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

MONTEFIORE MEDICAL CENTER

Bronx, NY · CCN 330059 · Rates published

91,554 distinct procedures filed
55 distinct payers
2,542,933 rate rows
2026-04-01 last MRF observed
Data quality

2,172,315 of 2,542,933 rate rows are consumer-grade (85.4%)

370,618 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 350,515
per-diem day rate — not a per-procedure price 9,090
placeholder amount (≤ $0.02) — excluded from medians 5,761
template filing: same amount across many unrelated codes — excluded 5,055
exceeds 10× this hospital's gross charge — excluded from medians 197
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.montefioreeinstein.org/patient-information/131740114_montefiore-medical-center_standardcharges.csv
Found on page https://montefioreeinstein.org/patient-care/patients-visitors/billing-insurance/paying-for-your-care
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b643d4ce9fc07645… · 547,541,019 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 1 $4,678,654.24 $4,678,654.24 $4,678,654.24 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 17 $2,625,000.00 $4,953,005.77 $4,502,732.52 nat. median
$3,710,000
1.2× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 16 $3,464,405.85 $4,890,925.91 $4,075,771.59 nat. median
$3,335,820
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $3,444,302.27 $4,862,544.38 $4,052,120.32 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 16 $3,373,663.55 $4,762,819.13 $3,969,015.94 nat. median
$3,286,000
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 16 $3,209,110.23 $4,908,050.94 $3,775,423.80 nat. median
$3,180,000
1.2× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 16 $3,059,289.44 $4,678,913.27 $3,599,164.05 nat. median
$3,004,655
1.2× median
J3399
HCPCS 		Inj Onase Abepar Xioi Treat 16 $2,549,747.75 $3,899,614.21 $2,999,703.24 nat. median
$2,468,984
1.2× median
J3392
HCPCS 		Inj Exagamglogene Autotem 16 $2,421,891.60 $3,704,069.51 $2,849,284.24 nat. median
$2,448,600
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 19 $800,325.09 $3,869,807.20 $950,974.52 nat. median
$824,563
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car Pos T 10 $363,467.62 $2,971,459.76 $722,982.91 nat. median
$753,246
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car Pos T 10 $372,768.49 $2,841,612.86 $691,389.99 nat. median
$674,867
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $355,093.82 $2,824,886.89 $687,320.41 nat. median
$673,137
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $362,590.25 $2,798,672.44 $680,942.20 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car 10 $337,006.39 $2,677,711.40 $651,511.29 nat. median
$634,303
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $337,080.00 $2,457,131.28 $597,842.16 nat. median
$619,808
1.0× median
C9098
HCPCS 		HCPCS C9098 1 $359,212.50 $359,212.50 $359,212.50 nat. median
$57,174
outlier · 6.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 19 $288,975.71 $1,397,282.54 $343,371.14 nat. median
$324,450
1.1× median
C9081
HCPCS 		HCPCS C9081 1 $324,063.75 $324,063.75 $324,063.75 nat. median
$30,475
outlier · 10.6×
J3403
HCPCS 		Revakinagene Per Implant 17 $267,425.85 $1,293,082.65 $314,618.65 nat. median
$265,000
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 22 $126,593.66 $415,950.60 $301,413.48 nat. median
$370,174
0.8× median
24
APR_DRG 		Heart Or Lung Transplant 13 $277,319.96 $2,866,737.06 $297,128.53 nat. median
$234,729
1.3× median
J3402
HCPCS 		Inj Remestemcel L Rknd Td 17 $213,566.80 $1,032,658.30 $251,255.06 nat. median
$209,753
1.2× median
81200003
CDM 		Hc Lung Double Acquisition 4 $168,075.60 $253,641.35 $226,902.07 nat. median
$150,283
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $94,554.99 $310,680.70 $225,130.94 nat. median
$265,286
0.8× median
1180218
CDM 		Hc Implant Insert Device Noc 20 $84,764.31 $440,562.95 $220,281.48 nat. median
$220,281
1.0× median
5834
APR_DRG 		Neonate W Ecmo 13 $204,140.54 $2,110,260.05 $218,722.00 nat. median
$309,665
0.7× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $200,552.18 $2,073,166.17 $214,877.33 nat. median
$246,434
0.9× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $200,552.18 $2,073,166.17 $214,877.33 nat. median
$182,665
1.2× median
1614
APR_DRG 		Cardiac Defibrillator Heart Assist Implant 13 $183,437.74 $1,896,249.29 $196,540.44 nat. median
$207,730
0.9× median
34
APR_DRG 		Bone Marrow Transplant 13 $178,108.86 $1,841,163.02 $190,830.92 nat. median
$209,067
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 22 $79,637.77 $261,666.95 $189,613.73 nat. median
$206,474
0.9× median
916761
CDM 		Hc Implant Insert Device Noc 20 $70,435.00 $366,086.30 $183,043.15 nat. median
$4,386
outlier · 41.7×
1273316
