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

ST JOSEPH'S MEDICAL CENTER

Yonkers, NY · CCN 330006 · Rates published

Your selected procedure

You selected G0121 (HCPCS)

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

This hospital’s price: $1,014 across 35 payers · range $569-$3,298

Source: https://saintjosephs.org/wp-content/uploads/2025/12/131740127_st.-josephs-hospital-yonkers_standardcharges.csv · observed 2026-07-13

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.

23,229 distinct procedures filed
65 distinct payers
827,303 rate rows
2026-07-13 last MRF observed
Data quality

522,689 of 827,303 rate rows are consumer-grade (63.2%)

304,614 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 211,867
professional (physician) fee — not the facility price 84,307
placeholder amount (≤ $0.02) — excluded from medians 6,167
per-diem day rate — not a per-procedure price 1,701
exceeds 10× this hospital's gross charge — excluded from medians 398
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 144
percent-of-charges filed in the dollar field — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/100287/131740127_st-joseph's-hospital,-yonkers_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/StJosephsMedicalCenter/100287
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10

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
J3391
HCPCS 		Outpatient Apc 3 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Outpatient Apc 3 $3,691,450.00 $3,691,450.00 $3,691,450.00 nat. median
$3,685,267
1.0× median
J3389
HCPCS 		Outpatient Apc 3 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Outpatient Apc 3 $3,321,376.38 $3,321,376.38 $3,321,376.38 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Outpatient Apc 3 $3,245,381.39 $3,245,381.39 $3,245,381.39 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Outpatient Apc 3 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Outpatient Apc 3 $2,938,320.00 $2,938,320.00 $2,938,320.00 nat. median
$2,968,000
1.0× median
C9309
HCPCS 		Outpatient Apc 3 $2,664,228.59 $2,664,228.59 $2,664,228.59 nat. median
$2,664,229
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,587,087.26 $2,587,087.26 $2,587,087.26 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Outpatient Apc 3 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $770,620.00 $986,393.60 $816,857.20 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $588,494.81 $752,191.45 $622,908.54 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $600,523.18 $725,160.06 $600,523.18 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $562,260.84 $719,617.59 $595,933.31 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $559,781.08 $714,344.61 $591,566.63 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $531,849.12 $681,206.07 $564,123.77 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $489,290.60 $626,496.26 $518,817.21 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $422,975.53 $636,047.27 $489,267.13 nat. median
$168,055
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $274,494.10 $414,540.26 $318,877.12 nat. median
$186,516
1.7× median
24
APR_DRG 		Heart &/or Lung Transplant 23 $271,738.98 $611,412.71 $285,325.93 nat. median
$225,531
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 14 $262,233.77 $339,200.00 $280,900.00 nat. median
$264,195
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $254,299.50 $278,250.00 $278,229.00 nat. median
$286,598
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $209,128.15 $317,026.24 $243,866.34 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 18 $207,900.83 $315,195.32 $242,457.94 nat. median
$145,435
1.7× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 14 $202,713.58 $258,136.35 $213,769.16 nat. median
$207,733
1.0× median
5834
APR_DRG 		Neonate W Ecmo 23 $200,032.27 $450,072.61 $210,033.88 nat. median
$390,362
0.5× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 23 $196,516.13 $442,161.29 $206,341.94 nat. median
$286,698
0.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 23 $196,516.13 $442,161.29 $206,341.94 nat. median
$173,134
1.2× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 23 $179,746.12 $404,428.77 $188,733.43 nat. median
$202,242
0.9× median
34
APR_DRG 		Bone Marrow Transplant 23 $174,524.47 $392,680.06 $183,250.69 nat. median
$187,752
1.0× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 18 $135,674.46 $207,446.84 $159,574.49 nat. median
$97,418
1.6× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 23 $150,882.60 $339,485.85 $158,426.73 nat. median
$171,497
0.9× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 23 $150,337.46 $338,259.29 $157,854.33 nat. median
$152,383
1.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 23 $150,337.46 $338,259.29 $157,854.33 nat. median
$130,862
