Price Transparencybeta Hospital negotiated rates

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

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Hospital

MONTEFIORE NEW ROCHELLE HOSPITAL

New Rochelle, NY · CCN 330184 · Rates published

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Tte w doppler complete

This hospital’s price: $682 across 20 payers · range $209-$24,855

Source: https://assets.montefioreeinstein.org/patient-information/462931956_new-rochelle-hospital_standardcharges.csv · observed 2026-09-28

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.

75,529 distinct procedures filed
28 distinct payers
884,851 rate rows
2026-09-28 last MRF observed
Data quality

647,684 of 884,851 rate rows are consumer-grade (73.2%)

237,167 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 232,742
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,106
template filing: same amount across many unrelated codes — excluded 585
per-diem day rate — not a per-procedure price 325
placeholder amount (≤ $0.02) — excluded from medians 261
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 148
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 success · 2026-10-06
Content fingerprint d419d7d790036db7… · 299,963,988 bytes · first seen 2026-10-06

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 9 $4,502,732.52 $4,953,005.77 $4,502,732.52 nat. median
$3,685,267
1.2× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 9 $4,075,771.59 $4,483,348.75 $4,075,771.59 nat. median
$3,335,820
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $4,052,120.32 $4,457,332.35 $4,052,120.32 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 9 $3,969,015.94 $4,365,917.53 $3,969,015.94 nat. median
$3,248,446
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 9 $3,775,423.80 $4,908,050.94 $3,813,178.04 nat. median
$3,180,000
1.2× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 10 $3,599,164.05 $4,966,846.39 $3,689,143.15 nat. median
$2,968,000
1.2× median
J3399
HCPCS 		Inj Onase Abepar Xioi Treat 10 $2,999,703.24 $4,139,590.47 $3,074,695.82 nat. median
$2,455,111
1.3× median
J3392
HCPCS 		Inj Exagamglogene Autotem 10 $2,849,284.24 $3,932,012.25 $2,920,516.34 nat. median
$2,332,000
1.3× median
Q2057
HCPCS 		Afamitresgene Autoleucel 15 $941,558.93 $1,299,351.32 $941,558.93 nat. median
$813,967
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car Pos T 2 $578,324.58 $578,324.58 $578,324.58 nat. median
$621,313
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car 2 $533,076.48 $533,076.48 $533,076.48 nat. median
$562,501
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 2 $420,816.40 $492,275.78 $492,275.78 nat. median
$108,243
outlier · 4.5×
K1007
HCPCS 		HCPCS K1007 2 $405,274.09 $474,094.22 $474,094.22 nat. median
$95,583
outlier · 5.0×
L8702
HCPCS 		HCPCS L8702 2 $293,260.99 $343,060.03 $343,060.03 nat. median
$68,802
outlier · 5.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 15 $339,971.42 $469,160.56 $339,971.42 nat. median
$286,598
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 23 $301,413.48 $3,016,816.00 $331,554.83 nat. median
$168,055
2.0× median
J3403
HCPCS 		Revakinagene Per Implant 10 $314,618.65 $434,173.74 $322,484.11 nat. median
$264,195
1.2× median
24
APR_DRG 		Heart Or Lung Transplant 14 $264,601.89 $1,663,787.10 $272,539.95 nat. median
$225,531
1.2× median
J3402
HCPCS 		Inj Remestemcel L Rknd Td 10 $251,255.06 $346,731.98 $257,536.43 nat. median
$207,733
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $225,130.94 $2,253,312.00 $247,644.03 nat. median
$186,516
1.3× median
L7181
HCPCS 		HCPCS L7181 2 $187,166.83 $218,949.88 $218,949.88 nat. median
$48,410
outlier · 4.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 23 $189,613.73 $1,897,824.00 $208,575.10 nat. median
$131,925
1.6× median
5834
APR_DRG 		Neonate W Ecmo 14 $194,778.52 $1,224,745.55 $200,621.88 nat. median
$390,362
0.5× median
L7180
HCPCS 		HCPCS L7180 2 $169,830.30 $198,669.40 $198,669.40 nat. median
$42,745
outlier · 4.6×
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 14 $191,354.73 $1,203,217.12 $197,095.37 nat. median
$173,134
1.1× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 14 $191,354.73 $1,203,217.12 $197,095.37 nat. median
$286,698
0.7× median
3
MS_DRG 		Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 23 $171,289.23 $1,714,416.00 $188,418.15 nat. median
$145,435
1.3× median
L2006
HCPCS 		HCPCS L2006 2 $154,110.36 $180,280.04 $180,280.04 nat. median
$38,763
outlier · 4.7×
1614
APR_DRG 		Cardiac Defibrillator Heart Assist Implant 14 $175,025.17 $1,100,538.71 $180,275.93 nat. median
$202,242
0.9× median
34
APR_DRG 		Bone Marrow Transplant 14 $169,940.67 $1,068,567.92 $175,038.89 nat. median
$187,752
0.9× median
L8701
HCPCS 		HCPCS L8701 2 $149,056.97 $174,368.53 $174,368.53 nat. median
