Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

AHN WEXFORD HOSPITAL

Wexford, PA · CCN 390334 · Rates published

18,290 distinct procedures filed
767 distinct payers
1,212,141 rate rows
2026-04-14 last MRF observed
Data quality

1,033,804 of 1,212,141 rate rows are consumer-grade (85.3%)

178,337 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 158,668
exceeds 10× this hospital's gross charge — excluded from medians 17,656
template filing: same amount across many unrelated codes — excluded 1,427
placeholder amount (≤ $0.02) — excluded from medians 483
per-diem day rate — not a per-procedure price 103
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://goldteamstorage.blob.core.windows.net/hpifilestorage/9126/_HPI-CDM---Wexford_standardcharges.json
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 0f0b57ca0b348fe9… · 55,478,107 bytes · first seen 2026-05-13

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Pr Injection, Atidarsagene Autotemcel, Per Treatment 12 $2,828,302.75 $4,929,065.00 $4,552,600.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 12 $2,381,050.79 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Pr Inj, Beqvez, Per Tx Dose 12 $2,397,031.00 $4,978,505.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 12 $2,148,005.90 $4,551,776.00 $3,573,845.96 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 12 $2,107,161.47 $4,409,533.00 $3,478,200.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 12 $1,906,438.66 $4,651,167.39 $3,141,600.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 12 $1,584,311.89 $4,613,410.28 $2,554,248.40 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 13 $1,506,705.20 $4,897,200.00 $2,468,400.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 15 $497,897.58 $2,342,684.80 $815,694.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 15 $357,538.06 $1,682,271.64 $688,852.34 nat. median
$674,867
1.0× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 15 $349,708.37 $1,645,431.76 $657,039.31 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 15 $349,950.80 $1,646,572.40 $643,116.81 nat. median
$673,137
1.0× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 15 $373,655.51 $1,758,106.72 $601,457.56 nat. median
$753,246
0.8× median
C9301
HCPCS 		Pr Obecabtagene Car Pos T 1 $589,050.00 $589,050.00 $589,050.00 nat. median
$459,112
1.3× median
Q2041
HCPCS 		Pr Axicabtagene Ciloleucel Car+ 15 $344,420.71 $1,620,552.49 $554,399.54 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 15 $316,408.09 $1,488,748.80 $509,308.80 nat. median
$619,808
0.8× median
633
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $311,127.21 $311,127.21 $311,127.21 nat. median
$8,452
outlier · 36.8×
Q2058
HCPCS 		Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 13 $174,689.29 $821,940.00 $289,301.25 nat. median
$324,450
0.9× median
612
MS_DRG 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $285,105.09 $285,105.09 $285,105.09 nat. median
$50,031
outlier · 5.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $242,795.40 $705,136.24 $279,742.53 nat. median
$370,174
0.8× median
583
APR_DRG 		Neonate With Ecmo 7 $157,934.84 $643,766.02 $252,382.25 nat. median
$11,771
outlier · 21.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $118,589.57 $587,241.27 $211,901.29 nat. median
$265,286
0.8× median
631
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $206,732.43 $206,732.43 $206,732.43 nat. median
$65,780
outlier · 3.1×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $120,546.48 $394,294.50 $183,820.04 nat. median
$281,646
0.7× median
636
MS_DRG 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $182,813.14 $182,813.14 $182,813.14 nat. median
$7,503
outlier · 24.4×
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $67,127.65 $368,599.83 $180,020.42 nat. median
$50,490
outlier · 3.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $88,600.93 $446,798.24 $160,473.68 nat. median
$202,976
0.8× median
161
APR_DRG 		Implantable Heart Assist Systems 7 $98,984.48 $274,884.46 $157,884.89 nat. median
$181,791
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $128,761.85 $448,877.22 $152,001.91 nat. median
$206,474
0.7× median
2
APR_DRG 		Heart And/or Lung Transplant 7 $83,931.58 $368,355.67 $136,118.72 nat. median
$136,483
1.0× median
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $22,199.15 $258,558.82 $132,363.94 nat. median
$6,529
outlier · 20.3×
681
MS_DRG 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $124,518.91 $124,518.91 $124,518.91 nat. median