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 23 $145,928.85 $328,339.91 $153,225.29 nat. median
$173,018
0.9× median
7
MS_DRG 		Lung Transplant 18 $126,847.21 $194,278.19 $149,444.76 nat. median
$70,649
outlier · 2.1×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 23 $140,739.91 $316,664.80 $147,776.91 nat. median
$135,630
1.1× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 23 $136,326.63 $306,734.92 $143,142.96 nat. median
$136,566
1.0× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 23 $135,785.38 $305,517.11 $142,574.65 nat. median
$168,439
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $117,715.33 $180,655.10 $138,965.46 nat. median
$72,715
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $110,994.98 $170,629.58 $131,253.52 nat. median
$65,418
outlier · 2.0×
209
MS_DRG 		Inpatient DRG 18 $110,867.65 $170,439.62 $131,107.40 nat. median
$2,110
outlier · 62.1×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 23 $124,324.24 $279,729.54 $130,540.45 nat. median
$198,578
0.7× median
426
MS_DRG 		Inpatient DRG 18 $107,952.65 $166,090.98 $127,762.29 nat. median
$2,736
outlier · 46.7×
212
MS_DRG 		Inpatient DRG 18 $106,511.81 $163,941.48 $126,108.83 nat. median
$74,509
1.7× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 $117,762.33 $264,965.24 $123,650.45 nat. median
$124,731
1.0× median
23
APR_DRG 		Heart &/or Lung Transplant 23 $117,351.14 $264,040.07 $123,218.70 nat. median
$117,894
1.0× median
J3404
HCPCS 		Outpatient Apc 3 $121,900.00 $121,900.00 $121,900.00 nat. median
$128,604
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $100,991.35 $155,705.98 $119,773.83 nat. median
$69,922
1.7× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 23 $114,034.37 $256,577.33 $119,736.09 nat. median
$54,727
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 23,229 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
             
J3391 HCPCS Outpatient Apc 3 3 — $4,505,000.00 $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-07-13
J1411 HCPCS Outpatient Apc 3 3 — $3,691,450.00 $3,691,450.00 $3,691,450.00 $3,691,450.00 2026-07-13
J3389 HCPCS Outpatient Apc 3 3 — $3,335,820.00 $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-07-13
J1413 HCPCS Outpatient Apc 3 3 — $3,321,376.38 $3,321,376.38 $3,321,376.38 $3,321,376.38 2026-07-13
J3394 HCPCS Outpatient Apc 3 3 — $3,245,381.39 $3,245,381.39 $3,245,381.39 $3,245,381.39 2026-07-13
J3387 HCPCS Outpatient Apc 3 3 — $3,180,000.00 $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-07-13
J3393 HCPCS Outpatient Apc 3 3 — $2,938,320.00 $2,938,320.00 $2,938,320.00 $2,938,320.00 2026-07-13
C9309 HCPCS Outpatient Apc 3 3 — $2,664,228.59 $2,664,228.59 $2,664,228.59 $2,664,228.59 2026-07-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — $2,587,087.26 $2,587,087.26 $2,587,087.26 $2,587,087.26 2026-07-13
J3392 HCPCS Outpatient Apc 3 3 — $2,332,000.00 $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-07-13
Q2057 HCPCS Afamitresgene Autoleucel 15 14 — $770,620.00 $770,620.00 $986,393.60 $816,857.20 2026-07-13
Q2056 HCPCS Ciltacabtagene Car-pos T 15 14 — $588,494.81 $588,494.81 $752,191.45 $622,908.54 2026-07-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 14 — $614,180.81 $600,523.18 $725,160.06 $600,523.18 2026-07-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 14 — $562,260.84 $562,260.84 $719,617.59 $595,933.31 2026-07-13
Q2055 HCPCS Idecabtagene Vicleucel Car 15 14 — $559,781.08 $559,781.08 $714,344.61 $591,566.63 2026-07-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 14 — $531,849.12 $531,849.12 $681,206.07 $564,123.77 2026-07-13
Q2053 HCPCS Brexucabtagene Car Pos T 15 14 — $489,290.60 $489,290.60 $626,496.26 $518,817.21 2026-07-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 18 — $489,267.13 $422,975.53 $636,047.27 $489,267.13 2026-07-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 18 — $318,877.12 $274,494.10 $414,540.26 $318,877.12 2026-07-13
24 APR_DRG Heart &/or Lung Transplant 24 23 — — $271,738.98 $611,412.71 $285,325.93 2026-07-13
J3403 HCPCS Revakinagene, Per Implant 15 14 — $262,233.77 $262,233.77 $339,200.00 $280,900.00 2026-07-13
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 6 — $278,250.00 $254,299.50 $278,250.00 $278,229.00 2026-07-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 20 18 — $243,866.34 $209,128.15 $317,026.24 $243,866.34 2026-07-13
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 20 18 — $242,457.94 $207,900.83 $315,195.32 $242,457.94 2026-07-13
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 14 — $202,713.58 $202,713.58 $258,136.35 $213,769.16 2026-07-13
5834 APR_DRG Neonate W Ecmo 24 23 — — $200,032.27 $450,072.61 $210,033.88 2026-07-13
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 24 23 — — $196,516.13 $442,161.29 $206,341.94 2026-07-13
