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 PETER'S HOSPITAL

Albany, NY · CCN 330057 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $6,233 across 13 payers · range $5,432-$27,139

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stpetershospital · observed 2025-01-01

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.

18,495 distinct procedures filed
27 distinct payers
780,486 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

570,450 of 780,486 rate rows are consumer-grade (73.1%)

210,036 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 172,337
template filing: same amount across many unrelated codes — excluded 17,480
exceeds 10× this hospital's gross charge — excluded from medians 9,559
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,362
placeholder amount (≤ $0.02) — excluded from medians 4,725
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 254
percent-of-charges filed in the dollar field — excluded from medians 241
per-diem day rate — not a per-procedure price 76
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stpetershospital
Found on page https://www.sphp.com/for-patients/billing-information/pricing-information/price-estimate-and-downloadable-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint f1279da52a4294b3… · 15,511,946 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 13 $296,198.25 $1,528,161.51 $339,848.52 nat. median
$370,165
0.9× median
J2326
HCPCS 		Inj Nusinersen 0.1mg 22 $89.00 $372,332.19 $299,934.26 nat. median
$2,353
outlier · 127.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $259,109.02 $259,109.02 $259,109.02 nat. median
$96,835
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $217,906.47 $1,123,995.73 $250,019.00 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $211,961.53 $1,093,306.16 $243,197.97 nat. median
$205,166
1.2× median
'002-4
OTHER 		Heart &/or Lung Transplant 6 $214,129.69 $481,791.80 $235,542.66 nat. median
$205,014
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $227,856.35 $227,856.35 $227,856.35 nat. median
$81,364
outlier · 2.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $206,304.74 $206,304.74 $206,304.74 nat. median
$81,124
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $171,479.06 $884,323.40 $196,749.65 nat. median
$199,832
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $175,685.28 $175,685.28 $175,685.28 nat. median
$66,640
outlier · 2.6×
'583-4
OTHER 		Neonate W Ecmo 6 $157,748.92 $354,935.07 $173,523.81 nat. median
$221,551
0.8× median
'588-3
OTHER 		Neonate Bwt <1500g W Major Procedure 6 $154,984.28 $348,714.63 $170,482.71 nat. median
$131,074
1.3× median
'588-4
OTHER 		Neonate Bwt <1500g W Major Procedure 6 $154,984.28 $348,714.63 $170,482.71 nat. median
$202,324
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $165,840.75 $165,840.75 $165,840.75 nat. median
$62,262
outlier · 2.7×
'161-4
OTHER 		Cardiac Defibrillator & Heart Assist Implant 6 $141,798.54 $319,046.72 $155,978.39 nat. median
$182,608
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $153,020.60 $153,020.60 $153,020.60 nat. median
$59,832
outlier · 2.6×
'003-4
OTHER 		Bone Marrow Transplant 6 $137,692.92 $309,809.07 $151,462.21 nat. median
$193,377
0.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $136,143.91 $136,143.91 $136,143.91 nat. median
$53,080
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $118,286.35 $609,726.60 $135,718.03 nat. median
$132,706
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $135,312.82 $135,312.82 $135,312.82 nat. median
$53,268
outlier · 2.5×
'591-4
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 6 $119,104.05 $267,984.11 $131,014.46 nat. median
$119,104
1.1× median
'588-2
OTHER 		Neonate Bwt <1500g W Major Procedure 6 $118,675.43 $267,019.72 $130,542.97 nat. median
$110,776
1.2× median
'588-1
OTHER 		Neonate Bwt <1500g W Major Procedure 6 $118,675.43 $267,019.72 $130,542.97 nat. median
$98,245
1.3× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 1 $127,387.72 $127,387.72 $127,387.72 nat. median
$50,178
outlier · 2.5×
'841-4
OTHER 		Extensive 3rd Degree Burns W Skin Graft 6 $115,209.07 $259,220.41 $126,729.98 nat. median
$138,284
0.9× median
'004-4
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 $111,129.17 $250,040.63 $122,242.09 nat. median
$101,809
1.2× median
'001-4
OTHER 		Liver Transplant &/or Intestinal Transplant 6 $107,659.14 $242,233.07 $118,425.05 nat. median
$107,546
1.1× median
'593-4
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 6 $107,233.58 $241,275.56 $117,956.94 nat. median
$115,906
1.0× median
7
MS_DRG 		Lung Transplant 12 $98,732.90 $508,785.74 $114,322.31 nat. median
$122,690
0.9× median
J1747
HCPCS 		Injection Spesolimab-sbzo 1 Mg 22 $60.15 $140,820.28 $113,438.57 nat. median