$29,070
outlier · 4.3×
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 $115,325.86 $115,325.86 $115,325.86 nat. median
$32,088
outlier · 3.6×
634
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $111,517.90 $111,517.90 $111,517.90 nat. median
$14,316
outlier · 7.8×
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $63,620.40 $227,323.49 $109,411.64 nat. median
$13,182
outlier · 8.3×
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 13 $51,404.98 $322,607.63 $106,120.93 nat. median
$111,989
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $32,163.94 $294,577.61 $104,812.76 nat. median
$133,161
0.8× median
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $41,600.58 $269,475.27 $102,043.12 nat. median
$167,999
0.6× median
632
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Died 1 $101,459.95 $101,459.95 $101,459.95 nat. median
$8,452
outlier · 12.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $84,349.55 $306,090.00 $97,185.35 nat. median
$117,357
0.8× median
7
MS_DRG 		Lung Transplant 13 $84,137.08 $108,582.16 $96,483.28 nat. median
$122,708
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $96,340.00 $96,340.00 $96,340.00 nat. median
$62,372
1.5× median
K1007
HCPCS 		Pr Bil Hkaf Pc S/d Micro Sensor 13 $45,154.17 $283,378.77 $93,216.70 nat. median
$96,983
1.0× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $53,590.34 $216,873.45 $90,519.33 nat. median
$93,823
1.0× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $39,461.54 $207,094.35 $90,256.77 nat. median
$123,597
0.7× median
365
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $88,388.55 $88,388.55 $88,388.55 nat. median
$10,293
outlier · 8.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $64,107.93 $227,110.24 $82,332.07 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $68,560.53 $279,535.00 $78,993.65 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 17 $2,340.63 $220,878.48 $78,590.10 nat. median
$99,019
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $78,440.00 $78,440.00 $78,440.00 nat. median
$48,483
1.6× median

Other procedures at this hospital

Browse this hospital's 18,290 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 22 12 — — $2,828,302.75 $4,929,065.00 $4,552,600.00 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 38 12 — — $2,381,050.79 $4,978,505.00 $3,927,000.00 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 38 12 — — $2,397,031.00 $4,978,505.00 $3,927,000.00 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 38 12 — — $2,148,005.90 $4,551,776.00 $3,573,845.96 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 38 12 — — $2,107,161.47 $4,409,533.00 $3,478,200.00 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 39 12 — — $1,906,438.66 $4,651,167.39 $3,141,600.00 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 43 12 — — $1,584,311.89 $4,613,410.28 $2,554,248.40 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 45 13 — — $1,506,705.20 $4,897,200.00 $2,468,400.00 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 50 15 — — $497,897.58 $2,342,684.80 $815,694.00 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 53 15 — — $357,538.06 $1,682,271.64 $688,852.34 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 53 15 — — $349,708.37 $1,645,431.76 $657,039.31 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 53 15 — — $349,950.80 $1,646,572.40 $643,116.81 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 53 15 — — $373,655.51 $1,758,106.72 $601,457.56 2026-04-14
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 2026-04-14
Q2041 HCPCS Pr Axicabtagene Ciloleucel Car+ 53 15 — — $344,420.71 $1,620,552.49 $554,399.54 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 53 15 — — $316,408.09 $1,488,748.80 $509,308.80 2026-04-14
633 MS_DRG Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $311,127.21 $311,127.21 $311,127.21 2026-04-14
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 35 13 — — $174,689.29 $821,940.00 $289,301.25 2026-04-14
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $285,105.09 $285,105.09 $285,105.09 2026-04-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 13 — — $242,795.40 $705,136.24 $279,742.53 2026-04-14
583 APR_DRG Neonate With Ecmo 40 7 — — $157,934.84 $643,766.02 $252,382.25 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 15 — — $118,589.57 $587,241.27 $211,901.29 2026-04-14
631 MS_DRG Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $206,732.43 $206,732.43 $206,732.43 2026-04-14
