Price Transparency Hospital negotiated rates

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

Export CSV
Hospital

Mount Sinai Rehabilitation Hospital Inc

Hartford, CT · CCN 073025 · Rates published

16,274 distinct procedures filed
36 distinct payers
226,540 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

215,888 of 226,540 rate rows are consumer-grade (95.3%)

10,652 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 9,761
template filing: same amount across many unrelated codes — excluded 646
exceeds 10× this hospital's gross charge — excluded from medians 163
placeholder amount (≤ $0.02) — excluded from medians 73
per-diem day rate — not a per-procedure price 9

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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/mountsinai-rehabilitationhospital
Found on page https://www.trinityhealthofne.org/for-patients/billing-and-financial-resources/price-estimates-lists
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 16a786fe0cc80228… · 2,735,844 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 11 $1,827,175.00 $3,858,400.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $1,669,789.09 $3,460,246.28 $3,327,159.88 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,170,990.00 $3,417,440.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,864,120.00 $3,086,720.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $24,278.95 $4,944,477.34 $2,354,513.02 nat. median
$2,469,189
1.0× median
'2-4
APR_DRG 		Heart And/or Lung Transplant 1 $755,342.89 $755,342.89 $755,342.89 —
'002-4
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 $586,931.04 $674,970.70 $630,950.87 —
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $63,034.11 $1,099,250.38 $523,452.56 nat. median
$754,974
0.7× median
'583-3
APR_DRG 		Neonate With Ecmo 1 $479,078.97 $550,940.82 $515,009.89 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $63,034.11 $1,066,142.70 $507,687.00 nat. median
$675,122
0.8× median
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $471,486.33 $542,209.28 $506,847.81 —
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $63,034.11 $1,057,254.51 $503,454.53 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $63,034.11 $1,042,419.44 $496,390.21 nat. median
$674,188
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $63,034.11 $1,027,187.51 $489,136.91 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $63,034.11 $943,824.00 $449,440.00 nat. median
$620,080
0.7× median
'161-4
APR_DRG 		Implantable Heart Assist Systems 1 $416,844.14 $479,370.76 $448,107.45 —
'583-2
APR_DRG 		Neonate With Ecmo 1 $354,552.32 $407,735.17 $381,143.74 —
'7-4
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $366,321.28 $366,321.28 $366,321.28 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $325,758.73 $374,622.54 $350,190.64 —
'161-3
APR_DRG 		Implantable Heart Assist Systems 1 $319,344.08 $367,245.69 $343,294.89 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $303,749.57 $349,312.01 $326,530.79 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $297,429.92 $342,044.41 $319,737.16 —
'007-4
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 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $295,934.77 $340,324.99 $318,129.88 —
'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 —
'583-1
APR_DRG 		Neonate With Ecmo 1 $283,999.93 $326,599.92 $305,299.92 —
'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 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $266,297.89 $306,242.57 $286,270.23 —
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $266,102.04 $306,017.35 $286,059.69 —
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $258,031.48 $296,736.20 $277,383.84 —
'002-3
APR_DRG 		Heart And/or Lung Transplant 1 $276,661.59 $276,661.59 $276,661.59 —
'161-2
APR_DRG 		Implantable Heart Assist Systems 1 $256,406.26 $294,867.20 $275,636.73 —
'11-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $271,696.26 $271,696.26 $271,696.26 —
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $270,781.86 $270,781.86 $270,781.86 —
'001-4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $267,380.88 $267,380.88 $267,380.88 —
'161-1
APR_DRG 		Implantable Heart Assist Systems 1 $243,585.73 $280,123.59 $261,854.66 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $242,435.50 $278,800.83 $260,618.17 —