$34,970
outlier · 5.0×
5914
APR_DRG 		Neonate Birthwt 500 749g W O Major Procedure 14 $146,919.74 $923,814.91 $151,327.33 nat. median
$171,497
0.9× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 14 $146,388.92 $920,477.17 $150,780.59 nat. median
$152,383
1.0× median
5881
APR_DRG 		Neonate Bwt 1500g W Major Procedure 14 $146,388.92 $920,477.17 $150,780.59 nat. median
$130,862
1.2× median
L6700
HCPCS 		HCPCS L6700 2 $128,803.30 $150,675.56 $150,675.56 nat. median
$30,100
outlier · 5.0×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 14 $142,096.10 $893,484.39 $146,358.98 nat. median
$173,018
0.8× median
44
APR_DRG 		Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 14 $137,043.45 $861,713.87 $141,154.75 nat. median
$135,630
1.0× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 14 $132,746.08 $834,692.48 $136,728.46 nat. median
$136,566
1.0× median
5934
APR_DRG 		Neonate Birthwt 750 999g W O Major Procedure 14 $132,219.05 $831,378.58 $136,185.62 nat. median
$168,439
0.8× median
L5856
HCPCS 		HCPCS L5856 2 $112,298.95 $131,368.59 $131,368.59 nat. median
$29,004
outlier · 4.5×
L6880
HCPCS 		HCPCS L6880 2 $111,635.01 $130,591.90 $130,591.90 nat. median
$28,867
outlier · 4.5×
6094
APR_DRG 		Neonate Bwt 1500 2499g W Major Procedure 14 $121,058.93 $761,204.98 $124,690.70 nat. median
$198,578
0.6× median
4
MS_DRG 		Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 23 $112,932.34 $1,130,328.00 $124,225.57 nat. median
$97,418
1.3× median
6024
APR_DRG 		Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 14 $114,669.37 $721,028.13 $118,109.45 nat. median
$124,731
0.9× median
23
APR_DRG 		Heart Or Lung Transplant 14 $114,268.98 $718,510.52 $117,697.05 nat. median
$117,894
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $104,714.05 $1,048,072.00 $115,185.46 nat. median
$72,715
1.6× median
7
MS_DRG 		Lung Transplant 23 $104,450.29 $1,045,432.00 $114,895.32 nat. median
$70,649
1.6× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 14 $111,039.31 $698,202.76 $114,370.49 nat. median
$54,727
outlier · 2.1×
5833
APR_DRG 		Neonate W Ecmo 14 $110,656.36 $695,794.82 $113,976.05 nat. median
$268,208
outlier · 0.4×
5832
APR_DRG 		Neonate W Ecmo 14 $108,586.92 $682,782.40 $111,844.53 nat. median
$201,678
0.6× median

Other procedures at this hospital

Browse this hospital's 75,529 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj Hemgenix Per Tx Dose 15 9 — — $4,502,732.52 $4,953,005.77 $4,502,732.52 2026-09-28
J3389 HCPCS Topi Adm Prad Zami Per Treat 15 9 — — $4,075,771.59 $4,483,348.75 $4,075,771.59 2026-09-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 9 — — $4,052,120.32 $4,457,332.35 $4,052,120.32 2026-09-28
J3394 HCPCS Inj Lovotibeglogene Autotem 15 9 — — $3,969,015.94 $4,365,917.53 $3,969,015.94 2026-09-28
J3387 HCPCS Inj Elivaldogene Autotemecel 16 9 — — $3,775,423.80 $4,908,050.94 $3,813,178.04 2026-09-28
J3393 HCPCS Inj Betibeglogene Autotemce 18 10 — — $3,599,164.05 $4,966,846.39 $3,689,143.15 2026-09-28
J3399 HCPCS Inj Onase Abepar Xioi Treat 18 10 — — $2,999,703.24 $4,139,590.47 $3,074,695.82 2026-09-28
J3392 HCPCS Inj Exagamglogene Autotem 18 10 — — $2,849,284.24 $3,932,012.25 $2,920,516.34 2026-09-28
Q2057 HCPCS Afamitresgene Autoleucel 24 15 — — $941,558.93 $1,299,351.32 $941,558.93 2026-09-28
Q2042 HCPCS Tisagenlecleucel Car Pos T 2 2 — — $578,324.58 $578,324.58 $578,324.58 2026-09-28
Q2041 HCPCS Axicabtagene Ciloleucel Car 2 2 — — $533,076.48 $533,076.48 $533,076.48 2026-09-28
Q0480 HCPCS Driver Pneumatic Vad Rep 4 2 — — $420,816.40 $492,275.78 $492,275.78 2026-09-28
K1007 HCPCS HCPCS K1007 4 2 — — $405,274.09 $474,094.22 $474,094.22 2026-09-28
L8702 HCPCS HCPCS L8702 4 2 — — $293,260.99 $343,060.03 $343,060.03 2026-09-28
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 24 15 — — $339,971.42 $469,160.56 $339,971.42 2026-09-28
18 MS_DRG Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 39 23 — — $301,413.48 $3,016,816.00 $331,554.83 2026-09-28
J3403 HCPCS Revakinagene Per Implant 18 10 — — $314,618.65 $434,173.74 $322,484.11 2026-09-28
24 APR_DRG Heart Or Lung Transplant 48 14 — — $264,601.89 $1,663,787.10 $272,539.95 2026-09-28
J3402 HCPCS Inj Remestemcel L Rknd Td 18 10 — — $251,255.06 $346,731.98 $257,536.43 2026-09-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 39 23 — — $225,130.94 $2,253,312.00 $247,644.03 2026-09-28
L7181 HCPCS HCPCS L7181 4 2 — — $187,166.83 $218,949.88 $218,949.88 2026-09-28
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 39 23 — — $189,613.73 $1,897,824.00 $208,575.10 2026-09-28
5834 APR_DRG Neonate W Ecmo 49 14 — — $194,778.52 $1,224,745.55 $200,621.88 2026-09-28
L7180 HCPCS HCPCS L7180 4 2 — — $169,830.30 $198,669.40 $198,669.40 2026-09-28
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 49 14 — — $191,354.73 $1,203,217.12 $197,095.37 2026-09-28
