Price Transparency Hospital negotiated rates

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

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Hospital

MONTEFIORE MOUNT VERNON HOSPITAL

Mount Vernon, NY · CCN 330086 · Rates published

73,829 distinct procedures filed
30 distinct payers
997,065 rate rows
2026-04-01 last MRF observed
Data quality

636,744 of 997,065 rate rows are consumer-grade (63.9%)

360,321 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 349,931
template filing: same amount across many unrelated codes — excluded 8,293
per-diem day rate — not a per-procedure price 1,793
placeholder amount (≤ $0.02) — excluded from medians 257
exceeds 10× this hospital's gross charge — excluded from medians 47
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.montefioreeinstein.org/patient-information/462916938_mount-vernon-hospital_standardcharges.csv
Found on page https://www.montefiorehealthsystem.org/mount-vernon/patient-information/paying-for-your-care.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 63b85564b43df464… · 407,349,281 bytes · first seen 2026-05-06

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
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 14 $4,502,732.52 $4,953,005.77 $4,502,732.52 nat. median
$3,710,000
1.2× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 14 $4,075,771.59 $4,890,925.91 $4,075,771.59 nat. median
$3,335,820
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $4,052,120.32 $4,862,544.38 $4,052,120.32 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 14 $3,969,015.94 $4,762,819.13 $3,969,015.94 nat. median
$3,286,000
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 14 $3,775,423.80 $4,908,050.94 $3,775,423.80 nat. median
$3,180,000
1.2× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 14 $3,599,164.05 $4,678,913.27 $3,599,164.05 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar Xioi Treat 14 $2,999,703.24 $3,899,614.21 $2,999,703.24 nat. median
$2,469,189
1.2× median
J3392
HCPCS 		Inj Exagamglogene Autotem 14 $2,849,284.24 $3,704,069.51 $2,849,284.24 nat. median
$2,448,600
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 16 $941,558.93 $1,299,351.32 $941,558.93 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car Pos T 4 $722,982.91 $795,281.20 $751,902.23 nat. median
$754,974
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car Pos T 4 $691,389.99 $760,528.99 $719,045.59 nat. median
$675,122
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $687,320.41 $756,052.45 $714,813.23 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $680,942.20 $749,036.42 $708,179.89 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car 3 $651,511.29 $716,662.42 $684,086.85 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $597,842.16 $657,626.38 $621,755.84 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 25 $301,413.48 $3,016,816.00 $382,795.12 nat. median
$370,174
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 16 $339,971.42 $469,160.56 $339,971.42 nat. median
$324,450
1.0× median
J3403
HCPCS 		Revakinagene Per Implant 14 $314,618.65 $409,004.25 $314,618.65 nat. median
$265,000
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $225,130.94 $2,253,312.00 $285,916.29 nat. median
$265,286
1.1× median
24
APR_DRG 		Heart Or Lung Transplant 15 $239,638.45 $2,038,856.26 $251,620.37 nat. median
$234,738
1.1× median
J3402
HCPCS 		Inj Remestemcel L Rknd Td 14 $251,255.06 $326,631.58 $251,255.06 nat. median
$209,753
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 25 $189,613.73 $1,897,824.00 $240,809.44 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 25 $171,289.23 $1,714,416.00 $217,537.33 nat. median
$202,986
1.1× median
5834
APR_DRG 		Neonate W Ecmo 15 $176,402.46 $1,500,841.14 $183,458.55 nat. median
$309,665
0.6× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 15 $173,301.68 $1,474,459.54 $180,233.74 nat. median
$246,434
0.7× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 15 $173,301.68 $1,474,459.54 $180,233.74 nat. median
$182,736
1.0× median
1614
APR_DRG 		Cardiac Defibrillator Heart Assist Implant 15 $158,512.71 $1,348,634.22 $164,853.22 nat. median
$207,730
0.8× median
34
APR_DRG 		Bone Marrow Transplant 15 $153,907.89 $1,309,456.24 $161,603.28 nat. median
$209,067
0.8× median
4
MS_DRG 		Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 25 $112,932.34 $1,130,328.00 $143,424.07 nat. median
$133,176
1.1× median
5914
APR_DRG 		Neonate Birthwt 500 749g W O Major Procedure 15 $133,058.84 $1,132,071.41 $138,381.20 nat. median
$164,279
0.8× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 15 $132,578.10 $1,127,981.24 $137,881.23 nat. median
$145,336
0.9× median
5881
APR_DRG 		Neonate Bwt 1500g W Major Procedure 15 $132,578.10 $1,127,981.24 $137,881.23 nat. median
$124,573
1.1× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 15 $128,690.28 $1,094,903.45 $133,837.89 nat. median
