Hospital

SAMARITAN MEDICAL CENTER

Watertown, NY · CCN 330157 · Rates published

16,292 distinct procedures filed

11 distinct payers

442,903 rate rows

2026-02-02 last MRF observed

Data quality

330,526 of 442,903 rate rows are consumer-grade (74.6%)

112,377 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 — reason	Rows
professional (physician) fee — not the facility price	111,993
exceeds 10× this hospital's gross charge — excluded from medians	140
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	82
per-diem day rate — not a per-procedure price	75
percent-of-charges filed in the dollar field — excluded from medians	64
placeholder amount (≤ $0.02) — excluded from medians	23

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 via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
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	7	$4,505,000.00	$4,730,250.00	$4,550,050.00	nat. median $4,505,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$3,685,266.67	$4,238,056.67	$3,758,972.00	nat. median $3,710,000 1.0× median
J3389 HCPCS	Topi Adm Prad Zami Per Treat	7	$3,335,820.00	$3,836,193.00	$3,402,536.40	nat. median $3,335,820 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,316,462.59	$3,813,931.98	$3,382,791.84	nat. median $3,325,455 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	7	$3,248,445.72	$4,920,420.72	$3,329,656.86	nat. median $3,286,000 1.0× median
J3387 HCPCS	Inj Elivaldogene Autotemecel	7	$3,090,000.00	$4,680,423.00	$3,167,250.00	nat. median $3,180,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	7	$2,945,740.00	$4,461,912.38	$3,019,383.50	nat. median $3,004,655 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	7	$2,455,110.61	$3,718,756.03	$2,516,488.37	nat. median $2,468,984 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	7	$2,332,000.00	$3,532,280.40	$2,390,300.00	nat. median $2,448,600 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	7	$770,620.00	$3,537,145.80	$793,738.60	nat. median $824,563 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$591,726.20	$2,716,023.26	$609,477.99	nat. median $753,246 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$565,868.95	$2,597,338.46	$582,845.01	nat. median $674,867 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$562,538.19	$2,582,050.27	$579,414.33	nat. median $673,137 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$557,317.93	$2,558,089.32	$574,037.47	nat. median $625,184 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$533,230.17	$2,447,526.48	$549,227.08	nat. median $634,303 0.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$398,836.34	$612,208.81	$532,355.49	nat. median $370,174 1.4× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$489,304.61	$2,245,908.15	$503,983.75	nat. median $619,808 0.8× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$258,828.74	$397,325.30	$345,500.26	nat. median $265,286 1.3× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	7	$278,250.00	$1,277,167.50	$286,597.50	nat. median $324,450 0.9× median
J3403 HCPCS	Revakinagene, Per Implant	7	$257,500.00	$1,181,925.00	$265,225.00	nat. median $265,000 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	9	$197,193.22	$302,727.16	$263,241.01	nat. median $206,474 1.3× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	9	$196,035.95	$300,951.00	$261,696.52	nat. median $202,976 1.3× median
24 APR_DRG	Heart &/or Lung Transplant	5	$149,430.29	$458,324.81	$257,767.25	nat. median $234,729 1.1× median
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	7	$205,640.00	$943,887.60	$211,809.20	nat. median $209,753 1.0× median
5834 APR_DRG	Neonate W Ecmo	5	$109,998.50	$337,381.67	$189,747.42	nat. median $309,665 0.6× median
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	5	$108,064.96	$331,451.22	$186,412.05	nat. median $246,434 0.8× median
5883 APR_DRG	Neonate Bwt <1500g W Major Procedure	5	$108,064.96	$331,451.22	$186,412.05	nat. median $182,665 1.0× median
J0225 HCPCS	Vutrisiran Sodium 25mg/0.5ml Syringe	11	$5,003.64	$194,785.08	$183,327.14	nat. median $8,223 outlier · 22.3×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	9	$127,931.53	$196,424.39	$170,803.82	nat. median $133,161 1.3× median
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	5	$98,843.06	$303,166.31	$170,504.28	nat. median $207,730 0.8× median
34 APR_DRG	Bone Marrow Transplant	5	$95,971.66	$294,359.29	$165,551.11	nat. median $209,067 0.8× median
7 MS_DRG	Lung Transplant	9	$119,608.05	$183,649.53	$159,695.24	nat. median $122,708 1.3× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	9	$110,997.32	$170,433.78	$148,203.29	nat. median $117,357 1.3× median