'006-4
APR_DRG 		Pancreas Transplant 1 $253,867.58 $253,867.58 $253,867.58 —
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $249,975.53 $249,975.53 $249,975.53 —
'011-4
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 —
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $213,431.46 $245,446.18 $229,438.82 —
'2-2
APR_DRG 		Heart And/or Lung Transplant 1 $226,381.34 $226,381.34 $226,381.34 —
'588-1
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $195,780.57 $225,147.66 $210,464.11 —
'607-4
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $193,572.20 $222,608.03 $208,090.11 —
'4-3
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $207,123.21 $207,123.21 $207,123.21 —

Other procedures at this hospital

Browse this hospital's 16,274 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
             
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,170,990.00 $3,417,440.00 $3,286,000.00 2025-01-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 9 — — $2,864,120.00 $3,086,720.00 $2,968,000.00 2025-01-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 11 — — $1,827,175.00 $3,858,400.00 $3,710,000.00 2025-01-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 11 — — $1,669,789.09 $3,460,246.28 $3,327,159.88 2025-01-01
'2-4 APR_DRG Heart And/or Lung Transplant 1 1 — — $755,342.89 $755,342.89 $755,342.89 2025-01-01
'002-4 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 2 1 — — $586,931.04 $674,970.70 $630,950.87 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 2 1 — — $479,078.97 $550,940.82 $515,009.89 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $471,486.33 $542,209.28 $506,847.81 2025-01-01
'161-4 APR_DRG Implantable Heart Assist Systems 2 1 — — $416,844.14 $479,370.76 $448,107.45 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 2 1 — — $354,552.32 $407,735.17 $381,143.74 2025-01-01
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $325,758.73 $374,622.54 $350,190.64 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 2 1 — — $319,344.08 $367,245.69 $343,294.89 2025-01-01
'007-4 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 2 1 — — $303,749.57 $349,312.01 $326,530.79 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $297,429.92 $342,044.41 $319,737.16 2025-01-01
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $295,934.77 $340,324.99 $318,129.88 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 2 1 — — $283,999.93 $326,599.92 $305,299.92 2025-01-01
'002-3 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
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $270,781.86 $270,781.86 $270,781.86 2025-01-01
'001-4 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 2 1 — — $266,297.89 $306,242.57 $286,270.23 2025-01-01
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $266,102.04 $306,017.35 $286,059.69 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $258,031.48 $296,736.20 $277,383.84 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 2 1 — — $256,406.26 $294,867.20 $275,636.73 2025-01-01
'006-4 APR_DRG Pancreas Transplant 1 1 — — $253,867.58 $253,867.58 $253,867.58 2025-01-01
'009-4 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 2 1 — — $243,585.73 $280,123.59 $261,854.66 2025-01-01
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $242,435.50 $278,800.83 $260,618.17 2025-01-01
'011-4 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
'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 2 1 — — $213,431.46 $245,446.18 $229,438.82 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
'008-4 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
'002-2 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 2 1 — — $195,780.57 $225,147.66 $210,464.11 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… 2 1 — — $193,572.20 $222,608.03 $208,090.11 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 2 1 — — $185,728.18 $213,587.41 $199,657.79 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
'004-3 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
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $177,976.23 $204,672.66 $191,324.45 2025-01-01
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $175,275.32 $201,566.62 $188,420.97 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $174,737.48 $174,737.48 $174,737.48 2025-01-01
