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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

GENEVA GENERAL HOSPITAL

Geneva, NY · CCN 330058 · Rates published

12,943 distinct procedures filed
9 distinct payers
295,024 rate rows
2025-08-07 last MRF observed
Data quality

120,035 of 295,024 rate rows are consumer-grade (40.7%)

174,989 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
professional (physician) fee — not the facility price 141,975
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 32,965
placeholder amount (≤ $0.02) — excluded from medians 40
exceeds 10× this hospital's gross charge — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7967/160743032_geneva-general-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/GenevaGeneralHospital/7967
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 939c27620a74a8ea… · 82,474,702 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $3,957,260.00 $4,902,800.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,353,840.00 $4,155,200.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,331,481.07 $4,127,498.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,005,413.00 $3,723,520.53 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $2,948,264.92 $3,652,717.60 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,667,420.75 $4,585,072.01 $2,950,686.67 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,216,712.50 $4,443,233.46 $2,452,115.60 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,108,128.00 $4,225,584.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $696,640.48 $1,396,363.44 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $522,805.42 $1,047,924.14 $578,324.58 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $500,254.46 $1,002,722.44 $553,378.83 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $489,638.63 $981,443.81 $541,635.66 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $489,299.44 $980,763.93 $541,260.45 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $481,901.13 $965,934.57 $533,076.48 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $442,706.88 $887,372.64 $489,720.00 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $310,112.35 $521,718.88 $343,073.34 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $244,419.00 $489,919.50 $270,375.00 nat. median
$324,450
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $231,627.93 $389,680.26 $256,247.03 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $195,072.58 $328,181.22 $215,806.31 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 7 $176,232.05 $296,484.75 $194,963.27 nat. median
$202,986
1.0× median
24
APR_DRG 		Heart &/or Lung Transplant 6 $187,895.93 $537,694.28 $187,895.93 nat. median
$234,738
0.8× median
5834
APR_DRG 		Neonate W Ecmo 6 $138,587.32 $396,061.44 $138,587.32 nat. median
$309,665
outlier · 0.4×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $136,169.47 $389,116.46 $136,169.47 nat. median
$182,736
0.7× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $136,169.47 $389,116.46 $136,169.47 nat. median
$246,434
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 7 $116,190.99 $195,474.42 $128,540.61 nat. median
$133,176
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $124,637.69 $355,992.87 $124,637.69 nat. median
$207,730
0.6× median
34
APR_DRG 		Bone Marrow Transplant 6 $121,047.06 $345,679.23 $121,047.06 nat. median
$209,067
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $107,736.10 $181,250.30 $119,187.07 nat. median
$117,303
1.0× median
7
MS_DRG 		Lung Transplant 7 $107,464.74 $180,793.78 $118,886.87 nat. median
$122,708
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $95,933.29 $192,291.07 $106,120.90 nat. median
$111,989
0.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $104,789.89 $298,982.56 $104,789.89 nat. median
$164,279
0.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $104,415.03 $297,905.82 $104,415.03 nat. median
$124,573
0.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $104,415.03 $297,905.82 $104,415.03 nat. median
$145,336
0.7× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 6 $101,383.48 $289,198.07 $101,383.48 nat. median
$160,267
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $90,614.99 $152,446.53 $100,246.21 nat. median
$108,660
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $89,580.54 $150,706.21 $99,101.81 nat. median
$102,358
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 $97,815.35 $278,949.04 $97,815.35 nat. median
$105,658
