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

COLUMBIA MEMORIAL HOSPITAL

Hudson, NY · CCN 330094 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $9,339 across 11 payers · range $4,151-$22,839

Source: https://albany.pt.panaceainc.com/MRFDownload/albany/albanycmh · observed 2025-12-31

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.

26,128 distinct procedures filed
25 distinct payers
1,149,336 rate rows
2025-12-31 last MRF observed
Data quality

481,016 of 1,149,336 rate rows are consumer-grade (41.9%)

668,320 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 408,952
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 252,107
placeholder amount (≤ $0.02) — excluded from medians 3,916
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,542
exceeds 10× this hospital's gross charge — excluded from medians 1,390
percent-of-charges filed in the dollar field — excluded from medians 261
per-diem day rate — not a per-procedure price 132
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://albany.pt.panaceainc.com/MRFDownload/albany/albanycmh
Found on page https://www.albanymed.org/patients-visitors/billing-insurance/hospital-pricing-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 51774d495a0ce682… · 18,840,948 bytes · first seen 2026-05-13

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 4 $4,377,500.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 4 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,324,571.90 $4,986,857.85 $3,424,309.06 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,261,355.00 $4,892,032.50 $3,359,195.65 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,950,686.67 $4,426,030.01 $3,039,207.27 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,452,115.60 $4,222,790.24 $2,550,200.22 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,011,040.00 $2,425,280.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $1,325,466.40 $809,151.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $578,324.58 $1,017,769.07 $607,240.81 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $553,378.83 $973,294.59 $581,047.77 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $541,635.66 $967,565.68 $568,717.44 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $541,260.45 $958,586.85 $568,323.47 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,076.48 $917,155.89 $559,730.30 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,720.00 $841,603.93 $514,206.00 nat. median
$577,541
0.9× median
24
APR_DRG 		Heart &/or Lung Transplant 9 $213,434.90 $843,408.37 $480,228.53 nat. median
$243,231
2.0× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $442,900.00 $442,900.00 $442,900.00 nat. median
$265,000
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $306,899.23 $752,521.21 $373,053.01 nat. median
$370,165
1.0× median
5834
APR_DRG 		Neonate W Ecmo 9 $157,287.73 $620,849.05 $353,897.39 nat. median
$311,018
1.1× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $154,534.55 $609,935.85 $347,702.74 nat. median
$254,667
1.4× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $154,534.55 $609,935.85 $347,702.74 nat. median
$180,995
1.9× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 9 $141,403.44 $557,886.02 $318,157.74 nat. median
$209,486
1.5× median
34
APR_DRG 		Bone Marrow Transplant 9 $137,314.83 $541,679.36 $308,958.37 nat. median
$241,408
1.3× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $232,167.56 $353,700.80 $292,934.18 nat. median
$209,736
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $478,590.00 $281,190.00 nat. median
$302,242
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $229,379.47 $562,070.26 $271,060.04 nat. median
$261,939
1.0× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $118,802.98 $468,301.04 $267,306.71 nat. median
$168,361
1.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $118,376.13 $466,609.07 $266,346.29 nat. median
$120,928
outlier · 2.2×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $118,376.13 $466,609.07 $266,346.29 nat. median
$147,847
1.8× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 9 $114,924.14 $452,925.87 $258,579.32 nat. median
$165,646
1.6× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $110,861.14 $436,820.73 $249,437.57 nat. median
$127,600
2.0× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 9 $107,405.49 $423,123.02 $241,662.35 nat. median
$137,901
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $193,273.43 $473,364.75 $241,432.15 nat. median
$205,166
1.2× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $106,981.69 $421,443.14 $240,708.80 nat. median
