Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

GUNDERSEN LUTHERAN MEDICAL CENTER

La Crosse, WI · CCN 520087 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,601 across 15 payers · range $4,060-$66,405

Source: https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/gundersen-lutheran · observed 2025-06-27

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.

25,960 distinct procedures filed
30 distinct payers
1,370,208 rate rows
2025-06-27 last MRF observed · ⚠ 14 mo old
Data quality

1,109,008 of 1,370,208 rate rows are consumer-grade (80.9%)

261,200 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 212,798
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 35,082
template filing: same amount across many unrelated codes — excluded 10,968
exceeds 10× this hospital's gross charge — excluded from medians 1,122
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 712
placeholder amount (≤ $0.02) — excluded from medians 326
per-diem day rate — not a per-procedure price 120
percent-of-charges filed in the dollar field — excluded from medians 72

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/gundersen-lutheran
Found on page https://www.gundersenhealth.org/cost-estimates/charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 33b0ddd3697cbb0a… · 10,392,712 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,654,350.00 $3,856,545.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,605,000.00 $3,785,250.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,325,454.76 $3,506,557.09 $3,339,578.18 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,286,000.00 $3,450,300.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,968,000.00 $3,116,400.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,448,600.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $7,185.97 $2,508,044.94 $2,272,602.41 nat. median
$2,460,273
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $16,507.81 $1,040,678.99 $523,716.77 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $16,507.81 $1,077,232.95 $517,309.49 nat. median
$631,793
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $16,507.81 $971,826.29 $496,807.56 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $16,507.81 $950,513.29 $485,912.14 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $16,507.81 $950,600.77 $470,865.98 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 16 $16,507.81 $4,747,210.00 $460,530.40 nat. median
$577,541
0.8× median
5834
APR_DRG 		Neonate With Ecmo 10 $177,091.95 $675,587.00 $411,851.82 nat. median
$311,018
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 $298,416.05 $823,312.66 $313,336.85 nat. median
$370,165
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $128,213.82 $489,122.14 $268,686.28 nat. median
$254,667
1.1× median
5833
APR_DRG 		Neonate With Ecmo 10 $107,891.74 $411,595.54 $266,810.37 nat. median
$250,089
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $118,123.95 $450,630.35 $237,946.25 nat. median
$243,231
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $219,646.27 $614,945.54 $230,691.14 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $194,388.79 $517,895.29 $213,665.03 nat. median
$205,166
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $209,226.61 $209,226.61 $209,226.61 nat. median
$119,243
1.8× median
5832
APR_DRG 		Neonate With Ecmo 10 $82,644.25 $315,279.04 $204,861.54 nat. median
$169,230
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $110,672.28 $422,203.00 $203,918.48 nat. median
$209,486
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $110,950.88 $423,265.84 $195,997.12 nat. median
$160,171
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $94,102.79 $358,992.18 $193,312.43 nat. median
$165,646
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $172,935.39 $467,875.83 $180,949.01 nat. median
$199,832
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $97,157.68 $370,646.23 $176,662.50 nat. median
$168,174
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $124,110.23 $473,467.38 $174,746.55 nat. median
$180,995
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $88,502.18 $337,626.41 $173,438.36 nat. median
$147,677
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $152,028.77 $579,973.63 $170,686.93 nat. median
$168,361
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $94,402.69 $360,136.23 $162,015.68 nat. median
$175,480
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $91,305.83 $348,322.06 $161,203.76 nat. median
$165,599
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $132,931.19 $507,118.40 $158,270.15 nat. median
$156,285
