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

Penn Medicine Lancaster General Health

Lancaster, PA · CCN 397013 · Rates published

7,566 distinct procedures filed
109 distinct payers
1,130,944 rate rows
2026-09-21 last MRF observed
Data quality

1,094,346 of 1,130,944 rate rows are consumer-grade (96.8%)

36,598 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16,110
placeholder amount (≤ $0.02) — excluded from medians 10,546
template filing: same amount across many unrelated codes — excluded 3,466
exceeds 10× this hospital's gross charge — excluded from medians 3,147
per-diem day rate — not a per-procedure price 2,900
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 373
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 51
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://tupa-q-001.sitecorecontenthub.cloud/api/public/content/210635009_penn-medicine-princeton-medical-center_standardcharges.csv
Found on page https://www.pennmedicine.org/patient-resources/policies/pricing-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 48c6470a28ac5091… · 248,501,573 bytes · first seen 2026-05-08

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
J1411
HCPCS 		Etranacogene Dezaparvovecdrlb 10 X 10 Ml IV Supk 51 $1,300.00 $4,569,730.67 $2,800,000.00 nat. median
$3,703,693
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $203,700.00 $2,615,836.22 $819,889.28 nat. median
$359,358
outlier · 2.3×
Q2042
HCPCS 		Hc Kymriah Up To 600m Car Positive Cells 50 $0.19 $3,780,630.00 $577,861.93 nat. median
$738,272
0.8× median
7
MS_DRG 		Lung Transplant 23 $261,037.18 $1,850,949.84 $574,066.33 nat. median
$117,894
outlier · 4.9×
Q2054
HCPCS 		Hc Breyanzi Up To 110m Car Positive Cells 50 $0.19 $3,780,630.00 $567,823.25 nat. median
$640,950
0.9× median
5834
APR_DRG 		Neonate With Ecmo 10 $490,067.20 $673,356.69 $526,822.24 nat. median
$307,273
1.7× median
30253X1
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$278,250
1.5× median
30250X1
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$278,250
1.5× median
30253Y1
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30250G1
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30243Y3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$250,002
1.7× median
30243G4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30243Y2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30243X4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$296,860
1.4× median
30240Y2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30250Y1
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30233Y3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30233Y2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30240G2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30233Y4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30240X4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$296,860
1.4× median
30240X3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30243X2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$221,450
1.9× median
30243G2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30230G4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30243G3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30230Y2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30240Y3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30243X3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30230AZ
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30233G4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30230G2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30230Y3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30233G2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$212,688
1.9× median
30233X3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30233X2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$221,605
1.9× median
30243Y4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30233X4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$296,860
1.4× median
30230Y4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30230X3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30230G3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30230X2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$221,450
1.9× median
30240G4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30240G3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30253G1
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30240X2
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$221,450
1.9× median
30233G3
OTHER 		Bmt Allogeneic Unrelated 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median
30230X4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$296,860
1.4× median
30240Y4
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$265,174
1.6× median
30260G1
OTHER 		Bmt Allogeneic Related 1 $413,418.76 $413,418.76 $413,418.76 nat. median
$252,547
1.6× median

Other procedures at this hospital

Browse this hospital's 7,566 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
             
J1411 HCPCS Etranacogene Dezaparvovecdrlb 10 X 10 Ml IV Supk 63 51 $3,500,000.00 $3,500,000.00 $1,300.00 $4,569,730.67 $2,800,000.00 2026-09-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 24 — — $203,700.00 $2,615,836.22 $819,889.28 2026-07-15