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $87,570.02 $147,323.80 $96,877.59 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 7 $87,121.04 $146,568.46 $96,380.90 nat. median
$99,019
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $86,139.21 $144,916.68 $95,294.71 nat. median
$98,905
1.0× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 6 $94,780.58 $270,232.06 $94,780.58 nat. median
$129,535
0.7× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $94,408.40 $269,163.01 $94,408.40 nat. median
$151,838
0.6× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 7 $84,267.90 $168,908.66 $93,216.70 nat. median
$96,983
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $79,361.00 $133,513.32 $87,796.06 nat. median
$93,672
0.9× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $86,527.23 $246,525.32 $86,527.23 nat. median
$162,982
0.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $75,749.45 $127,437.42 $83,800.65 nat. median
$83,442
1.0× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $82,014.98 $233,564.45 $82,014.98 nat. median
$118,620
0.7× median
23
APR_DRG 		Heart &/or Lung Transplant 6 $81,732.22 $232,752.28 $81,732.22 nat. median
$93,528
0.9× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 6 $79,451.47 $226,201.09 $79,451.47 nat. median
$66,693
1.2× median
5833
APR_DRG 		Neonate W Ecmo 6 $79,181.03 $225,424.30 $79,181.03 nat. median
$244,017
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 12,943 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
             
6904 APR_DRG Acute Leukemia 8 6 — — $47,910.70 $135,604.18 $47,910.70 2025-08-07
6903 APR_DRG Acute Leukemia 8 6 — — $33,504.28 $94,223.53 $33,504.28 2025-08-07
834 MS_DRG Acute Leukemia With Mcc 9 7 — — $45,450.99 $76,464.67 $50,281.85 2025-08-07
850 MS_DRG Acute Leukemia With Other Procedures 9 7 — — $75,749.45 $127,437.42 $83,800.65 2025-08-07
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $696,640.48 $1,396,363.44 $770,620.00 2025-08-07
245 MS_DRG Aicd Generator Procedures 9 7 — — $40,184.16 $67,603.99 $44,455.22 2025-08-07
14 MS_DRG Allogeneic Bone Marrow Transplant 9 7 — — $107,736.10 $181,250.30 $119,187.07 2025-08-07
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 7 — — $41,418.43 $69,680.47 $45,820.68 2025-08-07
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 7 — — $36,877.69 $62,041.34 $40,797.32 2025-08-07
3054 APR_DRG Amputation Of Lower Limb Except Toes 8 6 — — $34,783.62 $97,898.29 $34,783.62 2025-08-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 7 — — $31,781.90 $53,468.41 $35,159.91 2025-08-07
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 7 — — $54,827.67 $92,239.58 $60,655.16 2025-08-07
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 7 — — $34,213.44 $57,559.12 $37,849.89 2025-08-07
0266T CPT Apc 9 7 — — $48,139.62 $96,492.25 $53,251.79 2025-08-07
0268T CPT Apc 9 7 — — $32,599.35 $65,342.94 $36,061.23 2025-08-07
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 7 — — $49,633.21 $83,500.64 $54,908.58 2025-08-07
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 7 — — $49,633.21 $83,500.64 $54,908.58 2025-08-07
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $481,901.13 $965,934.57 $533,076.48 2025-08-07
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 8 6 — — $32,993.40 $92,756.08 $32,993.40 2025-08-07
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 7 — — $30,003.26 $50,476.12 $33,192.22 2025-08-07
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 7 — — $84,267.90 $168,908.66 $93,216.70 2025-08-07
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 7 — — $50,462.08 $84,895.11 $55,825.56 2025-08-07
34 APR_DRG Bone Marrow Transplant 8 6 — — $121,047.06 $345,679.23 $121,047.06 2025-08-07
33 APR_DRG Bone Marrow Transplant 8 6 — — $64,351.01 $182,826.92 $64,351.01 2025-08-07
32 APR_DRG Bone Marrow Transplant 8 6 — — $42,595.72 $120,337.55 $42,595.72 2025-08-07
31 APR_DRG Bone Marrow Transplant 8 6 — — $36,517.62 $102,878.98 $36,517.62 2025-08-07
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $442,706.88 $887,372.64 $489,720.00 2025-08-07
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 8 6 — — $47,292.72 $133,829.10 $47,292.72 2025-08-07
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 8 6 — — $124,637.69 $355,992.87 $124,637.69 2025-08-07
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 8 6 — — $53,729.07 $152,316.73 $53,729.07 2025-08-07
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 8 6 — — $33,850.76 $95,218.74 $33,850.76 2025-08-07
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 7 — — $58,111.94 $97,764.88 $64,288.50 2025-08-07