5914 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	5	$82,970.91	$254,484.06	$143,124.82	nat. median $164,289 0.9× median
5882 APR_DRG	Neonate Bwt <1500g W Major Procedure	5	$82,671.14	$253,564.61	$142,607.72	nat. median $145,336 1.0× median
5881 APR_DRG	Neonate Bwt <1500g W Major Procedure	5	$82,671.14	$253,564.61	$142,607.72	nat. median $124,573 1.1× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	$104,660.50	$160,708.04	$139,746.12	nat. median $108,660 1.3× median
209 MS_DRG	Complex Aortic Arch Procedures	8	$104,540.44	$160,523.77	$139,585.89	nat. median $98,047 1.4× median
8414 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	5	$80,246.82	$246,128.88	$138,425.77	nat. median $160,267 0.9× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	$101,791.80	$156,305.17	$135,917.54	nat. median $98,894 1.4× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	9	$100,433.19	$154,219.96	$134,104.31	nat. median $102,358 1.3× median
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	5	$77,393.41	$237,377.03	$133,503.63	nat. median $105,658 1.3× median
14 APR_DRG	Liver Transplant &/or Intestinal Transplant	5	$74,966.53	$229,933.43	$129,317.26	nat. median $129,535 1.0× median
5934 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	5	$74,668.89	$229,020.55	$128,803.83	nat. median $151,838 0.8× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	9	$95,227.78	$146,230.71	$127,157.14	nat. median $100,136 1.3× median
215 MS_DRG	Other Heart Assist System Implant	9	$91,962.85	$141,219.69	$122,799.73	nat. median $99,019 1.2× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	9	$90,353.94	$138,750.36	$120,652.49	nat. median $93,672 1.3× median
6094 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	5	$68,366.37	$209,689.77	$117,931.98	nat. median $162,982 0.7× median
A9543 HCPCS	Zevalin Yttrium-90 Upto 40mCi	11	$56,824.55	$260,824.68	$113,311.60	nat. median $62,507 1.8× median
6024 APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	5	$64,757.95	$198,622.22	$111,707.46	nat. median $118,620 0.9× median

Other procedures at this hospital

Browse this hospital's 16,292 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	8	7	—	—	$4,505,000.00	$4,730,250.00	$4,550,050.00	2026-02-02
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	9	7	—	—	$3,685,266.67	$4,238,056.67	$3,758,972.00	2026-02-02
J3389	HCPCS	Topi Adm Prad Zami Per Treat	9	7	—	—	$3,335,820.00	$3,836,193.00	$3,402,536.40	2026-02-02
J1413	HCPCS	Inj Delandistrogene Mox Rokl	9	7	—	—	$3,316,462.59	$3,813,931.98	$3,382,791.84	2026-02-02
J3394	HCPCS	Inj, Lovotibeglogene Autotem	10	7	—	—	$3,248,445.72	$4,920,420.72	$3,329,656.86	2026-02-02
J3387	HCPCS	Inj Elivaldogene Autotemecel	10	7	—	—	$3,090,000.00	$4,680,423.00	$3,167,250.00	2026-02-02
J3393	HCPCS	Inj, Betibeglogene Autotemce	10	7	—	—	$2,945,740.00	$4,461,912.38	$3,019,383.50	2026-02-02
J3399	HCPCS	Inj Onase Abepar-xioi Treat	10	7	—	—	$2,455,110.61	$3,718,756.03	$2,516,488.37	2026-02-02
J3392	HCPCS	Inj, Exagamglogene Autotem	10	7	—	—	$2,332,000.00	$3,532,280.40	$2,390,300.00	2026-02-02
Q2057	HCPCS	Afamitresgene Autoleucel	11	7	—	—	$770,620.00	$3,537,145.80	$793,738.60	2026-02-02
Q2042	HCPCS	Tisagenlecleucel Car-pos T	11	7	—	—	$591,726.20	$2,716,023.26	$609,477.99	2026-02-02
Q2056	HCPCS	Ciltacabtagene Car-pos T	11	7	—	—	$565,868.95	$2,597,338.46	$582,845.01	2026-02-02
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	11	7	—	—	$562,538.19	$2,582,050.27	$579,414.33	2026-02-02
Q2055	HCPCS	Idecabtagene Vicleucel Car	11	7	—	—	$557,317.93	$2,558,089.32	$574,037.47	2026-02-02
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	11	7	—	—	$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	13	9	—	—	$398,836.34	$612,208.81	$532,355.49	2026-02-02
Q2053	HCPCS	Brexucabtagene Car Pos T	11	7	—	—	$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	13	9	—	—	$258,828.74	$397,325.30	$345,500.26	2026-02-02
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	11	7	—	—	$278,250.00	$1,277,167.50	$286,597.50	2026-02-02
J3403	HCPCS	Revakinagene, Per Implant	11	7	—	—	$257,500.00	$1,181,925.00	$265,225.00	2026-02-02
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	9	—	—	$197,193.22	$302,727.16	$263,241.01	2026-02-02
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	13	9	—	—	$196,035.95	$300,951.00	$261,696.52	2026-02-02
24	APR_DRG	Heart &/or Lung Transplant	12	5	—	—	$149,430.29	$458,324.81	$257,767.25	2026-02-02
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	11	7	—	—	$205,640.00	$943,887.60	$211,809.20	2026-02-02
5834	APR_DRG	Neonate W Ecmo	12	5	—	—	$109,998.50	$337,381.67	$189,747.42	2026-02-02
