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

F F THOMPSON HOSPITAL

Canandaigua, NY · CCN 330074 · Rates published

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This hospital’s price: $147 across 25 payers · range $73-$1,890

Source: https://www.urmc.rochester.edu/getmedia/7431070f-e78c-434a-b517-59ac67e44f05/160743024-FREDERICK-FERRIS-THOMPSON-HOSPITAL-standardcharges.csv · observed 2026-01-01

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.

14,857 distinct procedures filed
49 distinct payers
434,795 rate rows
2026-01-01 last MRF observed
Data quality

388,699 of 434,795 rate rows are consumer-grade (89.4%)

46,096 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 43,472
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,244
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 654
template filing: same amount across many unrelated codes — excluded 612
placeholder amount (≤ $0.02) — excluded from medians 114
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.urmc.rochester.edu/getmedia/7431070f-e78c-434a-b517-59ac67e44f05/160743024-FREDERICK-FERRIS-THOMPSON-HOSPITAL-standardcharges.csv
Found on page https://www.urmc.rochester.edu/pay-a-bill/cost-estimates-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint b9742302e3f44ac5… · 115,990,195 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 And Other Immunotherapies 13 $315,826.00 $570,617.52 $389,908.64 nat. median
$359,454
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $156,432.10 $282,125.51 $193,126.05 nat. median
$198,418
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $155,517.30 $280,469.79 $191,996.67 nat. median
$190,559
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 13 $150,925.81 $516,333.97 $186,328.16 nat. median
$155,563
1.2× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 13 $150,925.81 $516,333.97 $186,328.16 nat. median
$155,833
1.2× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 13 $136,080.70 $465,547.19 $168,000.86 nat. median
$140,341
1.2× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 13 $136,080.70 $465,547.19 $168,000.86 nat. median
$140,341
1.2× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 13 $121,235.58 $414,760.40 $149,673.56 nat. median
$120,722
1.2× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 13 $121,235.58 $414,760.40 $149,673.56 nat. median
$120,722
1.2× median
5834
APR_DRG 		Neonate W Ecmo 15 $135,616.12 $439,880.64 $135,646.25 nat. median
$307,206
outlier · 0.4×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 15 $133,242.85 $432,171.73 $133,272.98 nat. median
$247,214
0.5× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 15 $133,242.85 $432,171.73 $133,272.98 nat. median
$175,204
0.8× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 13 $106,390.47 $363,973.62 $131,346.26 nat. median
$105,940
1.2× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 13 $106,390.47 $363,973.62 $131,346.26 nat. median
$105,940
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $101,682.44 $183,032.40 $125,533.88 nat. median
$126,695
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 15 $121,923.70 $395,404.58 $121,953.83 nat. median
$202,993
0.6× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 13 $94,019.54 $321,651.31 $116,073.51 nat. median
$97,104
1.2× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 13 $94,019.54 $321,651.31 $116,073.51 nat. median
$96,901
1.2× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 13 $84,122.80 $287,793.45 $103,855.31 nat. median
$86,858
1.2× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 13 $84,122.80 $287,793.45 $103,855.31 nat. median
$86,701
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $83,192.36 $149,566.62 $102,706.62 nat. median
$92,678
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 15 $102,441.87 $332,123.21 $102,472.00 nat. median
$162,342
0.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 15 $102,073.92 $330,928.03 $102,104.05 nat. median
$120,208
0.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 15 $102,073.92 $330,928.03 $102,104.05 nat. median
$145,061
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $81,019.63 $145,634.14 $100,024.24 nat. median
$93,276
1.1× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 15 $99,098.26 $321,262.44 $99,128.39 nat. median
$155,939
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $79,945.69 $143,690.36 $98,698.38 nat. median
$97,323
1.0× median
4-Apr
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 15 $95,595.92 $309,886.04 $95,626.05 nat. median
$97,258
1.0× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 15 $92,251.79 $299,023.56 $92,281.92 nat. median
$151,838
0.6× median
1597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 13 $74,226.06 $253,935.60 $91,637.11 nat. median
$76,639
1.2× median
1583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 13 $74,226.06 $253,935.60 $91,637.11 nat. median
$76,501
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 13 $73,250.10 $131,571.80 $90,432.22 nat. median
$93,901
