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 →

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Hospital

FAIRVIEW HOSPITAL

Great Barrington, MA · CCN 221302 · Rates published

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You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $4,854 across 8 payers · range $4,757-$19,271

Source: https://bhs-publicdownload.s3.us-east-1.amazonaws.com/Public/042133860_Fairview-Hospital_StandardCharges.csv · observed 2026-10-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,982 distinct procedures filed
29 distinct payers
452,705 rate rows
2026-10-16 last MRF observed
Data quality

430,069 of 452,705 rate rows are consumer-grade (95.0%)

22,636 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 18,716
placeholder amount (≤ $0.02) — excluded from medians 1,459
per-diem day rate — not a per-procedure price 804
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 766
exceeds 10× this hospital's gross charge — excluded from medians 457
template filing: same amount across many unrelated codes — excluded 377
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bhs-publicdownload.s3.us-east-1.amazonaws.com/Public/042133860_Fairview-Hospital_StandardCharges.csv
Found on page https://www.berkshirehealthsystems.org/patient-journey/billing-and-finances/
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-16
Content fingerprint 735c8d95c5bbae36… · 76,081,268 bytes · first seen 2026-10-16

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
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $2,458,503.21 $2,458,503.21 $2,458,503.21 nat. median
$380,401
outlier · 6.5×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $1,548,662.86 $1,548,662.86 $1,548,662.86 nat. median
$1
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $1,449,879.22 $1,449,879.22 $1,449,879.22 nat. median
$39,358
outlier · 36.8×
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $1,141,954.91 $1,141,954.91 $1,141,954.91 nat. median
$232,664
outlier · 4.9×
5834
APR_DRG 		Neonate With Ecmo 8 $221,000.00 $925,051.36 $807,233.54 nat. median
$309,665
outlier · 2.6×
24
APR_DRG 		Heart And/or Lung Transplant 8 $220,000.00 $751,591.30 $700,125.07 nat. median
$243,231
outlier · 2.9×
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $665,063.59 $665,063.59 $665,063.59 nat. median
$61,481
outlier · 10.8×
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $664,016.52 $664,016.52 $664,016.52 nat. median
$60,512
outlier · 11.0×
7
OTHER 		Lung Transplant 1 $662,329.16 $662,329.16 $662,329.16 nat. median
$149,058
outlier · 4.4×
5833
APR_DRG 		Neonate With Ecmo 8 $221,000.00 $732,658.28 $658,899.58 nat. median
$244,017
outlier · 2.7×
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $657,409.26 $657,409.26 $657,409.26 nat. median
$6,354
outlier · 103.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $221,000.00 $758,793.36 $648,457.06 nat. median
$249,123
outlier · 2.6×
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $637,278.24 $637,278.24 $637,278.24 nat. median
$141,447
outlier · 4.5×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $603,686.99 $603,686.99 $603,686.99 nat. median
$55
outlier · 10944.3×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 $571,426.46 $571,426.46 $571,426.46 nat. median
$98
outlier · 5833.9×
423
OTHER 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $570,725.93 $570,725.93 $570,725.93 nat. median
$38,814
outlier · 14.7×
215
OTHER 		Other Heart Assist System Implant 1 $569,813.74 $569,813.74 $569,813.74 nat. median
$73,129
outlier · 7.8×
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $549,734.73 $549,734.73 $549,734.73 nat. median
$35,524
outlier · 15.5×
634
OTHER 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $545,869.47 $545,869.47 $545,869.47 nat. median
$265
outlier · 2059.9×
414
OTHER 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 $539,909.24 $539,909.24 $539,909.24 nat. median
$33,930
outlier · 15.9×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $539,307.80 $539,307.80 $539,307.80 nat. median
$2
outlier · 319117.0×
5832
APR_DRG 		Neonate With Ecmo 8 $219,000.00 $540,265.21 $487,632.28 nat. median
$159,829
outlier · 3.1×
974
OTHER 		HIV With Major Related Condition With Mcc 1 $464,197.86 $464,197.86 $464,197.86 nat. median
$29,249
outlier · 15.9×
1614
APR_DRG 		Implantable Heart Assist Systems 8 $378,107.24 $725,496.24 $458,644.10 nat. median
$202,660
outlier · 2.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $165,000.00 $474,837.10 $448,031.13 nat. median
$165,846
outlier · 2.7×
613
OTHER 		Neonate, Birth Weight <750 Grams, Died 1 $431,029.59 $431,029.59 $431,029.59 nat. median
$39,758
outlier · 10.8×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $132,000.00 $488,843.16 $417,760.90 nat. median