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $60,617.70 $231,250.11 $153,336.58 nat. median
$147,847
1.0× median
5831
APR_DRG 		Neonate With Ecmo 10 $36,717.60 $148,907.12 $148,907.12 nat. median
$154,685
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 $68,136.29 $259,932.73 $146,394.39 nat. median
$109,499
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 10 $103,887.91 $396,321.35 $144,084.26 nat. median
$137,901
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $96,983.70 $369,982.54 $143,096.45 nat. median
$127,600
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 10 $88,409.11 $337,271.36 $137,976.77 nat. median
$127,938
1.1× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $137,604.96 $137,604.96 $137,604.96 nat. median
$16,786
outlier · 8.2×
23
APR_DRG 		Heart And/or Lung Transplant 10 $70,090.76 $267,388.81 $133,605.42 nat. median
$116,111
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $41,900.31 $159,845.25 $131,431.13 nat. median
$120,928
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $107,090.00 $408,536.99 $126,689.93 nat. median
$108,751
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $122,020.98 $122,020.98 $122,020.98 nat. median
$67,603
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $116,053.14 $308,473.73 $119,534.73 nat. median
$132,706
0.9× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 10 $65,311.95 $249,158.18 $118,972.73 nat. median
$101,315
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $92,834.49 $354,153.73 $117,527.92 nat. median
$123,690
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 10 $63,078.28 $240,636.94 $110,756.13 nat. median
$93,192
1.2× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $87,885.36 $335,273.33 $109,765.96 nat. median
$112,711
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $93,233.54 $286,026.97 $107,656.77 nat. median
$114,305
0.9× median

Other procedures at this hospital

Browse this hospital's 25,960 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 Inj, Hemgenix, Per Tx Dose 28 9 — — $3,654,350.00 $3,856,545.00 $3,672,900.00 2025-06-27
J1414 HCPCS Inj, Beqvez, Per Tx Dose 16 7 — — $3,605,000.00 $3,785,250.00 $3,605,000.00 2025-06-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 28 9 — — $3,325,454.76 $3,506,557.09 $3,339,578.18 2025-06-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 7 — — $3,286,000.00 $3,450,300.00 $3,286,000.00 2025-06-27
J3393 HCPCS Inj, Betibeglogene Autotemce 16 7 — — $2,968,000.00 $3,116,400.00 $2,968,000.00 2025-06-27
J3392 HCPCS Inj, Exagamglogene Autotem 16 7 — — $2,332,000.00 $2,448,600.00 $2,332,000.00 2025-06-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 46 14 — — $7,185.97 $2,508,044.94 $2,272,602.41 2025-06-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 56 15 — — $16,507.81 $1,040,678.99 $523,716.77 2025-06-27
Q2056 HCPCS Ciltacabtagene Car-pos T 56 15 — — $16,507.81 $1,077,232.95 $517,309.49 2025-06-27
Q2055 HCPCS Idecabtagene Vicleucel Car 56 15 — — $16,507.81 $971,826.29 $496,807.56 2025-06-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 56 15 — — $16,507.81 $950,513.29 $485,912.14 2025-06-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 56 15 — — $16,507.81 $950,600.77 $470,865.98 2025-06-27
Q2053 HCPCS Brexucabtagene Car Pos T 58 16 — — $16,507.81 $4,747,210.00 $460,530.40 2025-06-27
5834 APR_DRG Neonate With Ecmo 22 10 — — $177,091.95 $675,587.00 $411,851.82 2025-06-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 38 10 — — $298,416.05 $823,312.66 $313,336.85 2025-06-27
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 10 — — $128,213.82 $489,122.14 $268,686.28 2025-06-27
5833 APR_DRG Neonate With Ecmo 22 10 — — $107,891.74 $411,595.54 $266,810.37 2025-06-27
24 APR_DRG Heart And/or Lung Transplant 22 10 — — $118,123.95 $450,630.35 $237,946.25 2025-06-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 38 10 — — $219,646.27 $614,945.54 $230,691.14 2025-06-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 10 — — $194,388.79 $517,895.29 $213,665.03 2025-06-27
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $209,226.61 $209,226.61 $209,226.61 2025-06-27
5832 APR_DRG Neonate With Ecmo 22 10 — — $82,644.25 $315,279.04 $204,861.54 2025-06-27
1614 APR_DRG Implantable Heart Assist Systems 22 10 — — $110,672.28 $422,203.00 $203,918.48 2025-06-27
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 10 — — $110,950.88 $423,265.84 $195,997.12 2025-06-27
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 22 10 — — $94,102.79 $358,992.18 $193,312.43 2025-06-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 10 — — $172,935.39 $467,875.83 $180,949.01 2025-06-27
