Hospital

ST FRANCIS HOSPITAL - THE HEART CENTER

Roslyn, NY · CCN 330182 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $15,226 across 50 payers · range $4,127-$46,247

Source: https://mrfs.hyvehealthcare.com/CHSLI/112050523_st-francis-hospital-&-heart-center_standardcharges.json · observed 2026-02-19

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

30,070 distinct procedures filed

75 distinct payers

4,200,675 rate rows

2026-05-28 last MRF observed

Data quality

3,821,356 of 4,200,675 rate rows are consumer-grade (91.0%)

379,319 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	305,367
template filing: same amount across many unrelated codes — excluded	36,042
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	20,849
per-diem day rate — not a per-procedure price	9,195
exceeds 10× this hospital's gross charge — excluded from medians	4,987
placeholder amount (≤ $0.02) — excluded from medians	2,182
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	689
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	8

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://mrfs.hyvehealthcare.com/CHSLI/112050523_st-francis-hospital-&-heart-center_standardcharges.json
Found on page	https://www.catholichealthli.org/pricing-transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-07-31
Content fingerprint	80512f4dd0d675d9… · 634,048,901 bytes · first seen 2026-05-14

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
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	33	$260.33	$4,904,709.00	$4,390,265.60	nat. median $3,710,000 1.2× median
J1414 HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	30	$260.33	$4,829,292.16	$4,390,265.60	nat. median $3,710,000 1.2× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	33	$260.33	$4,357,391.00	$3,930,863.37	nat. median $3,324,572 1.2× median
J3394 HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	30	$260.33	$4,156,315.33	$3,778,468.48	nat. median $3,286,000 1.1× median
J3393 HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	32	$260.33	$4,897,200.00	$3,512,212.48	nat. median $2,997,086 1.2× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	42	$260.33	$4,977,274.66	$2,872,598.52	nat. median $2,460,273 1.2× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	32	$260.33	$4,829,292.16	$2,759,595.52	nat. median $2,405,851 1.1× median
C1833 HCPCS	Cardiac Monitor Sys	15	$750,900.00	$750,900.00	$750,900.00	nat. median $10,762 outlier · 69.8×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	43	$260.33	$2,044,290.00	$679,376.68	nat. median $691,418 1.0× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	43	$260.33	$2,028,783.63	$665,456.23	nat. median $631,793 1.1× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	43	$260.33	$1,938,761.25	$637,687.48	nat. median $610,161 1.0× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	43	$260.33	$1,895,414.13	$623,412.62	nat. median $624,417 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	43	$260.33	$1,797,760.00	$590,860.51	nat. median $588,565 1.0× median
Q2053 HCPCS	Brexucabtagene Car Pos T	43	$260.33	$1,797,760.00	$589,091.44	nat. median $577,541 1.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	72	$182,313.38	$798,905.75	$477,953.00	nat. median $199,832 outlier · 2.4×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	49	$25,952.00	$1,405,820.05	$327,360.78	nat. median $370,165 0.9× median
24 APR_DRG	Heart And/Or Lung Transplant, Severe	12	$268,777.96	$606,630.13	$268,857.44	nat. median $243,231 1.1× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	49	$232,213.28	$1,050,029.72	$248,799.95	nat. median $261,939 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	51	$25,952.00	$884,314.82	$230,482.58	nat. median $205,166 1.1× median
223 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	2	$157,359.00	$212,532.32	$199,899.14	nat. median $40,712 outlier · 4.9×
222 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	2	$157,359.00	$284,431.13	$199,899.14	nat. median $58,534 outlier · 3.4×
5834 APR_DRG	Neonate With Ecmo, Severe	12	$198,020.38	$446,979.94	$198,099.86	nat. median $311,018 0.6× median
225 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	2	$155,204.00	$209,620.32	$197,161.54	nat. median $45,104 outlier · 4.4×
224 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	2	$155,204.00	$268,980.75	$197,161.54	nat. median $51,048 outlier · 3.9×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Severe	12	$194,550.78	$439,151.50	$194,630.27	nat. median $254,667 0.8× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Major	12	$194,550.78	$439,151.50	$194,630.27	nat. median $180,995 1.1× median
1614 APR_DRG	Implantable Heart Assist Systems, Severe	12	$178,002.74	$401,814.19	$178,082.22	nat. median $209,486 0.9× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe	12	$149,521.27	$337,551.50	$149,600.75	nat. median $168,361 0.9× median
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate	12	$148,983.34	$336,337.78	$149,062.81	nat. median $147,847 1.0× median
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Minor	12	$148,983.34	$336,337.78	$149,062.81	nat. median $120,928 1.2× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft, Severe	12	$144,633.09	$326,522.31	$144,712.56	nat. median $165,646 0.9× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe	12	$139,512.83	$314,969.50	$139,592.31	nat. median $127,600 1.1× median
14 APR_DRG	Liver Transplant And/Or Intestinal Transplant, Severe	12	$135,157.96	$305,143.63	$135,237.44	nat. median $137,901 1.0× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	56	$25,952.00	$526,724.01	$134,964.88	nat. median $132,706 1.0× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe	12	$134,623.88	$303,938.56	$134,703.36	nat. median $156,285 0.9× median
227 MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	2	$97,557.00	$186,452.45	$130,856.24	nat. median $38,383 outlier · 3.4×
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	72	$54,601.62	$241,077.81	$130,212.13	nat. median $62,218 outlier · 2.1×
226 MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	2	$97,557.00	$234,849.75	$123,927.74	nat. median $46,826 outlier · 2.6×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe	12	$123,314.44	$278,421.09	$123,393.92	nat. median $168,174 0.7× median
90288 CPT	Xrx Abatacept 250 Mg IV Solr	51	$79,695.00	$398,475.00	$119,542.50	nat. median $52,716 outlier · 2.3×
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	12	$116,839.39	$263,811.44	$116,918.87	nat. median $123,690 0.9× median
23 APR_DRG	Heart And/Or Lung Transplant, Major	12	$116,433.64	$262,895.97	$116,513.12	nat. median $116,111 1.0× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	49	$95,362.44	$488,395.80	$115,190.49	nat. median $114,305 1.0× median
7 MS_DRG	Lung Transplant	49	$96,426.05	$487,165.66	$114,900.35	nat. median $122,690 0.9× median
8413 APR_DRG	Extensive Third Degree Burns With Skin Graft, Major	12	$113,160.77	$255,511.38	$113,240.25	nat. median $64,013 1.8× median
248 MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	1	$113,121.38	$113,121.38	$113,121.38	nat. median $21,372 outlier · 5.3×
5833 APR_DRG	Neonate With Ecmo, Major	12	$112,772.69	$254,635.77	$112,852.17	nat. median $250,089 outlier · 0.5×
246 MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	1	$111,765.58	$111,765.58	$111,765.58	nat. median $25,356 outlier · 4.4×
5831 APR_DRG	Neonate With Ecmo, Minor	12	$110,675.56	$249,904.02	$110,755.04	nat. median $154,685 0.7× median
5832 APR_DRG	Neonate With Ecmo, Moderate	12	$110,675.56	$249,904.02	$110,755.04	nat. median $169,230 0.7× median