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $71,978.29 $129,269.92 $88,862.09 nat. median
$90,551
1.0× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 15 $84,515.93 $273,895.75 $84,546.06 nat. median
$165,000
0.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $66,333.29 $119,052.85 $81,892.95 nat. median
$78,049
1.0× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 15 $80,086.88 $259,509.20 $80,117.01 nat. median
$118,620
0.7× median
1596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 13 $64,329.32 $220,077.74 $79,418.91 nat. median
$66,343
1.2× median
1582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 13 $64,329.32 $220,077.74 $79,418.91 nat. median
$66,421
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $63,777.27 $114,426.63 $78,737.37 nat. median
$78,268
1.0× median
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 13 $63,599.95 $217,582.49 $78,518.45 nat. median
$63,725
1.2× median
38240
CPT 		Transplt Allo Hct/donor 13 $63,599.95 $217,582.49 $78,518.45 nat. median
$12,842
outlier · 6.1×
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 15 $77,570.64 $251,335.87 $77,600.77 nat. median
$61,012
1.3× median
5833
APR_DRG 		Neonate W Ecmo 15 $77,305.19 $250,473.64 $77,335.32 nat. median
$244,017
outlier · 0.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $62,101.00 $111,392.70 $76,667.90 nat. median
$77,028
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $61,907.52 $111,042.53 $76,429.04 nat. median
$77,632
1.0× median
5832
APR_DRG 		Neonate W Ecmo 15 $75,870.71 $245,814.14 $75,900.84 nat. median
$159,249
outlier · 0.5×
5831
APR_DRG 		Neonate W Ecmo 15 $75,870.71 $245,814.14 $75,900.84 nat. median
$146,500
0.5× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 15 $73,822.29 $239,160.41 $73,852.42 nat. median
$107,681
0.7× median
4-May
OTHER 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 15 $73,084.82 $236,764.92 $73,114.95 nat. median
$74,402
1.0× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 15 $72,183.34 $233,836.73 $72,213.47 nat. median
$108,695
0.7× median

Other procedures at this hospital

Browse this hospital's 14,857 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 13 — — $315,826.00 $570,617.52 $389,908.64 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 13 — — $156,432.10 $282,125.51 $193,126.05 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 13 — — $155,517.30 $280,469.79 $191,996.67 2026-01-01
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 15 13 — — $150,925.81 $516,333.97 $186,328.16 2026-01-01
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 15 13 — — $150,925.81 $516,333.97 $186,328.16 2026-01-01
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 15 13 — — $136,080.70 $465,547.19 $168,000.86 2026-01-01
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 15 13 — — $136,080.70 $465,547.19 $168,000.86 2026-01-01
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 15 13 — — $121,235.58 $414,760.40 $149,673.56 2026-01-01
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 15 13 — — $121,235.58 $414,760.40 $149,673.56 2026-01-01
5834 APR_DRG Neonate W Ecmo 25 15 — — $135,616.12 $439,880.64 $135,646.25 2026-01-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 25 15 — — $133,242.85 $432,171.73 $133,272.98 2026-01-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 25 15 — — $133,242.85 $432,171.73 $133,272.98 2026-01-01
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 15 13 — — $106,390.47 $363,973.62 $131,346.26 2026-01-01
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 15 13 — — $106,390.47 $363,973.62 $131,346.26 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 13 — — $101,682.44 $183,032.40 $125,533.88 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 25 15 — — $121,923.70 $395,404.58 $121,953.83 2026-01-01
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 15 13 — — $94,019.54 $321,651.31 $116,073.51 2026-01-01
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 15 13 — — $94,019.54 $321,651.31 $116,073.51 2026-01-01
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 15 13 — — $84,122.80 $287,793.45 $103,855.31 2026-01-01
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 15 13 — — $84,122.80 $287,793.45 $103,855.31 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 13 13 — — $83,192.36 $149,566.62 $102,706.62 2026-01-01
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 25 15 — — $102,441.87 $332,123.21 $102,472.00 2026-01-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 25 15 — — $102,073.92 $330,928.03 $102,104.05 2026-01-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 25 15 — — $102,073.92 $330,928.03 $102,104.05 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $81,019.63 $145,634.14 $100,024.24 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 25 15 — — $99,098.26 $321,262.44 $99,128.39 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 13 — — $79,945.69 $143,690.36 $98,698.38 2026-01-01
4-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 25 15 — — $95,595.92 $309,886.04 $95,626.05 2026-01-01
