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

VALLEYWISE HEALTH MEDICAL CENTER

Phoenix, AZ · CCN 030022 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $23,961 across 18 payers · range $3,300-$35,942

Source: https://valleywise.pt.panaceainc.com/MRFDownload/valleywise/valleywise · observed 2025-06-28

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.

29,411 distinct procedures filed
24 distinct payers
733,739 rate rows
2025-06-28 last MRF observed · ⚠ 14 mo old
Data quality

491,729 of 733,739 rate rows are consumer-grade (67.0%)

242,010 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 141,598
professional (physician) fee — not the facility price 89,280
placeholder amount (≤ $0.02) — excluded from medians 6,023
template filing: same amount across many unrelated codes — excluded 3,482
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 784
per-diem day rate — not a per-procedure price 293
percent-of-charges filed in the dollar field — excluded from medians 239
exceeds 10× this hospital's gross charge — excluded from medians 201
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 110

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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://valleywise.pt.panaceainc.com/MRFDownload/valleywise/valleywise
Found on page https://valleywisehealth.org/patients/hospital-price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 49742fbad4af4f6c… · 248,763,701 bytes · first seen 2026-05-14

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 14 $3,424,750.00 $4,631,445.28 $4,210,404.80 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,159,182.02 $4,988,182.14 $3,990,545.71 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $3,121,700.00 $4,929,000.00 $3,919,330.00 nat. median
$3,286,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,489,255.00 $4,526,200.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 15 $2,819,600.00 $4,631,445.28 $3,561,600.00 nat. median
$2,997,086
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $1,142,035.73 $4,777,228.46 $2,866,337.08 nat. median
$2,460,273
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 17 $2,215,400.00 $4,664,000.00 $2,646,540.16 nat. median
$2,405,851
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,149,879.09 $1,149,879.09 $1,149,879.09 nat. median
$809,151
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 17 $502,733.22 $1,729,000.00 $725,007.45 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 17 $500,767.26 $1,729,000.00 $719,508.14 nat. median
$631,793
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 17 $500,258.21 $1,053,175.18 $638,223.14 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 17 $464,983.16 $1,729,000.00 $637,575.58 nat. median
$588,565
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 17 $490,889.78 $1,033,452.16 $625,092.09 nat. median
$624,417
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 17 $1,226.02 $921,060.80 $552,636.48 nat. median
$577,541
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $506,266.07 $556,892.68 $506,266.07 nat. median
$165,646
outlier · 3.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $116,032.37 $1,417,820.87 $449,006.84 nat. median
$370,165
1.2× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $415,190.18 $415,190.18 $415,190.18 nat. median
$459,112
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $293,045.92 $920,108.71 $339,799.18 nat. median
$261,939
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $223,262.18 $424,708.38 $293,048.79 nat. median
$205,166
1.4× median
24
APR_DRG 		Heart And/Or Lung Transplant 6 $163,504.56 $421,123.95 $281,347.48 nat. median
$243,231
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $221,951.92 $386,123.88 $266,333.81 nat. median
$199,832
1.3× median
5834
APR_DRG 		Neonate With Ecmo 6 $229,244.48 $277,385.82 $252,168.93 nat. median
$311,018
0.8× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 6 $251,761.11 $276,937.22 $251,761.11 nat. median
$83,517
outlier · 3.0×
1614
APR_DRG 		Implantable Heart Assist Systems 6 $144,108.45 $371,167.14 $247,971.98 nat. median
$209,486
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $124,006.71 $319,392.89 $213,382.27 nat. median
$175,480
1.2× median
5833
APR_DRG 		Neonate With Ecmo 6 $184,163.20 $222,837.47 $202,579.52 nat. median
$250,089
0.8× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $201,108.39 $221,219.23 $201,108.39 nat. median
$64,013
outlier · 3.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $181,589.30 $219,723.05 $199,748.23 nat. median
