Price Transparency Hospital negotiated rates

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

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Hospital

NEW YORK-PRESBYTERIAN/QUEENS

Flushing, NY · CCN 330055 · Rates published

4,045 distinct procedures filed
23 distinct payers
222,392 rate rows
2026-03-31 last MRF observed
Data quality

220,487 of 222,392 rate rows are consumer-grade (99.1%)

1,905 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
template filing: same amount across many unrelated codes — excluded 1,274
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 427
placeholder amount (≤ $0.02) — excluded from medians 198
per-diem day rate — not a per-procedure price 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nyp.widen.net/content/nfagsjimrt/original/111839362_NewYork-Presbyterian-Queens_standardcharges.json.zip?u=n8xzey&download=true
Found on page https://www.nyp.org/queens/patients-visitors/billing/hospital-price-transparency/standard-charges
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-06-09
Content fingerprint f5cefd9e2882db6e… · 2,860,586 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 23 $154,857.79 $939,201.25 $240,892.41 nat. median
$202,986
1.2× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5ml Sc Sosy 23 $4,734.67 $966,599.88 $238,702.00 nat. median
$8,223
outlier · 29.0×
4
MS_DRG 		Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 23 $125,131.51 $939,201.25 $212,871.30 nat. median
$133,176
1.6× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome Neonate 23 $52,840.55 $492,564.97 $139,884.85 nat. median
$52,278
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $76,417.66 $478,663.17 $113,612.10 nat. median
$93,672
1.2× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 23 $28,501.57 $352,773.64 $100,185.14 nat. median
$31,382
outlier · 3.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 23 $37,338.78 $334,281.27 $94,933.44 nat. median
$40,457
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $61,925.77 $290,376.69 $91,624.27 nat. median
$74,915
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 $42,322.62 $389,836.70 $90,838.87 nat. median
$46,084
2.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 $38,265.41 $316,670.17 $86,590.79 nat. median
$77,576
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 $43,527.22 $293,787.01 $83,974.64 nat. median
$73,807
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 23 $57,454.34 $326,114.94 $82,494.96 nat. median
$62,134
1.3× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 $30,709.55 $279,130.15 $79,270.92 nat. median
$33,771
outlier · 2.3×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 $50,723.54 $313,573.14 $78,241.29 nat. median
$55,929
1.4× median
326
MS_DRG 		Stomach Esophageal And Duodenal Procedures With Mcc 23 $45,193.88 $244,954.24 $75,495.88 nat. median
$48,178
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 23 $45,747.66 $300,543.62 $74,952.72 nat. median
$66,526
1.1× median
38204
CPT 		Hc Lab Stem Cell Product Procurement 12 $805.43 $84,882.94 $72,457.52 nat. median
$1,627
outlier · 44.5×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours 23 $24,039.68 $248,078.86 $70,452.58 nat. median
$26,748
outlier · 2.6×
614
MS_DRG 		Adrenal And Pituitary Procedures With Cc-mcc 23 $20,464.53 $245,170.46 $69,626.62 nat. median
$22,640
outlier · 3.1×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 23 $34,342.11 $240,854.32 $68,400.87 nat. median
$37,476
1.8× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 $31,272.14 $235,631.36 $66,917.58 nat. median
$33,847
2.0× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 23 $39,835.56 $236,211.00 $66,307.97 nat. median
$45,125
1.5× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 $41,116.67 $255,106.40 $65,868.31 nat. median
$60,726
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 23 $40,085.33 $222,516.69 $64,475.40 nat. median
$57,424
1.1× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 23 $31,205.02 $221,830.08 $62,998.12 nat. median
$33,061
1.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 $43,863.48 $314,348.31 $62,178.96 nat. median
$48,170
1.3× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 $39,432.72 $244,442.12 $59,062.73 nat. median
$47,740
1.2× median
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 23 $16,809.01 $205,265.28 $58,293.84 nat. median
$18,074
outlier · 3.2×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 23 $23,160.91 $202,859.14 $57,610.51 nat. median
$25,587
outlier · 2.3×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 $39,902.99 $247,420.28 $57,485.20 nat. median
$47,651
1.2× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 23 $36,360.12 $245,338.39 $57,316.68 nat. median
$51,307
