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

ST JAMES HOSPITAL

Hornell, NY · CCN 330151 · Rates published

14,849 distinct procedures filed
47 distinct payers
414,101 rate rows
2026-01-01 last MRF observed
Data quality

386,776 of 414,101 rate rows are consumer-grade (93.4%)

27,325 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 24,645
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,244
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 652
template filing: same amount across many unrelated codes — excluded 612
placeholder amount (≤ $0.02) — excluded from medians 168
per-diem day rate — not a per-procedure price 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.urmc.rochester.edu/getmedia/824004d0-5956-4624-bbd7-018711440b65/160743310-ST-JAMES-HOSPITAL-standardcharges.csv
Found on page https://www.urmc.rochester.edu/pay-a-bill/cost-estimates-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 096b01768b43c021… · 102,793,692 bytes · first seen 2026-05-05

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 12 $226,018.78 $397,756.77 $394,304.76 nat. median
$168,055
outlier · 2.3×
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 13 $173,614.99 $448,804.73 $215,522.06 nat. median
$149,948
1.4× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 13 $173,614.99 $448,804.73 $215,522.06 nat. median
$149,948
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $111,748.52 $196,659.46 $195,230.64 nat. median
$131,925
1.5× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 13 $156,538.16 $404,660.15 $194,323.24 nat. median
$135,199
1.4× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 13 $156,538.16 $404,660.15 $194,323.24 nat. median
$135,199
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $111,092.70 $195,505.32 $194,088.12 nat. median
$145,435
1.3× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 13 $139,461.33 $360,515.56 $173,124.41 nat. median
$3,015
outlier · 57.4×
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 13 $139,461.33 $360,515.56 $173,124.41 nat. median
$3,015
outlier · 57.4×
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 13 $122,384.51 $316,370.98 $151,925.59 nat. median
$3,015
outlier · 50.4×
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 13 $122,384.51 $316,370.98 $151,925.59 nat. median
$3,015
outlier · 50.4×
5834
APR_DRG 		Neonate W Ecmo 16 $117,206.88 $446,481.78 $137,923.52 nat. median
$390,362
outlier · 0.4×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 16 $115,158.73 $438,650.96 $135,513.89 nat. median
$286,698
outlier · 0.5×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 16 $115,158.73 $438,650.96 $135,513.89 nat. median
$173,134
0.8× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 13 $108,153.82 $279,583.83 $134,259.91 nat. median
$93,410
1.4× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 13 $108,153.82 $279,583.83 $134,259.91 nat. median
$93,410
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $72,498.23 $127,585.25 $126,851.38 nat. median
$97,418
1.3× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 16 $105,390.17 $401,302.40 $124,021.33 nat. median
$202,242
0.6× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 13 $96,769.26 $250,154.11 $120,127.36 nat. median
$83,578
1.4× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 13 $96,769.26 $250,154.11 $120,127.36 nat. median
$83,578
1.4× median
1597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 13 $85,384.71 $220,724.39 $105,994.81 nat. median
$73,745
1.4× median
1583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 13 $85,384.71 $220,724.39 $105,994.81 nat. median
$73,745
1.4× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 16 $88,577.14 $337,020.33 $104,241.05 nat. median
$171,497
0.6× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 16 $88,259.59 $335,806.25 $103,867.47 nat. median
$152,383
0.7× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 16 $88,259.59 $335,806.25 $103,867.47 nat. median
$130,862
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $59,242.60 $104,257.47 $103,758.29 nat. median
$2,110
outlier · 49.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $57,684.96 $101,516.27 $101,044.68 nat. median
$2,736
outlier · 36.9×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 16 $85,691.57 $325,987.81 $100,846.23 nat. median
$173,018
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $56,915.04 $100,161.34 $99,703.37 nat. median
$74,509
1.3× median
4-Apr
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 16 $82,669.01 $314,431.50 $97,290.23 —
