Price Transparency 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

HUNTINGTON HOSPITAL

Pasadena, CA · CCN 050438 · Rates published

13,150 distinct procedures filed
28 distinct payers
240,332 rate rows
2025-11-26 last MRF observed
Data quality

167,751 of 240,332 rate rows are consumer-grade (69.8%)

72,581 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 69,689
per-diem day rate — not a per-procedure price 1,596
exceeds 10× this hospital's gross charge — excluded from medians 1,042
template filing: same amount across many unrelated codes — excluded 188
placeholder amount (≤ $0.02) — excluded from medians 63
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/Huntington_Hospital_StandardCharges.zip
Found on page https://www.northwell.edu/billing-and-insurance/price-estimator-tools
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $4,905,698.71 $4,905,698.71 $4,905,698.71 nat. median
$3,746,358
1.3× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 1 $4,414,759.55 $4,972,276.37 $4,693,517.96 nat. median
$3,316,463
1.4× median
J3399
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $3,712,488.53 $3,712,488.53 $3,712,488.53 nat. median
$2,469,189
1.5× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 1 $3,268,157.77 $3,680,876.26 $3,474,517.01 nat. median
$2,588,981
1.3× median
9194
OTHER 		Tisagenlecleucel Car-pos T 1 $787,685.32 $1,362,489.89 $1,362,489.89 nat. median
$566,531
outlier · 2.4×
9498
OTHER 		Ciltacabtagene Car-pos T 1 $753,265.04 $1,302,951.79 $1,302,951.79 nat. median
$587,650
outlier · 2.2×
9413
OTHER 		Lisocabtagene Car Pos T 1 $748,831.25 $1,295,282.49 $1,295,282.49 nat. median
$562,201
outlier · 2.3×
9422
OTHER 		Idecabtagene Vicleucel Car 1 $741,882.23 $1,283,262.50 $1,283,262.50 nat. median
$558,082
outlier · 2.3×
9035
OTHER 		Axicabtagene Ciloleucel Car+ 1 $709,817.44 $1,227,798.80 $1,227,798.80 nat. median
$532,192
outlier · 2.3×
9391
OTHER 		Brexucabtagene Car Pos T 1 $651,345.26 $1,126,657.20 $1,126,657.20 nat. median
$489,450
outlier · 2.3×
Q2056
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $819,278.25 $819,278.25 $819,278.25 nat. median
$675,122
1.2× median
Q2055
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $818,445.43 $818,445.43 $818,445.43 nat. median
$625,184
1.3× median
Q2054
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $803,118.23 $803,118.23 $803,118.23 nat. median
$674,188
1.2× median
Q2041
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $760,733.82 $760,733.82 $760,733.82 nat. median
$634,511
1.2× median
Q2053
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $715,776.46 $715,776.46 $715,776.46 nat. median
$620,080
1.2× median
3E0F3SD
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
5Al522F
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
5Al522G
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
3E0F8SD
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
5Al522H
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
3E0F7SD
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
5Al5223
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $249,819.29 $760,185.31 $392,808.48 nat. median
$265,286
1.5× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $203,003.35 $351,142.78 $351,142.78 nat. median
$152,962
outlier · 2.3×
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $203,003.35 $351,142.78 $351,142.78 nat. median
$153,199
outlier · 2.3×
589
APR_DRG 		Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 11 $277,806.63 $361,148.62 $347,258.29 nat. median
$79,557
outlier · 4.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $232,873.33 $640,401.67 $331,844.50 nat. median
$206,368
1.6× median
583
APR_DRG 		Neonate With Ecmo 11 $264,563.86 $343,933.02 $330,704.83 nat. median
$11,771
outlier · 28.1×
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $183,035.87 $316,604.26 $316,604.26 nat. median
$137,903
outlier · 2.3×
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $183,035.87 $316,604.26 $316,604.26 nat. median
$138,020
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck With M… 17 $210,423.81 $578,665.47 $299,853.92 nat. median
$202,986
1.5× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $163,068.40 $282,065.74 $282,065.74 nat. median
$119,935
outlier · 2.4×
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $163,068.40 $282,065.74 $282,065.74 nat. median
$120,174
outlier · 2.3×
588
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 11 $217,197.53 $282,356.79 $271,496.91 nat. median
$281,646
1.0× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $143,100.92 $247,527.22 $247,527.22 nat. median
$105,172
outlier · 2.4×