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 40 7 — — $120,546.48 $394,294.50 $183,820.04 2026-04-14
636 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $182,813.14 $182,813.14 $182,813.14 2026-04-14
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 7 — — $67,127.65 $368,599.83 $180,020.42 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 14 — — $88,600.93 $446,798.24 $160,473.68 2026-04-14
161 APR_DRG Implantable Heart Assist Systems 30 7 — — $98,984.48 $274,884.46 $157,884.89 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 14 — — $128,761.85 $448,877.22 $152,001.91 2026-04-14
2 APR_DRG Heart And/or Lung Transplant 40 7 — — $83,931.58 $368,355.67 $136,118.72 2026-04-14
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 40 7 — — $22,199.15 $258,558.82 $132,363.94 2026-04-14
681 MS_DRG Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $124,518.91 $124,518.91 $124,518.91 2026-04-14
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $115,325.86 $115,325.86 $115,325.86 2026-04-14
634 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $111,517.90 $111,517.90 $111,517.90 2026-04-14
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 40 7 — — $63,620.40 $227,323.49 $109,411.64 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 49 13 — — $51,404.98 $322,607.63 $106,120.93 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 17 — — $32,163.94 $294,577.61 $104,812.76 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 40 7 — — $41,600.58 $269,475.27 $102,043.12 2026-04-14
632 MS_DRG Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $101,459.95 $101,459.95 $101,459.95 2026-04-14
14 MS_DRG Allogeneic Bone Marrow Transplant 26 14 — — $84,349.55 $306,090.00 $97,185.35 2026-04-14
7 MS_DRG Lung Transplant 24 13 — — $84,137.08 $108,582.16 $96,483.28 2026-04-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $96,340.00 $96,340.00 $96,340.00 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 49 13 — — $45,154.17 $283,378.77 $93,216.70 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 40 7 — — $53,590.34 $216,873.45 $90,519.33 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 40 7 — — $39,461.54 $207,094.35 $90,256.77 2026-04-14
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $88,388.55 $88,388.55 $88,388.55 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 39 14 — — $64,107.93 $227,110.24 $82,332.07 2026-04-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 14 — — $68,560.53 $279,535.00 $78,993.65 2026-04-14
215 MS_DRG Other Heart Assist System Implant 44 17 — — $2,340.63 $220,878.48 $78,590.10 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $78,440.00 $78,440.00 $78,440.00 2026-04-14
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $44,234.61 $171,250.15 $78,029.36 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 14 — — $18,566.20 $218,530.88 $77,754.81 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 54 15 — — $40,982.80 $192,830.40 $76,121.35 2026-04-14
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $76,002.00 $76,002.00 $76,002.00 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 15 3 — — $61,878.30 $86,291.72 $73,852.28 2026-04-14
1 APR_DRG Liver Transplant And/or Intestinal Transplant 40 7 — — $45,169.80 $205,034.60 $72,727.85 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 14 — — $40,701.00 $201,201.19 $72,264.15 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 40 7 — — $19,526.65 $239,626.67 $71,376.47 2026-04-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 13 — — $60,545.94 $262,672.62 $71,075.67 2026-04-14
6 APR_DRG Pancreas Transplant 40 7 — — $38,628.09 $133,928.45 $70,237.71 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 39 14 — — $54,665.63 $192,046.39 $69,620.72 2026-04-14
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 54 15 — — $36,146.69 $170,075.75 $68,635.69 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 40 7 — — $22,915.86 $144,269.97 $67,625.63 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 49 13 — — $32,674.07 $205,056.09 $67,452.66 2026-04-14
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,270.60 $67,270.60 $67,270.60 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 14 — — $40,451.73 $176,561.84 $64,007.25 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 39 14 — — $42,030.40 $176,661.92 $63,450.53 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 39 14 — — $49,496.40 $173,880.66 $63,035.27 2026-04-14
647 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $62,197.28 $62,197.28 $62,197.28 2026-04-14