'006-3 APR_DRG Pancreas Transplant 1 1 — — $168,870.90 $168,870.90 $168,870.90 2025-01-01
'002-1 APR_DRG Heart And/or Lung Transplant 1 1 — — $168,756.90 $168,756.90 $168,756.90 2025-01-01
'001-3 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 2 1 — — $166,254.76 $191,192.97 $178,723.86 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
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $160,812.03 $160,812.03 $160,812.03 2025-01-01
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $156,409.91 $179,871.40 $168,140.65 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
'011-3 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
'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… 2 1 — — $153,144.85 $176,116.58 $164,630.71 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 2 1 — — $152,991.39 $175,940.10 $164,465.74 2025-01-01
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $147,303.12 $169,398.59 $158,350.85 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $145,603.36 $167,443.86 $156,523.61 2025-01-01
'007-2 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $145,549.28 $145,549.28 $145,549.28 2025-01-01
'006-2 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 … 2 1 — — $142,772.38 $164,188.24 $153,480.31 2025-01-01
'001-2 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
'863-4 APR_DRG Neonatal Aftercare 2 1 — — $140,299.47 $161,344.39 $150,821.93 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 2 1 — — $137,079.72 $157,641.68 $147,360.70 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
'004-2 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
'6-1 APR_DRG Pancreas Transplant 1 1 — — $133,621.96 $133,621.96 $133,621.96 2025-01-01
'091-4 APR_DRG Other Major Head And Neck Procedures 1 1 — — $133,230.06 $133,230.06 $133,230.06 2025-01-01
'007-1 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… 2 1 — — $131,202.91 $150,883.35 $141,043.13 2025-01-01
'841-3 APR_DRG Extensive Third Degree Burns With Skin Graft 2 1 — — $129,019.39 $148,372.30 $138,695.85 2025-01-01
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $128,686.16 $147,989.08 $138,337.62 2025-01-01
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $128,621.85 $147,915.13 $138,268.49 2025-01-01
'613-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $127,439.48 $146,555.40 $136,997.44 2025-01-01
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $126,930.87 $145,970.50 $136,450.68 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 1 — — $125,562.87 $144,397.30 $134,980.08 2025-01-01
'178-4 APR_DRG External Heart Assist Systems 2 1 — — $123,621.96 $142,165.25 $132,893.61 2025-01-01
'001-1 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $122,169.20 $122,169.20 $122,169.20 2025-01-01
'009-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $119,230.07 $119,230.07 $119,230.07 2025-01-01
'005-3 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 … 2 1 — — $118,524.15 $136,302.77 $127,413.46 2025-01-01
'011-2 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
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $117,667.69 $135,317.84 $126,492.76 2025-01-01
'680-4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $116,846.32 $134,373.27 $125,609.79 2025-01-01
'006-1 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
'690-4 APR_DRG Acute Leukemia 2 1 — — $115,203.56 $132,484.09 $123,843.82 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 2 1 — — $113,176.42 $130,152.88 $121,664.65 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 2 1 — — $112,559.65 $129,443.60 $121,001.62 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 2 1 — — $111,288.12 $127,981.34 $119,634.73 2025-01-01
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $110,095.51 $126,609.84 $118,352.67 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
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $108,145.83 $124,367.70 $116,256.76 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
'440-3 APR_DRG Kidney Transplant 2 1 — — $106,658.00 $122,656.70 $114,657.35 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $106,431.46 $122,396.18 $114,413.82 2025-01-01
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $106,077.77 $121,989.44 $114,033.61 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