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $143,100.92 $247,527.22 $247,527.22 nat. median
$105,693
outlier · 2.3×
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $126,461.35 $218,745.12 $218,745.12 nat. median
$95,288
outlier · 2.3×
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $126,461.35 $218,745.12 $218,745.12 nat. median
$95,360
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $213,389.22 $251,751.33 $213,389.22 nat. median
$102,358
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck Without Major… 17 $138,881.62 $381,924.44 $197,906.30 nat. median
$133,176
1.5× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 1 $113,149.71 $195,719.44 $195,719.44 nat. median
$85,322
outlier · 2.3×
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 1 $113,149.71 $195,719.44 $195,719.44 nat. median
$85,390
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $128,807.15 $354,219.67 $183,550.20 nat. median
$117,303
1.6× median
7
MS_DRG 		Lung Transplant 17 $128,483.82 $353,330.49 $183,089.44 nat. median
$122,708
1.5× median
1583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 1 $99,838.06 $172,693.77 $172,693.77 nat. median
$75,344
outlier · 2.3×
1597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 1 $99,838.06 $172,693.77 $172,693.77 nat. median
$75,284
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $108,406.42 $298,117.66 $162,609.63 nat. median
$108,660
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 17 $104,243.19 $286,668.76 $156,364.78 nat. median
$99,019
1.6× median
1596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 1 $86,526.40 $149,668.08 $149,668.08 nat. median
$65,191
outlier · 2.3×
1582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 1 $86,526.40 $149,668.08 $149,668.08 nat. median
$65,571
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 13,150 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
             
0714 OTHER Inj Delandistrogene Mox Rokl 2 1 — — $4,414,759.55 $4,972,276.37 $4,693,517.96 2025-11-26
9138 OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $4,905,698.71 $4,905,698.71 $4,905,698.71 2025-11-26
J3399 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $3,712,488.53 $3,712,488.53 $3,712,488.53 2025-11-26
9141 OTHER Inj Onase Abepar-xioi Treat 2 1 — — $3,268,157.77 $3,680,876.26 $3,474,517.01 2025-11-26
9194 OTHER Tisagenlecleucel Car-pos T 6 1 — — $787,685.32 $1,362,489.89 $1,362,489.89 2025-11-26
9498 OTHER Ciltacabtagene Car-pos T 6 1 — — $753,265.04 $1,302,951.79 $1,302,951.79 2025-11-26
9413 OTHER Lisocabtagene Car Pos T 6 1 — — $748,831.25 $1,295,282.49 $1,295,282.49 2025-11-26
9422 OTHER Idecabtagene Vicleucel Car 6 1 — — $741,882.23 $1,283,262.50 $1,283,262.50 2025-11-26
9035 OTHER Axicabtagene Ciloleucel Car+ 6 1 — — $709,817.44 $1,227,798.80 $1,227,798.80 2025-11-26
9391 OTHER Brexucabtagene Car Pos T 6 1 — — $651,345.26 $1,126,657.20 $1,126,657.20 2025-11-26
Q2056 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $819,278.25 $819,278.25 $819,278.25 2025-11-26
Q2055 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $818,445.43 $818,445.43 $818,445.43 2025-11-26
Q2054 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $803,118.23 $803,118.23 $803,118.23 2025-11-26
Q2041 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $760,733.82 $760,733.82 $760,733.82 2025-11-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 47 17 — — $249,819.29 $760,185.31 $392,808.48 2025-11-26
Q2053 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $715,776.46 $715,776.46 $715,776.46 2025-11-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 17 — — $232,873.33 $640,401.67 $331,844.50 2025-11-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck With M… 41 17 — — $210,423.81 $578,665.47 $299,853.92 2025-11-26
3E0F8SD OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
5Al522H OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
5Al522G OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
3E0F3SD OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
5Al522F OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
5Al5223 OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
3E0F7SD OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck Without Major … 41 17 — — $138,881.62 $381,924.44 $197,906.30 2025-11-26
589 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 11 11 — — $277,806.63 $361,148.62 $347,258.29 2025-11-26
14 MS_DRG Allogeneic Bone Marrow Transplant 41 17 — — $128,807.15 $354,219.67 $183,550.20 2025-11-26
7 MS_DRG Lung Transplant 41 17 — — $128,483.82 $353,330.49 $183,089.44 2025-11-26
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 6 1 — — $203,003.35 $351,142.78 $351,142.78 2025-11-26
