Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MONTEFIORE NEW ROCHELLE HOSPITAL

New Rochelle, NY · CCN 330184 · Rates published

17,102 distinct procedures filed
26 distinct payers
1,254,544 rate rows
2025-06-27 last MRF observed · ⚠ 12 mo old
Data quality

1,238,920 of 1,254,544 rate rows are consumer-grade (98.8%)

15,624 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
template filing: same amount across many unrelated codes — excluded 11,098
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,746
placeholder amount (≤ $0.02) — excluded from medians 518
exceeds 10× this hospital's gross charge — excluded from medians 246
per-diem day rate — not a per-procedure price 16

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.montefioreeinstein.org/patient-information/462931956_new-rochelle-hospital_standardcharges.csv
Found on page https://montefiorenewrochelle.org/patients-and-visitors/paying-for-your-care
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 51adb8f131f968ff… · 166,983,064 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
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 14 $4,345,922.20 $4,780,514.42 $4,345,922.20 nat. median
$3,710,000
1.2× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 14 $4,265,580.20 $4,692,138.22 $4,265,580.20 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,934,811.09 $4,721,773.31 $3,934,811.09 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 14 $3,888,126.64 $4,665,751.97 $3,888,126.64 nat. median
$3,286,000
1.2× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 15 $3,511,856.32 $4,846,361.72 $3,511,856.32 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar Xioi Treat 15 $2,826,303.90 $3,900,299.38 $2,826,303.90 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 15 $2,759,315.68 $3,807,855.64 $2,759,315.68 nat. median
$2,448,600
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 21 $301,413.48 $2,659,775.83 $331,554.83 nat. median
$370,174
0.9× median
24
APR_DRG 		Heart Or Lung Transplant 13 $292,588.97 $1,562,247.30 $298,560.17 nat. median
$234,738
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $225,130.94 $1,986,632.52 $247,644.03 nat. median
$265,286
0.9× median
5834
APR_DRG 		Neonate W Ecmo 13 $110,151.04 $1,150,000.16 $220,302.08 nat. median
$309,665
0.7× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $108,232.35 $1,129,785.60 $216,464.69 nat. median
$246,434
0.9× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $108,232.35 $1,129,785.60 $216,464.69 nat. median
$182,736
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 21 $189,613.73 $1,673,216.53 $208,575.10 nat. median
$206,368
1.0× median
1614
APR_DRG 		Cardiac Defibrillator Heart Assist Implant 13 $99,081.26 $1,033,373.58 $198,162.52 nat. median
$207,730
1.0× median
34
APR_DRG 		Bone Marrow Transplant 13 $188,614.52 $1,003,353.95 $192,463.80 nat. median
$209,067
0.9× median
3
MS_DRG 		Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 21 $171,289.23 $1,511,514.87 $188,418.15 nat. median
$202,986
0.9× median
5914
APR_DRG 		Neonate Birthwt 500 749g W O Major Procedure 13 $83,330.97 $867,435.11 $166,661.93 nat. median
$164,279
1.0× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $83,033.50 $864,301.07 $166,066.99 nat. median
$145,336
1.1× median
5881
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $83,033.50 $864,301.07 $166,066.99 nat. median
$124,573
1.3× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 13 $80,627.80 $838,955.64 $161,255.59 nat. median
$160,267
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 13 $152,480.72 $809,124.06 $155,592.57 nat. median
$105,658
1.5× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 13 $147,760.56 $783,751.77 $150,776.08 nat. median
$129,535
1.2× median
5934
APR_DRG 		Neonate Birthwt 750 999g W O Major Procedure 13 $75,092.69 $780,640.11 $150,185.38 nat. median
$151,838
1.0× median
6094
APR_DRG 		Neonate Bwt 1500 2499g W Major Procedure 13 $68,838.56 $714,749.16 $137,677.11 nat. median
$162,982
0.8× median
6024
APR_DRG 		Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 13 $65,257.84 $677,024.28 $130,515.68 nat. median
$118,620
1.1× median
23
APR_DRG 		Heart Or Lung Transplant 13 $127,465.59 $674,660.31 $130,066.93 nat. median
$93,528
1.4× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 13 $63,223.56 $655,591.92 $126,447.12 nat. median
$66,693
1.9× median
5833
APR_DRG 		Neonate W Ecmo 13 $63,008.96 $653,330.93 $126,017.91 nat. median
$244,017
0.5× median
4
MS_DRG 		Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 21 $112,932.34 $996,553.68 $124,225.57 nat. median
$133,176
0.9× median
5832
APR_DRG 		Neonate W Ecmo 13 $61,849.24 $641,112.65 $123,698.47 nat. median
$156,126
0.8× median
5831
APR_DRG 		Neonate W Ecmo 13 $61,849.24 $641,112.65 $123,698.47 nat. median
$145,122
0.9× median
6034
APR_DRG 		Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 13 $60,193.17 $623,665.01 $120,386.34 nat. median
$109,499
1.1× median
54