$254,667
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 6 $112,050.06 $288,597.22 $192,808.09 nat. median
$165,599
1.2× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 6 $105,961.91 $272,916.53 $182,332.02 nat. median
$137,901
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $144,844.09 $263,162.76 $175,441.84 nat. median
$132,706
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $100,469.57 $258,770.42 $172,881.18 nat. median
$127,938
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $98,379.18 $253,386.39 $169,284.18 nat. median
$127,600
1.3× median
7
MS_DRG 		Lung Transplant 18 $135,420.24 $425,193.92 $166,295.01 nat. median
$122,690
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $125,671.18 $394,583.71 $163,898.37 nat. median
$114,305
1.4× median
64
APR_DRG 		Pancreas Transplant 6 $87,575.65 $225,560.71 $150,694.21 nat. median
$92,994
1.6× median
23
APR_DRG 		Heart And/Or Lung Transplant 6 $85,946.00 $221,363.37 $147,890.02 nat. median
$116,111
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $118,496.63 $372,056.99 $147,549.07 nat. median
$108,240
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 3 $118,360.69 $161,292.90 $142,698.38 nat. median
$96,134
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 18 $99,162.47 $357,029.33 $139,110.58 nat. median
$100,978
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $107,816.90 $338,524.65 $138,150.39 nat. median
$99,646
1.4× median
5832
APR_DRG 		Neonate With Ecmo 6 $124,957.52 $151,198.61 $137,453.27 nat. median
$169,230
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $123,979.69 $150,015.43 $136,377.66 nat. median
$168,361
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $104,120.35 $326,918.18 $135,752.62 nat. median
$98,002
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $115,248.69 $201,618.20 $134,412.13 nat. median
$96,835
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $121,450.13 $146,954.67 $133,595.15 nat. median
$168,174
0.8× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $130,689.67 $143,758.64 $130,689.67 nat. median
$31,876
outlier · 4.1×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $130,689.67 $143,758.64 $130,689.67 nat. median
$33,878
outlier · 3.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $102,298.74 $321,198.67 $129,350.80 nat. median
$92,900
1.4× median
8434
APR_DRG 		Extensive Third Degree Burns Without Skin Graft 6 $125,305.43 $137,835.97 $125,305.43 nat. median
$20,256
outlier · 6.2×

Other procedures at this hospital

Browse this hospital's 29,411 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 27 14 — — $3,424,750.00 $4,631,445.28 $4,210,404.80 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 28 15 — — $3,159,182.02 $4,988,182.14 $3,990,545.71 2025-06-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 28 15 — — $3,121,700.00 $4,929,000.00 $3,919,330.00 2025-06-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 14 — — $3,489,255.00 $4,526,200.00 $3,672,900.00 2025-06-28
J3393 HCPCS Inj, Betibeglogene Autotemce 30 15 — — $2,819,600.00 $4,631,445.28 $3,561,600.00 2025-06-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 35 17 — — $1,142,035.73 $4,777,228.46 $2,866,337.08 2025-06-28
J3392 HCPCS Inj, Exagamglogene Autotem 32 17 — — $2,215,400.00 $4,664,000.00 $2,646,540.16 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $1,149,879.09 $1,149,879.09 $1,149,879.09 2025-06-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 35 17 — — $502,733.22 $1,729,000.00 $725,007.45 2025-06-28
Q2056 HCPCS Ciltacabtagene Car-pos T 35 17 — — $500,767.26 $1,729,000.00 $719,508.14 2025-06-28
Q2055 HCPCS Idecabtagene Vicleucel Car 32 17 — — $500,258.21 $1,053,175.18 $638,223.14 2025-06-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 35 17 — — $464,983.16 $1,729,000.00 $637,575.58 2025-06-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 32 17 — — $490,889.78 $1,033,452.16 $625,092.09 2025-06-28
Q2053 HCPCS Brexucabtagene Car Pos T 35 17 — — $1,226.02 $921,060.80 $552,636.48 2025-06-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $506,266.07 $556,892.68 $506,266.07 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 18 — — $116,032.37 $1,417,820.87 $449,006.84 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $415,190.18 $415,190.18 $415,190.18 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 18 — — $293,045.92 $920,108.71 $339,799.18 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 17 — — $223,262.18 $424,708.38 $293,048.79 2025-06-28