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 16 $79,782.99 $303,397.25 $93,894.87 nat. median
$168,439
0.6× median
1596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 13 $74,000.16 $191,294.66 $91,862.27 nat. median
$63,912
1.4× median
1582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 13 $74,000.16 $191,294.66 $91,862.27 nat. median
$63,912
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 12 $52,114.94 $91,713.93 $91,340.95 nat. median
$73,023
1.3× median
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 13 $73,161.14 $189,125.75 $90,820.73 nat. median
$54,832
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $51,203.18 $90,109.37 $89,752.54 nat. median
$69,822
1.3× median
38240
CPT 		Transplt Allo Hct/donor 16 $1,095.00 $189,125.75 $87,456.99 nat. median
$28,331
outlier · 3.1×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 16 $73,106.86 $277,872.08 $86,040.51 nat. median
$198,578
outlier · 0.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $47,156.25 $82,987.43 $82,702.25 nat. median
$2,596
outlier · 31.9×
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 $69,284.54 $263,258.03 $81,543.60 nat. median
$124,731
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $45,323.82 $79,762.65 $79,509.92 nat. median
$2,633
outlier · 30.2×
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 16 $67,112.99 $254,955.46 $78,988.81 nat. median
$54,727
1.4× median
5833
APR_DRG 		Neonate W Ecmo 16 $66,883.91 $254,079.59 $78,719.29 nat. median
$268,208
outlier · 0.3×
1581
OTHER 		New Technology - Level 44 ($50,001-$60,000) 13 $62,615.61 $161,864.94 $77,729.72 nat. median
$54,080
1.4× median
1595
OTHER 		New Technology - Level 44 ($50,001-$60,000) 13 $62,615.61 $161,864.94 $77,729.72 nat. median
$54,080
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $44,122.10 $77,647.81 $77,416.35 nat. median
$60,505
1.3× median
5831
APR_DRG 		Neonate W Ecmo 16 $65,645.94 $249,346.41 $77,262.85 nat. median
$173,909
outlier · 0.4×
5832
APR_DRG 		Neonate W Ecmo 16 $65,645.94 $249,346.41 $77,262.85 nat. median
$201,678
outlier · 0.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $43,983.40 $77,403.72 $77,174.71 nat. median
$59,651
1.3× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 16 $63,878.13 $242,587.45 $75,183.04 nat. median
$115,963
0.6× median

Other procedures at this hospital

Browse this hospital's 14,849 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 12 12 — — $226,018.78 $397,756.77 $394,304.76 2026-01-01
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 15 13 — — $173,614.99 $448,804.73 $215,522.06 2026-01-01
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 15 13 — — $173,614.99 $448,804.73 $215,522.06 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 12 — — $111,748.52 $196,659.46 $195,230.64 2026-01-01
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 15 13 — — $156,538.16 $404,660.15 $194,323.24 2026-01-01
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 15 13 — — $156,538.16 $404,660.15 $194,323.24 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 12 — — $111,092.70 $195,505.32 $194,088.12 2026-01-01
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 15 13 — — $139,461.33 $360,515.56 $173,124.41 2026-01-01
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 15 13 — — $139,461.33 $360,515.56 $173,124.41 2026-01-01
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 15 13 — — $122,384.51 $316,370.98 $151,925.59 2026-01-01
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 15 13 — — $122,384.51 $316,370.98 $151,925.59 2026-01-01
5834 APR_DRG Neonate W Ecmo 24 16 — — $117,206.88 $446,481.78 $137,923.52 2026-01-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 24 16 — — $115,158.73 $438,650.96 $135,513.89 2026-01-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 24 16 — — $115,158.73 $438,650.96 $135,513.89 2026-01-01
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 15 13 — — $108,153.82 $279,583.83 $134,259.91 2026-01-01
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 15 13 — — $108,153.82 $279,583.83 $134,259.91 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 12 — — $72,498.23 $127,585.25 $126,851.38 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 16 — — $105,390.17 $401,302.40 $124,021.33 2026-01-01
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 15 13 — — $96,769.26 $250,154.11 $120,127.36 2026-01-01
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 15 13 — — $96,769.26 $250,154.11 $120,127.36 2026-01-01
