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

RICHMOND UNIVERSITY MEDICAL CENTER

Staten Island, NY · CCN 330028 · Rates published

34,601 distinct procedures filed
54 distinct payers
970,926 rate rows
2026-05-28 last MRF observed
Data quality

776,568 of 970,926 rate rows are consumer-grade (80.0%)

194,358 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 182,237
template filing: same amount across many unrelated codes — excluded 11,356
placeholder amount (≤ $0.02) — excluded from medians 324
per-diem day rate — not a per-procedure price 249
exceeds 10× this hospital's gross charge — excluded from medians 173
percent-of-charges filed in the dollar field — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rumcsi.pt.panaceainc.com/MRFDownload/rumcsi/rumcsi
Found on page https://www.rumcsi.org/patients-visitors/billing-and-insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 4432e910a583cdd7… · 295,410,425 bytes · first seen 2026-05-14

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 16 $3,599,442.00 $4,040,190.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,532,900.00 $3,605,000.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 10 $3,605,000.00 $3,965,500.00 $3,605,000.00 nat. median
$3,570,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $3,258,945.66 $3,658,000.24 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 16 $3,220,280.00 $3,614,600.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 16 $2,908,640.00 $3,264,800.00 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 16 $2,340,841.95 $2,627,475.65 $2,388,614.23 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,285,360.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 19 $518,609.00 $701,373.56 $529,192.86 nat. median
$753,246
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 19 $507,687.00 $683,634.74 $527,123.43 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 19 $503,454.53 $655,107.41 $526,587.59 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 19 $496,390.21 $640,442.60 $516,726.08 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 19 $479,666.84 $607,001.27 $489,455.96 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 19 $449,440.00 $605,183.87 $460,530.40 nat. median
$619,808
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $1,657.21 $942,820.00 $435,620.35 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $1,657.21 $704,207.50 $325,588.92 nat. median
$265,286
1.2× median
0024
APR_DRG 		11 $245,274.54 $1,055,176.41 $283,203.59 nat. median
$372,987
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $1,657.21 $623,251.46 $274,340.06 nat. median
$206,474
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $1,657.21 $535,790.00 $247,926.52 nat. median
$202,976
1.2× median
5834
APR_DRG 		11 $180,697.42 $776,735.56 $208,640.32 nat. median
$309,665
0.7× median
5884
APR_DRG 		11 $177,530.88 $763,082.20 $204,984.11 nat. median
$246,434
0.8× median
5883
APR_DRG 		11 $177,530.88 $763,082.20 $204,984.11 nat. median
$182,665
1.1× median
C1833
HCPCS 		Cardiac Monitor Sys 1 $187,725.00 $187,725.00 $187,725.00 nat. median
$9,621
outlier · 19.5×
1614
APR_DRG 		11 $162,428.27 $697,963.39 $187,546.04 nat. median
$207,730
0.9× median
0034
APR_DRG 		11 $157,725.79 $677,687.47 $182,116.38 nat. median
$267,508
0.7× median
MS-DRG 003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $1,960.00 $373,544.80 $176,006.82 nat. median
$192,828
0.9× median
APR-DRG 588-4
OTHER 		Neonate Bwt <1500g W Major Procedure 15 $175,890.94 $638,929.94 $175,890.94 nat. median
$426,710
outlier · 0.4×
APR-DRG 588-3
OTHER 		Neonate Bwt <1500g W Major Procedure 15 $175,890.94 $638,929.94 $175,890.94 nat. median
$412,453
outlier · 0.4×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 3 $126,966.14 $209,527.80 $173,772.05 nat. median
$87,428
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $1,657.21 $353,250.00 $163,751.81 nat. median
$133,161
1.2× median
APR-DRG 161-4
OTHER 		Cardiac Defibrillator & Heart Assist Implant 15 $161,021.17 $584,405.86 $161,021.17 nat. median
$3,540
outlier · 45.5×
5914
APR_DRG 		11 $136,434.57 $585,884.88 $157,532.70 nat. median
$164,289
1.0× median
5882
APR_DRG 		11 $135,943.64 $583,768.08 $156,965.85 nat. median
$145,336
1.1× median
5881
APR_DRG 		11 $135,943.64 $583,768.08 $156,965.85 nat. median