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 49 14 — — $191,354.73 $1,203,217.12 $197,095.37 2026-09-28
3 MS_DRG Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 39 23 — — $171,289.23 $1,714,416.00 $188,418.15 2026-09-28
L2006 HCPCS HCPCS L2006 4 2 — — $154,110.36 $180,280.04 $180,280.04 2026-09-28
1614 APR_DRG Cardiac Defibrillator Heart Assist Implant 49 14 — — $175,025.17 $1,100,538.71 $180,275.93 2026-09-28
34 APR_DRG Bone Marrow Transplant 48 14 — — $169,940.67 $1,068,567.92 $175,038.89 2026-09-28
L8701 HCPCS HCPCS L8701 4 2 — — $149,056.97 $174,368.53 $174,368.53 2026-09-28
5914 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 49 14 — — $146,919.74 $923,814.91 $151,327.33 2026-09-28
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 49 14 — — $146,388.92 $920,477.17 $150,780.59 2026-09-28
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 49 14 — — $146,388.92 $920,477.17 $150,780.59 2026-09-28
L6700 HCPCS HCPCS L6700 4 2 — — $128,803.30 $150,675.56 $150,675.56 2026-09-28
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 49 14 — — $142,096.10 $893,484.39 $146,358.98 2026-09-28
44 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 48 14 — — $137,043.45 $861,713.87 $141,154.75 2026-09-28
14 APR_DRG Liver Transplant Or Intestinal Transplant 48 14 — — $132,746.08 $834,692.48 $136,728.46 2026-09-28
5934 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 49 14 — — $132,219.05 $831,378.58 $136,185.62 2026-09-28
L5856 HCPCS HCPCS L5856 4 2 — — $112,298.95 $131,368.59 $131,368.59 2026-09-28
L6880 HCPCS HCPCS L6880 4 2 — — $111,635.01 $130,591.90 $130,591.90 2026-09-28
6094 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 49 14 — — $121,058.93 $761,204.98 $124,690.70 2026-09-28
4 MS_DRG Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 39 23 — — $112,932.34 $1,130,328.00 $124,225.57 2026-09-28
6024 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $114,669.37 $721,028.13 $118,109.45 2026-09-28
23 APR_DRG Heart Or Lung Transplant 48 14 — — $114,268.98 $718,510.52 $117,697.05 2026-09-28
14 MS_DRG Allogeneic Bone Marrow Transplant 39 23 — — $104,714.05 $1,048,072.00 $115,185.46 2026-09-28
7 MS_DRG Lung Transplant 39 23 — — $104,450.29 $1,045,432.00 $114,895.32 2026-09-28
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 49 14 — — $111,039.31 $698,202.76 $114,370.49 2026-09-28
5833 APR_DRG Neonate W Ecmo 49 14 — — $110,656.36 $695,794.82 $113,976.05 2026-09-28
5832 APR_DRG Neonate W Ecmo 49 14 — — $108,586.92 $682,782.40 $111,844.53 2026-09-28
5831 APR_DRG Neonate W Ecmo 49 14 — — $108,586.92 $682,782.40 $111,844.53 2026-09-28
6034 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 49 14 — — $105,631.77 $664,200.72 $108,800.72 2026-09-28
54 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 48 14 — — $104,567.85 $657,510.94 $107,704.89 2026-09-28
5933 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 49 14 — — $103,267.34 $649,333.48 $106,365.36 2026-09-28
L8614 HCPCS HCPCS L8614 4 2 — — $90,352.34 $105,695.19 $105,695.19 2026-09-28
Q0483 HCPCS Monitor Elec Vad Rep 4 2 — — $87,604.86 $102,481.16 $102,481.16 2026-09-28
L5858 HCPCS HCPCS L5858 4 2 — — $86,815.60 $101,557.87 $101,557.87 2026-09-28
22 APR_DRG Heart Or Lung Transplant 48 14 — — $97,411.63 $612,513.44 $100,333.98 2026-09-28
L6975 HCPCS HCPCS L6975 4 2 — — $83,079.44 $97,187.27 $97,187.27 2026-09-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 23 — — $88,079.25 $881,576.00 $96,887.18 2026-09-28
6074 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $93,618.54 $588,662.90 $96,427.10 2026-09-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 23 — — $40,921.65 $871,448.00 $95,774.09 2026-09-28
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 49 14 — — $92,738.14 $583,127.02 $95,520.28 2026-09-28
L5973 HCPCS HCPCS L5973 4 2 — — $81,516.82 $95,359.30 $95,359.30 2026-09-28
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 49 14 — — $92,051.10 $578,807.03 $94,812.63 2026-09-28
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 49 14 — — $92,051.10 $578,807.03 $94,812.63 2026-09-28
21 APR_DRG Heart Or Lung Transplant 48 14 — — $91,756.88 $576,956.97 $94,509.59 2026-09-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 23 — — $85,113.09 $851,888.00 $93,624.40 2026-09-28
215 MS_DRG Other Heart Assist System Implant 39 23 — — $84,678.28 $847,536.00 $93,146.11 2026-09-28
33 APR_DRG Bone Marrow Transplant 48 14 — — $89,656.35 $563,749.05 $92,346.04 2026-09-28
5913 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 49 14 — — $89,593.41 $563,353.29 $92,281.21 2026-09-28
426 MS_DRG Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 39 23 — — $83,778.28 $838,528.00 $92,156.11 2026-09-28
Q0489 HCPCS Pwr Pck Base Combo Vad Rep 4 2 — — $75,948.63 $88,845.57 $88,845.57 2026-09-28