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 10 — — $97,157.68 $370,646.23 $176,662.50 2025-06-27
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 10 — — $124,110.23 $473,467.38 $174,746.55 2025-06-27
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 22 10 — — $88,502.18 $337,626.41 $173,438.36 2025-06-27
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 10 — — $152,028.77 $579,973.63 $170,686.93 2025-06-27
74 APR_DRG Allogeneic Bone Marrow Transplant 22 10 — — $94,402.69 $360,136.23 $162,015.68 2025-06-27
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 10 — — $91,305.83 $348,322.06 $161,203.76 2025-06-27
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 10 — — $132,931.19 $507,118.40 $158,270.15 2025-06-27
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 10 — — $60,617.70 $231,250.11 $153,336.58 2025-06-27
5831 APR_DRG Neonate With Ecmo 22 10 — — $36,717.60 $148,907.12 $148,907.12 2025-06-27
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 22 10 — — $68,136.29 $259,932.73 $146,394.39 2025-06-27
14 APR_DRG Liver Transplant And/or Intestinal Transplant 22 10 — — $103,887.91 $396,321.35 $144,084.26 2025-06-27
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 10 — — $96,983.70 $369,982.54 $143,096.45 2025-06-27
1613 APR_DRG Implantable Heart Assist Systems 22 10 — — $88,409.11 $337,271.36 $137,976.77 2025-06-27
E0766 HCPCS Elec Stim Cancer Treatment 4 1 — — $137,604.96 $137,604.96 $137,604.96 2025-06-27
23 APR_DRG Heart And/or Lung Transplant 22 10 — — $70,090.76 $267,388.81 $133,605.42 2025-06-27
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 10 — — $41,900.31 $159,845.25 $131,431.13 2025-06-27
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 10 — — $107,090.00 $408,536.99 $126,689.93 2025-06-27
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $122,020.98 $122,020.98 $122,020.98 2025-06-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 10 — — $116,053.14 $308,473.73 $119,534.73 2025-06-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 22 10 — — $65,311.95 $249,158.18 $118,972.73 2025-06-27
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $92,834.49 $354,153.73 $117,527.92 2025-06-27
1612 APR_DRG Implantable Heart Assist Systems 22 10 — — $63,078.28 $240,636.94 $110,756.13 2025-06-27
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 10 — — $87,885.36 $335,273.33 $109,765.96 2025-06-27
14 MS_DRG Allogeneic Bone Marrow Transplant 38 10 — — $93,233.54 $286,026.97 $107,656.77 2025-06-27
7 MS_DRG Lung Transplant 38 10 — — $99,745.08 $285,306.54 $107,387.29 2025-06-27
1611 APR_DRG Implantable Heart Assist Systems 22 10 — — $50,284.51 $191,830.08 $105,524.17 2025-06-27
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 22 10 — — $97,158.28 $370,648.55 $104,959.59 2025-06-27
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $104,771.13 $104,771.13 $104,771.13 2025-06-27
64 APR_DRG Pancreas Transplant 22 10 — — $70,148.55 $267,609.27 $103,649.83 2025-06-27
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 22 10 — — $92,531.55 $352,998.07 $101,863.44 2025-06-27
8514 APR_DRG Gender Related Procedures 18 9 — — $100,501.08 $100,501.08 $100,501.08 2025-06-27
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 2 — — $93,139.38 $99,999.95 $99,999.95 2025-06-27
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 22 10 — — $88,125.64 $336,189.96 $99,693.08 2025-06-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 10 — — $90,654.15 $240,572.39 $99,564.81 2025-06-27
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 22 10 — — $38,619.14 $147,327.93 $99,002.08 2025-06-27
22 APR_DRG Heart And/or Lung Transplant 22 10 — — $50,134.26 $191,256.89 $97,231.39 2025-06-27
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 10 — — $83,722.15 $319,391.14 $96,071.62 2025-06-27
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 10 — — $36,923.81 $140,860.42 $93,588.73 2025-06-27
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 10 — — $84,815.88 $323,563.58 $93,338.24 2025-06-27
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 1 — — $93,216.70 $93,216.70 $93,216.70 2025-06-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 10 — — $87,654.07 $237,826.04 $92,036.77 2025-06-27
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $81,031.64 $309,127.13 $90,070.92 2025-06-27
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 10 — — $70,261.08 $268,038.58 $89,903.67 2025-06-27
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 10 — — $62,012.54 $236,571.25 $89,730.92 2025-06-27
21 APR_DRG Heart And/or Lung Transplant 22 10 — — $41,054.78 $156,619.61 $89,418.40 2025-06-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 38 10 — — $84,253.20 $232,488.33 $88,465.86 2025-06-27
