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

GLENS FALLS HOSPITAL

Glens Falls, NY · CCN 330191 · Rates published

28,599 distinct procedures filed
23 distinct payers
906,196 rate rows
2025-12-31 last MRF observed
Data quality

574,150 of 906,196 rate rows are consumer-grade (63.4%)

332,046 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 185,607
professional (physician) fee — not the facility price 138,862
template filing: same amount across many unrelated codes — excluded 2,790
placeholder amount (≤ $0.02) — excluded from medians 2,307
exceeds 10× this hospital's gross charge — excluded from medians 1,620
per-diem day rate — not a per-procedure price 639
percent-of-charges filed in the dollar field — excluded from medians 210
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://albany.pt.panaceainc.com/MRFDownload/albany/albanygfh
Found on page https://www.albanymed.org/patients-visitors/billing-insurance/hospital-pricing-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint a0778367553bc1cb… · 15,757,441 bytes · first seen 2026-05-13

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $3,020,475.00 $4,421,275.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,605,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $2,293,954.61 $4,887,120.69 $3,840,000.00 nat. median
$3,324,572
1.2× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $2,559,900.00 $4,200,000.00 $3,747,100.00 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $2,250,334.95 $4,794,191.85 $3,720,000.00 nat. median
$3,286,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $2,542,834.00 $3,722,119.34 $3,679,083.33 nat. median
$3,710,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,035,973.80 $4,337,509.40 $3,360,000.00 nat. median
$2,997,086
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $1,691,959.76 $3,604,609.93 $2,786,453.23 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $1,609,080.00 $3,428,040.00 $2,640,000.00 nat. median
$2,405,851
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $531,727.80 $1,960,629.90 $1,132,811.40 nat. median
$809,151
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $399,043.96 $1,471,387.28 $850,137.13 nat. median
$691,418
1.2× median
24
APR_DRG 		Heart &/or Lung Transplant 8 $204,348.46 $1,218,721.78 $659,485.26 nat. median
$243,231
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $373,728.61 $1,378,042.45 $637,620.48 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $373,469.71 $1,377,087.83 $633,974.92 nat. median
$610,161
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $381,831.39 $1,407,919.70 $626,466.60 nat. median
$631,793
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $367,822.77 $1,356,265.97 $604,296.00 nat. median
$588,565
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $558,000.00 $558,000.00 $558,000.00 nat. median
$30,221
outlier · 18.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $337,906.80 $1,245,957.38 $554,400.00 nat. median
$577,541
1.0× median
5834
APR_DRG 		Neonate W Ecmo 8 $150,509.29 $897,124.44 $485,459.73 nat. median
$311,018
1.6× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $147,869.29 $881,354.90 $476,926.38 nat. median
$180,995
outlier · 2.6×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $147,869.29 $881,354.90 $476,926.38 nat. median
$254,667
1.9× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 8 $135,277.95 $806,143.10 $436,227.12 nat. median
$209,486
outlier · 2.1×
34
APR_DRG 		Bone Marrow Transplant 8 $131,357.41 $782,724.55 $423,554.67 nat. median
$241,408
1.8× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 8 $113,606.51 $676,693.16 $366,178.05 nat. median
$168,361
outlier · 2.2×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $113,197.20 $674,248.27 $364,855.05 nat. median
$147,847
outlier · 2.5×
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $113,197.20 $674,248.27 $364,855.05 nat. median
$120,928
outlier · 3.0×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $361,288.92 $361,288.92 $361,288.92 nat. median
$209,736
1.7× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 8 $109,887.11 $654,476.10 $354,155.76 nat. median
$165,646
outlier · 2.1×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 $105,991.13 $631,204.24 $341,562.69 nat. median
$127,600
outlier · 2.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $304,757.14 $693,915.52 $335,629.58 nat. median
$370,165
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $186,558.75 $687,894.56 $335,265.00 nat. median
$302,242
1.1× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 8 $102,677.52 $611,411.11 $330,852.06 nat. median
$137,901
outlier · 2.4×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 8 $102,271.15 $608,983.68 $329,538.51 nat. median