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 6 1 — — $203,003.35 $351,142.78 $351,142.78 2025-11-26
583 APR_DRG Neonate With Ecmo 11 11 — — $264,563.86 $343,933.02 $330,704.83 2025-11-26
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 6 1 — — $183,035.87 $316,604.26 $316,604.26 2025-11-26
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 6 1 — — $183,035.87 $316,604.26 $316,604.26 2025-11-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 47 17 — — $108,406.42 $298,117.66 $162,609.63 2025-11-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 41 17 — — $104,778.16 $288,139.95 $149,308.89 2025-11-26
215 MS_DRG Other Heart Assist System Implant 47 17 — — $104,243.19 $286,668.76 $156,364.78 2025-11-26
588 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 11 11 — — $217,197.53 $282,356.79 $271,496.91 2025-11-26
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 6 1 — — $163,068.40 $282,065.74 $282,065.74 2025-11-26
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 6 1 — — $163,068.40 $282,065.74 $282,065.74 2025-11-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 18 — — $41,812.00 $261,240.84 $135,370.25 2025-11-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 1 — — $213,389.22 $251,751.33 $213,389.22 2025-11-26
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 6 1 — — $143,100.92 $247,527.22 $247,527.22 2025-11-26
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 6 1 — — $143,100.92 $247,527.22 $247,527.22 2025-11-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 18 — — $41,812.00 $229,521.28 $118,933.75 2025-11-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 44 18 — — $83,416.23 $229,394.64 $118,701.30 2025-11-26
429 MS_DRG Combined Anterior/posterior Spinal Fusion With Cc 44 18 — — $77,714.00 $225,929.52 $116,908.26 2025-11-26
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 6 1 — — $126,461.35 $218,745.12 $218,745.12 2025-11-26
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 6 1 — — $126,461.35 $218,745.12 $218,745.12 2025-11-26
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Mcc 41 17 — — $79,417.61 $218,398.42 $113,170.09 2025-11-26
10 MS_DRG Pancreas Transplant 41 17 — — $78,554.39 $216,024.57 $111,940.00 2025-11-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 50 18 — — $41,812.00 $211,805.00 $105,966.96 2025-11-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 18 — — $41,812.00 $209,679.04 $108,651.87 2025-11-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 47 17 — — $22,656.00 $202,965.57 $88,698.74 2025-11-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 17 — — $73,569.09 $202,315.00 $104,835.95 2025-11-26
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 6 1 — — $113,149.71 $195,719.44 $195,719.44 2025-11-26
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 6 1 — — $113,149.71 $195,719.44 $195,719.44 2025-11-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 19 — — $15,892.90 $191,612.47 $99,150.74 2025-11-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 41 17 — — $68,594.57 $188,635.06 $97,747.26 2025-11-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 41 17 — — $67,338.44 $185,180.72 $95,957.28 2025-11-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 41 17 — — $65,874.60 $181,155.15 $93,871.30 2025-11-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 18 — — $25,754.56 $180,850.67 $96,246.81 2025-11-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 18 — — $41,812.00 $179,688.42 $90,785.62 2025-11-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 17 — — $63,800.33 $175,450.91 $92,134.75 2025-11-26
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 6 1 — — $99,838.06 $172,693.77 $172,693.77 2025-11-26
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 6 1 — — $99,838.06 $172,693.77 $172,693.77 2025-11-26
969 MS_DRG HIV With Extensive O.r. Procedure With Mcc 41 17 — — $62,400.17 $171,600.48 $88,920.25 2025-11-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 19 — — $15,892.90 $168,100.34 $86,984.29 2025-11-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 17 — — $60,772.70 $167,124.93 $86,601.10 2025-11-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 18 — — $58,683.04 $166,545.61 $86,179.79 2025-11-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 18 — — $41,812.00 $165,791.16 $85,909.96 2025-11-26
