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

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $15,980 across 25 payers · range $14,404-$54,490

Source: https://www1.pennmedicine.org/images/pricing/231365353_Lancaster-General-Hospital_standardcharges.csv · observed 2026-07-15

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.

6,890 distinct procedures filed
58 distinct payers
771,646 rate rows
2026-07-15 last MRF observed
Data quality

735,755 of 771,646 rate rows are consumer-grade (95.3%)

35,891 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 10,486
template filing: same amount across many unrelated codes — excluded 3,463
exceeds 10× this hospital's gross charge — excluded from medians 3,124
per-diem day rate — not a per-procedure price 2,418
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 234
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://www1.pennmedicine.org/images/pricing/231365353_Lancaster-General-Hospital_standardcharges.csv
Found on page https://www.pennmedicine.org/patient-resources/policies/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 9047c37e50bba5d6… · 591,932,928 bytes · first seen 2026-05-09

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
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
$370,165
outlier · 2.2×
Q5114
HCPCS 		Trastuzumab-dkst 420 Mg IV Solr 50 $32.05 $2,734,845.24 $793,461.24 nat. median
$528
outlier · 1502.3×
Q2042
HCPCS 		Hc Kymriah Up To 600m Car Positive Cells 50 $0.19 $3,780,630.00 $577,861.93 nat. median
$691,418
0.8× median
7
MS_DRG 		Lung Transplant 23 $261,037.18 $1,850,949.84 $574,066.33 nat. median
$122,690
outlier · 4.7×
Q2054
HCPCS 		Hc Breyanzi Up To 110m Car Positive Cells 50 $0.19 $3,780,630.00 $567,823.25 nat. median
$624,417
0.9× median
5834
APR_DRG 		Neonate With Ecmo 10 $490,067.20 $673,356.69 $526,822.24 nat. median
$311,018
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $300,156.89 $412,418.24 $322,668.66 nat. median
$254,667
1.3× median
5833
APR_DRG 		Neonate With Ecmo 10 $279,109.05 $383,498.31 $300,042.22 nat. median
$250,089
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $280,596.80 $385,542.51 $294,626.65 nat. median
$119,243
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $209,644.32 $778,350.64 $292,965.72 nat. median
$261,939
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $78,278.00 $385,287.12 $291,627.37 nat. median
$243,231
1.2× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $273,815.51 $273,815.51 $273,815.51 nat. median
$1
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $266,580.57 $266,580.57 $266,580.57 nat. median
$380,401
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 $212,170.20 $795,065.47 $250,105.32 nat. median
$132,706
1.9× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $248,961.82 $248,961.82 $248,961.82 nat. median
$38,932
outlier · 6.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $86,165.92 $624,937.75 $230,394.87 nat. median
$199,832
1.2× median
5832
APR_DRG 		Neonate With Ecmo 10 $214,304.61 $294,456.45 $230,377.46 nat. median
$169,230
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $209,127.25 $287,342.70 $224,811.79 nat. median
$168,174
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $209,255.93 $287,519.51 $219,718.73 nat. median
$209,486
1.0× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $208,823.82 $286,925.79 $219,265.01 nat. median
$67,603
outlier · 3.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $201,142.76 $276,371.95 $216,228.47 nat. median
$147,677
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $199,904.42 $274,670.45 $214,897.26 nat. median
$180,995
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $173,209.32 $281,861.69 $214,369.40 nat. median
$165,599
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 $160,377.32 $610,538.87 $214,256.52 nat. median
$108,240
2.0× median
5831
APR_DRG 		Neonate With Ecmo 10 $192,364.75 $264,310.89 $206,792.11 nat. median
$154,685
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $174,165.25 $270,443.46 $205,685.29 nat. median
$168,361
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $182,415.92 $250,641.10 $196,097.11 nat. median
$160,171
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $186,138.10 $255,755.40 $195,445.00 nat. median
$165,646
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $173,050.12 $237,772.40 $186,028.88 nat. median
$156,285
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $171,296.26 $235,362.59 $184,143.49 nat. median
$147,847
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 26 $123,387.04 $573,228.74 $177,189.50 nat. median
$60,294
outlier · 2.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $159,269.75 $908,208.82 $176,621.12 nat. median
$205,166
0.9× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $166,012.46 $228,102.60 $174,313.09 nat. median
$63,564
outlier · 2.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $165,095.02 $226,842.04 $173,349.78 nat. median
$175,480
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 10 $163,851.91 $225,133.99 $172,044.51 nat. median
$127,938
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $157,650.67 $216,613.44 $165,533.21 nat. median
$127,600
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $56,636.00 $214,459.01 $162,326.00 nat. median
$137,901
1.2× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $148,442.94 $203,961.92 $159,576.16 nat. median
$108,751
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $78,278.00 $209,872.95 $158,854.76 nat. median
$116,111
1.4× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 10 $146,825.71 $201,739.83 $157,837.64 nat. median
$120,928
1.3× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 10 $139,914.35 $192,243.56 $150,407.92 nat. median
$71,350
outlier · 2.1×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 10 $139,914.35 $192,243.56 $150,407.92 nat. median
$89,188
1.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 10 $139,914.35 $192,243.56 $150,407.92 nat. median
$96,420
1.6× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $76,584.17 $189,428.84 $144,069.77 nat. median
$80,413
1.8× median
6
MS_DRG 		Liver Transplant Without Mcc 23 $93,468.01 $453,841.84 $140,345.16 nat. median
$46,106
outlier · 3.0×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $130,364.26 $179,121.66 $140,141.59 nat. median
$123,690
1.1× median
0540T
CPT 		Hc Car-t Cell Admin Autologous 40 $181.92 $204,239.71 $137,150.05 nat. median
$1,061
outlier · 129.3×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $127,321.24 $174,940.50 $136,870.33 nat. median
$84,000
1.6× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 23 $112,971.92 $440,414.57 $135,881.18 nat. median
$53,073
outlier · 2.6×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $126,591.25 $173,937.51 $133,975.37 nat. median
$112,711
1.2× median