215 MS_DRG Other Heart Assist System Implant 38 10 — — $83,160.27 $231,296.35 $87,318.28 2025-06-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 9 — — $86,209.35 $191,877.90 $86,209.35 2025-06-27
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 22 10 — — $47,539.25 $181,357.21 $85,449.08 2025-06-27
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $72,477.73 $276,494.85 $83,366.66 2025-06-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 10 — — $79,041.55 $210,694.32 $81,862.39 2025-06-27
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 22 10 — — $62,505.87 $238,453.25 $81,220.64 2025-06-27
84 APR_DRG Autologous Bone Marrow Transplant 22 10 — — $49,486.42 $188,785.45 $80,301.92 2025-06-27
73 APR_DRG Allogeneic Bone Marrow Transplant 22 10 — — $66,267.59 $252,803.84 $79,182.98 2025-06-27
4404 APR_DRG Kidney Transplant 22 10 — — $64,331.98 $245,419.69 $75,902.30 2025-06-27
850 MS_DRG Acute Leukemia With Other Procedures 20 9 — — $75,891.50 $168,734.37 $75,891.50 2025-06-27
8634 APR_DRG Neonatal Aftercare 22 10 — — $44,000.16 $167,855.96 $75,015.78 2025-06-27
63 APR_DRG Pancreas Transplant 22 10 — — $49,034.45 $187,061.25 $73,634.57 2025-06-27
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 10 — — $32,767.30 $125,003.76 $73,344.03 2025-06-27
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 10 — — $52,216.47 $199,200.30 $73,000.89 2025-06-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 10 — — $68,727.37 $184,892.12 $71,921.35 2025-06-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 10 — — $66,187.43 $184,994.73 $69,864.93 2025-06-27
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 10 — — $34,173.69 $130,368.99 $69,473.66 2025-06-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 10 — — $66,493.97 $175,982.84 $68,913.30 2025-06-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 9 — — $68,776.39 $152,774.77 $68,776.39 2025-06-27
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 22 10 — — $39,546.80 $150,866.85 $68,116.00 2025-06-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 22 10 — — $43,358.41 $165,407.73 $67,655.86 2025-06-27
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 6 1 — — $67,452.66 $67,452.66 $67,452.66 2025-06-27
13 APR_DRG Liver Transplant And/or Intestinal Transplant 22 10 — — $53,462.27 $203,952.89 $67,403.01 2025-06-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 10 — — $65,203.62 $173,061.84 $67,363.38 2025-06-27
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $59,826.31 $228,231.01 $66,668.83 2025-06-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 38 10 — — $63,636.17 $170,640.77 $66,430.59 2025-06-27
6993050 OTHER Implant Cochlear Device 4 1 — — $22,677.52 $109,287.13 $65,982.32 2025-06-27
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 10 — — $39,747.54 $151,632.65 $65,962.12 2025-06-27
10 MS_DRG Pancreas Transplant 38 10 — — $39,497.81 $174,059.52 $65,774.53 2025-06-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 10 — — $62,921.55 $168,918.29 $65,766.96 2025-06-27
1784 APR_DRG External Heart Assist Systems 22 10 — — $55,179.50 $210,503.95 $64,835.33 2025-06-27
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 22 10 — — $52,985.36 $202,133.54 $64,664.15 2025-06-27
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 10 — — $55,264.06 $210,826.51 $64,474.91 2025-06-27
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $36,803.97 $140,403.26 $64,337.49 2025-06-27
50242012701 NDC Columvi 1 Mg/ml IV Soln 78 24 $81,547.50 $30,743.41 62% off $27,236.87 $78,285.60 $63,998.48 2025-06-27
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 22 10 — — $29,569.46 $112,804.37 $63,749.36 2025-06-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 42 11 — — $63,235.61 $777,866.81 $63,505.40 2025-06-27
72 APR_DRG Allogeneic Bone Marrow Transplant 22 10 — — $42,624.19 $162,606.76 $63,495.73 2025-06-27
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 22 10 — — $32,982.63 $125,825.25 $63,184.00 2025-06-27
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $62,350.87 $244,918.44 $62,350.87 2025-06-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 10 — — $59,051.82 $162,951.85 $62,004.41 2025-06-27
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 22 10 — — $52,516.97 $200,346.68 $61,864.03 2025-06-27
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 22 10 — — $41,298.10 $157,547.85 $61,797.29 2025-06-27
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 22 10 — — $39,099.70 $149,161.21 $61,744.68 2025-06-27
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 22 10 — — $61,174.60 $243,106.06 $61,174.60 2025-06-27