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 7 — — $50,936.55 $85,693.33 $56,350.46 2025-08-07
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 7 — — $38,252.57 $64,354.38 $42,318.33 2025-08-07
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 8 6 — — $34,959.27 $98,402.82 $34,959.27 2025-08-07
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $79,361.00 $133,513.32 $87,796.06 2025-08-07
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $53,103.31 $89,338.59 $58,747.52 2025-08-07
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $48,921.09 $82,302.62 $54,120.78 2025-08-07
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $63,625.46 $107,040.58 $70,388.04 2025-08-07
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $43,554.76 $73,274.55 $48,184.08 2025-08-07
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $37,764.95 $63,534.03 $41,778.88 2025-08-07
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 8 6 — — $51,293.02 $145,319.46 $51,293.02 2025-08-07
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 8 6 — — $38,774.28 $109,360.95 $38,774.28 2025-08-07
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 7 — — $31,976.78 $53,796.28 $35,375.50 2025-08-07
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 8 6 — — $38,866.39 $109,625.52 $38,866.39 2025-08-07
471 MS_DRG Cervical Spinal Fusion With Mcc 9 7 — — $39,941.58 $67,195.89 $44,186.86 2025-08-07
6954 APR_DRG Chemotherapy For Acute Leukemia # 8 6 — — $40,593.96 $114,587.76 $40,593.96 2025-08-07
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 7 — — $41,174.21 $69,269.60 $45,550.50 2025-08-07
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 — — $310,112.35 $521,718.88 $343,073.34 2025-08-07
2624 APR_DRG Cholecystectomy Except Laparoscopic 8 6 — — $33,454.48 $94,080.48 $33,454.48 2025-08-07
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $500,254.46 $1,002,722.44 $553,378.83 2025-08-07
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $68,584.75 $115,383.86 $75,874.44 2025-08-07
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 7 — — $44,983.92 $75,678.90 $49,765.14 2025-08-07
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 7 — — $89,580.54 $150,706.21 $99,101.81 2025-08-07
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 7 — — $50,870.77 $85,582.66 $56,277.68 2025-08-07
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 8 6 — — $38,932.79 $109,816.26 $38,932.79 2025-08-07
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 8 6 — — $34,405.55 $96,812.32 $34,405.55 2025-08-07
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 7 — — $64,274.26 $108,132.08 $71,105.79 2025-08-07
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 7 — — $43,748.00 $73,599.65 $48,397.86 2025-08-07
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 7 — — $69,680.88 $117,227.93 $77,087.07 2025-08-07
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 7 — — $50,231.84 $84,507.76 $55,570.84 2025-08-07
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 7 — — $48,385.78 $81,402.02 $53,528.57 2025-08-07
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 7 — — $33,813.80 $56,886.79 $37,407.77 2025-08-07
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 7 — — $35,025.05 $58,924.54 $38,747.76 2025-08-07
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 7 — — $36,775.72 $61,869.80 $40,684.51 2025-08-07
214 APR_DRG Craniotomy Except For Trauma 8 6 — — $39,815.32 $112,351.21 $39,815.32 2025-08-07
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 — — $56,149.11 $94,462.70 $62,117.05 2025-08-07
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 6 — — $39,499.90 $111,445.22 $39,499.90 2025-08-07
204 APR_DRG Craniotomy For Trauma 8 6 — — $36,862.49 $103,869.58 $36,862.49 2025-08-07
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 7 — — $46,913.04 $78,924.35 $51,899.29 2025-08-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 7 — — $31,261.38 $52,592.72 $34,584.06 2025-08-07
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 8 6 — — $50,208.60 $142,204.60 $50,208.60 2025-08-07
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 8 6 — — $59,378.22 $168,543.20 $59,378.22 2025-08-07
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 8 6 — — $38,458.33 $108,453.42 $38,458.33 2025-08-07
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 7 — — $95,933.29 $192,291.07 $106,120.90 2025-08-07
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 9 7 — — $176,232.05 $296,484.75 $194,963.27 2025-08-07
