00 $111,996.00 $90,025.00 2026-09-23
209 MS_DRG Complex Aortic Arch Procedures 28 18 — $149,394.00 $84,571.00 $289,082.00 $89,645.00 2026-09-23
'7-1 OTHER Allogeneic Bone Marrow Transplant 6 6 — — $59,011.00 $111,016.00 $89,236.50 2026-09-23
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $58,535.00 $110,121.00 $88,518.00 2026-09-23
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 4 1 — — $77,567.00 $94,542.00 $87,041.00 2026-09-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 19 — $145,486.00 $76,590.00 $281,481.00 $86,882.00 2026-09-23
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $57,374.00 $107,937.00 $86,761.50 2026-09-23
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 19 — $143,554.00 $79,643.00 $277,725.00 $85,725.00 2026-09-23
'1-2 OTHER Liver Transplant And/or Intestinal Transplant 6 6 — — $56,616.00 $106,510.00 $85,615.50 2026-09-23
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $56,216.00 $105,758.00 $85,010.50 2026-09-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 35 19 — $136,154.00 $77,054.00 $447,200.00 $83,219.00 2026-09-23
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $54,727.00 $102,956.00 $82,758.00 2026-09-23
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $54,656.00 $102,823.00 $82,652.00 2026-09-23
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $54,495.00 $102,521.00 $82,408.00 2026-09-23
459 MS_DRG Spinal Fusion Except Cervical W Mcc 4 1 — — $72,636.00 $88,533.00 $81,508.50 2026-09-23
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 4 1 — — $72,311.00 $88,136.00 $81,143.00 2026-09-23
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 4 1 — — $72,090.00 $87,867.00 $80,895.50 2026-09-23
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $53,447.00 $100,548.00 $80,823.00 2026-09-23
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $53,387.00 $100,436.00 $80,733.00 2026-09-23
215 MS_DRG Other Heart Assist System Implant 35 19 — $131,512.00 $74,419.00 $463,262.00 $80,372.00 2026-09-23
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $52,970.00 $99,651.00 $80,102.00 2026-09-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 19 — $129,224.00 $70,577.00 $297,163.00 $78,970.00 2026-09-23
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $51,963.00 $97,756.00 $78,578.50 2026-09-23
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $51,887.00 $97,614.00 $78,464.50 2026-09-23
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $51,833.00 $97,513.00 $78,383.00 2026-09-23
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $51,222.00 $96,363.00 $77,459.00 2026-09-23
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $51,149.00 $96,225.00 $77,348.00 2026-09-23
1794 APR_DRG Defibrillator Implants 6 6 — — $50,482.00 $94,970.00 $76,339.00 2026-09-23
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $50,405.00 $94,826.00 $76,223.00 2026-09-23
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $50,336.00 $94,696.00 $76,119.00 2026-09-23
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $50,187.00 $94,416.00 $75,894.00 2026-09-23
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $50,093.00 $94,239.00 $75,751.50 2026-09-23
'1-1 OTHER Liver Transplant And/or Intestinal Transplant 6 6 — — $49,739.00 $93,572.00 $75,215.00 2026-09-23
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $49,416.00 $92,965.00 $74,727.50 2026-09-23
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $49,347.00 $92,834.00 $74,622.00 2026-09-23
1783 APR_DRG External Heart Assist Devices 6 6 — — $49,001.00 $92,184.00 $74,100.00 2026-09-23
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $48,931.00 $92,052.00 $73,993.50 2026-09-23
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $48,812.00 $91,829.00 $73,814.50 2026-09-23
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $48,709.00 $91,635.00 $73,658.00 2026-09-23
4403 APR_DRG Kidney Transplant 6 6 — — $48,587.00 $91,406.00 $73,474.50 2026-09-23
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 4 1 — — $65,067.00 $79,306.00 $73,014.00 2026-09-23
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $48,194.00 $90,666.00 $72,879.50 2026-09-23
'5-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $48,047.00 $90,389.00 $72,656.50 2026-09-23
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $47,737.00 $89,807.00 $72,188.50 2026-09-23