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 25 15 — — $92,251.79 $299,023.56 $92,281.92 2026-01-01
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 15 13 — — $74,226.06 $253,935.60 $91,637.11 2026-01-01
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 15 13 — — $74,226.06 $253,935.60 $91,637.11 2026-01-01
215 MS_DRG Other Heart Assist System Implant 13 13 — — $73,250.10 $131,571.80 $90,432.22 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 — — $71,978.29 $129,269.92 $88,862.09 2026-01-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 25 15 — — $84,515.93 $273,895.75 $84,546.06 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 13 — — $66,333.29 $119,052.85 $81,892.95 2026-01-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 15 — — $80,086.88 $259,509.20 $80,117.01 2026-01-01
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 15 13 — — $64,329.32 $220,077.74 $79,418.91 2026-01-01
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 15 13 — — $64,329.32 $220,077.74 $79,418.91 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 13 13 — — $63,777.27 $114,426.63 $78,737.37 2026-01-01
5244 OTHER Level 4 Blood Product Exchange And Related Services 15 13 — — $63,599.95 $217,582.49 $78,518.45 2026-01-01
38240 CPT Transplt Allo Hct/donor 15 13 — — $63,599.95 $217,582.49 $78,518.45 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 25 15 — — $77,570.64 $251,335.87 $77,600.77 2026-01-01
5833 APR_DRG Neonate W Ecmo 25 15 — — $77,305.19 $250,473.64 $77,335.32 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 13 — — $62,101.00 $111,392.70 $76,667.90 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 13 — — $61,907.52 $111,042.53 $76,429.04 2026-01-01
5831 APR_DRG Neonate W Ecmo 25 15 — — $75,870.71 $245,814.14 $75,900.84 2026-01-01
5832 APR_DRG Neonate W Ecmo 25 15 — — $75,870.71 $245,814.14 $75,900.84 2026-01-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 25 15 — — $73,822.29 $239,160.41 $73,852.42 2026-01-01
4-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 25 15 — — $73,084.82 $236,764.92 $73,114.95 2026-01-01
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 25 15 — — $72,183.34 $233,836.73 $72,213.47 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 13 — — $58,004.50 $103,978.32 $71,610.50 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 — — $56,613.69 $101,461.06 $69,893.45 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 13 — — $56,372.04 $101,023.67 $69,595.11 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 13 — — $56,187.33 $100,689.36 $69,367.07 2026-01-01
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 15 13 — — $54,432.58 $186,219.89 $67,200.71 2026-01-01
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 15 13 — — $54,432.58 $186,219.89 $67,200.71 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $53,257.50 $95,386.58 $65,750.00 2026-01-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 15 — — $65,495.09 $212,111.77 $65,525.22 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 13 — — $52,922.39 $94,780.06 $65,336.29 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 13 — — $52,613.57 $94,221.11 $64,955.02 2026-01-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 25 15 — — $64,884.82 $210,129.48 $64,914.95 2026-01-01
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 25 15 — — $64,408.59 $208,582.58 $64,438.72 2026-01-01
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 25 15 — — $64,408.59 $208,582.58 $64,438.72 2026-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 14 — — $63,342.28 $148,094.26 $63,808.54 2026-01-01
717 OTHER Instill Adstiladrin, Tx Dose 13 12 — — $63,342.28 $148,094.26 $63,342.28 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 13 — — $51,017.61 $91,332.53 $62,984.70 2026-01-01
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 25 15 — — $62,704.98 $203,048.90 $62,735.11 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 13 — — $50,770.11 $90,884.57 $62,679.15 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 13 — — $49,698.34 $88,944.76 $61,355.98 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 13 — — $49,372.73 $88,355.41 $60,953.99 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 13 — — $49,336.95 $88,290.66 $60,909.82 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 — — $48,560.88 $86,886.01 $59,951.70 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 — — $48,560.88 $86,886.01 $59,951.70 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 13 — — $48,386.39 $86,570.20 $59,736.28 2026-01-01
904 APR_DRG Major Larynx & Trachea Procedures 25 15 — — $59,633.14 $193,070.85 $59,663.27 2026-01-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 15 — — $59,274.12 $191,904.70 $59,304.25 2026-01-01
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 25 15 — — $59,169.00 $191,563.22 $59,199.13 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 13 — — $47,534.38 $85,028.13 $58,684.42 2026-01-01
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 25 15 — — $58,537.18 $189,510.92 $58,567.31 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 25 15 — — $57,867.51 $187,335.69 $57,897.64 2026-01-01
