Hospital

SAINT MARY'S HOSPITAL

Waterbury, CT · CCN 070016 · Rates published

16,311 distinct procedures filed

37 distinct payers

197,975 rate rows

2025-01-01 last MRF observed · ⚠ 21 mo old

Data quality

166,095 of 197,975 rate rows are consumer-grade (83.9%)

31,880 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	27,668
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	3,362
per-diem day rate — not a per-procedure price	331
template filing: same amount across many unrelated codes — excluded	301
exceeds 10× this hospital's gross charge — excluded from medians	152
percent-of-charges filed in the dollar field — excluded from medians	39
placeholder amount (≤ $0.02) — excluded from medians	27

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old.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://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/saintmaryshospital
Found on page	https://www.trinityhealthofne.org/for-patients/billing-and-financial-resources/price-estimates-lists
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-12
Content fingerprint	7223119ea2862b63… · 2,790,045 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
'2-4 OTHER	Heart And/or Lung Transplant	1	$755,342.89	$755,342.89	$755,342.89	nat. median $412,192 1.8× median
'4-Feb OTHER	Heart And/or Lung Transplant	1	$656,819.90	$656,819.90	$656,819.90	—
'583-4 OTHER	Neonate With Ecmo	1	$453,855.08	$674,970.70	$571,918.94	—
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	15	$353,353.37	$768,955.53	$529,724.36	nat. median $168,055 outlier · 3.2×
'583-3 OTHER	Neonate With Ecmo	1	$294,021.20	$550,940.82	$441,347.00	—
'588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$296,088.65	$542,209.28	$436,594.75	—
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	$260,040.62	$565,891.49	$394,840.68	nat. median $186,516 outlier · 2.1×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	$252,955.08	$550,472.20	$378,295.40	nat. median $131,925 outlier · 2.9×
'161-4 OTHER	Implantable Heart Assist Systems	1	$224,715.78	$479,370.76	$373,643.56	—
'7-4 OTHER	Allogeneic Bone Marrow Transplant	1	$366,321.28	$366,321.28	$366,321.28	nat. median $242,682 1.5× median
'583-2 OTHER	Neonate With Ecmo	1	$225,754.62	$407,735.17	$329,347.37	—
'4-Jul OTHER	Allogeneic Bone Marrow Transplant	1	$318,540.24	$318,540.24	$318,540.24	—
'2-3 OTHER	Heart And/or Lung Transplant	1	$318,160.83	$318,160.83	$318,160.83	nat. median $224,528 1.4× median
'4-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$311,399.14	$311,399.14	$311,399.14	nat. median $231,740 1.3× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	$204,705.68	$445,473.50	$310,461.69	nat. median $145,435 outlier · 2.1×
'1-4 OTHER	Liver Transplant And/or Intestinal Transplant	1	$307,488.01	$307,488.01	$307,488.01	nat. median $229,434 1.3× median
'609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$194,679.51	$374,622.54	$298,353.59	—
'6-4 OTHER	Pancreas Transplant	1	$291,947.72	$291,947.72	$291,947.72	nat. median $149,866 1.9× median
'9-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$287,471.86	$287,471.86	$287,471.86	nat. median $301,544 1.0× median
'630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$215,986.46	$340,324.99	$284,082.07	—
'588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$192,568.06	$349,312.01	$281,876.55	—
'161-3 OTHER	Implantable Heart Assist Systems	1	$152,048.21	$367,245.69	$279,545.99	—
'3-Feb OTHER	Heart And/or Lung Transplant	1	$276,661.59	$276,661.59	$276,661.59	—
'11-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$271,696.26	$271,696.26	$271,696.26	—
'4-Apr OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$270,781.86	$270,781.86	$270,781.86	—
'588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$168,974.63	$342,044.41	$269,482.99	—
'4-Jan OTHER	Liver Transplant And/or Intestinal Transplant	1	$267,380.88	$267,380.88	$267,380.88	—
'002-4 OTHER	Heart And/or Lung Transplant	1	$262,213.28	$262,213.28	$262,213.28	—
'841-4 OTHER	Extensive Third Degree Burns With Skin Graft	1	$213,027.56	$306,242.57	$261,856.01	—
'583-1 OTHER	Neonate With Ecmo	1	$164,093.62	$326,599.92	$258,231.16	—
'4-Jun OTHER	Pancreas Transplant	1	$253,867.58	$253,867.58	$253,867.58	—
'4-Sep OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$249,975.53	$249,975.53	$249,975.53	—
'603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	$161,325.09	$306,017.35	$244,481.49	—
'591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$188,094.39	$278,800.83	$236,443.57	—
'4-Nov OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$236,257.62	$236,257.62	$236,257.62	—
