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

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Hospital

Magee Rehabilitation Hospital

Philadelphia, PA · CCN 393038 · Rates published

19,339 distinct procedures filed
43 distinct payers
502,531 rate rows
2026-03-18 last MRF observed
Data quality

495,859 of 502,531 rate rows are consumer-grade (98.7%)

6,672 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 5,356
per-diem day rate — not a per-procedure price 696
placeholder amount (≤ $0.02) — excluded from medians 620
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/231476328_jefferson-moss-magee-rehabilitation-hospital-center-city_standardcharges.csv
Found on page https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5fa1ceac3191103c… · 156,875,514 bytes · first seen 2026-05-06

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
J1413
HCPCS 		Injectables Other Drugs-inj Delandistrogene Moxeparvovec-rokl Per Thr D-25 Q1 Cm… 1 $4,816,583.19 $4,816,583.19 $4,816,583.19 nat. median
$3,325,455
1.4× median
J3394
HCPCS 		Injectables Other Drugs-injection Lovotibeglogene Autotemcel Per Tx-25 Q1 Cms Ap… 1 $4,629,850.00 $4,629,850.00 $4,629,850.00 nat. median
$3,286,000
1.4× median
J3393
HCPCS 		Injectables Other Drugs-injection Betibeglogene Autotemcel Per Treatment-25 Q1 C… 1 $4,303,600.00 $4,303,600.00 $4,303,600.00 nat. median
$3,004,655
1.4× median
J3399
HCPCS 		Injectables Other Drugs-inj Avsx-101-xioi P-tx To 5x10^15 Vctr Gnoms-25 Q1 Cms A… 1 $3,485,015.19 $3,485,015.19 $3,485,015.19 nat. median
$2,468,984
1.4× median
J3392
HCPCS 		Injectables Other Drugs-injection Exagamglogene Autotemcel Per Treatment-25 Q1 C… 1 $3,381,400.00 $3,381,400.00 $3,381,400.00 nat. median
$2,448,600
1.4× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 25 $770,620.00 $3,140,276.50 $809,151.00 nat. median
$824,563
1.0× median
5834
APR_DRG 		Neonate With Ecmo 1 $736,318.76 $736,318.76 $736,318.76 nat. median
$309,665
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 26 $587,649.57 $2,394,672.01 $617,032.05 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 26 $562,201.24 $2,290,970.06 $590,311.30 nat. median
$673,137
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 27 $312,500.00 $2,308,615.06 $589,192.56 nat. median
$753,246
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 26 $558,081.73 $2,274,183.03 $585,985.81 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 27 $245,394.70 $2,168,683.38 $553,479.93 nat. median
$634,303
0.9× median
3
MS_DRG 		Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 1 $552,846.27 $552,846.27 $552,846.27 nat. median
$202,976
outlier · 2.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs W Skin Graft 1 $515,748.28 $515,748.28 $515,748.28 nat. median
$206,474
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 26 $489,450.20 $1,994,509.57 $513,922.71 nat. median
$619,808
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 1 $463,262.53 $463,262.53 $463,262.53 nat. median
$99,019
outlier · 4.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $450,981.31 $450,981.31 $450,981.31 nat. median
$246,434
1.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $421,592.57 $421,592.57 $421,592.57 nat. median
$117,173
outlier · 3.6×
24
APR_DRG 		Heart And-or Lung Transplant 1 $421,313.30 $421,313.30 $421,313.30 nat. median
$234,729
1.8× median
5833
APR_DRG 		Neonate With Ecmo 1 $419,357.24 $419,357.24 $419,357.24 nat. median
$244,017
1.7× median
453
MS_DRG 		Combined Anterior-posterior Spinal Fusion W Mcc 1 $368,168.17 $368,168.17 $368,168.17 nat. median
$87,428
outlier · 4.2×
4
MS_DRG 		Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W-o Maj O.r. 1 $342,574.16 $342,574.16 $342,574.16 nat. median
$133,161
outlier · 2.6×
5832
APR_DRG 		Neonate With Ecmo 1 $321,989.53 $321,989.53 $321,989.53 nat. median
$156,126
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $314,403.95 $314,403.95 $314,403.95 nat. median
$207,730
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $314,210.61 $314,210.61 $314,210.61 nat. median
$162,982
1.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $313,754.72 $313,754.72 $313,754.72 nat. median
$60,831
outlier · 5.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System W-o Mcc 2 $250,197.00 $478,772.53 $310,294.00 nat. median
$108,660
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System W Mcc 2 $250,197.00 $794,677.52 $310,294.00 nat. median
$265,286
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $308,217.10 $308,217.10 $308,217.10 nat. median
$164,834
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $302,214.04 $302,214.04 $302,214.04 nat. median
$122,924
outlier · 2.5×
456
MS_DRG 		Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W Mcc 1 $300,517.24 $300,517.24 $300,517.24 nat. median
$81,118
