Hospital

SAINT MARY'S HOSPITAL

Waterbury, CT · CCN 070016 · Rates published

16,163 distinct procedures filed

37 distinct payers

197,975 rate rows

2025-01-01 last MRF observed · ⚠ 19 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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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 · 2026-08-17
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 $456,880 1.7× median
'4-Feb OTHER	Heart And/or Lung Transplant	1	$656,819.90	$656,819.90	$656,819.90	nat. median $656,820 1.0× median
'583-4 OTHER	Neonate With Ecmo	1	$453,855.08	$674,970.70	$586,931.04	nat. median $221,551 outlier · 2.6×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	17	$353,353.37	$768,955.53	$532,343.86	nat. median $370,165 1.4× median
'583-3 OTHER	Neonate With Ecmo	1	$294,021.20	$550,940.82	$479,078.97	nat. median $195,630 outlier · 2.4×
'588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$296,088.65	$542,209.28	$471,486.33	nat. median $202,324 outlier · 2.3×
'161-4 OTHER	Implantable Heart Assist Systems	1	$224,715.78	$479,370.76	$416,844.14	nat. median $182,608 outlier · 2.3×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	$260,040.62	$565,891.49	$410,504.49	nat. median $261,939 1.6× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$252,955.08	$550,472.20	$380,859.49	nat. median $205,166 1.9× median
'7-4 OTHER	Allogeneic Bone Marrow Transplant	1	$366,321.28	$366,321.28	$366,321.28	nat. median $268,993 1.4× median
'583-2 OTHER	Neonate With Ecmo	1	$225,754.62	$407,735.17	$354,552.32	nat. median $119,004 outlier · 3.0×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	17	$204,705.68	$445,473.50	$337,884.11	nat. median $199,832 1.7× median
'609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$194,679.51	$374,622.54	$325,758.73	nat. median $130,670 outlier · 2.5×
'161-3 OTHER	Implantable Heart Assist Systems	1	$152,048.21	$367,245.69	$319,344.08	nat. median $114,612 outlier · 2.8×
'4-Jul OTHER	Allogeneic Bone Marrow Transplant	1	$318,540.24	$318,540.24	$318,540.24	nat. median $318,540 1.0× median
'2-3 OTHER	Heart And/or Lung Transplant	1	$318,160.83	$318,160.83	$318,160.83	nat. median $248,871 1.3× median
'4-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$311,399.14	$311,399.14	$311,399.14	nat. median $256,864 1.2× median
'1-4 OTHER	Liver Transplant And/or Intestinal Transplant	1	$307,488.01	$307,488.01	$307,488.01	nat. median $254,309 1.2× median
'588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$192,568.06	$349,312.01	$303,749.57	nat. median $131,074 outlier · 2.3×
'588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$168,974.63	$342,044.41	$297,429.92	nat. median $110,776 outlier · 2.7×
'630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$215,986.46	$340,324.99	$295,934.77	nat. median $127,072 outlier · 2.3×
'6-4 OTHER	Pancreas Transplant	1	$291,947.72	$291,947.72	$291,947.72	nat. median $166,114 1.8× median
'9-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$287,471.86	$287,471.86	$287,471.86	nat. median $287,472 1.0× median
'583-1 OTHER	Neonate With Ecmo	1	$164,093.62	$326,599.92	$283,999.93	nat. median $105,798 outlier · 2.7×
'3-Feb OTHER	Heart And/or Lung Transplant	1	$276,661.59	$276,661.59	$276,661.59	nat. median $276,662 1.0× median
'11-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$271,696.26	$271,696.26	$271,696.26	nat. median $271,696 1.0× median
'4-Apr OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$270,781.86	$270,781.86	$270,781.86	nat. median $270,782 1.0× median
'4-Jan OTHER	Liver Transplant And/or Intestinal Transplant	1	$267,380.88	$267,380.88	$267,380.88	nat. median $267,381 1.0× median
'841-4 OTHER	Extensive Third Degree Burns With Skin Graft	1	$213,027.56	$306,242.57	$266,297.89	nat. median $138,284 1.9× median
'603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	$161,325.09	$306,017.35	$266,102.04	nat. median $102,933 outlier · 2.6×
'002-4 OTHER	Heart And/or Lung Transplant	1	$262,213.28	$262,213.28	$262,213.28	nat. median $205,014 1.3× median
'160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	1	$131,106.64	$296,736.20	$258,031.48	nat. median $82,416 outlier · 3.1×
'161-2 OTHER	Implantable Heart Assist Systems	1	$122,051.85	$294,867.20	$256,406.26	nat. median $86,952 outlier · 2.9×
'4-Jun OTHER	Pancreas Transplant	1	$253,867.58	$253,867.58	$253,867.58	nat. median $253,868 1.0× median