'8-4 OTHER	Autologous Bone Marrow Transplant	1	$235,054.05	$235,054.05	$235,054.05	nat. median $107,938 outlier · 2.2×
'011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$230,565.01	$230,565.01	$230,565.01	—
'160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	1	$131,106.64	$296,736.20	$228,624.77	—
'2-2 OTHER	Heart And/or Lung Transplant	1	$226,381.34	$226,381.34	$226,381.34	nat. median $170,020 1.3× median
'161-2 OTHER	Implantable Heart Assist Systems	1	$122,051.85	$294,867.20	$224,441.77	—
'161-1 OTHER	Implantable Heart Assist Systems	1	$116,286.55	$280,123.59	$213,331.96	—
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	15	$141,307.48	$307,508.50	$212,624.49	nat. median $97,418 outlier · 2.2×
'593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$174,411.40	$245,446.18	$211,096.35	—
'4-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$207,123.21	$207,123.21	$207,123.21	nat. median $159,802 1.3× median
'4-Aug OTHER	Autologous Bone Marrow Transplant	1	$204,394.83	$204,394.83	$204,394.83	—
'5-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	$200,948.10	$200,948.10	$200,948.10	nat. median $161,438 1.2× median
'2-Feb OTHER	Heart And/or Lung Transplant	1	$196,853.34	$196,853.34	$196,853.34	—
'631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	$185,728.18	$213,587.41	$196,814.19	—
'6-3 OTHER	Pancreas Transplant	1	$194,201.54	$194,201.54	$194,201.54	nat. median $115,496 1.7× median
'2-1 OTHER	Heart And/or Lung Transplant	1	$194,070.44	$194,070.44	$194,070.44	nat. median $150,272 1.3× median

Other procedures at this hospital

Browse this hospital's 16,311 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

'2-4	OTHER	Heart And/or Lung Transplant	1	1	—	—	$755,342.89	$755,342.89	$755,342.89	2025-01-01
'4-Feb	OTHER	Heart And/or Lung Transplant	1	1	—	—	$656,819.90	$656,819.90	$656,819.90	2025-01-01
'583-4	OTHER	Neonate With Ecmo	3	1	—	—	$453,855.08	$674,970.70	$571,918.94	2025-01-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	33	15	—	—	$353,353.37	$768,955.53	$529,724.36	2025-01-01
'583-3	OTHER	Neonate With Ecmo	3	1	—	—	$294,021.20	$550,940.82	$441,347.00	2025-01-01
'588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$296,088.65	$542,209.28	$436,594.75	2025-01-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	34	15	—	—	$260,040.62	$565,891.49	$394,840.68	2025-01-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	35	15	—	—	$252,955.08	$550,472.20	$378,295.40	2025-01-01
'161-4	OTHER	Implantable Heart Assist Systems	3	1	—	—	$224,715.78	$479,370.76	$373,643.56	2025-01-01
'7-4	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$366,321.28	$366,321.28	$366,321.28	2025-01-01
'583-2	OTHER	Neonate With Ecmo	3	1	—	—	$225,754.62	$407,735.17	$329,347.37	2025-01-01
'4-Jul	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$318,540.24	$318,540.24	$318,540.24	2025-01-01
'2-3	OTHER	Heart And/or Lung Transplant	1	1	—	—	$318,160.83	$318,160.83	$318,160.83	2025-01-01
'4-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$311,399.14	$311,399.14	$311,399.14	2025-01-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	36	16	—	—	$204,705.68	$445,473.50	$310,461.69	2025-01-01
'1-4	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$307,488.01	$307,488.01	$307,488.01	2025-01-01
'609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	1	—	—	$194,679.51	$374,622.54	$298,353.59	2025-01-01
'6-4	OTHER	Pancreas Transplant	1	1	—	—	$291,947.72	$291,947.72	$291,947.72	2025-01-01
'9-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$287,471.86	$287,471.86	$287,471.86	2025-01-01
'630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	1	—	—	$215,986.46	$340,324.99	$284,082.07	2025-01-01
'588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$192,568.06	$349,312.01	$281,876.55	2025-01-01
'161-3	OTHER	Implantable Heart Assist Systems	3	1	—	—	$152,048.21	$367,245.69	$279,545.99	2025-01-01
'3-Feb	OTHER	Heart And/or Lung Transplant	1	1	—	—	$276,661.59	$276,661.59	$276,661.59	2025-01-01
'11-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$271,696.26	$271,696.26	$271,696.26	2025-01-01
'4-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$270,781.86	$270,781.86	$270,781.86	2025-01-01
'588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$168,974.63	$342,044.41	$269,482.99	2025-01-01
'4-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$267,380.88	$267,380.88	$267,380.88	2025-01-01
'002-4	OTHER	Heart And/or Lung Transplant	1	1	—	—	$262,213.28	$262,213.28	$262,213.28	2025-01-01
'841-4	OTHER	Extensive Third Degree Burns With Skin Graft	3	1	—	—	$213,027.56	$306,242.57	$261,856.01	2025-01-01
'583-1	OTHER	Neonate With Ecmo	3	1	—	—	$164,093.62	$326,599.92	$258,231.16	2025-01-01