outlier · 3.7×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $300,353.45 $300,353.45 $300,353.45 nat. median
$182,665
1.6× median
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc 1 $297,163.21 $297,163.21 $297,163.21 nat. median
$93,672
outlier · 3.2×
32033928
CDM 		Hc Remvl Repl Ttl Rplcmt Heart Sys 10 $84,880.20 $403,180.95 $297,080.70 nat. median
$244,922
1.2× median
36033927
CDM 		Hc Impl Ttl Rplcmt Heart Sys 10 $84,880.20 $403,180.95 $297,080.70 nat. median
$244,922
1.2× median
32033927
CDM 		Hc Impl Ttl Rplcmt Heart Sys 10 $84,880.20 $403,180.95 $297,080.70 nat. median
$244,922
1.2× median
5
MS_DRG 		Liver Transplant W Mcc Or Intestinal Transplant 2 $239,550.00 $326,669.20 $295,843.00 nat. median
$100,136
outlier · 3.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $295,731.22 $295,731.22 $295,731.22 nat. median
$164,289
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 1 $294,329.54 $294,329.54 $294,329.54 nat. median
$77,570
outlier · 3.8×
5831
APR_DRG 		Neonate With Ecmo 1 $289,025.22 $289,025.22 $289,025.22 nat. median
$144,745
2.0× median
7
MS_DRG 		Lung Transplant 1 $288,160.64 $288,160.64 $288,160.64 nat. median
$122,708
outlier · 2.3×
27800001
CDM 		Hc Jarvik Artificial Heart 10 $81,187.60 $385,641.10 $284,156.60 nat. median
$171,712
1.7× median
27801713
CDM 		Hc Novacor Implantables Kit 10 $80,665.60 $383,161.60 $282,329.60 nat. median
$232,761
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $279,669.75 $279,669.75 $279,669.75 nat. median
$160,267
1.7× median
J3403
HCPCS 		Revakinagene Per implant__PER Implant 25 $265,000.00 $1,079,875.00 $278,250.00 nat. median
$265,000
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $193,370.00 $332,759.73 $276,521.00 nat. median
$117,357
outlier · 2.4×
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 1 $276,368.28 $276,368.28 $276,368.28 nat. median
$63,570
outlier · 4.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $274,077.24 $274,077.24 $274,077.24 nat. median
$150,721
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $260,005.26 $260,005.26 $260,005.26 nat. median
$151,838
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $257,370.12 $257,370.12 $257,370.12 nat. median
$145,336
1.8× median

Other procedures at this hospital

Browse this hospital's 19,339 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
             
J1413 HCPCS Injectables Other Drugs-inj Delandistrogene Moxeparvovec-rokl Per Thr D-25 Q1 Cm… 1 1 — — $4,816,583.19 $4,816,583.19 $4,816,583.19 2026-03-18
J3394 HCPCS Injectables Other Drugs-injection Lovotibeglogene Autotemcel Per Tx-25 Q1 Cms Ap… 1 1 — — $4,629,850.00 $4,629,850.00 $4,629,850.00 2026-03-18
J3393 HCPCS Injectables Other Drugs-injection Betibeglogene Autotemcel Per Treatment-25 Q1 C… 1 1 — — $4,303,600.00 $4,303,600.00 $4,303,600.00 2026-03-18
J3399 HCPCS Injectables Other Drugs-inj Avsx-101-xioi P-tx To 5x10^15 Vctr Gnoms-25 Q1 Cms A… 1 1 — — $3,485,015.19 $3,485,015.19 $3,485,015.19 2026-03-18
J3392 HCPCS Injectables Other Drugs-injection Exagamglogene Autotemcel Per Treatment-25 Q1 C… 1 1 — — $3,381,400.00 $3,381,400.00 $3,381,400.00 2026-03-18
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 32 25 — — $770,620.00 $3,140,276.50 $809,151.00 2026-03-18
5834 APR_DRG Neonate With Ecmo 1 1 — — $736,318.76 $736,318.76 $736,318.76 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 33 26 — — $587,649.57 $2,394,672.01 $617,032.05 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 33 26 — — $562,201.24 $2,290,970.06 $590,311.30 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 38 27 — — $312,500.00 $2,308,615.06 $589,192.56 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 33 26 — — $558,081.73 $2,274,183.03 $585,985.81 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 38 27 — — $245,394.70 $2,168,683.38 $553,479.93 2026-03-18
3 MS_DRG Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 1 1 — — $552,846.27 $552,846.27 $552,846.27 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs W Skin Graft 1 1 — — $515,748.28 $515,748.28 $515,748.28 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 33 26 — — $489,450.20 $1,994,509.57 $513,922.71 2026-03-18
215 MS_DRG Other Heart Assist System Implant 1 1 — — $463,262.53 $463,262.53 $463,262.53 2026-03-18
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $450,981.31 $450,981.31 $450,981.31 2026-03-18
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $421,592.57 $421,592.57 $421,592.57 2026-03-18
24 APR_DRG Heart And-or Lung Transplant 1 1 — — $421,313.30 $421,313.30 $421,313.30 2026-03-18
5833 APR_DRG Neonate With Ecmo 1 1 — — $419,357.24 $419,357.24 $419,357.24 2026-03-18
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 1 1 — — $368,168.17 $368,168.17 $368,168.17 2026-03-18
4 MS_DRG Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W-o Maj O.r. 1 1 — — $342,574.16 $342,574.16 $342,574.16 2026-03-18