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$108,064.96	$331,451.22	$186,412.05	2026-02-02
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$108,064.96	$331,451.22	$186,412.05	2026-02-02
J0225	HCPCS	Vutrisiran Sodium 25mg/0.5ml Syringe	44	11	$229,158.92	$229,158.92	$5,003.64	$194,785.08	$183,327.14	2026-02-02
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	13	9	—	—	$127,931.53	$196,424.39	$170,803.82	2026-02-02
1614	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	12	5	—	—	$98,843.06	$303,166.31	$170,504.28	2026-02-02
34	APR_DRG	Bone Marrow Transplant	12	5	—	—	$95,971.66	$294,359.29	$165,551.11	2026-02-02
7	MS_DRG	Lung Transplant	13	9	—	—	$119,608.05	$183,649.53	$159,695.24	2026-02-02
14	MS_DRG	Allogeneic Bone Marrow Transplant	13	9	—	—	$110,997.32	$170,433.78	$148,203.29	2026-02-02
5914	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	12	5	—	—	$82,970.91	$254,484.06	$143,124.82	2026-02-02
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$82,671.14	$253,564.61	$142,607.72	2026-02-02
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$82,671.14	$253,564.61	$142,607.72	2026-02-02
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	13	9	—	—	$104,660.50	$160,708.04	$139,746.12	2026-02-02
209	MS_DRG	Complex Aortic Arch Procedures	12	8	—	—	$104,540.44	$160,523.77	$139,585.89	2026-02-02
8414	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	12	5	—	—	$80,246.82	$246,128.88	$138,425.77	2026-02-02
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	8	—	—	$101,791.80	$156,305.17	$135,917.54	2026-02-02
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	13	9	—	—	$100,433.19	$154,219.96	$134,104.31	2026-02-02
44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	12	5	—	—	$77,393.41	$237,377.03	$133,503.63	2026-02-02
14	APR_DRG	Liver Transplant &/or Intestinal Transplant	12	5	—	—	$74,966.53	$229,933.43	$129,317.26	2026-02-02
5934	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	12	5	—	—	$74,668.89	$229,020.55	$128,803.83	2026-02-02
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	13	9	—	—	$95,227.78	$146,230.71	$127,157.14	2026-02-02
215	MS_DRG	Other Heart Assist System Implant	13	9	—	—	$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…	13	9	—	—	$90,353.94	$138,750.36	$120,652.49	2026-02-02
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	12	5	—	—	$68,366.37	$209,689.77	$117,931.98	2026-02-02
A9543	HCPCS	Zevalin Yttrium-90 Upto 40mCi	45	11	$141,639.50	$141,639.50	$56,824.55	$260,824.68	$113,311.60	2026-02-02
6024	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$64,757.95	$198,622.22	$111,707.46	2026-02-02
Q0480	HCPCS	Driver Pneumatic Vad, Rep	11	7	—	—	$108,243.35	$496,836.98	$111,490.65	2026-02-02
23	APR_DRG	Heart &/or Lung Transplant	12	5	—	—	$64,531.83	$197,928.69	$111,317.41	2026-02-02
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	12	8	—	—	$83,212.67	$127,789.93	$111,121.68	2026-02-02
8413	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	12	5	—	—	$62,707.93	$192,334.49	$108,171.18	2026-02-02
5833	APR_DRG	Neonate W Ecmo	12	5	—	—	$62,491.66	$191,671.17	$107,798.11	2026-02-02
850	MS_DRG	Acute Leukemia With Other Procedures	12	8	—	—	$79,979.14	$122,827.13	$106,806.20	2026-02-02
5832	APR_DRG	Neonate W Ecmo	12	5	—	—	$61,322.97	$188,086.63	$105,782.12	2026-02-02
5831	APR_DRG	Neonate W Ecmo	12	5	—	—	$61,322.97	$188,086.63	$105,782.12	2026-02-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	13	9	—	—	$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…	13	9	—	—	$77,613.80	$119,196.78	$103,649.37	2026-02-02
6034	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	12	5	—	—	$59,654.09	$182,967.92	$102,903.31	2026-02-02
54	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	12	5	—	—	$59,053.26	$181,125.08	$101,866.88	2026-02-02
5933	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	12	5	—	—	$58,318.81	$178,872.43	$100,599.95	2026-02-02
453	MS_DRG	Inpatient Ms-DRG	1	1	—	—	$100,213.57	$100,213.57	$100,213.57	2026-02-02
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	11	7	—	—	$95,081.03	$436,421.93	$97,933.46	2026-02-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	13	9	—	—	$72,676.24	$111,618.63	$97,059.68	2026-02-02
22	APR_DRG	Heart &/or Lung Transplant	12	5	—	—	$55,011.88	$168,729.58	$94,895.49	2026-02-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	9	—	—	$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	13	9	—	—	$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	13	9	—	—	$70,377.40	$108,090.36	$93,991.62	2026-02-02
6074	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$52,869.79	$162,159.46	$91,200.39	2026-02-02