'4-Jun	OTHER	Pancreas Transplant	1	1	—	—	$253,867.58	$253,867.58	$253,867.58	2025-01-01
'4-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$249,975.53	$249,975.53	$249,975.53	2025-01-01
'603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	1	—	—	$161,325.09	$306,017.35	$244,481.49	2025-01-01
'591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	1	—	—	$188,094.39	$278,800.83	$236,443.57	2025-01-01
'4-Nov	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$236,257.62	$236,257.62	$236,257.62	2025-01-01
'8-4	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$235,054.05	$235,054.05	$235,054.05	2025-01-01
'011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$230,565.01	$230,565.01	$230,565.01	2025-01-01
'160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	1	—	—	$131,106.64	$296,736.20	$228,624.77	2025-01-01
'2-2	OTHER	Heart And/or Lung Transplant	1	1	—	—	$226,381.34	$226,381.34	$226,381.34	2025-01-01
'161-2	OTHER	Implantable Heart Assist Systems	3	1	—	—	$122,051.85	$294,867.20	$224,441.77	2025-01-01
'161-1	OTHER	Implantable Heart Assist Systems	3	1	—	—	$116,286.55	$280,123.59	$213,331.96	2025-01-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	35	15	—	—	$141,307.48	$307,508.50	$212,624.49	2025-01-01
'593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	1	—	—	$174,411.40	$245,446.18	$211,096.35	2025-01-01
'4-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$207,123.21	$207,123.21	$207,123.21	2025-01-01
'4-Aug	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$204,394.83	$204,394.83	$204,394.83	2025-01-01
'5-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$200,948.10	$200,948.10	$200,948.10	2025-01-01
'2-Feb	OTHER	Heart And/or Lung Transplant	1	1	—	—	$196,853.34	$196,853.34	$196,853.34	2025-01-01
'631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	1	—	—	$185,728.18	$213,587.41	$196,814.19	2025-01-01
'6-3	OTHER	Pancreas Transplant	1	1	—	—	$194,201.54	$194,201.54	$194,201.54	2025-01-01
'2-1	OTHER	Heart And/or Lung Transplant	1	1	—	—	$194,070.44	$194,070.44	$194,070.44	2025-01-01
'1-3	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$193,085.52	$193,085.52	$193,085.52	2025-01-01
'588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$144,835.69	$225,147.66	$188,587.97	2025-01-01
'7-3	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$184,933.83	$184,933.83	$184,933.83	2025-01-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	34	15	—	—	$117,788.96	$268,776.14	$180,577.91	2025-01-01
'3-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$180,107.14	$180,107.14	$180,107.14	2025-01-01
7	MS_DRG	Lung Transplant	33	15	—	—	$118,002.51	$256,793.02	$179,080.44	2025-01-01
'11-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$178,825.95	$178,825.95	$178,825.95	2025-01-01
'007-4	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$178,539.12	$178,539.12	$178,539.12	2025-01-01
'009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$177,644.59	$177,644.59	$177,644.59	2025-01-01
'4-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$174,737.48	$174,737.48	$174,737.48	2025-01-01
'607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$99,256.75	$222,608.03	$171,812.33	2025-01-01
'602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$129,514.09	$204,672.66	$170,720.99	2025-01-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	33	15	—	—	$110,288.77	$240,006.65	$170,093.55	2025-01-01
'3-Jun	OTHER	Pancreas Transplant	1	1	—	—	$168,870.90	$168,870.90	$168,870.90	2025-01-01
'1-Feb	OTHER	Heart And/or Lung Transplant	1	1	—	—	$168,756.90	$168,756.90	$168,756.90	2025-01-01
'3-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$167,900.45	$167,900.45	$167,900.45	2025-01-01
'7-2	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$167,381.67	$167,381.67	$167,381.67	2025-01-01
'6-2	OTHER	Pancreas Transplant	1	1	—	—	$166,998.46	$166,998.46	$166,998.46	2025-01-01
'1-2	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$162,416.72	$162,416.72	$162,416.72	2025-01-01
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	2	—	—	$161,743.12	$162,939.29	$162,341.20	2025-01-01
'3-Jul	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$160,812.03	$160,812.03	$160,812.03	2025-01-01
'593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	1	—	—	$120,960.81	$191,192.97	$159,469.51	2025-01-01
'001-4	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$158,778.66	$158,778.66	$158,778.66	2025-01-01
'004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$157,690.69	$157,690.69	$157,690.69	2025-01-01
'4-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$156,199.59	$156,199.59	$156,199.59	2025-01-01
'591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	1	—	—	$139,610.79	$175,940.10	$156,180.76	2025-01-01