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $104,012.63 $119,614.52 $111,813.58 2025-01-01
'179-4 APR_DRG Defibrillator Implants 2 1 — — $103,084.56 $118,547.24 $110,815.90 2025-01-01
'361-4 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 1 — — $102,722.10 $118,130.42 $110,426.26 2025-01-01
'608-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $102,486.79 $117,859.81 $110,173.30 2025-01-01
'614-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $102,412.26 $117,774.10 $110,093.18 2025-01-01
'440-2 APR_DRG Kidney Transplant 2 1 — — $101,383.34 $116,590.84 $108,987.09 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
'008-3 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
'591-2 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $100,119.12 $115,136.99 $107,628.05 2025-01-01
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $98,860.74 $98,860.74 $98,860.74 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $98,720.43 $113,528.49 $106,124.46 2025-01-01
'510-4 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 1 — — $98,691.20 $113,494.88 $106,093.04 2025-01-01
'009-2 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 2 1 — — $97,992.59 $112,691.48 $105,342.04 2025-01-01
'440-1 APR_DRG Kidney Transplant 2 1 — — $97,980.90 $112,678.04 $105,329.47 2025-01-01
'612-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $97,973.59 $112,669.63 $105,321.61 2025-01-01
'005-2 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $97,872.75 $97,872.75 $97,872.75 2025-01-01
'759-4 APR_DRG Eating Disorders 2 1 — — $96,535.45 $111,015.77 $103,775.61 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
'631-3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $96,010.76 $110,412.37 $103,211.57 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $95,376.45 $109,682.92 $102,529.68 2025-01-01
'589-3 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $94,274.46 $108,415.63 $101,345.05 2025-01-01
'630-2 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $93,938.31 $108,029.06 $100,983.68 2025-01-01
'004-1 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 2 1 — — $93,543.70 $107,575.26 $100,559.48 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
'021-4 APR_DRG Open Craniotomy Except Trauma 1 1 — — $91,605.71 $91,605.71 $91,605.71 2025-01-01
'178-3 APR_DRG External Heart Assist Systems 2 1 — — $91,455.17 $105,173.45 $98,314.31 2025-01-01
'120-4 APR_DRG Major Respiratory And Chest Procedures 2 1 — — $90,125.18 $103,643.96 $96,884.57 2025-01-01
'22-4 APR_DRG Ventricular Shunt Procedures 1 1 — — $89,019.68 $89,019.68 $89,019.68 2025-01-01
'695-4 APR_DRG Chemotherapy For Acute Leukemia 2 1 — — $88,513.11 $101,790.08 $95,151.60 2025-01-01
'303-2 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $88,431.27 $101,695.96 $95,063.62 2025-01-01
'005-1 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 2 1 — — $87,333.66 $100,433.71 $93,883.68 2025-01-01
'089-4 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $87,254.74 $87,254.74 $87,254.74 2025-01-01
'401-4 APR_DRG Adrenal Procedures 2 1 — — $87,137.82 $100,208.49 $93,673.15 2025-01-01
'404-4 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 1 — — $86,759.28 $99,773.17 $93,266.23 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 2 1 — — $85,338.67 $98,139.47 $91,739.07 2025-01-01
'178-2 APR_DRG External Heart Assist Systems 2 1 — — $85,207.14 $97,988.21 $91,597.68 2025-01-01
'423-4 APR_DRG Inborn Errors Of Metabolism 2 1 — — $84,752.60 $97,465.49 $91,109.05 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $84,547.99 $97,230.19 $90,889.09 2025-01-01
'607-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $84,205.99 $96,836.89 $90,521.44 2025-01-01
'008-2 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 2 1 — — $83,888.84 $96,472.17 $90,180.51 2025-01-01
'511-4 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 1 — — $82,992.92 $95,441.86 $89,217.39 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
'026-4 APR_DRG Other Nervous System And Related Procedures 1 1 — — $81,364.78 $81,364.78 $81,364.78 2025-01-01
'792-4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $81,250.78 $93,438.40 $87,344.59 2025-01-01
'232-4 APR_DRG Gastric Fundoplication 2 1 — — $81,106.09 $93,272.00 $87,189.04 2025-01-01
'614-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $80,647.17 $92,744.25 $86,695.71 2025-01-01