635 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $62,067.45 $62,067.45 $62,067.45 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 61 13 — — $36,714.34 $172,746.63 $61,370.51 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 39 14 — — $45,591.29 $168,053.36 $60,922.76 2026-04-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 40 7 — — $31,217.72 $274,715.42 $60,870.87 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $30,287.76 $132,376.86 $59,561.49 2026-04-14
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 7 — — $2,381.00 $183,795.41 $59,340.86 2026-04-14
10 MS_DRG Pancreas Transplant 25 14 — — $51,331.22 $178,902.00 $59,142.49 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 14 — — $29,021.27 $162,951.61 $58,526.29 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 13 — — $51,035.70 $80,449.89 $58,524.63 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 14 — — $28,125.11 $161,308.71 $57,936.22 2026-04-14
646 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $57,914.81 $57,914.81 $57,914.81 2026-04-14
841 APR_DRG Extensive Third Degree Burns With Skin Graft 30 7 — — $32,565.06 $244,516.22 $57,403.07 2026-04-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 39 14 — — $34,048.06 $155,610.68 $56,412.03 2026-04-14
J9226 HCPCS Supprelin La Implant 54 15 — — $30,894.50 $138,503.59 $55,081.63 2026-04-14
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 2 1 — — $53,680.50 $53,680.50 $53,680.50 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 14 — — $36,748.41 $147,329.46 $53,409.92 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 14 — — $13,918.02 $148,000.80 $53,156.50 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 39 14 — — $35,502.09 $142,354.89 $51,606.54 2026-04-14
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $51,547.80 $51,547.80 $51,547.80 2026-04-14
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 40 7 — — $30,542.09 $106,046.73 $51,099.52 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 17 — — $18,544.54 $145,036.07 $50,876.68 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 14 — — $25,044.94 $139,775.87 $50,202.41 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 14 — — $13,795.51 $139,004.45 $49,925.34 2026-04-14
178 APR_DRG External Heart Assist Devices 40 7 — — $32,609.41 $88,240.46 $49,840.04 2026-04-14
440 APR_DRG Kidney Transplant 40 7 — — $35,189.96 $103,839.86 $49,419.33 2026-04-14
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $49,308.73 $49,308.73 $49,308.73 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 39 14 — — $13,976.50 $139,240.05 $48,607.81 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 14 — — $26,700.76 $134,630.33 $48,354.32 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 40 7 — — $28,858.90 $105,534.40 $48,263.36 2026-04-14
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 1 1 — — $48,043.38 $48,043.38 $48,043.38 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 40 7 — — $24,219.51 $157,798.15 $47,998.00 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 39 14 — — $39,211.36 $136,694.87 $47,797.21 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 17 — — $1,443.00 $134,845.08 $47,299.88 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 49 13 — — $22,869.14 $143,522.26 $47,211.27 2026-04-14
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 40 7 — — $5,913.69 $125,254.35 $46,986.21 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 14 — — $36,712.80 $128,971.91 $46,754.94 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 7 — — $27,184.18 $90,923.14 $46,657.93 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 40 7 — — $5,602.61 $264,226.78 $46,635.89 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 39 14 — — $34,754.31 $128,383.97 $46,541.80 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 14 — — $31,668.20 $129,138.71 $46,381.93 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 39 14 — — $28,309.09 $127,351.95 $46,167.67 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 40 7 — — $28,130.45 $96,458.58 $45,842.36 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 39 14 — — $24,243.74 $126,743.16 $45,521.53 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 39 14 — — $37,911.63 $132,163.89 $45,276.56 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 39 14 — — $26,404.01 $124,893.85 $44,857.33 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 14 — — $38,859.29 $338,308.00 $44,772.66 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 14 — — $38,859.29 $230,336.00 $44,772.66 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 14 — — $24,249.67 $124,032.79 $44,548.06 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 47 17 — — $249.00 $134,998.34 $44,101.31 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 14 — — $22,178.42 $122,671.35 $44,059.09 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 14 — — $28,249.74 $121,380.79 $44,003.00 2026-04-14