'3-Nov	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$155,500.83	$155,500.83	$155,500.83	2025-01-01
212	MS_DRG	Concomitant Aortic And Mitral Valve?procedures	33	15	—	—	$103,679.19	$225,623.10	$155,120.17	2025-01-01
215	MS_DRG	Other Heart Assist System Implant	35	15	—	—	$98,355.70	$258,031.27	$154,226.59	2025-01-01
'91-4	OTHER	Other Major Head And Neck Procedures	1	1	—	—	$153,214.57	$153,214.57	$153,214.57	2025-01-01
'7-1	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$153,029.68	$153,029.68	$153,029.68	2025-01-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	33	15	—	—	$99,650.43	$216,855.85	$152,900.60	2025-01-01
'609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	1	—	—	$72,689.07	$201,566.62	$149,843.67	2025-01-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	2	—	—	$147,580.76	$148,672.19	$148,126.48	2025-01-01
'002-3	OTHER	Heart And/or Lung Transplant	1	1	—	—	$147,231.68	$147,231.68	$147,231.68	2025-01-01
'2-Jul	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$145,549.28	$145,549.28	$145,549.28	2025-01-01
'2-Jun	OTHER	Pancreas Transplant	1	1	—	—	$145,216.05	$145,216.05	$145,216.05	2025-01-01
'303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	1	—	—	$94,163.87	$179,871.40	$143,481.73	2025-01-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	16	—	—	$93,476.56	$203,420.49	$143,433.05	2025-01-01
'2-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$141,231.93	$141,231.93	$141,231.93	2025-01-01
'589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	1	—	—	$115,664.27	$164,188.24	$140,874.96	2025-01-01
'842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	1	—	—	$109,098.60	$167,443.86	$140,715.27	2025-01-01
'1-1	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$140,494.58	$140,494.58	$140,494.58	2025-01-01
'602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$91,869.22	$176,116.58	$140,376.88	2025-01-01
'630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	1	—	—	$103,133.71	$169,398.59	$139,945.14	2025-01-01
'9-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$137,114.58	$137,114.58	$137,114.58	2025-01-01
'5-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$136,973.40	$136,973.40	$136,973.40	2025-01-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	2	1	—	—	$135,525.36	$136,527.64	$136,026.50	2025-01-01
'2-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$135,825.73	$135,825.73	$135,825.73	2025-01-01
'11-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$135,620.39	$135,620.39	$135,620.39	2025-01-01
'011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$134,465.72	$134,465.72	$134,465.72	2025-01-01
'6-1	OTHER	Pancreas Transplant	1	1	—	—	$133,621.96	$133,621.96	$133,621.96	2025-01-01
'1-Jul	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$133,069.29	$133,069.29	$133,069.29	2025-01-01
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	35	15	—	—	$85,395.09	$190,165.93	$131,673.08	2025-01-01
'863-4	OTHER	Neonatal Aftercare	3	1	—	—	$82,666.02	$161,344.39	$128,103.29	2025-01-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	35	15	—	—	$81,478.37	$208,756.21	$127,370.64	2025-01-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	2	—	—	$126,342.19	$127,276.55	$126,809.37	2025-01-01
'440-4	OTHER	Kidney Transplant	3	1	—	—	$83,643.45	$157,641.68	$126,121.62	2025-01-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	15	—	—	$81,258.11	$182,723.00	$125,388.10	2025-01-01
'593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	1	—	—	$99,072.52	$147,989.08	$125,249.25	2025-01-01
'589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	1	—	—	$112,251.96	$136,302.77	$122,359.63	2025-01-01
'1-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$122,169.20	$122,169.20	$122,169.20	2025-01-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	35	15	—	—	$78,249.23	$170,283.31	$120,230.07	2025-01-01
'3-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$119,230.07	$119,230.07	$119,230.07	2025-01-01
'3-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$119,107.30	$119,107.30	$119,107.30	2025-01-01
'611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	1	—	—	$80,446.08	$147,915.13	$118,994.35	2025-01-01
'602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$73,467.94	$150,883.35	$118,518.07	2025-01-01
'613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	3	1	—	—	$80,823.74	$146,555.40	$118,272.87	2025-01-01
'2-Nov	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$117,930.77	$117,930.77	$117,930.77	2025-01-01
'1-Jun	OTHER	Pancreas Transplant	1	1	—	—	$116,193.01	$116,193.01	$116,193.01	2025-01-01