Q2042 HCPCS Hc Kymriah Up To 600m Car Positive Cells 114 50 $3,750,000.00 $3,750,000.00 $0.19 $3,780,630.00 $577,861.93 2026-07-15
7 MS_DRG Lung Transplant 25 23 — — $261,037.18 $1,850,949.84 $574,066.33 2026-07-15
Q2054 HCPCS Hc Breyanzi Up To 110m Car Positive Cells 115 50 $3,750,000.00 $3,750,000.00 $0.19 $3,780,630.00 $567,823.25 2026-07-15
5834 APR_DRG Neonate With Ecmo 10 10 — — $490,067.20 $673,356.69 $526,822.24 2026-07-15
30243Y3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233X3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230G3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233Y2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230Y4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230G2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240Y4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230G4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243G3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230Y3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30260G1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240X2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30253G1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243X3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30260Y1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233X4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243G4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240G3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30263X1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230X2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240Y2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233G2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230Y2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233G3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233Y3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243Y2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233G4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233Y4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240G4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243Y4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243X4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243X2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230AZ OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240Y3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240G2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30263Y1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30250X1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30253X1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240X3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30253Y1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30243G2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30250G1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230X4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30250Y1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30260X1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30263G1 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30233X2 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30230X3 OTHER Bmt Allogeneic Unrelated 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
30240X4 OTHER Bmt Allogeneic Related 1 1 — — $413,418.76 $413,418.76 $413,418.76 2026-09-21
0BYM0Z1 OTHER Lung Trans (Double) 2 2 — — $43,762.00 $626,359.50 $335,060.75 2026-09-21
0BYM0Z0 OTHER Lung Trans (Double) 2 2 — — $43,762.00 $626,359.50 $335,060.75 2026-09-21
0BYM0Z2 OTHER Lung Trans (Double) 2 2 — — $43,762.00 $626,359.50 $335,060.75 2026-09-21
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $300,156.89 $412,418.24 $322,668.66 2026-07-15
02YA0Z1 OTHER Heart Transplant 2 2 — — $67,836.00 $555,165.86 $311,500.93 2026-09-21
02YA0Z0 OTHER Heart Transplant 2 2 — — $67,836.00 $555,165.86 $311,500.93 2026-09-21
02YA0Z2 OTHER Heart Transplant 2 2 — — $67,836.00 $555,165.86 $311,500.93 2026-09-21
0BYD0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYL0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYK0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYK0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYG0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYJ0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYF0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYH0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYG0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYC0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYF0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYJ0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYG0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYK0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYC0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYH0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYL0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYH0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYD0Z0 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYL0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYF0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYJ0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYD0Z1 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