$156,285
1.5× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 9 $98,007.48 $385,870.68 $220,516.83 nat. median
$168,174
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $174,664.46 $427,646.15 $212,282.21 nat. median
$199,832
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $92,869.43 $365,504.19 $208,956.22 nat. median
$123,690
1.7× median
23
APR_DRG 		Heart &/or Lung Transplant 9 $92,547.47 $364,227.96 $208,231.81 nat. median
$116,111
1.8× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 9 $89,950.39 $353,933.54 $202,388.38 nat. median
$64,013
outlier · 3.2×
5833
APR_DRG 		Neonate W Ecmo 9 $89,642.45 $352,712.90 $201,695.51 nat. median
$250,089
0.8× median
5832
APR_DRG 		Neonate W Ecmo 9 $87,978.35 $346,116.63 $197,951.29 nat. median
$169,230
1.2× median
5831
APR_DRG 		Neonate W Ecmo 9 $87,978.35 $346,116.63 $197,951.29 nat. median
$154,685
1.3× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 $85,602.02 $336,697.20 $192,604.55 nat. median
$109,499
1.8× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 $84,746.49 $333,306.00 $190,679.60 nat. median
$88,000
outlier · 2.2×
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $83,700.71 $329,160.68 $188,326.60 nat. median
$112,711
1.7× median
22
APR_DRG 		Heart &/or Lung Transplant 9 $78,991.95 $310,495.83 $177,731.89 nat. median
$94,014
1.9× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $75,941.80 $298,405.50 $170,869.05 nat. median
$99,613
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $85,678.97 $209,026.13 $170,309.05 nat. median
$96,835
1.8× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 $75,233.84 $295,599.24 $169,276.14 nat. median
$160,171
1.1× median
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 9 $74,681.38 $293,409.35 $168,033.11 nat. median
$96,420
1.7× median

Other procedures at this hospital

Browse this hospital's 26,128 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 4 — — $4,377,500.00 $4,596,375.00 $4,377,500.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 4 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 4 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,324,571.90 $4,986,857.85 $3,424,309.06 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,261,355.00 $4,892,032.50 $3,359,195.65 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,950,686.67 $4,426,030.01 $3,039,207.27 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 7 — — $2,452,115.60 $4,222,790.24 $2,550,200.22 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 8 7 — — $2,332,000.00 $4,011,040.00 $2,425,280.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 9 8 — — $770,620.00 $1,325,466.40 $809,151.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 8 — — $578,324.58 $1,017,769.07 $607,240.81 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 9 8 — — $553,378.83 $973,294.59 $581,047.77 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 8 — — $541,635.66 $967,565.68 $568,717.44 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 9 8 — — $541,260.45 $958,586.85 $568,323.47 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 8 — — $533,076.48 $917,155.89 $559,730.30 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 9 8 — — $489,720.00 $841,603.93 $514,206.00 2025-12-31
24 APR_DRG Heart &/or Lung Transplant 20 9 — — $213,434.90 $843,408.37 $480,228.53 2025-12-31
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $442,900.00 $442,900.00 $442,900.00 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 11 — — $306,899.23 $752,521.21 $373,053.01 2025-12-31
5834 APR_DRG Neonate W Ecmo 20 9 — — $157,287.73 $620,849.05 $353,897.39 2025-12-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 20 9 — — $154,534.55 $609,935.85 $347,702.74 2025-12-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 20 9 — — $154,534.55 $609,935.85 $347,702.74 2025-12-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 20 9 — — $141,403.44 $557,886.02 $318,157.74 2025-12-31
34 APR_DRG Bone Marrow Transplant 20 9 — — $137,314.83 $541,679.36 $308,958.37 2025-12-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $232,167.56 $353,700.80 $292,934.18 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 7 — — $270,375.00 $478,590.00 $281,190.00 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 10 — — $229,379.47 $562,070.26 $271,060.04 2025-12-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 20 9 — — $118,802.98 $468,301.04 $267,306.71 2025-12-31