L7181 HCPCS Electronic Elbo Simultaneous 9 7 — — $42,678.99 $85,546.82 $47,211.27 2025-08-07
L7180 HCPCS Electronic Elbow Sequential 9 7 — — $39,003.96 $78,180.50 $43,145.97 2025-08-07
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 7 — — $49,262.35 $82,876.73 $54,498.31 2025-08-07
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 7 — — $38,686.75 $65,084.82 $42,798.66 2025-08-07
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $37,442.05 $75,049.76 $41,418.19 2025-08-07
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 7 — — $30,993.13 $62,123.41 $34,284.44 2025-08-07
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 7 — — $60,977.20 $122,224.22 $67,452.66 2025-08-07
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 8 6 — — $101,383.48 $289,198.07 $101,383.48 2025-08-07
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 8 6 — — $79,451.47 $226,201.09 $79,451.47 2025-08-07
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 8 6 — — $38,961.18 $109,897.79 $38,961.18 2025-08-07
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 8 6 — — $35,793.07 $100,797.79 $35,793.07 2025-08-07
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 9 7 — — $195,072.58 $328,181.22 $215,806.31 2025-08-07
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 9 7 — — $35,580.10 $59,858.33 $39,361.81 2025-08-07
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $39,091.32 $65,765.45 $43,246.23 2025-08-07
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 8 6 — — $44,489.83 $125,778.16 $44,489.83 2025-08-07
244 APR_DRG Extracranial Vascular Procedures 8 6 — — $37,417.29 $105,463.16 $37,417.29 2025-08-07
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 7 — — $48,884.09 $82,240.36 $54,079.85 2025-08-07
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 8 6 — — $40,415.10 $114,074.00 $40,415.10 2025-08-07
793 MS_DRG Full Term Neonate With Major Problems 9 7 — — $34,294.02 $57,694.70 $37,939.04 2025-08-07
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 7 — — $54,920.59 $92,395.90 $60,757.95 2025-08-07
24 APR_DRG Heart &/or Lung Transplant 8 6 — — $187,895.93 $537,694.28 $187,895.93 2025-08-07
23 APR_DRG Heart &/or Lung Transplant 8 6 — — $81,732.22 $232,752.28 $81,732.22 2025-08-07
22 APR_DRG Heart &/or Lung Transplant 8 6 — — $69,827.73 $198,558.10 $69,827.73 2025-08-07
21 APR_DRG Heart &/or Lung Transplant 8 6 — — $65,834.39 $187,087.74 $65,834.39 2025-08-07
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 7 — — $231,627.93 $389,680.26 $256,247.03 2025-08-07
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 7 — — $90,614.99 $152,446.53 $100,246.21 2025-08-07
3014 APR_DRG Hip Joint Replacement 8 6 — — $33,455.01 $94,082.01 $33,455.01 2025-08-07
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 7 — — $52,004.72 $87,490.37 $57,532.16 2025-08-07
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $489,299.44 $980,763.93 $541,260.45 2025-08-07
69930 CPT Implant Cochlear Device 9 7 — — $34,026.65 $68,203.86 $37,640.10 2025-08-07
61886 CPT Implant Neurostim Arrays 9 7 — — $32,599.35 $65,342.94 $36,061.23 2025-08-07
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 8 6 — — $34,883.23 $98,184.39 $34,883.23 2025-08-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 7 — — $41,125.69 $69,187.98 $45,496.83 2025-08-07
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,005,413.00 $3,723,520.53 $3,324,571.90 2025-08-07
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 7 — — $2,216,712.50 $4,443,233.46 $2,452,115.60 2025-08-07
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 6 — — $3,957,260.00 $4,902,800.00 $4,377,500.00 2025-08-07
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 6 — — $3,353,840.00 $4,155,200.00 $3,710,000.00 2025-08-07
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,667,420.75 $4,585,072.01 $2,950,686.67 2025-08-07
J3392 HCPCS Inj, Exagamglogene Autotem 9 7 — — $2,108,128.00 $4,225,584.00 $2,332,000.00 2025-08-07
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $3,331,481.07 $4,127,498.67 $3,685,266.67 2025-08-07
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $2,948,264.92 $3,652,717.60 $3,261,355.00 2025-08-07
33270 CPT Ins/rep Subq Defibrillator 9 7 — — $34,298.11 $68,747.99 $37,940.39 2025-08-07
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 9 7 — — $32,599.35 $65,342.94 $36,061.23 2025-08-07
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 7 — — $34,298.11 $68,747.99 $37,940.39 2025-08-07
33276 CPT Insj Phrnc Nrv Stim Sys 9 7 — — $48,139.62 $96,492.25 $53,251.79 2025-08-07