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 15 13 — — $85,384.71 $220,724.39 $105,994.81 2026-01-01
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 15 13 — — $85,384.71 $220,724.39 $105,994.81 2026-01-01
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 16 — — $88,577.14 $337,020.33 $104,241.05 2026-01-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 24 16 — — $88,259.59 $335,806.25 $103,867.47 2026-01-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 24 16 — — $88,259.59 $335,806.25 $103,867.47 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 12 12 — — $59,242.60 $104,257.47 $103,758.29 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $57,684.96 $101,516.27 $101,044.68 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 16 — — $85,691.57 $325,987.81 $100,846.23 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 12 — — $56,915.04 $100,161.34 $99,703.37 2026-01-01
4-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $82,669.01 $314,431.50 $97,290.23 2026-01-01
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 16 — — $79,782.99 $303,397.25 $93,894.87 2026-01-01
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 15 13 — — $74,000.16 $191,294.66 $91,862.27 2026-01-01
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 15 13 — — $74,000.16 $191,294.66 $91,862.27 2026-01-01
215 MS_DRG Other Heart Assist System Implant 12 12 — — $52,114.94 $91,713.93 $91,340.95 2026-01-01
5244 OTHER Level 4 Blood Product Exchange And Related Services 15 13 — — $73,161.14 $189,125.75 $90,820.73 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $51,203.18 $90,109.37 $89,752.54 2026-01-01
38240 CPT Transplt Allo Hct/donor 18 16 — — $1,095.00 $189,125.75 $87,456.99 2026-01-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 16 — — $73,106.86 $277,872.08 $86,040.51 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 12 — — $47,156.25 $82,987.43 $82,702.25 2026-01-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 16 — — $69,284.54 $263,258.03 $81,543.60 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 12 12 — — $45,323.82 $79,762.65 $79,509.92 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 16 — — $67,112.99 $254,955.46 $78,988.81 2026-01-01
5833 APR_DRG Neonate W Ecmo 24 16 — — $66,883.91 $254,079.59 $78,719.29 2026-01-01
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 15 13 — — $62,615.61 $161,864.94 $77,729.72 2026-01-01
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 15 13 — — $62,615.61 $161,864.94 $77,729.72 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 12 — — $44,122.10 $77,647.81 $77,416.35 2026-01-01
5831 APR_DRG Neonate W Ecmo 24 16 — — $65,645.94 $249,346.41 $77,262.85 2026-01-01
5832 APR_DRG Neonate W Ecmo 24 16 — — $65,645.94 $249,346.41 $77,262.85 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $43,983.40 $77,403.72 $77,174.71 2026-01-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 16 — — $63,878.13 $242,587.45 $75,183.04 2026-01-01
4-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 16 — — $63,241.68 $240,154.09 $74,434.27 2026-01-01
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 16 — — $62,463.70 $237,179.59 $73,518.99 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 12 — — $41,185.30 $72,479.52 $72,300.06 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $40,188.22 $70,724.82 $70,563.01 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 12 — — $40,014.98 $70,419.94 $70,261.20 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 12 — — $39,882.56 $70,186.90 $70,030.50 2026-01-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 16 — — $56,691.66 $215,111.09 $66,728.27 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $37,782.15 $66,490.52 $66,371.32 2026-01-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 24 16 — — $56,164.99 $213,097.45 $66,108.65 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 12 — — $37,541.91 $66,067.74 $65,952.79 2026-01-01
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 16 — — $55,754.00 $211,526.08 $65,625.12 2026-01-01
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 16 — — $55,754.00 $211,526.08 $65,625.12 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 12 — — $37,320.51 $65,678.11 $65,567.08 2026-01-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 16 14 — — $51,231.05 $132,435.22 $64,186.04 2026-01-01
64654 CPT 1st Opn Implt Bat Modulj Sys 16 14 — — $51,231.05 $132,435.22 $64,186.04 2026-01-01
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 16 — — $54,283.77 $205,904.89 $63,895.43 2026-01-01