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 25 15 — — $57,385.50 $185,770.01 $57,415.63 2026-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 13 — — $56,824.55 $132,855.80 $56,824.55 2026-01-01
1643 OTHER Y90 Ibritumomab, Rx 13 12 — — $56,824.55 $132,855.80 $56,824.55 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 13 — — $45,298.14 $80,980.68 $55,923.63 2026-01-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 25 15 — — $55,864.29 $180,828.79 $55,894.42 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 13 — — $45,246.30 $80,886.86 $55,859.63 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 13 — — $44,817.75 $80,111.20 $55,330.55 2026-01-01
9273 OTHER Sipuleucel-t Auto Cd54+ 13 12 — — $55,272.32 $129,226.69 $55,272.32 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 13 — — $54,404.11 $129,226.69 $55,272.32 2026-01-01
64654 CPT 1st Opn Implt Bat Modulj Sys 15 13 — — $44,535.83 $152,362.04 $54,982.51 2026-01-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 15 13 — — $44,535.83 $152,362.04 $54,982.51 2026-01-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 15 13 — — $44,535.83 $152,362.04 $54,982.51 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 15 13 — — $44,535.83 $152,362.04 $54,982.51 2026-01-01
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 15 13 — — $44,535.83 $152,362.04 $54,982.51 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 15 13 — — $44,535.83 $152,362.04 $54,982.51 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 13 13 — — $44,421.31 $79,393.68 $54,841.12 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 13 — — $44,408.90 $79,371.21 $54,825.80 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 13 — — $44,091.31 $78,796.40 $54,433.72 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 13 — — $43,948.21 $78,537.41 $54,257.05 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 13 — — $43,401.38 $77,547.68 $53,581.95 2026-01-01
3-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 25 15 — — $53,536.75 $173,268.42 $53,566.88 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 13 — — $43,373.64 $77,497.47 $53,547.70 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 25 15 — — $52,870.77 $171,105.15 $52,900.90 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 13 — — $42,660.35 $76,206.46 $52,667.10 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 25 15 — — $52,322.52 $169,324.33 $52,352.65 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 13 — — $42,391.67 $75,720.18 $52,335.40 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 13 — — $42,220.84 $75,410.98 $52,124.49 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 13 — — $42,166.81 $75,313.19 $52,057.79 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $41,601.00 $74,289.11 $51,359.26 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 25 15 — — $51,065.71 $165,241.94 $51,095.84 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 13 — — $41,193.61 $73,551.77 $50,856.31 2026-01-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 15 — — $50,453.34 $163,252.82 $50,483.47 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 13 — — $40,878.21 $72,980.92 $50,466.93 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 13 13 — — $40,636.56 $72,543.54 $50,168.59 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 13 — — $40,494.92 $72,287.19 $49,993.73 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 25 15 — — $49,931.38 $161,557.37 $49,961.51 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 13 — — $40,437.98 $72,184.12 $49,923.43 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 13 — — $40,375.19 $72,070.48 $49,845.91 2026-01-01
3-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 25 15 — — $49,132.41 $158,962.12 $49,162.54 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 25 15 — — $48,866.96 $158,099.88 $48,897.09 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 — — $39,489.60 $70,467.62 $48,752.59 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 13 — — $39,466.24 $70,425.33 $48,723.75 2026-01-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 15 — — $48,692.97 $157,534.73 $48,723.10 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 13 — — $39,204.87 $69,952.27 $48,401.07 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 13 — — $39,077.10 $69,721.03 $48,243.33 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 25 15 — — $47,921.33 $155,028.27 $47,951.46 2026-01-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 25 15 — — $47,796.23 $154,621.91 $47,826.36 2026-01-01
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 25 15 — — $47,757.86 $154,497.27 $47,787.99 2026-01-01
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 25 15 — — $47,626.97 $154,072.13 $47,657.10 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 13 — — $38,559.47 $68,784.16 $47,604.29 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 13 13 — — $38,493.77 $68,665.23 $47,523.17 2026-01-01