'4-Sep OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$249,975.53	$249,975.53	$249,975.53	nat. median $249,976 1.0× median
'161-1 OTHER	Implantable Heart Assist Systems	1	$116,286.55	$280,123.59	$243,585.73	nat. median $70,718 outlier · 3.4×
'591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$188,094.39	$278,800.83	$242,435.50	nat. median $119,104 outlier · 2.0×
'4-Nov OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$236,257.62	$236,257.62	$236,257.62	nat. median $236,258 1.0× median
'8-4 OTHER	Autologous Bone Marrow Transplant	1	$235,054.05	$235,054.05	$235,054.05	nat. median $119,640 2.0× median
'011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$230,565.01	$230,565.01	$230,565.01	nat. median $98,418 outlier · 2.3×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	17	$141,307.48	$307,508.50	$226,979.44	nat. median $132,706 1.7× median
'2-2 OTHER	Heart And/or Lung Transplant	1	$226,381.34	$226,381.34	$226,381.34	nat. median $188,454 1.2× median
'593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$174,411.40	$245,446.18	$213,431.46	nat. median $115,906 1.8× median
'4-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$207,123.21	$207,123.21	$207,123.21	nat. median $177,127 1.2× median
'4-Aug OTHER	Autologous Bone Marrow Transplant	1	$204,394.83	$204,394.83	$204,394.83	nat. median $204,395 1.0× median
'5-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	$200,948.10	$200,948.10	$200,948.10	nat. median $178,941 1.1× median
'2-Feb OTHER	Heart And/or Lung Transplant	1	$196,853.34	$196,853.34	$196,853.34	nat. median $196,853 1.0× median
'588-1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$144,835.69	$225,147.66	$195,780.57	nat. median $98,245 2.0× median
7 MS_DRG	Lung Transplant	16	$118,002.51	$256,793.02	$194,397.91	nat. median $122,690 1.6× median
'6-3 OTHER	Pancreas Transplant	1	$194,201.54	$194,201.54	$194,201.54	nat. median $128,017 1.5× median

Other procedures at this hospital

Browse this hospital's 16,163 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	$586,931.04	2025-01-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	29	17	—	—	$353,353.37	$768,955.53	$532,343.86	2025-01-01
'583-3	OTHER	Neonate With Ecmo	3	1	—	—	$294,021.20	$550,940.82	$479,078.97	2025-01-01
'588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$296,088.65	$542,209.28	$471,486.33	2025-01-01
'161-4	OTHER	Implantable Heart Assist Systems	3	1	—	—	$224,715.78	$479,370.76	$416,844.14	2025-01-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	17	—	—	$260,040.62	$565,891.49	$410,504.49	2025-01-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	31	17	—	—	$252,955.08	$550,472.20	$380,859.49	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	$354,552.32	2025-01-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	31	17	—	—	$204,705.68	$445,473.50	$337,884.11	2025-01-01
'609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	1	—	—	$194,679.51	$374,622.54	$325,758.73	2025-01-01
'161-3	OTHER	Implantable Heart Assist Systems	3	1	—	—	$152,048.21	$367,245.69	$319,344.08	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
'1-4	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$307,488.01	$307,488.01	$307,488.01	2025-01-01
'588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$192,568.06	$349,312.01	$303,749.57	2025-01-01
'588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$168,974.63	$342,044.41	$297,429.92	2025-01-01
'630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	1	—	—	$215,986.46	$340,324.99	$295,934.77	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
'583-1	OTHER	Neonate With Ecmo	3	1	—	—	$164,093.62	$326,599.92	$283,999.93	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
'4-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$267,380.88	$267,380.88	$267,380.88	2025-01-01
'841-4	OTHER	Extensive Third Degree Burns With Skin Graft	3	1	—	—	$213,027.56	$306,242.57	$266,297.89	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	$266,102.04	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
'160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	1	—	—	$131,106.64	$296,736.20	$258,031.48	2025-01-01
'161-2	OTHER	Implantable Heart Assist Systems	3	1	—	—	$122,051.85	$294,867.20	$256,406.26	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
'161-1	OTHER	Implantable Heart Assist Systems	3	1	—	—	$116,286.55	$280,123.59	$243,585.73	2025-01-01
'591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	1	—	—	$188,094.39	$278,800.83	$242,435.50	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