$124,573
1.3× median
8414
APR_DRG 		11 $131,973.36 $566,649.21 $152,381.61 nat. median
$160,267
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $1,657.21 $327,545.00 $151,898.46 nat. median
$117,357
1.3× median
7
MS_DRG 		Lung Transplant 21 $1,657.21 $326,720.00 $151,518.03 nat. median
$122,708
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $1,657.21 $261,885.00 $147,022.24 nat. median
$98,894
1.5× median
0044
APR_DRG 		11 $127,300.35 $546,500.30 $146,985.97 nat. median
$195,681
0.8× median
0014
APR_DRG 		11 $123,325.86 $529,363.29 $142,396.87 nat. median
$190,591
0.7× median
5934
APR_DRG 		11 $122,838.43 $527,261.61 $141,834.07 nat. median
$151,838
0.9× median
APR-DRG 591-4
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 15 $135,428.25 $490,562.34 $135,428.25 nat. median
$399,444
outlier · 0.3×
APR-DRG 588-2
OTHER 		Neonate Bwt <1500g W Major Procedure 15 $134,944.88 $488,789.94 $134,944.88 nat. median
$321,266
outlier · 0.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $95,027.59 $156,820.73 $130,059.40 nat. median
$65,393
2.0× median
6094
APR_DRG 		11 $112,516.84 $482,757.40 $129,916.35 nat. median
$162,982
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $1,657.21 $230,297.50 $129,289.02 nat. median
$83,470
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $1,657.21 $289,511.74 $127,895.48 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 21 $1,657.21 $272,347.50 $126,445.22 nat. median
$102,358
1.2× median
APR-DRG 004-4
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 15 $126,434.85 $457,585.57 $126,434.85 nat. median
$59,861
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $1,657.21 $266,235.00 $123,626.56 nat. median
$100,136
1.2× median

Other procedures at this hospital

Browse this hospital's 34,601 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 16 — — $3,599,442.00 $4,040,190.00 $3,672,900.00 2025-08-06
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,532,900.00 $3,605,000.00 $3,605,000.00 2025-08-06
C9172 HCPCS Inj, Beqvez, Per Tx Dose 11 10 — — $3,605,000.00 $3,965,500.00 $3,605,000.00 2025-08-06
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 16 — — $3,258,945.66 $3,658,000.24 $3,325,454.76 2025-08-06
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 16 — — $3,220,280.00 $3,614,600.00 $3,286,000.00 2025-08-06
J3393 HCPCS Inj, Betibeglogene Autotemce 18 16 — — $2,908,640.00 $3,264,800.00 $2,968,000.00 2025-08-06
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 16 — — $2,340,841.95 $2,627,475.65 $2,388,614.23 2025-08-06
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,285,360.00 $2,332,000.00 $2,332,000.00 2025-08-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 19 — — $518,609.00 $701,373.56 $529,192.86 2025-08-06
Q2056 HCPCS Ciltacabtagene Car-pos T 26 19 — — $507,687.00 $683,634.74 $527,123.43 2025-08-06
Q2055 HCPCS Idecabtagene Vicleucel Car 26 19 — — $503,454.53 $655,107.41 $526,587.59 2025-08-06
Q2054 HCPCS Lisocabtagene Mara Car Pos T 26 19 — — $496,390.21 $640,442.60 $516,726.08 2025-08-06
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 19 — — $479,666.84 $607,001.27 $489,455.96 2025-08-06
Q2053 HCPCS Brexucabtagene Car Pos T 26 19 — — $449,440.00 $605,183.87 $460,530.40 2025-08-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 21 — — $1,657.21 $942,820.00 $435,620.35 2025-08-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 21 — — $1,657.21 $704,207.50 $325,588.92 2025-08-06
0024 APR_DRG — 28 11 — — $245,274.54 $1,055,176.41 $283,203.59 2025-08-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 21 — — $1,657.21 $623,251.46 $274,340.06 2025-08-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 21 — — $1,657.21 $535,790.00 $247,926.52 2025-08-06
5834 APR_DRG — 28 11 — — $180,697.42 $776,735.56 $208,640.32 2025-08-06
5883 APR_DRG — 28 11 — — $177,530.88 $763,082.20 $204,984.11 2025-08-06
5884 APR_DRG — 28 11 — — $177,530.88 $763,082.20 $204,984.11 2025-08-06
C1833 HCPCS Cardiac Monitor Sys 1 1 — — $187,725.00 $187,725.00 $187,725.00 2025-08-06
1614 APR_DRG — 28 11 — — $162,428.27 $697,963.39 $187,546.04 2025-08-06
0034 APR_DRG — 28 11 — — $157,725.79 $677,687.47 $182,116.38 2025-08-06
MS-DRG 003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 16 $373,544.80 — $1,960.00 $373,544.80 $176,006.82 2026-05-28