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 24 23 — — $196,516.13 $442,161.29 $206,341.94 2026-07-13
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 23 — — $179,746.12 $404,428.77 $188,733.43 2026-07-13
34 APR_DRG Bone Marrow Transplant 24 23 — — $174,524.47 $392,680.06 $183,250.69 2026-07-13
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 20 18 — $159,574.49 $135,674.46 $207,446.84 $159,574.49 2026-07-13
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 23 — — $150,882.60 $339,485.85 $158,426.73 2026-07-13
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 24 23 — — $150,337.46 $338,259.29 $157,854.33 2026-07-13
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 24 23 — — $150,337.46 $338,259.29 $157,854.33 2026-07-13
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 23 — — $145,928.85 $328,339.91 $153,225.29 2026-07-13
7 MS_DRG Lung Transplant 20 18 — $149,444.76 $126,847.21 $194,278.19 $149,444.76 2026-07-13
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 23 — — $140,739.91 $316,664.80 $147,776.91 2026-07-13
14 APR_DRG Liver Transplant &/or Intestinal Transplant 24 23 — — $136,326.63 $306,734.92 $143,142.96 2026-07-13
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 23 — — $135,785.38 $305,517.11 $142,574.65 2026-07-13
14 MS_DRG Allogeneic Bone Marrow Transplant 20 18 — $138,965.46 $117,715.33 $180,655.10 $138,965.46 2026-07-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 18 — $131,253.52 $110,994.98 $170,629.58 $131,253.52 2026-07-13
209 MS_DRG Inpatient DRG 20 18 — $131,107.40 $110,867.65 $170,439.62 $131,107.40 2026-07-13
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 23 — — $124,324.24 $279,729.54 $130,540.45 2026-07-13
426 MS_DRG Inpatient DRG 20 18 — $127,762.29 $107,952.65 $166,090.98 $127,762.29 2026-07-13
212 MS_DRG Inpatient DRG 20 18 — $126,108.83 $106,511.81 $163,941.48 $126,108.83 2026-07-13
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $117,762.33 $264,965.24 $123,650.45 2026-07-13
23 APR_DRG Heart &/or Lung Transplant 24 23 — — $117,351.14 $264,040.07 $123,218.70 2026-07-13
J3404 HCPCS Outpatient Apc 3 3 — $121,900.00 $121,900.00 $121,900.00 $121,900.00 2026-07-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 18 — $119,773.83 $100,991.35 $155,705.98 $119,773.83 2026-07-13
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 23 — — $114,034.37 $256,577.33 $119,736.09 2026-07-13
5833 APR_DRG Neonate W Ecmo 24 23 — — $113,641.09 $255,692.45 $119,323.14 2026-07-13
5831 APR_DRG Neonate W Ecmo 24 23 — — $111,515.83 $250,910.62 $117,091.62 2026-07-13
5832 APR_DRG Neonate W Ecmo 24 23 — — $111,515.83 $250,910.62 $117,091.62 2026-07-13
215 MS_DRG Other Heart Assist System Implant 20 18 — $115,800.39 $97,528.82 $150,540.51 $115,800.39 2026-07-13
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 23 — — $108,480.96 $244,082.16 $113,905.01 2026-07-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 18 — $113,842.34 $95,822.53 $147,995.04 $113,842.34 2026-07-13
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 23 — — $107,388.35 $241,623.79 $112,757.77 2026-07-13
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 23 — — $106,052.76 $238,618.71 $111,355.40 2026-07-13
429 MS_DRG Inpatient DRG 20 18 — $105,151.39 $88,249.03 $136,696.81 $105,151.39 2026-07-13
22 APR_DRG Heart &/or Lung Transplant 24 23 — — $100,039.11 $225,088.00 $105,041.07 2026-07-13
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 6 — $108,243.35 $86,451.96 $108,243.35 $101,411.64 2026-07-13
850 MS_DRG Inpatient DRG 20 18 — $101,216.17 $84,819.80 $131,581.02 $101,216.17 2026-07-13
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $96,143.71 $216,323.35 $100,950.90 2026-07-13
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 24 23 — — $95,239.55 $214,288.99 $100,001.53 2026-07-13
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 23 — — $94,533.99 $212,701.48 $99,260.69 2026-07-13
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 23 — — $94,533.99 $212,701.48 $99,260.69 2026-07-13
21 APR_DRG Heart &/or Lung Transplant 24 23 — — $94,231.83 $212,021.62 $98,943.42 2026-07-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 18 — $98,635.40 $82,570.87 $128,226.02 $98,635.40 2026-07-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — $98,337.52 $82,311.30 $127,838.78 $98,337.52 2026-07-13
33 APR_DRG Bone Marrow Transplant 24 23 — — $92,074.64 $207,167.94 $96,678.37 2026-07-13
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 23 — — $92,010.00 $207,022.50 $96,610.50 2026-07-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 18 — $92,328.48 $77,074.90 $120,027.02 $92,328.48 2026-07-13
904 APR_DRG Major Larynx & Trachea Procedures 24 23 — — $87,458.87 $196,782.46 $91,831.81 2026-07-13
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $86,926.97 $195,585.68 $91,273.32 2026-07-13