$156,285
outlier · 2.1×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 8 $93,665.84 $557,581.61 $301,723.38 nat. median
$168,174
1.8× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 $88,738.99 $528,152.12 $285,798.24 nat. median
$123,690
outlier · 2.3×
23
APR_DRG 		Heart &/or Lung Transplant 8 $88,430.26 $526,307.98 $284,800.32 nat. median
$116,111
outlier · 2.5×
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 8 $85,939.94 $511,432.57 $276,750.81 nat. median
$64,013
outlier · 4.3×
5833
APR_DRG 		Neonate W Ecmo 8 $85,644.66 $509,668.75 $275,796.36 nat. median
$250,089
1.1× median
5831
APR_DRG 		Neonate W Ecmo 8 $84,048.96 $500,137.18 $270,638.55 nat. median
$154,685
1.7× median
5832
APR_DRG 		Neonate W Ecmo 8 $84,048.96 $500,137.18 $270,638.55 nat. median
$169,230
1.6× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 8 $81,770.31 $486,526.12 $263,273.22 nat. median
$109,499
outlier · 2.4×
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 $80,949.95 $481,625.87 $260,621.55 nat. median
$88,000
outlier · 3.0×
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 8 $79,947.16 $475,635.89 $257,380.20 nat. median
$112,711
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $227,628.03 $518,296.72 $249,523.74 nat. median
$261,939
1.0× median
22
APR_DRG 		Heart &/or Lung Transplant 8 $75,431.96 $448,665.26 $242,785.62 nat. median
$94,014
outlier · 2.6×
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 8 $72,507.19 $431,194.77 $233,331.84 nat. median
$99,613
outlier · 2.3×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 8 $71,828.34 $427,139.75 $231,137.55 nat. median
$160,171
1.4× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 8 $71,298.58 $423,975.36 $229,425.21 nat. median
$89,188
outlier · 2.6×
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 8 $71,298.58 $423,975.36 $229,425.21 nat. median
$96,420
outlier · 2.4×
21
APR_DRG 		Heart &/or Lung Transplant 8 $71,071.71 $422,620.19 $228,691.89 nat. median
$74,854
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 28,599 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $3,020,475.00 $4,421,275.00 $4,377,500.00 2025-12-31
C9172 HCPCS Inj, Beqvez, Per Tx Dose 3 1 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 6 — — $2,293,954.61 $4,887,120.69 $3,840,000.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 5 — — $2,559,900.00 $4,200,000.00 $3,747,100.00 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 6 — — $2,250,334.95 $4,794,191.85 $3,720,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $2,542,834.00 $3,722,119.34 $3,679,083.33 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 9 6 — — $2,035,973.80 $4,337,509.40 $3,360,000.00 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 6 — — $1,691,959.76 $3,604,609.93 $2,786,453.23 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 9 6 — — $1,609,080.00 $3,428,040.00 $2,640,000.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 8 6 — — $531,727.80 $1,960,629.90 $1,132,811.40 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $399,043.96 $1,471,387.28 $850,137.13 2025-12-31
24 APR_DRG Heart &/or Lung Transplant 23 8 — — $204,348.46 $1,218,721.78 $659,485.26 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 8 — — $373,728.61 $1,378,042.45 $637,620.48 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 12 8 — — $373,469.71 $1,377,087.83 $633,974.92 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 12 8 — — $381,831.39 $1,407,919.70 $626,466.60 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 8 — — $367,822.77 $1,356,265.97 $604,296.00 2025-12-31
C9098 HCPCS Ciltacabtagene Car Pos T 3 1 — — $558,000.00 $558,000.00 $558,000.00 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 12 8 — — $337,906.80 $1,245,957.38 $554,400.00 2025-12-31
5834 APR_DRG Neonate W Ecmo 23 8 — — $150,509.29 $897,124.44 $485,459.73 2025-12-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 23 8 — — $147,869.29 $881,354.90 $476,926.38 2025-12-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 23 8 — — $147,869.29 $881,354.90 $476,926.38 2025-12-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 23 8 — — $135,277.95 $806,143.10 $436,227.12 2025-12-31
34 APR_DRG Bone Marrow Transplant 23 8 — — $131,357.41 $782,724.55 $423,554.67 2025-12-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 23 8 — — $113,606.51 $676,693.16 $366,178.05 2025-12-31
