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

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Hospital

NORTH SHORE UNIVERSITY HOSPITAL

Manhasset, NY · CCN 330106 · Rates published

59,759 distinct procedures filed
17 distinct payers
3,382,929 rate rows
2026-03-31 last MRF observed
Data quality

3,375,581 of 3,382,929 rate rows are consumer-grade (99.8%)

7,348 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
placeholder amount (≤ $0.02) — excluded from medians 7,348
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/South_Shore_University_Hospital_StandardCharges.zip
Found on page https://www.northwell.edu/billing-and-insurance/price-estimator-tools
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 6c25ca582a031833… · 31,000,915 bytes · first seen 2026-05-18

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 14 $347,936.48 $1,377,158.00 $1,009,779.00 nat. median
$370,174
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $259,970.31 $1,028,622.00 $754,220.00 nat. median
$265,286
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $218,998.69 $866,285.00 $635,190.00 nat. median
$206,474
outlier · 3.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $197,882.02 $928,215.00 $519,415.00 nat. median
$202,976
outlier · 2.6×
64401664
CDM 		Antithymocy Glo Eq 50mg/ml Inj 15 $162,041.40 $810,207.00 $384,848.32 nat. median
$384,848
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $121,111.05 $478,438.00 $350,807.50 nat. median
$117,357
outlier · 3.0×
7
MS_DRG 		Lung Transplant 14 $120,806.90 $477,233.00 $349,924.00 nat. median
$122,708
outlier · 2.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $130,587.37 $612,048.00 $322,296.00 nat. median
$133,161
outlier · 2.4×
24
APR_DRG 		Heart &/or Lung Transplant 7 $288,183.62 $757,820.11 $314,879.56 nat. median
$234,729
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 14 $98,005.47 $386,890.00 $312,875.00 nat. median
$99,019
outlier · 3.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $101,921.53 $402,406.00 $295,058.00 nat. median
$108,660
outlier · 2.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $100,762.10 $397,813.00 $291,690.00 nat. median
$102,358
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $98,508.69 $388,884.00 $285,143.00 nat. median
$100,136
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $89,307.93 $362,260.00 $266,781.50 nat. median
$93,672
outlier · 2.8×
64304785
CDM 		Pomalidomide 1mg Cap 15 $103,224.39 $516,121.97 $245,157.93 nat. median
$245,158
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $74,653.81 $294,367.00 $244,436.50 nat. median
$77,570
outlier · 3.2×
5834
APR_DRG 		Neonate W Ecmo 7 $212,501.00 $559,001.87 $239,538.33 nat. median
$309,665
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $78,415.04 $309,270.00 $238,130.50 nat. median
$81,118
outlier · 2.9×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $208,789.90 $549,252.81 $235,360.37 nat. median
$182,665
1.3× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $208,789.90 $549,252.81 $235,360.37 nat. median
$246,434
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $78,458.36 $309,441.00 $229,314.50 nat. median
$79,312
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $71,671.38 $282,550.00 $224,792.00 nat. median
$74,915
outlier · 3.0×
64323991
CDM 		Teplizum Mzwv 1mg/ml2ml Inj Jw 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
64323983
CDM 		Teplizum Mzwv 1mg/ml2ml Inj 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $65,491.77 $274,538.00 $214,304.00 nat. median
$68,886
outlier · 3.1×
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $191,090.04 $502,755.29 $210,656.62 nat. median
$207,730
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $69,152.53 $272,570.00 $205,756.00 nat. median
$72,135
outlier · 2.9×
34
APR_DRG 		Bone Marrow Transplant 7 $185,578.88 $519,429.16 $202,880.12 nat. median
$209,067
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $72,398.55 $285,870.00 $202,318.00 nat. median
$73,807
outlier · 2.7×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 $57,449.51 $226,201.00 $187,854.00 nat. median
$59,099
outlier · 3.2×
64300452
CDM 		Isoproterenol 0.2mg/ml 1ml Inj 15 $77,265.90 $386,329.50 $183,506.51 nat. median
$183,507
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $63,291.81 $249,349.00 $182,831.50 nat. median
$64,732
outlier · 2.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $55,573.05 $256,878.00 $181,682.50 nat. median
$60,726
outlier · 3.0×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $160,626.14 $422,726.62 $181,137.61 nat. median
$164,289
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $160,050.78 $421,215.13 $180,489.86 nat. median
$145,336
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $61,914.87 $243,893.00 $178,831.00 nat. median