24 APR_DRG Heart And/Or Lung Transplant 12 6 — — $163,504.56 $421,123.95 $281,347.48 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 17 — — $221,951.92 $386,123.88 $266,333.81 2025-06-28
5834 APR_DRG Neonate With Ecmo 12 6 — — $229,244.48 $277,385.82 $252,168.93 2025-06-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 6 — — $251,761.11 $276,937.22 $251,761.11 2025-06-28
1614 APR_DRG Implantable Heart Assist Systems 12 6 — — $144,108.45 $371,167.14 $247,971.98 2025-06-28
74 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $124,006.71 $319,392.89 $213,382.27 2025-06-28
5833 APR_DRG Neonate With Ecmo 12 6 — — $184,163.20 $222,837.47 $202,579.52 2025-06-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $201,108.39 $221,219.23 $201,108.39 2025-06-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $181,589.30 $219,723.05 $199,748.23 2025-06-28
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 12 6 — — $112,050.06 $288,597.22 $192,808.09 2025-06-28
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 12 6 — — $105,961.91 $272,916.53 $182,332.02 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 17 — — $144,844.09 $263,162.76 $175,441.84 2025-06-28
1613 APR_DRG Implantable Heart Assist Systems 12 6 — — $100,469.57 $258,770.42 $172,881.18 2025-06-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $98,379.18 $253,386.39 $169,284.18 2025-06-28
7 MS_DRG Lung Transplant 27 18 — — $135,420.24 $425,193.92 $166,295.01 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 27 18 — — $125,671.18 $394,583.71 $163,898.37 2025-06-28
64 APR_DRG Pancreas Transplant 12 6 — — $87,575.65 $225,560.71 $150,694.21 2025-06-28
23 APR_DRG Heart And/Or Lung Transplant 12 6 — — $85,946.00 $221,363.37 $147,890.02 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 18 — — $118,496.63 $372,056.99 $147,549.07 2025-06-28
209 MS_DRG Complex Aortic Arch Procedures 3 3 — — $118,360.69 $161,292.90 $142,698.38 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 28 18 — — $99,162.47 $357,029.33 $139,110.58 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 18 — — $107,816.90 $338,524.65 $138,150.39 2025-06-28
5832 APR_DRG Neonate With Ecmo 12 6 — — $124,957.52 $151,198.61 $137,453.27 2025-06-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $123,979.69 $150,015.43 $136,377.66 2025-06-28
215 MS_DRG Other Heart Assist System Implant 28 18 — — $104,120.35 $326,918.18 $135,752.62 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $115,248.69 $201,618.20 $134,412.13 2025-06-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 6 — — $121,450.13 $146,954.67 $133,595.15 2025-06-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $130,689.67 $143,758.64 $130,689.67 2025-06-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $130,689.67 $143,758.64 $130,689.67 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $102,298.74 $321,198.67 $129,350.80 2025-06-28
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 12 6 — — $125,305.43 $137,835.97 $125,305.43 2025-06-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $110,689.66 $133,934.49 $121,758.63 2025-06-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 7 — — $55,753.92 $398,752.52 $121,303.12 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 25 17 — — $78,674.04 $180,340.49 $120,226.99 2025-06-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 6 — — $108,280.18 $131,019.02 $119,108.20 2025-06-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $68,107.59 $175,418.58 $117,194.90 2025-06-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $67,270.68 $173,263.02 $115,754.79 2025-06-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $104,285.72 $126,185.73 $114,714.29 2025-06-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $102,929.20 $124,544.33 $113,222.12 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 18 — — $88,151.46 $276,778.91 $112,935.37 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 17 — — $94,213.39 $165,667.53 $112,653.92 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $87,874.35 $275,908.83 $111,888.79 2025-06-28
8634 APR_DRG Neonatal Aftercare 12 6 — — $64,885.53 $167,119.82 $111,650.60 2025-06-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $64,568.06 $166,302.14 $111,104.32 2025-06-28
73 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $63,828.34 $164,396.91 $109,831.45 2025-06-28
5831 APR_DRG Neonate With Ecmo 12 6 — — $98,731.53 $119,465.16 $108,604.68 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 18 — — $82,284.04 $258,356.31 $107,307.11 2025-06-28
E0194 HCPCS Air Fluidized Bed 4 2 — — $22,296.12 $170,853.20 $107,124.96 2025-06-28