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 20 9 — — $118,376.13 $466,609.07 $266,346.29 2025-12-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 20 9 — — $118,376.13 $466,609.07 $266,346.29 2025-12-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 20 9 — — $114,924.14 $452,925.87 $258,579.32 2025-12-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 20 9 — — $110,861.14 $436,820.73 $249,437.57 2025-12-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 20 9 — — $107,405.49 $423,123.02 $241,662.35 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 11 — — $193,273.43 $473,364.75 $241,432.15 2025-12-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 20 9 — — $106,981.69 $421,443.14 $240,708.80 2025-12-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 20 9 — — $98,007.48 $385,870.68 $220,516.83 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 11 — — $174,664.46 $427,646.15 $212,282.21 2025-12-31
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $92,869.43 $365,504.19 $208,956.22 2025-12-31
23 APR_DRG Heart &/or Lung Transplant 20 9 — — $92,547.47 $364,227.96 $208,231.81 2025-12-31
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 20 9 — — $89,950.39 $353,933.54 $202,388.38 2025-12-31
5833 APR_DRG Neonate W Ecmo 20 9 — — $89,642.45 $352,712.90 $201,695.51 2025-12-31
5831 APR_DRG Neonate W Ecmo 20 9 — — $87,978.35 $346,116.63 $197,951.29 2025-12-31
5832 APR_DRG Neonate W Ecmo 20 9 — — $87,978.35 $346,116.63 $197,951.29 2025-12-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 20 9 — — $85,602.02 $336,697.20 $192,604.55 2025-12-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 20 9 — — $84,746.49 $333,306.00 $190,679.60 2025-12-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 20 9 — — $83,700.71 $329,160.68 $188,326.60 2025-12-31
22 APR_DRG Heart &/or Lung Transplant 20 9 — — $78,991.95 $310,495.83 $177,731.89 2025-12-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $75,941.80 $298,405.50 $170,869.05 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $85,678.97 $209,026.13 $170,309.05 2025-12-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 20 9 — — $75,233.84 $295,599.24 $169,276.14 2025-12-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 20 9 — — $74,681.38 $293,409.35 $168,033.11 2025-12-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 20 9 — — $74,681.38 $293,409.35 $168,033.11 2025-12-31
21 APR_DRG Heart &/or Lung Transplant 20 9 — — $74,444.78 $292,471.52 $167,500.76 2025-12-31
33 APR_DRG Bone Marrow Transplant 20 9 — — $72,755.68 $285,776.15 $163,700.28 2025-12-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 20 9 — — $72,705.06 $285,575.53 $163,586.39 2025-12-31
904 APR_DRG Major Larynx & Trachea Procedures 20 9 — — $69,141.48 $271,450.00 $155,568.33 2025-12-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $68,725.00 $269,799.12 $154,631.25 2025-12-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 20 9 — — $68,603.04 $269,315.70 $154,356.84 2025-12-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 20 9 — — $67,870.08 $266,410.34 $152,707.68 2025-12-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 20 9 — — $67,093.21 $263,330.96 $150,959.72 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 5 5 — — $75,416.91 $183,814.25 $149,767.07 2025-12-31
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 20 9 — — $66,534.04 $261,114.48 $149,701.59 2025-12-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 20 9 — — $64,769.32 $254,119.39 $145,730.97 2025-12-31
4404 APR_DRG Kidney Transplant 20 9 — — $63,980.87 $250,994.08 $143,956.96 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 11 — — $115,361.38 $281,950.02 $140,181.62 2025-12-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 20 9 — — $62,069.19 $243,416.47 $139,655.68 2025-12-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 20 9 — — $61,296.60 $240,354.01 $137,917.35 2025-12-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 20 9 — — $60,660.59 $237,832.97 $136,486.33 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 5 — — $68,340.27 $166,428.33 $135,601.47 2025-12-31
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 20 9 — — $59,202.59 $232,053.69 $133,205.83 2025-12-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $58,492.19 $229,237.76 $131,607.43 2025-12-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 20 9 — — $57,886.68 $226,837.58 $130,245.03 2025-12-31
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 20 9 — — $56,959.80 $223,163.59 $128,159.55 2025-12-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 20 9 — — $56,651.86 $221,942.96 $127,466.69 2025-12-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $56,450.02 $221,142.90 $127,012.55 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 13 10 — — $107,010.41 $261,433.32 $126,416.62 2025-12-31