$92
outlier · 1236.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $98,553.72 $507,860.78 $113,077.43 nat. median
$108,240
1.0× median
'609-4
OTHER 		Neonate Bwt 1500-2499g W Major Procedure 6 $98,222.03 $220,999.57 $108,044.23 nat. median
$130,670
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $92,260.87 $475,375.21 $106,828.38 nat. median
$114,305
0.9× median
'602-4
OTHER 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $93,062.61 $209,390.87 $102,368.87 nat. median
$66,108
1.5× median
'002-3
OTHER 		Heart &/or Lung Transplant 6 $92,739.30 $208,663.43 $102,013.23 nat. median
$89,928
1.1× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 1 $101,005.37 $101,005.37 $101,005.37 nat. median
$40,579
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $86,715.27 $446,747.09 $99,494.36 nat. median
$100,978
1.0× median
'841-3
OTHER 		Extensive 3rd Degree Burns W Skin Graft 6 $90,131.42 $202,795.70 $99,144.56 nat. median
$108,175
0.9× median
'583-3
OTHER 		Neonate W Ecmo 6 $89,822.20 $202,099.95 $98,804.42 nat. median
$195,630
0.5× median
2433805008
NDC 		Carmustine In Polifeprosan 7.7 Mg Wafer 8 Each Box 16 $89.00 $108,118.81 $97,655.71 nat. median
$14,066
outlier · 6.9×
'583-1
OTHER 		Neonate W Ecmo 6 $88,151.17 $198,340.13 $96,966.29 nat. median
$105,798
0.9× median
'583-2
OTHER 		Neonate W Ecmo 6 $88,151.17 $198,340.13 $96,966.29 nat. median
$119,004
0.8× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 $96,768.27 $96,768.27 $96,768.27 nat. median
$38,854
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $83,335.04 $429,297.30 $96,493.20 nat. median
$99,646
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 13 $82,248.73 $423,689.47 $94,369.60 nat. median
$98,002
1.0× median
'603-4
OTHER 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 $85,764.95 $192,971.14 $94,341.45 nat. median
$102,933
0.9× median
'005-4
OTHER 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 $84,905.87 $191,038.21 $93,396.46 nat. median
$61,783
1.5× median
27800000002-43
CDM 		Device Impella 5.5 Smartassist 16 $89.00 $104,625.00 $92,812.50 nat. median
$1,660
outlier · 55.9×
'593-3
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 6 $83,855.73 $188,675.39 $92,241.30 nat. median
$82,229
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $78,155.00 $402,556.43 $89,672.57 nat. median
$92,900
1.0× median

Other procedures at this hospital

Browse this hospital's 18,495 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 22 13 — — $296,198.25 $1,528,161.51 $339,848.52 2025-01-01
J2326 HCPCS Inj Nusinersen 0.1mg 38 22 $413,702.43 $351,647.07 $89.00 $372,332.19 $299,934.26 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $259,109.02 $259,109.02 $259,109.02 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 13 — — $217,906.47 $1,123,995.73 $250,019.00 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 13 — — $211,961.53 $1,093,306.16 $243,197.97 2025-01-01
'002-4 OTHER Heart &/or Lung Transplant 17 6 — — $214,129.69 $481,791.80 $235,542.66 2025-01-01
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $227,856.35 $227,856.35 $227,856.35 2025-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $206,304.74 $206,304.74 $206,304.74 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 13 — — $171,479.06 $884,323.40 $196,749.65 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $175,685.28 $175,685.28 $175,685.28 2025-01-01
'583-4 OTHER Neonate W Ecmo 17 6 — — $157,748.92 $354,935.07 $173,523.81 2025-01-01
'588-3 OTHER Neonate Bwt <1500g W Major Procedure 17 6 — — $154,984.28 $348,714.63 $170,482.71 2025-01-01
'588-4 OTHER Neonate Bwt <1500g W Major Procedure 17 6 — — $154,984.28 $348,714.63 $170,482.71 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $165,840.75 $165,840.75 $165,840.75 2025-01-01
'161-4 OTHER Cardiac Defibrillator & Heart Assist Implant 17 6 — — $141,798.54 $319,046.72 $155,978.39 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $153,020.60 $153,020.60 $153,020.60 2025-01-01
'003-4 OTHER Bone Marrow Transplant 17 6 — — $137,692.92 $309,809.07 $151,462.21 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $136,143.91 $136,143.91 $136,143.91 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 13 — — $118,286.35 $609,726.60 $135,718.03 2025-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $135,312.82 $135,312.82 $135,312.82 2025-01-01
'591-4 OTHER Neonate Birthwt 500-749g Without Major Procedure 17 6 — — $119,104.05 $267,984.11 $131,014.46 2025-01-01
'588-2 OTHER Neonate Bwt <1500g W Major Procedure 17 6 — — $118,675.43 $267,019.72 $130,542.97 2025-01-01
'588-1 OTHER Neonate Bwt <1500g W Major Procedure 17 6 — — $118,675.43 $267,019.72 $130,542.97 2025-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $127,387.72 $127,387.72 $127,387.72 2025-01-01