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	31	17	—	—	$141,307.48	$307,508.50	$226,979.44	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
'593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	1	—	—	$174,411.40	$245,446.18	$213,431.46	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
'588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	1	—	—	$144,835.69	$225,147.66	$195,780.57	2025-01-01
7	MS_DRG	Lung Transplant	29	16	—	—	$118,002.51	$256,793.02	$194,397.91	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
'607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$99,256.75	$222,608.03	$193,572.20	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
'631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	1	—	—	$185,728.18	$213,587.41	$191,126.99	2025-01-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	17	—	—	$117,788.96	$268,776.14	$185,480.36	2025-01-01
'7-3	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$184,933.83	$184,933.83	$184,933.83	2025-01-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	29	16	—	—	$110,288.77	$240,006.65	$181,632.34	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
'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
'602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$129,514.09	$204,672.66	$177,976.23	2025-01-01
'009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$177,644.59	$177,644.59	$177,644.59	2025-01-01
'609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	1	—	—	$72,689.07	$201,566.62	$175,275.32	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
'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
'593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	1	—	—	$120,960.81	$191,192.97	$166,254.76	2025-01-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	29	16	—	—	$99,650.43	$216,855.85	$164,026.80	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…	2	1	—	—	$161,743.12	$162,939.29	$162,341.21	2025-01-01
215	MS_DRG	Other Heart Assist System Implant	31	17	—	—	$98,355.70	$258,031.27	$161,884.15	2025-01-01
'3-Jul	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$160,812.03	$160,812.03	$160,812.03	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
'303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	1	—	—	$94,163.87	$179,871.40	$156,409.91	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
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	29	17	—	—	$103,679.19	$225,623.10	$155,626.92	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
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	31	17	—	—	$93,476.56	$203,420.49	$153,809.59	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
'602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	1	—	—	$91,869.22	$176,116.58	$153,144.85	2025-01-01
'7-1	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$153,029.68	$153,029.68	$153,029.68	2025-01-01
'591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	1	—	—	$139,610.79	$175,940.10	$152,991.39	2025-01-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	2	1	—	—	$147,580.76	$148,672.19	$148,126.48	2025-01-01
'630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	1	—	—	$103,133.71	$169,398.59	$147,303.12	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
'842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	1	—	—	$109,098.60	$167,443.86	$145,603.36	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
'589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	1	—	—	$115,664.27	$164,188.24	$142,772.38	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
'1-1	OTHER	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$140,494.58	$140,494.58	$140,494.58	2025-01-01
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	31	17	—	—	$85,395.09	$190,165.93	$140,435.47	2025-01-01
'863-4	OTHER	Neonatal Aftercare	3	1	—	—	$82,666.02	$161,344.39	$140,299.47	2025-01-01
'9-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$137,114.58	$137,114.58	$137,114.58	2025-01-01
'440-4	OTHER	Kidney Transplant	3	1	—	—	$83,643.45	$157,641.68	$137,079.72	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
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	31	17	—	—	$81,478.37	$208,756.21	$133,953.64	2025-01-01
'6-1	OTHER	Pancreas Transplant	1	1	—	—	$133,621.96	$133,621.96	$133,621.96	2025-01-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	31	17	—	—	$81,258.11	$182,723.00	$133,589.13	2025-01-01