0BYC0Z2 OTHER Lung Transplant 2 2 — — $43,762.00 $579,111.87 $311,436.93 2026-09-21
5833 APR_DRG Neonate With Ecmo 10 10 — — $279,109.05 $383,498.31 $300,042.22 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $280,596.80 $385,542.51 $294,626.65 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 25 — — $209,644.32 $778,350.64 $292,965.72 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $78,278.00 $385,287.12 $291,627.37 2026-07-15
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $273,815.51 $273,815.51 $273,815.51 2026-07-15
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $266,580.57 $266,580.57 $266,580.57 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 26 — — $212,170.20 $795,065.47 $249,548.05 2026-07-15
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $248,961.82 $248,961.82 $248,961.82 2026-07-15
5832 APR_DRG Neonate With Ecmo 10 10 — — $214,304.61 $294,456.45 $230,377.46 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $209,127.25 $287,342.70 $224,811.79 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 10 10 — — $209,255.93 $287,519.51 $219,718.73 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $208,823.82 $286,925.79 $219,265.01 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $201,142.76 $276,371.95 $216,228.47 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $199,904.42 $274,670.45 $214,897.26 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $173,209.32 $281,861.69 $214,369.40 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 25 — — $160,377.32 $610,538.87 $214,256.52 2026-07-15
5831 APR_DRG Neonate With Ecmo 10 10 — — $192,364.75 $264,310.89 $206,792.11 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $174,165.25 $270,443.46 $205,685.29 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $182,415.92 $250,641.10 $196,097.11 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 10 — — $186,138.10 $255,755.40 $195,445.00 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $173,050.12 $237,772.40 $186,028.88 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $171,296.26 $235,362.59 $184,143.49 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 26 — — $159,601.03 $624,937.75 $178,934.79 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 26 — — $123,387.04 $573,228.74 $177,189.50 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 26 — — $159,269.75 $908,208.82 $176,621.12 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $166,012.46 $228,102.60 $174,313.09 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $165,095.02 $226,842.04 $173,349.78 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 10 10 — — $163,851.91 $225,133.99 $172,044.51 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $157,650.67 $216,613.44 $165,533.21 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $56,636.00 $214,459.01 $162,326.00 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $148,442.94 $203,961.92 $159,576.16 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $78,278.00 $209,872.95 $158,854.76 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 10 10 — — $146,825.71 $201,739.83 $157,837.64 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $139,914.35 $192,243.56 $150,407.92 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $139,914.35 $192,243.56 $150,407.92 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $139,914.35 $192,243.56 $150,407.92 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $76,584.17 $189,428.84 $144,069.77 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 25 23 — — $93,468.01 $453,841.84 $140,345.16 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $130,364.26 $179,121.66 $140,141.59 2026-07-15
0540T CPT Hc Car-t Cell Admin Autologous 57 40 $202,585.00 $202,585.00 $181.92 $204,239.71 $137,150.05 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $127,321.24 $174,940.50 $136,870.33 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 23 — — $112,971.92 $440,414.57 $135,881.18 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $126,591.25 $173,937.51 $133,975.37 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 26 — — $103,120.65 $402,240.71 $132,007.48 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 26 — — $107,047.62 $415,012.06 $130,489.64 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 10 10 — — $120,563.17 $165,654.87 $126,591.34 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 10 10 — — $120,563.17 $165,654.88 $126,591.33 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $120,123.92 $165,051.33 $126,130.11 2026-07-15
570 MS_DRG Skin Debridement With Mcc 31 26 — — $54,036.18 $400,338.21 $122,316.48 2026-07-15
64 APR_DRG Pancreas Transplant 9 9 — — $101,953.10 $140,084.46 $121,018.78 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $51,393.00 $158,923.12 $120,290.37 2026-07-15
J3398 HCPCS Voretigene Neparvovecrzyl 5000000000000 Vg/ml Intr 69 57 $467,500.00 $467,500.00 $1,300.00 $467,500.00 $116,875.00 2026-09-21