71 APR_DRG Allogeneic Bone Marrow Transplant 22 10 — — $38,335.67 $146,246.53 $60,321.06 2025-06-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 10 — — $57,461.73 $154,280.53 $60,127.34 2025-06-27
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 22 10 — — $40,925.21 $156,125.33 $59,911.17 2025-06-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 10 — — $56,888.58 $151,868.19 $59,197.91 2025-06-27
62 APR_DRG Pancreas Transplant 22 10 — — $41,386.91 $157,886.66 $58,958.69 2025-06-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 9 — — $58,667.59 $130,100.16 $58,667.59 2025-06-27
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 22 10 — — $28,791.45 $109,836.32 $58,230.79 2025-06-27
6456850 OTHER Opn Impltj Crnl Nrv Nea&pg 4 1 — — $19,971.11 $96,244.44 $58,107.78 2025-06-27
6458250 OTHER Opn Mpltj Hpglsl Nstm Ary Pg 4 1 — — $19,971.11 $96,244.44 $58,107.78 2025-06-27
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 10 — — $42,707.53 $162,924.68 $57,751.02 2025-06-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 22 10 — — $34,101.30 $130,092.84 $57,195.08 2025-06-27
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 22 10 — — $56,907.68 $232,879.17 $56,907.68 2025-06-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 10 — — $55,206.80 $145,807.87 $56,863.00 2025-06-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 10 — — $55,114.52 $145,561.18 $56,767.96 2025-06-27
1834 APR_DRG Percutaneous Structural Cardiac Procedures 22 10 — — $40,793.81 $155,624.08 $56,502.51 2025-06-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 10 — — $53,478.04 $141,186.22 $56,428.61 2025-06-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 10 — — $49,817.64 $149,069.44 $56,426.81 2025-06-27
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 22 10 — — $26,840.63 $102,394.15 $56,261.44 2025-06-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 10 — — $52,311.10 $138,066.55 $56,142.44 2025-06-27
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 22 10 — — $30,655.89 $116,948.96 $56,105.97 2025-06-27
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 22 10 — — $30,518.41 $116,424.50 $56,031.37 2025-06-27
6904 APR_DRG Acute Leukemia 22 10 — — $39,559.57 $150,915.58 $55,732.99 2025-06-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 38 10 — — $50,779.14 $133,971.03 $55,705.11 2025-06-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 9 — — $55,417.48 $122,809.99 $55,417.48 2025-06-27
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 10 — — $34,735.75 $132,513.22 $55,370.21 2025-06-27
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 22 10 — — $32,983.24 $125,827.57 $55,330.95 2025-06-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 60 16 — — $10,330.37 $680,031.56 $55,234.40 2025-06-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 10 — — $52,041.51 $140,983.19 $54,643.59 2025-06-27
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 22 10 — — $27,115.58 $103,443.07 $54,360.41 2025-06-27
914 APR_DRG Other Major Head And Neck Procedures 22 10 — — $30,146.13 $115,004.29 $54,197.87 2025-06-27
12 APR_DRG Liver Transplant And/or Intestinal Transplant 22 10 — — $39,345.45 $150,098.73 $54,146.83 2025-06-27
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 22 10 — — $38,184.21 $145,668.70 $53,639.57 2025-06-27
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 10 — — $23,931.13 $91,294.72 $53,556.34 2025-06-27
214 APR_DRG Open Craniotomy Except Trauma 22 10 — — $35,853.20 $136,776.16 $53,312.92 2025-06-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 10 — — $50,787.70 $135,230.69 $52,787.84 2025-06-27
7594 APR_DRG Eating Disorders 22 10 — — $11,302.82 $52,614.85 $52,614.85 2025-06-27
J9021 HCPCS Rylaze 10 Mg/0.5 Ml IM Soln 164 30 $105,096.60 $39,621.42 62% off $48.08 $100,892.74 $52,548.30 2025-06-27
1794 APR_DRG Defibrillator Implants 22 10 — — $37,980.43 $144,891.30 $52,544.18 2025-06-27
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 22 10 — — $52,526.91 $208,431.65 $52,526.91 2025-06-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 10 — — $50,851.57 $134,440.40 $52,483.36 2025-06-27
38240 HCPCS Transplt Allo Hct/donor 46 14 — — $1,799.09 $92,301.10 $52,319.21 2025-06-27
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 22 10 — — $27,340.04 $104,299.37 $52,079.33 2025-06-27
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 22 10 — — $31,303.73 $119,420.40 $51,886.95 2025-06-27
28 MS_DRG Spinal Procedures With Mcc 38 10 — — $49,299.47 $132,722.29 $51,764.44 2025-06-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 38 10 — — $49,956.00 $131,770.46 $51,454.68 2025-06-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 38 10 — — $49,956.00 $131,770.46 $51,454.68 2025-06-27