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 23 8 — — $113,197.20 $674,248.27 $364,855.05 2025-12-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 23 8 — — $113,197.20 $674,248.27 $364,855.05 2025-12-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 1 — — $361,288.92 $361,288.92 $361,288.92 2025-12-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 23 8 — — $109,887.11 $654,476.10 $354,155.76 2025-12-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 23 8 — — $105,991.13 $631,204.24 $341,562.69 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 9 — — $304,757.14 $693,915.52 $335,629.58 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 5 — — $186,558.75 $687,894.56 $335,265.00 2025-12-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 23 8 — — $102,677.52 $611,411.11 $330,852.06 2025-12-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 23 8 — — $102,271.15 $608,983.68 $329,538.51 2025-12-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 23 8 — — $93,665.84 $557,581.61 $301,723.38 2025-12-31
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $88,738.99 $528,152.12 $285,798.24 2025-12-31
23 APR_DRG Heart &/or Lung Transplant 23 8 — — $88,430.26 $526,307.98 $284,800.32 2025-12-31
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 23 8 — — $85,939.94 $511,432.57 $276,750.81 2025-12-31
5833 APR_DRG Neonate W Ecmo 23 8 — — $85,644.66 $509,668.75 $275,796.36 2025-12-31
5831 APR_DRG Neonate W Ecmo 23 8 — — $84,048.96 $500,137.18 $270,638.55 2025-12-31
5832 APR_DRG Neonate W Ecmo 23 8 — — $84,048.96 $500,137.18 $270,638.55 2025-12-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 23 8 — — $81,770.31 $486,526.12 $263,273.22 2025-12-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 23 8 — — $80,949.95 $481,625.87 $260,621.55 2025-12-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 23 8 — — $79,947.16 $475,635.89 $257,380.20 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $227,628.03 $518,296.72 $249,523.74 2025-12-31
22 APR_DRG Heart &/or Lung Transplant 23 8 — — $75,431.96 $448,665.26 $242,785.62 2025-12-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $72,507.19 $431,194.77 $233,331.84 2025-12-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 23 8 — — $71,828.34 $427,139.75 $231,137.55 2025-12-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 23 8 — — $71,298.58 $423,975.36 $229,425.21 2025-12-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 23 8 — — $71,298.58 $423,975.36 $229,425.21 2025-12-31
21 APR_DRG Heart &/or Lung Transplant 23 8 — — $71,071.71 $422,620.19 $228,691.89 2025-12-31
33 APR_DRG Bone Marrow Transplant 23 8 — — $69,452.04 $412,945.41 $223,456.59 2025-12-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 23 8 — — $69,403.51 $412,655.52 $223,299.72 2025-12-31
904 APR_DRG Major Larynx & Trachea Procedures 23 8 — — $65,986.41 $392,244.18 $212,254.56 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 9 — — $191,703.95 $436,499.52 $211,247.31 2025-12-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $65,587.04 $389,858.67 $210,963.69 2025-12-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 23 8 — — $65,470.10 $389,160.13 $210,585.69 2025-12-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 23 8 — — $64,767.27 $384,961.90 $208,313.91 2025-12-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 23 8 — — $64,022.34 $380,512.20 $205,906.05 2025-12-31
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 23 8 — — $63,486.15 $377,309.40 $204,172.92 2025-12-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 23 8 — — $61,793.97 $367,201.52 $198,703.26 2025-12-31
4404 APR_DRG Kidney Transplant 23 8 — — $61,037.93 $362,685.46 $196,259.49 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 9 — — $173,188.76 $394,341.44 $190,876.71 2025-12-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 23 8 — — $59,204.84 $351,735.85 $190,334.34 2025-12-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 23 8 — — $58,464.00 $347,310.60 $187,939.71 2025-12-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 17 8 — — $44,914.89 $266,377.75 $187,014.31 2025-12-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 23 8 — — $57,854.14 $343,667.71 $185,968.44 2025-12-31
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 23 8 — — $56,456.07 $335,316.66 $181,449.45 2025-12-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $55,774.87 $331,247.67 $179,247.60 2025-12-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 23 8 — — $55,194.25 $327,779.42 $177,370.83 2025-12-31
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 23 8 — — $54,305.48 $322,470.51 $174,498.03 2025-12-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 23 8 — — $54,010.19 $320,706.70 $173,543.58 2025-12-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $53,816.65 $319,550.62 $172,917.99 2025-12-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 23 8 — — $52,958.28 $314,423.33 $170,143.47 2025-12-31