Other procedures at this hospital

Browse this hospital's 30,070 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

J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	60	33	—	—	$260.33	$4,904,709.00	$4,390,265.60	2026-02-19
J1414	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	39	30	—	—	$260.33	$4,829,292.16	$4,390,265.60	2026-02-19
J1413	HCPCS	Inj Delandistrogene Mox Rokl	58	33	—	—	$260.33	$4,357,391.00	$3,930,863.37	2026-02-19
J3394	HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	39	30	—	—	$260.33	$4,156,315.33	$3,778,468.48	2026-02-19
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	47	32	—	—	$260.33	$4,897,200.00	$3,512,212.48	2026-02-19
J3399	HCPCS	Inj Onase Abepar-xioi Treat	97	42	—	—	$260.33	$4,977,274.66	$2,872,598.52	2026-02-19
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	48	32	—	—	$260.33	$4,829,292.16	$2,759,595.52	2026-02-19
C1833	HCPCS	Cardiac Monitor Sys	35	15	—	—	$750,900.00	$750,900.00	$750,900.00	2026-02-19
Q2042	HCPCS	Tisagenlecleucel Car-pos T	104	43	—	—	$260.33	$2,044,290.00	$679,376.68	2026-02-19
Q2056	HCPCS	Ciltacabtagene Car-pos T	104	43	—	—	$260.33	$2,028,783.63	$665,456.23	2026-02-19
Q2055	HCPCS	Idecabtagene Vicleucel Car	104	43	—	—	$260.33	$1,938,761.25	$637,687.48	2026-02-19
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	104	43	—	—	$260.33	$1,895,414.13	$623,412.62	2026-02-19
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	103	43	—	—	$260.33	$1,797,760.00	$590,860.51	2026-02-19
Q2053	HCPCS	Brexucabtagene Car Pos T	103	43	—	—	$260.33	$1,797,760.00	$589,091.44	2026-02-19
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	146	72	—	—	$182,313.38	$798,905.75	$477,953.00	2026-02-19
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	95	49	—	—	$25,952.00	$1,405,820.05	$327,360.78	2026-02-19
24	APR_DRG	Heart And/Or Lung Transplant, Severe	67	12	—	—	$268,777.96	$606,630.13	$268,857.44	2026-02-19
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	94	49	—	—	$232,213.28	$1,050,029.72	$248,799.95	2026-02-19
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	109	51	—	—	$25,952.00	$884,314.82	$230,482.58	2026-02-19
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	10	2	—	—	$157,359.00	$284,431.13	$199,899.14	2026-02-19
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	10	2	—	—	$157,359.00	$212,532.32	$199,899.14	2026-02-19
5834	APR_DRG	Neonate With Ecmo, Severe	67	12	—	—	$198,020.38	$446,979.94	$198,099.86	2026-02-19
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	10	2	—	—	$155,204.00	$209,620.32	$197,161.54	2026-02-19
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	10	2	—	—	$155,204.00	$268,980.75	$197,161.54	2026-02-19
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Severe	67	12	—	—	$194,550.78	$439,151.50	$194,630.27	2026-02-19
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Major	67	12	—	—	$194,550.78	$439,151.50	$194,630.27	2026-02-19
1614	APR_DRG	Implantable Heart Assist Systems, Severe	67	12	—	—	$178,002.74	$401,814.19	$178,082.22	2026-02-19
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe	67	12	—	—	$149,521.27	$337,551.50	$149,600.75	2026-02-19
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Minor	67	12	—	—	$148,983.34	$336,337.78	$149,062.81	2026-02-19
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate	67	12	—	—	$148,983.34	$336,337.78	$149,062.81	2026-02-19
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft, Severe	67	12	—	—	$144,633.09	$326,522.31	$144,712.56	2026-02-19
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe	67	12	—	—	$139,512.83	$314,969.50	$139,592.31	2026-02-19
14	APR_DRG	Liver Transplant And/Or Intestinal Transplant, Severe	67	12	—	—	$135,157.96	$305,143.63	$135,237.44	2026-02-19
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	123	56	—	—	$25,952.00	$526,724.01	$134,964.88	2026-02-19
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe	67	12	—	—	$134,623.88	$303,938.56	$134,703.36	2026-02-19
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	10	2	—	—	$97,557.00	$186,452.45	$130,856.24	2026-02-19
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	146	72	—	—	$54,601.62	$241,077.81	$130,212.13	2026-02-19
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	10	2	—	—	$97,557.00	$234,849.75	$123,927.74	2026-02-19
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe	67	12	—	—	$123,314.44	$278,421.09	$123,393.92	2026-02-19
90288	CPT	Xrx Abatacept 250 Mg IV Solr	71	51	$398,475.00	—	$79,695.00	$398,475.00	$119,542.50	2026-02-19
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	67	12	—	—	$116,839.39	$263,811.44	$116,918.87	2026-02-19
23	APR_DRG	Heart And/Or Lung Transplant, Major	67	12	—	—	$116,433.64	$262,895.97	$116,513.12	2026-02-19