'841-4 OTHER Extensive 3rd Degree Burns W Skin Graft 17 6 — — $115,209.07 $259,220.41 $126,729.98 2025-01-01
'004-4 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 17 6 — — $111,129.17 $250,040.63 $122,242.09 2025-01-01
'001-4 OTHER Liver Transplant &/or Intestinal Transplant 17 6 — — $107,659.14 $242,233.07 $118,425.05 2025-01-01
'593-4 OTHER Neonate Birthwt 750-999g Without Major Procedure 17 6 — — $107,233.58 $241,275.56 $117,956.94 2025-01-01
7 MS_DRG Lung Transplant 21 12 — — $98,732.90 $508,785.74 $114,322.31 2025-01-01
J1747 HCPCS Injection Spesolimab-sbzo 1 Mg 38 22 $156,466.98 $132,996.93 $60.15 $140,820.28 $113,438.57 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 13 — — $98,553.72 $507,860.78 $113,077.43 2025-01-01
'609-4 OTHER Neonate Bwt 1500-2499g W Major Procedure 17 6 — — $98,222.03 $220,999.57 $108,044.23 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 21 12 — — $92,260.87 $475,375.21 $106,828.38 2025-01-01
'602-4 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $93,062.61 $209,390.87 $102,368.87 2025-01-01
'002-3 OTHER Heart &/or Lung Transplant 17 6 — — $92,739.30 $208,663.43 $102,013.23 2025-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $101,005.37 $101,005.37 $101,005.37 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 13 — — $86,715.27 $446,747.09 $99,494.36 2025-01-01
'841-3 OTHER Extensive 3rd Degree Burns W Skin Graft 17 6 — — $90,131.42 $202,795.70 $99,144.56 2025-01-01
'583-3 OTHER Neonate W Ecmo 17 6 — — $89,822.20 $202,099.95 $98,804.42 2025-01-01
2433805008 NDC Carmustine In Polifeprosan 7.7 Mg Wafer 8 Each Box 26 16 $116,256.79 $98,818.27 $89.00 $108,118.81 $97,655.71 2025-01-01
'583-2 OTHER Neonate W Ecmo 17 6 — — $88,151.17 $198,340.13 $96,966.29 2025-01-01
'583-1 OTHER Neonate W Ecmo 17 6 — — $88,151.17 $198,340.13 $96,966.29 2025-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $96,768.27 $96,768.27 $96,768.27 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 12 — — $83,335.04 $429,297.30 $96,493.20 2025-01-01
215 MS_DRG Other Heart Assist System Implant 22 13 — — $82,248.73 $423,689.47 $94,369.60 2025-01-01
'603-4 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 17 6 — — $85,764.95 $192,971.14 $94,341.45 2025-01-01
'005-4 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 17 6 — — $84,905.87 $191,038.21 $93,396.46 2025-01-01
27800000002-43 CDM Device Impella 5.5 Smartassist 26 16 $112,500.00 $95,625.00 $89.00 $104,625.00 $92,812.50 2025-01-01
'593-3 OTHER Neonate Birthwt 750-999g Without Major Procedure 17 6 — — $83,855.73 $188,675.39 $92,241.30 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 13 — — $78,155.00 $402,556.43 $89,672.57 2025-01-01
'002-2 OTHER Heart &/or Lung Transplant 17 6 — — $79,127.38 $178,036.61 $87,040.12 2025-01-01
'607-4 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $76,064.55 $171,145.24 $83,671.01 2025-01-01
'630-4 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 6 — — $75,353.64 $169,545.69 $82,889.00 2025-01-01
27800000002-42 CDM Device Impella 5.5 Smartassist 26 16 $100,000.00 $85,000.00 $89.00 $93,000.00 $82,500.00 2025-01-01
'589-1 OTHER Neonate Bwt <500g Or Ga <24 Weeks 17 6 — — $74,798.88 $168,297.48 $82,278.77 2025-01-01
'589-2 OTHER Neonate Bwt <500g Or Ga <24 Weeks 17 6 — — $74,798.88 $168,297.48 $82,278.77 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 26 16 $97,800.00 $83,130.00 $89.00 $90,954.00 $82,152.00 2025-01-01
'002-1 OTHER Heart &/or Lung Transplant 17 6 — — $74,561.30 $167,762.93 $82,017.43 2025-01-01
'003-3 OTHER Bone Marrow Transplant 17 6 — — $72,865.17 $163,946.63 $80,151.69 2025-01-01
'591-3 OTHER Neonate Birthwt 500-749g Without Major Procedure 17 6 — — $72,814.34 $163,832.27 $80,095.77 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 12 — — $71,374.45 $367,553.15 $79,638.86 2025-01-01
27800000002-547 CDM Coil Azur Cx Detach 13mmx24cm .035in Periph 1/bx 26 16 $96,382.50 $81,925.13 $89.00 $89,635.73 $79,515.57 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 13 — — $68,088.22 $350,588.65 $78,122.27 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 13 — — $67,903.42 $349,634.65 $77,910.24 2025-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $76,332.21 $76,332.21 $76,332.21 2025-01-01
'090-4 OTHER Major Larynx & Trachea Procedures 17 6 — — $69,235.93 $155,780.84 $76,159.52 2025-01-01
'602-3 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $68,817.72 $154,839.87 $75,699.49 2025-01-01
'593-2 OTHER Neonate Birthwt 750-999g Without Major Procedure 17 6 — — $68,695.25 $154,564.31 $75,564.78 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 13 — — $65,378.89 $336,602.27 $75,013.67 2025-01-01
