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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

SAMARITAN MEDICAL CENTER

Watertown, NY · CCN 330157 · Rates published

16,084 distinct procedures filed
10 distinct payers
363,990 rate rows
2026-02-02 last MRF observed
Data quality

261,491 of 363,990 rate rows are consumer-grade (71.8%)

102,499 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 102,212
exceeds 10× this hospital's gross charge — excluded from medians 70
per-diem day rate — not a per-procedure price 70
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 66
percent-of-charges filed in the dollar field — excluded from medians 47
placeholder amount (≤ $0.02) — excluded from medians 19
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8502/150533577_samaritan-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SamaritanMedicalCenter/8502
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 2794b15551d67ff6… · 355,917,538 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,505,000.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $4,238,056.67 $3,740,545.67 nat. median
$3,685,267
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 6 $3,335,820.00 $3,836,193.00 $3,385,857.30 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $3,813,931.98 $3,366,209.53 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $3,735,712.57 $3,297,172.41 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 6 $3,090,000.00 $3,553,500.00 $3,136,350.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $3,387,601.00 $2,989,926.10 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.61 $2,823,377.20 $2,491,937.26 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $2,681,800.00 $2,366,980.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $3,537,145.80 $793,738.60 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $2,716,023.26 $609,477.99 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.95 $2,597,338.46 $582,845.01 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $2,582,050.27 $579,414.33 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $2,558,089.32 $574,037.47 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $2,447,526.48 $549,227.08 nat. median
$562,501
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $398,836.34 $612,208.81 $532,355.49 nat. median
$168,055
outlier · 3.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $2,245,908.15 $503,983.75 nat. median
$513,770
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $258,828.74 $397,325.30 $345,500.26 nat. median
$186,516
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $1,277,167.50 $286,597.50 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 6 $257,500.00 $1,181,925.00 $265,225.00 nat. median
$264,195
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $197,193.22 $302,727.16 $263,241.01 nat. median
$131,925
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 7 $196,035.95 $300,951.00 $261,696.52 nat. median
$145,435
1.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 6 $205,640.00 $943,887.60 $211,809.20 nat. median
$207,733
1.0× median
J0225
HCPCS 		Vutrisiran Sodium 25mg/0.5ml Syringe 10 $5,003.64 $190,201.90 $183,327.14 nat. median
$6,067
outlier · 30.2×
24
APR_DRG 		Heart &/or Lung Transplant 4 $149,430.29 $458,324.81 $179,316.35 nat. median
$225,531
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 8 $127,931.53 $196,424.39 $170,803.82 nat. median
$97,418
1.8× median
7
MS_DRG 		Lung Transplant 8 $119,608.05 $183,649.53 $159,695.24 nat. median
$70,649
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $110,997.32 $170,433.78 $148,203.29 nat. median
$72,715
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $104,660.50 $160,708.04 $139,746.12 nat. median
$65,418
outlier · 2.1×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $104,540.44 $160,523.77 $139,585.89 nat. median
$2,110
outlier · 66.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $101,791.80 $156,305.17 $135,917.54 nat. median
$2,736
outlier · 49.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $100,433.19 $154,219.96 $134,104.31 nat. median
$74,509
1.8× median
5834
APR_DRG 		Neonate W Ecmo 4 $109,998.50 $337,381.67 $131,998.20 nat. median
$390,362
outlier · 0.3×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $108,064.96 $331,451.22 $129,677.95 nat. median
$173,134
0.7× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $108,064.96 $331,451.22 $129,677.95 nat. median
$286,698