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 23 $39,277.24 $211,203.34 $56,360.47 nat. median
$44,810
1.3× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 17 $26,710.46 $202,308.01 $55,899.55 nat. median
$29,015
1.9× median
A9543
HCPCS 		Zevalin Y-90 3.2 Mg/2ml IV Kit 21 $0.03 $71,783.46 $53,983.32 nat. median
$62,507
0.9× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 23 $16,605.87 $188,245.28 $53,460.29 nat. median
$19,235
outlier · 2.8×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 23 $35,520.29 $248,527.56 $53,426.99 nat. median
$38,112
1.4× median
252
MS_DRG 		Other Vascular Procedures With Mcc 23 $30,633.60 $343,857.39 $52,386.37 nat. median
$34,043
1.5× median
82
MS_DRG 		Traumatic Stupor And Coma Greater Than 1 Hour With Mcc 23 $20,828.41 $293,500.86 $51,488.03 nat. median
$22,770
outlier · 2.3×
163
MS_DRG 		Major Chest Procedures With Mcc 23 $32,537.94 $261,186.62 $51,406.51 nat. median
$44,938
1.1× median
J9226
HCPCS 		Supprelin La 50 Mg Sc Kit 23 $43,282.37 $197,478.59 $49,675.23 nat. median
$60,368
0.8× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 23 $30,757.24 $154,084.95 $49,098.01 nat. median
$35,597
1.4× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 23 $30,587.42 $188,425.93 $47,947.73 nat. median
$42,444
1.1× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 $30,349.26 $186,917.72 $47,732.50 nat. median
$41,311
1.2× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 23 $17,905.04 $171,661.72 $47,142.56 nat. median
$20,254
outlier · 2.3×
253
MS_DRG 		Other Vascular Procedures With Cc 23 $22,884.47 $240,439.16 $46,834.41 nat. median
$26,081
1.8× median
789
MS_DRG 		Neonates Died Or Transferred To Another Acute Care Facility 23 $16,257.01 $242,691.06 $45,029.64 nat. median
$16,477
outlier · 2.7×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 $19,996.33 $156,527.07 $44,890.60 nat. median
$41,527
1.1× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 23 $27,349.89 $142,820.75 $44,203.50 nat. median
$31,109
1.4× median
791
MS_DRG 		Prematurity With Major Problems 23 $20,614.56 $230,469.28 $43,812.92 nat. median
$35,265
1.2× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 23 $30,294.45 $206,832.40 $43,360.65 nat. median
$32,829
1.3× median

Other procedures at this hospital

Browse this hospital's 4,045 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
             
0275 RC Aicd Secura Dr 37cc 64x51x15mm 1,246 6 — $38,437.77 $2,565.41 $37,044.00 $13,837.60 2026-03-31
100 MS_DRG Seizures With Mcc 46 23 — — $17,870.60 $89,542.44 $27,322.97 2026-03-31
101 MS_DRG Seizures Without Mcc 46 23 — — $7,821.19 $34,364.56 $11,442.85 2026-03-31
155 MS_DRG Other Ear Nose Mouth And Throat Diagnoses With Cc 46 23 — — $8,582.07 $46,361.83 $14,139.90 2026-03-31
158 MS_DRG Dental And Oral Diseases With Cc 46 23 — — $8,643.90 $41,047.48 $12,703.17 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 46 23 — — $32,537.94 $261,186.62 $51,406.51 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 46 23 — — $19,228.20 $174,841.59 $29,267.55 2026-03-31
165 MS_DRG Major Chest Procedures Without Cc-mcc 46 23 — — $16,799.29 $93,024.20 $24,826.03 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 23 — — $34,342.11 $240,854.32 $68,400.87 2026-03-31
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 46 23 — — $15,007.65 $89,761.18 $22,094.08 2026-03-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 46 23 — — $12,781.65 $103,067.37 $21,094.69 2026-03-31
176 MS_DRG Pulmonary Embolism Without Mcc 46 23 — — $7,530.19 $60,716.92 $12,525.74 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 46 23 — — $14,613.38 $113,035.30 $25,545.19 2026-03-31
178 MS_DRG Respiratory Infections And Inflammations With Cc 46 23 — — $9,098.74 $74,069.02 $21,035.06 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 46 23 — — $15,773.02 $116,896.04 $25,167.49 2026-03-31
181 MS_DRG Respiratory Neoplasms With Cc 46 23 — — $10,142.68 $70,962.23 $19,347.45 2026-03-31
183 MS_DRG Major Chest Trauma With Mcc 46 23 — — $13,566.04 $59,431.81 $19,618.94 2026-03-31
184 MS_DRG Major Chest Trauma With Cc 46 23 — — $7,897.88 $63,751.21 $12,351.02 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 46 23 — — $11,265.21 $68,287.75 $17,993.57 2026-03-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 46 23 — — $10,254.84 $74,874.33 $17,034.17 2026-03-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 46 23 — — $7,924.10 $74,564.77 $12,239.89 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 46 23 — — $11,974.42 $76,823.81 $18,993.71 2026-03-31
19357 CPT Tissue Expander Placement Breast Reconstruction 46 23 — — $4,127.86 $21,616.84 $12,872.35 2026-03-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 46 23 — — $7,578.77 $51,944.73 $12,028.10 2026-03-31
196 MS_DRG Interstitial Lung Disease With Mcc 46 23 — — $16,976.80 $109,900.14 $24,809.74 2026-03-31