10 MS_DRG Pancreas Transplant 27 18 — — $75,036.29 $235,599.76 $106,318.02 2025-06-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 6 — — $96,423.65 $116,672.62 $106,066.02 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 18 — — $74,606.51 $234,250.32 $105,804.96 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 18 — — $79,945.86 $251,014.85 $104,559.90 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $80,291.98 $252,101.62 $103,674.10 2025-06-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $59,794.61 $154,007.60 $102,890.49 2025-06-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 6 — — $102,507.40 $112,758.14 $102,507.40 2025-06-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $59,422.86 $153,050.12 $102,250.81 2025-06-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 2 — — $28,324.91 $161,025.04 $100,962.70 2025-06-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 2 — — $14,396.82 $161,025.04 $100,962.70 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 17 — — $79,681.29 $150,908.69 $100,901.18 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $75,484.90 $144,820.92 $96,547.28 2025-06-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 6 — — $55,940.77 $144,081.59 $96,259.05 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 18 — — $74,562.59 $234,112.42 $96,146.48 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 17 — — $75,004.92 $137,684.01 $95,001.97 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 18 — — $72,276.69 $226,935.13 $94,905.91 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 17 — — $70,387.11 $140,199.95 $94,401.30 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 17 — — $69,869.49 $138,118.49 $92,078.99 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 18 — — $71,922.20 $225,822.09 $91,662.47 2025-06-28
63 APR_DRG Pancreas Transplant 12 6 — — $52,694.09 $135,719.42 $90,672.39 2025-06-28
4404 APR_DRG Kidney Transplant 12 6 — — $52,538.19 $135,317.90 $90,404.14 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 18 — — $67,287.66 $211,270.51 $89,412.61 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $68,757.91 $215,886.82 $89,308.20 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 18 — — $64,010.43 $200,980.64 $87,808.29 2025-06-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $79,651.48 $96,378.29 $87,616.63 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $68,757.91 $215,886.82 $86,524.14 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc 28 18 — — $62,811.02 $197,214.70 $86,349.92 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 17 — — $54,652.39 $129,390.15 $86,260.10 2025-06-28
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 12 6 — — $49,946.03 $128,641.49 $85,943.72 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 18 — — $43,581.15 $215,102.12 $85,943.51 2025-06-28
1784 APR_DRG External Heart Assist Systems 12 6 — — $49,928.36 $128,595.97 $85,913.32 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 18 — — $57,754.01 $181,336.66 $85,702.13 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 18 — — $63,396.61 $199,053.35 $85,387.78 2025-06-28
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 12 6 — — $49,592.58 $127,731.14 $85,335.53 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 28 18 — — $62,828.79 $197,270.51 $85,059.95 2025-06-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 6 — — $49,431.64 $127,316.61 $85,058.58 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 18 — — $56,805.56 $178,358.71 $84,570.46 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 18 — — $62,006.87 $194,689.84 $84,570.46 2025-06-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 6 — — $76,572.66 $92,652.92 $84,229.93 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 18 — — $64,084.68 $201,213.76 $84,064.13 2025-06-28
22 APR_DRG Heart And/Or Lung Transplant 12 6 — — $72,054.22 $96,658.10 $83,565.32 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 18 — — $1,000.00 $125,321.54 $83,547.69 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 18 — — $61,367.95 $192,683.74 $82,867.35 2025-06-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 6 — — $47,839.86 $123,216.81 $82,319.57 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 18 — — $61,328.21 $192,558.98 $82,172.40 2025-06-28
1612 APR_DRG Implantable Heart Assist Systems 12 6 — — $70,368.40 $94,396.63 $81,610.18 2025-06-28
1611 APR_DRG Implantable Heart Assist Systems 12 6 — — $70,368.40 $94,396.63 $81,610.18 2025-06-28
