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

14,850 distinct procedures filed
47 distinct payers
414,101 rate rows
2026-01-01 last MRF observed
Data quality

387,430 of 414,101 rate rows are consumer-grade (93.6%)

26,671 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 25,887
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 · 2026-05-17
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
$370,174
1.1× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 13 $173,614.99 $448,804.73 $215,522.06 nat. median
$152,962
1.4× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 13 $173,614.99 $448,804.73 $215,522.06 nat. median
$153,199
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
$206,474
0.9× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 13 $156,538.16 $404,660.15 $194,323.24 nat. median
$138,020
1.4× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 13 $156,538.16 $404,660.15 $194,323.24 nat. median
$137,903
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
$202,976
1.0× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 13 $139,461.33 $360,515.56 $173,124.41 nat. median
$119,935
1.4× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 13 $139,461.33 $360,515.56 $173,124.41 nat. median
$120,174
1.4× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 13 $122,384.51 $316,370.98 $151,925.59 nat. median
$105,693
1.4× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 13 $122,384.51 $316,370.98 $151,925.59 nat. median
$105,172
1.4× median
5834
APR_DRG 		16 $117,206.88 $446,481.78 $137,923.52 nat. median
$309,665
outlier · 0.4×
5884
APR_DRG 		16 $115,158.73 $438,650.96 $135,513.89 nat. median
$246,434
0.5× median
5883
APR_DRG 		16 $115,158.73 $438,650.96 $135,513.89 nat. median
$182,665
0.7× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 13 $108,153.82 $279,583.83 $134,259.91 nat. median
$95,288
1.4× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 13 $108,153.82 $279,583.83 $134,259.91 nat. median
$95,360
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
$133,161
1.0× median
1614
APR_DRG 		16 $105,390.17 $401,302.40 $124,021.33 nat. median
$207,730
0.6× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 13 $96,769.26 $250,154.11 $120,127.36 nat. median
$85,322
1.4× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 13 $96,769.26 $250,154.11 $120,127.36 nat. median
$85,390
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
$75,344
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
$75,284
1.4× median
5914
APR_DRG 		16 $88,577.14 $337,020.33 $104,241.05 nat. median
$164,289
0.6× median
5881
APR_DRG 		16 $88,259.59 $335,806.25 $103,867.47 nat. median
$124,573
0.8× median
5882
APR_DRG 		16 $88,259.59 $335,806.25 $103,867.47 nat. median
$145,336
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $59,242.60 $104,257.47 $103,758.29 nat. median
$98,047
1.1× median
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
$98,894
1.0× median
8414
APR_DRG 		16 $85,691.57 $325,987.81 $100,846.23 nat. median
$160,267
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $56,915.04 $100,161.34 $99,703.37 nat. median
$102,358
1.0× median
4-Apr
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 16 $82,669.01 $314,431.50 $97,290.23 —
5934
APR_DRG 		16 $79,782.99 $303,397.25 $93,894.87 nat. median
$151,838
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
$65,191
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
$65,571
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 12 $52,114.94 $91,713.93 $91,340.95 nat. median
$99,019
0.9× median
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 13 $73,161.14 $189,125.75 $90,820.73 nat. median
$63,188
1.4× 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
$93,672
1.0× median
38240
CPT 		Transplt Allo Hct/donor 16 $1,095.00 $189,125.75 $87,456.99 nat. median
$15,979
outlier · 5.5×
6094
APR_DRG 		16 $73,106.86 $277,872.08 $86,040.51 nat. median
$162,982
0.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $47,156.25 $82,987.43 $82,702.25 nat. median
$82,711
1.0× median
6024
APR_DRG 		16 $69,284.54 $263,258.03 $81,543.60 nat. median
$118,620
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $45,323.82 $79,762.65 $79,509.92 nat. median
$83,470
1.0× median
8413
APR_DRG 		16 $67,112.99 $254,955.46 $78,988.81 nat. median
$66,693
1.2× median
5833
APR_DRG 		16 $66,883.91 $254,079.59 $78,719.29 nat. median
$244,017
outlier · 0.3×
1595
OTHER 		New Technology - Level 44 ($50,001-$60,000) 13 $62,615.61 $161,864.94 $77,729.72 nat. median
$55,161
1.4× median
1581
OTHER 		New Technology - Level 44 ($50,001-$60,000) 13 $62,615.61 $161,864.94 $77,729.72 nat. median
$55,106
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $44,122.10 $77,647.81 $77,416.35 nat. median
$79,312
1.0× median
5832