APR_DRG 		Tracheostomy W Mv 96 Hours W O Extensive Procedure 13 $116,810.02 $617,383.49 $119,193.90 nat. median
$68,217
1.7× median
5933
APR_DRG 		Neonate Birthwt 750 999g W O Major Procedure 13 $58,868.15 $609,705.10 $117,736.29 nat. median
$108,996
1.1× median
48109150
CDM 		Hc Insj Perm Ccm D Sys Pg Eltrd 3 $89,463.60 $123,757.98 $115,557.15 nat. median
$123,229
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $104,714.05 $924,032.68 $115,185.46 nat. median
$117,303
1.0× median
7
MS_DRG 		Lung Transplant 21 $104,450.29 $921,705.12 $114,895.32 nat. median
$122,708
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 1 $113,427.60 $113,427.60 $113,427.60 nat. median
$111,989
1.0× median
22
APR_DRG 		Heart Or Lung Transplant 13 $108,949.74 $575,132.16 $111,173.20 nat. median
$78,029
1.4× median
6074
APR_DRG 		Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 13 $53,460.95 $552,737.20 $106,921.90 nat. median
$95,507
1.1× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 13 $52,967.58 $547,539.17 $105,935.15 nat. median
$150,721
0.7× median
5892
APR_DRG 		Neonate Bwt 500g Or Ga 24 Weeks 13 $52,582.56 $543,482.83 $105,165.12 nat. median
$89,790
1.2× median
5891
APR_DRG 		Neonate Bwt 500g Or Ga 24 Weeks 13 $52,582.56 $543,482.83 $105,165.12 nat. median
$93,260
1.1× median
21
APR_DRG 		Heart Or Lung Transplant 13 $102,738.64 $541,745.68 $104,835.35 nat. median
$65,130
1.6× median
33
APR_DRG 		Bone Marrow Transplant 13 $100,431.45 $529,343.83 $102,481.07 nat. median
$113,142
0.9× median
5913
APR_DRG 		Neonate Birthwt 500 749g W O Major Procedure 13 $51,205.27 $528,972.23 $102,410.53 nat. median
$102,636
1.0× median
904
APR_DRG 		Major Larynx Trachea Procedures 13 $95,494.73 $502,807.47 $97,443.60 nat. median
$98,750
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $88,079.25 $777,241.48 $96,887.18 nat. median
$108,660
0.9× median
6023
APR_DRG 		Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 13 $48,431.55 $499,749.54 $96,863.10 nat. median
$86,492
1.1× median

Other procedures at this hospital

Browse this hospital's 17,102 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj Hemgenix Per Tx Dose 40 14 — — $4,345,922.20 $4,780,514.42 $4,345,922.20 2025-06-27
J1414 HCPCS Inj Beqvez Per Tx Dose 40 14 — — $4,265,580.20 $4,692,138.22 $4,265,580.20 2025-06-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 42 14 — — $3,934,811.09 $4,721,773.31 $3,934,811.09 2025-06-27
J3394 HCPCS Inj Lovotibeglogene Autotem 42 14 — — $3,888,126.64 $4,665,751.97 $3,888,126.64 2025-06-27
J3393 HCPCS Inj Betibeglogene Autotemce 48 15 — — $3,511,856.32 $4,846,361.72 $3,511,856.32 2025-06-27
J3399 HCPCS Inj Onase Abepar Xioi Treat 48 15 — — $2,826,303.90 $3,900,299.38 $2,826,303.90 2025-06-27
J3392 HCPCS Inj Exagamglogene Autotem 48 15 — — $2,759,315.68 $3,807,855.64 $2,759,315.68 2025-06-27
18 MS_DRG Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 72 21 — — $301,413.48 $2,659,775.83 $331,554.83 2025-06-27
24 APR_DRG Heart Or Lung Transplant 92 13 — — $292,588.97 $1,562,247.30 $298,560.17 2025-06-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 72 21 — — $225,130.94 $1,986,632.52 $247,644.03 2025-06-27
5834 APR_DRG Neonate W Ecmo 96 13 — — $110,151.04 $1,150,000.16 $220,302.08 2025-06-27
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 96 13 — — $108,232.35 $1,129,785.60 $216,464.69 2025-06-27
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 96 13 — — $108,232.35 $1,129,785.60 $216,464.69 2025-06-27
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 72 21 — — $189,613.73 $1,673,216.53 $208,575.10 2025-06-27
1614 APR_DRG Cardiac Defibrillator Heart Assist Implant 96 13 — — $99,081.26 $1,033,373.58 $198,162.52 2025-06-27
34 APR_DRG Bone Marrow Transplant 92 13 — — $188,614.52 $1,003,353.95 $192,463.80 2025-06-27
3 MS_DRG Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 72 21 — — $171,289.23 $1,511,514.87 $188,418.15 2025-06-27
5914 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 96 13 — — $83,330.97 $867,435.11 $166,661.93 2025-06-27
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 96 13 — — $83,033.50 $864,301.07 $166,066.99 2025-06-27
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 96 13 — — $83,033.50 $864,301.07 $166,066.99 2025-06-27
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 96 13 — — $80,627.80 $838,955.64 $161,255.59 2025-06-27
44 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 92 13 — — $152,480.72 $809,124.06 $155,592.57 2025-06-27
14 APR_DRG Liver Transplant Or Intestinal Transplant 92 13 — — $147,760.56 $783,751.77 $150,776.08 2025-06-27
5934 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 96 13 — — $75,092.69 $780,640.11 $150,185.38 2025-06-27
6094 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 96 13 — — $68,838.56 $714,749.16 $137,677.11 2025-06-27
6024 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $65,257.84 $677,024.28 $130,515.68 2025-06-27
23 APR_DRG Heart Or Lung Transplant 92 13 — — $127,465.59 $674,660.31 $130,066.93 2025-06-27