199 MS_DRG Pneumothorax With Mcc 46 23 — — $14,197.64 $76,483.78 $21,126.90 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 23 — — $38,265.41 $316,670.17 $86,590.79 2026-03-31
200 MS_DRG Pneumothorax With Cc 46 23 — — $8,934.82 $51,302.73 $13,357.66 2026-03-31
202 MS_DRG Bronchitis And Asthma With Cc-mcc 46 23 — — $8,874.42 $51,421.71 $13,707.28 2026-03-31
204 MS_DRG Respiratory Signs And Symptoms 46 23 — — $7,499.28 $51,832.32 $14,720.00 2026-03-31
205 MS_DRG Other Respiratory System Diagnoses With Mcc 46 23 — — $13,044.48 $115,755.48 $20,973.81 2026-03-31
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 46 23 — — $8,336.54 $57,088.93 $16,212.84 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 46 23 — — $57,454.34 $326,114.94 $82,494.96 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours 46 23 — — $24,039.68 $248,078.86 $70,452.58 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 23 — — $76,417.66 $478,663.17 $113,612.10 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 23 — — $61,925.77 $290,376.69 $91,624.27 2026-03-31
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 46 23 — — $4,293.45 $20,484.13 $12,388.79 2026-03-31
22612 CPT Arthrodesis Posterior-pstlat Tq 1ntrspc Lumbar 46 23 — — $4,293.45 $22,849.00 $13,571.23 2026-03-31
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 46 23 — — $4,293.45 $36,909.00 $18,219.20 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 23 — — $50,723.54 $313,573.14 $78,241.29 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 23 — — $43,527.22 $293,787.01 $83,974.64 2026-03-31
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 46 23 — — $4,527.92 $73,486.34 $21,216.93 2026-03-31
23473 CPT Revis Shoulder Arthrplsty Humeral-glenoid Compnt 46 23 — — $4,527.92 $73,486.34 $15,225.31 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 23 — — $40,085.33 $222,516.69 $64,475.40 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 23 — — $39,432.72 $244,442.12 $59,062.73 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 46 23 — — $26,056.89 $176,490.36 $38,669.73 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 46 23 — — $30,294.45 $206,832.40 $43,360.65 2026-03-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 46 23 — — $20,233.14 $137,821.03 $33,261.37 2026-03-31
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc-mcc 46 23 — — $16,275.55 $108,984.65 $24,606.61 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 23 — — $39,835.56 $236,211.00 $66,307.97 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 46 23 — — $30,633.60 $343,857.39 $52,386.37 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 46 23 — — $22,884.47 $240,439.16 $46,834.41 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 46 23 — — $27,349.89 $142,820.75 $44,203.50 2026-03-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 46 23 — — $8,447.55 $71,046.01 $20,007.25 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 46 23 — — $31,205.02 $221,830.08 $62,998.12 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 46 23 — — $41,116.67 $255,106.40 $65,868.31 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 23 — — $39,902.99 $247,420.28 $57,485.20 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 23 — — $19,996.33 $156,527.07 $44,890.60 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc-mcc 46 23 — — $16,454.52 $98,924.06 $26,901.42 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 23 — — $36,360.12 $245,338.39 $57,316.68 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 23 — — $30,757.24 $154,084.95 $49,098.01 2026-03-31
27130 CPT Arthrp Acetblr-prox Fem Prostc Agrft-algrft 46 23 — — $4,527.92 $60,470.09 $15,453.69 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 46 23 — — $26,207.02 $160,685.39 $42,597.38 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 46 23 — — $17,683.31 $126,703.45 $33,774.89 2026-03-31
27446 CPT Arthrp Knee Condyleandplateau Medial-lat Cmprt 46 23 — — $4,527.92 $60,470.09 $15,225.31 2026-03-31
27447 CPT Arthrp Kne Condyleandplatu Medialandlat Compartments 46 23 — — $4,527.92 $60,470.09 $15,225.31 2026-03-31
280 MS_DRG Acute Myocardial Infarction Discharged Alive With Mcc 46 23 — — $14,833.30 $144,887.74 $37,096.06 2026-03-31
281 MS_DRG Acute Myocardial Infarction Discharged Alive With Cc 46 23 — — $8,477.86 $63,841.84 $15,359.36 2026-03-31
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 46 23 — — $19,884.27 $175,745.40 $34,242.94 2026-03-31
287 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization Without Mcc 46 23 — — $9,960.74 $52,686.67 $15,695.02 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 23 — — $26,504.06 $162,566.51 $39,603.49 2026-03-31