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 6 — — $73,863.92 $89,375.34 $81,250.31 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $62,356.14 $195,786.46 $81,241.70 2025-06-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $73,681.65 $89,154.80 $81,049.82 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — — $59,921.75 $188,142.94 $80,856.61 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 28 18 — — $54,338.75 $170,613.40 $79,391.51 2025-06-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 6 — — $46,082.08 $118,689.47 $79,294.90 2025-06-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $45,918.61 $118,268.44 $79,013.61 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 28 18 — — $57,407.88 $180,249.89 $78,860.48 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 18 — — $55,357.27 $173,811.34 $78,860.48 2025-06-28
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $78,768.03 $78,768.03 $78,768.03 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $58,789.25 $117,900.02 $78,600.01 2025-06-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 — — $45,620.71 $117,501.14 $78,501.00 2025-06-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $71,280.79 $86,249.76 $78,408.87 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 17 — — $60,306.56 $117,334.19 $78,222.79 2025-06-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $45,385.28 $116,894.79 $78,095.90 2025-06-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 18 — — $58,607.30 $184,015.83 $77,892.72 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 18 — — $57,205.02 $179,612.93 $77,753.51 2025-06-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 6 — — $45,093.06 $116,142.13 $77,593.06 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 18 — — $52,676.06 $187,131.68 $77,442.52 2025-06-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 18 — — $57,033.52 $179,074.47 $77,385.27 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 18 — — $44,455.57 $160,921.10 $77,378.53 2025-06-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 37 18 — — $60,187.03 $152,398.40 $77,350.49 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 18 — — $57,123.45 $179,356.83 $76,535.39 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $55,765.09 $175,091.82 $76,271.56 2025-06-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 6 — — $44,266.24 $114,012.57 $76,170.32 2025-06-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 6 — — $44,006.20 $113,342.81 $75,722.87 2025-06-28
6904 APR_DRG Acute Leukemia 12 6 — — $43,647.08 $112,417.84 $75,104.91 2025-06-28
K0606 HCPCS Aed Garment W Elec Analysis 4 2 — — $17,253.32 $119,080.40 $74,663.41 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 17 — — $55,731.63 $111,938.55 $74,625.70 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 18 — — $55,174.27 $173,236.76 $74,433.72 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 18 — — $54,432.87 $170,908.90 $74,002.61 2025-06-28
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 6 — — $67,149.02 $81,250.31 $73,863.92 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 18 — — $52,153.24 $163,751.30 $73,827.47 2025-06-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 6 — — $42,822.78 $110,294.79 $73,686.52 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 18 — — $50,602.57 $161,594.18 $73,354.82 2025-06-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $66,656.41 $80,654.26 $73,322.05 2025-06-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $66,402.71 $80,347.28 $73,042.98 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 18 — — $50,238.57 $157,739.58 $73,021.38 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 18 — — $39,467.36 $182,755.04 $72,977.60 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 18 — — $51,642.94 $162,149.05 $72,955.15 2025-06-28
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 12 6 — — $42,396.12 $109,195.87 $72,952.35 2025-06-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 6 — — $42,394.86 $109,192.62 $72,950.18 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 18 — — $51,734.96 $162,437.98 $72,753.06 2025-06-28
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 3 3 — — $59,677.05 $81,323.33 $71,948.03 2025-06-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 12 6 — — $41,742.24 $107,511.73 $71,827.20 2025-06-28
2324 APR_DRG Gastric Fundoplication 12 6 — — $41,666.50 $107,316.66 $71,696.88 2025-06-28
245 MS_DRG Aicd Generator Procedures 28 18 — — $47,709.02 $149,797.28 $71,669.67 2025-06-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 6 — — $41,516.92 $106,931.39 $71,439.48 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 18 — — $50,493.72 $158,540.71 $71,338.48 2025-06-28