outlier · 0.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $95,227.78 $146,230.71 $127,157.14 nat. median
$69,922
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 7 $91,962.85 $141,219.69 $122,799.73 nat. median
$73,023
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $90,353.94 $138,750.36 $120,652.49 nat. median
$69,822
1.7× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $98,843.06 $303,166.31 $118,611.67 nat. median
$202,242
0.6× median
34
APR_DRG 		Bone Marrow Transplant 4 $95,971.66 $294,359.29 $115,165.99 nat. median
$187,752
0.6× median
A9543
HCPCS 		Zevalin Yttrium-90 Upto 40mCi 10 $56,824.55 $260,824.68 $113,311.60 nat. median
$65,477
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $108,243.35 $496,836.98 $111,490.65 nat. median
$108,243
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $83,212.67 $127,789.93 $111,121.68 nat. median
$2,596
outlier · 42.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $79,979.14 $122,827.13 $106,806.20 nat. median
$2,633
outlier · 40.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $77,858.56 $119,572.43 $103,976.03 nat. median
$60,505
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $77,613.80 $119,196.78 $103,649.37 nat. median
$59,651
1.7× median
453
MS_DRG 		Inpatient Ms-DRG 1 $100,213.57 $100,213.57 $100,213.57 nat. median
$2,106
outlier · 47.6×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $82,970.91 $254,484.06 $99,565.09 nat. median
$171,497
0.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $82,671.14 $253,564.61 $99,205.37 nat. median
$130,862
0.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $82,671.14 $253,564.61 $99,205.37 nat. median
$152,383
0.7× median

Other procedures at this hospital

Browse this hospital's 16,084 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 6 — — $4,505,000.00 $4,730,250.00 $4,505,000.00 2026-02-02
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 6 — — $3,685,266.67 $4,238,056.67 $3,740,545.67 2026-02-02
J3389 HCPCS Topi Adm Prad Zami Per Treat 8 6 — — $3,335,820.00 $3,836,193.00 $3,385,857.30 2026-02-02
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 6 — — $3,316,462.59 $3,813,931.98 $3,366,209.53 2026-02-02
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 6 — — $3,248,445.72 $3,735,712.57 $3,297,172.41 2026-02-02
J3387 HCPCS Inj Elivaldogene Autotemecel 8 6 — — $3,090,000.00 $3,553,500.00 $3,136,350.00 2026-02-02
J3393 HCPCS Inj, Betibeglogene Autotemce 8 6 — — $2,945,740.00 $3,387,601.00 $2,989,926.10 2026-02-02
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 6 — — $2,455,110.61 $2,823,377.20 $2,491,937.26 2026-02-02
J3392 HCPCS Inj, Exagamglogene Autotem 8 6 — — $2,332,000.00 $2,681,800.00 $2,366,980.00 2026-02-02
Q2057 HCPCS Afamitresgene Autoleucel 9 6 — — $770,620.00 $3,537,145.80 $793,738.60 2026-02-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 6 — — $591,726.20 $2,716,023.26 $609,477.99 2026-02-02
Q2056 HCPCS Ciltacabtagene Car-pos T 9 6 — — $565,868.95 $2,597,338.46 $582,845.01 2026-02-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 6 — — $562,538.19 $2,582,050.27 $579,414.33 2026-02-02
Q2055 HCPCS Idecabtagene Vicleucel Car 9 6 — — $557,317.93 $2,558,089.32 $574,037.47 2026-02-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 6 — — $533,230.17 $2,447,526.48 $549,227.08 2026-02-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 8 — — $398,836.34 $612,208.81 $532,355.49 2026-02-02
Q2053 HCPCS Brexucabtagene Car Pos T 9 6 — — $489,304.61 $2,245,908.15 $503,983.75 2026-02-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 7 — — $258,828.74 $397,325.30 $345,500.26 2026-02-02
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 6 — — $278,250.00 $1,277,167.50 $286,597.50 2026-02-02
J3403 HCPCS Revakinagene, Per Implant 9 6 — — $257,500.00 $1,181,925.00 $265,225.00 2026-02-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 10 7 — — $197,193.22 $302,727.16 $263,241.01 2026-02-02
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 10 7 — — $196,035.95 $300,951.00 $261,696.52 2026-02-02
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 6 — — $205,640.00 $943,887.60 $211,809.20 2026-02-02
J0225 HCPCS Vutrisiran Sodium 25mg/0.5ml Syringe 36 10 $229,158.92 $229,158.92 $5,003.64 $190,201.90 $183,327.14 2026-02-02
24 APR_DRG Heart &/or Lung Transplant 9 4 — — $149,430.29 $458,324.81 $179,316.35 2026-02-02
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 8 — — $127,931.53 $196,424.39 $170,803.82 2026-02-02