291 MS_DRG Heart Failure And Shock With Mcc 46 23 — — $11,860.48 $95,642.49 $21,297.60 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 46 23 — — $14,623.10 $101,992.57 $26,357.96 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 46 23 — — $154,857.79 $939,201.25 $240,892.41 2026-03-31
300 MS_DRG Peripheral Vascular Disorders With Cc 46 23 — — $9,792.05 $67,516.72 $15,056.61 2026-03-31
304 MS_DRG Hypertension With Mcc 46 23 — — $10,712.33 $63,624.14 $18,292.05 2026-03-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 46 23 — — $10,987.01 $80,983.08 $17,478.65 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 46 23 — — $19,356.13 $123,808.28 $29,966.28 2026-03-31
315 MS_DRG Other Circulatory System Diagnoses With Cc 46 23 — — $8,835.55 $66,561.53 $18,902.99 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 46 23 — — $25,479.29 $144,333.43 $37,730.76 2026-03-31
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 46 23 — — $16,315.30 $104,418.32 $25,809.26 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 23 — — $30,349.26 $186,917.72 $47,732.50 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 46 23 — — $17,136.80 $115,146.36 $34,567.11 2026-03-31
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 46 23 — — $45,193.88 $244,954.24 $75,495.88 2026-03-31
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 46 23 — — $21,781.37 $138,509.93 $39,594.48 2026-03-31
328 MS_DRG Stomach Esophageal And Duodenal Procedures Without Cc-mcc 46 23 — — $11,336.68 $66,513.41 $17,982.94 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 23 — — $39,277.24 $211,203.34 $56,360.47 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 46 23 — — $21,212.59 $265,415.79 $32,015.54 2026-03-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc-mcc 46 23 — — $14,918.09 $84,685.07 $21,912.45 2026-03-31
33208 CPT Ins New-rplcmt Prm Pm W-transv Eltrd Atrialandvent 40 17 — — $639.00 $60,753.09 $12,383.62 2026-03-31
33228 CPT Remvl Perm Pm Pls Gen W-repl Plse Gen 2 Lead Sys 39 16 — — $399.00 $32,963.67 $12,383.62 2026-03-31
33229 CPT Remvl Perm Pm Pls Gen W-repl Plse Gen Mult Lead 39 16 — — $416.00 $32,963.67 $16,972.28 2026-03-31
33249 CPT Insj-rplcmt Perm Dfb W-trnsvns Lds 1-dual Chmbr 39 16 — — $1,018.00 $77,665.75 $28,769.35 2026-03-31
33262 CPT Rmvl Impltbl Dfb Plse Gen W-repl Plse Gen 1 Lead 39 16 — — $416.00 $77,665.75 $25,232.55 2026-03-31
33263 CPT Rmvl Impltbl Dfb Plse Gen W-rplcmt Plse Gen 2 Ld 39 16 — — $432.00 $77,665.75 $25,232.55 2026-03-31
33264 CPT Rmvl Impltbl Dfb Pls Gen W-rplcmt Pls Gen Mlt Ld 39 16 — — $449.00 $77,665.75 $28,769.35 2026-03-31
33270 CPT Ins-rplcmnt Perm Subq Impltbl Dfb W-subq Eltrd 39 16 — — $719.00 $77,665.75 $28,769.35 2026-03-31
33274 CPT Tcat Insj-rpl Perm Leadless Pacemaker Rv W-img 39 16 — — $597.00 $32,963.67 $16,972.28 2026-03-31
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 39 16 — — $397.00 $77,665.75 $28,769.35 2026-03-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 46 23 — — $18,992.25 $98,416.40 $27,864.23 2026-03-31
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc-mcc 46 23 — — $11,889.14 $58,761.69 $16,884.82 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 23 — — $30,587.42 $188,425.93 $47,947.73 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 46 23 — — $20,226.07 $108,610.44 $30,566.63 2026-03-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 46 23 — — $15,774.79 $106,698.07 $25,620.39 2026-03-31
37184 CPT Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 46 23 — — $3,486.92 $22,310.60 $12,550.20 2026-03-31
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 46 23 — — $9,427.29 $56,020.72 $14,975.08 2026-03-31
37221 CPT Revsc Opn-prq Iliac Art W-stnt Plmt And Angioplsty 46 23 — — $3,486.93 $21,139.88 $12,313.41 2026-03-31
37226 CPT Revsc Opn-prq Fem-pop W-stnt-angiop Sm Vsl 46 23 — — $3,486.93 $22,293.60 $12,890.26 2026-03-31
37227 CPT Revsc Opn-prq Fem-pop W-stnt-athrc-angiop Sm Vsl 46 23 — — $3,486.93 $26,512.19 $14,999.56 2026-03-31
37228 CPT Revsc Opn-prq Tib-pero W-angioplasty Uni 46 23 — — $3,486.92 $21,419.74 $12,453.33 2026-03-31
37231 CPT Revsc Opn-prq Tib-pero W-stnt-athr-angiop Sm Vsl 46 23 — — $3,486.93 $25,421.66 $14,454.30 2026-03-31
37238 CPT Open-perq Placement Intravascular Stent Same 1st 46 23 — — $3,486.93 $23,059.75 $13,013.39 2026-03-31
37242 CPT Vascular Embolization Or Occlusion Arterial Rsandi 46 23 — — $3,486.93 $22,310.60 $12,898.76 2026-03-31
374 MS_DRG Digestive Malignancy With Mcc 46 23 — — $18,984.31 $142,601.94 $39,502.65 2026-03-31
375 MS_DRG Digestive Malignancy With Cc 46 23 — — $11,188.38 $74,886.02 $19,548.72 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 46 23 — — $16,394.79 $111,156.14 $27,259.46 2026-03-31
378 MS_DRG Gastrointestinal Hemorrhage With Cc 46 23 — — $9,043.98 $72,377.68 $14,568.61 2026-03-31