APR-DRG 588-4 OTHER Neonate Bwt <1500g W Major Procedure 15 15 $884,669.34 $175,890.94 80% off $175,890.94 $638,929.94 $175,890.94 2026-05-28
APR-DRG 588-3 OTHER Neonate Bwt <1500g W Major Procedure 15 15 $722,330.67 $175,890.94 76% off $175,890.94 $638,929.94 $175,890.94 2026-05-28
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 5 3 — — $126,966.14 $209,527.80 $173,772.05 2025-08-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 21 — — $1,657.21 $353,250.00 $163,751.81 2025-08-06
APR-DRG 161-4 OTHER Cardiac Defibrillator & Heart Assist Implant 15 15 $247,192.80 $161,021.17 35% off $161,021.17 $584,405.86 $161,021.17 2026-05-28
5914 APR_DRG — 28 11 — — $136,434.57 $585,884.88 $157,532.70 2025-08-06
5881 APR_DRG — 28 11 — — $135,943.64 $583,768.08 $156,965.85 2025-08-06
5882 APR_DRG — 28 11 — — $135,943.64 $583,768.08 $156,965.85 2025-08-06
8414 APR_DRG — 28 11 — — $131,973.36 $566,649.21 $152,381.61 2025-08-06
14 MS_DRG Allogeneic Bone Marrow Transplant 29 21 — — $1,657.21 $327,545.00 $151,898.46 2025-08-06
7 MS_DRG Lung Transplant 29 21 — — $1,657.21 $326,720.00 $151,518.03 2025-08-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $1,657.21 $261,885.00 $147,022.24 2025-08-06
0044 APR_DRG — 28 11 — — $127,300.35 $546,500.30 $146,985.97 2025-08-06
0014 APR_DRG — 28 11 — — $123,325.86 $529,363.29 $142,396.87 2025-08-06
5934 APR_DRG — 28 11 — — $122,838.43 $527,261.61 $141,834.07 2025-08-06
APR-DRG 591-4 OTHER Neonate Birthwt 500-749g Without Major Procedure 15 15 $671,296.09 $135,428.25 80% off $135,428.25 $490,562.34 $135,428.25 2026-05-28
APR-DRG 588-2 OTHER Neonate Bwt <1500g W Major Procedure 15 15 $498,208.96 $134,944.88 73% off $134,944.88 $488,789.94 $134,944.88 2026-05-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 3 — — $95,027.59 $156,820.73 $130,059.40 2025-08-06
6094 APR_DRG — 28 11 — — $112,516.84 $482,757.40 $129,916.35 2025-08-06
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $1,657.21 $230,297.50 $129,289.02 2025-08-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 21 — — $1,657.21 $289,511.74 $127,895.48 2025-08-06
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 29 21 — — $1,657.21 $272,347.50 $126,445.22 2025-08-06
APR-DRG 004-4 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 15 15 $551,032.25 $126,434.85 77% off $126,434.85 $457,585.57 $126,434.85 2026-05-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 21 — — $1,657.21 $266,235.00 $123,626.56 2025-08-06
6024 APR_DRG — 28 11 — — $106,607.37 $457,277.18 $123,093.04 2025-08-06
215 MS_DRG Other Heart Assist System Implant 29 21 — — $1,657.21 $264,870.00 $122,997.12 2025-08-06
0023 APR_DRG — 28 11 — — $106,237.06 $455,680.51 $122,665.47 2025-08-06
APR-DRG 593-4 OTHER Neonate Birthwt 750-999g Without Major Procedure 15 15 $516,849.67 $122,041.73 76% off $122,041.73 $441,476.99 $122,041.73 2026-05-28
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 5 3 — — $87,634.35 $144,619.91 $119,940.64 2025-08-06
8413 APR_DRG — 28 11 — — $103,250.06 $442,801.29 $119,216.56 2025-08-06
5833 APR_DRG — 28 11 — — $102,895.88 $441,274.17 $118,807.62 2025-08-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $1,657.21 $208,515.00 $117,060.32 2025-08-06
5832 APR_DRG — 28 11 — — $100,981.93 $433,021.68 $116,597.69 2025-08-06
5831 APR_DRG — 28 11 — — $100,981.93 $433,021.68 $116,597.69 2025-08-06
MS-DRG 004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 16 $248,883.53 — $1,960.00 $248,883.53 $114,030.79 2026-05-28
6034 APR_DRG — 28 11 — — $98,248.82 $421,237.15 $113,441.93 2025-08-06
0054 APR_DRG — 28 11 — — $97,264.84 $416,994.48 $112,305.79 2025-08-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 21 — — $1,657.21 $241,277.50 $112,117.91 2025-08-06
APR-DRG 609-4 OTHER Neonate Bwt 1500-2499g W Major Procedure 15 15 $675,274.03 $111,879.27 83% off $111,879.27 $404,213.54 $111,879.27 2026-05-28
5933 APR_DRG — 28 11 — — $96,062.04 $411,808.32 $110,916.99 2025-08-06
MS-DRG 215 OTHER Other Heart Assist System Implant 16 16 $324,988.89 — $1,960.00 $324,988.89 $109,627.67 2026-05-28
APR-DRG 602-4 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 15 15 $574,999.77 $106,060.91 82% off $106,060.91 $382,878.91 $106,060.91 2026-05-28
0022 APR_DRG — 28 11 — — $90,646.31 $388,456.99 $104,663.78 2025-08-06