7 MS_DRG Lung Transplant 13 10 — — $106,742.38 $260,774.84 $126,099.80 2025-12-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 20 9 — — $55,554.86 $217,594.59 $124,998.44 2025-12-31
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 20 9 — — $55,409.73 $217,019.32 $124,671.89 2025-12-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 20 9 — — $55,365.22 $216,842.88 $124,571.75 2025-12-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 20 9 — — $55,213.38 $216,241.02 $124,230.11 2025-12-31
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 20 9 — — $54,866.41 $214,865.69 $123,449.42 2025-12-31
6904 APR_DRG Acute Leukemia 20 9 — — $54,035.28 $211,571.18 $121,579.38 2025-12-31
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 20 9 — — $53,331.58 $208,781.85 $119,996.06 2025-12-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 20 9 — — $52,330.93 $204,815.39 $117,744.59 2025-12-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 20 9 — — $51,809.56 $202,748.77 $116,571.51 2025-12-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 20 9 — — $51,677.85 $202,226.67 $116,275.16 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $58,286.14 $141,727.28 $115,475.70 2025-12-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 20 9 — — $50,746.10 $198,533.34 $114,178.73 2025-12-31
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 20 9 — — $50,139.97 $196,130.75 $112,814.93 2025-12-31
234 APR_DRG Spinal Procedures 20 9 — — $49,943.62 $195,352.44 $112,373.15 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 13 11 — — $89,078.00 $217,376.88 $111,232.62 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $55,053.61 $133,785.58 $109,005.01 2025-12-31
215 MS_DRG Other Heart Assist System Implant 13 11 — — $86,648.73 $211,408.64 $108,197.08 2025-12-31
32 APR_DRG Bone Marrow Transplant 20 9 — — $47,983.16 $187,581.46 $107,962.11 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $106,120.93 $182,528.00 $107,712.74 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 10 — — $90,099.74 $219,887.09 $106,427.77 2025-12-31
64 APR_DRG Pancreas Transplant 20 9 — — $47,241.05 $184,639.85 $106,292.36 2025-12-31
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 20 9 — — $47,190.44 $184,439.23 $106,178.49 2025-12-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 20 9 — — $47,166.66 $184,344.97 $106,124.99 2025-12-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 20 9 — — $46,861.16 $183,134.00 $105,437.61 2025-12-31
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 20 9 — — $46,414.79 $181,364.68 $104,433.28 2025-12-31
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $46,262.35 $180,760.41 $104,090.29 2025-12-31
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 20 9 — — $45,945.87 $179,505.93 $103,378.21 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 10 — — $87,092.19 $212,498.13 $102,872.76 2025-12-31
6954 APR_DRG Chemotherapy For Acute Leukemia # 20 9 — — $45,703.78 $178,546.34 $102,833.51 2025-12-31
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 20 9 — — $45,500.12 $177,739.03 $102,375.27 2025-12-31
63 APR_DRG Pancreas Transplant 20 9 — — $45,261.08 $176,791.53 $101,837.43 2025-12-31
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 20 9 — — $45,071.44 $176,039.81 $101,410.74 2025-12-31
214 APR_DRG Craniotomy Except For Trauma 20 9 — — $44,817.16 $175,031.88 $100,838.61 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $50,844.01 $123,443.43 $100,578.49 2025-12-31
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 20 9 — — $44,495.19 $173,755.65 $100,114.18 2025-12-31
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 20 9 — — $44,495.19 $173,755.65 $100,114.18 2025-12-31
1694 APR_DRG Major Abdominal Vascular Procedures 20 9 — — $44,460.43 $173,617.88 $100,035.97 2025-12-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 20 9 — — $44,457.99 $173,608.21 $100,030.48 2025-12-31
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 20 9 — — $44,457.38 $173,605.79 $100,029.11 2025-12-31
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 20 9 — — $43,879.92 $171,316.80 $98,729.82 2025-12-31
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 20 9 — — $43,844.55 $171,176.60 $98,650.24 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — — $78,984.06 $192,578.05 $98,619.54 2025-12-31
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 20 9 — — $43,812.23 $171,048.50 $98,577.52 2025-12-31