38 MS_DRG Extracranial Procedures With Cc 46 23 — — $14,567.46 $169,608.58 $31,758.45 2026-03-31
380 MS_DRG Complicated Peptic Ulcer With Mcc 46 23 — — $17,331.85 $123,978.24 $35,059.11 2026-03-31
381 MS_DRG Complicated Peptic Ulcer With Cc 46 23 — — $9,955.44 $57,069.32 $14,025.35 2026-03-31
38204 CPT Hc Lab Stem Cell Product Procurement 13 12 — $90,301.00 $805.43 $84,882.94 $72,457.52 2026-03-31
386 MS_DRG Inflammatory Bowel Disease With Cc 46 23 — — $8,550.37 $49,503.20 $12,401.12 2026-03-31
389 MS_DRG Gastrointestinal Obstruction With Cc 46 23 — — $7,416.26 $46,814.53 $12,298.14 2026-03-31
391 MS_DRG Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 46 23 — — $11,681.19 $80,145.91 $21,603.76 2026-03-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 46 23 — — $14,962.25 $148,191.54 $22,450.35 2026-03-31
394 MS_DRG Other Digestive System Diagnoses With Cc 46 23 — — $8,650.08 $51,463.57 $14,008.11 2026-03-31
398 MS_DRG Appendix Procedures With Cc 46 23 — — $13,701.05 $69,836.46 $20,893.28 2026-03-31
399 MS_DRG Appendix Procedures Without Cc-mcc 46 23 — — $10,261.91 $57,395.31 $14,898.61 2026-03-31
4 MS_DRG Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 46 23 — — $125,131.51 $939,201.25 $212,871.30 2026-03-31
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 46 23 — — $26,218.64 $150,180.84 $41,803.10 2026-03-31
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 46 23 — — $21,590.22 $163,455.04 $32,732.24 2026-03-31
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 46 23 — — $13,248.80 $89,791.55 $24,550.47 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 46 23 — — $21,325.64 $113,800.56 $34,874.96 2026-03-31
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 46 23 — — $13,859.66 $86,121.32 $20,252.28 2026-03-31
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc-mcc 46 23 — — $11,036.41 $50,388.23 $16,154.63 2026-03-31
42 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc-mcc 46 23 — — $10,374.99 $65,861.83 $19,198.43 2026-03-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 46 23 — — $17,639.20 $202,277.69 $30,373.61 2026-03-31
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 46 23 — — $9,784.98 $93,387.78 $15,427.01 2026-03-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 46 23 — — $16,451.31 $125,688.67 $25,732.38 2026-03-31
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 46 23 — — $10,296.35 $68,995.62 $17,544.77 2026-03-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 46 23 — — $15,030.25 $164,050.09 $27,909.95 2026-03-31
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 46 23 — — $7,933.81 $62,861.35 $14,268.56 2026-03-31
441 MS_DRG Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Mcc 46 23 — — $17,032.45 $177,336.14 $39,439.42 2026-03-31
442 MS_DRG Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Cc 46 23 — — $8,870.00 $54,468.62 $12,911.58 2026-03-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 46 23 — — $15,213.07 $111,269.68 $22,214.24 2026-03-31
445 MS_DRG Disorders Of The Biliary Tract With Cc 46 23 — — $9,914.81 $57,813.80 $15,725.45 2026-03-31
446 MS_DRG Disorders Of The Biliary Tract Without Cc-mcc 46 23 — — $7,378.29 $43,010.11 $12,096.67 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 46 23 — — $18,221.08 $130,385.85 $37,027.18 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc-mcc 46 23 — — $16,673.20 $100,308.95 $28,453.85 2026-03-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 46 23 — — $16,989.17 $100,153.44 $26,371.60 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 46 23 — — $20,883.17 $126,970.12 $32,717.92 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc-mcc 46 23 — — $16,030.71 $111,584.10 $26,000.18 2026-03-31
47564 CPT Laps Surg Cholecstc W-expl Common Duct 46 23 — — $3,520.06 $19,558.77 $11,539.42 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 46 23 — — $30,709.55 $279,130.15 $79,270.92 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 46 23 — — $20,990.92 $192,422.94 $31,655.76 2026-03-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc-mcc 46 23 — — $16,020.32 $97,963.86 $26,326.05 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 46 23 — — $26,311.26 $202,633.83 $42,499.82 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 46 23 — — $18,661.93 $110,429.14 $29,457.74 2026-03-31
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc-mcc 46 23 — — $13,779.74 $81,985.02 $19,773.98 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 46 23 — — $14,347.02 $94,306.69 $27,650.95 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 46 23 — — $27,657.47 $169,870.93 $41,598.68 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 46 23 — — $21,311.19 $108,264.21 $30,155.78 2026-03-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc-mcc 46 23 — — $14,866.15 $83,961.90 $22,326.11 2026-03-31