6074 APR_DRG — 28 11 — — $87,138.21 $373,330.94 $100,613.20 2025-08-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $1,657.21 $177,567.50 $99,686.39 2025-08-06
6304 APR_DRG — 28 11 — — $86,323.97 $369,820.08 $99,673.03 2025-08-06
5891 APR_DRG — 28 11 — — $85,688.55 $367,080.33 $98,939.36 2025-08-06
5892 APR_DRG — 28 11 — — $85,688.55 $367,080.33 $98,939.36 2025-08-06
0021 APR_DRG — 28 11 — — $85,416.43 $365,907.02 $98,625.16 2025-08-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 21 — — $1,657.21 $211,847.50 $98,546.85 2025-08-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 21 — — $1,657.21 $211,730.00 $98,492.66 2025-08-06
APR-DRG 005-4 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 15 15 $282,677.76 $96,862.42 66% off $96,862.42 $349,150.14 $96,862.42 2026-05-28
0033 APR_DRG — 28 11 — — $83,473.73 $357,530.54 $96,382.04 2025-08-06
5913 APR_DRG — 28 11 — — $83,415.52 $357,279.55 $96,314.83 2025-08-06
APR-DRG 593-3 OTHER Neonate Birthwt 750-999g Without Major Procedure 15 15 $605,860.78 $95,678.17 84% off $95,678.17 $344,807.76 $95,678.17 2026-05-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $1,657.21 $167,617.50 $94,100.46 2025-08-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 21 — — $1,657.21 $201,527.50 $93,787.98 2025-08-06
10 MS_DRG Pancreas Transplant 29 21 — — $1,657.21 $199,325.00 $92,772.34 2025-08-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 21 — — $1,657.21 $198,182.50 $92,245.50 2025-08-06
0904 APR_DRG — 28 11 — — $79,316.89 $339,607.29 $91,582.39 2025-08-06
6023 APR_DRG — 28 11 — — $78,837.88 $337,541.90 $91,029.31 2025-08-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 21 — — $1,657.21 $195,410.00 $90,967.02 2025-08-06
5932 APR_DRG — 28 11 — — $78,697.61 $336,937.10 $90,867.35 2025-08-06
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 5 3 — — $65,989.04 $108,899.41 $90,315.82 2025-08-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 21 — — $1,657.21 $193,437.50 $90,057.44 2025-08-06
5912 APR_DRG — 28 11 — — $77,854.61 $333,302.25 $89,893.98 2025-08-06
3034 APR_DRG — 28 11 — — $76,961.10 $329,449.68 $88,862.30 2025-08-06
5931 APR_DRG — 28 11 — — $76,317.97 $326,676.67 $88,119.72 2025-08-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 21 — — $1,657.21 $186,605.00 $86,906.77 2025-08-06
APR-DRG 607-4 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 15 15 $333,550.40 $86,891.93 74% off $86,891.93 $312,590.59 $86,891.93 2026-05-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $1,657.21 $154,660.00 $86,826.12 2025-08-06
6314 APR_DRG — 28 11 — — $74,288.30 $317,925.21 $85,776.19 2025-08-06
4404 APR_DRG — 28 11 — — $73,381.47 $314,015.18 $84,729.12 2025-08-06
MS-DRG 222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 16 $222,977.88 — $1,960.00 $222,977.88 $82,871.81 2026-05-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 21 — — $1,657.21 $176,675.00 $82,327.74 2025-08-06
0043 APR_DRG — 28 11 — — $71,182.77 $304,534.94 $82,190.42 2025-08-06
1604 APR_DRG — 28 11 — — $70,294.18 $300,703.53 $81,164.42 2025-08-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 21 — — $1,657.21 $173,912.50 $81,053.87 2025-08-06
1613 APR_DRG — 28 11 — — $69,562.69 $297,549.50 $80,319.80 2025-08-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 21 — — $1,657.21 $170,707.50 $79,575.95 2025-08-06
MS-DRG 020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 16 $79,084.25 — $1,960.00 $90,292.16 $79,084.25 2026-05-28
APR-DRG 602-3 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 15 15 $304,781.02 $78,719.57 74% off $78,719.57 $282,624.37 $78,719.57 2026-05-28
MS-DRG 453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 16 16 $78,704.07 — $1,960.00 $80,555.07 $78,704.07 2026-05-28
APR-DRG 593-2 OTHER Neonate Birthwt 750-999g Without Major Procedure 15 15 $471,886.22 $78,581.47 83% off $78,581.47 $282,117.97 $78,581.47 2026-05-28
3614 APR_DRG — 28 11 — — $67,885.78 $290,319.12 $78,383.58 2025-08-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 21 — — $1,657.21 $166,972.50 $77,853.63 2025-08-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 21 — — $1,657.21 $166,690.00 $77,723.36 2025-08-06