CDM 		Hc Implant Insert Device Noc 20 $70,435.00 $366,086.30 $183,043.15 nat. median
$183,043
1.0× median
3
MS_DRG 		Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 22 $71,941.48 $236,379.14 $171,289.23 nat. median
$202,976
0.8× median
81200000
CDM 		Hc Heart Acquisition 4 $122,687.40 $185,146.44 $165,627.99 nat. median
$41,850
outlier · 4.0×
5914
APR_DRG 		Neonate Birthwt 500 749g W O Major Procedure 13 $153,981.43 $1,591,750.80 $164,980.11 nat. median
$164,289
1.0× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $153,425.10 $1,585,999.81 $164,384.03 nat. median
$145,336
1.1× median
5881
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $153,425.10 $1,585,999.81 $164,384.03 nat. median
$124,573
1.3× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 13 $148,925.94 $1,539,490.73 $159,563.50 nat. median
$160,267
1.0× median
81000000
CDM 		Hc Liver Acquistion 4 $117,008.65 $176,576.69 $157,961.67 nat. median
$37,895
outlier · 4.2×
44
APR_DRG 		Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 13 $143,630.43 $1,484,749.52 $153,889.74 nat. median
$105,658
1.5× median
81200002
CDM 		Hc Lung Acquisition 4 $112,050.40 $169,094.24 $151,268.04 nat. median
$56,338
outlier · 2.7×
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 13 $139,126.50 $1,438,191.15 $149,064.11 nat. median
$129,535
1.2× median
5934
APR_DRG 		Neonate Birthwt 750 999g W O Major Procedure 13 $138,574.15 $1,432,481.24 $148,472.30 nat. median
$151,838
1.0× median
C1833
HCPCS 		HCPCS C1833 1 $140,793.75 $140,793.75 $140,793.75 nat. median
$9,621
outlier · 14.6×
6094
APR_DRG 		Neonate Bwt 1500 2499g W Major Procedure 13 $126,877.61 $1,311,570.78 $135,940.30 nat. median
$162,982
0.8× median
6024
APR_DRG 		Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 13 $120,180.94 $1,242,345.29 $128,765.29 nat. median
$118,620
1.1× median
23
APR_DRG 		Heart Or Lung Transplant 13 $119,761.30 $1,238,007.40 $128,315.68 nat. median
$93,528
1.4× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 13 $116,376.40 $1,203,016.74 $124,689.00 nat. median
$66,693
1.9× median

Other procedures at this hospital

Browse this hospital's 91,554 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
             
J3391 HCPCS Inj Atidarsagene Autotemcel 2 1 — — $4,678,654.24 $4,678,654.24 $4,678,654.24 2026-04-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 22 17 — — $2,625,000.00 $4,953,005.77 $4,502,732.52 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 22 16 — — $3,464,405.85 $4,890,925.91 $4,075,771.59 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 16 — — $3,444,302.27 $4,862,544.38 $4,052,120.32 2026-04-01
J3394 HCPCS Inj Lovotibeglogene Autotem 22 16 — — $3,373,663.55 $4,762,819.13 $3,969,015.94 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 23 16 — — $3,209,110.23 $4,908,050.94 $3,775,423.80 2026-04-01
J3393 HCPCS Inj Betibeglogene Autotemce 23 16 — — $3,059,289.44 $4,678,913.27 $3,599,164.05 2026-04-01
J3399 HCPCS Inj Onase Abepar Xioi Treat 23 16 — — $2,549,747.75 $3,899,614.21 $2,999,703.24 2026-04-01
J3392 HCPCS Inj Exagamglogene Autotem 23 16 — — $2,421,891.60 $3,704,069.51 $2,849,284.24 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 28 19 — — $800,325.09 $3,869,807.20 $950,974.52 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car Pos T 13 10 — — $363,467.62 $2,971,459.76 $722,982.91 2026-04-01
Q2056 HCPCS Ciltacabtagene Car Pos T 13 10 — — $372,768.49 $2,841,612.86 $691,389.99 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 10 — — $355,093.82 $2,824,886.89 $687,320.41 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 10 — — $362,590.25 $2,798,672.44 $680,942.20 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car 13 10 — — $337,006.39 $2,677,711.40 $651,511.29 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 10 — — $337,080.00 $2,457,131.28 $597,842.16 2026-04-01
C9098 HCPCS HCPCS C9098 1 1 — — $359,212.50 $359,212.50 $359,212.50 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 28 19 — — $288,975.71 $1,397,282.54 $343,371.14 2026-04-01
C9081 HCPCS HCPCS C9081 1 1 — — $324,063.75 $324,063.75 $324,063.75 2026-04-01
J3403 HCPCS Revakinagene Per Implant 25 17 — — $267,425.85 $1,293,082.65 $314,618.65 2026-04-01
18 MS_DRG Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 33 22 — — $126,593.66 $415,950.60 $301,413.48 2026-04-01
24 APR_DRG Heart Or Lung Transplant 53 13 — — $277,319.96 $2,866,737.06 $297,128.53 2026-04-01
J3402 HCPCS Inj Remestemcel L Rknd Td 25 17 — — $213,566.80 $1,032,658.30 $251,255.06 2026-04-01
81200003 CDM Hc Lung Double Acquisition 6 4 $305,592.00 $198,634.80 35% off $168,075.60 $253,641.35 $226,902.07 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 23 — — $94,554.99 $310,680.70 $225,130.94 2026-04-01