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 23 8 — — $52,819.12 $313,592.07 $169,693.65 2025-12-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 23 8 — — $52,776.44 $313,337.10 $169,555.68 2025-12-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 23 8 — — $52,630.84 $312,467.42 $169,085.07 2025-12-31
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 23 8 — — $52,298.14 $310,480.07 $168,009.66 2025-12-31
6904 APR_DRG Acute Leukemia 23 8 — — $51,501.16 $305,719.52 $165,433.59 2025-12-31
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 23 8 — — $50,826.40 $301,688.95 $163,252.53 2025-12-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 23 8 — — $49,866.87 $295,957.43 $160,151.04 2025-12-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 23 8 — — $49,366.94 $292,971.17 $158,535.09 2025-12-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 23 8 — — $49,240.64 $292,216.75 $158,126.85 2025-12-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 23 8 — — $48,347.19 $286,879.90 $155,238.93 2025-12-31
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 23 8 — — $47,765.98 $283,408.16 $153,360.27 2025-12-31
234 APR_DRG Spinal Procedures 23 8 — — $47,577.70 $282,283.51 $152,751.69 2025-12-31
32 APR_DRG Bone Marrow Transplant 23 8 — — $45,697.83 $271,054.48 $146,675.34 2025-12-31
64 APR_DRG Pancreas Transplant 23 8 — — $44,986.22 $266,803.86 $144,375.21 2025-12-31
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 23 8 — — $44,937.69 $266,513.97 $144,218.34 2025-12-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 23 8 — — $44,621.94 $264,627.91 $143,197.74 2025-12-31
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 23 8 — — $44,193.93 $262,071.25 $141,814.26 2025-12-31
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $44,047.75 $261,198.08 $141,341.76 2025-12-31
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 23 8 — — $43,744.28 $259,385.37 $140,360.85 2025-12-31
6954 APR_DRG Chemotherapy For Acute Leukemia # 23 8 — — $43,512.15 $257,998.76 $139,610.52 2025-12-31
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 23 8 — — $43,316.85 $256,832.20 $138,979.26 2025-12-31
63 APR_DRG Pancreas Transplant 23 8 — — $43,087.64 $255,463.06 $138,238.38 2025-12-31
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 23 8 — — $42,905.79 $254,376.83 $137,650.59 2025-12-31
214 APR_DRG Craniotomy Except For Trauma 23 8 — — $42,661.97 $252,920.38 $136,862.46 2025-12-31
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 23 8 — — $42,353.24 $251,076.23 $135,864.54 2025-12-31
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 23 8 — — $42,353.24 $251,076.23 $135,864.54 2025-12-31
1694 APR_DRG Major Abdominal Vascular Procedures 23 8 — — $42,319.91 $250,877.15 $135,756.81 2025-12-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 23 8 — — $42,317.57 $250,863.18 $135,749.25 2025-12-31
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 23 8 — — $42,316.98 $250,859.68 $135,747.36 2025-12-31
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 23 8 — — $41,763.25 $247,552.10 $133,957.53 2025-12-31
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 23 8 — — $41,729.34 $247,349.52 $133,847.91 2025-12-31
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 23 8 — — $41,698.35 $247,164.41 $133,747.74 2025-12-31
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 23 8 — — $41,625.84 $246,731.31 $133,513.38 2025-12-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 23 8 — — $41,525.27 $246,130.57 $133,188.30 2025-12-31
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 23 8 — — $41,180.29 $244,069.88 $132,073.20 2025-12-31
4014 APR_DRG Pituitary & Adrenal Procedures 23 8 — — $41,178.53 $244,059.40 $132,067.53 2025-12-31
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 23 8 — — $40,656.97 $240,943.91 $130,381.65 2025-12-31
3104 APR_DRG Intervertebral Disc Excision & Decompression 23 8 — — $40,327.77 $238,977.52 $129,317.58 2025-12-31
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 23 8 — — $40,219.01 $238,327.88 $128,966.04 2025-12-31
894 APR_DRG Major Cranial/facial Bone Procedures 23 8 — — $40,189.77 $238,153.24 $128,871.54 2025-12-31
244 APR_DRG Extracranial Vascular Procedures 23 8 — — $40,043.59 $237,280.07 $128,399.04 2025-12-31
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 23 8 — — $40,034.82 $237,227.68 $128,370.69 2025-12-31
4414 APR_DRG Major Bladder Procedures 23 8 — — $39,866.43 $236,221.78 $127,826.37 2025-12-31
204 APR_DRG Craniotomy For Trauma 23 8 — — $39,437.83 $233,661.63 $126,441.00 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 9 — — $114,184.53 $259,992.00 $125,959.65 2025-12-31
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 23 8 — — $39,094.01 $231,607.92 $125,329.68 2025-12-31