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 23 — — $86,771.22 $195,235.25 $91,109.78 2026-07-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 6 — $95,081.03 $79,241.58 $95,081.03 $90,886.34 2026-07-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 18 — $90,187.20 $75,208.95 $117,243.36 $90,187.20 2026-07-13
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 23 — — $85,835.14 $193,129.07 $90,126.90 2026-07-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 18 — $89,815.15 $74,884.73 $116,759.70 $89,815.15 2026-07-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 18 — $89,530.78 $74,636.92 $116,390.01 $89,530.78 2026-07-13
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 23 — — $84,842.99 $190,896.73 $89,085.14 2026-07-13
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 23 — — $84,128.86 $189,289.94 $88,335.30 2026-07-13
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 24 23 — — $81,875.10 $184,218.98 $85,968.86 2026-07-13
427 MS_DRG Inpatient DRG 20 18 — $85,020.05 $70,706.19 $110,526.07 $85,020.05 2026-07-13
4404 APR_DRG Kidney Transplant 24 23 — — $80,868.15 $181,953.34 $84,911.56 2026-07-13
10 MS_DRG Pancreas Transplant 20 18 — $84,537.86 $70,285.98 $109,899.22 $84,537.86 2026-07-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 18 — $84,504.13 $70,256.60 $109,855.37 $84,504.13 2026-07-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 18 — $84,075.88 $69,883.41 $109,298.64 $84,075.88 2026-07-13
275 MS_DRG Inpatient DRG 20 18 — $84,028.67 $69,842.27 $109,237.27 $84,028.67 2026-07-13
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 23 — — $78,426.71 $176,460.10 $82,348.05 2026-07-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 23 — — $77,440.01 $174,240.02 $81,312.01 2026-07-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 18 — $81,190.51 $67,369.03 $105,547.66 $81,190.51 2026-07-13
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 23 — — $76,627.75 $172,412.44 $80,459.14 2026-07-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 18 — $79,540.43 $65,931.12 $103,402.56 $79,540.43 2026-07-13
317 MS_DRG Inpatient DRG 20 18 — $79,039.10 $65,494.27 $102,750.83 $79,039.10 2026-07-13
447 MS_DRG Inpatient DRG 20 18 — $78,984.03 $65,446.27 $102,679.24 $78,984.03 2026-07-13
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 24 23 — — $74,765.72 $168,222.87 $78,504.01 2026-07-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 18 — $77,789.21 $64,405.06 $101,125.97 $77,789.21 2026-07-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 18 — $77,789.21 $64,405.06 $101,125.97 $77,789.21 2026-07-13
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $73,858.45 $166,181.51 $77,551.37 2026-07-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 18 — $77,520.57 $64,170.96 $100,776.74 $77,520.57 2026-07-13
870 MS_DRG Septicemia Or Severe Sepsis W/mv>96 Hours Or Peripheral Extracorporeal Membrane … 37 30 $78,324.40 $81,571.55 $18,012.00 $106,043.02 $77,492.97 2026-07-13
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 24 23 — — $73,085.13 $164,441.54 $76,739.39 2026-07-13
207 MS_DRG Respiratory System Diagnosis w/Ventilator Support <= 96 Hours 37 30 $236,230.50 $76,208.82 68% off $37,749.00 $99,071.47 $76,208.82 2026-07-13
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 23 — — $71,901.41 $161,778.17 $75,496.48 2026-07-13
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 24 23 — — $71,508.13 $160,893.29 $75,083.54 2026-07-13
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $71,250.35 $160,313.29 $74,812.87 2026-07-13
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 24 23 — — $70,107.12 $157,741.02 $73,612.48 2026-07-13
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 23 — — $69,921.77 $157,323.98 $73,417.86 2026-07-13
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 23 — — $69,864.92 $157,196.07 $73,358.17 2026-07-13
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 23 — — $69,671.01 $156,759.77 $73,154.56 2026-07-13
J9183 HCPCS Outpatient Apc 3 3 — $73,088.26 $73,088.26 $73,088.26 $73,088.26 2026-07-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 18 — $72,765.92 $60,027.68 $94,595.70 $72,765.92 2026-07-13
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 23 — — $69,227.89 $155,762.75 $72,689.28 2026-07-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 18 — $72,686.13 $59,958.13 $94,491.97 $72,686.13 2026-07-13
90288 CPT Botulism Ig, IV 4 4 — — $36.10 $75,398.40 $72,158.62 2026-07-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 18 — $72,026.32 $59,383.17 $93,634.22 $72,026.32 2026-07-13
6904 APR_DRG Acute Leukemia 24 23 — — $68,166.43 $153,374.47 $71,574.75 2026-07-13
28 MS_DRG Spinal Procedures With Mcc 20 18 — $71,415.98 $58,851.30 $92,840.77 $71,415.98 2026-07-13