'591-2 OTHER Neonate Birthwt 500-749g Without Major Procedure 17 6 — — $67,959.24 $152,908.29 $74,755.16 2025-01-01
'303-4 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 6 — — $67,179.15 $151,153.09 $73,897.07 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 13 — — $64,401.05 $331,554.39 $73,891.74 2025-01-01
A9596 HCPCS Gallium Ga-68 Gozetotide Diagnostic 1 Millicurie 38 22 $147,600.00 $125,460.00 $89.00 $132,840.00 $73,800.00 2025-01-01
'593-1 OTHER Neonate Birthwt 750-999g Without Major Procedure 17 6 — — $66,617.65 $149,889.71 $73,279.42 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 22 13 — — $62,843.11 $323,511.81 $72,104.20 2025-01-01
'631-4 OTHER Neonate Birthwt >2499g W Other Major Procedure 17 6 — — $64,845.59 $145,902.58 $71,330.15 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 13 — — $62,132.83 $319,845.15 $71,289.25 2025-01-01
'440-4 OTHER Kidney Transplant 17 6 — — $64,053.85 $144,121.16 $70,459.24 2025-01-01
27800000002-83 CDM Valve Sapien Thv Edwards Resilia 29mm 26 16 $85,000.00 $72,250.00 $89.00 $79,050.00 $70,125.00 2025-01-01
27800000002-84 CDM Valve Sapien Thv Edwards Resilia 26mm 26 16 $85,000.00 $72,250.00 $89.00 $79,050.00 $70,125.00 2025-01-01
27800000002-82 CDM Valve Sapien Thv Edwards Resilia 23mm 26 16 $85,000.00 $72,250.00 $89.00 $79,050.00 $70,125.00 2025-01-01
27800000002-85 CDM Valve Sapien Thv Edwards Resilia 20mm 26 16 $85,000.00 $72,250.00 $89.00 $79,050.00 $70,125.00 2025-01-01
'004-3 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 17 6 — — $62,134.22 $139,802.00 $68,347.64 2025-01-01
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 17 6 — — $61,358.41 $138,056.42 $67,494.25 2025-01-01
27800000002-603 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-425 CDM Valve Sapien 3 Thv 23mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-431 CDM Valve Thv Sapien 3 29mm W/certitudesystem 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-424 CDM Valve Sapien 3 Thv 20mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-605 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-429 CDM Valve Thv Sapien 3 23mm W/certitudesystem 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-428 CDM Valve Sapien 3 Thv 29mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-602 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-430 CDM Valve Thv Sapien 3 26mm W/certitudesystem 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-427 CDM Valve Sapien 3 Thv 29mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-426 CDM Valve Sapien 3 Thv 26mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-601 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
27800000002-604 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 26 16 $81,250.00 $69,062.50 $89.00 $75,562.50 $67,031.25 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 13 — — $58,286.59 $299,989.64 $66,876.18 2025-01-01
'161-3 OTHER Cardiac Defibrillator & Heart Assist Implant 17 6 — — $60,719.76 $136,619.46 $66,791.74 2025-01-01
'361-4 OTHER Skin Graft For Skin & Subcutaneous Tissue Diagnoses 17 6 — — $59,255.70 $133,325.33 $65,181.27 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 13 — — $56,706.14 $291,830.91 $65,062.83 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 13 — — $56,136.47 $288,890.12 $64,409.21 2025-01-01
'602-2 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $58,542.34 $131,720.27 $64,396.57 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 13 — — $55,773.30 $287,015.32 $63,992.53 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 13 — — $55,679.29 $286,530.02 $63,884.66 2025-01-01
'162-4 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 17 6 — — $57,934.31 $130,352.20 $63,727.74 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 13 — — $55,394.86 $285,061.70 $63,558.32 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 13 — — $55,251.04 $284,319.25 $63,393.30 2025-01-01
J9298 HCPCS Opdualag Per 1 Each 38 22 $87,194.88 $74,115.65 $89.00 $78,475.39 $63,216.29 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 22 13 — — $54,960.18 $282,817.74 $63,059.57 2025-01-01
'005-3 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 17 6 — — $57,003.58 $128,258.06 $62,703.94 2025-01-01
'304-4 OTHER Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 17 6 — — $56,694.36 $127,562.31 $62,363.80 2025-01-01
'607-3 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $56,491.68 $127,106.28 $62,140.85 2025-01-01