31 APR_DRG Bone Marrow Transplant 23 8 — — $39,061.27 $231,412.33 $125,223.84 2025-12-31
1814 APR_DRG Lower Extremity Arterial Procedures # 23 8 — — $39,008.06 $231,094.50 $125,051.85 2025-12-31
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 23 8 — — $38,974.14 $230,891.92 $124,942.23 2025-12-31
2214 APR_DRG Major Small & Large Bowel Procedures 23 8 — — $38,960.11 $230,808.09 $124,896.87 2025-12-31
4034 APR_DRG Procedures For Obesity 23 8 — — $38,775.34 $229,704.40 $124,299.63 2025-12-31
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $38,284.18 $226,770.53 $122,712.03 2025-12-31
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 23 8 — — $38,270.14 $226,686.71 $122,666.67 2025-12-31
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 23 8 — — $38,159.05 $226,023.10 $122,307.57 2025-12-31
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 25 13 $187,808.70 $93,904.35 50% off $55,945.97 $187,808.70 $122,075.66 2025-12-31
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 23 8 — — $37,796.52 $223,857.62 $121,135.77 2025-12-31
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 23 8 — — $37,601.22 $222,691.06 $120,504.51 2025-12-31
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 23 8 — — $37,408.85 $221,541.96 $119,882.70 2025-12-31
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 23 8 — — $37,359.73 $221,248.57 $119,723.94 2025-12-31
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 23 8 — — $37,349.21 $221,185.71 $119,689.92 2025-12-31
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 23 8 — — $37,276.70 $220,752.61 $119,455.56 2025-12-31
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 23 8 — — $37,262.67 $220,668.79 $119,410.20 2025-12-31
3054 APR_DRG Amputation Of Lower Limb Except Toes 23 8 — — $37,167.95 $220,102.97 $119,104.02 2025-12-31
A9513 HCPCS Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 19 12 $183,026.68 $91,513.34 50% off $312.69 $155,572.68 $118,967.34 2025-12-31
264 APR_DRG Other Nervous System & Related Procedures 23 8 — — $37,016.50 $219,198.36 $118,614.51 2025-12-31
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 23 8 — — $37,011.83 $219,170.42 $118,599.39 2025-12-31
1824 APR_DRG Other Peripheral Vascular Procedures # 23 8 — — $36,993.70 $219,062.14 $118,540.80 2025-12-31
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 23 8 — — $36,957.45 $218,845.60 $118,423.62 2025-12-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 23 8 — — $36,755.14 $217,637.12 $117,769.68 2025-12-31
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 23 8 — — $36,727.07 $217,469.47 $117,678.96 2025-12-31
4444 APR_DRG Renal Dialysis Access Device Procedure Only 23 8 — — $36,490.26 $216,054.93 $116,913.51 2025-12-31
12 APR_DRG Liver Transplant &/or Intestinal Transplant 23 8 — — $36,358.11 $215,265.58 $116,486.37 2025-12-31
11 APR_DRG Liver Transplant &/or Intestinal Transplant 23 8 — — $36,358.11 $215,265.58 $116,486.37 2025-12-31
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 23 8 — — $36,307.24 $214,961.71 $116,321.94 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 9 8 — — $105,875.65 $241,073.12 $116,236.95 2025-12-31
2614 APR_DRG Major Biliary Tract Procedures 23 8 — — $36,225.38 $214,472.74 $116,057.34 2025-12-31
7 MS_DRG Lung Transplant 9 8 — — $105,608.97 $240,465.92 $115,945.02 2025-12-31
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 23 8 — — $36,149.37 $214,018.69 $115,811.64 2025-12-31
1204 APR_DRG Major Respiratory & Chest Procedures 23 8 — — $35,934.19 $212,733.37 $115,116.12 2025-12-31
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 23 8 — — $35,828.94 $212,104.69 $114,775.92 2025-12-31
6903 APR_DRG Acute Leukemia 23 8 — — $35,771.05 $211,758.91 $114,588.81 2025-12-31
1214 APR_DRG Other Respiratory & Chest Procedures 23 8 — — $35,737.14 $211,556.33 $114,479.19 2025-12-31
3014 APR_DRG Hip Joint Replacement 23 8 — — $35,717.26 $211,437.58 $114,414.93 2025-12-31
2624 APR_DRG Cholecystectomy Except Laparoscopic 23 8 — — $35,716.67 $211,434.09 $114,413.04 2025-12-31
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 23 8 — — $35,688.61 $211,266.44 $114,322.32 2025-12-31
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 23 8 — — $35,644.17 $211,000.99 $114,178.68 2025-12-31
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 23 8 — — $35,613.18 $210,815.88 $114,078.51 2025-12-31
5184 APR_DRG Other Female Reproductive System & Related Procedures 23 8 — — $35,274.04 $208,790.11 $112,982.31 2025-12-31
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 23 8 — — $35,213.23 $208,426.87 $112,785.75 2025-12-31
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 23 8 — — $35,191.60 $208,297.64 $112,715.82 2025-12-31