Other procedures at this hospital

Browse this hospital's 6,890 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
             
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
Q5114 HCPCS Trastuzumab-dkst 420 Mg IV Solr 72 50 $2,712,688.00 $2,712,688.00 $32.05 $2,734,845.24 $793,461.24 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
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
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… 31 27 — — $212,170.20 $795,065.47 $250,105.32 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 29 — — $86,165.92 $624,937.75 $230,394.87 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
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
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
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
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 31 26 — — $95,597.89 $415,012.06 $130,198.24 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
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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 28 — — $57,344.19 $210,330.85 $112,107.89 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 26 — — $72,090.07 $287,080.39 $107,808.63 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 26 — — $67,598.93 $321,573.57 $103,106.34 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… 32 27 — — $76,216.39 $328,263.65 $102,083.91 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 36 29 — — $22,613.04 $319,343.51 $97,931.46 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
653 MS_DRG Major Bladder Procedures With Mcc 32 26 — — $62,794.13 $299,099.42 $96,113.14 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
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 73 51 $328,226.15 $328,226.15 $4,959.46 $330,907.10 $93,544.45 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 26 — — $59,980.15 $244,389.09 $92,514.52 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
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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 26 — — $62,224.91 $458,326.54 $85,573.54 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
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
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
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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 27 — — $39,288.95 $236,428.00 $76,284.69 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 27 — — $55,844.78 $255,287.05 $75,194.65 2026-07-15
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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 27 26 — — $66,223.83 $273,655.62 $69,708.45 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
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
C9293 HCPCS Glucarpidase 1000 Units IV Solr 56 38 $95,994.15 $95,994.15 $440.98 $96,778.23 $68,722.21 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 32 26 — — $48,826.03 $205,579.10 $67,323.51 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 27 — — $42,777.38 $179,163.61 $65,770.29 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
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
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
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
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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 28 — — $39,918.17 $180,476.04 $59,705.91 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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 28 — — $34,543.57 $156,433.28 $50,447.42 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 26 — — $40,518.39 $152,749.54 $50,426.08 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
35081 CPT Hc Ss-aneurysm Repair Abd Aorta 54 36 $61,516.00 $61,516.00 $1,100.00 $62,018.46 $50,083.25 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 10 10 — — $47,685.29 $65,520.02 $50,069.56 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 10 — — $47,656.70 $65,480.73 $50,039.53 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 10 — — $47,603.48 $65,407.60 $49,983.65 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 10 10 — — $47,354.06 $65,064.90 $49,721.76 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 10 — — $46,252.34 $63,551.13 $49,721.27 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 10 — — $47,346.91 $65,055.08 $49,714.26 2026-07-15
37273 CPT Hc Uni Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 54 37 $60,818.00 $60,818.00 $1,250.00 $61,314.76 $49,514.98 2026-07-15
37290 CPT Hc Uni Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 54 37 $60,818.00 $60,818.00 $1,250.00 $61,314.76 $49,514.98 2026-07-15
61 APR_DRG Pancreas Transplant 9 9 — — $47,049.05 $64,645.80 $49,401.50 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $47,160.25 $64,798.60 $49,282.46 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $45,825.79 $62,965.05 $49,262.73 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $45,720.15 $62,819.89 $49,149.16 2026-07-15
33225 CPT Hc Insert Cardiac Venous Lead 108 38 $59,167.00 $59,167.00 $369.56 $62,632.44 $48,516.94 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 26 — — $43,648.01 $199,256.73 $48,513.79 2026-07-15
197 MS_DRG Interstitial Lung Disease With Cc 31 26 — — $19,131.01 $163,282.52 $48,329.99 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 28 26 — — $34,365.99 $157,243.45 $48,272.55 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 10 — — $44,874.20 $61,657.55 $48,239.76 2026-07-15