L6970 HCPCS HCPCS L6970 4 2 — — $75,824.35 $88,700.18 $88,700.18 2026-09-28
904 APR_DRG Major Larynx Trachea Procedures 48 14 — — $85,161.81 $535,487.93 $87,716.66 2026-09-28
6023 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $84,643.88 $532,231.25 $87,183.20 2026-09-28
5932 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 49 14 — — $84,492.22 $531,277.61 $87,026.99 2026-09-28
L6965 HCPCS HCPCS L6965 4 2 — — $73,680.86 $86,192.70 $86,192.70 2026-09-28
5912 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 49 14 — — $83,580.73 $525,546.24 $86,088.15 2026-09-28
3034 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 49 14 — — $82,614.63 $519,471.55 $85,093.07 2026-09-28
216 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc 39 23 — — $77,134.59 $772,032.00 $84,848.05 2026-09-28
5931 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 49 14 — — $81,919.26 $515,099.11 $84,376.84 2026-09-28
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 49 14 — — $79,724.69 $501,299.94 $82,116.43 2026-09-28
4404 APR_DRG Kidney Transplant 49 14 — — $78,744.19 $495,134.66 $81,106.52 2026-09-28
850 MS_DRG Acute Leukemia With Other Procedures 39 23 — — $73,624.91 $736,904.00 $80,987.40 2026-09-28
L5859 HCPCS HCPCS L5859 4 2 — — $68,019.81 $79,570.34 $79,570.34 2026-09-28
Q0481 HCPCS Microprcsr Cu Elec Vad Rep 4 2 — — $67,893.85 $79,423.00 $79,423.00 2026-09-28
43 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 48 14 — — $76,366.88 $480,186.35 $78,657.89 2026-09-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 49 14 — — $75,406.09 $474,145.04 $77,668.27 2026-09-28
J9029 HCPCS Instill Adstiladrin Tx Dose 25 13 — — $63,354.77 $106,802.16 $77,392.87 2026-09-28
1613 APR_DRG Cardiac Defibrillator Heart Assist Implant 49 14 — — $74,615.17 $469,171.81 $76,853.63 2026-09-28
3614 APR_DRG Skin Graft For Skin Subcutaneous Tissue Diagnoses 49 14 — — $72,802.04 $457,771.04 $74,986.10 2026-09-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 23 — — $31,831.67 $677,872.00 $74,499.65 2026-09-28
456 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc 39 23 — — $67,688.59 $677,488.00 $74,457.45 2026-09-28
6022 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $71,918.60 $452,216.09 $74,076.16 2026-09-28
429 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion With Mcc 39 23 — — $66,660.70 $667,200.00 $73,326.77 2026-09-28
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 49 14 — — $71,165.59 $447,481.27 $73,300.56 2026-09-28
L6960 HCPCS HCPCS L6960 4 2 — — $62,624.65 $73,259.03 $73,259.03 2026-09-28
L6955 HCPCS HCPCS L6955 4 2 — — $62,092.19 $72,636.15 $72,636.15 2026-09-28
53 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 48 14 — — $70,012.95 $440,233.60 $72,113.34 2026-09-28
3044 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 49 14 — — $69,630.00 $437,825.66 $71,718.90 2026-09-28
6073 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $69,379.00 $436,247.39 $71,460.37 2026-09-28
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc 39 23 — — $64,426.69 $644,840.00 $70,869.36 2026-09-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses 49 14 — — $68,265.80 $429,247.67 $70,313.77 2026-09-28
6033 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 49 14 — — $68,085.32 $428,112.84 $70,127.88 2026-09-28
10 MS_DRG Pancreas Transplant 39 23 — — $63,724.11 $637,808.00 $70,096.52 2026-09-28
6814 APR_DRG Other O R Procedures For Lymphatic Hematopoietic Other Neoplasms 49 14 — — $68,029.96 $427,764.76 $70,070.86 2026-09-28
6804 APR_DRG Major O R Procedures For Lymphatic Hematopoietic Other Neoplasms 49 14 — — $67,841.14 $426,577.48 $69,876.37 2026-09-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 39 23 — — $63,357.24 $634,136.00 $69,692.96 2026-09-28
5911 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 49 14 — — $67,409.66 $423,864.37 $69,431.95 2026-09-28
A9543 HCPCS Y90 Ibritumomab Rx 24 15 — — $69,429.37 $95,812.53 $69,429.37 2026-09-28
233 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc 40 23 — — $29,361.29 $625,264.00 $68,717.91 2026-09-28
6904 APR_DRG Acute Leukemia 49 14 — — $66,376.08 $417,365.31 $68,367.36 2026-09-28
219 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc 39 23 — — $61,840.99 $618,960.00 $68,025.09 2026-09-28
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 49 14 — — $65,500.98 $411,862.81 $67,466.01 2026-09-28
6124 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 49 14 — — $64,256.58 $404,038.20 $66,184.28 2026-09-28
957 MS_DRG Other O R Procedures For Multiple Significant Trauma With Mcc 39 23 — — $59,656.53 $597,096.00 $65,622.18 2026-09-28
4054 APR_DRG Other Procedures For Endocrine Nutritional Metabolic Disorders 49 14 — — $63,608.23 $399,961.38 $65,516.48 2026-09-28
Q0479 HCPCS Power Module Combo Vad Rep 4 2 — — $55,994.14 $65,502.58 $65,502.58 2026-09-28