1180218 CDM Hc Implant Insert Device Noc 53 20 — — $84,764.31 $440,562.95 $220,281.48 2026-04-01
5834 APR_DRG Neonate W Ecmo 53 13 — — $204,140.54 $2,110,260.05 $218,722.00 2026-04-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 53 13 — — $200,552.18 $2,073,166.17 $214,877.33 2026-04-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 53 13 — — $200,552.18 $2,073,166.17 $214,877.33 2026-04-01
1614 APR_DRG Cardiac Defibrillator Heart Assist Implant 53 13 — — $183,437.74 $1,896,249.29 $196,540.44 2026-04-01
34 APR_DRG Bone Marrow Transplant 53 13 — — $178,108.86 $1,841,163.02 $190,830.92 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 33 22 — — $79,637.77 $261,666.95 $189,613.73 2026-04-01
1273316 CDM Hc Implant Insert Device Noc 53 20 — — $70,435.00 $366,086.30 $183,043.15 2026-04-01
916761 CDM Hc Implant Insert Device Noc 53 20 — — $70,435.00 $366,086.30 $183,043.15 2026-04-01
3 MS_DRG Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 33 22 — — $71,941.48 $236,379.14 $171,289.23 2026-04-01
81200000 CDM Hc Heart Acquisition 6 4 $223,068.00 $144,994.20 35% off $122,687.40 $185,146.44 $165,627.99 2026-04-01
5914 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 53 13 — — $153,981.43 $1,591,750.80 $164,980.11 2026-04-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 53 13 — — $153,425.10 $1,585,999.81 $164,384.03 2026-04-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 53 13 — — $153,425.10 $1,585,999.81 $164,384.03 2026-04-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 53 13 — — $148,925.94 $1,539,490.73 $159,563.50 2026-04-01
81000000 CDM Hc Liver Acquistion 6 4 $212,743.00 $138,282.95 35% off $117,008.65 $176,576.69 $157,961.67 2026-04-01
44 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 53 13 — — $143,630.43 $1,484,749.52 $153,889.74 2026-04-01
81200002 CDM Hc Lung Acquisition 6 4 $203,728.00 $132,423.20 35% off $112,050.40 $169,094.24 $151,268.04 2026-04-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 53 13 — — $139,126.50 $1,438,191.15 $149,064.11 2026-04-01
5934 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 53 13 — — $138,574.15 $1,432,481.24 $148,472.30 2026-04-01
C1833 HCPCS HCPCS C1833 1 1 — — $140,793.75 $140,793.75 $140,793.75 2026-04-01
6094 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 53 13 — — $126,877.61 $1,311,570.78 $135,940.30 2026-04-01
6024 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $120,180.94 $1,242,345.29 $128,765.29 2026-04-01
23 APR_DRG Heart Or Lung Transplant 53 13 — — $119,761.30 $1,238,007.40 $128,315.68 2026-04-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 53 13 — — $116,376.40 $1,203,016.74 $124,689.00 2026-04-01
5833 APR_DRG Neonate W Ecmo 53 13 — — $115,975.05 $1,198,867.81 $124,258.98 2026-04-01
5831 APR_DRG Neonate W Ecmo 53 13 — — $113,806.15 $1,176,447.16 $121,935.16 2026-04-01
5832 APR_DRG Neonate W Ecmo 53 13 — — $113,806.15 $1,176,447.16 $121,935.16 2026-04-01
6034 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 53 13 — — $110,708.94 $1,144,430.58 $118,616.73 2026-04-01
54 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 53 13 — — $109,593.90 $1,132,903.95 $117,422.04 2026-04-01
5933 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 53 13 — — $108,230.88 $1,118,814.03 $115,961.65 2026-04-01
4 MS_DRG Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 33 22 — — $47,431.58 $155,846.63 $112,932.34 2026-04-01
22 APR_DRG Heart Or Lung Transplant 53 13 — — $102,093.71 $1,055,372.39 $109,386.12 2026-04-01
6074 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $98,118.31 $1,014,277.46 $105,126.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 22 — — $43,979.90 $144,505.39 $104,714.05 2026-04-01
7 MS_DRG Lung Transplant 33 22 — — $43,869.12 $144,141.40 $104,450.29 2026-04-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 53 13 — — $97,195.59 $1,004,739.03 $104,138.13 2026-04-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 53 13 — — $96,475.53 $997,295.61 $103,366.64 2026-04-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 53 13 — — $96,475.53 $997,295.61 $103,366.64 2026-04-01
21 APR_DRG Heart Or Lung Transplant 53 13 — — $96,167.16 $994,107.92 $103,036.25 2026-04-01
33 APR_DRG Bone Marrow Transplant 53 13 — — $93,965.67 $971,350.43 $100,677.51 2026-04-01
5913 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 53 13 — — $93,899.70 $970,668.52 $100,606.82 2026-04-01
1140318 CDM Hc Lead Neurostimulator 53 20 — — $37,021.70 $192,420.48 $96,210.24 2026-04-01
904 APR_DRG Major Larynx Trachea Procedures 53 13 — — $89,255.11 $922,655.97 $95,630.47 2026-04-01
6023 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $88,712.29 $917,044.65 $95,048.88 2026-04-01
5932 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 53 13 — — $88,553.33 $915,401.51 $94,878.57 2026-04-01