28 MS_DRG Spinal Procedures With Mcc 41 17 — — $60,001.59 $165,004.36 $85,502.26 2025-11-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 41 17 — — $59,574.39 $163,829.57 $84,893.50 2025-11-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc Or T-cell Immunotherapy 41 17 — — $59,574.39 $163,829.57 $84,893.50 2025-11-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 18 — — $41,812.00 $161,496.14 $82,322.76 2025-11-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 17 — — $7,377.36 $161,374.88 $83,621.53 2025-11-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 18 — — $38,423.84 $159,742.02 $73,406.63 2025-11-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedure With Mcc 41 17 — — $57,481.50 $158,074.13 $81,911.14 2025-11-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 44 18 — — $56,669.24 $155,840.40 $82,848.24 2025-11-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Mcc Or Chemot… 41 17 — — $56,333.16 $154,916.19 $80,274.75 2025-11-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 47 17 — — $22,656.00 $152,397.54 $69,796.63 2025-11-26
653 MS_DRG Major Bladder Procedures With Mcc 41 17 — — $55,054.50 $151,399.87 $78,452.66 2025-11-26
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Cc 41 17 — — $54,591.05 $150,125.38 $77,792.24 2025-11-26
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Mcc 41 17 — — $54,591.05 $150,125.38 $77,792.24 2025-11-26
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 6 1 — — $86,526.40 $149,668.08 $149,668.08 2025-11-26
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 6 1 — — $86,526.40 $149,668.08 $149,668.08 2025-11-26
430 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 41 17 — — $54,034.51 $148,594.91 $76,999.18 2025-11-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 17 — — $53,746.45 $147,802.73 $76,588.69 2025-11-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 41 17 — — $53,624.95 $147,468.61 $76,415.55 2025-11-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal System And Conn… 41 17 — — $53,353.54 $146,722.24 $76,028.80 2025-11-26
11 MS_DRG Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Mcc 41 17 — — $53,303.57 $146,584.82 $75,957.59 2025-11-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 17 — — $53,297.69 $146,568.65 $75,949.21 2025-11-26
0717 OTHER Instill Adstiladrin, Tx Dose 6 1 — — $84,319.04 $145,849.92 $145,849.92 2025-11-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 50 18 — — $41,812.00 $144,545.09 $71,547.76 2025-11-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 18 — — $41,812.00 $143,911.88 $74,572.52 2025-11-26
161 APR_DRG Implantable Heart Assist Systems 11 11 — — $109,991.74 $142,989.26 $137,489.68 2025-11-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 18 — — $25,754.56 $139,501.00 $73,765.51 2025-11-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 18 — — $33,464.08 $138,466.31 $70,491.94 2025-11-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 17 — — $50,198.54 $138,045.97 $71,532.91 2025-11-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 17 — — $49,786.03 $136,911.59 $70,945.10 2025-11-26
5244 OTHER Level 4 Blood Product Exchange And Related Services 6 1 — — $78,729.09 $136,180.77 $136,180.77 2025-11-26
837 MS_DRG Chemotherapy With Acute Leukemia As Sdx Or With High Dose Chemotherapy Agent Wit… 41 17 — — $49,495.03 $136,111.33 $70,530.42 2025-11-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedure With Mcc 41 17 — — $49,437.22 $135,952.35 $70,448.04 2025-11-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 18 — — $12,922.38 $135,467.34 $62,210.88 2025-11-26
245 MS_DRG Aicd Generator Procedures 46 19 — — $15,892.90 $132,867.16 $65,742.96 2025-11-26
471 MS_DRG Cervical Spinal Fusion With Mcc 44 18 — — $39,798.72 $132,072.28 $68,341.40 2025-11-26
6 MS_DRG Liver Transplant Without Mcc 41 17 — — $47,946.92 $131,854.03 $68,324.36 2025-11-26
1643 OTHER Y90 Ibritumomab, Rx 6 1 — — $75,642.86 $130,842.39 $130,842.39 2025-11-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 17 — — $47,224.80 $129,868.19 $67,295.33 2025-11-26
799 MS_DRG Splenectomy With Mcc 41 17 — — $47,021.97 $129,310.43 $67,006.31 2025-11-26
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 41 17 — — $47,013.16 $129,286.18 $66,993.75 2025-11-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedure With Mcc 41 17 — — $46,284.17 $127,281.48 $65,954.95 2025-11-26
9273 OTHER Sipuleucel-t Auto Cd54+ 6 1 — — $73,576.60 $127,268.30 $127,268.30 2025-11-26
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 6 1 — — $73,214.75 $126,642.40 $126,642.40 2025-11-26
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 6 1 — — $73,214.75 $126,642.40 $126,642.40 2025-11-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 52 19 — — $15,892.90 $126,537.80 $64,098.96 2025-11-26