$160,267
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 25 $104,714.05 $1,048,072.00 $132,986.85 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 25 $104,450.29 $1,045,432.00 $132,651.87 nat. median
$122,708
1.1× median
44
APR_DRG 		Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 15 $124,114.31 $1,055,970.88 $130,320.03 nat. median
$105,658
1.2× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 15 $120,222.37 $1,022,858.03 $126,233.49 nat. median
$129,535
1.0× median
5934
APR_DRG 		Neonate Birthwt 750 999g W O Major Procedure 15 $119,745.06 $1,018,797.07 $124,534.86 nat. median
$151,838
0.8× median
6094
APR_DRG 		Neonate Bwt 1500 2499g W Major Procedure 15 $109,637.82 $932,804.17 $114,023.33 nat. median
$162,982
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 2 $113,427.60 $113,427.60 $113,427.60 nat. median
$111,989
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 $88,079.25 $881,576.00 $111,860.65 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $87,067.35 $871,448.00 $110,575.54 nat. median
$102,358
1.1× median
K1007
HCPCS 		HCPCS K1007 2 $109,238.30 $109,238.30 $109,238.30 nat. median
$96,983
1.1× median
23
APR_DRG 		Heart Or Lung Transplant 15 $103,488.45 $880,485.05 $108,662.87 nat. median
$93,528
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 25 $85,113.09 $851,888.00 $108,093.62 nat. median
$100,136
1.1× median
6024
APR_DRG 		Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 15 $103,851.07 $883,570.21 $108,005.11 nat. median
$118,620
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 25 $84,678.28 $847,536.00 $107,541.42 nat. median
$99,019
1.1× median
426
MS_DRG 		Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 25 $83,778.28 $838,528.00 $106,398.42 nat. median
$98,905
1.1× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 15 $100,563.49 $855,599.29 $104,586.02 nat. median
$66,693
1.6× median
5833
APR_DRG 		Neonate W Ecmo 15 $100,216.67 $852,648.52 $104,225.33 nat. median
$244,017
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 73,829 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
             
J1411 HCPCS Inj Hemgenix Per Tx Dose 17 14 — — $4,502,732.52 $4,953,005.77 $4,502,732.52 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 18 14 — — $4,075,771.59 $4,890,925.91 $4,075,771.59 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 14 — — $4,052,120.32 $4,862,544.38 $4,052,120.32 2026-04-01
J3394 HCPCS Inj Lovotibeglogene Autotem 18 14 — — $3,969,015.94 $4,762,819.13 $3,969,015.94 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 19 14 — — $3,775,423.80 $4,908,050.94 $3,775,423.80 2026-04-01
J3393 HCPCS Inj Betibeglogene Autotemce 19 14 — — $3,599,164.05 $4,678,913.27 $3,599,164.05 2026-04-01
J3399 HCPCS Inj Onase Abepar Xioi Treat 19 14 — — $2,999,703.24 $3,899,614.21 $2,999,703.24 2026-04-01
J3392 HCPCS Inj Exagamglogene Autotem 19 14 — — $2,849,284.24 $3,704,069.51 $2,849,284.24 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 23 16 — — $941,558.93 $1,299,351.32 $941,558.93 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car Pos T 4 4 — — $722,982.91 $795,281.20 $751,902.23 2026-04-01
Q2056 HCPCS Ciltacabtagene Car Pos T 4 4 — — $691,389.99 $760,528.99 $719,045.59 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 4 — — $687,320.41 $756,052.45 $714,813.23 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 4 — — $680,942.20 $749,036.42 $708,179.89 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car 3 3 — — $651,511.29 $716,662.42 $684,086.85 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 4 — — $597,842.16 $657,626.38 $621,755.84 2026-04-01
18 MS_DRG Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 42 25 — — $301,413.48 $3,016,816.00 $382,795.12 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 23 16 — — $339,971.42 $469,160.56 $339,971.42 2026-04-01
J3403 HCPCS Revakinagene Per Implant 19 14 — — $314,618.65 $409,004.25 $314,618.65 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 25 — — $225,130.94 $2,253,312.00 $285,916.29 2026-04-01
24 APR_DRG Heart Or Lung Transplant 51 15 — — $239,638.45 $2,038,856.26 $251,620.37 2026-04-01
J3402 HCPCS Inj Remestemcel L Rknd Td 19 14 — — $251,255.06 $326,631.58 $251,255.06 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 42 25 — — $189,613.73 $1,897,824.00 $240,809.44 2026-04-01
3 MS_DRG Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 42 25 — — $171,289.23 $1,714,416.00 $217,537.33 2026-04-01
5834 APR_DRG Neonate W Ecmo 52 15 — — $176,402.46 $1,500,841.14 $183,458.55 2026-04-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 52 15 — — $173,301.68 $1,474,459.54 $180,233.74 2026-04-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 52 15 — — $173,301.68 $1,474,459.54 $180,233.74 2026-04-01
1614 APR_DRG Cardiac Defibrillator Heart Assist Implant 52 15 — — $158,512.71 $1,348,634.22 $164,853.22 2026-04-01