'1-Jul	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$133,069.29	$133,069.29	$133,069.29	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	$131,202.91	2025-01-01
'841-3	OTHER	Extensive Third Degree Burns With Skin Graft	3	1	—	—	$68,173.45	$148,372.30	$129,019.39	2025-01-01
'593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	1	—	—	$99,072.52	$147,989.08	$128,686.16	2025-01-01
'611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	1	—	—	$80,446.08	$147,915.13	$128,621.85	2025-01-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	31	17	—	—	$78,249.23	$170,283.31	$128,609.69	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	$127,439.48	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	$126,930.87	2025-01-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	2	1	—	—	$126,342.19	$127,276.55	$126,809.37	2025-01-01
'220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	3	1	—	—	$54,088.22	$144,397.30	$125,562.87	2025-01-01
'178-4	OTHER	External Heart Assist Systems	3	1	—	—	$71,447.58	$142,165.25	$123,621.96	2025-01-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	31	17	—	—	$75,226.94	$163,706.30	$123,608.06	2025-01-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	31	17	—	—	$74,380.40	$161,864.07	$122,207.10	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
'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
'589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	1	—	—	$112,251.96	$136,302.77	$118,524.15	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
'740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	2	1	—	—	$109,636.59	$126,082.08	$117,859.33	2025-01-01
'167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	1	—	—	$75,062.54	$135,317.84	$117,667.69	2025-01-01
'680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	1	—	—	$68,041.42	$134,373.27	$116,846.32	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
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	17	—	—	$77,083.79	$167,747.12	$115,498.88	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
'690-4	OTHER	Acute Leukemia	3	1	—	—	$61,417.41	$132,484.09	$115,203.56	2025-01-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	31	17	—	—	$69,796.20	$152,152.36	$114,620.66	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…	2	1	—	—	$113,684.51	$114,525.27	$114,104.89	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
'608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	1	—	—	$62,711.10	$130,152.88	$113,176.42	2025-01-01
'9-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$112,883.09	$112,883.09	$112,883.09	2025-01-01
'621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	3	1	—	—	$68,099.75	$129,443.60	$112,559.65	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
'633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	3	1	—	—	$67,414.02	$127,981.34	$111,288.12	2025-01-01
'851-4	OTHER	Gender Related Procedures	1	1	—	—	$110,750.50	$110,750.50	$110,750.50	2025-01-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	31	17	—	—	$67,233.58	$146,311.41	$110,379.74	2025-01-01
'312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	3	1	—	—	$61,827.83	$126,609.84	$110,095.51	2025-01-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	31	17	—	—	$66,800.73	$145,369.46	$109,663.41	2025-01-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	31	17	—	—	$66,688.68	$145,125.62	$109,477.98	2025-01-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	31	17	—	—	$66,349.68	$144,387.89	$108,916.96	2025-01-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	31	17	—	—	$66,178.26	$144,014.87	$108,633.29	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	$108,415.63	2025-01-01
'162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	1	—	—	$89,503.94	$124,367.70	$108,145.83	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
'002-2	OTHER	Heart And/or Lung Transplant	1	1	—	—	$107,147.83	$107,147.83	$107,147.83	2025-01-01
'440-3	OTHER	Kidney Transplant	3	1	—	—	$50,690.24	$122,656.70	$106,658.00	2025-01-01
'910-4	OTHER	Craniotomy For Multiple Significant Trauma	3	1	—	—	$63,028.38	$122,396.18	$106,431.46	2025-01-01
'303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	1	—	—	$64,169.56	$121,989.44	$106,077.77	2025-01-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	2	1	—	—	$105,680.05	$106,461.60	$106,070.83	2025-01-01
'591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	1	—	—	$100,119.12	$115,136.99	$105,869.50	2025-01-01