APR_DRG 		16 $65,645.94 $249,346.41 $77,262.85 nat. median
$156,126
outlier · 0.5×
5831
APR_DRG 		16 $65,645.94 $249,346.41 $77,262.85 nat. median
$144,745
0.5× median
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
$81,118
1.0× median
6034
APR_DRG 		16 $63,878.13 $242,587.45 $75,183.04 nat. median
$109,499
0.7× median

Other procedures at this hospital

Browse this hospital's 14,850 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
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
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 16 14 — — $51,231.05 $132,435.22 $64,186.04 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
0686T CPT Histotripsy Mal Hepatcel Tis 17 15 — — $13,000.52 $103,005.50 $49,464.62 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
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 16 14 — — $35,891.01 $92,780.32 $44,966.90 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
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 16 14 — — $31,559.95 $81,584.28 $39,540.62 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
1-Apr APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $33,297.76 $125,668.08 $39,205.69 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
1142 OTHER Supprelin La Implant 15 13 — — $39,167.97 $101,251.44 $48,622.30 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
1204 APR_DRG — 24 16 — — $28,317.77 $106,627.84 $33,346.81 2026-01-01
1304 APR_DRG — 24 16 — — $28,236.11 $106,315.64 $33,250.74 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
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
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 15 13 — — $31,308.09 $80,933.21 $38,865.21 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
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 15 13 — — $51,231.05 $132,435.22 $63,597.17 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
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 15 13 — — $74,000.16 $191,294.66 $91,862.27 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
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 15 13 — — $96,769.26 $250,154.11 $120,127.36 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
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 15 13 — — $31,308.09 $80,933.21 $38,865.21 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
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 15 13 — — $51,231.05 $132,435.22 $63,597.17 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
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 15 13 — — $74,000.16 $191,294.66 $91,862.27 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
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 15 13 — — $96,769.26 $250,154.11 $120,127.36 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
1604 APR_DRG — 24 16 — — $45,796.73 $173,456.00 $53,910.55 2026-01-01
1612 APR_DRG — 24 16 — — $28,484.70 $107,266.09 $33,543.21 2026-01-01
1613 APR_DRG — 24 16 — — $45,323.59 $171,647.02 $53,353.91 2026-01-01
1614 APR_DRG — 24 16 — — $105,390.17 $401,302.40 $124,021.33 2026-01-01
1624 APR_DRG — 24 16 — — $43,260.01 $163,757.24 $50,926.13 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
1634 APR_DRG — 24 16 — — $32,655.41 $123,212.17 $38,449.99 2026-01-01
1643 OTHER Y90 Ibritumomab, Rx 15 13 — — $49,437.36 $127,798.41 $61,370.51 2026-01-01
1654 APR_DRG — 24 16 — — $32,789.69 $123,725.55 $38,607.96 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
1664 APR_DRG — 24 16 — — $28,954.67 $109,062.93 $34,096.11 2026-01-01
1674 APR_DRG — 24 16 — — $30,769.20 $116,000.53 $36,230.88 2026-01-01
1694 APR_DRG — 24 16 — — $33,271.90 $125,569.22 $39,175.28 2026-01-01
1774 APR_DRG — 24 16 — — $29,423.72 $110,856.30 $34,647.96 2026-01-01
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
1814 APR_DRG — 24 16 — — $30,702.52 $115,745.58 $36,152.43 2026-01-01
1824 APR_DRG — 24 16 — — $29,139.75 $109,770.57 $34,313.86 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
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
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
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 15 13 — — $173,614.99 $448,804.73 $215,522.06 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
2-Apr APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $33,297.76 $125,668.08 $39,205.69 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
204 APR_DRG — 24 16 — — $31,035.94 $117,020.36 $36,544.70 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
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
209 MS_DRG Complex Aortic Arch Procedures 12 12 — — $59,242.60 $104,257.47 $103,758.29 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 12 — — $56,915.04 $100,161.34 $99,703.37 2026-01-01