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 15 13 — — $51,231.05 $132,435.22 $63,597.17 2026-01-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 15 13 — — $51,231.05 $132,435.22 $63,597.17 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 12 — — $36,176.36 $63,664.59 $63,573.81 2026-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 15 — — $55,107.79 $142,456.79 $63,342.28 2026-01-01
717 OTHER Instill Adstiladrin, Tx Dose 15 13 — — $55,107.79 $142,456.79 $63,342.28 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 12 — — $35,998.93 $63,352.34 $63,264.70 2026-01-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $63,189.12 $63,189.12 $63,189.12 2026-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 16 14 — — $49,437.36 $127,798.41 $61,938.76 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $35,230.58 $62,000.16 $61,926.13 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 12 — — $34,997.14 $61,589.35 $61,519.45 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 12 — — $34,971.49 $61,544.22 $61,474.77 2026-01-01
1643 OTHER Y90 Ibritumomab, Rx 15 13 — — $49,437.36 $127,798.41 $61,370.51 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 18 16 — — $522.00 $132,435.22 $61,241.72 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 18 16 — — $1,095.00 $132,435.22 $61,241.72 2026-01-01
904 APR_DRG Major Larynx & Trachea Procedures 24 16 — — $51,632.74 $195,769.06 $60,776.51 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $34,415.12 $60,565.09 $60,505.50 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $34,415.12 $60,565.09 $60,505.50 2026-01-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 16 — — $51,322.90 $194,584.46 $60,412.01 2026-01-01
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 16 — — $51,232.18 $194,237.58 $60,305.27 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $34,290.03 $60,344.95 $60,287.57 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 14 — — $48,086.92 $124,307.46 $60,246.83 2026-01-01
9273 OTHER Sipuleucel-t Auto Cd54+ 15 13 — — $48,086.92 $124,307.46 $59,694.11 2026-01-01
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 16 — — $50,686.91 $192,152.83 $59,663.77 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 12 — — $33,679.22 $59,270.02 $59,223.46 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 16 — — $50,108.98 $189,943.21 $58,983.85 2026-01-01
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 16 — — $49,693.00 $188,352.76 $58,494.44 2026-01-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 24 16 — — $48,380.18 $183,333.41 $56,949.94 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 12 — — $32,076.05 $56,448.69 $56,430.51 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 12 — — $32,038.88 $56,383.29 $56,365.77 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 12 — — $31,731.65 $55,842.61 $55,830.53 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 12 12 — — $31,447.44 $55,342.45 $55,335.40 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 12 — — $31,438.54 $55,326.79 $55,319.90 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $31,210.87 $54,926.11 $54,923.25 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 12 — — $31,108.28 $54,745.58 $54,744.53 2026-01-01
3-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $46,371.49 $175,653.49 $54,586.74 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 12 — — $30,716.25 $54,061.57 $54,061.57 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 12 — — $30,696.36 $54,026.92 $54,026.92 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 16 — — $45,796.73 $173,456.00 $53,910.55 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 16 — — $45,323.59 $171,647.02 $53,353.91 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 12 — — $30,185.00 $53,136.06 $53,136.06 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 12 — — $29,992.39 $52,800.51 $52,800.51 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 12 — — $29,869.91 $52,587.14 $52,587.14 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 12 — — $29,831.18 $52,519.66 $52,519.66 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 24 16 — — $44,238.96 $167,500.07 $52,077.85 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $29,425.55 $51,812.99 $51,812.99 2026-01-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 16 — — $43,710.47 $165,479.50 $51,456.10 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 12 — — $29,133.49 $51,304.19 $51,304.19 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 24 16 — — $43,260.01 $163,757.24 $50,926.13 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 12 — — $28,907.38 $50,910.28 $50,910.28 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 12 12 — — $28,734.14 $50,608.46 $50,608.46 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 12 — — $28,632.60 $50,431.56 $50,431.56 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 12 — — $28,591.77 $50,360.44 $50,360.44 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 12 — — $28,546.76 $50,282.02 $50,282.02 2026-01-01