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 40 7 — — $25,789.23 $92,795.06 $43,778.54 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 14 — — $29,418.90 $119,652.41 $43,376.43 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 40 7 — — $27,975.89 $83,366.55 $43,365.72 2026-04-14
648 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $43,356.80 $43,356.80 $43,356.80 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 14 — — $25,401.03 $118,937.29 $43,117.18 2026-04-14
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 40 7 — — $16,226.12 $75,503.20 $42,771.26 2026-04-14
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $42,558.63 $42,558.63 $42,558.63 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 49 13 — — $20,299.85 $127,397.92 $41,907.21 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 39 14 — — $35,584.69 $140,874.12 $41,773.34 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 39 14 — — $32,510.94 $116,216.50 $41,740.74 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 14 — — $10,575.43 $114,777.91 $41,224.05 2026-04-14
677 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $41,069.28 $41,069.28 $41,069.28 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 39 14 — — $25,715.58 $113,176.71 $41,028.85 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 14 — — $22,297.12 $114,046.11 $40,961.22 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 39 14 — — $24,795.68 $112,492.86 $40,780.95 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 14 — — $32,481.27 $113,233.09 $40,775.66 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 40 7 — — $26,620.72 $79,417.14 $40,396.62 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 39 14 — — $34,384.57 $120,184.72 $40,364.49 2026-04-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 14 — — $35,030.34 $227,821.00 $40,361.05 2026-04-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 17 — — $9,839.86 $112,599.19 $40,063.58 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 15 — — $22,641.34 $110,914.60 $40,022.64 2026-04-14
613 MS_DRG Neonate, Birth Weight <750 Grams, Died 1 1 — — $39,972.15 $39,972.15 $39,972.15 2026-04-14
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $39,694.21 $39,694.21 $39,694.21 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 14 — — $22,095.33 $110,422.56 $39,659.77 2026-04-14
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $39,461.07 $39,461.07 $39,461.07 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $18,143.44 $86,729.56 $39,413.90 2026-04-14
179 APR_DRG Defibrillator Implants 40 7 — — $24,400.15 $73,351.63 $38,722.17 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 39 14 — — $21,068.61 $107,366.10 $38,562.00 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 39 14 — — $19,127.92 $106,211.06 $38,147.15 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 39 14 — — $21,691.77 $105,885.82 $38,030.33 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 49 13 — — $18,323.98 $114,997.76 $37,828.21 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 59 17 — — $1,007.00 $107,013.75 $37,717.03 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 39 14 — — $30,404.08 $105,991.80 $37,661.68 2026-04-14
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 40 7 — — $23,496.28 $74,320.99 $37,540.31 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $37,500.00 $37,500.00 $37,500.00 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 39 14 — — $18,718.42 $104,386.77 $37,491.93 2026-04-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 14 — — $27,276.43 $104,305.46 $37,462.73 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 17 — — $2,266.50 $105,005.99 $37,361.86 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 59 17 — — $1,465.00 $104,276.27 $37,102.22 2026-04-14
245 MS_DRG Aicd Generator Procedures 39 14 — — $28,576.16 $101,878.64 $36,933.07 2026-04-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 40 7 — — $11,826.07 $110,099.45 $36,384.18 2026-04-14