$177,531
outlier · 2.4×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $413,167.80 $413,167.80 $413,167.80 nat. median
$202,158
outlier · 2.0×
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 1 $412,312.34 $412,312.34 $412,312.34 nat. median
$104,523
outlier · 3.9×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $130,000.00 $478,672.24 $409,069.19 nat. median
$145,336
outlier · 2.8×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $215,493.03 $550,760.40 $407,012.85 nat. median
$154,211
outlier · 2.6×
515
OTHER 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 $404,498.40 $404,498.40 $404,498.40 nat. median
$30,825
outlier · 13.1×
5831
APR_DRG 		Neonate With Ecmo 8 $219,000.00 $466,886.20 $390,598.30 nat. median
$148,245
outlier · 2.6×
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 1 $385,521.28 $385,521.28 $385,521.28 nat. median
$232
outlier · 1661.7×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $80,000.00 $397,797.56 $365,982.51 nat. median
$107,562
outlier · 3.4×
52
OTHER 		Spinal Disorders And Injuries With Cc/mcc 1 $362,702.26 $362,702.26 $362,702.26 nat. median
$21,859
outlier · 16.6×
1613
APR_DRG 		Implantable Heart Assist Systems 8 $153,530.20 $555,805.33 $351,367.01 nat. median
$121,888
outlier · 2.9×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $200,000.00 $458,991.42 $350,482.56 nat. median
$171,358
outlier · 2.0×
239
OTHER 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $347,131.53 $347,131.53 $347,131.53 nat. median
$46,604
outlier · 7.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $120,000.00 $477,886.51 $333,432.82 nat. median
$165,334
outlier · 2.0×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $325,268.32 $325,268.32 $325,268.32 nat. median
$65,029
outlier · 5.0×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $50,021.00 $477,272.26 $324,936.09 nat. median
$122,909
outlier · 2.6×
595
OTHER 		Major Skin Disorders With Mcc 1 $322,457.23 $322,457.23 $322,457.23 nat. median
$19,429
outlier · 16.6×
632
OTHER 		Neonate, Birth Weight 750-999 Grams, Died 1 $310,651.34 $310,651.34 $310,651.34 nat. median
$4,380
outlier · 70.9×
904
OTHER 		Skin Grafts For Injuries With Cc/mcc 1 $308,780.88 $308,780.88 $308,780.88 nat. median
$1,950
outlier · 158.4×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $120,000.00 $447,563.96 $305,960.81 nat. median
$137,215
outlier · 2.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $190,000.00 $511,623.27 $304,721.55 nat. median
$160,390
1.9× median
23
APR_DRG 		Heart And/or Lung Transplant 8 $140,000.00 $432,946.77 $304,404.44 nat. median
$111,079
outlier · 2.7×
956
OTHER 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $299,294.45 $299,294.45 $299,294.45 nat. median
$39,239
outlier · 7.6×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $110,000.00 $454,632.47 $297,935.10 nat. median
$122,016
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 5,982 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $2,458,503.21 $2,458,503.21 $2,458,503.21 2026-10-16
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $1,548,662.86 $1,548,662.86 $1,548,662.86 2026-10-16
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $1,449,879.22 $1,449,879.22 $1,449,879.22 2026-10-16
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $1,141,954.91 $1,141,954.91 $1,141,954.91 2026-10-16
5834 APR_DRG Neonate With Ecmo 13 8 — — $221,000.00 $925,051.36 $807,233.54 2026-10-16
24 APR_DRG Heart And/or Lung Transplant 13 8 — — $220,000.00 $751,591.30 $700,125.07 2026-10-16
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $665,063.59 $665,063.59 $665,063.59 2026-10-16
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $664,016.52 $664,016.52 $664,016.52 2026-10-16
7 OTHER Lung Transplant 1 1 — — $662,329.16 $662,329.16 $662,329.16 2026-10-16
5833 APR_DRG Neonate With Ecmo 13 8 — — $221,000.00 $732,658.28 $658,899.58 2026-10-16
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $657,409.26 $657,409.26 $657,409.26 2026-10-16
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 8 — — $221,000.00 $758,793.36 $648,457.06 2026-10-16
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $637,278.24 $637,278.24 $637,278.24 2026-10-16
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $603,686.99 $603,686.99 $603,686.99 2026-10-16
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $571,426.46 $571,426.46 $571,426.46 2026-10-16
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $570,725.93 $570,725.93 $570,725.93 2026-10-16
215 OTHER Other Heart Assist System Implant 1 1 — — $569,813.74 $569,813.74 $569,813.74 2026-10-16
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $549,734.73 $549,734.73 $549,734.73 2026-10-16
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $545,869.47 $545,869.47 $545,869.47 2026-10-16