5832 APR_DRG Neonate With Ecmo 1 1 — — $321,989.53 $321,989.53 $321,989.53 2026-03-18
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $314,403.95 $314,403.95 $314,403.95 2026-03-18
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $314,210.61 $314,210.61 $314,210.61 2026-03-18
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $313,754.72 $313,754.72 $313,754.72 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System W-o Mcc 3 2 — — $250,197.00 $478,772.53 $310,294.00 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System W Mcc 3 2 — — $250,197.00 $794,677.52 $310,294.00 2026-03-18
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $308,217.10 $308,217.10 $308,217.10 2026-03-18
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $302,214.04 $302,214.04 $302,214.04 2026-03-18
456 MS_DRG Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W Mcc 1 1 — — $300,517.24 $300,517.24 $300,517.24 2026-03-18
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $300,353.45 $300,353.45 $300,353.45 2026-03-18
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc 1 1 — — $297,163.21 $297,163.21 $297,163.21 2026-03-18
36033927 CDM Hc Impl Ttl Rplcmt Heart Sys 15 10 — — $84,880.20 $403,180.95 $297,080.70 2026-03-18
32033928 CDM Hc Remvl Repl Ttl Rplcmt Heart Sys 15 10 — — $84,880.20 $403,180.95 $297,080.70 2026-03-18
32033927 CDM Hc Impl Ttl Rplcmt Heart Sys 15 10 — — $84,880.20 $403,180.95 $297,080.70 2026-03-18
5 MS_DRG Liver Transplant W Mcc Or Intestinal Transplant 5 2 — — $239,550.00 $326,669.20 $295,843.00 2026-03-18
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $295,731.22 $295,731.22 $295,731.22 2026-03-18
20 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 1 1 — — $294,329.54 $294,329.54 $294,329.54 2026-03-18
5831 APR_DRG Neonate With Ecmo 1 1 — — $289,025.22 $289,025.22 $289,025.22 2026-03-18
7 MS_DRG Lung Transplant 1 1 — — $288,160.64 $288,160.64 $288,160.64 2026-03-18
27800001 CDM Hc Jarvik Artificial Heart 15 10 — — $81,187.60 $385,641.10 $284,156.60 2026-03-18
27801713 CDM Hc Novacor Implantables Kit 15 10 — — $80,665.60 $383,161.60 $282,329.60 2026-03-18
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $279,669.75 $279,669.75 $279,669.75 2026-03-18
J3403 HCPCS Revakinagene Per implant__PER Implant 32 25 — — $265,000.00 $1,079,875.00 $278,250.00 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 5 2 — — $193,370.00 $332,759.73 $276,521.00 2026-03-18
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 1 1 — — $276,368.28 $276,368.28 $276,368.28 2026-03-18
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $274,077.24 $274,077.24 $274,077.24 2026-03-18
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $260,005.26 $260,005.26 $260,005.26 2026-03-18
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $257,370.12 $257,370.12 $257,370.12 2026-03-18
6 MS_DRG Liver Transplant W-o Mcc 5 2 — — $149,329.21 $308,305.00 $255,521.00 2026-03-18
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 1 1 — — $251,394.92 $251,394.92 $251,394.92 2026-03-18
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $249,431.28 $249,431.28 $249,431.28 2026-03-18
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W-o Card Cath W Mcc 1 1 — — $248,232.11 $248,232.11 $248,232.11 2026-03-18
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $248,052.85 $248,052.85 $248,052.85 2026-03-18
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $246,185.09 $246,185.09 $246,185.09 2026-03-18
231 MS_DRG Coronary Bypass W Ptca W Mcc 1 1 — — $244,994.07 $244,994.07 $244,994.07 2026-03-18
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 1 1 — — $242,066.35 $242,066.35 $242,066.35 2026-03-18
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $236,867.82 $236,867.82 $236,867.82 2026-03-18
14 APR_DRG Liver Transplant And-or Intestinal Transplant 1 1 — — $234,511.95 $234,511.95 $234,511.95 2026-03-18
233 MS_DRG Coronary Bypass W Cardiac Cath W Mcc 1 1 — — $231,606.19 $231,606.19 $231,606.19 2026-03-18
23 APR_DRG Heart And-or Lung Transplant 1 1 — — $229,497.07 $229,497.07 $229,497.07 2026-03-18
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $223,033.34 $223,033.34 $223,033.34 2026-03-18
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $220,603.47 $220,603.47 $220,603.47 2026-03-18
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 1 1 — — $219,732.33 $219,732.33 $219,732.33 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures W Mcc 1 1 — — $215,290.60 $215,290.60 $215,290.60 2026-03-18
457 MS_DRG Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W Cc 1 1 — — $213,742.10 $213,742.10 $213,742.10 2026-03-18
459 MS_DRG Spinal Fusion Except Cervical W Mcc 1 1 — — $213,663.74 $213,663.74 $213,663.74 2026-03-18
J3402 HCPCS Inj. Remestemcel-l-rknd- td__Per Therapeutic Dose 32 25 — — $201,669.02 $821,801.26 $211,752.47 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma W Mcc 1 1 — — $210,977.39 $210,977.39 $210,977.39 2026-03-18