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 22 10 — — $20,726.61 $79,069.80 $51,388.33 2025-06-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 9 — — $51,185.00 $113,316.29 $51,185.00 2025-06-27
1204 APR_DRG Major Respiratory And Chest Procedures 22 10 — — $27,992.14 $106,787.05 $51,144.13 2025-06-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 10 — — $48,672.97 $133,359.76 $51,106.62 2025-06-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 38 10 — — $49,587.71 $130,785.87 $51,077.91 2025-06-27
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 22 10 — — $49,042.97 $187,093.73 $50,733.45 2025-06-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 10 — — $45,802.73 $120,667.15 $50,231.54 2025-06-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 10 — — $48,123.27 $128,458.68 $50,178.73 2025-06-27
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 22 10 — — $34,589.76 $131,956.28 $50,161.81 2025-06-27
274 APR_DRG Other Open Craniotomy 22 10 — — $26,990.27 $102,965.02 $49,973.35 2025-06-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 10 — — $47,534.76 $125,297.53 $49,697.19 2025-06-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 10 — — $48,211.73 $127,107.33 $49,658.08 2025-06-27
2324 APR_DRG Gastric Fundoplication 22 10 — — $20,997.91 $80,104.79 $49,634.14 2025-06-27
6954 APR_DRG Chemotherapy For Acute Leukemia 22 10 — — $34,699.87 $132,376.31 $49,389.93 2025-06-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 10 — — $46,636.65 $129,879.88 $49,248.82 2025-06-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 10 — — $49,089.29 $108,890.90 $49,212.07 2025-06-27
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 10 — — $31,197.27 $119,014.29 $49,136.30 2025-06-27
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 22 10 — — $40,181.26 $153,287.23 $49,082.12 2025-06-27
234 APR_DRG Spinal Procedures 22 10 — — $35,842.86 $136,736.71 $48,947.06 2025-06-27
1694 APR_DRG Major Abdominal Vascular Procedures 22 10 — — $39,087.53 $149,114.79 $48,761.75 2025-06-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 10 — — $46,411.11 $124,548.72 $48,672.30 2025-06-27
L7181 HCPCS Electronic Elbo Simultaneous 10 2 — — $41,436.03 $48,370.76 $48,370.76 2025-06-27
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 22 10 — — $26,694.03 $101,834.89 $48,185.39 2025-06-27
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $47,775.51 $47,775.51 $47,775.51 2025-06-27
204 APR_DRG Open Craniotomy For Trauma 22 10 — — $37,077.71 $141,447.53 $47,763.73 2025-06-27
1783 APR_DRG External Heart Assist Systems 22 10 — — $32,761.21 $124,980.55 $47,757.45 2025-06-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 38 10 — — $45,802.73 $120,667.15 $47,176.81 2025-06-27
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 22 10 — — $36,691.44 $139,973.95 $47,144.18 2025-06-27
11 APR_DRG Liver Transplant And/or Intestinal Transplant 22 10 — — $39,077.80 $149,077.66 $47,079.80 2025-06-27
L7180 HCPCS Electronic Elbow Sequential 10 2 — — $40,244.99 $46,980.38 $46,980.38 2025-06-27
653 MS_DRG Major Bladder Procedures With Mcc 38 10 — — $44,348.11 $121,699.76 $46,565.52 2025-06-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 10 — — $44,724.81 $117,785.44 $46,526.71 2025-06-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 10 — — $44,771.35 $117,909.88 $46,369.88 2025-06-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 10 — — $44,997.55 $118,514.60 $46,347.48 2025-06-27
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $46,050.36 $183,571.06 $46,050.36 2025-06-27
4403 APR_DRG Kidney Transplant 22 10 — — $45,999.32 $183,578.02 $45,999.32 2025-06-27
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 22 10 — — $26,345.47 $100,505.19 $45,971.06 2025-06-27
1782 APR_DRG External Heart Assist Systems 22 10 — — $24,122.14 $92,023.39 $45,909.02 2025-06-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 9 — — $45,613.28 $100,818.60 $45,613.28 2025-06-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 9 — — $45,338.90 $100,203.15 $45,338.90 2025-06-27
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 22 10 — — $35,744.92 $136,363.10 $45,312.25 2025-06-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 38 10 — — $43,120.18 $118,785.31 $45,276.19 2025-06-27
J9226 HCPCS Supprelin La Implant 60 16 — — $10,330.37 $540,938.58 $45,212.04 2025-06-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 10 — — $42,981.94 $115,632.89 $45,131.04 2025-06-27
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 10 — — $44,359.67 $169,227.43 $45,101.03 2025-06-27