7 MS_DRG Lung Transplant 11 8 — — $119,608.05 $183,649.53 $159,695.24 2026-02-02
14 MS_DRG Allogeneic Bone Marrow Transplant 11 8 — — $110,997.32 $170,433.78 $148,203.29 2026-02-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 8 — — $104,660.50 $160,708.04 $139,746.12 2026-02-02
209 MS_DRG Complex Aortic Arch Procedures 10 7 — — $104,540.44 $160,523.77 $139,585.89 2026-02-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $101,791.80 $156,305.17 $135,917.54 2026-02-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 8 — — $100,433.19 $154,219.96 $134,104.31 2026-02-02
5834 APR_DRG Neonate W Ecmo 9 4 — — $109,998.50 $337,381.67 $131,998.20 2026-02-02
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 9 4 — — $108,064.96 $331,451.22 $129,677.95 2026-02-02
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 9 4 — — $108,064.96 $331,451.22 $129,677.95 2026-02-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 8 — — $95,227.78 $146,230.71 $127,157.14 2026-02-02
215 MS_DRG Other Heart Assist System Implant 10 7 — — $91,962.85 $141,219.69 $122,799.73 2026-02-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $90,353.94 $138,750.36 $120,652.49 2026-02-02
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 4 — — $98,843.06 $303,166.31 $118,611.67 2026-02-02
34 APR_DRG Bone Marrow Transplant 9 4 — — $95,971.66 $294,359.29 $115,165.99 2026-02-02
A9543 HCPCS Zevalin Yttrium-90 Upto 40mCi 37 10 $141,639.50 $141,639.50 $56,824.55 $260,824.68 $113,311.60 2026-02-02
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 6 — — $108,243.35 $496,836.98 $111,490.65 2026-02-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 7 — — $83,212.67 $127,789.93 $111,121.68 2026-02-02
850 MS_DRG Acute Leukemia With Other Procedures 10 7 — — $79,979.14 $122,827.13 $106,806.20 2026-02-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 8 — — $77,858.56 $119,572.43 $103,976.03 2026-02-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 8 — — $77,613.80 $119,196.78 $103,649.37 2026-02-02
453 MS_DRG Inpatient Ms-DRG 1 1 — — $100,213.57 $100,213.57 $100,213.57 2026-02-02
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 4 — — $82,970.91 $254,484.06 $99,565.09 2026-02-02
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 9 4 — — $82,671.14 $253,564.61 $99,205.37 2026-02-02
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 9 4 — — $82,671.14 $253,564.61 $99,205.37 2026-02-02
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 6 — — $95,081.03 $436,421.93 $97,933.46 2026-02-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 8 — — $72,676.24 $111,618.63 $97,059.68 2026-02-02
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 4 — — $80,246.82 $246,128.88 $96,296.18 2026-02-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $70,916.78 $108,918.20 $94,711.48 2026-02-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 8 — — $70,611.07 $108,448.98 $94,303.46 2026-02-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 8 — — $70,377.40 $108,090.36 $93,991.62 2026-02-02
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 4 — — $77,393.41 $237,377.03 $92,872.09 2026-02-02
14 APR_DRG Liver Transplant &/or Intestinal Transplant 9 4 — — $74,966.53 $229,933.43 $89,959.84 2026-02-02
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 4 — — $74,668.89 $229,020.55 $89,602.67 2026-02-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $66,670.99 $102,401.76 $89,045.01 2026-02-02
10 MS_DRG Pancreas Transplant 11 8 — — $54,437.00 $101,793.64 $88,516.21 2026-02-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 7 — — $66,247.06 $101,751.13 $88,479.24 2026-02-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 8 — — $65,895.17 $101,211.03 $88,009.59 2026-02-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 8 — — $65,856.37 $101,151.49 $87,957.82 2026-02-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 10 7 — — $63,837.38 $98,052.77 $85,263.28 2026-02-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 8 — — $63,524.28 $97,572.23 $84,845.42 2026-02-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $62,168.44 $95,491.27 $83,035.89 2026-02-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 7 — — $61,756.51 $94,859.04 $82,486.12 2026-02-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 7 — — $61,711.26 $94,789.59 $82,425.73 2026-02-02
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 4 — — $68,366.37 $209,689.77 $82,039.64 2026-02-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $60,729.47 $93,282.74 $81,115.43 2026-02-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $60,729.47 $93,282.74 $81,115.43 2026-02-02