6304	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	12	5	—	—	$52,372.59	$160,634.48	$90,342.72	2026-02-02
5891	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	12	5	—	—	$51,984.60	$159,444.45	$89,673.43	2026-02-02
5892	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	12	5	—	—	$51,984.60	$159,444.45	$89,673.43	2026-02-02
21	APR_DRG	Heart &/or Lung Transplant	12	5	—	—	$51,818.44	$158,934.81	$89,386.81	2026-02-02
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	8	—	—	$66,670.99	$102,401.76	$89,045.01	2026-02-02
10	MS_DRG	Pancreas Transplant	13	9	—	—	$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	13	9	—	—	$66,247.06	$101,751.13	$88,479.24	2026-02-02
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	13	9	—	—	$65,895.17	$101,211.03	$88,009.59	2026-02-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	13	9	—	—	$65,856.37	$101,151.49	$87,957.82	2026-02-02
33	APR_DRG	Bone Marrow Transplant	12	5	—	—	$50,632.19	$155,296.42	$87,340.53	2026-02-02
5913	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	12	5	—	—	$50,596.64	$155,187.40	$87,279.21	2026-02-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	13	9	—	—	$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	13	9	—	—	$63,524.28	$97,572.23	$84,845.42	2026-02-02
955	MS_DRG	Craniotomy For Multiple Significant Trauma	13	9	—	—	$62,168.44	$95,491.27	$83,035.89	2026-02-02
904	APR_DRG	Major Larynx & Trachea Procedures	12	5	—	—	$48,093.96	$147,511.30	$82,962.08	2026-02-02
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	12	8	—	—	$61,756.51	$94,859.04	$82,486.12	2026-02-02
6023	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$47,801.47	$146,614.18	$82,457.54	2026-02-02
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	12	8	—	—	$61,711.26	$94,789.59	$82,425.73	2026-02-02
5932	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	12	5	—	—	$47,715.82	$146,351.48	$82,309.79	2026-02-02
5912	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	12	5	—	—	$47,201.07	$144,772.66	$81,421.85	2026-02-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	9	—	—	$60,729.47	$93,282.74	$81,115.43	2026-02-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	9	—	—	$60,729.47	$93,282.74	$81,115.43	2026-02-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	13	9	—	—	$60,508.73	$92,943.95	$80,820.83	2026-02-02
38240	CPT	Transplt Allo Hct/donor	12	7	—	—	$13,260.00	$360,399.70	$80,481.42	2026-02-02
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	12	5	—	—	$46,655.48	$143,099.26	$80,480.71	2026-02-02
5931	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	12	5	—	—	$46,262.77	$141,894.78	$79,803.27	2026-02-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	13	9	—	—	$59,430.89	$91,289.67	$79,382.32	2026-02-02
6314	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	12	5	—	—	$45,023.43	$138,093.51	$77,665.42	2026-02-02
4404	APR_DRG	Kidney Transplant	12	5	—	—	$44,469.70	$136,395.15	$76,710.24	2026-02-02
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	13	9	—	—	$56,601.90	$86,947.74	$75,606.73	2026-02-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	13	9	—	—	$56,536.33	$86,847.11	$75,519.23	2026-02-02
459	MS_DRG	Inpatient Ms-DRG	1	1	—	—	$75,004.68	$75,004.68	$75,004.68	2026-02-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	13	9	—	—	$55,994.17	$86,015.01	$74,795.66	2026-02-02
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	12	5	—	—	$43,127.14	$132,277.33	$74,394.32	2026-02-02
28	MS_DRG	Spinal Procedures With Mcc	13	9	—	—	$55,492.66	$85,245.29	$74,126.34	2026-02-02
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	13	9	—	—	$55,476.96	$85,221.18	$74,105.37	2026-02-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	13	9	—	—	$55,075.19	$84,604.57	$73,569.19	2026-02-02
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	12	5	—	—	$42,584.55	$130,613.13	$73,458.35	2026-02-02
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	11	7	—	—	$69,717.26	$84,326.73	$73,327.59	2026-02-02
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	13	9	—	—	$54,766.71	$84,131.09	$73,157.47	2026-02-02
1613	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	12	5	—	—	$42,137.89	$129,243.15	$72,687.86	2026-02-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	13	9	—	—	$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	13	9	—	—	$54,167.29	$83,211.14	$72,357.51	2026-02-02
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	12	8	—	—	$53,264.94	$81,826.19	$71,153.21	2026-02-02
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	12	5	—	—	$41,113.95	$126,102.57	$70,921.57	2026-02-02
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	11	7	—	—	$68,801.71	$315,799.85	$70,865.76	2026-02-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	13	9	—	—	$52,925.05	$81,304.53	$70,699.59	2026-02-02