$64,023
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $61,810.72 $243,481.00 $178,528.50 nat. median
$65,950
outlier · 2.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $59,878.04 $235,823.00 $176,102.50 nat. median
$64,508
outlier · 2.7×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $53,256.04 $214,008.00 $174,062.50 nat. median
$58,020
outlier · 3.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $59,963.76 $239,811.00 $173,162.50 nat. median
$62,134
outlier · 2.8×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $52,939.92 $203,842.00 $173,022.50 nat. median
$55,916
outlier · 3.1×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 7 $155,397.72 $408,991.56 $169,935.52 nat. median
$160,267
1.1× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $149,921.07 $394,604.41 $169,085.85 nat. median
$105,658
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $64,473.35 $254,031.00 $168,497.00 nat. median
$66,526
outlier · 2.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 $51,301.24 $205,200.00 $167,633.00 nat. median
$54,045
outlier · 3.1×
28
MS_DRG 		Spinal Procedures With Mcc 14 $56,390.54 $222,005.00 $167,341.50 nat. median
$57,822
outlier · 2.9×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $57,115.88 $224,879.00 $164,889.00 nat. median
$59,793
outlier · 2.8×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $144,691.83 $380,867.19 $163,198.76 nat. median
$151,838
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 14 $55,988.72 $220,413.00 $161,614.00 nat. median
$56,918
outlier · 2.8×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 14 $55,988.72 $220,413.00 $161,614.00 nat. median
$53,807
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 59,759 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 46 14 — $1,460,631.00 $347,936.48 $1,377,158.00 $1,009,779.00 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 46 14 — $1,059,255.00 $259,970.31 $1,028,622.00 $754,220.00 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 14 — $892,120.00 $218,998.69 $866,285.00 $635,190.00 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 14 — $1,017,604.00 $197,882.02 $928,215.00 $519,415.00 2026-03-31
64401664 CDM Antithymocy Glo Eq 50mg/ml Inj 68 15 — $421,909.22 $162,041.40 $810,207.00 $384,848.32 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 46 14 — $507,584.00 $121,111.05 $478,438.00 $350,807.50 2026-03-31
7 MS_DRG Lung Transplant 46 14 — $491,566.00 $120,806.90 $477,233.00 $349,924.00 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 14 — $670,990.00 $130,587.37 $612,048.00 $322,296.00 2026-03-31
24 APR_DRG Heart &/or Lung Transplant 24 7 — $1,971,100.00 $288,183.62 $757,820.11 $314,879.56 2026-03-31
215 MS_DRG Other Heart Assist System Implant 46 14 — $398,553.00 $98,005.47 $386,890.00 $312,875.00 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 14 — $414,527.00 $101,921.53 $402,406.00 $295,058.00 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 14 — $409,798.00 $100,762.10 $397,813.00 $291,690.00 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 14 — $400,605.00 $98,508.69 $388,884.00 $285,143.00 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $397,146.00 $89,307.93 $362,260.00 $266,781.50 2026-03-31
64304785 CDM Pomalidomide 1mg Cap 68 15 — $268,766.64 $103,224.39 $516,121.97 $245,157.93 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 14 — $303,294.00 $74,653.81 $294,367.00 $244,436.50 2026-03-31
5834 APR_DRG Neonate W Ecmo 24 7 — $1,776,012.00 $212,501.00 $559,001.87 $239,538.33 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $318,637.00 $78,415.04 $309,270.00 $238,130.50 2026-03-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,667,808.00 $208,789.90 $549,252.81 $235,360.37 2026-03-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,784,497.00 $208,789.90 $549,252.81 $235,360.37 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 14 — $318,814.00 $78,458.36 $309,441.00 $229,314.50 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $291,128.00 $71,671.38 $282,550.00 $224,792.00 2026-03-31
64323983 CDM Teplizum Mzwv 1mg/ml2ml Inj 68 15 — $243,317.21 $93,450.10 $467,250.52 $221,944.00 2026-03-31
64323991 CDM Teplizum Mzwv 1mg/ml2ml Inj Jw 68 15 — $221,944.00 $93,450.10 $467,250.52 $221,944.00 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 14 — $265,920.00 $65,491.77 $274,538.00 $214,304.00 2026-03-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $328,363.00 $191,090.04 $502,755.29 $210,656.62 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 14 — $280,853.00 $69,152.53 $272,570.00 $205,756.00 2026-03-31
34 APR_DRG Bone Marrow Transplant 24 7 — $795,388.00 $185,578.88 $519,429.16 $202,880.12 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 14 — $313,399.00 $72,398.55 $285,870.00 $202,318.00 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 14 — $233,113.00 $57,449.51 $226,201.00 $187,854.00 2026-03-31