0408T CPT Insj/rplc Cardiac Modulj Sys 9 7 — — $34,298.11 $68,747.99 $37,940.39 2025-08-07
33249 CPT Insj/rplcmt Defib W/lead(s) 9 7 — — $34,298.11 $68,747.99 $37,940.39 2025-08-07
0571T CPT Insj/rplcmt Icds Ss Eltrd 9 7 — — $34,298.11 $68,747.99 $37,940.39 2025-08-07
33231 CPT Insrt Pulse Gen W/mult Leads 9 7 — — $34,298.11 $68,747.99 $37,940.39 2025-08-07
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 7 — — $57,341.67 $114,937.07 $63,431.05 2025-08-07
3104 APR_DRG Intervertebral Disc Excision & Decompression 8 6 — — $37,677.55 $106,210.72 $37,677.55 2025-08-07
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 7 — — $45,450.99 $76,464.67 $50,281.85 2025-08-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 7 — — $66,286.43 $111,517.26 $73,331.83 2025-08-07
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 9 7 — — $35,468.61 $71,094.16 $39,235.19 2025-08-07
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 8 6 — — $35,180.44 $99,038.09 $35,180.44 2025-08-07
4404 APR_DRG Kidney Transplant 8 6 — — $56,644.95 $160,692.23 $56,644.95 2025-08-07
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 7 — — $37,885.83 $63,737.39 $41,912.61 2025-08-07
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 8 6 — — $35,691.32 $100,505.54 $35,691.32 2025-08-07
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 7 — — $32,599.35 $65,342.94 $36,061.23 2025-08-07
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 7 — — $31,431.60 $52,879.08 $34,772.37 2025-08-07
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $489,638.63 $981,443.81 $541,635.66 2025-08-07
14 APR_DRG Liver Transplant &/or Intestinal Transplant 8 6 — — $94,780.58 $270,232.06 $94,780.58 2025-08-07
13 APR_DRG Liver Transplant &/or Intestinal Transplant 8 6 — — $45,840.40 $129,657.50 $45,840.40 2025-08-07
11 APR_DRG Liver Transplant &/or Intestinal Transplant 8 6 — — $34,041.94 $95,767.88 $34,041.94 2025-08-07
12 APR_DRG Liver Transplant &/or Intestinal Transplant 8 6 — — $34,041.94 $95,767.88 $34,041.94 2025-08-07
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 7 — — $87,570.02 $147,323.80 $96,877.59 2025-08-07
6 MS_DRG Liver Transplant Without Mcc 9 7 — — $39,874.97 $67,083.83 $44,113.17 2025-08-07
1814 APR_DRG Lower Extremity Arterial Procedures # 8 6 — — $36,468.89 $102,739.00 $36,468.89 2025-08-07
7 MS_DRG Lung Transplant 9 7 — — $107,464.74 $180,793.78 $118,886.87 2025-08-07
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 7 — — $47,876.77 $80,545.70 $52,965.46 2025-08-07
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 7 — — $38,479.53 $64,736.20 $42,569.41 2025-08-07
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 8 6 — — $34,949.63 $98,375.13 $34,949.63 2025-08-07
1694 APR_DRG Major Abdominal Vascular Procedures 8 6 — — $39,502.05 $111,451.37 $39,502.05 2025-08-07
2614 APR_DRG Major Biliary Tract Procedures 8 6 — — $33,920.37 $95,418.71 $33,920.37 2025-08-07
4414 APR_DRG Major Bladder Procedures 8 6 — — $37,255.03 $104,997.08 $37,255.03 2025-08-07
653 MS_DRG Major Bladder Procedures With Mcc 9 7 — — $45,839.94 $77,119.02 $50,712.14 2025-08-07
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $54,287.62 $153,921.07 $54,287.62 2025-08-07
163 MS_DRG Major Chest Procedures With Mcc 9 7 — — $37,901.45 $63,763.67 $41,929.89 2025-08-07
894 APR_DRG Major Cranial/facial Bone Procedures 8 6 — — $37,551.17 $105,847.71 $37,551.17 2025-08-07
140 MS_DRG Major Head And Neck Procedures With Mcc 9 7 — — $34,776.71 $58,506.75 $38,473.03 2025-08-07
904 APR_DRG Major Larynx & Trachea Procedures 8 6 — — $61,177.02 $173,710.01 $61,177.02 2025-08-07
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 8 6 — — $48,945.32 $138,575.99 $48,945.32 2025-08-07
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 8 6 — — $40,806.56 $115,198.42 $40,806.56 2025-08-07
1204 APR_DRG Major Respiratory & Chest Procedures 8 6 — — $33,653.69 $94,652.69 $33,653.69 2025-08-07
2214 APR_DRG Major Small & Large Bowel Procedures 8 6 — — $36,424.98 $102,612.87 $36,424.98 2025-08-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 7 — — $37,759.19 $63,524.34 $41,772.51 2025-08-07
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 8 6 — — $38,992.24 $109,987.00 $38,992.24 2025-08-07
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 8 6 — — $34,640.64 $97,487.59 $34,640.64 2025-08-07
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $86,139.21 $144,916.68 $95,294.71 2025-08-07
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $58,405.50 $98,258.75 $64,613.26 2025-08-07
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $45,260.21 $76,143.72 $50,070.80 2025-08-07