21243 CPT Reconstruction Of Jaw Joint 18 16 — — $1,138.00 $81,584.28 $37,726.84 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
214 APR_DRG — 24 16 — — $33,537.28 $126,583.84 $39,487.49 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
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
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
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
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
2204 APR_DRG — 24 16 — — $32,840.04 $123,918.07 $38,667.19 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
2214 APR_DRG — 24 16 — — $30,665.32 $115,603.36 $36,108.68 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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 12 — — $25,894.69 $45,661.77 $45,661.77 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 12 — — $44,122.10 $77,647.81 $77,416.35 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
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
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
234 APR_DRG — 24 16 — — $37,350.98 $141,164.94 $43,974.25 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 12 — — $21,924.18 $38,744.60 $38,744.60 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
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
244 APR_DRG — 24 16 — — $31,505.90 $118,817.20 $37,097.60 2026-01-01
245 MS_DRG Aicd Generator Procedures 12 12 — — $23,879.60 $42,151.21 $42,151.21 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
2604 APR_DRG — 24 16 — — $34,376.95 $129,794.22 $40,475.36 2026-01-01
2614 APR_DRG — 24 16 — — $28,543.67 $107,491.57 $33,612.58 2026-01-01
264 APR_DRG — 24 16 — — $29,157.44 $109,838.21 $34,334.68 2026-01-01
2644 APR_DRG — 24 16 — — $28,607.18 $107,734.38 $33,687.31 2026-01-01
265 MS_DRG Aicd Lead Procedures 12 12 — — $18,937.66 $33,541.68 $33,541.68 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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 12 — — $27,616.15 $48,660.78 $48,660.78 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
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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 12 — — $24,173.23 $42,662.75 $42,662.75 2026-01-01
27702 CPT Reconstruct Ankle Joint 18 16 — — $851.00 $81,584.28 $37,726.84 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
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
28 MS_DRG Spinal Procedures With Mcc 12 12 — — $31,447.44 $55,342.45 $55,335.40 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
3-Apr APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $46,371.49 $175,653.49 $54,586.74 2026-01-01
3-May APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 16 — — $42,570.49 $161,120.95 $50,114.93 2026-01-01
3033 APR_DRG — 24 16 — — $32,387.77 $122,188.87 $38,135.11 2026-01-01
3034 APR_DRG — 24 16 — — $50,108.98 $189,943.21 $58,983.85 2026-01-01
3044 APR_DRG — 24 16 — — $42,341.41 $160,245.08 $49,845.41 2026-01-01
3054 APR_DRG — 24 16 — — $29,274.93 $110,287.42 $34,472.90 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
3104 APR_DRG — 24 16 — — $31,726.37 $119,660.12 $37,356.98 2026-01-01
3124 APR_DRG — 24 16 — — $41,525.32 $157,124.89 $48,885.29 2026-01-01
3134 APR_DRG — 24 16 — — $30,043.84 $113,227.23 $35,377.51 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
3174 APR_DRG — 24 16 — — $29,348.42 $110,568.39 $34,559.36 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
3214 APR_DRG — 24 16 — — $32,733.44 $123,510.48 $38,541.79 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 12 — — $26,104.05 $46,026.50 $46,026.50 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
332 MS_DRG Rectal Resection With Mcc 12 12 — — $18,950.74 $33,564.48 $33,564.48 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 18 16 — — $851.00 $94,377.38 $43,642.72 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
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 18 16 — — $1,458.00 $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
33276 CPT Insj Phrnc Nrv Stim Sys 18 16 — — $1,095.00 $132,435.22 $61,241.72 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
33289 CPT Tcat Impl Wrls P-art Prs Snr 18 16 — — $1,095.00 $86,242.68 $39,881.01 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
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
3614 APR_DRG — 24 16 — — $44,238.96 $167,500.07 $52,077.85 2026-01-01
38240 CPT Transplt Allo Hct/donor 18 16 — — $1,095.00 $189,125.75 $87,456.99 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
4-Apr APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 16 — — $82,669.01 $314,431.50 $97,290.23 2026-01-01
4-May APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 16 — — $63,241.68 $240,154.09 $74,434.27 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
4014 APR_DRG — 24 16 — — $32,386.41 $122,183.67 $38,133.51 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