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 23 8 — — $35,003.32 $207,172.99 $112,107.24 2025-12-31
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 23 8 — — $34,967.65 $206,959.94 $111,991.95 2025-12-31
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 23 8 — — $34,922.04 $206,687.51 $111,844.53 2025-12-31
3814 APR_DRG Major Skin Disorders 23 8 — — $34,834.92 $206,167.10 $111,562.92 2025-12-31
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 23 8 — — $34,488.76 $204,099.42 $110,444.04 2025-12-31
2294 APR_DRG Other Digestive System & Abdominal Procedures 23 8 — — $34,156.64 $202,115.56 $109,370.52 2025-12-31
3084 APR_DRG Hip And Femur Fracture Repair 23 8 — — $34,051.39 $201,486.88 $109,030.32 2025-12-31
3094 APR_DRG Other Significant Hip And Femur Surgery 23 8 — — $33,912.82 $200,659.11 $108,582.39 2025-12-31
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 23 8 — — $33,863.70 $200,365.72 $108,423.63 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $106,120.93 $110,365.77 $108,243.35 2025-12-31
6504 APR_DRG Splenectomy 23 8 — — $33,666.65 $199,188.68 $107,786.70 2025-12-31
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 23 8 — — $33,626.30 $198,947.68 $107,656.29 2025-12-31
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 23 8 — — $33,567.25 $198,594.92 $107,465.40 2025-12-31
4403 APR_DRG Kidney Transplant 23 8 — — $33,487.73 $198,119.91 $107,208.36 2025-12-31
2234 APR_DRG Other Small & Large Bowel Procedures 23 8 — — $32,938.67 $194,840.27 $105,433.65 2025-12-31
2244 APR_DRG Peritoneal Adhesiolysis 23 8 — — $32,880.79 $194,494.49 $105,246.54 2025-12-31
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 23 8 — — $32,678.47 $193,286.02 $104,592.60 2025-12-31
3024 APR_DRG Knee Joint Replacement 23 8 — — $32,145.21 $190,100.68 $102,868.92 2025-12-31
4234 APR_DRG Inborn Errors Of Metabolism 23 8 — — $32,118.90 $189,943.50 $102,783.87 2025-12-31
224 APR_DRG Ventricular Shunt Procedures 23 8 — — $31,821.86 $188,169.21 $101,823.75 2025-12-31
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 23 8 — — $31,700.82 $187,446.22 $101,432.52 2025-12-31
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 23 8 — — $31,625.40 $186,995.67 $101,188.71 2025-12-31
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 23 8 — — $31,582.13 $186,737.21 $101,048.85 2025-12-31
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 23 8 — — $31,471.61 $186,077.09 $100,691.64 2025-12-31
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 23 8 — — $31,364.61 $185,437.92 $100,345.77 2025-12-31
8634 APR_DRG Neonatal Aftercare 23 8 — — $31,304.38 $185,078.17 $100,151.10 2025-12-31
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 23 8 — — $31,242.40 $184,707.95 $99,950.76 2025-12-31
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 23 8 — — $31,156.45 $184,194.52 $99,672.93 2025-12-31
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 23 8 — — $30,597.46 $180,855.50 $97,866.09 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $89,050.20 $202,762.48 $97,817.52 2025-12-31
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 23 8 — — $30,574.66 $180,719.28 $97,792.38 2025-12-31
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 23 8 — — $30,544.25 $180,537.66 $97,694.10 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 9 — — $88,033.61 $200,447.76 $97,188.14 2025-12-31
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 23 8 — — $30,336.09 $179,294.26 $97,021.26 2025-12-31
8444 APR_DRG Partial Thickness Burns Without Skin Graft 23 8 — — $30,022.10 $177,418.68 $96,006.33 2025-12-31
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 23 8 — — $29,952.51 $177,003.05 $95,781.42 2025-12-31
62 APR_DRG Pancreas Transplant 23 8 — — $29,880.01 $176,569.96 $95,547.06 2025-12-31
61 APR_DRG Pancreas Transplant 23 8 — — $29,880.01 $176,569.96 $95,547.06 2025-12-31
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 23 8 — — $29,834.99 $176,301.02 $95,401.53 2025-12-31
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 23 8 — — $29,767.16 $175,895.86 $95,182.29 2025-12-31
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 23 8 — — $29,767.16 $175,895.86 $95,182.29 2025-12-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $93,216.70 $96,945.37 $95,081.04 2025-12-31
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 23 8 — — $29,577.12 $174,760.74 $94,568.04 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 8 — — $86,057.80 $195,948.96 $94,541.64 2025-12-31
215 MS_DRG Other Heart Assist System Implant 10 9 — — $85,616.58 $194,944.32 $94,528.90 2025-12-31
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 23 8 — — $29,427.44 $173,866.61 $94,084.20 2025-12-31
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 23 8 — — $29,033.92 $171,516.02 $92,812.23 2025-12-31