34 APR_DRG Bone Marrow Transplant 51 15 — — $153,907.89 $1,309,456.24 $161,603.28 2026-04-01
4 MS_DRG Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 42 25 — — $112,932.34 $1,130,328.00 $143,424.07 2026-04-01
5914 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 52 15 — — $133,058.84 $1,132,071.41 $138,381.20 2026-04-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 52 15 — — $132,578.10 $1,127,981.24 $137,881.23 2026-04-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 52 15 — — $132,578.10 $1,127,981.24 $137,881.23 2026-04-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 52 15 — — $128,690.28 $1,094,903.45 $133,837.89 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 25 — — $104,714.05 $1,048,072.00 $132,986.85 2026-04-01
7 MS_DRG Lung Transplant 42 25 — — $104,450.29 $1,045,432.00 $132,651.87 2026-04-01
44 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 51 15 — — $124,114.31 $1,055,970.88 $130,320.03 2026-04-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 51 15 — — $120,222.37 $1,022,858.03 $126,233.49 2026-04-01
5934 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 52 15 — — $119,745.06 $1,018,797.07 $124,534.86 2026-04-01
6094 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 52 15 — — $109,637.82 $932,804.17 $114,023.33 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad Rep 2 2 — — $113,427.60 $113,427.60 $113,427.60 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 25 — — $88,079.25 $881,576.00 $111,860.65 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 25 — — $87,067.35 $871,448.00 $110,575.54 2026-04-01
K1007 HCPCS HCPCS K1007 2 2 — — $109,238.30 $109,238.30 $109,238.30 2026-04-01
23 APR_DRG Heart Or Lung Transplant 51 15 — — $103,488.45 $880,485.05 $108,662.87 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 25 — — $85,113.09 $851,888.00 $108,093.62 2026-04-01
6024 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $103,851.07 $883,570.21 $108,005.11 2026-04-01
215 MS_DRG Other Heart Assist System Implant 42 25 — — $84,678.28 $847,536.00 $107,541.42 2026-04-01
426 MS_DRG Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 42 25 — — $83,778.28 $838,528.00 $106,398.42 2026-04-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 52 15 — — $100,563.49 $855,599.29 $104,586.02 2026-04-01
5833 APR_DRG Neonate W Ecmo 52 15 — — $100,216.67 $852,648.52 $104,225.33 2026-04-01
5831 APR_DRG Neonate W Ecmo 52 15 — — $98,342.46 $836,702.70 $102,276.15 2026-04-01
5832 APR_DRG Neonate W Ecmo 52 15 — — $98,342.46 $836,702.70 $102,276.15 2026-04-01
6034 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 52 15 — — $95,666.11 $813,932.14 $99,492.76 2026-04-01
54 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 51 15 — — $94,702.57 $805,734.27 $99,437.70 2026-04-01
216 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc 42 25 — — $77,134.59 $772,032.00 $97,960.93 2026-04-01
5933 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 52 15 — — $93,524.75 $795,713.36 $97,265.74 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 42 25 — — $73,624.91 $736,904.00 $93,503.64 2026-04-01
22 APR_DRG Heart Or Lung Transplant 51 15 — — $88,221.49 $750,592.94 $92,632.56 2026-04-01
6074 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $84,786.25 $721,365.75 $88,177.70 2026-04-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 52 15 — — $83,988.91 $714,581.91 $87,348.47 2026-04-01
21 APR_DRG Heart Or Lung Transplant 51 15 — — $83,100.22 $707,020.94 $87,255.23 2026-04-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 52 15 — — $83,366.69 $709,288.07 $86,701.36 2026-04-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 52 15 — — $83,366.69 $709,288.07 $86,701.36 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 25 — — $67,726.95 $677,872.00 $86,013.23 2026-04-01
456 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc 42 25 — — $67,688.59 $677,488.00 $85,964.51 2026-04-01
33 APR_DRG Bone Marrow Transplant 51 15 — — $81,197.86 $690,835.56 $85,257.75 2026-04-01
429 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion With Mcc 42 25 — — $66,660.70 $667,200.00 $84,659.09 2026-04-01
5913 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 52 15 — — $81,140.86 $690,350.58 $84,386.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc 42 25 — — $64,426.69 $644,840.00 $81,821.90 2026-04-01
904 APR_DRG Major Larynx Trachea Procedures 51 15 — — $77,127.36 $656,203.50 $80,983.73 2026-04-01
10 MS_DRG Pancreas Transplant 42 25 — — $63,724.11 $637,808.00 $80,929.62 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 25 — — $63,357.24 $634,136.00 $80,463.70 2026-04-01
6023 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $76,658.29 $652,212.67 $79,724.62 2026-04-01