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $36,191.62 $36,191.62 $36,191.62 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 39 14 — — $28,671.12 $99,950.49 $36,091.85 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 44 17 — — $8,815.06 $101,263.59 $36,030.29 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 40 7 — — $18,082.14 $74,427.42 $36,006.55 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 49 17 — — $4,471.53 $99,122.40 $35,933.88 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 24 13 — — $31,219.42 $60,622.90 $35,800.53 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 40 7 — — $13,908.38 $109,087.31 $35,770.51 2026-04-14
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $35,761.91 $35,761.91 $35,761.91 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 39 14 — — $21,270.39 $97,556.64 $35,366.26 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 44 17 — — $11,661.67 $99,126.57 $35,269.92 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 39 14 — — $3,700.07 $98,082.04 $35,227.50 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 14 — — $24,439.59 $96,993.72 $35,162.19 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 15 — — $17,561.13 $95,744.86 $34,548.76 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 49 17 — — $15,997.13 $96,090.96 $34,512.38 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 49 13 — — $16,607.38 $104,224.70 $34,284.44 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 17 — — $17,092.28 $95,732.35 $34,062.24 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 40 7 — — $18,754.50 $81,683.49 $34,025.54 2026-04-14
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $33,823.64 $33,823.64 $33,823.64 2026-04-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 13 — — $24,192.66 $37,399.86 $33,692.12 2026-04-14
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 54 15 — — $19,274.35 $86,409.14 $33,656.70 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 39 14 — — $16,967.65 $93,495.26 $33,580.09 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 39 14 — — $18,599.73 $93,236.73 $33,487.24 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 17 — — $16,291.08 $94,056.09 $33,465.81 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 39 14 — — $25,763.05 $91,579.23 $33,199.33 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 39 14 — — $19,032.97 $92,365.24 $33,175.48 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 40 7 — — $17,261.08 $71,701.96 $33,114.14 2026-04-14
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 7 — — $20,452.04 $69,363.61 $33,033.17 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 40 7 — — $20,409.00 $63,738.43 $32,856.34 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 39 14 — — $19,288.17 $90,207.37 $32,702.00 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 14 — — $26,593.93 $92,709.20 $32,633.98 2026-04-14
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $32,273.03 $32,273.03 $32,273.03 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 40 7 — — $12,319.75 $136,893.90 $32,134.06 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 14 — — $16,564.08 $88,929.32 $31,940.18 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 44 17 — — $23,169.54 $88,800.06 $31,744.72 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 39 14 — — $4,766.12 $88,170.42 $31,667.61 2026-04-14
91 APR_DRG Other Major Head And Neck Procedures 40 7 — — $12,772.99 $72,923.82 $31,536.49 2026-04-14
910 APR_DRG Craniotomy For Multiple Significant Trauma 40 7 — — $18,103.66 $79,183.41 $31,508.12 2026-04-14
863 APR_DRG Neonatal Aftercare 40 7 — — $9,726.15 $107,681.80 $31,422.62 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 39 14 — — $16,350.43 $87,363.56 $31,377.81 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 36 13 — — $16,748.35 $97,398.98 $31,368.34 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 39 12 $4,242.00 $1,102.92 74% off $11,117.24 $38,893.58 $31,314.20 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 40 7 — — $19,230.57 $66,262.51 $31,306.35 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 14 — — $6,271.02 $86,740.18 $31,153.92 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 39 14 — — $19,673.93 $85,678.97 $31,060.36 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 39 14 — — $20,160.58 $85,551.79 $31,014.26 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 15 — — $17,383.09 $85,726.92 $30,933.87 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 49 17 — — $701.21 $87,357.31 $30,789.11 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 14 — — $20,777.80 $84,794.97 $30,739.90 2026-04-14