14	MS_DRG	Allogeneic Bone Marrow Transplant	94	49	—	—	$95,362.44	$488,395.80	$115,190.49	2026-02-19
7	MS_DRG	Lung Transplant	94	49	—	—	$96,426.05	$487,165.66	$114,900.35	2026-02-19
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft, Major	67	12	—	—	$113,160.77	$255,511.38	$113,240.25	2026-02-19
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	1	1	—	—	$113,121.38	$113,121.38	$113,121.38	2024-12-13
5833	APR_DRG	Neonate With Ecmo, Major	67	12	—	—	$112,772.69	$254,635.77	$112,852.17	2026-02-19
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	1	1	—	—	$111,765.58	$111,765.58	$111,765.58	2024-12-13
5831	APR_DRG	Neonate With Ecmo, Minor	67	12	—	—	$110,675.56	$249,904.02	$110,755.04	2026-02-19
5832	APR_DRG	Neonate With Ecmo, Moderate	67	12	—	—	$110,675.56	$249,904.02	$110,755.04	2026-02-19
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve…	67	12	—	—	$107,680.87	$243,147.11	$107,760.35	2026-02-19
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	94	49	—	—	$25,952.00	$535,525.38	$107,063.39	2026-02-19
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe	67	12	—	—	$106,602.72	$240,714.48	$106,682.20	2026-02-19
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Major	67	12	—	—	$105,284.81	$237,740.88	$105,364.29	2026-02-19
A9543	HCPCS	Y90 Ibritumomab, Rx	160	72	—	—	$56,687.15	$190,695.52	$104,843.27	2026-02-19
Q0480	HCPCS	Dme Pos	102	46	—	—	$260.33	$224,999.80	$104,249.91	2026-02-19
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	98	69	—	—	$43,810.64	$191,980.28	$100,929.14	2026-02-19
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	132	71	—	—	$44,541.83	$191,228.00	$100,553.00	2026-02-19
338	MS_DRG	Appendectomy With Complicated Principal Diagnosis With Mcc	1	1	—	—	$100,067.81	$100,067.81	$100,067.81	2024-12-13
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	132	71	—	—	$38,287.71	$191,231.73	$99,894.70	2026-02-19
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	132	71	—	—	$39,231.97	$190,180.00	$99,603.94	2026-02-19
22	APR_DRG	Heart And/Or Lung Transplant, Moderate	67	12	—	—	$99,350.75	$224,351.88	$99,430.23	2026-02-19
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	108	51	—	—	$9,633.12	$406,091.91	$98,617.18	2026-02-19
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	132	71	—	—	$48,816.15	$185,219.56	$97,548.78	2026-02-19
245	MS_DRG	Aicd Generator Procedures	132	71	—	—	$38,830.46	$193,810.95	$96,021.62	2026-02-19
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	67	12	—	—	$95,506.91	$215,679.03	$95,586.39	2026-02-19
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	75	49	—	—	$16,487.66	$390,491.49	$95,476.78	2026-02-19
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe	67	12	—	—	$94,614.73	$213,666.00	$94,694.21	2026-02-19
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	132	71	—	—	$49,100.05	$195,094.20	$94,512.81	2026-02-19
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	94	49	—	—	$88,691.21	$396,977.68	$94,289.47	2026-02-19
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	67	12	—	—	$93,918.50	$212,095.09	$93,997.98	2026-02-19
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	67	12	—	—	$93,918.50	$212,095.09	$93,997.98	2026-02-19
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	131	71	—	—	$39,572.58	$178,104.15	$93,991.07	2026-02-19
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	132	71	—	—	$37,608.50	$180,456.91	$93,947.15	2026-02-19
21	APR_DRG	Heart And/Or Lung Transplant, Minor	67	12	—	—	$93,620.34	$211,422.36	$93,699.82	2026-02-19
215	MS_DRG	Other Heart Assist System Implant	109	51	—	—	$25,196.00	$394,942.36	$93,411.73	2026-02-19
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	52	36	—	—	$260.33	$209,737.58	$93,216.70	2026-02-19
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	136	71	—	—	$42,556.79	$175,907.55	$92,892.77	2026-02-19
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Major	67	12	—	—	$91,427.92	$206,475.61	$91,507.40	2026-02-19
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	109	51	—	—	$82,099.55	$332,940.30	$89,107.12	2026-02-19
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	136	71	—	—	$29,898.14	$168,178.91	$89,028.46	2026-02-19
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	136	71	—	—	$36,871.55	$167,176.16	$88,527.08	2026-02-19
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	136	71	—	—	$34,688.47	$166,713.93	$88,295.96	2026-02-19
Q2043	HCPCS	Xrx Abatacept 250 Mg IV Solr	161	73	$431,958.00	$431,958.00	$260.33	$431,958.00	$88,153.99	2026-02-19
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	75	49	—	—	$57,035.24	$249,931.10	$86,999.66	2026-02-19
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	136	71	—	—	$25,952.00	$177,211.13	$86,774.26	2026-02-19