5932 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 52 15 — — $76,520.94 $651,044.05 $79,581.78 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc 42 25 — — $62,470.83 $625,264.00 $79,337.96 2026-04-01
L8702 HCPCS HCPCS L8702 2 2 — — $79,046.09 $79,046.09 $79,046.09 2026-04-01
5912 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 52 15 — — $75,695.44 $644,020.64 $78,723.26 2026-04-01
219 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc 42 25 — — $61,840.99 $618,960.00 $78,538.06 2026-04-01
3034 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 52 15 — — $74,820.49 $636,576.53 $77,813.30 2026-04-01
J9029 HCPCS Instill Adstiladrin Tx Dose 27 16 — — $63,354.77 $100,610.73 $77,392.87 2026-04-01
5931 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 52 15 — — $74,190.72 $631,218.41 $77,158.35 2026-04-01
957 MS_DRG Other O R Procedures For Multiple Significant Trauma With Mcc 42 25 — — $59,656.53 $597,096.00 $75,763.80 2026-04-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 52 15 — — $72,203.20 $614,308.48 $75,091.33 2026-04-01
4404 APR_DRG Kidney Transplant 52 15 — — $71,315.20 $606,753.35 $74,167.81 2026-04-01
43 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 51 15 — — $69,162.17 $588,435.23 $72,620.28 2026-04-01
427 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc 42 25 — — $56,739.13 $567,896.00 $72,058.70 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 25 — — $56,481.76 $565,320.00 $71,731.83 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 52 15 — — $68,292.03 $581,032.02 $71,023.71 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv 96 Hours 42 25 — — $55,602.54 $556,520.00 $70,615.23 2026-04-01
1613 APR_DRG Cardiac Defibrillator Heart Assist Implant 52 15 — — $67,575.72 $574,937.67 $70,278.75 2026-04-01
A9543 HCPCS Y90 Ibritumomab Rx 23 16 — — $69,429.37 $95,812.53 $69,429.37 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 25 — — $54,574.65 $546,232.00 $69,309.81 2026-04-01
3614 APR_DRG Skin Graft For Skin Subcutaneous Tissue Diagnoses 52 15 — — $65,933.65 $560,966.82 $68,570.99 2026-04-01
447 MS_DRG Mult Lvl Spin Fus Exc Cerv W Mcc Or Vust Anatom Des Interbody Fus Dev 42 25 — — $53,585.93 $536,336.00 $68,054.13 2026-04-01
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhalation Injury W Cc Mcc 42 25 — — $53,380.52 $534,280.00 $67,793.26 2026-04-01
6022 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $65,133.56 $554,159.60 $67,738.90 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 42 25 — — $53,290.20 $533,376.00 $67,678.55 2026-04-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 52 15 — — $64,451.59 $548,357.41 $67,029.65 2026-04-01
53 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 51 15 — — $63,407.70 $539,475.89 $66,578.09 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 42 25 — — $51,695.61 $517,416.00 $65,653.42 2026-04-01
3044 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 52 15 — — $63,060.88 $536,525.13 $65,583.32 2026-04-01
217 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Cc 42 25 — — $51,613.29 $516,592.00 $65,548.88 2026-04-01
6073 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $62,833.55 $534,591.06 $65,346.89 2026-04-01
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses 52 15 — — $61,825.37 $526,013.39 $64,298.38 2026-04-01
969 MS_DRG HIV With Extensive O R Procedures With Mcc 42 25 — — $50,546.24 $505,912.00 $64,193.72 2026-04-01
6033 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 52 15 — — $61,661.92 $524,622.73 $64,128.40 2026-04-01
6814 APR_DRG Other O R Procedures For Lymphatic Hematopoietic Other Neoplasms 52 15 — — $61,611.78 $524,196.19 $64,076.25 2026-04-01
6804 APR_DRG Major O R Procedures For Lymphatic Hematopoietic Other Neoplasms 52 15 — — $61,440.78 $522,741.26 $63,898.41 2026-04-01
5911 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 52 15 — — $61,050.00 $519,416.53 $63,492.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulators 42 25 — — $49,507.96 $495,520.00 $62,875.11 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 42 25 — — $49,444.02 $494,880.00 $62,793.90 2026-04-01
6904 APR_DRG Acute Leukemia 52 15 — — $60,113.93 $511,452.39 $62,518.49 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 25 — — $49,218.62 $492,624.00 $62,507.65 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 42 25 — — $49,049.97 $490,936.00 $62,293.46 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 25 — — $48,822.97 $488,664.00 $62,005.17 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 42 25 — — $48,589.58 $486,328.00 $61,708.76 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 52 15 — — $59,321.40 $504,709.45 $61,694.26 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc Mcc 42 25 — — $48,241.09 $482,840.00 $61,266.18 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc Mcc 42 25 — — $48,241.09 $482,840.00 $61,266.18 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement Supplement Procedure W Mcc 42 25 — — $47,880.61 $479,232.00 $60,808.38 2026-04-01