163 MS_DRG Major Chest Procedures With Mcc 41 17 — — $45,595.36 $125,387.25 $64,973.39 2025-11-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 18 — — $41,812.00 $124,939.96 $63,619.85 2025-11-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 17 — — $45,425.86 $124,921.10 $64,731.84 2025-11-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 50 18 — — $30,869.72 $124,726.82 $44,698.16 2025-11-26
81529 CPT Outpatient Clinical Laboratory Services 4 1 — — $123,702.34 $123,702.34 $123,702.34 2025-11-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedure With Mcc 41 17 — — $44,639.06 $122,757.43 $63,610.67 2025-11-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 41 17 — — $44,375.49 $122,032.61 $63,235.08 2025-11-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 17 — — $44,254.00 $121,698.49 $63,061.94 2025-11-26
901 MS_DRG Wound Debridements For Injuries With Mcc 41 17 — — $43,844.43 $120,572.19 $62,478.32 2025-11-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 47 17 — — $43,475.04 $119,556.37 $65,212.56 2025-11-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 41 17 — — $42,829.34 $117,780.70 $61,031.82 2025-11-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 44 18 — — $42,742.14 $117,540.89 $62,330.33 2025-11-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 41 17 — — $42,229.70 $116,131.67 $60,177.32 2025-11-26
140 MS_DRG Major Head And Neck Procedures With Cc/mcc Or Major Device 41 17 — — $41,872.07 $115,148.18 $59,667.69 2025-11-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 41 17 — — $41,493.86 $114,108.11 $59,128.75 2025-11-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 17 — — $41,484.06 $114,081.16 $59,114.78 2025-11-26
593 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 11 11 — — $87,475.21 $113,717.77 $109,344.01 2025-11-26
793 MS_DRG Full Term Neonate With Major Problems 37 17 — — $6,205.64 $113,566.51 $58,848.10 2025-11-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 50 18 — — $41,200.89 $113,302.45 $60,059.70 2025-11-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 18 — — $38,423.84 $111,992.93 $55,918.87 2025-11-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 41 17 — — $40,702.17 $111,930.96 $58,000.59 2025-11-26
12 MS_DRG Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Cc 41 17 — — $40,642.40 $111,766.59 $57,915.42 2025-11-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 17 — — $40,286.72 $110,788.49 $57,408.58 2025-11-26
791 MS_DRG Prematurity With Major Problems 37 17 — — $5,992.22 $110,586.40 $57,303.86 2025-11-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 41 17 — — $39,466.62 $108,533.20 $56,239.93 2025-11-26
739 MS_DRG Uterine, Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mcc 41 17 — — $39,439.18 $108,457.76 $56,200.84 2025-11-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 41 17 — — $39,094.29 $107,509.29 $55,709.36 2025-11-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 17 — — $39,014.92 $107,291.04 $55,596.27 2025-11-26
876 MS_DRG O.r. Procedure With Principal Diagnoses Of Mental Illness 41 17 — — $38,936.54 $107,075.48 $55,484.57 2025-11-26
273 MS_DRG Percutaneous Intracardiac Procedures With Mcc 50 18 — — $27,727.44 $106,555.44 $55,060.10 2025-11-26
34 MS_DRG Carotid Artery Stent Procedure With Mcc 41 17 — — $38,535.79 $105,973.43 $54,913.51 2025-11-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 41 17 — — $38,303.58 $105,334.84 $54,582.60 2025-11-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 41 17 — — $38,265.37 $105,229.75 $54,528.15 2025-11-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 41 17 — — $38,159.55 $104,938.75 $54,377.35 2025-11-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 41 17 — — $37,886.18 $104,186.99 $53,987.80 2025-11-26
1142 OTHER Supprelin La Implant 6 1 — — $59,929.92 $103,663.11 $103,663.11 2025-11-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx Without Mcc 41 17 — — $37,683.36 $103,629.23 $53,698.78 2025-11-26
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 6 1 — — $59,903.09 $103,616.71 $103,616.71 2025-11-26
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 6 1 — — $59,903.09 $103,616.71 $103,616.71 2025-11-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 41 17 — — $37,393.33 $102,831.66 $53,285.49 2025-11-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 41 17 — — $37,098.41 $102,020.61 $52,865.23 2025-11-26
J9029 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 6 1 — — $90,076.06 $101,437.18 $98,468.75 2025-11-26
2 APR_DRG Heart And/or Lung Transplant 11 11 — — $77,825.12 $101,172.66 $97,281.40 2025-11-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 17 — — $36,184.24 $99,506.65 $51,562.54 2025-11-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 41 17 — — $35,936.34 $98,824.95 $51,209.29 2025-11-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 41 17 — — $35,558.14 $97,784.87 $50,670.34 2025-11-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 41 17 — — $35,556.18 $97,779.48 $50,667.55 2025-11-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 18 — — $18,047.12 $97,763.32 $50,588.07 2025-11-26