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 1 1 — — $210,219.25 $210,219.25 $210,219.25 2026-03-18
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 1 1 — — $210,219.25 $210,219.25 $210,219.25 2026-03-18
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 1 1 — — $210,219.25 $210,219.25 $210,219.25 2026-03-18
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $207,141.34 $207,141.34 $207,141.34 2026-03-18
21 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Cc 1 1 — — $202,050.05 $202,050.05 $202,050.05 2026-03-18
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 1 1 — — $201,419.99 $201,419.99 $201,419.99 2026-03-18
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 1 1 — — $197,109.92 $197,109.92 $197,109.92 2026-03-18
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc 1 1 — — $196,962.59 $196,962.59 $196,962.59 2026-03-18
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $195,870.39 $195,870.39 $195,870.39 2026-03-18
27801899 CDM Hc Heartmate Iii Lvas W/add Contr 15 10 — — $55,215.60 $262,274.10 $193,254.60 2026-03-18
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $191,298.28 $191,298.28 $191,298.28 2026-03-18
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $190,201.50 $190,201.50 $190,201.50 2026-03-18
837 MS_DRG Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 1 1 — — $189,596.28 $189,596.28 $189,596.28 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 3 2 — — $111,789.00 $202,342.00 $189,028.92 2026-03-18
653 MS_DRG Major Bladder Procedures W Mcc 1 1 — — $186,690.51 $186,690.51 $186,690.51 2026-03-18
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 1 1 — — $185,587.13 $185,587.13 $185,587.13 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis W Mv 96+ Hours 1 1 — — $185,527.57 $185,527.57 $185,527.57 2026-03-18
820 MS_DRG Lymphoma & Leukemia W Major O.r. Procedure W Mcc 1 1 — — $184,248.65 $184,248.65 $184,248.65 2026-03-18
235 MS_DRG Coronary Bypass W-o Cardiac Cath W Mcc 1 1 — — $183,305.14 $183,305.14 $183,305.14 2026-03-18
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $181,144.40 $181,144.40 $181,144.40 2026-03-18
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $181,144.40 $181,144.40 $181,144.40 2026-03-18
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhal Inj W Cc-mcc 1 1 — — $181,004.34 $181,004.34 $181,004.34 2026-03-18
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $180,484.42 $180,484.42 $180,484.42 2026-03-18
27801900 CDM Hc Ventricular Heartmate Ii 15 10 — — $51,247.20 $243,424.20 $179,365.20 2026-03-18
8 MS_DRG Simultaneous Pancreas-kidney Transplant 3 2 — — $161,516.53 $187,228.00 $179,122.00 2026-03-18
232 MS_DRG Coronary Bypass W Ptca W-o Mcc 1 1 — — $175,992.12 $175,992.12 $175,992.12 2026-03-18
326 MS_DRG Stomach Esophageal & Duodenal Proc W Mcc 1 1 — — $175,578.35 $175,578.35 $175,578.35 2026-03-18
22 APR_DRG Heart And-or Lung Transplant 1 1 — — $173,783.19 $173,783.19 $173,783.19 2026-03-18
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 1 1 — — $173,647.44 $173,647.44 $173,647.44 2026-03-18
969 MS_DRG HIV W Extensive O.r. Procedure W Mcc 1 1 — — $172,077.00 $172,077.00 $172,077.00 2026-03-18
28 MS_DRG Spinal Procedures W Mcc 1 1 — — $170,331.03 $170,331.03 $170,331.03 2026-03-18
405 MS_DRG Pancreas Liver & Shunt Procedures W Mcc 1 1 — — $170,312.22 $170,312.22 $170,312.22 2026-03-18
218 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W-o Cc-mcc 1 1 — — $170,089.67 $170,089.67 $170,089.67 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $169,443.94 $169,443.94 $169,443.94 2026-03-18
834 MS_DRG Acute Leukemia W-o Major O.r. Procedure W Mcc 1 1 — — $168,729.25 $168,729.25 $168,729.25 2026-03-18
853 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Mcc 1 1 — — $167,672.89 $167,672.89 $167,672.89 2026-03-18
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W-o Card Cath W Cc 1 1 — — $165,873.63 $165,873.63 $165,873.63 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement W Mcc 1 1 — — $165,343.88 $165,343.88 $165,343.88 2026-03-18
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $165,011.32 $165,011.32 $165,011.32 2026-03-18
207 MS_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 1 1 — — $164,742.04 $164,742.04 $164,742.04 2026-03-18
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $163,338.11 $163,338.11 $163,338.11 2026-03-18
23 MS_DRG Cranio W Major Dev Impl-acute Complex Cns Pdx W Mcc Or Chemo Implant 1 1 — — $161,704.61 $161,704.61 $161,704.61 2026-03-18
458 MS_DRG Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W-o Cc-mcc 1 1 — — $161,049.48 $161,049.48 $161,049.48 2026-03-18
329 MS_DRG Major Small & Large Bowel Procedures W Mcc 1 1 — — $160,717.21 $160,717.21 $160,717.21 2026-03-18