6124 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 52 15 — — $58,194.40 $495,120.92 $60,522.18 2026-04-01
218 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Card Cath W O Cc Mcc 42 25 — — $47,550.50 $475,928.00 $60,389.14 2026-04-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 51 15 — — $57,458.87 $488,862.96 $60,331.81 2026-04-01
4054 APR_DRG Other Procedures For Endocrine Nutritional Metabolic Disorders 52 15 — — $57,607.21 $490,125.07 $59,911.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 25 — — $47,028.57 $470,704.00 $59,726.29 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O R Procedures With Mcc 42 25 — — $46,533.81 $465,752.00 $59,097.93 2026-04-01
6114 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 52 15 — — $56,409.48 $479,934.70 $58,665.85 2026-04-01
Q2043 HCPCS Sipuleucel T Auto Cd54 50 19 — — $55,015.23 $90,775.13 $58,316.14 2026-04-01
234 APR_DRG Spinal Procedures 51 15 — — $55,505.69 $472,245.19 $58,280.97 2026-04-01
457 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Cc 42 25 — — $45,871.20 $459,120.00 $58,256.43 2026-04-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 52 15 — — $55,726.83 $474,126.66 $57,955.90 2026-04-01
23 MS_DRG Craniot W Maj Dev Impl Acute Cns Pdx W Mcc Or Chemo Epilep W Neuros 42 25 — — $45,597.04 $456,376.00 $57,908.24 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 42 25 — — $44,553.97 $445,936.00 $56,583.54 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Cc 42 25 — — $44,179.10 $442,184.00 $56,107.46 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 25 — — $44,175.90 $442,152.00 $56,103.40 2026-04-01
32 APR_DRG Bone Marrow Transplant 51 15 — — $53,297.71 $453,459.62 $55,962.60 2026-04-01
428 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical W O Cc Mcc 42 25 — — $44,002.46 $440,416.00 $55,883.12 2026-04-01
430 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 25 — — $43,721.91 $437,608.00 $55,526.82 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 25 — — $43,487.72 $435,264.00 $55,229.40 2026-04-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 42 25 — — $43,388.60 $434,272.00 $55,103.52 2026-04-01
64 APR_DRG Pancreas Transplant 51 15 — — $52,461.91 $446,348.57 $55,085.01 2026-04-01
J9226 HCPCS Supprelin La Implant 27 16 — — $45,350.22 $71,509.27 $55,007.13 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl Prnl Vn 40 21 — — $3,549.00 $147,902.95 $54,982.51 2026-04-01
64654 CPT 1st Opn Implt Bat Modulj Sys 37 22 — — $9,867.00 $147,902.95 $54,982.51 2026-04-01
33276 CPT Insj Phrnc Nrv Stim Sys 45 21 — — $660.11 $147,902.95 $54,982.51 2026-04-01
463 MS_DRG Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Mcc 42 25 — — $43,167.20 $432,056.00 $54,822.35 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Mcc 42 25 — — $43,126.44 $431,648.00 $54,770.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 25 — — $43,120.84 $431,592.00 $54,763.46 2026-04-01
4474 APR_DRG Other Kidney Urinary Tract Related Procedures 52 15 — — $52,404.91 $445,863.59 $54,501.11 2026-04-01
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 52 15 — — $52,378.12 $445,635.71 $54,473.24 2026-04-01
9124 APR_DRG Musculoskeletal Other Procedures For Multiple Significant Trauma 52 15 — — $52,034.05 $442,708.31 $54,115.41 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation Without Mcc 42 25 — — $42,521.38 $425,592.00 $54,002.15 2026-04-01
220 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Cc 42 25 — — $42,332.74 $423,704.00 $53,762.58 2026-04-01
5124 APR_DRG Uterine Adnexa Procedures For Non Ovarian Non Adnexal Malig 52 15 — — $51,531.33 $438,431.17 $53,592.58 2026-04-01
6072 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $51,359.64 $436,970.39 $53,414.03 2026-04-01
2604 APR_DRG Major Pancreas Liver Shunt Procedures 52 15 — — $51,003.20 $433,937.82 $53,043.33 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Facial Bone Procedures 51 15 — — $50,501.17 $429,666.52 $53,026.23 2026-04-01
63 APR_DRG Pancreas Transplant 51 15 — — $50,231.96 $427,376.02 $52,743.56 2026-04-01
450 MS_DRG Sing Lvl Spin Fus Exc Cerv W Mcc Or Cust Anatom Design Inter Fus Dev 42 25 — — $41,160.99 $411,976.00 $52,274.46 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 49 15 — — $50,730.55 $431,618.11 $52,252.47 2026-04-01
214 APR_DRG Craniotomy Except For Trauma 51 15 — — $49,731.99 $423,122.24 $52,218.59 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 25 — — $41,025.91 $410,624.00 $52,102.90 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 36 22 — — $47,517.73 $203,752.99 $52,031.92 2026-04-01
6093 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 52 15 — — $50,018.37 $425,558.82 $52,019.10 2026-04-01
41 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 51 15 — — $49,369.37 $420,037.09 $51,837.84 2026-04-01