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	12	8	—	—	$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 …	13	9	—	—	$52,640.58	$80,867.94	$70,319.95	2026-02-02
6022	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$40,615.04	$124,572.34	$70,060.95	2026-02-02
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	8	—	—	$51,924.79	$79,769.32	$69,364.63	2026-02-02
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	12	5	—	—	$40,189.79	$123,268.03	$69,327.39	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	13	9	—	—	$51,764.09	$79,522.66	$69,150.14	2026-02-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	13	9	—	—	$50,442.66	$78,978.35	$68,676.83	2026-02-02
53	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	12	5	—	—	$39,538.85	$121,271.51	$68,204.51	2026-02-02
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	13	9	—	—	$51,010.43	$78,365.97	$68,144.32	2026-02-02
3044	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	12	5	—	—	$39,322.59	$120,608.20	$67,831.47	2026-02-02
834	MS_DRG	Acute Leukemia With Mcc	13	9	—	—	$50,704.72	$77,896.75	$67,736.30	2026-02-02
6073	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$39,180.84	$120,173.43	$67,586.95	2026-02-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	13	9	—	—	$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	13	9	—	—	$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	13	9	—	—	$50,374.07	$77,389.28	$67,295.03	2026-02-02
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	13	9	—	—	$50,172.72	$77,080.25	$67,026.30	2026-02-02
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	12	5	—	—	$38,552.17	$118,245.21	$66,502.49	2026-02-02
6033	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	12	5	—	—	$38,450.25	$117,932.60	$66,326.68	2026-02-02
6814	APR_DRG	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	12	5	—	—	$38,418.98	$117,836.71	$66,272.74	2026-02-02
6804	APR_DRG	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	12	5	—	—	$38,312.35	$117,509.65	$66,088.80	2026-02-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	9	—	—	$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 …	12	8	—	—	$49,224.19	$75,624.45	$65,760.39	2026-02-02
5911	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	12	5	—	—	$38,068.68	$116,762.27	$65,668.48	2026-02-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	13	9	—	—	$48,893.54	$75,116.98	$65,319.11	2026-02-02
J9029	HCPCS	Instill Adstiladrin, Tx Dose	11	7	—	—	$63,342.28	$290,741.07	$65,242.55	2026-02-02
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	13	9	—	—	$48,731.91	$74,868.90	$65,103.39	2026-02-02
6904	APR_DRG	Acute Leukemia	12	5	—	—	$37,484.98	$114,971.97	$64,661.60	2026-02-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	13	9	—	—	$48,077.07	$73,863.86	$64,229.44	2026-02-02
653	MS_DRG	Major Bladder Procedures With Mcc	13	9	—	—	$47,993.95	$73,736.29	$64,118.51	2026-02-02
8424	APR_DRG	Burns With Skin Graft Except Extensive 3rd Degree Burns	12	5	—	—	$36,990.78	$113,456.19	$63,809.10	2026-02-02
J9347	HCPCS	Tremelimumab-actl 300mg/15ml Vial	44	11	$79,473.25	$79,473.25	$140.90	$67,552.26	$63,578.60	2026-02-02
6124	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	12	5	—	—	$36,288.02	$111,300.74	$62,596.84	2026-02-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	9	—	—	$46,551.29	$71,522.10	$62,193.13	2026-02-02
4054	APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	12	5	—	—	$35,921.87	$110,177.69	$61,965.23	2026-02-02
13	APR_DRG	Liver Transplant &/or Intestinal Transplant	12	5	—	—	$35,829.37	$109,893.98	$61,805.66	2026-02-02
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	13	9	—	—	$46,063.63	$70,773.61	$61,542.27	2026-02-02
J7330	HCPCS	Carticel Cultured Chondrocytes	35	11	$76,550.50	$76,550.50	$49,757.83	$65,067.93	$61,240.40	2026-02-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	13	9	—	—	$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	13	9	—	—	$45,612.91	$70,081.86	$60,940.75	2026-02-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	13	9	—	—	$45,456.82	$69,842.28	$60,732.42	2026-02-02
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	12	5	—	—	$35,175.01	$107,886.95	$60,676.89	2026-02-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	13	9	—	—	$45,267.48	$69,551.68	$60,479.72	2026-02-02
9504	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	12	5	—	—	$34,749.33	$106,581.33	$59,942.60	2026-02-02
234	APR_DRG	Spinal Procedures	12	5	—	—	$34,611.43	$106,158.38	$59,704.72	2026-02-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	13	9	—	—	$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…	13	9	—	—	$44,372.51	$68,178.11	$59,285.31	2026-02-02