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 96 13 — — $63,223.56 $655,591.92 $126,447.12 2025-06-27
5833 APR_DRG Neonate W Ecmo 96 13 — — $63,008.96 $653,330.93 $126,017.91 2025-06-27
4 MS_DRG Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 72 21 — — $112,932.34 $996,553.68 $124,225.57 2025-06-27
5832 APR_DRG Neonate W Ecmo 96 13 — — $61,849.24 $641,112.65 $123,698.47 2025-06-27
5831 APR_DRG Neonate W Ecmo 96 13 — — $61,849.24 $641,112.65 $123,698.47 2025-06-27
6034 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 96 13 — — $60,193.17 $623,665.01 $120,386.34 2025-06-27
54 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 92 13 — — $116,810.02 $617,383.49 $119,193.90 2025-06-27
5933 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 96 13 — — $58,868.15 $609,705.10 $117,736.29 2025-06-27
48109150 CDM Hc Insj Perm Ccm D Sys Pg Eltrd 8 3 $149,106.00 $96,918.90 35% off $89,463.60 $123,757.98 $115,557.15 2025-06-27
14 MS_DRG Allogeneic Bone Marrow Transplant 72 21 — — $104,714.05 $924,032.68 $115,185.46 2025-06-27
7 MS_DRG Lung Transplant 72 21 — — $104,450.29 $921,705.12 $114,895.32 2025-06-27
Q0480 HCPCS Driver Pneumatic Vad Rep 6 1 — — $113,427.60 $113,427.60 $113,427.60 2025-06-27
22 APR_DRG Heart Or Lung Transplant 92 13 — — $108,949.74 $575,132.16 $111,173.20 2025-06-27
6074 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $53,460.95 $552,737.20 $106,921.90 2025-06-27
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 96 13 — — $52,967.58 $547,539.17 $105,935.15 2025-06-27
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 96 13 — — $52,582.56 $543,482.83 $105,165.12 2025-06-27
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 96 13 — — $52,582.56 $543,482.83 $105,165.12 2025-06-27
21 APR_DRG Heart Or Lung Transplant 92 13 — — $102,738.64 $541,745.68 $104,835.35 2025-06-27
33 APR_DRG Bone Marrow Transplant 92 13 — — $100,431.45 $529,343.83 $102,481.07 2025-06-27
5913 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 96 13 — — $51,205.27 $528,972.23 $102,410.53 2025-06-27
904 APR_DRG Major Larynx Trachea Procedures 92 13 — — $95,494.73 $502,807.47 $97,443.60 2025-06-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 72 21 — — $88,079.25 $777,241.48 $96,887.18 2025-06-27
6023 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $48,431.55 $499,749.54 $96,863.10 2025-06-27
5932 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 96 13 — — $48,346.56 $498,854.10 $96,693.12 2025-06-27
5912 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 96 13 — — $47,835.76 $493,472.51 $95,671.51 2025-06-27
3034 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 96 13 — — $47,294.36 $487,768.55 $94,588.71 2025-06-27
5931 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 96 13 — — $46,904.67 $483,662.96 $93,809.34 2025-06-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 72 21 — — $85,113.09 $751,067.06 $93,624.40 2025-06-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 76 21 — — $43,533.68 $768,312.13 $93,597.40 2025-06-27
215 MS_DRG Other Heart Assist System Implant 72 21 — — $84,678.28 $747,230.11 $93,146.11 2025-06-27
426 MS_DRG Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 72 21 — — $83,778.28 $739,288.21 $92,156.11 2025-06-27
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 96 13 — — $45,674.84 $470,705.94 $91,349.67 2025-06-27
4404 APR_DRG Kidney Transplant 96 13 — — $45,125.36 $464,916.93 $90,250.72 2025-06-27
43 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 92 13 — — $85,834.50 $450,880.90 $87,586.22 2025-06-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 96 13 — — $43,254.69 $445,208.29 $86,509.37 2025-06-27
1613 APR_DRG Cardiac Defibrillator Heart Assist Implant 96 13 — — $42,811.46 $440,538.57 $85,622.91 2025-06-27
216 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc 72 21 — — $77,134.59 $680,662.01 $84,848.05 2025-06-27
3614 APR_DRG Skin Graft For Skin Subcutaneous Tissue Diagnoses 96 13 — — $41,795.38 $429,833.59 $83,590.75 2025-06-27
6022 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $41,300.30 $424,617.65 $82,600.59 2025-06-27
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 96 13 — — $40,878.31 $420,171.79 $81,756.62 2025-06-27
850 MS_DRG Acute Leukemia With Other Procedures 72 21 — — $73,624.91 $649,691.41 $80,987.40 2025-06-27
48109160 CDM Hc Insj Perm Ccm D Sys Pg Only 8 3 $104,388.00 $67,852.20 35% off $62,632.80 $86,642.04 $80,900.70 2025-06-27
48109230 CDM Hc Rmvl Rplcmt Perm Ccm D Pg 8 3 $104,388.00 $67,852.20 35% off $62,632.80 $86,642.04 $80,900.70 2025-06-27
53 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 92 13 — — $78,855.45 $413,366.44 $80,464.74 2025-06-27
3044 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 96 13 — — $40,017.77 $411,105.46 $80,035.53 2025-06-27
6073 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $39,877.11 $409,623.51 $79,754.21 2025-06-27
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses 96 13 — — $39,253.27 $403,050.98 $78,506.53 2025-06-27