13 APR_DRG Liver Transplant Or Intestinal Transplant 48 14 — — $63,444.43 $398,931.45 $65,347.76 2026-09-28
6114 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 49 14 — — $62,285.72 $391,645.64 $64,154.29 2026-09-28
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 49 14 — — $61,531.96 $386,906.05 $63,377.92 2026-09-28
234 APR_DRG Spinal Procedures 48 14 — — $61,287.78 $385,370.69 $63,126.41 2026-09-28
427 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc 39 23 — — $56,739.13 $567,896.00 $62,413.04 2026-09-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 23 — — $56,481.76 $565,320.00 $62,129.94 2026-09-28
L6945 HCPCS HCPCS L6945 4 2 — — $53,065.43 $62,076.54 $62,076.54 2026-09-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv 96 Hours 39 23 — — $55,602.54 $556,520.00 $61,162.79 2026-09-28
E0766 HCPCS HCPCS E0766 4 2 — — $52,183.82 $61,045.22 $61,045.22 2026-09-28
L6950 HCPCS HCPCS L6950 4 2 — — $51,845.62 $60,649.59 $60,649.59 2026-09-28
32 APR_DRG Bone Marrow Transplant 48 14 — — $58,849.80 $370,040.93 $60,615.29 2026-09-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 39 23 — — $54,574.65 $546,232.00 $60,032.12 2026-09-28
64 APR_DRG Pancreas Transplant 48 14 — — $57,926.93 $364,238.03 $59,664.74 2026-09-28
4474 APR_DRG Other Kidney Urinary Tract Related Procedures 49 14 — — $57,863.99 $363,842.27 $59,599.91 2026-09-28
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 49 14 — — $57,834.42 $363,656.31 $59,569.45 2026-09-28
9124 APR_DRG Musculoskeletal Other Procedures For Multiple Significant Trauma 49 14 — — $57,454.50 $361,267.44 $59,178.14 2026-09-28
447 MS_DRG Mult Lvl Spin Fus Exc Cerv W Mcc Or Vust Anatom Des Interbody Fus Dev 39 23 — — $53,585.93 $536,336.00 $58,944.52 2026-09-28
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhalation Injury W Cc Mcc 39 23 — — $53,380.52 $534,280.00 $58,718.57 2026-09-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 39 23 — — $53,290.20 $533,376.00 $58,619.22 2026-09-28
L5991 HCPCS HCPCS L5991 4 2 — — $50,104.77 $58,613.13 $58,613.13 2026-09-28
5124 APR_DRG Uterine Adnexa Procedures For Non Ovarian Non Adnexal Malig 49 14 — — $56,899.41 $357,777.12 $58,606.39 2026-09-28
6072 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $56,709.83 $356,585.07 $58,411.12 2026-09-28
Q2043 HCPCS Sipuleucel T Auto Cd54 43 15 — — $53,914.93 $90,775.13 $58,316.14 2026-09-28
2604 APR_DRG Major Pancreas Liver Shunt Procedures 49 14 — — $56,316.27 $354,110.37 $58,005.76 2026-09-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Facial Bone Procedures 48 14 — — $55,761.94 $350,624.82 $57,434.80 2026-09-28
63 APR_DRG Pancreas Transplant 48 14 — — $55,464.68 $348,755.68 $57,128.62 2026-09-28
6093 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 49 14 — — $55,228.84 $347,272.77 $56,885.71 2026-09-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 39 23 — — $51,695.61 $517,416.00 $56,865.17 2026-09-28
217 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Cc 39 23 — — $51,613.29 $516,592.00 $56,774.62 2026-09-28
214 APR_DRG Craniotomy Except For Trauma 48 14 — — $54,912.63 $345,284.43 $56,560.01 2026-09-28
L7191 HCPCS HCPCS L7191 4 2 — — $48,053.11 $56,213.07 $56,213.07 2026-09-28
42 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 48 14 — — $54,512.24 $342,766.83 $56,147.61 2026-09-28
41 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 48 14 — — $54,512.24 $342,766.83 $56,147.61 2026-09-28
1694 APR_DRG Major Abdominal Vascular Procedures 49 14 — — $54,469.01 $342,495.04 $56,103.08 2026-09-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 49 14 — — $54,465.98 $342,475.97 $56,099.96 2026-09-28
6084 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 49 14 — — $54,465.22 $342,471.20 $56,099.18 2026-09-28
6954 APR_DRG Chemotherapy For Acute Leukemia 44 14 — — $56,015.22 $352,217.40 $56,015.22 2026-09-28
969 MS_DRG HIV With Extensive O R Procedures With Mcc 39 23 — — $50,546.24 $505,912.00 $55,600.86 2026-09-28
2204 APR_DRG Major Stomach Esophageal Duodenal Procedures 49 14 — — $53,747.10 $337,955.71 $55,359.51 2026-09-28
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 49 14 — — $53,703.11 $337,679.16 $55,314.20 2026-09-28
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 49 14 — — $53,662.92 $337,426.44 $55,272.81 2026-09-28
3214 APR_DRG Cervical Spinal Fusion Other Back Neck Proc Exc Disc Excis Decomp 49 14 — — $53,568.89 $336,835.18 $55,175.96 2026-09-28
1634 APR_DRG Cardiac Valve Procedures W O Ami Or Complex Pdx 49 14 — — $53,438.46 $336,015.05 $55,041.61 2026-09-28
J9226 HCPCS Supprelin La Implant 25 13 — — $45,350.22 $75,909.84 $55,007.13 2026-09-28
64568 CPT Opn Impltj Crnl Nrv Nea Pg 46 19 — — $1,003.41 $147,902.95 $54,982.51 2026-09-28
0620T OTHER Evasc Ven Artlz Tibl Prnl Vn 41 18 — — $3,549.00 $147,902.95 $54,982.51 2026-09-28
