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

Magee Rehabilitation Hospital

Philadelphia, PA · CCN 393038 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W-O MCC

This hospital’s price: $67,278 across 1 payer

Source: https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/231476328_jefferson-moss-magee-rehabilitation-hospital-center-city_standardcharges.csv · observed 2026-03-18

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.

19,182 distinct procedures filed
43 distinct payers
491,480 rate rows
2026-03-18 last MRF observed
Data quality

484,774 of 491,480 rate rows are consumer-grade (98.6%)

6,706 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 5,324
per-diem day rate — not a per-procedure price 690
placeholder amount (≤ $0.02) — excluded from medians 620
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 72
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 Latest re-check couldn't be parsed — showing last good data · 2026-08-04
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
$3,324,572
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
$2,997,086
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
$2,460,273
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
$2,405,851
1.4× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 17 $770,620.00 $1,232,992.00 $828,416.50 nat. median
$809,151
1.0× median
5834
APR_DRG 		Neonate With Ecmo 1 $736,318.76 $736,318.76 $736,318.76 nat. median
$311,018
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
$631,793
1.0× 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
$624,417
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
$691,418
0.9× 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
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 23 $245,394.70 $2,168,683.38 $556,140.89 nat. median
$588,565
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
$199,832
outlier · 2.8×
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
$205,166
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
$577,541
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 1 $463,262.53 $463,262.53 $463,262.53 nat. median
$98,002
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
$254,667
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
$119,243
outlier · 3.5×
24
APR_DRG 		Heart And-or Lung Transplant 1 $421,313.30 $421,313.30 $421,313.30 nat. median
$243,231
1.7× median
5833
APR_DRG 		Neonate With Ecmo 1 $419,357.24 $419,357.24 $419,357.24 nat. median
$250,089
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
$83,623
outlier · 4.4×
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
$132,706
outlier · 2.6×
5832
APR_DRG 		Neonate With Ecmo 1 $321,989.53 $321,989.53 $321,989.53 nat. median
$169,230
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $314,403.95 $314,403.95 $314,403.95 nat. median
$209,486
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
$168,174
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
$67,603
outlier · 4.6×
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
$108,240
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
$261,939
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $308,217.10 $308,217.10 $308,217.10 nat. median
$165,599
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
$147,677
outlier · 2.0×
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
$80,459
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
$180,995
1.7× 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
$92,900
outlier · 3.2×
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
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
5
MS_DRG 		Liver Transplant W Mcc Or Intestinal Transplant 2 $239,550.00 $326,669.20 $295,843.00 nat. median
$99,646
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
$168,361
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
$77,385
outlier · 3.8×
5831
APR_DRG 		Neonate With Ecmo 1 $289,025.22 $289,025.22 $289,025.22 nat. median
$154,685
1.9× median
7
MS_DRG 		Lung Transplant 1 $288,160.64 $288,160.64 $288,160.64 nat. median
$122,690
outlier · 2.3×
27800001
CDM 		Hc Jarvik Artificial Heart 10 $81,187.60 $385,641.10 $284,156.60 nat. median
$10,495
outlier · 27.1×
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
$165,646
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
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
$58,534
outlier · 4.7×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $274,077.24 $274,077.24 $274,077.24 nat. median
$160,171
1.7× 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
$156,285
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $193,370.00 $332,759.73 $258,022.50 nat. median
$114,305
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $257,370.12 $257,370.12 $257,370.12 nat. median
$147,847
1.7× median

Other procedures at this hospital

Browse this hospital's 19,182 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 18 17 — — $770,620.00 $1,232,992.00 $828,416.50 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 34 23 — — $245,394.70 $2,168,683.38 $556,140.89 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
32033927 CDM Hc Impl Ttl Rplcmt Heart Sys 15 10 — — $84,880.20 $403,180.95 $297,080.70 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
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 4 2 — — $193,370.00 $332,759.73 $258,022.50 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
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
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
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
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
16 MS_DRG Autologous Bone Marrow Transplant W Cc-mcc 2 2 — — $111,789.00 $189,028.92 $150,408.96 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
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
8513 APR_DRG Gender Related Procedures 1 1 — — $144,480.38 $144,480.38 $144,480.38 2026-03-18
8514 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… 25 22 — — $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 HCPCS 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 HCPCS Guillain-barr‚ M <38.50 24 21 — — $84,429.00 $135,086.00 $87,950.00 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
81200011 CDM Hc Double Lung Procurement 15 10 — — $24,655.60 $117,114.10 $86,294.60 2026-03-18
81200012 CDM Hc Single 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
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
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
1783 APR_DRG External Heart Assist Devices 1 1 — — $81,436.33 $81,436.33 $81,436.33 2026-03-18
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $81,319.37 $81,319.37 $81,319.37 2026-03-18
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $81,122.45 $81,122.45 $81,122.45 2026-03-18
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $80,950.60 $80,950.60 $80,950.60 2026-03-18
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