'21-4	OTHER	Open Craniotomy Except Trauma	1	1	—	—	$105,346.57	$105,346.57	$105,346.57	2025-01-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	31	17	—	—	$64,048.49	$139,380.13	$105,108.69	2025-01-01
'183-4	OTHER	Percutaneous Structural Cardiac Procedures	3	1	—	—	$62,264.86	$119,614.52	$104,012.63	2025-01-01
'759-4	OTHER	Eating Disorders	2	1	—	—	$96,535.45	$111,015.77	$103,775.61	2025-01-01
'179-4	OTHER	Defibrillator Implants	3	1	—	—	$57,902.75	$118,547.24	$103,084.56	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
'361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	3	1	—	—	$59,904.69	$118,130.42	$102,722.10	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	$102,486.79	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	$102,412.26	2025-01-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	29	17	—	—	$67,912.53	$147,788.93	$101,660.98	2025-01-01
'440-2	OTHER	Kidney Transplant	3	1	—	—	$44,306.75	$116,590.84	$101,383.34	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
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	31	17	—	—	$61,491.60	$133,815.93	$100,877.27	2025-01-01
'3-Aug	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$100,766.57	$100,766.57	$100,766.57	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
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	31	17	—	—	$60,350.11	$144,002.60	$98,988.19	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
'163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	1	—	—	$74,555.91	$113,528.49	$98,720.43	2025-01-01
'510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	3	1	—	—	$46,943.25	$113,494.88	$98,691.20	2025-01-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	31	17	—	—	$60,081.97	$130,748.33	$98,544.45	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
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	31	17	—	—	$65,831.60	$143,260.47	$98,521.19	2025-01-01
'2-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$98,159.21	$98,159.21	$98,159.21	2025-01-01
'651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	3	1	—	—	$46,547.17	$112,691.48	$97,992.59	2025-01-01
'440-1	OTHER	Kidney Transplant	3	1	—	—	$40,873.98	$112,678.04	$97,980.90	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	$97,973.59	2025-01-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	29	16	—	—	$59,688.38	$130,944.95	$97,893.10	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
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	31	17	—	—	$59,347.46	$158,301.73	$97,328.91	2025-01-01
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	31	17	—	—	$59,107.10	$128,626.85	$96,931.12	2025-01-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	31	17	—	—	$58,857.15	$128,082.93	$96,517.49	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
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	31	17	—	—	$58,714.47	$131,049.07	$96,281.35	2025-01-01
'631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	1	—	—	$57,391.01	$110,412.37	$96,010.76	2025-01-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	31	17	—	—	$58,440.58	$127,176.40	$95,828.10	2025-01-01
28	MS_DRG	Spinal Procedures With Mcc	31	17	—	—	$58,243.31	$126,747.10	$95,501.63	2025-01-01
'160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	1	—	—	$53,099.53	$109,682.92	$95,376.45	2025-01-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	31	17	—	—	$57,501.15	$125,132.03	$94,273.41	2025-01-01
'630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	1	—	—	$59,018.35	$108,029.06	$93,938.31	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
'26-4	OTHER	Other Nervous System And Related Procedures	1	1	—	—	$93,569.50	$93,569.50	$93,569.50	2025-01-01
'441-4	OTHER	Major Bladder Procedures	3	1	—	—	$49,394.51	$107,575.26	$93,543.70	2025-01-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	31	17	—	—	$56,849.95	$123,714.93	$93,195.75	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
'178-3	OTHER	External Heart Assist Systems	3	1	—	—	$52,627.70	$105,173.45	$91,455.17	2025-01-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	31	17	—	—	$55,088.87	$119,882.51	$90,281.30	2025-01-01
'120-4	OTHER	Major Respiratory And Chest Procedures	3	1	—	—	$56,360.36	$103,643.96	$90,125.18	2025-01-01