64300452 CDM Isoproterenol 0.2mg/ml 1ml Inj 68 15 — $201,178.19 $77,265.90 $386,329.50 $183,506.51 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 14 — $256,945.00 $63,291.81 $249,349.00 $182,831.50 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 46 14 — $225,458.00 $55,573.05 $256,878.00 $181,682.50 2026-03-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,066,070.00 $160,626.14 $422,726.62 $181,137.61 2026-03-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,223,568.00 $160,050.78 $421,215.13 $180,489.86 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 46 14 — $251,328.00 $61,914.87 $243,893.00 $178,831.00 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 14 — $250,904.00 $61,810.72 $243,481.00 $178,528.50 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $243,020.00 $59,878.04 $235,823.00 $176,102.50 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $216,006.00 $53,256.04 $214,008.00 $174,062.50 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 14 — $250,663.00 $59,963.76 $239,811.00 $173,162.50 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — $214,717.00 $52,939.92 $203,842.00 $173,022.50 2026-03-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 7 — $1,455,120.00 $155,397.72 $408,991.56 $169,935.52 2026-03-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $1,100,507.00 $149,921.07 $394,604.41 $169,085.85 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 14 — $269,611.00 $64,473.35 $254,031.00 $168,497.00 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 14 — $208,032.00 $51,301.24 $205,200.00 $167,633.00 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 46 14 — $228,793.00 $56,390.54 $222,005.00 $167,341.50 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 46 14 — $231,752.00 $57,115.88 $224,879.00 $164,889.00 2026-03-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,416,264.00 $144,691.83 $380,867.19 $163,198.76 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 46 14 — $233,962.00 $55,988.72 $220,413.00 $161,614.00 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 46 14 — $233,962.00 $55,988.72 $220,413.00 $161,614.00 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $223,898.00 $55,190.57 $217,251.00 $159,295.50 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 14 — $229,891.00 $56,659.67 $223,071.00 $159,164.00 2026-03-31
64496193 CDM Sipuleucel T 250ml Inj 68 15 — $158,937.66 $66,921.12 $334,605.60 $158,937.66 2026-03-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $1,020,198.00 $145,263.09 $427,849.44 $158,872.93 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 14 — $230,944.00 $56,917.72 $216,754.00 $157,941.00 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 14 — $221,450.00 $54,590.58 $214,873.00 $157,835.50 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 14 — $204,477.00 $43,233.19 $191,474.00 $156,335.50 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 14 — $219,123.00 $54,020.09 $212,613.00 $155,895.00 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 14 — $237,997.00 $58,646.73 $230,944.00 $155,119.00 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $199,362.00 $49,175.94 $193,420.00 $153,013.00 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 14 — $187,580.00 $46,287.51 $181,975.00 $151,064.50 2026-03-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 7 — $564,801.00 $132,595.21 $349,089.36 $149,580.38 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 46 14 — $209,811.00 $51,737.17 $203,568.00 $149,262.50 2026-03-31
245 MS_DRG Aicd Generator Procedures 46 14 — $183,952.00 $45,398.12 $227,345.00 $148,218.50 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 46 14 — $214,266.00 $51,301.24 $276,615.00 $147,996.00 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 14 — $204,325.00 $50,392.50 $198,240.00 $147,568.00 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 46 14 — $191,764.00 $47,313.29 $186,040.00 $145,069.00 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 46 14 — $179,767.00 $44,372.33 $174,387.00 $144,845.00 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 14 — $203,284.00 $50,137.20 $197,228.00 $144,614.50 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 14 — $177,105.00 $43,719.80 $210,130.00 $142,699.00 2026-03-31
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $677,508.00 $125,669.46 $330,895.43 $141,783.39 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 14 — $193,208.00 $47,667.20 $209,781.00 $140,049.00 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 14 — $200,246.00 $49,392.51 $194,278.00 $137,477.00 2026-03-31
23 APR_DRG Heart &/or Lung Transplant 24 7 — $1,450,340.00 $125,235.47 $339,549.71 $137,011.55 2026-03-31