6 MS_DRG Liver Transplant Without Mcc 27 18 — — $48,489.11 $152,246.62 $71,247.54 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 18 — — $48,915.75 $153,586.21 $70,420.12 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 28 18 — — $47,358.71 $148,697.37 $70,187.72 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 18 — — $49,062.15 $154,045.87 $70,177.62 2025-06-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 6 — — $40,739.96 $104,930.25 $70,102.55 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 18 — — $49,783.69 $156,311.35 $69,625.26 2025-06-28
214 APR_DRG Open Craniotomy Except Trauma 12 6 — — $40,361.27 $103,954.88 $69,450.92 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 18 — — $47,943.25 $150,532.74 $69,342.34 2025-06-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 6 — — $40,219.26 $103,589.12 $69,206.56 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 18 — — $48,295.65 $151,639.21 $69,032.48 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 28 18 — — $46,866.18 $147,150.94 $68,553.09 2025-06-28
6954 APR_DRG Chemotherapy For Acute Leukemia 12 6 — — $39,830.46 $102,587.74 $68,537.54 2025-06-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 18 — — $49,162.54 $154,361.07 $68,531.76 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $52,705.37 $165,484.89 $68,366.73 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 18 — — $48,065.60 $150,916.88 $68,358.87 2025-06-28
8444 APR_DRG Partial Thickness Burns Without Skin Graft 12 6 — — $68,194.58 $75,014.04 $68,194.58 2025-06-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $61,746.92 $74,713.78 $67,921.61 2025-06-28
L6880 HCPCS Elec Hand Ind Art Digits 4 2 — — $10,599.87 $108,212.32 $67,849.12 2025-06-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 37 18 — — $52,264.47 $233,702.76 $67,754.53 2025-06-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 6 — — $39,314.81 $101,259.61 $67,650.24 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 18 — — $47,565.76 $149,347.47 $67,457.35 2025-06-28
1794 APR_DRG Defibrillator Implants 12 6 — — $39,116.63 $100,749.17 $67,309.22 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 18 — — $40,370.21 $140,948.79 $67,155.35 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 17 — — $47,544.84 $104,103.55 $67,016.13 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 28 18 — — $38,884.41 $137,786.97 $66,546.85 2025-06-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $38,540.38 $99,264.98 $66,317.65 2025-06-28
914 APR_DRG Other Major Head And Neck Procedures 12 6 — — $38,487.99 $99,130.05 $66,227.51 2025-06-28
1694 APR_DRG Major Abdominal Vascular Procedures 12 6 — — $38,465.90 $99,073.16 $66,189.50 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 18 — — $46,668.55 $146,530.40 $66,123.60 2025-06-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 6 — — $38,282.87 $98,601.73 $65,874.55 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 17 — — $35,577.52 $98,075.63 $65,383.75 2025-06-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $43,632.88 $136,998.98 $65,283.83 2025-06-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 6 — — $58,821.43 $71,173.93 $64,703.57 2025-06-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 18 — — $45,935.51 $144,228.80 $64,696.66 2025-06-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 18 — — $45,251.62 $142,081.52 $64,625.93 2025-06-28
21 APR_DRG Heart And/Or Lung Transplant 12 6 — — $55,701.56 $74,721.60 $64,600.22 2025-06-28
140 MS_DRG Major Head And Neck Procedures With Mcc 28 18 — — $44,602.24 $140,042.59 $64,286.88 2025-06-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 18 — — $46,852.59 $147,108.26 $63,853.53 2025-06-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 18 — — $27,960.09 $137,951.13 $63,842.30 2025-06-28
793 MS_DRG Full Term Neonate With Major Problems 26 18 — — $1,000.00 $95,441.81 $63,627.87 2025-06-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 18 — — $44,162.00 $138,660.33 $63,517.84 2025-06-28
274 APR_DRG Other Open Craniotomy 12 6 — — $36,898.74 $95,036.76 $63,492.83 2025-06-28
38240 HCPCS Transplt Allo Hct/donor 34 18 — — $206.31 $126,070.16 $63,035.08 2025-06-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 18 — — $43,802.28 $137,530.87 $62,972.22 2025-06-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 17 — — $44,064.75 $94,419.59 $62,946.39 2025-06-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 18 — — $44,086.71 $138,423.93 $62,877.91 2025-06-28