265 MS_DRG Aicd Lead Procedures 44 18 — — $35,385.69 $97,310.64 $50,353.83 2025-11-26
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 11 — — $74,625.74 $97,013.46 $93,282.18 2025-11-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 41 17 — — $35,228.92 $96,879.52 $50,201.21 2025-11-26
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage Without Cc/mcc 41 17 — — $35,025.12 $96,319.07 $49,910.79 2025-11-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 41 17 — — $35,016.30 $96,294.82 $49,898.22 2025-11-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 17 — — $34,929.09 $96,055.01 $49,773.96 2025-11-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 41 17 — — $34,764.49 $95,602.33 $49,539.39 2025-11-26
987 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 41 17 — — $34,753.71 $95,572.70 $49,524.03 2025-11-26
408 MS_DRG Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.d.e. With … 41 17 — — $34,739.99 $95,534.97 $49,504.49 2025-11-26
264 MS_DRG Other Circulatory System O.r. Procedures 41 17 — — $34,679.24 $95,367.91 $49,417.92 2025-11-26
332 MS_DRG Rectal Resection With Mcc 41 17 — — $34,420.57 $94,656.57 $49,049.31 2025-11-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 41 17 — — $34,383.34 $94,554.18 $48,996.26 2025-11-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 50 18 — — $34,182.48 $94,001.81 $48,955.90 2025-11-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 17 — — $34,129.57 $93,856.30 $48,634.63 2025-11-26
665 MS_DRG Prostatectomy With Mcc 41 17 — — $34,076.66 $93,710.80 $48,559.23 2025-11-26
252 MS_DRG Other Vascular Procedures With Mcc 47 17 — — $34,045.30 $93,624.58 $48,378.37 2025-11-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 45 18 — — $33,464.08 $93,484.46 $47,592.09 2025-11-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 52 19 — — $15,892.90 $92,972.51 $39,146.44 2025-11-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 19 — — $15,892.90 $92,589.89 $47,911.06 2025-11-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 41 17 — — $33,323.18 $91,638.74 $47,485.53 2025-11-26
37 MS_DRG Extracranial Procedures With Mcc 41 17 — — $32,972.40 $90,674.11 $46,985.67 2025-11-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc/mcc 41 17 — — $32,786.24 $90,162.16 $46,720.39 2025-11-26
602 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 11 11 — — $69,334.78 $90,135.21 $86,668.48 2025-11-26
0335U CPT Outpatient Clinical Laboratory Services 4 1 — — $89,850.58 $89,850.58 $89,850.58 2025-11-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 45 18 — — $32,460.94 $89,267.58 $45,445.32 2025-11-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 41 17 — — $32,369.82 $89,017.00 $46,126.99 2025-11-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 41 17 — — $32,356.10 $88,979.27 $46,107.44 2025-11-26
Q2043 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 6 1 — — $78,655.34 $88,575.99 $85,507.06 2025-11-26
485 MS_DRG Knee Procedures With Pdx Of Infection With Mcc 41 17 — — $31,976.91 $87,936.51 $45,567.10 2025-11-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 17 — — $31,680.03 $87,120.07 $45,144.04 2025-11-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 41 17 — — $31,595.76 $86,888.35 $45,023.96 2025-11-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 41 17 — — $31,533.05 $86,715.90 $44,934.60 2025-11-26
500 MS_DRG Soft Tissue Procedures With Mcc 41 17 — — $31,481.12 $86,573.09 $44,860.60 2025-11-26
0242U CPT Outpatient Clinical Laboratory Services 4 1 — — $85,988.00 $85,988.00 $85,988.00 2025-11-26
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 50 18 — — $27,727.44 $85,287.82 $42,665.81 2025-11-26
662 MS_DRG Minor Bladder Procedures With Mcc 41 17 — — $31,000.04 $85,250.10 $44,175.05 2025-11-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 41 17 — — $30,733.53 $84,517.19 $43,795.27 2025-11-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 41 17 — — $30,649.26 $84,285.47 $43,675.20 2025-11-26
652 MS_DRG Kidney Transplant 41 17 — — $30,527.76 $83,951.35 $43,502.06 2025-11-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 41 17 — — $30,402.35 $83,606.46 $43,323.35 2025-11-26
570 MS_DRG Skin Debridement With Mcc 41 17 — — $29,928.12 $82,302.32 $42,647.57 2025-11-26
0036U CPT Outpatient Clinical Laboratory Services 4 1 — — $82,204.53 $82,204.53 $82,204.53 2025-11-26