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	132	71	—	—	$25,952.00	$190,680.81	$86,700.37	2026-02-19
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	132	71	—	—	$25,952.00	$186,433.46	$86,525.55	2026-02-19
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	67	12	—	—	$86,412.18	$195,158.59	$86,491.66	2026-02-19
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate	67	12	—	—	$86,258.48	$194,811.81	$86,337.96	2026-02-19
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	132	71	—	—	$36,732.17	$179,136.88	$85,420.04	2026-02-19
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate	67	12	—	—	$85,334.79	$192,727.70	$85,414.27	2026-02-19
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	122	69	—	—	$21,484.22	$171,746.32	$85,096.50	2026-02-19
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	136	71	—	—	$25,952.00	$174,437.72	$84,758.45	2026-02-19
471	MS_DRG	Cervical Spinal Fusion With Mcc	132	71	—	—	$25,952.00	$181,065.57	$84,573.45	2026-02-19
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	132	71	—	—	$25,952.00	$203,881.06	$84,521.51	2026-02-19
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	136	71	—	—	$26,414.19	$159,012.50	$84,445.25	2026-02-19
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe	67	12	—	—	$84,355.77	$190,518.73	$84,435.25	2026-02-19
850	MS_DRG	Acute Leukemia With Other Procedures	75	49	—	—	$77,878.55	$343,392.00	$83,960.76	2026-02-19
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Minor	67	12	—	—	$83,651.09	$188,928.77	$83,730.57	2026-02-19
341	MS_DRG	Appendectomy Without Complicated Principal Diagnosis With Mcc	1	1	—	—	$83,079.22	$83,079.22	$83,079.22	2024-12-13
31	MS_DRG	Ventricular Shunt Procedures With Mcc	136	71	—	—	$20,080.41	$156,388.81	$83,045.50	2026-02-19
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	136	71	—	—	$34,660.69	$153,201.01	$81,539.51	2026-02-19
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe	67	12	—	—	$81,427.17	$183,910.94	$81,506.65	2026-02-19
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	136	71	—	—	$25,952.00	$163,750.41	$81,469.12	2026-02-19
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	136	71	—	—	$34,318.79	$152,973.62	$81,425.81	2026-02-19
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	33	19	—	—	$75,935.09	$328,682.31	$81,359.03	2024-12-13
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	136	71	—	—	$35,427.32	$152,379.15	$81,128.57	2026-02-19
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	98	69	—	—	$25,952.00	$152,220.63	$81,049.32	2026-02-19
163	MS_DRG	Major Chest Procedures With Mcc	132	71	—	—	$25,952.00	$179,108.27	$80,642.08	2026-02-19
901	MS_DRG	Wound Debridements For Injuries With Mcc	136	71	—	—	$25,952.00	$165,155.75	$80,589.10	2026-02-19
4404	APR_DRG	Kidney Transplant, Severe	67	12	—	—	$80,433.55	$181,669.03	$80,513.03	2026-02-19
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	136	71	—	—	$30,988.80	$148,396.01	$79,137.01	2026-02-19
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	136	71	—	—	$25,952.00	$151,620.47	$79,108.10	2026-02-19
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	132	71	—	—	$25,196.00	$187,760.52	$78,980.07	2026-02-19
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	132	71	—	—	$25,952.00	$174,794.03	$78,821.99	2026-02-19
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	136	71	—	—	$33,565.10	$147,083.86	$78,480.93	2026-02-19
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Major	67	12	—	—	$78,024.42	$176,233.31	$78,103.90	2026-02-19
799	MS_DRG	Splenic Procedures With Mcc	132	71	—	—	$25,196.00	$184,137.94	$78,089.58	2026-02-19
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	98	69	—	—	$10,015.03	$145,835.08	$77,856.54	2026-02-19
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	136	71	—	—	$33,263.97	$145,764.25	$77,821.12	2026-02-19
J9029	HCPCS	Instill Adstiladrin, Tx Dose	108	43	—	—	$260.33	$168,811.74	$77,820.40	2026-02-19
G0173	HCPCS	Linear Accelerator Based Stereotactic Radiosurgery, Complete Course Of Therapy I…	1	1	—	—	$77,487.00	$77,487.00	$77,487.00	2024-12-13
G0251	HCPCS	Linear Accelerator Based Stereotactic Radiosurgery, Delivery Including Collimato…	1	1	—	—	$77,487.00	$77,487.00	$77,487.00	2024-12-13
231	MS_DRG	Coronary Bypass With Ptca With Mcc	109	51	—	—	$48,100.58	$315,881.57	$77,234.35	2026-02-19
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	109	51	—	—	$57,589.49	$315,706.37	$77,191.51	2026-02-19
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly, Severe	67	12	—	—	$77,050.78	$174,036.50	$77,130.26	2026-02-19
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	136	71	—	—	$25,952.00	$152,418.02	$76,727.58	2026-02-19