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc-mc… 46 23 — — $11,756.35 $68,942.98 $17,712.00 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 46 23 — — $26,078.97 $176,970.22 $38,741.09 2026-03-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 46 23 — — $18,955.16 $98,811.22 $29,037.53 2026-03-31
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 46 23 — — $7,498.40 $50,905.95 $11,442.68 2026-03-31
54 MS_DRG Nervous System Neoplasms With Mcc 46 23 — — $13,576.53 $113,123.19 $32,126.16 2026-03-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 46 23 — — $16,809.01 $205,265.28 $58,293.84 2026-03-31
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 46 23 — — $9,706.38 $76,821.10 $16,143.25 2026-03-31
54405 CPT Insj Multi-component Inflatable Penile Prosth 46 23 — — $3,014.00 $27,511.83 $15,262.92 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 46 23 — — $22,653.96 $253,326.21 $39,040.69 2026-03-31
546 MS_DRG Connective Tissue Disorders With Cc 46 23 — — $10,561.31 $74,282.00 $15,210.05 2026-03-31
55 MS_DRG Nervous System Neoplasms Without Mcc 46 23 — — $8,325.88 $56,339.19 $12,805.08 2026-03-31
551 MS_DRG Medical Back Problems With Mcc 46 23 — — $15,407.38 $109,900.93 $31,211.06 2026-03-31
552 MS_DRG Medical Back Problems Without Mcc 46 23 — — $8,848.80 $77,648.34 $13,108.03 2026-03-31
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 46 23 — — $7,707.72 $58,945.66 $14,815.64 2026-03-31
558 MS_DRG Tendonitis Myositis And Bursitis Without Mcc 46 23 — — $7,965.61 $45,124.93 $12,733.83 2026-03-31
55866 CPT Laps Surg Prst8ect Rpbic Rad W-nrv Sparing Robot 46 23 — — $3,517.52 $55,117.00 $12,319.60 2026-03-31
55867 CPT Laps Surg Prst8ect Smpl Stot Robotic Assistance 46 23 — — $3,517.52 $36,909.00 $12,011.61 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 46 23 — — $22,452.59 $223,282.53 $37,667.44 2026-03-31
562 MS_DRG Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh With Mc… 46 23 — — $12,232.66 $72,187.51 $17,899.56 2026-03-31
563 MS_DRG Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without… 46 23 — — $8,230.56 $49,796.01 $14,245.79 2026-03-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 46 23 — — $13,707.29 $81,526.19 $19,619.71 2026-03-31
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 46 23 — — $9,342.50 $52,169.10 $15,462.40 2026-03-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 46 23 — — $11,778.34 $63,783.48 $16,808.69 2026-03-31
580 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Cc 46 23 — — $13,189.61 $78,247.77 $20,415.62 2026-03-31
581 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures Without Cc-mcc 46 23 — — $13,047.49 $79,239.38 $18,593.52 2026-03-31
602 MS_DRG Cellulitis With Mcc 46 23 — — $13,190.90 $72,865.23 $18,651.37 2026-03-31
607 MS_DRG Minor Skin Disorders Without Mcc 46 23 — — $7,969.14 $44,785.78 $12,000.60 2026-03-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc-mcc 46 23 — — $20,464.53 $245,170.46 $69,626.62 2026-03-31
615 MS_DRG Adrenal And Pituitary Procedures Without Cc-mcc 46 23 — — $12,777.14 $75,635.65 $18,130.71 2026-03-31
617 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 46 23 — — $17,396.32 $142,465.60 $30,729.28 2026-03-31
620 MS_DRG O.r. Procedures For Obesity With Cc 46 23 — — $12,843.27 $68,042.92 $19,133.22 2026-03-31
621 MS_DRG O.r. Procedures For Obesity Without Cc-mcc 46 23 — — $13,247.09 $60,794.68 $19,354.89 2026-03-31
637 MS_DRG Diabetes With Mcc 46 23 — — $13,198.52 $86,636.12 $21,563.43 2026-03-31
638 MS_DRG Diabetes With Cc 46 23 — — $8,437.24 $43,999.86 $12,044.69 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 46 23 — — $17,905.04 $171,661.72 $47,142.56 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With Mcc 46 23 — — $12,065.38 $86,693.99 $22,762.40 2026-03-31
643 MS_DRG Endocrine Disorders With Mcc 46 23 — — $14,973.73 $96,791.63 $22,647.23 2026-03-31
644 MS_DRG Endocrine Disorders With Cc 46 23 — — $9,180.31 $56,892.82 $13,111.22 2026-03-31
64581 CPT Open Implantation Nea Sacral Nerve 39 16 — — $3,014.00 $73,021.93 $13,537.74 2026-03-31
64590 CPT Ins-rplc Perph Sac-gstrc Npg-rcvr Pckt Crtjandconn 39 16 — — $2,633.00 $97,112.38 $25,375.15 2026-03-31
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 46 23 — — $9,317.77 $79,596.52 $18,689.37 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 46 23 — — $25,261.14 $129,115.52 $40,339.38 2026-03-31
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 46 23 — — $16,482.22 $113,112.01 $28,963.42 2026-03-31
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc-mcc 46 23 — — $12,472.39 $73,705.72 $18,314.69 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 46 23 — — $23,160.91 $202,859.14 $57,610.51 2026-03-31
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc-mcc 46 23 — — $6,415.61 $125,183.86 $15,787.39 2026-03-31
