Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

SAINT MARY'S HOSPITAL

Waterbury, CT · CCN 070016 · Rates published

16,164 distinct procedures filed
37 distinct payers
197,975 rate rows
2025-01-01 last MRF observed · ⚠ 17 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,030
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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 viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
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
APR_DRG 		Heart And/or Lung Transplant 1 $755,342.89 $755,342.89 $755,342.89 —
'4-Feb
APR_DRG 		Heart And/or Lung Transplant 1 $656,819.90 $656,819.90 $656,819.90 —
'583-4
APR_DRG 		Neonate With Ecmo 1 $453,855.08 $674,970.70 $586,931.04 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 $353,353.37 $768,955.53 $532,343.86 nat. median
$370,174
1.4× median
'583-3
APR_DRG 		Neonate With Ecmo 1 $294,021.20 $550,940.82 $479,078.97 —
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $296,088.65 $542,209.28 $471,486.33 —
'161-4
APR_DRG 		Implantable Heart Assist Systems 1 $224,715.78 $479,370.76 $416,844.14 —
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
$265,286
1.5× 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
$206,474
1.8× median
'7-4
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $366,321.28 $366,321.28 $366,321.28 —
'583-2
APR_DRG 		Neonate With Ecmo 1 $225,754.62 $407,735.17 $354,552.32 —
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
$202,976
1.7× median
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $194,679.51 $374,622.54 $325,758.73 —
'161-3
APR_DRG 		Implantable Heart Assist Systems 1 $152,048.21 $367,245.69 $319,344.08 —
'4-Jul
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $318,540.24 $318,540.24 $318,540.24 —
'2-3
APR_DRG 		Heart And/or Lung Transplant 1 $318,160.83 $318,160.83 $318,160.83 —
'4-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $311,399.14 $311,399.14 $311,399.14 —
'1-4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $307,488.01 $307,488.01 $307,488.01 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $192,568.06 $349,312.01 $303,749.57 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $168,974.63 $342,044.41 $297,429.92 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $215,986.46 $340,324.99 $295,934.77 —
'6-4
APR_DRG 		Pancreas Transplant 1 $291,947.72 $291,947.72 $291,947.72 —
'9-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $287,471.86 $287,471.86 $287,471.86 —
'583-1
APR_DRG 		Neonate With Ecmo 1 $164,093.62 $326,599.92 $283,999.93 —
'3-Feb
APR_DRG 		Heart And/or Lung Transplant 1 $276,661.59 $276,661.59 $276,661.59 —
'11-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $271,696.26 $271,696.26 $271,696.26 —
'4-Apr
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $270,781.86 $270,781.86 $270,781.86 —
'4-Jan
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $267,380.88 $267,380.88 $267,380.88 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $213,027.56 $306,242.57 $266,297.89 —
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $161,325.09 $306,017.35 $266,102.04 —
'002-4
APR_DRG 		Heart And/or Lung Transplant 1 $262,213.28 $262,213.28 $262,213.28 —
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $131,106.64 $296,736.20 $258,031.48 —
'161-2
APR_DRG 		Implantable Heart Assist Systems 1 $122,051.85 $294,867.20 $256,406.26 —
'4-Jun
APR_DRG 		Pancreas Transplant 1 $253,867.58 $253,867.58 $253,867.58 —
'4-Sep
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $249,975.53 $249,975.53 $249,975.53 —
'161-1
APR_DRG 		Implantable Heart Assist Systems 1 $116,286.55 $280,123.59 $243,585.73 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $188,094.39 $278,800.83 $242,435.50 —
'4-Nov
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $236,257.62 $236,257.62 $236,257.62 —
'8-4
APR_DRG 		Autologous Bone Marrow Transplant 1 $235,054.05 $235,054.05 $235,054.05 —
'011-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $230,565.01 $230,565.01 $230,565.01 —
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
$133,161
1.7× median
'2-2
APR_DRG 		Heart And/or Lung Transplant 1 $226,381.34 $226,381.34 $226,381.34 —
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $174,411.40 $245,446.18 $213,431.46 —
'4-3
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $207,123.21 $207,123.21 $207,123.21 —
'4-Aug
APR_DRG 		Autologous Bone Marrow Transplant 1 $204,394.83 $204,394.83 $204,394.83 —
'5-4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $200,948.10 $200,948.10 $200,948.10 —
'2-Feb
APR_DRG 		Heart And/or Lung Transplant 1 $196,853.34 $196,853.34 $196,853.34 —
'588-1
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $144,835.69 $225,147.66 $195,780.57 —
7
MS_DRG 		Lung Transplant 16 $118,002.51 $256,793.02 $194,397.91 nat. median
$122,708
1.6× median
'6-3
APR_DRG 		Pancreas Transplant 1 $194,201.54 $194,201.54 $194,201.54 —