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Mcc 1 1 — — $160,341.06 $160,341.06 $160,341.06 2026-03-18
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $159,745.49 $159,745.49 $159,745.49 2026-03-18
163 MS_DRG Major Chest Procedures W Mcc 1 1 — — $159,714.14 $159,714.14 $159,714.14 2026-03-18
799 MS_DRG Splenectomy W Mcc 1 1 — — $158,733.01 $158,733.01 $158,733.01 2026-03-18
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $157,764.69 $157,764.69 $157,764.69 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 1 1 — — $157,717.40 $157,717.40 $157,717.40 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 1 1 — — $157,526.19 $157,526.19 $157,526.19 2026-03-18
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $156,574.82 $156,574.82 $156,574.82 2026-03-18
471 MS_DRG Cervical Spinal Fusion W Mcc 1 1 — — $154,987.16 $154,987.16 $154,987.16 2026-03-18
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $154,595.34 $154,595.34 $154,595.34 2026-03-18
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Mcc 1 1 — — $154,473.09 $154,473.09 $154,473.09 2026-03-18
21 APR_DRG Heart And-or Lung Transplant 1 1 — — $153,597.16 $153,597.16 $153,597.16 2026-03-18
64 APR_DRG Pancreas Transplant 1 1 — — $153,183.03 $153,183.03 $153,183.03 2026-03-18
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $152,984.92 $152,984.92 $152,984.92 2026-03-18
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 1 1 — — $152,344.69 $152,344.69 $152,344.69 2026-03-18
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $151,408.37 $151,408.37 $151,408.37 2026-03-18
234 MS_DRG Coronary Bypass W Cardiac Cath W-o Mcc 1 1 — — $151,307.14 $151,307.14 $151,307.14 2026-03-18
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $151,077.78 $151,077.78 $151,077.78 2026-03-18
856 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 1 1 — — $150,065.84 $150,065.84 $150,065.84 2026-03-18
32033929 CDM Hc Remv Total Rplcmt Hrt Sys Transp 15 10 — — $42,440.00 $201,590.00 $148,540.00 2026-03-18
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 1 1 — — $148,097.31 $148,097.31 $148,097.31 2026-03-18
22 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W-o Cc-mcc 1 1 — — $147,680.41 $147,680.41 $147,680.41 2026-03-18
332 MS_DRG Rectal Resection W Mcc 1 1 — — $147,551.89 $147,551.89 $147,551.89 2026-03-18
245 MS_DRG Aicd Generator Procedures 1 1 — — $147,395.16 $147,395.16 $147,395.16 2026-03-18
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W-o Card Cath W-o Cc-mcc 1 1 — — $145,520.67 $145,520.67 $145,520.67 2026-03-18
8514 APR_DRG Gender Related Procedures 1 1 — — $144,480.38 $144,480.38 $144,480.38 2026-03-18
8513 APR_DRG Gender Related Procedures 1 1 — — $144,480.38 $144,480.38 $144,480.38 2026-03-18
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $143,261.87 $143,261.87 $143,261.87 2026-03-18
823 MS_DRG Lymphoma & Non-acute Leukemia W Other O.r. Proc W Mcc 1 1 — — $140,586.81 $140,586.81 $140,586.81 2026-03-18
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Mcc 1 1 — — $139,245.20 $139,245.20 $139,245.20 2026-03-18
229 MS_DRG Other Cardiothoracic Procedures W Cc 1 1 — — $139,216.99 $139,216.99 $139,216.99 2026-03-18
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $135,996.14 $135,996.14 $135,996.14 2026-03-18
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Mcc 1 1 — — $134,558.97 $134,558.97 $134,558.97 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 3 2 — — $111,789.00 $202,342.00 $134,493.15 2026-03-18
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 1 1 — — $132,314.60 $132,314.60 $132,314.60 2026-03-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures W Mcc 1 1 — — $132,226.83 $132,226.83 $132,226.83 2026-03-18
335 MS_DRG Peritoneal Adhesiolysis W Mcc 1 1 — — $130,446.38 $130,446.38 $130,446.38 2026-03-18
10 MS_DRG Pancreas Transplant 3 2 — — $119,617.00 $165,613.00 $130,255.17 2026-03-18
408 MS_DRG Biliary Tract Proc Except Only Cholecyst W Or W-o C.d.e. W Mcc 1 1 — — $129,089.10 $129,089.10 $129,089.10 2026-03-18
616 MS_DRG Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Mcc 1 1 — — $127,807.05 $127,807.05 $127,807.05 2026-03-18
901 MS_DRG Wound Debridements For Injuries W Mcc 1 1 — — $126,374.53 $126,374.53 $126,374.53 2026-03-18
460 MS_DRG Spinal Fusion Except Cervical W-o Mcc 1 1 — — $126,076.75 $126,076.75 $126,076.75 2026-03-18
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $125,928.19 $125,928.19 $125,928.19 2026-03-18
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $124,770.54 $124,770.54 $124,770.54 2026-03-18
31 MS_DRG Ventricular Shunt Procedures W Mcc 1 1 — — $123,691.32 $123,691.32 $123,691.32 2026-03-18
8634 APR_DRG Neonatal Aftercare 1 1 — — $123,162.96 $123,162.96 $123,162.96 2026-03-18
907 MS_DRG Other O.r. Procedures For Injuries W Mcc 1 1 — — $122,986.03 $122,986.03 $122,986.03 2026-03-18