38240 CPT Transplt Allo Hct/donor 9 6 — — $78,518.45 $360,399.70 $80,874.01 2026-02-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $60,508.73 $92,943.95 $80,820.83 2026-02-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 10 7 — — $59,430.89 $91,289.67 $79,382.32 2026-02-02
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 4 — — $64,757.95 $198,622.22 $77,709.54 2026-02-02
23 APR_DRG Heart &/or Lung Transplant 9 4 — — $64,531.83 $197,928.69 $77,438.20 2026-02-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 8 — — $56,601.90 $86,947.74 $75,606.73 2026-02-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 8 — — $56,536.33 $86,847.11 $75,519.23 2026-02-02
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 4 — — $62,707.93 $192,334.49 $75,249.52 2026-02-02
459 MS_DRG Inpatient Ms-DRG 1 1 — — $75,004.68 $75,004.68 $75,004.68 2026-02-02
5833 APR_DRG Neonate W Ecmo 9 4 — — $62,491.66 $191,671.17 $74,989.99 2026-02-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 7 — — $55,994.17 $86,015.01 $74,795.66 2026-02-02
28 MS_DRG Spinal Procedures With Mcc 11 8 — — $55,492.66 $85,245.29 $74,126.34 2026-02-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 8 — — $55,476.96 $85,221.18 $74,105.37 2026-02-02
5832 APR_DRG Neonate W Ecmo 9 4 — — $61,322.97 $188,086.63 $73,587.56 2026-02-02
5831 APR_DRG Neonate W Ecmo 9 4 — — $61,322.97 $188,086.63 $73,587.56 2026-02-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $55,075.19 $84,604.57 $73,569.19 2026-02-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 6 — — $73,327.59 $84,326.73 $73,327.59 2026-02-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 8 — — $54,766.71 $84,131.09 $73,157.47 2026-02-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 7 — — $54,202.39 $83,264.98 $72,404.33 2026-02-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 7 — — $54,167.29 $83,211.14 $72,357.51 2026-02-02
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 4 — — $59,654.09 $182,967.92 $71,584.91 2026-02-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 7 — — $53,264.94 $81,826.19 $71,153.21 2026-02-02
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 6 — — $68,801.71 $315,799.85 $70,865.76 2026-02-02
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 4 — — $59,053.26 $181,125.08 $70,863.91 2026-02-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 8 — — $52,925.05 $81,304.53 $70,699.59 2026-02-02
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 7 — — $52,708.93 $80,972.82 $70,411.15 2026-02-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 8 — — $52,640.58 $80,867.94 $70,319.95 2026-02-02
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 4 — — $58,318.81 $178,872.43 $69,982.57 2026-02-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $51,924.79 $79,769.32 $69,364.63 2026-02-02
454 MS_DRG Inpatient Ms-DRG 1 1 — — $69,169.24 $69,169.24 $69,169.24 2026-02-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 8 — — $51,764.09 $79,522.66 $69,150.14 2026-02-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 8 — — $50,442.66 $78,978.35 $68,676.83 2026-02-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 8 — — $51,010.43 $78,365.97 $68,144.32 2026-02-02
834 MS_DRG Acute Leukemia With Mcc 11 8 — — $50,704.72 $77,896.75 $67,736.30 2026-02-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 7 — — $50,525.54 $77,621.77 $67,497.19 2026-02-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 8 — — $50,453.50 $77,511.17 $67,401.02 2026-02-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 8 — — $50,374.07 $77,389.28 $67,295.03 2026-02-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 8 — — $50,172.72 $77,080.25 $67,026.30 2026-02-02
22 APR_DRG Heart &/or Lung Transplant 9 4 — — $55,011.88 $168,729.58 $66,014.26 2026-02-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $49,253.74 $75,669.80 $65,799.83 2026-02-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 7 — — $49,224.19 $75,624.45 $65,760.39 2026-02-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 8 — — $48,893.54 $75,116.98 $65,319.11 2026-02-02
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 6 — — $63,342.28 $290,741.07 $65,242.55 2026-02-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 7 — — $48,731.91 $74,868.90 $65,103.39 2026-02-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 8 — — $48,077.07 $73,863.86 $64,229.44 2026-02-02