Other procedures at this hospital

Browse this hospital's 16,164 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
             
'2-4 APR_DRG Heart And/or Lung Transplant 1 1 — — $755,342.89 $755,342.89 $755,342.89 2025-01-01
'4-Feb APR_DRG Heart And/or Lung Transplant 1 1 — — $656,819.90 $656,819.90 $656,819.90 2025-01-01
'583-4 APR_DRG 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 APR_DRG Neonate With Ecmo 3 1 — — $294,021.20 $550,940.82 $479,078.97 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 1 — — $296,088.65 $542,209.28 $471,486.33 2025-01-01
'161-4 APR_DRG 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 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $366,321.28 $366,321.28 $366,321.28 2025-01-01
'583-2 APR_DRG 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 APR_DRG 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 APR_DRG Implantable Heart Assist Systems 3 1 — — $152,048.21 $367,245.69 $319,344.08 2025-01-01
'4-Jul APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $318,540.24 $318,540.24 $318,540.24 2025-01-01
'2-3 APR_DRG Heart And/or Lung Transplant 1 1 — — $318,160.83 $318,160.83 $318,160.83 2025-01-01
'4-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $311,399.14 $311,399.14 $311,399.14 2025-01-01
'1-4 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $307,488.01 $307,488.01 $307,488.01 2025-01-01
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 1 — — $192,568.06 $349,312.01 $303,749.57 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 1 — — $168,974.63 $342,044.41 $297,429.92 2025-01-01
'630-4 APR_DRG 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 APR_DRG Pancreas Transplant 1 1 — — $291,947.72 $291,947.72 $291,947.72 2025-01-01
'9-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $287,471.86 $287,471.86 $287,471.86 2025-01-01
'583-1 APR_DRG Neonate With Ecmo 3 1 — — $164,093.62 $326,599.92 $283,999.93 2025-01-01
'3-Feb APR_DRG Heart And/or Lung Transplant 1 1 — — $276,661.59 $276,661.59 $276,661.59 2025-01-01
'11-4 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $270,781.86 $270,781.86 $270,781.86 2025-01-01
'4-Jan APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $267,380.88 $267,380.88 $267,380.88 2025-01-01
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 3 1 — — $213,027.56 $306,242.57 $266,297.89 2025-01-01
'603-4 APR_DRG 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 APR_DRG Heart And/or Lung Transplant 1 1 — — $262,213.28 $262,213.28 $262,213.28 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 1 — — $131,106.64 $296,736.20 $258,031.48 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 3 1 — — $122,051.85 $294,867.20 $256,406.26 2025-01-01
'4-Jun APR_DRG Pancreas Transplant 1 1 — — $253,867.58 $253,867.58 $253,867.58 2025-01-01
'4-Sep APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $249,975.53 $249,975.53 $249,975.53 2025-01-01
'161-1 APR_DRG Implantable Heart Assist Systems 3 1 — — $116,286.55 $280,123.59 $243,585.73 2025-01-01
'591-4 APR_DRG 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 APR_DRG 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 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $235,054.05 $235,054.05 $235,054.05 2025-01-01
'011-4 APR_DRG 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 APR_DRG Heart And/or Lung Transplant 1 1 — — $226,381.34 $226,381.34 $226,381.34 2025-01-01
'593-4 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $207,123.21 $207,123.21 $207,123.21 2025-01-01
'4-Aug APR_DRG Autologous Bone Marrow Transplant 1 1 — — $204,394.83 $204,394.83 $204,394.83 2025-01-01
'5-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $200,948.10 $200,948.10 $200,948.10 2025-01-01
'2-Feb APR_DRG Heart And/or Lung Transplant 1 1 — — $196,853.34 $196,853.34 $196,853.34 2025-01-01
'588-1 APR_DRG 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 APR_DRG Pancreas Transplant 1 1 — — $194,201.54 $194,201.54 $194,201.54 2025-01-01
'2-1 APR_DRG Heart And/or Lung Transplant 1 1 — — $194,070.44 $194,070.44 $194,070.44 2025-01-01
'607-4 APR_DRG 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 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $193,085.52 $193,085.52 $193,085.52 2025-01-01
'631-4 APR_DRG 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 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $180,107.14 $180,107.14 $180,107.14 2025-01-01
'11-3 APR_DRG 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 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $178,539.12 $178,539.12 $178,539.12 2025-01-01
'602-4 APR_DRG 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 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $177,644.59 $177,644.59 $177,644.59 2025-01-01
'609-3 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $174,737.48 $174,737.48 $174,737.48 2025-01-01
'3-Jun APR_DRG Pancreas Transplant 1 1 — — $168,870.90 $168,870.90 $168,870.90 2025-01-01