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	136	71	—	—	$28,202.85	$143,527.63	$76,702.82	2026-02-19
1613	APR_DRG	Implantable Heart Assist Systems, Major	67	12	—	—	$76,249.28	$172,228.06	$76,328.76	2026-02-19
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	136	71	—	—	$32,516.22	$142,487.60	$76,182.80	2026-02-19
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	136	71	—	—	$27,903.02	$143,930.22	$76,157.27	2026-02-19
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	136	71	—	—	$25,952.00	$144,959.07	$75,391.28	2026-02-19
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	136	71	—	—	$19,935.07	$144,075.61	$75,178.44	2026-02-19
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	136	71	—	—	$25,196.00	$139,490.53	$74,684.26	2026-02-19
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe	67	12	—	—	$74,411.89	$168,082.38	$74,491.37	2026-02-19
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	136	71	—	—	$25,952.00	$141,715.97	$74,431.57	2026-02-19
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	136	71	—	—	$25,015.26	$148,500.38	$74,052.29	2026-02-19
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	109	51	—	—	$25,952.00	$369,785.50	$73,908.46	2026-02-19
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	67	12	—	—	$73,516.63	$166,062.41	$73,596.11	2026-02-19
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	75	49	—	—	$25,952.00	$310,912.55	$73,537.00	2026-02-19
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	136	71	—	—	$25,952.00	$140,612.57	$73,364.74	2026-02-19
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	136	71	—	—	$26,791.74	$136,012.59	$72,945.29	2026-02-19
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe	67	12	—	—	$72,753.55	$164,340.66	$72,833.03	2026-02-19
J9226	HCPCS	Xrx Abatacept 250 Mg IV Solr	161	73	$346,254.00	$311,737.00	$260.33	$346,254.00	$72,713.34	2026-02-19
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	136	71	—	—	$25,981.81	$161,293.85	$72,507.25	2026-02-19
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	136	71	—	—	$34,629.85	$133,577.85	$71,727.93	2026-02-19
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major	67	12	—	—	$71,585.49	$161,705.17	$71,664.97	2026-02-19
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	109	51	—	—	$63,715.42	$257,565.00	$71,610.35	2026-02-19
265	MS_DRG	Aicd Lead Procedures	136	71	—	—	$30,284.40	$132,974.51	$71,426.26	2026-02-19
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	95	49	—	—	$67,435.60	$295,505.96	$71,293.72	2026-02-19
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe	67	12	—	—	$71,197.42	$160,829.56	$71,276.90	2026-02-19
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	67	12	—	—	$70,943.06	$160,255.66	$71,022.54	2026-02-19
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	109	51	—	—	$61,761.94	$259,924.35	$70,798.72	2026-02-19
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	136	71	—	—	$21,391.66	$134,520.80	$70,753.78	2026-02-19
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	135	71	—	—	$25,952.00	$186,508.01	$70,737.10	2026-02-19
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	1	1	—	—	$70,587.28	$70,587.28	$70,587.28	2024-12-13
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	136	71	—	—	$25,464.25	$139,997.64	$70,585.22	2026-02-19
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	136	71	—	—	$18,161.03	$131,237.41	$70,557.71	2026-02-19
10	MS_DRG	Pancreas Transplant	98	52	—	—	$41,248.69	$297,209.52	$70,444.33	2026-02-19
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	136	71	—	—	$29,805.97	$130,611.15	$70,244.57	2026-02-19
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	136	71	—	—	$26,908.65	$130,570.15	$70,224.07	2026-02-19
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	136	71	—	—	$29,784.70	$134,252.48	$70,197.98	2026-02-19
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se…	67	12	—	—	$69,814.95	$157,710.31	$69,894.43	2026-02-19
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo…	67	12	—	—	$69,632.06	$157,297.66	$69,711.54	2026-02-19
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe	67	12	—	—	$69,575.96	$157,171.08	$69,655.44	2026-02-19
332	MS_DRG	Rectal Resection With Mcc	136	71	—	—	$29,507.38	$148,869.34	$69,590.37	2026-02-19
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	136	71	—	—	$18,400.54	$129,161.08	$69,519.54	2026-02-19
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe	67	12	—	—	$69,384.62	$156,739.34	$69,464.10	2026-02-19
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor	67	12	—	—	$68,947.36	$155,752.77	$69,026.84	2026-02-19
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	136	71	—	—	$25,952.00	$133,600.77	$68,394.09	2026-02-19