5912 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 53 13 — — $87,598.03 $905,526.24 $93,855.03 2026-04-01
3034 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 53 13 — — $86,585.50 $895,059.44 $92,770.18 2026-04-01
5931 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 53 13 — — $85,856.70 $887,525.64 $91,989.32 2026-04-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 53 13 — — $83,556.65 $863,749.40 $89,524.98 2026-04-01
4404 APR_DRG Kidney Transplant 53 13 — — $82,529.02 $853,126.50 $88,423.95 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 23 — — $36,993.29 $121,549.37 $88,079.25 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 22 — — $36,568.29 $120,152.94 $87,067.35 2026-04-01
43 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 53 13 — — $80,037.44 $827,370.28 $85,754.40 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 23 — — $35,747.50 $117,456.06 $85,113.09 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 22 — — $35,564.88 $116,856.03 $84,678.28 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 53 13 — — $79,030.47 $816,960.99 $84,675.51 2026-04-01
1613 APR_DRG Cardiac Defibrillator Heart Assist Implant 53 13 — — $78,201.54 $808,392.02 $83,787.36 2026-04-01
426 MS_DRG Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 33 22 — — $35,186.88 $115,614.03 $83,778.28 2026-04-01
3614 APR_DRG Skin Graft For Skin Subcutaneous Tissue Diagnoses 53 13 — — $76,301.26 $788,748.28 $81,751.35 2026-04-01
1018886 CDM Hc Implant Insert Device Noc 53 20 — — $31,371.98 $163,056.01 $81,528.01 2026-04-01
1018887 CDM Hc Implant Insert Device Noc 53 20 — — $31,371.98 $163,056.01 $81,528.01 2026-04-01
1018885 CDM Hc Implant Insert Device Noc 53 20 — — $31,371.98 $163,056.01 $81,528.01 2026-04-01
6022 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $75,375.36 $779,176.99 $80,759.31 2026-04-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 53 13 — — $74,586.16 $771,018.80 $79,913.75 2026-04-01
53 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 53 13 — — $73,378.12 $758,530.93 $78,619.41 2026-04-01
3044 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 53 13 — — $72,976.77 $754,382.01 $78,189.39 2026-04-01
1018902 CDM Hc Catheter Guiding 53 20 — — $29,987.92 $155,862.36 $77,931.18 2026-04-01
160812 CDM Hc Implant Insert Device Noc 53 20 — — $29,987.92 $155,862.36 $77,931.18 2026-04-01
1018896 CDM Hc Implant Insert Device Noc 53 20 — — $29,987.92 $155,862.36 $77,931.18 2026-04-01
1018895 CDM Hc Implant Insert Device Noc 53 20 — — $29,987.92 $155,862.36 $77,931.18 2026-04-01
6073 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $72,713.70 $751,662.61 $77,907.53 2026-04-01
J9029 HCPCS Instill Adstiladrin Tx Dose 44 22 — — $63,354.77 $318,084.70 $77,392.87 2026-04-01
216 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc 33 22 — — $32,396.53 $106,445.73 $77,134.59 2026-04-01
906849 CDM Hc Implant Insert Device Noc 53 20 — — $29,526.57 $153,464.48 $76,732.24 2026-04-01
906855 CDM Hc Stent Coated Cov W Del Sys 53 20 — — $29,526.57 $153,464.48 $76,732.24 2026-04-01
1179416 CDM Hc Implant Insert Device Noc 53 20 — — $29,526.57 $153,464.48 $76,732.24 2026-04-01
426785 CDM Hc Implant Insert Device Noc 53 20 — — $29,526.57 $153,464.48 $76,732.24 2026-04-01
906863 CDM Hc Implant Insert Device Noc 53 20 — — $29,526.57 $153,464.48 $76,732.24 2026-04-01
906862 CDM Hc Stent Non Coa Non Cov W Del 53 20 — — $29,526.57 $153,464.48 $76,732.24 2026-04-01
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses 53 13 — — $71,546.99 $739,601.96 $76,657.49 2026-04-01
0315U HCPCS HCPCS 0315u 3 1 — — $76,500.00 $76,500.00 $76,500.00 2026-04-01
6033 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 53 13 — — $71,357.83 $737,646.62 $76,454.82 2026-04-01
6814 APR_DRG Other O R Procedures For Lymphatic Hematopoietic Other Neoplasms 53 13 — — $71,299.81 $737,046.88 $76,392.66 2026-04-01
6804 APR_DRG Major O R Procedures For Lymphatic Hematopoietic Other Neoplasms 53 13 — — $71,101.92 $735,001.17 $76,180.63 2026-04-01
5911 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 53 13 — — $70,649.70 $730,326.44 $75,696.11 2026-04-01
6904 APR_DRG Acute Leukemia 53 13 — — $69,566.44 $719,128.44 $74,535.47 2026-04-01
1288513 CDM Hc Lead Neurostimulator 53 20 — — $28,373.18 $147,469.77 $73,734.89 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 33 22 — — $30,922.46 $101,602.38 $73,624.91 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 53 13 — — $68,649.27 $709,647.52 $73,552.79 2026-04-01
1018906 CDM Hc Implant Insert Device Noc 53 20 — — $28,234.78 $146,750.41 $73,375.20 2026-04-01
171401 CDM Hc Implant Insert Device Noc 53 20 — — $28,234.78 $146,750.41 $73,375.20 2026-04-01
1152511 CDM Hc Implant Insert Device Noc 53 20 — — $28,234.78 $146,750.41 $73,375.20 2026-04-01