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $539,909.24 $539,909.24 $539,909.24 2026-10-16
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $539,307.80 $539,307.80 $539,307.80 2026-10-16
5832 APR_DRG Neonate With Ecmo 13 8 — — $219,000.00 $540,265.21 $487,632.28 2026-10-16
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $464,197.86 $464,197.86 $464,197.86 2026-10-16
1614 APR_DRG Implantable Heart Assist Systems 13 8 — — $378,107.24 $725,496.24 $458,644.10 2026-10-16
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 8 — — $165,000.00 $474,837.10 $448,031.13 2026-10-16
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $431,029.59 $431,029.59 $431,029.59 2026-10-16
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 8 — — $132,000.00 $488,843.16 $417,760.90 2026-10-16
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $413,167.80 $413,167.80 $413,167.80 2026-10-16
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $412,312.34 $412,312.34 $412,312.34 2026-10-16
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 8 — — $130,000.00 $478,672.24 $409,069.19 2026-10-16
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 8 — — $215,493.03 $550,760.40 $407,012.85 2026-10-16
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $404,498.40 $404,498.40 $404,498.40 2026-10-16
5831 APR_DRG Neonate With Ecmo 13 8 — — $219,000.00 $466,886.20 $390,598.30 2026-10-16
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $385,521.28 $385,521.28 $385,521.28 2026-10-16
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 8 — — $80,000.00 $397,797.56 $365,982.51 2026-10-16
52 OTHER Spinal Disorders And Injuries With Cc/mcc 1 1 — — $362,702.26 $362,702.26 $362,702.26 2026-10-16
1613 APR_DRG Implantable Heart Assist Systems 13 8 — — $153,530.20 $555,805.33 $351,367.01 2026-10-16
74 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $200,000.00 $458,991.42 $350,482.56 2026-10-16
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $347,131.53 $347,131.53 $347,131.53 2026-10-16
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 8 — — $120,000.00 $477,886.51 $333,432.82 2026-10-16
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $325,268.32 $325,268.32 $325,268.32 2026-10-16
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $50,021.00 $477,272.26 $324,936.09 2026-10-16
595 OTHER Major Skin Disorders With Mcc 1 1 — — $322,457.23 $322,457.23 $322,457.23 2026-10-16
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $310,651.34 $310,651.34 $310,651.34 2026-10-16
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $308,780.88 $308,780.88 $308,780.88 2026-10-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant 13 8 — — $120,000.00 $447,563.96 $305,960.81 2026-10-16
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 13 8 — — $190,000.00 $511,623.27 $304,721.55 2026-10-16
23 APR_DRG Heart And/or Lung Transplant 13 8 — — $140,000.00 $432,946.77 $304,404.44 2026-10-16
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $299,294.45 $299,294.45 $299,294.45 2026-10-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 8 — — $110,000.00 $454,632.47 $297,935.10 2026-10-16
411 OTHER Cholecystectomy With C.d.e. With Mcc 1 1 — — $296,046.97 $296,046.97 $296,046.97 2026-10-16
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 8 — — $121,000.00 $494,876.49 $293,542.21 2026-10-16
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $291,919.28 $291,919.28 $291,919.28 2026-10-16
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $288,189.84 $288,189.84 $288,189.84 2026-10-16
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $286,019.17 $286,019.17 $286,019.17 2026-10-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 8 — — $201,314.73 $420,304.81 $283,906.15 2026-10-16
1612 APR_DRG Implantable Heart Assist Systems 13 8 — — $96,762.39 $446,263.75 $282,117.96 2026-10-16
64 APR_DRG Pancreas Transplant 13 8 — — $85,000.00 $395,250.15 $279,324.71 2026-10-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $139,000.00 $445,097.62 $275,042.38 2026-10-16
1611 APR_DRG Implantable Heart Assist Systems 13 8 — — $72,192.37 $423,948.23 $268,011.82 2026-10-16
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $100,000.00 $272,463.31 $266,228.85 2026-10-16
288 OTHER Acute And Subacute Endocarditis With Mcc 1 1 — — $262,782.93 $262,782.93 $262,782.93 2026-10-16
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $259,437.41 $259,437.41 $259,437.41 2026-10-16
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $257,951.49 $257,951.49 $257,951.49 2026-10-16
862 OTHER Postoperative And Post-traumatic Infections With Mcc 1 1 — — $255,823.56 $255,823.56 $255,823.56 2026-10-16
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 8 — — $220,696.57 $455,864.07 $255,440.60 2026-10-16