6033 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 96 13 — — $39,152.13 $401,985.40 $78,304.25 2025-06-27
6814 APR_DRG Other O R Procedures For Lymphatic Hematopoietic Other Neoplasms 96 13 — — $39,121.10 $401,658.57 $78,242.20 2025-06-27
6804 APR_DRG Major O R Procedures For Lymphatic Hematopoietic Other Neoplasms 96 13 — — $39,015.29 $400,543.74 $78,030.57 2025-06-27
5911 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 96 13 — — $38,773.49 $397,996.22 $77,546.97 2025-06-27
A9543 HCPCS Y90 Ibritumomab Rx 48 15 — — $77,474.51 $106,914.82 $77,474.51 2025-06-27
6904 APR_DRG Acute Leukemia 96 13 — — $38,194.27 $391,893.79 $76,388.53 2025-06-27
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 96 13 — — $37,703.86 $386,727.10 $75,407.72 2025-06-27
J9029 HCPCS Instill Adstiladrin Tx Dose 48 15 — — $74,963.90 $103,450.18 $74,963.90 2025-06-27
456 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc 72 21 — — $67,688.59 $597,307.30 $74,457.45 2025-06-27
6124 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 96 13 — — $37,006.50 $379,380.02 $74,013.00 2025-06-27
429 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion With Mcc 72 21 — — $66,660.70 $588,236.88 $73,326.77 2025-06-27
4054 APR_DRG Other Procedures For Endocrine Nutritional Metabolic Disorders 96 13 — — $36,643.16 $375,552.01 $73,286.32 2025-06-27
13 APR_DRG Liver Transplant Or Intestinal Transplant 92 13 — — $71,640.69 $374,584.94 $73,102.74 2025-06-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 76 21 — — $33,863.48 $597,645.85 $72,806.48 2025-06-27
6114 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 96 13 — — $35,902.03 $367,743.78 $71,804.06 2025-06-27
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 96 13 — — $35,479.62 $363,293.44 $70,959.24 2025-06-27
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc 72 21 — — $64,426.69 $568,523.19 $70,869.36 2025-06-27
234 APR_DRG Spinal Procedures 92 13 — — $69,271.85 $361,851.78 $70,685.56 2025-06-27
10 MS_DRG Pancreas Transplant 72 21 — — $63,724.11 $562,323.42 $70,096.52 2025-06-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 72 21 — — $63,357.24 $559,086.00 $69,692.96 2025-06-27
219 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc 72 21 — — $61,840.99 $545,706.08 $68,025.09 2025-06-27
32 APR_DRG Bone Marrow Transplant 92 13 — — $66,594.01 $347,457.58 $67,953.07 2025-06-27
233 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc 76 21 — — $31,235.42 $551,264.01 $67,156.14 2025-06-27
64 APR_DRG Pancreas Transplant 92 13 — — $65,580.35 $342,008.83 $66,918.72 2025-06-27
4474 APR_DRG Other Kidney Urinary Tract Related Procedures 96 13 — — $33,424.09 $341,637.22 $66,848.18 2025-06-27
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 96 13 — — $33,407.52 $341,462.61 $66,815.03 2025-06-27
9124 APR_DRG Musculoskeletal Other Procedures For Multiple Significant Trauma 96 13 — — $33,194.61 $339,219.54 $66,389.22 2025-06-27
5124 APR_DRG Uterine Adnexa Procedures For Non Ovarian Non Adnexal Malig 96 13 — — $32,883.54 $335,942.22 $65,767.08 2025-06-27
957 MS_DRG Other O R Procedures For Multiple Significant Trauma With Mcc 72 21 — — $59,656.53 $526,429.69 $65,622.18 2025-06-27
6072 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $32,777.30 $334,822.92 $65,554.60 2025-06-27
2604 APR_DRG Major Pancreas Liver Shunt Procedures 96 13 — — $32,556.75 $332,499.26 $65,113.49 2025-06-27
6954 APR_DRG Chemotherapy For Acute Leukemia 82 13 — — $63,480.55 $145,746.16 $64,776.07 2025-06-27
924 APR_DRG Facial Bone Procedures Except Major Cranial Facial Bone Procedures 92 13 — — $63,202.36 $329,226.42 $64,492.20 2025-06-27
63 APR_DRG Pancreas Transplant 92 13 — — $62,875.85 $327,471.36 $64,159.03 2025-06-27
6093 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 96 13 — — $31,947.35 $326,078.95 $63,894.70 2025-06-27
214 APR_DRG Craniotomy Except For Trauma 92 13 — — $62,269.48 $324,211.96 $63,540.29 2025-06-27
41 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 92 13 — — $61,829.70 $321,848.00 $63,091.53 2025-06-27
42 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 92 13 — — $61,829.70 $321,848.00 $63,091.53 2025-06-27
1694 APR_DRG Major Abdominal Vascular Procedures 96 13 — — $31,521.54 $321,592.80 $63,043.08 2025-06-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 96 13 — — $31,519.84 $321,574.89 $63,039.68 2025-06-27
6084 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 96 13 — — $31,519.42 $321,570.41 $63,038.83 2025-06-27
427 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc 72 21 — — $56,739.13 $500,685.51 $62,413.04 2025-06-27
2204 APR_DRG Major Stomach Esophageal Duodenal Procedures 96 13 — — $31,116.98 $317,330.50 $62,233.96 2025-06-27
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 96 13 — — $31,092.33 $317,070.83 $62,184.66 2025-06-27
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 96 13 — — $31,069.81 $316,833.54 $62,139.62 2025-06-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 72 21 — — $56,481.76 $498,414.38 $62,129.94 2025-06-27