42 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 51 15 — — $49,369.37 $420,037.09 $51,837.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 42 25 — — $40,718.18 $407,544.00 $51,712.08 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 42 25 — — $40,593.49 $406,296.00 $51,553.74 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 52 15 — — $49,330.22 $419,704.03 $51,303.43 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 52 15 — — $49,327.48 $419,680.66 $51,300.57 2026-04-01
6084 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 52 15 — — $49,326.79 $419,674.81 $51,299.86 2026-04-01
239 MS_DRG Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Mcc 42 25 — — $40,256.19 $402,920.00 $51,125.37 2026-04-01
896 MS_DRG Alcohol Drug Abuse Or Dependence W O Rehabilitation Therapy W Mcc 52 26 — — $14,233.74 $142,464.00 $50,938.89 2026-04-01
837 MS_DRG Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 42 25 — — $40,018.80 $400,544.00 $50,823.88 2026-04-01
278 MS_DRG US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W Mcc 42 25 — — $39,987.63 $400,232.00 $50,784.29 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O R Procedures With Mcc 42 25 — — $39,976.44 $400,120.00 $50,770.08 2026-04-01
2204 APR_DRG Major Stomach Esophageal Duodenal Procedures 52 15 — — $48,676.41 $414,141.40 $50,623.46 2026-04-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 52 15 — — $48,636.58 $413,802.50 $50,582.04 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 42 25 — — $39,827.77 $398,632.00 $50,581.26 2026-04-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 52 15 — — $48,600.18 $413,492.81 $50,544.19 2026-04-01
3214 APR_DRG Cervical Spinal Fusion Other Back Neck Proc Exc Disc Excis Decomp 52 15 — — $48,515.02 $412,768.27 $50,455.62 2026-04-01
L7181 HCPCS HCPCS L7181 2 2 — — $50,449.28 $50,449.28 $50,449.28 2026-04-01
1634 APR_DRG Cardiac Valve Procedures W O Ami Or Complex Pdx 52 15 — — $48,396.90 $411,763.26 $50,332.78 2026-04-01
3033 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 52 15 — — $47,991.70 $408,315.83 $49,911.37 2026-04-01
4014 APR_DRG Pituitary Adrenal Procedures 52 15 — — $47,989.64 $408,298.30 $49,909.23 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 25 — — $39,057.26 $390,920.00 $49,602.72 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 42 25 — — $38,821.47 $388,560.00 $49,303.26 2026-04-01
6032 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 52 15 — — $47,377.04 $403,086.25 $49,272.12 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 42 25 — — $38,756.72 $387,912.00 $49,221.04 2026-04-01
894 APR_DRG Major Cranial Facial Bone Procedures 51 15 — — $46,828.31 $398,417.62 $49,169.73 2026-04-01
244 APR_DRG Extracranial Vascular Procedures 51 15 — — $46,656.62 $396,956.84 $48,989.45 2026-04-01
3104 APR_DRG Intervertebral Disc Excision Decompression 52 15 — — $46,990.39 $399,796.59 $48,870.01 2026-04-01
6083 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 52 15 — — $46,862.65 $398,709.77 $48,737.15 2026-04-01
6214 APR_DRG Neonate Bwt 2000 2499g W Major Anomaly 52 15 — — $46,646.31 $396,869.20 $48,512.16 2026-04-01
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O R Proc W Mcc 42 25 — — $38,167.65 $382,016.00 $48,472.92 2026-04-01
4414 APR_DRG Major Bladder Procedures 52 15 — — $46,448.52 $395,186.38 $48,306.46 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 42 25 — — $38,002.20 $380,360.00 $48,262.79 2026-04-01
981 MS_DRG Extensive O R Procedures Unrelated To Principal Diagnosis W Mcc 42 25 — — $38,000.60 $380,344.00 $48,260.76 2026-04-01
204 APR_DRG Craniotomy For Trauma 51 15 — — $45,945.12 $390,903.39 $48,242.38 2026-04-01
31 APR_DRG Bone Marrow Transplant 51 15 — — $45,502.84 $387,140.43 $47,777.98 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replace Supplement Procedure W O Mcc 42 25 — — $37,601.75 $376,352.00 $47,754.22 2026-04-01
823 MS_DRG Lymphoma And Non Acute Leukemia With Other Procedures With Mcc 42 25 — — $37,400.33 $374,336.00 $47,498.42 2026-04-01
1674 APR_DRG Other Cardiothoracic Thoracic Vascular Procedures 52 15 — — $45,541.30 $387,467.65 $47,362.96 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 42 25 — — $37,184.52 $372,176.00 $47,224.34 2026-04-01
7914 APR_DRG O R Procedure For Other Complications Of Treatment 52 15 — — $45,400.51 $386,269.81 $47,216.54 2026-04-01
2214 APR_DRG Major Small Large Bowel Procedures 52 15 — — $45,384.03 $386,129.58 $47,199.39 2026-04-01
4034 APR_DRG Procedures For Obesity 52 15 — — $45,167.00 $384,283.16 $46,973.68 2026-04-01
64568 CPT Opn Impltj Crnl Nrv Nea Pg 47 22 — — $635.05 $147,902.95 $46,956.00 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 49 15 — — $45,440.34 $386,608.71 $46,803.55 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 25 — — $36,838.43 $368,712.00 $46,784.81 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 25 — — $36,823.24 $368,560.00 $46,765.51 2026-04-01