27800000002-73 CDM Valve Aortic 26mm Evolut Fx 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-393 CDM Valve Aort 26mm Pro Perc 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-745 CDM Kit Mitraclip 3 Mbr0103 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-75 CDM Valve Aortic 34mm Evolut Fx 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-74 CDM Valve Aortic 29mm Evolut Fx 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-472 CDM Valve Aortic Evolut Tm Pro 34mm 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-713 CDM Kit Mitraclip 1 Mbr0303 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-76 CDM Valve Aortic 23mm Evolut Fx 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-291 CDM Kit Mitraclip 2 Mbr0102 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-290 CDM Kit Mitraclip 1 Mbr0301 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-807 CDM Valve Aortic Evolut Tm Pro 23mm 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-471 CDM Valve Aortic Evolut Tm Pro 29mm 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-292 CDM Kit Mitraclip 2 Mbr0302 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-609 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-289 CDM Kit Mitraclip 1 Mbr0101 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-470 CDM Valve Aortic Evolut Tm Pro 26mm 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
27800000002-394 CDM Valve Aort 29mm Pro Perc 26 16 $75,000.00 $63,750.00 $89.00 $69,750.00 $61,875.00 2025-01-01
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 17 6 — — $55,592.79 $125,083.78 $61,152.07 2025-01-01
'603-3 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 17 6 — — $55,447.06 $124,755.89 $60,991.77 2025-01-01
'681-4 OTHER Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 17 6 — — $55,402.36 $124,655.31 $60,942.60 2025-01-01
'680-4 OTHER Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 17 6 — — $55,249.89 $124,312.25 $60,774.88 2025-01-01
'591-1 OTHER Neonate Birthwt 500-749g Without Major Procedure 17 6 — — $54,901.48 $123,528.33 $60,391.63 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 12 — — $53,464.10 $275,094.54 $59,654.68 2025-01-01
'690-4 OTHER Acute Leukemia 17 6 — — $54,066.88 $121,650.48 $59,473.57 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 13 — — $51,318.81 $264,019.91 $58,881.58 2025-01-01
'842-4 OTHER Burns With Skin Graft Except Extensive 3rd Degree Burns 17 6 — — $53,360.26 $120,060.59 $58,696.29 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 22 13 — — $50,361.07 $259,075.74 $57,782.70 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 12 — — $49,805.86 $256,209.61 $57,669.94 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 12 — — $49,805.86 $256,209.61 $57,669.94 2025-01-01
'612-4 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 17 6 — — $52,355.44 $117,799.74 $57,590.98 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 13 — — $50,136.09 $257,914.35 $57,524.57 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 13 — — $50,072.62 $257,586.68 $57,451.74 2025-01-01
J9359 HCPCS Loncastuximab-lpyl 0.1 Mg 38 22 $78,900.03 $67,065.03 $89.00 $71,010.03 $57,202.52 2025-01-01
'405-4 OTHER Other Procedures For Endocrine, Nutritional & Metabolic Disorders 17 6 — — $51,831.91 $116,621.80 $57,015.10 2025-01-01
'001-3 OTHER Liver Transplant &/or Intestinal Transplant 17 6 — — $51,699.65 $116,324.21 $56,869.62 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 13 — — $49,519.82 $254,732.99 $56,817.48 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 13 — — $49,108.45 $252,609.32 $56,345.48 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 13 — — $48,988.73 $251,991.29 $56,208.12 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 13 — — $48,758.93 $250,805.02 $55,944.46 2025-01-01
'611-4 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 17 6 — — $50,764.02 $114,219.05 $55,840.42 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 22 13 — — $48,593.41 $249,950.58 $55,754.55 2025-01-01
'950-4 OTHER Extensive Procedure Unrelated To Principal Diagnosis 17 6 — — $50,155.37 $112,849.58 $55,170.91 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 13 — — $47,970.72 $246,736.03 $55,040.08 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 17 12 — — $49,318.15 $253,691.89 $55,028.67 2025-01-01
'023-4 OTHER Spinal Procedures 17 6 — — $49,958.20 $112,405.95 $54,954.02 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 13 — — $47,424.35 $243,915.53 $54,413.21 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $48,384.51 $248,872.15 $53,986.92 2025-01-01
27200000002-6085 CDM Set Pump Cath Sys Rp Flex W/smart Assist 21 15 $62,500.00 $53,125.00 $89.00 $58,125.00 $53,125.00 2025-01-01
'003-2 OTHER Bone Marrow Transplant 17 6 — — $47,989.59 $107,976.58 $52,788.55 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 13 — — $45,946.75 $236,287.72 $52,717.85 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 13 — — $45,837.48 $235,723.62 $52,592.48 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 13 — — $45,722.59 $235,130.49 $52,460.65 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 13 — — $45,681.61 $234,918.95 $52,413.63 2025-01-01