5833 APR_DRG Neonate W Ecmo 24 7 — $1,740,359.00 $121,319.71 $319,468.62 $136,886.42 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 14 — $203,069.00 $50,084.68 $197,020.00 $136,674.00 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 46 14 — $182,843.00 $45,126.24 $177,374.00 $136,173.00 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 46 14 — $191,178.00 $47,169.52 $185,470.00 $135,992.50 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $172,891.00 $42,686.64 $167,708.00 $134,847.00 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 46 14 — $194,126.00 $46,507.78 $201,692.00 $134,070.00 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 14 — $188,332.00 $46,471.83 $182,706.00 $133,965.50 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $162,567.00 $40,155.81 $189,132.00 $130,977.50 2026-03-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 7 — $1,212,463.00 $115,873.47 $305,161.36 $130,755.06 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 14 — $196,522.00 $46,453.40 $183,812.00 $130,553.00 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 46 14 — $182,538.00 $45,051.58 $177,078.00 $129,839.50 2026-03-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 7 — $644,000.00 $114,720.28 $302,131.91 $129,456.79 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 14 — $203,092.00 $50,090.20 $197,042.00 $128,200.00 2026-03-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,330,301.00 $113,310.63 $298,428.79 $127,869.82 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 46 14 — $178,989.00 $44,181.56 $173,631.00 $127,312.00 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 14 — $156,653.00 $38,706.07 $151,936.00 $126,209.50 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 46 14 — $154,510.00 $38,180.74 $149,855.00 $124,482.00 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 14 — $189,595.00 $46,781.50 $183,932.00 $123,722.00 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 46 14 — $173,515.00 $42,839.64 $168,314.00 $123,413.50 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 14 — $173,443.00 $42,822.13 $168,245.00 $123,363.00 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 14 — $198,126.00 $42,680.20 $180,722.00 $122,950.50 2026-03-31
64304793 CDM Pomalidomide 2mg Cap 68 15 — $134,383.32 $51,612.20 $258,060.98 $122,578.97 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 46 14 — $169,845.00 $41,940.12 $164,750.00 $121,783.50 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 14 — $180,136.00 $41,577.91 $164,537.00 $121,274.00 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 46 14 — $166,796.00 $41,192.66 $161,789.00 $118,629.00 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 14 — $178,955.00 $44,173.26 $173,598.00 $118,342.00 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 14 — $165,379.00 $40,845.21 $160,412.00 $117,619.50 2026-03-31
22 APR_DRG Heart &/or Lung Transplant 24 7 — $1,026,264.00 $106,963.54 $281,754.98 $117,066.61 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 46 14 — $143,934.00 $35,588.16 $139,583.00 $115,955.00 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 46 14 — $167,782.00 $40,237.85 $158,005.00 $115,855.00 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 46 14 — $176,158.00 $43,487.55 $170,881.00 $115,135.00 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 14 — $160,600.00 $39,673.80 $155,771.00 $114,903.50 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 14 — $160,364.00 $39,615.73 $155,541.00 $114,047.50 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 46 14 — $168,834.00 $41,692.20 $163,768.00 $113,514.00 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 46 14 — $159,228.00 $39,337.40 $154,438.00 $113,238.50 2026-03-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $516,432.00 $102,852.15 $270,954.35 $112,578.77 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 46 14 — $157,777.00 $38,981.64 $153,028.00 $112,205.50 2026-03-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 24 7 — $1,028,782.00 $101,897.87 $268,447.45 $111,537.11 2026-03-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $1,340,299.00 $101,153.18 $266,491.16 $110,724.24 2026-03-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $208,616.00 $101,153.18 $266,491.16 $110,724.24 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 14 — $154,826.00 $38,258.15 $150,162.00 $110,103.50 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 46 14 — $154,739.00 $38,236.95 $150,078.00 $110,042.00 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 46 14 — $147,239.00 $36,398.28 $142,792.00 $109,934.50 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 46 14 — $146,427.00 $36,199.21 $142,004.00 $109,430.00 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 46 14 — $153,145.00 $37,846.18 $148,529.00 $108,906.50 2026-03-31