653 MS_DRG Major Bladder Procedures With Mcc 11 8 — — $47,993.95 $73,736.29 $64,118.51 2026-02-02
J9347 HCPCS Tremelimumab-actl 300mg/15ml Vial 36 10 $79,473.25 $79,473.25 $140.90 $65,962.80 $63,578.60 2026-02-02
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 4 — — $52,869.79 $162,159.46 $63,443.75 2026-02-02
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 4 — — $52,372.59 $160,634.48 $62,847.11 2026-02-02
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 4 — — $51,984.60 $159,444.45 $62,381.52 2026-02-02
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 4 — — $51,984.60 $159,444.45 $62,381.52 2026-02-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $46,551.29 $71,522.10 $62,193.13 2026-02-02
21 APR_DRG Heart &/or Lung Transplant 9 4 — — $51,818.44 $158,934.81 $62,182.13 2026-02-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 8 — — $46,063.63 $70,773.61 $61,542.27 2026-02-02
J7330 HCPCS Carticel Cultured Chondrocytes 28 10 $76,550.50 $76,550.50 $49,757.83 $63,536.92 $61,240.40 2026-02-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 8 — — $45,694.19 $70,206.59 $61,049.21 2026-02-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 8 — — $45,612.91 $70,081.86 $60,940.75 2026-02-02
33 APR_DRG Bone Marrow Transplant 9 4 — — $50,632.19 $155,296.42 $60,758.63 2026-02-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 8 — — $45,456.82 $69,842.28 $60,732.42 2026-02-02
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 4 — — $50,596.64 $155,187.40 $60,715.97 2026-02-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $45,267.48 $69,551.68 $60,479.72 2026-02-02
471 MS_DRG Cervical Spinal Fusion With Mcc 11 8 — — $44,597.87 $68,523.98 $59,586.07 2026-02-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 8 — — $44,372.51 $68,178.11 $59,285.31 2026-02-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 8 — — $43,970.75 $67,561.47 $58,749.10 2026-02-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 8 — — $43,422.13 $66,719.46 $58,016.92 2026-02-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 8 — — $43,333.46 $66,583.38 $57,898.59 2026-02-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 8 — — $43,204.16 $66,384.90 $57,726.00 2026-02-02
904 APR_DRG Major Larynx & Trachea Procedures 9 4 — — $48,093.96 $147,511.30 $57,712.75 2026-02-02
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 4 — — $47,801.47 $146,614.18 $57,361.76 2026-02-02
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 4 — — $47,715.82 $146,351.48 $57,258.98 2026-02-02
6 MS_DRG Liver Transplant Without Mcc 11 8 — — $42,827.33 $65,806.57 $57,223.10 2026-02-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 8 — — $42,656.47 $65,544.32 $56,995.06 2026-02-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 6 — — $55,272.32 $253,699.97 $56,930.49 2026-02-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 8 — — $42,453.27 $65,232.45 $56,723.87 2026-02-02
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 4 — — $47,201.07 $144,772.66 $56,641.28 2026-02-02
33276 CPT Insj Phrnc Nrv Stim Sys 9 6 — — $54,982.51 $252,369.73 $56,631.99 2026-02-02
64568 CPT Opn Impltj Crnl Nrv Nea&pg 9 6 — — $54,982.51 $252,369.73 $56,631.99 2026-02-02
64654 CPT 1st Opn Implt Bat Modulj Sys 9 6 — — $54,982.51 $252,369.73 $56,631.99 2026-02-02
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 6 — — $54,982.51 $252,369.73 $56,631.99 2026-02-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 8 — — $42,345.21 $65,066.60 $56,579.65 2026-02-02
245 MS_DRG Aicd Generator Procedures 11 8 — — $42,138.33 $64,749.07 $56,303.54 2026-02-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 8 — — $42,011.79 $64,554.86 $56,134.66 2026-02-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 8 — — $41,993.32 $64,526.51 $56,110.01 2026-02-02
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 4 — — $46,655.48 $143,099.26 $55,986.58 2026-02-02
799 MS_DRG Splenic Procedures With Mcc 10 7 — — $41,828.92 $64,274.18 $55,890.59 2026-02-02
J9228 HCPCS Ipilimumab 200mg/40ml 41 10 $69,550.27 $69,550.28 $183.48 $57,726.73 $55,640.22 2026-02-02
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 4 — — $46,262.77 $141,894.78 $55,515.32 2026-02-02
163 MS_DRG Major Chest Procedures With Mcc 11 8 — — $41,393.90 $63,606.55 $55,310.04 2026-02-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 7 — — $41,381.90 $63,588.11 $55,294.01 2026-02-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 8 — — $41,219.34 $63,338.63 $55,077.07 2026-02-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 8 — — $40,571.90 $62,344.93 $54,212.98 2026-02-02