6904 APR_DRG Acute Leukemia 6 6 — — $47,349.00 $89,076.00 $71,601.00 2026-09-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 19 — $119,071.00 $61,017.00 $230,105.00 $71,060.50 2026-09-23
'8-3 OTHER Autologous Bone Marrow Transplant 6 6 — — $46,725.00 $87,902.00 $70,657.00 2026-09-23
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $46,653.00 $87,767.00 $70,548.50 2026-09-23
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 6 — — $46,042.00 $86,617.00 $69,624.50 2026-09-23
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $45,911.00 $86,371.00 $69,427.50 2026-09-23
'9-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $45,808.00 $86,178.00 $69,271.50 2026-09-23
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $45,603.00 $85,792.00 $68,961.00 2026-09-23
850 MS_DRG Acute Leukemia With Other Procedures 30 19 — $114,474.00 $64,746.00 $221,164.00 $68,307.00 2026-09-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 19 — $111,459.00 $61,990.00 $244,994.00 $68,077.00 2026-09-23
234 APR_DRG Spinal Procedures 6 6 — — $44,994.00 $84,646.00 $68,040.00 2026-09-23
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 4 1 — — $60,485.00 $73,722.00 $67,873.00 2026-09-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 19 — $111,111.00 $61,955.00 $300,517.00 $67,864.00 2026-09-23
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 6 — — $44,871.00 $84,415.00 $67,854.50 2026-09-23
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $44,855.00 $84,384.00 $67,829.50 2026-09-23
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $44,388.00 $83,506.00 $67,124.00 2026-09-23
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $44,316.00 $83,371.00 $67,015.50 2026-09-23
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $44,233.00 $83,214.00 $66,889.50 2026-09-23
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $43,866.00 $82,524.00 $66,334.50 2026-09-23
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $43,722.00 $82,252.00 $66,116.00 2026-09-23
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $43,579.00 $81,983.00 $65,900.00 2026-09-23
'4-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $43,453.00 $81,747.00 $65,710.00 2026-09-23
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $43,110.00 $81,102.00 $65,192.00 2026-09-23
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $43,085.00 $81,054.00 $65,153.00 2026-09-23
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $43,036.00 $80,963.00 $65,080.00 2026-09-23
4284 APR_DRG Genetic Disorders 6 6 — — $42,984.00 $80,865.00 $65,000.50 2026-09-23
2614 APR_DRG Major Biliary Tract Procedures 6 6 — — $42,811.00 $80,539.00 $64,739.50 2026-09-23
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $42,805.00 $80,527.00 $64,729.00 2026-09-23
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $42,794.00 $80,508.00 $64,714.50 2026-09-23
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $42,636.00 $80,209.00 $64,474.00 2026-09-23
'6-1 OTHER Pancreas Transplant 6 6 — — $42,535.00 $80,020.00 $64,322.00 2026-09-23
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 4 1 — — $56,882.00 $69,331.00 $63,830.00 2026-09-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 19 — $104,091.00 $58,851.00 $294,329.00 $63,560.00 2026-09-23
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $41,815.00 $78,665.00 $63,233.00 2026-09-23
274 APR_DRG Other Open Craniotomy 6 6 — — $41,531.00 $78,132.00 $62,804.00 2026-09-23
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $41,429.00 $77,940.00 $62,649.50 2026-09-23
4402 APR_DRG Kidney Transplant 6 6 — — $41,406.00 $77,897.00 $62,615.00 2026-09-23
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $41,334.00 $77,760.00 $62,505.50 2026-09-23
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $41,070.00 $77,264.00 $62,107.00 2026-09-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 19 — $101,590.00 $56,618.00 $248,232.00 $62,026.00 2026-09-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 19 — $101,155.00 $57,184.00 $231,606.00 $61,759.00 2026-09-23
4014 APR_DRG Adrenal Procedures 6 6 — — $40,735.00 $76,633.00 $61,600.00 2026-09-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 19 — $100,823.00 $54,624.00 $210,977.00 $61,556.00 2026-09-23
5204 APR_DRG Other GYN Procedures For Malignancy 6 6 — — $40,585.00 $76,351.00 $61,372.50 2026-09-23