6124 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 53 13 — — $67,345.07 $696,165.56 $72,155.43 2026-04-01
1024966 CDM Hc Implant Insert Device Noc 53 20 — — $27,681.16 $143,872.95 $71,936.48 2026-04-01
1024967 CDM Hc Implant Insert Device Noc 53 20 — — $27,681.16 $143,872.95 $71,936.48 2026-04-01
4054 APR_DRG Other Procedures For Endocrine Nutritional Metabolic Disorders 53 13 — — $66,665.55 $689,141.13 $71,427.37 2026-04-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 53 13 — — $66,493.88 $687,366.54 $71,243.45 2026-04-01
6114 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 53 13 — — $65,279.49 $674,812.95 $69,942.31 2026-04-01
1207683 CDM Hc Stent Coated Cov W Del Sys 53 20 — — $26,758.45 $139,077.19 $69,538.59 2026-04-01
A9543 HCPCS Y90 Ibritumomab Rx 29 20 — — $35,755.41 $285,354.71 $69,429.37 2026-04-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 53 13 — — $64,489.49 $666,646.55 $69,095.88 2026-04-01
234 APR_DRG Spinal Procedures 53 13 — — $64,233.57 $664,001.09 $68,821.68 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 22 — — $28,445.32 $93,463.19 $67,726.95 2026-04-01
456 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc 33 22 — — $28,429.21 $93,410.25 $67,688.59 2026-04-01
429 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion With Mcc 33 22 — — $27,997.49 $91,991.77 $66,660.70 2026-04-01
32 APR_DRG Bone Marrow Transplant 53 13 — — $61,678.41 $637,587.61 $66,084.01 2026-04-01
64 APR_DRG Pancreas Transplant 53 13 — — $60,711.19 $627,589.11 $65,047.70 2026-04-01
4474 APR_DRG Other Kidney Urinary Tract Related Procedures 53 13 — — $60,645.21 $626,907.20 $64,977.01 2026-04-01
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 53 13 — — $60,614.23 $626,586.79 $64,943.81 2026-04-01
1270968 CDM Hc Graft Vascular 53 20 — — $24,913.04 $129,485.66 $64,742.83 2026-04-01
9124 APR_DRG Musculoskeletal Other Procedures For Multiple Significant Trauma 53 13 — — $60,216.04 $622,470.73 $64,517.19 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc 33 22 — — $27,059.21 $88,908.83 $64,426.69 2026-04-01
5124 APR_DRG Uterine Adnexa Procedures For Non Ovarian Non Adnexal Malig 53 13 — — $59,634.27 $616,456.83 $63,893.87 2026-04-01
10 MS_DRG Pancreas Transplant 34 23 — — $26,764.13 $87,939.27 $63,724.11 2026-04-01
6072 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $59,435.59 $614,402.91 $63,680.99 2026-04-01
1019638 CDM Hc Anchor Screw Bn Bntis Bn 53 20 — — $24,399.09 $126,814.41 $63,407.21 2026-04-01
920215 CDM Hc Anchor Screw Bn Bntis Bn 53 20 — — $24,399.09 $126,814.41 $63,407.21 2026-04-01
920219 CDM Hc Anchor Screw Bn Bntis Bn 53 20 — — $24,399.09 $126,814.41 $63,407.21 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 22 — — $26,610.04 $87,432.99 $63,357.24 2026-04-01
2604 APR_DRG Major Pancreas Liver Shunt Procedures 53 13 — — $59,023.11 $610,138.96 $63,239.04 2026-04-01
1024912 CDM Hc Implant Insert Device Noc 53 20 — — $24,221.01 $125,888.83 $62,944.42 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Facial Bone Procedures 53 13 — — $58,442.13 $604,133.28 $62,616.57 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc 33 22 — — $26,237.75 $86,209.75 $62,470.83 2026-04-01
63 APR_DRG Pancreas Transplant 53 13 — — $58,130.58 $600,912.73 $62,282.77 2026-04-01
6093 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 53 13 — — $57,883.42 $598,357.65 $62,017.95 2026-04-01
J7330 HCPCS Pr Cultured Chondrocytes Implnt 46 19 — — $17,610.11 $182,831.59 $61,878.30 2026-04-01
219 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc 33 22 — — $25,973.22 $85,340.57 $61,840.99 2026-04-01
214 APR_DRG Craniotomy Except For Trauma 53 13 — — $57,552.00 $594,931.70 $61,662.86 2026-04-01
42 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 53 13 — — $57,132.36 $590,593.81 $61,213.25 2026-04-01
41 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 53 13 — — $57,132.36 $590,593.81 $61,213.25 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 53 13 — — $57,087.06 $590,125.52 $61,164.71 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 53 13 — — $57,083.88 $590,092.65 $61,161.30 2026-04-01
6084 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 53 13 — — $57,083.09 $590,084.44 $61,160.45 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 45 13 — — $58,707.59 $606,877.33 $61,103.81 2026-04-01
1114046 CDM Hc Gen Neuro Clo Loop Rechg 53 20 — — $23,504.07 $122,162.52 $61,081.26 2026-04-01
2204 APR_DRG Major Stomach Esophageal Duodenal Procedures 53 13 — — $56,330.45 $582,304.17 $60,354.05 2026-04-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 53 13 — — $56,284.35 $581,827.66 $60,304.66 2026-04-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 53 13 — — $56,242.23 $581,392.23 $60,259.53 2026-04-01