6022 APR_DRG — 28 11 — — $67,068.73 $286,796.16 $77,440.18 2025-08-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $1,657.21 $137,602.50 $77,250.04 2025-08-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $1,657.21 $136,762.50 $76,778.47 2025-08-06
1624 APR_DRG — 28 11 — — $66,372.30 $283,793.32 $76,636.06 2025-08-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 21 — — $1,657.21 $163,339.66 $75,413.10 2025-08-06
0053 APR_DRG — 28 11 — — $65,306.26 $279,196.84 $75,405.16 2025-08-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 21 — — $1,657.21 $161,447.50 $75,305.88 2025-08-06
3044 APR_DRG — 28 11 — — $64,952.08 $277,669.72 $74,996.22 2025-08-06
6073 APR_DRG — 28 11 — — $64,719.94 $276,668.78 $74,728.18 2025-08-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 21 — — $1,657.21 $162,502.63 $73,765.71 2025-08-06
3124 APR_DRG — 28 11 — — $63,690.37 $272,229.55 $73,539.40 2025-08-06
6033 APR_DRG — 28 11 — — $63,523.46 $271,509.84 $73,346.67 2025-08-06
6814 APR_DRG — 28 11 — — $63,472.26 $271,289.08 $73,287.56 2025-08-06
MS-DRG 957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 16 $187,646.64 — $1,960.00 $187,646.64 $73,092.55 2026-05-28
6804 APR_DRG — 28 11 — — $63,297.63 $270,536.11 $73,085.92 2025-08-06
5911 APR_DRG — 28 11 — — $62,898.56 $268,815.45 $72,625.15 2025-08-06
MS-DRG 224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 16 $282,939.26 — $1,960.00 $282,939.26 $72,519.67 2026-05-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $1,657.21 $128,752.50 $72,281.65 2025-08-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc 29 21 — — $1,657.21 $154,860.00 $72,268.19 2025-08-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 21 — — $1,657.21 $153,955.00 $71,850.86 2025-08-06
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 3 — — $52,410.39 $86,491.05 $71,731.42 2025-08-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 21 — — $1,657.21 $161,223.43 $71,603.01 2025-08-06
6904 APR_DRG — 28 11 — — $61,942.65 $264,693.74 $71,521.41 2025-08-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 21 — — $1,657.21 $152,717.50 $71,280.22 2025-08-06
28 MS_DRG Spinal Procedures With Mcc 29 21 — — $1,657.21 $151,987.50 $70,943.59 2025-08-06
8424 APR_DRG — 28 11 — — $61,133.30 $261,204.04 $70,586.90 2025-08-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 21 — — $1,657.21 $150,897.50 $70,440.96 2025-08-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 21 — — $1,657.21 $150,897.50 $70,440.96 2025-08-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 21 — — $1,657.21 $149,770.00 $69,921.03 2025-08-06
APR-DRG 161-3 OTHER Cardiac Defibrillator & Heart Assist Implant 15 15 $191,948.67 $69,587.38 64% off $69,587.38 $249,138.67 $69,587.38 2026-05-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 21 — — $1,657.21 $148,732.50 $69,442.61 2025-08-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 21 — — $1,657.21 $148,620.00 $69,390.73 2025-08-06
6124 APR_DRG — 28 11 — — $59,982.40 $256,241.66 $69,258.03 2025-08-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 21 — — $1,657.21 $147,105.00 $68,692.12 2025-08-06
4054 APR_DRG — 28 11 — — $59,382.76 $253,656.14 $68,565.66 2025-08-06
MS-DRG 268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 16 $157,897.77 — $1,960.00 $157,897.77 $68,534.83 2026-05-28
0013 APR_DRG — 28 11 — — $59,231.27 $253,002.96 $68,390.75 2025-08-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 21 — — $1,657.21 $145,557.50 $67,978.52 2025-08-06
41320668-2306 CDM Impella Cp Catheter 19 11 $135,762.00 — $58,377.66 $138,884.53 $67,881.00 2025-08-06
6114 APR_DRG — 28 11 — — $58,159.63 $248,382.28 $67,153.39 2025-08-06
APR-DRG 602-2 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 15 15 $245,083.30 $67,131.87 73% off $67,131.87 $240,134.88 $67,131.87 2026-05-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 21 — — $1,657.21 $143,650.47 $67,022.83 2025-08-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 21 — — $1,657.21 $142,627.50 $66,627.41 2025-08-06
9504 APR_DRG — 28 11 — — $57,462.50 $245,376.43 $66,348.45 2025-08-06
0234 APR_DRG — 28 11 — — $57,236.66 $244,402.70 $66,087.69 2025-08-06
A9543 HCPCS Y90 Ibritumomab, Rx 19 17 — — $14,479.25 $72,024.24 $65,476.58 2025-08-06
APR-DRG 005-3 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 15 15 $176,800.23 $65,396.58 63% off $65,396.58 $233,771.96 $65,396.58 2026-05-28