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 20 9 — — $43,736.62 $170,748.78 $98,407.40 2025-12-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 20 9 — — $43,631.73 $170,333.04 $98,171.39 2025-12-31
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 20 9 — — $43,271.96 $168,906.95 $97,361.91 2025-12-31
4014 APR_DRG Pituitary & Adrenal Procedures 20 9 — — $43,270.13 $168,899.70 $97,357.79 2025-12-31
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 20 9 — — $42,726.20 $166,743.64 $96,133.95 2025-12-31
3104 APR_DRG Intervertebral Disc Excision & Decompression 20 9 — — $42,382.89 $165,382.82 $95,361.50 2025-12-31
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 20 9 — — $42,269.47 $164,933.24 $95,106.31 2025-12-31
894 APR_DRG Major Cranial/facial Bone Procedures 20 9 — — $42,238.99 $164,812.38 $95,037.73 2025-12-31
244 APR_DRG Extracranial Vascular Procedures 20 9 — — $42,086.54 $164,208.11 $94,694.72 2025-12-31
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 20 9 — — $42,077.39 $164,171.85 $94,674.13 2025-12-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $93,216.70 $160,332.72 $94,614.95 2025-12-31
4414 APR_DRG Major Bladder Procedures 20 9 — — $41,901.77 $163,475.72 $94,278.98 2025-12-31
204 APR_DRG Craniotomy For Trauma 20 9 — — $41,454.80 $161,703.99 $93,273.30 2025-12-31
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 20 9 — — $41,096.25 $160,282.74 $92,466.56 2025-12-31
31 APR_DRG Bone Marrow Transplant 20 9 — — $41,062.10 $160,147.38 $92,389.73 2025-12-31
1814 APR_DRG Lower Extremity Arterial Procedures # 20 9 — — $41,006.61 $159,927.42 $92,264.87 2025-12-31
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 20 9 — — $40,971.24 $159,787.23 $92,185.29 2025-12-31
2214 APR_DRG Major Small & Large Bowel Procedures 20 9 — — $40,956.61 $159,729.22 $92,152.37 2025-12-31
4034 APR_DRG Procedures For Obesity 20 9 — — $40,763.92 $158,965.42 $91,718.82 2025-12-31
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $40,251.70 $156,935.05 $90,566.33 2025-12-31
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 20 9 — — $40,237.06 $156,877.04 $90,533.39 2025-12-31
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 20 9 — — $40,121.20 $156,417.79 $90,272.70 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $45,302.42 $109,828.81 $89,485.66 2025-12-31
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 20 9 — — $39,743.14 $154,919.19 $89,422.07 2025-12-31
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 20 9 — — $39,539.47 $154,111.88 $88,963.81 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $45,029.52 $109,158.36 $88,939.39 2025-12-31
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 20 9 — — $39,338.85 $153,316.65 $88,512.41 2025-12-31
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 20 9 — — $39,287.63 $153,113.62 $88,397.17 2025-12-31
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 20 9 — — $39,276.65 $153,070.11 $88,372.46 2025-12-31
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 20 9 — — $39,201.04 $152,770.39 $88,202.34 2025-12-31
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 20 9 — — $39,186.40 $152,712.38 $88,169.40 2025-12-31
3054 APR_DRG Amputation Of Lower Limb Except Toes 20 9 — — $39,087.62 $152,320.81 $87,947.15 2025-12-31
264 APR_DRG Other Nervous System & Related Procedures 20 9 — — $38,929.68 $151,694.78 $87,591.78 2025-12-31
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 20 9 — — $38,924.80 $151,675.44 $87,580.80 2025-12-31
1824 APR_DRG Other Peripheral Vascular Procedures # 20 9 — — $38,905.90 $151,600.51 $87,538.28 2025-12-31
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 20 9 — — $38,868.09 $151,450.65 $87,453.20 2025-12-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 20 9 — — $38,657.11 $150,614.34 $86,978.50 2025-12-31
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 20 9 — — $38,627.84 $150,498.31 $86,912.64 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 11 — — $69,422.93 $169,088.20 $86,672.23 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — — $69,384.75 $168,994.42 $86,624.52 2025-12-31
4444 APR_DRG Renal Dialysis Access Device Procedure Only 20 9 — — $38,380.88 $149,519.39 $86,356.98 2025-12-31
11 APR_DRG Liver Transplant &/or Intestinal Transplant 20 9 — — $38,243.06 $148,973.12 $86,046.89 2025-12-31
12 APR_DRG Liver Transplant &/or Intestinal Transplant 20 9 — — $38,243.06 $148,973.12 $86,046.89 2025-12-31
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 20 9 — — $38,190.01 $148,762.84 $85,927.52 2025-12-31
2614 APR_DRG Major Biliary Tract Procedures 20 9 — — $38,104.64 $148,424.44 $85,735.44 2025-12-31