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	13	9	—	—	$43,970.75	$67,561.47	$58,749.10	2026-02-02
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	13	9	—	—	$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	13	9	—	—	$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. …	13	9	—	—	$43,204.16	$66,384.90	$57,726.00	2026-02-02
32	APR_DRG	Bone Marrow Transplant	12	5	—	—	$33,234.61	$101,935.48	$57,329.70	2026-02-02
6	MS_DRG	Liver Transplant Without Mcc	13	9	—	—	$42,827.33	$65,806.57	$57,223.10	2026-02-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	13	9	—	—	$42,656.47	$65,544.32	$56,995.06	2026-02-02
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	11	7	—	—	$55,272.32	$253,699.97	$56,930.49	2026-02-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	13	9	—	—	$42,453.27	$65,232.45	$56,723.87	2026-02-02
33276	CPT	Insj Phrnc Nrv Stim Sys	11	7	—	—	$54,982.51	$252,369.73	$56,631.99	2026-02-02
64654	CPT	1st Opn Implt Bat Modulj Sys	11	7	—	—	$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	13	9	—	—	$42,345.21	$65,066.60	$56,579.65	2026-02-02
64	APR_DRG	Pancreas Transplant	12	5	—	—	$32,713.44	$100,336.95	$56,430.68	2026-02-02
4474	APR_DRG	Other Kidney, Urinary Tract & Related Procedures	12	5	—	—	$32,677.89	$100,227.93	$56,369.36	2026-02-02
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	12	7	—	—	$11,220.00	$252,369.73	$56,357.07	2026-02-02
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	12	7	—	—	$3,978.00	$252,369.73	$56,357.07	2026-02-02
8504	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	12	5	—	—	$32,661.19	$100,176.70	$56,340.55	2026-02-02
245	MS_DRG	Aicd Generator Procedures	13	9	—	—	$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	13	9	—	—	$42,011.79	$64,554.86	$56,134.66	2026-02-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	13	9	—	—	$41,993.32	$64,526.51	$56,110.01	2026-02-02
9124	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	12	5	—	—	$32,446.64	$99,518.64	$55,970.46	2026-02-02
799	MS_DRG	Splenic Procedures With Mcc	13	9	—	—	$41,828.92	$64,274.18	$55,890.59	2026-02-02
J9228	HCPCS	Ipilimumab 200mg/40ml	51	11	$69,550.27	$69,550.28	$183.48	$59,117.73	$55,640.22	2026-02-02
5124	APR_DRG	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	12	5	—	—	$32,133.16	$98,557.16	$55,429.70	2026-02-02
163	MS_DRG	Major Chest Procedures With Mcc	13	9	—	—	$41,393.90	$63,606.55	$55,310.04	2026-02-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	13	9	—	—	$41,381.90	$63,588.11	$55,294.01	2026-02-02
6072	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$32,026.10	$98,228.78	$55,245.02	2026-02-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	13	9	—	—	$41,219.34	$63,338.63	$55,077.07	2026-02-02
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	12	5	—	—	$31,803.84	$97,547.08	$54,861.62	2026-02-02
6954	APR_DRG	Chemotherapy For Acute Leukemia #	12	5	—	—	$31,633.82	$97,025.62	$54,568.34	2026-02-02
924	APR_DRG	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	12	5	—	—	$31,490.79	$96,586.91	$54,321.61	2026-02-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	13	9	—	—	$40,571.90	$62,344.93	$54,212.98	2026-02-02
63	APR_DRG	Pancreas Transplant	12	5	—	—	$31,322.92	$96,072.02	$54,032.04	2026-02-02
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	12	5	—	—	$31,189.73	$95,663.52	$53,802.29	2026-02-02
214	APR_DRG	Craniotomy Except For Trauma	12	5	—	—	$31,011.15	$95,115.79	$53,494.24	2026-02-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	13	9	—	—	$39,967.87	$61,417.84	$53,406.82	2026-02-02
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	12	5	—	—	$30,785.04	$94,422.26	$53,104.19	2026-02-02
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	12	5	—	—	$30,785.04	$94,422.26	$53,104.19	2026-02-02
1694	APR_DRG	Major Abdominal Vascular Procedures	12	5	—	—	$30,760.63	$94,347.39	$53,062.09	2026-02-02
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	12	5	—	—	$30,758.91	$94,342.14	$53,059.12	2026-02-02
6084	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	12	5	—	—	$30,758.48	$94,340.82	$53,058.38	2026-02-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	13	9	—	—	$39,649.22	$60,928.79	$52,981.56	2026-02-02
140	MS_DRG	Major Head And Neck Procedures With Mcc	13	9	—	—	$39,394.31	$60,537.55	$52,641.35	2026-02-02
2204	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	12	5	—	—	$30,352.93	$93,096.94	$52,358.80	2026-02-02
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	12	8	—	—	$39,168.03	$60,190.25	$52,339.35	2026-02-02