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 46 23 — — $12,171.36 $64,781.00 $18,009.10 2026-03-31
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc-mcc 46 23 — — $8,974.61 $46,820.74 $12,917.44 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 46 23 — — $37,338.78 $334,281.27 $94,933.44 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 46 23 — — $20,724.18 $108,808.55 $34,287.32 2026-03-31
68 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc 46 23 — — $8,119.53 $46,707.55 $11,433.02 2026-03-31
682 MS_DRG Renal Failure With Mcc 46 23 — — $13,601.25 $111,549.15 $26,380.67 2026-03-31
683 MS_DRG Renal Failure With Cc 46 23 — — $8,187.29 $58,270.21 $14,329.62 2026-03-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 46 23 — — $10,672.59 $83,692.29 $23,768.00 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 46 23 — — $15,182.16 $103,795.27 $26,488.36 2026-03-31
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 46 23 — — $9,344.27 $60,945.02 $15,924.91 2026-03-31
707 MS_DRG Major Male Pelvic Procedures With Cc-mcc 46 23 — — $12,743.56 $75,423.03 $21,154.93 2026-03-31
708 MS_DRG Major Male Pelvic Procedures Without Cc-mcc 46 23 — — $10,287.55 $59,869.36 $16,551.13 2026-03-31
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 46 23 — — $9,644.55 $61,218.13 $15,132.12 2026-03-31
713 MS_DRG Transurethral Prostatectomy With Cc-mcc 46 23 — — $13,107.55 $56,556.97 $18,855.67 2026-03-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 46 23 — — $16,736.53 $100,709.99 $24,385.49 2026-03-31
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 46 23 — — $9,542.99 $52,563.72 $13,606.96 2026-03-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc-mcc 46 23 — — $15,336.00 $67,461.74 $22,337.43 2026-03-31
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc-mcc 46 23 — — $10,923.41 $47,726.09 $15,506.15 2026-03-31
758 MS_DRG Infections Female Reproductive System With Cc 46 23 — — $8,907.75 $40,489.47 $12,824.88 2026-03-31
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And-or Dandc 46 23 — — $10,019.03 $53,827.98 $17,147.31 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 46 23 — — $16,605.87 $188,245.28 $53,460.29 2026-03-31
784 MS_DRG Cesarean Section With Sterilization With Cc 46 23 — — $9,901.57 $46,410.20 $14,905.85 2026-03-31
786 MS_DRG Cesarean Section Without Sterilization With Mcc 46 23 — — $14,608.09 $75,329.35 $20,691.43 2026-03-31
787 MS_DRG Cesarean Section Without Sterilization With Cc 46 23 — — $9,714.33 $49,994.21 $14,381.00 2026-03-31
788 MS_DRG Cesarean Section Without Sterilization Without Cc-mcc 46 23 — — $8,326.84 $43,482.21 $12,585.18 2026-03-31
789 MS_DRG Neonates Died Or Transferred To Another Acute Care Facility 46 23 — — $16,257.01 $242,691.06 $45,029.64 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 46 23 — — $52,840.55 $492,564.97 $139,884.85 2026-03-31
791 MS_DRG Prematurity With Major Problems 46 23 — — $20,614.56 $230,469.28 $43,812.92 2026-03-31
792 MS_DRG Prematurity Without Major Problems 46 23 — — $8,756.65 $92,869.23 $23,880.25 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 39 16 — — $10,002.69 $208,724.25 $39,239.88 2026-03-31
794 MS_DRG Neonate With Other Significant Problems 46 23 — — $4,425.88 $55,952.05 $14,535.73 2026-03-31
805 MS_DRG Vaginal Delivery Without Sterilization Or Dandc With Mcc 46 23 — — $8,872.96 $37,860.88 $12,675.02 2026-03-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 46 23 — — $11,274.92 $79,082.26 $16,311.34 2026-03-31
811 MS_DRG Red Blood Cell Disorders With Mcc 46 23 — — $12,762.22 $72,387.51 $21,052.38 2026-03-31
812 MS_DRG Red Blood Cell Disorders Without Mcc 46 23 — — $8,487.58 $49,511.33 $12,439.12 2026-03-31
813 MS_DRG Coagulation Disorders 46 23 — — $14,008.41 $94,053.34 $18,857.20 2026-03-31
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 46 23 — — $11,712.10 $61,632.10 $18,155.10 2026-03-31
82 MS_DRG Traumatic Stupor And Coma Greater Than 1 Hour With Mcc 46 23 — — $20,828.41 $293,500.86 $51,488.03 2026-03-31
83 MS_DRG Traumatic Stupor And Coma Greater Than 1 Hour With Cc 46 23 — — $11,128.52 $77,996.10 $16,646.71 2026-03-31
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 46 23 — — $8,253.77 $42,368.33 $13,099.62 2026-03-31
84 MS_DRG Traumatic Stupor And Coma Greater Than 1 Hour Without Cc-mcc 46 23 — — $8,780.79 $39,302.12 $13,056.09 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 46 23 — — $28,501.57 $352,773.64 $100,185.14 2026-03-31
85 MS_DRG Traumatic Stupor And Coma Less Than 1 Hour With Mcc 46 23 — — $18,771.16 $113,595.06 $27,466.34 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 23 — — $43,863.48 $314,348.31 $62,178.96 2026-03-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 46 23 — — $17,983.64 $123,203.65 $30,196.81 2026-03-31