4034 APR_DRG — 24 16 — — $30,521.97 $115,055.28 $35,940.02 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
4054 APR_DRG — 24 16 — — $38,739.10 $146,472.21 $45,607.35 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
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
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
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
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
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
4414 APR_DRG — 24 16 — — $31,368.45 $118,291.68 $36,935.90 2026-01-01
4424 APR_DRG — 24 16 — — $29,611.08 $111,572.61 $34,868.37 2026-01-01
4444 APR_DRG — 24 16 — — $28,749.17 $108,277.25 $33,854.35 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
4474 APR_DRG — 24 16 — — $35,302.82 $133,334.13 $41,564.62 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
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
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
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
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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 12 12 — — $25,273.42 $44,579.42 $44,579.42 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
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
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
5104 APR_DRG — 24 16 — — $29,762.59 $112,151.90 $35,046.62 2026-01-01
5114 APR_DRG — 24 16 — — $28,932.89 $108,979.68 $34,070.50 2026-01-01
5117 OTHER Level 7 Musculoskeletal Procedures 15 13 — — $31,559.95 $81,584.28 $39,177.87 2026-01-01
5124 APR_DRG — 24 16 — — $34,725.80 $131,127.97 $40,885.76 2026-01-01
5166 OTHER Cochlear Implant Procedure 15 13 — — $38,350.32 $99,137.78 $47,607.30 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
5200 OTHER Implantation Wireless Pa Pressure Monitor 15 13 — — $33,362.00 $86,242.68 $41,414.89 2026-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 15 13 — — $30,401.30 $78,589.10 $37,739.54 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
5244 OTHER Level 4 Blood Product Exchange And Related Services 15 13 — — $73,161.14 $189,125.75 $90,820.73 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
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
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
5831 APR_DRG — 24 16 — — $65,645.94 $249,346.41 $77,262.85 2026-01-01
5832 APR_DRG — 24 16 — — $65,645.94 $249,346.41 $77,262.85 2026-01-01
5833 APR_DRG — 24 16 — — $66,883.91 $254,079.59 $78,719.29 2026-01-01
5834 APR_DRG — 24 16 — — $117,206.88 $446,481.78 $137,923.52 2026-01-01
5881 APR_DRG — 24 16 — — $88,259.59 $335,806.25 $103,867.47 2026-01-01
5882 APR_DRG — 24 16 — — $88,259.59 $335,806.25 $103,867.47 2026-01-01
5883 APR_DRG — 24 16 — — $115,158.73 $438,650.96 $135,513.89 2026-01-01
5884 APR_DRG — 24 16 — — $115,158.73 $438,650.96 $135,513.89 2026-01-01
5891 APR_DRG — 24 16 — — $55,754.00 $211,526.08 $65,625.12 2026-01-01
5892 APR_DRG — 24 16 — — $55,754.00 $211,526.08 $65,625.12 2026-01-01
5911 APR_DRG — 24 16 — — $41,013.16 $155,166.75 $48,282.76 2026-01-01
5912 APR_DRG — 24 16 — — $50,686.91 $192,152.83 $59,663.77 2026-01-01
5913 APR_DRG — 24 16 — — $54,283.77 $205,904.89 $63,895.43 2026-01-01
5914 APR_DRG — 24 16 — — $88,577.14 $337,020.33 $104,241.05 2026-01-01
5931 APR_DRG — 24 16 — — $49,693.00 $188,352.76 $58,494.44 2026-01-01
5932 APR_DRG — 24 16 — — $51,232.18 $194,237.58 $60,305.27 2026-01-01
5933 APR_DRG — 24 16 — — $62,463.70 $237,179.59 $73,518.99 2026-01-01
5934 APR_DRG — 24 16 — — $79,782.99 $303,397.25 $93,894.87 2026-01-01
6021 APR_DRG — 24 16 — — $30,140.92 $113,598.39 $35,491.73 2026-01-01
6022 APR_DRG — 24 16 — — $43,710.47 $165,479.50 $51,456.10 2026-01-01
6023 APR_DRG — 24 16 — — $51,322.90 $194,584.46 $60,412.01 2026-01-01
6024 APR_DRG — 24 16 — — $69,284.54 $263,258.03 $81,543.60 2026-01-01
6032 APR_DRG — 24 16 — — $31,981.77 $120,636.58 $37,657.45 2026-01-01
6033 APR_DRG — 24 16 — — $41,417.35 $156,712.10 $48,758.28 2026-01-01
6034 APR_DRG — 24 16 — — $63,878.13 $242,587.45 $75,183.04 2026-01-01
6072 APR_DRG — 24 16 — — $34,612.39 $130,694.37 $40,752.34 2026-01-01
6073 APR_DRG — 24 16 — — $42,191.25 $159,670.99 $49,668.76 2026-01-01
6074 APR_DRG — 24 16 — — $56,691.66 $215,111.09 $66,728.27 2026-01-01
6083 APR_DRG — 24 16 — — $31,641.99 $119,337.52 $37,257.71 2026-01-01
6084 APR_DRG — 24 16 — — $33,269.63 $125,560.55 $39,172.61 2026-01-01
6093 APR_DRG — 24 16 — — $33,726.44 $127,307.09 $39,710.04 2026-01-01
6094 APR_DRG — 24 16 — — $73,106.86 $277,872.08 $86,040.51 2026-01-01
6113 APR_DRG — 24 16 — — $29,111.62 $109,663.04 $34,280.77 2026-01-01
6114 APR_DRG — 24 16 — — $37,947.96 $143,447.41 $44,676.59 2026-01-01
6123 APR_DRG — 24 16 — — $29,461.83 $111,001.99 $34,692.79 2026-01-01