64654 CPT 1st Opn Implt Bat Modulj Sys 37 18 — — $10,913.00 $147,902.95 $54,982.51 2026-09-28
33276 CPT Insj Phrnc Nrv Stim Sys 46 19 — — $653.37 $147,902.95 $54,982.51 2026-09-28
3033 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 49 14 — — $52,991.06 $333,201.82 $54,580.79 2026-09-28
4014 APR_DRG Pituitary Adrenal Procedures 49 14 — — $52,988.78 $333,187.51 $54,578.44 2026-09-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulators 39 23 — — $49,507.96 $495,520.00 $54,458.76 2026-09-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 23 — — $49,444.02 $494,880.00 $54,388.42 2026-09-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 23 — — $23,132.75 $492,624.00 $54,140.48 2026-09-28
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 40 23 — — $23,053.49 $490,936.00 $53,954.97 2026-09-28
6032 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 49 14 — — $52,312.37 $328,934.28 $53,881.74 2026-09-28
L7186 HCPCS HCPCS L7186 4 2 — — $45,986.41 $53,795.43 $53,795.43 2026-09-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 23 — — $22,946.80 $488,664.00 $53,705.27 2026-09-28
28 MS_DRG Spinal Procedures With Mcc 39 23 — — $48,589.58 $486,328.00 $53,448.54 2026-09-28
3104 APR_DRG Intervertebral Disc Excision Decompression 49 14 — — $51,885.43 $326,249.78 $53,441.99 2026-09-28
L6940 HCPCS HCPCS L6940 4 2 — — $45,613.00 $53,358.61 $53,358.61 2026-09-28
6083 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 49 14 — — $51,744.39 $325,362.90 $53,296.72 2026-09-28
894 APR_DRG Major Cranial Facial Bone Procedures 48 14 — — $51,706.47 $325,124.49 $53,257.66 2026-09-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc Mcc 39 23 — — $48,241.09 $482,840.00 $53,065.20 2026-09-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc Mcc 39 23 — — $48,241.09 $482,840.00 $53,065.20 2026-09-28
244 APR_DRG Extracranial Vascular Procedures 48 14 — — $51,516.89 $323,932.44 $53,062.40 2026-09-28
6214 APR_DRG Neonate Bwt 2000 2499g W Major Anomaly 49 14 — — $51,505.52 $323,860.91 $53,050.69 2026-09-28
4414 APR_DRG Major Bladder Procedures 49 14 — — $51,287.12 $322,487.67 $52,825.73 2026-09-28
266 MS_DRG Endovascular Cardiac Valve Replacement Supplement Procedure W Mcc 39 23 — — $47,880.61 $479,232.00 $52,668.67 2026-09-28
218 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Card Cath W O Cc Mcc 39 23 — — $47,550.50 $475,928.00 $52,305.55 2026-09-28
204 APR_DRG Craniotomy For Trauma 48 14 — — $50,731.28 $318,992.58 $52,253.22 2026-09-28
1674 APR_DRG Other Cardiothoracic Thoracic Vascular Procedures 49 14 — — $50,285.39 $316,188.88 $51,793.95 2026-09-28
31 APR_DRG Bone Marrow Transplant 48 14 — — $50,242.92 $315,921.86 $51,750.21 2026-09-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 23 — — $47,028.57 $470,704.00 $51,731.43 2026-09-28
7914 APR_DRG O R Procedure For Other Complications Of Treatment 49 14 — — $50,129.93 $315,211.40 $51,633.83 2026-09-28
2214 APR_DRG Major Small Large Bowel Procedures 49 14 — — $50,111.74 $315,096.96 $51,615.09 2026-09-28
4034 APR_DRG Procedures For Obesity 49 14 — — $49,872.11 $313,590.21 $51,368.27 2026-09-28
820 MS_DRG Lymphoma And Leukemia With Major O R Procedures With Mcc 39 23 — — $46,533.81 $465,752.00 $51,187.19 2026-09-28
6021 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $49,235.12 $309,584.92 $50,712.17 2026-09-28
9114 APR_DRG Extensive Abdominal Thoracic Procedures For Mult Significant Trauma 49 14 — — $49,216.92 $309,470.48 $50,693.43 2026-09-28
3134 APR_DRG Knee Lower Leg Procedures Except Foot 49 14 — — $49,072.84 $308,564.53 $50,545.03 2026-09-28
457 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Cc 39 23 — — $45,871.20 $459,120.00 $50,458.32 2026-09-28
1814 APR_DRG Lower Extremity Arterial Procedures 44 14 — — $50,173.92 $315,487.95 $50,173.92 2026-09-28
23 MS_DRG Craniot W Maj Dev Impl Acute Cns Pdx W Mcc Or Chemo Epilep W Neuros 39 23 — — $45,597.04 $456,376.00 $50,156.74 2026-09-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy Other Radical GYN Procs 49 14 — — $48,602.69 $305,608.24 $50,060.77 2026-09-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 32 19 — — $47,517.73 $238,745.26 $49,893.62 2026-09-28
4424 APR_DRG Kidney Urinary Tract Procedures For Malignancy 49 14 — — $48,349.41 $304,015.66 $49,799.89 2026-09-28
6123 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 49 14 — — $48,099.93 $302,446.93 $49,542.93 2026-09-28
1774 APR_DRG Cardiac Pacemaker Defibrillator Revision Except Device Replacement 49 14 — — $48,036.23 $302,046.40 $49,477.32 2026-09-28
6914 APR_DRG Lymphoma Myeloma Non Acute Leukemia 49 14 — — $48,022.58 $301,960.57 $49,463.26 2026-09-28
7104 APR_DRG Infectious Parasitic Diseases Including HIV W O R Procedure 49 14 — — $47,928.55 $301,369.31 $49,366.41 2026-09-28