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 25 15 — — $47,327.88 $153,100.62 $47,358.01 2026-01-01
6904 APR_DRG Acute Leukemia 25 15 — — $46,611.43 $150,773.43 $46,641.56 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 — — $37,353.38 $66,601.20 $46,115.28 2026-01-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 25 15 — — $46,004.84 $148,803.09 $46,034.97 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 13 — — $36,967.89 $65,903.50 $45,639.37 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 13 — — $36,675.86 $65,374.94 $45,278.84 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 13 — — $36,611.61 $65,258.66 $45,199.52 2026-01-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 25 15 — — $45,142.27 $146,001.25 $45,172.40 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 13 — — $36,488.22 $65,035.34 $45,047.19 2026-01-01
1142 OTHER Supprelin La Implant 13 12 — — $45,020.65 $105,258.28 $45,020.65 2026-01-01
J9226 HCPCS Supprelin La Implant 16 14 — — $43,185.34 $105,258.28 $45,020.65 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 13 — — $36,338.56 $64,764.46 $44,862.42 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 25 15 — — $44,692.84 $144,541.42 $44,722.97 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 13 — — $35,809.25 $63,806.44 $44,208.95 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 13 — — $35,631.11 $63,484.02 $43,989.02 2026-01-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 25 15 — — $43,776.12 $141,563.71 $43,806.25 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 13 — — $35,313.52 $62,909.21 $43,596.94 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 25 15 — — $43,253.64 $139,866.56 $43,283.77 2026-01-01
234 APR_DRG Spinal Procedures 25 15 — — $43,084.38 $139,316.78 $43,114.51 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 13 — — $34,809.77 $61,997.45 $42,975.02 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 13 — — $34,707.55 $61,812.45 $42,848.83 2026-01-01
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 15 13 — — $34,639.09 $118,504.18 $42,764.31 2026-01-01
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 15 13 — — $34,639.09 $118,504.18 $42,764.31 2026-01-01
0686T CPT Histotripsy Mal Hepatcel Tis 15 13 — — $34,639.09 $118,504.18 $42,764.31 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 13 — — $34,274.62 $61,028.86 $42,314.34 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 13 — — $34,114.00 $60,738.15 $42,116.05 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 13 — — $34,028.58 $60,583.55 $42,010.59 2026-01-01
245 MS_DRG Aicd Generator Procedures 13 13 — — $33,865.04 $60,287.55 $41,808.69 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 13 — — $33,765.02 $60,106.52 $41,685.21 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 13 — — $33,750.42 $60,080.09 $41,667.18 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 13 13 — — $33,620.46 $59,844.88 $41,506.74 2026-01-01
5166 OTHER Cochlear Implant Procedure 15 13 — — $33,338.44 $114,054.52 $41,158.57 2026-01-01
69930 CPT Implant Cochlear Device 15 13 — — $33,338.44 $114,054.52 $41,158.57 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 13 13 — — $33,276.59 $59,222.51 $41,082.21 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 13 — — $33,267.10 $59,205.33 $41,070.49 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 13 — — $33,138.61 $58,972.76 $40,911.86 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 25 15 — — $40,711.11 $131,607.86 $40,741.24 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 25 15 — — $40,690.61 $131,541.28 $40,720.74 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 25 15 — — $40,427.27 $130,685.87 $40,457.40 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 13 — — $32,626.82 $58,046.46 $40,280.02 2026-01-01
37221 CPT Pr Revsc Opn/prq Iliac Art W/stnt Plmt & Angioplsty 1 1 — — $40,151.89 $40,151.89 $40,151.89 2026-01-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 25 15 — — $40,042.50 $129,436.05 $40,072.63 2026-01-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 15 — — $39,911.09 $129,009.20 $39,941.22 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 13 — — $32,149.35 $57,182.26 $39,690.55 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 25 15 — — $39,638.28 $128,123.06 $39,668.41 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia # 25 15 — — $39,429.60 $127,445.22 $39,459.73 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 13 — — $31,897.47 $56,726.38 $39,379.59 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 25 15 — — $39,254.04 $126,874.95 $39,284.17 2026-01-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
5232 OTHER Level 2 Icd And Similar Procedures 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