33 APR_DRG Bone Marrow Transplant 24 7 — $656,659.00 $98,557.47 $259,672.21 $107,890.85 2026-03-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $1,783,133.00 $98,489.25 $259,492.99 $107,816.39 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 46 14 — $132,956.00 $32,896.96 $128,920.00 $107,104.50 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 46 14 — $149,998.00 $37,074.77 $145,473.00 $106,665.50 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 46 14 — $149,893.00 $37,048.96 $145,371.00 $106,590.50 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 46 14 — $148,265.00 $36,649.89 $143,789.00 $105,431.50 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 14 — $147,964.00 $36,576.16 $143,497.00 $105,217.00 2026-03-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $1,025,038.00 $93,124.38 $245,399.50 $105,144.13 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 46 14 — $129,001.00 $31,927.40 $125,078.00 $103,915.50 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 46 14 — $145,536.00 $35,980.78 $141,138.00 $103,487.50 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 46 14 — $145,389.00 $35,944.83 $140,996.00 $103,383.00 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — $143,156.00 $35,397.38 $142,108.00 $101,792.50 2026-03-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $836,273.00 $92,959.99 $244,967.65 $101,780.86 2026-03-31
904 APR_DRG Major Larynx & Trachea Procedures 24 7 — $1,007,799.00 $76,366.90 $246,874.28 $101,636.24 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 46 14 — $142,043.00 $35,124.57 $137,746.00 $101,000.00 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 46 14 — $140,911.00 $34,847.15 $136,647.00 $100,194.00 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 14 — $129,722.00 $32,104.35 $125,779.00 $100,020.00 2026-03-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,234,416.00 $91,972.01 $242,372.22 $99,790.62 2026-03-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 7 — $957,481.00 $90,924.85 $239,621.32 $99,559.38 2026-03-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 24 7 — $1,366,874.00 $87,792.40 $231,392.38 $99,141.38 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 46 14 — $141,519.00 $33,987.26 $133,240.00 $97,696.00 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 14 — $144,983.00 $35,845.30 $140,601.00 $97,187.00 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 14 — $136,452.00 $33,754.09 $132,316.00 $97,018.50 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 46 14 — $139,037.00 $33,396.49 $130,899.00 $95,979.50 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 14 — $128,286.00 $31,752.28 $124,384.00 $95,767.00 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 46 14 — $133,738.00 $33,088.67 $129,679.00 $95,085.00 2026-03-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $235,933.00 $84,152.81 $221,831.17 $95,043.93 2026-03-31
4404 APR_DRG Kidney Transplant 24 7 — $424,813.00 $86,729.62 $228,600.46 $94,980.02 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 46 14 — $148,570.00 $36,724.54 $144,085.00 $94,708.00 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 46 14 — $135,001.00 $33,398.34 $130,906.00 $94,564.00 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 46 14 — $132,922.00 $32,888.67 $128,887.00 $94,504.50 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 46 14 — $132,587.00 $32,806.64 $128,562.00 $94,266.00 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 14 — $117,011.00 $28,988.27 $113,433.00 $94,249.00 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 46 14 — $131,956.00 $32,651.80 $127,948.00 $93,816.00 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 46 14 — $131,862.00 $32,628.76 $127,857.00 $93,749.00 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 46 14 — $131,629.00 $32,571.62 $127,631.00 $93,583.00 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 14 — $126,425.00 $31,296.07 $122,577.00 $93,354.50 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 46 14 — $129,196.00 $31,975.31 $125,268.00 $93,347.50 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 46 14 — $130,779.00 $32,363.33 $126,805.00 $92,978.00 2026-03-31
332 MS_DRG Rectal Resection With Mcc 46 14 — $130,636.00 $32,328.31 $126,667.00 $92,876.00 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 46 14 — $130,493.00 $32,293.28 $126,528.00 $92,774.50 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 46 14 — $129,519.00 $32,054.58 $125,582.00 $92,081.00 2026-03-31
665 MS_DRG Prostatectomy With Mcc 46 14 — $129,316.00 $32,004.81 $125,385.00 $91,936.50 2026-03-31
265 MS_DRG Aicd Lead Procedures 46 14 — $134,339.00 $33,236.13 $130,263.00 $91,109.00 2026-03-31