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $255,391.24 $255,391.24 $255,391.24 2026-10-16
14 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $253,048.45 $253,048.45 $253,048.45 2026-10-16
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $251,003.33 $251,003.33 $251,003.33 2026-10-16
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $250,725.54 $250,725.54 $250,725.54 2026-10-16
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $244,784.83 $244,784.83 $244,784.83 2026-10-16
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $100,000.00 $354,728.63 $244,778.98 2026-10-16
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 8 — — $126,498.40 $269,569.61 $241,064.30 2026-10-16
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $240,381.49 $240,381.49 $240,381.49 2026-10-16
13 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $238,755.33 $238,755.33 $238,755.33 2026-10-16
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $236,885.23 $236,885.23 $236,885.23 2026-10-16
840 OTHER Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $235,097.83 $235,097.83 $235,097.83 2026-10-16
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $232,953.58 $232,953.58 $232,953.58 2026-10-16
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $229,003.19 $229,003.19 $229,003.19 2026-10-16
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 8 — — $99,000.00 $318,238.67 $228,657.91 2026-10-16
98 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $227,846.81 $227,846.81 $227,846.81 2026-10-16
78 OTHER Hypertensive Encephalopathy With Cc 1 1 — — $227,835.67 $227,835.67 $227,835.67 2026-10-16
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 6 — — $120,000.00 $233,886.61 $224,890.97 2026-10-16
28 OTHER Spinal Procedures With Mcc 1 1 — — $222,709.63 $222,709.63 $222,709.63 2026-10-16
J0225 HCPCS Vutrisiran 25mg/0.5ml Syringe 90 29 $363,380.83 $345,211.79 $4,928.80 $345,211.79 $222,407.23 2026-10-16
438 OTHER Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $221,193.92 $221,193.92 $221,193.92 2026-10-16
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $220,076.84 $220,076.84 $220,076.84 2026-10-16
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $218,939.52 $218,939.52 $218,939.52 2026-10-16
22 APR_DRG Heart And/or Lung Transplant 13 8 — — $138,000.00 $321,294.31 $216,593.24 2026-10-16
629 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $216,530.91 $216,530.91 $216,530.91 2026-10-16
651 OTHER Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $216,107.10 $216,107.10 $216,107.10 2026-10-16
5881 APR_DRG Female Reproductive System Reconstructive Procedures 13 8 — — $50,000.00 $315,080.14 $215,412.90 2026-10-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 8 — — $120,000.00 $276,610.25 $215,117.82 2026-10-16
799 OTHER Splenic Procedures Age >17 With Mcc 1 1 — — $214,919.18 $214,919.18 $214,919.18 2026-10-16
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $213,993.51 $213,993.51 $213,993.51 2026-10-16
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $184,113.04 $234,925.71 $213,867.53 2026-10-16
314 OTHER Other Circulatory System Diagnoses With Mcc 1 1 — — $212,235.18 $212,235.18 $212,235.18 2026-10-16
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $210,839.32 $210,839.32 $210,839.32 2026-10-16
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $92,000.00 $279,712.67 $210,627.24 2026-10-16
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 8 — — $91,000.00 $280,567.64 $210,416.17 2026-10-16
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $209,137.58 $209,137.58 $209,137.58 2026-10-16
6 OTHER Liver Transplant Without Mcc 1 1 — — $202,677.71 $202,677.71 $202,677.71 2026-10-16
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 8 — — $95,000.00 $266,115.06 $202,592.83 2026-10-16
67 OTHER Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc 1 1 — — $202,132.18 $202,132.18 $202,132.18 2026-10-16
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $198,295.28 $198,295.28 $198,295.28 2026-10-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 8 — — $91,000.00 $311,117.16 $198,167.78 2026-10-16
608 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $197,741.62 $197,741.62 $197,741.62 2026-10-16
229 OTHER Other Cardiothoracic Procedures Without Mcc 1 1 — — $196,524.96 $196,524.96 $196,524.96 2026-10-16
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 8 — — $116,185.85 $283,115.08 $196,361.49 2026-10-16
250 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $196,329.60 $196,329.60 $196,329.60 2026-10-16
8634 APR_DRG Neonatal Aftercare 13 8 — — $152,102.00 $202,984.92 $192,960.39 2026-10-16
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $192,469.53 $192,469.53 $192,469.53 2026-10-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 8 — — $88,000.00 $299,611.73 $192,259.67 2026-10-16