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $109,825.58 $150,901.33 $114,767.74 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $108,711.95 $149,371.19 $114,147.55 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 23 — — $91,978.16 $361,196.48 $111,960.17 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $105,002.48 $144,274.35 $110,252.61 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $101,821.24 $141,459.07 $109,457.83 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 10 — — $104,210.55 $143,186.22 $109,421.08 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $100,551.92 $138,159.24 $108,093.31 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $102,228.73 $140,463.18 $107,340.16 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $93,285.52 $138,461.55 $105,306.69 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 10 — — $95,349.94 $131,011.65 $102,501.18 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 26 — — $76,216.39 $328,263.65 $101,102.33 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 31 26 — — $79,333.67 $319,343.51 $98,409.18 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 31 26 — — $75,404.42 $299,099.42 $98,133.80 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $90,514.12 $124,367.21 $97,302.68 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 25 23 — — $15,171.09 $307,415.62 $94,356.92 2026-07-15
63 APR_DRG Pancreas Transplant 9 9 — — $78,570.76 $122,964.00 $94,284.91 2026-07-15
37277 CPT Hc Uni Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 54 37 $112,620.00 $112,620.00 $1,250.00 $113,539.88 $91,689.57 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 10 — — $83,813.26 $115,160.16 $90,099.25 2026-07-15
J2326 HCPCS Nusinersen 12 Mg/5ml Intrathecal Soln 73 59 $450,000.00 $450,000.00 $1,243.54 $450,000.00 $90,000.00 2026-09-21
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 10 — — $83,042.77 $114,101.50 $89,270.97 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 26 — — $67,598.93 $321,573.57 $88,677.22 2026-07-15
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $88,472.35 $88,472.35 $88,472.35 2026-07-15
8634 APR_DRG Neonatal Aftercare 10 10 — — $81,972.82 $112,631.39 $86,071.46 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $81,761.53 $112,341.08 $85,849.61 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 31 26 — — $68,991.05 $452,178.82 $85,807.57 2026-07-15
93656 CPT Hc Rf Ablation Of Afib/pvi 119 51 $119,843.00 $119,843.00 $853.60 $126,862.82 $85,190.29 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $80,728.13 $110,921.16 $84,764.54 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $80,338.11 $110,385.29 $84,355.02 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $56,636.00 $111,342.45 $84,276.12 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $79,703.46 $109,513.26 $83,688.63 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $77,489.69 $106,471.53 $83,301.42 2026-07-15
4404 APR_DRG Kidney Transplant 9 9 — — $67,343.00 $108,612.85 $83,000.55 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 26 — — $62,224.91 $252,981.13 $82,824.02 2026-07-15
215 MS_DRG Other Heart Assist System Implant 31 26 — — $74,536.92 $298,078.71 $81,990.61 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 26 — — $61,878.25 $267,405.88 $81,513.28 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 31 26 — — $63,942.70 $259,377.33 $81,503.29 2026-07-15
93653 CPT Hc Rf Ablation Of Aflutter/svt/wpw 119 51 $114,369.00 $114,369.00 $853.60 $125,392.29 $81,298.90 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 26 — — $72,090.07 $287,080.39 $80,565.54 2026-07-15
37294 CPT Hc Uni Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 54 37 $98,920.00 $98,920.00 $1,250.00 $99,727.98 $80,535.72 2026-07-15
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $80,168.01 $80,168.01 $80,168.01 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 26 — — $59,980.15 $244,389.09 $79,867.67 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $72,544.27 $99,676.47 $77,985.09 2026-07-15
93654 CPT Hc Rf Ablation Of Vt Includes 3d Mapping 118 51 $100,966.00 $100,966.00 $853.60 $125,392.29 $77,934.64 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $72,325.83 $99,376.34 $77,750.27 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $73,943.06 $101,598.43 $77,640.21 2026-07-15
10 MS_DRG Pancreas Transplant 25 23 — — $61,824.73 $249,238.81 $77,239.05 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 9 — — $73,429.14 $100,892.29 $77,100.60 2026-07-15
33249 CPT Hc Insert/replace Icd Single Or Dual System With Lea 116 51 $95,721.00 $95,721.00 $853.60 $116,071.81 $76,616.98 2026-07-15
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 146 101 $372,688.08 $372,688.08 $1,300.00 $417,150.00 $75,712.73 2026-09-21
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $69,091.36 $94,932.15 $74,273.22 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 10 — — $70,640.29 $97,060.38 $74,172.30 2026-07-15
0915T CPT Hc Ccm-d Insert Pg Dual Transvns Electrds/leads 116 50 $95,721.00 $95,721.00 $1,250.00 $116,071.81 $74,056.45 2026-07-15
33270 CPT Hc Insert/replace Subcutaneous Icd W Subcu Lead 116 51 $91,236.00 $91,236.00 $1,250.00 $116,071.81 $73,027.20 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $69,471.05 $95,453.85 $72,944.60 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $69,194.62 $95,074.04 $72,654.36 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 26 — — $63,310.38 $285,322.24 $71,598.14 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $71,309.86 $71,309.86 $71,309.86 2026-07-15