64320856 CDM Givosiran 189mg/ml Inj 68 15 — $99,863.83 $38,354.40 $191,772.00 $91,091.70 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 7 — $85,534.00 $83,111.40 $219,095.39 $91,030.51 2026-03-31
64486210 CDM Foscarnet 2.4mg/0.1ml Oph Inj 68 15 — $90,949.77 $38,294.64 $191,473.20 $90,949.77 2026-03-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $408,131.00 $82,254.11 $216,843.28 $90,850.02 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 46 14 — $127,752.00 $31,621.41 $123,866.00 $90,822.50 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 46 14 — $157,739.00 $38,972.43 $152,992.00 $89,282.00 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 46 14 — $125,079.00 $30,966.12 $121,269.00 $88,918.50 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 46 14 — $124,365.00 $30,791.01 $120,575.00 $88,410.00 2026-03-31
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 24 7 — $266,563.00 $80,288.82 $211,680.49 $87,949.50 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 46 14 — $122,714.00 $30,386.41 $118,972.00 $87,234.50 2026-03-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $510,149.00 $79,331.25 $209,164.95 $86,904.26 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 46 14 — $107,894.00 $26,753.29 $132,413.00 $86,898.50 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 14 — $111,082.00 $27,534.84 $107,674.00 $86,366.00 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 46 14 — $121,259.00 $30,029.73 $117,559.00 $86,198.00 2026-03-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 24 7 — $466,053.00 $78,515.06 $207,020.81 $86,013.32 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 14 — $120,699.00 $29,892.40 $117,015.00 $85,799.50 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 46 14 — $120,350.00 $29,806.69 $116,675.00 $85,550.00 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 46 14 — $123,717.00 $29,750.47 $121,116.00 $85,387.00 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 14 — $131,914.00 $32,641.67 $127,908.00 $85,178.00 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 46 14 — $119,797.00 $29,671.22 $116,139.00 $85,157.00 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 46 14 — $119,556.00 $29,612.23 $115,905.00 $84,985.00 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 46 14 — $119,357.00 $29,563.38 $115,711.00 $84,843.50 2026-03-31
274868 CDM Membrane Maci Autologous Cultured Chondrocytes On Porcine Co 56 14 — $64,597.98 $49,690.75 $198,763.00 $84,474.27 2026-03-31
273011 CDM Membrane Maci Final Assembled 56 14 — $70,818.76 $49,690.75 $198,763.00 $84,474.27 2026-03-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 24 7 — $369,707.00 $76,850.61 $202,648.30 $84,196.48 2026-03-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $468,854.00 $76,578.55 $201,933.58 $83,899.50 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 46 14 — $117,511.00 $29,110.85 $113,918.00 $83,528.50 2026-03-31
280356 CDM Vlv Pulm Sapien 3 And Alterra Adapt Present With Del Sys 29mm 56 14 — $69,495.83 $48,762.50 $195,050.00 $82,896.25 2026-03-31
64477458 CDM Carmustine 7.7mg Wafer Impl 69 15 — $90,809.86 $34,877.07 $174,385.35 $82,833.04 2026-03-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 24 7 — $305,237.00 $75,371.92 $218,632.24 $82,582.39 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 46 14 — $116,165.00 $28,780.91 $112,611.00 $82,570.50 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $469,129.00 $75,116.30 $198,092.27 $82,303.36 2026-03-31
652 MS_DRG Kidney Transplant 46 14 — $115,699.00 $28,666.62 $112,158.00 $82,238.50 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 46 14 — $115,594.00 $28,640.82 $112,056.00 $82,163.00 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 46 14 — $116,488.00 $28,860.17 $112,925.00 $82,138.50 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $332,868.00 $74,911.63 $197,554.60 $82,079.96 2026-03-31
283735 CDM Device Vent Assist Impella 5.5 56 14 — $62,627.50 $48,175.00 $192,700.00 $81,897.50 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 14 — $122,767.00 $30,399.31 $119,024.00 $81,862.00 2026-03-31
222700 CDM Imp Stimulator Neuro 56 14 — $62,551.13 $48,116.25 $192,465.00 $81,797.62 2026-03-31
64304801 CDM Pomalidomide 3mg Cap 68 15 — $81,719.31 $34,408.13 $172,040.65 $81,719.31 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 46 14 — $121,131.00 $28,548.65 $113,846.00 $81,539.50 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 46 14 — $100,337.00 $24,900.79 $97,237.00 $80,806.00 2026-03-31
570 MS_DRG Skin Debridement With Mcc 46 14 — $113,398.00 $28,102.58 $109,923.00 $80,599.50 2026-03-31