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $189,486.72 $189,486.72 $189,486.72 2026-10-16
63 APR_DRG Pancreas Transplant 13 8 — — $85,000.00 $277,919.81 $185,804.80 2026-10-16
21 APR_DRG Heart And/or Lung Transplant 13 8 — — $50,000.00 $275,434.77 $185,679.37 2026-10-16
13 APR_DRG Liver Transplant And/or Intestinal Transplant 13 8 — — $92,000.00 $258,750.35 $184,737.03 2026-10-16
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $184,608.77 $184,608.77 $184,608.77 2026-10-16
71 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $147,649.64 $188,398.92 $183,016.38 2026-10-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 8 — — $108,619.85 $246,203.51 $182,352.10 2026-10-16
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $80,000.00 $213,430.22 $180,449.47 2026-10-16
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $179,438.71 $179,438.71 $179,438.71 2026-10-16
26 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Cc 1 1 — — $178,225.72 $178,225.72 $178,225.72 2026-10-16
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $177,707.93 $177,707.93 $177,707.93 2026-10-16
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 8 — — $79,000.00 $252,233.73 $176,988.07 2026-10-16
73 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $132,000.00 $270,495.86 $176,937.81 2026-10-16
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 8 — — $93,000.00 $207,050.79 $176,899.62 2026-10-16
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $176,092.04 $176,092.04 $176,092.04 2026-10-16
265 OTHER Aicd Lead Procedures 1 1 — — $175,640.78 $175,640.78 $175,640.78 2026-10-16
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 8 — — $62,000.00 $194,254.52 $175,273.44 2026-10-16
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 8 — — $80,000.00 $193,581.03 $174,573.92 2026-10-16
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $169,678.18 $169,678.18 $169,678.18 2026-10-16
803 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $169,676.35 $169,676.35 $169,676.35 2026-10-16
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $167,621.85 $167,621.85 $167,621.85 2026-10-16
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 8 — — $120,000.00 $259,029.68 $166,612.22 2026-10-16
1784 APR_DRG External Heart Assist Systems 10 6 — — $136,018.43 $244,560.33 $166,561.47 2026-10-16
459 OTHER Spinal Fusion Except Cervical With Mcc 1 1 — — $165,808.17 $165,808.17 $165,808.17 2026-10-16
164 OTHER Major Chest Procedures With Cc 1 1 — — $164,909.02 $164,909.02 $164,909.02 2026-10-16
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $164,760.53 $164,760.53 $164,760.53 2026-10-16
654 OTHER Major Bladder Procedures With Cc 1 1 — — $163,408.39 $163,408.39 $163,408.39 2026-10-16
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $163,385.96 $163,385.96 $163,385.96 2026-10-16
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 8 — — $33,354.00 $257,379.92 $163,011.78 2026-10-16
72 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $120,000.00 $211,584.36 $160,144.56 2026-10-16
62 APR_DRG Pancreas Transplant 13 8 — — $85,000.00 $241,261.48 $159,777.92 2026-10-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 8 — — $116,714.95 $209,439.18 $158,130.96 2026-10-16
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $157,712.88 $157,712.88 $157,712.88 2026-10-16
58 OTHER Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $157,511.79 $157,511.79 $157,511.79 2026-10-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 13 8 — — $129,467.08 $221,684.65 $157,151.01 2026-10-16
4404 APR_DRG Kidney Transplant 13 8 — — $90,000.00 $262,965.89 $156,858.72 2026-10-16
163 OTHER Major Chest Procedures With Mcc 1 1 — — $156,088.86 $156,088.86 $156,088.86 2026-10-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 13 8 — — $117,104.11 $213,576.16 $155,849.65 2026-10-16
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 8 — — $70,000.00 $196,528.56 $155,656.79 2026-10-16
12 APR_DRG Liver Transplant And/or Intestinal Transplant 13 8 — — $87,000.00 $216,863.14 $155,394.27 2026-10-16
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 8 — — $90,000.00 $162,435.33 $154,808.53 2026-10-16
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $154,315.22 $154,315.22 $154,315.22 2026-10-16
977 OTHER HIV With Or Without Other Related Condition 1 1 — — $153,550.87 $153,550.87 $153,550.87 2026-10-16
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $153,227.24 $153,227.24 $153,227.24 2026-10-16
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 13 8 — — $106,025.66 $179,679.00 $153,059.73 2026-10-16
329 OTHER Major Small And Large Bowel Procedures With Mcc 1 1 — — $150,282.78 $150,282.78 $150,282.78 2026-10-16
27 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 1 1 — — $149,627.08 $149,627.08 $149,627.08 2026-10-16