221 MS_DRG Cardiac Valve Oth Maj Cardiothorac Proc W O Card Cath W O Cc Mcc 42 25 — — $36,705.75 $367,384.00 $46,616.31 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 25 — — $36,700.95 $367,336.00 $46,610.21 2026-04-01
6021 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $44,590.12 $379,374.95 $46,373.72 2026-04-01
9114 APR_DRG Extensive Abdominal Thoracic Procedures For Mult Significant Trauma 52 15 — — $44,573.63 $379,234.72 $46,356.57 2026-04-01
3134 APR_DRG Knee Lower Leg Procedures Except Foot 52 15 — — $44,443.15 $378,124.53 $46,220.88 2026-04-01
856 MS_DRG Postoperative Or Post Traumatic Infections W O R Procedures W Mcc 42 25 — — $36,058.32 $360,904.00 $45,794.07 2026-04-01
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy Other Radical GYN Procs 52 15 — — $44,017.35 $374,501.81 $45,778.04 2026-04-01
L7180 HCPCS HCPCS L7180 2 2 — — $45,776.36 $45,776.36 $45,776.36 2026-04-01
4424 APR_DRG Kidney Urinary Tract Procedures For Malignancy 52 15 — — $43,787.96 $372,550.21 $45,539.48 2026-04-01
474 MS_DRG Amputation For Musculoskeletal Syst Connective Tissue Dis W Mcc 42 25 — — $35,843.32 $358,752.00 $45,521.02 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 25 — — $35,744.20 $357,760.00 $45,395.13 2026-04-01
6123 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 52 15 — — $43,562.02 $370,627.83 $45,304.50 2026-04-01
264 APR_DRG Other Nervous System Related Procedures 51 15 — — $43,101.19 $366,707.11 $45,256.25 2026-04-01
1774 APR_DRG Cardiac Pacemaker Defibrillator Revision Except Device Replacement 52 15 — — $43,504.33 $370,137.01 $45,244.51 2026-04-01
6914 APR_DRG Lymphoma Myeloma Non Acute Leukemia 52 15 — — $43,491.97 $370,031.84 $45,231.65 2026-04-01
7104 APR_DRG Infectious Parasitic Diseases Including HIV W O R Procedure 52 15 — — $43,406.81 $369,307.29 $45,143.08 2026-04-01
3174 APR_DRG Tendon Muscle Other Soft Tissue Procedures 52 15 — — $43,390.32 $369,167.06 $45,125.93 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 52 15 — — $43,279.07 $368,220.48 $45,010.23 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 25 — — $35,410.10 $354,416.00 $44,970.82 2026-04-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 52 15 — — $43,095.70 $366,660.37 $44,819.53 2026-04-01
6113 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 52 15 — — $43,031.83 $366,116.96 $44,753.10 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 25 — — $35,108.77 $351,400.00 $44,588.14 2026-04-01
1664 APR_DRG Coronary Bypass W O Ami Or Complex Pdx 52 15 — — $42,794.20 $364,095.25 $44,505.97 2026-04-01
5114 APR_DRG Uterine Adnexa Procedures For Ovarian Adnexal Malignancy 52 15 — — $42,761.24 $363,814.78 $44,471.69 2026-04-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 51 15 — — $42,327.89 $360,127.78 $44,444.28 2026-04-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 51 15 — — $42,327.89 $360,127.78 $44,444.28 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 49 15 — — $43,074.41 $366,479.23 $44,366.64 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 52 15 — — $42,483.10 $361,448.32 $44,182.43 2026-04-01
2644 APR_DRG Other Hepatobiliary Pancreas Abdominal Procedures 52 15 — — $42,268.14 $359,619.43 $43,958.87 2026-04-01
933 MS_DRG Extensive Burns Or Full Thick Burns W Mv 96 Hours W O Skin Graft 42 25 — — $34,582.84 $346,136.00 $43,920.21 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 52 15 — — $42,171.99 $358,801.40 $43,858.87 2026-04-01
458 MS_DRG Spinal Fus Exc Cerv W Spinal Curv Malig Infec Ext Fusion W O Cc Mcc 42 25 — — $34,510.90 $345,416.00 $43,828.85 2026-04-01
1612 APR_DRG Cardiac Defibrillator Heart Assist Implant 52 15 — — $42,082.71 $358,041.80 $43,766.02 2026-04-01
1204 APR_DRG Major Respiratory Chest Procedures 52 15 — — $41,829.97 $355,891.53 $43,503.17 2026-04-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96 Hours 52 15 — — $41,706.36 $354,839.78 $43,374.62 2026-04-01
6903 APR_DRG Acute Leukemia 52 15 — — $41,638.37 $354,261.31 $43,303.90 2026-04-01
356 MS_DRG Other Digestive System O R Procedures With Mcc 42 25 — — $34,092.87 $341,232.00 $43,297.95 2026-04-01
1214 APR_DRG Other Respiratory Chest Procedures 52 15 — — $41,598.53 $353,922.41 $43,262.47 2026-04-01
3014 APR_DRG Hip Joint Replacement 52 15 — — $41,575.18 $353,723.74 $43,238.19 2026-04-01
2624 APR_DRG Cholecystectomy Except Laparoscopic 52 15 — — $41,574.50 $353,717.90 $43,237.49 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 25 — — $34,043.32 $340,736.00 $43,235.02 2026-04-01
5194 APR_DRG Uterine Adnexa Procedures For Leiomyoma 52 15 — — $41,541.53 $353,437.43 $43,203.19 2026-04-01
6071 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 52 15 — — $41,489.34 $352,993.36 $43,148.91 2026-04-01