276 MS_DRG Inpatient DRG 20 18 — $71,396.89 $58,834.65 $92,815.96 $71,396.89 2026-07-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — $70,907.91 $58,408.56 $92,180.28 $70,907.91 2026-07-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 18 — $70,687.61 $58,216.58 $91,893.89 $70,687.61 2026-07-13
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 24 23 — — $67,267.73 $151,352.39 $70,631.12 2026-07-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 18 — $70,532.49 $58,081.41 $91,692.24 $70,532.49 2026-07-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 18 — $69,845.71 $57,482.94 $90,799.42 $69,845.71 2026-07-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 18 — $69,803.01 $57,445.72 $90,743.91 $69,803.01 2026-07-13
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 23 — — $65,989.77 $148,476.98 $69,289.26 2026-07-13
430 MS_DRG Inpatient DRG 20 18 — $68,704.83 $56,488.74 $89,316.28 $68,704.83 2026-07-13
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 24 23 — — $65,323.92 $146,978.82 $68,590.12 2026-07-13
13 APR_DRG Liver Transplant &/or Intestinal Transplant 24 23 — — $65,155.71 $146,600.35 $68,413.50 2026-07-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 18 — $68,291.19 $56,128.29 $88,778.55 $68,291.19 2026-07-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 14 — $64,282.30 $64,282.30 $82,271.73 $68,131.28 2026-07-13
213 MS_DRG Inpatient DRG 20 18 — $68,028.15 $55,899.09 $88,436.60 $68,028.15 2026-07-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 18 — $67,944.98 $55,826.60 $88,328.47 $67,944.98 2026-07-13
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 23 — — $63,965.75 $143,922.94 $67,164.04 2026-07-13
428 MS_DRG Inpatient DRG 20 18 — $67,073.86 $55,067.49 $87,196.02 $67,073.86 2026-07-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 18 — $66,878.29 $54,897.06 $86,941.78 $66,878.29 2026-07-13
278 MS_DRG Inpatient DRG 20 18 — $66,446.64 $54,520.93 $86,380.63 $66,446.64 2026-07-13
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 24 23 — — $63,191.65 $142,181.21 $66,351.23 2026-07-13
234 APR_DRG Spinal Procedures 24 23 — — $62,940.89 $141,617.00 $66,087.93 2026-07-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 18 — $65,961.08 $54,097.79 $85,749.40 $65,961.08 2026-07-13
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 20 18 — $65,589.02 $53,773.57 $85,265.73 $65,589.02 2026-07-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 18 — $65,370.95 $53,583.55 $84,982.24 $65,370.95 2026-07-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 18 — $65,283.29 $53,507.15 $84,868.28 $65,283.29 2026-07-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 18 — $65,186.61 $53,422.91 $84,742.59 $65,186.61 2026-07-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 18 — $64,941.58 $53,209.38 $84,424.05 $64,941.58 2026-07-13
C1604 HCPCS Behavioral Health Va Fee Schedule 1 1 — — $64,547.85 $64,547.85 $64,547.85 2026-07-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 18 — $63,823.18 $52,234.78 $82,970.13 $63,823.18 2026-07-13
450 MS_DRG Inpatient DRG 20 18 — $63,787.19 $52,203.43 $82,923.35 $63,787.19 2026-07-13
32 APR_DRG Bone Marrow Transplant 24 23 — — $60,437.15 $135,983.59 $63,459.01 2026-07-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 18 — $63,384.82 $51,852.77 $82,400.27 $63,384.82 2026-07-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 18 — $63,188.11 $51,681.36 $82,144.54 $63,188.11 2026-07-13
64 APR_DRG Pancreas Transplant 24 23 — — $59,489.39 $133,851.13 $62,463.86 2026-07-13
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 24 23 — — $59,424.75 $133,705.69 $62,395.99 2026-07-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 18 — $62,391.17 $50,986.89 $81,108.52 $62,391.17 2026-07-13
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 24 23 — — $59,394.38 $133,637.36 $62,364.10 2026-07-13
653 MS_DRG Major Bladder Procedures With Mcc 20 18 — $62,289.99 $50,898.74 $80,976.99 $62,289.99 2026-07-13
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 24 23 — — $59,004.21 $132,759.47 $61,954.42 2026-07-13
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 24 23 — — $58,434.15 $131,476.84 $61,355.86 2026-07-13
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $58,239.46 $131,038.79 $61,151.43 2026-07-13
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 24 23 — — $57,835.28 $130,129.38 $60,727.04 2026-07-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 18 — $60,534.29 $49,368.76 $78,694.58 $60,534.29 2026-07-13
6954 APR_DRG Chemotherapy For Acute Leukemia # 24 23 — — $57,526.11 $129,433.75 $60,402.42 2026-07-13
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 24 23 — — $57,266.00 $128,848.50 $60,129.30 2026-07-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 18 — $59,940.78 $48,851.58 $77,923.01 $59,940.78 2026-07-13