33276 HCPCS Insj Phrnc Nrv Stim Sys 28 9 — — $44,573.90 $47,250.53 $45,000.50 2025-06-27
4414 APR_DRG Major Bladder Procedures 22 10 — — $33,901.78 $129,331.68 $44,823.06 2025-06-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 38 10 — — $42,604.43 $116,145.92 $44,734.65 2025-06-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 38 10 — — $42,268.14 $117,798.54 $44,729.71 2025-06-27
0266T OTHER Implt/rpl Crtd Sns Dev Total 46 14 — — $8,341.80 $64,162.96 $44,573.90 2025-06-27
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 10 — — $28,234.85 $107,712.97 $44,513.68 2025-06-27
894 APR_DRG Major Cranial Or Facial Bone Procedures 22 10 — — $35,698.09 $136,184.41 $44,391.18 2025-06-27
3014 APR_DRG Hip Joint Replacement 4 1 — — $18,401.08 $70,198.15 $44,299.61 2025-06-27
61 APR_DRG Pancreas Transplant 22 10 — — $28,370.50 $108,230.46 $44,092.80 2025-06-27
2614 APR_DRG Major Biliary Tract Procedures 22 10 — — $34,555.09 $131,824.00 $43,975.80 2025-06-27
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 22 10 — — $25,331.44 $96,636.75 $43,650.71 2025-06-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 10 — — $41,464.61 $112,059.14 $43,537.84 2025-06-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 10 — — $42,269.26 $111,220.82 $43,537.34 2025-06-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 10 — — $41,643.26 $110,880.26 $43,406.13 2025-06-27
0775T50 OTHER Arthrd Si Jt Prq Iartic Impl 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2728650 OTHER Arthrd Hip Jt Sbtrchc Osteot 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2728450 OTHER Arthrodesis Hip Joint 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2544250 OTHER Arthrp W/prostc Dstl Ulna 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2870550 OTHER Arthrodesis Pantalar 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2728050 OTHER Arthr Si Jt Opn B1grf Instrm 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2770250 OTHER Reconstruct Ankle Joint 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2437150 OTHER Revise Reconst Elbow Joint 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2727950 OTHER Arthrd Si Jt Plmt Tartclr Dv 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2436150 OTHER Reconstruct Elbow Joint 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2361650 OTHER Optx Prx Hmrl Fx Fix Rpr Rpl 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2729550 OTHER Amputation Of Leg At Hip 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2124350 OTHER Reconstruction Of Jaw Joint 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2544650 OTHER Arthrp W/prostc Dst Rds&crps 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
2436350 OTHER Replace Elbow Joint 4 1 — — $14,895.87 $71,785.92 $43,340.89 2025-06-27
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 22 10 — — $26,425.16 $100,809.18 $43,296.58 2025-06-27
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 22 10 — — $25,341.17 $96,673.88 $43,175.65 2025-06-27
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 22 10 — — $43,090.06 $175,687.98 $43,090.06 2025-06-27
5144 APR_DRG Female Reproductive System Reconstructive Procedures 22 10 — — $17,915.65 $68,346.31 $42,768.90 2025-06-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 10 — — $40,998.98 $109,183.98 $42,752.59 2025-06-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 9 — — $42,722.48 $94,334.38 $42,722.48 2025-06-27
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 22 10 — — $28,186.19 $107,527.32 $42,680.17 2025-06-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 10 — — $41,317.48 $108,791.02 $42,601.19 2025-06-27
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 22 10 — — $26,641.11 $101,633.00 $42,598.51 2025-06-27
6188550 OTHER Insrt/redo Neurostim 1 Array 4 1 — — $14,635.82 $70,532.73 $42,584.27 2025-06-27
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 10 — — $26,257.88 $100,171.02 $42,571.81 2025-06-27
1814 APR_DRG Lower Extremity Arterial Procedures 22 10 — — $33,527.06 $127,902.19 $42,447.75 2025-06-27
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 22 10 — — $26,548.04 $101,277.95 $42,285.21 2025-06-27
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 22 10 — — $24,168.37 $92,199.76 $42,239.66 2025-06-27
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 22 10 — — $17,337.77 $66,141.74 $41,974.26 2025-06-27
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 22 10 — — $15,320.04 $58,444.31 $41,974.26 2025-06-27
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 10 — — $24,737.13 $94,369.52 $41,913.01 2025-06-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 10 — — $39,442.84 $109,961.17 $41,798.08 2025-06-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 38 10 — — $39,037.03 $109,312.78 $41,555.55 2025-06-27