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $122,845.50 $122,845.50 $122,845.50 2026-03-18
13 APR_DRG Liver Transplant And-or Intestinal Transplant 1 1 — — $121,753.50 $121,753.50 $121,753.50 2026-03-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma W Cc 1 1 — — $121,415.60 $121,415.60 $121,415.60 2026-03-18
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $121,292.82 $121,292.82 $121,292.82 2026-03-18
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $120,706.84 $120,706.84 $120,706.84 2026-03-18
356 MS_DRG Other Digestive System O.r. Procedures W Mcc 1 1 — — $120,331.02 $120,331.02 $120,331.02 2026-03-18
956 MS_DRG Limb Reattachment Hip & Femur Proc For Multiple Significant Trauma 1 1 — — $120,121.01 $120,121.01 $120,121.01 2026-03-18
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $119,753.27 $119,753.27 $119,753.27 2026-03-18
236 MS_DRG Coronary Bypass W-o Cardiac Cath W-o Mcc 1 1 — — $119,149.28 $119,149.28 $119,149.28 2026-03-18
4404 APR_DRG Kidney Transplant 1 1 — — $118,768.67 $118,768.67 $118,768.67 2026-03-18
40 MS_DRG Periph-cranial Nerve & Other Nerv Syst Proc W Mcc 1 1 — — $118,647.74 $118,647.74 $118,647.74 2026-03-18
63 APR_DRG Pancreas Transplant 1 1 — — $118,051.41 $118,051.41 $118,051.41 2026-03-18
242 MS_DRG Permanent Cardiac Pacemaker Implant W Mcc 1 1 — — $117,519.29 $117,519.29 $117,519.29 2026-03-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Mcc 1 1 — — $116,726.23 $116,726.23 $116,726.23 2026-03-18
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $116,427.12 $116,427.12 $116,427.12 2026-03-18
24 MS_DRG Cranio W Major Dev Impl-acute Complex Cns Pdx W-o Mcc 1 1 — — $116,359.49 $116,359.49 $116,359.49 2026-03-18
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 1 1 — — $115,616.59 $115,616.59 $115,616.59 2026-03-18
420 MS_DRG Hepatobiliary Diagnostic Procedures W Mcc 1 1 — — $115,309.40 $115,309.40 $115,309.40 2026-03-18
166 MS_DRG Other Resp System O.r. Procedures W Mcc 1 1 — — $115,168.34 $115,168.34 $115,168.34 2026-03-18
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 1 1 — — $114,942.65 $114,942.65 $114,942.65 2026-03-18
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 27 23 — — $102,831.00 $441,092.00 $113,656.00 2026-03-18
414 MS_DRG Cholecystectomy Except By Laparoscope W-o C.d.e. W Mcc 1 1 — — $113,497.60 $113,497.60 $113,497.60 2026-03-18
619 MS_DRG O.r. Procedures For Obesity W Mcc 1 1 — — $113,472.52 $113,472.52 $113,472.52 2026-03-18
411 MS_DRG Cholecystectomy W C.d.e. W Mcc 1 1 — — $112,745.29 $112,745.29 $112,745.29 2026-03-18
344 MS_DRG Minor Small & Large Bowel Procedures W Mcc 1 1 — — $112,739.02 $112,739.02 $112,739.02 2026-03-18
652 MS_DRG Kidney Transplant 5 2 — — $98,833.94 $146,702.00 $111,790.00 2026-03-18
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $111,098.36 $111,098.36 $111,098.36 2026-03-18
793 MS_DRG Full Term Neonate W Major Problems 1 1 — — $110,648.25 $110,648.25 $110,648.25 2026-03-18
656 MS_DRG Kidney & Ureter Procedures For Neoplasm W Mcc 1 1 — — $110,403.75 $110,403.75 $110,403.75 2026-03-18
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $110,326.20 $110,326.20 $110,326.20 2026-03-18
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W-o Mcc 1 1 — — $110,306.57 $110,306.57 $110,306.57 2026-03-18
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W Mcc 1 1 — — $109,629.50 $109,629.50 $109,629.50 2026-03-18
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $108,996.70 $108,996.70 $108,996.70 2026-03-18
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $108,668.50 $108,668.50 $108,668.50 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Mcc 1 1 — — $108,529.26 $108,529.26 $108,529.26 2026-03-18
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 1 1 — — $107,758.14 $107,758.14 $107,758.14 2026-03-18
791 MS_DRG Prematurity W Major Problems 1 1 — — $107,714.26 $107,714.26 $107,714.26 2026-03-18
34 MS_DRG Carotid Artery Stent Procedure W Mcc 1 1 — — $107,030.92 $107,030.92 $107,030.92 2026-03-18
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $107,024.65 $107,024.65 $107,024.65 2026-03-18
467 MS_DRG Revision Of Hip Or Knee Replacement W Cc 1 1 — — $107,015.24 $107,015.24 $107,015.24 2026-03-18
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm W Mcc 1 1 — — $106,736.26 $106,736.26 $106,736.26 2026-03-18
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $106,135.99 $106,135.99 $106,135.99 2026-03-18
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 1 1 — — $105,247.33 $105,247.33 $105,247.33 2026-03-18
628 MS_DRG Other Endocrine Nutrit & Metab O.r. Proc W Mcc 1 1 — — $105,056.12 $105,056.12 $105,056.12 2026-03-18
622 MS_DRG Skin Grafts & Wound Debrid For Endoc Nutrit & Metab Dis W Mcc 1 1 — — $105,024.77 $105,024.77 $105,024.77 2026-03-18
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 1 1 — — $104,764.60 $104,764.60 $104,764.60 2026-03-18