63 APR_DRG Pancreas Transplant 24 23 — — $56,960.72 $128,161.62 $59,808.76 2026-07-13
A9543 HCPCS Y90 Ibritumomab, Rx 7 7 — $56,824.55 $56,824.55 $71,864.26 $59,665.78 2026-07-13
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 23 — — $56,718.53 $127,616.69 $59,554.46 2026-07-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 18 — $59,491.18 $48,459.78 $77,338.53 $59,491.18 2026-07-13
214 APR_DRG Craniotomy Except For Trauma 24 23 — — $56,393.78 $126,886.01 $59,213.47 2026-07-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 18 — $59,202.29 $48,208.05 $76,962.98 $59,202.29 2026-07-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 18 — $58,971.88 $48,007.25 $76,663.44 $58,971.88 2026-07-13
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 23 — — $55,982.59 $125,960.83 $58,781.72 2026-07-13
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 23 — — $55,982.59 $125,960.83 $58,781.72 2026-07-13
1694 APR_DRG Major Abdominal Vascular Procedures 24 23 — — $55,938.20 $125,860.95 $58,735.11 2026-07-13
9104 APR_DRG Craniotomy For Multiple Significant Trauma 24 23 — — $55,935.08 $125,853.93 $58,731.83 2026-07-13
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 24 23 — — $55,934.30 $125,852.18 $58,731.02 2026-07-13
471 MS_DRG Cervical Spinal Fusion With Mcc 20 18 — $58,156.96 $47,297.12 $75,604.05 $58,156.96 2026-07-13
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 24 23 — — $55,196.81 $124,192.82 $57,956.65 2026-07-13
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 23 — — $55,151.64 $124,091.19 $57,909.22 2026-07-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 18 — $57,882.70 $47,058.12 $75,247.51 $57,882.70 2026-07-13
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 24 23 — — $55,110.37 $123,998.33 $57,865.89 2026-07-13
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 24 23 — — $55,013.80 $123,781.05 $57,764.49 2026-07-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 14 — $56,269.19 $56,269.19 $69,637.26 $57,668.36 2026-07-13
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 24 23 — — $54,879.85 $123,479.66 $57,623.84 2026-07-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 6 6 — $68,801.71 $42,388.54 $68,801.71 $57,587.75 2026-07-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 18 — $57,393.75 $46,632.04 $74,611.88 $57,393.75 2026-07-13
853 MS_DRG Infectious & Parasitic Diseases W/or Procedure W/major Comorbid Conditions Or Co… 37 30 $232,439.90 $59,392.27 74% off $13,718.00 $79,991.00 $57,276.00 2026-07-13
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 23 — — $54,420.38 $122,445.86 $57,141.40 2026-07-13
4014 APR_DRG Pituitary & Adrenal Procedures 24 23 — — $54,418.04 $122,440.59 $57,138.94 2026-07-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 18 — $56,726.08 $46,050.21 $73,743.90 $56,726.08 2026-07-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 18 — $56,618.18 $45,956.18 $73,603.63 $56,618.18 2026-07-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 18 — $56,460.81 $45,819.05 $73,399.05 $56,460.81 2026-07-13
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 23 — — $53,723.38 $120,877.61 $56,409.55 2026-07-13
6 MS_DRG Liver Transplant Without Mcc 20 18 — $56,002.20 $45,419.42 $72,802.86 $56,002.20 2026-07-13
3104 APR_DRG Intervertebral Disc Excision & Decompression 24 23 — — $53,284.93 $119,891.09 $55,949.18 2026-07-13
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 24 23 — — $53,140.08 $119,565.18 $55,797.08 2026-07-13
277 MS_DRG Inpatient DRG 20 18 — $55,794.26 $45,238.21 $72,532.54 $55,794.26 2026-07-13
244 APR_DRG Extracranial Vascular Procedures 24 23 — — $52,906.45 $119,039.51 $55,551.77 2026-07-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 18 — $55,546.98 $45,022.72 $72,211.07 $55,546.98 2026-07-13
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 24 23 — — $52,894.77 $119,013.23 $55,539.51 2026-07-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 18 — $55,415.46 $44,908.12 $72,040.10 $55,415.46 2026-07-13
4414 APR_DRG Major Bladder Procedures 24 23 — — $52,670.48 $118,508.58 $55,304.00 2026-07-13
245 MS_DRG Aicd Generator Procedures 20 18 — $55,163.68 $44,688.71 $71,712.78 $55,163.68 2026-07-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 18 — $55,009.68 $44,554.52 $71,512.58 $55,009.68 2026-07-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 18 — $54,987.21 $44,534.93 $71,483.37 $54,987.21 2026-07-13
799 MS_DRG Splenectomy With Mcc 20 18 — $54,787.13 $44,360.58 $71,223.27 $54,787.13 2026-07-13
204 APR_DRG Craniotomy For Trauma 24 23 — — $52,099.65 $117,224.21 $54,704.63 2026-07-13
163 MS_DRG Major Chest Procedures With Mcc 20 18 — $54,257.72 $43,899.23 $70,535.04 $54,257.72 2026-07-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 18 — $54,243.10 $43,886.50 $70,516.03 $54,243.10 2026-07-13