974 MS_DRG HIV With Major Related Condition With Mcc 41 17 — — $29,692.96 $81,655.64 $42,312.47 2025-11-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal System And Conn… 41 17 — — $29,324.55 $80,642.52 $41,787.49 2025-11-26
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 6 1 — — $46,591.45 $80,591.04 $80,591.04 2025-11-26
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 6 1 — — $46,591.45 $80,591.04 $80,591.04 2025-11-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 44 18 — — $29,250.09 $80,437.73 $41,622.87 2025-11-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 41 17 — — $29,171.70 $80,222.17 $41,569.67 2025-11-26
668 MS_DRG Transurethral Procedures With Mcc 41 17 — — $29,008.07 $79,772.19 $41,336.50 2025-11-26
800 MS_DRG Splenectomy With Cc 41 17 — — $28,983.58 $79,704.83 $41,301.59 2025-11-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 41 17 — — $28,967.90 $79,661.72 $41,279.26 2025-11-26
472 MS_DRG Cervical Spinal Fusion With Cc 41 17 — — $21,035.04 $79,257.55 $40,954.54 2025-11-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 41 17 — — $28,526.00 $78,446.50 $40,649.55 2025-11-26
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 44 18 — — $28,493.67 $78,357.59 $41,338.95 2025-11-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 41 17 — — $28,437.82 $78,204.00 $40,523.89 2025-11-26
453 MS_DRG Combined Anterior/posterior 3 1 — — $77,714.00 $77,714.00 $77,714.00 2025-11-26
654 MS_DRG Major Bladder Procedures With Cc 41 17 — — $28,085.08 $77,233.98 $40,021.25 2025-11-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 41 17 — — $27,950.85 $76,864.84 $39,829.96 2025-11-26
609 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 11 11 — — $58,218.57 $75,684.14 $72,773.21 2025-11-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 41 17 — — $27,245.38 $74,924.80 $38,824.67 2025-11-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 52 19 — — $27,148.38 $74,658.05 $39,357.03 2025-11-26
5232 OTHER Level 2 Icd And Similar Procedures 6 1 — — $42,679.74 $73,824.80 $73,824.80 2025-11-26
5166 OTHER Cochlear Implant Procedure 6 1 — — $42,341.94 $73,240.50 $73,240.50 2025-11-26
222 MS_DRG Cardiac Defib Implant 5 2 — — $22,565.00 $72,127.12 $72,127.12 2025-11-26
223 MS_DRG Cardiac Defib Implant 5 2 — — $22,565.00 $72,127.12 $72,127.12 2025-11-26
7 APR_DRG Allogeneic Bone Marrow Transplant 11 11 — — $55,309.66 $71,902.56 $69,137.08 2025-11-26
J9226 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 6 1 — — $63,230.50 $71,205.64 $70,485.29 2025-11-26
6 APR_DRG Pancreas Transplant 11 11 — — $54,005.73 $70,207.45 $67,507.16 2025-11-26
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 1 — — $40,565.83 $70,168.29 $70,168.29 2025-11-26
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 1 — — $58,972.65 $69,572.70 $58,972.65 2025-11-26
0340U CPT Outpatient Clinical Laboratory Services 4 1 — — $67,414.59 $67,414.59 $67,414.59 2025-11-26
607 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 11 11 — — $51,640.65 $67,132.85 $64,550.81 2025-11-26
81541 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
81522 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
81523 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
81521 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
0047U CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
0045U CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
1 APR_DRG Liver Transplant And/or Intestinal Transplant 11 11 — — $50,490.44 $65,637.57 $63,113.05 2025-11-26
5200 OTHER Implantation Wireless Pa Pressure Monitor 6 1 — — $37,843.22 $65,458.89 $65,458.89 2025-11-26
0843 OTHER Pegaspargase Injection 6 1 — — $37,837.12 $65,448.34 $65,448.34 2025-11-26
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 11 — — $48,887.57 $63,553.84 $61,109.46 2025-11-26
J9266 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 8 2 — — $36,568.42 $63,546.14 $42,074.21 2025-11-26
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 6 1 — — $36,607.71 $63,321.78 $63,321.78 2025-11-26
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 6 1 — — $36,607.71 $63,321.78 $63,321.78 2025-11-26
0258U CPT Outpatient Clinical Laboratory Services 4 1 — — $63,201.18 $63,201.18 $63,201.18 2025-11-26
0313U CPT Outpatient Clinical Laboratory Services 4 1 — — $61,911.36 $61,911.36 $61,911.36 2025-11-26
81546 CPT Outpatient Clinical Laboratory Services 4 1 — — $61,911.36 $61,911.36 $61,911.36 2025-11-26
0026U CPT Outpatient Clinical Laboratory Services 4 1 — — $61,911.36 $61,911.36 $61,911.36 2025-11-26
0080U CPT Outpatient Clinical Laboratory Services 4 1 — — $60,535.55 $60,535.55 $60,535.55 2025-11-26
0037U CPT Outpatient Clinical Laboratory Services 4 1 — — $60,191.60 $60,191.60 $60,191.60 2025-11-26