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 7 — — $55,132.75 $92,752.82 $60,992.66 2025-08-07
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 7 — — $33,578.62 $56,491.14 $37,147.60 2025-08-07
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 8 6 — — $41,610.37 $117,507.26 $41,610.37 2025-08-07
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 7 — — $39,268.94 $66,064.27 $43,442.72 2025-08-07
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 8 6 — — $75,632.71 $215,232.18 $75,632.71 2025-08-07
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 8 6 — — $49,117.75 $139,071.29 $49,117.75 2025-08-07
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 8 6 — — $37,979.04 $107,076.73 $37,979.04 2025-08-07
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 8 6 — — $45,022.14 $127,307.13 $45,022.14 2025-08-07
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 8 6 — — $34,590.84 $97,344.54 $34,590.84 2025-08-07
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 8 6 — — $104,789.89 $298,982.56 $104,789.89 2025-08-07
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 8 6 — — $64,306.57 $182,699.25 $64,306.57 2025-08-07
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 8 6 — — $60,060.47 $170,502.87 $60,060.47 2025-08-07
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 8 6 — — $48,640.61 $137,700.75 $48,640.61 2025-08-07
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 8 6 — — $94,408.40 $269,163.01 $94,408.40 2025-08-07
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 8 6 — — $73,962.97 $210,436.08 $73,962.97 2025-08-07
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 8 6 — — $60,704.16 $172,351.78 $60,704.16 2025-08-07
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 8 6 — — $58,887.15 $167,132.67 $58,887.15 2025-08-07
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 8 6 — — $66,527.35 $189,078.17 $66,527.35 2025-08-07
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 8 6 — — $57,337.37 $162,681.12 $57,337.37 2025-08-07
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $82,014.98 $233,564.45 $82,014.98 2025-08-07
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $60,811.26 $172,659.42 $60,811.26 2025-08-07
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $51,824.78 $146,846.89 $51,824.78 2025-08-07
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $35,805.92 $100,834.71 $35,805.92 2025-08-07
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 8 6 — — $39,499.37 $111,443.68 $39,499.37 2025-08-07
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 8 6 — — $37,577.94 $105,924.62 $37,577.94 2025-08-07
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $67,149.08 $190,864.02 $67,149.08 2025-08-07
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $50,031.34 $141,695.46 $50,031.34 2025-08-07
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $41,084.49 $115,996.75 $41,084.49 2025-08-07
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 6 — — $33,388.07 $93,889.74 $33,388.07 2025-08-07
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 8 6 — — $46,413.94 $131,304.92 $46,413.94 2025-08-07
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 8 6 — — $35,004.26 $98,532.03 $35,004.26 2025-08-07
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 8 6 — — $86,527.23 $246,525.32 $86,527.23 2025-08-07
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 8 6 — — $40,038.63 $112,992.64 $40,038.63 2025-08-07
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 8 6 — — $37,409.25 $105,440.08 $37,409.25 2025-08-07
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 8 6 — — $136,169.47 $389,116.46 $136,169.47 2025-08-07
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 8 6 — — $136,169.47 $389,116.46 $136,169.47 2025-08-07
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 8 6 — — $104,415.03 $297,905.82 $104,415.03 2025-08-07
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 8 6 — — $104,415.03 $297,905.82 $104,415.03 2025-08-07
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 8 6 — — $66,042.17 $187,684.56 $66,042.17 2025-08-07
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 8 6 — — $66,042.17 $187,684.56 $66,042.17 2025-08-07
5834 APR_DRG Neonate W Ecmo 8 6 — — $138,587.32 $396,061.44 $138,587.32 2025-08-07
5833 APR_DRG Neonate W Ecmo 8 6 — — $79,181.03 $225,424.30 $79,181.03 2025-08-07
5832 APR_DRG Neonate W Ecmo 8 6 — — $77,719.61 $221,226.55 $77,719.61 2025-08-07
5831 APR_DRG Neonate W Ecmo 8 6 — — $77,719.61 $221,226.55 $77,719.61 2025-08-07