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $149,496.58 $149,496.58 $149,496.58 2026-10-16
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 8 — — $70,000.00 $213,894.80 $149,445.96 2026-10-16
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $131,186.13 $205,142.58 $148,602.67 2026-10-16
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 13 8 — — $87,277.31 $189,415.38 $148,446.25 2026-10-16
25 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc 1 1 — — $148,265.34 $148,265.34 $148,265.34 2026-10-16
914 APR_DRG Other Major Head And Neck Procedures 13 8 — — $112,209.13 $198,388.62 $146,589.99 2026-10-16
253 OTHER Other Vascular Procedures With Cc 1 1 — — $146,182.53 $146,182.53 $146,182.53 2026-10-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 13 8 — — $81,365.99 $184,033.72 $144,980.55 2026-10-16
503 OTHER Foot Procedures With Mcc 1 1 — — $144,862.72 $144,862.72 $144,862.72 2026-10-16
264 OTHER Other Circulatory System O.r. Procedures 1 1 — — $144,469.08 $144,469.08 $144,469.08 2026-10-16
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $143,819.91 $143,819.91 $143,819.91 2026-10-16
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $142,841.40 $142,841.40 $142,841.40 2026-10-16
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 13 8 — — $117,646.57 $575,098.73 $141,957.09 2026-10-16
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 8 — — $70,000.00 $164,296.78 $140,954.86 2026-10-16
234 APR_DRG Spinal Procedures 13 8 — — $71,664.39 $271,764.41 $140,853.99 2026-10-16
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 13 8 — — $4,296.30 $156,105.79 $140,852.34 2026-10-16
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $140,738.90 $140,738.90 $140,738.90 2026-10-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $139,738.56 $139,738.56 $139,738.56 2026-10-16
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $138,947.38 $138,947.38 $138,947.38 2026-10-16
539 OTHER Osteomyelitis With Mcc 1 1 — — $138,627.61 $138,627.61 $138,627.61 2026-10-16
147 OTHER Ear, Nose, Mouth And Throat Malignancy With Cc 1 1 — — $138,456.75 $138,456.75 $138,456.75 2026-10-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 13 8 — — $67,140.38 $167,904.29 $138,153.97 2026-10-16
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 8 — — $80,000.00 $222,643.82 $137,698.48 2026-10-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 13 8 — — $88,407.80 $175,010.22 $137,156.83 2026-10-16
204 APR_DRG Open Craniotomy For Trauma 13 8 — — $81,694.04 $267,190.09 $136,430.89 2026-10-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 13 8 — — $80,468.67 $232,792.94 $135,961.08 2026-10-16
224 APR_DRG Ventricular Shunt Procedures 13 8 — — $85,170.72 $181,332.80 $135,461.51 2026-10-16
950 OTHER Aftercare Without Cc/mcc 1 1 — — $135,423.35 $135,423.35 $135,423.35 2026-10-16
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $89,000.00 $197,993.00 $134,747.64 2026-10-16
652 OTHER Kidney Transplant 1 1 — — $134,474.32 $134,474.32 $134,474.32 2026-10-16
11 APR_DRG Liver Transplant And/or Intestinal Transplant 13 8 — — $50,000.00 $192,545.86 $134,419.99 2026-10-16
500 OTHER Soft Tissue Procedures With Mcc 1 1 — — $134,015.32 $134,015.32 $134,015.32 2026-10-16
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 8 — — $96,000.00 $198,423.29 $133,705.87 2026-10-16
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 8 — — $76,542.31 $175,063.23 $132,048.06 2026-10-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 13 8 — — $85,936.17 $225,147.67 $131,760.42 2026-10-16
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $131,270.84 $131,270.84 $131,270.84 2026-10-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 8 — — $77,000.00 $220,629.68 $131,051.05 2026-10-16
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 8 — — $76,719.27 $196,619.54 $129,660.05 2026-10-16
409 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $129,493.41 $129,493.41 $129,493.41 2026-10-16
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 13 8 — — $93,026.23 $301,967.31 $129,410.62 2026-10-16
975 OTHER HIV With Major Related Condition With Cc 1 1 — — $129,353.67 $129,353.67 $129,353.67 2026-10-16
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 8 — — $56,407.60 $168,839.70 $129,197.73 2026-10-16
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $128,618.18 $128,618.18 $128,618.18 2026-10-16
377 OTHER Gastrointestinal Hemorrhage With Mcc 1 1 — — $128,177.28 $128,177.28 $128,177.28 2026-10-16
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $128,000.24 $128,000.24 $128,000.24 2026-10-16
61 APR_DRG Pancreas Transplant 13 8 — — $50,000.00 $189,643.00 $127,844.52 2026-10-16
333 OTHER Rectal Resection With Cc 1 1 — — $127,590.70 $127,590.70 $127,590.70 2026-10-16