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $40,569.00 $76,321.00 $61,348.50 2026-09-23
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $40,410.00 $76,022.00 $61,108.00 2026-09-23
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $40,361.00 $75,930.00 $61,034.00 2026-09-23
4414 APR_DRG Major Bladder Procedures 6 6 — — $40,175.00 $75,580.00 $60,753.00 2026-09-23
1782 APR_DRG External Heart Assist Devices 6 6 — — $39,898.00 $75,058.00 $60,333.50 2026-09-23
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $39,827.00 $74,926.00 $60,227.00 2026-09-23
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $39,717.00 $74,718.00 $60,060.00 2026-09-23
Q2043 HCPCS Sipuleucel-t; Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 41 20 — $63,866.98 $51,648.94 $226,311.24 $58,868.69 2026-09-23
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 6 — — $38,876.00 $73,137.00 $58,789.00 2026-09-23
4401 APR_DRG Kidney Transplant 6 6 — — $38,749.00 $72,898.00 $58,597.00 2026-09-23
38240 CPT Bone Marrow Or Blood-derived Peripheral Stem Cell Tra0lantation; Allogenic 41 20 — $26,318.03 $1,008.80 $238,604.58 $58,553.27 2026-09-23
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $38,707.00 $72,818.00 $58,533.00 2026-09-23
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 6 — — $38,586.00 $72,590.00 $58,349.50 2026-09-23
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $38,560.00 $72,543.00 $58,311.50 2026-09-23
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $38,446.00 $72,327.00 $58,137.50 2026-09-23
1793 APR_DRG Defibrillator Implants 6 6 — — $38,444.00 $72,324.00 $58,135.50 2026-09-23
10 MS_DRG Pancreas Transplant 35 19 — $94,990.00 $51,352.00 $260,000.00 $57,979.00 2026-09-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 19 — $94,950.00 $48,895.00 $183,191.00 $57,955.00 2026-09-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 19 — $94,450.00 $53,378.00 $179,122.00 $57,648.00 2026-09-23
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $38,055.00 $71,592.00 $57,547.00 2026-09-23
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $38,048.00 $71,580.00 $57,537.00 2026-09-23
8633 APR_DRG Neonatal Aftercare 6 6 — — $37,911.00 $71,320.00 $57,328.50 2026-09-23
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $37,760.00 $71,038.00 $57,101.50 2026-09-23
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $37,712.00 $70,946.00 $57,027.50 2026-09-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 19 — $95,553.00 $51,987.00 $184,363.00 $56,974.00 2026-09-23
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 6 — — $37,643.00 $70,816.00 $56,923.50 2026-09-23
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $37,614.00 $70,762.00 $56,880.00 2026-09-23
1814 APR_DRG Lower Extremity Vascular Procedures 6 6 — — $37,531.00 $70,605.00 $56,754.50 2026-09-23
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $37,526.00 $70,596.00 $56,746.50 2026-09-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 19 — $94,395.00 $51,727.00 $182,110.00 $56,280.50 2026-09-23
1214 APR_DRG Other Respiratory And Chest Procedures 6 6 — — $37,207.00 $69,996.00 $56,264.00 2026-09-23
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 6 — — $37,192.00 $69,968.00 $56,241.50 2026-09-23
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $36,983.00 $69,576.00 $55,927.00 2026-09-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 19 — $91,525.00 $50,920.00 $185,528.00 $55,854.00 2026-09-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 19 — $91,079.00 $48,813.00 $196,875.00 $55,581.00 2026-09-23
'8-2 OTHER Autologous Bone Marrow Transplant 6 6 — — $36,673.00 $68,992.00 $55,457.50 2026-09-23
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $36,660.00 $68,967.00 $55,437.00 2026-09-23
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 6 — — $36,569.00 $68,797.00 $55,300.00 2026-09-23
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 6 — — $36,497.00 $68,661.00 $55,191.50 2026-09-23
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 6 — — $36,366.00 $68,414.00 $54,993.00 2026-09-23
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $36,218.00 $68,136.00 $54,769.00 2026-09-23
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 6 — — $36,132.00 $67,974.00 $54,639.00 2026-09-23
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 6 — — $36,110.00 $67,933.00 $54,606.00 2026-09-23