'006-4 OTHER Pancreas Transplant 17 6 — — $47,244.39 $106,299.88 $51,968.83 2025-01-01
'447-4 OTHER Other Kidney, Urinary Tract & Related Procedures 17 6 — — $47,193.57 $106,185.53 $51,912.93 2025-01-01
'850-4 OTHER Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 17 6 — — $47,169.69 $106,131.80 $51,886.66 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 22 13 — — $45,161.76 $232,235.32 $51,817.18 2025-01-01
27800000002-335 CDM Set Pump Impella Rp 26 16 $62,500.00 $53,125.00 $89.00 $58,125.00 $51,562.50 2025-01-01
27800000002-334 CDM Set Pump Impella Rp 26 16 $62,500.00 $53,125.00 $89.00 $58,125.00 $51,562.50 2025-01-01
27800000002-825 CDM Set Pump Aic Impella 5.0 26 16 $62,500.00 $53,125.00 $89.00 $58,125.00 $51,562.50 2025-01-01
27800000002-824 CDM Set Pump Aic Impella 5.0 26 16 $62,500.00 $53,125.00 $89.00 $58,125.00 $51,562.50 2025-01-01
27800000002-77 CDM Impella Rp With Smart Assist 26 16 $62,500.00 $53,125.00 $89.00 $58,125.00 $51,562.50 2025-01-01
27800000002-331 CDM Set Pump Impella Cp 26 16 $62,500.00 $53,125.00 $89.00 $58,125.00 $51,562.50 2025-01-01
27800000002-332 CDM Set Pump Impella Cp 26 16 $62,500.00 $53,125.00 $89.00 $58,125.00 $51,562.50 2025-01-01
'912-4 OTHER Musculoskeletal & Other Procedures For Multiple Significant Trauma 17 6 — — $46,862.91 $105,441.55 $51,549.20 2025-01-01
'512-4 OTHER Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 17 6 — — $46,414.69 $104,433.05 $51,056.16 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 13 — — $44,408.09 $228,344.69 $50,952.44 2025-01-01
'607-2 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $46,261.61 $104,088.62 $50,887.77 2025-01-01
'260-4 OTHER Major Pancreas, Liver & Shunt Procedures 17 6 — — $45,943.82 $103,373.60 $50,538.20 2025-01-01
'695-4 OTHER Chemotherapy For Acute Leukemia # 17 6 — — $45,700.73 $102,826.64 $50,270.80 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 22 13 — — $43,672.11 $224,545.30 $50,107.99 2025-01-01
'092-4 OTHER Facial Bone Procedures Except Major Cranial/facial Bone Procedures 17 6 — — $45,496.21 $102,366.47 $50,045.83 2025-01-01
'006-3 OTHER Pancreas Transplant 17 6 — — $45,256.18 $101,826.41 $49,781.80 2025-01-01
'609-3 OTHER Neonate Bwt 1500-2499g W Major Procedure 17 6 — — $45,065.75 $101,397.94 $49,572.33 2025-01-01
'021-4 OTHER Craniotomy Except For Trauma 17 6 — — $44,810.41 $100,823.42 $49,291.45 2025-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 21 12 — — $42,451.62 $218,244.79 $49,154.51 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 38 22 $55,035.00 $46,779.75 $89.00 $91,667.21 $48,981.15 2025-01-01
'004-1 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 17 6 — — $44,487.10 $100,095.98 $48,935.81 2025-01-01
'004-2 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 17 6 — — $44,487.10 $100,095.98 $48,935.81 2025-01-01
'169-4 OTHER Major Abdominal Vascular Procedures 17 6 — — $44,452.20 $100,017.45 $48,897.42 2025-01-01
'910-4 OTHER Craniotomy For Multiple Significant Trauma 17 6 — — $44,449.75 $100,011.94 $48,894.73 2025-01-01
'608-4 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 17 6 — — $44,449.14 $100,010.57 $48,894.05 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 13 — — $42,314.23 $217,535.52 $48,550.00 2025-01-01
'220-4 OTHER Major Stomach, Esophageal & Duodenal Procedures 17 6 — — $43,869.27 $98,705.86 $48,256.20 2025-01-01
'841-2 OTHER Extensive 3rd Degree Burns W Skin Graft 17 6 — — $43,833.76 $98,625.96 $48,217.14 2025-01-01
'165-4 OTHER Coronary Bypass W Ami Or Complex Pdx 17 6 — — $43,801.30 $98,552.93 $48,181.43 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 22 13 — — $41,939.00 $215,598.50 $48,119.49 2025-01-01
'321-4 OTHER Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 17 6 — — $43,725.38 $98,382.11 $48,097.92 2025-01-01
J9281 HCPCS mitoMYcin 40 Mg X 2 Kit 1 Each Kit 38 22 $66,330.00 $56,380.50 $89.00 $59,697.00 $48,089.25 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 13 — — $41,848.21 $215,129.79 $48,015.32 2025-01-01
'163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Pdx 17 6 — — $43,620.06 $98,145.14 $47,982.07 2025-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 22 13 — — $41,604.76 $213,873.01 $47,735.99 2025-01-01
'303-3 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 6 — — $43,258.79 $97,332.28 $47,584.67 2025-01-01
'401-4 OTHER Pituitary & Adrenal Procedures 17 6 — — $43,256.95 $97,328.14 $47,582.65 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 13 — — $40,983.67 $210,666.76 $47,023.36 2025-01-01
'603-2 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 17 6 — — $42,710.76 $96,099.21 $46,981.84 2025-01-01