8412	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	12	5	—	—	$30,328.10	$93,020.76	$52,315.97	2026-02-02
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	12	5	—	—	$30,305.40	$92,951.14	$52,276.82	2026-02-02
3214	APR_DRG	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	12	5	—	—	$30,252.30	$92,788.27	$52,185.22	2026-02-02
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	13	9	—	—	$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
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	12	5	—	—	$30,178.64	$92,562.35	$52,058.15	2026-02-02
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	13	9	—	—	$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	13	9	—	—	$38,919.58	$59,808.95	$52,007.78	2026-02-02
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	13	9	—	—	$38,805.98	$59,634.60	$51,856.17	2026-02-02
901	MS_DRG	Wound Debridements For Injuries With Mcc	13	9	—	—	$38,759.80	$59,563.72	$51,794.54	2026-02-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	13	9	—	—	$38,687.76	$59,453.15	$51,698.39	2026-02-02
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	12	5	—	—	$29,925.97	$91,787.38	$51,622.29	2026-02-02
4014	APR_DRG	Pituitary & Adrenal Procedures	12	5	—	—	$29,924.69	$91,783.44	$51,620.09	2026-02-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	13	9	—	—	$38,538.13	$59,223.51	$51,498.70	2026-02-02
793	MS_DRG	Full Term Neonate With Major Problems	11	7	—	—	$48,909.41	$59,180.98	$51,461.72	2026-02-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	13	9	—	—	$38,357.11	$58,945.67	$51,257.10	2026-02-02
6032	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	12	5	—	—	$29,542.69	$90,611.80	$50,961.14	2026-02-02
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	13	9	—	—	$38,103.12	$58,555.84	$50,918.12	2026-02-02
3104	APR_DRG	Intervertebral Disc Excision & Decompression	12	5	—	—	$29,301.58	$89,872.30	$50,545.23	2026-02-02
6083	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	12	5	—	—	$29,221.93	$89,627.99	$50,407.83	2026-02-02
894	APR_DRG	Major Cranial/facial Bone Procedures	12	5	—	—	$29,200.52	$89,562.31	$50,370.90	2026-02-02
244	APR_DRG	Extracranial Vascular Procedures	12	5	—	—	$29,093.46	$89,233.94	$50,186.22	2026-02-02
6214	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	12	5	—	—	$29,087.03	$89,214.23	$50,175.13	2026-02-02
791	MS_DRG	Prematurity With Major Problems	11	7	—	—	$47,612.07	$57,613.17	$50,098.41	2026-02-02
4414	APR_DRG	Major Bladder Procedures	12	5	—	—	$28,963.70	$88,835.95	$49,962.39	2026-02-02
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	12	8	—	—	$37,133.34	$57,067.40	$49,623.83	2026-02-02
L7181	HCPCS	Electronic Elbo Simultaneous	11	7	—	—	$48,155.50	$221,033.75	$49,600.17	2026-02-02
204	APR_DRG	Craniotomy For Trauma	12	5	—	—	$28,649.79	$87,873.15	$49,420.89	2026-02-02
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	13	9	—	—	$36,797.15	$56,551.42	$49,175.15	2026-02-02
1674	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	12	5	—	—	$28,397.98	$87,100.81	$48,986.52	2026-02-02
31	APR_DRG	Bone Marrow Transplant	12	5	—	—	$28,374.00	$87,027.26	$48,945.15	2026-02-02
1814	APR_DRG	Lower Extremity Arterial Procedures #	12	5	—	—	$28,335.03	$86,907.73	$48,877.93	2026-02-02
7914	APR_DRG	O.r. Procedure For Other Complications Of Treatment	12	5	—	—	$28,310.19	$86,831.54	$48,835.08	2026-02-02
2214	APR_DRG	Major Small & Large Bowel Procedures	12	5	—	—	$28,299.91	$86,800.02	$48,817.35	2026-02-02
4034	APR_DRG	Procedures For Obesity	12	5	—	—	$28,164.59	$86,384.95	$48,583.92	2026-02-02
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	13	9	—	—	$36,130.31	$55,527.97	$48,285.19	2026-02-02
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	13	9	—	—	$34,288.89	$55,277.07	$48,067.02	2026-02-02
6021	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$27,804.86	$85,281.61	$47,963.39	2026-02-02
9114	APR_DRG	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	12	5	—	—	$27,794.58	$85,250.09	$47,945.65	2026-02-02
3134	APR_DRG	Knee & Lower Leg Procedures Except Foot	12	5	—	—	$27,713.21	$85,000.53	$47,805.29	2026-02-02
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	13	9	—	—	$35,749.79	$54,943.94	$47,777.34	2026-02-02
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	13	9	—	—	$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	13	9	—	—	$35,662.04	$54,809.28	$47,660.24	2026-02-02
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	13	9	—	—	$35,459.77	$54,498.85	$47,390.30	2026-02-02
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	12	5	—	—	$27,447.70	$84,186.16	$47,347.29	2026-02-02
4424	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	12	5	—	—	$27,304.66	$83,747.45	$47,100.54	2026-02-02