4034 APR_DRG Procedures For Obesity 6 6 — — $36,031.00 $67,783.00 $54,485.50 2026-09-23
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $35,987.00 $67,702.00 $54,420.50 2026-09-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 19 — $89,152.00 $49,985.00 $171,912.00 $54,400.00 2026-09-23
1781 APR_DRG External Heart Assist Devices 6 6 — — $35,908.00 $67,552.00 $54,300.00 2026-09-23
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $35,859.00 $67,460.00 $54,226.00 2026-09-23
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $35,859.00 $67,460.00 $54,226.00 2026-09-23
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $35,683.00 $67,129.00 $53,960.00 2026-09-23
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 6 — — $35,455.00 $66,700.00 $53,615.00 2026-09-23
294 APR_DRG Other Percutaneous Intracranial Procedures 6 6 — — $35,217.00 $66,253.00 $53,255.50 2026-09-23
4844 APR_DRG Other Male Reproductive System And Related Procedures 6 6 — — $35,214.00 $66,247.00 $53,251.00 2026-09-23
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $35,178.00 $66,180.00 $53,197.00 2026-09-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 19 — $87,106.00 $47,283.00 $196,963.00 $53,145.00 2026-09-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 19 — $87,106.00 $43,573.00 $170,090.00 $53,145.00 2026-09-23
4854 APR_DRG Prostatectomy Procedures 6 6 — — $35,131.00 $66,092.00 $53,126.50 2026-09-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 19 — $86,792.00 $45,097.00 $167,323.00 $52,953.00 2026-09-23
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $34,999.00 $65,842.00 $52,925.50 2026-09-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 19 — $88,566.00 $45,303.00 $170,773.00 $52,789.50 2026-09-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 19 — $88,502.00 $49,084.00 $170,648.00 $52,751.00 2026-09-23
213 APR_DRG Open Craniotomy Except Trauma 6 6 — — $34,727.00 $65,331.00 $52,514.50 2026-09-23
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 6 — — $34,622.00 $65,133.00 $52,355.00 2026-09-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 19 — $85,260.00 $47,351.00 $164,742.00 $52,013.00 2026-09-23
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $34,378.00 $64,675.00 $51,987.00 2026-09-23
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $34,375.00 $64,669.00 $51,983.00 2026-09-23
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 6 6 — — $34,292.00 $64,513.00 $51,857.00 2026-09-23
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 6 — — $34,184.00 $64,310.00 $51,694.00 2026-09-23
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $45,932.00 $55,985.00 $51,543.00 2026-09-23
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 6 6 — — $34,004.00 $63,971.00 $51,421.00 2026-09-23
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $33,884.00 $63,745.00 $51,240.00 2026-09-23
6504 APR_DRG Splenic Procedures 6 6 — — $33,868.00 $63,716.00 $51,216.00 2026-09-23
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $33,832.00 $63,648.00 $51,161.50 2026-09-23
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $33,631.00 $63,270.00 $50,857.50 2026-09-23
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $33,563.00 $63,141.00 $50,754.50 2026-09-23
913 APR_DRG Other Major Head And Neck Procedures 6 6 — — $33,534.00 $63,087.00 $50,711.00 2026-09-23
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $33,378.00 $62,793.00 $50,474.00 2026-09-23
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $33,351.00 $62,743.00 $50,434.00 2026-09-23
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $33,093.00 $62,257.00 $50,043.00 2026-09-23
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 6 — — $33,048.00 $62,171.00 $49,975.00 2026-09-23
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 6 — — $32,879.00 $61,855.00 $49,720.50 2026-09-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 19 — $81,238.00 $43,876.00 $281,863.00 $49,547.00 2026-09-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 19 — $81,144.00 $45,824.00 $172,077.00 $49,490.00 2026-09-23
2314 APR_DRG Major Large Bowel Procedures 6 6 — — $32,648.00 $61,419.00 $49,370.00 2026-09-23
1824 APR_DRG Other Peripheral Vascular And Related Procedures 6 6 — — $32,470.00 $61,085.00 $49,102.00 2026-09-23
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 6 — — $32,427.00 $61,004.00 $49,036.50 2026-09-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 19 — $80,374.00 $44,736.00 $175,992.00 $49,017.00 2026-09-23