3-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 16 — — $42,570.49 $161,120.95 $50,114.93 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 24 16 — — $42,341.41 $160,245.08 $49,845.41 2026-01-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 16 — — $42,191.25 $159,670.99 $49,668.76 2026-01-01
0686T CPT Histotripsy Mal Hepatcel Tis 17 15 — — $13,000.52 $103,005.50 $49,464.62 2026-01-01
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 15 13 — — $39,846.50 $103,005.50 $49,464.62 2026-01-01
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 15 13 — — $39,846.50 $103,005.50 $49,464.62 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $27,911.88 $49,175.97 $49,175.97 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 12 — — $27,895.13 $49,146.79 $49,146.79 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 24 16 — — $41,525.32 $157,124.89 $48,885.29 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 12 — — $27,707.75 $48,820.36 $48,820.36 2026-01-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 16 — — $41,417.35 $156,712.10 $48,758.28 2026-01-01
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 16 — — $41,384.24 $156,585.49 $48,719.32 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 12 — — $27,616.15 $48,660.78 $48,660.78 2026-01-01
1142 OTHER Supprelin La Implant 15 13 — — $39,167.97 $101,251.44 $48,622.30 2026-01-01
J9226 HCPCS Supprelin La Implant 17 15 — — $39,167.97 $101,251.44 $48,622.30 2026-01-01
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 16 — — $41,271.28 $156,153.63 $48,586.43 2026-01-01
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 16 — — $41,013.16 $155,166.75 $48,282.76 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 12 — — $27,245.06 $48,014.29 $48,014.29 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 12 12 — — $27,197.96 $47,932.23 $47,932.23 2026-01-01
5166 OTHER Cochlear Implant Procedure 15 13 — — $38,350.32 $99,137.78 $47,607.30 2026-01-01
6904 APR_DRG Acute Leukemia 24 16 — — $40,394.86 $152,802.77 $47,555.33 2026-01-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 24 16 — — $39,871.37 $150,801.27 $46,939.44 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $26,380.41 $46,507.95 $46,507.95 2026-01-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 16 — — $39,126.95 $147,955.12 $46,063.65 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 12 — — $26,104.05 $46,026.50 $46,026.50 2026-01-01
69930 CPT Implant Cochlear Device 18 16 — — $1,458.00 $99,137.78 $45,844.07 2026-01-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 16 14 — — $36,508.81 $94,377.38 $45,740.93 2026-01-01
0408T CPT Insj/rplc Cardiac Modulj Sys 16 14 — — $36,508.81 $94,377.38 $45,740.93 2026-01-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 16 14 — — $36,508.81 $94,377.38 $45,740.93 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 12 — — $25,894.69 $45,661.77 $45,661.77 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 24 16 — — $38,739.10 $146,472.21 $45,607.35 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 12 — — $25,848.63 $45,581.52 $45,581.52 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 12 — — $25,760.18 $45,427.42 $45,427.42 2026-01-01
5232 OTHER Level 2 Icd And Similar Procedures 15 13 — — $36,508.81 $94,377.38 $45,321.29 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $25,652.88 $45,240.50 $45,240.50 2026-01-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 16 14 — — $35,891.01 $92,780.32 $44,966.90 2026-01-01
64656 CPT Revj/rplcmt Bat Mod Sys Pg 16 14 — — $35,891.01 $92,780.32 $44,966.90 2026-01-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 16 14 — — $35,891.01 $92,780.32 $44,966.90 2026-01-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 16 14 — — $35,891.01 $92,780.32 $44,966.90 2026-01-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 16 — — $37,947.96 $143,447.41 $44,676.59 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 12 — — $25,273.42 $44,579.42 $44,579.42 2026-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 15 13 — — $35,891.01 $92,780.32 $44,554.35 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 12 — — $25,145.71 $44,356.93 $44,356.93 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 24 16 — — $37,497.05 $141,723.42 $44,146.10 2026-01-01