234 APR_DRG Spinal Procedures 12 6 — — $36,532.03 $94,092.27 $62,861.83 2025-06-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 17 — — $44,346.05 $93,976.70 $62,651.13 2025-06-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 18 — — $43,427.92 $136,355.45 $62,470.38 2025-06-28
791 MS_DRG Prematurity With Major Problems 26 18 — — $1,000.00 $93,579.26 $62,386.17 2025-06-28
204 APR_DRG Open Craniotomy For Trauma 12 6 — — $36,100.32 $92,980.35 $62,118.97 2025-06-28
224 APR_DRG Ventricular Shunt Procedures 12 6 — — $36,065.61 $92,890.94 $62,059.24 2025-06-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 12 6 — — $35,998.08 $92,717.00 $61,943.03 2025-06-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 6 — — $35,780.96 $92,157.79 $61,569.43 2025-06-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 18 — — $40,147.56 $126,055.74 $61,530.69 2025-06-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 18 — — $34,284.82 $117,634.07 $61,499.25 2025-06-28
72 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $53,009.67 $71,110.53 $61,478.29 2025-06-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 — — $35,704.59 $91,961.09 $61,438.02 2025-06-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 18 — — $35,052.61 $122,362.02 $61,104.07 2025-06-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 18 — — $37,378.55 $117,361.56 $61,013.13 2025-06-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 17 — — $35,052.61 $126,896.26 $60,923.31 2025-06-28
4414 APR_DRG Major Bladder Procedures 12 6 — — $35,382.07 $91,130.40 $60,883.05 2025-06-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 17 — — $42,042.37 $91,091.96 $60,727.97 2025-06-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 18 — — $43,140.35 $135,452.54 $60,706.63 2025-06-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 18 — — $40,475.91 $127,086.69 $60,464.13 2025-06-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 6 — — $35,043.76 $90,259.07 $60,300.92 2025-06-28
1783 APR_DRG External Heart Assist Systems 12 6 — — $35,017.26 $90,190.79 $60,255.31 2025-06-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 18 — — $36,467.74 $114,501.80 $60,198.06 2025-06-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 18 — — $32,813.24 $120,598.89 $60,154.27 2025-06-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 18 — — $39,085.13 $122,719.90 $60,033.02 2025-06-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $54,304.19 $65,708.07 $59,734.61 2025-06-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 17 — — $39,349.69 $89,579.69 $59,719.79 2025-06-28
L5783 HCPCS Add Low Ext Mec Limb Vol Lam 4 2 — — $1,296.85 $94,996.92 $59,563.07 2025-06-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — — $40,906.74 $128,439.41 $59,487.40 2025-06-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 18 — — $40,376.57 $126,774.78 $59,155.08 2025-06-28
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $58,966.38 $59,013.25 $58,989.82 2025-06-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 6 — — $53,518.47 $64,757.35 $58,870.32 2025-06-28
1204 APR_DRG Major Respiratory And Chest Procedures 12 6 — — $34,186.02 $88,049.86 $58,824.98 2025-06-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 18 — — $37,218.55 $116,859.21 $58,817.15 2025-06-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $53,437.19 $64,659.00 $58,780.91 2025-06-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $53,437.19 $64,659.00 $58,780.91 2025-06-28
4403 APR_DRG Kidney Transplant 12 6 — — $34,133.64 $87,914.94 $58,734.83 2025-06-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 18 — — $36,802.37 $115,552.46 $57,769.69 2025-06-28
1814 APR_DRG Lower Extremity Arterial Procedures 12 6 — — $33,510.05 $86,308.83 $57,661.82 2025-06-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 18 — — $37,340.90 $117,243.36 $57,485.65 2025-06-28
2614 APR_DRG Major Biliary Tract Procedures 12 6 — — $33,316.29 $85,809.76 $57,328.39 2025-06-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $52,068.97 $63,003.45 $57,275.86 2025-06-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 6 — — $33,207.73 $85,530.15 $57,141.59 2025-06-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 18 — — $39,915.23 $130,809.96 $57,052.29 2025-06-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 18 — — $31,583.36 $118,586.23 $57,050.04 2025-06-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 18 — — $25,412.66 $122,706.77 $57,043.31 2025-06-28
L5841 HCPCS Addition Endoskletl Knee-shi 4 2 — — $1,572.21 $90,829.84 $56,950.31 2025-06-28