'8-3	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$115,881.56	$115,881.56	$115,881.56	2025-01-01
'011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$115,456.50	$115,456.50	$115,456.50	2025-01-01
'841-3	OTHER	Extensive Third Degree Burns With Skin Graft	3	1	—	—	$68,173.45	$148,372.30	$115,188.38	2025-01-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	36	16	—	—	$75,226.94	$163,706.30	$115,008.30	2025-01-01
'603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	1	—	—	$71,259.26	$145,970.50	$114,720.21	2025-01-01
'006-4	OTHER	Pancreas Transplant	1	1	—	—	$114,221.15	$114,221.15	$114,221.15	2025-01-01
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	2	—	—	$113,684.51	$114,525.27	$114,104.89	2025-01-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	32	15	—	—	$77,083.79	$167,747.12	$113,954.17	2025-01-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	16	—	—	$74,380.40	$161,864.07	$113,889.48	2025-01-01
'92-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	1	1	—	—	$113,689.85	$113,689.85	$113,689.85	2025-01-01
'9-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$112,883.09	$112,883.09	$112,883.09	2025-01-01
'5-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$112,553.66	$112,553.66	$112,553.66	2025-01-01
'178-4	OTHER	External Heart Assist Systems	3	1	—	—	$71,447.58	$142,165.25	$112,411.60	2025-01-01
'851-4	OTHER	Gender Related Procedures	1	1	—	—	$110,750.50	$110,750.50	$110,750.50	2025-01-01
'167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	1	—	—	$75,062.54	$135,317.84	$109,349.36	2025-01-01
'220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	3	1	—	—	$54,088.22	$144,397.30	$108,016.13	2025-01-01
'4-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$107,761.82	$107,761.82	$107,761.82	2025-01-01
'162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	1	—	—	$89,503.94	$124,367.70	$107,339.16	2025-01-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	35	15	—	—	$69,796.20	$152,152.36	$107,335.40	2025-01-01
'002-2	OTHER	Heart And/or Lung Transplant	1	1	—	—	$107,147.83	$107,147.83	$107,147.83	2025-01-01
'591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	1	—	—	$100,119.12	$115,136.99	$107,041.87	2025-01-01
'680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	1	—	—	$68,041.42	$134,373.27	$106,420.34	2025-01-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	2	1	—	—	$105,680.05	$106,461.60	$106,070.82	2025-01-01
'21-4	OTHER	Open Craniotomy Except Trauma	1	1	—	—	$105,346.57	$105,346.57	$105,346.57	2025-01-01
'589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	1	—	—	$94,274.46	$109,860.07	$104,183.39	2025-01-01
'621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	3	1	—	—	$68,099.75	$129,443.60	$103,367.67	2025-01-01
'690-4	OTHER	Acute Leukemia	3	1	—	—	$61,417.41	$132,484.09	$103,035.02	2025-01-01
'005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$102,857.37	$102,857.37	$102,857.37	2025-01-01
'633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	3	1	—	—	$67,414.02	$127,981.34	$102,227.83	2025-01-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	36	16	—	—	$67,233.58	$146,311.41	$102,061.18	2025-01-01
'608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	1	—	—	$62,711.10	$130,152.88	$102,013.47	2025-01-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	33	15	—	—	$67,912.53	$147,788.93	$101,456.89	2025-01-01
'5-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$101,178.29	$101,178.29	$101,178.29	2025-01-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	35	15	—	—	$66,178.26	$144,014.87	$101,105.63	2025-01-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	35	15	—	—	$66,800.73	$145,369.46	$100,913.43	2025-01-01
'3-Aug	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$100,766.57	$100,766.57	$100,766.57	2025-01-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	36	16	—	—	$66,688.68	$145,125.62	$100,396.93	2025-01-01
'89-4	OTHER	Major Cranial Or Facial Bone Procedures	1	1	—	—	$100,342.95	$100,342.95	$100,342.95	2025-01-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	35	15	—	—	$66,349.68	$144,387.89	$99,923.95	2025-01-01
'312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	3	1	—	—	$61,827.83	$126,609.84	$99,511.06	2025-01-01
'004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$98,882.15	$98,882.15	$98,882.15	2025-01-01
'002-1	OTHER	Heart And/or Lung Transplant	1	1	—	—	$98,538.26	$98,538.26	$98,538.26	2025-01-01
'2-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$98,159.21	$98,159.21	$98,159.21	2025-01-01
'2-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$97,872.75	$97,872.75	$97,872.75	2025-01-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	35	15	—	—	$65,831.60	$143,260.47	$97,760.09	2025-01-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	35	15	—	—	$64,048.49	$139,380.13	$97,705.87	2025-01-01