0310453530	NDC	Injection Tremelimumab-actl 1 Mg	41	25	$117,000.00	$64,350.00 45% off	$62.00	$117,000.00	$90,090.00	2025-01-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	31	17	—	—	$54,958.63	$119,599.10	$90,065.77	2025-01-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	31	17	—	—	$54,821.69	$119,301.08	$89,839.14	2025-01-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	31	17	—	—	$54,772.85	$119,194.80	$89,758.32	2025-01-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	29	17	—	—	$60,006.32	$130,583.69	$89,731.80	2025-01-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	29	16	—	—	$59,688.38	$129,891.80	$89,252.09	2025-01-01
'22-4	OTHER	Ventricular Shunt Procedures	1	1	—	—	$89,019.68	$89,019.68	$89,019.68	2025-01-01
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	31	17	—	—	$54,153.26	$117,846.48	$88,732.95	2025-01-01
'695-4	OTHER	Chemotherapy For Acute Leukemia	3	1	—	—	$54,426.99	$101,790.08	$88,513.11	2025-01-01
'008-4	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$88,491.71	$88,491.71	$88,491.71	2025-01-01
'303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	1	—	—	$45,028.31	$101,695.96	$88,431.27	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
'304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	1	—	—	$66,021.05	$100,433.71	$87,333.66	2025-01-01
'007-3	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$87,258.41	$87,258.41	$87,258.41	2025-01-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	31	17	—	—	$53,255.00	$115,891.71	$87,246.41	2025-01-01
'401-4	OTHER	Adrenal Procedures	3	1	—	—	$42,318.12	$100,208.49	$87,137.82	2025-01-01
'404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	3	1	—	—	$44,635.29	$99,773.17	$86,759.28	2025-01-01
653	MS_DRG	Major Bladder Procedures With Mcc	31	17	—	—	$52,377.81	$113,982.79	$85,794.73	2025-01-01
'20-4	OTHER	Open Craniotomy For Trauma	1	1	—	—	$85,385.88	$85,385.88	$85,385.88	2025-01-01
'611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	1	—	—	$49,700.53	$98,139.47	$85,338.67	2025-01-01
'750-4	OTHER	Schizophrenia	2	1	—	—	$79,384.40	$91,292.06	$85,338.23	2025-01-01
'178-2	OTHER	External Heart Assist Systems	3	1	—	—	$50,590.96	$97,988.21	$85,207.14	2025-01-01
'423-4	OTHER	Inborn Errors Of Metabolism	3	1	—	—	$36,152.63	$97,465.49	$84,752.60	2025-01-01
'950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	1	—	—	$51,952.20	$97,230.19	$84,547.99	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	$84,205.99	2025-01-01
'2-Aug	OTHER	Autologous Bone Marrow Transplant	1	1	—	—	$83,922.45	$83,922.45	$83,922.45	2025-01-01
'176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	3	1	—	—	$48,102.87	$96,472.17	$83,888.84	2025-01-01
8	MS_DRG	Simultaneous Pancreas/kidney Transplant	29	16	—	—	$50,923.16	$110,817.23	$83,387.42	2025-01-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	31	17	—	—	$50,759.41	$110,460.88	$83,116.42	2025-01-01
'511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	3	1	—	—	$44,729.45	$95,441.86	$82,992.92	2025-01-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	31	17	—	—	$50,312.20	$109,487.68	$82,376.32	2025-01-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	31	17	—	—	$50,203.98	$109,252.19	$82,197.24	2025-01-01
'29-4	OTHER	Other Percutaneous Intracranial Procedures	1	1	—	—	$82,088.23	$82,088.23	$82,088.23	2025-01-01
11	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Mcc	31	17	—	—	$49,913.81	$108,620.74	$81,717.04	2025-01-01
'792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	3	1	—	—	$47,033.32	$93,438.40	$81,250.78	2025-01-01
'006-3	OTHER	Pancreas Transplant	1	1	—	—	$81,144.10	$81,144.10	$81,144.10	2025-01-01
'232-4	OTHER	Gastric Fundoplication	3	1	—	—	$54,696.17	$93,272.00	$81,106.09	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	$80,647.17	2025-01-01
'1-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$80,558.01	$80,558.01	$80,558.01	2025-01-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	31	17	—	—	$49,173.56	$107,009.83	$80,491.99	2025-01-01
'681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	1	—	—	$61,999.77	$92,555.99	$80,483.47	2025-01-01
'169-4	OTHER	Major Abdominal Vascular Procedures	3	1	—	—	$53,735.11	$92,468.59	$80,407.47	2025-01-01
'260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	3	1	—	—	$55,907.98	$92,403.04	$80,350.47	2025-01-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	31	17	—	—	$48,961.93	$106,549.28	$80,141.75	2025-01-01
'752-4	OTHER	Disorders Of Personality And Impulse Control	2	1	—	—	$74,326.05	$85,474.96	$79,900.51	2025-01-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	31	17	—	—	$48,787.64	$131,681.83	$79,853.32	2025-01-01