265 MS_DRG Aicd Lead Procedures 28 18 — — $37,835.52 $118,796.36 $56,854.70 2025-06-28
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 12 6 — — $32,982.40 $84,949.81 $56,753.87 2025-06-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 18 — — $37,192.45 $120,549.64 $56,675.07 2025-06-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 18 — — $33,226.07 $130,322.97 $56,441.55 2025-06-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 18 — — $35,628.04 $111,865.31 $56,431.44 2025-06-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 18 — — $36,043.14 $119,042.61 $56,331.52 2025-06-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 18 — — $37,254.11 $116,970.85 $56,142.91 2025-06-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 18 — — $35,801.42 $112,564.66 $56,130.56 2025-06-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 18 — — $37,285.48 $117,069.34 $56,114.85 2025-06-28
264 MS_DRG Other Circulatory System O.r. Procedures 28 18 — — $31,647.35 $109,681.92 $56,045.24 2025-06-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 18 — — $38,751.55 $121,672.53 $55,791.51 2025-06-28
332 MS_DRG Rectal Resection With Mcc 28 18 — — $37,861.66 $118,878.44 $55,748.85 2025-06-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 18 — — $34,336.95 $113,976.48 $55,706.19 2025-06-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $32,308.33 $83,213.65 $55,593.97 2025-06-28
8422 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 6 — — $55,571.43 $61,128.57 $55,571.43 2025-06-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 18 — — $37,188.23 $116,764.00 $55,476.04 2025-06-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 12 6 — — $32,230.69 $83,013.70 $55,460.38 2025-06-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 18 — — $36,124.75 $113,424.88 $55,415.41 2025-06-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 6 — — $32,178.94 $82,880.40 $55,371.33 2025-06-28
665 MS_DRG Prostatectomy With Mcc 28 18 — — $28,941.15 $102,478.36 $55,354.79 2025-06-28
252 MS_DRG Other Vascular Procedures With Mcc 28 18 — — $36,477.15 $114,531.35 $55,318.86 2025-06-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 18 — — $36,877.66 $115,788.86 $55,260.48 2025-06-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 6 — — $32,098.78 $82,673.94 $55,233.40 2025-06-28
J9226 HCPCS Supprelin La Implant 37 18 — — $43,082.71 $194,737.88 $55,219.40 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 34 18 — — $554.42 $95,924.87 $55,156.80 2025-06-28
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 12 6 — — $32,048.29 $82,543.90 $55,146.51 2025-06-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 18 — — $28,742.09 $106,799.18 $55,047.17 2025-06-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 18 — — $33,387.11 $104,829.20 $54,887.75 2025-06-28
61 APR_DRG Pancreas Transplant 12 6 — — $47,235.21 $63,364.30 $54,781.32 2025-06-28
62 APR_DRG Pancreas Transplant 12 6 — — $47,235.21 $63,364.30 $54,781.32 2025-06-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $47,120.34 $63,210.21 $54,648.10 2025-06-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 18 — — $35,675.10 $112,013.06 $54,491.44 2025-06-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 6 — — $31,482.14 $81,085.72 $54,172.32 2025-06-28
37 MS_DRG Extracranial Procedures With Mcc 28 18 — — $34,425.49 $108,089.52 $54,089.52 2025-06-28
L7181 HCPCS Electronic Elbo Simultaneous 14 7 — — $17,776.13 $177,397.80 $53,965.57 2025-06-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 18 — — $35,076.30 $123,012.12 $53,876.21 2025-06-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 — — $31,140.05 $80,204.63 $53,583.68 2025-06-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $48,669.95 $58,890.65 $53,536.95 2025-06-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 18 — — $31,718.17 $99,589.06 $53,503.48 2025-06-28
2304 APR_DRG Major Small Bowel Procedures 12 6 — — $31,064.95 $80,011.18 $53,454.44 2025-06-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 6 — — $48,568.97 $58,768.45 $53,425.86 2025-06-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 18 — — $33,422.25 $106,329.67 $53,399.07 2025-06-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 18 — — $33,293.00 $104,533.71 $53,383.35 2025-06-28
264 APR_DRG Other Nervous System And Related Procedures 12 6 — — $30,833.31 $79,414.59 $53,055.86 2025-06-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 18 — — $33,745.78 $105,955.37 $52,948.87 2025-06-28
See an error in this hospital's data? Submit a correction