'303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	1	—	—	$64,169.56	$121,989.44	$97,412.26	2025-01-01
'910-4	OTHER	Craniotomy For Multiple Significant Trauma	3	1	—	—	$63,028.38	$122,396.18	$97,285.34	2025-01-01
'8-2	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$96,510.82	$96,510.82	$96,510.82	2025-01-01
'091-4	OTHER	Other Major Head And Neck Procedures	2	1	—	—	$59,725.58	$133,230.06	$96,477.82	2025-01-01
'163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	1	—	—	$74,555.91	$113,528.49	$95,601.61	2025-01-01
'183-4	OTHER	Percutaneous Structural Cardiac Procedures	3	1	—	—	$62,264.86	$119,614.52	$95,297.34	2025-01-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	15	—	—	$61,491.60	$133,815.93	$94,088.78	2025-01-01
'612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$70,898.99	$112,669.63	$93,847.40	2025-01-01
'1-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$93,705.93	$93,705.93	$93,705.93	2025-01-01
'361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	3	1	—	—	$59,904.69	$118,130.42	$93,585.74	2025-01-01
'26-4	OTHER	Other Nervous System And Related Procedures	1	1	—	—	$93,569.50	$93,569.50	$93,569.50	2025-01-01
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	36	16	—	—	$60,350.11	$144,002.60	$93,553.24	2025-01-01
'440-3	OTHER	Kidney Transplant	3	1	—	—	$50,690.24	$122,656.70	$93,334.98	2025-01-01
'179-4	OTHER	Defibrillator Implants	3	1	—	—	$57,902.75	$118,547.24	$93,178.18	2025-01-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	35	15	—	—	$59,347.46	$158,301.73	$93,065.10	2025-01-01
'614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	3	1	—	—	$57,884.33	$117,774.10	$92,690.23	2025-01-01
'9-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$92,641.71	$92,641.71	$92,641.71	2025-01-01
'27-4	OTHER	Other Open Craniotomy	1	1	—	—	$92,337.50	$92,337.50	$92,337.50	2025-01-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	33	15	—	—	$59,688.38	$130,944.95	$91,969.77	2025-01-01
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	35	15	—	—	$59,107.10	$128,626.85	$90,708.48	2025-01-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	35	15	—	—	$60,081.97	$130,748.33	$90,679.86	2025-01-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	15	—	—	$58,714.47	$131,049.07	$90,424.86	2025-01-01
'608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	1	—	—	$49,933.88	$117,859.81	$90,093.49	2025-01-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	35	15	—	—	$58,857.15	$128,082.93	$90,048.88	2025-01-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	33	15	—	—	$60,006.32	$130,583.69	$89,594.62	2025-01-01
'22-4	OTHER	Ventricular Shunt Procedures	1	1	—	—	$89,019.68	$89,019.68	$89,019.68	2025-01-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	33	15	—	—	$59,688.38	$129,891.80	$89,000.17	2025-01-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	35	15	—	—	$58,440.58	$127,176.40	$88,623.44	2025-01-01
'008-4	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$88,491.71	$88,491.71	$88,491.71	2025-01-01
28	MS_DRG	Spinal Procedures With Mcc	35	15	—	—	$58,243.31	$126,747.10	$88,257.87	2025-01-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	35	15	—	—	$57,501.15	$125,132.03	$88,227.36	2025-01-01
'1-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$87,981.12	$87,981.12	$87,981.12	2025-01-01
'631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	1	—	—	$57,391.01	$110,412.37	$87,938.05	2025-01-01
'440-2	OTHER	Kidney Transplant	3	1	—	—	$44,306.75	$116,590.84	$87,426.98	2025-01-01
'007-3	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$87,258.41	$87,258.41	$87,258.41	2025-01-01
'630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	1	—	—	$59,018.35	$108,029.06	$86,995.24	2025-01-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	36	16	—	—	$56,849.95	$123,714.93	$86,862.23	2025-01-01
'510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	3	1	—	—	$46,943.25	$113,494.88	$86,376.44	2025-01-01
0310453530	NDC	Injection Tremelimumab-actl 1 Mg	64	35	$117,000.00	$64,350.00 45% off	$62.00	$117,000.00	$86,163.98	2025-01-01
'160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	1	—	—	$53,099.53	$109,682.92	$86,052.97	2025-01-01
'651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	3	1	—	—	$46,547.17	$112,691.48	$85,743.75	2025-01-01
'20-4	OTHER	Open Craniotomy For Trauma	1	1	—	—	$85,385.88	$85,385.88	$85,385.88	2025-01-01
'304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	1	—	—	$66,021.05	$100,433.71	$84,596.14	2025-01-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	15	—	—	$55,088.87	$119,882.51	$84,513.20	2025-01-01