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 9 4 — — $45,023.43 $138,093.51 $54,028.12 2026-02-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 8 — — $39,967.87 $61,417.84 $53,406.82 2026-02-02
4404 APR_DRG Kidney Transplant 9 4 — — $44,469.70 $136,395.15 $53,363.64 2026-02-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 8 — — $39,649.22 $60,928.79 $52,981.56 2026-02-02
140 MS_DRG Major Head And Neck Procedures With Mcc 10 7 — — $39,394.31 $60,537.55 $52,641.35 2026-02-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 7 — — $39,168.03 $60,190.25 $52,339.35 2026-02-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 8 — — $39,005.48 $59,940.79 $52,122.43 2026-02-02
455 MS_DRG Inpatient Ms-DRG 1 1 — — $52,084.73 $52,084.73 $52,084.73 2026-02-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 8 — — $38,938.98 $59,838.69 $52,033.64 2026-02-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 8 — — $38,919.58 $59,808.95 $52,007.78 2026-02-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 8 — — $38,805.98 $59,634.60 $51,856.17 2026-02-02
901 MS_DRG Wound Debridements For Injuries With Mcc 11 8 — — $38,759.80 $59,563.72 $51,794.54 2026-02-02
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 4 — — $43,127.14 $132,277.33 $51,752.57 2026-02-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 8 — — $38,687.76 $59,453.15 $51,698.39 2026-02-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $38,538.13 $59,223.51 $51,498.70 2026-02-02
793 MS_DRG Full Term Neonate With Major Problems 9 6 — — $51,461.72 $59,180.98 $51,461.72 2026-02-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 8 — — $38,357.11 $58,945.67 $51,257.10 2026-02-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 4 — — $42,584.55 $130,613.13 $51,101.46 2026-02-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 8 — — $38,103.12 $58,555.84 $50,918.12 2026-02-02
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 4 — — $42,137.89 $129,243.15 $50,565.47 2026-02-02
791 MS_DRG Prematurity With Major Problems 9 6 — — $50,098.41 $57,613.17 $50,098.41 2026-02-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 7 — — $37,133.34 $57,067.40 $49,623.83 2026-02-02
L7181 HCPCS Electronic Elbo Simultaneous 9 6 — — $48,155.50 $221,033.75 $49,600.17 2026-02-02
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 9 4 — — $41,113.95 $126,102.57 $49,336.74 2026-02-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 7 — — $36,797.15 $56,551.42 $49,175.15 2026-02-02
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 4 — — $40,615.04 $124,572.34 $48,738.05 2026-02-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $36,130.31 $55,527.97 $48,285.19 2026-02-02
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 9 4 — — $40,189.79 $123,268.03 $48,227.75 2026-02-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 11 8 — — $34,288.89 $55,277.07 $48,067.02 2026-02-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 8 — — $35,749.79 $54,943.94 $47,777.34 2026-02-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 7 — — $35,696.22 $54,861.70 $47,705.83 2026-02-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 7 — — $35,662.04 $54,809.28 $47,660.24 2026-02-02
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 4 — — $39,538.85 $121,271.51 $47,446.62 2026-02-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 7 — — $35,459.77 $54,498.85 $47,390.30 2026-02-02
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 9 4 — — $39,322.59 $120,608.20 $47,187.11 2026-02-02
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 4 — — $39,180.84 $120,173.43 $47,017.01 2026-02-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 8 — — $34,755.07 $53,417.27 $46,449.80 2026-02-02
J9226 HCPCS Supprelin La Implant 9 6 — — $45,020.65 $206,644.78 $46,371.27 2026-02-02
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 9 4 — — $38,552.17 $118,245.21 $46,262.60 2026-02-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 8 — — $34,603.60 $53,184.77 $46,247.63 2026-02-02
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 4 — — $38,450.25 $117,932.60 $46,140.30 2026-02-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 8 — — $34,521.40 $53,058.61 $46,137.92 2026-02-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 8 — — $34,517.70 $53,052.95 $46,133.00 2026-02-02