0244U CPT Outpatient Clinical Laboratory Services 4 1 — — $60,191.60 $60,191.60 $60,191.60 2025-11-26
0239U CPT Outpatient Clinical Laboratory Services 4 1 — — $60,191.60 $60,191.60 $60,191.60 2025-11-26
460 MS_DRG Spinal Fusion Except Cervica 4 2 — — $41,054.00 $57,567.19 $41,054.00 2025-11-26
4 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 11 11 — — $43,549.97 $56,614.96 $54,437.46 2025-11-26
5213 OTHER Level 3 Electrophysiologic Procedures 6 1 — — $32,656.91 $56,487.93 $56,487.93 2025-11-26
0856 OTHER Porfimer Sodium Injection 6 1 — — $32,252.02 $55,787.58 $55,787.58 2025-11-26
459 MS_DRG Spinal Fusion Except Cervica 3 1 — — $53,602.64 $53,602.64 $53,602.64 2025-11-26
81520 CPT Outpatient Clinical Laboratory Services 4 1 — — $53,295.70 $53,295.70 $53,295.70 2025-11-26
440 APR_DRG Kidney Transplant 11 11 — — $40,365.43 $52,475.06 $50,456.79 2025-11-26
227 MS_DRG Cardiac Defibrillator Implan 5 2 — — $22,565.00 $52,288.08 $52,288.08 2025-11-26
1591 OTHER New Technology - Level 40 ($20,001-$25,000) 6 1 — — $29,951.88 $51,808.93 $51,808.93 2025-11-26
1577 OTHER New Technology - Level 40 ($20,001-$25,000) 6 1 — — $29,951.88 $51,808.93 $51,808.93 2025-11-26
5231 OTHER Level 1 Icd And Similar Procedures 6 1 — — $29,879.92 $51,684.46 $51,684.46 2025-11-26
178 APR_DRG External Heart Assist Systems 11 11 — — $39,720.89 $51,637.16 $49,651.11 2025-11-26
0334U CPT Outpatient Clinical Laboratory Services 4 1 — — $50,210.11 $50,210.11 $50,210.11 2025-11-26
81456 CPT Outpatient Clinical Laboratory Services 4 1 — — $50,210.11 $50,210.11 $50,210.11 2025-11-26
0250U CPT Outpatient Clinical Laboratory Services 4 1 — — $50,210.11 $50,210.11 $50,210.11 2025-11-26
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 11 11 — — $38,042.75 $49,455.58 $47,553.44 2025-11-26
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 1 — — $28,546.34 $49,377.71 $49,377.71 2025-11-26
0120U CPT Outpatient Clinical Laboratory Services 4 1 — — $47,966.17 $47,966.17 $47,966.17 2025-11-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 1 — — $40,017.56 $47,211.53 $40,017.56 2025-11-26
5378 OTHER Level 8 Urology And Related Services 6 1 — — $26,794.74 $46,347.91 $46,347.91 2025-11-26
165 APR_DRG Coronary Bypass With Ami Or Complex Pdx 11 11 — — $35,209.10 $45,771.83 $44,011.38 2025-11-26
230 MS_DRG Other Cardiothoracic Proc 5 2 — — $41,812.00 $44,698.16 $44,698.16 2025-11-26
0336U CPT Outpatient Clinical Laboratory Services 4 1 — — $44,277.80 $44,277.80 $44,277.80 2025-11-26
5224 OTHER Level 4 Pacemaker And Similar Procedures 6 1 — — $25,387.15 $43,913.14 $43,913.14 2025-11-26
93289 CPT Automatic Implantable Cardioverter Defibrillator (aicd)- (Implant/Replace) 4 1 — — $42,638.98 $43,470.96 $43,158.96 2025-11-26
93295 CPT Automatic Implantable Cardioverter Defibrillator (aicd)- (Implant/Replace) 4 1 — — $42,638.98 $43,470.96 $43,158.96 2025-11-26
0261U CPT Outpatient Clinical Laboratory Services 4 1 — — $43,221.87 $43,221.87 $43,221.87 2025-11-26
612 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 11 11 — — $32,663.80 $42,462.94 $40,829.75 2025-11-26
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 11 — — $32,600.20 $42,380.26 $40,750.25 2025-11-26
5116 OTHER Level 6 Musculoskeletal Procedures 6 1 — — $24,480.46 $42,344.81 $42,344.81 2025-11-26
237 MS_DRG Cariovascular Surgery 2 1 — — $41,812.00 $42,230.12 $42,021.06 2025-11-26
238 MS_DRG Cariovascular Surgery 2 1 — — $41,812.00 $42,230.12 $42,021.06 2025-11-26
630 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 11 11 — — $32,441.18 $42,173.53 $40,551.48 2025-11-26
81419 CPT Outpatient Clinical Laboratory Services 4 1 — — $42,109.36 $42,109.36 $42,109.36 2025-11-26
81441 CPT Outpatient Clinical Laboratory Services 4 1 — — $42,109.36 $42,109.36 $42,109.36 2025-11-26
183 APR_DRG Percutaneous Structural Cardiac Procedures 11 11 — — $31,960.95 $41,549.24 $39,951.19 2025-11-26
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 11 11 — — $31,937.63 $41,518.92 $39,922.04 2025-11-26
5194 OTHER Level 4 Endovascular Procedures 6 1 — — $23,903.63 $41,347.03 $41,347.03 2025-11-26
5471 OTHER Implantation Of Drug Infusion Device 6 1 — — $23,527.43 $40,696.31 $40,696.31 2025-11-26
1576 OTHER New Technology - Level 39 ($15,001-$20,000) 6 1 — — $23,296.06 $40,296.10 $40,296.10 2025-11-26
1590 OTHER New Technology - Level 39 ($15,001-$20,000) 6 1 — — $23,296.06 $40,296.10 $40,296.10 2025-11-26
2616 OTHER Brachytx, Non-str,yttrium-90 6 1 — — $23,275.82 $40,261.10 $40,261.10 2025-11-26
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 6 1 — — $23,160.34 $40,061.34 $40,061.34 2025-11-26
See an error in this hospital's data? Submit a correction