'1-Feb APR_DRG Heart And/or Lung Transplant 1 1 — — $168,756.90 $168,756.90 $168,756.90 2025-01-01
'3-Jan APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $167,900.45 $167,900.45 $167,900.45 2025-01-01
'7-2 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $167,381.67 $167,381.67 $167,381.67 2025-01-01
'6-2 APR_DRG Pancreas Transplant 1 1 — — $166,998.46 $166,998.46 $166,998.46 2025-01-01
'593-3 APR_DRG 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 APR_DRG 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 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $160,812.03 $160,812.03 $160,812.03 2025-01-01
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $158,778.66 $158,778.66 $158,778.66 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $157,690.69 $157,690.69 $157,690.69 2025-01-01
'303-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Other Major Head And Neck Procedures 1 1 — — $153,214.57 $153,214.57 $153,214.57 2025-01-01
'602-3 APR_DRG 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 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $153,029.68 $153,029.68 $153,029.68 2025-01-01
'591-3 APR_DRG 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 APR_DRG 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 APR_DRG Heart And/or Lung Transplant 1 1 — — $147,231.68 $147,231.68 $147,231.68 2025-01-01
'842-4 APR_DRG 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 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $145,549.28 $145,549.28 $145,549.28 2025-01-01
'2-Jun APR_DRG Pancreas Transplant 1 1 — — $145,216.05 $145,216.05 $145,216.05 2025-01-01
'589-1 APR_DRG 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 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $141,231.93 $141,231.93 $141,231.93 2025-01-01
'1-1 APR_DRG 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 APR_DRG Neonatal Aftercare 3 1 — — $82,666.02 $161,344.39 $140,299.47 2025-01-01
'9-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $137,114.58 $137,114.58 $137,114.58 2025-01-01
'440-4 APR_DRG Kidney Transplant 3 1 — — $83,643.45 $157,641.68 $137,079.72 2025-01-01
'5-3 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $135,825.73 $135,825.73 $135,825.73 2025-01-01
'11-2 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $133,069.29 $133,069.29 $133,069.29 2025-01-01
'602-2 APR_DRG 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 APR_DRG Extensive Third Degree Burns With Skin Graft 3 1 — — $68,173.45 $148,372.30 $129,019.39 2025-01-01
'593-2 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 1 — — $54,088.22 $144,397.30 $125,562.87 2025-01-01
'178-4 APR_DRG 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 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $122,169.20 $122,169.20 $122,169.20 2025-01-01
'3-Sep APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $119,230.07 $119,230.07 $119,230.07 2025-01-01
'3-May APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $119,107.30 $119,107.30 $119,107.30 2025-01-01
'589-2 APR_DRG 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 APR_DRG 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 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 1 — — $109,636.59 $126,082.08 $117,859.33 2025-01-01
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 1 — — $75,062.54 $135,317.84 $117,667.69 2025-01-01
'680-4 APR_DRG 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 APR_DRG Pancreas Transplant 1 1 — — $116,193.01 $116,193.01 $116,193.01 2025-01-01
'8-3 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $112,883.09 $112,883.09 $112,883.09 2025-01-01
'621-4 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $112,553.66 $112,553.66 $112,553.66 2025-01-01
'633-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 1 — — $67,414.02 $127,981.34 $111,288.12 2025-01-01
'851-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $107,761.82 $107,761.82 $107,761.82 2025-01-01
'002-2 APR_DRG Heart And/or Lung Transplant 1 1 — — $107,147.83 $107,147.83 $107,147.83 2025-01-01
'440-3 APR_DRG Kidney Transplant 3 1 — — $50,690.24 $122,656.70 $106,658.00 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 3 1 — — $63,028.38 $122,396.18 $106,431.46 2025-01-01
'303-3 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Percutaneous Structural Cardiac Procedures 3 1 — — $62,264.86 $119,614.52 $104,012.63 2025-01-01
'759-4 APR_DRG Eating Disorders 2 1 — — $96,535.45 $111,015.77 $103,775.61 2025-01-01
'179-4 APR_DRG Defibrillator Implants 3 1 — — $57,902.75 $118,547.24 $103,084.56 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $102,857.37 $102,857.37 $102,857.37 2025-01-01
'361-4 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 1 — — $59,904.69 $118,130.42 $102,722.10 2025-01-01
'608-3 APR_DRG 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 APR_DRG 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 APR_DRG Kidney Transplant 3 1 — — $44,306.75 $116,590.84 $101,383.34 2025-01-01