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 9 4 — — $38,418.98 $117,836.71 $46,102.78 2026-02-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 8 — — $34,420.72 $52,904.12 $46,003.58 2026-02-02
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 9 4 — — $38,312.35 $117,509.65 $45,974.82 2026-02-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 8 — — $34,226.77 $52,606.41 $45,744.70 2026-02-02
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 4 — — $38,068.68 $116,762.27 $45,682.42 2026-02-02
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml 36 10 $56,972.05 $56,972.05 $59.41 $47,286.80 $45,577.64 2026-02-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 8 — — $33,924.75 $52,142.87 $45,341.63 2026-02-02
L7180 HCPCS Electronic Elbow Sequential 9 6 — — $44,008.89 $202,000.81 $45,329.16 2026-02-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 7 — — $33,910.90 $52,121.62 $45,323.15 2026-02-02
J2507 HCPCS Pegloticase 8 Mg/ml 1 Ml Vial 36 10 $56,370.37 $56,370.37 $3,660.83 $46,787.40 $45,096.29 2026-02-02
6904 APR_DRG Acute Leukemia 9 4 — — $37,484.98 $114,971.97 $44,981.98 2026-02-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 8 — — $33,512.83 $51,510.66 $44,791.88 2026-02-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 8 — — $33,486.97 $51,470.96 $44,757.36 2026-02-02
332 MS_DRG Rectal Resection With Mcc 11 8 — — $33,440.79 $51,400.09 $44,695.73 2026-02-02
265 MS_DRG Aicd Lead Procedures 11 8 — — $33,417.70 $51,364.65 $44,664.91 2026-02-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 8 — — $33,358.58 $51,273.93 $44,586.03 2026-02-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 — — $33,308.71 $51,197.41 $44,519.49 2026-02-02
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 9 4 — — $36,990.78 $113,456.19 $44,388.94 2026-02-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 7 — — $33,090.74 $50,862.83 $44,228.55 2026-02-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 8 — — $33,014.08 $50,745.20 $44,126.26 2026-02-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 7 — — $32,980.83 $50,694.14 $44,081.86 2026-02-02
0686T CPT Histotripsy Mal Hepatcel Tis 9 6 — — $42,764.31 $196,288.19 $44,047.24 2026-02-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 8 — — $32,931.88 $50,619.02 $44,016.54 2026-02-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 8 — — $32,904.17 $50,576.49 $43,979.56 2026-02-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 8 — — $32,872.77 $50,528.32 $43,937.67 2026-02-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 8 — — $32,845.99 $50,487.20 $43,901.91 2026-02-02
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 9 4 — — $36,288.02 $111,300.74 $43,545.62 2026-02-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 8 — — $32,571.68 $50,066.17 $43,535.80 2026-02-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 8 — — $32,505.18 $49,964.12 $43,447.06 2026-02-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 9 4 — — $35,921.87 $110,177.69 $43,106.24 2026-02-02
C1767 HCPCS Generator,aspire Sr 106 53 10 $65,853.60 $65,853.60 $225.63 $54,658.49 $43,068.25 2026-02-02
252 MS_DRG Other Vascular Procedures With Mcc 10 7 — — $32,217.94 $49,523.28 $43,063.72 2026-02-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 8 — — $32,209.63 $49,510.52 $43,052.63 2026-02-02
13 APR_DRG Liver Transplant &/or Intestinal Transplant 9 4 — — $35,829.37 $109,893.98 $42,995.24 2026-02-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 8 — — $32,061.85 $49,283.71 $42,855.40 2026-02-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 8 — — $31,906.69 $49,045.56 $42,648.31 2026-02-02
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 7 — — $31,758.91 $48,818.74 $42,451.08 2026-02-02
69930 CPT Implant Cochlear Device 9 6 — — $41,158.57 $188,917.84 $42,393.33 2026-02-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 8 — — $31,664.70 $48,674.18 $42,325.37 2026-02-02
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 4 — — $35,175.01 $107,886.95 $42,210.01 2026-02-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 7 — — $31,509.54 $48,436.02 $42,118.28 2026-02-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 8 — — $31,467.98 $48,372.23 $42,062.81 2026-02-02
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 9 4 — — $34,749.33 $106,581.33 $41,699.20 2026-02-02
234 APR_DRG Spinal Procedures 9 4 — — $34,611.43 $106,158.38 $41,533.72 2026-02-02