6904 APR_DRG Acute Leukemia 24 7 — $69,788.00 $73,323.63 $193,382.92 $80,346.55 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 46 14 — $115,864.00 $27,881.39 $109,047.00 $79,957.00 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 24 7 — $515,755.00 $72,375.10 $190,891.12 $79,311.17 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 46 14 — $110,796.00 $27,464.80 $107,396.00 $78,747.00 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 46 14 — $110,496.00 $27,391.07 $107,104.00 $78,724.00 2026-03-31
241796 CDM Generator Sentiva 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
285856 CDM Generator Dual Sentive Dual Pin Receptacle 10cc 56 14 — $59,793.99 $45,995.38 $183,981.50 $78,192.14 2026-03-31
243124 CDM Stim Sentiva Vagus Nerve 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 46 14 — $109,868.00 $27,237.15 $106,495.00 $78,085.50 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 46 14 — $109,808.00 $27,222.41 $106,436.00 $78,042.50 2026-03-31
800 MS_DRG Splenic Procedures With Cc 46 14 — $109,774.00 $27,214.11 $106,403.00 $78,018.50 2026-03-31
294740 CDM Sys Del Triclip G4 Ntw 56 14 — $59,572.50 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294742 CDM Sys Del Triclip G4 Xt 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294744 CDM Sys Del Triclip G4 Xtw 56 14 — $59,572.50 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294738 CDM Sys Del Triclip G4 Nt 56 14 — $59,572.50 $45,825.00 $183,300.00 $77,902.50 2026-03-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 7 — $685,524.00 $71,026.28 $187,347.78 $77,838.85 2026-03-31
288239 CDM Sys Proclaim DRG 3 Lead Perm 56 14 — $64,924.17 $45,554.75 $182,219.00 $77,443.08 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 46 14 — $96,028.00 $23,844.59 $93,053.00 $77,332.00 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 46 14 — $99,463.00 $23,103.59 $90,726.00 $77,197.50 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 24 7 — $355,985.00 $70,323.51 $185,501.61 $77,071.74 2026-03-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $637,883.00 $70,145.97 $215,352.98 $76,877.95 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 46 14 — $108,018.00 $26,783.71 $104,698.00 $76,768.00 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 46 14 — $107,830.00 $26,737.63 $104,515.00 $76,634.50 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 46 14 — $107,680.00 $26,700.76 $104,369.00 $76,527.00 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 46 14 — $105,811.00 $26,242.70 $102,554.00 $76,308.50 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 46 14 — $94,299.00 $23,420.63 $91,373.00 $75,937.50 2026-03-31
291719 CDM Vlv Evoque G190289/s013 56mm For Study Only 56 14 — $63,634.73 $44,650.00 $178,600.00 $75,905.00 2026-03-31
266567 CDM Vlv Tric Evoque G190289/s013 52mm For Study Only 56 14 — $63,634.73 $44,650.00 $178,600.00 $75,905.00 2026-03-31
266565 CDM Vlv Tric Evoque G190289/s013 44mm For Study Only 56 14 — $58,045.00 $44,650.00 $178,600.00 $75,905.00 2026-03-31
266566 CDM Vlv Tric Evoque G190289/s013 48mm For Study Only 56 14 — $58,045.00 $44,650.00 $178,600.00 $75,905.00 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 46 14 — $96,634.00 $29,123.76 $113,970.00 $75,805.50 2026-03-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 7 — $287,996.00 $68,890.03 $181,735.86 $75,507.01 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 46 14 — $105,702.00 $26,215.98 $102,448.00 $75,118.50 2026-03-31
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 24 7 — $360,397.00 $68,073.02 $179,589.56 $74,615.19 2026-03-31
64490121 CDM Treprostinil 0.6 Mg/ml Inh Sol 68 15 — $81,650.41 $31,359.23 $156,796.13 $74,478.16 2026-03-31
234 APR_DRG Spinal Procedures 24 7 — $374,871.00 $67,808.35 $178,894.28 $74,326.28 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 46 14 — $106,326.00 $26,368.96 $103,055.00 $74,118.00 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 46 14 — $109,714.00 $27,199.37 $106,345.00 $73,921.00 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 46 14 — $96,209.00 $23,888.83 $93,228.00 $73,818.00 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 46 14 — $103,104.00 $25,579.12 $99,925.00 $73,268.50 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 46 14 — $106,001.00 $25,533.96 $99,746.00 $73,137.50 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 46 14 — $102,732.00 $25,487.88 $99,564.00 $73,003.50 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 46 14 — $84,644.00 $26,596.62 $103,957.00 $72,749.50 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 46 14 — $105,428.00 $25,397.55 $127,112.00 $72,741.00 2026-03-31
288240 CDM Sys Proclaim DRG 4 Lead Perm 56 14 — $60,905.14 $42,734.75 $170,939.00 $72,649.08 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 46 14 — $104,913.00 $25,274.98 $98,720.00 $72,385.00 2026-03-31