649 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $30,553.28 $30,553.28 $30,553.28 2026-04-14
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 51 13 $115,799.00 $85,691.26 26% off $432.89 $97,398.98 $30,488.85 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 49 17 — — $426.00 $85,130.64 $30,290.07 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 39 14 — — $22,504.84 $82,993.61 $30,086.87 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 46 13 — — $14,014.45 $87,951.94 $29,944.17 2026-04-14
791 MS_DRG Prematurity With Major Problems 47 17 — — $242.10 $84,649.02 $29,834.57 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 39 14 — — $23,923.26 $83,398.97 $29,758.84 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 39 14 — — $21,395.03 $81,924.06 $29,699.13 2026-04-14
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 40 7 — — $9,156.17 $72,787.13 $29,559.38 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 39 14 — — $21,762.98 $81,519.59 $29,552.51 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 39 14 — — $13,549.19 $82,276.41 $29,550.69 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 17 — — $14,388.45 $83,051.99 $29,550.48 2026-04-14
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/mcc 1 1 — — $29,537.51 $29,537.51 $29,537.51 2026-04-14
676 MS_DRG Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, Without… 1 1 — — $29,524.71 $29,524.71 $29,524.71 2026-04-14
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $29,515.57 $29,515.57 $29,515.57 2026-04-14
690 APR_DRG Acute Leukemia 40 7 — — $10,401.78 $68,799.11 $29,514.63 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 39 14 — — $23,270.43 $81,123.14 $29,390.00 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 39 14 — — $17,341.54 $80,495.90 $29,181.40 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 40 7 — — $14,697.48 $70,027.24 $29,149.40 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 44 17 — — $11,277.59 $81,919.89 $29,147.67 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 39 14 — — $13,572.93 $80,579.30 $28,941.15 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 14 — — $18,053.72 $79,255.39 $28,731.69 2026-04-14
0427T CPT Pr Insj/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
0431T CPT Pr Rmvl/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 17 — — $24,609.06 $98,440.17 $28,487.67 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 40 7 — — $14,629.01 $62,640.74 $28,383.15 2026-04-14
23 APR_DRG Spinal Procedures 40 7 — — $12,621.69 $65,377.68 $28,357.26 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 49 13 — — $13,701.51 $85,987.98 $28,285.52 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 39 14 — — $15,258.42 $78,638.26 $28,244.00 2026-04-14
851 APR_DRG Gender Related Procedures 30 7 — — $14,297.06 $126,319.70 $28,195.74 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 40 7 — — $13,005.16 $62,603.17 $28,189.66 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 38 13 — — $15,114.33 $87,896.46 $28,175.67 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 49 13 — — $13,636.81 $85,581.96 $28,151.96 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 39 14 — — $11,923.05 $78,058.66 $28,035.83 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 17 — — $57.00 $80,289.50 $28,028.55 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 40 7 — — $13,605.13 $75,315.38 $27,836.85 2026-04-14
27 APR_DRG Other Open Craniotomy 40 7 — — $13,267.32 $60,346.22 $27,810.01 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 14 — — $16,884.56 $76,065.49 $27,575.28 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 14 — — $21,187.31 $74,735.33 $27,093.07 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 15 — — $12,516.54 $74,718.65 $26,961.62 2026-04-14
265 MS_DRG Aicd Lead Procedures 39 14 — — $20,611.63 $74,366.30 $26,959.29 2026-04-14
104 MS_DRG Craniotomy, Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 1 1 — — $26,951.03 $26,951.03 $26,951.03 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 17 — — $13,347.41 $75,554.69 $26,882.88 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 14 — — $18,326.72 $74,739.50 $26,843.71 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 39 14 — — $19,834.17 $73,580.29 $26,674.35 2026-04-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 40 7 — — $11,526.73 $54,696.00 $26,636.34 2026-04-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 39 14 — — $13,792.52 $74,034.80 $26,590.61 2026-04-14