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc 1 1 — — $104,507.56 $104,507.56 $104,507.56 2026-03-18
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $104,379.23 $104,379.23 $104,379.23 2026-03-18
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $103,994.94 $103,994.94 $103,994.94 2026-03-18
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $103,963.91 $103,963.91 $103,963.91 2026-03-18
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $103,808.76 $103,808.76 $103,808.76 2026-03-18
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 1 1 — — $102,899.51 $102,899.51 $102,899.51 2026-03-18
933 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs W-o Skin Graft 1 1 — — $102,767.86 $102,767.86 $102,767.86 2026-03-18
485 MS_DRG Knee Procedures W Pdx Of Infection W Mcc 1 1 — — $102,560.98 $102,560.98 $102,560.98 2026-03-18
62 APR_DRG Pancreas Transplant 1 1 — — $101,773.93 $101,773.93 $101,773.93 2026-03-18
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 1 1 — — $101,219.37 $101,219.37 $101,219.37 2026-03-18
1784 APR_DRG External Heart Assist Devices 1 1 — — $100,926.58 $100,926.58 $100,926.58 2026-03-18
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 1 1 — — $100,191.22 $100,191.22 $100,191.22 2026-03-18
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 27 23 — — $90,327.00 $387,455.00 $99,835.10 2026-03-18
492 MS_DRG Lower Extrem & Humer Proc Except Hipfootfemur W Mcc 1 1 — — $99,777.45 $99,777.45 $99,777.45 2026-03-18
246 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels-stents 1 1 — — $99,774.32 $99,774.32 $99,774.32 2026-03-18
829 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Other O.r. Proc W Cc-mcc 1 1 — — $99,583.11 $99,583.11 $99,583.11 2026-03-18
904 MS_DRG Skin Grafts For Injuries W Cc-mcc 1 1 — — $99,485.93 $99,485.93 $99,485.93 2026-03-18
739 MS_DRG Uterineadnexa Proc For Non-ovarian-adnexal Malig W Mcc 1 1 — — $99,200.69 $99,200.69 $99,200.69 2026-03-18
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $99,198.46 $99,198.46 $99,198.46 2026-03-18
802 MS_DRG Other O.r. Proc Of The Blood & Blood Forming Organs W Mcc 1 1 — — $99,185.01 $99,185.01 $99,185.01 2026-03-18
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $98,938.29 $98,938.29 $98,938.29 2026-03-18
252 MS_DRG Other Vascular Procedures W Mcc 1 1 — — $98,667.80 $98,667.80 $98,667.80 2026-03-18
665 MS_DRG Prostatectomy W Mcc 1 1 — — $98,470.32 $98,470.32 $98,470.32 2026-03-18
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $98,071.85 $98,071.85 $98,071.85 2026-03-18
81200013 CDM Hc Herat/lung Procurement 15 10 — — $28,000.00 $133,000.00 $98,000.00 2026-03-18
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 15 10 — — $27,978.80 $132,899.30 $97,925.80 2026-03-18
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 1 1 — — $97,852.81 $97,852.81 $97,852.81 2026-03-18
939 MS_DRG O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 1 1 — — $97,743.10 $97,743.10 $97,743.10 2026-03-18
673 MS_DRG Other Kidney & Urinary Tract Procedures W Mcc 1 1 — — $97,642.79 $97,642.79 $97,642.79 2026-03-18
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $97,281.78 $97,281.78 $97,281.78 2026-03-18
654 MS_DRG Major Bladder Procedures W Cc 1 1 — — $96,997.06 $96,997.06 $96,997.06 2026-03-18
840 MS_DRG Lymphoma & Non-acute Leukemia W Mcc 1 1 — — $96,680.47 $96,680.47 $96,680.47 2026-03-18
29 MS_DRG Spinal Procedures W Cc Or Spinal Neurostimulators 1 1 — — $96,489.26 $96,489.26 $96,489.26 2026-03-18
480 MS_DRG Hip & Femur Procedures Except Major Joint W Mcc 1 1 — — $96,213.41 $96,213.41 $96,213.41 2026-03-18
37 MS_DRG Extracranial Procedures W Mcc 1 1 — — $96,047.28 $96,047.28 $96,047.28 2026-03-18
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $95,351.97 $95,351.97 $95,351.97 2026-03-18
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Cc 1 1 — — $94,799.71 $94,799.71 $94,799.71 2026-03-18
500 MS_DRG Soft Tissue Procedures W Mcc 1 1 — — $94,401.61 $94,401.61 $94,401.61 2026-03-18
12 APR_DRG Liver Transplant And-or Intestinal Transplant 1 1 — — $94,091.69 $94,091.69 $94,091.69 2026-03-18
B0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 21 — — $90,182.80 $144,292.00 $93,943.80 2026-03-18
250 MS_DRG Perc Cardiovasc Proc W-o Coronary Artery Stent W Mcc 1 1 — — $93,664.98 $93,664.98 $93,664.98 2026-03-18
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Cc 1 1 — — $93,542.73 $93,542.73 $93,542.73 2026-03-18
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 1 1 — — $93,426.93 $93,426.93 $93,426.93 2026-03-18
662 MS_DRG Minor Bladder Procedures W Mcc 1 1 — — $93,414.21 $93,414.21 $93,414.21 2026-03-18
248 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves-stents 1 1 — — $92,404.87 $92,404.87 $92,404.87 2026-03-18
472 MS_DRG Cervical Spinal Fusion W Cc 1 1 — — $91,806.16 $91,806.16 $91,806.16 2026-03-18