64316110 CDM Tagraxofusp-erzs 100mcg Inj 69 15 — $79,103.47 $30,381.03 $151,905.15 $72,154.95 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 46 14 — $101,529.00 $25,192.95 $98,395.00 $72,146.50 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 46 14 — $104,154.00 $25,094.34 $98,004.00 $71,860.00 2026-03-31
263 MS_DRG Vein Ligation And Stripping 46 14 — $101,063.00 $25,078.67 $97,942.00 $71,814.50 2026-03-31
849 MS_DRG Radiotherapy 46 14 — $103,662.00 $24,977.28 $97,541.00 $71,520.00 2026-03-31
32 APR_DRG Bone Marrow Transplant 24 7 — $424,672.00 $65,165.78 $190,445.28 $71,441.76 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 46 14 — $99,980.00 $24,813.23 $96,891.00 $71,043.50 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 46 14 — $99,856.00 $24,782.83 $96,770.00 $70,955.00 2026-03-31
503 MS_DRG Foot Procedures With Mcc 46 14 — $99,728.00 $24,751.48 $96,646.00 $70,864.00 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 46 14 — $99,626.00 $24,726.60 $96,547.00 $70,791.50 2026-03-31
242603 CDM Neurostimulator Rns-320m-k 56 14 — $59,029.59 $41,418.75 $165,675.00 $70,411.88 2026-03-31
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 24 7 — $388,617.00 $64,097.25 $169,145.22 $70,275.39 2026-03-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 24 7 — $89,115.00 $64,065.19 $169,061.01 $70,240.40 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 46 14 — $98,596.00 $24,474.07 $95,547.00 $70,058.00 2026-03-31
293968 CDM Thoraflex Hybrid Anteflo 150 30x38mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
254963 CDM Kit Impella 5.5 Aic Pump 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279092 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279026 CDM Stent Graft Thoraflex Hybrid Dvc 30x36x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
293969 CDM Thoraflex Hybrid Anteflo 150 30x40 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279059 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x10mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
295289 CDM Stent Graft Thoraflex Hybrid Ante Flo 32x40x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278209 CDM Sys Imp Pascal Ace G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
284858 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278207 CDM Sys Imp Pascal G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278928 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x100mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
298890 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x100mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
282727 CDM Sys Imp Pascal Prec G180266 Study Only 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279002 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
284577 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
255502 CDM Sys Imp Mitrl Pascal G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 24 7 — $349,853.00 $63,653.39 $167,979.22 $69,790.90 2026-03-31
215352 CDM Generator Aspire Sr Model 106 56 14 — $53,146.31 $40,881.78 $163,527.10 $69,499.02 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 14 — $282,431.00 $5,824.00 $257,621.00 $69,333.00 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 46 14 — $97,547.00 $24,216.93 $94,528.00 $69,324.00 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 46 14 — $97,386.00 $24,177.30 $94,371.00 $69,196.00 2026-03-31
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 24 7 — $199,166.00 $63,051.73 $166,398.64 $69,134.14 2026-03-31
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $455,883.00 $62,846.24 $165,858.82 $68,909.84 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 46 14 — $92,273.00 $22,923.87 $89,405.00 $68,628.00 2026-03-31
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 24 7 — $646,942.00 $62,419.65 $164,738.16 $68,444.19 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 46 14 — $99,119.00 $23,896.20 $93,257.00 $68,379.00 2026-03-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 46 14 — $84,922.00 $21,122.06 $82,265.00 $68,378.50 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 46 14 — $94,855.00 $23,557.04 $91,913.00 $68,358.50 2026-03-31
6954 APR_DRG Chemotherapy For Acute Leukemia # 24 7 — $309,196.00 $62,093.33 $163,880.94 $68,087.99 2026-03-31
284711 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 26mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284710 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 23mm 56 14 — $51,935.00 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284712 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 29mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284709 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 20mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 46 14 — $85,750.00 $21,324.82 $83,069.00 $67,786.00 2026-03-31
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