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	136	71	—	—	$25,952.00	$133,630.59	$68,389.62	2026-02-19
6904	APR_DRG	Acute Leukemia, Severe	67	12	—	—	$67,899.95	$153,389.50	$67,979.43	2026-02-19
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	136	71	—	—	$25,952.00	$127,977.91	$67,561.45	2026-02-19
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	136	71	—	—	$22,498.30	$125,127.71	$67,502.85	2026-02-19
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	45	30	—	—	$260.33	$151,768.49	$67,452.66	2026-02-19
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns, Severe	67	12	—	—	$67,013.15	$151,388.59	$67,092.63	2026-02-19
249	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc	1	1	—	—	$67,027.87	$67,027.87	$67,027.87	2024-12-13
37	MS_DRG	Extracranial Procedures With Mcc	136	71	—	—	$28,250.08	$123,793.19	$66,835.60	2026-02-19
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	136	71	—	—	$14,408.22	$123,084.93	$66,481.46	2026-02-19
C1825	HCPCS	Orms&d Barostim Ne02 System	78	53	$221,375.00	—	$39,847.50	$221,375.00	$66,412.50	2026-02-19
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	136	71	—	—	$25,952.00	$132,378.08	$66,303.15	2026-02-19
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	136	71	—	—	$24,113.21	$156,175.72	$66,272.75	2026-02-19
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	135	71	—	—	$25,952.00	$158,777.65	$65,960.26	2026-02-19
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	136	71	—	—	$25,952.00	$127,613.02	$65,906.04	2026-02-19
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	67	12	—	—	$65,752.10	$148,543.31	$65,831.58	2026-02-19
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	109	51	—	—	$25,952.00	$278,242.98	$65,810.00	2026-02-19
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	136	71	—	—	$22,540.27	$121,448.47	$65,663.24	2026-02-19
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe	67	12	—	—	$65,095.07	$147,060.84	$65,174.55	2026-02-19
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	136	71	—	—	$25,952.00	$131,569.17	$65,084.11	2026-02-19
13	APR_DRG	Liver Transplant And/Or Intestinal Transplant, Major	67	12	—	—	$64,929.08	$146,686.33	$65,008.56	2026-02-19
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	136	71	—	—	$27,385.80	$121,971.62	$64,941.93	2026-02-19
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	135	71	—	—	$25,053.42	$119,450.42	$64,664.21	2026-02-19
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	135	71	—	—	$25,438.53	$119,103.74	$64,490.87	2026-02-19
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	108	51	—	—	$52,872.23	$263,436.56	$64,411.33	2026-02-19
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	136	71	—	—	$26,780.46	$118,876.35	$64,377.18	2026-02-19
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	136	71	—	—	$25,952.00	$128,195.60	$64,315.96	2026-02-19
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe	67	12	—	—	$63,754.87	$144,036.95	$63,834.35	2026-02-19
252	MS_DRG	Other Vascular Procedures With Mcc	136	71	—	—	$25,952.00	$127,875.02	$63,722.14	2026-02-19
662	MS_DRG	Minor Bladder Procedures With Mcc	136	71	—	—	$25,679.31	$116,289.33	$63,083.67	2026-02-19
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	136	71	—	—	$25,196.00	$133,347.44	$63,082.41	2026-02-19
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe	67	12	—	—	$62,991.02	$142,313.48	$63,070.50	2026-02-19
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	109	51	—	—	$27,933.30	$248,969.36	$62,926.67	2026-02-19
234	APR_DRG	Spinal Procedures, Severe	67	12	—	—	$62,743.58	$141,755.19	$62,823.06	2026-02-19
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	136	71	—	—	$25,363.57	$120,719.57	$62,654.85	2026-02-19
C9293	HCPCS	Xrx Abatacept 250 Mg IV Solr	102	53	$298,308.00	—	$339.06	$298,308.00	$62,644.68	2026-02-19
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	75	49	—	—	$12,359.86	$264,767.35	$62,622.75	2026-02-19
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	136	71	—	—	$26,306.29	$115,275.39	$62,576.69	2026-02-19
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	98	69	—	—	$25,952.00	$115,036.82	$62,457.41	2026-02-19
264	MS_DRG	Other Circulatory System O.r. Procedures	136	71	—	—	$18,659.55	$130,286.84	$62,432.51	2026-02-19
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	109	51	—	—	$25,952.00	$259,317.45	$62,119.67	2026-02-19
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	136	71	—	—	$25,952.00	$117,571.54	$61,989.22	2026-02-19
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	37	22	—	—	$31,345.27	$140,612.94	$61,979.46	2024-12-13
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	136	71	—	—	$25,952.00	$123,102.05	$61,642.21	2026-02-19
500	MS_DRG	Soft Tissue Procedures With Mcc	136	71	—	—	$25,952.00	$118,119.63	$61,285.99	2026-02-19