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 20 9 — — $38,025.37 $148,110.22 $85,557.08 2025-12-31
1204 APR_DRG Major Respiratory & Chest Procedures 20 9 — — $37,800.97 $147,220.73 $85,052.18 2025-12-31
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 20 9 — — $37,691.21 $146,785.65 $84,805.22 2025-12-31
6903 APR_DRG Acute Leukemia 20 9 — — $37,630.84 $146,546.36 $84,669.39 2025-12-31
1214 APR_DRG Other Respiratory & Chest Procedures 20 9 — — $37,595.47 $146,406.16 $84,589.81 2025-12-31
2624 APR_DRG Cholecystectomy Except Laparoscopic 20 9 — — $37,574.13 $146,321.57 $84,541.79 2025-12-31
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 20 9 — — $37,544.86 $146,205.54 $84,475.94 2025-12-31
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 20 9 — — $37,498.52 $146,021.85 $84,371.67 2025-12-31
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 20 9 — — $37,466.20 $145,893.74 $84,298.95 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $42,427.26 $102,765.10 $83,730.33 2025-12-31
5184 APR_DRG Other Female Reproductive System & Related Procedures 20 9 — — $37,112.52 $144,491.82 $83,503.17 2025-12-31
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 20 9 — — $37,049.10 $144,240.44 $83,360.48 2025-12-31
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 20 9 — — $37,026.54 $144,151.01 $83,309.72 2025-12-31
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 20 9 — — $36,830.19 $143,372.70 $82,867.93 2025-12-31
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 20 9 — — $36,793.00 $143,225.26 $82,784.25 2025-12-31
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 20 9 — — $36,745.43 $143,036.73 $82,677.22 2025-12-31
3814 APR_DRG Major Skin Disorders 20 9 — — $36,654.57 $142,676.58 $82,472.78 2025-12-31
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 20 9 — — $36,293.58 $141,245.66 $81,660.56 2025-12-31
2294 APR_DRG Other Digestive System & Abdominal Procedures 20 9 — — $35,947.22 $139,872.74 $80,881.25 2025-12-31
3084 APR_DRG Hip And Femur Fracture Repair 20 9 — — $35,837.46 $139,437.66 $80,634.29 2025-12-31
3094 APR_DRG Other Significant Hip And Femur Surgery 20 9 — — $35,692.94 $138,864.81 $80,309.12 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $66,070.19 $160,851.19 $80,253.49 2025-12-31
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 20 9 — — $35,641.72 $138,661.78 $80,193.87 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 11 — — $64,082.76 $155,968.45 $79,999.31 2025-12-31
6504 APR_DRG Splenectomy 20 9 — — $35,436.22 $137,847.21 $79,731.50 2025-12-31
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 20 9 — — $35,394.15 $137,680.43 $79,636.84 2025-12-31
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 20 9 — — $35,332.56 $137,436.31 $79,498.26 2025-12-31
4403 APR_DRG Kidney Transplant 20 9 — — $35,249.63 $137,107.58 $79,311.67 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 11 — — $63,441.94 $154,394.08 $79,198.56 2025-12-31
2234 APR_DRG Other Small & Large Bowel Procedures 20 9 — — $34,677.04 $134,837.92 $78,023.34 2025-12-31
2244 APR_DRG Peritoneal Adhesiolysis 20 9 — — $34,616.67 $134,598.63 $77,887.51 2025-12-31
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 20 9 — — $34,405.69 $133,762.31 $77,412.80 2025-12-31
10 MS_DRG Pancreas Transplant 13 10 — — $65,354.65 $159,093.24 $77,178.42 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 10 — — $64,983.48 $158,181.34 $76,739.69 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 11 — — $61,222.21 $148,940.65 $76,424.85 2025-12-31
4234 APR_DRG Inborn Errors Of Metabolism 20 9 — — $33,822.12 $131,449.15 $76,099.77 2025-12-31
224 APR_DRG Ventricular Shunt Procedures 20 9 — — $33,512.35 $130,221.26 $75,402.79 2025-12-31
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 20 9 — — $33,386.13 $129,720.92 $75,118.79 2025-12-31
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 20 9 — — $33,307.46 $129,409.12 $74,941.79 2025-12-31
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 20 9 — — $33,262.34 $129,230.25 $74,840.27 2025-12-31
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 20 9 — — $33,147.09 $128,773.42 $74,580.95 2025-12-31
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 20 9 — — $33,035.50 $128,331.09 $74,329.88 2025-12-31
8634 APR_DRG Neonatal Aftercare 20 9 — — $32,972.69 $128,082.13 $74,188.55 2025-12-31
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 20 9 — — $32,908.05 $127,825.92 $74,043.11 2025-12-31
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 20 9 — — $32,818.42 $127,470.60 $73,841.45 2025-12-31