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 23 8 — — $28,831.02 $170,304.05 $92,156.40 2025-12-31
3464 APR_DRG Connective Tissue Disorders 23 8 — — $28,822.25 $170,251.66 $92,128.05 2025-12-31
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 23 8 — — $28,745.65 $169,794.12 $91,880.46 2025-12-31
1804 APR_DRG Other Circulatory System Procedures 23 8 — — $28,498.32 $168,316.71 $91,080.99 2025-12-31
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 23 8 — — $28,459.73 $168,086.19 $90,956.25 2025-12-31
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 23 8 — — $28,395.99 $167,705.48 $90,750.24 2025-12-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 23 8 — — $28,270.28 $166,954.55 $90,343.89 2025-12-31
4402 APR_DRG Kidney Transplant 23 8 — — $27,482.66 $162,249.89 $87,798.06 2025-12-31
6614 APR_DRG Coagulation & Platelet Disorders 23 8 — — $27,018.98 $159,480.17 $86,299.29 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 9 — — $77,990.54 $177,580.24 $86,138.66 2025-12-31
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 23 8 — — $26,925.42 $158,921.34 $85,996.89 2025-12-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 23 8 — — $26,899.11 $158,764.17 $85,911.84 2025-12-31
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 23 8 — — $26,794.45 $158,138.98 $85,573.53 2025-12-31
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 23 8 — — $26,527.82 $156,546.31 $84,711.69 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $84,651.71 $192,747.36 $84,651.71 2025-12-31
1934 APR_DRG Acute & Subacute Endocarditis 23 8 — — $26,423.15 $155,921.11 $84,373.38 2025-12-31
2284 APR_DRG Inguinal, Femoral & Umbilical Hernia Procedures 23 8 — — $26,374.03 $155,627.73 $84,214.62 2025-12-31
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 23 8 — — $26,163.54 $154,370.35 $83,534.22 2025-12-31
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 23 8 — — $26,047.18 $153,675.31 $83,158.11 2025-12-31
6964 APR_DRG Other Chemotherapy # 23 8 — — $26,015.02 $153,483.21 $83,054.16 2025-12-31
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 23 8 — — $25,834.34 $152,403.96 $82,470.15 2025-12-31
213 APR_DRG Craniotomy Except For Trauma 23 8 — — $25,649.57 $151,300.27 $81,872.91 2025-12-31
C9293 HCPCS Glucarpidase 1000 Units/ml Intrathecal Syringe 21 11 $129,700.20 $64,850.10 50% off $494.09 $110,245.17 $81,711.13 2025-12-31
5464 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses 23 8 — — $25,508.07 $150,455.04 $81,415.53 2025-12-31
233 APR_DRG Spinal Procedures 23 8 — — $25,441.99 $150,060.36 $81,201.96 2025-12-31
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 23 8 — — $25,342.59 $149,466.60 $80,880.66 2025-12-31
4834 APR_DRG Testes & Scrotal Procedures 23 8 — — $25,334.40 $149,417.71 $80,854.20 2025-12-31
6081 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 23 8 — — $25,137.94 $148,244.16 $80,219.16 2025-12-31
8503 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 17 8 — — $19,249.23 $113,069.18 $79,381.83 2025-12-31
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 23 8 — — $24,653.21 $145,348.71 $78,652.35 2025-12-31
8633 APR_DRG Neonatal Aftercare 23 8 — — $24,594.73 $144,999.44 $78,463.35 2025-12-31
914 APR_DRG Other Major Head & Neck Procedures 23 8 — — $24,543.28 $144,692.08 $78,297.03 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 10 7 — — $14,774.74 $144,574.38 $77,830.66 2025-12-31
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 23 8 — — $24,394.76 $143,804.94 $77,816.97 2025-12-31
1813 APR_DRG Lower Extremity Arterial Procedures # 23 8 — — $24,236.89 $142,861.91 $77,306.67 2025-12-31
903 APR_DRG Major Larynx & Trachea Procedures 23 8 — — $24,215.25 $142,732.68 $77,236.74 2025-12-31
2254 APR_DRG Appendectomy 23 8 — — $24,072.58 $141,880.46 $76,775.58 2025-12-31
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 23 8 — — $23,912.95 $140,926.95 $76,259.61 2025-12-31
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 23 8 — — $23,904.77 $140,878.05 $76,233.15 2025-12-31
6132 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 23 8 — — $23,870.27 $140,671.99 $76,121.64 2025-12-31
4624 APR_DRG Nephritis & Nephrosis 23 8 — — $23,814.72 $140,340.18 $75,942.09 2025-12-31
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 23 8 — — $23,801.27 $140,259.85 $75,898.62 2025-12-31
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 23 8 — — $23,792.50 $140,207.46 $75,870.27 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 9 — — $68,477.59 $155,919.76 $75,672.41 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 9 — — $68,439.61 $155,833.28 $75,630.62 2025-12-31
9503 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 23 8 — — $23,676.14 $139,512.41 $75,494.16 2025-12-31