3214 APR_DRG Cervical Spinal Fusion Other Back Neck Proc Exc Disc Excis Decomp 53 13 — — $56,143.68 $580,373.48 $60,153.94 2026-04-01
81050300 CDM Hc Kidney Transplant Fee 6 4 $80,999.00 $52,649.35 35% off $44,549.45 $67,229.17 $60,141.75 2026-04-01
1634 APR_DRG Cardiac Valve Procedures W O Ami Or Complex Pdx 53 13 — — $56,006.98 $578,960.38 $60,007.48 2026-04-01
909050 CDM Hc Generator Neuro Rechg Bat Sy 53 20 — — $23,067.63 $119,894.13 $59,947.06 2026-04-01
1144200 CDM Hc Implant Insert Device Noc 53 20 — — $23,067.63 $119,894.13 $59,947.06 2026-04-01
1144197 CDM Hc Implant Insert Device Noc 53 20 — — $23,067.63 $119,894.13 $59,947.06 2026-04-01
1144198 CDM Hc Implant Insert Device Noc 53 20 — — $23,067.63 $119,894.13 $59,947.06 2026-04-01
1178861 CDM Hc Implant Insert Device Noc 53 20 — — $23,067.63 $119,894.13 $59,947.06 2026-04-01
957 MS_DRG Other O R Procedures For Multiple Significant Trauma With Mcc 33 22 — — $25,055.74 $82,326.01 $59,656.53 2026-04-01
3033 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 53 13 — — $55,538.07 $574,113.12 $59,505.08 2026-04-01
4014 APR_DRG Pituitary Adrenal Procedures 53 13 — — $55,535.68 $574,088.47 $59,502.51 2026-04-01
6032 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 53 13 — — $54,826.76 $566,760.06 $58,742.95 2026-04-01
Q2043 HCPCS Sipuleucel T Auto Cd54 58 20 — — $27,507.62 $277,559.93 $58,316.14 2026-04-01
3104 APR_DRG Intervertebral Disc Excision Decompression 53 13 — — $54,379.30 $562,134.63 $58,263.53 2026-04-01
6083 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 53 13 — — $54,231.48 $560,606.51 $58,105.15 2026-04-01
894 APR_DRG Major Cranial Facial Bone Procedures 53 13 — — $54,191.74 $560,195.72 $58,062.57 2026-04-01
244 APR_DRG Extracranial Vascular Procedures 53 13 — — $53,993.05 $558,141.80 $57,849.70 2026-04-01
6214 APR_DRG Neonate Bwt 2000 2499g W Major Anomaly 53 13 — — $53,981.12 $558,018.56 $57,836.92 2026-04-01
4414 APR_DRG Major Bladder Procedures 53 13 — — $53,752.24 $555,652.44 $57,591.68 2026-04-01
204 APR_DRG Craniotomy For Trauma 53 13 — — $53,169.67 $549,630.33 $56,967.51 2026-04-01
427 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc 33 22 — — $23,830.43 $78,300.00 $56,739.13 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 22 — — $23,722.34 $77,944.83 $56,481.76 2026-04-01
1674 APR_DRG Other Cardiothoracic Thoracic Vascular Procedures 53 13 — — $52,702.35 $544,799.50 $56,466.81 2026-04-01
31 APR_DRG Bone Marrow Transplant 53 13 — — $52,657.84 $544,339.42 $56,419.11 2026-04-01
7914 APR_DRG O R Procedure For Other Complications Of Treatment 53 13 — — $52,539.43 $543,115.28 $56,292.24 2026-04-01
2214 APR_DRG Major Small Large Bowel Procedures 53 13 — — $52,520.35 $542,918.10 $56,271.80 2026-04-01
4034 APR_DRG Procedures For Obesity 53 13 — — $52,269.20 $540,321.94 $56,002.72 2026-04-01
81000001 CDM Hc Pancreas Acquisition 6 4 $75,118.00 $48,826.70 35% off $41,314.90 $62,347.94 $55,775.11 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv 96 Hours 33 22 — — $23,353.07 $76,731.51 $55,602.54 2026-04-01
920166 CDM Hc Generator Neuro Non Recharg 53 20 — — $21,383.69 $111,141.85 $55,570.93 2026-04-01
6021 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $51,601.61 $533,420.75 $55,287.44 2026-04-01
9114 APR_DRG Extensive Abdominal Thoracic Procedures For Mult Significant Trauma 53 13 — — $51,582.53 $533,223.58 $55,266.99 2026-04-01
3134 APR_DRG Knee Lower Leg Procedures Except Foot 53 13 — — $51,431.53 $531,662.59 $55,105.21 2026-04-01
64654 CPT 1st Opn Implt Bat Modulj Sys 36 19 — — $6,298.00 $225,978.12 $54,982.51 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 45 13 — — $52,585.53 $543,591.79 $54,731.87 2026-04-01
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy Other Radical GYN Procs 53 13 — — $50,938.77 $526,568.86 $54,577.26 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 22 — — $22,921.35 $75,313.02 $54,574.65 2026-04-01
33276 CPT Insj Phrnc Nrv Stim Sys 53 24 $2,375.00 $1,553.25 35% off $673.58 $225,978.12 $54,432.68 2026-04-01
4424 APR_DRG Kidney Urinary Tract Procedures For Malignancy 53 13 — — $50,673.32 $523,824.82 $54,292.84 2026-04-01
6123 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 53 13 — — $50,411.85 $521,121.85 $54,012.69 2026-04-01
J9226 HCPCS Supprelin La Implant 132 47 — — $14,622.21 $226,079.30 $53,992.15 2026-04-01
1774 APR_DRG Cardiac Pacemaker Defibrillator Revision Except Device Replacement 53 13 — — $50,345.08 $520,431.73 $53,941.16 2026-04-01
6914 APR_DRG Lymphoma Myeloma Non Acute Leukemia 53 13 — — $50,330.78 $520,283.85 $53,925.84 2026-04-01
1246455 CDM Hc Wireless Pressure Sensor 53 20 — — $20,714.73 $107,664.92 $53,832.46 2026-04-01
7104 APR_DRG Infectious Parasitic Diseases Including HIV W O R Procedure 53 13 — — $50,232.22 $519,265.10 $53,820.24 2026-04-01