MS-DRG 226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 16 16 $349,263.91 — $1,960.00 $349,263.91 $65,183.51 2026-05-28
653 MS_DRG Major Bladder Procedures With Mcc 29 21 — — $1,657.21 $139,365.00 $65,122.97 2025-08-06
APR-DRG 607-3 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 15 15 $209,636.39 $64,819.30 69% off $64,819.30 $231,655.21 $64,819.30 2026-05-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 21 — — $1,657.21 $145,213.40 $64,577.69 2025-08-06
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 29 21 — — $1,657.21 $138,182.50 $64,577.69 2025-08-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 21 — — $1,657.21 $136,027.50 $63,583.95 2025-08-06
J9029 HCPCS Instill Adstiladrin, Tx Dose 26 19 — — $62,087.67 $78,618.53 $63,499.33 2025-08-06
0032 APR_DRG — 28 11 — — $54,981.86 $234,680.54 $63,484.21 2025-08-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 21 — — $1,657.21 $135,717.50 $63,441.00 2025-08-06
MS-DRG 870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 16 16 $148,690.42 — $1,960.00 $148,690.42 $63,355.33 2026-05-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 21 — — $1,657.21 $135,025.00 $63,121.67 2025-08-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 21 — — $1,657.21 $134,897.50 $63,062.88 2025-08-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 21 — — $1,657.21 $134,882.50 $63,055.96 2025-08-06
C1721 HCPCS Aicd 2 Chamber 20 12 $125,913.00 — $500.00 $128,809.00 $62,956.50 2025-08-06
0064 APR_DRG — 28 11 — — $54,128.34 $231,000.33 $62,498.70 2025-08-06
4474 APR_DRG — 28 11 — — $54,070.13 $230,749.34 $62,431.49 2025-08-06
8504 APR_DRG — 28 11 — — $54,042.77 $230,631.40 $62,399.90 2025-08-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 21 — — $1,657.21 $133,005.00 $62,190.19 2025-08-06
9124 APR_DRG — 28 11 — — $53,691.40 $229,116.38 $61,994.20 2025-08-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 21 — — $1,657.21 $132,417.50 $61,919.27 2025-08-06
C1882 HCPCS Aicd Not 1 Or 2 Chamber 20 12 $123,184.00 — $500.00 $126,017.23 $61,592.00 2025-08-06
5124 APR_DRG — 28 11 — — $53,178.02 $226,902.81 $61,401.42 2025-08-06
MS-DRG 223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 16 $239,110.17 — $1,960.00 $239,110.17 $61,275.91 2026-05-28
6072 APR_DRG — 28 11 — — $53,002.69 $226,146.81 $61,198.98 2025-08-06
2604 APR_DRG — 28 11 — — $52,638.69 $224,577.36 $60,778.69 2025-08-06
6954 APR_DRG — 28 11 — — $52,360.26 $223,376.83 $60,457.21 2025-08-06
MS-DRG 227 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 16 16 $211,261.78 — $1,960.00 $211,261.78 $60,426.96 2026-05-28
0924 APR_DRG — 28 11 — — $52,126.02 $222,366.81 $60,186.74 2025-08-06
APR-DRG 612-4 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 15 15 $253,898.53 $60,154.81 76% off $60,154.81 $214,551.55 $60,154.81 2026-05-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 21 — — $1,657.21 $128,325.00 $60,032.10 2025-08-06
0063 APR_DRG — 28 11 — — $51,851.09 $221,181.40 $59,869.30 2025-08-06
6093 APR_DRG — 28 11 — — $51,632.97 $220,240.94 $59,617.45 2025-08-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 21 — — $1,657.21 $127,365.00 $59,589.41 2025-08-06
APR-DRG 405-4 OTHER Other Procedures For Endocrine, Nutritional & Metabolic Disorders 15 15 $57,864.57 $59,564.41 $59,564.41 $212,386.69 $59,564.41 2026-05-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 21 — — $1,657.21 $126,975.00 $59,409.57 2025-08-06
0214 APR_DRG — 28 11 — — $51,340.52 $218,979.93 $59,279.77 2025-08-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 21 — — $1,657.21 $125,922.50 $58,924.23 2025-08-06
0042 APR_DRG — 28 11 — — $50,970.21 $217,383.26 $58,852.20 2025-08-06
0041 APR_DRG — 28 11 — — $50,970.21 $217,383.26 $58,852.20 2025-08-06
1694 APR_DRG — 28 11 — — $50,930.24 $217,210.89 $58,806.05 2025-08-06
9104 APR_DRG — 28 11 — — $50,927.43 $217,198.80 $58,802.80 2025-08-06
6084 APR_DRG — 28 11 — — $50,926.73 $217,195.77 $58,801.99 2025-08-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 21 — — $1,657.21 $125,180.00 $58,581.84 2025-08-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 21 — — $1,657.21 $125,082.50 $58,536.88 2025-08-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 21 — — $1,657.21 $125,032.50 $58,513.83 2025-08-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 21 — — $1,657.21 $124,582.50 $58,306.32 2025-08-06