597 OTHER Malignant Breast Disorders With Mcc 1 1 — — $127,398.91 $127,398.91 $127,398.91 2026-10-16
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $50,000.00 $134,946.80 $127,097.96 2026-10-16
1794 APR_DRG Defibrillator Implants 10 6 — — $113,421.59 $199,249.55 $126,960.51 2026-10-16
6904 APR_DRG Acute Leukemia 13 8 — — $115,000.00 $174,105.07 $126,927.92 2026-10-16
277 OTHER Other Major Cardiovascular Procedures With Mcc 1 1 — — $126,817.89 $126,817.89 $126,817.89 2026-10-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 13 8 — — $111,380.14 $195,503.52 $125,981.01 2026-10-16
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $125,233.83 $125,233.83 $125,233.83 2026-10-16
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 13 8 — — $58,357.48 $186,853.68 $124,688.77 2026-10-16
822 OTHER Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 1 1 — — $124,588.09 $124,588.09 $124,588.09 2026-10-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $124,123.46 $124,123.46 $124,123.46 2026-10-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 8 — — $110,000.00 $289,331.70 $123,750.01 2026-10-16
157 OTHER Dental And Oral Diseases Age >17 With Mcc 1 1 — — $123,725.30 $123,725.30 $123,725.30 2026-10-16
905 OTHER Skin Grafts For Injuries Without Cc/mcc 1 1 — — $123,568.96 $123,568.96 $123,568.96 2026-10-16
1783 APR_DRG External Heart Assist Systems 10 6 — — $100,626.04 $205,916.00 $123,221.70 2026-10-16
289 OTHER Acute And Subacute Endocarditis With Cc 1 1 — — $123,184.13 $123,184.13 $123,184.13 2026-10-16
4403 APR_DRG Kidney Transplant 13 8 — — $110,244.15 $221,155.97 $122,877.21 2026-10-16
650 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $122,187.84 $122,187.84 $122,187.84 2026-10-16
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $122,064.52 $122,064.52 $122,064.52 2026-10-16
907 OTHER Other O.r. Procedures For Injuries With Mcc 1 1 — — $121,044.93 $121,044.93 $121,044.93 2026-10-16
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 8 — — $63,000.00 $134,108.30 $121,004.53 2026-10-16
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 13 8 — — $76,853.02 $172,768.38 $120,630.65 2026-10-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 13 8 — — $84,664.17 $180,189.22 $120,359.52 2026-10-16
35 OTHER Carotid Artery Stent Procedures With Cc 1 1 — — $120,334.05 $120,334.05 $120,334.05 2026-10-16
330 OTHER Major Small And Large Bowel Procedures With Cc 1 1 — — $119,988.99 $119,988.99 $119,988.99 2026-10-16
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $119,341.71 $119,341.71 $119,341.71 2026-10-16
214 APR_DRG Open Craniotomy Except Trauma 13 8 — — $100,791.68 $177,264.54 $118,567.76 2026-10-16
493 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age >17 With C… 1 1 — — $118,299.99 $118,299.99 $118,299.99 2026-10-16
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 13 8 — — $107,521.16 $150,434.14 $117,896.37 2026-10-16
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 8 — — $203.40 $134,859.74 $117,370.25 2026-10-16
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $117,240.56 $117,240.56 $117,240.56 2026-10-16
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $116,864.09 $116,864.09 $116,864.09 2026-10-16
4034 APR_DRG Procedures For Obesity 13 8 — — $67,682.77 $148,836.94 $116,684.92 2026-10-16
1204 APR_DRG Major Respiratory And Chest Procedures 13 8 — — $99,162.68 $162,784.55 $115,987.06 2026-10-16
623 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $115,848.89 $115,848.89 $115,848.89 2026-10-16
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $86,000.00 $211,961.64 $115,812.42 2026-10-16
245 OTHER Aicd Generator Procedures 1 1 — — $115,797.50 $115,797.50 $115,797.50 2026-10-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 6 — — $114,442.73 $208,693.97 $115,000.00 2026-10-16
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 6 — — $110,871.17 $231,805.00 $114,943.20 2026-10-16
279 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $114,680.96 $114,680.96 $114,680.96 2026-10-16
213 OTHER Splenic Procedures Age 0-17 1 1 — — $113,461.55 $113,461.55 $113,461.55 2026-10-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $113,253.39 $113,253.39 $113,253.39 2026-10-16
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 13 8 — — $89,000.00 $159,710.20 $113,022.79 2026-10-16
665 OTHER Prostatectomy With Mcc 1 1 — — $112,671.15 $112,671.15 $112,671.15 2026-10-16
505 OTHER Foot Procedures Without Cc/mcc 1 1 — — $112,583.25 $112,583.25 $112,583.25 2026-10-16
619 OTHER O.r. Procedures For Obesity With Mcc 1 1 — — $112,334.59 $112,334.59 $112,334.59 2026-10-16
472 OTHER Cervical Spinal Fusion With Cc 1 1 — — $112,250.38 $112,250.38 $112,250.38 2026-10-16
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 13 8 — — $90,592.45 $146,452.46 $112,131.78 2026-10-16