3214 APR_DRG Cervical Spinal Fusion Other Back Neck Proc Exc Disc Excis Decomp 96 13 — — $31,017.12 $316,278.36 $62,034.23 2025-06-27
1634 APR_DRG Cardiac Valve Procedures W O Ami Or Complex Pdx 96 13 — — $30,944.02 $315,508.28 $61,888.04 2025-06-27
3033 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 96 13 — — $30,693.30 $312,866.74 $61,386.59 2025-06-27
4014 APR_DRG Pituitary Adrenal Procedures 96 13 — — $30,692.02 $312,853.30 $61,384.04 2025-06-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv 96 Hours 72 21 — — $55,602.54 $490,655.86 $61,162.79 2025-06-27
6032 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 96 13 — — $30,312.96 $308,859.64 $60,625.91 2025-06-27
3104 APR_DRG Intervertebral Disc Excision Decompression 96 13 — — $30,073.71 $306,338.98 $60,147.41 2025-06-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 72 21 — — $54,574.65 $481,585.44 $60,032.12 2025-06-27
6083 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 96 13 — — $29,994.66 $305,506.22 $59,989.32 2025-06-27
894 APR_DRG Major Cranial Facial Bone Procedures 92 13 — — $58,747.89 $305,282.36 $59,946.83 2025-06-27
244 APR_DRG Extracranial Vascular Procedures 92 13 — — $58,539.66 $304,163.06 $59,734.35 2025-06-27
6214 APR_DRG Neonate Bwt 2000 2499g W Major Anomaly 96 13 — — $29,860.80 $304,095.90 $59,721.60 2025-06-27
4414 APR_DRG Major Bladder Procedures 96 13 — — $29,738.41 $302,806.47 $59,476.82 2025-06-27
447 MS_DRG Mult Lvl Spin Fus Exc Cerv W Mcc Or Vust Anatom Des Interbody Fus Dev 72 21 — — $53,585.93 $472,860.63 $58,944.52 2025-06-27
204 APR_DRG Craniotomy For Trauma 92 13 — — $57,676.75 $299,524.68 $58,853.83 2025-06-27
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhalation Injury W Cc Mcc 72 21 — — $53,380.52 $471,047.96 $58,718.57 2025-06-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 72 21 — — $53,290.20 $470,250.95 $58,619.22 2025-06-27
1674 APR_DRG Other Cardiothoracic Thoracic Vascular Procedures 96 13 — — $29,177.04 $296,892.09 $58,354.08 2025-06-27
Q2043 HCPCS Sipuleucel T Auto Cd54 82 14 — — $53,914.93 $90,775.13 $58,316.14 2025-06-27
31 APR_DRG Bone Marrow Transplant 92 13 — — $57,140.35 $296,641.36 $58,306.48 2025-06-27
1814 APR_DRG Lower Extremity Arterial Procedures 82 13 — — $57,064.56 $131,015.57 $58,229.14 2025-06-27
7914 APR_DRG O R Procedure For Other Complications Of Treatment 96 13 — — $29,089.92 $295,974.26 $58,179.84 2025-06-27
2214 APR_DRG Major Small Large Bowel Procedures 96 13 — — $29,079.72 $295,866.81 $58,159.44 2025-06-27
4034 APR_DRG Procedures For Obesity 96 13 — — $28,945.44 $294,452.01 $57,890.87 2025-06-27
6021 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $28,588.47 $290,691.16 $57,176.94 2025-06-27
9114 APR_DRG Extensive Abdominal Thoracic Procedures For Mult Significant Trauma 96 13 — — $28,578.27 $290,583.71 $57,156.54 2025-06-27
3134 APR_DRG Knee Lower Leg Procedures Except Foot 96 13 — — $28,497.53 $289,733.04 $56,995.05 2025-06-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 72 21 — — $51,695.61 $456,179.82 $56,865.17 2025-06-27
217 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Cc 72 21 — — $51,613.29 $455,453.34 $56,774.62 2025-06-27
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy Other Radical GYN Procs 96 13 — — $28,234.05 $286,957.18 $56,468.10 2025-06-27
4424 APR_DRG Kidney Urinary Tract Procedures For Malignancy 96 13 — — $28,092.12 $285,461.79 $56,184.23 2025-06-27
6123 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 96 13 — — $27,952.31 $283,988.80 $55,904.61 2025-06-27
1774 APR_DRG Cardiac Pacemaker Defibrillator Revision Except Device Replacement 96 13 — — $27,916.61 $283,612.71 $55,833.21 2025-06-27
6914 APR_DRG Lymphoma Myeloma Non Acute Leukemia 96 13 — — $27,908.96 $283,532.12 $55,817.91 2025-06-27
7104 APR_DRG Infectious Parasitic Diseases Including HIV W O R Procedure 96 13 — — $27,856.26 $282,976.95 $55,712.52 2025-06-27
3174 APR_DRG Tendon Muscle Other Soft Tissue Procedures 96 13 — — $27,846.07 $282,869.50 $55,692.13 2025-06-27
969 MS_DRG HIV With Extensive O R Procedures With Mcc 72 21 — — $50,546.24 $446,037.31 $55,600.86 2025-06-27
3054 APR_DRG Amputation Of Lower Limb Except Toes 96 13 — — $27,777.22 $282,144.19 $55,554.44 2025-06-27
264 APR_DRG Other Nervous System Related Procedures 92 13 — — $54,227.62 $280,984.59 $55,334.31 2025-06-27
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 96 13 — — $27,663.76 $280,948.78 $55,327.51 2025-06-27
1824 APR_DRG Other Peripheral Vascular Procedures 82 13 — — $54,195.14 $124,427.61 $55,301.16 2025-06-27
6113 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 96 13 — — $27,624.24 $280,532.40 $55,248.47 2025-06-27
1664 APR_DRG Coronary Bypass W O Ami Or Complex Pdx 96 13 — — $27,477.20 $278,983.29 $54,954.40 2025-06-27
5114 APR_DRG Uterine Adnexa Procedures For Ovarian Adnexal Malignancy 96 13 — — $27,456.80 $278,768.38 $54,913.60 2025-06-27