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 23 8 — — $23,582.00 $138,950.08 $75,189.87 2025-12-31
974 APR_DRG Tonsil & Adenoid Procedures 23 8 — — $23,558.03 $138,806.88 $75,112.38 2025-12-31
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 23 8 — — $23,398.98 $137,856.87 $74,598.30 2025-12-31
2004 APR_DRG Cardiac Structural & Valvular Disorders 23 8 — — $23,355.13 $137,594.92 $74,456.55 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $74,441.36 $169,498.96 $74,441.36 2025-12-31
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 23 8 — — $23,331.74 $137,455.21 $74,380.95 2025-12-31
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx 23 8 — — $23,320.05 $137,385.35 $74,343.15 2025-12-31
7754 APR_DRG Alcohol Abuse & Dependence 23 8 — — $23,237.02 $136,889.39 $74,074.77 2025-12-31
9103 APR_DRG Craniotomy For Multiple Significant Trauma 23 8 — — $22,990.27 $135,415.47 $73,277.19 2025-12-31
6803 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 23 8 — — $22,941.15 $135,122.08 $73,118.43 2025-12-31
3434 APR_DRG Musculoskeletal Malignancy & Pathol Fracture D/t Muscskel Malig 23 8 — — $22,842.33 $134,531.82 $72,799.02 2025-12-31
3144 APR_DRG Foot & Toe Procedures 23 8 — — $22,802.57 $134,294.32 $72,670.50 2025-12-31
6394 APR_DRG Neonate Birthwt >2499g W Other Significant Condition 23 8 — — $22,740.01 $133,920.60 $72,468.27 2025-12-31
1744 APR_DRG Percutaneous Coronary Intervention W Ami 23 8 — — $22,707.85 $133,728.50 $72,364.32 2025-12-31
6813 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 23 8 — — $22,652.30 $133,396.69 $72,184.77 2025-12-31
893 APR_DRG Major Cranial/facial Bone Procedures 23 8 — — $22,597.92 $133,071.87 $72,009.00 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 9 — — $65,141.75 $148,324.24 $72,002.29 2025-12-31
564 APR_DRG Brain Contusion/laceration & Complicated Skull Fx, Coma < 1 Hr Or No Coma 23 8 — — $22,562.84 $132,862.31 $71,895.60 2025-12-31
8904 APR_DRG HIV W Multiple Major HIV Related Conditions 23 8 — — $22,460.51 $132,251.09 $71,564.85 2025-12-31
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 23 8 — — $22,375.14 $131,741.15 $71,288.91 2025-12-31
9102 APR_DRG Craniotomy For Multiple Significant Trauma 23 8 — — $22,302.05 $131,304.56 $71,052.66 2025-12-31
9101 APR_DRG Craniotomy For Multiple Significant Trauma 23 8 — — $22,302.05 $131,304.56 $71,052.66 2025-12-31
10 MS_DRG Pancreas Transplant 9 8 — — $64,429.81 $146,703.20 $70,864.69 2025-12-31
3042 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 23 8 — — $22,158.21 $130,445.36 $70,587.72 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 8 — — $64,060.51 $145,862.32 $70,460.40 2025-12-31
1693 APR_DRG Major Abdominal Vascular Procedures 23 8 — — $22,044.77 $129,767.78 $70,221.06 2025-12-31
4401 APR_DRG Kidney Transplant 23 8 — — $21,989.81 $129,439.46 $70,043.40 2025-12-31
2794 APR_DRG Hepatic Coma & Other Major Acute Liver Disorders 23 8 — — $21,983.96 $129,404.54 $70,024.50 2025-12-31
3213 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 23 8 — — $21,969.93 $129,320.71 $69,979.14 2025-12-31
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 23 8 — — $21,955.31 $129,233.39 $69,931.89 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 10 9 — — $63,164.33 $143,821.76 $69,826.71 2025-12-31
243 APR_DRG Extracranial Vascular Procedures 23 8 — — $21,898.01 $128,891.11 $69,746.67 2025-12-31
913 APR_DRG Other Major Head & Neck Procedures 23 8 — — $21,864.68 $128,692.02 $69,638.94 2025-12-31
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 23 8 — — $21,844.80 $128,573.27 $69,574.68 2025-12-31
2634 APR_DRG Laparoscopic Cholecystectomy 23 8 — — $21,777.56 $128,171.61 $69,357.33 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 9 — — $62,526.74 $142,370.00 $69,125.23 2025-12-31
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 23 8 — — $21,685.76 $127,623.26 $69,060.60 2025-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 2 — — $67,452.66 $70,150.77 $68,801.71 2025-12-31
2264 APR_DRG Anal Procedures 23 8 — — $21,538.99 $126,746.59 $68,586.21 2025-12-31
1104 APR_DRG Ear, Nose, Mouth, Throat, Cranial/facial Malignancies 23 8 — — $21,531.98 $126,704.68 $68,563.53 2025-12-31
7244 APR_DRG Other Infectious & Parasitic Diseases 23 8 — — $21,490.46 $126,456.70 $68,429.34 2025-12-31
6223 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 23 8 — — $21,403.92 $125,939.78 $68,149.62 2025-12-31
1703 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 23 8 — — $21,387.55 $125,841.98 $68,096.70 2025-12-31
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 23 8 — — $21,341.36 $125,566.06 $67,947.39 2025-12-31
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