86 MS_DRG Traumatic Stupor And Coma Less Than 1 Hour With Cc 46 23 — — $10,353.61 $59,911.72 $15,607.67 2026-03-31
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 46 23 — — $14,790.97 $88,389.00 $21,998.39 2026-03-31
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 46 23 — — $9,167.63 $64,099.98 $14,352.46 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 46 23 — — $45,747.66 $300,543.62 $74,952.72 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours With Mcc 46 23 — — $17,665.70 $150,373.96 $33,668.15 2026-03-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours Without Mcc 46 23 — — $9,442.31 $62,455.31 $15,872.17 2026-03-31
884 MS_DRG Organic Disturbances And Intellectual Disability 37 16 — — $7,843.16 $65,720.69 $16,358.20 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 46 23 — — $35,520.29 $248,527.56 $53,426.99 2026-03-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 46 23 — — $18,151.45 $111,044.46 $29,813.15 2026-03-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 46 23 — — $15,191.06 $80,293.16 $22,206.65 2026-03-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 46 23 — — $14,818.29 $129,163.04 $36,681.36 2026-03-31
919 MS_DRG Complications Of Treatment With Mcc 39 16 — — $16,442.48 $396,357.16 $30,842.40 2026-03-31
92 MS_DRG Other Disorders Of Nervous System With Cc 46 23 — — $9,686.95 $47,035.32 $13,901.35 2026-03-31
920 MS_DRG Complications Of Treatment With Cc 46 23 — — $9,308.95 $72,769.88 $20,666.11 2026-03-31
92928 CPT Prq Trluml Coronary Stent W-angio One Art-brnch 40 17 — — $673.00 $65,196.55 $12,748.34 2026-03-31
92933 CPT Prq Trluml Coronry Stent-ath-angio One Art-brnch 39 16 — — $753.00 $65,196.55 $14,119.95 2026-03-31
92943 CPT Prq Trluml Coronry Chronic Occlus Revasc One Vsl 39 16 — — $754.00 $65,196.55 $12,748.34 2026-03-31
947 MS_DRG Signs And Symptoms With Mcc 46 23 — — $11,696.21 $92,823.47 $19,136.25 2026-03-31
948 MS_DRG Signs And Symptoms Without Mcc 46 23 — — $7,353.56 $41,737.27 $11,757.12 2026-03-31
951 MS_DRG Other Factors Influencing Health Status 46 23 — — $5,344.30 $92,954.38 $17,838.65 2026-03-31
964 MS_DRG Other Multiple Significant Trauma With Cc 46 23 — — $12,515.92 $73,981.37 $18,324.67 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 38 17 — — $26,710.46 $202,308.01 $55,899.55 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 23 — — $42,322.62 $389,836.70 $90,838.87 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 46 23 — — $21,959.77 $136,667.55 $31,389.65 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 23 — — $31,272.14 $235,631.36 $66,917.58 2026-03-31
A9508 HCPCS Azedra Dosimetric 15 Mci/ml IV Soln 15 14 — $38,052.00 $745.05 $35,768.88 $28,919.52 2026-03-31
A9543 HCPCS Zevalin Y-90 3.2 Mg/2ml IV Kit 29 21 — $0.04 $0.03 $71,783.46 $53,983.32 2026-03-31
C2616 HCPCS Y-90 Theraspheres 46 23 — $67,532.50 $12,186.08 $63,480.55 $18,053.37 2026-03-31
C9600 HCPCS Perc Drug-el Cor Stent Sing 39 16 — — $422.00 $65,196.55 $12,748.34 2026-03-31
C9602 HCPCS Perc D-e Cor Stent Ather S 39 16 — — $422.00 $65,196.55 $12,753.43 2026-03-31
J0202 HCPCS Lemtrada 12 Mg/1.2ml IV Soln 46 23 — $81,959.19 $2,318.67 $94,824.43 $23,416.91 2026-03-31
J0225 HCPCS Amvuttra 25 Mg/0.5ml Sc Sosy 46 23 — $835,457.00 $4,734.67 $966,599.88 $238,702.00 2026-03-31
J2326 HCPCS Spinraza 12 Mg/5ml It Soln 46 23 — $87,500.00 $1,147.50 $101,235.00 $25,000.00 2026-03-31
J2507 HCPCS Krystexxa 8 Mg/ml IV Soln 46 23 — $102,615.80 $3,456.92 $118,723.55 $29,318.80 2026-03-31
J2787 HCPCS Photrexa-photrexa Viscous Kit 0.146 &0.146-20 % Op Sosy 15 14 — $21,000.00 $1,539.00 $19,740.00 $15,960.00 2026-03-31
J3241 HCPCS Tepezza 500 Mg IV Solr 46 23 — $59,561.67 $341.14 $68,911.15 $17,017.62 2026-03-31
J7311 HCPCS Retisert 0.59 Mg Iz Impl 46 23 — $63,875.00 $322.77 $73,901.55 $18,250.00 2026-03-31
J9037 HCPCS Blenrep 100 Mg IV Solr 32 19 — $28,969.50 $44.13 $33,118.24 $12,267.83 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 46 23 — $170,685.80 $43,282.37 $197,478.59 $49,675.23 2026-03-31
J9229 HCPCS Besponsa 0.9 Mg IV Solr 46 23 — $78,991.57 $2,563.15 $91,390.99 $22,569.02 2026-03-31
J9247 HCPCS Pepaxto 20 Mg IV Solr 32 19 — $33,250.00 $7,769.63 $33,118.24 $13,781.42 2026-03-31
J9266 HCPCS Oncaspar 750 Unit/ml Ij Soln 46 23 — $17,876.77 $4,852.27 $88,819.50 $16,880.78 2026-03-31
J9269 HCPCS Elzonris 1000 Mcg/ml IV Soln 46 23 — $112,522.17 $331.19 $130,184.93 $32,149.19 2026-03-31
J9274 HCPCS Kimmtrak 100 Mcg/0.5ml IV Soln 46 23 — $141,820.00 $206.24 $164,081.69 $40,520.00 2026-03-31
J9359 HCPCS Zynlonta 10 Mg IV Solr 46 23 — $94,581.41 $205.90 $109,427.99 $27,023.26 2026-03-31
J9600 HCPCS Photofrin 75 Mg IV Solr 45 22 — $78,067.50 $21,189.75 $90,321.87 $24,955.27 2026-03-31
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