'009-1 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $80,558.01 $80,558.01 $80,558.01 2025-01-01
'681-4 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $80,483.47 $92,555.99 $86,519.73 2025-01-01
'169-4 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $80,407.47 $92,468.59 $86,438.03 2025-01-01
'260-4 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 1 — — $80,350.47 $92,403.04 $86,376.76 2025-01-01
'027-4 APR_DRG Other Open Craniotomy 1 1 — — $80,293.48 $80,293.48 $80,293.48 2025-01-01
'750-4 APR_DRG Schizophrenia 2 1 — — $79,384.40 $91,292.06 $85,338.23 2025-01-01
'911-4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 1 — — $79,323.02 $91,221.47 $85,272.24 2025-01-01
'512-4 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 1 — — $78,618.56 $90,411.34 $84,514.95 2025-01-01
'622-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $78,175.72 $89,902.08 $84,038.90 2025-01-01
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $78,104.10 $89,819.72 $83,961.91 2025-01-01
'612-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $77,903.88 $89,589.46 $83,746.67 2025-01-01
'022-4 APR_DRG Ventricular Shunt Procedures 1 1 — — $77,408.42 $77,408.42 $77,408.42 2025-01-01
'623-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $77,193.57 $88,772.61 $82,983.09 2025-01-01
'613-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $77,031.34 $88,586.04 $82,808.69 2025-01-01
'183-3 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $77,005.03 $88,555.78 $82,780.40 2025-01-01
'362-4 APR_DRG Mastectomy Procedures 2 1 — — $76,950.96 $88,493.60 $82,722.28 2025-01-01
'850-4 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 1 — — $76,948.04 $88,490.25 $82,719.14 2025-01-01
'405-4 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 1 — — $76,598.73 $88,088.54 $82,343.63 2025-01-01
'130-4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $76,059.43 $87,468.34 $81,763.88 2025-01-01
'178-1 APR_DRG External Heart Assist Systems 2 1 — — $75,998.04 $87,397.75 $81,697.89 2025-01-01
'514-4 APR_DRG Female Reproductive System Reconstructive Procedures 2 1 — — $75,943.96 $87,335.55 $81,639.76 2025-01-01
'23-4 APR_DRG Spinal Procedures 1 1 — — $74,902.98 $74,902.98 $74,902.98 2025-01-01
'179-3 APR_DRG Defibrillator Implants 2 1 — — $74,682.67 $85,885.07 $80,283.87 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
'020-4 APR_DRG Open Craniotomy For Trauma 1 1 — — $74,248.59 $74,248.59 $74,248.59 2025-01-01
'912-4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $73,950.44 $85,043.01 $79,496.73 2025-01-01
'230-4 APR_DRG Major Small Bowel Procedures 2 1 — — $73,649.36 $84,696.76 $79,173.06 2025-01-01
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $73,134.91 $84,105.15 $78,620.03 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 2 1 — — $72,544.45 $83,426.12 $77,985.29 2025-01-01
'609-2 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $72,402.68 $83,263.08 $77,832.88 2025-01-01
'264-4 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 1 — — $72,363.22 $83,217.70 $77,790.46 2025-01-01
'480-4 APR_DRG Major Male Pelvic Procedures 2 1 — — $72,206.84 $83,037.87 $77,622.35 2025-01-01
'029-4 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $71,381.07 $71,381.07 $71,381.07 2025-01-01
'625-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 1 — — $71,113.61 $81,780.65 $76,447.13 2025-01-01
'162-3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $70,952.84 $81,595.77 $76,274.30 2025-01-01
'711-4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 1 — — $70,881.23 $81,513.41 $76,197.32 2025-01-01
'170-4 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 1 — — $70,872.46 $81,503.33 $76,187.90 2025-01-01
'30-4 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $70,580.08 $70,580.08 $70,580.08 2025-01-01
'484-4 APR_DRG Other Male Reproductive System And Related Procedures 2 1 — — $70,131.46 $80,651.18 $75,391.32 2025-01-01
'609-1 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $70,030.62 $80,535.21 $75,282.92 2025-01-01
407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 13 — — $69,862.83 $152,033.09 $72,396.71 2025-01-01
'91-3 APR_DRG Other Major Head And Neck Procedures 1 1 — — $69,753.15 $69,753.15 $69,753.15 2025-01-01