2204 APR_DRG — 28 11 — — $50,262.56 $214,332.04 $58,035.12 2025-08-06
8412 APR_DRG — 28 11 — — $50,221.89 $214,156.65 $57,988.16 2025-08-06
1654 APR_DRG — 28 11 — — $50,184.72 $213,996.38 $57,945.24 2025-08-06
3214 APR_DRG — 28 11 — — $50,097.75 $213,621.40 $57,844.82 2025-08-06
1634 APR_DRG — 28 11 — — $49,977.12 $213,101.28 $57,705.54 2025-08-06
APR-DRG 950-4 OTHER Extensive Procedure Unrelated To Principal Diagnosis 15 15 $112,682.43 $57,673.75 49% off $57,673.75 $205,454.08 $57,673.75 2026-05-28
MS-DRG 028 OTHER Spinal Procedures With Mcc 16 16 $324,454.98 — $1,960.00 $324,454.98 $57,442.61 2026-05-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $1,657.21 $102,087.50 $57,311.92 2025-08-06
3033 APR_DRG — 28 11 — — $49,563.32 $211,317.12 $57,227.76 2025-08-06
4014 APR_DRG — 28 11 — — $49,561.22 $211,308.04 $57,225.32 2025-08-06
245 MS_DRG Aicd Generator Procedures 29 21 — — $1,657.21 $122,170.00 $57,193.84 2025-08-06
471 MS_DRG Cervical Spinal Fusion With Mcc 29 21 — — $1,657.21 $121,432.50 $56,853.76 2025-08-06
6 MS_DRG Liver Transplant Without Mcc 29 21 — — $1,657.21 $121,230.00 $56,760.38 2025-08-06
6032 APR_DRG — 28 11 — — $48,935.63 $208,610.64 $56,502.99 2025-08-06
3104 APR_DRG — 28 11 — — $48,540.78 $206,908.12 $56,047.08 2025-08-06
MS-DRG 790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 16 $174,215.29 — $1,960.00 $174,215.29 $55,947.82 2026-05-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 21 — — $1,657.21 $119,387.50 $55,910.75 2025-08-06
MS-DRG 023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 16 $200,115.36 — $1,960.00 $200,115.36 $55,900.90 2026-05-28
6083 APR_DRG — 28 11 — — $48,410.32 $206,345.66 $55,896.46 2025-08-06
0894 APR_DRG — 28 11 — — $48,375.26 $206,194.46 $55,855.97 2025-08-06
799 MS_DRG Splenic Procedures With Mcc 29 21 — — $1,657.21 $118,870.00 $55,672.11 2025-08-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 21 — — $1,657.21 $118,847.50 $55,661.74 2025-08-06
0244 APR_DRG — 28 11 — — $48,199.92 $205,438.46 $55,653.52 2025-08-06
6214 APR_DRG — 28 11 — — $48,189.41 $205,393.10 $55,641.38 2025-08-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 19 — — $53,914.93 $68,865.26 $55,512.78 2025-08-06
4414 APR_DRG — 28 11 — — $47,987.42 $204,522.19 $55,408.16 2025-08-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 29 21 — — $1,657.21 $117,617.50 $55,094.55 2025-08-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $1,657.21 $97,805.00 $54,907.73 2025-08-06
0204 APR_DRG — 28 11 — — $47,473.34 $202,305.60 $54,814.58 2025-08-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 21 — — $1,657.21 $116,987.50 $54,804.03 2025-08-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 21 — — $1,657.21 $116,297.50 $54,485.85 2025-08-06
1674 APR_DRG — 28 11 — — $47,060.95 $200,527.48 $54,338.41 2025-08-06
APR-DRG 850-4 OTHER Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 15 15 $60,695.48 $54,306.75 $54,306.75 $193,108.04 $54,306.75 2026-05-28
0031 APR_DRG — 28 11 — — $47,021.67 $200,358.14 $54,293.06 2025-08-06
1814 APR_DRG — 28 11 — — $46,957.86 $200,082.96 $54,219.38 2025-08-06
7914 APR_DRG — 28 11 — — $46,917.17 $199,907.56 $54,172.41 2025-08-06
2214 APR_DRG — 28 11 — — $46,900.34 $199,834.99 $54,152.97 2025-08-06
163 MS_DRG Major Chest Procedures With Mcc 29 21 — — $1,657.21 $115,230.00 $53,993.60 2025-08-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 21 — — $1,657.21 $115,182.50 $53,971.69 2025-08-06
APR-DRG 912-4 OTHER Musculoskeletal & Other Procedures For Multiple Significant Trauma 15 15 $104,069.24 $53,960.80 48% off $53,960.80 $191,839.51 $53,960.80 2026-05-28
4034 APR_DRG — 28 11 — — $46,678.72 $198,879.40 $53,897.08 2025-08-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 21 — — $1,657.21 $114,815.00 $53,802.23 2025-08-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 21 — — $1,657.21 $114,797.50 $53,794.16 2025-08-06
MS-DRG 245 OTHER Aicd Generator Procedures 16 16 $204,116.22 — $1,960.00 $204,116.22 $53,473.43 2026-05-28
APR-DRG 607-2 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 15 15 $250,765.23 $53,282.70 79% off $53,282.70 $189,353.09 $53,282.70 2026-05-28
MS-DRG 207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 16 16 $111,768.63 — $1,960.00 $111,768.63 $53,235.06 2026-05-28