62 APR_DRG Pancreas Transplant 9 9 — — $55,621.00 $93,071.31 $71,123.91 2026-07-15
35102 CPT Hc Ss-aneurysm Repair Abd/iliac 54 36 $87,207.00 $87,207.00 $1,100.00 $87,919.31 $70,999.58 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $66,022.91 $90,716.08 $70,974.64 2026-07-15
33264 CPT Hc Removal Icd Multi Lead System With Replacement 118 51 $91,506.00 $91,506.00 $853.60 $116,071.81 $70,795.33 2026-07-15
1784 APR_DRG External Heart Assist Systems 10 10 — — $67,173.09 $92,296.43 $70,531.74 2026-07-15
37275 CPT Hc Uni Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 54 37 $86,631.00 $86,631.00 $1,250.00 $87,338.60 $70,530.63 2026-07-15
33262 CPT Hc Removal Icd Single Lead System With Replacement 160 51 $91,063.00 $91,063.00 $853.60 $96,396.99 $70,426.10 2026-07-15
215 OTHER Other Heart Assist System Implant 1 1 — — $70,257.42 $70,257.42 $70,257.42 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 26 — — $54,495.84 $223,146.88 $70,087.25 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 10 — — $64,747.24 $88,963.29 $69,603.29 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 26 — — $63,179.94 $296,457.17 $69,497.93 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 24 24 — — $66,223.83 $273,655.62 $69,262.60 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 10 — — $54,063.80 $90,478.15 $68,812.99 2026-07-15
38228 CPT Hc Car-t Cell Admin Autologous 76 55 $202,585.00 $202,585.00 $132.07 $204,239.71 $68,637.94 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $65,273.08 $89,685.79 $68,536.74 2026-07-15
37227 CPT Hc Ir-atherectomy And Stent Fem/pop Artery Bilateral 263 54 $162,554.00 $162,554.00 $853.60 $163,881.74 $68,272.68 2026-07-15
0923T CPT Hc Ccm-d Pg Only Remove Replacement 116 50 $91,063.00 $91,063.00 $1,250.00 $96,396.99 $68,262.96 2026-07-15
33263 CPT Hc Removal Icd Dual Lead System With Replacement 117 51 $91,506.00 $91,506.00 $853.60 $96,865.79 $67,791.57 2026-07-15
0571T CPT Hc Insert/replace Ev Icd W Substernal Electrode Le 117 50 $89,472.00 $89,472.00 $1,250.00 $116,071.81 $67,533.47 2026-07-15
0408T CPT Hc Insert/replace Optimizer Smart Ipg Dual System 117 51 $89,460.00 $89,460.00 $1,250.00 $116,071.81 $67,524.41 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 26 — — $48,826.03 $205,579.10 $67,202.53 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $63,462.83 $87,198.49 $66,635.97 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $56,636.00 $86,045.98 $65,755.24 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 26 — — $57,874.97 $236,428.00 $65,293.85 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 10 — — $62,181.60 $85,438.07 $65,290.68 2026-07-15
33231 CPT Hc Insert Icd With Existing Multi Leads 117 51 $81,470.00 $81,470.00 $853.60 $116,071.81 $64,568.61 2026-07-15
33230 CPT Hc Insert Icd With Existing Dual Leads 117 51 $81,470.00 $81,470.00 $853.60 $109,917.12 $64,568.61 2026-07-15
0414T CPT Hc Removal Optimizer Smart Ipg W Replacement 117 51 $85,521.00 $85,521.00 $1,250.00 $90,530.46 $64,551.25 2026-07-15
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $64,135.78 $64,135.78 $64,135.78 2026-07-15
33240 CPT Hc Insert Icd With Existing Single Lead 158 51 $81,028.00 $81,028.00 $488.70 $109,917.12 $63,821.40 2026-07-15
4403 APR_DRG Kidney Transplant 9 9 — — $53,743.56 $73,844.12 $63,793.84 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 10 — — $60,534.18 $83,174.50 $63,560.89 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $59,118.71 $81,229.62 $63,552.61 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 10 — — $60,456.34 $83,067.55 $63,479.15 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 10 — — $60,278.41 $82,823.07 $63,292.33 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 26 — — $57,344.19 $204,698.61 $63,078.61 2026-07-15
0916T CPT Hc Ccm-d Insert Pulse Generator Only 116 50 $81,470.00 $81,470.00 $1,250.00 $86,242.72 $63,031.08 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 26 — — $55,844.78 $240,154.59 $62,871.63 2026-07-15
37231 CPT Hc Ir-atherectomy And Stent Tibial/peroneal Artery 215 54 $152,186.00 $152,186.00 $853.60 $153,429.06 $62,395.44 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $59,052.77 $81,139.04 $62,005.41 2026-07-15
37292 CPT Hc Uni Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 54 37 $76,092.00 $76,092.00 $1,250.00 $76,713.52 $61,950.30 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 10 — — $57,476.85 $78,973.70 $61,787.62 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 10 — — $58,591.28 $80,504.94 $61,520.84 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 10 — — $57,393.45 $78,859.11 $60,263.12 2026-07-15
0FY00Z0 OTHER Liver Transplant 1 1 — — $60,256.00 $60,256.00 $60,256.00 2026-09-21
0FY00Z2 OTHER Liver Transplant 1 1 — — $60,256.00 $60,256.00 $60,256.00 2026-09-21
0FY00Z1 OTHER Liver Transplant 1 1 — — $60,256.00 $60,256.00 $60,256.00 2026-09-21
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 10 — — $57,333.87 $144,419.42 $60,200.57 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 10 — — $55,409.24 $76,132.79 $59,564.93 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 10 — — $56,657.91 $77,848.47 $59,490.80 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 10 — — $56,576.89 $77,737.15 $59,405.73 2026-07-15