6123	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	12	5	—	—	$27,163.77	$83,315.31	$46,857.50	2026-02-02
1774	APR_DRG	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	12	5	—	—	$27,127.80	$83,204.97	$46,795.46	2026-02-02
6914	APR_DRG	Lymphoma, Myeloma & Non-acute Leukemia	12	5	—	—	$27,120.09	$83,181.33	$46,782.15	2026-02-02
7104	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	12	5	—	—	$27,066.99	$83,018.45	$46,690.56	2026-02-02
3174	APR_DRG	Tendon, Muscle & Other Soft Tissue Procedures	12	5	—	—	$27,056.71	$82,986.93	$46,672.82	2026-02-02
3054	APR_DRG	Amputation Of Lower Limb Except Toes	12	5	—	—	$26,987.33	$82,774.14	$46,553.14	2026-02-02
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	13	9	—	—	$34,755.07	$53,417.27	$46,449.80	2026-02-02
J9226	HCPCS	Supprelin La Implant	11	7	—	—	$45,020.65	$206,644.78	$46,371.27	2026-02-02
264	APR_DRG	Other Nervous System & Related Procedures	12	5	—	—	$26,876.42	$82,433.95	$46,361.82	2026-02-02
9514	APR_DRG	Moderately Extensive Procedure Unrelated To Principal Diagnosis	12	5	—	—	$26,872.99	$82,423.44	$46,355.91	2026-02-02
1824	APR_DRG	Other Peripheral Vascular Procedures #	12	5	—	—	$26,859.71	$82,382.72	$46,333.00	2026-02-02
6113	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	12	5	—	—	$26,833.16	$82,301.28	$46,287.20	2026-02-02
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	13	9	—	—	$34,603.60	$53,184.77	$46,247.63	2026-02-02
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	13	9	—	—	$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…	13	9	—	—	$34,517.70	$53,052.95	$46,133.00	2026-02-02
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	12	5	—	—	$26,684.99	$81,846.81	$46,031.61	2026-02-02
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	13	9	—	—	$34,420.72	$52,904.12	$46,003.58	2026-02-02
5114	APR_DRG	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	12	5	—	—	$26,664.43	$81,783.76	$45,996.15	2026-02-02
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	13	9	—	—	$34,226.77	$52,606.41	$45,744.70	2026-02-02
4444	APR_DRG	Renal Dialysis Access Device Procedure Only	12	5	—	—	$26,490.99	$81,251.80	$45,696.96	2026-02-02
J2350	HCPCS	Ocrelizumab 300 Mg/10 Ml	44	11	$56,972.05	$56,972.05	$59.41	$48,426.24	$45,577.64	2026-02-02
12	APR_DRG	Liver Transplant &/or Intestinal Transplant	12	5	—	—	$26,394.21	$80,954.95	$45,530.01	2026-02-02
11	APR_DRG	Liver Transplant &/or Intestinal Transplant	12	5	—	—	$26,394.21	$80,954.95	$45,530.01	2026-02-02
2644	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	12	5	—	—	$26,356.95	$80,840.67	$45,465.74	2026-02-02
2614	APR_DRG	Major Biliary Tract Procedures	12	5	—	—	$26,297.00	$80,656.78	$45,362.32	2026-02-02
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	13	9	—	—	$33,924.75	$52,142.87	$45,341.63	2026-02-02
L7180	HCPCS	Electronic Elbow Sequential	11	7	—	—	$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	13	9	—	—	$33,910.90	$52,121.62	$45,323.15	2026-02-02
1612	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	12	5	—	—	$26,241.32	$80,486.03	$45,266.28	2026-02-02
J2507	HCPCS	Pegloticase 8 Mg/ml 1 Ml Vial	44	11	$56,370.37	$56,370.37	$3,660.83	$47,914.81	$45,096.29	2026-02-02
1204	APR_DRG	Major Respiratory & Chest Procedures	12	5	—	—	$26,083.73	$80,002.66	$44,994.43	2026-02-02
1304	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	12	5	—	—	$26,006.64	$79,766.23	$44,861.46	2026-02-02
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	13	9	—	—	$33,512.83	$51,510.66	$44,791.88	2026-02-02
6903	APR_DRG	Acute Leukemia	12	5	—	—	$25,964.25	$79,636.19	$44,788.33	2026-02-02
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	13	9	—	—	$33,486.97	$51,470.96	$44,757.36	2026-02-02
1214	APR_DRG	Other Respiratory & Chest Procedures	12	5	—	—	$25,939.41	$79,560.01	$44,745.48	2026-02-02
3014	APR_DRG	Hip Joint Replacement	12	5	—	—	$25,924.85	$79,515.35	$44,720.37	2026-02-02
2624	APR_DRG	Cholecystectomy Except Laparoscopic	12	5	—	—	$25,924.42	$79,514.04	$44,719.62	2026-02-02
332	MS_DRG	Rectal Resection With Mcc	13	9	—	—	$33,440.79	$51,400.09	$44,695.73	2026-02-02
5194	APR_DRG	Uterine & Adnexa Procedures For Leiomyoma	12	5	—	—	$25,903.87	$79,450.99	$44,684.18	2026-02-02
265	MS_DRG	Aicd Lead Procedures	13	9	—	—	$33,417.70	$51,364.65	$44,664.91	2026-02-02
6071	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$25,871.32	$79,351.16	$44,628.03	2026-02-02
7114	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	12	5	—	—	$25,848.62	$79,281.55	$44,588.87	2026-02-02
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	13	9	—	—	$33,358.58	$51,273.93	$44,586.03	2026-02-02

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