234 APR_DRG Spinal Procedures 24 16 — — $37,350.98 $141,164.94 $43,974.25 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 12 — — $24,918.03 $43,960.29 $43,960.29 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 18 16 — — $1,337.00 $94,377.38 $43,642.72 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 18 16 — — $1,337.00 $94,377.38 $43,642.72 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 18 16 — — $1,458.00 $94,377.38 $43,642.72 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 18 16 — — $851.00 $94,377.38 $43,642.72 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 — — $24,556.88 $43,331.12 $43,331.12 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 12 — — $24,483.61 $43,203.46 $43,203.46 2026-01-01
61885 CPT Insrt/redo Neurostim 1 Array 18 16 — — $712.00 $92,780.32 $42,904.19 2026-01-01
61886 CPT Implant Neurostim Arrays 18 16 — — $712.00 $92,780.32 $42,904.19 2026-01-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 18 16 — — $1,095.00 $92,780.32 $42,904.19 2026-01-01
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 18 16 — — $1,095.00 $92,780.32 $42,904.19 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 18 16 — — $997.00 $92,780.32 $42,904.19 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 12 — — $24,173.23 $42,662.75 $42,662.75 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 12 — — $24,058.08 $42,462.14 $42,462.14 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 12 — — $23,996.84 $42,355.46 $42,355.46 2026-01-01
245 MS_DRG Aicd Generator Procedures 12 12 — — $23,879.60 $42,151.21 $42,151.21 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 12 — — $23,807.90 $42,026.29 $42,026.29 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 12 — — $23,797.43 $42,008.05 $42,008.05 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 12 12 — — $23,704.26 $41,845.74 $41,845.74 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 24 16 — — $35,302.82 $133,334.13 $41,564.62 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 24 16 — — $35,285.13 $133,266.48 $41,543.81 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 12 12 — — $23,457.74 $41,416.27 $41,416.27 2026-01-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 15 13 — — $33,362.00 $86,242.68 $41,414.89 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 12 — — $23,450.94 $41,404.42 $41,404.42 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 24 16 — — $35,057.86 $132,397.55 $41,276.43 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 12 — — $23,358.82 $41,243.93 $41,243.93 2026-01-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 24 16 — — $34,725.80 $131,127.97 $40,885.76 2026-01-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 16 — — $34,612.39 $130,694.37 $40,752.34 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 12 — — $22,991.92 $40,604.74 $40,604.74 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 24 16 — — $34,376.95 $129,794.22 $40,475.36 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia # 24 16 — — $34,196.86 $129,105.66 $40,263.47 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 24 16 — — $34,045.35 $128,526.37 $40,085.22 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 12 — — $22,649.61 $40,008.40 $40,008.40 2026-01-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 18 16 — — $1,095.00 $86,242.68 $39,881.01 2026-01-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 16 — — $33,726.44 $127,307.09 $39,710.04 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 12 — — $22,469.04 $39,693.82 $39,693.82 2026-01-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 16 14 — — $31,559.95 $81,584.28 $39,540.62 2026-01-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 16 14 — — $31,559.95 $81,584.28 $39,540.62 2026-01-01
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 16 14 — — $31,559.95 $81,584.28 $39,540.62 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 24 16 — — $33,537.28 $126,583.84 $39,487.49 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 12 — — $22,324.58 $39,442.15 $39,442.15 2026-01-01
C9760 HCPCS Non-blind Interatrial Shunt 16 14 — — $31,308.09 $80,933.21 $39,225.07 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 12 — — $22,196.35 $39,218.75 $39,218.75 2026-01-01
1-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $33,297.76 $125,668.08 $39,205.69 2026-01-01