'911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	1	—	—	$59,110.47	$91,221.47	$79,323.02	2025-01-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	31	17	—	—	$48,410.33	$105,348.92	$79,228.91	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	$78,618.56	2025-01-01
799	MS_DRG	Splenic Procedures With Mcc	31	17	—	—	$47,982.27	$104,417.38	$78,520.50	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	$78,175.72	2025-01-01
'165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	1	—	—	$69,627.82	$89,819.72	$78,104.10	2025-01-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	31	17	—	—	$47,641.36	$103,675.49	$77,956.31	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	$77,903.88	2025-01-01
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	31	17	—	—	$47,269.79	$117,102.35	$77,341.41	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	$77,193.57	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	$77,031.34	2025-01-01
'183-3	OTHER	Percutaneous Structural Cardiac Procedures	3	1	—	—	$41,699.93	$88,555.78	$77,005.03	2025-01-01
'362-4	OTHER	Mastectomy Procedures	3	1	—	—	$29,162.22	$88,493.60	$76,950.96	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	$76,948.04	2025-01-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	31	17	—	—	$46,086.15	$107,610.98	$76,767.71	2025-01-01
6	MS_DRG	Liver Transplant Without Mcc	29	16	—	—	$46,855.13	$101,964.53	$76,655.19	2025-01-01
'405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	3	1	—	—	$42,923.00	$88,088.54	$76,598.73	2025-01-01
'009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$76,558.87	$76,558.87	$76,558.87	2025-01-01
10	MS_DRG	Pancreas Transplant	29	16	—	—	$46,632.00	$101,478.97	$76,285.93	2025-01-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	31	17	—	—	$46,566.89	$101,337.26	$76,178.17	2025-01-01
'130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	1	—	—	$47,484.68	$87,468.34	$76,059.43	2025-01-01
'178-1	OTHER	External Heart Assist Systems	3	1	—	—	$42,919.93	$87,397.75	$75,998.04	2025-01-01
'514-4	OTHER	Female Reproductive System Reconstructive Procedures	3	1	—	—	$47,130.55	$87,335.55	$75,943.96	2025-01-01
A9542	HCPCS	Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries	40	25	$97,800.00	$53,790.00 45% off	$62.00	$97,800.00	$75,306.00	2025-01-01
'021-4	OTHER	Open Craniotomy Except Trauma	2	1	—	—	$58,750.20	$91,605.71	$75,177.96	2025-01-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	31	17	—	—	$45,931.02	$99,953.51	$75,125.86	2025-01-01
'23-4	OTHER	Spinal Procedures	1	1	—	—	$74,902.98	$74,902.98	$74,902.98	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
163	MS_DRG	Major Chest Procedures With Mcc	31	17	—	—	$45,674.38	$99,395.02	$74,701.13	2025-01-01
'179-3	OTHER	Defibrillator Implants	3	1	—	—	$41,907.70	$85,885.07	$74,682.67	2025-01-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	26	17	—	—	$57,994.33	$126,205.28	$74,598.85	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
'912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	1	—	—	$55,277.51	$85,043.01	$73,950.44	2025-01-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	31	17	—	—	$45,051.91	$98,040.43	$73,671.01	2025-01-01
'230-4	OTHER	Major Small Bowel Procedures	3	1	—	—	$44,590.26	$84,696.76	$73,649.36	2025-01-01
'740-3	OTHER	Mental Illness Diagnosis With O.r. Procedure	2	1	—	—	$68,387.86	$78,646.04	$73,516.95	2025-01-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	31	17	—	—	$42,563.98	$99,076.75	$73,339.79	2025-01-01
'166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	1	—	—	$60,974.24	$84,105.15	$73,134.91	2025-01-01
455	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	31	17	—	—	$44,640.13	$100,120.00	$72,989.55	2025-01-01
'73-4	OTHER	Orbit And Eye Procedures	1	1	—	—	$72,686.07	$72,686.07	$72,686.07	2025-01-01
'483-4	OTHER	Penis, Testes And Scrotal Procedures	3	1	—	—	$34,148.64	$83,426.12	$72,544.45	2025-01-01
'609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	1	—	—	$40,104.31	$83,263.08	$72,402.68	2025-01-01
'264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	3	1	—	—	$44,982.25	$83,217.70	$72,363.22	2025-01-01
'480-4	OTHER	Major Male Pelvic Procedures	3	1	—	—	$38,301.95	$83,037.87	$72,206.84	2025-01-01
245	MS_DRG	Aicd Generator Procedures	31	17	—	—	$43,929.56	$100,362.29	$71,813.63	2025-01-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	31	17	—	—	$43,925.73	$102,546.91	$71,807.29	2025-01-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	31	17	—	—	$43,789.75	$99,973.82	$71,582.25	2025-01-01

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