4444 APR_DRG Renal Dialysis Access Device Procedure Only 96 13 — — $27,284.69 $276,955.11 $54,569.38 2025-06-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulators 72 21 — — $49,507.96 $436,875.21 $54,458.76 2025-06-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 72 21 — — $49,444.02 $436,310.95 $54,388.42 2025-06-27
12 APR_DRG Liver Transplant Or Intestinal Transplant 92 13 — — $53,289.75 $275,943.27 $54,377.30 2025-06-27
11 APR_DRG Liver Transplant Or Intestinal Transplant 92 13 — — $53,289.75 $275,943.27 $54,377.30 2025-06-27
2644 APR_DRG Other Hepatobiliary Pancreas Abdominal Procedures 96 13 — — $27,151.68 $275,553.75 $54,303.36 2025-06-27
2614 APR_DRG Major Biliary Tract Procedures 96 13 — — $27,092.19 $274,926.94 $54,184.37 2025-06-27
1612 APR_DRG Cardiac Defibrillator Heart Assist Implant 96 13 — — $27,036.94 $274,344.91 $54,073.88 2025-06-27
1204 APR_DRG Major Respiratory Chest Procedures 96 13 — — $26,880.56 $272,697.30 $53,761.11 2025-06-27
J9226 HCPCS Supprelin La Implant 48 15 — — $53,660.19 $74,051.06 $53,660.19 2025-06-27
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96 Hours 96 13 — — $26,804.06 $271,891.40 $53,608.12 2025-06-27
6903 APR_DRG Acute Leukemia 96 13 — — $26,761.99 $271,448.16 $53,523.98 2025-06-27
1214 APR_DRG Other Respiratory Chest Procedures 96 13 — — $26,737.34 $271,188.48 $53,474.68 2025-06-27
28 MS_DRG Spinal Procedures With Mcc 72 21 — — $48,589.58 $428,771.08 $53,448.54 2025-06-27
3014 APR_DRG Hip Joint Replacement 96 13 — — $26,722.90 $271,036.26 $53,445.79 2025-06-27
2624 APR_DRG Cholecystectomy Except Laparoscopic 96 13 — — $26,722.47 $271,031.78 $53,444.94 2025-06-27
5194 APR_DRG Uterine Adnexa Procedures For Leiomyoma 96 13 — — $26,702.07 $270,816.87 $53,404.14 2025-06-27
6071 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 96 13 — — $26,669.78 $270,476.61 $53,339.55 2025-06-27
7114 APR_DRG Post Op Post Trauma Other Device Infections W O R Procedure 96 13 — — $26,647.25 $270,239.31 $53,294.50 2025-06-27
0266T HCPCS Implt Rpl Crtd Sns Dev Total 78 18 — — $3,449.00 $143,232.79 $53,246.39 2025-06-27
33276 CPT Insj Phrnc Nrv Stim Sys 76 18 — — $558.29 $143,232.79 $53,246.39 2025-06-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc Mcc 72 21 — — $48,241.09 $425,695.89 $53,065.20 2025-06-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc Mcc 72 21 — — $48,241.09 $425,695.89 $53,065.20 2025-06-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 76 21 — — $24,609.31 $434,321.95 $52,910.01 2025-06-27
5184 APR_DRG Other Female Reproductive System Related Procedures 96 13 — — $26,400.78 $267,642.54 $52,801.55 2025-06-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 76 21 — — $24,524.99 $432,833.72 $52,728.72 2025-06-27
494 APR_DRG Bacterial Tuberculous Infections Of Nervous System 92 13 — — $51,658.90 $267,176.91 $52,713.16 2025-06-27
1714 APR_DRG Perm Cardiac Pacemaker Implant W O Ami Heart Failure Or Shock 96 13 — — $26,340.86 $267,011.25 $52,681.71 2025-06-27
266 MS_DRG Endovascular Cardiac Valve Replacement Supplement Procedure W Mcc 72 21 — — $47,880.61 $422,514.89 $52,668.67 2025-06-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 76 21 — — $24,411.49 $430,830.62 $52,484.69 2025-06-27
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 96 13 — — $26,204.02 $265,569.60 $52,408.03 2025-06-27
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 96 13 — — $26,178.10 $265,296.49 $52,356.19 2025-06-27
218 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Card Cath W O Cc Mcc 72 21 — — $47,550.50 $419,601.92 $52,305.55 2025-06-27
434 APR_DRG Multiple Sclerosis Other Demyelinating Diseases 92 13 — — $51,244.10 $264,947.26 $52,289.90 2025-06-27
3814 APR_DRG Major Skin Disorders 96 13 — — $26,081.63 $264,280.16 $52,163.26 2025-06-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 72 21 — — $47,028.57 $414,996.18 $51,731.43 2025-06-27
52 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 92 13 — — $50,626.91 $261,629.66 $51,660.11 2025-06-27
820 MS_DRG Lymphoma And Leukemia With Major O R Procedures With Mcc 72 21 — — $46,533.81 $410,630.25 $51,187.19 2025-06-27
2294 APR_DRG Other Digestive System Abdominal Procedures 96 13 — — $25,588.68 $259,086.61 $51,177.35 2025-06-27
3084 APR_DRG Hip And Femur Fracture Repair 96 13 — — $25,512.18 $258,280.71 $51,024.36 2025-06-27
3094 APR_DRG Other Significant Hip And Femur Surgery 96 13 — — $25,411.47 $257,219.62 $50,822.93 2025-06-27
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 96 13 — — $25,375.77 $256,843.53 $50,751.54 2025-06-27
6504 APR_DRG Splenectomy 96 13 — — $25,232.56 $255,334.72 $50,465.12 2025-06-27
457 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Cc 72 21 — — $45,871.20 $404,783.15 $50,458.32 2025-06-27
51 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 92 13 — — $49,398.34 $255,025.79 $50,406.47 2025-06-27
6082 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 96 13 — — $25,160.32 $254,573.59 $50,320.63 2025-06-27
36166683 CDM Hc Implantation Iris Prosthesis 8 3 $64,831.00 $42,140.15 35% off $38,898.60 $53,809.73 $50,244.03 2025-06-27