2-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $33,297.76 $125,668.08 $39,205.69 2026-01-01
5117 OTHER Level 7 Musculoskeletal Procedures 15 13 — — $31,559.95 $81,584.28 $39,177.87 2026-01-01
1694 APR_DRG Major Abdominal Vascular Procedures 24 16 — — $33,271.90 $125,569.22 $39,175.28 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 24 16 — — $33,270.09 $125,562.28 $39,173.14 2026-01-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 24 16 — — $33,269.63 $125,560.55 $39,172.61 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 12 — — $22,104.23 $39,058.27 $39,058.27 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 12 — — $22,066.54 $38,992.62 $38,992.62 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 12 — — $22,055.55 $38,973.47 $38,973.47 2026-01-01
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 15 13 — — $31,308.09 $80,933.21 $38,865.21 2026-01-01
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 15 13 — — $31,308.09 $80,933.21 $38,865.21 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 12 — — $21,991.17 $38,861.32 $38,861.32 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 12 — — $21,965.00 $38,815.72 $38,815.72 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 12 — — $21,924.18 $38,744.60 $38,744.60 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 24 16 — — $32,840.04 $123,918.07 $38,667.19 2026-01-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 16 — — $32,813.73 $123,817.47 $38,636.24 2026-01-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 24 16 — — $32,789.69 $123,725.55 $38,607.96 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $21,839.39 $38,596.88 $38,596.88 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 12 12 — — $21,823.69 $38,569.53 $38,569.53 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 24 16 — — $32,733.44 $123,510.48 $38,541.79 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 24 16 — — $32,655.41 $123,212.17 $38,449.99 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 12 — — $21,736.80 $38,418.16 $38,418.16 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 12 — — $21,592.87 $38,167.41 $38,167.41 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 16 — — $32,387.77 $122,188.87 $38,135.11 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 24 16 — — $32,386.41 $122,183.67 $38,133.51 2026-01-01
93656 CPT Compre Ep Eval Abltj Atr Fib 16 14 — — $30,401.30 $78,589.10 $38,088.98 2026-01-01
93654 CPT Compre Ep Eval Tx Vt 16 14 — — $30,401.30 $78,589.10 $38,088.98 2026-01-01
93653 CPT Compre Ep Eval Tx Svt 16 14 — — $30,401.30 $78,589.10 $38,088.98 2026-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 15 13 — — $30,401.30 $78,589.10 $37,739.54 2026-01-01
21243 CPT Reconstruction Of Jaw Joint 18 16 — — $1,138.00 $81,584.28 $37,726.84 2026-01-01
27702 CPT Reconstruct Ankle Joint 18 16 — — $851.00 $81,584.28 $37,726.84 2026-01-01
20696 CPT App Mltpln Uni Xtrnl Fix 1st 18 16 — — $1,095.00 $81,584.28 $37,726.84 2026-01-01
22630 CPT Arthrd Pst Tq 1ntrspc Lum 18 16 — — $1,458.00 $81,584.28 $37,726.84 2026-01-01
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 18 16 — — $1,458.00 $81,584.28 $37,726.84 2026-01-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 16 — — $31,981.77 $120,636.58 $37,657.45 2026-01-01
791 MS_DRG Prematurity With Major Problems 12 12 — — $21,244.81 $37,561.04 $37,561.04 2026-01-01
3104 APR_DRG Intervertebral Disc Excision & Decompression 24 16 — — $31,726.37 $119,660.12 $37,356.98 2026-01-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 24 16 — — $31,641.99 $119,337.52 $37,257.71 2026-01-01
894 APR_DRG Major Cranial/facial Bone Procedures 24 16 — — $31,619.31 $119,250.80 $37,231.03 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 12 — — $21,043.30 $37,209.99 $37,209.99 2026-01-01
244 APR_DRG Extracranial Vascular Procedures 24 16 — — $31,505.90 $118,817.20 $37,097.60 2026-01-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 24 16 — — $31,499.10 $118,791.18 $37,089.60 2026-01-01
4414 APR_DRG Major Bladder Procedures 24 16 — — $31,368.45 $118,291.68 $36,935.90 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 12 — — $20,852.78 $36,878.08 $36,878.08 2026-01-01
204 APR_DRG Craniotomy For Trauma 24 16 — — $31,035.94 $117,020.36 $36,544.70 2026-01-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 24 16 — — $30,769.20 $116,000.53 $36,230.88 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 12 — — $20,474.88 $36,219.74 $36,219.74 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures # 24 16 — — $30,702.52 $115,745.58 $36,152.43 2026-01-01