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 8 6 — — $36,437.83 $102,649.79 $36,437.83 2025-08-07
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 7 — — $32,313.10 $54,362.09 $35,747.57 2025-08-07
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 7 — — $244,419.00 $489,919.50 $270,375.00 2025-08-07
64568 CPT Opn Impltj Crnl Nrv Nea&pg 15 8 — — $6,165.00 $65,342.94 $36,061.23 2025-08-07
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 9 7 — — $32,599.35 $65,342.94 $36,061.23 2025-08-07
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 8 6 — — $36,547.61 $102,965.12 $36,547.61 2025-08-07
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 7 — — $40,977.68 $68,938.97 $45,333.08 2025-08-07
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 7 — — $35,076.85 $59,011.69 $38,805.07 2025-08-07
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 7 — — $32,445.49 $54,584.81 $35,894.03 2025-08-07
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 7 — — $36,121.99 $60,770.00 $39,961.30 2025-08-07
5184 APR_DRG Other Female Reproductive System & Related Procedures 8 6 — — $33,049.09 $92,916.06 $33,049.09 2025-08-07
215 MS_DRG Other Heart Assist System Implant 9 7 — — $87,121.04 $146,568.46 $96,380.90 2025-08-07
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 7 — — $33,446.23 $56,268.41 $37,001.14 2025-08-07
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 8 6 — — $33,995.35 $95,634.06 $33,995.35 2025-08-07
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 7 — — $34,451.08 $57,958.93 $38,112.79 2025-08-07
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 8 6 — — $41,899.55 $118,337.89 $41,899.55 2025-08-07
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 7 — — $42,208.66 $71,009.92 $46,694.90 2025-08-07
264 APR_DRG Other Nervous System & Related Procedures 8 6 — — $34,644.93 $97,499.89 $34,644.93 2025-08-07
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 7 — — $32,757.97 $55,110.51 $36,239.72 2025-08-07
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 8 6 — — $49,078.66 $138,959.00 $49,078.66 2025-08-07
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 7 — — $33,794.89 $56,854.97 $37,386.85 2025-08-07
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 7 — — $61,378.12 $103,259.74 $67,901.83 2025-08-07
1824 APR_DRG Other Peripheral Vascular Procedures # 8 6 — — $34,624.04 $97,439.90 $34,624.04 2025-08-07
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 8 6 — — $45,956.07 $129,989.75 $45,956.07 2025-08-07
1214 APR_DRG Other Respiratory & Chest Procedures 8 6 — — $33,473.22 $94,134.31 $33,473.22 2025-08-07
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 7 — — $31,661.02 $53,265.05 $35,026.18 2025-08-07
10 MS_DRG Pancreas Transplant 9 7 — — $65,561.98 $110,298.48 $72,530.38 2025-08-07
64 APR_DRG Pancreas Transplant 8 6 — — $41,944.00 $118,465.56 $41,944.00 2025-08-07
63 APR_DRG Pancreas Transplant 8 6 — — $40,205.18 $113,471.02 $40,205.18 2025-08-07
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 7 — — $44,640.20 $75,100.64 $49,384.88 2025-08-07
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 8 6 — — $35,359.30 $99,551.85 $35,359.30 2025-08-07
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 7 — — $32,154.40 $54,095.09 $35,572.00 2025-08-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 7 — — $31,017.98 $52,183.23 $34,314.79 2025-08-07
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 8 6 — — $32,973.58 $92,699.17 $32,973.58 2025-08-07
4014 APR_DRG Pituitary & Adrenal Procedures 8 6 — — $38,456.72 $108,448.80 $38,456.72 2025-08-07
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 8 6 — — $33,359.69 $93,808.21 $33,359.69 2025-08-07
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 7 — — $37,098.89 $62,413.47 $41,042.03 2025-08-07
791 MS_DRG Prematurity With Major Problems 9 7 — — $33,384.56 $56,164.66 $36,932.91 2025-08-07
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 8 6 — — $41,878.66 $118,277.90 $41,878.66 2025-08-07
4034 APR_DRG Procedures For Obesity 8 6 — — $36,255.76 $102,126.80 $36,255.76 2025-08-07
4444 APR_DRG Renal Dialysis Access Device Procedure Only 8 6 — — $34,162.96 $96,115.51 $34,162.96 2025-08-07
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 8 6 — — $33,557.29 $94,375.81 $33,557.29 2025-08-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 9 7 — — $53,179.79 $89,467.24 $58,832.12 2025-08-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 7 — — $41,892.90 $70,478.70 $46,345.58 2025-08-07