471 MS_DRG Cervical Spinal Fusion With Mcc 38 10 — — $40,331.45 $106,040.30 $41,541.39 2025-06-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 10 — — $36,642.59 $109,227.64 $41,523.70 2025-06-27
6 MS_DRG Liver Transplant Without Mcc 38 10 — — $39,686.16 $105,863.47 $41,473.27 2025-06-27
224 APR_DRG Ventricular Shunt Procedures 22 10 — — $26,206.17 $99,973.77 $41,313.10 2025-06-27
7584 APR_DRG Behavioral Disorders 22 10 — — $7,173.07 $40,980.94 $40,980.94 2025-06-27
83 APR_DRG Autologous Bone Marrow Transplant 22 10 — — $33,325.72 $127,134.07 $40,972.31 2025-06-27
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 22 10 — — $22,288.11 $85,026.78 $40,860.81 2025-06-27
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 22 10 — — $22,677.42 $86,511.97 $40,819.19 2025-06-27
799 MS_DRG Splenic Procedures With Mcc 38 10 — — $39,494.43 $103,802.61 $40,679.26 2025-06-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 10 — — $38,906.07 $103,782.96 $40,671.69 2025-06-27
3634 APR_DRG Breast Procedures Except Mastectomy 22 10 — — $16,310.96 $62,224.57 $40,666.07 2025-06-27
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 22 10 — — $21,449.87 $81,829.00 $40,589.90 2025-06-27
245 MS_DRG Aicd Generator Procedures 38 10 — — $37,216.55 $106,684.32 $40,572.35 2025-06-27
264 APR_DRG Other Nervous System And Related Procedures 22 10 — — $26,844.28 $102,408.08 $40,553.00 2025-06-27
1214 APR_DRG Other Respiratory And Chest Procedures 22 10 — — $24,305.84 $92,724.21 $40,536.51 2025-06-27
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 22 10 — — $21,325.78 $81,355.59 $40,504.31 2025-06-27
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 22 10 — — $26,526.75 $101,196.72 $40,472.12 2025-06-27
2304 APR_DRG Major Small Bowel Procedures 22 10 — — $28,733.66 $109,615.86 $40,463.48 2025-06-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 38 10 — — $39,085.31 $102,708.87 $40,257.87 2025-06-27
4402 APR_DRG Kidney Transplant 22 10 — — $40,205.93 $169,779.74 $40,205.93 2025-06-27
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $32,403.53 $123,616.04 $40,081.86 2025-06-27
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 10 — — $19,219.85 $73,321.68 $39,818.03 2025-06-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 10 — — $38,654.14 $101,556.19 $39,813.76 2025-06-27
5184 APR_DRG Other Female Reproductive System And Related Procedures 22 10 — — $19,861.60 $75,769.91 $39,684.54 2025-06-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 10 — — $36,063.79 $104,254.51 $39,663.47 2025-06-27
163 MS_DRG Major Chest Procedures With Mcc 38 10 — — $38,305.44 $100,624.00 $39,454.60 2025-06-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 10 — — $38,163.97 $100,261.60 $39,314.99 2025-06-27
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 22 10 — — $27,740.91 $105,828.64 $39,313.91 2025-06-27
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 22 10 — — $20,930.39 $79,847.20 $39,141.16 2025-06-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 10 — — $37,098.52 $100,246.32 $38,953.45 2025-06-27
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 22 10 — — $22,471.21 $85,725.28 $38,950.35 2025-06-27
1781 APR_DRG External Heart Assist Systems 22 10 — — $21,234.54 $81,007.50 $38,947.99 2025-06-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 10 — — $36,978.07 $102,158.73 $38,879.52 2025-06-27
8633 APR_DRG Neonatal Aftercare 22 10 — — $29,727.01 $113,405.40 $38,858.48 2025-06-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 38 10 — — $36,942.50 $100,582.52 $38,789.63 2025-06-27
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 10 2 — — $33,205.38 $38,762.63 $38,762.63 2025-06-27
1824 APR_DRG Other Peripheral Vascular And Related Procedures 22 10 — — $29,620.56 $112,999.30 $38,750.12 2025-06-27
E0194 HCPCS Air Fluidized Bed 6 1 — — $38,648.90 $38,648.90 $38,648.90 2025-06-27
3024 APR_DRG Knee Joint Replacement 4 1 — — $16,048.17 $61,222.07 $38,635.12 2025-06-27
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 22 10 — — $24,944.56 $95,160.84 $38,593.86 2025-06-27
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 22 10 — — $23,488.90 $89,607.65 $38,534.18 2025-06-27
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 22 10 — — $29,984.32 $114,387.02 $38,443.09 2025-06-27
4014 APR_DRG Adrenal Procedures 22 10 — — $24,521.79 $93,548.03 $38,401.48 2025-06-27
9103 APR_DRG Craniotomy For Multiple Significant Trauma 22 10 — — $16,790.90 $64,055.52 $38,354.36 2025-06-27
See an error in this hospital's data? Submit a correction