652	MS_DRG	Kidney Transplant	121	69	—	—	$25,745.30	$114,492.58	$61,207.29	2026-02-19
570	MS_DRG	Skin Debridement With Mcc	136	71	—	—	$25,040.91	$112,211.23	$61,044.61	2026-02-19
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	136	71	—	—	$24,046.63	$114,954.81	$60,926.59	2026-02-19
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	33	19	—	—	$53,540.10	$240,877.50	$60,893.03	2024-12-13
339	MS_DRG	Appendectomy With Complicated Principal Diagnosis With Cc	1	1	—	—	$60,721.09	$60,721.09	$60,721.09	2024-12-13
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	132	71	—	—	$25,952.00	$173,241.48	$60,635.10	2026-02-19
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	136	71	—	—	$25,952.00	$121,500.65	$60,488.25	2026-02-19
955	MS_DRG	Craniotomy For Multiple Significant Trauma	109	51	—	—	$25,952.00	$254,538.54	$60,203.43	2026-02-19
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	109	51	—	—	$25,952.00	$235,750.93	$60,094.56	2026-02-19
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	109	51	—	—	$12,251.06	$249,098.13	$59,938.05	2026-02-19
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	136	71	—	—	$22,789.78	$109,914.96	$59,896.48	2026-02-19
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	136	71	—	—	$25,018.37	$109,631.66	$59,754.83	2026-02-19
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	109	51	—	—	$25,952.00	$228,757.77	$59,621.51	2026-02-19
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	136	71	—	—	$25,952.00	$121,847.33	$59,432.95	2026-02-19
64	APR_DRG	Pancreas Transplant, Severe	67	12	—	—	$59,337.76	$134,070.64	$59,417.24	2026-02-19
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures, Severe	67	12	—	—	$59,273.98	$133,926.73	$59,353.46	2026-02-19
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	67	12	—	—	$59,244.01	$133,859.09	$59,323.49	2026-02-19
668	MS_DRG	Transurethral Procedures With Mcc	136	71	—	—	$24,148.00	$108,710.92	$59,294.46	2026-02-19
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	136	71	—	—	$24,794.64	$109,687.17	$59,264.64	2026-02-19
800	MS_DRG	Splenic Procedures With Cc	136	71	—	—	$24,145.43	$108,617.72	$59,247.86	2026-02-19
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe	67	12	—	—	$58,859.01	$132,990.44	$58,938.49	2026-02-19
472	MS_DRG	Cervical Spinal Fusion With Cc	136	71	—	—	$22,387.88	$109,240.01	$58,938.46	2026-02-19
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	109	51	—	—	$42,642.85	$220,523.10	$58,859.76	2026-02-19
665	MS_DRG	Prostatectomy With Mcc	136	71	—	—	$25,952.00	$127,994.31	$58,642.36	2026-02-19
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	136	71	—	—	$23,060.15	$114,015.43	$58,580.43	2026-02-19
5124	APR_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe	67	12	—	—	$58,296.49	$131,721.23	$58,375.97	2026-02-19
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	136	71	—	—	$19,293.65	$112,377.30	$58,315.93	2026-02-19
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	67	12	—	—	$58,104.38	$131,287.77	$58,183.86	2026-02-19
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	136	71	—	—	$14,146.08	$118,555.77	$58,145.12	2026-02-19
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	75	49	—	—	$52,626.19	$230,610.43	$58,106.68	2026-02-19
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures, Severe	67	12	—	—	$57,705.55	$130,387.88	$57,785.03	2026-02-19
654	MS_DRG	Major Bladder Procedures With Cc	136	71	—	—	$21,093.68	$105,199.42	$57,538.71	2026-02-19
6954	APR_DRG	Chemotherapy For Acute Leukemia, Severe	67	12	—	—	$57,400.47	$129,699.53	$57,479.95	2026-02-19
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	136	71	—	—	$24,950.31	$109,333.44	$57,436.06	2026-02-19
406	MS_DRG	Pancreas, Liver And Shunt Procedures With Cc	136	71	—	—	$23,890.37	$104,688.73	$57,283.36	2026-02-19
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe	67	12	—	—	$57,143.80	$129,120.42	$57,223.28	2026-02-19
63	APR_DRG	Pancreas Transplant, Major	67	12	—	—	$56,842.56	$128,440.74	$56,922.04	2026-02-19
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major	67	12	—	—	$56,603.57	$127,901.50	$56,683.05	2026-02-19
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	109	51	—	—	$44,204.98	$269,853.63	$56,385.93	2026-02-19
214	APR_DRG	Open Craniotomy Except Trauma, Severe	67	12	—	—	$56,283.12	$127,178.48	$56,362.60	2026-02-19
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	33	19	—	—	$52,411.79	$217,968.47	$56,155.49	2024-12-13
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate	67	12	—	—	$55,877.38	$126,262.99	$55,956.86	2026-02-19
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor	67	12	—	—	$55,877.38	$126,262.99	$55,956.86	2026-02-19