'222-4 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 2 1 — — $68,873.09 $79,204.05 $74,038.57 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
'98-4 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 1 1 — — $68,119.45 $68,119.45 $68,119.45 2025-01-01
'181-4 APR_DRG Lower Extremity Arterial Procedures 2 1 — — $68,064.86 $78,274.59 $73,169.73 2025-01-01
'690-3 APR_DRG Acute Leukemia 2 1 — — $67,684.86 $77,837.59 $72,761.23 2025-01-01
'49-4 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $67,484.13 $67,484.13 $67,484.13 2025-01-01
'309-4 APR_DRG Other Significant Hip And Femur Surgery 2 1 — — $66,863.49 $76,893.01 $71,878.25 2025-01-01
'261-4 APR_DRG Major Biliary Tract Procedures 2 1 — — $66,591.64 $76,580.39 $71,586.01 2025-01-01
'621-3 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $66,346.10 $76,298.02 $71,322.06 2025-01-01
'317-4 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 2 1 — — $66,166.34 $76,091.29 $71,128.82 2025-01-01
'607-2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $65,517.42 $75,345.03 $70,431.23 2025-01-01
'650-4 APR_DRG Splenectomy 2 1 — — $65,473.57 $75,294.61 $70,384.09 2025-01-01
'50-4 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $65,423.51 $65,423.51 $65,423.51 2025-01-01
'445-4 APR_DRG Other Bladder Procedures 2 1 — — $65,374.19 $75,180.32 $70,277.26 2025-01-01
'8-1 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $65,352.92 $65,352.92 $65,352.92 2025-01-01
'023-4 APR_DRG Spinal Procedures 1 1 — — $65,133.03 $65,133.03 $65,133.03 2025-01-01
'519-4 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 2 1 — — $64,985.42 $74,733.23 $69,859.32 2025-01-01
'24-4 APR_DRG Open Extracranial Vascular Procedures 1 1 — — $64,562.97 $64,562.97 $64,562.97 2025-01-01
'43-4 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 1 1 — — $64,531.03 $64,531.03 $64,531.03 2025-01-01
'710-4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 1 — — $64,270.73 $73,911.34 $69,091.04 2025-01-01
'182-4 APR_DRG Other Peripheral Vascular And Related Procedures 2 1 — — $63,928.73 $73,518.04 $68,723.38 2025-01-01
'910-3 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $63,415.74 $72,928.10 $68,171.92 2025-01-01
'518-4 APR_DRG Other Female Reproductive System And Related Procedures 2 1 — — $63,358.74 $72,862.55 $68,110.65 2025-01-01
'167-3 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $63,291.51 $72,785.24 $68,038.38 2025-01-01
'11-1 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $63,273.83 $63,273.83 $63,273.83 2025-01-01
'073-4 APR_DRG Orbit And Eye Procedures 1 1 — — $63,205.28 $63,205.28 $63,205.28 2025-01-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 13 — — $63,034.11 $1,099,250.38 $523,452.56 2025-01-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 13 — — $63,034.11 $1,066,142.70 $507,687.00 2025-01-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 13 — — $63,034.11 $1,057,254.51 $503,454.53 2025-01-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 13 — — $63,034.11 $1,042,419.44 $496,390.21 2025-01-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 13 — — $63,034.11 $1,027,187.51 $489,136.91 2025-01-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 13 — — $63,034.11 $943,824.00 $449,440.00 2025-01-01
Q2040 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $63,034.11 $63,034.11 $63,034.11 2025-01-01
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $63,034.11 $63,034.11 $63,034.11 2025-01-01
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $63,034.11 $63,034.11 $63,034.11 2025-01-01
C9076 HCPCS Lisocabtagene Car Pos T 1 1 — — $63,034.11 $63,034.11 $63,034.11 2025-01-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $63,034.11 $63,034.11 $63,034.11 2025-01-01
'183-2 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $62,418.98 $71,781.83 $67,100.40 2025-01-01
'951-4 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $62,148.59 $71,470.88 $66,809.74 2025-01-01
'447-4 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 1 — — $61,673.60 $70,924.64 $66,299.12 2025-01-01
1904 LOCAL Guillain-barr? M <38.50 13 13 — — $61,565.17 $133,976.01 $63,798.10 2025-01-01
'89-3 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $61,517.43 $61,517.43 $61,517.43 2025-01-01
'403-4 APR_DRG Procedures For Obesity 2 1 — — $61,514.29 $70,741.43 $66,127.86 2025-01-01
'030-4 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $61,373.98 $61,373.98 $61,373.98 2025-01-01