J2507 HCPCS Pegloticase Per 1 Mg 38 22 $64,638.66 $54,942.86 $89.00 $58,174.79 $46,863.03 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 13 — — $40,806.10 $209,750.10 $46,819.63 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 13 — — $40,659.87 $208,995.20 $46,651.85 2025-01-01
'310-4 OTHER Intervertebral Disc Excision & Decompression 17 6 — — $42,366.02 $95,323.55 $46,602.62 2025-01-01
'608-3 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 17 6 — — $42,252.13 $95,067.29 $46,477.34 2025-01-01
'089-4 OTHER Major Cranial/facial Bone Procedures 17 6 — — $42,221.51 $94,998.40 $46,443.66 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 13 — — $40,343.29 $207,360.97 $46,288.61 2025-01-01
'024-4 OTHER Extracranial Vascular Procedures 17 6 — — $42,068.43 $94,653.97 $46,275.27 2025-01-01
'621-4 OTHER Neonate Bwt 2000-2499g W Major Anomaly 17 6 — — $42,059.25 $94,633.31 $46,265.18 2025-01-01
'441-4 OTHER Major Bladder Procedures 17 6 — — $41,882.90 $94,236.53 $46,071.19 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 22 13 — — $39,984.14 $205,506.90 $45,876.54 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 38 22 $63,119.97 $53,651.97 $89.00 $56,807.97 $45,761.98 2025-01-01
'020-4 OTHER Craniotomy For Trauma 17 6 — — $41,434.07 $93,226.66 $45,577.48 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 13 — — $39,698.10 $204,030.28 $45,548.35 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 21 12 — — $39,038.45 $200,624.94 $45,202.41 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 22 13 — — $39,386.35 $202,420.94 $45,190.66 2025-01-01
'167-4 OTHER Other Cardiothoracic & Thoracic Vascular Procedures 17 6 — — $41,074.02 $92,416.55 $45,181.42 2025-01-01
'003-1 OTHER Bone Marrow Transplant 17 6 — — $41,039.73 $92,339.39 $45,143.70 2025-01-01
'181-4 OTHER Lower Extremity Arterial Procedures # 17 6 — — $40,984.01 $92,214.02 $45,082.41 2025-01-01
'791-4 OTHER O.r. Procedure For Other Complications Of Treatment 17 6 — — $40,948.50 $92,134.13 $45,043.35 2025-01-01
'221-4 OTHER Major Small & Large Bowel Procedures 17 6 — — $40,933.80 $92,101.05 $45,027.18 2025-01-01
10 MS_DRG Pancreas Transplant 21 12 — — $38,851.24 $199,658.50 $44,985.64 2025-01-01
'403-4 OTHER Procedures For Obesity 17 6 — — $40,740.31 $91,665.70 $44,814.34 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 13 — — $38,796.59 $199,376.45 $44,513.99 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 13 — — $38,600.55 $198,364.39 $44,289.06 2025-01-01
'602-1 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $40,225.96 $90,508.41 $44,248.56 2025-01-01
'911-4 OTHER Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 17 6 — — $40,211.26 $90,475.34 $44,232.39 2025-01-01
'313-4 OTHER Knee & Lower Leg Procedures Except Foot 17 6 — — $40,094.92 $90,213.57 $44,104.41 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 13 — — $38,393.25 $200,919.43 $44,051.21 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 13 — — $38,263.08 $196,622.31 $43,901.85 2025-01-01
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 17 6 — — $39,715.28 $89,359.38 $43,686.81 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 22 13 — — $38,047.76 $195,510.70 $43,654.79 2025-01-01
'442-4 OTHER Kidney & Urinary Tract Procedures For Malignancy 17 6 — — $39,510.76 $88,899.21 $43,461.84 2025-01-01
'612-3 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 17 6 — — $39,309.31 $88,445.95 $43,240.24 2025-01-01
'177-4 OTHER Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 17 6 — — $39,257.87 $88,330.21 $43,183.66 2025-01-01
'691-4 OTHER Lymphoma, Myeloma & Non-acute Leukemia 17 6 — — $39,246.85 $88,305.41 $43,171.54 2025-01-01
'710-4 OTHER Infectious & Parasitic Diseases Including HIV W O.r. Procedure 17 6 — — $39,170.92 $88,134.57 $43,088.01 2025-01-01
'317-4 OTHER Tendon, Muscle & Other Soft Tissue Procedures 17 6 — — $39,156.23 $88,101.52 $43,071.85 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 13 — — $37,525.49 $192,814.63 $43,055.57 2025-01-01
'305-4 OTHER Amputation Of Lower Limb Except Toes 17 6 — — $39,057.03 $87,878.32 $42,962.73 2025-01-01
'026-4 OTHER Other Nervous System & Related Procedures 17 6 — — $38,898.44 $87,521.49 $42,788.28 2025-01-01
'951-4 OTHER Moderately Extensive Procedure Unrelated To Principal Diagnosis 17 6 — — $38,893.54 $87,510.47 $42,782.89 2025-01-01
'182-4 OTHER Other Peripheral Vascular Procedures # 17 6 — — $38,874.56 $87,467.76 $42,762.02 2025-01-01
'611-3 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 17 6 — — $38,836.60 $87,382.35 $42,720.26 2025-01-01
'166-4 OTHER Coronary Bypass Without Ami Or Complex Pdx 17 6 — — $38,624.73 $86,905.64 $42,487.20 2025-01-01
'511-4 OTHER Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 17 6 — — $38,595.34 $86,839.52 $42,454.87 2025-01-01