'2-Aug	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$83,922.45	$83,922.45	$83,922.45	2025-01-01
'440-1	OTHER	Kidney Transplant	3	1	—	—	$40,873.98	$112,678.04	$83,844.31	2025-01-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	35	15	—	—	$54,821.69	$119,301.08	$83,565.16	2025-01-01
'441-4	OTHER	Major Bladder Procedures	3	1	—	—	$49,394.51	$107,575.26	$83,504.49	2025-01-01
'120-4	OTHER	Major Respiratory And Chest Procedures	3	1	—	—	$56,360.36	$103,643.96	$83,376.50	2025-01-01
'607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$68,709.75	$96,836.89	$83,250.88	2025-01-01
'178-3	OTHER	External Heart Assist Systems	3	1	—	—	$52,627.70	$105,173.45	$83,085.44	2025-01-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	36	16	—	—	$54,772.85	$119,194.80	$83,074.18	2025-01-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	35	15	—	—	$54,958.63	$119,599.10	$83,011.61	2025-01-01
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	36	16	—	—	$54,153.26	$117,846.48	$82,688.37	2025-01-01
'29-4	OTHER	Other Percutaneous Intracranial Procedures	1	1	—	—	$82,088.23	$82,088.23	$82,088.23	2025-01-01
'695-4	OTHER	Chemotherapy For Acute Leukemia	3	1	—	—	$54,426.99	$101,790.08	$81,576.73	2025-01-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	36	16	—	—	$53,255.00	$115,891.71	$81,261.95	2025-01-01
'006-3	OTHER	Pancreas Transplant	1	1	—	—	$81,144.10	$81,144.10	$81,144.10	2025-01-01
'1-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$80,558.01	$80,558.01	$80,558.01	2025-01-01
653	MS_DRG	Major Bladder Procedures With Mcc	35	15	—	—	$52,377.81	$113,982.79	$80,172.20	2025-01-01
'165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	1	—	—	$69,627.82	$89,819.72	$79,183.88	2025-01-01
'740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	3	1	—	—	$1,076.48	$126,082.08	$78,931.72	2025-01-01
'850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	3	1	—	—	$70,251.12	$88,490.25	$78,563.14	2025-01-01
'303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	1	—	—	$45,028.31	$101,695.96	$78,385.18	2025-01-01
'681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	1	—	—	$61,999.77	$92,555.99	$78,346.41	2025-01-01
8	MS_DRG	Simultaneous Pancreas/kidney Transplant	33	15	—	—	$50,923.16	$110,817.23	$77,951.00	2025-01-01
'178-2	OTHER	External Heart Assist Systems	3	1	—	—	$50,590.96	$97,988.21	$77,928.77	2025-01-01
'950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	1	—	—	$51,952.20	$97,230.19	$77,910.13	2025-01-01
'611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	1	—	—	$49,700.53	$98,139.47	$77,726.22	2025-01-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	16	—	—	$50,759.41	$110,460.88	$77,535.49	2025-01-01
'404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	3	1	—	—	$44,635.29	$99,773.17	$77,055.91	2025-01-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	35	15	—	—	$50,312.20	$109,487.68	$76,833.01	2025-01-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	36	16	—	—	$50,203.98	$109,252.19	$76,637.36	2025-01-01
'009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$76,558.87	$76,558.87	$76,558.87	2025-01-01
'401-4	OTHER	Adrenal Procedures	3	1	—	—	$42,318.12	$100,208.49	$76,554.81	2025-01-01
'911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	1	—	—	$59,110.47	$91,221.47	$76,551.65	2025-01-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	35	15	—	—	$48,787.64	$131,681.83	$76,532.50	2025-01-01
'232-4	OTHER	Gastric Fundoplication	3	1	—	—	$54,696.17	$93,272.00	$76,358.09	2025-01-01
'260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	3	1	—	—	$55,907.98	$92,403.04	$76,220.50	2025-01-01
'176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	3	1	—	—	$48,102.87	$96,472.17	$76,154.63	2025-01-01
11	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Mcc	35	15	—	—	$49,913.81	$108,620.74	$75,971.64	2025-01-01
'169-4	OTHER	Major Abdominal Vascular Procedures	3	1	—	—	$53,735.11	$92,468.59	$75,537.06	2025-01-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	36	16	—	—	$49,173.56	$107,009.83	$75,374.77	2025-01-01
'021-4	OTHER	Open Craniotomy Except Trauma	2	1	—	—	$58,750.20	$91,605.71	$75,177.96	2025-01-01
'23-4	OTHER	Spinal Procedures	1	1	—	—	$74,902.98	$74,902.98	$74,902.98	2025-01-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	36	16	—	—	$48,961.93	$106,549.28	$74,827.77	2025-01-01
'092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	2	1	—	—	$50,659.54	$98,860.74	$74,760.14	2025-01-01
'511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	3	1	—	—	$44,729.45	$95,441.86	$74,388.08	2025-01-01
'001-3	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$74,277.52	$74,277.52	$74,277.52	2025-01-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	36	16	—	—	$48,410.33	$105,348.92	$74,047.64	2025-01-01