'5-1 APR_DRG 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 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $100,766.57 $100,766.57 $100,766.57 2025-01-01
'89-4 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $98,882.15 $98,882.15 $98,882.15 2025-01-01
'163-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $98,159.21 $98,159.21 $98,159.21 2025-01-01
'651-4 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 1 — — $46,547.17 $112,691.48 $97,992.59 2025-01-01
'440-1 APR_DRG Kidney Transplant 3 1 — — $40,873.98 $112,678.04 $97,980.90 2025-01-01
'612-4 APR_DRG 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 APR_DRG 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 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $96,510.82 $96,510.82 $96,510.82 2025-01-01
'091-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $93,705.93 $93,705.93 $93,705.93 2025-01-01
'26-4 APR_DRG Other Nervous System And Related Procedures 1 1 — — $93,569.50 $93,569.50 $93,569.50 2025-01-01
'441-4 APR_DRG 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 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $92,641.71 $92,641.71 $92,641.71 2025-01-01
'27-4 APR_DRG Other Open Craniotomy 1 1 — — $92,337.50 $92,337.50 $92,337.50 2025-01-01
'178-3 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Chemotherapy For Acute Leukemia 3 1 — — $54,426.99 $101,790.08 $88,513.11 2025-01-01
'008-4 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $88,491.71 $88,491.71 $88,491.71 2025-01-01
'303-2 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $87,981.12 $87,981.12 $87,981.12 2025-01-01
'304-4 APR_DRG 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 APR_DRG 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 APR_DRG Adrenal Procedures 3 1 — — $42,318.12 $100,208.49 $87,137.82 2025-01-01
'404-4 APR_DRG 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 APR_DRG Open Craniotomy For Trauma 1 1 — — $85,385.88 $85,385.88 $85,385.88 2025-01-01
'611-3 APR_DRG 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 APR_DRG Schizophrenia 2 1 — — $79,384.40 $91,292.06 $85,338.23 2025-01-01
'178-2 APR_DRG External Heart Assist Systems 3 1 — — $50,590.96 $97,988.21 $85,207.14 2025-01-01
'423-4 APR_DRG Inborn Errors Of Metabolism 3 1 — — $36,152.63 $97,465.49 $84,752.60 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 1 — — $51,952.20 $97,230.19 $84,547.99 2025-01-01
'607-3 APR_DRG 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 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $83,922.45 $83,922.45 $83,922.45 2025-01-01
'176-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Pancreas Transplant 1 1 — — $81,144.10 $81,144.10 $81,144.10 2025-01-01
'232-4 APR_DRG Gastric Fundoplication 3 1 — — $54,696.17 $93,272.00 $81,106.09 2025-01-01
'614-3 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Major Abdominal Vascular Procedures 3 1 — — $53,735.11 $92,468.59 $80,407.47 2025-01-01
'260-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Percutaneous Structural Cardiac Procedures 3 1 — — $41,699.93 $88,555.78 $77,005.03 2025-01-01
'362-4 APR_DRG Mastectomy Procedures 3 1 — — $29,162.22 $88,493.60 $76,950.96 2025-01-01
'850-4 APR_DRG 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 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 1 — — $42,923.00 $88,088.54 $76,598.73 2025-01-01
'009-3 APR_DRG 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 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 1 — — $47,484.68 $87,468.34 $76,059.43 2025-01-01
'178-1 APR_DRG External Heart Assist Systems 3 1 — — $42,919.93 $87,397.75 $75,998.04 2025-01-01
'514-4 APR_DRG 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 APR_DRG 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 APR_DRG Spinal Procedures 1 1 — — $74,902.98 $74,902.98 $74,902.98 2025-01-01
'092-4 APR_DRG 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 APR_DRG 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 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $74,277.52 $74,277.52 $74,277.52 2025-01-01
'912-4 APR_DRG 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 APR_DRG Major Small Bowel Procedures 3 1 — — $44,590.26 $84,696.76 $73,649.36 2025-01-01
'740-3 APR_DRG 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 APR_DRG 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 APR_DRG Orbit And Eye Procedures 1 1 — — $72,686.07 $72,686.07 $72,686.07 2025-01-01
'483-4 APR_DRG Penis, Testes And Scrotal Procedures 3 1 — — $34,148.64 $83,426.12 $72,544.45 2025-01-01
'609-2 APR_DRG 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 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 1 — — $44,982.25 $83,217.70 $72,363.22 2025-01-01
'480-4 APR_DRG 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
See an error in this hospital's data? Submit a correction