1694	APR_DRG	Major Abdominal Vascular Procedures, Severe	67	12	—	—	$55,833.58	$126,164.16	$55,913.06	2026-02-19
9104	APR_DRG	Craniotomy For Multiple Significant Trauma, Severe	67	12	—	—	$55,830.50	$126,157.22	$55,909.98	2026-02-19
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve…	67	12	—	—	$55,829.73	$126,155.49	$55,909.21	2026-02-19
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	109	51	—	—	$50,974.73	$198,473.10	$55,677.02	2026-02-19
963	MS_DRG	Other Multiple Significant Trauma With Mcc	136	71	—	—	$23,110.30	$101,270.43	$55,574.21	2026-02-19
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	109	51	—	—	$40,064.19	$217,037.88	$55,516.47	2026-02-19
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	109	51	—	—	$25,952.00	$229,559.22	$55,458.99	2026-02-19
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures, Severe	67	12	—	—	$55,102.00	$124,513.51	$55,181.48	2026-02-19
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	136	71	—	—	$13,710.89	$100,822.62	$55,160.44	2026-02-19
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft, Moderate	67	12	—	—	$55,057.43	$124,412.94	$55,136.91	2026-02-19
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe	67	12	—	—	$55,016.70	$124,321.05	$55,096.18	2026-02-19
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	136	71	—	—	$24,389.72	$106,876.89	$55,038.24	2026-02-19
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev…	67	12	—	—	$54,921.41	$124,106.05	$55,000.89	2026-02-19
263	MS_DRG	Vein Ligation And Stripping	136	71	—	—	$22,815.97	$99,980.64	$54,929.32	2026-02-19
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe	67	12	—	—	$54,789.24	$123,807.82	$54,868.72	2026-02-19
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	108	51	—	—	$25,952.00	$230,908.65	$54,845.03	2026-02-19
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	136	71	—	—	$23,277.89	$134,273.95	$54,692.76	2026-02-19
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	109	51	—	—	$25,952.00	$252,124.53	$54,616.40	2026-02-19
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major	67	12	—	—	$54,335.84	$122,784.83	$54,415.32	2026-02-19
4014	APR_DRG	Adrenal Procedures, Severe	67	12	—	—	$54,333.54	$122,779.63	$54,413.02	2026-02-19
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	95	49	—	—	$51,345.92	$225,000.24	$54,397.02	2026-02-19
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	136	71	—	—	$20,603.78	$106,914.77	$54,392.53	2026-02-19
503	MS_DRG	Foot Procedures With Mcc	136	71	—	—	$22,513.98	$98,657.31	$54,267.65	2026-02-19
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	136	71	—	—	$23,210.54	$113,332.44	$54,067.08	2026-02-19
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	95	49	—	—	$25,952.00	$240,977.66	$54,012.18	2026-02-19
61	MS_DRG	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	136	71	—	—	$21,627.92	$103,426.90	$53,997.57	2026-02-19
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	136	71	—	—	$22,315.77	$100,250.26	$53,833.38	2026-02-19
28	MS_DRG	Spinal Procedures With Mcc	109	51	—	—	$25,952.00	$226,625.52	$53,827.71	2026-02-19
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode…	67	12	—	—	$53,648.07	$121,233.01	$53,727.55	2026-02-19
255	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	136	71	—	—	$22,257.93	$97,535.27	$53,706.64	2026-02-19
510	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	136	71	—	—	$23,313.36	$106,541.39	$53,312.19	2026-02-19
3104	APR_DRG	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe	67	12	—	—	$53,215.43	$120,256.84	$53,294.91	2026-02-19
749	MS_DRG	Other Female Reproductive System O.r. Procedures With Cc/mcc	136	71	—	—	$14,301.97	$97,080.77	$53,186.62	2026-02-19
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo…	67	12	—	—	$53,072.49	$119,934.34	$53,151.97	2026-02-19
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	109	51	—	—	$25,952.00	$232,377.83	$53,122.91	2026-02-19
894	APR_DRG	Major Cranial Or Facial Bone Procedures, Severe	67	12	—	—	$53,034.07	$119,847.64	$53,113.55	2026-02-19
244	APR_DRG	Open Extracranial Vascular Procedures, Severe	67	12	—	—	$52,841.96	$119,414.18	$52,921.44	2026-02-19
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe	67	12	—	—	$52,830.43	$119,388.17	$52,909.91	2026-02-19
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	136	71	—	—	$16,920.41	$108,558.08	$52,779.99	2026-02-19
4414	APR_DRG	Major Bladder Procedures, Severe	67	12	—	—	$52,609.11	$118,888.81	$52,688.59	2026-02-19
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	95	49	—	—	$5,963.55	$221,604.31	$52,635.08	2026-02-19
846	MS_DRG	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	136	71	—	—	$12,661.08	$95,617.65	$52,538.00	2026-02-19

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