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 24 16 — — $30,676.21 $115,644.98 $36,121.49 2026-01-01
2214 APR_DRG Major Small & Large Bowel Procedures 24 16 — — $30,665.32 $115,603.36 $36,108.68 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 12 — — $20,382.24 $36,058.34 $36,058.34 2026-01-01
4034 APR_DRG Procedures For Obesity 24 16 — — $30,521.97 $115,055.28 $35,940.02 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 12 — — $20,259.24 $35,844.06 $35,844.06 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 12 — — $20,228.89 $35,791.17 $35,791.17 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 12 — — $20,209.52 $35,757.44 $35,757.44 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 12 — — $20,094.90 $35,557.74 $35,557.74 2026-01-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 16 — — $30,140.92 $113,598.39 $35,491.73 2026-01-01
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 24 16 — — $30,130.03 $113,556.76 $35,478.92 2026-01-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 24 16 — — $30,043.84 $113,227.23 $35,377.51 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 24 16 — — $29,762.59 $112,151.90 $35,046.62 2026-01-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 24 16 — — $29,611.08 $111,572.61 $34,868.37 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 12 — — $19,695.54 $34,862.02 $34,862.02 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 12 — — $19,609.70 $34,712.48 $34,712.48 2026-01-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 16 — — $29,461.83 $111,001.99 $34,692.79 2026-01-01
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 24 16 — — $29,423.72 $110,856.30 $34,647.96 2026-01-01
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 24 16 — — $29,415.56 $110,825.08 $34,638.35 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 12 — — $19,563.12 $34,631.32 $34,631.32 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 12 — — $19,561.03 $34,627.67 $34,627.67 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 24 16 — — $29,359.31 $110,610.02 $34,572.17 2026-01-01
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 24 16 — — $29,348.42 $110,568.39 $34,559.36 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 12 — — $19,506.07 $34,531.93 $34,531.93 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 24 16 — — $29,274.93 $110,287.42 $34,472.90 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 24 16 — — $29,157.44 $109,838.21 $34,334.68 2026-01-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 24 16 — — $29,153.81 $109,824.33 $34,330.40 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures # 24 16 — — $29,139.75 $109,770.57 $34,313.86 2026-01-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 16 — — $29,111.62 $109,663.04 $34,280.77 2026-01-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 24 16 — — $28,954.67 $109,062.93 $34,096.11 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 24 16 — — $28,932.89 $108,979.68 $34,070.50 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 12 — — $19,225.01 $34,042.28 $34,042.28 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 12 — — $19,217.15 $34,028.60 $34,028.60 2026-01-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 24 16 — — $28,749.17 $108,277.25 $33,854.35 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 24 16 — — $28,607.18 $107,734.38 $33,687.31 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 12 — — $18,991.57 $33,635.60 $33,635.60 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 24 16 — — $28,543.67 $107,491.57 $33,612.58 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 12 — — $18,976.91 $33,610.07 $33,610.07 2026-01-01
332 MS_DRG Rectal Resection With Mcc 12 12 — — $18,950.74 $33,564.48 $33,564.48 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 16 — — $28,484.70 $107,266.09 $33,543.21 2026-01-01
265 MS_DRG Aicd Lead Procedures 12 12 — — $18,937.66 $33,541.68 $33,541.68 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 12 — — $18,904.16 $33,483.32 $33,483.32 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 12 — — $18,875.90 $33,434.09 $33,434.09 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 24 16 — — $28,317.77 $106,627.84 $33,346.81 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 24 16 — — $28,236.11 $106,315.64 $33,250.74 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 12 — — $18,752.38 $33,218.89 $33,218.89 2026-01-01
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