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 6 — — $32,194.00 $60,565.00 $48,683.50 2026-09-23
5184 APR_DRG Other Female Reproductive System And Related Procedures 6 6 — — $32,142.00 $60,468.00 $48,605.50 2026-09-23
893 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $32,127.00 $60,439.00 $48,582.50 2026-09-23
28 MS_DRG Spinal Procedures With Mcc 35 19 — $79,660.00 $44,523.00 $170,331.00 $48,580.00 2026-09-23
4444 APR_DRG Renal Dialysis Access Device Procedures 6 6 — — $32,113.00 $60,414.00 $48,562.00 2026-09-23
6903 APR_DRG Acute Leukemia 6 6 — — $31,984.00 $60,171.00 $48,366.00 2026-09-23
4834 APR_DRG Penis, Testes And Scrotal Procedures 6 6 — — $31,967.00 $60,138.00 $48,340.50 2026-09-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 19 — $79,067.00 $42,042.00 $213,742.00 $48,216.00 2026-09-23
1693 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $31,877.00 $59,969.00 $48,205.00 2026-09-23
1832 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $31,836.00 $59,892.00 $48,143.00 2026-09-23
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 6 — — $31,789.00 $59,803.00 $48,071.00 2026-09-23
1792 APR_DRG Defibrillator Implants 6 6 — — $31,785.00 $59,796.00 $48,065.50 2026-09-23
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $31,778.00 $59,783.00 $48,055.00 2026-09-23
3094 APR_DRG Other Significant Hip And Femur Surgery 6 6 — — $31,708.00 $59,651.00 $47,948.00 2026-09-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 35 19 — $78,628.00 $44,205.00 $384,800.00 $47,947.00 2026-09-23
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 6 6 — — $31,478.00 $59,220.00 $47,602.00 2026-09-23
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $31,449.00 $59,164.00 $47,557.50 2026-09-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 19 — $77,826.00 $43,098.00 $183,305.00 $47,455.00 2026-09-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 19 — $79,638.00 $44,969.00 $153,409.00 $47,442.00 2026-09-23
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 6 6 — — $31,365.00 $59,006.00 $47,430.50 2026-09-23
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 6 6 — — $31,224.00 $58,741.00 $47,217.50 2026-09-23
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 6 — — $31,180.00 $58,659.00 $47,151.00 2026-09-23
984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 6 6 — — $31,107.00 $58,521.00 $47,040.50 2026-09-23
2324 APR_DRG Gastric Fundoplication 6 6 — — $31,096.00 $58,501.00 $47,024.50 2026-09-23
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 6 6 — — $31,078.00 $58,466.00 $46,996.00 2026-09-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 17 — $77,776.00 $42,647.00 $149,787.00 $46,985.50 2026-09-23
233 APR_DRG Spinal Procedures 6 6 — — $30,991.00 $58,302.00 $46,865.00 2026-09-23
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $30,988.00 $58,297.00 $46,860.50 2026-09-23
2234 APR_DRG Other Small And Large Bowel Procedures 6 6 — — $30,982.00 $58,286.00 $46,852.00 2026-09-23
'8-1 OTHER Autologous Bone Marrow Transplant 6 6 — — $30,976.00 $58,274.00 $46,841.50 2026-09-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 19 — $78,810.00 $43,540.00 $151,797.00 $46,723.00 2026-09-23
1804 APR_DRG Other Circulatory System Procedures 6 6 — — $30,854.00 $58,046.00 $46,658.00 2026-09-23
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $30,806.00 $57,954.00 $46,584.50 2026-09-23
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $30,787.00 $57,919.00 $46,556.50 2026-09-23
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 6 6 — — $30,772.00 $57,890.00 $46,533.00 2026-09-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 19 — $76,010.00 $41,792.00 $161,705.00 $46,342.00 2026-09-23
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 6 — — $30,598.00 $57,563.00 $46,270.50 2026-09-23
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 6 6 — — $30,588.00 $57,544.00 $46,255.50 2026-09-23
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $30,570.00 $57,511.00 $46,228.00 2026-09-23
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $30,569.00 $57,509.00 $46,227.00 2026-09-23
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 6 — — $30,515.00 $57,407.00 $46,144.50 2026-09-23
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