'97-4 APR_DRG Tonsil And Adenoid Procedures 1 1 — — $61,246.83 $61,246.83 $61,246.83 2025-01-01
'634-4 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 1 — — $61,156.21 $70,329.64 $65,742.93 2025-01-01
'091-3 APR_DRG Other Major Head And Neck Procedures 1 1 — — $60,654.91 $60,654.91 $60,654.91 2025-01-01
'229-4 APR_DRG Other Digestive System And Abdominal Procedures 2 1 — — $60,359.68 $69,413.63 $64,886.65 2025-01-01
'175-4 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 1 — — $60,330.45 $69,380.02 $64,855.24 2025-01-01
'636-4 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 2 1 — — $60,232.53 $69,267.41 $64,749.97 2025-01-01
'121-4 APR_DRG Other Respiratory And Chest Procedures 2 1 — — $60,010.38 $69,011.94 $64,511.16 2025-01-01
'163-3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $59,929.99 $68,919.49 $64,424.74 2025-01-01
'130-3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $59,563.15 $68,497.62 $64,030.38 2025-01-01
'183-1 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $59,416.99 $68,329.54 $63,873.26 2025-01-01
'623-3 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $59,402.38 $68,312.74 $63,857.56 2025-01-01
'098-4 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 1 1 — — $59,234.30 $59,234.30 $59,234.30 2025-01-01
'049-4 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $58,681.85 $58,681.85 $58,681.85 2025-01-01
'304-3 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $58,604.38 $67,395.04 $62,999.71 2025-01-01
'603-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $58,266.77 $67,006.79 $62,636.78 2025-01-01
'313-4 APR_DRG Knee And Lower Leg Procedures Except Foot 2 1 — — $58,174.70 $66,900.91 $62,537.81 2025-01-01
'952-4 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $58,040.23 $66,746.26 $62,393.24 2025-01-01
'310-4 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 2 1 — — $57,879.47 $66,561.39 $62,220.43 2025-01-01
'180-4 APR_DRG Other Circulatory System Procedures 2 1 — — $57,791.77 $66,460.54 $62,126.15 2025-01-01
'513-4 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 2 1 — — $57,620.78 $66,263.90 $61,942.34 2025-01-01
'444-4 APR_DRG Renal Dialysis Access Device Procedures 2 1 — — $57,416.16 $66,028.58 $61,722.37 2025-01-01
'305-4 APR_DRG Amputation Of Lower Limb Except Toes 2 1 — — $57,120.93 $65,689.07 $61,405.00 2025-01-01
'325-4 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $56,451.55 $64,919.28 $60,685.42 2025-01-01
'631-2 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $56,423.78 $64,887.35 $60,655.57 2025-01-01
'160-2 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $56,420.86 $64,883.99 $60,652.43 2025-01-01
'692-4 APR_DRG Radiotherapy 2 1 — — $56,333.17 $64,783.15 $60,558.16 2025-01-01
'910-2 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $56,328.78 $64,778.10 $60,553.44 2025-01-01
'131-4 APR_DRG Cystic Fibrosis - Pulmonary Disease 2 1 — — $55,733.94 $64,094.03 $59,913.99 2025-01-01
'363-4 APR_DRG Breast Procedures Except Mastectomy 2 1 — — $55,720.79 $64,078.91 $59,899.85 2025-01-01
'381-4 APR_DRG Major Skin Disorders 2 1 — — $55,466.48 $63,786.45 $59,626.46 2025-01-01
'633-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $55,231.18 $63,515.86 $59,373.52 2025-01-01
'162-2 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $55,155.18 $63,428.46 $59,291.82 2025-01-01
'322-4 APR_DRG Shoulder And Elbow Joint Replacement 2 1 — — $55,047.02 $63,304.07 $59,175.54 2025-01-01
'793-4 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $54,826.33 $63,050.28 $58,938.31 2025-01-01
'612-2 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $54,786.87 $63,004.90 $58,895.89 2025-01-01
'303-1 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $54,595.41 $62,784.72 $58,690.07 2025-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 13 — — $31,752.70 $133,348.59 $63,502.37 2025-01-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 13 — — $24,278.95 $4,944,477.34 $2,354,513.02 2025-01-01
0408T HCPCS Hc Insertion/replacement Cardiac Modulation System Pulse Generat 60 36 $128,597.00 $70,728.35 45% off $4,706.00 $124,764.81 $65,062.53 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 43 25 $97,800.00 $53,790.00 45% off $3,572.45 $89,477.22 $66,504.00 2025-01-01
See an error in this hospital's data? Submit a correction