460 MS_DRG Inpatient Ms-DRG 1 1 — — $41,367.19 $41,367.19 $41,367.19 2026-02-02
264 MS_DRG Other Circulatory System O.r. Procedures 11 8 — — $30,853.78 $47,429.57 $41,243.10 2026-02-02
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 9 6 — — $40,019.89 $183,691.30 $41,220.49 2026-02-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 8 — — $30,509.28 $46,900.83 $40,783.33 2026-02-02
37 MS_DRG Extracranial Procedures With Mcc 11 8 — — $30,405.84 $46,742.05 $40,645.26 2026-02-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 8 — — $30,402.14 $46,736.37 $40,640.32 2026-02-02
33270 CPT Ins/rep Subq Defibrillator 9 6 — — $39,182.22 $179,846.37 $40,357.68 2026-02-02
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 9 6 — — $39,182.22 $179,846.37 $40,357.68 2026-02-02
33249 CPT Insj/rplcmt Defib W/lead(s) 9 6 — — $39,182.22 $179,846.37 $40,357.68 2026-02-02
33231 CPT Insrt Pulse Gen W/mult Leads 9 6 — — $39,182.22 $179,846.37 $40,357.68 2026-02-02
0571T CPT Insj/rplcmt Icds Ss Eltrd 9 6 — — $39,182.22 $179,846.37 $40,357.68 2026-02-02
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 6 — — $39,182.22 $179,846.37 $40,357.68 2026-02-02
0408T CPT Insj/rplc Cardiac Modulj Sys 9 6 — — $39,182.22 $179,846.37 $40,357.68 2026-02-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 8 — — $30,042.86 $46,184.95 $40,160.83 2026-02-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 8 — — $29,910.79 $45,982.24 $39,984.56 2026-02-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 8 — — $29,877.54 $45,931.22 $39,940.19 2026-02-02
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 7 — — $29,835.97 $45,867.45 $39,884.74 2026-02-02
32 APR_DRG Bone Marrow Transplant 9 4 — — $33,234.61 $101,935.48 $39,881.53 2026-02-02
652 MS_DRG Kidney Transplant 11 8 — — $29,827.66 $45,854.69 $39,873.64 2026-02-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 8 — — $29,805.50 $45,820.65 $39,844.04 2026-02-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 8 — — $29,747.31 $45,731.36 $39,766.40 2026-02-02
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
61886 CPT Implant Neurostim Arrays 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
61885 CPT Insrt/redo Neurostim 1 Array 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
64656 CPT Revj/rplcmt Bat Mod Sys Pg 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
63685 CPT Insrt/redo Spine N Generator 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 9 6 — — $38,519.17 $176,802.99 $39,674.75 2026-02-02
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 8 — — $29,651.25 $45,583.92 $39,638.19 2026-02-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 7 — — $29,488.70 $45,334.44 $39,421.25 2026-02-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 7 — — $29,434.21 $45,250.80 $39,348.52 2026-02-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 8 — — $29,405.58 $45,206.87 $39,310.32 2026-02-02
64 APR_DRG Pancreas Transplant 9 4 — — $32,713.44 $100,336.95 $39,256.13 2026-02-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 8 — — $29,346.47 $45,116.13 $39,231.42 2026-02-02
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 9 4 — — $32,677.89 $100,227.93 $39,213.47 2026-02-02
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 9 4 — — $32,661.19 $100,176.70 $39,193.43 2026-02-02
500 MS_DRG Soft Tissue Procedures With Mcc 11 8 — — $29,230.09 $44,937.52 $39,076.10 2026-02-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 8 — — $29,185.76 $44,869.49 $39,016.95 2026-02-02
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 9 4 — — $32,446.64 $99,518.64 $38,935.97 2026-02-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 8 — — $29,102.64 $44,741.92 $38,906.02 2026-02-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 8 — — $29,088.78 $44,720.64 $38,887.51 2026-02-02
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 8 — — $29,020.44 $44,615.76 $38,796.31 2026-02-02
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 9 4 — — $32,133.16 $98,557.16 $38,559.79 2026-02-02
665 MS_DRG Prostatectomy With Mcc 11 8 — — $28,827.40 $44,319.48 $38,538.68 2026-02-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 8 — — $28,767.37 $44,227.34 $38,458.56 2026-02-02
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 4 — — $32,026.10 $98,228.78 $38,431.32 2026-02-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 8 — — $28,716.57 $44,149.39 $38,390.77 2026-02-02
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