'792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	3	1	—	—	$47,033.32	$93,438.40	$73,907.50	2025-01-01
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	36	16	—	—	$47,269.79	$117,102.35	$73,464.92	2025-01-01
799	MS_DRG	Splenic Procedures With Mcc	35	15	—	—	$47,982.27	$104,417.38	$72,989.25	2025-01-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	35	15	—	—	$47,641.36	$103,675.49	$72,908.60	2025-01-01
'423-4	OTHER	Inborn Errors Of Metabolism	3	1	—	—	$36,152.63	$97,465.49	$72,790.24	2025-01-01
'166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	1	—	—	$60,974.24	$84,105.15	$72,738.10	2025-01-01
'73-4	OTHER	Orbit And Eye Procedures	1	1	—	—	$72,686.07	$72,686.07	$72,686.07	2025-01-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	35	15	—	—	$46,086.15	$107,610.98	$71,832.89	2025-01-01
6	MS_DRG	Liver Transplant Without Mcc	33	15	—	—	$46,855.13	$101,964.53	$71,741.10	2025-01-01
'613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	3	1	—	—	$49,053.68	$88,586.04	$71,557.02	2025-01-01
'912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	1	—	—	$55,277.51	$85,043.01	$71,423.65	2025-01-01
'623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	3	1	—	—	$47,711.89	$88,772.61	$71,226.02	2025-01-01
'005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$71,050.47	$71,050.47	$71,050.47	2025-01-01
'614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	3	1	—	—	$39,736.88	$92,744.25	$71,042.77	2025-01-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	35	15	—	—	$3,314.00	$126,205.28	$71,030.84	2025-01-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	36	16	—	—	$46,566.89	$101,337.26	$71,012.56	2025-01-01
10	MS_DRG	Pancreas Transplant	33	15	—	—	$46,632.00	$101,478.97	$70,945.66	2025-01-01
'30-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	—	—	$70,580.08	$70,580.08	$70,580.08	2025-01-01
'612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$44,169.60	$89,589.46	$70,554.31	2025-01-01
'130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	1	—	—	$47,484.68	$87,468.34	$70,337.48	2025-01-01
'622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$42,364.17	$89,902.08	$70,147.32	2025-01-01
'514-4	OTHER	Female Reproductive System Reconstructive Procedures	3	1	—	—	$47,130.55	$87,335.55	$70,136.69	2025-01-01
163	MS_DRG	Major Chest Procedures With Mcc	36	16	—	—	$45,674.38	$99,395.02	$70,030.16	2025-01-01
'007-2	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$69,971.71	$69,971.71	$69,971.71	2025-01-01
'162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	1	—	—	$57,179.15	$81,595.77	$69,909.25	2025-01-01
'625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	3	1	—	—	$56,629.54	$81,780.65	$69,841.27	2025-01-01
'91-3	OTHER	Other Major Head And Neck Procedures	1	1	—	—	$69,753.15	$69,753.15	$69,753.15	2025-01-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	36	16	—	—	$45,931.02	$99,953.51	$69,684.00	2025-01-01
'759-4	OTHER	Eating Disorders	3	1	—	—	$1,076.48	$111,015.77	$69,542.57	2025-01-01
'512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	3	1	—	—	$39,565.96	$90,411.34	$69,531.95	2025-01-01
'405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	3	1	—	—	$42,923.00	$88,088.54	$69,203.42	2025-01-01
'183-3	OTHER	Percutaneous Structural Cardiac Procedures	3	1	—	—	$41,699.93	$88,555.78	$69,086.91	2025-01-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	33	15	—	—	$46,333.22	$100,828.77	$69,079.89	2025-01-01
'178-1	OTHER	External Heart Assist Systems	3	1	—	—	$42,919.93	$87,397.75	$68,771.91	2025-01-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	16	—	—	$45,051.91	$98,040.43	$68,755.03	2025-01-01
455	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	36	16	—	—	$44,640.13	$100,120.00	$68,682.39	2025-01-01
'98-4	OTHER	Other Ear, Nose, Mouth And Throat Procedures	1	1	—	—	$68,119.45	$68,119.45	$68,119.45	2025-01-01
'089-4	OTHER	Major Cranial Or Facial Bone Procedures	2	1	—	—	$48,918.58	$87,254.74	$68,086.66	2025-01-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	15	—	—	$43,925.73	$102,546.91	$67,835.68	2025-01-01
245	MS_DRG	Aicd Generator Procedures	36	16	—	—	$43,929.56	$100,362.29	$67,700.63	2025-01-01
'027-4	OTHER	Other Open Craniotomy	2	1	—	—	$55,069.74	$80,293.48	$67,681.61	2025-01-01
'230-4	OTHER	Major Small Bowel Procedures	3	1	—	—	$44,590.26	$84,696.76	$67,645.46	2025-01-01
'179-3	OTHER	Defibrillator Implants	3	1	—	—	$41,907.70	$85,885.07	$67,491.81	2025-01-01
'49-4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	1	1	—	—	$67,484.13	$67,484.13	$67,484.13	2025-01-01

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