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 24 23 — — $51,641.73 $116,193.89 $54,223.82 2026-07-13
31 APR_DRG Bone Marrow Transplant 24 23 — — $51,598.12 $116,095.77 $54,178.03 2026-07-13
1814 APR_DRG Lower Extremity Arterial Procedures # 24 23 — — $51,527.25 $115,936.31 $54,103.61 2026-07-13
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 24 23 — — $51,482.08 $115,834.68 $54,056.18 2026-07-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 18 — $54,045.29 $43,714.11 $70,258.88 $54,045.29 2026-07-13
2214 APR_DRG Major Small & Large Bowel Procedures 24 23 — — $51,463.39 $115,792.63 $54,036.56 2026-07-13
4034 APR_DRG Procedures For Obesity 24 23 — — $51,217.30 $115,238.93 $53,778.17 2026-07-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 18 — $53,257.34 $43,027.48 $69,234.54 $53,257.34 2026-07-13
894 APR_DRG Major Cranial/facial Bone Procedures 39 31 $19,103.70 — $6,776.00 $119,477.57 $53,101.14 2026-07-13
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $50,563.13 $113,767.04 $53,091.29 2026-07-13
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 24 23 — — $50,544.44 $113,724.99 $53,071.66 2026-07-13
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 24 23 — — $50,396.48 $113,392.08 $52,916.30 2026-07-13
323 MS_DRG Inpatient DRG 20 18 — $52,522.21 $42,386.88 $68,278.87 $52,522.21 2026-07-13
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 24 23 — — $49,913.64 $112,305.69 $52,409.32 2026-07-13
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 24 23 — — $49,653.53 $111,720.44 $52,136.21 2026-07-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 18 — $52,134.42 $42,048.96 $67,774.75 $52,134.42 2026-07-13
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 23 — — $49,397.32 $111,143.97 $51,867.19 2026-07-13
140 MS_DRG Major Head And Neck Procedures With Mcc 20 18 — $51,824.20 $41,778.61 $67,371.46 $51,824.20 2026-07-13
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 24 23 — — $49,331.90 $110,996.78 $51,798.50 2026-07-13
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 24 23 — — $49,317.88 $110,965.23 $51,783.77 2026-07-13
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 24 23 — — $49,221.32 $110,747.97 $51,682.39 2026-07-13
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 24 23 — — $49,202.63 $110,705.92 $51,662.76 2026-07-13
448 MS_DRG Inpatient DRG 20 18 — $51,548.81 $41,538.64 $67,013.45 $51,548.81 2026-07-13
3054 APR_DRG Amputation Of Lower Limb Except Toes 24 23 — — $49,076.46 $110,422.04 $51,530.28 2026-07-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 18 — $51,351.00 $41,366.24 $66,756.30 $51,351.00 2026-07-13
264 APR_DRG Other Nervous System & Related Procedures 24 23 — — $48,874.76 $109,968.21 $51,318.50 2026-07-13
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 24 23 — — $48,868.53 $109,954.19 $51,311.96 2026-07-13
1824 APR_DRG Other Peripheral Vascular Procedures # 24 23 — — $48,844.39 $109,899.88 $51,286.61 2026-07-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 18 — $51,270.05 $41,295.72 $66,651.07 $51,270.05 2026-07-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 18 — $51,246.44 $41,275.15 $66,620.37 $51,246.44 2026-07-13
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 23 — — $48,796.11 $109,791.25 $51,235.92 2026-07-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 18 — $51,108.18 $41,154.67 $66,440.63 $51,108.18 2026-07-13
901 MS_DRG Wound Debridements For Injuries With Mcc 20 18 — $51,051.99 $41,105.70 $66,367.59 $51,051.99 2026-07-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 18 — $50,964.32 $41,029.30 $66,253.62 $50,964.32 2026-07-13
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 24 23 — — $48,526.65 $109,184.96 $50,952.98 2026-07-13
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 24 23 — — $48,489.27 $109,100.86 $50,913.73 2026-07-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — $50,782.21 $40,870.62 $66,016.87 $50,782.21 2026-07-13
793 MS_DRG Full Term Neonate With Major Problems 20 18 — $50,748.50 $40,841.23 $65,973.05 $50,748.50 2026-07-13
4444 APR_DRG Renal Dialysis Access Device Procedure Only 24 23 — — $48,173.87 $108,391.21 $50,582.56 2026-07-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 18 — $50,561.91 $40,678.64 $65,730.48 $50,561.91 2026-07-13
12 APR_DRG Liver Transplant &/or Intestinal Transplant 24 23 — — $47,997.87 $107,995.21 $50,397.76 2026-07-13
11 APR_DRG Liver Transplant &/or Intestinal Transplant 24 23 — — $47,997.87 $107,995.21 $50,397.76 2026-07-13
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 24 23 — — $47,930.12 $107,842.77 $50,326.63 2026-07-13
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 18 — $50,252.81 $40,409.27 $65,328.65 $50,252.81 2026-07-13
2614 APR_DRG Major Biliary Tract Procedures 24 23 — — $47,821.09 $107,597.45 $50,212.14 2026-07-13