6021 APR_DRG — 28 11 — — $46,089.60 $196,339.24 $53,216.86 2025-08-06
9114 APR_DRG — 28 11 — — $46,072.77 $196,266.67 $53,197.42 2025-08-06
MS-DRG 326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 16 16 $130,006.71 — $1,960.00 $130,006.71 $53,118.56 2026-05-28
3134 APR_DRG — 28 11 — — $45,939.51 $195,692.11 $53,043.56 2025-08-06
MS-DRG 463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 16 $140,364.46 — $1,960.00 $140,364.46 $52,998.31 2026-05-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 21 — — $1,657.21 $112,790.00 $52,868.44 2025-08-06
MS-DRG 466 OTHER Revision Of Hip Or Knee Replacement With Mcc 16 16 $218,776.43 — $1,960.00 $218,776.43 $52,798.86 2026-05-28
C1722 HCPCS Aicd Single Chamber 20 12 $105,250.00 — $500.00 $107,670.75 $52,625.00 2025-08-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 21 — — $1,657.21 $112,117.50 $52,558.33 2025-08-06
5104 APR_DRG — 28 11 — — $45,504.68 $193,817.23 $52,541.48 2025-08-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 21 — — $1,657.21 $111,807.50 $52,415.38 2025-08-06
4424 APR_DRG — 28 11 — — $45,270.43 $192,807.21 $52,271.02 2025-08-06
6123 APR_DRG — 28 11 — — $45,039.69 $191,812.32 $52,004.59 2025-08-06
1774 APR_DRG — 28 11 — — $44,980.78 $191,558.30 $51,936.57 2025-08-06
APR-DRG 609-3 OTHER Neonate Bwt 1500-2499g W Major Procedure 15 15 $161,539.05 $51,934.11 68% off $51,934.11 $184,408.09 $51,934.11 2026-05-28
901 MS_DRG Wound Debridements For Injuries With Mcc 29 21 — — $1,657.21 $110,762.50 $51,933.50 2025-08-06
6914 APR_DRG — 28 11 — — $44,968.16 $191,503.87 $51,922.00 2025-08-06
7104 APR_DRG — 28 11 — — $44,881.19 $191,128.89 $51,821.58 2025-08-06
3174 APR_DRG — 28 11 — — $44,864.36 $191,056.32 $51,802.15 2025-08-06
3054 APR_DRG — 28 11 — — $44,750.75 $190,566.43 $51,670.96 2025-08-06
APR-DRG 021-4 OTHER Craniotomy Except For Trauma 15 15 $224,745.04 $51,646.16 77% off $51,646.16 $183,352.25 $51,646.16 2026-05-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 29 21 — — $1,657.21 $109,820.00 $51,498.88 2025-08-06
0264 APR_DRG — 28 11 — — $44,569.09 $189,783.21 $51,461.22 2025-08-06
9514 APR_DRG — 28 11 — — $44,563.49 $189,759.02 $51,454.75 2025-08-06
1824 APR_DRG — 28 11 — — $44,541.74 $189,665.28 $51,429.64 2025-08-06
6113 APR_DRG — 28 11 — — $44,498.27 $189,477.79 $51,379.44 2025-08-06
MS-DRG 270 OTHER Other Major Cardiovascular Procedures With Mcc 16 16 $168,398.46 — $1,960.00 $168,398.46 $51,201.42 2026-05-28
1664 APR_DRG — 28 11 — — $44,255.60 $188,431.48 $51,099.25 2025-08-06
5114 APR_DRG — 28 11 — — $44,221.93 $188,286.33 $51,060.37 2025-08-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 21 — — $1,657.21 $108,172.50 $50,739.17 2025-08-06
4444 APR_DRG — 28 11 — — $43,937.90 $187,061.61 $50,732.42 2025-08-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 21 — — $1,657.21 $107,950.00 $50,636.57 2025-08-06
APR-DRG 220-4 OTHER Major Stomach, Esophageal & Duodenal Procedures 15 15 $368,299.98 $50,584.82 86% off $50,584.82 $179,460.56 $50,584.82 2026-05-28
0012 APR_DRG — 28 11 — — $43,779.39 $186,378.19 $50,549.40 2025-08-06
0011 APR_DRG — 28 11 — — $43,779.39 $186,378.19 $50,549.40 2025-08-06
2644 APR_DRG — 28 11 — — $43,718.38 $186,115.10 $50,478.95 2025-08-06
APR-DRG 321-4 OTHER Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 15 15 $328,184.91 $50,422.55 85% off $50,422.55 $178,865.54 $50,422.55 2026-05-28
2614 APR_DRG — 28 11 — — $43,620.18 $185,691.74 $50,365.57 2025-08-06
1612 APR_DRG — 28 11 — — $43,529.01 $185,298.62 $50,260.30 2025-08-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 21 — — $1,657.21 $106,642.50 $50,033.64 2025-08-06
1204 APR_DRG — 28 11 — — $43,270.92 $184,185.79 $49,962.30 2025-08-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 21 — — $1,657.21 $106,485.00 $49,961.01 2025-08-06
1304 APR_DRG — 28 11 — — $43,144.68 $183,641.47 $49,816.54 2025-08-06
MS-DRG 826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 16 $144,774.12 — $1,960.00 $144,774.12 $49,785.81 2026-05-28
6903 APR_DRG — 28 11 — — $43,075.25 $183,342.09 $49,736.37 2025-08-06
1214 APR_DRG — 28 11 — — $43,034.56 $183,166.70 $49,689.39 2025-08-06
3014 APR_DRG — 28 11 — — $43,010.72 $183,063.88 $49,661.86 2025-08-06
2624 APR_DRG — 28 11 — — $43,010.02 $183,060.86 $49,661.06 2025-08-06
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