6124 APR_DRG — 24 16 — — $39,126.95 $147,955.12 $46,063.65 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
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 18 16 — — $1,095.00 $92,780.32 $42,904.19 2026-01-01
6214 APR_DRG — 24 16 — — $31,499.10 $118,791.18 $37,089.60 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
6304 APR_DRG — 24 16 — — $56,164.99 $213,097.45 $66,108.65 2026-01-01
6314 APR_DRG — 24 16 — — $48,380.18 $183,333.41 $56,949.94 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 18 16 — — $522.00 $132,435.22 $61,241.72 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 18 16 — — $997.00 $92,780.32 $42,904.19 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
64656 CPT Revj/rplcmt Bat Mod Sys Pg 16 14 — — $35,891.01 $92,780.32 $44,966.90 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
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
6804 APR_DRG — 24 16 — — $41,271.28 $156,153.63 $48,586.43 2026-01-01
6814 APR_DRG — 24 16 — — $41,384.24 $156,585.49 $48,719.32 2026-01-01
6904 APR_DRG — 24 16 — — $40,394.86 $152,802.77 $47,555.33 2026-01-01
6914 APR_DRG — 24 16 — — $29,415.56 $110,825.08 $34,638.35 2026-01-01
6954 APR_DRG — 24 16 — — $34,196.86 $129,105.66 $40,263.47 2026-01-01
69930 CPT Implant Cochlear Device 18 16 — — $1,458.00 $99,137.78 $45,844.07 2026-01-01
7104 APR_DRG — 24 16 — — $29,359.31 $110,610.02 $34,572.17 2026-01-01
717 OTHER Instill Adstiladrin, Tx Dose 15 13 — — $55,107.79 $142,456.79 $63,342.28 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 12 — — $31,108.28 $54,745.58 $54,744.53 2026-01-01
791 MS_DRG Prematurity With Major Problems 12 12 — — $21,244.81 $37,561.04 $37,561.04 2026-01-01
7914 APR_DRG — 24 16 — — $30,676.21 $115,644.98 $36,121.49 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
799 MS_DRG Splenic Procedures With Mcc 12 12 — — $23,704.26 $41,845.74 $41,845.74 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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 12 12 — — $28,734.14 $50,608.46 $50,608.46 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
8412 APR_DRG — 24 16 — — $32,813.73 $123,817.47 $38,636.24 2026-01-01
8413 APR_DRG — 24 16 — — $67,112.99 $254,955.46 $78,988.81 2026-01-01
8414 APR_DRG — 24 16 — — $85,691.57 $325,987.81 $100,846.23 2026-01-01
8424 APR_DRG — 24 16 — — $39,871.37 $150,801.27 $46,939.44 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
8504 APR_DRG — 24 16 — — $35,285.13 $133,266.48 $41,543.81 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
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
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
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
894 APR_DRG — 24 16 — — $31,619.31 $119,250.80 $37,231.03 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
904 APR_DRG — 24 16 — — $51,632.74 $195,769.06 $60,776.51 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
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
9104 APR_DRG — 24 16 — — $33,270.09 $125,562.28 $39,173.14 2026-01-01
9114 APR_DRG — 24 16 — — $30,130.03 $113,556.76 $35,478.92 2026-01-01
9124 APR_DRG — 24 16 — — $35,057.86 $132,397.55 $41,276.43 2026-01-01
924 APR_DRG — 24 16 — — $34,045.35 $128,526.37 $40,085.22 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
9273 OTHER Sipuleucel-t Auto Cd54+ 15 13 — — $48,086.92 $124,307.46 $59,694.11 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
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
93653 CPT Compre Ep Eval Tx Svt 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
93656 CPT Compre Ep Eval Abltj Atr Fib 16 14 — — $30,401.30 $78,589.10 $38,088.98 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
9504 APR_DRG — 24 16 — — $37,497.05 $141,723.42 $44,146.10 2026-01-01
9514 APR_DRG — 24 16 — — $29,153.81 $109,824.33 $34,330.40 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
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
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
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
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
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
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
A9543 HCPCS Y90 Ibritumomab, Rx 16 14 — — $49,437.36 $127,798.41 $61,938.76 2026-01-01
C9760 HCPCS Non-blind Interatrial Shunt 16 14 — — $31,308.09 $80,933.21 $39,225.07 2026-01-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $63,189.12 $63,189.12 $63,189.12 2026-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 15 — — $55,107.79 $142,456.79 $63,342.28 2026-01-01
J9226 HCPCS Supprelin La Implant 17 15 — — $39,167.97 $101,251.44 $48,622.30 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 14 — — $48,086.92 $124,307.46 $60,246.83 2026-01-01
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