4403 APR_DRG Kidney Transplant 96 13 — — $25,102.52 $253,964.69 $50,205.04 2025-06-27
23 MS_DRG Craniot W Maj Dev Impl Acute Cns Pdx W Mcc Or Chemo Epilep W Neuros 72 21 — — $45,597.04 $402,363.90 $50,156.74 2025-06-27
2234 APR_DRG Other Small Large Bowel Procedures 96 13 — — $24,703.49 $249,760.60 $49,406.97 2025-06-27
2244 APR_DRG Peritoneal Adhesiolysis 96 13 — — $24,661.42 $249,317.36 $49,322.83 2025-06-27
2224 APR_DRG Other Stomach Esophageal Duodenal Procedures 96 13 — — $24,514.38 $247,768.25 $49,028.75 2025-06-27
653 MS_DRG Major Bladder Procedures With Mcc 72 21 — — $44,553.97 $393,159.47 $49,009.37 2025-06-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 58 17 — — $47,517.73 $227,378.42 $48,943.26 2025-06-27
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Cc 72 21 — — $44,179.10 $389,851.52 $48,597.01 2025-06-27
834 MS_DRG Acute Leukemia With Mcc 72 21 — — $44,175.90 $389,823.31 $48,593.49 2025-06-27
428 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical W O Cc Mcc 72 21 — — $44,002.46 $388,292.77 $48,402.71 2025-06-27
3024 APR_DRG Knee Joint Replacement 96 13 — — $24,126.82 $243,685.04 $48,253.63 2025-06-27
4234 APR_DRG Inborn Errors Of Metabolism 96 13 — — $24,107.69 $243,483.57 $48,215.38 2025-06-27
430 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion Without Mcc 72 21 — — $43,721.91 $385,817.09 $48,094.10 2025-06-27
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 72 21 — — $43,487.72 $383,750.51 $47,836.49 2025-06-27
224 APR_DRG Ventricular Shunt Procedures 92 13 — — $46,827.95 $241,209.15 $47,783.62 2025-06-27
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 72 21 — — $43,388.60 $382,875.91 $47,727.46 2025-06-27
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 96 13 — — $23,803.85 $240,282.37 $47,607.69 2025-06-27
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 96 13 — — $23,749.03 $239,704.81 $47,498.05 2025-06-27
11 MS_DRG Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Mcc 72 21 — — $43,126.44 $380,562.46 $47,439.08 2025-06-27
504 APR_DRG Non Bacterial Infections Of Nervous System Exc Viral Meningitis 92 13 — — $46,486.45 $239,373.50 $47,435.15 2025-06-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 72 21 — — $43,120.84 $380,513.09 $47,432.92 2025-06-27
3043 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 96 13 — — $23,637.26 $238,527.31 $47,274.52 2025-06-27
3644 APR_DRG Other Skin Subcutaneous Tissue Related Procedures 96 13 — — $23,559.49 $237,707.98 $47,118.98 2025-06-27
8634 APR_DRG Neonatal Aftercare 96 13 — — $23,515.72 $237,246.83 $47,031.44 2025-06-27
3032 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 96 13 — — $23,470.68 $236,772.24 $46,941.35 2025-06-27
2274 APR_DRG Hernia Procedures Except Inguinal Femoral Umbilical 96 13 — — $23,408.21 $236,114.10 $46,816.41 2025-06-27
220 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Cc 72 21 — — $42,332.74 $373,558.63 $46,566.01 2025-06-27
463 MS_DRG Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Mcc 76 21 — — $21,583.60 $380,922.17 $46,404.74 2025-06-27
6134 APR_DRG Neonate Birthwt 1500 1999g W Congenital Perinatal Infection 96 13 — — $23,001.95 $231,833.89 $46,003.89 2025-06-27
6031 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 96 13 — — $22,985.37 $231,659.28 $45,970.74 2025-06-27
6224 APR_DRG Neonate Bwt 2000 2499g W Resp Dist Synd Oth Maj Resp Cond 96 13 — — $22,963.27 $231,426.47 $45,926.54 2025-06-27
234 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation Without Mcc 76 21 — — $21,260.69 $375,223.19 $45,710.49 2025-06-27
3154 APR_DRG Shoulder Upper Arm Forearm Procedures Except Joint Replacement 96 13 — — $22,811.99 $229,832.58 $45,623.97 2025-06-27
450 MS_DRG Sing Lvl Spin Fus Exc Cerv W Mcc Or Cust Anatom Design Inter Fus Dev 72 21 — — $41,160.99 $363,218.64 $45,277.09 2025-06-27
36137187 CDM Hc Venous Mech Thrombectomy 8 3 $58,305.00 $37,898.25 35% off $34,983.00 $48,393.15 $45,186.38 2025-06-27
8444 APR_DRG Partial Thickness Burns Without Skin Graft 96 13 — — $22,583.79 $227,428.33 $45,167.57 2025-06-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 72 21 — — $41,025.91 $362,026.65 $45,128.50 2025-06-27
4434 APR_DRG Kidney Urinary Tract Procedures For Nonmalignancy 96 13 — — $22,533.22 $226,895.54 $45,066.43 2025-06-27
62 APR_DRG Pancreas Transplant 92 13 — — $44,061.82 $226,340.37 $44,961.04 2025-06-27
61 APR_DRG Pancreas Transplant 92 13 — — $44,061.82 $226,340.37 $44,961.04 2025-06-27
6133 APR_DRG Neonate Birthwt 1500 1999g W Congenital Perinatal Infection 96 13 — — $22,447.80 $225,995.62 $44,895.59 2025-06-27
6144 APR_DRG Neonate Bwt 1500 1999g W Or W O Other Significant Condition 96 13 — — $22,398.50 $225,476.27 $44,797.00 2025-06-27
6143 APR_DRG Neonate Bwt 1500 1999g W Or W O Other Significant Condition 96 13 — — $22,398.50 $225,476.27 $44,797.00 2025-06-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 72 21 — — $40,718.18 $359,311.17 $44,790.00 2025-06-27
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 72 21 — — $40,593.49 $358,210.87 $44,652.84 2025-06-27