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc 1 1 — — $91,248.21 $91,248.21 $91,248.21 2026-03-18
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $90,951.72 $90,951.72 $90,951.72 2026-03-18
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $90,834.76 $90,834.76 $90,834.76 2026-03-18
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $90,567.42 $90,567.42 $90,567.42 2026-03-18
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $89,348.64 $89,348.64 $89,348.64 2026-03-18
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $88,824.99 $88,824.99 $88,824.99 2026-03-18
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $88,725.93 $88,725.93 $88,725.93 2026-03-18
838 MS_DRG Chemo W Acute Leukemia As Sdx W Cc Or High Dose Chemo Agent 1 1 — — $88,336.16 $88,336.16 $88,336.16 2026-03-18
876 MS_DRG O.r. Procedure W Principal Diagnoses Of Mental Illness 1 1 — — $88,307.95 $88,307.95 $88,307.95 2026-03-18
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 1 1 — — $88,032.53 $88,032.53 $88,032.53 2026-03-18
B1904 OTHER Guillain-barr‚ M <38.50 24 21 — — $84,429.00 $135,086.00 $87,950.00 2026-03-18
288 MS_DRG Acute & Subacute Endocarditis W Mcc 1 1 — — $87,630.88 $87,630.88 $87,630.88 2026-03-18
353 MS_DRG Hernia Procedures Except Inguinal & Femoral W Mcc 1 1 — — $87,408.32 $87,408.32 $87,408.32 2026-03-18
406 MS_DRG Pancreas Liver & Shunt Procedures W Cc 1 1 — — $86,724.98 $86,724.98 $86,724.98 2026-03-18
468 MS_DRG Revision Of Hip Or Knee Replacement W-o Cc-mcc 1 1 — — $86,590.19 $86,590.19 $86,590.19 2026-03-18
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $86,358.12 $86,358.12 $86,358.12 2026-03-18
81200012 CDM Hc Single Lung Procurement 15 10 — — $24,655.60 $117,114.10 $86,294.60 2026-03-18
81200011 CDM Hc Double Lung Procurement 15 10 — — $24,655.60 $117,114.10 $86,294.60 2026-03-18
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $86,232.81 $86,232.81 $86,232.81 2026-03-18
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $86,143.30 $86,143.30 $86,143.30 2026-03-18
61 MS_DRG Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc 1 1 — — $85,624.73 $85,624.73 $85,624.73 2026-03-18
258 MS_DRG Cardiac Pacemaker Device Replacement W Mcc 1 1 — — $85,352.02 $85,352.02 $85,352.02 2026-03-18
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $85,127.67 $85,127.67 $85,127.67 2026-03-18
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $85,066.77 $85,066.77 $85,066.77 2026-03-18
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $85,005.94 $85,005.94 $85,005.94 2026-03-18
265 MS_DRG Aicd Lead Procedures 1 1 — — $84,289.39 $84,289.39 $84,289.39 2026-03-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Cc 1 1 — — $84,267.45 $84,267.45 $84,267.45 2026-03-18
81200005 CDM Hc Heart Trans Procurement Cadaver 15 10 — — $24,066.40 $114,315.40 $84,232.40 2026-03-18
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 1 1 — — $83,972.80 $83,972.80 $83,972.80 2026-03-18
1794 APR_DRG Defibrillator Implants 1 1 — — $83,897.23 $83,897.23 $83,897.23 2026-03-18
963 MS_DRG Other Multiple Significant Trauma W Mcc 1 1 — — $83,797.26 $83,797.26 $83,797.26 2026-03-18
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $83,769.53 $83,769.53 $83,769.53 2026-03-18
243 MS_DRG Permanent Cardiac Pacemaker Implant W Cc 1 1 — — $83,743.97 $83,743.97 $83,743.97 2026-03-18
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $83,654.96 $83,654.96 $83,654.96 2026-03-18
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $83,407.91 $83,407.91 $83,407.91 2026-03-18
327 MS_DRG Stomach Esophageal & Duodenal Proc W Cc 1 1 — — $83,374.09 $83,374.09 $83,374.09 2026-03-18
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $83,251.57 $83,251.57 $83,251.57 2026-03-18
483 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W Cc-mcc 1 1 — — $83,029.28 $83,029.28 $83,029.28 2026-03-18
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Mcc 1 1 — — $82,765.98 $82,765.98 $82,765.98 2026-03-18
11 APR_DRG Liver Transplant And-or Intestinal Transplant 1 1 — — $82,662.00 $82,662.00 $82,662.00 2026-03-18
974 MS_DRG HIV W Major Related Condition W Mcc 1 1 — — $82,549.69 $82,549.69 $82,549.69 2026-03-18
749 MS_DRG Other Female Reproductive System O.r. Procedures W Cc-mcc 1 1 — — $82,248.77 $82,248.77 $82,248.77 2026-03-18
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 1 1 — — $82,126.14 $82,126.14 $82,126.14 2026-03-18
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $82,010.38 $82,010.38 $82,010.38 2026-03-18
867 MS_DRG Other Infectious & Parasitic Diseases Diagnoses W Mcc 1 1 — — $81,935.31 $81,935.31 $81,935.31 2026-03-18
579 MS_DRG Other Skin Subcut Tiss & Breast Proc W Mcc 1 1 — — $81,831.87 $81,831.87 $81,831.87 2026-03-18
164 MS_DRG Major Chest Procedures W Cc 1 1 — — $81,769.18 $81,769.18 $81,769.18 2026-03-18
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