3174 APR_DRG Tendon Muscle Other Soft Tissue Procedures 49 14 — — $47,910.35 $301,254.88 $49,347.66 2026-09-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 49 14 — — $47,787.50 $300,482.43 $49,221.13 2026-09-28
264 APR_DRG Other Nervous System Related Procedures 48 14 — — $47,591.10 $299,247.46 $49,018.83 2026-09-28
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 49 14 — — $47,585.03 $299,209.32 $49,012.58 2026-09-28
653 MS_DRG Major Bladder Procedures With Mcc 39 23 — — $44,553.97 $445,936.00 $49,009.37 2026-09-28
6113 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 49 14 — — $47,514.51 $298,765.88 $48,939.95 2026-09-28
1664 APR_DRG Coronary Bypass W O Ami Or Complex Pdx 49 14 — — $47,252.13 $297,116.08 $48,669.69 2026-09-28
5114 APR_DRG Uterine Adnexa Procedures For Ovarian Adnexal Malignancy 49 14 — — $47,215.73 $296,887.20 $48,632.20 2026-09-28
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Cc 39 23 — — $44,179.10 $442,184.00 $48,597.01 2026-09-28
834 MS_DRG Acute Leukemia With Mcc 39 23 — — $44,175.90 $442,152.00 $48,593.49 2026-09-28
428 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical W O Cc Mcc 39 23 — — $44,002.46 $440,416.00 $48,402.71 2026-09-28
4444 APR_DRG Renal Dialysis Access Device Procedure Only 49 14 — — $46,908.61 $294,956.08 $48,315.87 2026-09-28
11 APR_DRG Liver Transplant Or Intestinal Transplant 48 14 — — $46,737.23 $293,878.47 $48,139.35 2026-09-28
12 APR_DRG Liver Transplant Or Intestinal Transplant 48 14 — — $46,737.23 $293,878.47 $48,139.35 2026-09-28
430 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 23 — — $43,721.91 $437,608.00 $48,094.10 2026-09-28
2644 APR_DRG Other Hepatobiliary Pancreas Abdominal Procedures 49 14 — — $46,671.26 $293,463.64 $48,071.40 2026-09-28
2614 APR_DRG Major Biliary Tract Procedures 49 14 — — $46,565.10 $292,796.09 $47,962.05 2026-09-28
1612 APR_DRG Cardiac Defibrillator Heart Assist Implant 49 14 — — $46,466.51 $292,176.22 $47,860.51 2026-09-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 39 23 — — $43,487.72 $435,264.00 $47,836.49 2026-09-28
L6935 HCPCS HCPCS L6935 4 2 — — $40,805.33 $47,734.53 $47,734.53 2026-09-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 39 23 — — $43,388.60 $434,272.00 $47,727.46 2026-09-28
1204 APR_DRG Major Respiratory Chest Procedures 49 14 — — $46,187.46 $290,421.53 $47,573.08 2026-09-28
1824 APR_DRG Other Peripheral Vascular Procedures 44 14 — — $47,561.52 $299,061.50 $47,561.52 2026-09-28
463 MS_DRG Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Mcc 40 23 — — $20,288.58 $432,056.00 $47,483.92 2026-09-28
11 MS_DRG Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Mcc 39 23 — — $43,126.44 $431,648.00 $47,439.08 2026-09-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 23 — — $43,120.84 $431,592.00 $47,432.92 2026-09-28
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96 Hours 49 14 — — $46,050.96 $289,563.25 $47,432.49 2026-09-28
6903 APR_DRG Acute Leukemia 49 14 — — $45,975.89 $289,091.20 $47,355.17 2026-09-28
1214 APR_DRG Other Respiratory Chest Procedures 49 14 — — $45,931.90 $288,814.64 $47,309.86 2026-09-28
3014 APR_DRG Hip Joint Replacement 49 14 — — $45,906.12 $288,652.52 $47,283.30 2026-09-28
2624 APR_DRG Cholecystectomy Except Laparoscopic 49 14 — — $45,905.36 $288,647.76 $47,282.52 2026-09-28
5194 APR_DRG Uterine Adnexa Procedures For Leiomyoma 49 14 — — $45,868.96 $288,418.88 $47,245.03 2026-09-28
6071 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 49 14 — — $45,811.33 $288,056.50 $47,185.67 2026-09-28
7114 APR_DRG Post Op Post Trauma Other Device Infections W O R Procedure 49 14 — — $45,771.14 $287,803.78 $47,144.27 2026-09-28
L6925 HCPCS HCPCS L6925 4 2 — — $40,055.46 $46,857.33 $46,857.33 2026-09-28
234 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation Without Mcc 40 23 — — $19,985.05 $425,592.00 $46,773.52 2026-09-28
L5857 HCPCS HCPCS L5857 4 2 — — $39,952.66 $46,737.07 $46,737.07 2026-09-28
5184 APR_DRG Other Female Reproductive System Related Procedures 49 14 — — $45,331.32 $285,038.23 $46,691.26 2026-09-28
494 APR_DRG Bacterial Tuberculous Infections Of Nervous System 48 14 — — $45,252.45 $284,542.34 $46,610.02 2026-09-28
1714 APR_DRG Perm Cardiac Pacemaker Implant W O Ami Heart Failure Or Shock 49 14 — — $45,224.39 $284,365.91 $46,581.12 2026-09-28
220 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Cc 39 23 — — $42,332.74 $423,704.00 $46,566.01 2026-09-28
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 49 14 — — $44,980.22 $282,830.55 $46,329.63 2026-09-28
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 49 14 — — $44,933.96 $282,539.69 $46,281.98 2026-09-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Diseases 48 14 — — $44,874.81 $282,167.77 $46,221.05 2026-09-28
3814 APR_DRG Major Skin Disorders 49 14 — — $44,761.82 $281,457.31 $46,104.67 2026-09-28
L7190 HCPCS HCPCS L7190 4 2 — — $39,274.25 $45,943.46 $45,943.46 2026-09-28