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 23 — — $47,719.85 $107,369.66 $50,105.84 2026-07-13
1204 APR_DRG Major Respiratory & Chest Procedures 24 23 — — $47,433.26 $106,724.84 $49,804.92 2026-07-13
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 24 23 — — $47,293.08 $106,409.43 $49,657.73 2026-07-13
6903 APR_DRG Acute Leukemia 24 23 — — $47,215.99 $106,235.98 $49,576.79 2026-07-13
1214 APR_DRG Other Respiratory & Chest Procedures 24 23 — — $47,170.82 $106,134.35 $49,529.36 2026-07-13
791 MS_DRG Prematurity With Major Problems 20 18 — $49,505.33 $39,757.91 $64,356.93 $49,505.33 2026-07-13
3014 APR_DRG Hip Joint Replacement 24 23 — — $47,144.34 $106,074.77 $49,501.56 2026-07-13
2624 APR_DRG Cholecystectomy Except Laparoscopic 24 23 — — $47,143.56 $106,073.01 $49,500.74 2026-07-13
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 24 23 — — $47,106.18 $105,988.91 $49,461.49 2026-07-13
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 23 — — $47,046.99 $105,855.73 $49,399.34 2026-07-13
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 24 23 — — $47,005.72 $105,762.87 $49,356.01 2026-07-13
402 MS_DRG Inpatient DRG 20 18 — $49,072.58 $39,380.80 $63,794.35 $49,072.58 2026-07-13
5184 APR_DRG Other Female Reproductive System & Related Procedures 24 23 — — $46,554.03 $104,746.57 $48,881.73 2026-07-13
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 24 23 — — $46,473.04 $104,564.34 $48,796.69 2026-07-13
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 24 23 — — $46,444.23 $104,499.52 $48,766.44 2026-07-13
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 18 — $48,663.44 $39,024.26 $63,262.47 $48,663.44 2026-07-13
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 24 23 — — $46,193.46 $103,935.29 $48,503.13 2026-07-13
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 24 23 — — $46,145.96 $103,828.41 $48,453.26 2026-07-13
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 24 23 — — $46,085.21 $103,691.72 $48,389.47 2026-07-13
3814 APR_DRG Major Skin Disorders 24 23 — — $45,969.18 $103,430.66 $48,267.64 2026-07-13
207 APR_DRG Respiratory System Diagnosis w/Ventilator Support <= 96 Hours 16 9 $236,230.50 — $29,616.00 $71,009.00 $48,126.18 2025-05-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 18 — $47,851.88 $38,317.06 $62,207.44 $47,851.88 2026-07-13
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 23 — — $45,508.15 $102,393.34 $47,783.56 2026-07-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 20 18 — $47,652.93 $38,143.69 $61,948.81 $47,652.93 2026-07-13
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 18 — $47,388.78 $37,913.51 $61,605.41 $47,388.78 2026-07-13
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 17 — $47,323.58 $44,957.40 $61,520.65 $47,323.58 2026-07-13
2294 APR_DRG Other Digestive System & Abdominal Procedures 24 23 — — $45,065.80 $101,398.05 $47,319.09 2026-07-13
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 18 — $47,282.01 $37,820.45 $61,466.61 $47,282.01 2026-07-13
3084 APR_DRG Hip And Femur Fracture Repair 24 23 — — $44,925.63 $101,082.67 $47,171.91 2026-07-13
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 18 — $47,035.85 $37,605.94 $61,146.61 $47,035.85 2026-07-13
3094 APR_DRG Other Significant Hip And Femur Surgery 24 23 — — $44,741.06 $100,667.39 $46,978.11 2026-07-13
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 24 23 — — $44,675.64 $100,520.19 $46,909.42 2026-07-13
6504 APR_DRG Splenectomy 24 23 — — $44,413.20 $99,929.70 $46,633.86 2026-07-13
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 23 — — $44,359.46 $99,808.79 $46,577.43 2026-07-13
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 24 23 — — $44,280.81 $99,631.82 $46,494.85 2026-07-13
4403 APR_DRG Kidney Transplant 24 23 — — $44,174.89 $99,393.50 $46,383.63 2026-07-13
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 18 — $46,178.21 $36,858.59 $60,031.67 $46,178.21 2026-07-13
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 18 — $45,993.88 $36,697.95 $59,792.04 $45,993.88 2026-07-13
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 18 — $45,893.83 $36,610.77 $59,661.98 $45,893.83 2026-07-13
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 18 — $45,889.33 $36,606.85 $59,656.13 $45,889.33 2026-07-13
J9226 HCPCS Supprelin La Implant 15 14 — $41,173.43 $41,173.43 $55,277.24 $45,776.46 2026-07-13
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 18 — $45,771.33 $36,504.01 $59,502.73 $45,771.33 2026-07-13
2234 APR_DRG Other Small & Large Bowel Procedures 24 23 — — $43,443.63 $97,748.17 $45,615.81 2026-07-13
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 18 — $45,535.25 $36,298.31 $59,195.83 $45,535.25 2026-07-13
2244 APR_DRG Peritoneal Adhesiolysis 24 23 — — $43,366.53 $97,574.69 $45,534.86 2026-07-13
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