0408T CPT Insj/rplc Cardiac Modulj Sys 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 15 13 — — $31,737.59 $108,577.84 $39,182.22 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 13 13 — — $31,695.96 $56,361.67 $39,130.82 2026-01-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 25 15 — — $38,884.51 $125,674.65 $38,914.64 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 13 — — $31,517.09 $56,037.93 $38,909.99 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 13 — — $31,388.59 $55,805.36 $38,751.35 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 25 15 — — $38,665.32 $124,962.66 $38,695.45 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 13 — — $31,336.03 $55,710.22 $38,686.46 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 13 — — $31,320.70 $55,682.47 $38,667.53 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 13 — — $31,230.90 $55,519.94 $38,556.67 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
61886 CPT Implant Neurostim Arrays 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
64656 CPT Revj/rplcmt Bat Mod Sys Pg 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
61885 CPT Insrt/redo Neurostim 1 Array 15 13 — — $31,200.53 $106,740.47 $38,519.17 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 13 — — $31,194.40 $55,453.87 $38,511.60 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 13 — — $31,137.44 $55,350.80 $38,441.29 2026-01-01
1-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 25 15 — — $38,387.78 $124,061.16 $38,417.91 2026-01-01
2-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 25 15 — — $38,387.78 $124,061.16 $38,417.91 2026-01-01
1694 APR_DRG Major Abdominal Vascular Procedures 25 15 — — $38,357.82 $123,963.83 $38,387.95 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 25 15 — — $38,355.71 $123,957.00 $38,385.84 2026-01-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 25 15 — — $38,355.19 $123,955.30 $38,385.32 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 13 — — $31,019.18 $55,136.74 $38,295.28 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 13 13 — — $30,997.27 $55,097.09 $38,268.24 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 13 — — $30,876.08 $54,877.74 $38,118.62 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 25 15 — — $37,857.41 $122,338.39 $37,887.54 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 13 — — $30,675.31 $54,514.36 $37,870.75 2026-01-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 25 15 — — $37,826.92 $122,239.36 $37,857.05 2026-01-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 25 15 — — $37,799.06 $122,148.87 $37,829.19 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 25 15 — — $37,733.88 $121,937.15 $37,764.01 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 25 15 — — $37,643.47 $121,643.48 $37,673.60 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 25 15 — — $37,333.34 $120,636.11 $37,363.47 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 25 15 — — $37,331.77 $120,630.99 $37,361.90 2026-01-01
791 MS_DRG Prematurity With Major Problems 13 13 — — $30,189.80 $53,635.63 $37,271.36 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 13 — — $29,908.72 $53,126.89 $36,924.34 2026-01-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 25 15 — — $36,862.89 $119,107.99 $36,893.02 2026-01-01
3104 APR_DRG Intervertebral Disc Excision & Decompression 25 15 — — $36,566.96 $118,146.72 $36,597.09 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 13 — — $29,642.97 $52,645.90 $36,596.26 2026-01-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 25 15 — — $36,469.19 $117,829.15 $36,499.32 2026-01-01
894 APR_DRG Major Cranial/facial Bone Procedures 25 15 — — $36,442.91 $117,743.78 $36,473.04 2026-01-01
244 APR_DRG Extracranial Vascular Procedures 25 15 — — $36,311.50 $117,316.93 $36,341.63 2026-01-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 25 15 — — $36,303.61 $117,291.32 $36,333.74 2026-01-01
4414 APR_DRG Major Bladder Procedures 25 15 — — $36,152.23 $116,799.58 $36,182.36 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 13 — — $29,115.85 $51,691.85 $35,945.49 2026-01-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 15 13 — — $29,002.03 $99,219.16 $35,804.97 2026-01-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 15 13 — — $29,002.03 $99,219.16 $35,804.97 2026-01-01
204 APR_DRG Craniotomy For Trauma 25 15 — — $35,766.93 $115,548.06 $35,797.06 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 13 — — $28,986.63 $51,457.96 $35,785.96 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 13 — — $28,815.05 $51,147.43 $35,574.14 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 13 — — $28,772.71 $51,070.79 $35,521.86 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 13 — — $28,745.69 $51,021.90 $35,488.51 2026-01-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 25 15 — — $35,457.86 $114,544.11 $35,487.99 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures # 25 15 — — $35,380.59 $114,293.12 $35,410.72 2026-01-01
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 25 15 — — $35,350.10 $114,194.09 $35,380.23 2026-01-01
2214 APR_DRG Major Small & Large Bowel Procedures 25 15 — — $35,337.48 $114,153.11 $35,367.61 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 13 — — $28,585.81 $50,732.51 $35,291.12 2026-01-01
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 16 14 — — $27,435.48 $93,859.83 $35,225.80 2026-01-01