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $59,087.52 $59,087.52 $59,087.52 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 26 — — $52,894.19 $259,201.19 $58,867.21 2026-07-15
1794 APR_DRG Defibrillator Implants 10 10 — — $55,838.97 $76,723.24 $58,630.92 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $55,753.97 $76,606.46 $58,541.67 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $55,677.72 $76,501.69 $58,461.61 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 10 10 — — $55,513.30 $76,275.76 $58,288.96 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 10 — — $53,992.18 $74,185.74 $58,041.60 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $53,877.80 $74,028.57 $57,918.64 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $55,016.85 $75,593.64 $57,767.69 2026-07-15
0409T CPT Hc Insert Optimizer Smart Ipg Sys W Existing Dual 117 51 $76,140.00 $76,140.00 $1,250.00 $82,253.77 $57,470.47 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 10 — — $54,660.20 $75,103.60 $57,393.21 2026-07-15
38225 CPT Hc Bld Drv T Lymphcyt Car-t Collection 58 42 $115,763.00 $115,763.00 $73.22 $115,763.00 $57,302.68 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 26 — — $51,889.93 $217,675.42 $57,078.92 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 10 10 — — $54,583.15 $74,997.73 $57,039.40 2026-07-15
1783 APR_DRG External Heart Assist Systems 10 10 — — $54,201.08 $74,472.77 $56,911.14 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 26 — — $4,986.49 $184,124.56 $56,521.74 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 26 — — $42,777.38 $179,163.61 $56,445.41 2026-07-15
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $56,036.59 $56,036.59 $56,036.59 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 10 — — $53,308.27 $73,246.04 $55,973.68 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 24 — — $7,518.29 $183,155.02 $55,862.86 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $53,145.43 $73,022.30 $55,802.70 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 26 — — $50,546.10 $250,410.45 $55,600.71 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $51,603.66 $70,903.89 $55,473.94 2026-07-15
6904 APR_DRG Acute Leukemia 10 10 — — $52,373.36 $71,961.46 $54,992.03 2026-07-15
4402 APR_DRG Kidney Transplant 9 9 — — $45,800.38 $67,343.00 $54,960.45 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 26 — — $48,369.53 $230,783.00 $54,326.15 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 9 — — $51,683.09 $71,013.03 $54,267.25 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 10 — — $50,927.70 $69,975.11 $53,474.08 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 10 — — $49,614.69 $68,171.03 $53,335.79 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 10 — — $50,783.13 $69,776.47 $53,322.29 2026-07-15
27023 CPT Hc Tavi Valve 55 40 $65,000.00 $65,000.00 $5,000.00 $71,500.00 $53,300.00 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $50,669.54 $69,620.40 $53,203.02 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 31 26 — — $36,992.23 $161,572.83 $53,062.79 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 10 10 — — $50,442.37 $69,308.26 $52,964.49 2026-07-15
234 APR_DRG Spinal Procedures 10 10 — — $49,768.79 $68,382.76 $52,257.23 2026-07-15
37286 CPT Hc Uni Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 54 37 $64,111.00 $64,111.00 $1,250.00 $64,634.66 $52,195.97 2026-07-15
37269 CPT Hc Uni Revsc Evasc Fpvt St Plmt Uni Cplx Les 1st Vsl 54 37 $64,111.00 $64,111.00 $1,250.00 $64,634.66 $52,195.97 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 24 24 — — $49,665.06 $176,973.88 $51,965.11 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 26 — — $32,660.49 $245,136.01 $51,901.41 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 26 — — $19,408.38 $171,042.65 $51,856.78 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 10 10 — — $49,098.38 $67,461.61 $51,553.30 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 31 26 — — $37,754.44 $163,896.02 $51,488.37 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 10 — — $49,018.95 $67,352.48 $51,469.90 2026-07-15
36906 CPT Hc Ir Dialysis Circuit Mech Thromb With Periph Ste 117 54 $68,189.00 $68,189.00 $410.24 $73,557.95 $51,469.06 2026-07-15
4401 APR_DRG Kidney Transplant 9 9 — — $42,861.40 $67,343.00 $51,433.68 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 10 — — $48,926.81 $67,225.87 $51,373.15 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 10 — — $48,520.92 $66,668.17 $50,946.96 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $47,335.79 $65,039.80 $50,885.98 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 10 — — $48,361.26 $66,448.79 $50,779.32 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 26 — — $44,899.70 $186,238.06 $50,670.23 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 10 10 — — $48,203.19 $66,231.61 $50,613.35 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $48,064.18 $66,040.61 $50,467.39 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 26 — — $45,574.47 $199,675.33 $50,131.92 2026-07-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Soln 119 52 $50,118.00 $50,118.00 $97.04 $100,235.00 $50,118.00 2026-09-21
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