52 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 48 14 — — $44,312.90 $278,634.54 $45,642.29 2026-09-28
L8619 HCPCS HCPCS L8619 4 2 — — $38,782.74 $45,368.49 $45,368.49 2026-09-28
450 MS_DRG Sing Lvl Spin Fus Exc Cerv W Mcc Or Cust Anatom Design Inter Fus Dev 39 23 — — $41,160.99 $411,976.00 $45,277.09 2026-09-28
2294 APR_DRG Other Digestive System Abdominal Procedures 49 14 — — $43,882.18 $275,926.20 $45,198.65 2026-09-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 23 — — $41,025.91 $410,624.00 $45,128.50 2026-09-28
3084 APR_DRG Hip And Femur Fracture Repair 49 14 — — $43,745.68 $275,067.92 $45,058.05 2026-09-28
3094 APR_DRG Other Significant Hip And Femur Surgery 49 14 — — $43,565.96 $273,937.86 $44,872.94 2026-09-28
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 49 14 — — $43,502.26 $273,537.33 $44,807.33 2026-09-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 39 23 — — $40,718.18 $407,544.00 $44,790.00 2026-09-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 39 23 — — $40,593.49 $406,296.00 $44,652.84 2026-09-28
6504 APR_DRG Splenectomy 49 14 — — $43,246.71 $271,930.45 $44,544.11 2026-09-28
51 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 48 14 — — $43,194.39 $271,601.44 $44,490.22 2026-09-28
6082 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 49 14 — — $43,117.80 $271,119.85 $44,411.33 2026-09-28
4403 APR_DRG Kidney Transplant 49 14 — — $43,014.67 $270,471.38 $44,305.11 2026-09-28
239 MS_DRG Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Mcc 39 23 — — $40,256.19 $402,920.00 $44,281.81 2026-09-28
837 MS_DRG Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 39 23 — — $40,018.80 $400,544.00 $44,020.68 2026-09-28
278 MS_DRG US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W Mcc 39 23 — — $39,987.63 $400,232.00 $43,986.39 2026-09-28
853 MS_DRG Infectious And Parasitic Diseases With O R Procedures With Mcc 39 23 — — $39,976.44 $400,120.00 $43,974.08 2026-09-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 39 23 — — $39,827.77 $398,632.00 $43,810.55 2026-09-28
2234 APR_DRG Other Small Large Bowel Procedures 49 14 — — $42,302.61 $265,994.04 $43,571.69 2026-09-28
2244 APR_DRG Peritoneal Adhesiolysis 49 14 — — $42,227.53 $265,521.99 $43,494.36 2026-09-28
E0783 HCPCS HCPCS E0783 4 2 — — $37,159.77 $43,469.92 $43,469.92 2026-09-28
2224 APR_DRG Other Stomach Esophageal Duodenal Procedures 49 14 — — $41,965.16 $263,872.19 $43,224.11 2026-09-28
245 MS_DRG Aicd Generator Procedures 39 23 — — $39,057.26 $390,920.00 $42,962.99 2026-09-28
L8679 HCPCS HCPCS L8679 16 5 — — $39,428.03 $46,123.35 $42,775.69 2026-09-28
471 MS_DRG Cervical Spinal Fusion With Mcc 40 23 — — $18,246.09 $388,560.00 $42,703.62 2026-09-28
6 MS_DRG Liver Transplant Without Mcc 39 23 — — $38,756.72 $387,912.00 $42,632.39 2026-09-28
3024 APR_DRG Knee Joint Replacement 49 14 — — $41,273.57 $259,523.59 $42,511.78 2026-09-28
4234 APR_DRG Inborn Errors Of Metabolism 49 14 — — $41,239.45 $259,309.02 $42,476.63 2026-09-28
E0786 HCPCS HCPCS E0786 4 2 — — $36,247.07 $42,402.23 $42,402.23 2026-09-28
224 APR_DRG Ventricular Shunt Procedures 48 14 — — $40,854.23 $256,886.78 $42,079.86 2026-09-28
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O R Proc W Mcc 39 23 — — $38,167.65 $382,016.00 $41,984.42 2026-09-28
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 49 14 — — $40,697.25 $255,899.76 $41,918.17 2026-09-28
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 49 14 — — $40,599.43 $255,284.66 $41,817.41 2026-09-28
799 MS_DRG Splenic Procedures With Mcc 39 23 — — $38,002.20 $380,360.00 $41,802.42 2026-09-28
981 MS_DRG Extensive O R Procedures Unrelated To Principal Diagnosis W Mcc 40 23 — — $17,860.28 $380,344.00 $41,800.66 2026-09-28
504 APR_DRG Non Bacterial Infections Of Nervous System Exc Viral Meningitis 48 14 — — $40,543.32 $254,931.81 $41,759.62 2026-09-28
3043 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 49 14 — — $40,399.99 $254,030.62 $41,611.99 2026-09-28
3644 APR_DRG Other Skin Subcutaneous Tissue Related Procedures 49 14 — — $40,261.22 $253,158.04 $41,469.06 2026-09-28
8634 APR_DRG Neonatal Aftercare 49 14 — — $40,183.12 $252,666.92 $41,388.61 2026-09-28
267 MS_DRG Endovascular Cardiac Valve Replace Supplement Procedure W O Mcc 39 23 — — $37,601.75 $376,352.00 $41,361.93 2026-09-28
3032 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 49 14 — — $40,102.74 $252,161.49 $41,305.82 2026-09-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral Umbilical 49 14 — — $39,991.26 $251,460.56 $41,191.00 2026-09-28
69930 CPT Implant Cochlear Device 46 19 — — $1,368.58 $110,716.55 $41,158.57 2026-09-28
823 MS_DRG Lymphoma And Non Acute Leukemia With Other Procedures With Mcc 40 23 — — $17,578.16 $374,336.00 $41,140.36 2026-09-28
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