3204 APR_DRG Other Musculoskeletal System Connective Tissue Procedures 96 13 — — $22,260.39 $224,021.18 $44,520.78 2025-06-27
6604 APR_DRG Major Hematologic Immunologic Diag Exc Sickle Cell Crisis Coagul 96 13 — — $22,151.60 $222,875.02 $44,303.20 2025-06-27
239 MS_DRG Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Mcc 72 21 — — $40,256.19 $355,234.42 $44,281.81 2025-06-27
837 MS_DRG Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 72 21 — — $40,018.80 $353,139.62 $44,020.68 2025-06-27
278 MS_DRG US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W Mcc 72 21 — — $39,987.63 $352,864.54 $43,986.39 2025-06-27
853 MS_DRG Infectious And Parasitic Diseases With O R Procedures With Mcc 72 21 — — $39,976.44 $352,765.80 $43,974.08 2025-06-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 72 21 — — $39,827.77 $351,453.90 $43,810.55 2025-06-27
1754 APR_DRG Percutaneous Coronary Intervention W O Ami 96 13 — — $21,865.60 $219,861.86 $43,731.20 2025-06-27
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 96 13 — — $21,718.14 $218,308.27 $43,436.28 2025-06-27
3464 APR_DRG Connective Tissue Disorders 96 13 — — $21,711.77 $218,241.11 $43,423.53 2025-06-27
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 96 13 — — $21,656.10 $217,654.60 $43,312.19 2025-06-27
245 MS_DRG Aicd Generator Procedures 72 21 — — $39,057.26 $344,654.62 $42,962.99 2025-06-27
1804 APR_DRG Other Circulatory System Procedures 96 13 — — $21,476.34 $215,760.75 $42,952.67 2025-06-27
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami Heart Failure Or Shock 96 13 — — $21,448.29 $215,465.25 $42,896.58 2025-06-27
5134 APR_DRG Uterine Adnexa Procedures For Non Malignancy Except Leiomyoma 96 13 — — $21,401.97 $214,977.24 $42,803.94 2025-06-27
6 MS_DRG Liver Transplant Without Mcc 72 21 — — $38,756.72 $342,002.61 $42,632.39 2025-06-27
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 96 13 — — $21,310.61 $214,014.64 $42,621.21 2025-06-27
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O R Proc W Mcc 72 21 — — $38,167.65 $336,804.41 $41,984.42 2025-06-27
799 MS_DRG Splenic Procedures With Mcc 72 21 — — $38,002.20 $335,344.39 $41,802.42 2025-06-27
471 MS_DRG Cervical Spinal Fusion With Mcc 76 21 — — $19,410.74 $342,573.92 $41,733.08 2025-06-27
4402 APR_DRG Kidney Transplant 96 13 — — $20,738.18 $207,983.85 $41,476.36 2025-06-27
0620T HCPCS Evasc Ven Artlz Tibl Prnl Vn 78 18 — — $3,549.00 $111,403.63 $41,413.99 2025-06-27
267 MS_DRG Endovascular Cardiac Valve Replace Supplement Procedure W O Mcc 72 21 — — $37,601.75 $331,810.74 $41,361.93 2025-06-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 72 21 — — $37,184.52 $328,128.97 $40,902.97 2025-06-27
981 MS_DRG Extensive O R Procedures Unrelated To Principal Diagnosis W Mcc 76 21 — — $19,000.30 $335,330.29 $40,850.65 2025-06-27
6614 APR_DRG Coagulation Platelet Disorders 96 13 — — $20,401.19 $204,433.43 $40,802.38 2025-06-27
36109470 CDM Hc Mrgfus Strtctc Bl Br Disrpj 8 3 $52,614.00 $34,199.10 35% off $31,568.40 $43,669.62 $40,775.85 2025-06-27
6122 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 96 13 — — $20,333.20 $203,717.08 $40,666.39 2025-06-27
1633 APR_DRG Cardiac Valve Procedures W O Ami Or Complex Pdx 96 13 — — $20,314.07 $203,515.60 $40,628.14 2025-06-27
163 MS_DRG Major Chest Procedures With Mcc 72 21 — — $36,838.43 $325,074.93 $40,522.27 2025-06-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 72 21 — — $36,823.24 $324,940.92 $40,505.56 2025-06-27
3123 APR_DRG Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses 96 13 — — $20,238.01 $202,714.18 $40,476.01 2025-06-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 72 21 — — $36,700.95 $323,861.78 $40,371.05 2025-06-27
823 MS_DRG Lymphoma And Non Acute Leukemia With Other Procedures With Mcc 76 21 — — $18,700.17 $330,033.33 $40,205.35 2025-06-27
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 96 13 — — $20,044.22 $200,672.58 $40,088.44 2025-06-27
1934 APR_DRG Acute Subacute Endocarditis 96 13 — — $19,968.16 $199,871.16 $39,936.31 2025-06-27
2284 APR_DRG Inguinal Femoral Umbilical Hernia Procedures 96 13 — — $19,932.46 $199,495.08 $39,864.92 2025-06-27
36155882 CDM Hc Ablt Trurl Prst8 Tis Trnsdcr 8 3 $51,309.00 $33,350.85 35% off $30,785.40 $42,586.47 $39,764.47 2025-06-27
856 MS_DRG Postoperative Or Post Traumatic Infections W O R Procedures W Mcc 72 21 — — $36,058.32 $318,191.01 $39,664.15 2025-06-27
3031 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 96 13 — — $19,779.47 $197,883.29 $39,558.94 2025-06-27
221 MS_DRG Cardiac Valve Oth Maj Cardiothorac Proc W O Card Cath W O Cc Mcc 76 21 — — $18,352.88 $323,904.10 $39,458.68 2025-06-27
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 96 13 — — $19,694.91 $196,992.32 $39,389.81 2025-06-27
6964 APR_DRG Other Chemotherapy 82 13 — — $38,556.20 $88,521.89 $39,343.06 2025-06-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 72 21 — — $35,744.20 $315,419.10 $39,318.62 2025-06-27
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