'444-4 OTHER Renal Dialysis Access Device Procedure Only 17 6 — — $38,347.35 $86,281.54 $42,182.09 2025-01-01
'001-1 OTHER Liver Transplant &/or Intestinal Transplant 17 6 — — $38,208.97 $85,970.18 $42,029.87 2025-01-01
'001-2 OTHER Liver Transplant &/or Intestinal Transplant 17 6 — — $38,208.97 $85,970.18 $42,029.87 2025-01-01
245 MS_DRG Aicd Generator Procedures 22 13 — — $36,583.82 $187,953.41 $41,975.11 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 13 — — $36,580.61 $187,936.82 $41,971.43 2025-01-01
'264-4 OTHER Other Hepatobiliary, Pancreas & Abdominal Procedures 17 6 — — $38,155.69 $85,850.30 $41,971.26 2025-01-01
'261-4 OTHER Major Biliary Tract Procedures 17 6 — — $38,069.97 $85,657.43 $41,876.97 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 13 — — $36,466.51 $187,347.83 $41,840.52 2025-01-01
'161-2 OTHER Cardiac Defibrillator & Heart Assist Implant 17 6 — — $37,990.37 $85,478.33 $41,789.41 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 13 — — $36,346.79 $186,729.81 $41,703.16 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 13 — — $36,311.44 $186,547.31 $41,662.60 2025-01-01
'120-4 OTHER Major Respiratory & Chest Procedures 17 6 — — $37,765.03 $84,971.32 $41,541.53 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 17 12 — — $37,180.00 $191,031.08 $41,485.05 2025-01-01
'130-4 OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 17 6 — — $37,654.82 $84,723.35 $41,420.30 2025-01-01
'690-3 OTHER Acute Leukemia 17 6 — — $37,594.20 $84,586.95 $41,353.62 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 13 — — $36,013.35 $185,008.47 $41,320.58 2025-01-01
'121-4 OTHER Other Respiratory & Chest Procedures 17 6 — — $37,558.68 $84,507.03 $41,314.55 2025-01-01
'301-4 OTHER Hip Joint Replacement 17 6 — — $37,537.86 $84,460.19 $41,291.65 2025-01-01
'262-4 OTHER Cholecystectomy Except Laparoscopic 17 6 — — $37,537.25 $84,458.81 $41,290.98 2025-01-01
'519-4 OTHER Uterine & Adnexa Procedures For Leiomyoma 17 6 — — $37,507.86 $84,392.69 $41,258.65 2025-01-01
27800000002-333 CDM Set Pump Impella Cp 26 16 $50,000.00 $42,500.00 $89.00 $46,500.00 $41,250.00 2025-01-01
'607-1 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 6 — — $37,461.32 $84,287.97 $41,207.45 2025-01-01
'711-4 OTHER Post-op, Post-trauma, Other Device Infections W O.r. Procedure 17 6 — — $37,428.87 $84,214.96 $41,171.76 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 13 — — $35,756.23 $183,681.18 $41,025.57 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 13 — — $35,656.61 $183,166.85 $40,911.26 2025-01-01
'518-4 OTHER Other Female Reproductive System & Related Procedures 17 6 — — $37,073.72 $83,415.87 $40,781.09 2025-01-01
'049-4 OTHER Bacterial & Tuberculous Infections Of Nervous System 17 6 — — $37,010.04 $83,272.59 $40,711.04 2025-01-01
'171-4 OTHER Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 17 6 — — $36,987.38 $83,221.61 $40,686.12 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 13 — — $35,438.06 $191,947.74 $40,660.51 2025-01-01
'952-4 OTHER Nonextensive Procedure Unrelated To Principal Diagnosis 17 6 — — $36,790.22 $82,778.00 $40,469.24 2025-01-01
'630-3 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 6 — — $36,752.87 $82,693.96 $40,428.16 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 13 — — $35,221.92 $180,922.89 $40,412.52 2025-01-01
'043-4 OTHER Multiple Sclerosis & Other Demyelinating Diseases 17 6 — — $36,705.10 $82,586.48 $40,375.61 2025-01-01
'381-4 OTHER Major Skin Disorders 17 6 — — $36,613.87 $82,381.21 $40,275.26 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 13 — — $34,947.94 $179,508.49 $40,098.15 2025-01-01
'005-2 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 17 6 — — $36,251.37 $81,565.58 $39,876.51 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 13 — — $34,747.07 $178,471.54 $39,867.69 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 13 — — $34,553.43 $177,471.92 $39,645.51 2025-01-01
'229-4 OTHER Other Digestive System & Abdominal Procedures 17 6 — — $35,903.57 $80,783.03 $39,493.93 2025-01-01
'308-4 OTHER Hip And Femur Fracture Repair 17 6 — — $35,793.36 $80,535.06 $39,372.70 2025-01-01
'309-4 OTHER Other Significant Hip And Femur Surgery 17 6 — — $35,648.24 $80,208.54 $39,213.06 2025-01-01
'162-3 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 17 6 — — $35,596.80 $80,092.80 $39,156.48 2025-01-01
'650-4 OTHER Splenectomy 17 6 — — $35,390.45 $79,628.51 $38,929.50 2025-01-01
'005-1 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 17 6 — — $35,348.20 $79,533.45 $38,883.02 2025-01-01
'608-2 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 17 6 — — $35,286.35 $79,394.29 $38,814.99 2025-01-01
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