7114 APR_DRG Post Op Post Trauma Other Device Infections W O R Procedure 52 15 — — $41,452.94 $352,683.67 $43,111.06 2026-04-01
494 APR_DRG Bacterial Tuberculous Infections Of Nervous System 51 15 — — $40,983.18 $348,686.99 $43,032.34 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 42 25 — — $33,801.93 $338,320.00 $42,928.45 2026-04-01
5184 APR_DRG Other Female Reproductive System Related Procedures 52 15 — — $41,054.61 $349,294.67 $42,696.79 2026-04-01
434 APR_DRG Multiple Sclerosis Other Demyelinating Diseases 51 15 — — $40,641.17 $345,777.13 $42,673.23 2026-04-01
1714 APR_DRG Perm Cardiac Pacemaker Implant W O Ami Heart Failure Or Shock 52 15 — — $40,957.77 $348,470.80 $42,596.08 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 25 — — $33,492.61 $335,224.00 $42,535.61 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 25 — — $33,490.21 $335,200.00 $42,532.57 2026-04-01
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 52 15 — — $40,736.63 $346,589.32 $42,366.10 2026-04-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 52 15 — — $40,694.74 $346,232.89 $42,322.53 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W O Mcc 42 25 — — $33,253.62 $332,832.00 $42,232.10 2026-04-01
3814 APR_DRG Major Skin Disorders 52 15 — — $40,538.84 $344,906.51 $42,160.40 2026-04-01
52 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 51 15 — — $40,132.27 $341,447.39 $42,138.88 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 42 25 — — $32,865.17 $328,944.00 $41,738.76 2026-04-01
958 MS_DRG Other O R Procedures For Multiple Significant Trauma With Cc 42 25 — — $32,846.78 $328,760.00 $41,715.41 2026-04-01
12 MS_DRG Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Cc 42 25 — — $32,798.02 $328,272.00 $41,653.49 2026-04-01
L2006 HCPCS HCPCS L2006 2 2 — — $41,539.18 $41,539.18 $41,539.18 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 25 — — $32,636.57 $326,656.00 $41,448.44 2026-04-01
895 MS_DRG Alcohol Drug Abuse Or Dependence With Rehabilitation Therapy 52 26 — — $11,572.91 $115,832.00 $41,416.46 2026-04-01
2294 APR_DRG Other Digestive System Abdominal Procedures 52 15 — — $39,742.18 $338,128.51 $41,331.87 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O R Procedures With Mcc 42 25 — — $32,507.88 $325,368.00 $41,285.00 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 52 15 — — $39,618.57 $337,076.75 $41,203.32 2026-04-01
69930 CPT Implant Cochlear Device 47 22 — — $1,255.45 $110,716.55 $41,158.57 2026-04-01
51 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 51 15 — — $39,119.28 $332,828.82 $41,075.24 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 52 15 — — $39,455.80 $335,691.94 $41,034.03 2026-04-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 52 15 — — $39,398.11 $335,201.12 $40,974.04 2026-04-01
6504 APR_DRG Splenectomy 52 15 — — $39,166.67 $333,231.99 $40,733.33 2026-04-01
6082 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 52 15 — — $39,049.92 $332,238.67 $40,611.92 2026-04-01
4403 APR_DRG Kidney Transplant 52 15 — — $38,956.52 $331,444.00 $40,514.79 2026-04-01
907 MS_DRG Other O R Procedures For Injuries With Mcc 42 25 — — $31,839.68 $318,680.00 $40,436.39 2026-04-01
739 MS_DRG Uterine Adnexa Proc For Non Ovarian Non Adnexal Malignancy W Mcc 42 25 — — $31,817.30 $318,456.00 $40,407.97 2026-04-01
L8701 HCPCS HCPCS L8701 2 2 — — $40,177.08 $40,177.08 $40,177.08 2026-04-01
628 MS_DRG Other Endocrine Nutritional And Metabolic O R Procedures With Mcc 42 25 — — $31,542.34 $315,704.00 $40,058.77 2026-04-01
736 MS_DRG Uterine Adnexa Procedures For Ovarian Or Adnexal Malignancy W Mcc 42 25 — — $31,470.41 $314,984.00 $39,967.42 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Exc Cervical 42 25 — — $31,405.66 $314,336.00 $39,885.19 2026-04-01
2234 APR_DRG Other Small Large Bowel Procedures 52 15 — — $38,311.64 $325,957.33 $39,844.10 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 52 15 — — $38,243.65 $325,378.87 $39,773.40 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 25 — — $31,252.20 $312,800.00 $39,690.29 2026-04-01
2224 APR_DRG Other Stomach Esophageal Duodenal Procedures 52 15 — — $38,006.02 $323,357.15 $39,526.26 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 25 — — $31,080.35 $311,080.00 $39,472.04 2026-04-01
616 MS_DRG Amputation Lower Limb For Endocrine Nutrit Metabolic Disord W Mcc 42 25 — — $30,891.72 $309,192.00 $39,232.49 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc Mcc 42 25 — — $30,859.75 $308,872.00 $39,191.88 2026-04-01
0571T HCPCS Insj Rplcmt Icds Ss Eltrd 37 19 — — $4,687.00 $54,071.46 $39,182.22 2026-04-01
0915T HCPCS Insj Perm Ccm D Sys Pg Eltrd 37 19 — — $7,350.00 $54,071.46 $39,182.22 2026-04-01
33270 CPT Ins Rep Subq Defibrillator 47 22 — — $578.88 $105,400.17 $39,182.22 2026-04-01
0408T HCPCS Insj Rplc Cardiac Modulj Sys 38 20 — — $3,549.00 $105,400.17 $39,182.22 2026-04-01
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