274 APR_DRG Other Open Craniotomy 10 10 — — $45,938.59 $63,120.03 $48,235.52 2026-07-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 10 — — $44,697.86 $61,415.26 $48,050.21 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 28 — — $39,119.31 $163,887.35 $47,785.09 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 10 — — $45,428.64 $62,419.35 $47,700.07 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 31 26 — — $31,223.70 $171,000.78 $47,641.48 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 31 26 — — $19,733.92 $223,368.47 $47,628.15 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 10 — — $44,053.67 $67,537.11 $47,357.69 2026-07-15
4014 APR_DRG Adrenal Procedures 10 10 — — $45,057.69 $61,909.66 $47,310.57 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 26 — — $34,661.42 $207,503.28 $47,286.96 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 28 — — $4,612.54 $246,696.89 $47,133.23 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $44,643.85 $61,341.05 $46,876.04 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 24 — — $44,586.10 $159,252.30 $46,815.41 2026-07-15
4414 APR_DRG Major Bladder Procedures 10 10 — — $44,438.12 $61,058.37 $46,660.03 2026-07-15
1782 APR_DRG External Heart Assist Systems 10 10 — — $44,131.51 $60,637.09 $46,338.09 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 26 — — $35,345.95 $167,735.65 $46,151.32 2026-07-15
C1827 HCPCS Hc Gen, Neuro, Imp Led, Ex Cntr Lvl 62 72 52 $70,500.00 $70,500.00 $5,000.00 $149,096.22 $46,142.88 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 10 — — $43,931.35 $60,362.06 $46,127.91 2026-07-15
849 MS_DRG Radiotherapy 31 26 — — $31,128.18 $140,785.65 $46,112.00 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $42,814.53 $58,827.55 $46,025.62 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 26 — — $29,444.78 $233,743.07 $45,864.06 2026-07-15
33289 CPT Hc Cardiomems Insertion 116 51 $56,169.00 $56,169.00 $1,250.00 $106,067.20 $45,729.99 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 26 — — $40,724.15 $181,382.23 $45,288.18 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 26 — — $40,480.50 $174,893.83 $45,154.02 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 10 — — $43,001.99 $59,085.12 $45,152.09 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 10 10 — — $42,680.29 $58,643.10 $44,814.31 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 10 10 — — $42,652.49 $125,166.25 $44,785.12 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 10 — — $42,525.40 $58,430.28 $44,651.67 2026-07-15
1793 APR_DRG Defibrillator Implants 10 10 — — $42,523.81 $58,428.10 $44,650.00 2026-07-15
92930 CPT Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 55 37 $54,984.00 $54,984.00 $1,250.00 $55,433.11 $44,443.57 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 10 — — $42,093.29 $57,836.56 $44,197.96 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 10 — — $42,086.14 $57,826.74 $44,190.45 2026-07-15
8633 APR_DRG Neonatal Aftercare 10 10 — — $41,933.63 $57,617.19 $44,030.32 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 31 26 — — $7,423.13 $192,391.58 $43,976.90 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 10 — — $41,767.62 $57,389.08 $43,856.00 2026-07-15
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $41,713.61 $57,314.87 $43,799.29 2026-07-15
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $43,780.14 $43,780.14 $43,780.14 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 27 — — $36,250.15 $207,779.90 $43,699.48 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 10 10 — — $41,605.58 $57,166.44 $43,685.86 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 10 10 — — $41,513.44 $57,039.84 $43,589.11 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 10 — — $41,637.35 $57,210.10 $43,528.60 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 31 26 — — $16,940.77 $285,029.21 $43,381.10 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 10 — — $41,507.88 $57,032.20 $43,375.74 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 10 10 — — $41,155.20 $56,547.62 $43,212.96 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 10 — — $41,138.52 $56,524.70 $43,195.45 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 26 — — $28,418.15 $107,623.75 $42,970.08 2026-07-15
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $42,960.54 $42,960.54 $42,960.54 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 10 — — $39,942.28 $54,881.05 $42,937.95 2026-07-15
37182 CPT Hc Ir - Placement Of Tips 54 36 $52,696.00 $52,696.00 $888.54 $53,126.42 $42,902.45 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 10 10 — — $40,908.17 $56,208.19 $42,749.04 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 27 — — $30,943.84 $170,153.90 $42,690.68 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 24 — — $7,860.90 $139,838.35 $42,653.29 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 9 — — $40,565.03 $55,736.71 $42,593.28 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $40,549.93 $55,715.97 $42,577.43 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 10 10 — — $40,449.85 $55,578.45 $42,472.34 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 10 10 — — $40,370.42 $55,469.31 $42,388.94 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 10 — — $40,061.43 $55,044.76 $42,064.50 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 10 — — $40,225.06 $55,269.59 $42,035.18 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 10 10 — — $39,966.11 $54,913.79 $41,964.42 2026-07-15
4034 APR_DRG Procedures For Obesity 10 10 — — $39,854.11 $54,759.90 $41,846.82 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 26 — — $34,513.22 $129,860.95 $41,768.04 2026-07-15
1781 APR_DRG External Heart Assist Systems 10 10 — — $39,718.28 $54,573.27 $41,704.20 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 10 10 — — $39,664.27 $54,499.06 $41,647.48 2026-07-15
8411 APR_DRG Chemotherapy For Acute Leukemia 10 10 — — $39,664.27 $54,499.06 $41,647.48 2026-07-15
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