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 40 7 — — $12,327.57 $56,066.03 $26,537.97 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 14 — — $18,409.81 $73,046.56 $26,480.86 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 39 14 — — $20,190.26 $72,994.43 $26,461.96 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 39 14 — — $20,450.53 $73,985.29 $26,360.72 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 40 7 — — $12,004.76 $76,967.15 $26,319.30 2026-04-14
609 MS_DRG Other Respiratory Problems After Birth 1 1 — — $26,314.69 $26,314.69 $26,314.69 2026-04-14
441 APR_DRG Major Bladder Procedures 40 7 — — $15,563.54 $58,375.16 $26,303.55 2026-04-14
120 APR_DRG Major Respiratory And Chest Procedures 40 7 — — $13,640.35 $64,497.01 $26,229.10 2026-04-14
332 MS_DRG Rectal Resection With Mcc 39 14 — — $22,308.99 $77,771.45 $26,215.57 2026-04-14
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 40 7 — — $10,750.02 $71,803.17 $26,177.78 2026-04-14
J9600 HCPCS Pr Porfimer Sodium 50 13 — — $15,653.98 $73,654.40 $26,168.41 2026-04-14
0172 RC Newborn - Level Ii 35 4 — — $9,830.67 $54,823.63 $26,164.17 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 17 — — $15,329.64 $73,034.05 $26,108.60 2026-04-14
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 40 7 — — $13,659.26 $66,900.05 $25,974.18 2026-04-14
665 MS_DRG Prostatectomy With Mcc 39 14 — — $18,765.90 $71,582.96 $25,950.27 2026-04-14
252 MS_DRG Other Vascular Procedures With Mcc 39 14 — — $17,501.78 $71,516.24 $25,926.09 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 44 17 — — $10,937.87 $72,865.17 $25,925.93 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 49 17 — — $2,195.66 $71,812.30 $25,792.36 2026-04-14
J7310 HCPCS Pr Ganciclovir Long Act Implant 4 2 — — $16,960.00 $26,515.20 $25,785.60 2026-04-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 39 14 — — $14,480.96 $71,695.54 $25,750.43 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 39 14 — — $17,175.37 $71,028.37 $25,749.23 2026-04-14
623 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 40 7 — — $8,267.29 $60,758.37 $25,747.49 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 44 17 — — $18,702.18 $72,235.53 $25,701.90 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 39 14 — — $12,635.23 $71,405.74 $25,646.34 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 39 14 — — $15,650.12 $70,719.81 $25,637.37 2026-04-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 13 — — $22,355.60 $123,730.80 $25,636.04 2026-04-14
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 40 7 — — $15,909.83 $54,654.26 $25,473.98 2026-04-14
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 40 7 — — $11,177.18 $64,271.63 $25,226.69 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 40 7 — — $13,298.62 $51,171.26 $25,151.10 2026-04-14
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 40 7 — — $15,129.20 $50,306.25 $25,111.96 2026-04-14
37 MS_DRG Extracranial Procedures With Mcc 39 14 — — $16,789.61 $69,233.27 $25,098.47 2026-04-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 44 17 — — $3,331.00 $69,979.67 $24,899.25 2026-04-14
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 40 7 — — $11,441.30 $56,242.37 $24,753.94 2026-04-14
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 40 7 — — $11,231.96 $63,528.70 $24,728.39 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 39 14 — — $14,273.24 $68,837.14 $24,723.80 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 39 14 — — $14,350.39 $67,919.79 $24,622.30 2026-04-14
678 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $24,615.97 $24,615.97 $24,615.97 2026-04-14
181 APR_DRG Lower Vascular Procedures 40 7 — — $12,761.25 $54,533.22 $24,590.29 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 15 — — $13,181.24 $68,144.96 $24,589.56 2026-04-14
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 40 7 — — $15,091.38 $45,306.10 $24,526.90 2026-04-14
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 40 7 — — $12,734.51 $52,625.82 $24,497.85 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 39 14 — — $10,872.59 $67,948.98 $24,404.80 2026-04-14
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 14 — — $19,003.29 $66,804.37 $24,217.94 2026-04-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 59 17 — — $17,946.90 $66,612.55 $24,148.40 2026-04-14
See an error in this hospital's data? Submit a correction