4034 APR_DRG Procedures For Obesity 25 15 — — $35,171.38 $113,613.58 $35,201.51 2026-01-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 15 — — $34,729.84 $112,179.36 $34,759.97 2026-01-01
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 25 15 — — $34,717.23 $112,138.38 $34,747.36 2026-01-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 25 15 — — $34,617.36 $111,813.98 $34,647.49 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 13 — — $28,028.75 $49,724.28 $34,603.40 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 13 — — $27,909.02 $49,507.57 $34,455.58 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 13 — — $27,844.04 $49,389.97 $34,375.36 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 13 — — $27,841.13 $49,384.68 $34,371.76 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 25 15 — — $34,291.46 $110,755.39 $34,321.59 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 13 — — $27,764.47 $49,245.94 $34,277.12 2026-01-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 25 15 — — $34,115.89 $110,185.12 $34,146.02 2026-01-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 25 15 — — $33,942.96 $109,623.38 $33,973.09 2026-01-01
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 25 15 — — $33,898.80 $109,479.96 $33,928.93 2026-01-01
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 25 15 — — $33,889.34 $109,449.23 $33,919.47 2026-01-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
20696 CPT App Mltpln Uni Xtrnl Fix 1st 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
22630 CPT Arthrd Pst Tq 1ntrspc Lum 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
5117 OTHER Level 7 Musculoskeletal Procedures 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
21243 CPT Reconstruction Of Jaw Joint 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
27702 CPT Reconstruct Ankle Joint 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 15 13 — — $27,435.48 $93,859.83 $33,870.96 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 25 15 — — $33,824.16 $109,237.51 $33,854.29 2026-01-01
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 25 15 — — $33,811.55 $109,196.53 $33,841.68 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 13 — — $27,372.41 $48,536.34 $33,793.10 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 13 — — $27,361.46 $48,516.52 $33,779.58 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 25 15 — — $33,726.39 $108,919.93 $33,756.52 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 25 15 — — $33,590.25 $108,477.72 $33,620.38 2026-01-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 25 15 — — $33,586.05 $108,464.06 $33,616.18 2026-01-01
C9760 HCPCS Non-blind Interatrial Shunt 15 13 — — $27,216.54 $93,110.79 $33,600.66 2026-01-01
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 15 13 — — $27,216.54 $93,110.79 $33,600.66 2026-01-01
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 15 13 — — $27,216.54 $93,110.79 $33,600.66 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures # 25 15 — — $33,569.75 $108,411.13 $33,599.88 2026-01-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 25 15 — — $33,537.16 $108,305.27 $33,567.29 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 13 — — $27,046.79 $47,947.00 $33,391.10 2026-01-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 25 15 — — $33,355.29 $107,714.51 $33,385.42 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 13 — — $27,026.35 $47,910.00 $33,365.87 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 25 15 — — $33,330.06 $107,632.55 $33,360.19 2026-01-01
332 MS_DRG Rectal Resection With Mcc 13 13 — — $26,989.85 $47,843.93 $33,320.80 2026-01-01
265 MS_DRG Aicd Lead Procedures 13 13 — — $26,971.60 $47,810.89 $33,298.27 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 13 — — $26,924.87 $47,726.33 $33,240.58 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 13 — — $26,885.45 $47,654.97 $33,191.91 2026-01-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 25 15 — — $33,117.18 $106,941.06 $33,147.31 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 25 15 — — $32,952.65 $106,406.64 $32,982.78 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 13 — — $26,713.14 $47,343.12 $32,979.19 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 25 15 — — $32,879.06 $106,167.60 $32,909.19 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 13 — — $26,652.55 $47,233.44 $32,904.38 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 13 — — $26,626.26 $47,185.87 $32,871.93 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 25 15 — — $32,810.73 $105,945.64 $32,840.86 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 13 — — $26,587.57 $47,115.84 $32,824.16 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 13 — — $26,565.67 $47,076.20 $32,797.12 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 13 — — $26,540.85 $47,031.27 $32,766.48 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 13 — — $26,519.68 $46,992.95 $32,740.34 2026-01-01
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