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 20 9 — — $32,235.46 $125,159.86 $72,529.79 2025-12-31
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 20 9 — — $32,211.68 $125,065.59 $72,476.28 2025-12-31
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 20 9 — — $32,179.97 $124,939.90 $72,404.93 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 11 — — $57,996.18 $141,014.92 $72,393.70 2025-12-31
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 20 9 — — $31,962.89 $124,079.41 $71,916.50 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 11 — — $57,098.71 $138,810.00 $71,272.25 2025-12-31
8444 APR_DRG Partial Thickness Burns Without Skin Graft 20 9 — — $31,635.43 $122,781.43 $71,179.72 2025-12-31
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 20 9 — — $31,562.87 $122,493.79 $71,016.46 2025-12-31
62 APR_DRG Pancreas Transplant 20 9 — — $31,487.26 $122,194.07 $70,846.34 2025-12-31
61 APR_DRG Pancreas Transplant 20 9 — — $31,487.26 $122,194.07 $70,846.34 2025-12-31
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 20 9 — — $31,440.30 $122,007.96 $70,740.68 2025-12-31
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 20 9 — — $31,369.57 $121,727.57 $70,581.53 2025-12-31
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 20 9 — — $31,369.57 $121,727.57 $70,581.53 2025-12-31
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 20 9 — — $31,171.39 $120,942.02 $70,135.63 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 11 — — $56,057.48 $136,251.90 $69,971.16 2025-12-31
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 20 9 — — $31,015.28 $120,323.24 $69,784.38 2025-12-31
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 20 9 — — $30,604.90 $118,696.53 $68,861.03 2025-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $67,452.66 $116,018.58 $68,464.45 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 11 — — $54,844.06 $133,270.77 $68,454.91 2025-12-31
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 20 9 — — $30,393.30 $117,857.80 $68,384.93 2025-12-31
3464 APR_DRG Connective Tissue Disorders 20 9 — — $30,384.15 $117,821.54 $68,364.34 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 11 — — $54,752.29 $133,045.29 $68,340.22 2025-12-31
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 20 9 — — $30,304.27 $117,504.90 $68,184.61 2025-12-31
1804 APR_DRG Other Circulatory System Procedures 20 9 — — $30,046.33 $116,482.47 $67,604.24 2025-12-31
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 20 9 — — $30,006.09 $116,322.94 $67,513.70 2025-12-31
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 20 9 — — $29,939.62 $116,059.47 $67,364.15 2025-12-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 20 9 — — $29,808.52 $115,539.80 $67,069.17 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 8 — — $63,431.05 $108,948.73 $66,602.60 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $33,764.41 $81,482.16 $66,389.54 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 11 — — $53,124.65 $129,046.51 $66,306.38 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — — $53,049.12 $128,860.94 $66,212.00 2025-12-31
4402 APR_DRG Kidney Transplant 20 9 — — $28,987.14 $112,283.96 $65,221.07 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 11 — — $51,964.03 $126,195.08 $64,856.10 2025-12-31
6614 APR_DRG Coagulation & Platelet Disorders 20 9 — — $28,503.58 $110,367.20 $64,133.06 2025-12-31
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 20 9 — — $28,406.01 $109,980.47 $63,913.52 2025-12-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 20 9 — — $28,378.57 $109,871.70 $63,851.78 2025-12-31
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 20 9 — — $28,269.42 $109,439.04 $63,606.20 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $32,373.12 $78,064.04 $63,604.55 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 13 11 — — $50,908.99 $123,603.06 $63,537.75 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 11 — — $50,614.97 $122,880.72 $63,170.37 2025-12-31
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 20 9 — — $27,991.36 $108,336.84 $62,980.56 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 11 — — $50,440.35 $122,451.71 $62,952.16 2025-12-31
1934 APR_DRG Acute & Subacute Endocarditis 20 9 — — $27,882.21 $107,904.18 $62,734.97 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 11 — — $50,212.94 $121,893.00 $62,667.99 2025-12-31
2284 APR_DRG Inguinal, Femoral & Umbilical Hernia Procedures 20 9 — — $27,830.99 $107,701.14 $62,619.73 2025-12-31