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 9 7 — — $32,599.35 $65,342.94 $36,061.23 2025-08-07
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 9 7 — — $34,298.11 $68,747.99 $37,940.39 2025-08-07
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 9 7 — — $57,203.30 $96,236.22 $63,283.28 2025-08-07
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 7 — — $44,742.17 $75,272.18 $49,497.69 2025-08-07
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 7 — — $65,186.19 $109,666.27 $72,114.65 2025-08-07
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 7 — — $32,170.02 $54,121.37 $35,589.28 2025-08-07
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 7 — — $42,349.27 $71,246.48 $46,850.46 2025-08-07
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 7 — — $50,575.16 $101,374.10 $55,945.97 2025-08-07
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $44,365.55 $74,638.58 $49,081.04 2025-08-07
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 8 6 — — $52,448.66 $148,638.89 $52,448.66 2025-08-07
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $50,638.88 $85,192.54 $56,021.15 2025-08-07
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 8 6 — — $49,245.21 $139,437.38 $49,245.21 2025-08-07
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 7 — — $30,770.47 $51,766.83 $34,040.97 2025-08-07
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 7 — — $31,749.83 $53,414.46 $35,124.43 2025-08-07
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $69,642.23 $117,162.91 $77,044.31 2025-08-07
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $47,195.09 $79,398.86 $52,211.32 2025-08-07
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $35,506.91 $59,735.21 $39,280.85 2025-08-07
234 APR_DRG Spinal Procedures 8 6 — — $44,317.40 $125,282.86 $44,317.40 2025-08-07
28 MS_DRG Spinal Procedures With Mcc 9 7 — — $49,991.73 $84,103.80 $55,305.21 2025-08-07
799 MS_DRG Splenic Procedures With Mcc 9 7 — — $39,098.72 $65,777.90 $43,254.42 2025-08-07
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 7 — — $41,764.62 $70,262.89 $46,203.66 2025-08-07
J9226 HCPCS Supprelin La Implant 9 7 — — $41,186.59 $82,555.43 $45,560.39 2025-08-07
33289 CPT Tcat Impl Wrls P-art Prs Snr 9 7 — — $30,411.42 $60,957.40 $33,640.95 2025-08-07
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 8 6 — — $34,870.38 $98,147.48 $34,870.38 2025-08-07
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $522,805.42 $1,047,924.14 $578,324.58 2025-08-07
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 7 — — $33,744.73 $56,770.59 $37,331.36 2025-08-07
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 7 — — $44,370.49 $74,646.88 $49,086.50 2025-08-07
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 6 — — $97,815.35 $278,949.04 $97,815.35 2025-08-07
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 6 — — $54,966.11 $155,869.97 $54,966.11 2025-08-07
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 6 — — $39,532.57 $111,539.05 $39,532.57 2025-08-07
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 6 — — $39,532.57 $111,539.05 $39,532.57 2025-08-07
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 6 — — $74,881.38 $213,074.09 $74,881.38 2025-08-07
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 6 — — $50,479.03 $142,981.39 $50,479.03 2025-08-07
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 9 7 — — $116,190.99 $195,474.42 $128,540.61 2025-08-07
38240 CPT Transplt Allo Hct/donor 9 7 — — $63,267.95 $126,815.84 $69,986.67 2025-08-07
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 — — $41,142.14 $69,215.65 $45,515.02 2025-08-07
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 8 6 — — $33,428.77 $94,006.64 $33,428.77 2025-08-07
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 8 6 — — $41,218.37 $116,381.30 $41,218.37 2025-08-07
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 8 6 — — $34,379.85 $96,738.48 $34,379.85 2025-08-07
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 7 — — $32,734.94 $55,071.77 $36,214.25 2025-08-07
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 7 — — $32,378.88 $54,472.76 $35,820.35 2025-08-07
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 7 — — $34,459.30 $57,972.76 $38,121.89 2025-08-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $44,412.42 $74,717.43 $49,132.90 2025-08-07
901 MS_DRG Wound Debridements For Injuries With Mcc 9 7 — — $36,432.00 $61,291.54 $40,304.26 2025-08-07
A9543 HCPCS Y90 Ibritumomab, Rx 9 7 — — $51,369.39 $102,966.08 $56,824.55 2025-08-07
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