3174 APR_DRG Tendon Muscle Other Soft Tissue Procedures 53 13 — — $50,213.15 $519,067.93 $53,799.81 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 53 13 — — $50,084.40 $517,736.98 $53,661.86 2026-04-01
447 MS_DRG Mult Lvl Spin Fus Exc Cerv W Mcc Or Vust Anatom Des Interbody Fus Dev 33 22 — — $22,506.09 $73,948.58 $53,585.93 2026-04-01
264 APR_DRG Other Nervous System Related Procedures 53 13 — — $49,878.56 $515,609.12 $53,441.31 2026-04-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 53 13 — — $49,872.20 $515,543.39 $53,434.50 2026-04-01
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhalation Injury W Cc Mcc 33 22 — — $22,419.82 $73,665.12 $53,380.52 2026-04-01
6113 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 53 13 — — $49,798.29 $514,779.33 $53,355.31 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 33 22 — — $22,381.88 $73,540.48 $53,290.20 2026-04-01
1664 APR_DRG Coronary Bypass W O Ami Or Complex Pdx 53 13 — — $49,523.30 $511,936.70 $53,060.68 2026-04-01
5114 APR_DRG Uterine Adnexa Procedures For Ovarian Adnexal Malignancy 53 13 — — $49,485.15 $511,542.34 $53,019.80 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 53 13 — — $49,163.27 $508,214.99 $52,674.93 2026-04-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 53 13 — — $48,983.65 $506,358.24 $52,482.49 2026-04-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 53 13 — — $48,983.65 $506,358.24 $52,482.49 2026-04-01
2644 APR_DRG Other Hepatobiliary Pancreas Abdominal Procedures 53 13 — — $48,914.50 $505,643.47 $52,408.40 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 53 13 — — $48,803.25 $504,493.27 $52,289.19 2026-04-01
1612 APR_DRG Cardiac Defibrillator Heart Assist Implant 53 13 — — $48,699.92 $503,425.23 $52,178.49 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 45 13 — — $49,847.56 $515,288.70 $51,882.16 2026-04-01
1204 APR_DRG Major Respiratory Chest Procedures 53 13 — — $48,407.45 $500,401.86 $51,865.13 2026-04-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96 Hours 53 13 — — $48,264.39 $498,923.03 $51,711.85 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 33 22 — — $21,712.16 $71,339.94 $51,695.61 2026-04-01
6903 APR_DRG Acute Leukemia 53 13 — — $48,185.71 $498,109.68 $51,627.54 2026-04-01
217 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Cc 33 22 — — $21,677.58 $71,226.34 $51,613.29 2026-04-01
1214 APR_DRG Other Respiratory Chest Procedures 53 13 — — $48,139.62 $497,633.16 $51,578.16 2026-04-01
3014 APR_DRG Hip Joint Replacement 53 13 — — $48,112.59 $497,353.83 $51,549.20 2026-04-01
2624 APR_DRG Cholecystectomy Except Laparoscopic 53 13 — — $48,111.80 $497,345.62 $51,548.35 2026-04-01
5194 APR_DRG Uterine Adnexa Procedures For Leiomyoma 53 13 — — $48,073.65 $496,951.26 $51,507.48 2026-04-01
6071 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 53 13 — — $48,013.25 $496,326.87 $51,442.77 2026-04-01
7114 APR_DRG Post Op Post Trauma Other Device Infections W O R Procedure 53 13 — — $47,971.13 $495,891.44 $51,397.64 2026-04-01
5184 APR_DRG Other Female Reproductive System Related Procedures 53 13 — — $47,510.16 $491,126.33 $50,903.75 2026-04-01
494 APR_DRG Bacterial Tuberculous Infections Of Nervous System 53 13 — — $47,427.51 $490,271.90 $50,815.19 2026-04-01
1714 APR_DRG Perm Cardiac Pacemaker Implant W O Ami Heart Failure Or Shock 53 13 — — $47,398.10 $489,967.92 $50,783.68 2026-04-01
969 MS_DRG HIV With Extensive O R Procedures With Mcc 33 22 — — $21,229.42 $69,753.81 $50,546.24 2026-04-01
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 53 13 — — $47,142.18 $487,322.46 $50,509.48 2026-04-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 53 13 — — $47,093.70 $486,821.30 $50,457.54 2026-04-01
434 APR_DRG Multiple Sclerosis Other Demyelinating Diseases 53 13 — — $47,031.72 $486,180.48 $50,391.13 2026-04-01
3814 APR_DRG Major Skin Disorders 53 13 — — $46,913.30 $484,956.34 $50,264.25 2026-04-01
911457 CDM Hc Generator Neuro Rechg Bat Sy 53 20 — — $19,192.27 $99,751.91 $49,875.96 2026-04-01
1188829 CDM Hc Generator Neuro Rechg Bat Sy 53 20 — — $19,192.27 $99,751.91 $49,875.96 2026-04-01
911460 CDM Hc Generator Neuro Rechg Bat Sy 53 20 — — $19,192.27 $99,751.91 $49,875.96 2026-04-01
911462 CDM Hc Generator Neuro Rechg Bat Sy 53 20 — — $19,192.27 $99,751.91 $49,875.96 2026-04-01
911458 CDM Hc Generator Neuro Rechg Bat Sy 53 20 — — $19,192.27 $99,751.91 $49,875.96 2026-04-01
52 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 53 13 — — $46,442.80 $480,092.65 $49,760.14 2026-04-01
1261935 CDM Hc Aicd Single Chamber Defib 53 20 — — $19,146.13 $99,512.12 $49,756.06 2026-04-01
1139866 CDM Hc Aicd Single Chamber Defib 53 20 — — $19,146.13 $99,512.12 $49,756.06 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulators 33 22 — — $20,793.34 $68,320.98 $49,507.96 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 22 — — $20,766.49 $68,232.75 $49,444.02 2026-04-01