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $112,118.50 $112,118.50 $112,118.50 2026-10-16
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $111,714.74 $111,714.74 $111,714.74 2026-10-16
4402 APR_DRG Kidney Transplant 13 8 — — $89,511.91 $219,207.30 $111,549.78 2026-10-16
2324 APR_DRG Gastric Fundoplication 10 6 — — $96,888.74 $249,234.15 $111,548.98 2026-10-16
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 13 8 — — $67,000.00 $119,756.15 $110,917.80 2026-10-16
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 13 8 — — $93,530.66 $148,410.57 $110,764.91 2026-10-16
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $110,567.43 $110,567.43 $110,567.43 2026-10-16
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 8 — — $88,554.13 $169,198.27 $110,000.00 2026-10-16
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $109,945.13 $109,945.13 $109,945.13 2026-10-16
481 OTHER Hip And Femur Procedures Except Major Joint Age >17 With Cc 1 1 — — $109,687.78 $109,687.78 $109,687.78 2026-10-16
821 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $109,197.98 $109,197.98 $109,197.98 2026-10-16
435 OTHER Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $108,754.69 $108,754.69 $108,754.69 2026-10-16
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $108,607.07 $108,607.07 $108,607.07 2026-10-16
494 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age >17 Withou… 1 1 — — $108,455.15 $108,455.15 $108,455.15 2026-10-16
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 13 8 — — $77,989.00 $167,594.55 $108,151.12 2026-10-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $108,070.03 $108,070.03 $108,070.03 2026-10-16
352 OTHER Inguinal And Femoral Hernia Procedures Age >17 Without Cc/mcc 1 1 — — $108,044.22 $108,044.22 $108,044.22 2026-10-16
162 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17 1 1 — — $108,023.98 $108,023.98 $108,023.98 2026-10-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $59,643.74 $149,623.47 $108,002.34 2026-10-16
4401 APR_DRG Kidney Transplant 13 8 — — $79,753.56 $155,579.26 $107,806.15 2026-10-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $107,801.39 $107,801.39 $107,801.39 2026-10-16
657 OTHER Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $107,702.64 $107,702.64 $107,702.64 2026-10-16
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 8 — — $60,000.00 $161,496.81 $107,687.15 2026-10-16
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $73,000.00 $128,209.04 $107,518.71 2026-10-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 8 — — $96,414.12 $152,167.75 $107,462.38 2026-10-16
4014 APR_DRG Adrenal Procedures 13 8 — — $95,875.76 $157,431.50 $107,305.55 2026-10-16
332 OTHER Rectal Resection With Mcc 1 1 — — $107,191.26 $107,191.26 $107,191.26 2026-10-16
274 APR_DRG Other Open Craniotomy 10 6 — — $88,345.08 $208,918.03 $107,166.28 2026-10-16
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 8 — — $70,000.00 $139,243.64 $107,144.83 2026-10-16
4414 APR_DRG Major Bladder Procedures 13 8 — — $92,000.00 $177,233.36 $107,040.96 2026-10-16
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 13 8 — — $70,715.62 $200,683.15 $106,741.33 2026-10-16
516 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $106,594.32 $106,594.32 $106,594.32 2026-10-16
555 OTHER Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $106,594.06 $106,594.06 $106,594.06 2026-10-16
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 13 8 — — $91,315.22 $233,409.29 $106,428.56 2026-10-16
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 13 8 — — $81,339.54 $153,363.00 $106,167.91 2026-10-16
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 8 — — $62,000.00 $126,671.87 $105,944.79 2026-10-16
749 OTHER Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $105,889.68 $105,889.68 $105,889.68 2026-10-16
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 8 — — $70,000.00 $142,835.58 $105,513.50 2026-10-16
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $105,452.36 $105,452.36 $105,452.36 2026-10-16
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $104,991.58 $104,991.58 $104,991.58 2026-10-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 8 — — $88,958.78 $164,792.54 $104,940.54 2026-10-16
849 OTHER Radiotherapy 1 1 — — $104,938.08 $104,938.08 $104,938.08 2026-10-16
1214 APR_DRG Other Respiratory And Chest Procedures 13 8 — — $66,028.06 $133,098.07 $104,309.95 2026-10-16
6504 APR_DRG Splenectomy 13 8 — — $72,039.08 $218,974.69 $104,160.89 2026-10-16
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $104,003.13 $104,003.13 $104,003.13 2026-10-16
871 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours Age >17 With Mcc 1 1 — — $103,833.33 $103,833.33 $103,833.33 2026-10-16
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