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 20 9 — — $27,611.46 $106,830.99 $62,125.79 2025-12-31
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 20 9 — — $27,490.12 $106,349.98 $61,852.77 2025-12-31
6964 APR_DRG Other Chemotherapy # 20 9 — — $27,456.58 $106,217.04 $61,777.31 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 11 — — $49,255.36 $119,540.42 $61,471.43 2025-12-31
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 20 9 — — $27,268.15 $105,470.16 $61,353.34 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — — $48,918.30 $118,712.33 $61,050.26 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 11 — — $48,881.75 $118,622.54 $61,004.58 2025-12-31
213 APR_DRG Craniotomy Except For Trauma 20 9 — — $27,075.46 $104,706.35 $60,919.79 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 14 11 — — $49,975.78 $121,310.34 $60,685.92 2025-12-31
5464 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses 20 9 — — $26,927.89 $104,121.42 $60,587.75 2025-12-31
233 APR_DRG Spinal Procedures 20 9 — — $26,858.99 $103,848.28 $60,432.73 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 11 — — $48,389.57 $117,413.33 $60,389.56 2025-12-31
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 20 9 — — $26,755.32 $103,437.38 $60,199.47 2025-12-31
4834 APR_DRG Testes & Scrotal Procedures 20 9 — — $26,746.79 $103,403.54 $60,180.28 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 11 — — $47,886.82 $116,178.17 $59,761.33 2025-12-31
6081 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 20 9 — — $26,541.90 $102,591.39 $59,719.28 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 8 7 — — $56,824.55 $97,738.22 $59,097.54 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — — $47,213.51 $114,523.99 $58,920.00 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 8 — — $55,945.97 $95,068.40 $58,743.27 2025-12-31
S2235 HCPCS Implant Auditory Brain Imp 10 6 — — $36,588.28 $82,323.63 $58,724.19 2025-12-31
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 20 9 — — $26,036.39 $100,587.62 $58,581.88 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 10 — — $49,621.66 $120,440.35 $58,581.62 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 10 — — $49,621.66 $120,440.35 $58,581.62 2025-12-31
8633 APR_DRG Neonatal Aftercare 20 9 — — $25,975.41 $100,345.91 $58,444.67 2025-12-31
914 APR_DRG Other Major Head & Neck Procedures 20 9 — — $25,921.75 $100,133.20 $58,323.94 2025-12-31
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 20 9 — — $25,766.86 $99,519.26 $57,975.44 2025-12-31
1813 APR_DRG Lower Extremity Arterial Procedures # 20 9 — — $25,602.22 $98,866.64 $57,605.00 2025-12-31
903 APR_DRG Major Larynx & Trachea Procedures 20 9 — — $25,579.66 $98,777.21 $57,554.24 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 13 11 — — $45,875.02 $111,235.57 $57,247.45 2025-12-31
2254 APR_DRG Appendectomy 20 9 — — $25,430.87 $98,187.44 $57,219.46 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $46,934.93 $113,839.57 $56,988.85 2025-12-31
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 20 9 — — $25,264.40 $97,527.57 $56,844.90 2025-12-31
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 20 9 — — $25,255.86 $97,493.73 $56,825.69 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 13 11 — — $45,490.85 $110,291.74 $56,767.41 2025-12-31
6132 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 20 9 — — $25,219.89 $97,351.12 $56,744.75 2025-12-31
4624 APR_DRG Nephritis & Nephrosis 20 9 — — $25,161.96 $97,121.50 $56,614.41 2025-12-31
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 20 9 — — $25,147.93 $97,065.90 $56,582.84 2025-12-31
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 20 9 — — $25,138.78 $97,029.65 $56,562.26 2025-12-31
9503 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 20 9 — — $25,017.44 $96,548.64 $56,289.24 2025-12-31
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 20 9 — — $24,919.26 $96,159.49 $56,068.34 2025-12-31
974 APR_DRG Tonsil & Adenoid Procedures 20 9 — — $24,894.26 $96,060.39 $56,012.09 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 11 — — $44,690.03 $108,324.28 $55,766.72 2025-12-31
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 20 9 — — $24,728.40 $95,402.94 $55,638.90 2025-12-31
2004 APR_DRG Cardiac Structural & Valvular Disorders 20 9 — — $24,682.67 $95,221.65 $55,536.01 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 11 — — $44,465.05 $107,771.55 $55,485.59 2025-12-31
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 20 9 — — $24,658.27 $95,124.97 $55,481.11 2025-12-31
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