2294 APR_DRG Other Digestive System Abdominal Procedures 53 13 — — $45,991.37 $475,426.13 $49,276.47 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 22 — — $20,671.82 $67,921.70 $49,218.62 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 53 13 — — $45,848.31 $473,947.30 $49,123.19 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 33 22 — — $20,600.99 $67,688.96 $49,049.97 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 53 13 — — $45,659.95 $472,000.18 $48,921.38 2026-04-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 53 13 — — $45,593.20 $471,310.06 $48,849.85 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 22 — — $20,505.65 $67,375.70 $48,822.97 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 33 22 — — $20,407.62 $67,053.62 $48,589.58 2026-04-01
6504 APR_DRG Splenectomy 53 13 — — $45,325.36 $468,541.37 $48,562.89 2026-04-01
51 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 53 13 — — $45,270.52 $467,974.49 $48,504.13 2026-04-01
6082 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 53 13 — — $45,190.25 $467,144.70 $48,418.13 2026-04-01
920419 CDM Hc Anchor Screw Bn Bntis Bn 53 20 — — $18,598.97 $96,668.24 $48,334.12 2026-04-01
4403 APR_DRG Kidney Transplant 53 13 — — $45,082.16 $466,027.37 $48,302.31 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc Mcc 33 22 — — $20,261.26 $66,572.70 $48,241.09 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc Mcc 33 22 — — $20,261.26 $66,572.70 $48,241.09 2026-04-01
906889 CDM Hc Graft Vascular 53 20 — — $18,520.54 $96,260.60 $48,130.30 2026-04-01
906892 CDM Hc Stent Coated Cov W Del Sys 53 20 — — $18,520.54 $96,260.60 $48,130.30 2026-04-01
906891 CDM Hc Graft Vascular 53 20 — — $18,520.54 $96,260.60 $48,130.30 2026-04-01
906880 CDM Hc Implant Insert Device Noc 53 20 — — $18,520.54 $96,260.60 $48,130.30 2026-04-01
906882 CDM Hc Implant Insert Device Noc 53 20 — — $18,520.54 $96,260.60 $48,130.30 2026-04-01
906893 CDM Hc Stent Coated Cov W Del Sys 53 20 — — $18,520.54 $96,260.60 $48,130.30 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement Supplement Procedure W Mcc 33 22 — — $20,109.86 $66,075.24 $47,880.61 2026-04-01
218 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Card Cath W O Cc Mcc 33 22 — — $19,971.21 $65,619.69 $47,550.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 35 24 — — $19,957.45 $65,574.47 $47,517.73 2026-04-01
2234 APR_DRG Other Small Large Bowel Procedures 53 13 — — $44,335.88 $458,312.82 $47,502.72 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 53 13 — — $44,257.19 $457,499.47 $47,418.42 2026-04-01
2224 APR_DRG Other Stomach Esophageal Duodenal Procedures 53 13 — — $43,982.20 $454,656.84 $47,123.79 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 22 — — $19,752.00 $64,899.43 $47,028.57 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O R Procedures With Mcc 33 22 — — $19,544.20 $64,216.66 $46,533.81 2026-04-01
587075 CDM Hc Anchor Screw Bn Bntis Bn 53 20 — — $17,839.54 $92,721.08 $46,360.54 2026-04-01
3024 APR_DRG Knee Joint Replacement 53 13 — — $43,257.39 $447,164.12 $46,347.20 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 53 13 — — $43,221.62 $446,794.41 $46,308.87 2026-04-01
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 16 7 — — $5,394.75 $64,737.00 $45,963.27 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 53 13 — — $42,817.88 $442,620.84 $45,876.30 2026-04-01
457 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Cc 33 22 — — $19,265.90 $63,302.26 $45,871.20 2026-04-01
1024852 CDM Hc Aicd Other Than Sing Dual 52 20 — — $17,600.60 $91,479.22 $45,739.61 2026-04-01
1261861 CDM Hc Aicd Other Than Sing Dual 52 20 — — $17,600.60 $91,479.22 $45,739.61 2026-04-01
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 53 13 — — $42,653.36 $440,920.19 $45,700.03 2026-04-01
23 MS_DRG Craniot W Maj Dev Impl Acute Cns Pdx W Mcc Or Chemo Epilep W Neuros 33 22 — — $19,150.76 $62,923.92 $45,597.04 2026-04-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 53 13 — — $42,550.84 $439,860.36 $45,590.18 2026-04-01
504 APR_DRG Non Bacterial Infections Of Nervous System Exc Viral Meningitis 53 13 — — $42,492.03 $439,252.40 $45,527.17 2026-04-01
3043 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 53 13 — — $42,341.82 $437,699.63 $45,366.24 2026-04-01
3644 APR_DRG Other Skin Subcutaneous Tissue Related Procedures 53 13 — — $42,196.38 $436,196.16 $45,210.41 2026-04-01
8634 APR_DRG Neonatal Aftercare 53 13 — — $42,114.51 $435,349.94 $45,122.69 2026-04-01
90288 HCPCS Pr Botulism Immune Globulin Human Intravenous Use 44 9 — — $20.27 $238,278.61 $45,052.12 2026-04-01
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